The URL can be used to link to this page

Home My WebLink AboutCorrespondence - 385 RALEIGH TAVERN LANE 1/1/2002 C�f' 9.4,IFD.C,�fl.rf.W./0..Qr Q,N'.�f ;,��!'fA yR.C�m"'/P:R,.�9(.(./ �.�4..✓ �f I'.N:.✓4.0�� i..�//f:9,.,y'o 44 C ornrrre rcial x° h3 e=ye t Raynharrmr, MA 0 767 Tel: (508) 880-0233 Fax: (508) 880-7232 May 16, 2002 Andover Board of Health MAY 2 3 2001 Town Offices Bartlet Street ®� i�� mHEA,LrP Andover, MA 01810 Attention: Health Agent Reference: Single Horne FAST° Treatment System Serial Number: 20951 Attached please find the Field Inspection & Service Report and test results (as required) for services performed on 4/29/2002 at the home of Jeremy DdBonet located at 385 Raleigh Tavern Lane -N. Andover, MA. Please call if you have any questions or require additional information. Si c rely, net M. Whitman Enclosures Copy to: Jeremy DeBonet COMMONWEALTH OF MASSACHUSETTS EXECUTwE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617292.5300 DEP Approved Inspection and O&M Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider installation Address: O&M Firm: 385 Raleigh Tavern N. Andover, MA Wastewater Treatment Services,j1n Owner Name: Jeremy DeBonet ��Iail Address: 44 Commercial Mail Address: 385 Raleigh Tavern Lane Raynham, MA Telephone No.:• N.Andover, MA 01846 Certified Operator Name: - /Tele hone No.: DEP No.: ;vifr.No.: 20951 Cent.No.: 76 Model No.: Installation Date. b 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: Inspection Dater Sludge Depth:(to be checked yearly) Pumping Recommended(C'uole) L Z I Yes No Effluent Description: Attach copy of certified lab results. L t` Check all drat are required !� Samples:Influent Effiuent_� o LL&SS Parameters: OD SS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: C D L)D C G �-.�-�✓ 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 man cturer's operation and m tenance checklist, and the information reported is true, accurate, and complete as of the time f the inspecti n [ a M achusetts certified operator in accordance with 257 CNIR 2.00. 02- p for Stgnatttre Date Sv t owner must submit Remedial Use-by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar protection 03cJ1 checklist, and any Yew Attn: Title 5 Program required sampling results Piloting do Provisional Use - within One Winter Street, 6`" Floor to the local Board of Health LO days of inspection date 2 General Use-by September 30'''of B°stop, )ILA 0. 108 and DEP as follows for each inspection performed: each year for the previous 12 months 5/1/01 ' Q I N C O R P O R A T E O 8450 Cole Parkway■ Shawnee, KS 66227 .Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS System INSTALLATION AUTHORIZED SERVICE PROVIDER i` 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 COMMENTS Electrical Panel(s) Visual Alarm tin 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 Odor TECHNICIAN SIGk4ATURE, E VICE DATE r � ,L Environmental Chemistry Environmental Services Site Assessment Anal real BGh1CL11L.L. Site Sampling Quality Assurance Services Data Auditing C O R P R a T 1 O 1\' Wastewater Treatment Services, Inc. CERTIFICATE OF ANALYSIS 44 Commercial Street REPORTED: 05/08/2002 Raynham, MA 02767 ORDER#: G0234848 COLLECTED BY: D. Koshiol SAMPLE DATE: 4/29/2002 TIME: 13:45 DATE RECEIVED: 4/30/2002 LOCATION: North Andover, MA- 20951 SAMPLE ID: DeBonet Grab DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters _ LAB-ID#: 0234848-01 BOD SM 5210B 05/01/2002 m 4 --- 8.6 'PH SM 4500 H+B 04/30/2002 S.U. 0-14 --- (Solids, Suspended SM 2540 D 05/03/2002 i mg/L 4 10000 13.0 NA=Not Applicable ND=Not Detected '<' = Less Than Approved By: ... WatW = Detection Limit La Manager 1. These limits are maximum contaminant levels(MCL)as adopted by the Commonwealth of Massahusetts and represent the maximum acceptable level in drinking W 2. Recommended limits are suggested levels of materials allowed in water. These may be for aesthetic reasons rather than for human health. 3. Currently there are no limits(recommended or mandated)for this parameter. This is merely presented for guidance. 4. If present,coliform values(in parentheses)are defined as estimated numbers. 1' i' Arraiylicai Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page t of I _....