The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 45 BRIDGES LANE 2/14/2006 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 March 6, 2006 . MA North Andover Board of Health TOWN LT ,' F'�'> �..ar r� . . N..r 400 Osgood Street ._ w,.,. ... ri... ._ North Andover, MA 01845 Attention: Health Agent . Reference: FAST'Wastewater Treatment System Serial Number: 24751 i Attached please find the Field Inspection& Service Report with field test results for services performed on 02/14/2006 at the property of Michael Fox located at 45 Bridges 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: Michael Fox Massachusetts DEP Ll DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 Approved Inspection and ® M Form for Title 5 I/A Treatment and Disposal Systems 6776 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 t 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•316106 Page 3 of 3 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 5211 A. Installation Important: Michael Koenig When filling out Owner forms on the computer, use 45 Bridges 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: r� 29 Berry Patch Lane Street Address/PO Box: Boxford MA 01921 City State Zip (978-561-5007 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 Kevin Usilton 12530 Certified Operator Name Certification Number C. Facility/System Information 24751 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 05/17/2005 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 08/24/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended —Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc•9/13/05 Page 1 of 2 i INC 0RP0NATF0 8450 Cole Parkway w Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 5211 e-mail: onsite(cD-biomicrobics.com m www.biomicrobics.com W 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 45 Bridges Lane Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Michael Koenig Street Mail Address: Mail Address 44 Commercial Street 29 Berry Patch Lane Raynham, MA 02767 Boxford,MA 01921 City State Zip 508-880-0233 508-880-7232 Phone 978-561-5007 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24751 05/17/2005 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 Treatment units Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Kevin Usilton 08/24/2005 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ® M Form for Title 5 I/A Treatment and Disposal Systems 6778 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 315f 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•3/6/06 Page 3 of 3