HomeMy WebLinkAboutInspection - 93 RALEIGH TAVERN LANE 2/12/2010 44 Commercial Street
Raynham,MA
02767
Tel: (508)880-0233
Fax: (508)880-7232
February 18, 2010
North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST° Wastewater Treatment System - Serial Number: 29725
Attached please find the Field Inspection & Service Report with fiel test results for
services performed on 2/12/10 at the property of Kurt von Sneidern 1 cated at 93 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: Kurt von Sneidern
Massachusetts DEP
Massachusetts Department of Environmental Protection
L"71 Bureau of Resource Protection -Title 5
DEP Approved Inspection and OW Form for Title 5 I/A
Treatment and Disposal Systems
13033
A. Installation
Kurt von Sneidern
Owner
93 Raleigh Tavern Lane
Facility Street Address
North Andover 01845
City Zip
Mailing address of owner, if different:
93 Raleigh Tavern Lane
Street Address/PO Box:
North Andover MA 01845
City State Zip
978-208-1107
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services Inc.
O&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0233
Telephone Number
Kevin Usilton 12530
Certified Operator Name Certification Number
C. Facility/System Information
29725 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
8/22/2007 8/22/2007
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
2/12/10
Inspection Date Previous Inspection Date
N/A" Pumping Recommended [x] Yes [] No
Sludge Depth(to be checked yearly)
1
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
13033
E. Field Testing
Field Inspection:
Color: [] gray 0 brown [x] clear 0 turbid
a Other (specify):
Odor: 0 musty [x] earthy 0 moldy [] offensive [] turbid
Effluent Solids: [x] no [] some
pH 7 SU DO 10.21 mg/L Turbidity 1.87 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: [] Influent [] Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
440
gpd
Parameters sampled: [] pH [] BOD [] CBOD [] TSS [] TKN (] Nitrate [] Nitrite []
Phosphorus [] Spec. Cond. []Ammonia []Alkalinity [] Oil Grease []VOC [] Fecal Coliform
G. Inspection and Maintenance
Description of any maintenance performed since previous inspection & during this inspection:
Cleaned Filter, Checked Splash Recycle
Notes and Comments:
System needs to be pumped. Very thick scum layer.
2
Massachusetts Department of Environmental Protection
LlBureau of Resource Protection -Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
13033
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.
2/12/10
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 31 th 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
3
Q" ZIMNCORPORATEO R
8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808
e-mail:onsite(o)biomicrobics.com, www.biomicrobics.com, 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTRc System
13033
INSTALLATION AUTHORIZED SERVICE PROVIDER
Installation Address: 93 Raleigh Tavern Lane Name:Wastewater Treatment Services,Inc.
North Andover,MA 01845
Owner Name:Kurt von Sneidem
Mail Address: 93 Raleigh Tavern Lane Mail Address: 44 Commercial Street
North Andover,MA 01845 Raynham,MA 02767
Phone:978-208-1107 Fax: e-mail: Phone:(508)880-0233 Fax:(508)880-7232 e-mail:
1NSTALLAFION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 29725 8/22/2007
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating x
Audio Alarm Operating x
(if present)
Blower(s)
Air Inlet Filter Clean x
Blower Hood Vents Clear x
Excessive Noise x
Excessive Vibration x
Treatment unit(s)
Unusual Odor x
Pumpout Required x
Primary Settling Zone N/A"
Aerobic Treatment Zone 17"
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 440 gpd
pH(Standard Units) 7
Color Clear
Temperature 45
Odor Earthy
Comments:System needs to be pumped.Very thick scum layer.
TECFINICIAN SERVICE DATE
Kevin Usilton 2/12/10
24-MAY-07 14:02 FROM-JRENGPROD +15088807232 T-295 P.02/03 F-886
44 Commercial Street
Ilaynham, MA
02787
Tel: (508)88x0233
INSPECTION TESTING AGREEMENT Fax: (508) 890-7232
Agreement entered into by and between Wastewater Treatment Services,Inc.(herein called WTS)and the
FAST'System OWNER.(herein called GWNFR)for the inspection by WTS of certain equipment of OWNER
which is described below.
Upon acceptance of this agreement at'►WTS's office,WK'S will render the following services only:
Equipment will be inspected at least 2 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 FASTIP System.
S) Notify OWNER of any problems encountered.
6) 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 VATS charges for any parts used in repairs or maintenance. Any additional labor
time will be billed to the OWNER at current labor rates of$78.00 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 oharges 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 WITS.
OWNER understands and agrees that WTS is not responsible for special,incidental or consequential damages,
including but not limited to 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
WTS to be necessary or appropriate for WTS to perform its duties hereunder.
Current WTS practice is to send OWNER approximately 10 days before expiration of the term of the current
contract(1)either a new contract or an offer to extend the current contract's term,and(2)an invoice for one year
of service. It is GWNER's responsibility to timely return the payment and either the new contract or the accepted
extension,completed and signed, WTS must receive the payment and document before expiration of the then
current contract year to assure continuous contract coverage. Failure to return such documents on time or to
[4-MAY-07 14:03 FROM-JRENGPROD +15088807232 T-295 P.03/03 F-888
otherwise comply with this contract,may result in suspension of service,cancellation of the contract and/or
nullification of warranties, at the election of WTS. OWNER may not assign this contract without the prior written
consent of WTS. It will remain in force until a party cancels by written notice to the other at the address given
herein, or until the contract term expires,whichever is sooner.
