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HomeMy WebLinkAboutMiscellaneous - 213 BERRY STREET 4/30/2018 (2)9 Is t v II o I ISI � �I IQ x O Q Wa'I 1p4cG>I a yl� 'oQomi oro E c.Av,3aa1 a� IN I Ioi �I U 'O zl Cn o� �s o 4107 �IWi al'NL� O o 27 3 ° 1 4 m M o T3 8 III III N � � a E � I N N O � ti Q c) II I ISI � �I IQ _ o o a yl� OOI, oro E c.Av,3aa1 a� IN I Ioi �I U Won�s zl Cn o� �s o 4107 �IWi al'NL� O o z N m G I I w cl of al' CIO _ o o a � oro E a� Won�s Cn o� F = o COO 0 U � m M L N T3 Y•"' � a E U Y ao cC E O U 7 y t C, 0 U i U b o a=i o y o N° 3 aUi y 3 xX yy p W N C d O N C bA !n w O E 7 C = 0 u C5 3>- O = a o ° ai a o z= o = .o c E g V C .0 - on oUUll . °s 3 c 3g U = a °° i0 rn U o o E y>,cu O U O� E 'a N =y s °' pq' _ � ti o „d u O y O •E U O a [il = c 0 U U y N33 ° �1-cc d 7 cl .o ¢ U Y U z o onO u o on^ n s E o a 00 � j oo U z N m G I I w cl of al' N t 4 3 v 0 0 N O O M O O V 0 N t, Z V 0 ti ti N 0 N d Susan Y. Sawyer, REHS/RS Public Health Director Joseph Russo 213 Berry Street North Andover, MA 01845 April 29, 2004 978.688.9540 — Phone 978.688.9542 — FAX healthdept(atownofnorthandover. com www.townofitorthandover.com RE: failed septic system at 213 Berry Street r7�,, Dear Mr. Russo,0 �� Thank you for contacting the health office. As was mentioned, the issue of your property was discussed at last evening's Board of Health meeting. The Board members were given an update on the status of your property at 213 Berry Street. They have been informed that the property is in violation of Title V, is an active failure due to location of the current system and that it is also a violation of the MA Housing Code to rent property with known violations. (Enclosed is a copy of the relevant section of Title V in relation to your circumstance) This office expects to hear from you within 14 days. At that time, you should have determined at minimum, the following details. 1) The engineer, Hancock Eng., has been contacted and agreed to continue services. You have discussed any tank location modification. (As long as the 10 -foot separation is maintained to the foundation, it is conceivable that the change can be done with minimal effort and shown on the final As -Built) Most other changes considered will require a new plan and review by this office. 2) A well driller should be contracted to install the new well. 3) A N. Andover licensed septicinstaller should be chosen. (See attached list) The installer must be readily available to work on the system. If you have any additional questions, please contact the health office. It is very important that we move forward to completing this project. Once these initial steps are made we can discuss further deadlines. Thank you for your anticipated cooperation in this very important matter of public health. YSincere,oo er, RS. h Director TOWN OF NORTH ANDOVER NORTH Office of COAMUNITY DEVELOPMENT AND SERVICES f HEALTH DEPARTMENT t 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 9SS�cHus�t Susan Y. Sawyer, REHS/RS Public Health Director Joseph Russo 213 Berry Street North Andover, MA 01845 April 29, 2004 978.688.9540 — Phone 978.688.9542 — FAX healthdept(atownofnorthandover. com www.townofitorthandover.com RE: failed septic system at 213 Berry Street r7�,, Dear Mr. Russo,0 �� Thank you for contacting the health office. As was mentioned, the issue of your property was discussed at last evening's Board of Health meeting. The Board members were given an update on the status of your property at 213 Berry Street. They have been informed that the property is in violation of Title V, is an active failure due to location of the current system and that it is also a violation of the MA Housing Code to rent property with known violations. (Enclosed is a copy of the relevant section of Title V in relation to your circumstance) This office expects to hear from you within 14 days. At that time, you should have determined at minimum, the following details. 1) The engineer, Hancock Eng., has been contacted and agreed to continue services. You have discussed any tank location modification. (As long as the 10 -foot separation is maintained to the foundation, it is conceivable that the change can be done with minimal effort and shown on the final As -Built) Most other changes considered will require a new plan and review by this office. 2) A well driller should be contracted to install the new well. 3) A N. Andover licensed septicinstaller should be chosen. (See attached list) The installer must be readily available to work on the system. If you have any additional questions, please contact the health office. It is very important that we move forward to completing this project. Once these initial steps are made we can discuss further deadlines. Thank you for your anticipated cooperation in this very important matter of public health. YSincere,oo er, RS. h Director 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.304: continued 6. if size and use of the facility is relevant to the demonstration that an equal level of environmental protection has been provided, appropriate use restrictions shall be granted to ensure that such conditions are not changed. (c) An applicant for a determination pursuant to 310 CMR 15.304(3) shall file a request for such determination not less than two years prior to the date by which the owner would otherwise be required to obtain the groundwater discharge permit pursuant to 310 CMR 15.305(2). (d) In making any determination pursuant to 3 10 CMR 15.304(3), the Department shall impose such conditions as it determines appropriate to ensure protection of public health and safety and the environment. At a minimum, such conditions shall include upgrade of the system to the standards described in 310 CMR 15.304(3)(b)4., and a maintenance, monitoring and reporting plan as described in 310 CMR 15.304(3)(b)5. (4) Any system serving a facility with a design flow of 10,000 gpd or greater but less than 15,000 gpd shall be upgraded upon the order of the Department or the local approving authority when a specific circumstance exists by which the system threatens public health, safety or the environment or causes or threatens to cause damage to property or creates a nuisance as determined by the local approving authority or the Department. Where necessary to protect public health and safety and the environment, the Department or the local approving authority may require the owner to install a recirculating sand filter or equivalent alternative technology in accordance with 310 CMR 15.202 or to obtain a groundwater discharge permit in accordance with 314 CMR 5.00 and 6.00. 15.305: Deadlines for Completion of Ullmdes (1) If a system is failing to protect public health and safety or the environment as set forth in 310 CMR 15.303(1) or 15.304(1), the owner or operator shall upgrade the system within two years of discovery unless: (a) a shorter period of time is set by the local approving authority or the Department based upon the existence of an imminent health hazard; or (b) the continued use of the system is permitted by the local approving authority in accordance with the provisions of an enforceable schedule for upgrade. Bases for continued use include, but are not limited to, proposals to connect to a sanitary sewer or shared system. A fiscal commitment to the sewering plan or shared system plan, together with an approved facility plan where appropriate, proposing connection or replacement of the failing system within five years, and an enforceable commitment by the owner to perform interim measures (for example, regular pumping) shall accompany any such local approval. Such approval shall expire in five years or upon the failure of the applicant for such approval to meet interim deadlines set forth in the enforceable schedule for upgrade and the plan. The Department may by specific written approval authorize the local approving authority to allow a longer period of time, where the municipality has provided the Department a proposed implementation schedule for design and construction and has made a demonstrated financial commitment to the construction schedule. The Department may revoke any such approval if the approved schedule is not met. 11/3/95 310 CMR - 548.3 o TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 'SS,CNUstt Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX healthdept@townofnorthandover.com www.townofnorthandover.com Joseph Russo 213 Berry Street North Andover, MA 01845 April 12, 2004 RE: failed septic system at 213 Berry Street Dear Mr. Russo, This correspondence is in regards to your property listed above. A review of the file indicates that the 2 years generally allowed for the repair of a failed septic system has expired. For this reason your septic system is currently in violation of the Massachusetts Environmental Code 310 CMR 15.305. Please contact the health office by April 22, 2004 to discuss your plans for completion of this project. If we have not heard from you regarding this issue, prior to April 22, you will be requested to appear before the Board of Health at their regularly scheduled meeting on Thursday, April 29, 2004. For your convenience, you will fmd a list of septic installers who are currently licensed with the Town of North Andover to offer septic installation services. Thank you for your attention to this very important matter of public health. Sincerely, use� er, R.S. bfic�te th Director � f: - Y 0 C -DelleChiaie, Pamela From: Sawyer, Susan Sent: Friday, April 09, 2004 2:55 PM To: DelleChiaie, Pamela Subject: 213 Berry Please print out and send this letter certified with an installers list attached. I believe they rent this house out, so I want to know