HomeMy WebLinkAboutCorrespondence - 385 RALEIGH TAVERN LANE 1/1/2003 44 Cori iiriercial Straet
Flaynharn, MA
02767
January 17, 2003 Tel: (808) 880-0233
Fax: (808) 880-7232
Division of Water Pollution Control
Department of Environmental Protection
One Winter Street— 6"'Floor
Boston, MA 02108
Attention: Mr. Steve Corr
Subject: Request for Testing Reduction
FAST Treatment System
Reference: Serial Number 20951
385 Raleigh Tavern Lane-North Andover, MA
Dear Mr. Corr:
Attached please find the results for the first year of testing(four samples) performed at
the property of Jeremy DeBonet, 385 Raleigh Tavern Lane, North Andover, MA.
As the operator of this system we are requesting that the testing requirements be reduced
or eliminated for this unit.
Please forward a copy of your decision to our office.
Thank you.
:Si e1y,
et M. Whitman
cc: North Andover Board of Health
Homeowner Mailing Address:
Jeremy DeBonet
385 Raleigh Tavern Lane
North Andover, MA
........ .:... ,.,.....,,.,....:... ,.� . . ... ... ..
44 Carnrrir:;r°c,ial StR:OA
Ray hain, MA
02767
Tel: (508) W30-0233
January 24, 2003
JAN 3 1 � .
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
i
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 01/06/2003 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
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617.292.5500
DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems
Installation Authorized Service Provider
Installation Address: 385 Raleigh Tavern Lane O&N( Firm:
N. Andover, MA Wastewater Treatment Services, Inc.
Owner Name: Jeremy DeBonet Nail Address: 44 Commercial Street
Mail Address: 385 Raleigh Tavern Lane Raynham, MA 02767
Teleohone No.:.
N. Andover, MA 01846 Certified Operator Name: l v 7
Telephone No. C_
DEP No.. N113r.No.: 20951 Cert.�1o.:
i
Model No.: Installation Date: Start of Operation:
MicroFAST ( 1/11/02
Approval Type: (Circle) Seasonal ence—used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: i Inspection Dater Sludge Depth:(to be checked yearly) Pumping Recommended(Circle)
I I Yes No
Effluent Description: Attach copy of certified lab results.
Check all fiat are required
�j i✓ L%�� Samples:Influ05, 6s ent Effluent
Parameters: TN
Other Other
Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection
and During this Inspection:
Notes and Comments:
I certify: I hav pected the sewage treatment and disposal system at the address above, have completed this report and the
attached man facturer's operation and ain ance checklist,and the information reported is true, accurate, and complete as
of the time o ;ins ecti n I am a ass usetts certified operator in accordance with 257 CNIR 2.00.
for Signature Date
System owner must submit Remedial Use—by January 3 I"of Department of Environmental
this report, manufacturer's each year for the previous calendar Protection
0.4cM checklist, and any year Attn: Title 5 Program
required sampling results Piloting & Provisional Use - within One Winter Street, 6'" Floor
to the local Board of Health 30 days of inspection date Boston, NLA. 02108
and DEP as follows for General Use-by September 30 of
each inspection performed: each year for the previous 12 months
5/1/01
A
v
Environmental Chemistry Environmental Services
Site Assessment Site Sampling
Quality Assurance Services Analytical*Balance Data Auditing
0 n R P O R '1' I O 1\'
CERTIFICATE OF ANALYSIS
Wastewater Treatment Services, Inc.
44 Commercial Street REPORTED: 01/16/2003
Raynham, MA 02767 ORDER#: G0343273
COLLECTED BY: D.Koshiol SAMPLE DATE: 1/6/2003
TIME: 14:30 DATE RECEIVED: 1/7/2003
LOCATION: 20951 N.Andover SAMPLE ID: Debonet
Grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
' Test Parameters LAB-ID#: 0343273-01
BOD SM 5210B 01/08/2003 mg/L 4 <4.0
'i pH SM 4500 H+B 01/07/2003 S.U. 0-14 7.0
Solids, Suspended SM 2540 D 01/08/2003 mg/L 4 <4.0
NA=Not Applicable
D=Not Detected
= Less Than Approved By:
L anager Y / Date
'*' = Detection Limit
Page I of I
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225
I N C O R=PO R A T E D
8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707■ Fax: 912-422-0808
e-mail: onsite(cDbiomicrobics.com .www.biomicrobics.com ■ 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 N.AndoverMA 01846 Name Wastewater Treatment Services,Inc.
