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HomeMy WebLinkAboutMiscellaneous - 141 CARLTON LANE 4/30/2018 T �e .rriyMwr .I"�r a out' w illi 141 CA TON LANE haw .,. 2101106.C-0083-0000.0 .- --�— .- ...`�uw�bve•-.- �.�. y .-.....+-.vi-.c-_Twnuar..ns:�c�rt�.......-...van: �. -�r.v. l r p OtE4444 ��. . � u _ ser rIr.A-r ws; is �?07 T�i� Pel Ef4' P ln'IJ, r .' V7 A 6Ia.wa^ qG� 4`(t7TEH , VT I, A eecow Pr' fa& LaArva ( b Nv E:LEVo�tO�i �F T«d �n i Nc5 yY�1t►-r 'r' G.op ,if. GorlPpNtirlty, , LCA Flew T2 o;' I \ u J ( ' � � 1 \ 1 AS owl LT PLAN °F SYSTEM SUBSiU-RFACE DISPOSAL LOCATED IN , QVP-;T � A 14 b OY E`IZ, A a,L�c�FJ LAN E AS PREPARED FOR p it P17 I L i TN I�T� C�• DATE: MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 60 PARK STREET • ANDOVER, mASSACHUSE1TS 0l 810 TEL (617)475-3555, 3MS711 Driving Directions from 400 O good St,North Andover,MA to 141 Carleton Ln,North ... . Page 1 of 3 V4#pqV9 ST Start: 400 Osgood 5t North Andover, MA 01845-2909, .-- us L End: 141 Carleton Ln a , North Andover, MA 01845-5618, . US �' 3Gd 2(3a o 1300 E: Go ZI 11REALTY 'See webske for details Directions Distance 1: Start out going SOUTHWEST on OS.GOOD ST toward 0.7 miles MILL POND. �,. 2: Turn LEFT onto MASSACHUSETTS AVE. 0.2 miles 3: MASSACHUSETTS AVE becomes SALEM ST. 1.9 miles 4: Turn RIGHT onto SUMMER ST. 0.7 miles 5: Turn LEFT onto CARLTON LN. 0.3 miles ©6: End at 141 Carleton Ln North Andover, MA 01845-5618, US Total Est. Time: 10 minutes Total Est. Distance: 4.06 miles http://www.mapquest.com/directions/main.adp?do=prt&mo=ma&2si=navt&1 gi=0&un=m... 7/12/2005 Driving Directions from 400 C rood St,North Andover,MA to 141 Carleton Ln,North ... Page 2 of 3 G r 13. e� -Nruttr M is` Boxtord' -1km 1tt1i G �- A, Mvent Geos two fl L r� i AndovMr Genftt �uf �_� _{ 1Ma►ts1��d�sStation� � M ..,�r y tk�pyflNi ♦I�f S..~�Q��- p t��f � -�,� !� �'` 1 133 `{ U rr goxto 6 ut Wo "• ' 1 11-0 t• r eel 02 M PPQuest,com,_Inc,. \ -_j 0 WOOS.NAVTEQ' Start: End: 400 Osgood St 141 Carleton Ln North Andover, MA 01845-2909, US North Andover, MA 01845-5618, US yea oo; _ . �ht�� o�--- 3 4Rd ( ' r-,cq— `0'A0 bG� 'a p � IN Park St, �A,�Qho' t O ,SLBVEIi5cfOS�[no0 A � Btaean Kdl BIV Stoners Pond10 i l � 2605 Mspouest.com,Inc. ®005'NAVTEQ 83.2005 PMapQuest.com,Inc. 02005_NVTEQ' Notes: NMVTE0 All rights reserved.Use Subiect to License/copyright These directions are informational only. No representation is made or warranty given as to their content, road conditions or route usability or expeditiousness. User assumes all risk of use. MapQuest and its suppliers assume no responsibility for any loss or delay resulting from such use. http://www.mapquest.com/directions/main.adp?do=prt&mo=ma&2si=navt&1 gi=0&un=m... 7/12/2005 Driving Directions from 400 Osgood St,North Andover,MA to 141 Carleton Ln,North... Page 3 of 3 http://www.mapquest.com/directions/main.adp?do=prt&mo=ma&2si=navt&l gi=0&un=m... 7/12/2005 Residential Property Record Card PARCEL_ID:210/106.C-0083-0000.0 MAP:106.0 BLOCK:0083 LOT:0000.0 PARCEL ADDRESS:141 CARLTON LANE PARCEL INFORMATION Use-Code: 101 Sale Price: 370,000 Book: 04115 Road Type: T Inspect Date: 06/11/2003 Tax Class: T Sale Date: 08/25/1994 Page: 0027 Rd Condition: P Meas Date: 06/11/2003 Owner: Tot Fin Area: 3016 Sale Type: P Cert/Doc: Traffic: M Entrance: C ALTER,KEITH D Tot Land Area: 3.02 Sale Valid: Y Water: Collect Id: RRC DEBRA A ALTER Grantor: LUPINACCI,THOMAS J Sewer: Inspect Reas: C Address: 141 CARLTON LANE Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LOW Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 7 Main Fn Area: 1532 Attic: NBHD CODE: 7 NBHD CLASS: 7 ZONE: R2 Story Height: 2 Bedrooms: 4 Up Fn Area: 1484 Bsmt Area: 1484 Seg Type Code Method Sq-Ft Acres Influ-YIN Value Class Roof: H Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1 199,069 Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: 2 R 101 A 2.02 9,494 Masonry Trim: Ext Bath Fix: Tot Fin Area: 3016 DETACHED STRUCTURE INFORMATION Foundation: CN Bath Qual: T RCNLD: 324177 Str Unit Msr-1 Msr-2 E-YR-Bit Grade Cond%Good P/F/E/R Cost Class Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: 1.1 PG S 840 1998 A A //50/49 17,100 1 Heat Type: HW Ext Kitch: Year Built: 1986 Sound Value: CB S 240 1998 A A //50/49 6,100 1 Fuel Type: G Grade: GV Cost Bldg: 356,600 SE S 96 1998 A A //50/49 600 1 Fireplace: 2 Bsmt Gar Cap: Condition: G Att Str Vail: Central AC: N Bsmt Gar SF: Pct Complete: Att Str Va12: VALUATION INFORMATION Att Gar SF: %Good P/F/E/R: 1100/100/93 Current Total: 589,000 Bldg: 380,400 Land: 208,600 MktLnd: 208,600 Prior Total: 563,600 Bldg: 365,000 Land: 198,600 MktLnd: 198,600 Porch Type Porch Area Porch Grade Factor W 228 SKETCH PHOTO 19 W .� 12 228 Sq.R. 12 4 An ?R Q 1rfl4 B � 1128 S §a:R: 364 Sq.R.32 2$ 40 2[� 26 141 CARLTON LANE Parcel ID:210/106.C-0083-0000.0 as of 7/12105 Page 1 of 1 North Andover Board of Asse-,sors Public Access Page 1 of 1 Parcel ID: 210/106.C-0083-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge z i i 141 CARLTON LANE I Location: 141 CARLTON LANE Owner Name: ALTER,KEITH D DEBRA A ALTER Owner Address: 141 CARLTON LANE City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 7- 7 Land Area: 3.02 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 3016 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 589,000 563,600 Building Value: 380,400 365,000 Land Value: 208,600 198,600 Market Land Value: 208,600 Chapter Land Value: LATEST SALE Sale Price: 370,000 Sale Date: 08/25/1994 Arms Length Sale Code: Y-YES-VALID Grantor: LUPINACCI,THOMAS J Cert Doc: Book: 04115 Page: 0027 http://csc-ma.us/NandoverPubAcc/j sp/Home j sp?Page=3&Linkld=467936 7/12/2005 1 Town of North Andover °f p*M Office of the Health Department o? ° Community Development and Services Division 400 OSGOOD STREET "o; , ,r°« North Andover,Massachusetts 01845 sACNu9t Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax RVT1�A OF �,0JI'LILlA✓.�/CE As of: ,duly 29, 2005 `Iliis is to cert that the individualsu6surface d4osalsystem Repair (A/vl 6y Yoseph R. (Ouddy) Watson At 141 Carfton .Gane %orth Andover, Mg 01845 Yfas 6een instaffed in accordance with the provisioi l with the 9Vorth Andover Board of ifeafth regu&tio The Issuance of this certificate shaft not be cons function satisfactorily. F usan r Sawyer, REXSIR5 1nuufficYleafth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North .Andover ,NoR*N Office of the Health Department .1 Community Development and Services Division - 400 OSGOOD STREET North Andover,Massachusetts 01845 �qs S�►cNuS Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax �-WPXEI"qW OF CO9WW. JLJ VCS As of: Yufy 29, 2005 This is to cert that the individuafsu6surface d4osa[system repair (X4 dy Yoseph R. (Buddy) Watson At 141 Carlton Gane NorthAndover, 9WA 01845 Ylas been installed in accordance with the provisions of Title v of the State Sanitary Code and with the NbrthAndover Board of ifeafth regulations. The Issuance of this certiftate shall not 6e construed as a guarantee that the system will function satisfactorily. �f A `Susan 2'.Sawyer, 12U SAS 1Tu6lic Ylealth Director BOARD OF APPEALS 688-9541 BIJILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 l - TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (>4'constructed; ( ) repaired: by-- y 12P f c5_ 1 A'1_e7c-0 located at 144 N'9 was installed in conformance with the North Andover Board of Health approved plan, System Design Permit#6 3&, dated Z//0A-/6 with an approved design flow ofgallons 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: Engineer ReprEsentative Final inspection date: �� Q C-2 Engineer Repre entative Installer: LicA Date: 1 o0� OJT Design 4neer: Date:2&61 0 ;> UiLDi171 ES. 6T(c: t� PL►.� cc�.n�►�.,-rfo,,l ►S JaT t, ZT ►s 0P 'r;49 krwtbo `iG. (v AO a�9 vPrnW WF -rW& to-)-0'T►wA+ yrytb-f 3 'f' Geo .�F u�HPoN><.►�rti, i C3AA.07;t) L CAA,0 4.v�' v►sT FVe lews (-►�z ) 9a�c 33' r �• a • 1 Wt N u � I I 0 1 � I . 1 1 � 1 AS BUI PLAN OF SLABSURFACE tit AL. SYSTEMA LOCATED IN AS PREPARED FOR ° 41 p E v IA DATE: SCALE' • ..... MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER• MASSACHUSETTS 01810 or TEL (617)473-3653. 