<. r 44 (-ornryiercial Street iharri, MA C) "1 i'7 AUG 12 ZOOZ Tel: (EM) 880-0233 BOAR[) OF HEA11H a (508) 880-7232 August 5, 2002 Andover Board of Health Town Offices Bartlet Street Andover, MA 0181.0 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 7/23/2002 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, net M. Whitman 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 VA Treatment and Disposal Systems Installation Authorized Service Provider tnscallation Address: 385 Raleigh Tavern Lane OdcN( Firm: N. Andover, MA Wastewater Treatment Services, Inc. Owner Name: Jeremy DeBonet ��tai1 Address: 44 Commercial Street Mail Address; 385 Raleigh Tavern Lane Raynham, MA 02767 Telephone No.:. Telephone No.: N. Andover, MA 01846 Certified Operator Name: DEP No.: Nom•No.: 20951 Cem No.: 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: Inspection Date: Sludge Depth:(to be checked yCQCIe) 2 early) I Pumping Recommended(Yes No Effluent Description: / Attach copy of certified lab results. Check all that are required Samples:Influent Effluent 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: G D-D Notes and Comments:_ ,JlC L;(� I certify: I have inspected the sewage treatment an disposal system at the address above, have completed this report and the attached manufa s operation and m tenan checklist,and the information reported is true,accurate, and complete as of the time of th inspection. a M thus certified operator in accordance with 257 CviR 2.00. 23 dZ perator ignature Date System 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: Tide 5 Program required sampling results Piloting& Provisional Use - within One Winter Street, 6'" Floor to the local Board of Health �O days of inspection date General Use-by September 30th of Boston, 11x1, 0..108 and DEP as follows for each inspection performed: each year for the previous 13 months 511/01 � Ll Q 1 e 1 I N C 0 R P 0 R A T E 0 8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913422-0707. Fax: 912422-0808 e-mail: onsiteabiomicrobics com ■www.biomicrobics.com ■ 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 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 COMIMENTS 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 zj Odor TECHNICIAN S[ NAT RE I SERVICE DATE 3 - 0 Y'" @3 44 Conurier(��ial Sti-eel Rayriham, NOV 1 .02 02761 Tel: (508) 880 02'`3;3 � �� m Fax: (508) €3130-M132 November 5, 2002 Andover Board of Health � Town Offices too Bartlet Street Andover, MA 01810 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 10/22/2002 at the property of Jeremy DeBonet located at 385 Raleigh Tavern Lane 6 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&iVi Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&M Firm: 385 Raleigh Tavern Lane N. Andover, MA Wastewater Treatment Services, Inc. Owner Name: Jeremy DeBonet L\,(ail Address: 44 Commercial Street Mai!Address: 385 Raleigh Tavern Lane Raynham, MA 02767 Telephone No.:- Telephone No.: N. Andover, MA 01846 Certified Operator Name: DEP No.: Nt*.No.: 20951 Cert.No.: Model No.: tart Installation Date: S of Operation: MicroFAST' I 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. f Inspection Date: Sludge Depth:(to be checked yearly) Pumping Recommended(circle) I o2_1 I Yes No Effluent Description: Attach copy of certified lab results. Check all that are required / Samples:Influen Ef luent 1'1 Parameters: H (9 TN Other Ver Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: I 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 manuf nuer's operation an maintenance checklist, and the information reported is true, accurate, and complete as of the time o 777/n. 1 am ass husetts certified operator in accordance with 257 CMR 2.00. D Z 2 v Z._ O erator 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 O&NI checklist, and any year Artn: Title 5 Program required sampling results Piloting & Provisional Use - within One Winter Street, 6'h Floor to the local Board of Health LO days of inspection date 2 Boston, NIA 0. 108 General Use-by September 30`'of and DEP as follows for each year for the previous 12 months each inspection performed: 5/1101 � Environmental Chemistry Environmental Services Site Assessment • Quality Assurance Services Anal ca Balance Data Auditing C 0 R P 0 R A T 1 0 N' CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 10/28/2002 Raynham, MA 02767 ORDER#: G0241211 COLLECTED BY: D.Koshiol SAMPLE DATE: 10/22/2002 TIME: 9:40 DATE RECEIVED: 10/22/2002 LOCATION: N.Andover 2095 SAMPLE ID: Debonet Grab DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0241211-01 BOD ISM 521013 10/23/2002 mg/L 4 5.0 1 pH SM 4500 H+13 10/22/2002 S.U. 0-14 7.4 Solids, Suspended SM 2540 D 10/25/2002 mg/L 4 5.0 NA=Not Applicable ND=Not Detected Approved By: ! llfj <' = Less Than L. anager / Date *' = Detection Limit Page 1 of 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 . e I N C 0 R P 0 R A T E 0 8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsiteabiomicrobics.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 COMMENTS Electrical Panel(s) Visual Alarm Operatin /j'U 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 (. Odor LIZ TECHNICIAN SIG TURE SERVICE DATE C 22 aL