Owner Name Jeremy DeBonet Street
Mail Address: Mail Address 44 Commercial Street
385 Raleigh Tavern Lane Raynham, MA 02767
N.Andover,MA 01846 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 pumpout
MicroFAST 20951 1-11-02
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMNIENTS
Electrical Panel(s)
Visual Alarm eratin
Audio Alarm Operating
if resent
Blower(s)
Air Inlet Filter Clean
Blower Hood Vents Clear
Fxcessive Noise
Excessive Vibration
Treatment unit(s)
Unusual Odor
Pum out Required:
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H Standard Units)
Color
Temperature
Odor
TECHNICIAN SIGN TUR SERVICE DATE
C�
.„„,,.......W,u..........
Coniniercial Sbeet
FIa phavn, M
02"'70°
Tel: (500) 880-0233
r a)c (000) 080-7232
May 15, 2003
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 04/30/2003 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 t
l
Copy to: Jeremy DeBonet
Massachusetts DEP
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617.292.5300
DEP Approved Inspection And O&M Form for Title 5 I/A Treatment and Disposal Systems
Installation Authorized Service Provider
Installation Address: 385 Raleigh Tavern Lane O&M Firm;
N. Andover, MA Wastewater Treatment Services, Inc.
Owner Name: Jeremy DeBonet Nlail Address: 44 Commercial Street
Mail Address: 385 Raleigh Tavern Lane Raynham,MA 02767
Teleohone No.:.
N.Andover, MA 01846 Certified Operator Name:
Telephone No.: 5 � 6SZ_
DEP No.: Nift.No.: 20951 Cert.No.: 7
Model No.: Installation Date: Start of Operation: 1/11/02
MicroFAST'
Approval Type: (Circle) Seasonal ence—used less than 6 mo./year: (Circle)
General Provisional Piloting Remedi Yes No '
Operating Information
Previous Inspection Date: Inspection Date:. 3 Sludge Depth:(to be checked yearly) Pumpin ommended(C-ircle)
'/ I Yes No
Effluent Description: Attach c py 6f certified lab results.
Check all that=sequtnd
Samples:Influent Effluent
Parameters: ,pH BO TN
Other `Bt1rEr Other
Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection
and During this Inspection:
l� -7 /
Notes and Comments:
I certify: I have ' ected the sewage treatment and disposal system at the address above, have completed this report and the
attached man facture 's ope don and m tenanc hecklist, and the information reported is true, accurate, and complete as
of the time o the insp cno . I a M chus certified operator in accordance with 257 CMR 2.00.
i'--.36 , (�
era r Signature Date
System own must submit Remedial Use—by January 31"of Department of Environmental
this report, manufacturer's each year for the previous calendar Protection
O&H checklist, and any year Attn: Title 5 Program
required sampling results Piloting& Provisional Use - within One Winter Street, 6'" Floor
to the local Board of Health LO days of inspection date Boston, Mr1 02108
and DEP as follows for General Use—by September 30 of
each inspection performed: each year for the previous 12 months
5/1/01
C�J
Environmental Chemistry Environmental Services
Site Assessment Site Sampling
Quality Assurance Services AnaVica� ace Data Auditing
(; n R O R 1\'
CERTIFICATE OF ANALYSIS
Wastewater Treatment Services, Inc. REPORTED: 05/08/2003
44 Cominercial Street
Raynham, MA 02767 ORDER#: G0346460
COLLECTED BY: D.Koshiol SAMPLE DATE: 4/30/2003
TIME: 11:45 DATE RECEIVED: 4/30/2003
LOCATION: 20951 N. Andover SAMPLE ID: Debonet
Grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
.',wad .9a�,.r, a�r,� �✓ r , i z�a�:'Su {. .,, -„ .,� ,.���, r� .,H_ ,,.x..� "n ,,...:�t.'. . .. ,. ., a,m.,�i
Test Parameters Lin-In#. 0346466-01
BOD SM 5210B 05/01/2003 rn 4 8.9
pH SM 4500 H+B 05/01/2003 S.U. 0-14 6.9
Solids, Suspended SM 2540 D 05/06/2003 mg/L 4 <4.0
NA=Not Applicable
ND=Not Detected Approved By• !�
<' = Less Than manager / at /
*' = Detection Limit
Page l of 1
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225
RI MPO N C 0 R R A T ; n
8450 Cole Parkway a Shawnee, KS 66227 a Phone 913-422-0707 a Fax: 912422-0808
e-mail: onsitecabiomicrobics.com ■www.biomicrobics.com ® 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST(R) System
INSTALLATION AUTHORIZED SERVICE PROVIDER'
385 Raleigh Tavern Lane
Installation Address N.AndoverMA 01846 Name Wastewater Treatment Services,Inc.
