HomeMy WebLinkAboutDischarge Monitoring Report 09.23.2026Massachusetts Department of Environmental Protection
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2050451
9/23/2026:2:25:41 PM
1691.99K
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:
8/31/2026 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 Aug 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 AUG 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 12480
2 12480
3 8430 7.5
4 10650 7.5
5 16920 7.2
6 14240 7.2
7 12480 7.2
8 132480
9 123480
10 16550 7.4
11 16020 7.3
12 10590 7.3
13 6250 7.3
14 3006 7.5
15 3006
16 3006
17 6694 7.5
18 8118 7.5
19 5550 7.7
20 2665 7.8
21 5739 7.8
22 5739
23 5739
24 4937 7.3
25 6131 7.3
26 4482 7.4
27 5750 7.4
28 4233 7.4
29 4233
30 4233
31 4637 7.5
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 AUG 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:
8/24/2026 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 Aug 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 AUG 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 DRY 6.3 6.2 6.3 6.2 6.0
S.U.
STATIC WATER LEVEL DRY 11.8 10.4 10.3 10.2 12.2
FEET
SPECIFIC CONDUCTANCE DRY 320 400 480 490 250
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 AUG 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:
8/25/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
STEPHANIE VARGAS
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2026 Aug 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 AUG 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 234 ND 3.00
MG/L
TSS 247 3.33 2.00
MG/L
TOTAL SOLIDS 659
MG/L
AMMONIAN 21.0
MG/L
NITRATEN 3.66 0.050
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)5.85 0.500
MG/L
OIL & GREASE ND 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 AUG 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:
8/24/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
STEPHANIE VARGAS
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Monitoring Well Data Report 2026 Quarterly 3
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 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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
NITRATEN NS 1.20 0.936 0.936 0.936 ND
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)NS 2.95 0.936 0.936 0.936 ND
MG/L
TOTAL PHOSPHORUS AS P NS 0.517 0.200 0.202 0.202 0.320
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 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 MW4M MW4S MW5 MW6 MW8D MW8S
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
NITRATEN ND ND 1.07 0.551 2.25 2.26
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)ND ND 1.07 1.76 2.87 2.92
MG/L
TOTAL PHOSPHORUS AS P 0.320 0.504 0.0551 0.175 0.0742 0.0758
MG/L
ORTHO PHOSPHATE ND 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 3
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 9/23/2026
a. Signature b. Date (mm/dd/yyyy)
Reporting Package Comments
FACILITY WAS IN FULL COMPLIANCE WITH ALL PERMIT REQUIREMENTS FOR THE MONTH
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