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HomeMy WebLinkAboutMiscellaneous - 1447 SALEM STREET 4/30/2018 (2) 1447 SALEM STREET � �� ' 210/106.A-0025-0000:0 �_,_ ____- fJi _-, � _ ,� _____ __r____ _ _ �»� .. - -- - �r� t *r L c North Andover Board of Assessors Public Access Page 1 of 1� ,por+Yp Town of"NorthA dower. of E. .. ", Board of Assessors, a} '� o� h � ?&s,c�+us Property Record Card Return to the Home page click on logo Parcel ID:.210/106.A-0025-0000.0 Community:North Andover SKETCH PHOTO New Search Click on Sketch to Enlarge Click on Ph ototo Enlarge Sales �z , Summary . 4 ^A 1 u Residence 4 � 1 Detached Structure Condo F t Commercial :s Comparable Sales 1447 SALEM STREET Location: 1447 SALEM STREET Owner Name: BURNS,MARY B C/O IRENE DEFREITAS Owner Address: 35 HERITAGE DRIVE City: LOWELL State: MA ZIP: 01852 Neighborhood: 6-6 Land Area: 1 acres Use Code: 101 -SNGL-FAM-RES Total Finished Area: 1792 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 471,700 433,700 Building Value: 240,800 223,700 Land Value: 230,900 210,000 Market Land Value:230,900 Chapter Land Value: LATEST SALE Sale Price: 16,000 Sale Date:02/22/1982 Arms Length Sale Code:H-NO-COURT-ORD Grantor: BURNS RICHARD D Cert Doc: Book: 01562 Page:0141 R http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=990786 7/10/2007 � i Page 1 of 1 7-7 Parcel ID: 210/106.A-0025-0000.0 Community: North Andover SKETCH PIR)TO Click on Sketch to Enlarge No% r%%Ct t i rim& Aval Location: 1447 SALEM STREET Owner Name: BURNS,MARY B � f C/O IRENE DEFREITAS � Owner Address: 35 HERITAGE DRIVELee� C' ,ity: LOWELL State: 1!!IAZIP: 01852 Neighborhoods 6 -6 Land Area: 1 acres Use Code: 1011, - SNGL-FAM-RES Total Finished Area: 1792 sgft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 433,700 404,400 Building Value: 223,700 210,100 Land Value: 210,000 194,300 Market Land Value: 210,000 Chapter Land Value: LATEST SALE 982 FArmsLength 6,000 Sale Code: H-NO-COURT-ORD Grlantor: BURNSRICHARDD Cert Doc: Book: 01562 Page: 0141 ! ttp: sc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&LinkId=808569 - 5/25/2006 pORT/ - 7138 10- p Town of North Andover `,�'• '� HEALTH DEPARTMENT ,$3CHUStt CHECK#: `t DATE: LOCATION: 1441 ni H/O NAME: 0 16, ILk CONTRACTOR NAME: aA.k,� Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type. $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ Title 5 Report $ ❑ Other:(Indicate) $ Health Agent Initial White-Applicant Yellow-Health Pink-Treasurer Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Dispos"ystem Formor Voluntary Not f Assessments / Pfpperby AddrM Owner C r -9 Information is ees ame r required for -Y�C 0-V every page. Ity/Town State ZipCode Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important: A General leformation When filling out • forms on the - IVED computer,use 1. Inspector. onythetabkey JUL 0 2 2Q15 to move your cursor-do notName of ins lr TOWN OF NORTH ANDOVER use the return pecxor nn r key. 1, ae Company Name �a Company Address �Uj ur nstate o / D / Zip Code Teleph e Number License Number B. Certification 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 ❑ Fails ❑ Needs Further Evaluation byihe Local Approving Authority In or' nature S y Date 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 s stem ow and copies sent to the buyer, if applicable, and the approving authority. y mer ""*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. t5ins-03113 Tina 5 OlRdel i�PaI Fomt Subsurr&W SSI Disposal 9y.I•Papa 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form . 0 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments SGIeyyz Property Address Owner Information is Owner's Name _ required for every page. CitylTown State Zip Code Date of.lnspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A)System Passes: VII 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. Check the box for"yes", "no"br"not determined"(Y, N, ND)for the following statyements. If"not determined, "please explain. The septic tank is metal and over 20 years old*or the septic to structurally unsound, exhibits substantial infiltration or exfiltr on orNtank failure is hether metal imminent. System will pass inspection if the existing tank is replaced with a c plying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is stru urally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than years old is available. Y Ni ND(Expl ' below): t5ins•03/13 rifle 5 official inspection Folin Subsurface Sewage Disposal System•Page 2 of 17 L Commonwealth of Massachusetts Title 5 official Inspection Form 1"t Subsurface Sewage