HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 5/5/2005 44 Cemrnercial Street
Rapham, MA
02757 1
Tel: (503) 880-0233
Fax: (503) 880-723
May 12, 2005
6ti ��WO�hN���� �����0���� ��
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
Attention: Health Agent 1
Reference: Single Home FAST' Treatment System
Serial Number: SHF13
Attached please find the Field Inspection & Service Report for services performed on
05/05/2005 at the property of Amit Banerji located at 369 Salem Street -North Andover,
MA.
Please call if you have any questions or require additional information.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Amit Banerji
Massachusetts DEP
Massachusetts Department of Environmental Protection
Lll� DEP Bureau of Resource Protection - Title 5
Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
4368
A. Installation
Important: Amit Banedi
When filling out Owner
forms on the
computer, use 369 Salem Street
only the tab key Facility Street Address -
to move your North Andover 01845
cursor-do not - -
use the return City Zip
key. Mailing address of owner, if different:
r� 369 Salem Street
Street Address/PO Box:
North Andover MA 01845
City State Zip
(978 557 9154 ext.
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services, Inc.
O&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
(508)—880-0223 ext.
Telephone Number
Kevin Usilton 12530
Certified Operator Name Certification Number
C. Facility/System Information
SHF13 Bio-Microbics, Inc. Single HomeFAST .9
DEP ID Manufacturer's Name&ID Model Name&Number
_ 09/04/1998
Installation Date Start of Operation
Approval Type: _General _Provisional _Piloting X Remedial
Seasonal Residence—used less than 6 mo./year:_Yes X No
D. Operating Information
05/05/2005
Inspection Date Previous Inspection Date
Sludge Depth (to be checked yearly) Pumping Recommended _Yes X No
Color: N/A Odor: None
Effluent Description
DEPMicroFASTnew.doc •5/12/05 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
-- 4368
E. Sampling Information
Samples Taken:— Influent _ Effluent
Parameters sampled:_pH_BOD_TSS—TN—Other(list below)
Other 1 Other 2 Other 3
Description of any maintenance performed since previous inspection & during this inspection:
Cleaned Filter,,,Splash Recycle,
Notes and Comments:
Also tested: , , , .
F. Certification
I certify: I have inspected the sewage treatment and disposal system at the address above, have
completed this report and the attached technology operation and maintenance checklist, and the
information reported is true, accurate, and complete as of the time of the inspection. I am a
Massachusetts certified operator in accordance with 257 CMR 2.00.
Kevin Usilton 05/05/2005
Operator Signature Date
System owner must submit this report, technology O&M checklist, and any required sampling results
to the local board of health and DEP as follows for each inspection performed:
Remedial Use—by January Piloting & Provisional Use- General Use—by September
31"or each year'tor the within 30 days of inspection 30 n of each year for the
previous calendar year date previous 12 months
Department of Environmental Protection
Attention: Title 5 Program
One Winter Street, 6th Floor
Boston. MA 02108
DEPMicroFASTnew.doc•5/12/05 Page 2 of 2
1
I N C 0 R P 0 R A T E 0
8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 4368
e-mail: onsite(aWomicrobics.com mwww.biomicrobics.com m 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER
369 Salem Street
Installation Address North Andover,MA 01845 Name Wastewater Treatment Services, Inc.
Owner Name Amit Baner'i Street
Mail Address: Mail Address 44 Commercial Street
369 Salem Street Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone 978 557 9154 Fax e-mail I Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
Single HomeFAST.9 SHF13 09/04/1998
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating X
Audio Alarm Operating X
if resent)
Blower(s)
Air Inlet Filter Clean X
Blower Hood Vents Clear X
Excessive Noise X
Excessive Vibration X
Treatment unit(s)
Unusual Odor ._—._ ' - - ------ --- ----.---_- - ___-.-.___ ----- ___—�
Pum out Reg uired: X
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT (optional) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H(Standard Units)
Color N/A
.Temperature
Odor None
Comments:
TECHNICIAN SERVICE DATE
Kevin Usilton 05/05/2005