HomeMy WebLinkAbout2021 Feb - RI Analytical Massachusetts Department of Environmental Protection
eDEP Transaction Copy
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Username: EBELAIR
Transaction ID: 1256238
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 2031.20K
Status of Transaction: Submitted
Date and Time Created: 2/22/2021:4:49:52 PM
Note: This file only includes forms that were part of your
transaction as of the date and time indicated above. If you need
a more current copy of your transaction, return to eDEP and
select to "Download a Copy" from the Current Submittals page.
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Groundwater Permit
2.Tax identification Number
DISCHARGE MONITORING REPORT 2021 JAN MONTHLY
3.Sampling Month&Frequency
A. Facility Information
important:when
filling out forms on 1. Facility name,address:
the computer, use .MAYFLOWER PLACE
only the tab key to a.Name
move your cursor-
do not use the 1579 BUCK ISLAND ROAD
return key. b.Street Address
I. .YARMOUTH MA 02673
c.City d.State e.Zip Code
2. Contact information:
J! , I 1MARK WEINBERGER
a.Name of Facility Contact Person
2035574777 mweinberger@maplewoodsl.com
b.Telephone Number c.e-mail address
3. Sampling information:
1/21/2021 IRI ANALYTICAL
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
(NICOLE SKYLESON
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
I Discharge Monitoring Report-2021 Jan Monthly
r
— All forms for submittal have been completed.
-
2. This is the last selection.
3. IDelete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
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.
Groundwater
MONITORING Permit 2.Tax identification Number
DISREPORT
2021 JAN MONTHLY
3.Sampling Month&Frequency
D. Contaminant Analysis Information
• For"0", below detection limit, less than (<)value, or not detected, enter"ND"
• TNTC=too numerous to count. (Fecal results only)
• NS= Not Sampled
1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method
Units Detection limit
BOD 28 [6.9 3.0
MG/L
TSS I 32 I 12 2.0
MG/L
TOTAL SOLIDS 380
MG/L
AMMONIA-N ND
MG/L
NITRATE-N 3.6 0.25
MG/L
TOTAL NITROGEN(NO3+NO2+TKN) 5.9 0.25
MG/L
OIL&GREASE ND 0.5
MG/L
infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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Groundwater Permit
I I CI Illll Ivulll1Jcl
2.Tax identification Number
DISCHARGE MONITORING REPORT
'2021 QUARTERLY 1
3. Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'MAYFLOWER PLACE
only the tab key to a.Name
move your cursor
do not use the [579 BUCK ISLAND ROAD
return key. b.Street Address
[YARMOUTH 1MA 102673
$_ c.City d.State e.Zip Code
2. Contact information:
!WAJ ., MARK WEINBERGER
a.Name of Facility Contact Person
[2035574777 Jmweinberger@maplewoodsl.com
b.Telephone Number c.e-mail address
3. Sampling information:
11/21/2021 IRI ANALYTICAL
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
NICOLE SKYLESON
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
Discharge Monitoring Report-2021 Quarterly 1 J
- All forms for submittal have been completed.
2. 1This is the last selection.
3. Delete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
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_P Groundwater Permit
DISCHARGE MONITORING REPORT 2.Tax identification Number
=2021 QUARTERLY 1 • i
1
3.Sampling Month&Frequency
D. Contaminant Analysis Information
• For"0", below detection limit, less than (<)value, or not detected, enter"ND"
• TNTC=too numerous to count. (Fecal results only)
• NS = Not Sampled
1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method
Units Detection limit
TOTAL PHOSPHORUS AS P '5.3 i 0.02 I
MG/L
ORTHO PHOSPHATE 4.2 0.02
MG/L
infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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Groundwater Permit
DISCHARGE MONITORING REPORT 2.Tax identification Number
;2021 ANNUAL
,Li3. Sampling Month &Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'MAYFLOWER PLACE
only the tab key to a.Name
move your cursor-
do not use the 1579 BUCK ISLAND ROAD
return key. b.Street Address
'YARMOUTH MA 102673
I.11:1 c.City d.State e.Zip Code
2. Contact information:
WM [MARK WEINBERGER
a.Name of Facility Contact Person
12035574777 Imweinberger@maplewoodsl.com
b.Telephone Number c.e-mail address
3. Sampling information:
'1/21/2021 IRI ANALYTICAL
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
'NICOLE SKYLESON
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
Discharge Monitoring Report-2021 Annual
- All forms for submittal have been completed.
2. 1This is the last selection.
3. T- Delete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
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DISCHARGE MONITORING REPORT
:2021 ANNUAL
3.Sampling Month&Frequency
E. VOC Analysis Information
• If VOCs are present, please indicate the amounts of the individual compounds in pg/I.
