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HomeMy WebLinkAboutInspection - 121 RALEIGH TAVERN LANE 6/3/2005 aG C)YT1YYIf„nP"C ial h'Ga'et Rap ham, MAC 0 767 del: (508) 880-0233 Fax: (508) 880-7232 June 3," 00 W RECEI IED JU E a,r North Andover Board of Health HEAL_ 27 Charles Street North Aitlover, Mfg 01 845 Attention: Board of Health Agent Reference: Home FAST Treatment Serial Number: 24747 Attached please find a copy of the Product Registration Report for the FAST Treatment System for work perfornned on 05/24/2005 at the home of Michele Harrison located at 121 Raleigh Tavern Lane, North Andover, MA. Also, attached is a copy of the fully executed Inspection&Effluent Testing Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, Donna L. Callahan Enclosures t � Q e fMC0RPOR.ATED 8450 Cole Parkway w Shawnee, KS 66227 m Phone 913-422-0707 w Fax: 912-422-0808 e-mail: 2n1ite2b1om1crobi0 com m 45Y.-btainlcrobics com m 800-753-FAST(3278) PRODUCT REGISTRATION REPORT Product Registrat bn Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty. �� Date of Start-U ` `��� Date Shinned to End User 4/13/05 Serial #24747 OWNER NAME Michele Harrison ADDRESS 121 Ralei h Tavern Lane CITY/STATE/ZIP North Andover,MA 01845 PHONE/FAX 810-MICROBICS DISTRIBUTOR NAME Wastewater Treatment Services,Inc. ADDRESS 44 Commercial Street CITY/STATE/ZIP Ra MA 02767 PHONE/FAX 508-880-0233 FAX: 508-880-7232 NAME INSTALLER John Souc ADDRESS 830 Livingston Street CITY/STATE/ZIP Tewksb ,MA 01876 PHONE/FAX 978470-1400 CONSULTING ENGINEER if applicable) NAME New England En ineerin ADDRESS P.O.Box 536 CITY/STATE/ZIP North Andover,MA 01845 PHONE/FAX 978-686-1768 ELECTRICAL PANEL(S) Good Bad NA Good Bad NA Visual Alarm Operating TREATMENT UNITS) \-0 ❑ O Air vent clear Audio Alarm Operating ❑ ❑ Septic tank level 13\� ❑ BLOWER(S) Septic tank meets min. size \m ❑ Wired for correct voltage [j Septic tank filled to Inlet/outlet piped correctly operating level Air Lift Operation Filter element installed � ❑ � ❑ ❑ Recirculation tube in place ❑ Blower hood secure \�] ❑ Fasteners tight ] Blower works correctly \ ❑ � ❑ WATER-TIGHT JOINTS Blower located within 100' of treatment unit ❑ ® Treatment unit to septic tank Air line clear \ ❑ Entrance tube to insert cover Air inlet screen clear ❑ ❑ ® ❑ ❑ Blower hood vents clear Insert to insert cover ❑ Discharge line connection ❑ " s Factory Authorized Personnel: Title: v F 09-FEB-05 09:31AM FROM-JRENGPROD +15088807232 T-293 P 02/03 F-570 '11`14'lew(rCiw 44 Commerclal Street Pleae cotnpkna all item nu teed® Raynham, MA including duw sipatum, Mail 02767 sigmd original contmi to: MiAtMater Treatment S=iccs.Inru Tel: (508) 880-0233 44 Corrowrcigl street Fax: (508) 880-7232 a mham�MA_Q7767 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and between Wastewater Treatment Services,Inc.(herein called WTS)and the FAST'System OWNER(herein called OWNER)for the inspection by WTS of certain equipment of OWNER which is described below. Upon acceptance of this agreement at WTS's office,WTS will render the following services only: Equipment will be inspected at lev 4 times per year that this Agreement remains in effect,with the first inspections beginning. d'. These inspections will include: 1) Testing of the sludge depth in the septic tank. 2) Inspection,power testing and clean/replace intake filter of the air blower. 3) Inspection of the alarm system. 4) Inspect overall condition of FAST' System. 5) Notification to OWNER of any problems encountered. *6) Inspection of Septic Tank and Pump Chamber *7) Inspection of pump and pump cycle *8) Inspect/clean floats 9) Service other than routine maintenance will be billed at an hourly rate,plus travel and parts. WTS shall notify the local Board of Health and Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. OWNER will be billed standard WTS charges for any parts used in repairs or maintenance. Any additional labor time will be billed to the OWNER at standard labor rates of$74.00 per hour. Emergency service between regular inspections will be provided at standard labor rates during normal business hours;at time and one-half after 5:00 PM and on Saturdays;and at double time on Sundays and holidays. Emergency service charges will include a minimum four(4)hours of labor, plus standard WTS charges for parts,plus mileage and travel charges. The annual rate includes routine maintenance, but does not include repairs required for damages caused by abuse,accident,theft,acts of third persons, forces of nature,or alterations made to the equipment. WT shall not be