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2022 June 21 - eDEP
Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must ,_.ave and/or print. Username: EBELAIR Transaction ID: 1377231 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1028.79K Status of Transaction: Submitted Date and Time Created: 6/212022:11:51:28 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 DEP WWI G04 VI I%GJVUI ISG I I IGVIII/1 I- VI VU114 YY O lGI VIJVI 101 I 11/4/V1 64111 I. I GI III Il I,1UI 111)01 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 IBUCK ISLAND CONDO. only the tab key to a.Name move your cursor do not use the I481 BUCK ISLAND ROAD return key. b. Street Address YARMOUTH MA 02675 rim c.City d.State e.Zip Code 2. Contact information: JLD All ANDREW WHITTER J111/1111//6- a.Name of Facility Contact Person 5087786513 )Andy©fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 5/10/2022 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-2022 May Monthly fi- 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 1..n.1..n.11Q II GU VI I%GJVUI VG I I VIGI✓11VII- VI VU114VVQlG1 VIJIil IOU yG I I VW0111 I. f 0111111 1,11.11111../01 Groundwater Permit L,..,, t 2.Tax identification Number , ... DISCHARGE MONITORING REPORT '2022 MAY MONTHLY j 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 B°D 280 8.2 13.0 MG/L TSS 92 17.3 2.0 MG/L TOTAL SOLIDS 550 MG/L AMMONIA-N 59 MG/L NITRATE-N 0.085 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 2.8 0.50 MG/L OIL&GREASE 2.1 10.50 I MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 Uul Gau VI I\GJVu1 VG I I VIGVUVI I- VI IJ\.11 IVYVOIGI vIJ\il IOU yG I I•..01 0111 I. r GM!,I`1ul I IVGI 1 .. Groundwater Permit DAILY LOG SHEET 2.Tax identification Number :2022 MAY DAILY 3. Sampling Month&Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use .BUCK ISLAND CONDO. only the tab key to a.Name move your cursor do not use the 481 BUCK ISLAND ROAD return key. b.Street Address w, 'YARMOUTH MA 102675 44c.City d.State e.Zip Code 2. Contact information: ANDREW WHITTER a.Name of Facility Contact Person 15087786513 Andy©fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 15/31/2022 1WHITEWATER 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 - All forms for submittal have been completed. 2. f- 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 ",, UUI GCU VI I%GJV4.11 VG I I V1GI,l1V1 I - VI VUI IUYYOIGI U1J6r1ICU 1.�G I I_i jI 0111 I. f 0111111 IYUIIIVGI \ . Groundwater Permit DAILY LOG SHEET 2.Tax identification Number 12022 MAY DAILY 3. 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) (°/a) 1 6154 2 6217 7.1 3 7200 I F-1 6.8 4 8527 I I I-1 I r------ 7.0 5 5546 7.0 6 7327 F----1 7.0 7 5645 II 8 15501 I = NM 9 15480 1 = — 1 10 5247 1 I I I 7.1 11 i 5080 I 7.1 12 6918 111111111111 1 = 7.0 13 16988 I '� I I 7.1 14 -1-5-1651-11 95 _. (' _... ( I I IIIIII 15 7799 1 II 16 2759 I 1 7.2 17 1413 1 1 7.2 18 3287 I I 7-17.2 19 16528 I 7 __._.1 7.0 20 16148 I =' 1= =I 7.0 1 21 111509 I 1 = 1-11- 22 18602 Ii 1 23 2289 I_1 6.9 24 152010 6.9 25 2254 I I I 6.9 1 I 26 2886 1 ______1 _6A_____1 27 15122 1 6.9 ____I 28 17212 I I 1 I 29 117170 1 = FI I __ I 30 17095 I I I 1 1 I 31 X7551 1 1 I 1 X6.9 gdpdls.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 "., UUI GQU VI I SGJVUI4G I I VVV IGIIl I- VI VYQVJ4Q 4114YLGI I11IVQ 1�.G I I I,I III I. f CI Illlt l\VIII✓GI Groundwater Permit 2.Tax identification Number MONITORING WELL DATA REPORT 12022 MAY MONTHLY 3. Sampling Month &Frequency A. Facility Information Important:When filling out forms on 1. Facility name,address: the computer, use IBUCK ISLAND CONDO. - only the tab key to a.Name move your cursor- do not use the 481 BUCK ISLAND ROAD return key. b.Street Address YARMOUTH MA 02675 c.City d.State e.Zip Code 2. Contact information: IIlANDREW WHITTER a.Name of Facility Contact Person 5087786513 ;Andy@fpmcapecod.com b.Telephone Number c.e-mail address 3. Sampling information: 15/31/2022 W H ITEWATER 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 rAll forms for submittal have been completed. . T- 2This is the last selection. 3. 1— Delete the selected form. gdpdls 2015-09-15.doc• rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 .'''' :1LIUI riau VI I SGJ,..A.A1 l+G I I vl01/4.1.1LI1- VI V611114YYatG1 1-01.,,..1 la. 3O I I,./W alll I. f C,,,„,Ivu111Vc1 Groundwater PermitIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIM MONITORING WELL DATA REPORT 2. Tax identification Number 2022 MAY 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-10 MW-11 MW-12 MW-8 MW-9 Units Well#: 1 Well#:2 Well#: 3 Well#:4 Well#:5 Well#:6 PH 6.8 6.8 6.7 '6.1 5.8 s.u. STATIC WATER LEVEL `10.5 12.5 12.5 8.1 9.6 FttI SPECIFIC CONDUCTANCE 1 225 1 667 525 155 10 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 UUIGGU VI I SGJI/UI UG I I VLGU1.1V1 I- V1 VUI IIAVVPLGI VIJIiI IQIG I IIJIJ.Ialll I. 1 GIIIIII IVUII IUGI IL, Groundwater Permit 11111111111111111111111111111111111111111111111 ... 2.Tax identification Number Facility Information Important:When BUCK ISLAND CONDO. filling out forms on a.Name the computer, use { only the tab key to 1481 BUCK ISLAND ROAD move your cursor- b.Street Address do not use the YARMOUTH MA 02675 return key. c.City d.State e.Zip Code IVir Certification /_ a "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. IgrAil 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 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 5000 certification GALLONS FROM PRETREAT. 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