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Home My WebLink AboutTitle V Inspection Report - 72 SAW MILL ROAD 1/26/1996 S "A i I J R, d Leslie k Vuru a Hudnmt North Andover , Ma 01845 Owner's Jill 4 sp(,,,,,r c � J'on JZeport % " "17(mul of "N6:i:'AJ"i Arich)-ver Board al," .1-leal- th Copy Scyvicc Pu, 02 & Drain Co — Jnc , ( 617 ) 245-757() P , 0 . Box 498 ( 800 ) 794 -920 Wnhurield , Ma 01 ;;80 FaN ( 617 ) 245- 759() Gt'i l l iam F . We1.CI commonwealth of Massachusetts Governor Executive office of Environmental. Affairs Trudy Coxe S c eta" IRA Department of Environmental Protection David f3 . Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION Ii'OJ:M PART A CERTIFICATION Property Address: 72 Saw MAI had, )forth Andover, M; 01845 "(Puss of owner Dale 01 Inspection: January 23, 199,% lI differ,-W Name of inspector: John B. Iiicholas Company: Service- Pumafng fs Drain Co,, Inc,, PLO, Box 498, Fake-field, Ma 01880 (6171 245-75y6 CERTIFICATION STATEMENT 1 certify that 1 have personally inspected file sewage disposal system at this address and that -the information reported below, is true accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-sitee sewage disposal systems, To system: Y, Passes Conditionafly Passes --- ?feeds Further evaluation By the Local Approving Authority rails inspectors Signature: 5 / Date: /46- .� The System inspector shall submit a copy of this Aspection report to the Approving Authcriti within Thirty (MM days of Weting this A spection, it the systeii Is a shared system or has a design flow of 1400 go or ._reater, the Spector and the system owner shall submit the report to the appropriate rq bnal office of the Department of 13mvironmental ProtmO on, The original should be sent to the system owner and copies sent to the buyu, if applicable and the approving aut k rity, INSPECTION SURRARY check A, B, C or D: A! SYSTEI4 PASSES: 1 name nott found any information which indicates that the systeri violates any of the- failure criteria as defined in ---- 310 CNR 15,303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDI"1IONAiLLY PASSES: ----- One or more system components need to be replaced or repaired. The system, upon completion of the r piaeement or repair, passes inspection, I rd i ca ke yes, no, nr not determined (Y, II, or ND1, Describe- basis A deA rM nation in all iumnues, if 'not determined`, explain achy not, The septic tank Is metfl Cracked, structurail'. unsound, shows sdstant'ai IfAkation or exiilfration, or tank failure is Am'n.ent, The SPUM WWI pHs iI'_"C:wn If tha: Busting septic tank is replaced with a con fo Fill,ing septic Cask as apprond by the Bald of HAS vised 845051 One whiter Street 8 Boston, Massachusetts 02108 t Fax (617) 556-1049 Telephone; (611) 242-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ART fR CERTIFICATION (continued ) Property Address: ?? Saw Hill Road, North Andover, tla 01844 Owner: Leslie 11 Veronica Hudson Date of inspection: January 2 , 1990 H] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water (eyes oasa nd in the iiisiribution box is due to broken or obstru ud pipes) or due to a broken, settled or uneven distribution box. The S"Am will pass inspection if Nith approval of the Board of Hcaltli�: ----- broken pipe(a rare rghced Obstruction is removed ------ distribution bo:z is levelled or replaced --- The system required pumping more than four times a year due- to broken or obstructer± polo, The s"Am wili pass inspection if (with approval of the Board of Health : ----- broken pipes) are replaced Obstruction is removed C] FURTHER EVALUATION 13 REQUIRED BY THE BOARD OF HEALTH: �'on-ditiofis exiJ( which require further endu ation by the 8m rd of Had to in order to determine if the System is failig to protect the public health, safety and the environment, I� SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERNINES THAT THE SYSTEM IS NOT FUNCTIONING IN A HANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ERVIROHMENT: __-- Cesspool or privy is within So feet of a Snrface 'vatef ___ Cesspool or privy is Wulf if 0 feet of a bordering vegetated wethpli or a [salt mush 2) SYSTEI4 DILL FAIL UNLESS THE BOARD OF BEALTB (AND PUBLIC WATER SUPPLIER, IF APPROPRIATES DEJERNINES THAT THE SYSTEM