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Home My WebLink AboutSTOP & SHOP WASTE WATER TREATMENT FACILITY - BEACHES J� �' fie. �� . Retail Business 1385 Hancock Street Services Quincy, MA 02169 Ahold / A Company of a Delhaize Certified Mail, RR 7018 2290 0002 1778 5836 September 14, 2020 Mr. Brian Dudley MADEP-SERO Wastewater Management Program 20 Riverside Drive Lakeville, MA 02347 Re: Renewal Application for Groundwater Discharge Permit(SE-0728) Dear Mr. Dudley: On behalf of The Stop&Shop Supermarket Company LLC(Stop&Shop), enclosed is a Renewal Application for Permit to Discharge Groundwater(BRP WP 12)for the facility located at Cotuit Landing Shopping Center at 3860 Falmouth Road in Barnstable. This renewal application includes: • MADEP permit renewal form The Bureau of Resource Protection—Individual Permits Groundwater Discharge Permits, Reclaimed Water Use Permit or Permit Renewal/Modification. Stop &Shop is specifically filing BRP WP 12 Individual Permit Renewal/Modification without Plan Approval. • A copy of the Transmittal Form for Permit Application and Payment for transmittal No. X266172. • BRP WP 12 Application Completeness Checklist. The permit filing fee of$890 and the original transmittal form were sent to MADEP at P.O. Box 4062 in Boston, Massachusetts. In addition,Stop &Shop will also be providing public notice of the permit renewal application in the Boston Globe,The Cape Cod Times, and the Environmental Monitor. If you have any questions or comments please contact me at(617) 770-6212. Very truly yours, THE STOP &SHOP SUPERMARKET COMPANY LLC John Mesheau, P.E. Manager Environmental Compliance cc: Omesh Kumar(A& K Engineering) Public Health.Division_Barnstable' Enter your transmittal number X286398 Transmittal Number Your unique Transmittal Number can be accessed online: http:/AA ww.mass.gov/eea/agencies/massdep/service/approvals/transmittal-form-for-payment html L . Massachusetts Department of Environmental Protection ' Transmittal Form for Permit Application and Payment 1. Please type or A. Permit Information print.A separate Transmittal Form SE-728 BPA 2 must be completed 1.Permit Code:4 to 7 character code from permit instructions 2.Name of Permit Category for each permit Groundwater Discharge application. 3.Type of Project or Activity 2. Make your check payable to B, Applicant Information - Firm or Individual the Commonwealth of Massachusetts The Stop&Shop Supermarket Company LLC and mail it with a 1.Name of Firm-Or,if parry needing this approval is an individual enter name below: copy of this form to: MassDEP,P.O. Box 4062,Boston, 2.Last Name of Individual 3.First Name of Individual 4.MI MA 02211. 5.Street Address 3. Three copies of 1385 Hancock Street MA _ 02169 617-770-6212 this form will be 6.C' /Town needed. � 7.State 8.Zip Code 9.Telephone# 10.Ext.# John Mesheau, P.E. ,John.mesheau@retailbusinessservices.com Copy 1 -the 11.Contact Person 12.e-mail address original must accompany your permit application. C. Facility, Site or Individual Requiring Approval Copy 2 must accompany your Cotuit Landing Shopping Center fee.payment. 1.Name of Facility,Site Or Individual Copy 3 should be 3860 Falmouth Road retained for your 2.Street Address records Barnstable MA 02635 508420-7135 4. Both fee-paying 3.City/Town 4.State 5.Zip Code 6.Telephone# 7.Ext.# and exempt applicants must 8.DEP Facility Number(if Known) 9.Federal I.D.Number(if Known) 10.BWSC Tracking#(if Known) mail a copy of this transmittal for,to: D. Application Prepared by (if different from Section B)* .O.Box 4062 9 P C & K Management Servics Inc. P.O.Bo Boston,MA 1.Name of Firm Or Individual 02211 78 Amanda Street 2.Address •Note: Cranston RI 02920 401-523-0178 For BWSC Permits, 3.CitylTown 4.State 5.Zip Code 6.Telephone# 7.Ext.# enter the LSP. Omesh Kumar, P. E. 8.Contact Person 9.LSP Number(BWSC Permits only) E. Permit - Project Coordination 1. Is this project subject to MEPA review? ❑yes ® no If yes,enter the project's EOEA file number-assigned when an Environmental Notification Form is submitted to the MEPA unit: EOEA File Number F. Amount Due DEP Use Only Special Provisions: 1. ❑Fee Exempt(city,town or municipal housing authority)(state agency if fee is$100 or less). Permit No: There are no fee exemptions for BWSC permits,regardless of applicant status. 2. ❑Hardship Request-payment extensions according to 310 CMR 4.04(3)(c). Rec'd Date: 3. ❑Alternative Schedule Project(according to 310 CMR 4.05 and 4.10). 4. ❑Homeowner(according to 310 CMR 4.02). Reviewer. 890.00 Check Number Dollar Amount Date tr-formw•rev. 12/17 Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Groundwater Discharge Permits BRP WP 1 1 Modification or Renewal with plan approval BRP WP 1 2Modification or Renewal without plan approval Application Completeness Checklist To avoid delays in the application review process, please include the following items with the application: ® The completed MassDEP Transmittal Form: https://www.mass.gov/service-details/transmittal-form-number-for-massdep-permit-application-payment If the applicant is a municipality, "Fee Exempt' has been selected from among the Special Provisions under the Amount Due section of the Transmittal Form. Ll ® The Groundwater Discharge Application Form properly filled out and signed by the applicant. ® Engineering Report. (BRP WP 11) M Groundwater Monitoring Well Plan. (BRP WP 11) ® Certification Statement for the engineering report, plans &specifications, and the hydrogeologic report. (BRP WP 11 &BRPWP12) https://www.mass.ciov/lists/wastewater-permits-and-reporting-forms ® Section F., Applicant Certification for Individual Permits, completed and signed. To submit the application package: ® 'Include all checklist items lusted above. ® Send original application along with one copy from the MassDEP Transmittal Form to: Department of Environmental Protection Southeast Regional Office Wastewater Management Program *Find your region: https://www.mass.gov/service-details/massdep-regional-offices-by-community Please include a copy of the entire application package on compact disc with your application. ® Send fee of: $1,830 for BRP WP 11; $890 for BRP WP 12; In the form of a check or money order made payable to Commonwealth of Massachusetts, with one copy from the MassDEP Transmittal Form to: Department of Environmental Protection P.O. Box 4062 Boston, MA 02211 Please be advised,upon issuance of this permit,you will be responsible for paying the Annual Compliance Assurance Fee(ACF)as required by 310 CMR 4.00. Failure to make timely payment of an ACF may result in the revocation of this permit and the denial of any other pending permit application that you have tiled with MassDEP, in addition,if you owe any past due ACF for any MassDEP permit, this permit application maybe denied under M.G.L,c.21A,sec.18. w 1112in.docx 4/2020 Pa e 7 of 7 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x286398 Transmittal Number# Ll Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges A. General Information Important:When filling out forms 1. Which permit category are you applying for? on the com'outer, use only the tab key to move your ElBRP WP 11 Individual Permit Renewal/Modification with Plan Approval cursor-do not use the return ® BRP WP 12 Individual Permit Renewal/Modification without Plan Approval key. _ El BRP WP 79 Individual Permit for Groundwater Discharge from Sewage Treatment Plant �I ❑ BRP WP 84 Individual Permit for Reclaimed Water Use ❑ BRP WP 85 Individual Permit for Other Groundwater Discharge Please Note:In accordance with 314 CMR 5.09, these permit categories may require that a Hydrogeological Evaluation be submitted to the Department prior to the submittal of the permit application. Please see the application form and instructions for BRP WP 83. 