HomeMy WebLinkAboutMiscellaneous - 131 DUNCAN DRIVE 4/30/2018 (2) 131 DUNCAN DRIVE
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CONSTRUCTION APPROVAL
Has plan review fee been paid: YES NO Permit# /� Q
Plan Approval: Date: L16��� Approved by:
Designer: :UM NkLu_ Plan Date:
Conditions:
G"earge 14 end erso�
Water Supply: Town Well 51-afec�- h e hq c� in 5 �� e d
Well Permit: __Driller:
e�Sb
Well Tests: Chemical Date Approved
Bacteria I Date-Approved
Bacteria H Date Approved
Plumbing.Sign-Off: -Wiring Sign-Off:
Comments:
Form "U" Approval: Approval to-Issue: YES NO
Date Issued By:
Conditions:
Final Approval:
All Permits Paid? YES NO
Well Construction Approval? YES NO
Septic System Construction Approval? YES NO
Certification? YES NO
Other YES NO
Any Variance Needed? YES NO
FINAL BOARD OF HEALTH APPROVAL:
DATE:
APPROVED BY:
SEPTIC SYSTEM INSTALLATION
Is the installer licensed? YES NO
Type of Construction: NEW C�
New Construction: .-Certified Plot Plan Review YES NO
--Floor Plan Review YES NO _
Conditions of Approval from Form U YES NO
_Issuance of DWC permit: YES NO
__DWC Permit Paid? --. NO .
-
-DWC Permit#_ Installer: GEO = A ,U/�,� Srvl
Begin Inspection: YES NO
_ -Excavation Inspection:
-Needed:
Passed: By: -
-Construction Inspection:
--Needed:
As-Built Plan Satisfactory:
YES:
Approval of Backfill: Date: By: �—
-Final Grading Approval: Date: By:
Final Construction Approval: Date: By:
Certificate of Compliance: Approval: Date:
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Lot 5
49,581 S.F.
Assessors Map 1048
Parcel 185
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49o581 S.F.
Assessors Mop 1048
Parcel 185
F"�iTL1RE RESERVE
AREA
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Septic Tank
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Duncan Drive
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Town of North Andover • � ',
Health Department Date.
Location:
(Indicate Address,if Residential,or Name of Business) J
Check#:
/� Fs % sf
Type of Permit or License:(Circle)
➢ Animal $
➢ Dumpster $
➢ Food Service-Type: $
➢ Funeral Directors $
➢ Massage Establishment $
➢ Massage Practice $
➢ Offal(Septic)Hauler $
➢ Recreational Camp $
➢ SEPTIC PERMITS:
❑ Septic-Soil Testing $
❑ Septic-Design Approval $
❑ Septic Disposal Works Construction(DWC)$
❑ Septic Disposal Works Installers(DWI) $
➢ Sun tanning $
➢ Swimming Pool $
➢ Tobacco $
➢ TrasWSolid Waste Hauler $
➢ Well Construction $
➢ OTHER:(Indicate)
� > 5 Health Agent Initials
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White-Applicant Yellow-Health Pink-Treasurer
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. COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
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TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 131 Duncan Drive
North Andover,MA 01845 RECEIVED
Owner's Name: Daniel,Linda Burns APR 0 7 2006
Date of Inspection:4/4/06
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Name of Inspector: John Soucy
Company Name: Soucy Sewer Service,Inc.
Mailing Address: 830 Livingston Street
Tewksbury,MA 01876
Telephone Number: 978-851-8839
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 the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
X Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspector shall bZ copy of this ins on report to the Approving Authority(Board of Health or
DEP)within 30 days of compl 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
DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving
authority.
Notes and Comments
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Page 2 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
X I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below.
Comments:
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.
Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please
explain.
The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 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
ND explain:
Page 3 of 1 I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
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
public health
is failing to protect p safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(lxb)that the
system is not functioning in a manner which will protect public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
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 any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
su_rface water supply or tributary to a surface water supply.
_ The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply.
_ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well".Method used to determine distance
"This system passes if the well water analysis,performed at a DEP certified laboratory,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,provided that no other
failure criteria are triggered.A copy of the analysis must be attached to this form.
3. Other:
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
_X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow
X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
X_ Any portion of the SAS,cesspool or privy is below high ground water elevation.
X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
—X— Any portion of a cesspool or privy is within a Zone 1 of a public well.
X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_X_ 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. [This system passes if the well water analysis,
performed at a DEP certified laboratory,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,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this form.]
_(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd. N/A
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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 II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes"in Section D above the large system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
—X-- _ Pumping information was provided by the owner,occupant,or Board of Health
x Were any of the system components pumped out in the previous two weeks?
x_ _ Has the system received normal flows in the previous two week period?
x Have large volumes of water been introduced to the system recently or as part of this inspection?
x— — Were as built plans of the system obtained and examined?(If they were not available note as N/A)
x _ Was the facility or dwelling inspected for signs of sewage back up?
x _ Was the site inspected for signs of break out?
x _ Were all system components,excluding the SAS,located on site?
—x-
_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the
condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of
scum?
_x — Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
—X-- _ Existing information.For example,a plan at the Board of Health.
_x__ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance is unacceptable)[3 10 CMR 15.302(3)(b)]
Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): zi Number of bedrooms(actual): t4
DESIGN flow based on 310 CMR 15.203 for example: 110 gpd x#of bedrooms):_qqo
Number of current residents:
Does residence have a garbage grinder(yes or no):
Is laundry on a separate sewage system(yes or no): no_ [if yes separate inspection required]
Laundry system inspected(yes or no): no_
Seasonal use:(yes or no):no
Water meter readings,if available(last 2 years usage(gpd)): See Attached
Sump pump(yes or no):_
Last date of occupancy: current
COMMERCIAL NDUSTRIAL N/A
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgtetc.):
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):_
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Home Owner
Was system pumped as part of the inspection(yes or no):_yes
If yes,volume pumped: 15001 gallons—How was quantity pumped determined?Gauge on truck
Reason for pumping: maintenance and inspection of tank interior.
