HomeMy WebLinkAboutDischarge Monitoring Report 04.13.2026Massachusetts Department of Environmental Protection
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2005423
4/13/2026:3:45:24 PM
3714.99K
EBELAIR
Groundwater Discharge Monitoring Report Forms
Submitted
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:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/24/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LAUREN BATALON
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2026 Mar 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
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR 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 318 6.40 3.00
MG/L
TSS 159 49.6 2.00
MG/L
TOTAL SOLIDS 670
MG/L
AMMONIAN 45.4
MG/L
NITRATEN 17.7 0.050
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)20.0 0.500
MG/L
OIL & GREASE 0.980 0.500
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR 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.
A. Facility Information
1. Facility name, address:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/24/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LAUREN BATALON
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2026 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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 4.11 0.0500
MG/L
ORTHO PHOSPHATE 2.80 0.100
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/24/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LAUREN BATALON
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2026 Annual
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 ANNUAL
3. Sampling Month & Frequency
E. 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
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
ACETONE ND 50.0
UG/L
BENZENE ND 50.0
UG/L
1,1 DICHLOROETHANE ND 50.0
UG/L
1,2 DICHLOROETHANE ND 50.0
UG/L
1,1 DICHLOROETHYLENE ND 50.0
UG/L
CIS1,2DICHLOROETHYLENE ND 50.0
UG/L
TRANS 1,2 DICHLOROETHYLENE ND 50.0
UG/L
ETHYL BENZENE ND 50.0
UG/L
METHYLENECHLORIDE ND 50.0
UG/L
TOLUENE ND 50.0
UG/L
OXYLENE ND 50.0
UG/L
P/M XYLENE ND 50.0
UG/L
CARBON TETRACHLORIDE ND 50.0
UG/L
CHLOROFORM ND 50.0
UG/L
2BUTANONE (MEK)ND 50.0
UG/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
305
1. Permit Number
454950774
2. Tax identification Number
2026 ANNUAL
3. Sampling Month & Frequency
E. 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
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
4METHYL2PENTANONE (MIBK)ND 50.0
UG/L
TRICHLOROETHYLENE ND 50.0
UG/L
TETRACHLOROETHYLENE ND 50.0
UG/L
1,1,1 TRICHLOROETHANE ND 50.0
UG/L
VINYLCHLORIDE ND 50.0
UG/L
STYRENE ND 50.0
UG/L
CHLOROBENZENE ND 50.0
UG/L
METHYL TERTIARY BUTYL ETHER ND 50.0
UG/L
CHLOROETHANE ND 50.0
UG/L
1,2DICHLOROPROPANE ND 50.0
UG/L
DIBROMOCHLOROMETHANE ND 50.0
UG/L
1,1,2TRICHLOROETHANE ND 50.0
UG/L
2CHLOROETHYLVINYL ETHER ND 50.0
UG/L
BROMODICHLOROMETHANE ND 50.0
UG/L
BROMOFORM ND 50.0
UG/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
305
1. Permit Number
454950774
2. Tax identification Number
2026 ANNUAL
3. Sampling Month & Frequency
E. 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
1. Parameter/Contaminant 2. Influent 3. Effluent 4. Effluent Method
Units Detection limit
1,1,2,2TETRACHLOROETHANE ND 50.0
UG/L
CHLOROMETHANE ND 50.0
UG/L
BROMOMETHANE ND 50.0
UG/L
CARBONDISULFIDE ND 50.0
UG/L
2HEXANONE ND 50.0
UG/L
ACROLEIN ND 50.0
UG/L
ACRYLONITRILE ND 50.0
UG/L
TRANS1,3DICHLOROPROPENE ND 50.0
UG/L
CIS1,3DICHLOROPROPENE ND 50.0