2. Applicant Information: In accordance with 314 CMR 5.09A(2), the owner of the treatment works or the owner of the activity resulting in a discharge of pollutants shall apply for the permit. For a Publicly Owned Treatment Works (POTW), the owner of the treatment works shall apply. For a Private Wastewater Treatment Facility(PWI-F), the applicant shall meet the requirements set forth in 314 CMR 5.15(1) thru(3). In accordance with 314 CMR 20.10(2), the owner of an existing or proposed reclaimed water system shall apply for the permit and shall meet the requirements set forth in 314 CMR 20.14. The Stop & Shop Supermarket Company LLC Name Company Name(If applicable) Title 1385 Hancock Street-QCP-8 Address Quincy MA 02169 City/Town State Zip Code 617-770-6212 john.mesheau@retailbusinessservices.com Telephone Email Address wp1185ap.doc•rev..7/15 BRP WP 11-85•Page 1 of 17 LjMassachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Reclaimed Water Use Permit; or 5E-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges A. General Information (cont.) 3. Applicant Contact Information (if different from above): Contact Name Company Name(If applicable) Title Address City/Town State Zip Code Telephone Email Address 4. The legal entity which owns this facility is: Private: ❑ Individual ❑ Corporation ❑ Trust ❑ Partnership ❑ Sole Proprietorship ® Other(specify): LLC-Limited Liability Company Public: ❑ Municipality ❑ Federal ❑ State/County ❑ Other(specify): 5. Facility Information: Cotuit Landing Shopping Center Name of facility 3860 Falmouth Road Address Barnstable MA 02648 City/Town State Zip Code 508-420-7135 Telephone Email Address wp1185ap.doc•rev.7115 BRP WP 11-85•Page 2 of 17 fi I Massachusetts Department of Environmental Protection Bureau of Resource Protection -Groundwater Discharge Program ` Individual Permits: Groundwater Discharge Permits; x286398 '+ Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(it Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 !Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges A. General Information (cont.) 6. Facility Operator Information: Give the name, as it is legally referred to, of the person, firm, public organization or other entity which will operate the facility described in this application. If the facility owner is also the operator, write owner and list mailing address only if different from that listed in number 2 above. John L. Nelson Weston &Sampson Services, Inc. Operator Name Operator Company 55 Walker's Brook Drive-Suite 100 Address Reading MA 01867 978-532-1900 City/Town State Zip Code Telephone 17115 6-C Nelsonj@wseinc.com License Number Operator Grade Email Address 7. Preparer of the Application (if different from the Applicant noted in Part A.2): Omesh Kumar, P.E. C&K Management Servics, Inc. Preparer's Name Preparer's Company 78 Amanda Street Address Cranston RI 02920 401-523-0178 City/Town State Zip Code Telephone V Nyu,� okumar@aol.com Preparer's Signature Email Address B. Project Information 1. Does the project affect a site of historic or archeological significance, as defined in regulations of the Massachusetts Historical Commission, 950 CMR 71.00? ❑Yes 0 No 2. Does this project require a filing under 301 CMR 11.00, the Massachusetts Environmental Policy Act? ❑Yes ® No If yes, has a filing been made?(Please indicate the EOEEA File Number) ❑Yes ❑ No EOEEA File Number 3. Is this a RCRA facility as defined in 314 CMR 8.03? ❑Yes ® No If yes, submit the information on Form HW contained in 314 CMR 8.20 in accordance with the provisions of 314 CMR 8.08. wp1185ap.doc rev.7/15 BRP WP 11-85•Page 3 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges B. Project Information (cont.) 4. Location of Discharge: Is the discharge for this facility within: a. ❑ A Public Water Supply Area? ❑ Zone I ❑ Zone A ❑ Zone II ❑ IWPA b. ❑ A private water supply area? c. ® A sole source aquifer? d. 100 feet of an Outstanding Resource Water designated in 314 CMR 4.00, a Special Resource Water designated in 314 CMR 4.00, a cold-water fishery as defined in 314 CMR 9.02, a bathing beach as defined in 104 CMR 445.000, or a shellfish growing area as defined in 314 CMR 9.02? ❑Yes ® No e. A nitrogen-sensitive area as designated by the Department in accordance with 310 CMR 15.215? ❑Yes ® No f. An area where the Department has determined based on a Total Maximum Daily Load or other technical report that more stringent effluent limits than those set forth in the General Permit are required to achieve or maintain compliance with the Massachusetts Surface Water Quality Standards, 314 CMR 4.00? ❑Yes ® No 5. Improvements -Are you required by any Federal, State or local authority to meet any implementation schedule for the construction, upgrading or operation of wastewater treatment equipment or practices or any other environmental programs which may affect the discharges described in this application? This includes, but is not limited to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or loan conditions. ❑ Yes ® No If yes, answer the following: a) Description of order or agreement(include enforcement document number, if applicable): NONE b) Identification No. of Affected Treatment Facility wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 4 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges B. Project Information (cont.) c) Description of Project: Final Compliance Date 6. Has a hydrogeologic study been performed to determine the potential impact of the discharge or activity on the groundwater? ® Yes-Application Transmittal Unknown Date of 6/2002 Number: Approval: Please attach copy of the DEP Hydrogeologic Report Approval Letter. ❑ No—STOP:Please Note: In accordance with 314 CMR 5.09, these permit categories may require that a Hydrogeological Evaluation be submitted to the Department prior to the submittal of the permit application. Please see the application form and instructions for BRP WP 83. 7. Are there any groundwater monitoring wells currently in place in the vicinity of the discharge or proposed discharge? ® Yes. If yes, please attach information on the type and location of the wells and available monitoring data. ❑ No 8. Have plans and specifications for the treatment works been approved (see instructions) by the Department or if approved prior to July 1975, by the Department of Public Health? ® Yes If yes, please attach copy of plans and specifications and approval letter. ❑ No 9. Have opportunities for reclaimed water been evaluated? ❑ Yes ® No 10. Is there a local regulation governing the construction of wastewater treatment facilities? ❑Yes If yes, please include a copy of the local approval. ® No wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 5 of 17 i Massachusetts Department of Environmental Protection Bureau of Resource Protection —Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x286398 Reclaimed Water Use Permit; or Transmittal Number#sEa28 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges C. Facility Information 1. Facility Status: ® Existing ❑ Proposed ❑ Proposed Modification 2. When did or when will this discharge begin? 6-18-2002 Date of Startup 3. Check type of establishment(s) producing or contributing to discharge: ❑ Residential: ❑ Condominium ❑ Apartment ❑ Elderly Housing ❑ Nursing Home ❑ Other: Total #of Bedrooms: ❑ Municipality ❑ School ® Business (Describe Nature of Business): Retail Supermarket ❑ Other(specify): Please note:In accordance with 314 CMR 5.15, a permittee responsible for the operation of a Private Wastewater Treatment Facility(PWTF) may be required to establish and maintain Financial Assurance mechanisms. 4. Design Flow: a) Daily maximum flow(gpd): 21,000 Please note: If the facility is either a POTW or a PWTF solely treating sewage and design flow is < 50,000 gpd, then it may be eligible to file a BRP WP 81 for coverage under the General Permit for Small Wastewater Treatment Facilities. b) ® Discharge occurs all year 7 ElDischarge is seasonal List months discharge occurs/Number of days per week 5. Basis for design flow: ®The State Environmental Code—Title 5 ❑ Other: Specify wp1185ap.doc•rv.7115 BRP WP 11-85•Page 6 of 17 f Massachusetts Department of Environmental Protection Bureau of Resource Protection —Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges C. Facility Information (cont.) 6. Type of treatment and disposal system: Advanced Treatment by Zenon Process with membrane bio-reactor with pressure dosedd soils absorption system. 