Disposal System Form Not for Voluntary Assessments 51 5� l� Property Address Owner Information is Owner's Name required for every page. Citylrown State Zi Code P Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.); ❑ 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 pipes)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ N (Explain below): 11 distribution box is leveled or replaced ❑ Y 11N ND (Explain below): ❑ The System required pum in more P 9 an 4 times a year due to system will pass inspection if(witapproval of the Board of Health): or obstructed pipe(s). The ❑ broken pipe(s)are Ireleced ❑ Y ❑ N ❑ ND Ex 'I( p am belowobstruction is re ❑ Y ❑ N ❑ ND (Explain below): =:z C) Further Evaluation is Required q ed by the Board of Health: ❑ Conditions exist which require further evaluation.by the Board of Health in order to d the system is failing to protect public health, sa or the determine if e tY environment. 1. System will pass unless Board of H th determines in accordance with 310 CMR 15.303(1)(b)that the system is not fu tioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is w' in 50 feet of a surface water ❑ Cesspool or privy' within 50 feet of a bordering vegetated wetland or a salt march t5ins-03/13 Ttle 5 official Inspection Form Subsurface Sewage Disposal System•Pam 3 M 17 Commonwealth of Massachusetts Title 5 official Inspection Form 114-1 r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments (eyq -� Property Address Owner Information is Owner's Name required for every page. City/To m State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) deterimes 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) d the SAS is within 100 feet of a surface water supply or tributary to a surface w r supply. ❑ The system has aseptic tank and SAS and the SAS is ' supply. i n a Zone 1 of a public water ❑ The system has a septic tank and SAS and the S is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and a 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 wate nalysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the pr sence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no ther failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: I D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No El Backup of sewage into o faculty or system component due to overloaded or clogged SAS or cesspool ❑ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet,invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" than% day flow below Invert,or available volume is less t5ins•03/13 Title 5 Official Insoection From Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments . le �- Property Address Owner _ Information is Owner's Name required for every page. City/Town State Zi Code P Date of Inspection B. Certification (cont.) Yes No ❑ 2" Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 021" Any portion of the SAS, Cesspool or privy is below high ground water elevation. ❑ 2" Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ED'-- 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 fecal coliform bacteria indicates absent and the r of ammonia nitrogenp esence and nitrate nitrogen en i g s equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ❑� This system is a cesspool serving a facility with a design flow of 2000 d- 10,0009pd. 9P ❑ 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. For large systems, you must indicate either"yes"or"no"to each of a following, in addition to the questions in Section D. Yes No ❑ the system is within 400 feet o surface drinkiing water supply ❑ the system is within 200 et of a tributary to a surface drinking water supply ❑ ❑ the system is loc d in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA o mapped Zone II of a public water supply well If you have answered "yes"t ny question in Section E the system is condidered a significant threat, or answered"yes"in Sec' n D above the large system has failed. The owner or operator of any large system considered a ' nificant threat under Section E or failed under Section D shall upgrade the system in accorda a with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•03/13 Title 5 ONicial inspec0on FOnn Athet"ieee e.-._-_...__. ._ Commonwealth of Massachusetts Title 5 Official .Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Owner Information is Owner's Name required for every page. City/Town State Zi-Code P Date of Inspection C Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ Pumping information was provided by the owner, occupant, or Board oard of Health ❑ 9 Were any of the system components pumped out in the previous two weeks? ❑ 21' Has the system received normal flows in the previous two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? i ❑ Were all system components, excluding the SAS, located on site? ❑ 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? ❑ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurfacesewage disposal systems? This size and location of the Soil Absorption System (SAS)on the site has been determined based on: Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 216 t5ins•03/13 TOIe 5 Official Inspection Form Subsurface Sewage Disposal System•Pape 6 of 17 Commonwealth of Massachusetts Title 5, Officia.1 Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �4-1 < 6 If U9 Property Address jA Owner Information is Owner's Name required for every page. City/Town State Zip Code Date of Inspection D. System Information Description: n _ Number of current residents: Does residence have a garbage grinder? ❑ Yes If®'No Is laundry on a separate sewage system? [if yes separate inspection required) ❑ Yes No Laundry system inspected? /'✓ ❑ Yes ❑ No Seasonal use? J ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): �J /i� Pr I Jam, Detail* LL / 7 ry Sump pump? ❑ CI Last date of occupancy: Yes No Commercial/Industrial Flow Conditions:. US Type of Establishment: Design flow(based on 3/the 3): Basis of design flow(se ,etc.): Gallons per day(gpd) Grease trap present? ❑ Yes ❑ No Industrial waste holding ❑ Yes ❑ No Non-sanitary waste discitle 5 system? ❑ Yes ❑ No Water meter readingsif tsins•03/73 Title 5(WFW.1 n.e....a r_— _ Commonwealth of Massachusetts Title 5 official Inspection Form a Subsurface Sewage Disposal System Form- Not for Voluntary Assessments property Address T Owner Information is Owner's Name required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Other(describe below): Date General Information Pumping Records: Source of information: Was system pumped as part of the inspection? Yes ❑ No If yes,volume pumped: How was quantity pumped determined? gallons Reason for pumping: 6 Ml,- �xJ'� IC f9 Type of System: 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Title 5 Official Inspection Form Subsurface sewage Disposal System.page 8 of 17 f5ine./11111 Commonwealth of Massachusetts Title 5 official Inspection For - p m I,'/ Subsurface Sewage Disposal System Form- Not for Voluntary Assessments L44Sq 1p M 0 rt t Property Address Owner Information is Owner's Name required for every page. C(ty/Town State Z( Code P Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes I_2 No Building Sewer(locate on site plan): Depth below grade: , Material of construction: feet cast iron ❑ 40 PVC ❑ other(explain) Distance from private water supply well or suction line: ^ �A f ea Comments (on condition of joints, venting, evidence of leakage, etc.)t: Septic Tank(locate on site plan): Depth below grade: Material of construction: feet --------------- E31/concrete E3concrete ❑ metal ❑ fiberglass of eth lene P Y Y ❑ other(explain) ------------ If tank is metal, list age: +�--------- years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate ❑ Yes ❑ No Dimensions: Sludge depth t5ins•03113 T1tle 5 official Ins Pealon Form Subsurface Sewage Disposal Systefn•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection - p Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments gY roperhy Address Owner Information is Owner's Name required for every page. City/Town State Zi-- Code P Date of inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle a , Scum thickness g, Distance from top of scum to top of outlet tee or baffle , Distance from bottom of scum to bottom of outlet tee or baffle _ �, 0 How were dimensions determined? Sly d P J U� Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): UYC kc, 0 --- �e {JS C U 1 >J � Grease Trap(locate on site plan): Depth below grade: Material of construction: feet ❑ concrete ❑ metal fib lass ❑ polyethylene ❑ other(explain) Dimensions: Scum thickness Distance from top7scumto ee or baffle Distance from bottoutlet tee or baffle Date.of last pumpi tSins-03/13 Date Commonwealth of Massachusetts U1� Title 5 Official cial Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments roperty Address Owner Information is Owner's Name required for everypage. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition structur liquid levels as related to outlet invert, evidence of leakage, etc.): ' al Integrity, Tight or Holding Tank(tank must be mped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyet lene ❑ other(explain) Dimensions: Capacity: Design Flow: Ballo lions per day Alarm present: 11 Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm a float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•03/13 'nue 5 official Inspection Form Subsurface sewage Disposal poral System•Pace 11 nr 17 Commonwealth of Massachusetts Title 5 Official InspAMM ection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a ,r Property Address Owner Information is Owner's Name required for every page. City/Town StateZip Code Date of Inspection D. System Information (cont.) Distribution Box (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 carr ver, any evidence of leakage into or out of box, etc.): V cl— roVld� L t-c r V,-eyff Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber,coition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins.01/13 Me 5 Otricial Inspection Form Subsu rfaCe 3ewnnn Commonwealth of Massachusetts Title 5 Official Inspection Form orm Subsurface Sewage Disposal System Form- Not for Voluntary Assessments grtyAdress Owner Information is Owner's Name required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: leaching trench s-,I rDe',Sr' umber, length: �3 ❑ leaching fields number, dimensions: ❑ 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.): b �. 42 yc( CIL d - © o f-iON Cesspools(cesspool must be pumped as part of inspection)(locate on site pi n): Number and configuration Depth-top of liquid to in/invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwate ❑ Yes ❑ No t5ins•03/13 Title 5 Official Inspecwn Fare Subsurface sewana r1j._.1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments . / � S Property Address Owner Information is Owner's Name required for every page. City/I own State Zip P Date of Inspection D. System Information (cont.) 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 hydr is failure, level of ponding, condition of vegetation, etc.): t5ins•03113 Ti11B 5 Offiaal Inspection Form ch.,.�,.-e_._--^ ._,. I Commonwealth of Massachusetts DA Title 5 Official Inspection p Form Subsurface Sewage Dispasal System Form -Not for Voluntary Assessments a 4PropeAddress Owner Information is Owner's Name required for every page: CityfTown State Zi C--—ode P Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: provide a view 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. Check one of the boxes below: La hand-sketch in the area below ❑ drawing attached separately O SPS 100 S� Oki). I - ------------- s-03/13 Tille 5 Official Inspedlon Form Subsurface sewage Disposal System•Page 15 of 117 Commonwealth of Massachusetts Title 5 official Inspection on Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` r< Property Address Owner Information is Owner's Name required for every page. City[Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed- Date a e E Observed site(abutting property/observation hole within 150 feet of i bSAS) ❑ Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) ' entation) ❑ Accessed USG$database-explain: You must describe how you established the high ground water elevation: i I - I 1 Before filling this Inspection Report, please see Report Completeness Checklist on next.page. t5ins•03113 Title 5 Official Inspection Form SubUrfaee Sewaae nAw,.,i Q,,.,...,. ,- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Address Owner Owner's Name Information is required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Inspection Summary:A, B, C, D, or E checked Inspection Summary,D (System Failure Criteria Applicable to All Systems)completed leted t� System Information - Estimated depth to high groundwater Lel Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file i Title 5 Official Irtspeatlort Forth Subsurface Savage Disposal System•page t7 of 17 Farre Better Homes, Inc. 1447 "13'alem St. Lot #3redzvided 4s APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at T nt #3 redi vi ded Bpi eynqt, - I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of' North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where thegrade shall not exceed 2%. I will install a con- crete septic tank of 1,000 in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 Inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 200 lineal (square) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia. ) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of theJ .p P i eThe joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia. ) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the i disposal field trenches and the average depth of trench shall not exceed g p x eed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE . C Signature of Inspecting Officer Percolation Test /5- Garbage Grinder C BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. 