HomeMy WebLinkAbout2015 ' , Massachusetts Department of Environmental Protection '
� Bureau of Resource Protection - Title 5 PrOV ; G ��j,5
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i DEP Approved Inspection and O& M Form for Title 5 �/A
reatment and Disposal Systems
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A. Installation B. Authorized Service Prov�der
I4 Bu[[ercup Lane South Yarmou[h 02664 Steohen B.Nelson,LLC d/b/a Clearwater Recoverv
Faciliry S[reet Address O&M Firm
Owner: 175 Soring Street Rockland MA 02370
Paul Llanes Street Address
14 Buttercup Lane
South Yarmouth MA 02664- 781-$�$-3849
; Telephone Number
Daniel �7�93
� �� � � Telephone: (508)394-4U62 Certified Opera[or Name Certification Number
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��� C. Facility/System Information
j --..----- Fast _ 3/1/2001 3/1/2001
DGP ID Manufacturer ID Model Number Installation Date Start of Operation
iApproval Type: X General Provisional 'piloting �;Remedial Seasonal Res-used less than 6 mo./yr j Ji Yes ��No
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j D. Operating Information � ��� �� � �� �
� 10/14/2015 ��!Yes ❑No
� Inspection Date Previous Inspec[ion Date Sludge Dep[h(to be checked yearly) Pumping Recommended
� _ .__ _ . . .. _ . .. _. _..... . ____ . . ._.__ _... .- - - --.. __-�----------
E. Field Testing
Field Inspection:
Color. gray brown x 1 clear _ ',mrbid 'I ',other.
Odor. musry earthy moldy , 'offensive x ',other: Ododess
Effluent Solids: ���.X :no ����� .�some pH 7.2 SU p� 5 me/L Turbidity �0.87NTU
6 to 9 2 or greater 40 or less
Should a Remedial or General Use system fail the Field Testing,eflluent samples shall be collected per Standard Me[hods and analyud Por BOD and TSS.
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F. Sampling Information Parameters sampled: commerciai syscems or G. Inspection and Maintenance
Samples: systems with a design Flow performed routine operations and
of 2000 gpd and greater, maintenance service and sys[em is opera[ing
Influent and General User nitrogen nortnally. Performed sys[em pump ou[of
Effluen[ reducing systems: I500 gallons from FAST unit.
330.00
gpd
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H.Cerification
I cenify: I have inspec[ed the sewage treatment and disposal syscem at the address above,have completed this report and the attached ,
manufac[urer's opera[ion and maintenance checklis[,and[he information reported is[rue,accura[e,and complete as of[he time of the ''�
inspection. I am a Massachusens certified operator in accordance with 257 CMR 2.00. .. . . . . '
�`��� '
�� __ _ 10/14/2015
Operator Signature Date
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FIELD INSPECTION & SERVICE REPORT
FAST wastewater treatment systems
' INSTALLATION AUTHORIZED SERVICE PROVIDER �
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Ins[allation Address 14 Buttercup Lane, South Yarmouth Name Stephen B.Nelson,LLC d/b/a Clearwater Recovery
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Owner Name Paul Llanes � Street 175 Spring Stree[
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Mail Address 14 Buttercup Lane Mail Address
City South Yarmouth State MA Zip 02664 City Rockland State Ma Zip 02370
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Phone Far ', Phone 781-878-3849 Fax 781-871-4918
�Email skwthaydn@hotmail.com ��Email
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' INSTALLATION INFORMATION
Model No. Serial Na Date of[nstallation Date of last pumpout
. _ --_
3/1/2001 i
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MAINTENANCE PERFORMED
EQUIPMENT YES NO ' COMMENTS AND RECOMMENDATIONS
_ -- - —--_--- --
Electrical Panel(s) Performed routine operations and maintenance service and
_ _
I Visual Alarm Operating Yes system is operating normally. Perfortned system pump out of
' ----- - - 1500 gallons from FAST unit.
Audio Alarm Operating Yes '
' (ifpresent)
Blower(s) _ _ , _ _ . _,I
�__ __. , - - - - ;.
Air Inlet Filter Clean Yes
Blower Hood Vents Clear Yes
,__ _ _ _ ._
Excessive Noise No ', �
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Excessive Vibration No '
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Treatment Uni[(s)
Unusual Odor No
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' Pumpout Required: No �
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'� Primary Settling Zone �� Sldg '�.. Scum: ',
Aerobic Treahnent Zone �''
' EFFLUENT(options) LIMIT RESULT '
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Estimate Daily Flow ��i '
pH(Standard Units) 6-9 S.U. 72
Colot Cleaz . Ciear ' i
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Temperature
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Odor ' Slightly Odorless '
��. ' Musty odor '�, ''�, ��
_ .(not septic)
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�C ICIAN SIGNATURE SERVICE DATE
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�� `�f� ]0/l4/2015
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Massachusetts Department of Environmental Protection ��C�C�ObC�D
e,', Bureau of Resource Protection - Title 5 AUG 2 S 2015
', DEP Approved Inspection and O& M Form for Title 5 I
Treatment and Disposal Systems HEALTH DEPT.