7. Location and method of wastewater treatment solids disposal: Hauled to Barnstable County Wastewater Facility 8. If a commercial establishment: a. Are any types of wastewater other than sanitary sewage produced? ❑ Yes ® No If yes: Specify type of wastewater Quantity gpd Method and location of disposal b. Are any hazardous wastes generated? ❑ Yes ® No 9. -Does or will the treatment/disposal facility receive industrial wastes? ❑Yes ® No wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 7 of 17 I Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges C. Facility Information (cont.) 10. Location of Facility: a. GPS Coordinates: 1) Enter Latitude and Longitude to the nearest whole second: Wastewater Treatment Facility: 41.6488 -70.4274 Latitude Longitude Effluent Disposal Area: 41.6485 -70.4265 Latitude Longitude 2) Provide a narrative description of the site and the feature to be permitted. As an example: "The site is on the west side of Main Street, the third building north of High Street. The disposal field lies 100 feet off the southwest corner of the building." 3) Attach a site map based on the MassGIS Coordinate Information Tool that clearly indicates the site.The Coordinate Information Tool is available at http://maps.massgis.state.ma.us/images/dep/xvinfo/get xy.html. b. Provide a topographic map or maps of the area extending at least to one mile beyond the property boundaries of the facility which clearly show the following: 1) The legal boundaries of the facility; 2) The location and serial number of each of your existing and proposed intake and discharge structures; 3) All hazardous waste management facilities; 4) All springs and surface water bodies in the area, plus all drinking water wells within one mile of the facility which are identified in the public record or otherwise known to you. 5) All Zone II's or IWPA's. If an intake or discharge structure, hazardous waste disposal site, or injection well associated with the facility is located more than one mile from the plant, include it on the map, if possible. If not, attach additional sheets describing the location of the structure, disposal site, or well, and identify the U.S. Geological Survey(or other) map corresponding to the location. c. Please list any public or private drinking water supply wells within 2,500 feet of the discharge area: Well Location Type of Well Status Safe Yield (Public/Private) (Active/Inactive) N/A wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 8 of 17 i i Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges C. Facility Information (cont.) 11. Water Supply Data a. List sources of water supply and annual water consumption for the past five years. Water Sources Year 1 Year 2. Year 3. Year 4. Year 5. Public/Municipal( in million gallons/year) 2.14 1.29 1.48 1.30 1.37 1. 2. 3. Total: 1.21 1.39 1.48 1.30 1.37 b) Please show the location of your water sources on the map described in question 10. D. Additional Information for Reclaimed Water Use (WP 84) 1. Has a Reuse Management Plan been prepared? ❑ Yes. If yes, please attach copy. ❑ No 2. Will the reclaimed water be used by persons other than the permittee? ❑ Yes. If yes, a Service& Use Agreement must be submitted with the application. ❑ No 3. Has the reclaimed water system been prepared in accordance with all applicable requirements of 248 CMR 10.00: Uniform State Plumbing Code? ❑ Yes ❑ No wp1185ap.doc•re4.7115 BRP WP 11-85•Page 9 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x28s3ss Transmittal Number# Ll Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges D. Additional Information for Reclaimed Water Use (WP 84) (cont.) 4. List the Reclaimed Water Use(s)as defined by 314 CMR 20.17. E. Additional Information for Other Groundwater Discharges (WP 85) 1. Flows, Sources of Pollution and Treatment Technologies a. Attach a line drawing showing the water flow through the facility. Indicate sources of intake water, operations contributing wastewater to the effluent, and treatment units labeled to correspond to the more defined descriptions in Item E.1.6. Construct a water balance on the line drawing by showing average flows between intakes, operations, treatment units and outfalls. If a water balance cannot be determined provide a pictorial description of the nature and amount of any sources of water and any collection or treatment measures. b. For each discharge, provide a description of: 1) All operations contributing wastewater to the effluent, cooling water and runoff; 2) The average flow contributed by each operation; and 3) The treatment received by the wastewater. (Attach additional sheets if necessary.) 4) With the exception of storm water runoff, leaks, or spills please note if any of the discharges described are intermittent or seasonal. Operations Contributing to Flow: Identification Operations Average Flow Treatment Number wp1185ap.doc•re✓.7/15 BRP WP 11-85•Page 10 of 17 f Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges E. Additional Information for Other Groundwater Discharges (WP 85) 2. Effluent Limitations: a. List any pollutant you know or have reason to believe is discharged or may be discharged from the treatment facilities. For every pollutant you list, briefly describe the reason you believe it to be present, its approximate concentration in the discharge and any analytical data in your possession, which will support your statement. Additional wastewater analysis may be required as part of this application. Pollutant Concentration Source Available Data b. Are your operations such that your raw materials, processes, or products can reasonably be expected to vary so that your discharges of pollutants may during the next five years exceed three times the approximate concentrations reported in item 2a? ❑Yes (please explain) ® No c. Are you planning on adding any new processes over the next five years? ❑Yes (please specify) ® No d. Are organic compounds used at your facility? ❑Yes (please explain) ® No wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 11 of 17 i Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program ( � Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 (Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges E. Additional Information for Other Groundwater Discharges (WP 85) 3. Were any of the analyses or testing reported in item E.2.a. performed by a contract laboratory or consulting firm? ❑ Yes (provide contact information)❑ No Name of Laboratory or Consulting Firm/Contact Person Address City/Town State Zip Code Telephone Email Address F. Applicant Certification and Signature I, John Mesheau, am eligible to sign this application in accordance with 314 CMR 5.14(1)or 20.15(1), and by signing certify that: 1. For BRP WP 11, 12, 79 or 85: ® 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 diligent 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. For BRP WP 84: ❑ I attest under the pains and penalties of perjury,that I have personally examined and am familiar with the information contained in this document and all attachments, and 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 diligent inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information contained in this submittal is, to the best of my knowledge and belief, true, accurate, and complete. I am authorized to make this attestation on behalf of this permittee. I am aware that there are significant penalties for submitting false, inaccurate or incomplete information, including, but not limited to, the possibility of fine and imprisonment for knowing violations. wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 12 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Groundwater Discharge Program ( Individual Permits: Groundwater Discharge Permits; x28639s Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment'Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges F. Applicant Certification and Signature (cont.) 2. 1 am aware that submitting a false and misleading certification could lead to modification, suspension, or revocation of any permit granted pursuant to this application, as set forth in 314 CMR 5.12 and 314 CMR 20.19. 3. 1 shall maintain a copy of all records, regardless of form (e.g., both printed and electronic) upon which I rely in making the certifications in this Section F, until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions. Such records shall include without limitation all documents described in paragraph 1, above, and any supporting documentation provided to me by, or relied upon by, such qualified professionals as I may consult. 