HomeMy WebLinkAboutMiscellaneous - 15 ENGLISH CIRCLE 4/30/2018 15 ENGLISH CIRCLE L'
210/038.0-0257-0000.0
i
I
i
It
i
k
i
t �
4
MAP # 3� LOT # 3
PARCEL # 8 ". HOZ STREET .__ClerArs
.__.__.....
CONSTRUCTION APPROVAL
HAS PLAN REVIEW FEE BEEN PAID' YES NO
Sc�U.�ST
PLAN APPROVAL: DATE--2"7 APP. BY. .._,_ _.. .
DESIGNER: ��'1�-C.K� 1 -^----__-_ PLAN DA1 7/ q�41
f-
CONDITION �� ON Loi L> t;EC S otL its~
—_ _ _ — ---- _ ..........._.._.... _.._.._.. - _._.._........._.......
WATER SUPPLY: TOWN WELL
WELL PERMIT DRILLER
WELL TESTS: CHEMICAL DAIS
BACTERIA I Dfll"E fll'PRUVED
BACTER DA I E f=l1=PRUVED
COMMENTS:
FORM U APPROVAL: APPROVAL 1*0 E
DATE ISSUEDBY
CONDITIONS:
.............
FINAL APPROVAL:
ALL PERMITS PAID NO
WELL CONSTRUCTION APPROVAL
SEPTIC SYSTEM CONSTRUCTION APPROVAL NO
OTHER YES Au
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: BY: .
PERIN-3-Y-5-TEM_JN. .I9.1rl,.Rt�..QN
IS THE INSTALLER LICENSED? YES NO
•.,; .� _ TYPE OF CONSTRUCTION: NEW REPAIR
NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO
CONDITIONS OF APPROVAL YES NO
(FROM FORM U)
, r. ISSUANCE OF DWC PERMIT YES NO
DWC PERMIT NO.
INSTALLER:
BEGIN INSPECTION YES
EXCAVATION INSPECTION: NEEDED:
PASSED Z3 BYAli oe
CONSTRUCTION INSPECTION: NEEDEDa _ .__._-..............
etccI? 22��-f _ ___TO Y-6
AS BUILT PLAN S9TIS ACTORY: YES: _ Z F�
APPROVAL.' TO BACKFILL: DATE: �lizi�
FINAL GRADING APPROVAL: DATE BY.—
�FINAL CONSTRUCTION APPROVAL: DATE:_ BY� --
DVIL
` COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
r
d DEPARTMENT OF ENVIRONMENTAL PROTECTION
4
F
A�
Q
O
TITLE 5
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address:_15 English Circle_
_North Andover_ A i+ J
Owner's Name:_John Cammarata
Owner's Address: 15 English Circle
—North Andover,MA 01845_
Date of Inspection: 8/29/2003_
4
Name of Inspector: Neil J.Bateson_ _---
Company Name: Bateson Enterprises Inc._
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:
X_ Passes
_ Conditionally Passes
Needs F er Evaluation by the Local Approving Authority
Fai �?��--J
Inspector's Signature: 4t -r Date: _8/29/2003_
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:After permit from B.O.H.,install outlet tee with gas baffle in septic tank,inspection
from B.O.H.,septic system now passes Title 5 Inspection.
****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.
' COMMONWEALTH OF MASSACHUSETTS
Z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
e
DEPARTMENT OF ENVIRONMENTAL PROTECTION
� SVOv
TITLE 5
OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 15 English Circle
_North Andover_
Owner's Name:—John Cammarata
Owner's Address: 15 English Circle
_North Andover,MA 01845
Date of Inspection:_8/16/2003_ D
Name of Inspector:_Neil J.Bateson—
Company
u
Company Name: Bateson Enterprises Inc._
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
_X_ Conditionally Passes
N Evaluation by the Local Approving Authority
Fai
Inspector's Signature: ` Date: _8/16/2003_
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.
1
r Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 15 English Circle_
_North Andover_
Owner:_Cammarata
Date of Inspection:_8—/16/2003_
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:
_X_ 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.
Outlet tee corroded off in septic tank
Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please
explain.
N 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 exfiltratiion 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:
N 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:
N 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:
r
Page 3 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 15 English Circle
—North Andover_
Owner:_Cammarat_8/
Date of Inspection: 16/2003_
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: 15 English Circle_
_North Andover—
Owner:_Cammarata_
Date of Inspection:_8/16/2003_
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or`no"to each of the following for all inspections:
Yes No
No Backup of sewage into facility or system component due to overloaded or clogged 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
No 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 less than %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
T
—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 1 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.]