3MS771 �a i FINAL GRADE INSPECTION Date: Address: b,-t;OAMED? ❑ SEEDED? OVER PER PLAN? Other: AS-BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP &PARCEL NUMBER 4 LOT LINES & LOCATION OF DWELLINGS LOCATIONS_&-DIMENSIONS OF SYSTEM, INCLUDI�42 RESERVE `s`� TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA L/ LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS,ELECTRIC LINES, CABLE ~ DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-BOX ORIGINAL STAMP&SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW __ _ LOCATION&ELEVATIONS OF BENCHMARK USED DelleChiaie, Pamela Subject: Susan -2nd Final Construction Inspection Location: 141 Carlton Lane Start: Thu 7/28/2005 1:00 PM End: Thu 7/28/2005 1:30 PM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Required Attendees: Sawyer, Susan 508.932.3204-Buddy Watson- requested by. Bill Dufresne is working on the As Built. Giard, plumber, and electrician will be at the site in the morning fixing the items in question. Everything will be ready by 1:00. Booked you for 1:00. If you cannot do this time for some reason, please reschedule with Buddy and let me know. Thanks! pfd. I v 1 1160 Salem Street -Bed Bottom Construction Notes Page 1 of 2 DelleChiaie, Pamela From: Andy McBrearty [amcbrearty@millriverconsulting.com] Sent: Wednesday, July 27, 2005 12:09 PM To: DelleChiaie, Pamela Cc: Sawyer, Susan; Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail) Subject: Re: 141 Carlton Lane&Gray St. i Hi Pam& Sue, Here is the Carlton Lane construction ins p ion. Some things to c at final: . Make s re three floats in Pu Chamber, and verify they work... If water level above "OFF" float,w n pump turns 0 uring test,pump should not stop until the OFF float is in neutral position. . Check to e sure wee ole in line is also above floats. Should see it squirt out when pump is on, and drain ck whe off. . Take a sho 1 dig into the middle of field to be sure that roofing paper is gone. . Vent was not 'n place when we were there -check for filter. -andy Also including Gray St, Lot 1. DelleChiaie, Pamela wrote: 508.932.3204-Buddy Watson asked if everything would be all set for homeowner(Alter's-getting divorced)to close on Friday. According to Dan, this site needs another Final, and then a Final Grade. Buddy said it is ready for the subsequent final. Are you or Dan going to do this, and is it feasible to have everything done by Thursday?? Please let me know. Thanks. I'm also going to call you on your cell, as Dan is with you now....... P -----Original Message----- From: Dan Ottenheimer [mailto:info@millriverconsulting.comI Sent: Monday, July 25, 2005 8:17 AM To: DelleChiaie, Pamela; 'Lisa LeVasseur(E-mail); 'McBrearty Andrew(E-mail)' Cc: Sawyer, Susan; Grant, Michele Subject: RE: 1160 Salem Street- Bed Bottom Construction Notes Thanks. We'll be ready when they call. By the way,we got to 141 Carlton Lane and Lot 1 Gray Street on Friday afternoon. Reports will be sent shortly. Basically we found no major problems at Lot 1 Gray Street but did find ones at 141 Carlton Lane which will require further attention by the installer(Buddy Watson) and a subsequent inspection. Dan i Daniel Ottenheimer,President 7/27/2005 1160 Salem Street- Bed Bow— Construction Notes Page 2 of 2 Mill River Consulting,Inc. Septic System Management Services 2 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millrivercoRsulting.com danomillriverconsulting.com From: DelleChiaie, Pamela [mailto:pdellechiaie@townofnorthandover.com] Sent: Friday, July 22, 2005 2:47 PM To: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); McBrearty Andrew(E-mail) Cc: Sawyer, Susan; Grant, Michele Subject: 1160 Salem Street- Bed Bottom Construction Notes Hi, Here is the BB report attached. I assume John will call next week sometime for a Final. P <<CONSTRUCTION INSP. 1160 Salem Street.doc>> gas!Ragavds, Payy¢�a DaBBaG��iaia Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover_com 7/27/2005 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, July 21, 2005 3:06 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Cc: Sawyer, Susan; Grant, Michele Subject: 141 Carlton Lane-Construction Notes Importance: High Hi Andy, Here are the Construction notes from the BB Inspection. CONSTRUCTION INSP. 141 Carlton... Bast Ragavds, AA4#10eA Daeea6lfiAia Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.coin healthdept@townofnorthandover.com i TOWN OF NORTH ANDOVER a NcaTh Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 5 Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 141 Carlton Lane MAP: 106.0 LOT: 83 INSTALLER: Joseph R. (Buddy) Watson DESIGNER: Merrimack Engineering — Bill Dufresne PLAN DATE: 4/28/05 BOH APPROVAL DATE ON PLAN: 6128105 DATE OF BED BOTTOM INSPECTION: 7/14/05 DATE OF FINAL CONSTRUCTION INSPECTION: 7/22/05? DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING — HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN W,GALLON TANK = 1,000 LOADING OF SEPTIC TANK= GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: 25 x 80 SITE CONDITIONS [ED] Existing septic tank properly abandoned — Using Old Tank ❑ Internal plumbing all to one building sewer Dj Topography not appreciably altered Comments: Bottom of the bed —45 x 35 Page 1 of 4 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES o? HEALTH DEPARTMENT 400 OSGOOD STREET ", . NORTH ANDOVER, MASSACHUSETTS 01845 ;�Ss4C Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK ❑ Bottom of tank hole has stone base ❑ Weep hole plugged 01 1,000 gallon tank has been installed —old tank (H-10 or H-20) (monolithic or 2piece) ❑ Watertightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port L_, Outlet tee (gas baffle or effluent filter) installed, under access port— Baffles are being replaced ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic.cement around inlet & outlet Comments: Page 2 of 4 TOWN OF NORTH ANDOVER f MaRTN Office of COMMUNITY DEVELOPMENT AND SERVICES 9D HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 �'SSACNUS Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or>0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 '/2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/concrete /timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: j material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals El size inch as per plan Comments: Page 3 of 4 TOWN OF NORTH ANDOVER f NORT{i Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 �''s"CHUB Susan Y..Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 �'ss CH,;; Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: MAP:_ LOT: INSTALLER: DESIGNER: • 1 4(n'V-Lrvi- ,( PLAN DATE: U BOH APPROVAL DATE ON PLAN: I uin-t j/ DATE OF BED BOTTOM INSPECTION: c� -: �6 / DATE OF FINAL CONSTRUCTION INSPECTION: 0 DATE OF FINAL GRADE INSPECTION: D SELECT SYSTEM TYPE GRAVITY DISTRIBUTION 0 PRESSURE DISTRIBUTION PRESSURE DOSING ' HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1[2pL)__ LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer Ccs Topography not appreciably altered Comments: Page 1 of 4 t • TOWN OF NORTH ANDOVER t NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 $ACHUSt Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK ❑ Bottom of tank hole has 6" stone base L ❑ Weep hole plugged 0 "� �� r✓ ❑ gallon tank has been InsZZL-ec�) (H-10 or H-20) (monolithic ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, unde access port &�S - 'W ❑ inch cover tow hin 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 4 TOWN OF NORTH ANDOVER t NORTa Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �,SSACMU�S Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or>0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/concrete/timber/block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 4 TOWN OF NORTH ANDOVER f v►ORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss"„CHU Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 DelleChiaie, Pamela Subject: Michele-Tank Inspection-Check Water Tightness? Location: 141 Carloton Lane Start: Wed 7/13/2005 12:00 AM End: Thu 7/14/2005 12:00 AM Show Time As: Free Recurrence: (none) Meeting Status: Meeting organizer Required Attendees: DelleChiaie, Pamela; Grant, Michele per request of Buddy Watson 7/13/05 @ 10:00. Person coming to fill at 10:30-Susan wanted to check 4 hours later. Susan at court-Michele will go.