4. 1 will be responsible for publication of public notice of the applicable permit proceedings, as required by314CMR2.06. S�OLW.-Q� The Stop &Shop Supermarket Company LLC Sign of Applica t Printed Name of Applicant tp q /iy'26Z6 Date Signed Omesh Kumar, P.E 401-523-0178 Name of Preparer Telephone Senior Engineer okumar@aol.com Title of Preparer Email wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 13 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x2ss3ss Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP I I Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges G. Additional Certification for Privately Owned Wastewater Treatment Facilities (PWTFs) or Privately Owned Reclaimed Water Systems 1. 1 hereby acknowledge that it is my responsibility: a. For BRP WP 11, 12, 79 or 85: ® To ensure that I understand the"Requirements for Privately Owned Wastewater Treatment Facilities"set forth at 314 CMR 5.15(1), (2), and (3)and in related provisions of the Ground Water Discharge Permit Program regulations, 314 CMR 5.00, before I provide the certification in paragraph 2, below; For BRP WP 84: ❑ To ensure that I understand the "Requirements for Privately Owned Reclaimed Water Systems" set forth at 314 CMR 20.14(1) and in related provisions of the Reclaimed Water Permit Program regulations, 314 CMR 20.00, before I provide the certification in paragraph 2, below; b. to ensure that I have compiled, evaluated and/or established all pertinent documents, instruments, records and information necessary to provide the certification in paragraph 2, below; and c. to consult with legal, technical and other qualified professionals, as necessary for me to understand and comply with the above requirements and to make the certification in paragraph 2, below. 2. Based on the foregoing (select either a or b): a. For BRP WP 11, 12, 79 or 85: ® I hereby certify that I have fully and completely satisfied and complied with each and every applicable requirement set forth in 314 CMR 5.15 (1), (2), and (3)for an individual permit issued for the construction, installation, modification, operation and maintenance of a PWTF; and will continue to do so until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions. For BRP WP 84: ❑ I hereby certify that I have fully and completely satisfied and complied with each and every requirement set forth in 314 CMR 20.14(1), as applicable to the existing or proposed reclaimed water system, for a permit issued under 314 CMR 20.00; and will continue to do so until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions. wp1185ap.coc•rev.7/15 BRP WP 11-85•Page 14 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Ll Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval ,BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges G. Additional Certification for Privately Owned Wastewater Treatment Facilities (PWTFs) or Privately Owned Reclaimed Water Systems (cont.) b. ® I hereby acknowledge that no later than sixty(60)days from the date of this application, unless I request in writing and the Department agrees in writing to a later date, and in any case prior to the issuance of a public notice of my draft permit pursuant to 314 CMR 2.06, "Public Notice and Comment," I am required to submit to the Department a fully signed and dated Supplemental Applicant Certification (Appendix A), which will include the certification in paragraph 2a, above, and the other paragraphs of this Section G. 3. 1 shall maintain a copy of all records, regardless of form (e.g., both printed and electronic) upon which rely in making the certifications in this Section G, until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions. Such records shall include without limitation all documents described in paragraph 1, above, and any supporting documentation provided to me by, or relied upon by, such qualified professionals as II,may consult in certifying as to the information set forth in paragraph 2, above. `��L VlX� The Stop &Shop Supermarket Company LLC Signatur f Applicant Printed Name of Applicant `i�ty�zdw Date Signed wp1185ap.doc•rew.7/15 BRP WP 11-85•Page 15 of 17 I Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; X286398 Transmittal Number# Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges Appendix A: Supplemental Applicant Certification For Privately Owned Wastewater Treatment Facilities OR Privately Owned Reclaimed Water Systems 7 1y 2o2d On (insert(insert da etet ' the undersigned applicant submitted a BRP WP 12(insert permit type number) application for a Groundwater Discharge Permit (insert permit type name) for the Cotuit Landing Shopping Center (insert facility name) By its signature hereto, the undersigned applicant hereby incorporates this instrument into and makes this instrument a part of, said application. 1. 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 diligent 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. am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I will be responsible for publication of public notice of the applicable permit proceedings, as required by 314 CMR 2.06. 2. 1 am aware that submitting a false and misleading certification could lead to modification, suspension, or revocation of any permit granted pursuant to this application, as set forth in 314 CMR 5.12 and 314 CMR 20.19. 3. 1 hereby acknowledge that it is my responsibility: a. For BRP WP 11, 12, 79, 85: ® To ensure that I understand the"Requirements for Privately Owned Wastewater Treatment Facilities" set forth at 314 CMR 5.15 (1), (2), and (3) and in related provisions of the Ground Water Discharge Permit Program regulations, 314 CMR 5.00, before I provide the certification in paragraph 4, below; For BRP WP 84: ❑ To ensure that I understand the "Requirements for Privately Owned Reclaimed Water Systems" set forth at 314 CMR 20.14(1) and in related provisions of the Reclaimed Water permit Program regulations, 314 CMR 20.00, before I provide the certification in paragraph 4, below; b. to ensure that I have compiled, evaluated and/or established all pertinent documents, instruments„ records and information necessary to provide the certification in paragraph 4, below; and, wp1185ap.doc•rev.7/15 BRP WP 11-85•Page 16 of 17 i Massachusetts Department of Environmental Protection Bureau of Resource Protection — Groundwater Discharge Program Individual Permits: Groundwater Discharge Permits; x2ss3ss Transmittal Number# i Reclaimed Water Use Permit; or SE-728 Permit Renewal/Modification Facility ID/Permit#(if Application for Permit to Discharge to Groundwaters of the Commonwealth or for known) Reclaimed Water Use BRP WP 11 Individual Permit Renewal/Modification with Plan Approval BRP WP 12 Individual Permit Renewal/Modification without Plan Approval BRP WP 79 Individual Permit for Groundwater Discharge from a Sewage Treatment Plant BRP WP 84 Individual Permit for Reclaimed Water Use BRP WP 85 Individual Permit for Other Groundwater Discharges Appendix A: Supplemental Applicant Certification For Privately Owned Wastewater Treatment Facilities OR Privately Owned Reclaimed Water Systems (cont.) c. to consult with legal, technical and other qualified professionals, as necessary for me to understand and comply with the above requirements and to make the certification in paragraph 4, below. 4. Based on the foregoing: For BRP WP 11, 12, 79 or 85: ® I hereby certify that I have fully and completely satisfied and complied with each and every applicable requirement set forth in 314 CMR 5.15 (1), (2), and (3)for an individual permit issued for the construction, installation, modification, operation and maintenance of a PWTF; and will continue to do so until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions; or For BRP WP 84: ❑ I hereby certify that I have fully and completely satisfied and complied with each and every requirement set forth in 314 CMR 20.14(1), as applicable to the existing or proposed reclaimed water system, for a permit issued under 314 CMR 20.00; and will continue to do so until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions. 5. 