TYPE OF SYSTEM
x Septic tank,distribution box,soil absorption system
_Single cesspool
_Overflow cesspool
_Privy
_Shared system(yes or no)(if yes,attach previous inspection records,if any)
_Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
—Tight tank _Attach a copy of the DEP approval
Other(describe):
Approximate age of all cRI
nents,date installed(if known)and source of information:
Were sewage odors detected when arriving at the site(yes or no):No
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection: 4/4/06
BUILDING SEWER(locate on site plan)
Depth below grade:_18"_
Materials of construction:_cast iron _40 PVC x other(explain):
Distance from private water supply well or suction line: N/A
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK:_(locate on site plan)
Depth below grade:_8"
Material of construction:—x—concrete_metal_fiberglass_polyethylene
other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions:_6'x10.5'
Sludge depth: 4"
Distance from top of sludge to bottom of outlet tee or baffle: 38"
Scum thickness:_6"
Distance from top of scum to top of outlet tee or baffle:_4"
Distance from bottom of scum to bottom of outlet tee or baffle: 12"
How were dimensions determined:_Tape&Sludge Tool
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
GREASE TRAP:_(locate on site plan) N/A
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene other
(explain):_
Dimensions:
Scum thickness:
Distance front 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(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
Page 8 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection: 4/4/06
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)N/A
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: x_(if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: 0
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):_Flow Checked Okay
PUMP CHAMBER: (locate on site plan) N/A
.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.):
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner:Daniel,Linda Burns
Date of Inspection:4/4/06
SOIL ABSORPTION SYSTEM(SAS): x_(locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
leaching chambers,number:
leaching galleries,number:
_leaching trenches,number,length:_
x leaching fields,number,dimensions: 20'x 45'
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,
etc.): No Signs of Hydraulic Failure
CESSPOOLS: (cesspool must be pumped as part of inspectionxlocate on site plan) NIA
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(yes or no):
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
PRIVY: (locate on site plan) N/A
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
Page 10 of 11 '
i
OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building.
Aries"MW 1048 .
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Page 11 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 131 Duncan Drive
North Andover,MA 01845
Owner: Daniel,Linda Burns
Date of Inspection:4/4/06
SITE EXAM
Slope
Surface water
Check cellar x
Shallow wells
Estimated depth to ground water_5'_feet plus.
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
x Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Dug hole with auger in the rear of property.This was within 100'of system
Hpr 04 06 02: 36p Dan and Linda Burns 970-9?5-.7909 P. 1
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P.00 I
66mt"m, a Z.nd CemAca nn 4,'4t7GrA 2':12.15 ft1bYijw W&W,
Tovvn of North Andover
Tax Map # 210-104.8-0185-0000.0
131 DUNCAN DRIVE
SUHr4s, DANIEL AND LINDA
r '7 5 LT 131 DUNCAN DRIVE
NORTH ANDOVER, MA
01846
Sno Tout 1.13 Acrop
r-Y 2006
UR MailimiLlmlex
NmTt*1Ad*t-,s TVpP. Lean Number From
Uruii
allRrJS. PAWWi-AND 1.1NOA Payor
131 OLINCAWDRM
tg0h'rH ANDOVER,MA
01845
UB Account Maint.
Accow-t No CVCIO 04cupent wnfflr: AcAivoiloactive
Bldg Id.1,7046.0-131 DUNCAN DRIVE illo-:t 8116119 Date 'i 11•!2005
2170610 03 Cycle 03 Active
U3 Services Maint.
swvjce Code Hato chwqo
MIS:cEE ADMIN FEE 0.62 518 7.32 11
WTHWAIES 01 ALL MF,.'TFFI V"It X1.2
LIR Mater Mainienance
setbi fto7-Swwj-- Lacatim U"90 rwv WED YTD Cons
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Date ReatFog ca.-m C�Zlmwwien P;-.'TbXi Ddte vuria.-Ace
547 a Actual 16 ID%
1212212005 531 a Actual -490
%W21105 513 a Actual 20 Lott 412005 1%
6!1,3IM06 492 a Actual 1.1i 7r1512005 1%
3/30,12005 476 a AcruA 22 44512905 88%
1219/2004 456 a Actual a 11/14=06 -551)b
912442004 448 mM. ar,.u&l ea.'MA10 25 1 QlgreWd 37%
611012004 423 a AGtum 10 71301,2004 -14!6
4113112004 413 a Actual 24 5117,12004 0%
1211512002 399 n New Meter 0 1211 st-=3 1%
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APPLICANT ' S FEDERAL TAX ID NUMBER 01
LICENSE NUMBER:
FEE: $15 . 00
PLEASE MAKE CHECKS PAYABLE TO :
TOWN OF NORTH ANDOVER
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i
Please note that the Board of Health
fee if your license is not renewed ]:.
license is $15 . 00 , your cost for bej'
disre%ur.'ed, the North Andover Boary
i
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i
Linda R. Burns
131 Duncan Drive
North Andover, MA 01845
April 3, 2006
Michele Grant
Health Inspector's Office
400 Osgood Street
North Andover, MA 01845
Dear Ms. Grant,
Per our telephone conversation on March 31, 2006, please find the attached floor plan drawings,
including previous area dimensions on all levels as well as the proposed additional plans. They are
not to scale, though I believe the noted dimensions are accurate. I hope they are what you are
looking for.
As I mentioned on the telephone, the water well on our property is used for irrigation purposes
only. Please note that there is no irrigation system in place, and there are no plans to install one.
There is a cylindrical tank(roughly four feet tall, and 18 inches wide) that I believe to be the well
pump. It is marked"Well-X-Trot" in addition to the contact information for Charles Rollins Co.,
Water Well and Pump Installations. There are currently two spigots for hose access. One is
located on the front of the house, opposite the area for the proposed addition. The second is
located on the side of the house near the sun room. There was brief mention several months ago
to add a third spigot as part of the proposed project, though there have been no specific plans
made.
It will be a primary goal of mine this week to begin the process of obtaining a Title 5 inspection.
As I did not receive the fax containing the approved inspectors last week, I hope to obtain that
information at your office today.
