HomeMy WebLinkAboutInspection - 43 MILL ROAD 1/1/2010 44 Commercial Street
Raynham,MA
02767
Tel: (508)880-0233
Fax: (508)880-7232
January 27, 2010
North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST° Wastewater Treatment System - Serial umb :J 24428 `~
Attached please find the Field Inspection & Service Report with field test results for
services performed on 1/13/10 at the property of Mary Kobe located at 43 Mill Road,
North Andover, MA.
Please call if you have any questions or require additional information.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Mary Kober
Massachusetts DEP
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Title 5
I , DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
12512
A. Installation
Mary Kober
Owner
43 Mill Road
Facility Street Address
North Andover 01845
City Zip
Mailing address of owner, if different:
43 Mill Road
Street Address/PO Box:
North Andover _ MA 01845_
City State Zip
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services Inc.
O&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0233
Telephone Number
Kevin Usilton 12530
Certified Operator Name Certification Number
C. Facility/System Information
24428 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
1/4/2005 1/4/2005
Installation Date Start of Operation
Approval Type: [] General [] Provisional [] Piloting [x] Remedial
Seasonal Residence—Used less than 6 mo./year: []Yes [x] No
D. Operating Information
1/13/10
Inspection Date Previous Inspection Date
Pumping Recommended [] Yes [x] No
Sludge Depth(to be checked yearly)
1
Massachusetts Department of Environmental Protection
LlBureau of Resource Protection -Title 5
DEP Approved Inspection and OW Form for Title 5 I/A
Treatment and Disposal Systems
12512
E. Field Testing
Field Inspection:
Color: 0 gray 0 brown [x] clear 0 turbid
0 Other(specify):
Odor: 0 musty [x] earthy 0 moldy 0 offensive 0 turbid
Effluent Solids: [x] no 0 some
pH 7 SU DO 10.47 mq/L Turbidity 1.66 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: [I Influent [] Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
330
gpd
Parameters sampled: [] 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:
Changed 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
12512
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.
1/13/10
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 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
i f MPO Jb
IN COR RATED
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 FAS73R System
12512
INSTALLATION AUTHORIZED SERVICE PROVIDER
Installation Address: 43 Mill Road Name:Wastewater Treatment Services,Inc.
North Andover,MA 01845
Owner Name:Mary Kober
Mail Address: 43 Mill Road Mail Address: 44 Commercial Street
North Andover,MAO 1845 Raynham,MA 02767
Phone: 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.S 24428—_--- — 1/4/2005 1/1/2008
EQUIPMENT YES NO MAINTENANCE PERFORMED 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)
Unusual Odor x
Pumpout Required x
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMCr RESUUF
Estimated Daily Flow 330 gpd
pH(Standard Units) 7
Color
Temperature 55
Odor Earthy
Comments:
TECHNICIAN SERVICE DAI'E
Kevin Usilton
44 Commercial Street
Raynham, MA
02767
Tel: (508)880-0233
Lee vi I VLT INE Fax: (508)880-7232
December 20, 2010 � " � 0 1
( �,) il ANC)"VAR' .
North. Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST' Wastewater Treatment System - Serial Number: 24428
Attached please find the Field Inspection & Service Report with field test results for
services performed on 12-15-10 at the property of Mary Kober located at 43 Mill Road,
North Andover, MA. .
Please call if you have any questions or require additional information,
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Mary Kober
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
14106
A. Installation
Mary Kober
Owner
43 Mill Road
Facility Street Address
North Andover 01845
City Zip
Mailing address of owner, if different:
43 Mill Road
Street Address/PO Box:
North Andover _ MA 01845
City State Zip
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
24428 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
1/4/2005 1/4/2005
Installation Date Start of Operation
Approval Type: [] General [] Provisional [] Piloting [x] Remedial
Seasonal Residence—used less than 6 mo./year: []Yes [x] No
D. Operating Information
12-15-10
Inspection Date Previous Inspection Date
" 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
14106
E. Field Testing
Field Inspection:
Color: 0 gray brown [x] clear [] turbid
0 Other (specify):
Odor: 0 musty [x] earthy [] moldy [] offensive [] turbid
Effluent Solids: [x] no [] some
pH 7 SU DO 17.79 ma/L Turbidity 6.55 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:
330
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
r
DEP Approved Inspection and ®&M Form for Title 5 I/A
Treatment and Disposal Systems
14106
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.
CL C '
12-15-10
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 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
a3MMM
INCORPORATED
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 FASP System
14106
INSTALLATION AUTHORIZED SERVICE PROVIDER
Installation Address: 43 Mill Road Name:Wastewater Treatment Services,Inc.
North Andover,MA 01845
Owner Name:Mary Kober
Mail Address: 43 Mill Road Mail Address: 44 Commercial Street
North Andover,MA 01845 Raynham,MA 02767
Phone: 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 24428 1/4/2005 1/1/2008
EQUIPMENT YES NO MAINTENANCE PERFORMED 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)
Unusual Odor x
Pumpout Required x
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 330 gpd
pH(Standard Units) 7
Color Clear
Temperature 52
Odor Earthy
Comments:
TECHNICIAN SERVICE DATE
David Zavelle 12-15-10