--p.d. i Commonwealth of Massachusetts Map-Block-Lot ,• *� _f' 106.C-0083- Board of Health ----------------- PenAt No North Andover AHP-2005-0236 -------------- P.I. F.I. $250.00 Disposal Works Construction Permit Permission is hereby;granted -JOSEPH-R.-WATSON to(Repair)an Individual Sewage Disposal System. at No 141 CARLTON LANE as shown on the application for Disposal Works Construction Permit No. BHP-2005-023 Dated duly 12,2005 - ------ Issued On Jul-12-2005----------------------------------------------------------------------------------- e : .....•.. .unnuuu..mn■nnnnu:.n..nnu.uu.uwu..............6...a..................... ............numu....uuui[. ...................... Commonwealth of Massachusetts ",Map -Lot t .0 0083 Board of Wealth .. - ---- --- ,� North,Andover Certificate mpliance TRIS IS TO CERTIFY a e Individual Sewage Disposal System (Repair) byJOSEPH R. WATSO - - 1 -- - ----- ---- ------- --- - ------- Installer i at No 14 TON LANE has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP-2005-023-_ Dated 7uly_ 12,2005 - Printed On Jul-122005 ----- -- --- ---- ----- Board of Health 6 rY � vW� ; h � 6 � 'II.i �. ;J ff `QY 7 - a, ^ now. ; lfpr 7 �. AAA All 9 a _ P LWZ lot a' � Town of North Andover Health Department Date: Location: 1/ / 1 , (Indicate Address,if Residential,or Name of Business) Check#: 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 $ ❑, Septie'Design Approval $ C�Septic Disposal Works Construction(DWC) ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) f! Health Agent Initials 898 White-Applicant Yellow-Health Pink-Treasurer Town of North Andover '- iVE® HEALTH DEPARTMENT 27 Charles Street JUL _ 6 2005 North Andover,MA 01845 TOW!` �,r ie30.RTH ANDOVER 978.688.9540 HEALTr 'AkTMENT healthdeut(i�townofnorthandover.com APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: cl v� ca� LOCATION: LICENSED INSTALLER NAME: PLEASE PRINT SIGNATURE TELEPHONE# 4 CHECK ONE: REPAIR: *NEW CONSTRUCTION: II *If NEW CONSTRUCTION,please attach the Foundation As-Built Plan. Administrative Use Only $250.00 Fee Attached? Yes No �► Project Manager Obligation From Attached? Yes No �` t Foundation As-Built? Yes No Floor Plans? Yes No Approval of Health Agent - ate: Z p' Town of North Andover'Licensed Septic System Installers (Disposal Works Installer's) Current List (Please note that the septic installer is licensed only--not the company) Five or more installations within the last Name year #of Company Permit# Phone# 1 Amor,Robert R.T.Amor BHP-2004-1349 978-948-3341 2 Bateson,Todd 6 113ateson Enterprises,Inc. BHP-2003-0396 978-475-1474 3 Beaulieu,Serge R.-NEW I Roadway Excavators,Inc. BHP-2005-0071 603.893.9189 4 Breen,Peter 1Peter Breen Excavating, Inc. BHP-2005-0038 978-687-7774 5 Busby,Philip A.Jr. Busby Construction Co.,Inc. BHP-2005-0011 603-362-4650 6 Carr,John Ramey Construction BHP-2005-0034 978-683-6791 7 Colosi,Philip A. Colosi Construction LLC BHP-2005-0012 978-777-5679 8 Coyle,Kevin-NEW LaPlume Excavation BHP-2005-0010 978-479.2818 9 Currier,James H. 1 James H.Currier Construction Co,IncBHP-2005-0009 978-774-6685 10 Daigle,Rob Creative Builders BHP-2004-1355 978-682-4948 11 DeLucia,Rocci Jr. Frank DeLucia&Son,Inc. BHP-2004-1357 978-686-8200 12 D!Vincenzo,John L. 1 Andover Septic/J&S Dev.Corp. BHP-2005-0006 978-521-5251 13 lGlard,Daniel Daniel A.Giard Septic Service BHP-2005-0001 978-686-7653 14 Hall,Bill,Inc. Bill Hall,Inc. BHP-2004-1351 978-689-3711 15 Hartigan,James James Hartigan BHP-2005-0028 978-766-0087 16 Hayes,John-NEW J.B.H.Compact Equip.Co. BHP-2004-0422 978-686-5229 17 Hutton,Arthur Hutton's General Construction,Inc. BHP-2004-1356 978-685-2627 18 Innis,Robert L. R.L.I.Corp. I BHP-2003-0397 978-663-6006 19 Kellett,James 10 Kellett Excavating BHP-2005-0007 781.953.7146 20 Linskey,William M. Linskey Construction,Inc. BHP-2003-0408 978-744-2700 21 Maker,Ronald T Ford Co.,Inc. BHP-2203-0404 978-352-5606 22 Marsh,Steve The Westchester Co. BHP-2004-1361 978-742-9778 23 Maynard,Dave 1 Maynard Construction BHP-2004-1354 603-228-4436 24 1 McKee,Brian D.P.McKee&Son Excavators BHP-2004-0023 781-942-7608 25 Osgood,Ben ® 5 New England Engineering BHP-2005-0032 978-686-1768 26 Patenaude,Richard Dracut Sewer Service,Inc. BHP-2004-0034 9784524851 27 Pearce,Warren-NEW 1 Pearce Construction BHP-2004-0665 978-664-5264 28 Petrosino,Angelo Angelo Petrosino BHP-2003-0391 978-664-2030 29 Quinlan,Timothy Quinlan&Rand Builders BHP-2004-1350 978-682-1570 30 Reilly,Michael W. (;0 5 F.P.Reilly&Son's, Inc. BHP-2003-0401 978-475-1237 31 Richard,Roger R.J.Richard Corp. BHP-2004-0035 978-686-7445 32 Sawyer,William T. Arco Excavators,Inc. BHP-2004-1353 603-642-8910 33 Shaw,John III 1 Wildwood Excavation,Inc. BHP-2004-1352 978474-8088 34 Simard,Ralph Ralph Simard BHP-2004-0293 508-958-2002 35 Slombo,Robert Robert Slombo BHP-2004-0314 603-659-6962 36 Soucy,John J. 10 Soucy's Sewer Service BHP-2005-0013 978-470-1400 37 St.Hillaire,Paul Andover Construction&Dev. BHP-2003-0403 978-749-0073 38 Surianello,Joseph Ralph Surianello,Inc. I BHP-2004-1360 617-799-3900 39 Todd,Charles R. Charles R.Todd Contractor,Inc. BHP-2005-0004 978-667-7853 40 Waelty,Craig(Skip)(NEW) 1 Craig Waelty BHP-2004-0671 978-664-2126 41 Watson,Joseph JW Watson,Jr.Inc. BHP-2004-1359 978475-3262 42 Whyman,Jon J.Whyman Construction BHP-2005-0005 781-334-2323 43 Zaher,Charles Charles Zaher BHP-2005-0037 978-441-9429 Note: The Septic Installer Exam is held in January,March,May,July and September of each year. You must call the Health Department to sign up for the exam at 978.688.9540. The testing fee is$25. Last Updated: 3/9/2005 ,_4 s //1I Cr RLi ! 1 19 1 h � y t i ! f x I � i ,1 <1 .. .......... Nt CO F-4 OKIW05- k IQ ful 0 tu 0 P-URD °F' H64t_ i " "�` LInT � -I �w�J53K p �rOnJ NdI�Th n�til�U�l�, MA. AsPu CAtirl 0-<O (,vqC-:R�-so P►'(7 �jbcc�rJ ❑ wEc..c_ AP�ouCD]YJTC F-20% 1JPRWw6 /un-lol,�,Ty CDrUPI TIOAJ5 DISeppw5p - R�45oNs Dw� l SYSTEM I J S O c t.,QTlokJ CX(}U/JT(oN )NcPEG-poAj j S [] F41L f�IN4l. �tiSP�I lDn-� 4PPROJ D I z3�C� �4Pr'rzbvwG A�r�toi�, Q AVPITIDOAL- JIQY - (Otis �1�-A►-�y) DtSl�PPRUv�17 D,arC FML APP�DvaL PP► cA-)G D II "V �jt'fil/� '1� � ��-T�rC ���r��z�� ��.. ���f�� I�/ ��� o����` r%,' TOWN OF NORTH ANDOVER f e°eTa L r ' Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET +,..e NORTH ANDOVER,MASSACHUSETTS 01845 ^ceu8�� Susan Y.Sawyer, REHS/RS 978.688.9540—.Phone Public Health Director 978.688.8476-FAX June 29,2005 Ms. Debra Alter Mr.Keith Alter 141 Carlton Lane 99 Fuller Pond Road North Andover,MA 01845 Middleton,MA 01949 c/o: kalter@alternativesolutionsonline.com RE: Subsurface Sewage Disposal System Plan for 141 Carlton Lane Map 106 C/Lot 83 Dear Mr. &Mrs.Alter: The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by Merrimack Engineering Services dated April 28,2005, final revision dated June 1, 2005 and received by this office on June 20,2005. The,design has been approved for use in the construction of an upgrade onsite septic system.This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer,designer and the Town of North Andover. This approval is subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void,installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(310 CMR 15.020(1)). 2. At the beginning of construction,a confirmatory test hole may be needed at the eastern edge of the system.This will be determined at the bottom of bed inspection by the Health Department staff. If soils are found to be more restrictive,construction will have to stop and the system re-designed. 3. This plan calls for the reuse of the septic tank.The plan notes that the installer must coordinate an inspection with the Health Department to determine water tightness.The installer shall pump the tank and leave empty for at least 5 hours at which time the inspector shall come to the site to check for infiltration.Then the installer shall fill the tank and the inspector will check for exfiltration. If it is found that the septic tank needs replacement then the existing sewer line must meet the minimum criteria and may need replacement as well. 4. