HomeMy WebLinkAboutMiscellaneous - 45 BRIDGES LANE 9/20/2006 44 Commercial Street
Raynham,MA
02767
Tel; (508)880-0233
Fax; (508)880-7232
September 25, 2006 '"VV[11�OF ��
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North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST° Wastewater Treatment System
Serial Number: 24751
Attached please find the Field Inspection& Service Report with field test results for
services performed on 09/20/2006 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
\ ( 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
6778
A. Installation
Important: Michael Fox
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 use the return y Zip
key. Mailing address of owner, if different:
VQ 45 Bridges Lane
Street Address/PO Box:
North Andover MA 01845
City State Zip
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 Zavelle 12920
Certified Operator Name Certification Number
C. Facility/System Information
24751 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer ID Model Number
05/17/2005
Installation Date Start of Operation
Approval Type: 0 General Q Provisional 0 Piloting ®Remedial
Seasonal Residence— used less than 6 mo./year: 0 Yes ®No
D. Operating Information
09/20/2006
Inspection Date Previous Inspection Date
12"
Sludge Level Pumping Recommended 0 Yes ®No
DEPMicroFASTnew.doc•9/25/06 Page 1 of 3
Massachusetts Department of Environmental Protection
Ll Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
E. Field Testing 6778
Field Inspection
Color: 0 gray 0 brown ®clear Q turbid
0 other(specify):
Odor: 0 musty ®earthy 0 moldy ®offensive ®turbid
Effluent Solids: ®no 0 some
pH 6.5 SU DO 5.98 mg/L; Turbidity 6.82 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 Q 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, , , Checked Splash Recycle,
Notes and Comments:
DEPMicroFASTnew.doc•9/25/06 Page 2 of 3
Massachusetts Department of Environmental Protection
Bureau of Resource Protection a Title 5
DEP Approved Inspection and O&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,
David Zavelle 09/20/2006
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 31 St 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•9/25/06 Page 3 of 3
1 =PO C 0 R R A T E O
8450 Cole Parkway w Shawnee, KS 66227 w Phone 913-422-0707 m Fax: 912-422-0808 6778
e-mail: onsite(ftiomicrobics.com m www,biomicrobics.com T 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 Fox
Mail Address: Mail Address: 44 Commercial Street
45 Bridges Lane Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone: 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 X
Treatment unit(s)
Unusual Odor
Pum out Required: X
Primary Settling Zone 12"
Aerobic Treatment Zone 12"
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 440 gpd.
H Standard Units)
Color
Temperature 72.0
Odor Earth
Comments:
TECHNICIAN SERVICE DATE
David Zavelle 09/20/2006