I would greatly appreciate any help or advice you might give as we move toward rectifying this
very distressing situation. Please contact me should you require any further information or
documents.
t
ely,R. Burns
978-975-7909
lindab543@comcast.net
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Town of North Andover f 40RTh ,
OFFICE OF 3�0`t e o �O L
COMMUNITY DEVELOPMENT AND SERVICES °
9
27 Charles Street
----Nortb_An ,. -..*1 _ -- -—,5 Zl9Q�A�TIDµOP``�5
WILLLAM J. SCOTT_—-----—— _——— SSACHus�
Director
(978)688-9531 Fax(978)688-9542
JC
N'
44
Ta;
De
ed 3/8/99 for the repair of
the Oars that an addition to the
exis Iealth Department will need
to d( out of the house. This will
be d
mnuer oelow if you have any questions.
Sincerely,
\\A/'
Sandra Starr, R.S.
Health Administrator
Cc: James Murphy
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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Town of North Andover f AORTk 1
OFFICE OF 3a o "e , +O c
COMMUNITY DEVELOPMENT AND SERVICES A
27 Charles Street ^4
North Andover, Massachusetts 01845 �1SsncHus�t�h
WILLIAM J. SCOTT
Director
(978)688-9531 Fax (978)688-9542
March 10, 1999
John Morin
Neve Associates, Inc.
447 Boston Street
Topsfield, MA 01983
RE: 131 Duncan Drive, North Andover
Dear Mr. Morin:
This letter is to inform you that the proposed septic plans dated 3/8/99 for the repair of
the system located at 131 Duncan Drive have been approved. It appears that an addition to the
existing dwelling is proposed. Your client should be aware that the Health Department will need
to determine if this septic system is sized correctly for the final build out of the house. This will
be dealt with during the application process for the addition.
Please do not hesitate to call the office at the number below if you have any questions.
Sincerely,
Sandra Starr, R.S. J
Health Administrator
Cc: James Murphy
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
65330 _
Date..�. .-�..""�.....`.l�.........
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TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
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Board 4f Health SEPTIC S15TEK 'S �`"'►c�i°^'
North An�-av6r Hasa. f��v3�4,�E ��y; Ev DM INSTAIZATIf7�1F CHECK LIST LOT
C7VID DATg III MUM AVATION OK FAIL
easnnst (A*ADrt4 `6
FAIL OK y
Distance Tot
F4/ 7
a. _ Wetlands ��' �,�/
b. Drains J 6 8E9
C. well -�� ��!�
-rv�° a
2. Water Line Location
�S. Septic Tank
a. _Tees -_Length & To Clean Ont Covars.
b. Cement Pipe to Tank - On Both Sid of Tank
5. Distribution Box
a. Covers & Box - No Cracks ��'
b. All Lines Flowing Equal Amounts
C. No Back Flow
6. - Leach Field or Trench
a. Dimensions
_ b. Stone Depth
c. Capped Inds
d. Clean Double Washed Stone'
7. Leach Pits
a. Dimensions
b. Stone D
j c. Splash ads
d. Tees
e. C t Pipe to Pit - Both Sides. - �
` f. can Double Washed Stone QD"
8. No Garbage Disposal �� �2V`�'~_
9. Yi.nal Grading Inspection
10. Barricading Covered System
�71. As Built Snbmitted
a. Lot Location
b. Dimensions of System
c. Location with Regard-to Pert Test
' d. Elevations
e: Water Table
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DEFINITIONS
A. PERMANENT CIVIL SERVICE EMPLOYEE is one appointed after certification to
a permanent civil`service position without restriction as to the duration of such
employment.
A TEMPORARY CIVI SERVICE EMPLOYEE is one appointed after c tification to a
temporary civil servic position for the duration of a temporary va.&ncy.
A PROVISIONAL CIVIL 5 RVICE EMPLOYEE is one employed in lull service
position and who holds no ivil service status in any job title.
SENIORITY DATE is ranking ased on length of service as permanent employee
after certification and as defin In General Laws, Chapter 31, Section 33.
ETHNIC (DENT ICATION CODES
ETHNIC CODE DEFINITION
2 "White": All per having origins irr any of the original peoples
of Europe, North Africa, the Middle ast, or the Indian Subcontinent.
3 "Black": All persons having\60",igin/in any of the Black racial
groups of Africa.
4 "Hispanic": All persons of Mexi a Puerto Ricah, Cuban, Central
or South American or other Sp nis�N� culture or origin.
5 "Asian or Pacific Islander": II pers\o\�s having origins in any of
the original peoples of the ar East, Sbutheast Asia, or the Pacific
Islands, and Samoa.
6 "American Indian or
,/land Native"• All ersons having origins in
any of the original peop es of North AmeriN
7 "Cape Verdean": All p rsons having origins irl the Cape Verde
Islands.
MGL CHAPTER 3 , SECTION 67
"Each appointin/ae
thority shall submit to the administrator, on or before
March first of each a lis of civil service employees in its department as of
January second of tme y ar. Such list shall be in such form as is required
by the administratorll b made under the penalties of perjury,N�hall specify
the series and title e p sition of each such employee and the seniority of
such employee as dene pursuant to section thirty-three.
Each such appoauthority shall sign such list and post it forthwith in
all areas under Its cI where five or more civil service employees begf��nn their
tour of duty. Suchshall be so posted immediately after it is submittZ tothe
administrator so thaay be inspected during a reasonable period before\May
first of the year it imitted. The date of posting such list shall appear' n the
list 'which shall remasted for one year after such date of posting.
When used withect to employees in the labor service of the departmen hof
public works, the word "department" as used in this section shall mean the districts
established by such department in which such employees serve.
The superior court may enforce this section and said section thirty-three
upon petition by one or more taxable inhabitants of a city or town or upon suit
by the attorney general.
Any appointing officer who neglects or wilfully refuses to post a copy of
such list shall be punished by a fine of not more than one hundred dollars."