MANUFACTURER MODEL NO. SERIAL NO, LOCATION ANNUAL RATE PERMIT
Bio-Microbics Microl~AST North Andover,MA $400.00 Remedial
Includes(1)Field Test
EQUIPMENT OWNER f` Wastewater Treatment Services Inc.
*Signed by OWNER:
David Foulds Signed:
*Address:
93 Raleigh Tavern Lane 44 Commercial Street
Raynham,MA 02767
Tele: (508) 880-0233
*City: - State: Zip: _ Fax: (508)880-7232
North Andover MA 01845
Telephone 978-681-8583 Effective Date of Agreement
Daytime Telephone;
OWNER understands that(1)ANNUAL RATE payment is for one year only commencing on the effective date set
forth above and is non-refundable;and(2)Current DEP Regulations require OWNER to maintain a service
agreement for the life of the FAST"S �tem.��READ AND UNDERSTAND THE FOREGOING.
*Signed by OWNER:
Field Testing
Onsite testing performed twice per year will be used to demonstrate that the systems are operating at a secondary
treatment standard of 30 mg/L of BOD5 and TSS. The following will be performed:
1) Visual examination of the effluent for color, turbidity and effluent solids.
2) Effluent pH to determine if the waste water is between 6 and 9 standard units.
3) Dissolved Oxygen,2mg/L or more,to ensure that the system is operating.
4) Turbidity,less than or equal to 40 NTU.
If the effluent does not meet effluent quality standards,a grab sample will be collected for laboratory analysis.
Results sent to state and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable
access to effluent for field testing and/or to enable a grab sample to be taken for laboratory testing performed. If
such laboratory sample is required,OWNER will be responsible for charges incurred. IF REQUIRED,THE
COST FOR THIS ADDITIONAL TESTING WILD BE $180.001VISIT.
Additional Testing
Town Requirements are testing ofD'istaI essure one(1)time per year at a cost of$150.00/test.
*Approval for Testing �
Homeowner's Signature
Operator assigned: William Everett
Telephone: (508)400-3868 *Engineer: New England Engineering
`«cr�st.`���t�czt�at t.-'realrrrerzf ��f�ir�ic�<s, _l�c:
44 Commercial Street
Raynham, MA
02767
Tel: (508) 880-0233
Fax: (508) 880-7232
ce
August 10, 2010
TOWN OF
OIWt 0 u 8
Mr. Kurt von Sneidern � e� �,�y� 0e 0 8���.
93 Raleigh Tavern Lane
North Andover, MA 01845
Re: Serial Number: 29725
Location.: 93 Raleigh Tavern Lane, North Andover, MA
Dear Mr. von Sneidern:
We understand you do not wish to continue your maintenance contract with our
company. Please be advised the Massachusetts Department of Environmental Protection
requires a maintenance contract be in place for the life of the alternative septic system.
Also, we are required to inform both the state and local agency of your decision.
If you have any questions or need additional information please call our office at
(508) 880-0233.
Sincerely,
Donna L. Callahan.
Copy to: Massachusetts DEP
North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
RZINCORPnRATED
8450 Cole Parkway w Shawnee, K5 66227 w Phone 913422-0707 w Fax: 912-422-080
e-mail: onsitefa7biomicrobics.com w www.biomicrobics.com m 800-753-FAST(3278)
PRODUCT REI GISTRATION REPORT
Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty.
Date of Start-U G �Date Shipp ed to End User 8/13/07 Serial#29725
OWNER
NAME David Foulds
ADDRESS 93 Raleigh Tavern Lane
CITY/STATE/ZIP North Andover,MA 01845
PHONE/FAX
BIO-MICROBICS DISTRIBUTOR
NAME Wastewater Treatment Services,Inc.
ADDRESS 44 Commercial Street
CITY/STATE/ZIP Raynharn, MA 02767
PHONE/FAX 508-880-0233 FAX: 508-880-7232
INSTALLER
NAME Creative Builders w
ADDRESS 58 Water Street
CITY/STATE/ZIP North Andover,MA 01845 °
PHONE/FAX 978-682-4948 6
CONSULTING ENGINEER if applicable)
NAME New En land Engineering .....,
ADDRESS
CITY/STATE/ZIP North Andover,MA 01845
PHONE/FAX 978-686-1768
Good Bad NA Good Bad NA
ELECTRICAL PANEL(S) TREATMENT LINIT(S)
Visual Alarm Operating 13 0 Air vent clear
Audio Alarm Operating Septic tank level
BLOWER(S) Septic tank meets min. size
Wired for correct voltage Septic tank filled to
operating level
Inlet/outlet piped correctly 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 to septic tank
treatment unit
Air line clear Entrance tube to insert cover
Air inlet screen clear Insert to insert cover
Blower hood vents clear Discharge line connection
Factory Authorized Personnel Title:
Firm: Wastewater Treatment Services. Inc. _ Date: