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Home My WebLink AboutInspection - 100 RALEIGH TAVERN LANE 1/1/2008 44 Commercial Street Raynham,MA 02767 m. Tel: (508)880-0233 � r Fax: (508)880-7232 t September 3, 2008 North Andover Board of Health Building 20, Unit 2 - 36 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 08/14/2008 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 Ll Bureau of Resource Protection - Title 5 DEP Approved Inspection and OM Form for Title 5 I/A Treatment and Disposal Systems 9815 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 use the return City Zip 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 David Koshiol 2976 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 0 Provisional Q Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: Q Yes ®No D. Operating Information 08/14/2008 Inspection Date Previous Inspection Date 13" Pumping Recommended 0 Yes ®No Sludge Level DEPMicroFASTnew.doc-8/28/08 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 9815 E. Field Testing Field Inspection Color: Q gray Q brown 0 clear 0 turbid 0 other (specify): Odor: 0 musty ®earthy 0 moldy 0 offensive 0 turbid Effluent Solids: Ono 0 some pH 7.0 SU DO 7.1 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 0 Influent 0 Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: 0 pH Q BOD 0 CBOD Q TSS 0 TN 0 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: Alarm inside -not accessible. Pump chamber cover is not to grade. Page 2 of 3 DEPMicroFASTnew.doc•8/28/08 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 9815 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 Koshiol 08/14/2008 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 y Januar 31 st 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 Page 3 of 3 DEPMicroFASTnew.doc-8/28/08 LWMWM I I N C 0 R P 0 R A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 9815 e-mail: onsitena biomicrobics.com w www.biomicrobics.com m 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 TPhone 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 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 X Pum out Required: X Primary Settling Zone 13" Aerobic Treatment Zone 15" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units Color Temperature 70.4 Odor Earth Comments: Alarm inside-not accessible. Pump chamber cover is not to grade. TECHNICIAN SERVICE DATE David Koshiol 08/14/2008