who picks this up. The assessors has the most recent owner as Joseph Russo. It seems the registry of deeds is behind, They purchased it in gM 71 213 Berry 4.8.04.doc 12/02. Thanks Susan Sawyer, Public Health Director Town of North Andover 27 Charles Street North Andover, MA 01845 1--,' r• "belleChiaie, Pamela Ee From: Sawyer, Susan Sent: Thursday, April 08, 2004 5:09 PM To: DelleChiaie, Pamela Subject: RE: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) called Mike 4/8/04 -----Original Message ----- From: DelleChiaie, Pamela Sent: Thursday, April 08, 2004 1:50 PM To: Sawyer, Susan; Parrino, Julie; McKay, Alison Subject: FW: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) Received a call from Mike Padellaro of 193 Berry Street continuing to complain about 213 Berry Street. This has been going on since last year. The Conservation Dept. is familiar with this one as well. Sue can you please call Mike at 978.794.9403 to follow-up with him? I beleive the history of this is in the file. Allison and Julie -- if either of you has any comments on this property, could you please forward them to Sue and copy me in? Thank you for your assistance. -----Original Message ----- From: Parrino, Julie Sent: Monday, October 06, 2003 1:59 PM To: DelleChiaie, Pamela Subject: Read: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) Your message To: Griffin, Heidi Cc: Parrino, Julie Subject: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) Sent: 10/6/2003 1:57 PM was read on 10/6/2003 2:05 PM. ti A McKay, Alison From: Del.leChiaie, Pamela Sent: Thursday, April 08, 20041:50 PM To: Sawyer, Susan; Parrino, Julie; McKay, Alison f Subject: FW: 213 Berry Street (re: multiple calls,from Mike Padellaro of 193 Berry St.) Received a call from Mike Padellaro of 193 Berry Street continuing to complain about 213 Berry Street. This has been going on since last year. The Conservation Dept. is familiar with this one as well. Sue can you please call Mike at 978.794.9403 to follow-up with him? I beleive the history of this is in the file. Allison and Julie -- if either of you has any comments on this property, could you please forward them to Sue and copy me in? Thank you for your assistance. P / V / • (Lr -----Original Message ---- From: Parrino, Julie 7 — d Sent: Monday, October 06, 2003 1:59 PM To: DelleChiaie, Pamela Subject: Read: 213 Berry Street (re: multiple calls from Mike Padel Your message To:, Griffin, Heidi Cc: Parrino, Julie Subject: 213 Berry Street (re: multiple calls from Mike Padellaro of Sent: 10/6/2003 1:57 PM F -V was read on 10/6%2003 2:05 PM. � _ _ «� _ • it 2. .. � � , t>-5 -5 7 w i r� .t . 1 w A *'McKay, Alison From: DelleChiaie, Pamela Sent: Thursday, April 08, 20041:50 PM To: Sawyer, Susan; Parrino, Julie; McKay, Alison J Subject: FW: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) Received a call from Mike Padellaro of 193 Berry Street continuing to complain about 213 Berry Street. This has been going on since last year. The Conservation Dept. is familiar with this one as well. Sue can you please call Mike at 978.794.9403 to follow-up with him? I beleive the history of this is in the file. Allison and Julie -- if either of you has any comments on this property, could you please forward them to Sue and copy me in? Thank you for your assistance. P -----Original Message From: Parrino, Julie Sent: Monday, October 06, 2003 1:59 PM To: DelleChiaie, Pamela' Subject: Read: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) Your message To: Griffin, Heidi Cc: Parrino, Julie Subject: 213 Berry Street (re: multiple calls from Mike Padellaro of 193 Berry St.) Sent: .10/6/2003 1:57 PM J was read on 10/6/2003 2:05 PM. 1 �Parrino, Julie From: DelleChiaie, Pamela Sent: Wednesday, June 25, 2003 9:05 AM �- To: Starr, Sandy; Parrino, Julie Cc: La r , Heidi Subject: 13 Berry S Septic and Wetland Issues z. Importance: Hig Hi everyone, Just received another call this a.m. from Mike Padellaro (see below e-mail for past history). He is calling about the same concerns, as no one has gotten back to him. He is stating that raw sewage is leaking onto his property. Can you all coordinate and have someone please call him at the below number? Thanks. --Pam —Original Message— From: DelleChiaie, Pamela Sent: Tuesday, May 06, 2003 9:41 AM To: Lagrasse; Brian Subject: FW: 213 Berry Street - Septic and Wetiand. Issues Hi Brian, I am forwarding this to you as. well, in case you end up being involved in any follow-up. --P - .--Original Message--- . From: DelleChiaie, Pamela Sent: Tuesday, May 06, 2003 9:39 AM To: Parrino, Julie; Starr, Sandy Subject: 213 Berry Street - Septic and Wetland Issues Importance: High Yesterday rooming, I received a call from a Mike Padellaro of 193 Berry Street. He is concerned that his backyard area is all muddy and that septic runoff from 213 Berry St. is seeping into the wetlands. Supposedly, his property runs along the back of several homes on Berry St. Mr. Padellaro's phone number is: 978-794-9403. Previously, 213 Berry St. was owned by the Casey's, and was sold to a young man in October. According to Mr. Padellaro, this new owner is renting 213, and he thought the new owner was not doing anything to fix the Septic. Coincidentally, at the same time of this phone call, the new owner of 213 came into the office to review the file on 213 Berry. As I recall, there was some confusion with the lot numbers when he was reviewing the file. The plan he has shows lots 53 and 54. Paperwork in the file refers to a Lot 41. He was also looking for parcel 10613 -Lot 52 owned by a Russ Ross, as he wants to buy this lot and move the septic over to put an addition on his current house. No applications were filed or pursued, as this new owner (no name given) was going to try and get in touch with this Mr. Ross to get more information. There is nothing in the file on this parcel / lot # for a Mr. Ross. This is all the information I have at this time. I am copying you both in on this, as there is a concern with wetlands, and it might erupt into a major concern with the septic if something is not done soon. In addition, Mr. Padellaro is very concerned about his property and the wetland area. He would like a follow-up call to address his concerns. I don't know if the call should be from Health or Conservation. Thank you for your assistance. Pamela DelleChiaie, Health Dept. Assistant Town of North Andover Community Development & Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnorthandover. com Tel. 978-688-9540 TOWN OF NORTH ANDOVER pORTIy Office of COMMUNITY DEVELOPMENT AND SERVICES a F °f``��• `��°� y P HEALTH DEPARTMENTr, x 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 "SS";C U t� Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 213 Berry Street MAP: 106.13 LOT: 53 INSTALLER: John Soucy DESIGNER: Hancock Engineering PLAN .DATE:1/10/2002 LAST REVISION: 10/25/2002 BOH APPROVAL DATE ON PLAN: NOT SIGNED DATE OF BED BOTTOM INSPECTION: 10/18/04 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = _ LOADING OF SEPTIC TANK = _ GALLON PUMP CHAMBER = _ LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS Comments: ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Page 1 of 4 C TOWN OF NORTH ANDOVER r NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES o?O•y+`�o :"00� HEALTH DEPARTMENT . . 27 CHARLES STREET "^�, ,•": NORTH ANDOVER, MASSACHUSETTS 01845 3., CU CUs t� Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX SEPTIC TANK Comments: PUMP CHAMBER Comments: ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ 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, under access port ❑ 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 ❑ 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 Page 2 of 4 TOWN OF NORTH ANDOVER f NORTF Office of COMMUNITY DEVELOPMENT AND SERVICES 10- y p HEALTH DEPARTMENT 27 CHARLES STREET '► ^, ,r .' NORTH ANDOVER, MASSACHUSETTS 01845 ��SsACHU t� 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 >0.087foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: Tanks already installed. Did not see tanks set in stone. Building sewer not able to be in a straight . Requested clean out. Unknown if well line in the basement has been abandoned. SOIL ABSORPTION SYSTEM a MR ❑ Comments: PRESSURE DISTRIBUTION 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 %" 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 ❑ 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 Page 3 of 4 TOWN OF NORTH ANDOVER f NORTfr Office of COMMUNITY DEVELOPMENT AND SERVICES ar �`''•� °�°oma HEALTH DEPARTMENT p 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 C U s� Susan Y. Sawyer, REHS/RS Public Health Director 978.688.9540 — Phone 978.688.9542 — FAX Comments: 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 Commonwealth of Massachusetss : Massachusetts System Pumyino Record Owner Type: Emergency Routine Cesspool: No Yes Date of Pumping: o System Pumped By: Wind River Environmental, LLC Contents transferred to: Contents Disposed at: Date: Pumper Signature: Condition of System/Oth r Comments stem Location Dep Approved from - 12/07/95 l � Form 4 -- System Pumping Record Septic tnnk: w Yes E3 Quan" Pumped: //Gallons Permit #: i t <�Oi154v\ Town of North Andover Office of the Conservation Department?'