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Home My WebLink About2022 Oct - 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 save and/or print. Username: EBELAIR Transaction ID: 1436342 Document: Groundwater Discharge Monitoring Report Forms Size of File: 1602.38K Status of Transaction: Submitted Date and Time Created: 10/28/2022:3:47:33 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. NOV 0 3 2022 HEALTH DEPT. UUI GGIu VI I SGJVu1 l,G I IIIIGVUIJI I - VI VIII IUYVOLCI ✓IJ\.,I IOU yv I I VVI QI11 I GI Mil IvulllllGl Groundwater Permit " 2.Tax identification Number DAILY LOG SHEET `2022 SEP DAILY 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 '579 BUCK ISLAND ROAD return key. b.Street Address YARMOUTH MA 102673 liii c.City d.State e.Zip Code 41111111111111111111L j X( 2. Contact information: MTh I MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 19/30/2022 1WH ITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name IJAIME STEWART c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency . Daily Log Sheet-2022 Sep Daily :J. r- - 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 ✓UI COLA VI I%GJVUI VG I I VLVVI.IVI I- VI VUI IUYYQIGl 1-$1JV1 IG111.'G I I VW C1111 I. r Gllllll Ilull LIGI I ,. Groundwater Permit L 2.Tax identification Number DAILY LOG SHEET 12022 SEP 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) (%) 1 10588 I 1 __ 1 Fi = 7.3 II 2 10799 1 I 7.2 3 10800 1 = 4 10799 I I I 5 10800 I I 6 51119 I j 7.1 7 9932 I 11 7.2 8 10096 I= 7.3 9 12919 I 7.2 10 12918 I 11 12919 I 12 l6525 I _ I IL i ® I 13 10128 I 14 11477 I ( ( 7.2 I 15 I10058 I = = 7.1 I 16 112699 j _I 7 I 17 102700 I = = I 18 12699 I I= _I I 19 11058 I = = 20 10963 I I 21 11453 I = 7.1 22 111539 I I 7.1 23 9560 = 7 24 '9561 25 19560 I 26 9278 = I 7.1 I I= 27 10529 I I I = 7.4 28 15183 7.3 I 29 15183 - 7-1 1 1 ,7.3 30 ;15183 1 7.3 31 gdpols.doc•rev. 09/15/15 Groundwater Permit Daily Log Sheet• Page 1 of 1 LJUI GU VI I%GJI V V V 1.1 G I IIGGII l I - VI V114 VYCILGI V VI IJ ICU IJ.G I I VI,.I alll N. L,,, Q VU l 1. Gllllll.—..,...,v.Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 2022 SEP 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 YARMOUTH MA 102673 MI c.City d.State e.Zip Code 2. Contact information: o' ► IMARK WEINBERGER a.Name of Facility Contact Person 12035574777 [mweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 19/29/2022 (WH ITEWATER a.Date Sampled(mm/dd/yyyy) b.Laboratory Name IJAIME STEWART c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency I Monitoring Well Data Report-2022 Sep Monthly vi C 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 UU U I GO VI I SGJVUI VG I I VLGVtIV1 I- VI Vll1 IVVVaLGI U101,I 1011,.Gi I I J 10111 I. f GI III,IYUI I IVGI Groundwater Permitimmiummum ' 2.Tax identification Number MONITORING WELL DATA REPORT 2022 SEP 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-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 6.1 16 1 6.2 6.2 6.1 16.4 C s.U. STATIC WATER LEVEL 8.65 11.73 10.14 10.15 1 10.17 12.03 I LL I SPECIFIC CONDUCTANCE 215 133 1 225 218 264 102 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 VUI VOW VI I\GJVUI VG I I V\GVlIV1 I- VI VUI IIJYYQIGI 1-01JVI IQ, G I I V9I Call I. I-GI 11111 IY UI I IVGI Groundwater Permit MONITORING WELL DATA REPORT 2.Tax identification Number 2022 SEP 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-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 6.3 6.2 6 6.2 6.4 6.3 S.U. STATIC WATER LEVEL 12.02 12.03 10.91 10.72 13.22 11.24 I-E I SPECIFIC CONDUCTANCE 98 234 176 298 302 208 UMHOS/C mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 1JUIGQU VI I SGJVUI IUG I I V6G6.I.IVI I- VI VUI IUYYULGI VIJVI1Gl1VG I I V6J.1 GI I. I-011111l mummy, Permit 11111111111111111 ` ""` 2.Tax identification Number MONITORING WELL DATA REPORT 2022 QUARTERLY 3 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 (YARMOUTH (MA 102673 MI