Boa-pmo-of Health
forth
SUBSURFACE DISPOSAL DEaGN COCK LIST
LOTr
APPROVED DATE DIv:,Pi OVED DATE
Provided: Reasons:
r '
Title V FA11 CB
Reg 2.5 The submitted plan must show as a * ini *+m:
the lot to be served-area,dimensions lot #,abutters
t location and log deep observation hoes-distance to ties
location and results percolation tests-distance to ties
design calculations & calculations showing required leaching area
location and dimensions of system-including reserve area
7 ) existing and proposed contours
g) location any wet areas within 1001 of sewage disposal system or
disclaimer-check wetlands mapping
,.� h) surface and subsurface drains within 100' of sewage disposal
system or disclaimer
(i) location any &-ainage easem3nts within 3.001 of se - ge disposal
system or disclaimar-Pl=y4ag Board files
,i (3) know sources of tater supply within 2002 of so-,age disposal
system or disclaimer
location of any proposed well to serve lot-1001 from leaching facility
1) location of water lines on property-101 from leaching facility
4 m) location of benchmark
n) driveways
(o garbage disposals
. no PVC to be used in construction
(q) profile of system-elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
fir) maximum ground water elevation in area sewage disposal system
(s) plan mist be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Reg 6 S22tic Tanks
(a)
capacities-150, of flog., mater table, tees, depth of tees,
access, purging
(b) cleanout
(c) 101 from cellar wall or inground sing pool `
f (d) 25+ from subsurface drains
Reg 10.2 Distribution Boxes
(a) slope greater 0.08
Reg 10.4 b) suagr
{9 '
1`
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t
AS-BUILT CHECKLIST
*/ LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
(L- LOT LINES & LOCATION OF DWELLINGS
V
LOCATION T
OC ON & DEMENS.ONS OF SYSTEM,
�- INCLUDING RESERVE]
TIES TO LOT LINES & DWELLING, WELLS
a. FROM SEPTIC TANK
b. FROM LEACH AREA
LOCATIONS OF DEEP HOLES & PERC
TESTS
—1� ELEVATIONS OF DISPOSAL SYSTEM
�- TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
W/IN 1 50' OF SYSTEM
LOCATION OF WATER,-GAS, ELECTRIC LINES, CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D-BOX
STAMP & SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
FINAL CONTOURS `
LOCATION & ELEVATION OF BENCHMARK USED
�� LOCUS PLAN
THOMAS E. NEVE ASSOCIATES, INC. 11W UM O[P 4nL%H@W 4411
Engineers * Land Surveyors • Land Use Planners
447 Boston Street US #1
TOPSFIELD, MASSACHUSETTS 01983
(508) 887-8586 DATE 9� JOB Ni$o4-
FAX (508) 887-3480 ATTENTION G�
SJSAt_1 tH oR
TO RE:
S�7So.N FORD tat C�►JGAr.I pRt�E
Soa.rd� off' 1-lea1�1-� �wnar z Ja�.e rv�v� 1'.
A. d ove c' A
WE ARE SENDING YOU Attached ❑ Under separate cover via the following items:
❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
9 tgo4 SAtiiy �
-rax� t5Pa5 E '�
5 s-rM s- SOIL-T Pv c.A�
THESE ARE TRANSMITTED as checked below:
IX For approval ❑ Approved as submitted ❑ Resubmit copies for approval
1( For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
DEAR SJSA.3
Please �';r.d. e-no losedl Z or:.-,-} o-'� *hc ne is 0'S-1=' 1+ ofae-'
131 wnGar` �r'�v¢ . Tl.c o1ar� has be.erevs eA f2e_r voyf
cl-+ec.1�1�s-� 11 2ese�ye
are-, J/ d� Mer,S �or,5 cxdoled
Z� LOG JS Mct� "al"Ito(
�T vv.► fav[ aezy C AS+"0'_5 C;;�1eaS4 0l nn4 hes A-{ -i-o Ga �
I
`r-hontCyvL1 r yo,jr, 4,-r.c
\ S-
COPYTO �3AME5 M�RPNy 1 or-:r.'�
RECYCLED PAPER:
gP'Contents:40/Pre-Consumer-10/Post-Consumer SIGNED:
v
If enclosures are not as noted,kindly notify us at once.
1 r�.. ^� '
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TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
07/08/99
This is to certify that
the individual subsurface disposal system
constructed ( ) or repaired (X)
by
James Murphy
at
131 Duncan Drive
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations as described in the Design
Approval Site System Permit# 1060 dated 03/10/99.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( ) constructed;
('-' repaired;
by
located at 6) h C
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit #/ dated . with an approved design
flow of gallons per day. The materials used were in conformance with those
specified on the approved plan; the system was installed in accordance with the provisions
of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees
substantially with the approved plan. All work is accurately represented on the As-built
which has been submitted to the Board of Health.
Bed inspection date: (0/iS/99 ,,,,
Engineer Representative
Final inspection date: (o 99 11 ^f-vA a.�
Engineer Representative
Installer: Lic.#: Date: 7 L2 19 2
Design Engineer: ,,,` Vie. Date: T�_7/95
Town of North Andover, Massachusetts Form No.3
NORTH BOARD OF HEALTH
01
°•
o N Z. tP 19 —
p
DISPOSAL WORKS CONSTRUCTION PERMIT
9gsACHus�t
I '
Applicant t "i i"/c'(--r�
NAME �� ADDR.ESS` TELEPHONE
Site Location -�-%Gilt�i A)
Permission is hereby granted to Construct ( ) or Repair an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
r _
167
CHAIRMAN, BOARD OF HEALTH
D.W.C.Fee �,' , C'G'
. No.
1_
- I
Town of North Andover, Massachusetts Form No.2
°f 1401tTh BOARD OF HEALTH
:'�
c �`
L
I-
4
ii
DESIGN APPROVAL FOR
�SSAC"USEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
Site Location �/ A-)�L �.�lU�
1L
Reference Plans and Specs. IV4-�Vr
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
. '
CHAIRMAN,BOARD OF HEALTH
Fee ���� Site System Permit No. /0(/a6
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
q1, _
F32o��t�ED `"6 �0 co- 19
APPLICATION FOR SITE TESTING/INSPECTION
7 RATED PPP`�`.7
�SSACHUS��
Applicant
ME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time 9/3d/� "Q2 �
CHAIRMAN,BOARD OF HEALTH
Fee — 5— Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
bq
F 641
3�O��t eo 0
0 19-
0
90 u V L m
* r_
APPLICATION FOR SITE TESTING/INSPECTION
SSACHU50-
Applicant
NAME ADDRESS TELEPHONE
Site Location '
Engineer f -
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
�'06
V
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: d o CURRENT INSTALLER'S LICENSE#
LOCATION: 131 �i .-�_ /2j
LICENSED INSTALLER:
SIGNATURE: , jTELEPHONE#
CHECK ONE:
REPAIR: �� NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$75.00 Fee Attached? Yes _ No
Foundation As-Built? Yes No
Floor Plans? Yes No
Approval Date:
OF No
Town of North Andover NORTH
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
0 9
27 Charles Street
North Andover, Massachusetts 01845
WILLIAM J. SCOTT 9SSACHUS��
Director
(978)688-9531 Fax (978)688-9542
May 12, 1999
James F. Murphy
131 Duncan Drive
North Andover, MA 01845
Dear Mr. Murphy,
This correspondence is in regards to the planned septic system repair at your
home, known as 131 Duncan Drive. In a previous letter from this office, the
North Andover Health Agent, Sandra Starr, informed you of the concern of sizing
this new system in relation to your proposed addition to the home. (Please see
attached letter dated March 10, 1999) However, in a phone conversation held
with you on May 10, 1999 you stated that you have not yet completed the plans
for the proposed house addition, but still wish to go forward with the approved
septic plans.