Owner Name Jeremy DeBonet Street
Mail Address: Mail Address 44 Commercial Street
385 Raleigh Tavern Lane Raynham, MA 02767
N.Andover,MA 01846 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 pumpout
MicroFAST 20951 1-11-02
E UIPMENT AYES NO MAINTENANCE FERFORMIED;AND C4?IVI1l1E1?Sr
Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating yt
if resent /I
Blower(s)
Air Inlet Filter Clean
Blower Hood Vents Clear
Excessive Noise
Excessive Vibration
Treatment unit(s)
Unusual Odor
Pum out Required:
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H Standard Units)
Color
Tem erature
Odor
CHNICIAN SJGNATUU ' SERVICE DATE
'✓ /' '� 1 T � ¢��,�4.R,^���A''a,^��f'd 0'.��....,.d�,I"'�l�A'��.�l A�µ 4_.!a"'6'r�r„
Coaraner::aW Street �
Ra ya.hear,
02 767
TO (500) 880-0233
Fax: (508) 880-7232
July 25, 2003
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 07/22/2003 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
i
Enclosures
Copy to: Jeremy DeBonet
Massachusetts DEP
. F .wmY wnw..aMOMOYN Af �.
y E
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE F'F°IC OF® ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTEC.,,,�O
ONE WINTER STREET, BOSTON, MA 02105 617.292.5500
DFP Approved Inspection and O&H Farm for Title 5 I/A Treatment and Y
Dis P o al-systems
Installation Authorized Service Provider
pla dress: 385 Raleigh Tavern Lane O�ctvt p��'
N. Andover, MA Wastewater Treatment Services, Inc.
: Jeremy DeBonet flail Addre ss: 44 Commercial Street
385 Raleigh Tavern Lane Raynham, MA 02767
Tele hone No.:,
-Telephone No.:
N.Andover,MA 01846 Certified Operator Name: -
'•./�'� �/�',,�',.. di ��rf
DEP No.: Nifr.No.: 20951 Cart,No.: &
Model No.: Installation Date: Start of Operation:
MicraFAST` I 1/11/02
Approval Type: (Circle) Seasonal " ence-used less than 6 mo./year: (Circle)
General Provisional Piloting C'R—em—eldift' Yes No
Operating Information
Previous Inspection Date: Inspecdo Dater • . Sludge Depth:(to be checked yearly) Pumping Recommended(C'Qcie)
p Yes No
Effluent Description: Attach copy of certified lab results.
Cheek all that are required
Samples:Influent— E'ffluen.i
�y Parameters: pH EOD TSS TN
Other Other Other
Description of OveraH System Condition: Description of any Maintenance Performed since Previous Inspection
and During this Inspection:
Notes and Comments:
I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the
attached manufacturer's operation and maintenance checklist, and the information reported is true, accurate, and complete as
of the time of the ' ection. It am a Massachu ett�ce `fled operator in accordance with 257 CNiR,2.0 .
Operator 5ignarure
Date
Svstem owner must submit Remedial Use-by January 31"of Department of Environmental
this report, manufacturer's each year for the previous calendar Protection
O&M checklist, and any year Attn: Title 5 Program
required sampling results Piloting& Provisional Use - within One Winter Street, 6'" Floor
to the local Board of Health LO days of inspection date
General Use-by September 30'1 of Boston, ,vL# 02108
and DEP' follows for
each inspection performed: each year for the previous 12 months
511101
r
INCORPORATED
8450 Cole Parkway■Shawnee, KS 66227 ■Phone 913-422-0707■ Fax: 912-422-0808
e-mail: onsite(albiomicrobics.com a www.biomicrobics.com ■ 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTS System
INSTALLATION :y- , ;:: AUTHORIZED SERVICE PROVIDER.
385 Raleigh Tavern Lane
Installation Address N.AndoverMA 01846 Name Wastewater Treatment Services,Inc.