1 shall maintain a copy of all records, regardless of form (e.g., both printed and electronic) upon which I rely in making the certifications in this Supplemental Certification, until a final decision on this application has been issued by the Department and, if this application is approved, will do so thereafter in accordance with permit conditions. Such records shall include without limitation all documents described in paragraph 1, above, and any supporting documentation provided to me by, or relied upon by, such qualified professionals as I may consult in certifying as to the information set forth ' par raph 4, above. The Stop & Shop Supermarket Company LLC Signatureo Applicant Printed Name of Applicant 1� N 2obb Date Signed wp1185ap.doc•re%.7/15 BRP WP 11-85•Page 17 of 17 Massachusetts Department of Environmental Protection Bureau of resource Protection—Individual Permits Permit Renewal Application Transmittal# X286398 Attachment# 1 Page 4 Item 6: Please note that the DEP Hydrogeologic Report Approval Letter is on file with DEP Item 7 Monitoring Well Data is submitted with Compliance Reports Item 8 Plans and Specifications are on File with DEP Site is located off Rte. 28 Barnstable Road 15 .,, a ��' " • Fil o a v CND a> T � a M � w fie', Weston0P Sam son February 27,2019 "'°'"°P°°°°I""01fi0'HO' Massachusetts Department of Environmental Protection Mr.Bruce Canuel(via email) T°c e es3zaeoo P 1BSC 9Appl Creek Lane eDEP Transaction Copy 19 Apple Creek Lane Fall River,MA 02720 RE: Cotuft Lending Shopping Center Wastewater Treatment Facility Monthly Operations Report-December 2018 Here is the file you requested for your records. Dear Mr.Canuel: To retain a copy of this file you must save and/or print. Enclosed please find the December 2018 Operations Reporting Package for the Cotuit Landing Shopping Center wastewater treatment facility(WWTF),GWDP#728,located at 3860 Falmouth Road in Barnstable,MA. Weston&Sampson Services,Inc.would like to note the following: Username: WSSINC • All regulated effluent parameters collected during December 2018 were reported to be within the respective Transaction ID: 1077778 permissible limits. Document: Groundwater Discharge Monitoring Report Forms • Data was filed with MassDEP electronically,via eDEP. A copy of the transaction is included in this package. Size of File: 1316.05K If you have any questions or concerns regarding this report,or the wastewater treatment facility,please feel free Status of Transaction: submitted to contact me at wsscompliance@wseinacom. Regards, Date and Time Created: 1@3/2019:8:14:11 AM WESTON&SAMPSON SERVICES,INC. Note:This file Only Includes forms that were part of your transaction as of the date and time indicated above.If you need a more current copy of your transaction,return to eDEP and 5ames R.rringale select to"Download a Copy"from the Current Submittals page. Project Coordinator cc: Barnstable Public Health Division(via email) Tom Cambaren,Cape Cod Commission(via email) —to..ndmmpson— C...h:MA,CT,NH,VT,NY,NJ,PA,SC 8 FL Massachusetts Department of Environmental Protection 1728 Massachusetts Department of Environmental Protection 1728 El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Groundwater Permit El roundwater Permit2.Tax identifcation Number �2.Taz identification Number DAILY LOG SHEET DAILY LOG SHEET� 2018 DEC DAILY 2018 DEC DAILY 3.Sampling Month&Frequency 3.Sampling Month&Frequency A.Facility Information C.Daily Readings/Analysis Information Important:wnen filling out forms on 1.Facility name,address: Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine 11V the computer,use COTUIT LANDING SHOPPING CTR Flow GPD Flow GPD Flow GPD PH Residual Intensity only the tab key to a.Name.. ._ __ _ .._-__... __...__ _-_. (mom) (IN move your cursor- 3860 FALMOUTH ROAD .t rnkey.the -....._. _.. _ _ 1 ND return key. b.Street Address 2 BARNSTABLE MA 7424 7.90 7.43 1 a City - - d.Stale e.Zip Code 2452 8.49 7.41 4 4633 8.10 7.48 49 2.Contact information: 8 3219 ! 8.28 i 17.55 8 3426 7.92 i7.60 am AMES R.TRINGALE 7 3426 a.Nam of Faulty Contact Person .-•._ _ t 8 3426 785321900_ __ - SSCompliance@wseine.com_ _ 9 3426 i b.Telephone Number c.e-mail address 10 3058 8.37 7.74 3.Sampling information: t1 00 7.89 7.66 30 1 2/112 0 1 8 _ ONSITE MEASUREMENTS 12 3152 L 7.97 7.74 a.Date Sampled(mMddryyyy) •-•-_� a b.Laboratory Name - ^--- �J - 13 3629 7.87 1 7.65 BRUCE CANUEL - 14 3853 9.10 7.74 c.Analysis Performed By(Name) 15 3853 1 8714 8.50 B.Form Selection 17 3303 - 1 8.24 7.82 -.. -1.Please select Form Type and Sampling Month&Frequency - 18 3802 7.90 17.66. .. 19 3802 Daily Log Sheet-2018 Dec Daily 7120 1 - 5223 7.99 7.74 r; : _. 21 6001 i ��. -All forms for submittal have been completed. - 8.12 7.76 22 6001 23 3351 t 8.39 7.60 2. -This is the last selection. - 24 - � 2968 7.62 7.68 3. Delete the selected form. 25. 1464 .. 26 NO 1 27 ND 7.54 8.50 28 5047 7.67 B.50 I 29 5047 30, 5047 31, 5686 8.20 7.86 - - gdpols.doc•rev.09/15/15 - Groundwater Permit Daily Log Sheet•Page 1 of 1- gdpols 2015-09-15.doc•rev.09/15/15 Groundwater Permit Daily Lag Sheet•Page 1 of 1 - Massachusetts Department of Environmental Protection 1728 —� Massachusetts Department of Environmental Protection 1728 El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number , Groundwater Permit Groundwater Permit I T Tax identification Number 2.Tax identification Number MONITORING WELL DATA REPORT 2018 DEC MONTHLY MONITORING WELL DATA REPORT 2018 DEC MONTHLY 3.Sampling Month&Frequency 3.Sampling Month&Frequency A.Facility Information C.Contaminant Analysis Information Important:When •For"0",below detection limit;less than(<)value,or not detected,enter"ND" < filling out forms on I.Facility name,address: •TNTC=too numerous to count.(Fecal results only) the computer,use JCOTUITLANDINGSHOPPING CTR •NS=Not Sampled only the lab key to a.Name •DRY=Not enough water in well to sample. move your cursor-do not use the 3860 FALMOUTH ROAD - yreturn key. b.Street Address BARNSTABLE_ __. _ _ _ MA _ - - Parameter/Contaminant 1- 2 3 4 C.City _ d.State e.Zip Code Units Well#:1 Well#:2 Well#:3 Well#:4 Well#:5 Well#:5 2.Contact information: 6.46 J 6.65 6.25 Avun AMES R.TRINGALE S.U. —--'— a.Name of Facility Contact Person STATIC WATER LEVEL 33.8 38.7 38.35 41.55 9785321900 _ __ _ / SSCompliance@wseinc.com FEET b.Telephone Number c.e-mail address J d SPECIFIC CONDUCTANCE Q 70 207 588 - UMHOSIC 3.Sampling information: 12/6/2018_ ONSITE MEASUREMENTS a.Date Sampled(mm/dd/yyyy) b.Laboratory Name •4. SCOTT KRAIHANZEL c.Analysis Performed By(Name) B.Form Selection 1.Please select Form Type and Sampling Month&Frequency Monitoring Well Data Report-2018 Dec Monthly r All forms for submittal have been completed. 2. r This is the last selection. 3. r Delete the selected form. - - -- mwdgwp-blank.doc•rev.09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 gdpols 2015-09-15.doc-rev.09/15/15 Gwb�idv+o{er Pormit Daily 1 ng.Sheet•Page 1 of 1 Massachusetts Department of Environmental Protection 1728 Massachusetts Department of Environmental Protection 1728 Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number El- Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Groundwater Permit Groundwater PermitDISCHARGE MONITORING REPORT Taz ideniifiration Number DISCHARGE MONITORING REPORT 2.Tax identification Number 2018 DEC MONTHLY 2018 DEC MONTHLY 3.Sampling Month&Frequency 3.Sampling Month&Frequency D.Contaminant Analysis Information A.Facility Information Important:When •For'0",below detection limit,less than(<)value,or not detected,enter"ND" filing out forms on 1.Facility name,address: •TNTC=too numerous to count.(Fecal results only) the computer,use COTUIT LANDING SHOPPING CTR •NS=Not Sampled only the tab key to a.Name move your cursor- 3860 FALMOUTH ROAD do not use the .. __ returnkey. b.Street Address 1.Parameter/Contaminant 2.Influent 3.Effluent d.Effluent Method BTABLE MA Units Detection limit City � C.City - d.State e.Zip Code Bo0 13.0 MGA- 15 Of 2.Contact information: Tss nw AMES R.TRINGALE MG)L a.Name of Facility Contact Person TOTAL SOLIDS 500 785321900 ____ __ _ ___ _ _ { SSCompliance@wseinc.com _ _ M� b.Telephone Number - _ c.e-mail address AMMONIA-N 39 � MGA- 3.Sampling information: - NITRATE-N _ 4.5 12/6/2018 i RI ANALYTICAL _ MG a..Date Sampled(mMddyyyy) b.Laboratory Name�'�•�— -.