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Home My WebLink AboutCorrespondence - 385 RALEIGH TAVERN LANE 1/1/2004 �f.,r p'd yM,(p'p ry ✓,u'I A w.., .. WYk^R4..6°.Md ewe' R' M.N.Y. 44 C rnmerr ial Street � Raynharri, MA 0 767 Tel: (508) 880-0233 Fax: (000) 880-7232 January 13, 2004 North Andover Board of Health mmMa. . 27 Charles Street North Andover, MA 01845 i".MM!IIIMW.MIME'MV'VMMMMVVM"MOVMOVMMVIIIM�MMM'MhVVNwM Attention: Health Agent Reference: Single Home FAST" Treatment System Serial Number: 20951 Attached please find the Field Inspection& Service Report(as required) for services performed on 01/08/2004 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 1987 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: Q385 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 Certiflcation 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 01/08/2004 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- 1/13/04 Page 1 of 2 Massachusetts Department of Environmental Protection LLI Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Sampling Information 1987 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: 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 01/08/2004 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 31s'of each year for the within 30 days of inspection 301h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston. MA 02108 DEPMicroFASTnew.doc- 1/13/04 Page 2 of 2 L14Ml N C MOR P O R AIM, E D 8450 Cole Parkway m Shawnee, KS 66227 o Phone 913-422-0707 w Fax: 912-422-0808 1987 e-mail: onsite anbiomicrobics.com II www.biomicrobics.com m 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 AndoverMA 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 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 01/08/2004 @..d'rP e�P� "�R P^Y i �nh 2 .4,.. /k C.. ��i�oNN.��..��..��..��.��.��.��i�i�i�i�i�i�i�i��i��i�i��i�i�imii�"."xuiuuuvviwN��N...N...n��u i�u�i�i��i.��...m��.��.�i��.��.��.��.��...��.��.��...��.��.�.��...,��.��.��.�. 4 Ce�nrnercW Street V��.Iaynhae n, MA 02767 1'ek (000) 880-023 Fax: (50 ) 880-7232 May 4, 2004 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 (as required) for services performed on 04/20/2004 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 Environmental Chemistry Environmental Services Site Assessment • Analyt cal Balance Site Sampling Quality Assurance Services Data Auditing C n R Y O R ,.. A T 1 () N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 04/28/2004 Raynham, MA 02767 ORDER#: G0458158 COLLECTED BY: M. Dillen SAMPLE DATE: 4/20/2004 TIME: 11:00 DATE RECEIVED: 4/20/2004 LOCATION: 385 Raliegh Tavern,N.Andover, MA SAMPLE ID: DeBowet Grab(2095 1) DESCRIPTION: WATER RESULTS OF ANALYSIS y. Test Parameters LAB-ID#: 0458158-01 BOD STA 5210B 04/21/2004 mg/L 4 11.9 pH SM 4500 H+B 04/20/2004 S.U. 0-14 6.9 Solids, Suspended SM 2540 D 04/23/2004 mg/L 4 15.5 NA=Not Applicable ND=Not Detected Approved By: ha 1 Less Than Detection Limit anage / Page 1 of l Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection o Title 5 P Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems A. Installation 3207 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: _ I 385 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01846 City State Zip X617 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 __ _ 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 04/20/2004 Inspection Date Previous Inspection Date 19.0" Sludge Depth(to be checked yearly) Pumping Recommended X Yes _No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc•5/4/04 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Ll Approved Inspection and O&M Form for 'title 5 I/ Treatment and Disposal Systems 3207 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: Owner to have system pumped. 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 04/20/2004 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 31St of each year for the within 30 days of inspection 301h 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•5,14;04 Page 2 of 2 I INCORPORATED 8450 Cole Parkway w Shawnee, KS 66227 Phone 913-422-0707 w Fax: 912-422-0808 3207 e-mail: onsiteta7-biomicrobics.com z www.blomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS 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 Micro FAST.5 20951 01/11/2002 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 units) Unusual Odor Pum out Required: X Primary Settlima Zone Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units) Color Clear _Temperature Odor None Continents: O��uer to have system pumped. TECHNICIAN SERVICE DATE Michael Dillen 04/20/2004 r` l �rw^,5 ,y�'�sp�✓y �e°s x ��q /y^Aµdp pp �"C� pp,,y ,/ �'��`p� f ............... ....i.i��.«�.�avaumowu.unoon.ou .:nn.......�w...... e..�.P....ou................0�.�...... RP:;ynharn, MA 02767 Tel: (508) 88M233 RECEIVED July 28, 2004 AUG 5 004 TOWN OF NORTH ANDOVER R HEAL H 0EPARTMEP4T North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST`S Treatment System Serial Number: 20951 Attached please find the Field Inspection & Service Report (as required) for services performed on 07/19/2004 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/ 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 . 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 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 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 07/19/2004 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•7/28/04 Page 1 of 2 Massachusetts Department of Environmental Protection LA DEP Bureau of Resource Protection - Title 5 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: 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 07/19/2004 Operator Signature Date System owner must submit this report, technology 0&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•7/28/04 Page 2 of 2 i � e INCOnPOnATED 8450 Cole Parkway m Shawnee, KS 66227 w Phone 913-422-0707 w Fax: 912-422-0808 3207 e-mail: onsite(cb-biomicrobics.com m www.biomicrobics.com uj 800-753-FAST(3278) FIELD INSPECTION 8& 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 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 07/19/2004 44 Goiiiaierdal Street Rayuiha� °n, MA 02"7'6' Tel: (508) a�E3f:t 2, ` ax: (,Ott) 880-72%'2 November 4 2004 pp t F 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 (as required) for services performed on 10/29/2004 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 IR Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ` DEP Approved Inspection'and O&M Form Title I/ 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 01845 cursor-do not use the return City Zip key. Mailing address of owner, if different: r� 385 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01846 ' City State Zip (617 953 7369 ext. Telephone Number D. 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 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 10/29/2004 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•11/4/04 Page 1 of 2 Massachusetts Department of Environmental Protection Ll DEP Bureau of Resource Protection e Title 5 Approved Inspection and O&M Form Title I/ Treatment an i I 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: 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 10/29/2004 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 301h 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•11/4/04 Page 2 of 2 r � MPO'40 IN CO 'ROAYFt) 8450 Cole Parkway Shawnee, KS 66227 m,Phone 913-422-0707 tu Fax: 912-422-0808 3207 e-mail: onsite(a)biomicrobics.com m www.biomicrobics.com 0 800-753-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. 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 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 N/A Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 10/29/2004