UG/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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/25/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LAUREN BATALON
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2026 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
MONITORING WELL DATA REPORT
305
1. Permit Number
454950774
2. Tax identification Number
2026 QUARTERLY 2
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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
NITRATEN NS 0.141 1.39 1.39 1.39 1.49
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)NS 0.689 1.39 1.97 2.07 1.49
MG/L
TOTAL PHOSPHORUS AS P NS 0.324 0.0792 0.0729 0.0835 0.121
MG/L
ORTHO PHOSPHATE NS ND ND ND ND ND
MG/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
305
1. Permit Number
454950774
2. Tax identification Number
2026 QUARTERLY 2
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 MW4M MW4S MW5 MW6 MW8D MW8S
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
NITRATEN 1.49 1.49 1.49 1.49 1.14 0.706
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)2.06 2.04 2.13 2.20 1.97 2.67
MG/L
TOTAL PHOSPHORUS AS P 0.114 0.122 0.137 0.144 0.0841 0.0585
MG/L
ORTHO PHOSPHATE ND ND ND ND ND 0.024
MG/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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/25/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
LAUREN BATALON
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2026 Annual
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
MONITORING WELL DATA REPORT
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
ACETONE NS ND ND ND ND ND
UG/L
BENZENE NS ND ND ND ND ND
UG/L
1,1 DICHLOROETHANE NS ND ND ND ND ND
UG/L
1,2 DICHLOROETHANE NS ND ND ND ND ND
UG/L
1,1 DICHLOROETHYLENE NS ND ND ND ND ND
UG/L
CIS1,2DICHLOROETHYLENE NS ND ND ND ND ND
UG/L
TRANS 1,2 DICHLOROETHYLENE NS ND ND ND ND ND
UG/L
ETHYL BENZENE NS ND ND ND ND ND
UG/L
METHYLENECHLORIDE NS ND ND ND ND ND
UG/L
TOLUENE NS ND ND ND ND ND
UG/L
OXYLENE NS ND ND ND ND ND
UG/L
P/M XYLENE NS ND ND ND ND ND
UG/L
CARBON TETRACHLORIDE NS ND ND ND ND ND
UG/L
CHLOROFORM NS ND ND ND ND ND
UG/L
2BUTANONE (MEK)NS 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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
4METHYL2PENTANONE (MIBK)NS ND ND ND ND ND
UG/L
TRICHLOROETHYLENE NS ND ND ND ND ND
UG/L
TETRACHLOROETHYLENE NS ND ND ND ND ND
UG/L
1,1,1 TRICHLOROETHANE NS ND ND ND ND ND
UG/L
VINYLCHLORIDE NS ND ND ND ND ND
UG/L
STYRENE NS ND ND ND ND ND
UG/L
CHLOROBENZENE NS ND ND ND ND ND
UG/L
METHYL TERTIARY BUTYL ETHERNS ND ND ND ND ND
UG/L
CHLOROETHANE NS ND ND ND ND ND
UG/L
1,2DICHLOROPROPANE NS ND ND ND ND ND
UG/L
DIBROMOCHLOROMETHANE NS ND ND ND ND ND
UG/L
1,1,2TRICHLOROETHANE NS ND ND ND ND ND
UG/L
2CHLOROETHYLVINYL ETHER NS ND ND ND ND ND
UG/L
BROMODICHLOROMETHANE NS ND ND ND ND ND
UG/L
BROMOFORM NS 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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
1,1,2,2TETRACHLOROETHANE NS ND ND ND ND ND
UG/L
CHLOROMETHANE NS ND ND ND ND ND
UG/L
BROMOMETHANE NS ND ND ND ND ND
UG/L
CARBONDISULFIDE NS ND ND ND ND ND
UG/L
2HEXANONE NS ND ND ND ND ND
UG/L
ACROLEIN NS ND ND ND ND ND
UG/L
ACRYLONITRILE NS ND ND ND ND ND
UG/L
TRANS1,3DICHLOROPROPENE NS ND ND ND ND ND
UG/L
CIS1,3DICHLOROPROPENE NS 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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 MW4M MW4S MW5 MW6 MW8D MW8S
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
ACETONE ND ND ND ND ND ND
UG/L
BENZENE ND ND ND ND ND ND
UG/L
1,1 DICHLOROETHANE ND ND ND ND ND ND
UG/L
1,2 DICHLOROETHANE ND ND ND ND ND ND
UG/L