- TOTAL NITROGEN(NO3-NO2-TKN) 4.50 ' ARIOUS ANALYSTS ! MG4 c.Analysis Performed By(Name) OIL&GREASE ND _ MCA- B.Form Selection 1.Please select Form Type and Sampling Month&Frequency._ Discharge Monitoring Report-2018 Dee Monthly r1 All forms for submittal have been completed. - — - 2. r This is the last selection. r' 3. —Delete the selected form. .. - Infeffrp-blank.doc•rev.09/15/15 Groundwater Permit Discharge Monitoring Report•Page 1 of 1 gdpols 2015-09-15.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet•Page 1 oft - - - f Massachusetts Department of Environmental Protection 1728 Massachusetts Department of Environmental Protection 172B El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number �, Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Groundwater Permit t. Groundwater Permit 2.Tax identification Number ) 2.Tax identification Number MONITORING WELL DATA REPORT 2018 QUARTERLY 4 , MONITORING WELL DATA REPORT 2018 QUARTERLY 4 3.Sampling Month&Frequency 3.Sampling Month 8 Frequency A.Facility Information C.Contaminant Analysis Information Important:When For"0',below detection limit,less than(<)value,or not detected,enter"ND" < filing out forms on 1.Facility name,address: •TNTC=too numerous to count.(Fecal results only) the computer,use p COTUIT LANDING SHOPPING CTR __ _ _ •NS=Not Sampled only the tab key to a.Name •DRY=Not enough water in well to sample. move your cursor- do not use the 3860 FALMOUTH_ROADreturn key. b.Street Address ICI BARNSTABLE _ _ _ MA .. _ ._ ._._.. Parameter/Contaminant 1 2 - 3 4 /I c.City J.State e.Zip Code Units Well#:1 Well#:2 Well#:3 Well#:4 Well#:5 Well#:6 1 2.Contact information: Nti12ATE-N ND ND 1.4 r AMES R.TRINGALE MGIL a.Name of Facility Contact Person TOTAL NITROGEN(NO3+NO2+TK ND ND 1.40 i 8.10 9785321900 SSCompliance@wseine.com MGA_ b.Telephone Number c.e-mail address 3.Sampling information: 12/6/2018. � RI ANALYTICAL a.Date Sampled(mm/dd/yyyy) b.Laboratory Name ARIOUS ANALYSTS_ - c.Analysis Performed By(Name)+ B.Form Selection 1.Please select Form Type and Sampling Month&Frequency Monitoring Well Data Report-2018 Quarterly 4 r All forts for submittal have been completed. 2. This is the last selection. 3. r Delete the selected form. mwdgwp-blank.doc•rev.09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 gdpols 201S-(19,15.doc•rev.OW15115 Groundwater Permit Daily Log Sheet•Page 1 of 1 Massachusetts Department of Environmental Protection 1728 Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Page I of 4 Groundwater Permit I R.1.ANALYTICAL El 2.Taz identification Number Specialists In Environmental Servleee Facility Information LABORATORY REPORT Important:When COTUIT LANDING SHOPPING CTR ..filling out forms on - _ . . a.Name the computer,use only the tab key to 860 FALMOUTH ROAD move your cursor- to.street Address do not use the BARNSTABLE _ _ _ MA ! BSC Services,Inc. Date Received: 12 8 - Attn: Bruce Canuel Date Reported: 12/14/2/14/2018 return key. c.City d.state e.Zip Code 19 Apple Creek Lane P.O.#: Fall River,MA 02720 n Certification "1 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 property 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 Work Order#; 1812-26016 �p information,the information submitted is,to the best of my knowledge and belief,true,accurate and complete.I am aware that the PI'OJ eCt Name' STOP&SHOP#066 MARSTON MILLS MA are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations" MAR azure N.cooMas.,___-, vDate(m9 Enclosed are the analytical results and Chain of Custody for your project referenced above. The Any person signing e.Signature b.Date(mm/tltl/yyyy) a document under sample(s)were analyzed by our Warwick,RI laboratory unless noted otherwise. When applicable, , 314 CMR 5.14(1)or indication of sample analysis at our Hudson,MA laboratory and/or subcontracted results are noted (2)shall make the Reportinll Package Comments and subcontracted reports are enclosed in their entirety. - following certification All samples were analyzed within the established guidelines of 40 CFR part 136 approved methods. If you are filing with all requirements met,unless otherwise noted at the end of a given sample's analytical results or electronic-ally and in a case narrative. want to attach _ e additional - comments,select - _ - The Detection Limit is defined as the lowest level that can be reliably achieved during routine the check box. laboratory conditions. r, These results only pertain to the samples submitted for this Work Order#and this report shall not be s reproduced except in its entirety. 1 We certify that the fol lowing results are true and accurate to the best of our knowledge. If you have a questions or need further assistance,please contact our Customer Service Department. Approved by: 1 Dawne E.Smart Data Reporting Manager Laboratory Certification Numbers(as applicable to sample's origin state): - Warwick RI`RI LAI00033,MA M-RI015,CT PH-0509 Hudson IVIA•M-N1A1117,RI LA000319 gdpols 2015-09-15.doc•rev.09/15/15 Groundwater Permit•Page 1 of 1- - - - 41 Illinois Avenue,Warwick,RI 02888 www,rlanalytieal.eom 131 Coolidge Street,Suite 105,Hudson MA 01749 Phone:401-737-8500 Fax:401-738-1970 Phone:978-568-0041 Fax:978-568-0078 ,l _ I Page 2 of 4 Page 3 of 4 R.I.Analytical Laboratories,Inc. R.I.Analytical Laboratories,Inc. Laboratory Report Laboratory Report 1 Approved by: Approved by: BSC Services,Inc. BSC Services,Inc. Dawne E.Smart Dawne E.Smart Work Order#: 1812-26016 Data Reporting Manager Work Order#: 1812-26016 Data Reporting Manager Project Name: STOP&SHOP#066 MARSTON MILLS MA Project Name: STOP&SHOP#066 MARSTON MILLS MA Sample Number: 001 Sample Number: 004 Sample Description: INFLUENT - Sample Description: EFFLUENT Sample Type: GRAB Sample Type: COMPOSITE Sample Date/Time: 12/06/2018 @ 09:15 Sample Date/Time: 12/06/2018 @ 09:00 SAMPLE DET. DATE/TIME SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST PH(field) 7.83 su 12/6/I8 9:15 -CS BOD5 <.O 3D mgA SM5210B 2led 12f//I8 15.29 SRF Total Suspended Solids <2.0 2.0 mg/1 SM254013 I8-21ed 12/12/18 2151 SNI Sample Number: 002 -. Nitrite(.'N) 10.25 0.25 egA EPA 300.0 1216/18 2035 HHC P Nitrate(as N) 4.5 D.25 mgil EPA 300.0 12/6/I8 20:35 HHC Sample Description: INFLUENT TKN(as N) N.SU U.50 mgA SM4500NOrg-D I8-21ed 1 12/11/IS 8:30 APD Sample Type: COMPOSITE Towl Nitro en as N) 4.50 D.25 Sample Date/Time: 12/06/201$ 09:16 8 ( mgA EPA 35 CALCULATION 12/11/18 830 APE P �i Ammonia(as N) <0.20 D.2U mgA EPA 350.1 t2/12/18 944 KLE SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST -CS-Field sampling data mns provided by the diem. BOD5 170 120 mSA SM5210B 21ed 12n/18 14:37 SRF Total Suspended Solids 72 2.0 mgA SM2540D 18-21ed 12/12/18 21:51 SNI TDtel Solids 500 10 mgA SM2540B I8-2led 12112/18 16:53 BR - Ammonia(as N) 39 0.20. eg/l EPA 350A 12/12/18 944 KLE _ Sample Number: 003 Sample Description: EFFLUENT Sample Type; GRAB Sample Date/Time: 12/06/2018 @ 08:50 SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST _ pli(field) 7.60 SU 12/6/18 8:50 •CS - Oil&Graase Gmvimctric <D.5 0.5 mgA EPA 1664A 12/14/18 10:24 KMH Page 4 of 4 - - Page 1 of 4 R.1.ANALYTICAL Speciellete in Envlr mental Services 'D c� LABORATORY REPORT > m BSC Services,Inc. Date Received: 12/6/2018 r Attn: Bruce Canuel Date Reported: 12/14/2018 a 19 Apple Creek Lane P.O.