The URL can be used to link to this page

Home My WebLink AboutInspection - 333 RALEIGH TAVERN LANE 1/1/2003 Corr merdM Street Reyrrihat i� V' 02767 el: (000) 000-0233 Fax: (508) 880 7232 February 25, 2003 FER "1 2003 North Andover Board of Health f 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FASTa Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report (as required) for services performed on 02/11/2003 at the property of Thomas Shea located at 333 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 Copy to: Thomas Shea COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: O&NI Firm: 333 Raleigh Tavern Lane: North Andover 4�astuuata�,9neatirreizG Javiie�.�, STir.� Owner Name: Mail Address: Thomas Shea 44 Commercial street,Raynham,MA 02767 Nlail address: Tel:(508)6800233 Fax:(508)880.7232 333 Raleigh Tavern Lane Telephone No. North Andover,MA 01845 Certified Operator Name: Telephone No.: 9782628674 DEP No.: Mfr.No.: Cert.No.: Model No.: i�ro � Installation Date: Start of Operation: YVl t�S T Approval Type: (Circle) Seasons idence-used less than 6 mo. year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) i � Yes No Effluent Description: Attach copy of certified lab results. Cheek all that are required Samples:Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: 6 S� 3' I certify: I h ve inspected the se age eatment and disposal system at the address above, have completed this report and the attached anu turer's o erati an intenance checklist, and the information reported is true, accurate, and complete as of the ti of the ins p c 'on. I a ssachusetts certified operator in accordance with 257 CNIR 2.00. o O erator SIgnature Date System o4vner must submit Remedial Use—by January 3l"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title S Program required sampling results Piloting & Provisional Use- within One Winter Street, 6'h Floor to the local Board of Health 30 days of inspection date Boston, MA 02108 General Use—by September 30 of and DEP as follows for each year for the previous l'_ months each inspection performed: 5/1.'Ol I INCORPORATED 8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707 a Fax: 912-422-0808 e-mail: onsite&-biomicrobics.com ■www.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS System • �yy kl��? IZ `' 7'i�'2`5cyt�g,4.•+J �V �yi.�i- � '� �h.t a�i r�^?,L,, 5t.K 3 ��}�.1 StP�2.4r.�5+�f� �'"tt'�i;�t.'4 E� } INSTALLA�IC) a� ', �iAD47ad+aC++i�l 1CV1t�E IDROVIDER , 333 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Owner Name Thomas Shea -- `4UasG�cuattr�,�irrc��1.1usuice,�, 9.r� Mail Address 333 Raleigh Tavern Lane 44 Commerciaj Street,Raynham,'MA 02767 North Andover, MA 01845 Tel:(508)880-0233 Fax:(508)880-7232 city State Zip 9782628674 508-880-7232 Phone Fax email n Phonnee{ Fax e-mail . '.te.,t� -:.G:"ri xaa i7,�\0.� 7. !"rf.•_Ji!! E7�R' dx'R i ai 5'r -,!i�,• x�: Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 E .UA' NT WHO, Electrical Panel(s) Visual Alarm Oper atin Audio Alarm Operating .7, 7 if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEWff RESULT Estimated Daily Flow 3 edrooms H(Standard Units) 6-9 S.U. Color Clear 2' Temperature Odor Slightly musty odor (not se tic) /TECHNICIAN S AT SERVICE DATE a°,4sze�rad°,�'P',... �.a^��P`� d' °,d�m;'�y oaari�m.Kdal StMet Rap harm, MA 0270" Tel: ( 08) 880-0233 233 Fax: ( 08) 880 7202 May 13, 2003 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent I Reference: Single Home FAST' Treatment System Serial Number: MCF156 Attached please find the Field Inspection& Service Report(as required) for services performed on 05/06/2003 at the property of Thomas Shea located at 333 Raleigh.,T4 Lane o North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Thomas Shea Massachusetts DEP COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENvIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider I! Installation Address: O&NI Firm: 333 Raleigh Tavern Lane: i North Andover Owner Name: MA Mail Address: �!/aste�uat�r STieatinrnG��ruice� .STiac. �' Nlail address: Thomas Shea 44 Commercial Street,Raynham,MA 02767 333 Raleigh Tavern Lane Telephone No. Tel:(sob)860-0233 Fax:(808)880-7232 North Andover,MA 01845 Certified Operator Name: Telephone No.: 9782628674 ` DEP No.: Mfr. No.: Cert. No.: Model No.: Micro FMS —t Date: Start of Operation: Approval Type: (Circle) Seasona idence—used less than 6 mo. year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspectio Dat : Sludge Depth:(to be check�d yearly) Pumping commended(Circle) ' Yes o I Effluent Description: Attach copy o certified lab results. Check all that are required �+ L Samples: Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: -7, G Notes and Comments: I certify: I have i ected the sewage eatme t and disposal system at the