``'' �p Community Development and Services Division 27 Charles Street SSACHUs��tg North Andover, Massachusetts 01845 Alison McKay Telephone (978) 688-9530 Conservation Administrator Fax (978) 688-9542 March 8, 2005 Joe Russo 1 Pendant Court Andover, MA 01810 RE: ENFORCEMENT ORDER- 213 Berry Street, North Andover, MA - DEP File # 242-1117 Dear Mr. Russo, On February 28, 2002, the North Andover Conservation Commission (NACC) issued an Order of Conditions (OOC) to allow the installation of a well and subsurface sewage disposal system within the Buffer Zone to a Bordering Vegetated Wetland (BVW) at the above -referenced site. During our phone conversation, you stated that the work associated with the septic system and well were completed in October 2004, and all disturbed areas were subsequently seeded for permanent stabilization. However, based on a recent site inspection conducted the week of February 14, 2005, the disturbed areas did not appear to be vegetated. This is likely due to the fact that your seeding efforts had occurred so late in the season. A layer of hay mulch was observed on the visible exposed soils. However due to the snow cover at the time of the inspection, it could not be determined if all exposed areas were covered with hay mulch and were adequately stabilized. In addition, erosion controls (staked hay bales and trenched silt fence) around the site were observed to be in disrepair. I am aware that the project's OOC expired on February 28, 2005, and a request for a one-year extension was never submitted. As such, the attached Enforcement Order is being issued to you as the property owner, who is ultimately responsible for the actions and / or work performed at the above -referenced property. As the property owner, you must ensure that all of the requirements outlined in these documents are adhered to. Failure to comply with the requirements outlined in this letter will result in further enforcement action Order Acting as an Agent of the Commission under MGL C.40, S.21D and the Act (310 CMR 10.08(3)), enclosed please find an Enforcement Order mandating the completion of any and all remaining work. All activities must be conducted in accordance with the original Order of Conditions. In addition, the following additional conditions must be adhered to: ➢ The erosion controls shall be maintained and functioning as intended until all areas are permanently stabilized against erosion. Deteriorated hay bales shall be replaced, and any silt fence that is observed down, shall be restapled to a stake to prevent any soils from mitigating towards the wetland resource area. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ➢ All disturbed areas shall be hydro -seeded again to ensure proper site stabilization. Once this is completed, the area shall be mulched with a thick layer of hay for temporary stabilization during spring precipitation. ➢ Once all work and conditions have been completed and the site is stable with substantial vegetative cover, please contact the Conservation Department to arrange an on-site inspection. ➢ Upon approved site stabilization by Conservation staff, the erosion controls shall be removed and properly disposed of and all exposed unvegetated areas shall be seeded. The NACC hereby requires that all work approved under the Order of Conditions (DEP File # 242- 1117) and additional conditions mandated herein to be completed and stabilized by no later than August 1, 2005. In addition to the above, please be reminded that weekly inspections are to be conducted by an approved Erosion Control Monitor and associated reports are to be submitted to this department in accordance with condition 45 of the OOC. Also, please be aware that a transfer of land ownership in your name requires an "Affidavit" to be provided to the Conservation Department in accordance with condition 46 of the OOC. Any violations to this Enforcement Order as documented herein are subject to a $100 per day penalty' until such time as the Enforcement Order is fully complied with. Each day or portion thereof during which any violation continues shall constitute a separate offense. At this time this Department has not elected to levy a fine. However, we reserve the right to take additional action in the future should this Enforcement Order not be complied with retroactive from the date we were first made aware of the violations. Failure to comply with this Order and the deadlines referenced herein will result in the issuance of additional penalties. MGL C.131 S.40 and the North Andover Wetland Bylaw, C.178 authorizes the Conservation Commission to seek injunctive relief and civil penalties per day of violation. In addition, a violation of the Massachusetts Wetland Protection Act and the North Andover Wetland Bylaw constitutes a criminal act, which is subject to prosecution and the imposition of criminal fines, also per day. This Enforcement Order shall become effective upon receipt. Please feel free to contact me should you have any further questions or concerns in this regard. Thank you in advance for your anticipated cooperation. Sincerely, NORTH ANDOVER CONSERVATION COMMISSION Alison E. McKay Conservation Ad'strator 1 In accordance with the provisions of MGL c.40 s.211) and Section 178.10 of the North Andover Wetland Protection ByLaw (REV May 1993/ REV October 1998) Cc: NACC MA Department of Environmental Protection, NERO- Wetlands Division Heidi Griffin, Communihj Development Director Susan Sawyer, Board of Health Director File 0 wpaform9a.doc - rev. 12/15/00 Page 1 of 3 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9A - Enforcement Order 242-1117 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. Violation Information Important: When filling out This Enforcement Order is issued by: forms on the North Andover 3/9/05 computer, use only the tab Conservation Commission (Issuing Authority) Date key to move To: your cursor - do not use the Joseph Russo return key. Name of Violator 1 Pendant Court Andover, MA 01810 ICI Address 1. Location of Violation: Property Owner (if different) 213 Berry Street street Address North Andover 01845 City/Town Zip Code 106D 53 Assessors Map/Plat Number Parcel/Lot Number 2. Extent and Type of Activity: Unfinished work at the site. Site not stable The Order of Conditions has expired. See attached letter. B. Findings The Issuing Authority has determined that the activity described above is in violation of the Wetlands Protection Act (M.G.L. c. 131, § 40) and its Regulations (310 CMR 10.00), because: ® the activity has been/is being conducted without a valid Order of Conditions. ® the activity has been/is being conducted in violation of the Order of Conditions issued to: Joseph Russo 2/28/02 Name Dated 242-1117 See attached letter File Number Condition number(s) wpaform9a.doc - rev. 12/15/00 Page 1 of 3 LlMassachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9A - Enforcement Order 242-1117 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Findings (cont.) ® Other (specify): See attached conditions C. Order The issuing authority hereby orders the following (check all that apply): ❑ The property owner, his agents, permittees, and all others shall immediately cease and desist from the further activity affecting the Buffer Zone and/or wetland resource areas on this property. ❑ Wetland alterations resulting from said activity should be corrected and the site returned to its original condition. ❑ Complete the attached Notice of Intent. The completed application and plans for all proposed work as required by the Act and Regulations shall be filed with the Issuing Authority on or before Date No further work shall be performed until a public hearing has been held and an Order of Conditions has been issued to regulate said work. ® The property owner shall take the following action to prevent further violations of the Act: See Attached.Cover Letter Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a) shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not more than two years, or both, such fine and imprisonment; or (b) shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. Page 2 of 3 wpeform9a.doc • rev. 12/15100 Massachusetts Department of Environmental Protection DEP File Number: L7 Bureau of Resource Protection - Wetlands WPA Form 9A - Enforcement Order 242-1117 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP D. Appeals/Signatures An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this Enforcement Order should be directed to: Alison McKay, Conservation Administrator Name 978-688-9530 Phone Number 8:30 AM to 4:30 PM, Monday - Friday Hours/Days Available Issued by: North Andover Conservation Commission In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members at the next scheduled meeting of the Commission. Signatures: Signature of delivery person or certified mail number wpaform9a.doc - rev. 12/15/00 Page 3 of 3 /,oe 5 R :ssaippu laajls (IW 'Isil-A 'ISLI-1) :8.LuuN )UI33UA GAla3aJ ol uosiad at4l Inoqo uoiiLWjo;ul )qwnu juawnoop eqj pue 'eu ' looeA elp eAe5 oqm uosiod )I lepeds seu - ioDeA mil 'eu.ioDeA eq, epew Imp Ifuedwoo MA &II eJOqM SSeippe Oqj 'UeA15 GeM GUIODeA 19141 UeL4M I -pjooigi loopew inoX uo j! pjooej /few �e'41 JO 'euWeA )op ueij!jm el4l jol wjoj spp esn /few opilo JO JOPOP Mil loumaud lujaoz)otunaud ASIU.IWPV OU1330A jjnpV 101 WE16OJd juawasinqwiod ULU qllu8H ,Iwl eiuownaud le33000wnaud tqlez!ueSio juawaAoidLul Al4enO WeNljUaH aql ;�W' PAFA V/,iZl [WA 41 IL 0 qq& COQ ` ONwEAG7`KOT 3W q)epartment of (Mrw Safety BOARD OF FIRE PREVENTION REGULA, t APPLICATION FOR PERMI All work to be performed in accordance (please Print in Ink or type all information) Permit No. Occupancy & Fee Check�9 527 CMR 12:00 s TO,PERFORM ELECTRICAL WORK h th Massachusetts Electrical Code 52 CMR 12:00 Date etc%y To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electdcal work described below. Location (Street & Number Owner or Tenant ��/ ��✓ t� p Owner's Is this permit in conjuncpw with a building permit . Yes 0 . No 0 (Check Appropriate Box) Purpose of Building �! �c/C1 7,4,7)1e-,1 /�40 1/E Utility Authorization No. 6dsting Service�C`'1J Amps v p Vohs Ov>rrhead 9--' Undgmd 0 No. of Meters New Service Amps Overheads Overhead 0 Urtdgmd 0 No. of Meters Number of Feeders and Ampacity r (�r7r�G Gr)�i%'/ �ll���G- Location and Nature of Proposed Elect ncal Work T T F r� Total No. of Li htin Outlets "- - Above 0 In 0 Swimmi Pool. and 0 rnd 0 KVA Generators _ No. of Lighting Fixtures No. Emergency Lighting of No. of Rece2La2les Outlets No. of Oil Burners Battwy Units No of Gas Burners FIRE ALARMS No. of Zone _. No. of Switch Outlets Total No. of Detection and No of Air Cond Tons Initiating Devi -3 —.