HomeMy WebLinkAbout2016 j � / ,y
RECEIVEG ���
, Massachusetts Department of Environmental Protection ���� � $ ��
; �.___ 2( 6 �
' ~�, Bureau of Resource Protection - Title 5 '
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F" DEP Approved Inspection and O& M Form for Title EALTH DEP"f.
`�t
Treatment and Disposal Systems
-- ---__ _----- _ --- ------------ --- ---- -- ----__.___
A. Installation B.Authorized Service Provider
64 Cam_p Street__West Yarmouth 02673 Ste hen B.Nelson,LLC d/b/a Clearwater Recove
Facility Street Address O&M Firm
Owner. CSL Cogan,LLC 175 S rin Street Rockland,MA 02370
Niall Cogan Street Address
� 64 Camp Street _781�87g_3849 __�_ _�_ �
' West Yarmouth MA 02673- Telephone Number
� Stephen 3891
; � �
: Telephone: Certified Operator Name Certification Number
_ _ __ ---------
---___--
C. Facility/System Infor`msfion
Sin lair �� ll/5/2014
�DEP ID � ��� Manufacturer ID Model Number Installation Date Start of Operation
Approval Type: �_]General �`1 Provisional ��Piloting �Remedial Seasonal Res-used less than 6 mo./yr �Yes �No
--- ._------ -____----------------------- - —_.. _
D.Operating Information
6/1/2016 14° L�Yes ❑No
_._.. ____. ___..... ........�_._.._. _.._�...__._________.._ _
Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended
_ - _ __ _ _ -- --- ---- _---- ---- -------- __--- ---- ___---------_____-- ---------
E. Field Testing
Field Inspection:
_--I
Color: ; a , _ � � _ _
_ ,gr y � ;brown j_x�clear ; J turbid ��other:
Odor: ir__,�musty i_�earthy ��moldy L�offensive �other: Odorless
Effluent Solids: �j no L�some pH 6.8 SU DO ?-m-�-�•-�-- Turbidity 6.82NTU
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 Parameters sampled: Commercial systems or G. Inspection and Maintenance
Samples: Eff-Ammonia,Nitrogen 350.1 systems with a design flow performed routine operations and
of 2000 gpd and greater, maintenance service and system is operating
lnfluent and General User nitrogen normally at this time.Obtained efFluent lab
Effluent reducing systems: sample for TKN,TSS,NN3,NO2,NO3.
� -.,� .. _.� _.., r�,_�._ 660.00
gpd
__ ___ _ _ — ---_ _____-- __------ ---------- ----
H.Cerification ----- — ---------------__—_ ----
I certify: I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached
manufacturer's 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.
,,�:+��:-_�`/���. 6/1/2016
Operator Signature Date
�
� , .
i
I
SfNGtlLRIR�
WASTEWATER TREATMENT SYSTEM
SER VICE INSPECTION CHECKLIST
ADDRESS: 64 Camp Street, West Yarmouth, QWNER: Niall Cogan
� __-- -- - ---_--__----- --
� OPERATOR: Stephen B. Nelson, LLC d/b/a Clea DATE: 6/1/2016
i This checklist summarizes the service procedures to be performed during a routing Singulair Bio-Kinetic
� service inspection. Refer to the Singulair Service Manual for a detailed explanation of each service procedure
and an O& M troub(eshooting guide.
CONTROL CENTER SERVICE COMMENTS AND RECQMMENDATIONS
� n Check o eratian of control center
-- � PerfDrmed routine operations�n�maintenance service
� Adjust time clock when required and system is operating normally at this time.Obtained
effluent lab sample for TKN,TSS,NH3,NO2,NO3.