No (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 11 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 l l
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 15 English Circle
—North Andover—
Owner:_Cammarata_
Date of Inspection:_8/16/2003_
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?(If they were not available note as N/A)
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.
_No_ 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)]
r
Page 6 of I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 15 English Circle
–North Andover–
Owner:_Cammarata
Date of Inspection: 8/16/2003_
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):_4 Number of bedrooms(actual):_4_
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):_No_
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 pumps(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/sgft,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 2 years ago,owner
Was system pumped as part of the inspection(yes or no): Yes_
If yes,volume pumped:_1500_gallons--How was quantity pumped determined?_Measured tank
Reason for pumping:_Inspect tank&tees_
TYPE OF SYSTEM
X Septic tank,distribution box,soil absorption system
Single cesspool
Overflow cesspool
_Privy
_Shared system(yes or no)(if yes,attach previous inspection records,if any)
_Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
—Tight tank _Attach a copy of the DEP approval
Other(describe):_
Approximate age of all components,date installed(if known)and source of information:_12 years old,8/20//1991,
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:_15 English Circle
—North Andover_
Owner:_Cammarata_
Date of Inspection:_8/16/2003_
BUILDING SEWER(locate on site plan)X
Depth below grade:_18"_
Materials of construction:__cast iron _X_40 PVC other _
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):_4"PVC thru wall to septic tank.
4"PVC in house,no leaks.
SEPTIC TANK: X locate on site plan)
Depth below grade:_6"_
Material of construction:—X—concrete_metal_fiberglass__polyethylene
_other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions:_101x 5'x 4'
Sludge depth:_7"_
Distance from top of sludge to bottom of outlet tee or baffle:_N/A
Scum thickness:_12"
Distance from top of scum to top of outlet tee or baffle:_N/A_ N/A Outlet tee corroded off.
Distance from bottom of scum to bottom of outlet tee or baffle:_N/A
How were dimensions determined:_Difference in sludge&scum depth to tee length_
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.): Pumped septic tank.Inlet tee ok.Outlet tee corroded of�
needs replaced.Depth of liquid at 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.):
r
Page 8 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 15 English Circle
North Andover_
Owner:_Cammarata_
Date of Inspection:_8/16/2003
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 (if present must be opened)(locate on site plan)
liquid
Depth of level above outlet invert: _0_
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):_D-box level&distribution equal.No evidence of leakage.Evidence of
carryover._
PUMP CHAMBER: locate on site plan)
( p )
Pump in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 15 English Circle
—North Andover—
Owner:_Cammarat
Date of Inspection:_8/16/2003_
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 32'long
leaching fields,number,dimensions:
overflow cesspool,number:
innovative/altemative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,
etc.):—Soil oL Vegetation ok.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 solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.).-
PRIVY:
tc.):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
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 15 English Circle_
_North Andover_
Owner: Cammarata_
Date of Inspection: 8/16/2003
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
Water Meter
Garage
A
B A to Tank=42'6"
A to D-Boz=51110"
B to Tank=42'8"
B to D-Boz=40'4"
SeptiTank
D-Boz
32'
r Page 11 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 15 English Circle_
—North Andover—
Owner:_Cammarata_
Date of Inspection:_8/16/2003
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water_4 Feet
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:_5/14/1987_
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: As per test pit data on design plan._
i
0
.......... . N
-- - .