--- Total KW )evices red soace/Area Healing1 Devices No. of Dishwashers 0 Other in No of Dryers Heati n- No. of No. of Water Heaters KW S1 ns ` No. Hydro massage Tuds No. of Moto��t OTHER: �tEf INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massach t 1 have a current Liability Insurance Policy including Completed Operations` have submitted � proof of same to the office YES C% NO 0 If you have 41 INSURANCFiCv BOND 0 OTHER 0 (Please Specify) stimated Value of Electrical Works ork to Start zA / L d — Inspection Date Resquesteu igned under a Penaf flury��✓QLL IRM NAME C�JJ iWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have t eneral Laws. And that my signature on this permit application waives this req. (Signature of Owner or Agent) vpdate box �.�rage or its substarfiat equivalent as required by Massachusetts _..c. owner Agent (Please Check one) �( _Telephone No. PERMIT FEE INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability InsuranPolicy including Completed Operations Coverage or its substantial equivalent YES C�NO c` ce have submitted proof of same to the Office YES C' NO C' If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE BOND 0 OTHER 0 (Please Specify) (Expiration Date) timated Value of Electrical Work$ /LCA Rou h Final ork to Start -17--Cd? Inspection Date Resquested GVi! L- L'� 9 igned under a PenalyesG rjury: �iloLL LIC. NO. 1 i/�{ IRM NAME CC�. , ,/1atu � C. NO. ee -�-- -- icensnatu —�_ S �� BuS. Tel No. c� r l dr ial—' 'rf1h - Alt Tel. No. ER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent required by Massachusetts enerai Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $— 1-7 (Signature of Owner or Agent) '.ISE' Only O E 0 Permit No. �/� �`�,/ �m�� �/ a n' ' 9FE CvJ►�ur O9 � E,4LW OT 911,A SSl+ vSIE-1-�.J y� I f q)epartment of (Pu6Gc Safety Occupancy & Fee Checks BOARD OF FIRE PREVENTION REGULA ONS 527 CMR 12:00 APPLICATION FOR PERmilr TOPERFORM ELECTRICAL WORK All work to be performed in accordance I Vith th Massachusetts Electrical Code 52 CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to performs thhej ellectrical work described below. G" �J Location (Street & Number ��� � ssp — Owner or Tenant Owner's Address Is this permit in conjun with a building permit Yes 0 No 0 (Check Appropriate Box) 741,I)ICY /Am%s Utility Authorization No. Purpose of Building�l'JC�'' Existing service lC"y An-ps ,l> O Voits Ove tXW 9--, Undgmd 0 No. of Meters Vols AnVs Vol Overhead 0 Undgmd 0 No. of Meters ea New Service Number of Feeders and Ampaci 9:5 0 y'7X�G c_ Location and Nature of Proposed Electrical Work Total No. of LjQhtin2 Outlets No. of Hot fuse No. of Transformers KVA _ Above 0 Svimmi Pool . and 0 in 0 rnd 0 Generators KVA _ No. of Lighting Fixtures No. of Emergency Lighting No. of Receptacles Outlets No. of oil Burners Battery Units No. of Switch Outlets No of Gas Bum— FIRE ALARMS No. of Zone Total No. of Detection and No of Air Cond Tons Initiating Devices — -- No. of Ran es Heat Total Total No. Pum Tons KW No. of Sounding Devices— No. of Di I NoJ of Self Contained SoacPJArea HeatingKW DefectiordSounding Devices _— No. of Dishwashers 0 Municipal 0 Other Heati Devices KW Local Connection — No of Dryers No. of No. of Low Voltage No. of Water Heaters KIN Signs Bailases Wiring---.--- No. H o Massa a Tuds No. of Motors % Total HP 7i -- OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability InsuranPolicy including Completed Operations Coverage or its substantial equivalent YES C�NO c` ce have submitted proof of same to the Office YES C' NO C' If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE BOND 0 OTHER 0 (Please Specify) (Expiration Date) timated Value of Electrical Work$ /LCA Rou h Final ork to Start -17--Cd? Inspection Date Resquested GVi! L- L'� 9 igned under a PenalyesG rjury: �iloLL LIC. NO. 1 i/�{ IRM NAME CC�. , ,/1atu � C. NO. ee -�-- -- icensnatu —�_ S �� BuS. Tel No. c� r l dr ial—' 'rf1h - Alt Tel. No. ER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent required by Massachusetts enerai Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $— 1-7 (Signature of Owner or Agent) THE COMMONWEALTH OF AWSACHUSE7TS Office Use only BOAiI)EPA9rMENTOFPUX1CS4= Permit No. OFFMPREVF1 ONREGUT4TIONSR7am 2:010 Occupancy & Fees Checked �Y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 6// Z (PLEASE RINT IN INK OR TYPE ALL INFORMATION) Date / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 2,/ j C r tr S Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes M No ® (Check Appropriate Purpose of Building Utility Authorization No. Existing Service Amps !Zs/ Volts Overhead ©Underground No. of Meters 1 *-•-, CPrvice Amps Za L qV Volts Overhead ® Underground No. of Meters Ampacity Re-pgIp c,p old SQV6vte.e J-�, -rraPd f Proposed Electrical Work No. of Hot Tubs No. of Transformers Total KVA Swimming Pool Above 0 Below Generators KVA ground eround Hs No. of Oil Burners No. of Emergency Lighting Battery Units JJpmdofSXMlD1heOffioe YES d�lgthe .W box No. of Zones aiat YES p NO AQ ff}vuhmduiWYES,pkmxlci &lberAxofmv&dWby DVStJRANC� Fji7l BOND L_J OFIEM LUai (PI=Specify) V - E0n*dValleof&cbxa1Wak$ WodclaSW �� 2 '* /S/ kaeclimDWRowesled Rcugh Foal FMMNAME ,mw `I o, b @ M-�F /7 9 re 6-tv- sib LoewNa 4 96-3 Other LioeWNo E //y9 % Busiw%TelNo. Alt Tel 1% SINSURANCEWAfV R IamawatethattheLicewdoesnothavetheirmuaroecovaageoritssismtoleqmvaiEitaswgmedbyNbmhmMGerlera laws sigr>ahlteondiispwnitapphcabmwaivesdxsregn'unlu . ck one) OwnerED LA Agent Telephone No. PERMIT FEE $ Signature or Uwner or Agent No. of Gas Burners No. of Air Cond. Total FIRE ALARMS Tons No. of Detection and No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Heating Devices KW Connections KW No. of No. of Signs Bailasis Tubs No. of Motors Total HP JJpmdofSXMlD1heOffioe YES d�lgthe .W box No. of Zones aiat YES p NO AQ ff}vuhmduiWYES,pkmxlci &lberAxofmv&dWby DVStJRANC� Fji7l BOND L_J OFIEM LUai (PI=Specify) V - E0n*dValleof&cbxa1Wak$ WodclaSW �� 2 '* /S/ kaeclimDWRowesled Rcugh Foal FMMNAME ,mw `I o, b @ M-�F /7 9 re 6-tv- sib LoewNa 4 96-3 Other LioeWNo E //y9 % Busiw%TelNo. Alt Tel 1% SINSURANCEWAfV R IamawatethattheLicewdoesnothavetheirmuaroecovaageoritssismtoleqmvaiEitaswgmedbyNbmhmMGerlera laws sigr>ahlteondiispwnitapphcabmwaivesdxsregn'unlu . ck one) OwnerED LA Agent Telephone No. PERMIT FEE $ Signature or Uwner or Agent 0 AS -BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, LLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERE TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM L i�)J. LOCATION O WATE GAS, ELECTRIC LINES, CABLE ����✓ ' DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D -BOX ORIGINAL STAMP & SIGNATURE IMPERVIIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED LETTER OF TRANSMITTAL 25 Years of Excellence Providing Land Surveying, Civil Engineering, Landscape Architecture and Environmental Services Since 1978 v HANCOCK ASSOCIATES 235 Newbury Street, Danvers, MA 01923 Phone (978) 777-3050 Fax (978) 774-7816 www.hancockassociates.com TO: Susan Sawyer DATE: 1/7/05 JOB #: 10064 North Andover Town Offices - Health Dept. F ROM : B. Derek Anderson 120 Main Street RE: J.R. Russo Corporation North Andover, MA 01845 213 Berry Street As -Built Plan • We are sending you: ❑ Prints ® Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order COPIES DATE JOB # DESCRIPTION 2 12/13/04 10064 Sewage Disposal System As -Built Plan 1 1/6/05 10064 As -Built Certificate of Compliance Letter -7 JAN 11 2005 I I Ltown, U, r:�,..T�; V.11 LIVER j HEALTH D":'< „, n", I • These are transmitted as checked below: ® For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: Susan, Please do not hesitate to call me at (978) 777-3050, extension 202, with any questions or comments. Thank you! COPY TO: SIGNED:p� If enclosures are not as noted, kindly notify us at once. #10064 January 6, 2005 HANCOCK ASSOCIATES North Andover H&alth Department Town Offices y North Andover, MA 01845 Attn: Susan Sawyer JAN 1 1 2005 j',. rt of - F r DOVER Re: As -built Certificate of Compliance r - , r r 213 Berry Street Dear Ms. Sawyer: I hereby certify that the sewage disposal system installed by John Sousi, at 213 Berry Street (Tax Map 106D, Lots 53 & 54) was installed as shown on the enclosed as -built plan. The approved design flow is 330 gallons per day. Enclosed are two copies of the as -built plan for your use. This letter is submitted as a substitute to fulfill the requirements of Certificate of Compliance signature on DEP approved form 1255, Rev 5/96. Please note that the issuance of a Certificate of Compliance shall not be construed as a guarantee that the system will function as designed. Should you have any questions, please call me. Very truly yours, HANCOCK ENGINEERING ASSOCIATES Richard F. Doherty, P.E. Senior Project Manager - Engineering Enclosure RFD/bda cc: Joe Russo John Sousi File-# 10�4 DANVERS OFFICE: BOLTON OFFICE: 185 Centre Street, Danvers, MA 01923 626 Main Street, Bolton, MA 01 740 Phone: (978) 777-3050 Fax: (978) 774-7816 Phone: (978) 779-6767 Fax: (978) 7.79-2228 HSA@hancockassociates.com bolton@hancockassociates.com www.hancockassociates.com