HomeMy WebLinkAboutMiscellaneous - 121 GREAT POND ROAD 4/30/2018 (3)/ ; 121 Great Pond Road
DOMENICK ZANNI SONS, INC. TEL. (781) 944-1610
FAx (781) 944-3989
EXCAVATING CONTRACTORS 22 LAKEVIEW AVENUE
READING, MA 01867
June 25, 2002
No. Andover Conservation
27 Charles St.
No. Andover, Ma 01845
Attn: Allison Makay
Re: 121 Great Pond Rd. , No. Andover
Dear Allison:
Per our conversation, I have enclosed a copy of the plot plan
with the location of the new water line for your use.
Please call me if you have any questions.
Very truly yours,
DOMENICR ZANNI SONS, INC.
David M. Zanni
Project Manager
DMZ/mg
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Signed Ur ;OA
universal-48023 LITHO IN U.S.A.
Town of North Andover rORTN
OFFICE OF 3?0
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COMMUNITY DEVELOPMENT AND SERVICES A
27 Charles Street `,► ";
9
North Andover, Massachusetts 01845 �,9 °��..°Of-cy
WLLLdAM J. SCOTT ssAcmUS
Director
(978)688-9531 Fax(978)688-9542
January 21, 2000
Estate of Peter Hornbeck
C/o Gary F. Snerson
Harvard Management Co.,Inc.
600 Atlantic Ave., ,
Boston, MA 02114
RE: Letter of Noncompliance -Notice of Septic System Failure-121 Great Pond Rd.
To Whom It May Concern:
The North Andover Health Department has received and reviewed the Title 5 Inspection
Report that was generated from the inspection of your septic system on November 3,
1999. Your inspector has determined that your septic system is failing to protect public
health or the environment according to Title 5 of the State Sanitary Code. You are
hereby required to retain the services of a Massachusetts licensed professional engineer
(P.E.)or Massachusetts registered sanitation(R.S.)to design a new septic system in
compliance with Title 5 and North Andover Board of Health regulations. Please be
P gu
advised that you have two years from the inspection date to complete the necessary
upgrade work or to tie-in to municipal sewer.
It is recommended that your hire a septic hauler to periodically pump your septic tank
until such time as a repair can be completed.
The Board thanks you for your willingness to help protect the environment,the ground
water and public health. Please do not hesitate to call the Health Department office at the
number below if you have any questions.
Sincerely,
Sandra Starr,RS., C.H.O.
Health Director
Encl. P.E. list
Hauler list
Financial assistance info.
Brochure
Cc: File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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-, HANCOCK
Engineering Associates [L[E44EQ W 1ff12L° H@W04T%1L
235 Newbury Street,Danvers,MA 01923
(978)777-3050 Fax(978)7747816
❑12 Farnsworth Street O 626 Main Street DATE / roe No. 9/
Boston,MA 02210 Bolton,MA 01740
(978)779-6767 ATTENTION
TO Od ` RE:
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G &J6, &
WE ARE SENDING YOU �ttached ❑ Under separate cover via the following items:
El Shop drawing ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
lyy dopy of letter ❑ Change order ❑
COPIES AT NO. DESCRIPTION
THESE ARE TRANSMITTED as checked below:
approval ElApproved as submitted EJResubmit copies for approval
'D For�Ior
your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
23 1999
- — s
COPY TO
SIGNED: �
If enclosures are not as noted,kindly notify us at once.
d ..
ti
HANCOCK
Engineering Associates
235 Newbury Street
#7911 Danvers,MA 01923
(978)777-3050
Fax (978)774-7816
Bolton, MA
(978)779-6767
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Boston,MA
PART A (617)350-7906
CERTIFICATION
Property Address: 121 Great Pond Road Name of Owner: Estate of Peter Hornbeck
North Andover Ma Address of Owner: c/o Gary F. Snerson
Harvard Management Co.,Inc.
Date of Inspection: 10/13/99& 11/3/99 (If Different) 600 Atlantic Ave.,Boston MA
Name of Inspector: James B. Scanlan
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(3 10 CMR 15.000)
Company Name: Hancock Engineering Associates
Address: 235 Newbury Street Danvers MA 01923
Telephone Number: 978-777-3050
CERTIFICATION STATEMENT:
I certify that I have personally inspected the 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-site sewage disposal systems. The system:
-- Passes
-- Conditionally Passes
Needs further Evaluation by the Local Approving Authority
Fails
Inspectors Signature: j%LY/J Date:
l
The system Inspectors all submit a co of this ins ection report to the
PY P p Approving Authority within thirty•(30)days of completing this
inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the
report to the appropriate regional office of the Department of Environmental Protection.