En 0
t
�5
t'-
Dep Dell
<.. ;;: '- •-
Symantec Acrobat 1,EnZip 3,00, 0
Documents Accessories,,,i pcAnywhere Reader 4.0 ; '" ;; _ ••
M
r
e�:::S�tiY:i -?[Z::j'aGYt4t•.-E3 ';ii?ll�.:-•:-.... • �w
ModemT Connect Edit Terminal Help x
WATER BILLING HISTORY 3160133-CAMMARATA, JOHN METER tri : 3160133
rCn
;; ------------------- 15 ENGLISH CI
tt CYCLE SERVICE PRIOR CURRENT USE WATER SEWER FEES TOTAL
Dell SupE .hdl1 2000-13 10/01/1999 428 466 38 103.74 0.00 0.00 103.74 ...:.....::::. :
-
2 2000-23 01/06/2000 466 489 23 62.79 0.00 0.00 62.79
3 2000-33 03/27/2000 489 504 15 40.95 0_00 0.00 40.95 ` �J
4 2000-43 06/09/2000 SO4 519 15 40.95 0.00 0.00 40.95 -
5 2001-13 09/05/2000 519 544 25 68.25 0.00 11 .00 79.25
Interne 6 2001-23 12/07/2000 544 560 16 43.68 0.00 11-00 54.68 32
Explore 7 2001-33 03/21/2001 560 574 14 38.22 0.00 11.004 9.22
8 2001-43 06/14/2001 574 590 16 43.68 0,00 11 .00 54.68 . t
9 2002-13 08!30/2001 590 613 23 60.17 0.00 5.55 65.72
10 2002-23 01/22/2002 613 641 28 69.16 0.00 5.55 74.71
Shortcut 11 2002-33 04/05/2002 641 656 15 37.05 0.00 5.55 42.60 `�
Printke 12 2002-43 06/O5/2002656 668 12 29-64 0.00 5.55 35.19 N
13 2003-13 09/13/2002 668 698 30 81 .34 0.00 5.97 87.31
14 2003-23 12/12/2002 698 717 19 45.22 0.00 5_97 51 .19
:Ou11oo:15 2003-33 03/07/2003 717 729 12 28.56 0.00 5.97 34.53 Q
-Expies,16 2003-43 06/06/2003 729 741 12 28.56 0.00 5.97 34_53
oft
lop
...... . ... ...
REVIEW CHOICE tt or <ENTER> MORE HISTORY:
Nett
N eight:
Ci
to
:gm Sbwt Telnet- 10.1.71.55 `
` ���= � 10:04 AM
r
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: 15 English Circle, North Andover
Owner: Cammarata
Date of Inspection: 8/16/2003
My report contained herein does not constitute a guarantee of future usage and the functionality of the existing
septic sstem. Such report issued herewith is merely based upon my observations, and I hereby disclaim anYfrther
operation of your current septic system
Neil J. Bateson
Bateson Enterprises, Inc.
. y
Town of North Andover o, N �,
ORTH
Office of the Health Department 0? � `�� °p
Community Development and Services Division
# i y
27 Charles Street
Heidi Griffin North Andover, Massachusetts 01845 'SSgc►+us��
Acting Public Health Director Telephone (978)688-9540
Fax (978)688-9542
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
9/3/03
This is to certify that
The Outlet T and Gas Baffle
constructed () or repaired (X)
by
Todd Bateson
at
15 English Circle
has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the
North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will function
satisfactorily.
4rnian
Board of Health Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
A.M.
FORS -' ~~ DATE TIME P.M.
M
OF PHONED
RETURNED
PHONED YOUR CALL
AREA CODE EXTENSION
MESSAGE PLEASE GAIL
WILL
V c �'r l S� ��' I1 J c AGAIN CALL
T�(L) tY``S �c►1T� CAME TO
SEE YOU
WANTS TO
SEE YOU
SIGNED MY niversal'48003
I
Town of North Andover, Massachusetts Form No.3
: t 40RTH BOARD OF HEALTH
DISPOSAL WORKS CONSTRUCTION PERMIT
SSACHUSE� ffI
I
Pp
A I icant �G �
.
NAME ADDR 5 TELEPHONE _
: Site Location 5�
Permission is hereby granted to Construct ( ) or Repair ( n Individual Soil Absorption
: Sewage Disposal System as shown on the Design Approval S.S. No.
CHAIRMAN, BOARD OF HEALTH
Fee D.W.C. No.
5
�� -
_ Recreational Camp Permit Z�
Well Construction Permit $ _ NO
Funeral Directors Permit $
No �
Massage Establishment License $
Massage Practice License $ NO
Suntanning Establishment $ Date: �� G
Offal/Trash Hauler $
Other $
Health Agent
6Nlhi.te - Applicant Yellow - Dept. Pink - Treasurer
!I i
cow C)0\1
�s
;' TOWN OF NORTH ANDOVER
BOARD OF HEALTH S ��
Location
Permit #
Food Service $
Retail Food $
Limited Retail $
Seasonal $
Disposal Works Installers $
n /S
Disposal Works Constructio
Soil Testing (((/// /
$
Design Approval Permit $
Dumpster Permit $
Burial Permit $
Swimming Pool Permit $
Animal Permit $
Recreational Camp Permit $
Well Construction Permit $
Funeral Directors Permit $
Massage Establishment License $
Massage Practice License $ _
Suntanning Establishment $
Offal/Trash Hauler $
Other $
71: 0
Health Agent
White - Applicant Yellow - Dept. Pink - Treasurer
S
i
v
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: 0 CURRENT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTA - R: /d j'j' �i9 �6✓
SIGNATURE: v TELEPHONE#
CHECK ONE:
REPAIR: // NEW CONSTRUCTION:
IF NEW CONSTRUCTION,PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$i 75 M-Fee Attached? Yes `'' No
Foundation As-built? Yes No
Floor plans o ile Yes No
Approval Date: 04G
II
I�
II
' INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North.Andover licensed installer for the construction of the septic system for the
property at .S �f 5 w'� relative to the application
l/
of Aj��&;L ed �� !3 for plans by �"` and
dated �- with revisions dated
I understand the following obligations for management of this project:
1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor,
project manger, or any other person not associated with my company schedules an inspection
and the system is not ready then item two shall be applicable.
