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HomeMy WebLinkAboutInspection - 43 MILL ROAD 1/1/2009 �auk 44 Commercial Street Raynham, MA 02767 ,........ ,��"��� ������ � ......�.„..........°. Tel. (508)880-0233 Fax: (508)880-7232 June 24, 2009 TOM4 OF NOR rH ANDOVER HEALTH DEPARTMENT 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 06/11/2009 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 'a' ="w� it r, oEtr oNa t 8450 Cole Parkway Shawnee, KS 66227 m Phone 913-422-0707 a Fax: 912-422-0808 12512 e-mail: onsite(a)biomicrobics.com m www.biomicrobics.com n 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 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 Pum out Required: X Primary Settling Zone 15" Aerobic Treatment Zone 14" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 330 gpd. H(Standard Units) Color Clear ,nerature 62.0 Earth TECHNICIAN SERVICE DATE David Koshiol 06/11/2009 Massachusetts Derartment of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OM Form for Title 5 I/A Treatment and Disposal Systems 12512 A. Installation Important: Mary Kober When filling out -- — -----_---- - --- -------- ----- —- ---_ --------- forms on the Owner computer, use 43 Mill Road 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: 43 Mill Road — --- -- - -- -- Street Address/PO Box: North Andover MA 01845 renm 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 Bio-Microbics, 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 06/11/2009 Inspection Date Previous Inspection Date 15" Sludge Level Pumping Recommended []Yes ® No DEPMicroFASTnew.doc•6/24/09 Page 1 of 3 Massachusetts Der..Artment 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 E. Field Testing Field Inspection Color: 0 gray Q brown ©clear Q turbid Q other(specify): Odor: 0 musty ©earthy 0 moldy 0 offensive 0 turbid Effluent Solids: 0 no Q some pH 7.0 SU DO 7.7 mg/L. Turbidity 3.2 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: 330 gpd Parameters sampled: 0 pH 0 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, , , Checked Splash Recycle, Notes and Comments: DEPMicroFASTnew.doc•6/24/09 Page 2 of 3 Massachusetts DeN—Artment of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems 12512 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 06/11/2009 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 315` of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 3151 of each year for the previous 12 months General Use—by September 301h 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 •6/24/09 Page 3 of 3 44 Commercial Street Raynham, MA �,„,,,,�, 02767 ANDOvER ^n^ TeL (508)880-0233 Fax: (508)880-7232 January 28 200 trt t u��c'EPA c t 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 01/05/2009 at the property of Mary Kober loca*'at 43 Mill Road - North Andover, MA. °° ...... Please call if you have any questions or require additional information. Sincerely, (/C/tZa'GLNIr�'<ZGG'i? r/i2�'2�%ilEfGfc.-?li2,tGlc"e� Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Mary Kober Massachusetts DEP Massachusetts Department of Environmental Protection LA Bureau of Resource Protection - Title 5 ® P Approved Inspection and Form for Title I/A 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 ---------------------- ----------- - — ----- e"" 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 _ _ _ 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 Q Piloting ® Remedial Seasonal Residence – used less than 6 mo./year: 0 Yes ® No D. Operating Information 01/05/2009 ------ --- Inspection Date Previous Inspection Date 13" Sludge Level Pumping Recommended 0 Yes ® No DEPMicroFASTnew.doc• 1/28/09 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 10601 E. Field Testing Field Inspection Color: Q gray 0 brown ©clear Q turbid 0 other (specify): Odor: Q musty ©earthy Q moldy Q offensive Q turbid Effluent Solids: ©no Q some pH 7.0 SU DO 7.2 mg/L. Turbidity 2.6 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 Mefhods 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: 330 gpd Parameters sampled: Q pH Q BOD Q CBOD Q 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, , , Checked Splash Recycle, Notes and Comments: DEPMicroFASTnew.doc•1/28/09 Page 2 of 3 Ll Massachusetts Department of Environmental Protection Bure au of Resource Protection - Title 5 DEP Approved Inspection and ®& Form for Title I// Treatment and Disposal Systems 10601 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 01/05/2009 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 3151 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, 6th Floor Boston, MA 02108 DEPMicroFASTnew.doc•1/28/09 Page 3 of 3 ra 4 3 a - _< N s; G H P ±I H A r I7 8450 Cole Parkway Shawnee, KS 66227 n Phone 913-422-0707 n Fax: 912-422-0808 10601 e-mail: onsite cDbiomicrobics.com n www.biomicrobics.com 0 800-753-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 X Treatment unit(s) Unusual Odor X Pum out Required: X Primary Settling Zone 13" Aerobic Treatment Zone 1 I" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 330 gpd. H(Standard Units) Color Clear Temperature 54.1 Odor Earth Comments: TECHNICIAN SERVICE DATE David Koshiol 01/05/2009