HomeMy WebLinkAbout2016 �
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Massachusetts Department of Environmental Protection RECEiVED
"` ,��`•��, Bureau of Resource Protection - Title 5 =c".l� 1 8 ���6
'i'' DEP Approved Inspection and O& M Form for Title 5 I/
� HEALTH DEPT.
Treatment and Disposal Systems
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A. Installation B.Authorized Service Provider
14 Buttercu Lane South Yarmouth 02664 Ste hen B.Nelson,LLC d/b/a Clearwater Recove
Facility Street Address O&M Firm
Owner: 175 S rin Street Rockland MA 02370
Paul Uanes Street Address
14 Buttercup Lane
SouthYarmouth MA 02664- 781-878N3849 � __�_ _�_�_. _
Telephone Number
Stephen �_ 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 Installation Date Start of Operation
Approval Type: �General �Provisional �Piloting ❑Remedial Seasonal Res-used less than 6 mo./yr �Yes �X No
D.Operating Information
6/1/2016 I/A ❑Yes ❑No
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Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended
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E. Field Testing
Field Inspection:
Color: I _ ;gray ,_ _�brown ��clear ❑turbid �other:
Odor: `J musty '��earthy �moldy ❑offensive x0 other: Odorless
Effluent Solids: C�no �some pH 7.2 SU DO 3 m�-•-------- Turbidity 5.09NTiJ
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: systems with a design flow performed routine operations and
of 2000 gpd and greater, maintenance service and system is operating '
Influent and General User nitrogen normally at this time.
reducing systems:
Effluent
_____ _ �.
330.00
gPa
H. Ceritication
I certify: I have inspected the sewage tream►ent 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.
'.��1�C�.., �`��.� 6/1/2016
Operator Signature Date
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6
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FIELD INSPECTION & SERVICE REPORT
FAST wastewater treatment systems
INSTALLATION AUTHORIZED SERVICE PROVIDER
Installation Address 14 Buttercup Lane,South Yarmouth Name Stephen B.Nelson,LLC d/b/a Clearwater Recovery
Owner Name Paul Llanes Street 175 Spring Street
�Mail Address 14 Buttercup Lane Mail Address
�City_South Yarmouth State MA Zip 02664 City Rockland State Ma Zip 02370
', Phone Fax Phone 781-878-3849 Fax 781-871-4918
�, Email skwthaydn@hotmail.com Email
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; INSTALLATIQN INFORMATION
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� Model No. Serial Na Date of Installation Date of last pumpout
3/1/2001
MAINTENANCE PERFORMED
; EQUIPMENT YES Np COMMENTS AND RECOMMENDATIONS
rElectrical Panel(s)
Performed routine operations and maintenance service and
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i Visual Alarm Operating � Yes system is operating normally at this time.
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Audio Alarm Operating Yes
' I
I (if present)
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�Blower(s) ------- -- -
I Air Inlet Filter Clean Yes
� Blower Hood Vents Clear Yes
F
i Excessive Noise No
� Excessive Vibration No
1-
I Treatment Unit(s)
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� UnusualOdor No
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� Pumpout Required: No
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Primary Settling Zone Sidg:I/A Scum:UA
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! Aerobic Treatment Zone
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EFFLUENT(options) LIMIT RESULT
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I Estimate Daily Flow
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� pH(Standard Units) 6-9 S.U. 7.2
� Color Clear Cleaz
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I Temperature
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' Odor " Slightly Odorless
',' Musty odor
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(not septic)
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' SIGNATURE SERVICE DATE
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� 6/1/2016
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