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Home My WebLink AboutInspection - 121 RALEIGH TAVERN LANE 8/28/2007 I ��.L,G6G'GC�.��.FLC/< C/��G�Gf/�/�liP/7!/l C-.✓�.�i�P�Ij �® 44 Commercial Street Raynham, MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 September 6, 2007 North Andover Board of Health �I 1600 Osgood Street F3 2007 North Andover, MA 01 845 m � Attention: Health Agent" Reference: FAST° Wastewater Treatment System - Serial Number: 24747 Attached please find the Field Inspection & Service Report with field test results for services performed on 08/28/2007 at the property of Megan Glennon located at 121 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: Megan Glennon Massachusetts DEP 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880.7232 DISTAL PRESSURE FORM Customer Name: Serial Number: Address: ME City: A- ,b E1f� State: /"►- 7� �jo ce- Date: b �: 6 Technician Signature: y � _�.� Comments: 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 6777 A. Installation Important: Megan Glennon When filling out Owner forms on the computer, use 121 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: 121 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip 978-975-3101 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 24747 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 05/24/2005 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 08/28/2007 Inspection Date Previous Inspection Date 12" Pumping Recommended Q Yes ®No Sludge Level DEPMicroFASTnew.doc•9/6/07 Page 1 of 3 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 6777 E. Field Testing Field Inspection Color: Q gray Q brown 0 clear Q turbid 0 other (specify): Odor: Q musty ®earthy Q moldy 0 offensive 0 turbid Effluent Solids: ®no 0 some pH SU DO 5.79 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 Q Influent 0 Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: 0 pH 0 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, , , Checked Splash Recycle, Notes and Comments: Unable to locate distals -not to surface. No access. DEPMicroFASTnew.doc-9/6/07 Page 2 of 3 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 6777 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 08/28/2007 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 Page 3 of 3 DEPMicroFASTnew.doc-9/6/07 1 ( PIN C P D R A T E D 8450 Cole Parkway to Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 6777 e-mail: onsite(cDbiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 121 Raleigh Tavern Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services, Inc. Owner Name: Megan.Glennon Mail Address: Mail Address: 44 Commercial Street 121 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip =Phone 80-0233 508-880-7232 Phone: 978-975-3101 Fax e-mail Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST .5 24747 05/24/2005 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 12" Aerobic Treatment Zone 14" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units Color Temperature 78.4 Odor I Earth Comments: Unable to locate distals-not to surface. No access. TECHNICIAN T SERVICE DATE David Koshiol 08/28/2007 44 Commercial Street Raynham,MA J 02767 Tel: (508)880-0233 Fax: (508)880-7232 March 26, 2007 North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Attention: Health Agent Reference: FAST Wastewater Treatment System Serial Number: 24747 Attached please find the Field Inspection& Service Report with field test results for services performed on 03/08/2007 at the property of Megan Glennon located at 121 Raleigh Tavern Lane -North Andover, MA. Please call if you have any questions or require additional information. Sincerely, GT/�1,2� d2e��'`srrerL7`c7�e2-d.,r�P,v Wastewater Treatment Services,Inc. Service Department Enclosures Copy to: Megan Glennon Massachusetts DEP Masoachusetts 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 6777 A. Installation Important: Megan Glennon When filling out Owner forms on the computer, use 121 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: 121 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip 978-975-3101 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 24747 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 05/24/2005 Installation Date Start of Operation Approval Type: 0 General Q Provisional 0 Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes ®No D. Operating Information 03/08/2007 Inspection Date Previous Inspection Date 12" Pumping Recommended 0 Yes No Sludge Level — Page 1 of 3 DEPMicroFASTnew.doc-3/26/07 Massachusetts Department of Environmental Protection IL Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6777 E. Field Testing Field Inspection Color: 0 gray 0 brown ®clear 0 turbid Q other(specify): Odor: 0 musty ®earthy 0 moldy 0 offensive 0 turbid Effluent Solids: ®no Q some pH 7.0 SU DO 6.19 mg/L. Turbidity 5.0 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: 440 gpd Parameters sampled: Q pH Q BOD 0 CBOD 0 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: Covers are frozen. Cannot locate distals - not to grade. Unable to take distal pressure. DEPMicroFASTnew.doc•3/26/07 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection a Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 6777 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. Kevin Usilton 03/08/2007 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 st 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•3/26/07 Page 3 of 3 a4N r � �I C O R r PO RAT E 0 8450 Cole Parkway m Shawnee, KS 66227 Phone 913-422-0707 m Fax: 912-422-0808 6777 e-mail: onsite(a.biomicrobics.com www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS System INSTALLATION AUTHORIZED SERVICE PROVIDER 121 Raleigh Tavern Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc. Owner Name: Megan Glennon Mail Address: Mail Address: 44 Commercial Street 121 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 978-975-3101 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24747 05/24/2005 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 12" Aerobic Treatment Zone 10" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units Color Temperature Odor Earth Comments: Covers are frozen. Cannot locate distals-not to grade. Unable to take distal pressure. TECHNICIAN SERVICE DATE Kevin Usilton 03/08/2007