#: v o Fall River,MA 02720 o z 21 LL y \ O C ~ 1 _ Q Z o �� Work Order#: 18]2-26018 U i Z u) I Project Name: STOP&SHOP#066 MARSTON MILLS,MA GROUNDWATER SAMPLES ~ 0 co tom CP z F Z N r v Enclosed are the analytical results and Chain of Custody for your project referenced above. The _ ' ' sample(s)were analyzed by our Warwick,RI laboratory unless noted otherwise. When applicable, = m z o m z indication of sample analysis at our Hudson,MA laboratory and/or subcontracted results are noted m and subcontracted reports are enclosed in their entirety. c a a rn to a — o Z ? ? -31 All samples were analyzed within the established guidelines of 40 CFR part 136 approved methods 0� with all requirements met,unless otherwise noted at the end of a given sample's analytical results or gin a case narrative. -�' The Detection Limit is defined as the lowest level that can be reliably achieved during routine o — laboratory conditions. V ° \ a These results only pertain to the samples submitted for this Work Order#and this report shall not be g N j - reproduced except in its entirety. a m g I'J m We certify that the following results are true and accurate to the best of our knowledge. If you have m o q M questions or need further assistance,please contact our Customer Service Department. Z J N U) t0 CDU O N U o o�, o Approved by: O L W a�� - 05 c c c � c c n .. .. _ UQ— � . to u.q in c c Ew w w w 4).00 ai .. m P O fa Dawne E.Smart Fd O °0 " ' m Data Reporting Manager o O 2=m to U M E t Z Laboratory Certification Numbers(as applicable to sample's origin state): Warwick RI RI LAI00033,MA M-R1015,CT PH-0508 Hudson MA•M-MA 1117,RI LA000319 d 41 Illinois Avenue,Warwick,RI 02888 131 Coolidge Street,Suite 105,Hudson MA 01749 ci — 8 a tr W Www.rianatytical.com - Phone:401-737-8500 Fax:401-738-1970 Phone:978-568-0041 Fax:978-568-0078 Page 2 of 4 Page 3 of 4 R.I.Analytical Laboratories,Inc. R.I.Analytical Laboratories,.Inc. Laboratory Report Laboratory Report Approved by Approved by. BSC Services,Inc. BSC Services,Inc. Dawne E.Smart Dawne E.Smart Work Order#: 1812-26018 Data Reporting Manager Work Order#: 1812-26018 Data Reporting Manager Project Name: STOP&SHOP#066 MARSTON MILLS,MA GROUNDWATER SAMPLES Project Name: STOP&SHOP#066 MARSTON MILLS,MA GROUNDWATER SAMPLES Sample Number: 001 Sample Number: 004 Sample Description: MW 1 Sample Description: MW 4 Sample Type: GRAB Sample Type: GRAB Sample Date/Time: 12/06/2018 rJ 09:00 - Sample Date/Time: 12/06/2019 Cu 12:30 SAMPLE DET. DATE/TIME SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST PARAMETER RESULTS LUMT UNITS METHOD ANALYZED ANALYST Specific Conductance(field) 84 1 WHOS/CM 12/6/18 9:00 'CS Specific Conductance(field) 588 1 uMHOs/CM 1216/18 12:30 'CS PH(field) 6.47 SU 12/6/I8 9:00 "CS pH(field) 6.36 SU 12/6/18 12:30 -CS Nitrilc(as N) <0.25 0.25 mg/l EPA 300.0 1216/18 19.23 FIHC Niuite(as N) <0.25 0.25 ng/l EPA 300.0 12/6/18 20:20 HHC Nitrate(as N) 10.25 0.25 mgA EPA 300.0 12/6/I8 1923 MC Nitrate(as N) 8.1 0.25 mgA EPA 300.0 12/6118 20:20 MC TKN(as N) <0.50 0.50 mg/I SM4500NOrg-D 182led 12/I1/18 8:30 APD TKN(.a N) - Qs.50 0.50 mg/I SM4500NOrg-DI8-2led - 12/11/18 8:30 APE) Toml Nines-(as N) <0.25 0.25 mgA CALCULATION 12/11/18 9:30 APD Toml Nitrogcn(as N) 9.10 0.25 mgA CALCULATION 12/11/18 8:30 APD Sample Number: 002 'CS-Field sampling data was In-ided by the client. Sample Description: MW 2 Sample Type: GRAB Sample Date/Time: 12/06/2019 @ 09:15 SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST - SpecificConductance(field) 70 1 WHOS/CM 12/6/18 915 'CS pH(field) 6.65 SU 12/6/I8 9:15 "CS Nivite(as N) Q).25 0.25 mgA EPA 300.0 12./6/18 19:37 HHC - - Nitrate(as N) <0.25 0.25 mSA EPA 300.0 1216/18 19:37 HHC - TKN(asN) 4150 0.50 mgA SM4500NOrg-D IB:Ied 12/11/18 8:30 APD Total Nines-(as N) 10,25 0.25 mg/l CALCULATION 12/11/18 8:30 APD - Sample Number: 003 - - - - - Sample Description: MW 3 Sample Type: GRAB Sample Date/Time: 12/06/2018 @ 12:15 SAMPLE DET. DATE/TIME PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST Specific Conduct-,(Held) 207 1 uMllos1cM 12/6/I9 1215 'CS pH(field) 6.25 SU 1216/18 12:15 -CS Nivitc(as N) <0.25 0.25 nBA EPA 300.0 12/6/18 20:06 F0-IC Nitrotc(oaN) 1.4 0.25 mg/I EPA 300.0 1216/I8 20.06 HHC TKN(as N) N030 0.50 mSA SM45001,10rg-13I8-2led 12/11/18 830 APD Total Nivogen(as N) 1.40 015 mgA CALCULATION 12111/I8 8.30 APD ` BSC Services,INC. CHA1:'OCf77 19 Apple Creek Lane Fall River,MA 02720 Pag 401-556-0427 Date Time Sample ID Type Containers Analysis/Report Collected Collected Wastewater Number Stop&Shop#066 Marston Mills,MA Groundwater Samples from MW'S d9� ' MW1 Grab 1-NP Spec conductance= pH=d�-q7 Grab 1-S NO-2,-N,NO-3-NTotal Nitro en,TKN 67/ MW2 Grab 1-NP specconaucance=7O,oH= .G Graff 1-S NO-2,-N,NO-3-NTotal Nitro en,TKN 19 MW 3 Grab 1-NP spm cunductance0�7pH= Grab 1-S NO-2,-N,NO-3-NTotal Nitro en,TKN Grab 1-NP Sp.C-d.cW%pH=/o•� Grab 1-3 NO-2,-N,NO-3-NTotal Nitr en,TKN Contact: Bruce Can el:Cell Phone:401- 6-0427 Date and Time t T,7me b Relinquished By: /�(p � Received By: 14e �w3o Relinquished By Received By: Relinquished By: Received By: Please E-Mail Reports to Bsjc62301 @cs.com&okumar@aol.com 1)5 DAY Normal TAT.2.Shipped on Ice.3.Sampled By:Bruce 9601 Y Weston®Sampson November 30,2018 S LaMannlol Driv,PeaEotly,M78—(HO)9 Massachusetts Department of Environmental Protection Mr.Bruce Canuel(via email) rac Tes3z,eoo 1BSC 9Appl Creek La eDEP Transaction Copy 19 Apple Creek Lane Fall River,MA 02720 1 RE: Cotult Landing Shopping Center Wastewater Treatment Facility Monthly Opemdons Report—October 2018 Here is the file you requested for your records. Dear Mr.Canuel: To retain a copy of this file you must save and/or print. Enclosed please find the October 2018 Operations Reporting Package for the Cotuit Landing Shopping Center wastewater treatment facility(WWfF),GWDP#728,located at 3860 Falmouth Road in Barnstable,MA. Weston&Sampson Services,Inc.would like to note the following: Username: WSSINC • All regulated effluent parameters collected during October 2018 were reported to be within the respective Transaction ID: 1065722 permissible limits. Document: Groundwater Discharge Monitoring Report Forms • Data was filed with MassDEP electronically,via eDEP. A copy of the transaction is included in this package. Size of File: 1026.92K if you have any questions or concerns regarding this report,or the wastewater treatment facility,please feel free to contact me at wsscompliance@wseinc.com. Status of Transaction: Submitted Regards, Date and Time Created: 11126/2018:11:21:14 AM WESTON&SAMPSON SERVICES,INC. Note:This file only includes forms that were part of your transaction as of the date and time indicated above.If you need C� a more current copy of your transaction,return to eDEP and games R.Tringale - select to"Download a Copy"from the Current Submittals page.. Project Coordinator cc: Barnstable Public Health Division(via email) Tom Cambareri,Cape Cod Commission(via email) w" na"dp ".mm Offl"in:MA,CT,NH,W.W.NJ,PA,SC 8 FL Massachusetts Department of Environmental Protection 1728 1 Massachusetts Department of Environmental Protection 1728 Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number r) Groundwater Permit Groundwater Permit! DAILY LOG SHEET 2.Taz identification Number 2.Taz identification Number 2018 OCT DAILYDAILY LOG SHEET 2018 OCT DAILY 3.Sampling Month&Frequency 3.Sampling Month&Frequency Important:wnen A.Facility Information C.Daily Readings/Analysis Information filling out forms on 1.Facility name,address: Date Effluent Reuse Irrigation Turbidity Influent pH Effluent Chlorine Uv the computer,use Flow GPD Flow GPD Flow GPD pH Residual Intensity p COTUIT LANDING SHOPPING CTR only the tab key to a.Name .. _ inns") ("/,) move your cursor- do not use the - B60 FALMOUTH ROAD 5100 7.79 7.13 3328 816 y b.Street Address L1 returnke 2 I . 7.64 BARNSTABLE MA _ _ _ _ 3 _. c.City - d.State e.Zip Code - - 6369 7.58 i 7.30 M\'� 4 4343 _ 8.05 �7.77 I Of 2.Contact infomlation: 4699 mm213 6 3699 8.11 7.70 AMES R.TRINGALE 7 4197 8.20 7.86 I a.Name of Facility Contact Person 6 4197 9785321900 - _ _ SSCompliance@wseine.com Y 0 3239 j. 7.73 7.21 i b.Telephone Number c.e-mail address 10 4657 7.49 ;7.27 3.Sampling information: - 11 5637 7.64 10/1/2018 _ _ _ NSITE MEASUREMENTS_ 12 N5.462 a.Date Sampled(mm/ddNm) �- b.Laboratory Name 1 - 13 BRUCE CANUEL _ _ 14 I c.Analysis Performed By(Name) 15 7.71 ( 7.28 16 2830 7.81 8.01 B.Form Selection 17 2522 17.69 6s3 I.Please select Fenn Type and Sampling Month&Frequency 16 4465 I 7J9 6.78 10 4600 8.23 j 7.01 i Daily Log Sheet-2018-Oct Daily �,- _.. _ _ _ !�� 20 4600 21 3787 8.07 .7.40 r All forms for submittal have been completed. 22 2562 7.62 ' i6.85 2. r This is the last selection. 23 4692 7.84 i 6.59 EE� . 24 2522 7.84 6.64 3. r Delete the selected form. 25 4598 7.67 7.68 26 4598 27 4598 26 4598 29 3958 8.25 7.51 30 2613 8.29 7.74 - - - 31 3098 7.94 7.68 gdpols.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1 gdpols 2015-09-15.doc•rev.09/16/15 Groundwater Permit Daily Log Sheet 7 Page 1 of 1 - Massachusetts Department of Environmental Protection 1728 Massachusetts Department of Environmental Protection 1728 Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Groundwater Permit Groundwater Permit I MONITORING WELL DATA REPORT 2.Tax identification Number 2.Tax identification Number 2018 OCT MONTHLY MONITORING WELL DATA REPORT 2018 OCT MONTHLY 3.Sampling Month&Frequency 3.Sampling Month 8 Frequency C.Contaminant Analysis Information A.Facility Information Important:When •For'D',below detection limit,less than(<)value,or not detected,enter"ND" filling out forms on 1.Facility name,address: •TNTC=too numerous to count.