• For"0", below detection limit, less than (<)value,or not detected, enter"ND"
• NS = Not Sampled
1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method
Units Detection limit
ACETONE (ND 10
UG/L
BENZENE ND 1.0
UG/L
1,1 DICHLOROETHANE ND 1.0
UG/L
1,2 DICHLOROETHANE ND 1.0
UG/L
1,1 DICHLOROETHYLENE ND 1.0
UG/L
CIS-1,2-DICHLOROETHYLENE ND 1.0
UG/L
TRANS 1,2 DICHLOROETHYLENE ND 1.0
UG/L
ETHYL BENZENE ND 1.0
UG/L
METHYLENECHLORIDE ND 1.0
UG/L
TOLUENE ND 1.0
UG/L
O-XYLENE ND 1.0
UG/L
P/M XYLENE ND 1.0
UG/L
CARBON TETRACHLORIDE ND 1.0
UG/L
CHLOROFORM ND 1.0
UG/L
2-BUTANONE(MEK) ND 1.0
UG/L
infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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. Groundwater Permit
2.Tax identification Number
DISCHARGE MONITORING REPORT
12021 ANNUAL
3. Sampling Month&Frequency
E. VOC Analysis Information
• If VOCs are present, please indicate the amounts of the individual compounds in pg/I.
• For"0", below detection limit, less than (<)value, or not detected, enter"ND"
• NS = Not Sampled
1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method
Units Detection limit
4-METHYL-2-PENTANONE(MIBK) ND j 1.0
UG/L
TRICHLOROETHYLENE ND 1.0
UG/L
TETRACHLOROETHYLENE ND 1.0
UG/L
1,1,1 TRICHLOROETHANE ND 1.0
UG/L
VINYLCHLORIDE ND 1.0
UG/L
STYRENE ND 1.0
UG/L
CHLOROBENZENE ND 1.0
UG/L
METHYL TERTIARY BUTYL ETHER ND 1.0
UG/L
CHLOROETHANE IND 1.0
UG/L
1,2-DICHLOROPROPANE ND 1.0
UG/L
DIBROMOCHLOROMETHANE ND 1.0
UG/L
1,1,2-TRICHLOROETHANE ND 1.0
UG/L
2-CHLOROETHYLVINYL ETHER ND 1.0
UG/L
BROMODICHLOROMETHANE ND 1.0
UG/L
BROMOFORM ND 1.0
UG/L
infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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Groundwater Permit
DISCHARGE MONITORING REPORT 2.Tax identification Number
Nj
3.2021 SamplingAMonthNUAL &Frequency
E. VOC Analysis Information
• If VOCs are present, please indicate the amounts of the individual compounds in pg/I.
• For"0", below detection limit, less than (<)value, or not detected, enter"ND"
• NS= Not Sampled
1. Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method
Units Detection limit
1,1,2,2-TETRACHLOROETHANE ND 1 1.0
UG/L
CHLOROMETHANE ND 1.0
UG/L
BROMOMETHANE ND 1.0
UG/L
CARBONDISULFIDE ND 1.0
UG/L
2-HEXANONE ND 1.0
UG/L
ACROLEIN ND 1.0
UG/L
ACRYLONITRILE ND 1.0
UG/L
TRANS-1,3-DICHLOROPROPENE ND - 1.0
UG/L
CIS-1,3-DICHLOROPROPENE ND 1.0
UG/L
infeffrp-blank.doc•rev.09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1
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\ Groundwater Permit 2.Tax identification Number
MONITORING WELL DATA REPORT
2021 JAN MONTHLY j
3. Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'MAYFLOWER PLACE
only the tab key to a.Name
move your cursor
do not use the 1579 BUCK ISLAND ROAD
return key. b.Street Address
4YARMOUTH MA 02673
c.City d.State e.Zip Code
ti
2. Contact information:
IrJr Ail
MARK WEINBERGER
a. Name of Facility Contact Person
12035574777 Jmweinberger@maplewoodsl.com
b.Telephone Number c.e-mail address
3. Sampling information:
'1/27/2021 IWHITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
1DOUG MURPHY
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
Monitoring Well Data Report-2021 Jan Monthly
- All forms for submittal have been completed.
2. - This is the last selection.
r
3. — Delete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1
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Groundwater Permit
MONITORING WELL DATA REPORT 2.Tax identification Number
2021 JAN MONTHLY •
3.Sampling Month &Frequency
C. Contaminant Analysis Information
• For 110", below detection limit, less than (<)value, or not detected, enter"ND" <
• TNTC =too numerous to count. (Fecal results only)
• NS = Not Sampled
• DRY= Not enough water in well to sample.