address above, have completed this report and the attached manuf is op tion ma' ante checklist, and the information reported is true, accurate, and complete as of the time of t e ins ecti I am as usetts certified operator in accordance with 257 CMR 2.00. pe for Signature ' Date System owner trust submit Remedial Use-by January 3 I"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&NI checklist, and any year Attn: Title 5 Program required sampling results Piloting & Provisional Use • within One Winter Street, 6'h Floor to the local Board of Health 34 days of inspection;late Lh Boston, ;NIA 02108 and DEP as follows for General Use-by September 30 of each inspection performed: each year for the previous 12 months 51 L`0 l RUM14CORPORATC0 8450 Cole Parkway a Shawnee, KS 66227 ■Phone 913-422-0707 ■ Fax: 912-422-0808 e-mail: onsite biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATIgN AUTHORIZED SERVICE PROVIDER 2 y.t:. 333 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Owner Name Thomas Shea Mail Address 333 Raleigh Tavern Lane j 44 Commercial Street,Raynham,MA 02767 North Andover, MA 01845 Tel:(508)880-0233 t=ax:(sos)880.7232 city State Zip 9782628674 508-880-7232 Phone Fax e-mail Phone Fax e-mail .. .. �..:-;_ -.:;,;t .rS �,:t. 't.�`�15:'I'�C;L,Yr+S��l�.i-tla`.`��lr�}�O{�� ✓�:.y�sMc.L?, '✓f'��.t'Lr�; . Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 EQUIPMENT D Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear ' Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LUMT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) T CHNICIAN SIGN AT SERVICE DATE ............. 44 CO�m'nwcW Sfreet Raynham, MA 02767 10 (508) 880-0233 September 10, 2003 Fax: (508) 880-7232 113 01.2 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST" Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report and test results as required) for services performed on 08/25/2003 at the property of Thomas Shea located at 333 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 Copy to: Thomas Shea Massachusetts DEP �'� Pflf�✓llA'.�ib"M C�'4 s4'�+ Q;._./�W„1"' Q',�A""@�.�,r�,+i`Af� `G_„P�P'&/'i4.t�a .................... ,�....... .......... 44 C wrnn'tercial Street [°Iapihar , MA 02767 Tel: (508) 880..,0233 Fax: (508) 880-7232 November 24, 2003 North Andover Board of Health 27 Charles Street North Andover, MA 01845 ” Attention: Health Agent Reference: Single Home FAST Treatment System Serial Number: MCF156 Attached please find the Field Inspection& Service Report(as required) for services performed on 11/11/2003 at the property of Thomas Shea located at 333 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 Copy to: Thomas Shea 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 1588 A. Installation Important: Thomas Shea _ When filling out Owner forms on the computer,use 333 Raleigh Tavern Lane 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: 333 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip (978 262 8674 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 MCF156 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 11/05/1998 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 11/11/2003 -- _ Inspection Date Previous Inspection Date — --- —- um ping Recommended Yes X No Sludge Depth (to be checked yearly) P 9 _ Color: Clear Odor: None - — -- Effluent Description DEPMicroFASTnew.doc • 11/24/03 Page 1 of 2 Massachusetts Department of Environmental Protection L) Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 1588 E. Sampling Information Samples Taken:— Influent _ Effluent Parameters sampled:_pH _BOD—TSS—TN _Other (list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, 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 11/11/2003 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 Piloting & Provisional Use - General Use —by September 31St of each year for the within 30 days of inspection 301h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6`h Floor Boston. MA 02108 DEPMicroFASTnew.doc • 11/24/03 Page 2 of 2 V . Ad � a e C ) R P 1) H A T i 1) 8450 Cole Parkway Shawnee, KS 66227 n Phone 913-422-0707 ,, Fax: 912-422-0808 1588 e-mail: onsite(cDbiomicrobics.com ,,www.biomicrobics.com n 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North AndoverMA 01845 Name Wastewater Treatment Services,Inc. Owner Name Thomas Shea Street Mail Address: Mail Address 44 Commercial Street 333 Raleigh Tavern Lane Raynharr MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 978 262 8674 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout MicroFAST .5 MCF156 11/05/1998 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 Settlin Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H (Standard Units) Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Davie{ KoslTiol 11/11/2003