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Home My WebLink AboutInspection - 100 RALEIGH TAVERN LANE 3/7/2013 RECEIVED MAR 28 2013 OF DE �A H ARTS 44 Commercial Street Raynham,MA 02767 Tel: (508)880.0233 Fax: (508)880-7232 March 13, 2013 North Andover Board of Health 1600 Osgood Street North Andover, MA O1845 Attention: Health Agent Reference: FAST' Wastewater Treatment System- Serial Number: 24277 Attached please find the Field Inspection& Service Report with field test results for services performed on 317113 at the property of David WondolowsW lecated"at 100 Raleigh Tavern Lane,,.1 odd-Andover,MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: David Wondolowski Massachusetts DEP Massachusetts Department of Environmental Protection c LlBureau of Resource Protection -Title 5 ' DEP Approved Inspection and 4&M Form for Title 5 VA Treatment and Disposal Systems 19514 A. Installation David Wondolowski _ Owner 100 Raleigh Tavern Lane Facility StreetAddress North Andover 01845 City zip Mailing address of owner, if different: 100 Ralei h Tavern Lane StreetAddresslPO Box: North Andover MA 01845 city State zip 617-821-1617 Telephone Number B. Authorized Service Provider Wastewater Treatment-Services Inc. 0&M Firm 44 Commercial Street StreetAddress Ra nham MA 02767 city State zip 508-880-0233 'telephone Number David Nix 15651 Certified Operator Name Certification Number C. Facility/System Information 24277 Bio-Microbics Inc. MicroFAST.5 DEP lD Manufacturer ID Model Number 11/11/2004 11/1112004 Installation Date Start of Operation Approval Type: [] General (j Provisional [] Piloting [x] Remedial (I Genera[ Denite Seasonal Residence—used less than 6 mo./year: [j Yes [x] No D. Operating Information 317113 Inspection Date Previous Inspection Date 14" Pumping Recommended []Yes [x] No Sludge Depth(to be checked yearly) 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Title 5 Ll i i DEP Approved Inspection and 4&M Form for Title 5 I/A Treatment and Disposal Systems 1959 4 E. Field Testing Field Inspection: Color: []gray [] brown [x] clear []turbid _ []Other(specify): Odor: (] musty [x] earthy [] moldy [] offensive (]turbid Effluent Solids: [xj no []some pH_7 - SU DO 6.62 mg/t__ Turbidity 8.25 NTU 6 tog 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: [ ] Influent [ j Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: Influent: () pH [] BOD [ ] CBOD []TSS [ ]TKN [ ] Nitrate [] Nitrite [] Phosphorus []Spec. Cond. []Ammonia []Alkalinity [] Oil Grease []VOC [] Fecal Coliform Effluent: [] pH [ ] BOD [] CBOD []TSS [ ]TKN [] Nitrate [] Nitrite [] Phosphorus [] Spec. Cond. []Ammonia []Alkalinity [) Oil Grease []VOC [] Fecal Coliform G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Cleaned Filter, Checked Splash Repycle Notes and Comments: Alarm not accessible. 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 { DEP Approved Inspection and O&M Form for Title 5 YA Treatment and Disposal Systems 19514 H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above,have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, 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. 3/7/13 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 31st of each year for the previous calendar year Piloting Use -within 45 days of inspection date Provisional Use— by March 31 th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 -i 3 � . � jam: 1 §- 4��a 1 ti-C p-It P O ft yR T.E-a 33 L 8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808 e-mail:onsite biomicrobics.com,www.blomicrobics.com, 800-753-FAST(3278) r FIELD INSPECTION & SERVICE REPORT - For Bio-Microbics Single Home FAST°System _ - 19514 INSTAZLAT[4I� _ATTIIflTiIZED SERVICE PROVIDERt Installation Address: 100 Raleigh Tavern Lane Name:Wastewater Treatment Services,Inc. North Andover,MA 01845 Owner Name:David Wondolowski Mail Address: 100 Raleigh Tavern Lane Mail Address: 44 Commercial Street North Andover,MA 01845 Raynham,MA 02767 Phone:617-821-1617 Fax: e-mail: Phone:(508)880-0233 Fax:(508)880.7232 e-mail: s 1N5TAI LACIOI�i INI ORIATION y _ Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24277 11/11/2004 E T3IPMEIiT = YESJ 1y0 MAINTEI�ANCEPERT�ORMED�1i�DSCQMMENTS _ Electrical Panels) Visual Alarm Operating NIA Audio Alarm Operating (if present) Blower(s) Air Inlet Filter Clean x Blower Hood Vents Clear x Excessive Noise x Excessive Vibration x Treatment unit(s) Unusual Odor x Pumpout Required x Primary Settling Zone 14" Aerobic Treatment Zone 16" ErrLUENT(uptlonal) _= LIi<IIT IiESULrI = Estimated Daily Flow 440 gpd pH(Standard Units) 7 Color Clear Temperature Odor Earthy Comments:Alarm not accessible. rTECHNI JAN _ SERVICE DATEi _..._ _ . . David Nix 317113