HomeMy WebLinkAboutYARMOUTH-#305-DMR-9-2026-MAYFLOWER PLACEMassachusetts Department of Environmental Protection
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2067345
10/21/2026:10:50:44 AM
1227.26K
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:
9/30/2026 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 Sep 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 SEP 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 4000 7.5
2 3969 7.4
3 2494 7.2
4 5253 7.2
5 5253
6 5253
7 5253
8 9381 7.2
9 12625 7.3
10 1007 7.3
11 6569 7.3
12 6569
13 6569
14 8175 7.3
15 10731 7
16 10831 7.1
17 9482 7.3
18 6037 7.3
19 6037
20 6037
21 6600 7.3
22 8746 7.4
23 7290 7
24 5323 6.9
25 8187 6.9
26 8187
27 8187
28 6894 7.4
29 8294 7.3
30 7769 7.3
31
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 SEP 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:
9/30/2026 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 Sep 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 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 MW1 MW2 MW3D MW3M MW3S MW4D
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
PH DRY 6.2 6.0 6.0 6.1 6.1
S.U.
STATIC WATER LEVEL DRY 11.9 10.6 10.5 10.5 12.0
FEET
SPECIFIC CONDUCTANCE DRY 400 250 480 200 110
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 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 MW4M MW4S MW5 MW6 MW8D MW8S
Units Well #: 1 Well #: 2 Well #: 3 Well #: 4 Well #: 5 Well #: 6
PH 6.1 6 5.5 5.7 6.3 6.3
S.U.
STATIC WATER LEVEL 12.0 12.0 10.8 8.0 13.2 11.3
FEET
SPECIFIC CONDUCTANCE 170 120 80 300 480 370
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 SEP 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:
9/30/2026 RI ANALYTICAL
a. Date Sampled (mm/dd/yyyy)b. Laboratory Name
RACHEL MILLER
c. Analysis Performed By (Name)
B. Form Selection
1. Please select Form Type and Sampling Month & Frequency
Discharge Monitoring Report 2026 Sep 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 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 294 ND 3.00
MG/L
TSS 522 ND 2.00
MG/L
TOTAL SOLIDS 727
MG/L
AMMONIAN 17.3
MG/L
NITRATEN 3.64 0.050
MG/L
TOTAL NITROGEN(NO3+NO2+TKN)5.97 0.500
MG/L
OIL & GREASE 1.07 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 SEP 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 10/21/2026
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