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1725098
6/24/2024:1:24:07 PM
1068.23K
LCOELHO
Groundwater Discharge Monitoring Report Forms
In Process
D. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
DRY = Not enough water in well to sample.
Parameter/Contaminant HW1 HW2 HW3 HW4 HW5 HW6
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
4METHYL2PENTANONE (MIBK)ND ND ND ND ND ND
UG/L
TRICHLOROETHYLENE ND ND ND ND ND ND
UG/L
TETRACHLOROETHYLENE ND ND ND ND ND ND
UG/L
1,1,1 TRICHLOROETHANE ND ND ND ND ND ND
UG/L
VINYLCHLORIDE ND ND ND ND ND ND
UG/L
STYRENE ND ND ND ND ND ND
UG/L
CHLOROBENZENE ND ND ND ND ND ND
UG/L
METHYL TERTIARY BUTYL ETHERND ND ND ND ND ND
UG/L
CHLOROETHANE ND ND ND ND ND ND
UG/L
1,2DICHLOROPROPANE ND ND ND ND ND ND
UG/L
DIBROMOCHLOROMETHANE ND ND ND ND ND ND
UG/L
1,1,2TRICHLOROETHANE ND ND ND ND ND ND
UG/L
2CHLOROETHYLVINYL ETHER ND ND ND ND ND ND
UG/L
BROMODICHLOROMETHANE ND ND ND ND ND ND
UG/L
BROMOFORM ND ND ND ND ND ND
UG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
742
1. Permit Number
266887192
2. Tax identification Number
2024 ANNUAL
3. Sampling Month & Frequency
D. VOC Analysis Information
If VOCs are present, please indicate the amounts of the individual compounds in µg/l.
For "0", below detection limit, less than (<) value, or not detected, enter "ND"
NS = Not Sampled
DRY = Not enough water in well to sample.
Parameter/Contaminant HW1 HW2 HW3 HW4 HW5 HW6
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
1,1,2,2TETRACHLOROETHANE ND ND ND ND ND ND
UG/L
CHLOROMETHANE ND ND ND ND ND ND
UG/L
BROMOMETHANE ND ND ND ND ND ND
UG/L
CARBONDISULFIDE ND ND ND ND ND ND
UG/L
2HEXANONE ND ND ND ND ND ND
UG/L
ACROLEIN ND ND ND ND ND ND
UG/L
ACRYLONITRILE ND ND ND ND ND ND
UG/L
TRANS1,3DICHLOROPROPENE ND ND ND ND ND ND
UG/L
CIS1,3DICHLOROPROPENE ND ND ND ND ND ND
UG/L
mwdgwpblank.doc • rev. 09/15/15 Monitoring Well Data for Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
MONITORING WELL DATA REPORT
742
1. Permit Number
266887192
2. Tax identification Number
2024 ANNUAL
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
MILL POND VILLAGE CONDOMINIUM
a. Name
OFF CAMP STREET
b. Street Address
YARMOUTH MA 02664
c. City d. State e. Zip Code
2. Contact information:
ANDY WITTER
a. Name of Facility Contact Person
5087763913 andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
5/16/2024 ENVIROTECH LABORATORIES, INC.
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LUIS COELHO
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2024 Quarterly 2
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
742
1. Permit Number
266887192
2. Tax identification Number
2024 QUARTERLY 2
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 3.4 0.005
MG/L
ORTHO PHOSPHATE 3.11 0.005
MG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
742
1. Permit Number
266887192
2. Tax identification Number
2024 QUARTERLY 2
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
A. Facility Information
1. Facility name, address:
MILL POND VILLAGE CONDOMINIUM
a. Name
OFF CAMP STREET
b. Street Address
YARMOUTH MA 02664
c. City d. State e. Zip Code
2. Contact information:
ANDY WITTER
a. Name of Facility Contact Person
5087763913 andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
5/16/2024 ENVIROTECH LABORATORIES, INC.
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LUIS COELHO
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2024 May Monthly
All forms for submittal have been completed.
2.This is the last selection.
3.Delete the selected form.
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit Daily Log Sheet • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
742
1. Permit Number
266887192
2. Tax identification Number
2024 MAY 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 210
MG/L
TSS 95
MG/L
TOTAL SOLIDS 510 310 5.0
MG/L
AMMONIAN 57
MG/L
OIL & GREASE ND 1.0
MG/L
infeffrpblank.doc • rev. 09/15/15 Groundwater Permit Discharge Monitoring Report • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
DISCHARGE MONITORING REPORT
742
1. Permit Number
266887192
2. Tax identification Number
2024 MAY MONTHLY
3. Sampling Month & Frequency
Important:When
filling out forms on
the computer, use
only the tab key to
move your cursor
do not use the
return key.
Any person signing
a document under
314 CMR 5.14(1) or
(2) shall make the
following
certification
If you are filing
electronically and
want to attach
additional
comments, select
the check box.
Facility Information
MILL POND VILLAGE CONDOMINIUM
a. Name
OFF CAMP STREET
b. Street Address
YARMOUTH MA 02664
c. City d. State e. Zip Code
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.
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 there
are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.”
LUIS COELHO 6/24/2024
a. Signature b. Date (mm/dd/yyyy)
Reporting Package Comments
THE FACILITY’S EFFLUENT WAS IN COMPLIANCE FOR ALL TESTED CHARACTERISTICS FOR
THIS MONTH.
DISCHARGE WEEKLY 5: 5/302024
BOD: BRL TSS: 2
NITRATE: 3.6 MG/L
TN: 5.3 MG/L
FECAL COLIFORM: <10
gdpdls 20150915.doc • rev. 09/15/15 Groundwater Permit • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection Groundwater Discharge Program
Groundwater Permit
742
1. Permit Number
266887192
2. Tax identification Number