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HEALTH DEpT
WATERLOO BIOFILTER SYSTEM
� ROUT'INE INSPECTION
ADDRESS: 300 Lon�Pond Drive Yarmouth OWNER: Garramone
DATE: May 18 2016 OPERATOR: Mario Rosa
SYSTEM STATUS
' Septic Tank
� Effluent Filter: Cleaned
Scum Depth: 1"(Measured on 10/07/15)
Sludge Depth: 5"(Measured on 10/07/15)
Pump Chamber
Pump H-O-A Setting: Auto
Pump Cycle Timer: 30 seconds on, 8 minutes 30 seconds off
Elapsed Time Meter: 90,997 minutes
Event Counter: 151,549
High Level Alarm Count: 19
Low Level Alarm Count: 131
Exercise Pump: Yes
Test&Clean Floats: O.k.
Tank Condition: Good
Waterloo Biofilter Chamber Recirculating Pump Disposal Pump
Pump H-O-A Setting: Auto Auto
Pump Cycle Timer: 2 minutes on, 12 minutes off On Demand
Elapsed Time Meter: 95,768 minutes 170 81 hours
Event Counter: 100,860 2 138
High Level Alarm Count: 25 p
Exercise Pump: Normal Normal
Test&Clean Floats: Yes Yes
Tank Condition: Good
Foam Medium Condition: L���y
Spray Nozzles: Clean
ITV Treatment
Check Light: Working '
Clean Light: Clean
Effluent Quality 4
Visual Inspection: Clear no odor '
Sample: pH= 7.0,Dissolved Oxy�en=9 8 m�/L Turbiditv=0 96 NTU
Comments: Sampled from the Waterloo Biofilter n 3•30 n m
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Signature: Certificate# 15652
� PO Box 825, Ipswich, MA 01938 � 978-356-0779 • Fax 978-356-5500 • www.clearwaterindustries.com
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{ : 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
� A. Installation
� Important:When Barbara Garramone
� filling out forms Owner
on the computer,
use only the tab 300 Long Pond Drive
; key to move your Facility Street Address
cursor-do not Ya�mouth 02675
kee the return City Zip
Y
� Mailing address of owner, if different:
,�
� Street Address/PO Box:
� �
City State Zip
� ) - @Xt.
Telephone Number
B. Authorized Service Provider
Clear Water Industries
O&M Firm
P.O. Box 825
Street Address
Ipswich MA 01938
City State Z�p
(978) 356-0779 ext.
Telephone Number
Mario Rosa 15652
Certified Operator Name Certification Number
C. Facility/System Information
DEP ID Manufacturer ID Model Number
September 12, 2005 April 1, 2006 '
Installation Date Start of Operation
Approval Type: ❑ General � Provisional ❑ Piloting ❑ Remedial
Seasonal Residence—used less than 6 mo./year: � Yes ❑ No
D. Operating Information
May 18, 2016 October 7, 2015
Inspection Date Previous Inspection Date
5"
Sludge Depth(to be checked yearly) PUtllpltlg R2COt71�'1@f1d@d ❑ Yes � No
t5aiom.doc•rev. 11-07-05
Page 1 of 3
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� - 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
E. Field Testing
� Field Inspection:
Color: ❑ gray ❑ brown � clear ❑ turbid
� ❑ Other(specify):
Odor: ❑ musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid
Effluent Solids: ❑ no ❑ some
j pH 7.0 SU p� 9•8 mg�� Turbidity •96 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: ❑ Influent � Effluent
Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use
nitrogen reducing systems:
gpd
Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS � TN ❑ Other(list below)
Other 1 Other 2 Other 3
G. Inspection and Maintenance
Description of any maintenance performed since previous inspection &during this inspection:
Notes and Comments:
Field sample was clear with no odor. Effluent sample to test for Total Nitroqen
t5aiom.doc•rev. 11-07-05 Page 2 of 3
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. 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
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.
`�6���,Cf1��.��G� May 18, 2016
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 S'of each year for the previous calendar year
Piloting Use-within 45 days of inspection date
Provisional Use—by March 31th 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, 6t" Floor
Boston, MA 02108
t5aiom.doc•rev. 11-07-05
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f 41 Dayton Street
�ortheast Danvers, MA 01923-1015
978.777.4442
ENVIRONMENTAL LABORATORY,INC. MADEP# M-MAi23
Clear Water Industries
P.O. Box 825 05/27/16
, Ipswich, MA 01938 Report# 43499
NEL#A14658: 300 Long Pond Drive Yarmouth Waterloo Effluent coilected 05/18/16 at 15:30 by MR and received at NEL OS/19/16 at 09:15 by
AP.
Parameter Result DL PQL Method Analyzed By Lab Cert.*
Nitrate 23.6 mg/L 0.4 2 300.0 05/19/16 13:41 KC MA123 P, N
Nitrite 0.72 mg/L 0.2 1 300.0 05/19/16 13:41 KC MA123 P
Tota�Kjeldahl Nitrogen ND mg/L 2 2 351.1 OS/26/16 JSM CT008 N
*Analyses conducted in accordance with MA DEP certification standards for potable water(P)or non-potable water(N) unless noted otherwise.
Not Detected (ND)indicates that if the analyte is present,the concentretion is below the detection limit. Detection Limit(DL)is the method
detection limit adjusted for dilutions. Practical Quantification Limit(PQL)is the lowest instrument calibration level adjusted for dilutions,below
which concentrations are estimated.
\YP... �.s�qc��
John Lovatt
Laboratory Director
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