Clear Day _0 Page 1 of 2 Dellechiaie, Pamela . From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Monday, October 25, 2004 11:22 AM To: pdellechiaie@townofnorthandover.com; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)' Cc: mgrant@townofnorthandover.com; ssawyer@townofnorthandover.com Subject: RE: Bottom of Bed Construction Form - 213 Berry Street Sensitivity: Private All set for 4:30 today (10/25) for final inspection. Dan 1-1 Mi River, - -,,Mill '.., Daniel Ottenheimer, President Mill River Consulting 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@a millriverconsulting.com From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Tuesday, October 19, 2004 4:24 PM To: 'Daniel Ottenheimer (E-mail)'; Lisa LeVasseur (E-mail); 'McBrearty Andrew (E-mail)' Cc: mgrant@townofnorthandover.com; ssawyer@townofnorthandover.com Subject: Bottom of Bed Construction Form - 213 Berry Street Sensitivity: Private 10/25/2004 n TOWN OF NORTH ANDOVER f NORTq 4 Office of COMMUNITY DEVELOPMENT AND SERVICES o HEALTH DEPARTMENT 27 CHARLES STREET �, « NORTH ANDOVER, MASSACHUSETTS 01845 ScHUs Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 213 Berry Street MAP: 106.D LOT: 53 INSTALLER: John Soucy DESIGNER: Hancock Engineering PLAN DATE: 1/10/2002 LAST REVISION: 10/25/2002 BOH APPROVAL DATE ON PLAN: NOT. SIGNED DATE OF BED BOTTOM INSPECTION: 10/18/04 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = _ LOADING OF SEPTIC TANK = _ GALLON PUMP CHAMBER = _ LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS Comments: ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Page 1 of 1 Q 0 TOWN OF NORTH ANDOVER Of NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ii� • i 27 CHARLES STREET � �, ._�,•... ,� + NORTH ANDOVER, MASSACHUSETTS 01845 ACMUS Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX SEPTIC TANK Comments: PUMP CHAMBER Comments: ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ 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, under access port ❑ 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 ❑ 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 ❑ Watertightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Page 2 of 2 W TOWN OF NORTH ANDOVER O< NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES o ,,to HEALTH DEPARTMENTMOM 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 ''SSS CHU <� 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: Tanks already installed. Did not see tanks set in stone. Building sewer not able to be in a straight . Requested clean out. Unknown if well tine in the basement has been abandoned. SOIL ABSORPTION SYSTEM p 3 Comments: PRESSURE DISTRIBUTION El 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 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 Page 3 of 3 U TOWN OF NORTH ANDOVER cf NORT11 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET " NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss" C14 s t`g Susan Y. Sawyer, REHS/RS Public Health Director Comments: CONTROLPANEL 978.688.9540 — Phone 978.688.9542 — FAX ❑ 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 Clear Day Page 1 of 1 Dellechiaie, Pam From: Pamela DelleChiaie [pdellechiaie@townofnorthandover.com] Sent: Tuesday, October 19, 2004 5:24 PM To: 'Daniel Ottenheimer (E-mail)'; Lisa LeVasseur (E-mail); 'McBrearty Andrew (E-mail)' Cc: 'mgrant@townofnorthandover.com'; 'ssawyer@townofnorthandover.com' Subject: Bottom of Bed Construction Form - 213 Berry Street Sensitivity: Private Here is the BB inspection form. I had a few blanks that need to be filled in, so please call if questions before the Final Inspection. Thanks, P Pamela DelleChiaie, Health Dept. Assistant Town of North Andover Community Development & Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnorthandover. com Tel. 978-688-9540 Fax 978-688-9542 10/19/2004 /1 TOWN OF NORTH ANDOVER rM Office of COMMUNITY DEVELOPMENT AND SERVICES F 9 HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 °' E<�g �C U Susan Y. Sawyer, RENS/RS 978.688.9540 — Phone Public Health Director ,� ]� 978.688.9542 — FAX D -BOX u c /�f 2-� i10 7d- Installed Installed on stable stone base ❑ Inlet tee (if pumped or >0.087foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: c Al d! SOIL ABSORPTI N SYSTENJ, Bottom of SAS excavated down to 7vj, Ar FI I N A Comments: PRESSURE DISTRIBUTION provided on plan Size of SAS excavated as per plan soil layer, as 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 ❑ 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 Mass: .,usetts Department of Environmental Marr_ ,merit Office of Water Resources TYPE OR PRINT ONLY Well Completion Report 124132 1. WELL LOCATION I GPS (OPTIONAL) LATITUDE LONGITUDE Address at Well Location: a} 13 9-e Sr Property Owner: TO e— RU -tea Subdivision Name: Mailing Address1 d Q Ul� d City/Town: 1 �hG�ocr� r City/Town: r tes aU`P I' 01?16 Assessors Map Assessors Loot #: NOTE: Assessors Map and Lot # manndatory if strget address available Board of Health permit obtained: Yes R? Not Required ❑ Permit Number Il�r y Date Issued 2. WORK PERFORMED 3. PROPOSED USE 4. DRILLING METHOD New Well ❑ Abandon ❑ Deepen ❑ Recondition ❑ Replace ❑ Other OYDomestic ❑ Irrigation ❑ Monitoring ❑ Municipal ❑ Industrial ❑ Other ❑usable ❑ Auger TrAir Hammer ❑ Direct Push ❑ Mud Rota ❑ Other 5. WELL LOG cc H Q Permeability T _ro U Unconsolidated > a U)- c7 0 m Other Consolidated RocleType 6. SITE SKETCH (use permanent landmarks with distances) - ASG 13 2044 PNOO�ER TOH�A TN01:1 1TO From (ft) To (ft) igh Low � f (o U 7. WELL CONSTRUCTION 8. CASING Total Depth Drilled &0 S Date Drilling Complete From (ft) To (ft) Casing Type and Material Size O.D. (in) Well Seal Type 0 9. SCREEN From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10. FILTER PACK / GROUT / ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION From (ft) To (ft) j Matorial Description Purpose Developed? ❑Yes El -no Fracfi)re Enhancement? ❑ Yes Elf No Method Disinfected?es ❑ No 12. WELL TEST DATA (PRODUCTION WELLS) 13. STATIC WATER LEVEL (ALL WELLS) Yield Time Pumped Drawdownto- Time Recovery to Date Method (GPM) (hrs & min) (Ft. BGS)omin) Ft. BPS) Date Measured Depth Below Ground Surface (FT) 14. PERMANENT PUMP (IF AVAILABLE) 15. NAMEIADDRESS OF PUMP INSTALLATION COMPANY Pump Description S Horsepower Pump Intake Depth 5'a1 (ft) Nominal Pump Capacity (gpm) 0 JNC� u1Lrr 2G Z fft G 16. COMMENTS 17. WELL DRILLER'S STATEMENT This well was drilled and/or abandoned under my supervision, according to applicable rules and regulations, and this report is complete and correct to the best of my knowledge. Driller: ` Supervising Driller Signature: Registration #:1 1 5 /17 1 Firm: d'j Date: �' �� ` Q y Rig Permit #: I I s �� NOTE. Well Completion Reports must be filed by the registered well driller within 30 days of well completion. BOARD OF HEALTH COPY X N NEW ENGLAND RADON, LTD. 11A Industrial Way, Unit 3 Salem, New Hampshire 03079 WATER ANALYSIS RESULTS JOE RUSSO 1 PENDANT COURT N. ANDOVER, MA 01845 Date & time Sampled: 07/27/2004, 10:45 Date Received: 07/27/2004 Date & time of Bact. analysis: 07/27/2004, 12:00 ----------------------------------------------------- TEST SITE: 213 BERRY ST. N.ANDOVER, MA. 01810 PARAMETERS RESULTS REQUIREMENTS MCL HARDNESS * 72.5 75 mg/l IRON * <0.1 0.3 mg/l MANGANESE * <0.05 0.05 mg/l PH * 7.5 6.5 - 8.5 CHLORIDE * 18.5 250 mg/l SODIUM * <20.0 250 mg/l NITRATES ** <0.5 10 mg/l COLIFORM ** A ABSENCE/100 ml E -COLI ** A ABSENCE/100 ml 603-893-4260 Fax: 603-893-8163 E -Mail: ner@conversent.net DATE 28 Jul 2004 LAB#: 50582 YOUNG BROS. (530210) ANALYTICAL METHOD SM2340C SM3111B SM3111B EPA 150.1 EPA300.OA SM3111B EPA300.OA COLISURE P/A COLISURE P/A RECEIVED AUG 13 2004 TOWN OF NORTH ANDOVER HEALTH DE`'%RTMENT THIS SAMPLE MEETS EPA PRIMARY STANDARDS IN THE PARAMETERS TESTED. A = Absent; P = Present ** Primary standards are standards that are related to health issues. * Secondary standards are aesthethic in quality and should not affect healthy individuals. Authorized by: Julia pinal for NER, LTD MCL: Maximum Contamina t Level. NELAP Accredited. Certificate #102001 List of currently certified tests available upon request. A k �m Ar COMMONWEALTH OF MASSACHUSETTS North Andover Board Of Health E.M. YOUNG WELL COMPANY NAME 213 BERRY STREET ADDRESS IS HEREBY GRANTED A PERMIT Well Construction This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires - unless sooner suspended or revoked. July 09, 2004 NUMBER BHP -2004-0503 FEE $125.00 Board Of Health /141 -., < Town of North � over Health Department Date: Location: (Indicate Address, if Residentialerf Name of Business) Check #: Tvpe of Permit or License: (Circle) > Animal $ > Dumpster $ > Food Service - Type.