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. 141 Carlton Lane Septic Plan Approval Pagel of2 The issuance of a_ posal System Construction Permit shall c construe and/or imply • compliance with any of the aforementioned requirements. 5. The plan does not call for installation of a septic tank effluent filter but one is recommended. Please be advised that only certain brands of filters are permitted for use in Massachusetts and each is required to follow certain approval criteria. Your designer or installer should work with you to assure a licensed brand is selected for use,if you choose to install one. Your effort to provide,a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may breached - - p ye e ched at 978 688 9540 with any questions you might have. Sincerely, Susan Y. Sawyer,REHS/RS� Public Health Director encl: List of licensed septic system installers cc: Merrimack Engineering Services file 141 Carlton Lane Septic Plan Approval Page 2 of 2 i LETTER OF TRANSMITTAL North Andover Health Department NORT1y 400 Osgood Street °d�s``D ab :6 North Andover,MA 01845 ° 978.688.9540-Phone n ems" 978.688.8476-Fax 09A cat ON healthdept(i)townofnorthandover com -E-mail 0+,%TEo ��'' •�`� www.townofnorthandover.com-Website Page of�_f SSAC14 TO: DATE: WILLIPROJECT MANAGER DUFRESNE, CT ERRIMACK ENGINEERING COMPANY: MFROM:Pamela DelleChiaie, Health Dept. Assistant ER SERVICES RE: /�� Phone:978.475.1448 2�� Fax: 978.475.3555/<::)- - We are sending you: lB�'an Review Letter U�fP PROVED ONOT APPROVED OSystem Construction Follow-Up OOther These are transmitted as checked below: OFor your File OAs Required OAs Requested OFor Your Use REMARKS: COPY TO: Fax# Homeowner _ /� U%(�"�Gor ailed COPY TO: Fax# File or Mailed COPY TO: Fax# Mailed ' TRANSMISSION VERIFICATION REPORT TIME 06/29/2005 09:40 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 06/29 09:33 FAX N0./NAME 89784751448 DURATION 00:01:27 PAGE(S) 03 RESULT OK MODE STANDARD ECM TOWN OF NORTH ANDOVER f NOFTH Office of COMMUNITY DEVELOPMENT AND SERVICES ►°3a 1�°°� HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y.Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.8476-FAX June 29,2005 Ms. Debra Alter Mr. Keith Alter 141 Carlton Lane 99 Fuller Pond Road North Andover,MA 01845 Middleton,MA 01949 C/o: kalter@altemativesolutionsonline.com RE: Subsurface Sewage Disposal System Plan for 141 Carlton Lane-Map 106.0/Lot 83 Dear Mr. &Mrs.Alter: The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by Merrimack Engineering Services dated April 28,2005, final revision dated June 1,2005 and received by this office on June 20,2005. The,design has been approved for use in the construction of an upgrade onsite septic system. This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer,designer and the Town of North Andover. This approval is subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void,installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(310 CMR 15.020(1)). 2. At the beginning of construction,a confirmatory test hole may be needed at the eastern edge of the system.This will be determined at the bottom of bed inspection by the Health Department staff. If soils are found to be more restrictive,construction will have to stop and the system re-designed. 3. This plan calls for the reuse of the septic tank. The plan notes that the installer must coordinate an inspection with the Health Department to determine water tightness.The installer shall pump the tank and leave empty for at least 5 hours at which time the inspector shall come to the site to check for infiltration.Then the installer shall fill the tank and the inspector will check for exfiltration. If it is found that the septic tank needs replacement then the existing sewer line must meet the minimum criteria and may need replacement as well. 4. Itis the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. 141 Carlton Lane Septic.Plan Approval Page I of 2 The issuance of a 1 'osal System Construction Permit shall. construe and/or imply compliance with any of the aforementioned requirements. 5. The plan does not call for installation of a septic tank effluent filter but one is recommended. Please be advised that only certain brands of filters are permitted for use in Massachusetts and each is required to follow certain approval criteria. Your designer or installer should work with you to assure a licensed brand is selected for use,if you choose to install one. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely, Susan Y. Sawyer, REHS/RS Public Health Director encl: List of licensed septic system installers cc: Merrimack Engineering Services file 141 Carlton Lane Septic Plan Approval Page 2 of 2 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS Ln 11 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com June 16,2005 Ms. Susan Sawyer Public Health Director JUN 2 0 2005 NT 400 Osgood Street North Andover,MA 01845 LHEALTH DEP'ilAF<Tf1DOVER AFZNIT Re: 141 Carlton Lane Dear Ms. Sawyer: We have received your review letter dated 5-26-2005 regarding the above referenced project. We have revised our plan in direct response to items 1, 2, 3, 4, 6, 7, 9, 11, and 12 of your letter. With regards to item#5,we disagree with the need for an additional test at this time. The bed bottom inspection serves as an opportunity to ensure suitable soil conditions and an additional test can be performed at that time if conditions warrant. With regards to item 48, we do not propose any work to the septic tank and sewer pipe connection to the dwelling and feel this comment is unwarranted. Finally, with regards to item#10,the alarm equipment is specified by the pump distributor and manufacturer and should not be specified by the design engineer. We have submitted herewith(3) copies of the revised plan. We feel your concerns have been adequately addressed and respectfully request that the design be approved as re- submitted. Very truly yours, MERRIMACK ENGINEERING SERVICES William Dufresne Project Manager ti Del leChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, May 27, 2005 4:18 PM To: 'kalter@alternativesolutionsonline.com'; Dufresne Bill (E-mail); Dufresne Bill(E-mail 2) Subject: 141 Carlton Lane, North Andover- Plan Disapproval Importance: High 141 Carlton .ane-Plan Disappro.. These letters are usually faxed to the engineer and mailed to the homeowner. As Mr. Alter requested that it bee-mailed, see the disclaimer below. A copy of this correspondence is in the Board of Health file, Thank you. Note: This letter may not be altered or used in any way-for information purposes only-.Read Only Format-Password Protected 8¢gf R¢gsr�dg, paai¢Ba D¢ee¢G�lfiwi¢ Health Department Assistant . Town of North Andover 40o Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax ,- http://www.townofnorthandover.com healthdept@townofhorthandover.com 1 :3 TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET :�o r ..aa.• . NORTH ANDOVER,MASSACHUSETTS 018451845C Susan Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX E-MAIL:healtbdept@townofnorthandover.com WEBSITE:htW://www.townofnorthandover.com May 26, 2005 Anthony Donato,P.E. Merrimack Engineering Services 66 park Street Andover, MA 01810 Re: Subsurface Sewage Disposal Svstem Plan for 141 Carlton Lane,Man 106C,Lot 83 Dear Mr. Donato: The proposed septic system design plan for the above site dated April 28,2005 and received on May 4,2005 has been reviewed. Unfortunately,it cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. ll Since you are proposing to re-use the existing septic tank,please specify the methods to be employed for the septic tank to be tested for watertightness—both for infiltration and leaking. If tank cannot be made watertight, it must be replaced. Also, if the tank is not 1,500 gallon, it will have to be either replaced or a variance requested. 1/ 2. Note 13 on the plan states that the existing tank should be removed,yet other details on plan state the tank is to be re-used. Please clarify. t✓ Please provide a gas baffle or an effluent filter(preferred) on the outlet of the septic tank. —227(4) Please provide details of the inlet tee for the pump chamber.