The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority.
NOTES AND COMMENTS:
Town Water
Sump Pump(Not connected)
There is no sewer in the road passing the property, per Engineering Dept.
revised 9/2/98 Page 1 of 11
Division of Hancock Survey Associates,Inc.
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
INSPECTION SUMMARY: Check A, B, C, or D:
A)SYSTEM PASSES:
— I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
COMWN'TS:
B) SYSTEM CONDITIONALLY PASSES:
— One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon
completion of the replacement or repair,as approved by the Board of Health,will pass.
Indicate yes,no or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not.
no The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of inspection;or
the septic tank,whether metal or not,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as
approved by the Board of Health.
n/a Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)
or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of
health).
broken pipe(s)are replaced
_ obstruction is removed
distribution box is leveled or replaced
no The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
revised 9/2/98 Page 2 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
— Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health,safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A
MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
n/a Cesspool or Privy is within 50 feet of a surface water
n/a Cesspool or Privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)
DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND
SAFETY AND THE ENVIRONMENT:
no The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a
surface water supply.
no The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well.
no The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
no The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water
supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free
from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm.
Method used to determine distance (approximation not valid)
3) OTHER:
Septic tank is approximately 600 gallons.
revised 9/2/98 Page 3 of 11
r
t
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continuation)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99 & 11/3/99
D)SYSTEM FAILS:
You must indicate either"yes"or"no"as to each of the following:
✓ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for
this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the
failure.
Yes No
✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool.
✓ Discharge or ponding of effluent to the surface of the ground or surface water due to an overloaded or clogged SAS or
cesspool.
n/a Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
n/a Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow.
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
✓* Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.
*Mottling was observed in soil while excavating the SAS to determine what existed.
High groundwater will be determined during official testing for an upgrade.
n/a Any portion of a cesspool or privy is within 100 feet to a surface water supply or tributary to a surface water supply.
n/a Any portion of a cesspool or privy is within a Zone I of a public well.
n/a Any portion of a cesspool or privy is within 50 feet of a private water supply well.
n/a Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no.
acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for
coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen.
E)LARGE SYSTEM FAILS:
You must indicate either"Yes"or"no"as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
Yes No
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone R of a
public water supply well)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional
office of the Department for further information.
revised 9/2/98 Page 4 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following:
Yes No
`, Pumping information was requested of the owner,occupant,and Board of Health.
None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection.
n/a As built plans have been obtained and examined.Note if they are not available with N/A.
The facility or dwelling has been inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow.
The site was inspected for signs of breakout.
`, All system components,excluding the Soil Absorption System,have been located on the site.
The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles
or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.
The size and location of the Soil Absorption System on the site has been determined based on:
Existing information.Ex Plan at B.O.H.
Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is
unacceptable)[15.302(3)(b)]
The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of
Subsurface Disposal Systems.
revised 9/2/98 Page 5 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99 & 11/3/99
RESIDENTIAL: FLOW CONDITIONS
Design flow: g.p.d./bedroom.
Number of bedrooms(design): Number of bedrooms(actual): 6
Total DESIGN flow
Number of current residents: 2
Garbage grinder(yes or no): No
Laundry(separate system) (yes or no): No ;If yes,separate inspection required
Laundry system inspected (yes or no)
Seasonal use(yes or no): No
Water meter readings,if available(last two year's usage(gpd)):
Sump Pump(yes or no): Yes(Not hooked up)
Last date of occupancy: Present/Weekends
COMMERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: gallons/day
Grease trap present:(yes or no):
Industrial Waste Holding Tank present(yes or no):
Non-sanitary waste discharge to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy:
OTHER:(Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
1992±(estimate by Landvest)
System pumped as part of inspection:(yes or no) Yes
If yes,volume pumped: 600± gallons
Reason for pumping: To inspect Septic Tank
TYPE OF SYSTEM
✓ Septic tank/dist-ibutien—soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no)(if yes,attach previous inspection records,if any)
UA Technology etc.Copy of up to date contract?
Other
APPROXIMATE AGE of all components,date installed(if known)and source of information:
40+years(estimate)
Sewage odors detected when arriving at the site:(yes or no) No
revised 9/2/98 Page 6 of 11
c
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
BUILDING SEWER: ✓
(locate on site plan)
Depth below foundation: 30"
Material of construction: cast iron 40 PVC other(explain)
Distance from private water supply well or suction line n/a
Diameter 4"
Comments: (condition of joints,venting,evidence of leakage,etc.)