Owner Name Jeremy DeBonet Street
Mail Address: Mail Address 44 Commercial Street
385 Raleigh Tavern Lane Raynham, MA 02767
N.Andover,MA 01846 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 pumpout
MicroFAST 20951 1-11-02
EQUIPMENT n " ;; S .NO :;r,' DANCE 1'F,ItFORjVIED AND,,COM11TENPs
Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating
if resent
Blower(s)
Air Inlet Filter Clean
Blower Hood Vents Clear
Excessive Noise
Excessive Vibration t
Treatment unit(s)
Unusual Odor
Pum out Required:
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H Standard Units
Color
Temperature ( ( !U
Odor
f l 11'%
TECHNICIAN SIGNATURE SERVICE DATE
................... . .. .......
44 Commeu°W Meet
eet
Ilaynbarn, MA
02767
Tel: ( 08) 0010233
Fax: (508) 880-72322
November 10, 2003
North Andovel-Board of Health
27 Charles Street
North Andover, MBA 01845
Attention: Health Agent
Reference: Single Home FAS Treatment System
Serial Number: 20951
At4e'tca3et7 Yl€.case find the Field ziispW.,cfIC;Ia �.' Service a+.t;li,.rr. yce.s tC;Cliiiia,lil bi.i` services
performed on 10/31/2003 at the property of"Jeremy Del3onet located at 385 Raleigh
Tavern Lane -North Andover, MA.
Please call if you have any quebons or require additional information.
Sincerely,
ATMewAter Treatment Services, inv.
Service.Department
Enclosures
copy to. �_ _inny D
Massachusetts UEP
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617.292.5500
DEP Approved Inspection and O&M Form for Title 5 VA Treatment and Disposal Systems
Installation Authorized Service Provider
Installation Address: 385 Raleigh Tavern Lane O&M Firm:
N. Andover, MA Wastewater Treatment Services, Inc.
Owner Name: Jeremy DeBonet Mail Address: 44 Commercial Street
Nfail Address: 385 Raleigh Tavern Lane Raynham,MA 02767
T'eleohone No.:.
N.Andover,MA 01846 Certified Operator Name:
Telephone No.:
DEP No.. ivlfr.No.: 20951 Cerr.No.:
Model No.: Installation Date: Start of Operation:
MicroFAST' I on:
1/11/02
Approval Type: (Circle) Seasonal gcg4ence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: f Inspe�tio Dater Sludge Depth:(to be checked yearly) Pumping Recommended(C-�ete)
I �� Yes No
Effluent Description: Attach copy of certified lab results.
Cheek all ihat are required
Samples:Influent Effiuent
Parameters: pH BOD TSS TN
Other Other Other
Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection
and During this Inspection:
Notes and Continents:
I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the
attached manufacturer's operation and raintenance checklist, and the information reported is true, accurate, and complete as
of the time of the pec�ion. I Bach etts certified operator in accordance with 257 CNIR 2 00.
o � G
Operator Signature Date
System owner must submit Remedial Use-by January 31"of Department of Environmental
this report, manufacturer's each vear for the previous calendar protection
0&.M checklist, and any year Attn: Title 5 Program
required sampling results Piloting& Provisional Use - within One Winter Street, 6'" Floor
to the local Board of Health LO days of inspection date Boston, :MA 02108
and DEP as follows for General Use-by September 30 of
each inspection performed: each year for the previous 12 months
51110 l
I N C O R P O R A T E 0
8450 Cole Parkway ■ Shawnee, KS 66227 ■Phone 913422-0707■ Fax: 912422-0808
e-mail: onsite(ftiomicrobics.com .www.biomicrobics.com ■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 N.AndoverMA 01846 Name Wastewater Treatment Services,Inc.
Owner Name Jeremy DeBonet Street
Mail Address: Mail Address 44 Commercial Street
385 Raleigh Tavern Lane Raynham, MA 02767
N.Andover,MA 01846 City State Zip
508-880-0233 508-880-7232
Phone Fax e-mail I Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pumpout
MicroFAST 20951 1-11-02
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating
if resent
Blower(s)
Air Inlet Filter Clean
Blower Hood Vents Clear
Excessive Noise
Excessive Vibration
Treatment unit(s)
Unusual Odor
Pum out Required:
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H Standard Units)
Color
Temperature v ✓�
Odor
TE 1C1AN_SrGNA_TURE SERVICEDATE
�'D