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Home My WebLink AboutInspection - 100 RALEIGH TAVERN LANE 1/1/2011 44 Commercial Street Raynham, MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 February 16, 2011 North Andover Board of Health 1600 Osgood Street 7TO�WNOPII NORTH ANDOWR DE PA 01845 14EALTH DEPARTMEOW Attention: Health Agent Reference: FASTO Wastewater Treatment System - Serial Number: 24277 Attached please find the Field Inspection & Service Report with field test results for services performed on 2-11-11 at the property of David Wondolowski located at 100 Raleigh Tavern Lane, North Andover, MA, Please call if you have any questions or require additional information, Sincerely, Wastewater Treatment Services, Inc. Set-vice Department Enclosures Copy to: David Wondolowski Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 LiDEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems 15197 A. Installation David Wondolowski Owner 100 Raleigh Tavern Lane Facility Street Address North Andover 01845 City Zip Mailing address of owner, if different: 100 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip 617-821-1617 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 David Zavelle 12920 Certified Operator Name Certification Number C. Facility/System Information 24277 Bio-Microbics, Inc. MicroFAST.5 DEP ID Manufacturer ID Model Number 11/11/2004 11/11/2004 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 2-11-11 Inspection Date Previous Inspection Date Pumping Recommended [ ]Yes [x] No Sludge Depth(to be checked yearly) 1 Massachusetts Department of Environmental Protection LlBureau of Resource Protection -Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems 15197 E. Field Testing Field Inspection: Color: []gray [] brown [x] clear [] turbid [] Other(specify): Odor: [] musty [x] earthy [] moldy [] offensive [] turbid Effluent Solids: [x] no [] some pH 7 SU DO 18.01 mg/L Turbidity 6.52 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: Influent: [] pH [] BOD [] CBOD [ ]TSS [] TKN [] Nitrate [] Nitrite [] Phosphorus [ ] Spec. Cond. []Ammonia []Alkalinity [] Oil Grease []VOC [ ] Fecal Coliform Effluent: [] 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: 2 Massachusetts Department of Environmental Protection 7 Bureau of Resource Protection -Title 5 D P Approved Inspection and O&M Form for Title 5 I/A Ll A Treatment and Disposal Systems 15197 H. Certification 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. L ' r 2-11-11 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 R P O A A T E R 8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808 e-mail:onsite @biomicrobics.com, www.biomicrobics.com, 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST'System 15197 INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 100 Raleigh Tavern Lane Name:Wastewater Treatment Services,Inc. North Andover,MA 01845 Owner Name:David Wondolowski Mail Address: 100 Raleigh Tavern Lane Mail Address: 44 Commercial Street North Andover,MAO 1845 Raynham,MA 02767 Phone:617-821-1617 Far: e-mail: Phone:(508)880-0233 Fax:(508)880-7232 e-mail: INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24277 11/11/2004 EQUIPMENT I NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating x Audio Alarm Operating x (if present) Blower(s) i Air Inlet Filter Clean I x Blower Hood Vents Clear x Excessive Noise x Excessive Vibration x Treatment unit(s) Unusual Odor x Pumpout Required x Primary Settling Zone Aerobic Treatment Zone " EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd pH(Standard Units) 7 Color Clear Temperature 49 Odor Earthy Co : `TECHNICIAN SERVICE DATE David Zavelle 2-11-11 44 Commercial Street Raynham, MA 02767 Tel: (508)880-0233 'I u V,0 1 � Fax: (508)880-7232 RAN L IH0F",% '" September 30, 2011 North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Attention: Health Agent Reference: FAST' Wastewater Treatment System - Serial Number: 24277 Attached please find the Field Inspection & Service Report with field test results for services performed on 9-13-11 at the property of David Wondolowski located at 100 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: David Wondolowski Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 r DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 15197 A. Installation David Wondolowski Owner 100 Raleigh Tavern Lane Facility Street Address North Andover 01845 City Zip Mailing address of owner, if different: 100 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip 617-821-1617 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 David Zavelle 12920 Certified Operator Name Certification Number C. Facility/System Information 24277 Bio-Microbics, Inc. MicroFAST.5 DEP ID Manufacturer ID Model Number 11/11/2004 11/11/2004 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 9-13-11 Inspection Date Previous Inspection Date " Pumping Recommended []Yes [x] No Sludge Depth(to be checked yearly) 1 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 15197 E. Field Testing Field Inspection: Color: [j gray [] brown [x]clear []turbid [] Other (specify): Odor: [] musty [x] earthy [] moldy [] offensive [] turbid Effluent Solids: [x] no [] some pH 7 SU DO 6.01 mg/L Turbidity 7.14 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: Influent: [] pH [] BOD [] CBOD []TSS []TKN [] Nitrate [] Nitrite [] Phosphorus [J Spec. Cond. []Ammonia []Alkalinity [] Oil Grease [ ]VOC [] Fecal Coliform Effluent: [] 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: 2 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 15197 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, 9-13-11 Operator Signature Date System owner must submit this report, technology 0&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 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 y 3 i ifVc0RP0RATF0 8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808 e-mail:onsite @biomicrobics.com, www.biomicrobics.com, 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST'System 15197 INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 100 Raleigh Tavem Lane Name:Wastewater Treatment Services,Inc. North Andover,MA 01845 Owner Name:David Wondolowski Mail Address: 100 Raleigh Tavern Lane Mail Address: 44 Commercial Street North Andover,MA 01845 Raynham,MA 02767 Phone:617-821-1617 Fax: e-mail: Phone:(508)880-0233 Fax:(508)880-7232 e-mail: INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24277 11/11/2004 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 Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd pH(Standard Units) 7 Color Clear Temperature 70 Odor Earthy Comments: TECHNICIAN SERVICE DATE David Zavelle 9-13-11