- $ > Funeral Directors $ > Massage Establishment $ > Massage Practice $ )�- Offal (Septic) Hauler $ > Recreational Camp > SEP77C PERMITS: El Septic - Soil Testing L) Septic - Design Approval $ El Septic Disposal Works Construction (DWC) $ L) Septic Disposal Works Installers (DWI) $ > Sun tanning $ > Swimming Pool $ > Tobacco $ > TrashlSolid Waste Hauler $ ,?:'-%�efl­Construction > OTHER. (Indicate) 125 fie—alih Agent Initials White - Applicant Yellow - Health Pink - Treasurer TOWN OF NORTH ANDOVER T", 11 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS' , 0—-----�'" - 978.688.9540 – Phone Public Health Director Ti)WiV OF NORiN ANUt� �rR978.688.9542 _ FAX BOAr�� �F` ®L'� healthdeptkt own orthandover.com www.townofnorthandover.com Well and/or Pump Application _ Q (Please print) M DATE: (0- CO LOCATION to Drill Well or inn. -ll a pump: Licensed Well Contractor Name and Company Name: l7 fo Contact Phone Numbers: Homeowner: Z-0 c 120S3 0 Address: % P`e f1 dg14 AIDaY4 . ,4YIGI®ve r , M4 O/ O / Q Contact Phone Numbers: %— / 7 ya� — y,� If WELLS (to be completed at time of pump'test) Type of well: Diameter of well: Depth of Size of Casing: Depth of casing into bedrock: Seal been tested? Yes( ) No ( ) . Date of test:, Depth of well: Water -bearing rock: Depth of water: Drawdown: Delivers: feet after pumping: GPM for: (how long) hours at: GPM Date of Completion: Signature of Well Contractor PUMPS (To be filled in before installation) Name & size of Pump: Type: Size of Tank: Pump delivers: GPM Pipe used in well: Cast Iron_ Galvanized Plastic Sleeve used to protect pipe? Yes No Type of well seal: Date: Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Signature of Pump Installer C:\My Documents\Permit\Permit Applications\Well Application - 2004.doc j eb _ Health Wpgrtitcot Repres alive Town of North Andover RE: Applications for a permit to drill a well: Before a permit can be issued, you must have your contractor submit the following: 1. Submit to the Health Department a site plan showing the house and or lot footprint 2. Indicate any wetlands within 200 feet of the proposed location for the well 3. Indicate the well location 4. Submit a check for $125.00 with the application Note: All submittals must be drawn to scale. Please note that you may also be required to file with the Conservation Commission if wetlands are near to the proposed well, and to the Planning Board if you are located in the Watershed District. C:\A4y DocumentsTermitTermit Applications\Well Application - 2004.doc ToWn of No� Andover Health Department - Date: Location: 4?!�� (Indicate Address, if Residential, Check #: TVVe of Permit or License: (Circle) of Business) )�- Animal $ > Dumpster $_ )0, Food Service - Type. $ > Funeral Directors $ > Massage Establishment $ > Massage Practice $ > Offal (Septic) Hauler $ > Recreational Camp $ > SEP77C PERMITS: Lj Septic - Soil Testing $ L) Septic - Design Approval $ U Disposal Works Construction 0�1�tic (DWQ .1; 0 Septic Disposal Works Installers (DWI) $ > Sun tanning > Swimming Pool > Tobacco $ > TrasIVSolid Waste Hauler $ > Well Construction $ OTHER: (Indicate) A Health Agent Initials 1 C8 White -Applicant Yellow -Health Pink -Treasurer V TOWN OF NORTH ANDOVER Of ,tO FTH qti Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET p°RATkp k.P*y�5 NORTH ANDOVER, MASSACHUSETTS 01.845 "SS�cNus�s Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX healthdept@townofnorthandover.com www.townofnorthandover.com APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: LOCATION: LICENSED INSTALLS NAME: Na B4k PLEASE INT SIGNATURE: q CHECK ONE: V FULL SYSTEM REPAIR: 1z COMPONENT REPAIR (indicate what parts): * NEW CONSTRUCTION: NE 9i * If NEW CONSTRUCTION, please attach the Foundation As -Built Plan. ............ _....... _... $250.00 Fee Attached? Project Manager Obligation From Attached? Foundation As -Built? Floor Plans? Yes V No Yes No Yes No Yes No Approval of Health Agent Date: G D ,r X INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at relative to the application of dated for plans by dated with revisions dated I understand the following obligations for management of this project: and 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must 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 three shall be applicable. 3. 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. Installer 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 grading is complete. Does not have to be on site. 4. As the installer I understand that only I may perform the work (other than simple excavation) required 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 to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. 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 or consultant. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. 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. Undersigod Licensed Septic Disposal Works Construction Permit # Date: ( "1 HANCOCK Q Engineering Associates #9305 October 30, 2002 Town of North Andover Health Department 27 Charles Street North Andover MA 01845 Attn: Sandra Starr, Public Health Director Re: 213 Berry Street, North Andover Dear Ms. Starr: This letter is written in response to your letter dated July 25, 2002 and faxed to our office on October 9, 2002. We have addressed the issues stated in your letter and are including three copies of the revised plan. We have not included an additional $60.00 filing fee, as requested, as the plans have been approved by the Board's non -action. The original filing, including the plans that you have reviewed, was hand delivered to your office on January 30, 2002. On June 6, 2002, after leaving many phone messages for you, I spoke with Brian, at your office, who indicated that an additional three sets of prints was needed. These were sent out in the mail on June 6, 2002. On June 14, 2002, I received your message that you needed the Soil Report for the site. The requested information was delivered to you that day. From the original filing date of January 30, 2002, it was 127 days before I received a return call, or heard anything regarding the filing. It was 13 5 days before you called looking for the soil information, which was shown on the originally submitted Septic Plans, and it was 252 days before we received a letter from your office indicating "technical deficiencies". Even if the start date was June 14, 2002, it was 117 days before we had any response from your office. In light of this, we are notifying you that the project has been "deemed constructively approved" as "the I ocal approving authority (did) not act upon it (the application) within 45 days of receipt of a complete application". (3 1 0CMR 15 .411(4)) We have, however, revised the plans as per your letter dated July 25, 2002.. The revisions to the plan include the following: 1) The pipe lengths and slopes have been added. to the profile 2) There is a note [4) on the Soil Absorption Area Pressure Dosed Field detail, calling for double washed stone. The depth of stone dimension has been fixed. 3) We have added. a note that the existing well is to be abandoned by a licensed well installer, replacing the previous Site Note #2. 4) Dimensions of the leach field. have been included_ Division of Hancock Survey Associates, Inc. 235 Newbury Street Danvers, MA 01923 f (978) 777-3050 Fax (978) 774-7816 Bolton, MA 4 � (978) 779-6767 Boston, MA (617) 350-7906 This letter is written in response to your letter dated July 25, 2002 and faxed to our office on October 9, 2002. We have addressed the issues stated in your letter and are including three copies of the revised plan. We have not included an additional $60.00 filing fee, as requested, as the plans have been approved by the Board's non -action. The original filing, including the plans that you have reviewed, was hand delivered to your office on January 30, 2002. On June 6, 2002, after leaving many phone messages for you, I spoke with Brian, at your office, who indicated that an additional three sets of prints was needed. These were sent out in the mail on June 6, 2002. On June 14, 2002, I received your message that you needed the Soil Report for the site. The requested information was delivered to you that day. From the original filing date of January 30, 2002, it was 127 days before I received a return call, or heard anything regarding the filing. It was 13 5 days before you called looking for the soil information, which was shown on the originally submitted Septic Plans, and it was 252 days before we received a letter from your office indicating "technical deficiencies". Even if the start date was June 14, 2002, it was 117 days before we had any response from your office. In light of this, we are notifying you that the project has been "deemed constructively approved" as "the I ocal approving authority (did) not act upon it (the application) within 45 days of receipt of a complete application". (3 1 0CMR 15 .411(4)) We have, however, revised the plans as per your letter dated July 25, 2002.. The revisions to the plan include the following: 1) The pipe lengths and slopes have been added. to the profile 2) There is a note [4) on the Soil Absorption Area Pressure Dosed Field detail, calling for double washed stone. The depth of stone dimension has been fixed. 3) We have added. a note that the existing well is to be abandoned by a licensed well installer, replacing the previous Site Note #2. 4) Dimensions of the leach field. have been included_ Division of Hancock Survey Associates, Inc. 0 0 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade 06 Abandon ( ) - Complete System ❑ Individual Components J�.ri 5� /1/. ✓ herr C.'��Y Location/ wner's Na e t �� 3Jl' 1. Map/Parcel # Address Lot # N� Tjel[ep�ho�ne�#% Installer's Name Designer's Name Address Address Telephone # Telephone # Type of Building:" LIJACLU N6 Lot Size #4 f Sq. feet Dwelling — No. of Bedrooms 3) Garbage Grinder Other — Type of Building No. of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow (mien. required)?�(� eDd Calculated design flow gpd Design flow provided gpd Plan: > �_ Revision Date y� Titled �S f!•-..�C� ������. i��� �� At. Desc Soil1 -7 Sty' !1jJb �.i;..a�Jl DES( Cie Thi TITLE_,J4 Signe Inspe FORI wr�, ------ ,�` �L � \ No. C ,,� \ \hN J Descriptio The unders at (0 New has been in ,laps relatir 01dZ l tator J. 5C,41NI JIM Date of Evaluation 1 vidual Sewage Disposal System in accordance with the provisions of ntil a Certificate of Compliance has been issued by the Board of Health. Date 0/-2 J%- o? ROVED FORM 5/96 --------------------------------- 3F MASSACHUSETTSt �tik EOP'n�%FEE )ARD OF HEALTH 'COMPLIANCE �FEB - i ?rot ❑Complete System . instructed( ),Repaired (I ), Upgraded ( ), Abandoned ( .) 