responsible for failure to render the agreed services if caused by strikes,labor disputes,non-cooperation by OWNER, or other factors beyond the control of WTS. OWNER understands and agrees that WTS is not responsible for special, incidental or consequential damages, including loss of time, injury to person or property, or equipment failure. OWNER agrees that WTS may enter OWNER.'s property and have acceptable access to all areas deemed by W17S to be necessary or appropriate for WTS to perform its duties hereunder. TIUV0000444 03/03 F®570 This is a two-year contract which will be billed annually. All payments are non-refundable. R's failure ; to pay invoices promptly or to otherwise comply with this contract may result in suspension of'service, cancellation of contract and/or nullification of warranties, at the election of WTS. This agreement is not assignable without the consent of WTS and will remain in force until canceled by either party through written notice. MANUFACTURER MODEL NO. SERIAL NO. LOCATION A_ NNUAL RATE Bio-Microbics MicroFAST aW7 517 North Andover,MA $390.00 EO MEIVT OWNEE Wastewater Treatment Services,Yne. *Signed by OWNER.- Michelle Harrison Signed: *Address: 9 121 Raleigh Tavern Lane 44 Commercial Street Rayr:han M—A.02767 Tele: (508)823.9564 *City: State: Zip: Fax: (508) 880-7232 North Andover MA 01845 .-� Telephone 978-794-9526 Effective Date of Agreement Daytime'Telephone, OWNER understands that(1)ANNUAL RATE payment is for one year only of this two-year agreement and is nonrefundable; and(2)Current DEP Regulations require OWNER to maintain a service agreement for the life of the FAST'System. I RApp VE READ AND UNDERSTAND FOREGOING. Signed by OWNER: 'e P Effluent Testin Effluent sample taken 4 times per year and delivered to a qualified testing lab for evaluation. Results sent to State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed. PERMIT: *(PLEASE CHECK ONE) ( )GENERAL ( X)REMEDIAL, ( )PROVISIONAL *SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH(Y)or(I)if YES,please attach copy of permit (X)pH,BOD5,TSS ( )Total Nitrogen ( X )Other per Local Board of Health. *Distal Pressure&Inspection of pump,floats,septic&purnp chamber. Cost for Testing: $180.00/Visit Testing of Distal Pressure Sl.S0.00/yisit Total $330.00/Visit Operator assigned: William Everett Telephone: ��(5508)400-3868 *Engineer: New England Engineering *Approval for Effluent Testinp- V— iO.(���i L�V— Homeowner Signature NEW ENGLAND ENGINEERING SERVICES INC EDw wkW u� µ mmwiwwmm u FE February 15, 2004 w� Michelle Harrison 121 Raleigh Tavern Lane North Andover, MA 01845 Dear Michelle, Enclosed is a maintenance contract for the Fast System that is part of the septic system design at 121 Raleigh Tavern Lane. You need to sign it and return it to Wastewater Treatment Services, Inc. with the 1710.00 dollar fee for the first years testing, If you have any questions please don't hesitate to contact this office. Sincerely, Benj ;in C. (Z d, Jr.,PE President CC:North Andover Board of Health 60 BEECHWOOD DRIVE-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 09-FE®-05 09:31AM FROM-AEUPROD +15088807232 T-293 P-01/03 F-570 Yw- 44 Commercial Street Raynham, MA 02757 Tel: (508) 880-0233 Fax: (508) 880-7232 February 9,2005 Mr. Ben Osgood New England Engineering P.O. Box 536 North Andover,MA 01$45 Subject: FAST Treatment System 121 Raleigh Tavern Lane,North Andover,Massachusetts Dear Mr. Osgood: Enclosed is the Inspection&Testing Agreement for the FAST Treatment System to be located at 121 Raleigh Tavern Lane,North Andover,Massachusetts. The annual maintenance cost of this agreement is $390.00/per year. The cost for the first year's testing is$1,320.00. Both will need to be paid in advance to Wastewater Treatment Services Inc. and returned with the signed Inspection &Testin A reetnent to our Ra nham office 13rior to the order being rocessed. Thank you for your order and we look forward to working with you. if you should require any additional information please do not hesitate to call or write. Sincerely, Donna L. Callahan Please make check payable to: Wastewater Treatment Services,Inc. Amount Due: $1,710.00 09-FEB-05 09:31AM FROM-JRENGPROD +15088807232 T-293 P.02/03 F-570 `�lu�r/c�rr��rlc�r � cul�j�cril. cJc.11y !ew 44 Commercial Street Parham, MA Please complete all items marked• 02767 including three signatures, Mail signed original contract to; 7e1: {508) 880-0233 W 44 Qpmmcrcial S_tteft Fax: (508) 880-7232 ftmhum-MA 67 INSPECTION AND EFFLUENT TESTING AGREEMENT Agreement entered into by and between Wastewater Treatment Serviees,Inc.