AERATOR SERVICE
� Check aerator operation
0 Check aerator power consuption
� Check aerator air delivery
� Clean stainless steel aspirator shaft
� Clean aspirator tip
� Clean fresh air vent in concrete cover
� Inspect aeration chamber contents
CLARIFICATION CHAMBER SERVICE
� Remove the Bio-Kinetic system
� Scrape the clarification chamber
� Inspect the Bio-Static sludge return
� Inspect outlet coupling
.C1..__-lnstall a clean_B�ia�ia�etic svstem
0 Fill Blue Crystal feed tube(if installed)
� Fill Bio-Neutralizer fee tube(if installed)
GENERAL SERVICE
� Inspect effluent pump chamber
� Inspect effluent quality
� Inspect outlet line
� Inspect effluent disposal system
� Complete owner service record
� Complete health department notification
� Complete distributor service record � � �,���
SIGNATURE: ��"
� Mail heath department notification ------------------_—_____.._ ___ ;
�
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�
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,., Massachusetts Department of Environmental Protection G�i��,����(�p �
��^ Bureau of Resource Protection - Title 5
��� _` �;�.� MAY 2 3 2016 �
��'�, DEP Approved Inspection and O& M Form for Title 5 /A �
Treatment and Disposal Systems HEALTH DEPT. �
A. Installation B.Authorized Service Provider �
64 Camp Street West Yarmouth 02673 ,Stephen B.Nelson LLC dlb/a Clearwater Recovery �
Facility Street Address O&M Firm
Qwner: CSL Cogan,LLC 175 Sprin�Street Rockland MA 02370 __ �
Niall Cogan Street Address �
64 Camp Street 7g1-878-3849 �
West Yarmouth MA 02673- i
Telephone Number ;
Daniel 17153
Tele hone: Certified Operator Name Certification Number _ _ �
P
__ _.---------- ;
C. Facility/System Information !
Singulair 11/5/2014 i
DEP ID Manufacturer ID Model Number Installation Date Start of Operation ��
Approval Type: �General �Provisional �Piloting �Remedial Seasonal Res-used less than 6 mo./yr �Yes �No �
�
D.Operating Information
4/21/2016 14" ❑Yes ❑No
Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended
E. Field Testing
Field Inspection: �
Color: ��gray �brown [x�clear �turbid [�other: �
-- --
Odor: j_ ]musty ���earthy ❑moldy �offensive �other: Odorless
Effluent Solids: �j no �some pH 6.6 SU D� 4.5 me/L Turbidity 7•32NTU
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 Standazd Methods and analyzed for BOD and TSS.
F.Sampling Information Parameters sampled: Commercial systems or G.Inspection and Maintenance
systems with a design flow performed routine operations and I
Samples: of 2000 gpd and greater, maintenance service.Collected lab sample
Influent and General User nitrogen for TN,TSS,and NH3.System operating
reducing systems: normally at this time.
Effluent 660.00
SPd
H.Cerification
I certify:I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached
manufacturer's 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.
_..r-�
�� .�='�%__._.�~---.-. 4/21/2016___._
t—_'�.'�"—,�'��—'� ---- ---- -----
Operator Signature Date
�
�
i
; �
' " �5I�i1GU1.RIR�
WASTEWATER TREATMENT SYSTEM
SER VICE INSPECTION CHECKLIST
ADDRESS: 64 Camp Street, West Yarmouth, OWNER: Niall Cogan
� OPERATOR: Stephen B.Nelson, LLC d/b/a Clea DATE: 4/21/2016
This checklist summarizes the service procedures to be performed during a routing Singulair Bio-Kinetic
service inspection. Refer to the Singulair Service Manual for a detailed explanation of each service procedure
and an O& M troubleshooting guide.
CONTROL CENTER SERVICE COMMENTS AND RECOMMENDATIONS
� Check operation of control center Performed routine operations and maintenance service.
i 0 Adjust time clock when required Collected lab sample for TN,TSS,and NH3. System
operating normally at this time.
AERATOR SERVICE
� Check aerator operation
� Check aerator power consuption
� Check aerator air delivery
� Clean stainless steel aspirator shaft
0 Clean aspirator tip
0 Clean fresh air vent in concrete cover
�❑ Inspect aeration chamber contents
CLARIFICATION CHAMBER SERVICE
0 Remove the Bio-Kinetic system
0 Scrape the c(arification chamber
� Inspect the Bio-Static sludge return
0 Inspect outlet coupling
❑ Install a clean Bio-Kinetic system
❑ Fill Blue Crystal feed tube(if installed)
� Fill Bio-Neutralizer fee tube(if installed)
GENERAL SERVICE
� Inspect effluent pump chamber
�❑ Inspect effluent yuality
� Inspect outlet line
� Inspect effluent disposal system
❑ Complete owner service record
❑ Complete health department notification
� Complete distributor service record ��
SIGNATURE: �-'' "
���.�_._--._...
❑ Mail heath department notification