1R 1.5.00 (Title 5) and the approved design plans/as-built . Approved Design Flow (gpd) �staller (signer:_ Date The issue- nne certiticate shall not be construed as a guarantee that the system will function as designed. IM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ---------__—_ No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. , dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Date FORM 2 - DSCP FORM 1255 (REV 5/96) Board of Health DEP APPROVED FORM 5/96 H&W HOBBSB WARRENT" PUBLISHERS - BOSTON 0 0 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH r APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade ( Location� Map/Parcel # Lot # Installer's Name Address Telephone # Abandon ( ) - D<Complete System ❑ Individual Components f L Address d/ [yTelephone Designer's Address Telephone # Type of Building: Lot Size #a 006) � Sq. feet 11192 s Dwelling — No. of Bedrooms Garbage Grinder ( ) 4J�Y4) Other — Type of Building No. of persons Showers ( ), Cafeteria ( ) Other fixtures gpd Calculated design flow_ gpd Design flow provided s339 gpd Number of sheets —2- Revision Date Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator J. JIM Date of Evaluation 1 l DESCRIPTION OF REPAIRS OR ALTERATIONS SEE 13-oAt The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE S and further agrees not to place thestem in operation until a Certificate of Compliance has been issued by �the Board of Health. Signed Date / 2 O o 2— Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 _1-----_-_.._.__.._---------------._-------_-...._-----------------._ _---- -_ - 1 No. THE COMMONWEALTH OF MASSACHUSETT! �F"t"*' Thr.%FEE— POFZ.a_.� BOARD OF HEALTH CERTIFICATE OF COMPLIANCE , FEB - 17102 I Description of Work: ❑ Individual Component(s) ❑ Complete System L The undersigned hereby certify that the Sewage Disposal System; Constructed( ), Repaired ( I ), Upgraded ( ), Abandoned ( )j by at `tas been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built ,lans relating to application No. dated . Approved Design Flow (gpd) �staller isigner: Inspector Date \.The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. RM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Date Board of Health FORM 2 - DSCP FORM 1255 (REV 5/96) DEP APPROVED FORM 5/96 H&W HOBBS& WARREN TM PUBLISHERS - BOSTON 0 I � DATA.BASE ,774 ADDRESS: AGE OF WELL: WELL DRILLER: WELL PERMIT r'r: L LOCATION' WELL PER�,ET DATE: DEPTHAOF WELL. ME OF WELL: a.. DRILLED �b. DUG/ UNKNOWN TYPE OF WATER BEARING ROCK: 'WATER ANALYSIS DATE: 1-H.GH iMANGANESE: Y FlIGH IRON: Y N OT= CONTA.�/fINANTS: Y N North Andover Health Department Community Development Division ORDER LETTER l CC -', -1y Issued under the provisions of the State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation, 105 CMR 410.000. Date: October 20, 2014 To Owner of Record: Kody & Company Mike Dulong 60 Ashland Street North Andover, MA 01845 Dear Mr. Dulong Property Location: 213 Berry Street North Andover, MA 01845 According to our records, you are the owner of property located at the above address. This property has been abandoned for some time. Town building and health officials reported that the general condition of the property is poor and the foundation is on cement blocks and piers. Rot and deterioration were observed in multiple locations. Two chimneys are poorly built. There is no driveway and the septic system looks as if to be under the entire front yard, due to the raised soil. The rear property appears to be wetland and not suitable for building and a 500 gallon propane tank was observed in the wetland area. The inside lower level is dated 1960's and a complete update is needed. The second floor was not observed since entry was not obtained. The interior code violations are unknown. On September 28, 2014 a finding by the Building Inspector was provided to the Director of Community Development indicating the conditions above. You are hereby notified to contact the N. Andover Health Department within Forty Eight hours (48) of receipt of this notice and to provide information or submit proof of the engagement of a licensed contractor; who can provide details on your intention to address the issues at the property. Failure to do so may result in legal action by the Town. Sincerely` Y. Savvy, f, Health Dir. Cc: Curt Bellavance, Community Dev. Director Gerald Brown, Inspector of Buildings 1600 Osgood Street, Bldg 20 Unit 2035, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ,. RECORDED WITH`/SSEX NORTH DISTRICT REGISC"O'F DEEDS �f ON DECEMBER 12, 2002 AS INSTRUMENT NUMBER 64327. i MASSACHUSETTS QUITCLAIM DEED INDIVIDUAL Thomas M. Casey, of North Andover, Robert J. Casey, of North Andover, Essex County Massachusetts and Susanne S. Berman, of Concord, New Hampshire being unmarried, in consideration of One Hundred Twenty-five Thousand and 00/100 Dollars ($125,000.00) grants to Joseph Russo of 213 Berry Street, North Andover, MA 01845 6 i with quitclaim covenants [Description and encumbrances, if any] PROPERTY -ADDRESS: 213 Berry Street, North Andover, MA 01845 Two certain parcels of land situated in North Andover, Essex County, Massachusetts and more particularly bounded and described as follows: Parcel 1: Beginning at a•point two hundred (200) feet from land of Ryan (being Lot #3), and running NORTHERLY by Berry Street, so-called, being an abandoned road, one hundred (100) feet to Lot #7, as shown on a sketch of said property in possession of the grantors; Thence by Lot #7, two hundred (200) feet EASTERLY by land now of Valiquette, to a point; Thence turning and running SOUTHERLY, one hundred (100) feet by further land of Valiquette, to a point; Thence turning at right angles and running two hundred (200) feet Westerly by land now or formerly of Briand or Comeau, to the point of beginning; Said premises being Lot #6 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Parcel 2: Beginning at a point from land now owned by the grantees herein, and running NORTHERLY by Berry Street, so-called being an abandoned road, one hundred (100) feet to Lot #8, as shown on a sketch of said property in possession of the grantors; Thence by Lot #8, two hundred (200) feet EASTERLY by land now of Valiquette, to a point; Thence turning and running SOUTHERLY, one hundred (100) feet by further land of Valiquette, to a point; . Na �.i Thence turning at right angles and running two hundred (200) feet WESTERLY by land now or formerly of Valiquette, to the point of beginning. Said premises being Lot #7 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Being the same premises conveyed to the grantors by deed of Thomas M., Casey et al dated November 13, 2001 and recorded with Essex North District Registry of Deeds in Book 6484 Page 43. The property is hereby conveyed subject to the following restriction required by the Town of North Andover Board of Health, which restriction shall run with the land: The number of bedrooms for any dwelling on the existing property to be serviced by the subsurface disposal system as presently approved shall contain no more than three bedrooms. Witness our hands and seals this 12th day of December , 2002. (7o a� R rt J. Casey a�s nne S. Berman k�a Susanne Berman COMMONWEALTH OF MASSACHUSETTS Essex, ss. December 12 , 2002 ndT $a Msgna� gpe�r c;,att sab nee �►gQ►amed Thomas M. Casey and Ro�ert Casey/as aForgsa�,ac�cnow`Tecffend the foregoing instrument to be their ee a nd d d, efore me, Philip F. Sullivan, Notary Public My commission expires: Oct. 16, 2003 MASSACHUSETTS QUITCLAIM DE DMD UAL (LONG FORM) 882 We, Thomas M. Casey of Andover and Robert J. Casey of North Andover, )Uf both of and Susanne S. Berman of Woodbridge', VirginiaEssex County, Massachusetts sdmacatiaa midxaaxbdac#udicaa>vi�arux>�f in consideration of fewer .than One Hundred Dollars:($100.00)• grantsto Thomas M. Casey of 59 Elm Street, Andover, Massachusetts, Robert J. Casey of 16'Berry Street., North.Andover, Massachusetts and Susanne S. Berman of 14820. North Bryan ..Court,.Woodbridge Virginia as joint tenants with the, right of survivorship wiEh quitrla nt-ruurnnnts xt9cA§�c�Hx ]Description and encumbranm,, if any] Two certain.parcelW of land situa�ed,•in.North Andover, Essex to County, Massachusetts and more. particularly bounded and � described as fbllolis: ' ao o Parcel 1: Beginning at a point two hundred (200) feet from m land of Ryan (being Lot #3), and running NORTHERLY,by 1", Berry Street, ..so-called,. being;..an abandoned road, one `- hundred (100) feet to Lot_#7;-as shown on a sketch of :j said property in possession of the.grantors Thence -by Lot two.hundred (200) feet EASTERLY by Cn land,now of Valiquette, to;a point; Thence turning and running SOUTHERLY, one hundred .