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