Please be advised that the new septic system as it is approved will have a
maximum capacity for a five bedroom house (or a total of eleven rooms
altogether). Having not viewed your future proposal, there is no guarantee of
approval for this project, if you choose to go forward it is at your own risk.
The Health Department will only release your permit with this understanding.
Sincerejy,
J
Susan Ford
Health Inspector
cc: File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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THOMAS E. NEVE ASSOCIATES, INC.
Engineers • Land Surveyors 9 Land Use Planners
447 Boston Street US #1
TOPSFIELD, MASSACHUSETTS 01983 DATE JOB N'8'04
.
(508) 887.8586 ATTENTION
1
FAX (508) 887.3480 SA►ao S-rA2
TO aRE:
SA, flY S-rARR 131 loLbJC-A,,J .f-'
3oard.
Nor �.h And.ovEc 1^A
WE ARE SENDING YOU Attached ❑ Under separate cover via the following items:
❑ Shop drawings X Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
3 .v igpg, SA"111Ti°"Ry 1>151>6sPcL SYSTEM REPAIR
THESE ARE TRANSMITTED as checked below:
For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
T1-,c tLnc t'cv►Sior` +ke C..ectc�-+
t^��1 e�,-�- q 48 b e d Z o n+.c,.o •k
Vo.a r a ego ('o•r•4( 1 �1ec or•c o�, h avt l/1 e.c� �.►+•�.c a '`f a
ccre.l
COPY TO p
RECYCLED PAPER: s�
glp� Contents:40%Pre-Consumer•10%Post-Consumer SIGNED:
if enclosures are not as noted,kindly notify us at once.
fA
APPLICANT ' S FEDERAL TAX ID NUMBER C
LICENSE NUMBER:
FEE : $15 . 00
PLEASE MAKE CHECKS PAYABLE TO:
TOWN OF NORTH ANDOVER
Please note that the Board of Health
fee if your license is not renewed t
license is $15 . 00 , 1rour cost for bei
disre%4rued, the North Andover Board
SEPTIC PLAN SUBMITTAL FORM
LOCATION:
NEW PLANS: YES $125.00/Plan
REVISED PLANS: YES $ 60.00/Plan��
d SITE EVALUATION FORMS INCLUDED: YES NO
DATE:
DESIGN ENGINEER: �A
DATE TO CONSULTANT:
*If you want your plans expedited, please submit four plans and included a stamped
envelope with the correct amount of postage to mail plans to Port Engineering.
When the submission is all in place, route to the Health Secretary. Ci i
;, _//_� (fir ._._..
T&�THO
S BOARD ".L
NEVE
February 3, 1999 ASS( �FS9 INCe FB _ 8 1999
Ms. Sandra Starr. R.S. Y •.
Health Administrator"-"
27 Charles Street --�
North Andover, MA 01845
RE: 131 Duncan Drive
Dear Ms. Starr:
This is in response to your review comments regarding the proposed septic system repair at 131 Duncan Drive
dated January 26, 1999. The enclosed repair design plan has been revised to include the following changes
based on your comments.
1. A reserve area has been added.
2. The area of the leaching bed has been increased to 900 ft2.
3. The septic tank profile has been revised to show a 24-inch access chimney with frame and cover to within
six inches of final grade as required by 310 CMR 15.228(2). A manhole to final grade is not required under
310 CMR 15.
4. The profile showing the septic tank and distribution box has been revised to show a six-inch stone base as
per 310 CMR 15.221(2).
5. The elevation given for foundation invert in the"Schedule of Inverts"has been corrected.
6. The plan view has been revised to show the soil absorption pipes as being connected.
7. The slopes of pipe to and from the septic tank have been added to the profile.
Enclosed please find a$60.00 resubmittal fee.
Sincerely,
THOMAS E.NEVE ASSOCIATES, INC. THOMAS E. NEVE ASSOCIATES, INC.
--�,e -6 A),e;4&t (ZJCR-� rA
Ellen B. Weitzler, PE John M. Morin, PE
Environmental Engineer Executive Vice President
EBW/jmp
Enclosure
cc.: J. Murphy 1804murphyletter2-3-99.doc
• ENGINEERS LAND SURVEYORS LAND USE PLANNERS
447 Old Boston Road U.S. Route#1 Topsfield, MA 01983
(978)887-8586 FAX(978)887-3480
Town of North Andover f NORTH
OFFICE OF 3�O et«a o a`NODE
COMMUNITY DEVELOPMENT AND SERVICES - " %
27 Charles Street 01
gPP`
North Andover,Massachusetts 01845 9 � .4 �c
WILLIAM J.SCOTT SSAGHUSE
Director `
(978)688-9531 Fax(978)688-9542
January 26, 1999
Tom Neve
Neve Associates,Inc.
