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HomeMy WebLinkAboutMiscellaneous - 369 SALEM STREET 4/30/2018 (5)6'� '� /% J&R SALES & SERVICE, INC. December 1, 2000 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SHF13 Attached please find the Field Inspection & Service Report (as required) for services performed on 11/21/00 at the home of Amit Banerji located at 369 Salem Street - North Andover, MA. Please call if you have any questions or require additional information. Si rely, J et M. Whitman Enclosures i Cc: Amit Banerji 1 6 44 Commercial St. Aaynham, MA 02767 Tele. 50B B23.9566 Fax 5OB BB01232 � ' Q AlAll I'll I N C 0 R P 0 R A T E 0 8450•Cole Parkway a Shawnee, KS 66227 ■ Phone 913-422-0707 a Fax: 912-422-0808 e-mail: onsiteD-biomicrobics.com a www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 369 Salem Street Installation Address North Andover, MA 01845 Name J&R Sales & Service, Inc. Owner Name Amit Banerji Street Mail Address 369 Salem Street North Andover, MA 01845 City State Zip Mail Address 44 Commercial Street Raynham, MA 02767 Ci State Zi 9785579154 Phone Fax e-mail 508-823-9655 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout SHF13 9/4/98 EQUIPMENT YES NO MAWTENANCE PERFORMED AND CONN ENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT (optional) LEMT RESULT Estimated Daily Flow 4 Bedrooms H (Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septi ) TUCHNICIA 2NATURE SE V]Cg DATE li- 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 February 13, 2009 North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Attention: Health Agent Reference: FAST° Wastewater Treatment System - Serial Number: SHF13 Attached please find the Field Inspection & Service Report with field test results for services performed on 02/05/2009 at the property of Amit Banei ji located at 369 Salem Street - North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Amit Banerji Massachusetts DEP Massachusetts Department of Environmental Protection LiBureau of Resource Protection - Title 5 DEP Approved. Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems 11044 A. Installation Important: Amit Banerji _ When filling out Owner forms on the computer, use 369 Salem Street only the tab key Facility Street Address to move your North Andover 01845 cursor - do not — use the returri City Zip key. Mailing address of owner, if different: VIA�j 369 Salem Street Street Address/PO Box: North Andover MA City State 978 557 9154 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address Raynham MA City State 508-880-0223 ext. Telephone Number David Zavelle Certified Operator Name 12920 Certification Number C. Facility/System Information SHF13 Bio-Microbics, Inc. DEP ID Manufacturer ID 09/04/1998 Installation Date Start of Operation Approval Type: Q General Q Provisional Q Piloting Seasonal Residence — used less than 6 mo./year: Q Yes 01845 Zip 02767 Zip Single HomeFAST .9 Model Number ® Remedial D. Operating Information 02/05/2009 Inspection Date Previous Inspection Date 11 Sludge Level Pumping Recommended Q Yes ® No DEPMicroFASTnew.doc • 2/13/09 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 IIA Treatment and Disposal Systems 11044 E. Field Testing Field Inspection Color: 0 gray 0 brown © clear 0 turbid 0 other (specify): Odor: 0 musty ® earthy 0 moldy 0 offensive Q turbid Effluent Solids: ®no Q some pH 7.0 SU DO 6.71 mg/L. Turbidity 9.07 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: 0 pH 0 BOD 0 CBOD 0 TSS 0 TN 0 Other (list below) Other 1 Other 2 G. Inspection and Maintenance Other 3 Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: DEPMicroFASTnew.doc • 2/13/09 Page 2 of 3 11 L 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 