HomeMy WebLinkAbout2022 June- eDEP Massachusetts Department of Environmental Protection
eDEP Transaction Copy
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Username: EBELAIR
Transaction ID: 1377457
Document: Groundwater Discharge Monitoring Report Forms
Size of File: 1026.62K
Status of Transaction: Submitted
Date and Time Created: 6/21/2022:11:52:43 AM
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.
HEALTH DEF'
✓uICOW VI 1\GJVul aic MGI,II VII- VIVUIIU yr QIGI VIJai11QU C IV1 CIII I. I- CI11 lit IYul lla/cl
.. Groundwater Permit1111.111111.11111111.11111111111!
MONITORING WELL DATA REPORT 2.Tax identification Number
'2022 MAY MONTHLY
3. Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use ITHE COVE RESORT HOTEL
only the tab key to a.Name
move your cursor-
do not use the 1183 MAIN STREET/RTE. 28
return key. b.Street Address
YARMOUTH 1MA 102675
c.City d.State e.Zip Code
2. Contact information:
Iiir I IMICHAEL EDWARDS
a.Name of Facility Contact Person
15087713666 medwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
15/31/2022 IWHITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
DAVE FISHER
c.Analysis Performed By(Name)
B. Form Selection
1. Please select Form Type and Sampling Month&Frequency
I Monitoring Well Data Report-2022 May Monthly
— All forms for submittal have been completed.
2. - 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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11V1 I- ViI Will RIYVQlc1 V/JV1101VG I IU ICIII I. r CI11 IL 19U' IIJVI
Grounummillimmo
2. Tax identification Number
DAILY LOG SHEET 12022 MAY DAILY
3. Sampling Month &Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use ITHE COVE RESORT HOTEL
only the tab key to a.Name
move your cursor-
do not use the 1183 MAIN STREET/RTE. 28
return key. b.Street Address
ill
r YARMOUTH � IMA 02675
c.City d.State e.Zip Code
2. Contact information:
IFIFAM MICHAEL EDWARDS
a.Name of Facility Contact Person
15087713666 medwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
15/31/2022 IWHITEWATER
a.Date Sampled(mm/dd/yyyy) b.Laboratory Name
.DAVE FISHER
c.Analysis Performed By(Name)
B. Form Selection
1.Please select Form Type and Sampling Month&Frequency
I Daily Log Sheet-2022 May Daily
I-
- All forms for submittal have been completed.
2. rThis 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
DISCHARGE MONITORING REPORT 2. Tax identification Number
€2022 MAY MONTHLY
3. Sampling Month&Frequency
A. Facility Information
Important:When
filling out forms on 1. Facility name,address:
the computer, use THE COVE RESORT HOTEL
only the tab key to a.Name
move your cursor
do not use the 1183 MAIN STREET/RTE. 28
return key. b.Street Address
YARMOUTH MA 102675
✓ c.City d.State e.Zip Code
ti
2. Contact information:
MICHAEL EDWARDS
a.Name of Facility Contact Person
15087713666 medwards@coveatyarmouth.com
b.Telephone Number c.e-mail address
3. Sampling information:
15/27/2022 1RI ANALYTICAL
a.Date Sampled(mmldd/yyyy) b.Laboratory Name
JONATHAN AUGUSTE
c.Analysis Performed By(Name)
B. Form Selection
I. Please select Form Type and Sampling Month&Frequency
Discharge Monitoring Report-2022 May Monthly
- All forms for submittal have been completed.
2. - 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
✓ul Oau 1.11 I\QJVlI I✓O I I Vl0\..IIIA I - VI V1.11 IIJYYOIGI I.JIOII 101 I 11./yl al 11 I. F GI III III-4111.101_ \'. Groundwater Permit
2. Tax identification Number
Facility Information
Important:When ITHE COVE RESORT HOTEL
filling out forms on
a.Name
the computer, use
only the tab key to 1183 MAIN STREET/RTE. 28
move your cursor b.Street Address
do not use the YARMOUTH MA 102675
return key. c.City d.State e.Zip Code
ralt. 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.
'WA 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
Aiwa*milimilk are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations."
IELIZABETH BELAIR 16/21/2022
Any person signing a.Signature b.Date(mm/dd/yyyy)
a document under
314 CMR 5.14(1)or
(2)shall make the Reporting Packa.e Comments
following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR MAY 2022.PUMPED 25000
certification GALLONS FOR SEMIANNUAL TANK MAINTENANCE.
If you are filing
electronic-ally and
want to attach
additional
comments, select
the check box.
r
gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1