IS FUNCTIONING IN A HARDER THAT PROTECT THE' PUBLIC HEALTH AND SAFETY AND THE ENVIRONNEN'T: _-- � e a;�s,G, has « septic tank and soil absorption syst,�m and is ,aitlifn 11I0 feel to a surface water stipple or tributr,ry to a surfan ;later supply. Cho System has a septle tiink Anil ski absorption System mill is within a Zone i of a pd lic ;water Supply }Jell , The system has a septic tank and soil absorption system and is within 9 Net of a private writer Supply At. --- The system has a Septic tank and soil absorption System and k Ws than 11O Net but SO Net or more form a. private ':eater Supply well, pains a well, 'water analysis for con form bacterial and volatile organic compounds indicates that r the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal N or less than S pp. D) SYSTEM FAILS: I have determined that the system violates one or more of tilee following failure criteria as defined in 310 CI14R 15.103, The basis fur this determination is identified below. The Board of Hcatth Should be contacted to determine what will be necessary to correct the failure, —_— Backup of Set'?age into facility or systeal component due to an overloaded or clogged SAS or cesspool, --- Discharge or ponding of effluent to the surface of the ground or Surface waters flue to an overloaded or clogged SAS or cesspool, frc;iscd B I5 95l SUBSURFACE SEWAGE INSPE DI SP SYSTEM C TION FORM POSA ART A CERTIFICATION ( COntiDued) Property Address: 72 Saw Vi I I Road, lloyth Andover, 14a 01545. Omer; Leslie f, Veronica Hudson Date of Inspection: January 23, 1996 Ill SYSTH FAILS (cofltinued): Stath liquid level A the distribution box above outlet Avert (We to an overloaded or clogged SAS or cu"mi, Liquid depth in cesspool is less than 6" below Avert or available volume is Ass than 1/2 day fin, Required pumping more Chan 4 tins in he last year LIU due to cio'vged or obst'llcod pipe(sj. Number of ties puged-, --- Any portion of the Soil Absorption SpAm, cesspool or privy is below he high groundwater elevation. Any Portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply, --- Any portion of a cesspool or privy is within: a Zone 1 of a PAN well, --- Any Portion of a CuNpuy or privy is within 50 few of a PHUA nor supply well. --- Any portion of a cesspool or privy is less thn HO feet but greater than 50 feet from a ptivate- nor supply well with no acceptable water quality analysis, H the well has ban analyzed to be acceptable, attach copy of well water analysis for cofifofm bacteria, volatile organic compounds, amurth nitrogen and nitrate nitrogen, HUEN PAILS: no follning crituria apply to large systems in addition to the criteria above: The design flow of system 5 10,000 gpd or g"ahr (Large System! and the system is a significant threat to "hHc health and ,safety and the envi ronment because one or more of the following conditions exist: the system is within 400 feet of a surface hinhing water supply he system is within 2H feet of a `tributary to a suface hidhy water supply --- he system is located A a nitrogen sus ithe area (interim Wellhead Protection Area IMPAI or mapped Zone H of a Public water supply weld The owner or operaWr of any such system shall king he system and facility into rail compliance with the groundwater treatment program requirements of 315 CUR 5A0 and 6,00, please consult he loco regionl office of the Department for further infunton, WAsed 8099,Si SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 72 Sa MHI Road, North Annoyer, H; 01845 0�vjler: ixslie %; Veronica NtIdsofl Mate of JflSpU',iOfl: !HoHy 23, 1996 Check, if the folloivjng have hun done: X N!111Pij,q iriformatim was r"vested of the owner, ounput, and Board of HeAth. X 'tone Of the system co"Opents have been puped for at least two weeks and the system hu been receiving numl flow rue, dm ing thin period, Large volmes of water have not been inkodued Wo the system recently or as "it of this inspulion —X As bOlt pins have been obtaked and enmhRd, NO if thy are nk MAN win No, X, he facility or dweliNg mas inspected for sQnN of sewage back-rip, he S"Am das not reame un-sanitary or NOMA waste No', x no she was inquted for Qns of breakout, A All sphm componuts, excluding the Soil Absorption Syshq hue ben located on the she, J, he