1,1 DICHLOROETHYLENE ND ND ND ND ND ND
UG/L
CIS1,2DICHLOROETHYLENE ND ND ND ND ND ND
UG/L
TRANS 1,2 DICHLOROETHYLENE ND ND ND ND ND ND
UG/L
ETHYL BENZENE ND ND ND ND ND ND
UG/L
METHYLENECHLORIDE ND ND ND ND ND ND
UG/L
TOLUENE ND ND ND ND ND ND
UG/L
OXYLENE ND ND ND ND ND ND
UG/L
P/M XYLENE ND ND ND ND ND ND
UG/L
CARBON TETRACHLORIDE ND ND ND ND ND ND
UG/L
CHLOROFORM ND ND ND ND ND ND
UG/L
2BUTANONE (MEK)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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 MW4M MW4S MW5 MW6 MW8D MW8S
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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 MW4M MW4S MW5 MW6 MW8D MW8S
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 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:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/31/2026 WHITEWATER
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
MICHAEL ELSKAMP
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Daily Log Sheet 2026 Mar Daily
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
DAILY LOG SHEET
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR DAILY
3. Sampling Month & Frequency
C. Daily Readings/Analysis Information
Date Effluent
Flow GPD
Reuse
Flow GPD
Irrigation
Flow GPD
Turbidity Influent pH Effluent
pH
Chlorine
Residual
(mg/l)
UV
Intensity
(%)
1 11250
2 16200 7.6
3 13500 7.6
4 17100 7.7
5 21000 7.8
6 14700 7.8
7 14700
8 14700
9 13500 7.7
10 18000 7.5
11 13500 7.5
12 15300 7.8
13 15300 7.7
14 15300
15 15300
16 13500 7.5
17 18000 7.5
18 33300 7.7
19 26100 7.7
20 14700 7.5
21 14700
22 14700
23 10800 7.6
24 19800 7.4
25 19800
26 15300 7.5
27 12900 7.7
28 12900
29 12900
30 18000 7.7
31 16200 7.7
gdpdls.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
DAILY LOG SHEET
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR DAILY
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:
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
c. City d. State e. Zip Code
2. Contact information:
TOM GASTON
a. Name of Facility Contact Person
2035574783 tgaston@maplewoodsl.com
b. Telephone Number c. email address
3. Sampling information:
3/25/2026 WHITEWATER
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
MICHAEL ELSKAMP
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2026 Mar 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
MONITORING WELL DATA REPORT
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR 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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
PH NS 6.5 6.6 6.6 6.6 6.2
S.U.
STATIC WATER LEVEL NS 11.4 9.5 9.3 9.2 11.7
FEET
SPECIFIC CONDUCTANCE NS 500 400 212 525 110
UMHOS/C
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR 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 MW4M MW4S MW5 MW6 MW8D MW8S
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
PH 6.0 5.8 5.8 5.2 6.1 6.1
S.U.
STATIC WATER LEVEL 11.5 11.5 10.6 8.0 12.2 11.2
FEET
SPECIFIC CONDUCTANCE 110 340 625 150 225 580
UMHOS/C
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
305
1. Permit Number
454950774
2. Tax identification Number
2026 MAR 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
MAYFLOWER PLACE
a. Name
579 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02673
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.”
ELIZABETH BELAIR 4/13/2026
a. Signature b. Date (mm/dd/yyyy)
Reporting Package Comments
PLANT IS BEING REHABBED AND ALMOST BEING DONE.
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
305
1. Permit Number
454950774
2. Tax identification Number