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HomeMy WebLinkAboutCorrespondence - 385 RALEIGH TAVERN LANE 1/1/2005 % Q R.fl ^f,�9'P/t A�.V .a"Q RC...� A p X^p,a'., f',9'„d C'f d,.i �... j$. ¢"b�'y &�^A «.....,...,.�.........�... � .. ...,..o..�u.. .... � ii i.immi.m,..x..�mmn.v..nnrvxrv.. n ...w......�„.«...��.,..... m.i.....w ,f 44. �.�oWnri1cffci al M':'h"G;el V"aE!� rW'a� �ua, MA 02`!"6 rEE 1' (508) 880-0233 Fax: ( Ott) 880, 7232 February 7, 2005 Rf 'Q N'4 OF NU�i�E°4 North Andover Board of Healthy A��u 27 Charles Street North Andover, MA 01.845 Attention: Health Agent Reference: Single Horne FAST° Treatment System Serial Number: 20951 Attached please find the Field Inspection& Service Report for services performed on property y te"d at 385 Raleigh Tavern Lane- �.e 0 /01 2005 at the o Jeremy De Bonet oc North Andover, MA, Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Jeremy DeBonet Massachusetts DEP Massachusetts Department of Environmental Protection __ Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for 'Title 5 I/DEP Treatment and Disposal Systems 3207 A. Installation Important: Jeremy DeBonet 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 cursor-do not 01845 use the return City Zip key. Mailing address of owner, if different: 385 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01846 `00 City State Zip (617 953 7369 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 Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information 20951 Bio-Microbics, Inc. MicroFAST MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 01/11/2002 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 02/01/2005 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•2/7/05 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 3207 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 02/01/2005 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-2/7105 Page 2 of 2 L43IncnnPOnATEO 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 3207 e-mail: onsite(@biomicrobics.com m www.biomicrobics.com m 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 Jeremy DeBonet Street Mail Address: Mail Address 44 Commercial Street 385 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01846 City State Zip 508-880-0233 508-880-7232 Phone 617 953 7369 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. I Date of Installation Date of last pump out MicMAudio FAST.5 20951 01/11/2002 05/01/2004 T YES NO MAINTENANCE PERFORMED AND COMMENTS nel s larm Operating X arm 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 Settlin Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units) Color N/A Temperature Odor L None Comments: TECHNICIAN SERVICE DATE Michael Dillen 02/01/2005 ,�✓A p ��%'. (F W,4+":�4'��ky k/G P,P&-PM • Nr ���J,.AANB CC-N',f C /U�Af,f'C: .�,i!.��y @ Mt C'. 44 Corti a�prda I Street ['-Iayiik�lrii, MA f 02'767 Fax: (508) 8807232 April 22, 2005 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: 20951 Attached please find the Field Inspection & Service Report and test results for services performed on 04/11/2005 at the property of Jeremy DeBonet located at 385 Raleigh Tavern Lane-North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Jeremy DeBonet Massachusetts DEP Environmer..tal Chemistry Environmental Services Site Assessment l � � Site Sampling fina Quality Assurance Services y 1 ca Balance Data Auditing C: O R P U R A T 1 O N CERTIFICATE OF ANALYSIS -- Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 04/19/2005 Raynharn, MA 02767 ORDER#: G0569956 COLLECTED BY: K.Usilton SAMPLE DATE: 4/11/2005 TIME: 11:30 DATE RECEIVED: 4/11/2005 LOCATION: 385 Raleigh Tavern Lane, N.Andover, MA SAMPLE ID: De Bonet Grab (2095 1) DESCRIPTION: WATER RESULTS OF ANALYSIS Pararneter� Analytical Date Units'=! -Det. e ,M' tliod Analyzed. Limit* Test Parameters LAB-ID#: 0569956-01 BOD ISM 521013 04/13/2 0 mg/L 4 4.6 pH ISM 4500 H+13 04/12/2005 S.U. 0-14 6.8 Solids, Suspended !SM 2540 D 04/14/2005 mg/L 4 5.5 NA=Not Applicable ND=Not Detected Approved By: /g��e <' = Less Than '*' = Detection Limit ---47d- Manager / Date I' �7 ) �( c U 9�_r 1111�;1' � O� i AnuliyNcal Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-222 Massachusetts Department of Environmental Protection Bureau of Resource Protection ® Title 5 LlDEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 4952 A. Installation Important: Jeremy DeBonet 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 01846 City State Zip (617 953 7369 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 20951 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 01/11/2002 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 04/11/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc•4/22/05 Page I of 2 Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection o Title 5 DP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 4952- E. Sampling Information Samples Taken:— Influent X Effluent Parameters sampled: X pH X BOD X 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 04/11/2005 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•4/22/05 