-227(4) 5. Before construction is to begin, a confirmatory test hole will be needed at the eastern edge of the soil absorption system in order to verify soil consistency. If soils are found to be more restrictive, construction will have to stop and the system re-designed. 6. Please provide all distances on site plan for tanks to dwelling.—NA 8.03a-c &R' Please provide a benchmark within 50'-75' of the facility. 8. Please provide note that the existing sewer line is to be replaced if it does not meet the Vit-- following requirements: 4"minimum diameter; cast iron or SCH 40 PVC; watertight ,.,-Joints; and minimum of 1%slope.—222 &NA 11.02 9. Please include the flowback volume in the pump volume calculations.—231(2) e4 10. Please specify the brand of alarm equipment to be used.—231(2) �11. Discussion was held with the North Andover Conservation Commission regarding the 1986 wetland line shown on the plan. To confirm this wetland line,the ConCom would need the property to be re-flagged. In this case that is not necessary as the ConCom agrees that the wetland is greater than 100 feet from the construction area. Therefore, please remove the reference and the line from the plan and make note that wetlands are not within 100 feet. 12. Please clarify the intended location of the manhole on the pump chamber. One detail indicates a pump chamber with two openings and another detail indicates the manhole is to be placed in the middle of the tank. These two details do not jive and needs to be clarified. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Susan Y. Sawyer, REHS/RS Public Health Director cc: Owner File ry 1 . TOWN OF NORTH ANDOVER Noe7N 1 Office of COMMUNITY DEVELOPMENT AND SERVICES V, } z 71 HEALTH DEPARTMENT 400 OSGOOD STREET *" NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y. Satiwer,REHSLRS 978.688.9540—Phone Public Health Director 978.688.9542—FAX May 26, 2005 Anthony Donato,P.E. Merrimack Engineering Services 66 Park Street Andover,MA 01810 Re: Subsurface Sewage Disposal System Plan for 141 Carlton Lane,Map 106C,Lot 83 Dear Mr. Donato: The proposed septic system design plan for the above site dated April 28, 2005 and received on May 4, 2005 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item 1. Since you are proposing to re-use the existing septic tank, please specify the methods to be employed for the septic tank to be tested for watertightness—both for infiltration and leaking. If tank cannot be made watertight; it must be replaced. Also, if the tank is not 1,500 gallon,it will have to be either replaced or a variance requested. 2. Note 13 on the plan states that the existing tank should be removed,yet other details on plan state the tank is to be re-used. Please clarify. 3. Please provide a gas baffle or an effluent filter(preferred)on the outlet of the septic tank.—227(4) 4. Please provide details of the inlet tee for the pump chamber.-227(4) 5. Before construction is to begin, a confirmatory test hole will be needed at the easter edge of the soil absorption system in order to verify soil consistency. If soils are found to be more restrictive, construction will have to stop and the system re-designed. 6. Please provide all distances on site plan for tanks to dwelling.NA 8.03a-c 7. Please provide a benchmark within 50'-75' of the facility. 8. Please provide note that the existing sewer line is to be replaced if it does not meet the following requirements: 4"minimum diameter, cast iron or SCH 40 PVC;watertight joints;and minimum of 1% slope.—222&NAI 1.02 9. Please include the flowback volume in the pump volume calculations. —231(2) 10.Please specify the brand of alarm equipment to be used. —231(2) 11.Discussion was held with the North Andover Conservation Commission regarding the 1986 wetland line shown on the plan. To confirm this wetland line,the ConCom would need the property to be re-flagged. In this case that is not necessary as the ConCom agrees that the wetland is greater than 100 feet from the construction area. Therefore, please remove the reference and the he from the plan and make note that wetlands are not within 100 feet. 12. Please clarify the intended location of the manhole on the pump chamber. One detail indicates a pump chamber with two openings and another detail indicates the manhole is to be placed in the middle of the tank. These two details do not jive and needs to be clarified. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincer , usan Y. Sawyer, REHS Public Health Director cc: Owner File TOWN OF NORTH ANDOVER NOR7M Office of COMMUNITY DEVELOPMENT AND SERVICES o?• '°° HEALTH DEPARTMENT ; 400 OSGOOD STREET ", a NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss:�Hus`� Susan Y. SaArycr,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX May 26, 2005 Anthony Donato,P.E. Merrimack Engineering Services 66 Park Street Andover,MA 01810 Re: Subsurface Sewage Disposal System Plan for 141 Carlton Lane,Map 106C,Lot 83 Dear Mr. Donato: The proposed septic system design plan for the above site dated April 28,2005 and received on May 4, 2005 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item 1. Since you are proposing to re-use the existing septic tank, please specify the methods to be employed for the septic tank to be tested for watertightness—both for infiltration and leaking. If tank cannot be made watertight, it must be replaced. Also, if the tank is not 1,5.00 gallon, it will have to be either replaced or a variance requested. 2. Note 13 on the plan states that the existing tank should be removed,yet other details on plan state the tank is to be re-used. Please clarify. 3. Please provide a gas baffle or an eluent filter(preferred)on the outlet of the septic tank. —227(4) 4. Please provide details of the inlet tee for the pump chamber.-227(4) 5. Before construction is to begin, a confirmatory test hole will be needed at the eastern edge of the soil absorption system in order to verify soil consistency. If soils are found to be more restrictive,construction will have to stop and the system re-designed. 6. Please provide all distances on site plan for tanks to dwelling. NA 8.03a-c 7. Please provide a benchmark within 50'-75' of the facility. 8. Please provide note that the existing sewer line is to be replaced if it does not meet the following requirements: 4"minimum diameter,cast iron or SCH 40 PVC;watertight joints; and minimum of 1%slope. —222&NAI 1.02 9. Please include the flowback volume in the pump volume calculations.231(2) 10.Please specify the brand of alarm equipment to be used. —231(2) 11.Discussion was held with the North Andover Conservation Commission regarding the 1986 wetland line shown on the plan. To confirm this wetland line,the ConCom would need the property to be re-flagged. In this case that is not necessary as the ConCom agrees that the wetland is greater than 100 feet from the construction area. Therefore, please remove the reference and the line from the plan and make note that wetlands are not within 100 feet. 12.Please clarify the intended location of the manhole on the pump chamber. One detail indicates a pump chamber with two openings and another detail indicates the manhole is to be placed in the middle of the tank. These two details do not jive and needs to be clarified. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincer , usan Y. Sawyer,RENS Public Health Director cc: Owner File 1�Z7 Town ofWorth Andover Health Department IDate: Location: (Indicate Address,if Residential,or Name of Busin s) Check#: / v J 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 $ �-- 2;.Sefti D sign Approval $ , ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrasitlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) V Health Agent Initials 793 White-Applicant Yellow-Health Pink-Treasurer i 5 Town of North Andover RECEIVED HEALTH DEPARTMENT 27 Charles Street MAY - 4 2005 North Andover,MA 01845 978.63&9540 TOWN OF NORTH ANDOVER kAd1hde a mvnonn andover.co HEALTH DEPARTMENT i SEPTIC PLAN SUBMITTAL FORM DATE.OF SUBMISSION: SITE LOCATION: , end zyc2t\A ENGINEER: L) rmit 1 I H l e �e 111 �a �y PLA S; YES ✓ $225.00/Plan ✓ Check#:- Q (Includes J&VEwr and one Re-)eview Only) REVISED PLANS: YES S 75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO X , Telephone#: 1��7 Fim ft E-mail: HOMEOWNER NAME: I A OFFICE USE ONLY When the submission is complete(Including check): i. _�me stamp plans and Leifer 2. Compide and attach Receipt 3. � py Fite;Forward to Consultant 4. v Enter on Log Sheet and Database Lot:l<tioa: A tLl�Tc�IV L O�rner's Name: rL'f`�12 Map/Pamel: l � g?, Address: cid i2.t."Tc�� r —��. Installer: Tel#:_��R'0 New MRL—.Repair Date: �-'1�f Wetlands?