447 Old Boston Road
Topsfield,MA 01983
RE: 131 Duncan Drive
Dear Mr.Neve:
This is to inform you that the proposed plans for the septic system repair at 131 Duncan Drive
have been disapproved for the following reasons:
The proposed design is for a system upgrade. However,the design will increase the flow from the existing
4 bedrooms to 5 bedrooms to supply the proposed addition. Pursuant to 310 CMR 15.402(2)and 403(2),
an increase in flow is not allowed under a local upgrade approval. Thus the proposed design must be in full
compliance with 310 CMR 15.100 to 15.293 and the North Andover rules and regulations. Therefore:
1. The system must be designed with a reserve area. (3 10 CMR 15.248)
2. The area of the leaching bed must be a minimum of 900 ft'. (NA 9.01(1))
3. The septic tank is lacking one childproof 24-inch riser/manhole raised to final grade. (310 CMR
228(2))
4. A 6 inch stone base beneath the septic tank and the D-box is missing. (3 10 CMR 221(2)and 228(2))
5. In the"System Centerline Profile"under"Schedule of Inverts",the elevation given for foundation
invert is in conflict with profile.
6. Plan view does not show SAS pipe lines as being connected.
7. Specification of slopes of pipe to and from septic tank on profile missing.
Please keep in mind that all resubmittals for plan reviews must be accompanied with a$60.00 fee. Feel
free to call the Health Office if you have any questions.
Sincerely,
Sandra Starr,RS.
Health Administrator
Cc: J. Murphy
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Jan-14-99 10:01A Paul D. Turbide, PE/PLS 508-465-0313 P.02
January 14, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover, MA 01845
RE: Title V review for 131 Duncan Drive
Dear Sandra,
Enclosed find the"Checklist for North Andover Septic System Plans"for the above-
mentioned site. The following is a list of all the `Problem' areas and deficiencies Port
Engineering has found.
• The proposed design is for a system upgrade. However,the design will increase the
flow from the existing 4 bedrooms to 5 bedrooms(an addition consisting of one
extra bedroom is proposed). Asper 310 CMR 15.402(2)and 403(2)an increase in
flow is not allowed for a local upgrade approval. Thus the proposed design must be
in full compliance with 310 CMR 15.100 to 15.293 and the North Andover rules
and regulations. Therefore:
1. The system must be designed to have a reserve area. 310 CMR 15.248
2. The area of the leaching bed must be a minimum of 900 square feet. NA 9.01(1)
• The design of the septic tank must include one childproof 24-inch riser/manhole
raised to final grade. 310 CMR 228(2)
• A six-inch stone base must be added beneath the septic tank and the d-box. 310
CMR 221(2) and 228(1)
• In the"System Centerline Profile"under"Schedule of Inverts", the elevation given
for"Invert{Qa Foundation" is for the existing outlet which is to be abandoned,and
should be changed to 128.90',the elevation of the proposed invert.
The following minor points are noted:
• In the longitudinal section it states correctly that the pipe ends are to be connected
with solid pipe. However, in the plan the ends of the pipe are not connected. The
plan should show the ends of the pipes being connected.
• In the"System Centerline Profile"the slope of the pipe from foundation to septic
PORT tank(appears to be 2%)and from tank to d-box(appears to be 1%)should be listed.
it I If you have any questions or comments please feel free to contact me.
ENGINEERING Sincerely
Civil Engineers&
Land Surveyors Carlton A. Brown,PE/PLS
One Harris Street
Newburyport,MA
0]950
(978)465-8594
C g
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 6
No. Date: 9/30/98
Commonwealth of Massachusetts
North Andover, Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: Thomas E. Neve Date: 9/30/98
Witnessed By: Sandy Starr,No. Andover Bd. of Health
Location Address or 131 Duncan Drive Owner's Name James Murphy
Lot# Lot 5 Address and 131 Duncan Drive,No. Andover
Telephone# (978) 683-6894
New Construction F-1 Repair ❑X
Office Review
Published Soil Survey Available: No a Yes
Year Published 1981 Publication Scale 1"= 1320' Soil Map Unit CbB(Canton)
Drainage Class "B" Soil Limitations NA
Surficial Geologic Report Available: No F-K-1 Yes
Year Published Publication Scale
Geologic Material(Map Unit)
Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes X
Within 500 year flood boundary No X Yes
Within 100 year flood boundary No X Yes
Wetland Area:
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map(map unit)
Current Water Resource Conditions(USGS): Month
Range: Above Normal Normal Below Normal
Other References Reviewed:
DEP APPROVED FORM-12/07/95 soilevIsam
a
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 6
Location Address or Lot No. Lot 5 - 131 DuncanDrive
On - Site Review
Deep Hole Number 98-1 Date 9/30/98 Time Weather 600 Sunny
Location(identify on site plan) See Plan
Land Use Residential Slope(%) 1-3 Surface Stones NA
Vegetation Wooded
Landform
Position on landscape(sketch on the back) See Plan
Distances from:
Open Water Body NA feet Drainage way NA feet
Possible Wet Area NA feet Property Line C5 feet
Drinking Water Well 130 feet Other
DEEP OBSERVATION HOLE LOG*
98-1
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
Consistency,%
Gravel)
0-12" Fill
12-17" A 2.5Y 4/2 No
17-24" BW LS (F/M) 2.5Y 4/3 No
24-34" Cl S (f/M) 2.5Y 6/4 No
34-96" C2 S/GR 2.5Y 5/4 49" 10% stones
Obs. GW @ 87"
*MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material(geologic) Depth to Bedrock: None
Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 8711
Estimated Seasonal High Ground Water: 49"
DEP APPROVED FORM-12/07/95 soilev2sam
t
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 6
Location Address or Lot No. Lot 5 - 131 Duncan Drive
On-Site Review
Deep Hole Number 98-2 Date 9/30/98 Time Weather 600 Sunny
Location(identify on site plan) See Plan
Land Use Residential Slope(%) 1-3 Surface Stones NA
Vegetation Wooded
Landform
Position on landscape(sketch on the back) See Plan
Distances from:
Open Water Body NA Feet Drainage Way NA Feet
Possible Wet Area NA Feet Property Line 50 Feet
Drinking Water Well 160 Feet Other
DEEP OBSERVATION HOLE LOG*
98-2
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,Consistency,
%Gravel)
0-4" A FSL 2.5Y 4/2 No
4-27" BW FLS 2.5Y 4/3 No
27-48" C1 Sand(F/M) 2.5Y 6/4 32"
48-96" C2 FLS 2.5Y 6/3 10% gravel
Obs. GW @ 80"
*MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material(geologic) Depth to Bedrock: None
Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 80"
Estimated Seasonal High Ground Water: 32"
DEP APPROVED FORM-12/07/95
SOILEVISAM
F.
