HomeMy WebLinkAboutGroundwater Discharge Monitoring Report 04.28.2026Massachusetts Department of Environmental Protection
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2012003
4/28/2026:11:25:05 AM
448.20K
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:
BUCK ISLAND CONDO.
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02675
c. City d. State e. Zip Code
2. Contact information:
ANDREW WITTER
a. Name of Facility Contact Person
5087786513 Andy@fpmcapecod.com
b. Telephone Number c. email address
3. Sampling information:
3/17/2026 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 1
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
1
1. Permit Number
042980286
2. Tax identification Number
2026 QUARTERLY 1
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 MW10 MW11 MW12 MW8 MW9
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
NITRATEN 1.52 1.93 1.93 ND ND
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)1.52 21.4 17.4 0.529 0.515
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
1
1. Permit Number
042980286
2. Tax identification Number
2026 QUARTERLY 1
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
BUCK ISLAND CONDO.
a. Name
481 BUCK ISLAND ROAD
b. Street Address
YARMOUTH MA 02675
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 4/28/2026
a. Signature b. Date (mm/dd/yyyy)
Reporting Package Comments
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
1
1. Permit Number
042980286
2. Tax identification Number