HomeMy WebLinkAboutInspection - 100 RALEIGH TAVERN LANE 1/1/2012 44 Commercial Street
Raynham, MA
02767
Tel: (508)880-0233
Fax: (508)880-7232
February 29, 2012
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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
p property 100
alei h Taverr�.,.I��ne,nNort Andover, MA.
of David Wondolowslci located at „
services performed
Please call if you have any questions or require additional information.
Sincerely,
Wastewater Treatment Services, I`nc.
Service Department
Enclosures
Copy to: David Wondolowski
Massachusetts DEP
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Title 5
r
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
17424
A. Installation
David Wondolowski
Owner
100 Raleigh Tavern Lane
Facility Street Address
North Andover 01845
City Zip
Mailing address of owner, if different:
100 Raleigh Tavern Lane
Street Address/PO 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
Street Address
Raynham MA 02767
City State Zip
508-880-0233
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 11/11/2004
Installation Date Start of Operation
Approval Type: [] General [] Provisional [j Piloting [x] Remedial
Seasonal Residence—used less than 6 mo./year: []Yes [x] No
D. Operating Information
2-24-12
Inspection Date Previous Inspection Date
15" Pumping Recommended []Yes [x] No
Sludge Depth(to be checked yearly)
1
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
17424
E. Field Testing
Field Inspection:
Color: [] gray [J brown [x]clear [] turbid
[J Other(specify):
Odor: [] musty [x] earthy [] moldy [] offensive [] turbid
Effluent Solids: [x] no [] some
pH 7 SU DO 6.93 mg/L Turbidity 8.71 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: [] Influent [ ] 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 [J 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 Recycle
Notes and Comments:
2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Title 5
LlDEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
17424
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.
�r.
Cr 2-24-12
Operator Signature Date
System owner must submit this report, technology 0&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 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
3
t T
1 ii C 0 R P 0 R A T r O
8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808
e-mail:onsite .biomicrobics.com, www.biomicrobics.com, 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST°System
17424
INSTALLATION AUTHORIZED SERVICE PROVIDER
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:
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 24277 11/11/2004
EQUIPMENT YES NO MAINTENANCE PERFORIv1ED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating x
Audio Alarm Operating x
(if present)
Blower(s)
Air Inlet Filter Clean x
Blower Hood Vents Clear x
Excessive Noise x
Excessive Vibration x
Treatment unit(s)
i
Unusual Odor x
Pumpout Required x
Primary Settling Zone 15"
Aerobic Treatment Zone 101,
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 440 gpd
pH(Standard Units) 7
Color Clear
Temperature 51
Odor Earthy
Comments:
TECHNICIAN SERVICE DATE
David Zavelle 2-24-12
44 Commercial Street
Raynham, MA
02767
Tel: (508)880-0233
Fax: (508)880-7232
September 11, 2012
I
Mr. David Wondolowslci
100 Raieigh 'Iavern Lar?e
1~1ort16 Andover, MA 01844
Deference: FAST" Wastewater Treatment System - Serial Number: 24277
Dear Mr. Wondolowslci:
Attached please find the Field Inspection & Service Deport with field test results for
services performed on 8/27/12 at your property 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
Cc: Massachusetts DEP
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
17424
A. Installation
David Wondolowski
Owner
100 Raleigh Tavern Lane
Facility Street Address
North Andover 01845
City Zip
Mailing address of owner, if different:
100 Raleigh Tavern Lane
Street Address/PO Box:
North Andover MA 01845
City State Zip
617-821-1617_
Telephone Numbef
.3, Au"oY`ze' Provider
VVa8tewatv�r Trept neilt : erv''Ices inc-
O&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0233
Telephone Number
David Nix 15651
Certified Operator Name Certification Number
C. Facility/System Information
24277 Bio-M_icrobics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
11/11/2004 11/11/2004
Installation Date Start of Operation
Approval Type: [] General [] Provisional [ ] Piloting [x] Remedial
Seasonal Residence—used less than 6 mo./year: [j Yes [x] No
D. Operating Information
8/27/12
Inspection Date Previous Inspection Date
15" Pumping Recommended []Yes [x] No
Sludge Depth(to be checked yearly)
1
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
17424
E. Field Testing
Field Inspection:
Color: [] gray [] brown [x] clear [] turbid
[] Other(specify):
Odor: [] musty [x] earthy [] moldy [] offensive [] turbid
Effluent Solids: [x] no [] some
pH 7 SU DO 5.82 mq/L Turbidity 7.14 NTU
6 trot 9 2 or greater 40 or less
°.h ull a Remedial General iyse system fail the Field Tes=ting, effiuent snrriples ,hill he
collected per Standard Methods and analyzed for BOD and TSS.
Sam riles Taken. [] Influent [ ] 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 Recycle
Notes and Comments:
2
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
17424
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.
8/27/12
Olper 1 Date
•�N�t ator :�:gn�:�ur.. ,
Svstem okuner must suhmit this report technolOav O&M checklist and any re.,-Wired sampiina
+ t of i.i -L` 'rl� �� � i �r ;Dctio erftormerAl
16raits iC� i '. gal b0`dr _.� i�`c ltll a! DE as ..1 �:J `or�'8C:1 p _. k•_ „ d.a.
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
3
t f
.. •-•� N C 0 R P 0 tt 0. T E+Q
8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808
e-mail:onsite .biomicrobics.com, www.biomicrobics.com, 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Allicrobics Single ILlome FASP System
-- - 17424
INSTALLATION AUTHORIZED SERVICE PROVIDER
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 MaiI 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:
iNSTALLATtON INFORiM.ATION
I---
Model No. Serial No. Date of Installation j Date of cast pump out
- --------L -------- --
I:cioFA"T.: 74277 1:%'li .v4 j
Ii Pt:r�rr �l l �e j, i �.� i �in�
`�L „1-i _ N L�,N .,1 _. f ci 1 ril D LvICv1 1 I t
L_. .-------- ------- -----�— — -- -----
Elecirical Panel(s)
Visual Alarm Operating x
Audio Alarm Operating x
(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 151,
Aerobic Treatment Zone 14"
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 440 gpd
pH(Standard Units) 7
Color Clear
Temperature
Odor Earthy
Comments:
TECHNICIAN SERVICE DATE
David Nix 8/27/12