Building sewer pipe was observed in satisfactory condition. There were no signs of leakage observed during the inspection.
SEPTIC TANK: ✓
(locate on site plan)
Depth below grade: 6"
Material of construction: ✓ concrete metal Fiberglass Polyethylene other(explain)
If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No)
Dimensions: 80"x 36"x 46"effective depth (600±gallons)
Sludge depth: 6"
Distance from top of sludge to bottom of outlet tee or baffle: n/a
Scum thickness: 0"
Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom of outlet tee or baffle: n/a
How dimensions were determined Taped from inlet manhole.
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity;
evidence of leakage,etc.) The septic tank was observed to be in good structural condition. It is undersized and does not provide a 48 hour
detention for the effluent. There is an inlet tee in satisfactory condition. There is no outlet teelbaffle. The liquid level was observed at the
outlet invert.
GREASE TRAP:
(locate on site plan)
Depth below grade:
Material of construction: concrete metal Fiberglass Polyethylene other(explain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity;
evidence of leakage,etc.)
revised 9/2/98 Page 7 of 11
s .
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
TIGHT OR HOLDING TANK: —
(locate on site plan)
Depth below grade:
Material of construction: concrete metal FRP other(explain)
a
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm level: Alarm in working order Yes; No
Date of previous pumping
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
DISTRIBUTION BOX: —
(locate on site plan)
Depth of liquid level above outlet invert:
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.)
PUMP CHAMBER: —
(locate on site plan)
Pumps in working order:(yes or no)
Alarms in working order:(yes or no)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
revised 9/2/98 Page 8 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
SOIL ABSORPTION SYSTEM(SAS):
(locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods)
If not determined to be present,explain:
Type: -.
leaching pits,number:
leaching chambers,number:
leaching galleries,number:
leaching trenches,number,length: two trenches 21'±long
leaching field,number,dimensions:
overflow cesspool,number:
Alternative system:
Name of Technology:
Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) There is one outlet line exiting the
septic tank. It continues out to a tee which splits the flow into the two leach lines. One of the lines was followed to the end and determined to be
21'long. The other line was unable to be snaked probably due to roots in the pipes. The pipe at the tee was observed to be 1/2 full and determined
to be in hydraulic failure. There were no signs of ponding or breakout observed during the inspection.
CESSPOOLS: —
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of Groundwater:
inflow(cesspool must be pumped as part of inspection)
Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
PRIVY: —
(locate on site plan)
Materials of construction: Dimensions:
Depth of Solids:
Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
revised 9/2/98 Page 9 of 11
I
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
SKETCH OF SEWAGE DISPOSAL SYSTEM: (N07" 7D 1G6Q(� Gi�
include ties to at least two permanent references landmarks or benc ks c
locate all wells within 100'(Locate where public water supply comes into house)
To
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revised 9/2/98 Page 10 of 11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 121 Great Pond Road North Andover MA
Owner: Estate of Peter Hornbeck
Date of Inspection: 10/13/99& 11/3/99
NRCS Report name Soil Survey of Essex County Massachusetts,Northern Part
Soil Type StB
Typical depth to groundwater 1.5-3.5
USGS Date website visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep
SITE EXAM Slope 3-8%
Surface water None in Area
Check Cellar Dry-Sump pump not connected
Shallow wells
Estimated Depth to groundwater: 3'± feet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observation of Site(Abutting property,observation hole,basement sump etc.)
Determine it from local conditions
Check with local Board of Health
Check FEMA maps
Check pumping records
Check local excavators,installers
Use USGS data
Describe in your own words how you established the High Groundwater Elevation. (Must be completed)
The groundwater will be determined during soil testing for system upgrade. There were mottles observed in the soil while excavating for the SAS.
The mottles were observed in hole 10'±beyond the end of trench#1. The soil map places this site on top of Sutton soils,which have a typical
depth of 1.5-3.5 feet to groundwater.
revised 9/2/98 Page 11 of 11
a-�
FORM 4-SYSTEM PUMPING RECORD
URRIER
SEPTIC & DRAIN SERVICE
7 FOREST STREET;MIDDLETON,MA 01949
(978)774-2772
,(�CommO EALTH OF MASSACHUSETTS
/l/ • MASSACHUSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER: 1bPC ( SYSTEM LOCATION:
77 �- 3osv
DATE OF PUMPING: lO- l o� _g QUANTITY PUMPED: �r Q 0 GALLONS
CESSPOOL: NO a YES a SEPTIC TANK: NO YES �r
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO: D
DATE: G /a " INSPECTOR: 'PG rg f'
n
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