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HomeMy WebLinkAboutInspection - 1312 SALEM STREET 1/1/2009 44 Commercial Street Raynham, MA 02767 Tel: (508)880 0233 Fax: (508) 880-7232 MAY 07 ?009 y � p May 3, /OOa P� L�i��NORTH TPm��ENT ������� North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Attention: Health Agent Reference: FAST") Wastewater Treatment System - Serial Number, 25855 Attached please find the Field Inspection & Service Report with field test results for services performed on 04/14/2009 at the property of Gay Neilson located at 1312 Salem Street - North Andover, MA. Please call if you have any questions or require additional information. Sincerely, l/(/.2.JLE!f!✓2Gf"I G/GE'/IG//LG!fL�G/e1!✓GNc?o/ Wastewater Treatment Services, Inc. Service Department EnclOSUreS Copy to: Gay Neilson Massachusetts DEP Massachusetts Department of Environmental Protection LBureau of Resource Protection - Title 5 ` DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 10871 A. Installation Important: Gav Neilson _ --- -- - ---- - -- - -- -When filling out Owner forms on the computer, use 1312 Salem Street — -- 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: 1312 Salem Street Street Address/PO Box: North Andover MA 01845 enun City State Zip 978-685-9415 ext. Telephone Number i 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 25855 _ Bio-Microbics, In_c_._ —_____- _MicroFAST .5 DEP ID Manufacturer ID Mode!Number _ 12/13/2005 --._ 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 04/14/2009 --- ------- - - Inspection Date Previous Inspection Date Pumping Recommended Yes ® No Sludge Level Page 1 of 3 DEPMicroFASTnew.doc•5/3/09 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 10871 E. Field Testing Field Inspection Color: 0 gray 0 brown ©clear 0 turbid 0 other (specify): Odor: 0 musty ©earthy 0 moldy 0 offensive turbid Effluent Solids: ©no 0 some pH 7.0 SU DO 8.12 mg/L. Turbidity 5.93 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: Q pH O BOD 0 CBOD 0 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: DEPMicroFASTnew.doc•5/3/09 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 10871 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 04/14/2009 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 3151 of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 315`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, 6ch Floor Boston, MA 02108 DEPMicroFASTnew.doc•5/3/09 Page 3 of 3 1 i ! 8450 Cole Parkway n Shawnee, KS 66227 n Phone 913-422-0707 Q Fax: 912-422-0808 10871 e-mail: onsite(a)biomicrobics.com m www.biomicrobics.com n 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Blo-Mlcrobics Single Home FAST(A) System INSTALLATION AUTHORIZED SERVICE PROVIDER 1312 Salem Street Installation Address: North Andover, MA 01845 Name: Wastewater Treatment Services, Inc. Owner Name: Gay Neilson Mail Address: Mail Address: 44 Commercial Street 1312 Salem Street Raynham, MA 02767 North Andover, NIA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 978-685-9415 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST .5 25855 12/13/2005 8/1/2008 12:00:00 AM EQUIPMENT YES NO MAINTENANCE PERFORMED AND CONIMENTS 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 Punl out Required: X Primary Settling Zone " Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H(Standard Units) Color Clear Temperature 53.0 Odor Earth Comments: TECHNICIAN SERVICE DATE David Zavelle 04/14/2009 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 October 19, 2009 North Andover Board of Health 1600 Osgood Street I UIAIN 01 i N 1)(), f North Andover, MA 0 1845 --—--------- Attention: Health Agent Reference: FAST`" Wastewater Treatment System - Serial Number: 25855 Attached please find the Field Inspection & Service Report with field test results for services perfon-ned on 10/01/2009 at the property of Gay Neilson located at 1312 Salem Street - North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Gay Neilson Massachusetts DEP 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 12575 A. Installation Important: Gay Neilson _ When filling out Owner forms on the computer, use 1312 Salem Street 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: 1312 Salem Street Street Address/PO Box: North Andover MA 01845 City State Zip 978-685=9415 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 25855 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number = 12/13/2005 Installation Date Start of Operation Approval Type: 0 General Q Provisional Q Piloting ®Remedial Seasonal Residence —used less than 6 mo./year: 0 Yes ®No D. Operating Information 1 10/01/2009 _ Inspection Date Previous Inspection Date 8 Pumping Recommended Q Yes ®No Sludge Level DEPMicroFASTnew.doc- 10/19/09 Page 1 of 3 j Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems 12575 E. Field Testing Field Inspection Color: Q gray Q brown ©clear 0 turbid 0 other(specify): Odor: 0 musty ©earthy 0 moldy Q offensive 0 turbid Effluent Solids: ©no 0 some pH 7.0 SU DO 7.45 mg/L. Turbidity 3.3 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 Stagdard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken 0 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 0 TSS 0 TN 0 Other (list below) Other 1 Other 2 Other 3 a 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•10/19/o9 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O Form for Title I/A L)i A Treatment and Disposal Systems 12575 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 10/01/2009 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 315 of each year for the previous calendar year c Piloting Use—within 45 days of inspection date Provisional Use—by March 315`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 1 I DEPMicroFASTnew.doc•10/19/09 Page 3 of 3 1 � � I N C 0 R P 0 R A T F 0 8450 Cole Parkway Shawnee, KS 66227 m Phone 913-422-0707 o Fax: 912-422-0808 12575 e-mail: onsite(cDbiomicrobics.com m www.biomicrobics.com a 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 1312 Salem Street Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services, Inc. Owner Name: Gay Neilson Mail Address: Mail Address: 44 Commercial Street 1312 Salem Street Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 978-685-9415 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. , Serial No. Date of Installation Date of last pump out MicroFAST.5 25855 12/13/2005 8/1/2008 12:00:00 AM 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 8" Aerobic Treatment Zone 7" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H(Standard Units Color Clear Temperature 67.0 Odor Earth Comments: TECHNICIAN SERVICE DATE David Koshiol 10/01/2009