septic tank manholes were uncovered, opetied, and the interior Of the septic unk mis juputed for condition of Affio's Or lees, material of construction, dimensions, depth of liUdd, depth of slage, depth of sea, x The she and location of no Sol! Absorption SyNtm on the she hits been doembod based on existing infumvion or -i wa' -intruive metho(k, a p p r mi, tcd by non A The fatHio owur land ouquts, if different from owner) were provided win information on he proper maimune of Sobsufau Disposal S'vstm (reyked SMA5� SUBSURFACE SEWAGE DISPOSAL SYSTEM INISPECTION FORM PART C' sYsTEM TNFORIVIATION Property Address; 72 Say y, f i l l Road, North Andover. "a I)I Ov,,ner: Lesflletk Veronica Hudson Date of Inspection: January 93, 1996 FLOW CONDITIONS RESIDENTIAL: F1 o S u n OW: 0011 ga o fl 5 III o e of ")e d r o 0 111 s 41 'number oi, �urie resi','ants: 2 Garbage finder (yes or not: -N kitjndf�+ coflflulhd to system (ves or no!:--`f -. seasonal use (yes or Hoj :--N-- Water meter readings, if available: See attached Last date of oc"llpancy:0-ccupied CORKERCIAL]INDUSTRIAL: Type of, establishment;----------------------------------- Design l'low:__,____gaHou/dav Grease trap present; (yes or not_--_ Industrial Waste Holdifl,,,, Tank present: (,yes or I'lon-sanitary waste discharged to the Title S system: (yes of aoj..... wator meter last date of OTHER: tilescrlhei ------------- Las- date of GENERAL INFORMATION PUMPING RECORDS and source of information: -------------------Decuflell94 per oalner, --------------------------------------------------------------- System p.I]wjPe.(I as part of inspection: Ives or no! V if yes, voillme pumped:J'S00 eal Ions R(-,tsori for ---------------------------------- TYPE OF SYSTEM X.- Septic D t't F! (I k I s t r 1 10 u t I o a box/'s 0 11 absorption system Single Cesspool Overflow C:esspooi ----- Privy 11 Shared system (yes or floi (if yes, attach Proviouz-, inspection records, if aiqylj Other ------------------------------------------------------------------------------------------------------------ APPROXIMATE AGE of ,,11 components, date installed (i f kflowfl I and source, of iflfomat iofl:---------I I/1418 3 o ef-p!,a fls Sewage Odors detected when arriving at the si k,: (yes or HO N i r c v;s e d 15 SUBSURFACE ISIEWAGE DI"13POSAL SYS'FEM TNSPECTION FORM PART C "VSTEM INFORMA'FION (coritliriued) Property A d d r e s s: i2 Save M11;I I Road, N o rt It Andover, !,,I it 0 18 4 Oviner: Leslie -,`i. Veronica Hudson Dale Of lllspecjon: January 13, 'Mil SrPTJC TANK:-Y Hoc,flc on site pl,.W Depth bdow orade: 121L latellflt of construction: Lconuete metal FRP otherlexpilifl ---------------- -- --- ------------------------------------------------------------------------------------------------------------------- D i mens i ons: 10'—x 5 I Distance from top of sludge to bottom of outlet tee or raffle,__—'' ___-- Scum thickness: I/ Distance 1 F 0 M t a p of c tj fl to (op of outlet tee Of bilffle: Distaflu from bottom of scum to bottom of outlet tee of baffle: Comments: IFecommefldation for pljrlpin.g, condition of inlet and outlet tees or baffles, depth Of liquid level in relation to oltfet invert, structural intcrcity, evidence of leak""C' ctc,l All OK, Jlo-flsa-ble signs of lailllre, ------------------------------------------------------- ----------------- ------------------------ ----------------------------------------------------------------------- GREASE TRAP: N' (locate on site flard Depth below ll'.atefial of construction: -- concrete ---metal ---FRP —01her(eyplaW Dimensions: Scum Distance from too of sclal to top of outlet fee Of baffle: Distance from bottom of scum to bottom of OU'Llet tee or baffle: Comments: (recommendation for Porlpill", condition of inlet and on-Het tees of baffles, depth of liquid level in rckttiofl :o outlet invert, strocturai integrity, evidence of leaka"O, ------------------------------------------------------------------------ StJBSURFACE S3EWA(3E DISPOSAL SYSTEM fN,QIPECTfON FORM PART C 'SYSTEM INFORMATION (continued) Property Address: 72 Saw llill oad, Borth Andover. Ma 01845 Owner: Leslie le Veronica Hodson Dare of Inspection; jaiiiiary 111, 1996 TIGHT OR HOLDING TANK:—N (ideate OF1 site aN Depth below b 1 a terial of colstf'I