121" LOW P.194; �- - 1� 910 3 is L i Jf ,l- 1. NAME F- r r %T d n� P s �h DATE /� -a 2. ADDRESS jy. ki p Sae e-T— LOT NO.3 ve�;���d TEL. O i 3. NO. OF BEDROOMS DEN YES �� NO 4. GARBAGE GRINDER YES NO .>G 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL l©a b q. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM W 1 /1 i -Fro L-F 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. rf` BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE NAME OF APPLICANT Farr getter 70meg. Tne- LOCATION Lot ##1 - Salem Street Address of lot no. BUILDING: Dwelling X Other SYSTEM: New X� Repair GENERAL DESCRIPTION OF LAND high SUBSOIL: Clay Gravel Sandg Clay PERCOLATION TEST 6 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK 1, 000 gallon capacity. LEACH FIELD 200 lineal feet of drain pipe. illiam J. r' scoll, Engine Board of Hea th e P t LacG © ve, Ir) � gtORTFi o ,�t►.aD ,6 q�'O A M t e� �qD 4TlD.0 Py'( �SSACHUsti� i' PUBLIC HEALTH DEPARTMENT (ommunity Development Division lrene Defreitas 35 Heritage Drive Lowell,MA 01852 Re: Mary Burns,Owner 1447 Salem Street June 9,2006 Dear Ms. Defreitas, This letter is in regard to our recent conversations concerning your sister's property listed above of which you are in care of.As you are aware,several youths were found at this property by the N. Andover Police Department. The NAPD had concerns over the unsanitary condition observed. The condition of the interior of the home warranted the inclusion of the Health Department in this process.At that point, I contacted you to inform you of the situation. Thank you for responding and beginning to take action on the Town's concerns. This property is clearly not habitable in its current state.Now that you are aware of the condition of the property,the Health Department would request the following of you and any other responsible parties. 1) Once secured,please check on the property frequently to ensure that all of the doors and widows are properly deterring entry. 2) Due to the presence of food within the premises there was clear evidence of rodent activity. Please remove all food items that could attract rodents.Remove all recyclable objects that draw insects and rodents. 3) There is quite a bit of broken glass such as mirrors and other unsafe articles.These should be removed for the safety of anyone entering the home Future occupancy of this property would first require attention to the many other unsanitary and unsafe conditions. The excessive mold on the wall surfaces of the bathroom indicates excessive moisture problems. You must address the source,remove any saturated sheetrock,wood etc. and wash and sanitize all cleanable surfaces with a mild bleach solution. The presence of rodents means that feces and urine would be on all surfaces traveled by the animals. Once cleaned of debris this home must be cleaned and a company specializing in this-type---- plugged as needed.'ess.The presence of rodents also indicates entry points for the rodents. These holes should be identified and The Health Department will assist you in any manner within our purview.As you indicated you are not sure of the future plans for this property. As the enforcement arm of the Human Habitation code, I caution you if you are considering turning this into a rental property. Please contact this office if you intend to do so,so that an inspection may occur that will determine the habitability prior to occupancy by a renter. Sincerely/ ,-'S/an- Sawy�errREHS/RS Public Health Direct or Cc: N.Andover Bldg Dept. NAPD 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com North Andover Board of Assessors Public Access Page 1 of 1 v Parcel ID: 210/106.A-0025-0000.0 Community: North Andover 4 SKETCH PHOTO Click on Sketch to Enlarge No Picturw i I Location": 1447 SALEM STREET Owner Name: BURNS, MARY B C/O IRENE DEFREITAS Owner Address: 35 HERITAGE DRIVE City: LOWELL State: MA ZIP: 01852 Neighborhood: 6 - 6 Land Area: 1 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 1792 sqft ASSESSMENTS CURRENT YEAR PREVIOUSYEAR Total Value: 433,700 404,400 Building Value: 223,700 210,100 Land Value: 210,000 194,300 Market Land Value: 210,000 Chapter Land Value: LATESTSALE Sale Price: 16,000 Sale Date: 02/22/1982 Arms Length Sale Code: H-NO-COURT-ORD Grantor: BURNS RICHARD D Cert Doc: Book: 01562 / `Pa/ge: 0141 Nv NA-PP Sc� -1,d --- t tie c-tel CL ttp://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&LinUd=808569 5/25/2006 ryI CD.c-t3 fo��-A-P I