HomeMy WebLinkAboutInspection - 333 RALEIGH TAVERN LANE 1/1/2006 ap'iham, M
02767
I'd: (CSC) ) 880-0233
Fax: (508) 880-7232
March 6, 2006
s,.
. me
North Andover Board of Health l` t,Cti Via, i r`
400 Osgood Street .
North Andover, MA 01845
Attention: Health Agent
Reference: FAST Wastewater Treatment System
Serial Number: MCF156
Attached please find the Field Inspection& Service Report with field test results for
services performed on 02/14/2006 at the property of Thomas Shea located at 333 Raleigh
Tavern Lane 4 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
ILBureau of Resource Protection - Title 5
AD P Approved Inspection and Form for Title I/
MEL"
Treatment and Disposal Systems
6622
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:
116 333 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
C. Facility/System Information
MCF156 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
11/05/1998
Installation Date Start of Operation
Approval Type: Q General Q Provisional Q Piloting ® Remedial
Seasonal Residence—used less than 6 mo./year: Q Yes ®No
D. Operating Information
02/14/2006 _
Inspection Date Previous Inspection Date
14
Pumping Recommended Q Yes ®No
DEPMicroFASTnew.doc•3/6/06 Page 1 of 3
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
6622
E. Field Testing
Field Inspection
Color: 0 gray 0 brown 0 clear Q turbid
®other (specify): N/A
Odor: Q musty 0 earthy 0 moldy Q offensive 0 turbid
Effluent Solids: 0 no 0 some
pH SU DO 8.8 mg/L. Turbidity 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 Q BOD Q CBOD 0 TSS 0 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, , , Splash Recycle
Notes and Comments: D-box not to grade. Letter to owner.
Page 2 of 3
DEPMicroFASTnew.doc-3/6/06
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
6622
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,
Michael Dillen 02/14/2006
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 s`of each year for the previous calendar year
Piloting Use—within 45 days of inspection date
Provisional Use—by March 31 sc 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•3/6/06 Page 3 of 3
e ' Q
1 r � i
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INCORPORATED
8450 Cole Parkway o Shawnee, KS 66227 w Phone 913-422-0707 w Fax: 912-422-0808 6622
e-mail: onsite biomicrobics.com w www.biomicrobics.com w 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 }{
Treatment unit(s)
Unusual Odor
Pum out Required: X
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT o tional LIMIT RESULT
Estimated Daily Flow 330 gpd.
H Standard Units)
Color Other
Temperature
Odor
Comments: D-box not to grade. Letter to owner.
TECHNICIAN SERVICE DATE
Michael Dillen 02/14/2006
44 Commercial Street
Raynham, MA
02767
Tel: (508)880-0233
Fax: (508)880-7232
September 25, 2006
k
North Andover Board of Health
r 3200(;
1.600 Osgood Street
North Andover, MA 0 1 845
Attention: Health Agent
Reference: FAST° Wastewater Treatment System
Serial Number: MCF156
Attached please find the Field Inspection & Service Report with field test results for
services performed on 09/12/2006 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
Massachusatts 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
A. Installation 6622
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:
Q333 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
David Zavelle 12920
Certified Operator Name Certification Number
C. Facility/System Information
MCF156 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
11/05/1998
Installation Date Start of Operation
Approval Type: Q General Q Provisional Q Piloting ®Remedial
Seasonal Residence—used less than 6 mo./year: Q Yes ®No
D. Operating Information
09/12/2006
Inspection Date Previous Inspection Date
12"
Sludge Level Pumping Recommended Q Yes ®No
DEPMicroFASTnew.doc•9/25/06 Page 1 of s
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Title 5
P Approved Inspection and OW Form for Title 5 I/A
Treatment and Disposal Systems
E. Field Testing 6622
Field Inspection
Color: Q gray Q brown ®clear 0 turbid
Q other(specify):
Odor: 0 musty ®earthy Q moldy Q offensive 0 turbid
Effluent Solids: ®no 0 some
pH 7.0 SU DO 5.17 mg/L. Turbidity 9.12 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 0 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: Alarm inside -not accessible. Needs vent cover in housing.
DEPMicroFASTnew.doc•9/25/06 Page 2 of 3
Massachusetts Department of Environmental Protection
-- Bureau of Resource Protection - Title 5
D EP Approved Inspection and O&M Form for Title 5 I/A
Moab"A Treatment and Disposal Systems
6622
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 Zavelle 09/12/2006
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 31St 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
i
DEPMicroFASTnew.doc•9/25/06 Page 3 of 3
MG93M
8450 Cole Parkway Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 6622
e-mail: onsite(ftiomicrobics.com m www.biomicrobics.com .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
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 1110511998 6/1/2004 12:00:00 AM
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 12"
Aerobic Treatment Zone 12"
LEstimated FLUENT o tional LIMIT RESULT
Dail Flow 330 d.
Standard Units)
Color
Temperature 70.0
Odor Earth
Comments: Alarm inside- not accessible. Needs vent cover in housing.
TECHNICIAN SERVICE DATE
David Zavelle 09/12/2006