c.City d.State e.Zip Code 2. Contact information: tarp MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: (9/29/2022 (RI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name 'PAUL PERROTTI c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency I Monitoring Well Data Report-2022 Quarterly 3 — 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 1.JUI GQU VI I\GJVUI VG I I VlGVl1V1 I- VI VU114YYQIGI VIJVI ICU I,.G I I Vl,.1 1:4111 I. ! GI 1111.11 4111VG1 Groundwater Permit 11.11111.1111111111 MONITORING WELL DATA REPORT 2.Tax identification Number ia: 2022 QUARTERLY 3 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-1 MW-2 MW-3D MW-3M MW-3S MW-4D Units Well#: 1 Well#: 2 Well#: 3 Well#:4 Well#: 5 Well#: 6 NITRATE-N ND ND ND ND ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK ND ND ND ND ND ND MG/L TOTAL PHOSPHORUS ASP 0.046 0.12 0.10 0.094 0.091 0.078 MG/L ORTHO PHOSPHATE ND ( ND ND ND ND ND MG/L mwdgwp-blank.doc• rev. 09/15/15 Monitoring Well Data for Groundwater Permit• Page 1 of 1 U 41 OCAU VI I\GJV(I VG I Il/6GVl1Vl I ` VI V4114VVClLG1 UIJV11P11,.G I IVJ I al II I. ! GI IIIII 1V4111UG1 Groundwater Permit MONITORING WELL DATA REPORT 2. Tax identification Number 2022 QUARTERLY 3 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 NITRATE-N ND AND ai ND ND ND ND MG/L TOTAL NITROGEN(NO3+NO2+TK IND 0.75 ND ND ND ND MG/L TOTAL PHOSPHORUS AS P ''0.014 0.030 0.044 0.086 ND 0.079 MG/L ORTHO PHOSPHATE ND ND ND ND ND ND MG/L mwdgwp-blank.doc•rev. 09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 L'' ✓UI GQU VI I SGJVUI l,G I I VLGl/611JI I - VI VUI IUVYQIGI ✓IJUI IOU l,.G I I VU.I QI I I I. F GI I IIII I VU11 IAlGI Groundwater Permit DISCHARGE MONITORING REPORT 2.Tax identification Number a2022 SEP 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 JYARMOUTH IMA 102673 ismc.City d.State e.Zip Code ,, 2. Contact information: IPAW MARK WEINBERGER a.Name of Facility Contact Person 12035574777 Imweinberger@maplewoodsl.com b.Telephone Number c.e-mail address 3. Sampling information: 19/29/2022 IRI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name PAUL PERROTTI c.Analysis Performed By(Name) B. Form Selection 1. Please select Form Type and Sampling Month&Frequency Discharge Monitoring Report-2022 Sep Monthly "I 7 All forms for submittal have been completed. 2. 1- 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 UUIGQN VI I\GJVUI VG I IVIGVIIVII - VIVU114 VVQlGI 1-,I0411QI1,.G I I,./ IQIII I. f CI MIL 1441114GI Groundwater Permit 2.Tax identification Number DISCHARGE MONITORING REPORT :2022 SEP 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 ND ND 3.0 MG/L TSS 2.0 ND 2.0 MG/L TOTAL SOLIDS 430 MG/L AMMONIA-N ND MG/L NITRATE-N 5.3 0.050 MG/L TOTAL NITROGEN(NO3+NO2+TKN) 6.07 0.50 MG/L OIL&GREASE 1.6 0.50 MG/L infeffrp-blank.doc•rev. 09/15/15 Groundwater Permit Discharge Monitoring Report• Page 1 of 1 LUUIGpU VI 1\GJVUIVG I IVIGVllIJII- VIVVIIU YYpIGI VIJI..I IpI\J.G I IVl l0111 I. I GI II III IYUII IVGI Groundwater Permit111111101111111111.111111111.1111111111111 2.Tax identification Number 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 IYARMOUTH IMA 102673 return key. c.City d.State e.Zip Code rinCertification "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. Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the MR X 4' information,the information submitted is,to the best of my knowledge and belief,true,accurate and complete.I am aware that the i are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations." IELIZABETH BELAIR 110/28/2022 Any person signing a.Signature b.Date(mm/dd/yyyy) a document under 314 CMR 5.14(1)or (2) shall make the Reporting Package Comments following PLANT MET ALL DISCHARGE PERMIT REQUIREMENTS FOR SEPTEMBER 2022. certification If you are filing electronic-ally and want to attach additional comments, select the check box. gdpols 2015-09-15.doc• rev. 09/15/15 Groundwater Permit• Page 1 of 1