HomeMy WebLinkAboutLab Test Results - 151 RALEIGH TAVERN LANE 9/29/2015 (3) 44 Commercial Street
Raynham,MA
02767
Tel: (508)880-0233
Fax: (508)880-7232
September 6, 2007
North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Attention: Health Agent ,
Reference: FAST® Wastewater Treatment System - Serial Number: MCF215
Attached please find the Field Inspection & Service Report with field test results for
services performed on 08/28/2007 at the property of David Pinson located at 151 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 Pinson
Massachusetts DEP
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
6967
A. Installation
Important: David Pinson
When filling out Owner
forms on the
computer,use 151 Raleigh Tavern Lane
only the tab key Facility Street Address
to move your North Andover 01845
cursor-do not City Zip
use the return
key. Mailing address of owner, if different:
� 151 Raleigh Tavern Lane
Street Address/PO Box:
North Andover MA 01845
City State Zip
978-681-6468 - Home ext.
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services, Inc.
O&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0223 ext.
Telephone Number
David Koshiol 2976
Certified Operator Name Certification Number
C. Facility/System Information
MCF215 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
09/21/1998
Installation Date Start of Operation
Approval Type: 0 General 0 Provisional 0 Piloting ®Remedial
Seasonal Residence—used less than 6 mo./year: Q Yes ®No
D. Operating Information
08/28/2007
Inspection Date Previous Inspection Date
Sludge Level Pumping Recommended 0 Yes ® No
DEPMicroFASTnew.doc•9/6/07 Page 1 of 3
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
6967
E. Field Testing
Field Inspection
Color: Q gray Q brown ®clear Q turbid
Q other(specify):
Odor: Q musty ®earthy Q moldy Q offensive Q turbid
Effluent Solids: ®no Q some
pH 7.0 SU DO 5.2 mg/L. Turbidity 3.6 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 Q Influent Q Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
440
9Pd
Parameters sampled: Q pH Q BOD Q CBOD Q TSS Q TN Q Other(list below)
Other 1 Other 2 Other 3
G. Inspection and Maintenance
Description of any maintenance performed since previous inspection and during this inspection
Cleaned Filter, , , Checked Splash Recycle,
Notes and Comments: Alarm inside - not accessible. Dug up divider. Owners to put in riser.
DEPMicroFASTnew.doc-9i6i07 Page 2 of 3
Massachusetts Department of Environmental Protection
r
Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
6967
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 Koshiol 08/28/2007
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 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•9/6/07 Page 3 of 3
f �
1 � =PO INCO HATEO
8450 Cole Parkway w Shawnee, KS 66227 o Phone 913-422-0707 o Fax: 912-422-0808 6967
e-mail: onsite(c0iomicrobics.com ta www.biomicrobics.com M 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER
151 Raleigh Tavern Lane
Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc.
Owner Name: David Pinson
Mail Address: Mail Address: 44 Commercial Street
151 Raleigh Tavern Lane Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone: 978-681-6468 -Home Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 MCF215 09/21/1998 8/1/2002 12:00:00 AM
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating
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 gpd.
H Standard Units
Color Clear
Temperature 76.1
Odor Earth
Comments: Alarm inside-not accessible. Dug up divider. Owners to put in riser.
TECHNICIAN SERVICE DATE
David Koshiol 08/28/2007
1
44 Commercial Street
Rapharrr, MAC 1
02787
Tel: (808) 880-0238
Fax: (808) 880-7232 j
March 6, 2006 ...
MAID 1, 0 Z006
North Andover Board of Health c k)[,T[o ANDOVER
400 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST Wastewater Treatment System
Serial Number: MCF215
Attached please find the Field Inspection& Service Report with field test results for
services performed on 02/14/2006 at the property of Paul Antinori located at 151 Raleigh
Tavern Lane m North Andover, MA.