c C I on concrete f"e ta I FR P other(pula;fli ------------------------------------------------ Ca P a C i ty:--- --gallons rjesiu, flmr:----------gal1_ons/hu Alafm Comments: (condition of jiliet tee, conditiol, of alarm and ficlat switches, Me,! --------------------------- --------------- ------------------------------------------------------------------ DISTRIBUTION BOX: Y (locate on site Depth of liQuid level above outle,i invert; 6 Comments: note if level al]d distribution is ujal, eviufl(e of solids ufrrvover, evidence of leakage into or out of ho'j, Ltc, I ---------------- Box OK lio visahle signs Of failure. -------------- ----------------- PUMP CHA,14HER: H locate on site plan) in workju order: h:,es or flO Comments: (note condition of Pup Challiber, condition of qppl and appurtenances --------------------------- --------------------------------------------------------------------- (r e v i s e d 811 11 S/ UBSURFAC,E SEWAGE TDTSPOJ ISAL SYSTEM TNSPE(-,'rio.N i,'m-Ni PAP\T C SYSTEM TNFORMATION ( cofitinuccl) DFopertv Address: 72 Saw Road, Ilorth Andover, 114a 1U 0 11 1,S Owner: Leslie Veronica lindsoit Date of Inspection: Jullary 23, JIMI SOIL ABSORPTIOU SYSTEM Houle on site plan, if possible; excavation not 'ectnired, but may be apploximated by If not determined to be pFesenk explain: -------------------------------------------------------------------------------------------------------------- Type 1 oaclij u pits, number:----- lelchin-1 chambers, leaching "alleries' number: leachiu trenches, number, leu'th:- --------- leaching fields, number, dimensions:__1 01. 5 0 x 3 overflow cesspool, i'ommeflts: (note condition of spill, of hydraulic I-allure, level of "'ondift", COJNJiJofl 01 ve"uhattion, o'c' ! A l l OK. No ----------------- CESSPOOLS: N Hou(c OF site plan! I'luri-lber and configuration: Depth-top of liquid to inlet invert: Depth of solids Depth of scup laver: Dimensions of cesspool: Ifilterials of construction: Indiutticlit of uotitidwate'r: inflow (cesspool must be ppillped as part of inspection` ---------------- ----------------- ------------ ,ommilts: (note c'o n d I t i o i t, of o s j:g,n s of 11 V(I F a it 1 c 1 a i I u r evei of p o n d j n c o n d i t i o n o'1, V e 0 c Cation, etc. Privy: N (l o c a t e on s i t'c plaid qa t e,F i a I S of construction: iITIV p!s i o P..9 De P t It of ,dills: Nitments note condi tion 01 soi't, -si�ns of JI'drap 1 ic fa i 1 uc level of piondill'— cond i t lop of t iop etc. I ----------------------- ----------------------- i s 1,d 8!!5 t151 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) °rooeriy Address: 12 Saw Mill Road, North Andover, Na 01845 Owners Leslie & Veronica Hudson Pate of Inspection: January 21, 1996 SKETCH OP SEWAGE DISPOSAL SYSTEM: include ties to at least two _permanent references landmarks or benchmarks locatee all wells within 100' 50` w H G 3`� A D ill A DccK UILil RD DEPTH TO GROUNDWATER Thoth to uoundwatert 8 feet Method of determination or approximation:-----------Per plans ------------------------------------------------------------------------------------------------------------------------- �re7ied 811i19S1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION ADDENDUM I Property Me": 71 Aw Vill Road, hrth Amlover, Ma 0184; Owner: @'Wc ""! Ve"onic"I Hudson Date te of hnsputioiri: jariliary 2L 119961 (No Comets! -till ig Dmin Co, he, A" bun retaind by the oner to provide an inpution of to o; site Huge 65po"i spum ns 6§x! \ 2; 0§ §603. D,ES, uddane int"cts to %pector to make an eval"tha of the tletfornl';'aue Or ju day Of h (he inspution, The Title ") irtspcclion is not desi'vfned to provide Afornthn to £»522t J« to system will Quately Hue (he use to be placed upon it by the new Omer as Stated A 1501 This inspectimi is not a wauantee or gunantee of the systeflis 229 perfomance, 2; 65 ut A% apos oi 3\< J2. 112 G.B. �Tr�� rFS t F 1 � )��4 1 t�•a�of�u. � a L a''_I r q iU !D r ri ,•!i 4 :W5✓� l w• Y W 1 + ta. ,.. Ifi U1 Fi i I r >r5 0rrl .} a Nl i t+ -D D D fly, r o ltd ltd U311.4 Q 0 1 1 Cr! u) (o Q ... :I11 i Ci 1 m .� 1. l 1 4- , m I , w u n . `r'1 rcl lrs >1 rri l ry1 w E 1 � �s w• � � �� >� i 1 tiI t' f�i qs� M r P � � qt L •1t C3 1 i v S rl LD F k,•• f L u i 'u 4 d lai } SP Ct; ? t 1