(herein called WTS)and the FAST'System OWNER(herein called OWNER)for the inspection by WTS of certain equipment of OWNER which is described below. Upon acceptance of this agreement at WTS's office,WTS will render the following services only: Equipment will be inspected at least 4 times per year that this Agreement remains in effect,with the first inspections beginning-. These inspections will include: 1) Testing of the sludge depth in the septic tank. 2) Inspection,power testing and clean/replace intake filter of the air blower. 3) Inspection of the alarm system. 4) Inspect overall condition of FAST"System. 5) Notification to OWNER of any problems encountered. *b) Inspection of Septic Tank and Pump Chamber *7) Inspection of pump and pump cycle *8) Inspect/clean floats 9) Service other than routine maintenance will be billed at an hourly rate,plus travel and parts. WTS shall notify the local Board of Health and Department of Environmental Protection in writing within 24 hours of a system failure or alarm event including corrective measures that have been taken. OWNER will be billed standard WTS charges for any parts used in repairs or maintenance. Any additional labor time will be billed to the OWNER at standard labor rates of$74.00 per hour. Emergency service between regular inspections will be provided at standard labor rates during normal business hours;at time and one-halt'after 5:00 PM and on Saturdays;and at double time on Sundays and holidays. Emergency service charges will include a minimum four(4)hours of labor, plus standard WTS charges for parts,plus mileage and travel charges. The annual rate includes routine maintenance, but does not include repairs required for damages caused by abuse,accident,theft,acts of third persons, forces of nature,or alterations made to the equipment. WTS shall not be responsible for failure to render the agreed services if caused by strikes,labor disputes,non-cooperation by OWNER, or other factors beyond the control of WTS. OWNED understands and agrees that WTS is not responsible for special, incidental or consequential damages, including loss of time, injury to person or property,or equipment failure. OWNED agrees that WTS may enter OWNER's property and have acceptable access to all areas deemed by WTS to be necessary or appropriate for WTS to perform its duties hereunder. MAY-8-2005 18:47 FROM:SKYWORK'8 7813763320 70:919786851099 P:4/10 00-FEE-05 M 31AM FROM-JRENGPROD �Ib088U0i232� __ i-2U3 P.p3/U3 t-5�U This is a two-year contract which will be billed azin lly. All payments are nom-rcfuuaable. O R's faure to pay invoices promptly or TO o se comply with this contract may result in suspension of service, onar-Olationl of contract and/or nullification of warranties,at the election of WTS. This agmermeznt is not assignable without the consent of WTS and will remain in force until candled by either party through written uodgc. MAMA-CM 1V1 1 >vf.Nd. `RiAL NCI �.00ATI(�O*? At 3tIAlL RA's Bio icrobics N icroPAST North Andover,MA $390.00 RQ OYM Wastewater Treatment Serwlres.InSI R'Signedby OWNER Michelle Harrison Signed: *Address: 121 Raleigh T2LV s R Lane 44 Commercial Street Raynfmn),MA 02767 Tole:(508)823-956£ *City: Stater, Zip: Fax: (508)880-7232 North Atndover 1KA 01945 T0lcpbooe_, 97$-794-9526 Effective Date ofAgreement Daytitne Telephone: OWNER understands that(1)ANNUAL RATE pay=nt is for one year only Of this two-yeas'agreement and is non-rcfinzdable;and(2)Current DW Regulations require OWNER to maintain a seMce agreement for the life of the FAsr system. I UAvE RrAD AND UNDERSTAND RSTAND FOREGOING. -Signdd by OA MD ,G , ETUP-021 BIWA Effluent saMle taken 4 ti=s per year and delivered to a qualified testing lab for cvalu on. Rzsults sent to State and local Agencies as well as the OW I;d,. OWNER is responsible for providing acceptable access to effluent to enable a grab sample to be taken for laboratory testing performed. E *(PLEASE C K ONE) ( )G ZAL ( 7i<) IAL ( )1sR1C.1'VXSJClI3AI. "S?ECIAL COMMONS PER LOCAL BOARD OF HEALTH(Y)or(N)if YES,please arch copy 64"14it (fit )pH, C>I7s,TSS ( Toua Niwozen ( X )other per Local Board of Health: *Distal Pnssuxe 8c Inspection of pump,floats,sqydc&p chamber. Cost for Testuagt $180.00/Visit Testing of DisW lP`ressmv M.eor"sit Total 5330.001vsit opwator assigned: 'Wftllal4arrw LVeretl. Telephone: a0 400-3868 *Ea&eer: New 7Wxngland cog *Approval for Effluent T'e$; Homcow nta mature ........ E C Z V E(u 14iwd :�P �, 1rw.� G h ���G-f.l.�.,D .'A�,....I..N..::A..:�.�."�',o�....