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Home My WebLink AboutMiscellaneous - 121 RALEIGH TAVERN LANE 10/13/2016 RECEIVED tt�° j �1w��H W��:r V C 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 t Fax: (508)880-7232 November 8, 2016 North Andover Board of Health j 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 10/13/16 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 i � t . ♦f C.P R P P R A T SJ O 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 26017 INSTALLATION AUTHORIZED.SERVICE PROVIDER Installation Address: 121 Raleigh Tavern Lane Name:Wastewater Treatment Services,Inc. North Andover,MA 01845 Owner Name:Megan Glennon Mail Address: 121 Raleigh Tavern Lane Mail Address: 44 Commercial Street North Andover,MA 01845 Raynham,MA 02767 Phone:978-975-3101 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 24747 5/24/2005 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) uVisual Alarm Operating x 9 Audio Alarm Operating x (if present) Blower(s) Air Inlet Filter Clean x Blower Hood Vents Clear x Excessive Noise x Excessive Vibration x I)-eatment unit(s) Unusual Odor x Pumpout Required x _ Primary Settling Zone 20° Aerobic Treatment Zone 20„ E);FLURNT(optionaT) LMT RESULT Estimated Daily Flow 440 gpd pH(Standard Units) 5 Color Turbid Temperature 62 Odor Turbid Comments:System needs to be pumped including pump chamber. TECHNICIAN SERVICE DATE 10/13/16 John Medeiros a Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 i DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems 26017 A. Installation Megan Glennon Owner 121 Raleigh Tavern Lane Facility Street Address North Andover 01845 City Zip Mailing address of owner, if different: 121 Raleigh Tavern Lane Street Address/PO E3= North Andover MA 01845 city State Zip 978-975-3101 Telephone Number B. Authorized Service Provider Wastewater Treatment Services Inc. 0&M Firm 44 Commercial Street Street Address Raynham _ MA 02767 City State Zip 508-880-0233 Telephone Number John Medeiros 17549 Certified Operator Name Certification Number C. Facility/System Information 24747 Blo-Microbics, Inc. _ MicroFAST.5 i DEP ID Manufacturer ID Model Number 5/24/2005 5/24/2005 Installation Date Start of Operation Approval Type: [] General [] Provisional [] Piloting [x] Remedial [] General Denite 9 Seasonal Residence—used less than 6 mo./year: []Yes [x] No D. Operating Information 10/13/16 Inspection Date Previous Inspection Date 20" Pumping Recommended [x]Yes [] No Sludge Depth(to be checked yearly) 1 , 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 Ll DEP Approved Inspection and O&M Form for Title 5 VA 3 Treatment and Disposal Systems 26017 E. Field Testing Field Inspection: Color: [] gray [] brown []clear [x]turbid [] Other(specify): Odor: [] musty [] earthy [] moldy [] offensive [x] turbid Effluent Solids: [x] no [] some pH 5 SU DO, 7.6 mg/L Turbidity 8.24 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 9 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, Pump(s) Inspected Notes and Comments: System needs to be pum ed including um chamber. 2 f k 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 LlDEP Approved Inspection and 4&M Form for Title 5 I/A Treatment and Disposal Systems 26017 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. rf' 10/13/16 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 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 f=loor Boston, MA 02108 i k 3 P i 3'. I' li