�"me l3Soli Symbol So1l iR'ameGa,,*-%L77i�AJ _Soil Chis Deep Obsuvation Hole Logs rizoa Soil Testnre Son Color Soil hiottlia g. /o Gravel,Stoves,etc• Elevation Depth Soil ttO mil ©���,� �t LV • 10- 7, w`�� Patent Atatetial. �')U. r Depth to 8cd =water is the Hole 1" weepiat feola t Face f3 Oq k'i zwl 0 41 L- W 11PUMIM"arK -4-1 u, Depth to a Stvdia={Mater ha Me Ho1G___weepia=fim pu FaeehESHGLY: Date Percolation Tests Obsen-ation Hole Depth of Pere Start Pre-soils Time at le Time at 9" Time at 6" Time(9"-61- -Rate Minliuch• Performed BWitnessed Br. Page 1 of 1 Pamela DelleChiaie From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Friday, May 20, 2005 3:08 PM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer Subject: 141 Carlton Folks, Plan review for 142 Carlton Lane is attached. Dan I Daniel Ottenheimer,President Mill River Consulting,Inc. Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com dano@mihriverconsulting.com 5/23/2005 ANDREWS GUNITE CQMPAIV INC, FAX TRANSMITTAL DATE: 41AL COMPANY _ �t`'��IDy�?l�I ATTENTION: U 14 k) FAX N0: FROM. PAGES: INCLUDING TRANSMITTAL SHEET NOTE* PLEASE CALL/FALL PAGES ARE NOT RECEIVED. FAX NO. -----> (508)671-0165 6 REPUBUC ROAD NORTH lelUERICA,MA 01862 (817)272-02r8 '1ny�gr.a4 w:s 'iV-k%Vmt Itom w 01 w K a..n it'd P-t a M at on—am i rr�t 1'�+abai+4of i R*w{twvw►•{a r Al mYif w oft/vffpAm &%N4m% � M � • . Aa+YlWAO t ANY Z:--1/.OL+nb n! 0 �v v a �'3 NJ A, n ..rti ,r c .yv'�. � T ff � Q•� D� d y�-- 1 _,c ell rr // •pry s'wwq nt v/1r N w7f417 to wry tZ � �1b0� ''t•iJ g4. 2GPG�I�i PNi , S _ 4 rs RECEIVED JUL 2 S 2005 TOWN UF N&. i H ANDOVER HEALTH DEPARTMENT TOWN OF.NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(constructed; ( ) repaired: , by 111�1'a I j,�.GTGio� .t located at I 1 6'A,: ' Z (-A W9 was installed in conformance with the North Andover Board of Health approved plan,. System Design Permit#6 36, dated V P 115- 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: � Engineer Representative i Final inspection date: Engineer Representative i i InstalleIggineer: Lic.#: Date: � ori' of Design Date: i 1160 Salem Street-Bed Bottom Construction Notes Page 1 of 2 DelleChiaie, Pamela From: Andy McBrearty[amcbrearty@millriverconsulting.com] Sent: Wednesday, July 27, 2005 12:09 PM To: DelleChiaie, Pamela Cc: . aniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail) Su ect: Re: 141 Carlton Lane&Gray St. Hi Pam& Sue, Here is the Carlton Lane construction inspection. Some things to check at final: . Make sure three floats in Pump Chamber, and verify they work... If water level above "OFF" float,when pump turns ON during test,pump should not stop until the OFF float is in neutral position. . Check to be sure weep hole in line is also above floats. Should see it squirt out when pump is on, and drain back when off. . Take a shovel and dig into the middle of field to be sure that roofing paper is gone. . Vent was not in place when we were there - check for filter. -andy Also including Gray St, Lot 1. DelleChiaie, Pamela wrote: 508.932.3204-Buddy Watson asked if everything would be all set for homeowner(Alter's-getting divorced)to close on Friday. According to Dan,this site needs another Final, and then a Final Grade. Buddy said it is ready for the subsequent final. Are you or Dan going to do this, and is it feasible to have everything done by Thursday?? Please let me know. Thanks. I'm also going to call you on your cell, as Dan is with you now....... P -----Original Message----- From: Dan Ottenheimer [maitllto.info@mill_riv_erconsulting.com] Sent: Monday,July 25, 2005 8:17 AM To: DelleChiaie, Pamela; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Cc: Sawyer, Susan; Grant, Michele Subject: RE: 1160 Salem Street- Bed Bottom Construction Notes Thanks. We'll be ready when they call. By the way,we got to 141 Carlton Lane and Lot 1 Gray Street on Friday afternoon. Reports will be. sent shortly. Basically we found no major problems at Lot 1 Gray Street but did find ones at 141 Carlton Lane which will require further attention by the installer(Buddy Watson)and a subsequent inspection. Dan I Daniel Ottenheimer,President 7/27/2005 1160 Salem Street-Bed Bottom Construction Notes Page 2 of 2 Mill River Consulting,Inc. Septic System Management Services 2 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 ort-800-377-3044 fax: 978-282-0012 www.mil l-riverconsulti�.com dano @millriv_erconsulting,com From: DelleChiaie, Pamela [mailto_pdellechiaie@townofnorthandover.com] Sent: Friday, July 22, 2005 2:47 PM To: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); McBrearty Andrew(E-mail) Cc: Sawyer, Susan; Grant, Michele Subject: 1160 Salem Street- Bed Bottom Construction Notes Hi, Here is the BB report attached. I assume John will call next week sometime for a Final. P <<CONSTRUCTION INSP. 1160 Salem Street.doc>> 8¢81 Regu�d8, Paay¢�a D¢Bl�¢G�lfiui¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http:lwww.tQwnofnorthandover.com healthdept_@townofnorthandover.com 7/27/2005 1160 Salem Street-Bed Bottom Construction Notes Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.coml Sent: Monday, July 25, 2005 8:17 AM To: DelleChiaie, Pamela; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Cc: Sawyer, Susan; Grant, Michele Subject: RE: 1160 Salem Street-Bed Bottom Construction Notes Thanks, We'll be read hen-the call. By the way,we go 141 Carlton Lane d Lot 1 Gray Street on Friday afternoon. Reports will be sent shortly. Basically we found no s at Lot 1 Gray Street but did find ones at 141 Carlton Lane which will require further attention by the installer(Buddy Watson)and a subsequent inspection. Dan Daniel Ottenheimer,President Mill River Consulting,Inc. Septic System Management Services 2 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com danQinil lriverconsulting.com From: DelleChiaie, Pamela [mailto:pdellechiaie@townofnorthandover.com] Sent: Friday, July 22, 2005 2:47 PM To: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); McBrearty Andrew(E-mail) Cc: Sawyer, Susan; Grant, Michele Subject: 1160 Salem Street- Bed Bottom Construction Notes Hi, Here is the BB report attached. I assume John will call next week sometime for a Final. P <<CONSTRUCTION INSP. 1160 Salem Street.doc>> SOWR¢gafdsl Payy¢Ba D¢ee¢G�liiai¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http//www.townofnorthandover.com healthdept@townofnorthandover.com 7/25/2005 Town of North Andover v� Health Department Date: Location: (Indicate Address,if Residential,or Name of Bu iness) Check#: 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 $ ❑ Septi Design Approval $ 2eptic Disposal Works Construction(DWC)$ � ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) 482 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Town of North Andover 'mss' Health Department Date: l 0� Location: (Indicate Address, if Residential,or Name of Burliness) Check#: 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 $ eptic Disposal Works Construction(DWC)$- ❑ Septic Disposal Works Installers(DWI) $ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ Well Construction $ OTHER(Indicate) 482 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer + Page 1 of 1 Dellechiaie, Pamela From: Sawyer, Susan Sent: Wednesday, March 30, 2005 1:44 PM To: Dellechiaie, Pamela Subject: FW: soil tests Just forwarding assume you are not getting these -----Original Message----- From: Lisa LeVasseur[mailto:lisal@millriverconsulting.com] Sent: Tuesday, March 29, 2005 11:07 AM To: Susan Sawyer; amcbrearty@millriverconsulting.com; 'Pamela Dellechiaie; dano@miliriverconsulting.com Subject: soil tests -- For 10 Hawkins Lane an 141 Carlton L e are scheduled for Thursday, April 14. Hawkins is RS from 3-24.) Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www,millriverconsulting.com 3/30/2005 Town of North Andover �` Health Department Date: Location: /-// 2 S", (Indicate Address,if Residential,or Name of Business) Check#: AM 6 Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC RMITS: &V eptic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) Heal h Agent Initials 733 White-Applicant Yellow-Health Pink-Treasurer Town of North Andover Health Department �` Date: / Location: (Indicate Address,if Residential,or Name of Business) Check#: l©j 60 Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC_PERMFFS: O,wSep�Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ f ➢ Sun tanning $ f ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrasIVSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) n Health Agent Initials 733 White-Applicant Yellow-Health Pink-Treasurer BOARD OF HEALT • NORTH ANDOVER, MASS. 01845 • 978-688-9540 APPLICATION FOR SOIL TESTS DATE: S-p5 MAP&PARCEL: LOCATION OF SOIL TESTS: OWNER: VIC PIC TEL_NO.: ADDRESS: 141 CA F—L-rco0 i- OEC ENGINEER: M C M 0 Ac�E l,Qcl Ln l�,rJTEL.NO.: CERTIFIED SOIL EVALUATOR: Intended use of land: Residential Subdivision S' gle Family Ho Commercial Is This: Repair testing J� Undeveloped lot testing Upgrade for addition In the Lake Cochichewick Watershed? Yes N CEIVED THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: MAR 2 1 2005 1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests TOWN OF NORTH ANDOVER 2. Plot plan I HEALTH DEPARTMENT 3. Fee of$425.00 per lot for new construction. This covers the minimmn two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. 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 septic system disposal area. 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(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval: Date Received: Check Amount: Check Date: it ��'►` a' �LT- G R c CA-/\/Al AL 29-N /a-j3-PG 1 34ea_� 9 t 1 2 z � E R C SIE���(,'x q -/ `�--` Y�--- c. ...C _t`-.... -_-_-lam j fl f F 1 �� (.`. J ,� � rte{K1• � f I I t RECEIVED t l MAR 2 12005 � P TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 1 G E F BOARD OF HEAL. NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: MAP&PARCEL: IO Le S LOCATION OF SOIL TESTS: I t+I CA ab M&A) N E OWNER: alpaiL t L–ETIJ L`T R TEL. ADDRESS: 1 4 1 6A 94-1rZo0 L.,A,NE?� ENGINEER: H E"ki A&2 V, E00 I Lk t L L.NO.: CERTIFIED SOIL EVALUATOR: L.Ir I7 L r-12Et7J Intended use of land: llesidential Subdivision S' gle F ily I o� Commercial Is This: . / Repair testing _I� Undeveloped lot testing Upgrade for addition In the Lake Cochichewick Watershed? Yes N RECEIVED THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: MAR 2 1 2005 Proof of land ownership(Tax bill,deed,or letter from owner permitting tests TOWN OF NORTH ANDOVER 2. Plot plan HEALTH DEPARTMENT 3. Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or up ades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. 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 septic system disposal area. 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(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. RECEIVED Please Do Not Write Below This Line N.A.Conservation Commission Approval: MAR 2 3 2005 TOWN OF NORTH ANDOVER Date Received: Check Amount: Check D te:HEALTH DEPARTMENT 10 0: � . P F 21, CIA- 4 f 1V G A o .t A/ Cj ,4N /0—13—b�G 1711 f1 f 3fRENC�! �'x tc� t 1 I 1 1 RECEIVED l � MAR 3 12005 1 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT ;F N ' OCT 14 2008 NORTH ANDOVER �1� Gv�w o�°���'r' ANN ? HEALTH DEP,yRT, Sysum ftmning Record stem «ter •stem LOCaUon BRONWYN BOYLE 141 CARLTON LANE Date of Pumping: 9/29/08 Quantity Pumped: 1500 gallons C l: Igo 13 Yes . ❑ Septic Tw&-- No ❑ Yes esspoo it11GGS SEPTIC SERVICE, INC• Sy stent Pumped b.: d.b.a. E. A• CoNEAU SEPTIC License Contents vansfesred to: FITGHBURG _ Inspector RAGGS SEPTIC SERVICE, Date 9/29/08 I i t , COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION A f yQ O 1 yV TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:_141 Carlton Lane_ _North Andover_ Owner's Name:—Keith&Debbie Alter_ RECEIVED Owner's Address:_141 Carlton Lane _North Andover,MA 01845_ Date of Inspection:3/16/2005_ MAR 2 4 2005 Name of Inspector: Neil J.Bateson_ TOWN OF NURTH ANDOVER Company Name: Bateson Enterprises Inc._ HEALTH DEPARTMENT Mailing Address:_111 Argilla Road_ _Andover,Ma.01810_ Telephone Number:_(978)475-4786_ 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: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority X F is P Inspector's Signature: ` 0 Date:_3/16/2005_ The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 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 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 1 l OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:_141 Carlton Lane_ _North Andover_ Owner:_Alter Date of Inspection: 3/16/2005_ Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: 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 exfiltmtion 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: i Page 3 of 1 i OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_141 Carlton Lane_ _North Andover— Owner:_Alter Date of Inspection: 3/16/2005_ 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 public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)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 surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 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:_141 Carlton Lane_ _North Andover_ Owner:_Alter Date of Inspection: 3/16/2005_ D. System Failure Criteria applicable to all systems: You must indicate`yes"or"no"to each of the following for all inspections: _Yes_ _ Backup of sewage into facility or system component due to overloaded or-g.] ed SAS or cesspool No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _Yes_ _Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool No Liquid depth in cesspool is less than 6"below invert or available volume is'/z day flow. No Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped No Any portion of the SAS,cesspool or privy is below high ground water elevation. _No_ Any portion of cesspool or privy is within .100 feet of a surface water supply or tributary to a surface water supply. No Any portion of a cesspool or privy is within a Zone I of a public well. _No Any portion of a cesspool or privy is within 50 feet of a private water supply well. No_ 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_(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- 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 15.304.The system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:_141 Carlton Lane_ _North Andover— Owner:_Alter_ Date of Inspection: 3/16/2005_ Check if the following have been done.You must indicate`yes"or"no"as to each of the following: Yes No _Yes_ — Pumping information was provided by the owner,occupant,or Board of Health _No Were any of the system components pumped out in the previous two weeks? _Yes _ Has the system received normal flows in the previous two week period? No Have large volumes of water been introduced to the system recently or as part of this inspection? _Yes _ Were as built plans of the system obtained and examined? _Yes — Was the facility or dwelling inspected for signs of sewage back up? Yes _ Was the site inspected for signs of break out? Yes_ _ Were all system components,excluding the SAS,located on site? _Yes_ _ 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? _Yes_ _ 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 _Yes_ , Existing information. _Yes_ _ 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)J i Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:_141 Carlton Lane_ _North Andover_ Owner:_Alter Date of Inspection: 3/16/2005_ FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):4_ Number of bedrooms(actual):-4- DESIGN _DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):_600 Number of current residents:_4 Does residence have a garbage grinder(yes or no):-Yes- Is es_Is laundry on a separate sewage system(yes or no):_No_ Laundry system inspected(yes or no): _ Seasonal use:(yes or no):_No Water meter readings:_Yes_ Sump pump(yes or no):_No Last date of occupancy:_Current_ COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203):_gpd Basis of design flow(seats/persons/sg8,etc.): 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: Pumped 1 years ago,owner_ Was system pumped as part of the inspection(yes or no):_No If yes,volume pumped:_;gallons--How was quantity pumped determined?