HomeMy WebLinkAboutInspection - 43 MILL ROAD 1/1/2008 44 Commercial Street
Raynham,MA
02787
Tel: (508)880.0233
Fax: (508)880-7232
March 6, 2008
l
i
f
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 01/07/2008 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
LAMassachusetts 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
8953
A. Installation
Important: Mary Kober
When filling out Owner
forms on the
computer,use 43 MITI Road
only the tab key Facility Street Address
to move your North Andover
cursor-do not 01845
use the return City Zip
key. Mailing address of owner, if different:
_ 43 Mill Road
Street Address/PO Box:
North Andover MA 01845
City State Zip
ext.
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services Inc.
0&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0223 ext.
Telephone Number
David Koshiol 2976
Certified Operator Name Certification Number
C. Facility/System Information
24428 Bio-Microbics, Inc. MicroFAST.5
DEP ID Manufacturer ID Model Number
01/04/2005
Installation Date Start of Operation
Approval Type: Q General 0 Provisional 0 Piloting ®Remedial
Seasonal Residence—used less than 6 mo./year: 0 Yes ®No
D. Operating Information
01/07/2008
Inspection Date Previous Inspection Date
Sludge Level Pumping Recommended 0 Yes ®No
DEPMicroFASTnew.doc•3/6/08 Page 1 of 3
Massachusetts Department of Environmental Protect..,n
Bureau of Resource Protection - Title 5
DP Approved Inspection and O&M Form for Title 5 1/
Treatment and Disposal Systems
8953
E. Field Testing
Field Inspection
Color: 0 gray 0 brown ®clear Q turbid
0 other(specify):
Odor: Q musty Q earthy 0 moldy 0 offensive 0 turbid
Effluent Solids: 0 no 0 some
pH 7.0 SU DO mg/L. Turbidity 4.8 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 Q Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
330
gpd
Parameters sampled: 0 pH Q BOD 0 CBOD 0 TSS Q TN Q 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, , , ,
Notes and Comments: Septic tanks empty-recently pumped.
DEPMicroFASTnew.doc-3/6/08 Page 2 of 3
Massachusetts Department of Environmental Protec ,_n
Li Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
8953
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 01/07/2008
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 January 31st of each year for the previous calendar year
Piloting Use—within 45 days of inspection date
Provisional Use—by March 31't 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
DEPMicroFASTnew.doc•3/6/08 Page 3 of 3
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 8953
e-mail: onsite(cDbiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTS System
INSTALLATION AUTHORIZED SERVICE PROVIDER
43 Mill Road
Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc.
Owner Name: Mary Kober
Mail Address: Mail Address: 44 Commercial Street
43 Mill Road Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone: Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 24428 01/04/2005 1/1/2008 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 X
Pum out Required: X
Primary Settling Zone "
Aerobic Treatment Zone "
EFFLUENT o tional LIMIT RESULT
Estimated Daily Flow 330 gpd.
H Standard Units
Color Clear
-Temperature
Odor
Comments: Septic tanks empty-recently pumped.
TECHNICIAN SERVICE DATE
David Koshiol 01/07/2008
44 Commercial Street
Raynham,MA
02767
Tel: (508)880.0233
Fax: (508)880-7232
July 3, 2008
....
North Andover Board of Health
1600 Osgood Street t�!O�"z i i r.r�i ✓ a
North Andover, MA 01845 A'
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 06/19/2008 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 Dep irtment of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
10601
A. Installation
Important: Mary Kober
When filling out Owner
forms on the
computer,use 43 Mill Road
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:
43 Mill Road
Street Address/PO Box:
North Andover MA 01845
iedn City State Zip
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
24428 Sio-Mi^robics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
01/04/2005
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
06/19/2008
Inspection Date Previous Inspection Date
Sludge Level
Pumping Recommended 0 Yes ®No
S
DEPMicroFASTnew.doc•7/3/08 Page 1 of 3
Massachusetts DeNdrtment of Environmental Protection
Bureau of Resource Protection -Title 5
DEP Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
10601
E. Field Testing
Field Inspection
Color: 0 gray Q brown ®clear 0 turbid
0 other(specify):
Odor: Q musty ®earthy Q moldy 0 offensive 0 turbid
Effluent Solids: ®no Q some
pH 7.0 SU DO 8.8 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 Standard Methods and analyzed for BOD and TSS.
F. Sampling Information
Samples Taken Q Influent 0 Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
330
9Pd
Parameters sampled: 0 pH 0 BOD Q CBOD Q 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-7/3108 Page 2 of 3
Massachusetts De,-.Ament of Environmental Protection
DEP LiBureau of Resource Protection - Title 5
Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
10601
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 06/19/2008
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 January 318t of each year for the previous calendar year
Piloting Use—within 45 days of inspection date
Provisional Use—by March 31 st 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•7/3/08 Page 3 of 3
U421=RPORATED NC
8450 Cole Parkway m Shawnee, KS 66227 w Phone 913-422-0707 m Fax: 912-422-0808 10601
e-mail: onsiteCa)_biomicrobics.com w www.biomicrobics.com m 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST® System
INSTALLATION AUTHORIZED SERVICE PROVIDER
43 Mill Road
Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc.
Owner Name: Mary Kober
Mail Address: Mail Address: 44 Commercial Street
43 Mill Road Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone: Fax e-mail I Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 24428 01/04/2005 1/1/2008 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
Treatment unit(s)
Unusual Odor X
Pum out Required; X
Primary Settling Zone 12"
Aerobic Treatment Zone 10"
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 330 gpd.
H Standard Units
Color Clear
Temperature 64.8
Odor Earth
Comments:
TECHNICIAN SERVICE DATE
David Koshiol 06/19/2008