2. As the installer I am required to have the necessary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection,. without
completion of the items in accordance with Tile 5 and the Board of Health Regulations may
result in a$50.00 fine being levied against my company.
a) Bottom of Bed - generally-first inspection unless there is a retaining wall which should be done
first. Install must request the inspection but does not have to be present.
b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As-built or
verbal OK from engineer must be submitted to Board of Health, after which installer calls for
inspection time. Installer must be present for this inspection. With pump system all electrical
work must be ready and able to cause pump to work and alarm to function.
c) Final Grade'—Installer must request inspection when all gradifig is complete. Does not have to be
on site.
3. As the installer I understand that persons or companies not associated with my company may
not perform the work required by my company to complete the installation of the system
identified in the attached application for installation. I further understand that work by others
unlicensed to install .septic systems in North Andover can constitute reasons for denial of the,
system,-and/or revocation or suspension of my license in the Town of North Andover plus
significant fines to all persons involved.
4. As the Installer I understand that I must be on site during the performance of the following
construction steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff.
d) Installation of tank,- D-box, pipes, stone, vent, pump chamber, retaining wall and other
components.
5. As the installer I understand that I am solely responsible for the installation of the system as
per the approved plans. No instructions by the homeowner, general contractor, or any other
persons shall absolve me of this obligation.
Undersi d censed Septic Installer
Date:
Disposal Works Construction Permit# '
Commonwealth of Massachusetts Map-Block-Lot
038.0-0257-
Board Of Health -----------------------
Pem it No
North Andover BHP-2003-0263
-----------------------
P.I.
FEE
F.I. $250.00
-----------------------
Disposal Works Construction Permit
Permission is hereby granted Todd-Bateson
to(Repair)an Individual Sewage Disposal System.
at No 15 ENGLISH CIRCLE
as shown on the application for Disposal Works Construction Permit No. BHP-2003-026 Dated Au-gust-25,-20-03
-----------------------------------------------------------------
Issued On: Aug-26-2003 Board Of Health
...............................................................................................................................................................................
Commonwealth of Massachusetts Map-Block-Lot
038.0-0257-
Board Of Health -----------------------
North Andover
Certificate of Compliance
THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair)
by ToddBateson
------------------------------------------------------------------------------------------------------------------------------------------------------------
Installer
at No 1-5-ENGLISH CIRCLE
- ----------------------------------------------------------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of TTME 5 of the State Environmental Code as described in the
application for Disposal Works Construction Permit No. BHP-2003-026 Dated August_25,-2003-
----------------------- ------ --
Printed On: Sep-09-2003
-----------------------------------------------------------------
- ---------------------------------------------- Board Of Health
...............................................................................................................................................................................
Commonwealth of Massachusetts Map-Block-Lot
038.0-0257-
Board Of Health -------------------
Permit No
North Andover BHP-2003-0263
-----------------------
FEE
$250.00
-----------------------
Disposal Works Construction Permit
Permission is hereby granted Todd Bateson
to(Repair)an Individual Sewage Disposal System.
at No 15 ENGLISH CIRCLE
as shown on the application for Disposal Works Construction Permit No. BHP-2003-026- - Dated August-25,2003
----- - ---------------- ------------- ----------------
---------------------
ssu n: Aug-26-2003 Board Of Health
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
O
LED SI ��
3� yet 6460 Z 190 \
APPLICATION FOR SITE TESTING/INSPECTION
TEDy
vc r+us���
Applicant RV CC;ht �
NAME ADDRESS TELEPHONE
Site Location_ L T 3 YEA l.iS V\ a. -c P
Engineer -2 YY i ANAXX1.2 -,V%cl i io-Ce—y-4 �D
NAME ADD ESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee-1-0 be— PPri L, I�' Test No.�O _
S.S. Permit Noir & ( D.W.C. No. C.C. Date Plbg. Permit No.
