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HomeMy WebLinkAboutInspection - 333 RALEIGH TAVERN LANE 1/1/2007 -1\1-1j 44 Commercial Street Raynham,MA 02767 Tel: (508)880.0233 Fax: (508)880-7232 April 27, 2007 North Andover Board of Health 1600 Osgood Street i 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 04/16/2007 at the property of Otto Zoll 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: Otto Zoll Massachusetts DEP Massachusetts Department of Environmental Protection ILI Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 8659 A. Installation Important: Otto Zoll 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: 333 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA Zip 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 0 Provisional 0 Piloting ®Remedial Seasonal Residence–used less than 6 mo./year: 0 Yes ®No D. Operating Information 04/16/2007 Inspection Date Previous Inspection Date 4" Pumping Recommended Q Yes ®No Sludge Level Page 1 of 3 DEPMicroFASTnew.doc•4/27/07 Massachusetts Department of Environmental Protection Ll Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 8659 E. Field Testing Field Inspection Color: []gray Q brown ®clear Q turbid []other(specify): Odor: Q musty ®earthy Q moldy Q offensive []turbid Effluent Solids: ®no Q some pH 7.0 SU DO 9.03 mg/L, Turbidity 8.04 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 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: Page 2 of 3 DEPMicroFASTnew.doc•4/27/07 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 H. Certification 8659 1 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 04/16/2007 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 31St 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•4/27/07 Page 3 of 3 UW1Q=1NC0RP0RATE0 8450 Cole Parkway a Shawnee, KS 66227 a Phone 913-422-0707 a Fax: 912-422-0808 8659 e-mail: onsite biomicrobics.com a www.biomicrobics.com a 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: Otto Zoll 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: Fax a-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 3/1/2007 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 4° Aerobic Treatment Zone 4" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 330 gpd. H Standard Units Color Temperature 46.2 Odor Earth Comments: TECHNICIAN SERVICE DATE Michael Dillen 04/16/2007 44 Commercial Street Raynham,MA 02767 Tel: (508)880.0233 Fax: (508)880-7232 November 10, 2007 North Andover Board of Health 1600 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 11/01/2007 at the property of Otto Zoll 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: Otto Zoll Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 nd ®&M Form for Title 5 I/A DEP Approved Inspection a Treatment and Disposal Systems 8659 A. Installation Important: Otto Zoll When filling out Owner forms the computer,use 333 Raleigh Tavern Lane only the tab key Facility Street Address to move your North Andover 01845 cursor-do not Zip use the return City key. Mailing address of owner, if different: 333 Raleigh Tavern Lane Street Address/PO Box: 01845 North Andover MA Zip ream City State ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address 02767 Raynham state Zip city 508-880-0223 ext. Telephone Number 2976 David Koshiol Certification Number Certified Operator Name C. Facility/System Information MCF156 — Bio-Microbics, Inc. MicroFAST .5 Manufacturer ID Model Number DEP ID 11/05/1998 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 11/01/2007 Previous Inspection Date Inspection Date 10" Pumping Recommended 0 Yes ®No Sludge' Page 1 of 3 DEPMicroFASTnew.doc•11/9/07 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems 8659 E. Field Testing Field Inspection Color: Q gray Q brown ®clear []turbid Q other(specify): Odor: Q musty ®earthy Q moldy Q offensive Q turbid Effluent Solids: ®no Q some pH 7.0 SU DO 7.9 mg/L. Turbidity 2.5 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 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: Page 2 of 3 DEPMicroFASTnew.doc•»i9i07 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 8659 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 11/01/2007 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: j Remedial Use—by January 319`of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 319`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 Page 3 of 3 DEPMicroFASTnew.doc•11/9/07 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 8659 e-mail: onsite(cDbiomicrobics.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: Otto Zoll 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: 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 3/1/2007 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 101, Aerobic Treatment Zone 101, EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 330 gpd. H Standard Units Color Clear Temperature_ 63.1 Odor Earth Comments: TECHNICIAN SERVICE DATE David Koshiol 11/01/2007