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Home My WebLink AboutInspection - 333 RALEIGH TAVERN LANE 1/1/2005 44 C.,on,irtierc,ial Street Rayrihani, V 02767 i Tel: (508) 880-020 Fax: (508) 880-7232 May 26, 2005 � North Andover Board of Health :� ,' ' � 27 Charles Street Noah Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report for services performed on 05/05/2005 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 P Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 4610 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 01845 cursor-do not use the return City Zip key. Mailing address of owner, if different: � 333 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 Leh"' City State Zip j (978-686-0626 Home 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 Kevin Usilton 12530 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 05/05/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: N/A Odor: None Effluent Description DEPMicroFASTnew.doc•5/26/05 Page 1 of 2 Massachusetts Department of Environmental Protection Li DEP Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems -- 4610 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: Notes and Comments: Also tested: , , , . Blower is shut off- control panel inside- no access Left note for homeowner to call 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. Kevin Usilton 05/05/2005 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 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc•5/26/05 Page 2 of 2 INCORPORATED 8450 Cole Parkway m Shawnee, KS 66227 ro Phone 913-422-0707 w Fax: 912-422-0808 4610 e-mail: onsite(abiomicrobics.com www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Thomas Shea Street Mail Address: Mail Address 44 Commercial Street 333 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 rPh7onel78-686-0626 Home Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out icroFAST.5 MCF156 11/05/1998 06/01/2004 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) Color N/A -Temperature Odor None Comments: Blower is shut off-control panel inside-no access. Left note for homeowner to call. TECHNICIAN SERVICE DATE Kevin Usilton 05/05/2005 4A Cxxnrne�dal Sb'eof Raynharn, IMA 02767 Tel: (508) W30,0233 c. (508) 880 '72,32 RECEIVED March 11, 2005 MO 1, C'l 200�i IOVV��4 f H ANL)OV ER North Andover Board of Health 27 Charles Street North Andover, MA 01545 Attention: Health Agent Reference: FAST Wastewater Treatment System - Serial # MCFI 56 Attached please find the Field Inspection& Service Report. We attempted service on 03/02/2005 at the property of Thomas Shea located at 333 Raleigh Tavern Lane -North Andover, MA. Unable to service unit. Blower seized, needs to be replaced. 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 4610 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 01845 cursor-do not use the return City Zip key. Mailing address of owner, if different: VIRL� 333 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip (978-686-0626 Home 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 Michael Dillen 11173 Certified Operator Name Certification Number 's C. Facility/System Information I MCF156 Bio-Microbics, Inc. MicroFAST MicroFAST .5 j DEP ID Manufacturer's Name&ID Model Name&Number i 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 03/02/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X NO Color: Odor: Effluent Description DEPMicroFASTnew.doc-3/11/05 Page 1 of 2 Massachusetts Department of Environmental Protection LA DEP Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 4610 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: Notes and Comments: Also tested: , , , . Unable to service unit. Blower seized, needs to be replaced. 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. Michael Dillen 03/02/2005 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, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc•3/11/05 Page 2 of 2 M R 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 4610 e-mail: onsite(afbiomicrobics com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Thomas Shea Street Mail Address: Mail Address 44 Commercial Street 333 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 978-686-0626 Home Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST,5 MCF156 11/05/1998 06/0 s'pump EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm O eratin 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 o tional LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units) Color Tem erature Odor Comments: Unable to service unit. Blower seized,needs to be replaced. TECHNICIAN SERVICE DATE TMMichhaell Dillen 03/02/2005 ....�...w.. .. .... Rayrthan'�, MA 027'67 I'd: (`:i()8) 880,0233 Fax: (508) 880-7232 September 13, 2005 f North Andover Board of Health �a 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: FAST° Wastewater Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report and test results for services performed on 08/23/2005 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 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical Balance Data Auditing G O R Y R .., A 't' 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 4 REPORTED: 08/29/2005 4 Commercial Street Raynham, MA 02767 ORDER#: G0575186 COLLECTED BY: K. Usilton SAMPLE DATE: 8/21/2005 TIME: 14:45 DATE RECEIVED: 8/23/2005 LOCATION: No. Andover(MCF156) SAMPLE ID: Shea Grab DESCRIPTION: WATER RESULTS OF ANALYSIS I a Test Parameters I,AB-ID#: os�sls6-oI [ROD SM 5210B 08/24/2005 mg/L 4 14.8 PH SM 4500 H+B 08/23/2005 S.U. 0-14 6.5 ,Solids, Suspended SM 2540 D 08/26/2005 mg/L 4 10.0 NA=Not Applicable ` ND=Not Detected Approved By g LCX� <' = Less Than La snag / Date *' = Detection Limit A'J6 • ��t.a Page t or i Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 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 4610 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 01845 cursor-do not City Zip use the return key. Mailing address of owner, if different: I 333 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 :nm City State Zip (978-686-0626 Home 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 Kevin Usilton 12530 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 08/23/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description Page 1 of 2 DEPMicroFASTnew.doc-9/13/05 Massachusetts Department of Environmental Protection Li Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 4610 E. Sampling Information Samples Taken: — Influent X Effluent Parameters sampled: X pH X BOD X 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, 4 Notes and Comments: Also tested: , , , . 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. Kevin Usilton 08/23/2005 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 Ilse—by January Piloting & Provisional Use- General Use—by September 31"of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc•9/13/05 Page 2 of 2 URSW' l R 8450 Cole Parkway m Shawnee, KS 66227 Phone 913-422-0707 uj Fax: 912-422-0808 4610 e-mail: onsite .biomicrobics,com www.biomicrobics.com uY 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 Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Thomas Shea Street Mail Address: Mail Address 44 Commercial Street 333 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 978-686-0626 Home Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 MCF156 11/05/1998 06/01/2004 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 Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Kevin Usilton 08/23/2005