11044 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 Zavelle Operator Signature 02/05/2009 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 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 - 2/13/09 Page 3 of 3 ••H� INC0RP'0RATE0 8450 Cole Parkway a Shawnee, KS 66227 o Phone 913-422-0707 M Fax: 912-422-0808 11044 e-mail: onsite .biomicrobics.com n www.biomicrobics.com m 800-753-FAST(3278). FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 369 Salem Street Installation Address: North Andover, MA 01845 Name: Wastewater Treatment Services, Inc. Owner Name: Amit Baner'i Mail Address: 369 Salem Street North Andover, MA 01845 Mail Address: 44 Commercial Street Raynham, MA 02767 City State Zip Phone: 978 557 9154 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out Single HomeFAST .9 SHF 13 09/04/1998 8/1/2005 12:00:00 AM 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 " Aerobic Treatment Zone " EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 440 e d. H Standard Units Color Clear Temperature 45.0 Odor Earth Comments: TECHNICIAN SERVICE DATE David Zavelle 02/05/2009 /•S �i:'•'�;•.'� �' •vJlcl•.�.ii�271Ay I C t ED • ty I n (o r M�a c l o n HEALTH DEPARTMENT r �; Sys'•Qm lva on, CT7a'o �;i ,'cr';r.2•�rSyJl8f11 Own9(. ` II ",.1d 1 H4 (114V(eren( rpm "OQn) C q ^ Q,!) . . '+' ��'• ''r iso , . f: ,. ' , . ' �8 :P.umpin Re o d y, r �, i Oalj o! Pum Ing; ar':�, :sem 3. TYpa of eyslem;.CDCess�ool(9) e Emuem Tee FII(e('P���anr7 Y09 No ,' Vii' :` + „t'Co�dl�Jori'Qr;9yj m;,.�.;., . ��,., Sy �.: 4m od B •. . P' p r•.4,',�i,,�` ... / .:I,IiA I1'lJai:•.%{1�,�, �r��',�I�'.�•}la;. . ,',1, +. h OCA ' • 1, (,.. , � � , on �vh8re'�cor�lanu'•µrere dlyposao: i..:,;/1,11. •.1,.,;�,cr Ilt}„ .� �;. , :'/.•',;"1'x''1, Sl�ntllu , ales/epp(9vaJaJl6tormi.n.mgir)5oac1 _ �56POc Tan. li Ye 9. X87 ciaanao7 Vehlpo',1con�e--- a, 111-51,09 �rm-8 =-cen!r to a OT tom _ 4 ar4'R 5 DEP F:b No. E 242— 887 ....', (fo U11 trwxsM by UE(') Cit pTown North Andover Commonwealth v of Massachusetts ha Duda AoohCanf Bogus Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131,. §40 and under the. Town of North Andover's Bylaw Chapter ..178 From NORTH ANDOVER CONSERVATION COI`NISSION To Bogusha Duda Same (Name of Applicant) (Name of property owner) 369 Salem St., No. Andover, MA Same Address Address This Order is issued and delivered. as follows: Q by hand delivery to applicant or representative on Tdalej Mff by certified. mail, return receipt requested on November 6, 1997 This project is located at 369 Salem Street The property is recorded at the Registry of Northern rn Essex Book• 1680 Page 78 Certificate (if registered) The Notice of Intent for this project was filed. on September 15,'1997 (dale) The public hearing was closed on November 5, 1997 (date) Findings 9 The North Andover Conservation Commission has revievied [tie above-relere,,ced Notice of Intent and plans and has held a public hearing on the project. Based on the rnlormotron availaole Ic the NACC at this time, the _�lAt'C =- _ has deterriuned That the area on which the pr000sed work is to be done is significant to the following interests in occoronnce v,ith the Presumptions of Significance s P-tA- in the regulations'or each Area Subject to Prolec:rori Under Itie Recreation Act (check as appropriate): Ch. 178: Prevention of Erosion & Sedimentation Ch. 178 Wildlife Pubiic water supply Flood control El L-ind containing shefllish Private water supply Storm damage prevention Ot Fisheries Ground water supply Prevention of pollution Protection of wildlife habilat $15:00 Total Filing Fee Submitted $55.00 State Share City/Town Share $40.00 (!'_ lee in excess of ?�} Total Relund Due S CityfTown Portion 5 State Portion S