FORM 11 - SOIL EVALUATOR FORM
Page 4 of 6
Location Address or Lot No. Lot 5 - 131 Duncan Drive
On - Site Review
Deep Hole Number 98-3 Date 9/30/98 Time Weather 600 Sunny
Location(identify on site plan) See plan
Land Use Residential Slope% 1-3 Surface Stones NA
Vegetation Wooded
Landform
Position on landscape(sketch on the back) See plan
Distances from:
Open Water Body NA feet Drainage way NA feet
Possible Wet Area NA feet Property Line 56 feet
Drinking Water Well 100 feet Other Stump pit
DEEP OBSERVATION HOLE LOG*
98-3
Depth from Soil Horizon Soil Texture Soil Color Soil Mottling Other
Surface(Inches) (USDA) (Munsel) (Structure,Stones,Boulders„
Consistency,%
Gravel)
0-27" Fill
27-32" A FSL 2.5Y 4/2
32-40" BW FLS 2.5Y 4/3
40-53" C1 S (F/M) 2.5Y 6/4 Stumps
53-98" C2 S/GR 2.5Y 6/3 10% stones
stumps
*MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material(geologic): Depth to Bedrock: None
Depth to Groundwater: Standing Water in the Hole: None Weeping from Pit Face: None
Estimated Seasonal High Ground Water:
DEP APPROVED FORM-12/07/95 soilevlsam
r
FORM 11 - SOIL EVALUATOR FORM
Page 5 of 6
Location Address or Lot No. Lot 5 - 131 Duncan Drive (Deep Hole 98-2)
Determination,for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole inches
Depth weeping from side of observation hole inches
Depth to soil mottles 49 inches
Ground water adjustment feet
Index Well Number Reading Date Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? Yes
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 11/95 I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me
consistent with the required training, expertise and experience described in 310 CMR
15.017.
Signature Date 9/30/98
FORM 11 - SOIL EVALUATOR FORM
Page 6 of 6
Location Address or Lot No. Lot 5 - 131 Duncan Drive (Deep Hole 98-2)
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole inches
Depth weeping from side of observation hole inches
Depth to soil mottles 32 inches
Ground water adjustment feet
Index Well Number Reading Date Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? Yes
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 11/95 I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me
consistent with the required training, expertise and experience described in 310 CMR
15.017.
Signature ate 9/30/98
FORM 12 -PERCOLATION TEST
Location Address or Lot No. Lot 5 - 131 Duncan Drive
COMMONWEALTH OF MASSACHUSETTS
North Andover, Massachusetts
Percolation Test*
Date: 9/30/98 Time:
Observation Hole#: 98-1 98-2
Depth of Perc 4811 66"
Start Pre-soak 9:35 10:35
End Pre-soak 9:50 10:50
Time at 12" 9:50 10:50
Time at 9" 9:53 10:58
Time at 6" 9:57 11.10
Time(9"-6") 4 min 12 min
Rate Min./Inch <2 m/i 4 m/i
*Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Site Failed F
Performed By: Thomas E. Neve
Witnessed By: Sandy Starr,North Andover Board of Health
Comments:
DEP APPROVED FORM-12/07/95 perdorm.sam
SEPTIC PLAN SUBMITTAL FORM
LOCATION: /,3/
NEW PLANS: YES $125.00/Plan
REVISED PLANS: YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: NO
DATE: 1161
DESIGN ENGINEER: A/EV�
DATE TO CONSULTANT:
*If you want your plans expedited, please submit four plans and included a stamped
envelope with the correct amount of postage to mail plans to Port Engineering.
When the submission is all in place, route to the Health Secretary.
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WELL DATABASE
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ADDRESS: r.3 l kD,(
AGE OF WELL. / 6 WELL DRILLER: Ae
WELL PEtRNffT T: Z WELL LOCATION:
WELL PERMIT DATE: —- � DEPTH OF WELL:
Ay
TYPE OF WELL: a.. DRILLED Z b. DUG c. LNKv
TYPE OF WATER BEARING ROCK:
WATER ANAL YSM DAIS HIGH iZGANESE: Y 'N
HIGH IRON: Y N OT=CONTA ENA`ITS: Y N
f:
TO: NORTH ANDOVER, MASS. 6 (es 19 SSL
BOARD OF HEALTH
FROM: DESIGN ENGINEER Re: Soil Absorption
Sewage Disposal
System
This is to certify that I -ha e inspec ed the co truction materials of
said disposal system at
Site Loc tion
North Andover, Mass .
The grades and constructi m teri s are as spe ified in my 1 ns and
specifications dated 'L 19 nd s wilt 19
E
Re .Pr6f.En in /Re .S itarian
OF
�► RICHARD y�
F.
KAMINSKI «
No.20031
�4
A��dd/OVAL
NANCY A. HOFFMANN BAYBANK 4092
S �Y 53-235/113
131 DUNCAN DRIVE
aas 9/30/1998
t
PAY TO
ORDER OFE Town of North Andover s $**75.00
Seventy-Five and 00/100
**************************************************************
DOLLARS
Security features -
r1 included.
Town of North Andover Details on back.
- 120 Main Street
North Andover, MA 01845
U
ME Soil Test Fees-..
-/1"00L,092
11' 1:01L3023571: 365 680LLu' 1-7
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409?
NANCY A. HOFFMANN BAYBANK
�DRIVE 53-235/113
131 DU1
s 9/30/1998
PAY TO
ORDER OF THE
Town of North Andover s $**75.00
Seventy-Five and
r DOLLARS
Security features
Town of North Andover Deluded.
Details on back.
_ 120 Main Street
North Andover, MA 01845
r
5 ME Soil=Fee
- 11'00409 211' 1:0 L 13 0 2 3 5 71: 36 S 680 L Lu' /
~o
°? BOARD OF HEALTH
1+6 MAIN n EF17 •i moi.
