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HomeMy WebLinkAboutCorrespondence - 544 FOSTER STREET 11/10/2005 .�.. ,„ ......, . .. . .. _ .��.._ .. .�..,_.�_... ,.� 44 Commercial Street Raynharri, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 i November 21, 2005 RECEIVED k k North Andover Board of Health ( 400 Osgood Street r North Andover, MA 01845 'TOWN OF NOR,111 AND(DVE HEA.7H oEPARTME:�� f Attention: Health Agentw.._.� ...._.. Reference: FAST®Wastewater Treatment System Serial Number: 2N281 Attached please find the Field Inspection& Service Report for services performed on 11/10/2005 at the property of Karen O'Keefe located at 544 Foster 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: Karen O'Keefe Massachusetts DEP ' Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 5580 A. Installation Important: Karen O'Keefe When filling out Owner forms on the computer,use 544 Foster 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: _Q 544 Foster Street Street Address/PO Box: N.Andover MA 01845 City State Zip (978-689-3599 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. 0&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508)—880-0223 ext. Telephone Number Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information 2N281 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number _ 05/29/2002 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 11/10/2005 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•11/21/05 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 5580 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. Michael Dillen 11/10/2005 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 st of each year for the within 30 days of inspection 30th 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-11/21/05 Page 2 of 2 1 ' � r IHC0RP0RATE0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 5580 e-mail: onsite W-biomicrobics.com m www.biomicrobics.com W 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 544 Foster Street Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Karen O'Keefe Street Mail Address: Mail Address 44 Commercial Street 544 Foster Street Raynham, MA 02767 N.Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 978-689-3599 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 2N281 05/29/2002 1 08/01/2004 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 Required: 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 Michael Dillen 1 11/10/2005