RAYMOND A. VIVENZIO
ATTORNEY AT LAW
89 MAIN STREET
NORTH ANDOVER,MASSACHUSETTS 01845
Board of Health
Town of North Andover
120 Main. Street
North Andover, MA 01845
RAYMOND A. VIVENZIO
ATTORNEY AT LAW
89 MAIN STREET
NORTH ANDOVER,MASSACHUSETTS 01845
(508)686-4041
FAX(508)794-0890
February 8 , 1991
Board of Health
Town w of North Andover
120 Main Street
North Andover, MA 01845
Dear Sir/Madam:
I represent R.M.P. Properties , Inc. , proposed purchaser
of the three (3) lot English Circle subdivision.
Kindly be advised that , at closing, appropriate
easements over Lot A will be obtained in order to implement
sloping and grading requirements .
Additionally, it is my clients ' intention that when
the individual lots are sold off, i . e. Lots 1 , 2 and 3,
appropriate easements will be retained for the same
purposes .
Thank you for your attention to this matter.
Sincerely
Raymond A. Vivenzio
RAV/lsg
i
FEB-14-91 FRI 10:30 JEPSKYKSACK
7-1
f9 MAtOACHUM rT• QUITCLAIM DEED INDIVIDUAL (LANG rallM) $69
Gane L. English, Trustee of Salem Street, Porth Andover Trs , u/ddated August
PagsQ 70
5 , 1988, recorded with the Essex Porth District Registry oftin�o�ty� Ivi27820u
Book pag
of Woburn, Middlesex
bving anmwied for coasideradon Pala,and in full consideration of Two Hundred Forty Thousand
and 00/100 ($240,000.00) Dollars d and wife, as tenants by
ggrant to Joseph W. Gerety and Julie A. Cerety, husband
the entirety
521 Salem Street, North Andover, Essex County, MA with qui#rlahn 001UNat
of y
)the kdntkW
[peiedption sad eammbmw.If enyl
A certain parcel of land with the buildings and improvements
thereon situated in North Andover, Essex County, Massachueett0n
shown as Lot "A" on a plan of land entitled, Subdivision l
ENGLISH CIRCLE In NORTH ANDOVER, MASS. Drawn For Gene L. English(' ,
Scale 1" s 40 ' , Dated August 1989, Revised September 1989 by
Merrimack Engineering services 66 Park Street, Andover ,
Massachusetts 01810 and recorded with the Essex North District
Registry of Deeds on January 23, 1991 as Plan # 11878 , to which
reference is hereby made for a more particular description.
Said Lot "A" contains ?'3, 000 S.F. , according to said plan.
The Grantor reserves for himself, his successors and assigns the
fee in English Circle, as shown on said plan, however, there is
hereby granted to the Grantee, their heirs, successors and assigns
the right to use English Circle for all purposes for which streets
and ways are commonly used in the Town of North Andover in Common
with all others entitled thereto.
The Grantor reserves for himself, his successors and assigns an
easement for one year from the date hereof over portions of Lot "A"
for the purpose of grading and sloping the topography of portions of
Lot "A" as per plans approved by the North Andover Planning Board on
February 15, 1990 for the development of the English Circle
subdivision. Grantor shall have the right to ranter Lot "A" and to
fill portions of Lot "A",,
successors and
assigns a
The Grantor reserves for himself, his 4
of removing temporary orar easement for the purpose g the barn located on
p Y
"A'
shall be removewithy Said barn
English Circle, a portion of which is located on Lot
in one year from the date hereof.
a d w
1
r
Win" .m.Y.........hod and $eal this.......14th............. day of....February........... .,,tg9.....
e Al
... ...................... ........................................
....... ............................................I...........I......... ...... ,... ..
..............,.................................................... .. . .. .... ...... ....... .......................
. .................A
II1in MnrnnwnmM4 ni 118"uhtlextto
Essex as. February 14, 1991
Then personally appeared the above nanic(i Gene L. English, Trustee as aforesaid
sod acknowledged the foregoing instrument to he his free a.ct,and deed, befor
.'�.c:............................. ,..... ......._.........,.