— Reason for pumping: _ 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 he obtained from system owner) Tight tank _Attach a copy of the DEP approval —Other(describe):__ Approximate age of all components,date installed(if known)and source of information:_19 years old,10/2311986, As built plan_ 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:_141 Carlton Lane_ —North Andover— Owner:_Alter Date of Inspection: 3/16/2005_ BUILDING SEWER_X_ (locate on site plan) Depth below grade:_ Materials of construction: _cast iron 40 PVC_other Distance from private water supply well or suction line Comments(on condition of joints,venting,evidence of leakage,etc.): _ SEPTIC TANKS: X Depth below grade:_12" 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):T(attach a copy of certificate) Dimensions:_10'x 5'x 4'_ Sludge depth:_2"_ Distance from top of sludge to bottom of outlet tee or baffle:_N/A_ Scum thickness:_2"_ Distance from top of scum to top of outlet tee or baffle:_N/A N/A=tank flooded,liquid above tee Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined:_Tape Measure Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.)_Septic tank flooded,liquid level above outlet invert.No evidence of leakage._ 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(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 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_141 Carlton Lane_ —North Andover— Owner:_Alter Date of Inspection: 3/16/2005 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) 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 Depth of liquid level above outlet invert: _6"_ 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.)_D-box flooded,liquid level above all inverts.D-Boz cover broken._ PUMP CHAMBER:_(locate on site plan) Pump in working order(yes or no):_ Alarm in working order(yes or no):_ Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): _ I Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 141 Carlton Lane_ _North Andover_ Owner: Alter Date of Inspection: 3/16/2005 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: _X leaching trenches,number,length: 3 trenches 42'long_ leaching fields,number,dimensions: overflow cesspool,number: innovativelaltemative system Typetname of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.):_Sign of hydraulic failure,liquid above all outlet inverts in d-box. No sign of ponding to surface._ CESSPOOLS: (cesspool must be pumped as part of inspectionxlocate on site plan) Number and configuration:__ Depth–top of liquid to inlet invert:_ Depth of sludge 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) 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 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 141 Carlton Lane_ —North Andover— Owner:_Alter Date of Inspection: 3/16/2005 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. Driveway House Septic Tank Deck AB A to D-Box=26' D- Box B to Tank=13'5" B to D-Box=16'4" C to Tank=34' Page I 1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_141 Carlton Lane_ _ North Andover — Owner:_Alter Date of Inspection: 3/16/2005_ SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water _4'_ Please indicate(check)all methods used to determine the high ground water elevation: _X Obtained from system design plans on record-If checked,date of design plan reviewed:_4/26/1986_ 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:_Design plan_ Summary Record Card gene on 3/11/2005 10:30:19 AM by Lisa Warren Page 1 Tov... of North Andover Tax Map # 210-106.C-0083-0000.0 141 CARLTON LANE ALTER, KEITH 141 CARLTON LANE N. ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Size Total 3.02 Acres FY 2005 UB Mailing Index Name/Address Type Loan Number Active/Inact. From Until ALTER, KEITH Payor 141 CARLTON LANE N.ANDOVER, MA 01845 UB Account Maint. Account No Cycle Occupant Name Activellnactive Bldg Id. 7572.0- 141 CARLTON LN Last Billing Date 3/9/2005 2100151 02 Cycle 02 Active UB Services Maint. Service Code Rate Charge Multiplier/Users MISCFEI?ADMIN FEE 0.635/8 7.82 11 WTR WATER 01 ALL METER SIZE 95.15 /1 UB Meter Maintenance Serial No Status Location Brand Type Size YTD Cons 13242641 a Active ERT HH METE METE w Water 0.63 0.63 0 Date Reading Code Consumption Posted Date Variance 2/2/2005 146 a Actual 29 3/15/2005 -22% 11/1/2004 117 a Actual 33 12117/2004 -7% 8%10/2004 84 a Actual 38 9/20/2004 45% Trouble Code:03 5/13/2004 46 a Actual 27 6/14/2004 48% 2/11/2004 19 c Correction 19 4/16/2004 0% C/0 O+ERT 19=19 fin., IRA- 4C, . s %' �s 2�e w mM +es p� vM T p� C'-,— a P� p. aq ' '4S si-nY V `ate.W`'SoV WY'`vi b",-6'4' V L,' C� "N,cv,:ti L'7 0,N 7.4 V,(s Ln H 7+ p c,4 rM 9 .ri 11�' rN ra N ri.ra'3� ,, tai•,tt a- � a IN-H -MNrjryri1t0 H7-IMM—HNN • w u4 L u4 u4 w;Ld).Lf':^^• :„7f s w, ' r SSSSCM smmSSSuw SS R? f . . . �r 70y�J`tl".D37C`tiC01LnNNLn, s, , MN C' ��SMV,tD -rd M C'+M M w M�,0 r�i¢i T-1 - - N-i...i",N-4-•i ..0 :zi is'n^7 ra rt N N £ $ ;M 'w Ch`s N 6D `V i.A.ti Cr':�..7�N'.t'Ln ill L;7 i .0NT-V,'wC' CM?ti J •:'s. ",'+ r�. d ,t yr G^. ,,..t;. ...., -. w as fCi- CdrvccV! -':vN1-4rnw^t"`C+"rmC+�, a.tl'�� {�E�s �^[ ,A 6N Sc 3"i'u�'+v'moi Q^A r�f•7.L°`C^,tC a1 C'°.`y' ,:'f .. '" NNNNN6N tmllyml;;';;;;;° mmmm 0.,c SCv S�aa�gri 7Ctiw�^v n t^7 ?Z Oi SS WSa�SS S a SS S? e 1 } ^3 0,0,56'-SSSSS SM'S SSL9m`l #� as €�4" •�" to US} S t'7 :,JNA=U, 1.4NLrvq LnWmIiC�0wV-1 '" � I C'VN�4t�NNt13CVNh7C'+,'�;C�i�SCR,C�3P=7Nq � '��; � � r� ''��SS'rig-Lrt•rdN13.'�fCtiM,"RCr:R:�� � � 1 � S,�SLi�6SSu�i516Su�S4�'S6J�� 0•a iS�St�:a3'6�wSSS���7SSw�9�W NNNNCSNNN,C, N NI\,vNNNNN 13 b w - M a cis— Tel: (978)475-4786 Fax: (978) 475-5451 BATESON ENTERPRISES, INC. Excavating-Water.&Sewer Lines-Septic Systems&Pumping Service 111 Argilla Road Andover,Mass, 01810 Title 5 Inspection Report Property Address: 141 Carlton Lane, North Andover Owner: Alter Date of Inspection: 3/16/2005 My report contained herein does not constitute a guarantee of future usage and the functionality of the existing septic system Such report issued herewith is merely based upon my observations,and I hereby disclaim any further operation of your current septic system. AJ.Nt on Bateson Enterprises,Inc. TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD S1 STEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) ------ 1)ATE OF PUMPING: X1016 QUANTITY PUMPED l6—a0GALLONS CESSPOOL: NO L// YES SEPTIC TANK: NO YES V NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) i S S T E M P U M P E D B Y: CONI.NIENTS: CONTENTS TRANSFERRED T0: i TOWN OF NORTH ANDOVE SYSTEM PUMPING RECO j OCT 2 5 20DATE: Co, SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: QUANTITY PUMPED GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES ' NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: I ('onun we Ith of Massachusetts , Massachusetts System Pumping Record System Owner System Location L(I &at-�Jv\ Date of Pumping: �`'/ .�� Quantity Pumped: 4�z�gallons Cesspool: No [4--�--Yes U Septic Tank: No U Yes Lr System Pumped by: gareQort 4610&1 ided License# Contents transferrred to : Greater Lawrence Sanitary District Date: Inspector: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION INFORMATION (continued) Property Address: as C04 2 TQ ti V—' v d s , VM 4- Owner: 01&rze I'YoC.k$���`r Date of Inspection: $ Jx9 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) C U C- rN T NSID t� �$ e&V� cn I I N j (r—i—d 04125/97) Peg• 9 of 10 19� cAtc-t.- RD, N. 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