NORTH ANDOVER, M SG. 01845
APPLICATION FOR SOIL TESTS
\ N
`
DATE: August l9 , 1998 �.�\�� Y„y
LOCATION OF SOILTESTS: 131 Duncan Drive
Assessors map &parcel number- Map 104B, Parcel 185
OWNER: James Murphy TEL NO.: ( 978 ) 683-6894
ADDRESS: 131 Duncan Drive, North Andover
ENGINEER:Thomas E. Neve Assoc. TEL. NO.: ( 978 ) 887-8586
CERTIFIED SOIL EVALUATOR: Thomas E. Neve
Intended use of land: residential subdivision, single family home, commercial
Septic system repair
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
Z. Plot plan,$
3. Fee of per lot for new construction. This co rs the deep holes
and two percola ' n tests required for each lot. Fee of$75.00 p r lot for
repairs or upgrades.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
Z. Only Mass. Registered Sanitarians and Professional Engineers can design
septic plans. `
3. At least two deep holes and two percolation tests are required for each
system.
4. Repairs require at least two deep holes and at least one percolation test, at
the discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of
testing.
6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be
submitted to the Board of Health showing the location of all tests (inciudinc
aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
T0'd .b6 6L968898L6 ac:VT 866T-LT-onu
BK2725
r 254 Detb A. Svartx and B,ovard H. Swartz. husband and wife. as tenants by the entirety,
of Andover. Esse: yMa
t t.
is aoaridaat:ss M 11a gttadzed Eighty Thousand ($280.000.00) Dollars
s;
kSc[
},. grant to Nancy A. Boffmsn and James F. 14srphy.'husband and wife. as tenants by
the entirety
of Maiden. Middlesex County, Massachusetts
the Lad Is North Andover. $aacr County. Massathusatta. and described as follows-
L,
ollows; c.
r
gNorth
� 1 f.^ A certain parcel of land with the buildings thereon, if any* situated in
Andover. Essex County. Massachusetts. and being shown as Lot S on a plan entitled
�. "Definitive Plan of Laad of Stonecleave Estates 1.1 located in, worth Andover. Masa.. '
owner and applicant Barco Corporation. I Vestvaod Circle, North Reading. saes.. -
;�j scale I" 40' date March 9, 1974. revised June 15. 1979. June 20. 1980, and
September S. 1990. Frank C. Gelinas 6 Aosociates. Engineers and Architects". said
;+ plan being recorded with the Essex North Registry of tkads as plan #8525.
For a more particular description of Lot S see plan referred to.
rlS-`
. fi Y here.grantor The reserves the fee in Duncan Drive that huts Lot 5 herein
The grantee shall have the right to use in •.ammon with others lawfully catitlei
thereto cold Duncan Drive for all purponeu for which public ways are co=oply used
in the Town of North Andover, Commonwealth of Mnnoachusetts.
Vit, ; V
Subject to and together with the benefit of all easements. aRreementa, covenam to.
and restrictions of record. insofar as the same may now be in force and applicable.
�• tieing elle dame preriaes conveyed to us by Andover Construction and Davelopment
Carp., by decd dated January 14, 1983& and recorded in the Estes North Registry of
Reeds. book 1637. Page 339.
1,
J 1atuted as a t this 9th day of! y! 19
Beth A. Swartz sward H. Svar
Middlesex a may 9 f988 A
yrS
Tbea vVeonJy appowad the above aam.d Beth A. Switz and Howard H. Swartz
i ad aetts"Wdaed On A-Vo,vg marina d a..their f w..d
dd1! r + tt J
it :r �,/ �is.fi.. see 1. Lavctr, ;�1':f' k..ss A,ba,
Myrs,os Rv `•.Oito_11kr'.24 Is q
rutt;aI 5 31 4 Q
Recorded May 10,1999 at 3:40M, #10399
T00 .�.1`1 �--•Io
8L969999L8 Xdd CT:VT MON 98/LT/90
THE COMMONWEALTH OF MASSACHUSETTS
FISCAL YEAR OFFICE OF COLLECTOR OFTAXES
7999 TOWN OF NORTH ANDOVER PRELIMINARY REAL ESTATE
'RELIMINARY TAX FOR THE FISCAL YEAR
,ING JULY 1,1998 AND ENDING JUNE 30.1999 ON THE TAX BILL
L OF REAL ESTATE DESCRIBED BELOW IS AS FOLLOWS: 1st Quarter BILL NUMBER 3478
MAIL TO: PO BOX 124
Map 104B NO. ANDOVER MA 01845 Preliminary Tax: 1594 . 74
Block 0185 OFFICE HRS : (120 MAIN ST)
Lot 00000 MON-FRI 8 :30AM-4 : 30PM 1st Pymt Due : 8/03/98 797 . 37
Book 02725 AUG 3 (MON. ) OPEN TILL 7 : 30PM
Deed Date 05/10/88 TREASSCOOLLOOFFICE 688-9550
PRIOR YR TAX BAL NOT INCLUDED
Page: 541 Line: 7
Location: 131 DUNCAN DRIVE
IM IS APPROVED BY THE COMMISSIONER OF REVENUE
'ERSE SIDE FOR IMPORTANT INFORMATION
Taxpayer' s OF TAXEs Copy Amount Now Due : 797 . 37
KEVIN F MAHONEY INTEREST RATE OF 14%PER ANNUM WILL ACCRUE ON OVERDUE
HOF FMAN, NANCY A
PAYMENTS FROM THE DUE DATE UNTIL PAYMENT IS MADE.
JAMES F MURPHY
131 DUNCAN DRIVE
NORTH ANDOVER MA 01845
3HT1998 LGSA 115 99 03478000 S 0000079737 1
DATE:
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Feb-25-99 06:09P Paul D. Turbide, PE/PLS 508-465-0313 P.02
February 25, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover,MA 01845
RE: Title V second review for 131 Duncan Drive
Dear Sandra,
I find that all the issues raised in my report dated January 14, 1999 have been addressed.
One minor drafting error is that in the Typical Section Detail,the heading states:
"Leach Bed(16' x 47')". The design is for a 19' x 48' leach bed. (If this minor
drafting error is corrected,I do not have to review the plan again.)
If you have any questions or comments please feel free to contact me.
Sincerely
Carlton A. Brown,PE/PLS
PORTIti
ENGINEERING
Civil Engineers&
Land Surveyors
One Harris Street
Newburyport,MA
01954
(978)465-8594
TOWN OF NORTH ANDOVER
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