William D. Sack Notary Publlc--,jWid'"6)d 1W
My eommt+sEon "piret.....M Y..16. ................. 19 91
i
r
✓+ AORTH
OtSt�ao �°q1•° -
32 BOARD OF HEALTH
120 MAIN STREET TEL. 682-6483
�SSACHUS NORTH ANDOVER, MASS. 01845 Ext. 32 or 52
MEMORANDUM
TO: Zoning Board of Appeals
FROM: Board of Health
RE: Application for Special Permit
15 English Circle - Lot #3
DATE: August 13 , 1991
The Board of Health has no objection to issuance of the
above mentioned Special Permit. However, it appears that an
ejector pump will be required inside the dwelling to accommodate
the plumbing for the accessory unit. This will require written
approval by the Massachusetts Department of Environmental
Protection (310 CMR 15. 06 (18) ) .
The Board of Health is willing to provide a favorable
recommendation on this special permit, contingent upon compliance
with the above mentioned egulation.
ACC/cjp
cc: Robert Nicetta, Building Inspector
310 04R: DEPARTMENT OF ENVIRONMENTAL QUALITY ENGINEERING
• 15.
15.06: continued
(15) Backfill. Backfill around the septic tank shall be placed in such
a manner as to prevent damage to the tank.
(16) Clean. Septic tanks should be inspected and cleaned at least
annually
(17) Ground Water. The invert elevation of the septic tank outlet
shall be aTt one foot above the maximum ground water elevation.
(18)".Pumpin to Septic Tank:"•Pumping_:of sewage to-a—septic tazikw
. shall not be owed wi out the written_approval. of.the Department of /
Environmental Quality Enginerrinq
15.07: Dosing Tanks
(1) General. A dosing tank shall be provided for Leaching Chamber
andEa—c=g Field s73tems when the volume of waste to be disposed
of is in excess of 2000 gallons per day.
(2) Alternation. Dosing shall alternate when the total volume of waste
to be disposed of exceeds 1.000 gallons per day. Alternating siphons
and pumps shall discharge to separate disposal areas of equal size.
AM
(3) Caoacit7. Dosing tanks shall have capacity to discharge a volume
adequate to cover the dosed leaching area to a depth of at least 1
inch, in not over 15 minutes. .._
• (4) Construction: Dosing tanks shall be constructed of concrete or
other material—as approved by the Department of Environmenw Quality
Engineering and conform with 310 CMR 15.06(7) and shall be cast
without Joints and watertight if installed below ground water level.
(5) Base. Dosing tanks shall be constructed on a level stable base
that knot settle.
(6) Ventilation. Dosing tanks shall be constructed in a manner that
+I will permit venting through the building sewer or other suitable outlet.
1 (7) Ground Water. The invert elevation of the inlet shall be at least
• 1 foot azsove maxunum ground water elevation and the tank shall be
waterproof and watertight.
. i
(8) Manholes. To provide access and to facilitate repair or adjust-
menr of the siphons or pumps, dosing tanks should be provided with
manholes at least 24 inches in diameter with metal frames and covers to
grade over each pump or siphon.
i
(9) Inspections. Annual inspections are recommended to determine if
the pumps or siphons are in working order.
15.08• Stohons
(1) Construction. Siphons shall be constructed of cast-iron or other
material approved by the Department of Environmental Quality Engin-
eering and shall be installed in strict conformance with the manufac-
turers specifications.
15.09: Pumas
a
(1) Location. Pumps shall not be installed prior to a septic tank
without Lhe approval of the Deparunent of Environmental Quality Engi-
> '-"UBLIC SCHOOLS TEL No . 508-358-7728-----201 Aug 13 ,91 11 :49 No .005 P .02
er, c6-D&M111i91?uwa1,(W,- 14-A&jxc-luejetlu
i�
�� �xe�'u�'ue � rca o �itui�atnten�a:°� airy
t+
� ��a�lmanl o��ntrt�onmealal�iia�l� r�n�tneevcn�c .,�.,. �:_,.
Thornas C. McMahon rcirrsiasa o� i�are�� �"ollrlia�t Tp�rttr[�l `~
ws s*li- V488t, awon, ..Kahl. 0,!!08
TITLE 5 POLICY MEMORANDUM 87-6
TO: Boards of Health SUBJECT: Sewage Pumping to
Deputy Regional Engineers Septic Tank
Program Managers "^
01
FROM: Mark K. Pare, P.E. '
Chief, Ground Water Regulation Section
The Department may consider a proposal for the use of a pump to discharge
sanitary sewage to a septic tank provided that only a small portion of the total
sewage flow to the septic tank is pumped _and_ that the pump used for such pumping
is of a low volume capacity.