Page 2 of 2 LWM � INCORPORATED 8450 Cole Parkway ca Shawnee, KS 66227 w Phone 913-422-0707 w Fax: 912-422-0808 4952 e-mail: onsite(@biomicrobics.com m www.biomicrobics.com ro 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 385 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Jeremy DeBonet Street Mail Address: Mail Address 44 Commercial Street 385 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01846 City State Zip 508-880-0233 508-880-7232 Phone 617 953 7369 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 05/01/2004 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating X 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 Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units) Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Kevin Usilton 04/11/2005 ................ - ..... 44 Gw:yw°rwr°rwrciaC Street apharii, MA 02767 I C: (50€ ) 880..0233 Fax: (0 ) k�80-723 ,... July 29, 2005 � 1-/ 005 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: 20951 Attached please find the Field Inspection & Service Report for services performed on 07/13/2005 at the property of Jeremy DeBonet located at 385 Raleigh Tavern Lane - North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Jeremy DeBonet Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 4952 A. Installation Important: Jeremy DeBonet 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: 4:1 385 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01846 City State Zip (617 953 7369 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 Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information 20951 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 01111/2002 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 07/13/2005 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-7/29/05 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/A Treatment and Disposal Systems 4952 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 07/13/2005 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 s`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, 6`h Floor Boston. MA 02108 DEPMicroFASTnew.doc•7/29/05 Page 2 of 2 s INcnnPORATE0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 4952 e-mail: onsiteCcDbiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST(k) System INSTALLATION AUTHORIZED SERVICE PROVIDER 385 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Name Wastewater'Treatment Services,Inc. Owner Name Jeremy DeBonet Street Mail Address: Mail Address 44 Commercial Street 385 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01846 City State Zip 508-880-0233 508-880-7232 Phone 617 953 7369 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 05/01/2004 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 07/13/2005 ..................................----................................ 44 (Ilominercial Strc.K,[ flayr)harYi, MA 02767 Tc"k (508) 880-0233 RECOVE Y­­ Fax: (,"M) 880 7232 November 10, 2005 NOV .16 ?o(j!,i HEAL'Nl C)EPARTNIC.' North Andover Board of Health 400 Osgood Street North Andover, MA 01845 Attention: Health Agent Reference: FAST" Wastewater Treatment System Serial Number: 20951 Attached please find the Field Inspection & Service Report for services performed on 10/26/2005 at the property of Jeremy DeBonet located at 385 Raleigh Tavern Lane - North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Jeremy DeBonet Massachusetts DEP Massachusetts Department of Environmental Protection " Lk Bureau of Resource Protection - Title 5 L DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 4952 A. Installation Important: Jeremy DeBonet 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: _Q 385 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01846 City State Zip (617 953 7369 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 20951 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 01/11/2002 !nstallation 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 10/26/2005 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• 11/10/05 Page 1 of 2 Massachusetts Department of Environmental Protection Li Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 4952 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 10/26/2005 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- 11/10/05 Page 2 of 2 LAXI 8450 Cole Parkway w Shawnee, KS 66227 Phone 913-422-0707 m Fax: 912-422-0808 4952 e-mail: onsite(cr)biomicrobics.com www.biomicrobics.com m 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 Jeremy DeBonet Street Mail Address: Mail Address 44 Commercial Street 385 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01846 City State Zip 508-880-0233 508-880-7232 Phone 617 953 7369 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION 4-Electrical del No. Serial No. Date of Installation Date of last pump out ST.5 20951 01/11)2002 05/01/2004 T YES NO MAINTENANCE PERFORMED AND COMMENTS nel 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 Dail Flow 4 Bedrooms H Standard Units Color N/A Tem erature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 10/26/2005