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HomeMy WebLinkAboutInspection - 100 RALEIGH TAVERN LANE 1/1/2006 ✓�✓ �.[.t".YYP,,4 rA i/4:.��A�p�4 Q,./f r4 r9 f(..�/�t a"P.^f./ � �f.m^ (.l('l.0 x".3,,9 f�OY R'..l f. ',,. Raynha—n, NA 02 767 TO: (50 ) 880-0233 Fax: (508) 880-7232 March 6, 2006 k I North Andover Board of health M A[`,' 1 �.� 2 P P 0 400 Osgood Street North Andover, MA 01845 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 02/14/2006 at the property of David Wondolowski located at 100 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: David Wondolowski Massachusetts DEP Massachusetts Department of Environmental Protection 7 Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title I/ Treatment and Disposal Systems 6423 A. Installation Important: David Wondolowski When filling out Owner forms on the computer,use 100 Raleigh Tavern Lane only the tab key Facility Street Address to move your North Andover 01845 cursor-do not City Zip use the return key. Mailing address of owner, if different: � 100 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip 617-821-1617 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 24277 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 11/11/2004 Installation Date Start of Operation Approval Type: Q General Q Provisional Q Piloting ® Remedial Seasonal Residence— used less than 6 mo./year: Q Yes ®No D. Operating Information 02/14/2006 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended Q Yes ®No DEP Micro FASTnew.doc•3/6/06 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection o Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6423 E. Field Testing Field Inspection Color: Q gray Q brown Q clear Q turbid Q other (specify): Odor: Q musty Q earthy Q moldy Q offensive Q turbid Effluent Solids: Ono Q some pH SU DO 9.2 mg/L. Turbidity NTU 6 to 9 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 Q Influent Q Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: Q pH Q BOD Q CBOD Q TSS Q TN Q Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Splash Recycle Notes and Comments: Pump Chamber not to grade. Letter to owner. DEPMicroFASTnew.doc•316/06 Page 2 of 3 Massachusetts Department of Environmental Protection 71k Bureau of Resource Protection ® Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6423 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. Michael Dillen 02/14/2006 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 31 st of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31 st of each year for the previous 12 months t 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 DEPMicroFASTnew.doc•3/6/06 Page 3 of 3 a4 � 1 � � ft4C 1 PORATEO 8450 Cole Parkway m Shawnee, KS 66227 Phone 913-422-0707 m Fax: 912-422-0808 6423 e-mail: onsite bi_omicrobics.com m www.biomicrobics,com -800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 100 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name David Wondolowski Street Mail Address: Mail Address 44 Commercial Street 100 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 617-821-1617 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24277 11/11/2004 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 Re uired: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units Color Temperature 46.0 Odor Comments: Pump Chamber not to grade. Letter to owner. TECHNICIAN SERVICE DATE Michael Dillen 02/14/2006 44 Commercial Street Raynham,MA 02767 I Tel: (508)880-0233 Fax: (508)880-7232 September 26, 2006 North Andover Board of Health 1600 Osgood Street North.Andover, MA 01845 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 09/12/2006 at the property of David Wondolowski located at 100 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: David Wondolowski Massachusetts DEP DEP LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6423 A. Installation t Important: David Wondolowski When filling out Owner forms on the computer,use 100 Raleigh Tavern Lane only the tab key Facility Street Address to move your North Andover 01845 cursor-do not City Zip use the return key. Mailing address of owner, if different: r� 100 Raleigh Tavern Lane - Street Address/PO Box: North Andover MA 01845_ City State Zip 617-821-1617 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 David Zavelle 12920 Certified Operator Name Certification Number C. Facility/System Information 24277 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 11/11/2004 Installation Date Start of Operation Approval Type: Q General Q Provisional Q Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: Q Yes ®No D. Operating Information 09/12/2006 Inspection Date Previous Inspection Date 12 Pumping Recommended Q Yes ®No Sludge Level DEPMicroFASTnew.doc•9/26/06 Page 1 of 3 Massachusetts Department of Environmental Protection `F Bureau of Resource Protection ® Title 5 DEP Approved Inspection and OW Form for Title U Treatment and Disposal Systems 6423 E. Field Testing Field Inspection Color: Q gray Q brown ®clear Q turbid Q other(specify): Odor: Q musty ®earthy Q moldy Q offensive Q turbid Effluent Solids: ®no Q some pH SU DO 8.21 mg/L. Turbidity NTU 6 to 9 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 Q Influent Q Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: Q pH Q BOD Q CBOD Q TSS Q TN Q Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Pump chamber not to grade. Letter sent. DEPMicroFASTnew.doc•9/26/06 Page 2 of 3 Massachusetts Department of Environmental Protection Ll DEP Bureau of Resource Protection o Title 5 Approved Inspection and O&M Form for Title I/ Treatment and Disposal Systems 6423 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, David Zavelle 09/12/2006 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 31st 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 DEPMicroFASTnew.doc•9/26/06 Page 3 of 3 92MMM IN C 0 A P 0 R A T E 0 8450 Cole Parkway m Shawnee, KS 66227 w Phone 913-422-0707 m Fax: 912-422-0808 6423 e-mail: onsite(ftiomicrobics.com m www.blomicrobics.com 0 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 100 Raleigh Tavern Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc. Owner Name: David Wondolowski Mail Address: Mail Address: 44 Commercial Street 100 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 617-821-1617 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24277 11/11/2004 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 12" Aerobic Treatment Zone 12" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units) Color -Temperature 66.0 Odor Earth Comments: Pump chamber not to grade. Letter sent. TECHNICIAN SERVICE DATE David Zavelle 09/12/2006