Written approval of the Department is required (310 CMR 15.06(18)).
�� MKP/RJW/wp r
FOI(H U
TOWN OF NORTH ANDOVER
LUT RELEASE FUIU-1
SUBDIVISION �4G(.I
ASSESSORS MAP
SUBDIVISION LOT(S)
PERMANENT ADDRESS ASSIG ED BY D. P.W.
STREETLJCL Ol'FE� S
APPLICANT M A. 1'IIONE
DATE OF APPLICATION i
3
Y
TOWN USE BELOW '1111S LINE
PLANNING BOARD
DATE, AI'1'HOVI:D
TOWN PLANNER DATE !(EJECTED
CONSERVATION COMMISSION
eit
DArE APHIUVI"D 2 13
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE AI'I'ROVED Z3 pl
HEALTH i ' 1 DA f E RI:J ECTED
I
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PER11IT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE _
This form shall be signed by the agents of the 1'131,11111!; anal Ilealth 11c,arcis,
the Conservation Commission prior to the i!;suance of any bul.l�lln;; permlts
for the subject lot. This form shallnot releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
Steps You. Can Take T® ]prevent West Nile �
Virus Encephahtls
&A'-e6-4 f-7e . 4 � 9 fsl --] . -1 1
Massachusetts Department of Public Wealth, 305 South Street, Jamaica Plain, MA02130
How can I protect myself and my family from mosquito bites?
There is no vaccine for West Nile virus(WNV). The only way to protect yourself is to keep
mosquitoes from biting you. Follow these steps every summer if you live in or visit an area with
mosquitoes:
• Avoid outdoor activities between dusk and dawn,if possible, since this is the time when
mosquitoes are most active.
• if you must be outdoors when mosquitoes are active,wear a long-sleeved shirt and long
pants.
s Use a mosquito repellent that contains DEET(the chemical N N-diethyl-meta-toluamide)
and follow the directions on the label. DEET can be toxic if overused. Never use DEET on
infants. Avoid using repellents with DEET concentrations above 10-15%for children and
with concentrations above 30-35%for adults. Cream,lotion or stick formulas are best.
Avoid products with high amounts of alcohol.
• Most mosquito repellents will remain effective for many hours,so it is not necessary to
reapply the repellent. Once inside,wash off insect repellents thoroughly with soap and
water.
• Take special care to cover up the arms and legs of children playing outdoors. When you
bring a baby outdoors, cover the baby's carriage or playpen with mosquito netting.
• Fix any holes in your screens and make sure they are tightly attached to all your doors and
windows
How can I reduce the number of mosquitoes around my home and neighborhood?
To reduce mosquito populations around your home and neighborhood, get rid of any standing
water that is available for mosquito breeding. Mosquitoes will breed in any puddle or standing
water that lasts for more than four days. Here are some simple steps you can take:
• Dispose of or regularly empty any metal cans,plastic containers,ceramic pots,and other
water-holding containers(including trash cans)on your property.
• Pay special attention to discarded tires that may have collected on your property. Tires are a
common place for mosquitoes to breed.
• Drill holes in the bottom of recycling containers that are left outdoors,to let water drain out.
• Clean clogged roof gutters;remove leaves and debris that may prevent drainage of rainwater.
e Turn over plastic wading pools and wheelbarrows when not in use.
•
' Do not allow water to stagnate in birdbaths;aerate ornamental ponds or stock them with fish,
•. Keep swimming pools clean and properly chlorinated; remove standing water from pool
covers.
• Use landscaping to eliminate standing water that collects on your property.
I,
April 2000
I
� � � _ �o���'�- 2!�
' � s �
� �
� �� � s � 2
'!