----- - -- ----- -- --- ----
A.Installation B.Authorized Service Provider
14 Buttercup Lane South Yarmouth 02664 St�hen B.Nelson,LLC d/b/a Clearwa[er Recovery
Facility Street Address 0&M Firm
Owner. 175 S rip ng Street Rockland,MA 02370
Paui Llanes Street Address
14 Buttercup Lane
South Yarmou[h MA 02664- �81�878�3849
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Telephone Number
Ste�n 3891
Telephone: (508)394-4062 Certified Operator Name Certification Number
C. Facility/System Information
Fast _ 3/1/2001 3/1/2001
DEP ID Manufacturer ID Model Number Installa[ion Date Start of Operation
Approval Type: �General �Provisional �'Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr L�Yes �No
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D.Operating Information
7/29/20I5 UA �Yes �No
Inspec[ion Date Previous Inspection Date Sludge Deplh(to be checked yearly) Pumping Recommended
E. Field Testing
Field Inspection:
Color: ❑gay ❑brown �]clear ❑twbid ❑other:
Odor: !JI musry �earthy I�moldy �"�offensive �X'�other: Odorless
Effluent Solids: 'X'��,,no I,-i some 6.8 SU 3 me/L 18.6NTU
i . ...i PH DO Turbidity
6 to 9 2 or greater 40 or less
�� Should a Remedial or General Use syscem fail the Field Tes[ing,effluent samples shali be collected per Standard Methods and analyzed for BOD and TSS.
_. . .._---- . . __-- ----__---- --------- --- ___. .. ...
F.Sampling Information Parameters sampled: Commercia�syscems or G. Inspection and Maiotenance
Samples: systems with a design Flow p�fortned routine operations and
of 2000 gpd and greater, maintenance service and system is operating
Influent end General User ni[rogen normalty at this time.Must reNm ro pump
reducing systems: system and possibly add risers ro inspeciton
Effluen[
330.00 Port and inle[.
gpd
I� _- .__.._-_ -__.- ___.___._.- - - - .___. .._ .. ____._.._.__ _
H.Cerification
I certify:I have inspected the sewage treatment and disposal system at the address above,have completed this report and the attached
manufacmrer's operation and maintenance checklist,and the infortnation reported is We,accurate,and complete as of the[ime of the
inspection. I am a Macsachusetts certified operator in accordance with 257 CMR 2.00.
�'J�`. ���� 7/29/2015
— --__ ..._ _- ---_ ____
Operator Signature Date
� ~ � 1
i.....�
FIELD INSPECTION & SERVICE REPORT
FAST wastewater treatment systems
� INSTALLATION AUTHORIZED SERVICE PROVIDER
Installation Address 14 Buttercup Lane,South Yazmouth Name Stephen B.Nelson,LLC d/b/a Cleazwater Recovery I�
pwner Name Paul Llanes Street 175 Spring Street �
i Mail Address 14 Buttercup Lane Mail Address
�Ciry South lrarmouth State MA Zip 02664 Ciry Rockland State Ma Zip 02370
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� Phone Fax Phone 781-878-3849 Fax 781-871-4918 �i
! Email skwthaydn@netscape.com Email '
I, - - _. _ _ _-- -- -- — _ _ - ��
' INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pumpout
3/1/2001
MAINTENANCE PERFORMED �
EQUIPMENT YES NO COMMENTS AND RECQMMENDATIONS _�
Electrical Panel(s) Performed rouNne operations and maintenance service and ;
j Visual Alazm Opera[ing Yes system is operating normally at this time.Must return to pump ;
' ' Audio Alarm Operating Yes system and possibly add risers ro inspeciton port and inlet.
' (ifpresent)
� Blower(s)
i
� Air Inlet Filter Clean Yes '.
�------- '
i Blower Hood Vents Cleaz Yes i
i� Excessive Noise No i
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Excessive Vibration No �:
i
Treatment Unit(s) i
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' UnusualOdor No
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Pumpout Required: � No
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' Primary Settling Zone � Sldg:I/A '� Scum: I� ����
I
Aerobic Treatment Zone �
� EFFLUENT(options) LIMIT RESULT I
� _.--
; Estimate Daily Flow
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i pH(Standazd Units) 6-9 S.U. 6.8
Color Cleaz Cleaz �
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' Temperature '
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�Odor Slightly i Odorless I
� Mus odor I
(not septic) I� i
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� ��Ai�#�l�i SIGNATURE SERVICE DATE
� �'� 7 ��' � ---
7/29/2015