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HomeMy WebLinkAboutInspection - 100 RALEIGH TAVERN LANE 1/1/2009 G�C./,.,!�Z�itl�t��P/t Cl/G�%Clili97LPi�l f �✓'Lf!'�1�G�'4, v�'.��lt�< 44 Commercial Street Raynham,MA 02767 Tel: (508) 880-0233 Fax: (508)880.7232 February 13, 2009 North Andover Board of Health 1600 Osgood Street 31 2(")( 1 North Andover, MA 01845 TOWN OF NOr"(1141 ANDOVER 4 rt°AL IH DEP"A R"u"C t29^s 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 02/05/2009 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, GZ/�f rrrafe� c%2e�t�i�er�7`c.�.�2r�c'�v Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: David Wondolowski Massachusetts DEP N C 0 R P 0 k N 1 t D 8450 Cole Parkway n Shawnee, KS 66227 Q Phone 913-422-0707 m Fax: 912-422-0808 11685 e-mail: onsite(a�biomicrobics.com ,www.biomicrobics.com n 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® 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 Ravnham, MA 02767 North Andover, MA 01845 City State Zip 508-880-0233 508-880-7232 Plione: 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 O eratin 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 Purn out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 e d. H(Standard Units) Color Clear Temperature 44.0 Odor Earth Comments: TECHNICIAN SERVICE DATE David Zavelle 02'05 2009 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 11685 A. Installation Important: David Wondolowski — — -- ------ — When filling out Owner forms on the Lane 100 Raleigh Tavern __ -- --- -- computer, use e 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 irnen 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. --- MicroF_AST .5 DEP ID Manufacturer ID Model Number 11/11/2004 Installation Date Start of Operation Approval Type: 0 General 0 Provisional 0 Piloting ®Remedial Seasonal Residence —used less than 6 mo./year: 0 Yes ®No D. operating Information 02/05/2009 - --- ------------------ --- — - Inspection Date Previous Inspection Date Pumping Recommended Q Yes ®No Sludge Level Page 1 of 3 DEPMicroFASTnew.doc•2/13/09 P Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 11685 E. Field Testing Field Inspection Color: Q gray Q brown ©clear Q turbid Q other (specify): Odor: Q musty ©earthy 0 moldy Q offensive Q turbid Effluent Solids: ©no Q some pH 7.0 SU DO 7.17 mg/L. Turbidity 8.92 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 E TSS Q 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: DEPMicroFASTnew.doc•2/13/09 Page 2 of 3 Ll (Mas sachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and Form for Title I/A Treatment and Disposal Systems 11685 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 02/05/2009 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" 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•2/13/09 Page 3 of 3 44 Commercial Street Raynham, MA 02767 Tel: (508)880.0233 Fax: (508)880.7232 October 19, 2009 C i North Andover Board of Health i o"AA N 01 H(fl i 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 09/11/2009 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 l Bureau of Resource Protection - Title 5 \ � DEP Approved Inspection and OEM Form for Title 5 I/A L Treatment and Disposal Systems 11685 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: 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 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: 0 General Q Provisional 0 Piloting ® Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes No D. Operating Information 09/11/2009 _ Inspection Date Previous Inspection Date 14" Pumping Recommended Q Yes ® No Sludge Level DEPMicroFASTnew.doc• lo/ig/os Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 11685 E. Field Testing Field Inspection Color: 0 gray 0 brown 0 clear Q turbid ©other (specify): Not to grade Odor: 0 musty ®earthy 0 moldy 0 offensive Q turbid Effluent Solids: Ono 0 some pH SU DO 6.7 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 0 BOD 0 CBOD 0 TSS 0 TN Q Other(list below) Other 1 Other 2 Other 3 t G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Unable to complete field test. Pump chamber needs to be brought to grade. DEPMicroFASTnew.doc•10/19/og Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 11685 H. Certification 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 09/11/2009 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 31s'of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31s'of each year for the previous 12 months General Use— by September 30'h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6'h Floor Boston,.MA 02108 i I DEPMicroFASTnew.doc- 10/19/09 Page 3 of 3 I N C O R P O R A T E D 8450 Cole Parkway Shawnee, KS 66227 II Phone 913-422-0707 m Fax: 912-422-0808 11685 e-mail: onsite(ED-biomicrobics.com a www.biomicrobics.com uj 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® 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 14" ,. Aerobic Treatment Zone 4 EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 d. H(Standard Units) Color Other Tem erature 68.8 Odor Earth Comments: Unable;to complete field test. Pump chamber needs to be brought to grade. TECHNICIAN SERVICE DATE David Koshiol 09/11/2009