_� � � v'
� �
� �
Address 1 6�j aL& a—w �c R; � Title of File Page of
Date File Open: Date file closed:
Doc Document/Action Title Date of Refer to other Purpose of Document/ 'on and notes
action Document/ document/
Num. Action Department
Board of Appeals — Board of Health — Planning Board — Conservation Commission — Building Department
LpGv7'i4V
zS Giro S G, I
= o.5-73 9
g �
t1- \
N
_ zo
lf.-7&� 2 uT
c
Ex�sri cis
'�ou,y0q 7ipN
d 04.01
oat
r eoo. 5.4
!j -'s
44.37' S,3• S
c
AJ191-1,5171
S •NEREeY re 7//-Y 7,7 TyE T/TLE/.t/SU.�D.�q,VO R1. or RL Apt/
7V rMe 4ff4N.('TWAT TWE OwELutfi /S CACATEG O.1/
T//E eor.fS.S.6t wv. ,vp TiWT/T OAFS L0.1/FAC1! AV
A,lr* TINE TOwN of NOzE6i/l-4newS ,r /
. Wd"-00/Ms f LOT [IVES.11
1le-or;WMe CE.PT/.e T T.�'/,S GW2�LL/N6 /SiVOT /
cncorEo /N TWE aoo .s%vz.��o ,e,PE.a. O.PA/1�iV fO,P
StJew�!10/v
1114"✓e
JTEP.y `. P.L.S. iyITE
Tib//•S Phit/ w,t/'bSES-HOT fG.P �E� y��E4wmEE.P.w6 SE.P/�/lES
sOv ,AeY�'T�•C�1i.✓.�ria�! sovvo.+.�r�iVi47.�.N-
,CTi041 T:W'eC-S/ F,el�.M EA'/JTi.VG .«L'cKOS. GG lopl*e -, .ST.rEET
,I�t/OOi�E�C, �JAS.T4lf/!/SETTS O/B/O �,
q U O
ry Q;1
6Q2"
res+,.•.-mar...-.r....
2•��
7,,7/ 11 rf.1JU /,lcY.� ,trp�iCG. =ZoZ•"Z t
IL DvLa1-!Z
' /� ►� ,� '� ! ,�( �° �-Bad . "LE-..���,SZ
rt it OVTG''�J- XG•=2rlo <r'1GR .
It ,, ,, 0 -tp-* -` Zoo►��
it f t r !. ,t Tpv z40iC
t
MIC7_ r f ' ! a p9 sr
i
lit
I
C , Jeri GJ
i'
d't..fe•�kt'., r �..ea'�•..,^d:.x � ,ry .�..,,�ne iii �a•hr...,ca�r;..,u,ua.�.+*-t-. � -�. !«.,# - -
i115PECTEO THC Co05rRUCTfoN OP1 .
D 15P05AL 5Z'5T-CM QNu T'►-tA'a",nie
cousr�cac.ric��r �N� 1<�tilaL��Av�.�l6
• t 3N' c12 H As �� pdN �►� acco�oc,Nc w� -t
oc525 WT04TA04D 't" II&I—NIE;
' AS. BUILT. PLAN
OF
SUBSURFACE DISPOSAL SYSTEM
U)CIATED IN
nn dd r Qf a
AS PREPARED FOR �11
H- Aet E R7DC-CHE:Ze-
RomaQATE: a� ¢�
Av..4uzr 1 qa1
SCALE: r'` 40
WZE
_
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
66 PARK STREET o ANOOVE& MASSACHUSETTS 01810 TEL (din 475.3US. 3MSM,.
R?'
OVER
MASSACHUSETTS
�;.ILFP.hoi pr1/''bl'i!'V,q,�,:� I,t• "I�.lC�, �.r::
4o*,,.,.`�,r RECEIVED �
ovld0 014 loan r71 eo y tocol Board o!
Io the 10cal8o8rc r! n
OjIIn 0, clnal pal „c JAN�Ib"8 2009
A. FacIIIty Inf07—t0
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
-'�•? '•"'011.ldi �"^161!
(�tt' /A
lM
gym nim �'.. ,
r•�
.o •�' tiddr►�v (114Vferl►nl r ,"
om'buVen
0�
'Pumping Req'ord
Oa(o of pumping' ? r)'.ar.
•�.
3. Type of eyslam:..' C699p001 y I$6pLC Tangy !� ,
im T8-4
Ocher (describe
1�
Emuonl tea Fl►lo(,P(q)onr? C Yo9 Q No �l
. '.,':= ,.;_ ,.: ,,, •1 f', FSI r Y69 nB71; c�6anoo7 '� Y —
l':C.oridOn qr: y�
Pvmpad
;�:;;;i';��l�k,, '�1 I,(/Ji ' i;�'Y'�� �''•I��j�•�r;'•1,�;,'•� �S , Vehicle 'Jca
• •n•,S••'i',�` ..,.( y.:'1,1i� a�•:',rl:dJ�l' ,�rCJ„Il�r,',�•';iai.. .
on.wharj'oor�lenla'wara dlypo$oo:
• .,..;,:Il;r.� •'r,. „��r a :111},.
. � � 9 ,YN 0 p.!walor/epproYaJs/Ib(orma.r, mAln9pocl