Parameter/Contaminant MW-1 MW-2 MW-3D MW-3M MW-3S MW-4D
Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#: 5 Well#: 6
PH 16.1 6.1 6.2 6.4 6.2 6.2
S.U.
STATIC WATER LEVEL 6.81 9.42 8.53 8.79 8.78 10.58
FEET
SPECIFIC CONDUCTANCE 302 388 265 296 334 311
UMHOS/C
Monitoring Well Data for Groundwater Permit• Page 1 of 1
mwdgwp blank.doc•rev. 09/15/15
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Groundwater Permit
•
2.Tax identification Number
MONITORING WELL DATA REPORT
'2021 JAN MONTHLY
3. Sampling Month&Frequency
C. Contaminant Analysis Information
• For"0", below detection limit, less than (<)value, or not detected, enter"ND" <
• TNTC=too numerous to count. (Fecal results only)
• NS = Not Sampled
• DRY= Not enough water in well to sample.
Parameter/Contaminant MW-4M MW-4S MW-5 MW-6 MW-8D MW-8S
Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#:6
PH 16.1 6.2 6.1 6.3 6.2 15.9
s.U.
STATIC WATER LEVEL 9.68 10.34 7.43 8.31 10.79 8.51
FLLI
SPECIFIC CONDUCTANCE 308 277 367 398 402 422
UMHOS/C
mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1
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Groundwater Permit
DAILY LOG SHEET 2.Tax identification Number
2021 JAN DAILY
3.Sampling Month&Frequency + r
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use 'MAYFLOWER PLACE
only the tab key to a.Name
move your cursor
do not use the 1579 BUCK ISLAND ROAD
return key. b.Street Address
YARMOUTH MA '02673
Ic.City d.State e.Zip Code
in 2. Contact information:
PFA-1AMMIIIIIIIIIR MARK WEINBERGER
a.Name of Facility Contact Person
12035574777 mweinberger@maplewoodsl.com
b.Telephone Number c.e-mail address
3. Sampling information:
1/31/2021 IWHITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
DOUG MURPHY
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
Daily Log Sheet-2021 Jan Daily .1
- All forms for submittal have been completed.
2. r This is the last selection.
3. - Delete the selected form.
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1
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Groundwater Permit
`° 2.Tax identification Number
DAILY LOG SHEET 32021 JAN DAILY I
I.L3. Sampling Month&Frequency
C. Daily Readings/Analysis Information
Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine UV
Flow GPD Flow GPD Flow GPD pH Residual Intensity
(mg/I) (%)
1 9654 I I _-. i I
2 9654 I I____-1
3 9654 I I I I I1 1I
4 9870 ( II i 7.3 I I
5 10432 7.2
6 9043 {{ 7.4
7 9987 I I 7.1 =8 9322 I r-----1 ( 7.3 L-
9 9322 NM I I J
10 9322 I
11 9698 = 1.71--1
12 9004 I 7.1
13 8899 7.2 I
14 9156 7.2 — j
15 9665 I I 7.3 I I
16 9665 I MI IIS
17 9665 = ri
18 9178 I 7.1 ___ I (-___dill=
19 9369 I I = 7.2 =
20 9779 I 7.4
21 [903Z--1 1 7.4 I
22 9608 I . I I 7.5
23 9608
24 9608 I I II
25 9879
7.4 I 11111111
26 8965
7.5 I
27 8870 I 7.6
28 18966 I F-1 _1 = 7.,= F-1( `�I
29 9078 = I I=
I
30 9078
31 9078 I I I
gdpols.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1
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Groundwater Permit I. f Gllllll 19WIIUGI
11111111111111111......
2.Tax identification Number
r
1 ,
Facility Information
Important:When [MAYFLOWER PLACE
filling out forms on
a.Name
the computer, use
only the tab key to 1579 BUCK ISLAND ROAD
move your cursor- b.Street Address
do not use the YARMOUTH IMA 102673
return key. c.City d.State e.Zip Code
r� Certification
_� "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.
P Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information,the information submitted is,to the best of my knowledge and belief,true,accurate and complete.I am aware that the
are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations."
ELIZABETH BELAIR 12/22/2021
Any person signing a.Signature b.Date(mm/dd/yyyy)
a document under
314 CMR 5.14(1)or
(2)shall make the Re I ortin' PackaTe Comments
following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR JANUARY 2021.
certification
If you are filing
electronic-ally and
want to attach
additional
comments, select
the check box.
r
Groundwater Permit•Page 1 of 1
gdpdls 2015-09-15.doc• rev. 09/15/15