HomeMy WebLinkAboutTitle V Inspection Report - 43 MILL ROAD 7/8/2016 t�
Massachusetts Department of Environmental Protection
Bureau Of ResOUrCe Protection - Title
DEP Approved Inspection rm for Title Il
Treatment i sposal Systems
A. Installation
F����Ir
Todd Stringer
` LIC
Important:When on the computer, Owner N � � �° .._.._._
use only the tab 43 Mill Rd
key to move your facility street Address
cursor-do not N Andover
use the return _..____ _ __--.--.___.-----____._-----__.____._..__..._........_.__
key. City Zip —
Meiling address of owner, if different:
-- -- __-. _._.._.____._.___ ...�------ ____.._.__ _-_-_-_.__
Street AddressJPO- Bax:
City State Zip
---_ext._
Telephone Number
B. Authorized Service Provider
Sewer Works
O&M Firm
26 Hillside Ave
-...______-___._____.-_
Street Address
Westford Ma 01886
City State Zip
(978)692 -4410 ext.__.___..__
Telephone Number
David Chandler
Certified Operator Name Certification Number
C. Facility/System Information
24428 Fast .05
DAP ID Manufacturer ID Model Number
4/2005 4/2005
Installation Date start of Operation
Approval Type: Z General El Provisional ❑ Piloting ❑ Remedial
Seasonal Residence-used less than 6 mo./year: ❑ Yes Z No
D. Operating Information
7/8/2016.----------______-- _-------- 10/26/2015 _._.
Inspection Date Previous Inspection Date
_ _ ___ ----._---------......-. Pumping Recommended (] Yes Z No
Sludge Depth(ka be checked yearly)
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Massachusetts Department of Environmental Protection
Bureau of Resource Protection o Title 5
DEP Approved Inspection n r for Title 5 U
Treatment and Disposal Systems
E. Field Testing
Field Inspection:
Color: ❑ gray ❑ brown ® clear ❑ turbid
❑ Other(specify): — —
Odor: ❑ musty ® earthy ❑ moldy ❑ offensive ❑ turbid
Effluent Solids: ❑ no ❑ some
pH 7.3 SU _ DO 3.0 mg/L _ Turbidity 10 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:
gpd
Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ TN ❑ Other(list below)
Other 1 Other 2 Other 3
G. Inspection and Maintenance
Description of any maintenance performed since previous inspection & during this inspection:
cleaned filter, blower amps 1.9
Notes and Comments:
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Massachusetts irtment of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection r r Title 5 a/
Treatment and Disposal
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
M chusetts certified operator in accordance with 257 CMR 2.00.
7/7/2016
operator S nature Date
System owner must submit this report, technology O&M checklist, and any required sampling results
to the local board of health as follows for each inspection performed:
Remedial Use--by January 31$t of each year for the previous calendar year
Piloting Use-within 45 days of inspection date
Provisional Use—by March 31th 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, 5t Floor
Boston, MA 02105
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