HomeMy WebLinkAboutCorrespondence - 385 RALEIGH TAVERN LANE 1/1/2009 44 Commercial Street
Raynham, MA
RECEI 02767
m�(..)N .-. n� 2009 Tel: (508)880-0233
Fax: (508)880-7232
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May 22, 2009
North Andover Board of Hcalth
1600 Osgood Street
North Andover, MA 01 845
Attention: Health Agent
Reference: FAST`S Wastewater Treatment System - Serial Number: 20951
Attached please find the Field Inspection & Service Report for services perfor►ned on
04/24/2009 at the property ofRobert Lynch located at 3 85 Raleigh Tavern Lane - North
Andover, MA.
Please call if you have any questions or require additional information.
Siinnjc�erely,
f�i�c � ze�cZiiGG'i�/ �21�G�e✓
Wastewater Treatment Services, Inc,
Service Department
Enclosures
Copy to: Robert Lynch
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection and OM Form for Title 5 I/A
� o p
Treatment and Disposal Systems
11951
A. Installation
Important: Robert Lynch
When filling out
Owner
forms on the
computer, use 385 Raleigh Tavern Lane
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:
� 385 Raleigh Tavern Lane _ _—_ _____ —__—_--__
Street Address/PO Box:
North Andover —_ MA -— ---- — 01_845 — ---- - -
°"° City State Zip
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
David Koshiol 2976 —
--------------- -------
Certified Operator Name Certification Number
C. Facility/System Information
20951 Bio-Microbics, Inc. _ _MicroFAST .5
DEP ID Manufacturer ID Model Number
01/11/2002 --- - ----------
Installation Date Start of Operation
Approval Type: 0 General Q Provisional 0 Piloting ® Remedial
Seasonal Residence - used less than 6 mo./year: Yes No
D. Operating Information
04/24/2009
Inspection Date Previous Inspection Date
14° Pumping Recommended E Yes XC No
Sludge Level
DEPMicroFASTnew.doc•5/22/09 Page 1 of 3
Massachusetts Department of Environmental Protection
LlBureau of Resource Protection - Title 5
DEP Approved Inspection and ®&M Form for Title 5 I/A
Treatment and Disposal Systems
11951
E. Field Testing
Field Inspection
Color: 0 gray 0 brown 0 clear turbid
0 other (specify):
Odor: 0 musty 0 earthy 0 moldy 0 offensive 0 turbid
Effluent Solids: Ono 0 some
pH SU DO mg/L. Turbidity NTU
6 to 9 2 or greater 40 or less
Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected
per Standard Methods and analyzed for BOD and TSS.
F. Sampling Information
Samples Taken 0 Influent 0 Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
440
gpd
Parameters sampled: 0 pH 0 BOD 0 CBOD 0 TSS 0 TN 0 Other (list below)
Other 1 Other 2 Other 3
G. Inspection and Maintenance
Description of any maintenance performed since previous inspection and during this inspection
Cleaned Filter, , , ,
Notes and Comments:
DEPMicroFASTnew.doc•5/22/09 Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
pp p
Treatment and Disposal Systems
11951
H. Certification
I certify: I have inspected the sewage treatment and disposal system at the address above, have
conducted the required Field Testing and/or sample collection in accordance with Standard Methods,
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.
David Koshiol 04/24/2009
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 31st of each year for the previous calendar year
Piloting Use—within 45 days of inspection date
Provisional Use—by March 31"of each year for the previous 12 months
General Use—by September 301h of each year for the previous 12 months
Send to:
Department of Environmental Protection
Attention: Title 5 Program
One Winter Street, 6`h Floor
Boston, MA 02108
DEPMicroFASTnew.doc•5/22/09 Page 3 of 3
1 � v
8450 Cole Parkway Shawnee, KS 66227 A Phone 913-422-0707 Fax: 912-422-0808 11951
e-mail: onsite cMiomicrobics.com n www.biomicrobics.com aj 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER
385 Raleigh Tavern Lane
Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services, Inc.
Owner Name: Robert Lynch
Mail Address: Mail Address: 44 Commercial Street
385 Raleigh Tavern Lane Raynham, MA 02767
North Andover, MA 01845 City State Zip
508-880-0233 508-880-7232
Phone: Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST .5 20951 01/11/2002 5/1/2004 12:00:00 AM
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating
(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 14"
Aerobic Treatment Zone 14"
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 440 gpd.
H (Standard Units)
Color
Temperature
Odor
Comments:
TECHNICIAN SERVICE DATE
David Koshiol 04/24/2009