(Fecal results only) the computer,use COTUIT LANDING SHOPPING CTR •NS=Not Sampled only the tab key to a.Name •DRY=Not enough water in well to sample. move your cursor- 3860 FALMOUTH ROAD do not use the .turn key. b.Street Address BARNSTABLE M'0` Parameter/Contaminant t 2 3 4 c.City d.State e.Zip Code Units Well#:1 Well#:2 Well#:3 Well#:4 Well#:5 Well M 6 tf 2.Contact information: PH6.47 6.64 5.79 6.22 mvaDAMES R.TRINGALE S.U. a.Name of Facility Contact Person STATIC WATER LEVEL 34 6 �39.5 38.6 41.5 9785321900 _ .- _ SSCompliance@wseinc.com _ _ _ FEET b.Telephone Number c.a-mail address SPECIFIC CONDUCTANCE 59 72 382 747 UMHOSC 3.Sampling information: 10/3/2018 _ __ _ .- I JONSITEMEASUREMENTS _ a.Date Sampled(mm/ddlyyyy) _ b.Laboratory Name BRUCE CANUEL___ c.Analysis Performed By(Name) B.Form Selection 1.Please select Form Type and Sampling Month&Frequency Monitoring Well Data Report-2018 Oct Monthly _ ra All fors for submittal have been completed. 2. r=This is the last selection. 3. r Delete the selected form. mwdgwp-blank.doc•rev.09/15/15 Monitoring Well Data for Groundwater Permit•Page 1 of 1 gdpols 2015-09-15.doc"rev.09/15/15 Groundwater Permit Daily Log Sheet"Page 1 of 1 Massachusetts Department of Environmental Protection 1728 Massachusetts Department of Environmental Protection 1728 Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number l `� Groundwater Permit Groundwater Permit 2.Tax identification Number 2.Tax identification Number DISCHARGE MONITORING REPORT 2018 OCT MONTHLYDISCHARGE MONITORING REPORT 2018 OCT MONTHLY 3.Sampling Month&Frequency 3.Sampling Month&Frequency A.Facility Information D.Contaminant Analysis Information - Important:When •For"0",below Detection limit,less than I<)value,or not detected,enter'ND" filling out forms on I.Facility name,address: •TNTC=too numerous to count.(Fecal results only) the computer,use COTUIT LANDING SHOPPING_CTR _ •NS=Not Sampled only the tab key to a.Name move your cursor- 3860 FALMOUTH ROAD do not use the - - return key. D.Street Address 1.Parameter/Contaminant 2.Influent 3.Effluent 4.Effluent Method BARNSTABLE _ MA Units Detection limit a City d.State e.Zip Code Boo 140 i ND 3.0 Tkilf Ir�Or 2.Contact information: _ .. rsS 560 ND� 2.0 I rram AMES R.TRINGALE MGIL a.Name of Facility Contact Person TOTAL SOLIDS 1000 9785321900 - SSCom pliance@wseinc.com _ MG/L b.Telephone Number c.e-mail address AMMONIA-N 44 MG/L 3.Sampling information: - Nrr1xATE1J 8.9 10/312018, - ._-, _ j RI ANALYTICAL -. _ MG1L a.Date Sampled(mm/dd/)yyy)` b.Laboratory Name TOTAL NrrROGEN(NO3tNO2+TKN) 8.90 ARIOUS ANALYSTS. _ - MG/L - c.Analysis Performed By(Name) OIL&GREASE MG/L B.Form Selection 1.Please select Form Type and Sampling Month&Frequency Discharge Monitoring Report-2018 Oct Monthly 71 [i All forms for submittal have been completed. r 2. This is the last selection. 3. r=Delete the selected form. - infeffrp-blank.doc•rev.09/15/15 Groundwater Permit Discharge Monitoring Report•Page 1 of 1 gdpols 2015-09-15.doc•rev.09/15/15 Groundwater Permit Daily Log Sheet•Page 1 of 1 � - Massachusetts Department of Environmental Protection 728 El Bureau of Resource Protection-Groundwater Discharge Program 1.Permit Number Page 1 of 3 Groundwater Permit R.1.ANALYTICAL 2.Tax identification Number SpeclsllatB In Envlronmentat Services Facility Information LABORATORY REPORT Important:When COTUIT LANDING SHOPPING_CTR _ filling out forms on a.Name the computer,use only the tab key to of FALMOUTH ROAD move your cursor- b.Street Address BSC Services,Inc. Date Received: 10/3/2018 do not use the BARNSTABLE _ MA - Attn: Bruce Canuel Date Reported: 10/15/2018 return key. c,city it.State e.zip Code 19 Apple Creek Lane P.O.#: Fall River,MA 02720 � Certification •1..y 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 Nat 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 Work Order#: 1810-21289 . information,the information submitted is,to the best of my knowledge and belief,true,accurate and complete.I am aware that the Project Name: STOP&SHOP STORE#066 MARSTON MILLS,MA are significant penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations" MARIANNA N.COOMBS 11/21/2018 __ Enclosed are the analytical results and Chain of Custody for your project referenced above. The Any person signing a.Signature b.Date(mMdd/yyyy)a document under sample(s)were analyzed by our Warwick,RI laboratory unless noted otherwise. When applicable, 314 CMR 5.14(1)or indication of sample analysis at our Hudson,MA laboratory and/or subcontracted results are noted (2)shall make the Reportirill Package Comments and subcontracted reports are enclosed in their entirety. following certification All samples were analyzed within the established guidelines of 40 CFR part 136 approved methods If you are filing with all requirements met,unless otherwise noted at the end of a given sample's analytical results or electronic-ally and in a case narrative. want to attach additional The Detection Limit is defined as the lowest level that can be reliably achieved during routine comments,select y g the check box. laboratory conditions. r These results only pertain to the samples submitted for this Work Order#and this report shall not be reproduced except in its entirety. We certify that the following results are true and accurate to the best of our knowledge. If you have questions or need further assistance,please contact our Customer Service Department. Approved by: Dawne E.Smart Data Reporting Manager Laboratory Certification Numbers(as applicable to sample's origin state): Warwick RI"RI LAI00033,MA M-R1015,CT PH-0508,ME 11100015,NH 2O70,NY 11726 gdpols 2015-09-15.doc•rev.09/15/15 Groundwater Permit•Page 1 of i Hudson MA+M-MA 1117,RI LA000319 411111nols Avenue,Warwick,RI 02888 www.rianalytical.com 131 Coolidge Street,Suite 105,Hudson MA 01749 Phone:401.737.8500 Fax:401-738-1970 Phone:978-568-GO41 Fax:978-568-0078 Page 2 of 3 Page 3 of 3 R.I.Analytical Laboratories,Inc. Laboratory Report \n F Q BSC Services,Inc. Approved by: Dawne E.Smart WorlcOrder#: 1810-21289 Data Reporting Manager ❑ (b Project Name: STOP&SHOP STORE#066 MARSTON MILLS,MA o o Q o o U n a (0 Sample Number: 001 U _ � g Sample Description: INFLUENT ly ° tab z .N Sample Type: COMPOSITE O to Sample Date/Time: 10/03/2018 @ 07:35 = rn Q z n SAMPLE DET. DATE/TIME U R n z PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST to - z `� pH(field) 7.58 SU 10/3/18 735 -CS m m m BOD 5 140 J 200 mgA SM521 UB 21ed 10/4/18 13:51 JLH U) ai Z. v C V Total Suspended Solids 560 2.0 mgA SM2540D I8-21ed 10/9/18 2011 CRG ~ Z H �_ > > > Total Solids 1000 10 mSA SM2540B 18-21cd - 10/9/18 20:17 BR dO A _ p U cmi U Ammonia(as N) KLE m Z m z ix of w to Boo 5-J-The reported value is less than the sample detection limit but al,ove the method detection m limit. Eo °Z Sample Number: 002U U U C0 U U E_n�_ Sample Description: EFFLUENT Sample Type: GRAB Sample Date/Time: 10/03/2018 @ 07:30 3 E2 SAMPLE DET. DATE/TIME Q Y o PARAMETER" RESULTS LIMIT UNITS METHOD ANALYZED ANALYST g 0 Q pH(field) 7.30 SU 10/3/IS 7:3U -CS m m Oil&Grease Gravimetric 0.6 0.5 mgA EPA 1664A 10/12/19 2000 LAA r E v N C O 9 Y m tO E ° E Sample Number: 003 (D o °'°•' m to eo In Sample Description: EFFLUENT U m 'Eo tN° m E rh Sample Type: COMPOSITE y o rn 3 o a Sample Date/Time: 10/03/2018 @ 07:30 <N c CD 'Ci SAMPLE DET. DATE/TIME m°� ><o O d N PARAMETER RESULTS LIMIT UNITS METHOD ANALYZED ANALYST U Q 19 °a a) BOD 5 �3.0 10 mSA SM5210B 2led 10/4/18 14 24 JLH te= X, (n Total Suspended Solids 110 2.0 mg/l SM2540D I8-21ed 10/9/18 20:11 CRG m OI IC Sl I Ill I IL I LU I IL 5 O ry tf Ammonia(as N) 10.20 010 mg/I EPA 350.1 10/4/I8 10:08 KLE ~ a1 m o L) on Nitrite(as N) <0.25 0.25 mgA EPA 300.0 10/3/I8 19.24 I-IHC r• n _ 5 U T> T Nitrate(as N) 8.9 0.25 mgA EPA 300.0 10/3/I8 19:24 HHC U (� A `__m m co E TKN(as N) Q).50 0.50 mgA SM45UONOrg-D I8-2led 10/10118 9:15 APD m ID N Total Nitrogen(as N 8.90 0.25 mgA CALCULATION 10/10/18 9:15 APO y ,.Bj y y a } m N C c C O \ Q O d N Ul N •CS-Field sampling dato—� prot6ded by the client. - U U d of It w r- •,