Please call if you have any questions or require additional information.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Paul Antinori
Massachusetts DEP
8"1011 Massachuse Department of Environmental Protection
r Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
6967
A. Installation
Important: Paul Antinori
When filling out Owner
forms on the
computer, use 151 Raleigh Tavern Lane
only the tab key Facility Street Address
to move your North Andover 01845
cursor-do not City
use the return y Zip
key. Mailing address of owner, if different:
� 151 Raleigh Tavern Lane
Street Address/PO Box:
North Andover MA 01845
City State Zip
978 682 4271 ext.
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services, Inc.
O&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0223 ext.
Telephone Number
Michael Dillen 11173
Certified Operator Name Certification Number -
C. Facility/System Information
MCF215 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
09/21/1998
Installation Date Start of Operation
Approval Type: Q General Q Provisional 0 Piloting ®Remedial
Seasonal Residence—used less than 6 mo./year: Q Yes ®No
D. Operating Information
02/14/2006
Inspection Date Previous Inspection Date
Sludge Depth(to be checked yearly) Pumping Recommended 0 Yes ®No
DEPMicroFASTnew.doc-3/6/06 Page 1 of 3
LlMassachusetts Department of Environmental Protection
j`' Bureau of Resource Protection o Title 5
Approved Inspection and O&M Form for Title 5 I/DEP
Treatment and Disposal Systems
6967
E. Field Testing
Field Inspection
Color: 0 gray Q brown 0 clear 0 turbid
0 other(specify):
Odor: Q musty Q earthy 0 moldy 0 offensive 0 turbid
Effluent Solids: Ono 0 some
pH SU DO 8.13 mg/L. Turbidity 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
9Pd
Parameters sampled: Q pH 0 BOD Q CBOD Q TSS 0 TN 0 Other(list below)
Other 1 Other 2 Other 3
G. Inspection and Maintenance
Description of any maintenance performed since previous inspection and during this inspection
Cleaned Filter, , , Splash Recycle
Notes and Comments: Pump chamber not to grade. Letter to owner
DEPMicroFASTnew.doc•3/6/06 Page 2 of 3
Massachusetts Department of Environmental Protection
Li Bureau of Resource Protection e Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
6967
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.
Michael Dillen 02/14/2006
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 st 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•3/6/06 Page 3 of 3
LAMI R N C O R P OR AT ( D
8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 6967
e-mail: onsiteCaZbiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER
151 Raleigh Tavern Lane
Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc.
Owner Name Paul Antinori Street
Mail Address: Mail Address 44 Commercial Street
151 Raleigh Tavern Lane Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone 978 682 4271 Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 MCF215 09/21/1998
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 gpd.
H Standard Units)
Color
Temperature
Odor
Comments: Pump chamber not to grade. Letter to owner
TECFINICIAN SERVICE DATE
Michael Dillen 02/14/2006
`Cf��r�sCc��v�rfcr , ,ie�rlirr,eitG c fcjrt�rce,�s,, �.�,��.
44 Commercial Street
Raynham, MA
02767
September 26, 2006 Tel: (508) 880-0233
Fax: (508) 880-7232
Paul Antinori ,: h 3 200
151 Raleigh Tavern Lane
North Andover, MA 01845 fJ
Reference: Dividing Wall Cover& Pump Chamber Not To Grade
1.51 Raleigh Tavern Lane, North .Andover—Serial # MCF215
Dear Mr. Antinori:
Wastewater Treatment Services was at your site for service and testing of your FAST
Treatment System.
As of January 1, 2006, the Massachusetts Department of Environmental Protection changed
its requirements on all alternative septic systems for service and testing in single family
homes. The main concern is that some permits previously did not require testing and the
distribution boxes and other covers were not brought to grade. This has all changed with the
new guidelines from the State. Access to all covers; the distribution box,pump chamber,
observation and UV (if applicable) is now required so it is essential that access is given for
service and field testing in order to meet these State requirements. It is the owner's
responsibility to have these covers brought to grade. Additional visits required because of no
access to test will be billed at our hourly rate.
Please have covers brought to finish grade so we can complete the requirements of your
permit. Your help is needed to resolve this issue. If you have any questions, please call.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Cc: North Andover Board of Health