(100)' feet by further land of Valiquette, to a point; 0 Thence turning at right angles and running two hundred, �r (200)..feet WESTERLY by land now or formerly of Briand or Comeau, to the point -.of beginning;. Said premises being.Lo t #6.on said sketch as previously z referred to, and containing 20,000 square feet, more or less. wBeing the same premises;donveyed to Joseph Casey and Edith ,, Casey as tenants by. the entirety by Deed of Adelard and;-Abbie M. rn Valiquette dated:June 15, 1960 and recorded with Essex North District Registry of Deeds in book 918 page 313. Par'cgl 2: Beginning at a point from land now owned by the grantees herein, and running NORTHERLY by Berry Street, so-called, being an abandoned road, one hundred (100) feet to Lot #8, as shown on a sketch,. oft.said property in-possessionof the grantors; rn Thence by Lot #8, two hundred (200) feet EASTERLY by land vnow of Valiquette, to a point; b Thence turning and running SOUTHERLY, one hundred (100) feet by further land of Valiquette, to a point; v Thence turning at right angles and running two hundred (200) o feint WESTERLY by land now or. formerly of. Valiquette, to,the w point of eginning. Said premises being Lot #7 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Being the same premises conveyed.to,Joseph Casey. and Edith Casey as tenants by the entirety by Adelard `and Abbie M. Valiquette by, deed dated October 29, 1963 and,recorded with Essex North District,Registry,`•, of Deeds in book 999'page 410. We derive our title -as the only heirs at law of the estate of our late mother, Edith M. Casey who died.intestate on January 17, 1980.,See Essex Probate Court Docket No. 347768. Our father died intestate on February 9,.1977. (* Individual — Toint Tenants — Tenants in Common.) U �J Town of North Andover, Massachusetts Form No. 2. f NORTH BOARD OF HEALTH DESIGN APPROVAL FOR ss�CHU9Et. SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No. /Z9 3 Site Location Reference Plans and Specs. NQ - G1 N rE R DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN, BOARD OF HEALTH ` Fee Site System Permit No. Nov 25 02 04:28p C FACSIMILE LETTER 11 HaO,__,jck Assoc. 9744205 p.1 HANCOCK- Engineering Associates, Inc. 235 Newbury St., Danvers, MA 01923 COMPANY'141 I'd n�I.CE'.1I FAX NUMBER: "r 7 c �� FROM It �C TOTAL PAGES INCLUDING THIS COVER: _ L9 DISPOSITION ! REQUESTED ACTION: ❑ Original to follow by mail ❑ As requested ❑ For your use ❑ Please review / comment ❑ Please call me MESSAGE: ATTACHMENTS: COPY TO: Please call us if this fax is not clear and complete: Voice (978) 777 3050, Fax (978) 774 7816 or 774 4205 The information contained in this communication is confidential and is intended only for the use of the addressee. Unauthorized use, disclosure or copying is strictly prohibited. 1197 Nov 25 02 04:29p I Ha ck Rssoc. 97 744205 p.2 Nov 20 '0� 13:46 P.02 MASSACHUSETTS QUITCLAIM DEED INDIVIDUAL Thomas M. Casey, of NorLli Andover, Robert J. Casey, of North Andover, EsseX County Massachi.isetts and Susanne S. Berman, of Concord, New Hampshire be i siq unmarried, in consideration of Fewer Than One Hundred Tweilt_y-five Thousand and 00/1V0 Dollars (S-125,000-00) grants to Joseph Russo of 21.3 Berry Street, North Andover, MA 01845 with quitclaim covenants tDeeccijz0,:,• •ui•I vjtcunwranceB, if aizy) PROPERTY ADDRESS: 213 Berry Street, North Andover, MA 01845 Two certain parcels of land situated ill North Andover, Essex County, Massachusetts and more particularly bounded and described as .rollows: Parcel 1: Beginning at a poi..rit, two hundred (200) feet from land of Ryan (being Lot 03), and running NORTHERLY by Berry Street, so-called, tieing an abandoned road, one hundred (100) feet to Lot 117, as shown An a sketch of said property in possession of the grantors; Thence by Lot 47, t.wo hundred ( 200 ) feet E'AST'ERLY by land now of Valique(_te, to a point; Thence turning and running SOUTHERLY, one hundred (100) feet by further lat,d of Valiquette, to a point; Thence turning at ii_ght angles and running two hundred (200) feet WesLerly by laind now or formerly of Briand or Comeau, to the point of beginning; Said premises being Lot #6 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Parcel 2: Beginning at a po.irit from land now owned by the grantees herein, and running NORTHERLY by Berry Street, so-called being an abandoned road, one hundred (100) feet to Lot #8, as shown on a sketch of said property in possession of the grantors; Thence by Lot 06, t.wo hundred (200) feet EASTERLY by land now of ValiqucLte, to a point; Thence turning and running SOUTHERLY, one hundred (100) feet by further land of Villiquette, to a point; Nov 25 02 04:29p Hai�ock Assoc. 91� 44205 p.3 Nov 20 '02 1347 P.03 Thence turning at r.ight angles and running two hundred (200) feet WESTERLY by land now or formerly or Valiquette, to the point of beginning. Said premises being T.ot 47 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Being the same premises conveyed to the grantors by deed of Thomas M. Casey et al dated Nt.)vember 13, 2001 and recorded with Essex North District Registry of Deeds in Book 6484 Mage 43. The property is hereby conveyed subject to the following rest:ri.ction required by the 'frown of North Andover Board of Bealth, which restriction shat! run: with the land: The number of bedrooms 1'(.,t7 any dwelling on the existing propt2rty to be serviced by the; subsurface disposal system as presently approved shall cont.,in no more than three bedrooms. Witness our hands and seals this day of 2002. Thomas M. Casey Robert J. Casey Susanne S. Berman COMMONWEALTH OF MASSACHUSETTS Essex, ss. , 2007 Then personally appeared the above named Thomas M. Casey and Robert J. Casey as aforesaid, and acknowledged the foregoing instrument to be their free a,_t and deed, before me, Philip F. Sullivan, Notary public My commission expires: Oct. 16, 2003 Nov 25 02 04:29p Ham/ock Rssoc. 9 )744205 p.4 COMMONWEALTH OF MASSACHUSETTS, EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIP:ONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-6500 LANE SWIFT iovernor (rlro own L&tkr &W TrnaE 5 PRESSURE DISTRIBiJTIOPI DESIGN GUIDANCE Effective Date: May 24, 2002 Policy # 13RP/DWM Wpe.P/G02-2 Program Applicabilitr. BRP/DWM/Watershed Permitting/Title 5 Program Supersedes: Guidance dated 1/18/95 ftproved By: [signed] Cynthia Giles BOB DURAND Secretary LAUREN A. LISS Commissioner Regulation Reference• 310 CMR 15.254 PURPOSE: The purpose of this document is to guide pressure distribution designers, reviewers and contractors in the design and construction of on-site wastewater pressure distribution systems consistent with the requirements of Title 5. INTRODUCTION: Uniform application of septic tank eluent throughout the soil absorption system (SAS) is an important factor in the proper operation of an on-site subsurface sewage treatment and disposal system (system). Gravity application does not provide uniform distribution and can create localized ponding within the SAS. This can inhibit proper treatment and is of special concern in larger ,systems where failure rates have been documented to be higher than in smaller, residential systems. Pressure distribution networks can be employed as a means of achieving uniform application and can overcome some of the limitations of gravity distribution systems. The construction procedures of the distribution network are just as important as design for system performance.. Good design with poor construction may result in the network operating poorly and may, result in failure. of the pressure distribution system. It is important that the designer, the installer, and the board of health inspector understand the principles of operation of the pressure dist77bution network before construction commences. Weather considerations should also be anticipated, especially if the network is Nov 25 02 04:29p Ha[.)ck Assoc. 97744205 Pressure Distribution Design Guidance { CHAMBERMMH LD) 2" NR OF 1/8" TO 1/4" DOUBLE WASIIED STC PERFORATIONS DIRECTED UPWARD LATERALS (TYP.) 6" MIN, OF 3/4" TO 1.1/2" DOUBLE WASHED STONE 12"MN. N. 36" MAX. COVER FIGURE 6 - LATERAL WITH CHAMBER AS SHIELD ORIFICE SHIELD FIGURE 7 — LATERAL WITH SHIELD DOWNWARD 0 Step I. Determine the Lateral Pipe Diameter * [Figures 8A through 8G, Appendix B can be diameter glven perforation number and T' to determine the appropriate lateral size, spacing and lateral le developed by Otis (1982) based ngth. These figures were On the Hazen-'Ir"amS equation using a coefficient of Ch equal to 150.Wei is is based on plastic ipe and allows for a maximum 10% head loss from the supply end to distal end of the pipe P.5 12" MrN. 36" MAX. 2"MIN. OF I/r To 1/4" COVER DOUBLE WASHED STONE o� LATERALS (TI 0 0 6" MIN. OF 3/4" TO 1.1/2" DOUBLE WASHED STONE PERFORATIONS DMECTED DOWNWARD ORIFICE SHIELD FIGURE 7 — LATERAL WITH SHIELD DOWNWARD 0 Step I. Determine the Lateral Pipe Diameter * [Figures 8A through 8G, Appendix B can be diameter glven perforation number and T' to determine the appropriate lateral size, spacing and lateral le developed by Otis (1982) based ngth. These figures were On the Hazen-'Ir"amS equation using a coefficient of Ch equal to 150.Wei is is based on plastic ipe and allows for a maximum 10% head loss from the supply end to distal end of the pipe P.5 Nov 25 02 04:30p Han ck Assoc. 9'744205 Pressure Distribution Design Guidance APPENDIX B i0 • Pertcration Qlarneter: 9 r 11/e.i:+. (6.4 mMj T • 11/4 W oa 5 X16 ►,'.lCa ��2. Q d �r NCxT F L o � � fig•' a a 2 .0 0 1� Z0 30 40 50 50 70 so QC1 100 110 120 ISO 140 ISO Lateral Length (ft.) ! DADE hlninwm Lateral Diameter for Plastic Pipe (Ch = 150) Versus Perforation, Spacing and.La'teral Length for •lf4 in, Diameter Perforations (Otis, i9w) 10 Pwferation 01ameters 5l1B-l;n� (7.9 M"L) 9 r. 7 V r CL 5 2` O 4 i 3• 0 3 a 2 4" S - gr 0 0 10 24 30 40 . S 60" 7s- 80 .110", 110..120 130-140 150 Lat*ra.l Length t:lt.7 • Minimum Lateral Dia er For Plastic Pipe (C�y. - 154) V s Perforation Spacing and Lateral ngth , for. 5/16 • in . gi ameter Perf6ra ns (Otis, • 1981 ) FIGURE Ba & 8b: Minimum Lateral Diameter vs. Perforation Spacing & Lateral Length. (Figure 8a can be! used for 1/8 inch diameter perforations). P.6 Nov 25 02 04:20p FACSIMILE LETTER Hf -cock Rssoc. 11� 05 it V5 Jvz 9787744205 p.1 HANCOCK Engineering Associates, Inc. 235 Newbury St, Danvers, MA 01923 05 ATTENTION: _,1,?A,1/Jy 5fl-j � COMPANY' ltlaaY- FAX NUMBER: % 7�- FROM: o !/19.7 TOTAL PAGES INCLUDING THIS COVER: _l.. DISPOSITION / REQUESTED ACTION: ❑ Original to follow by mail ❑ As requested ❑ For your use ❑ Please review / comment ❑ Please call me MESSAGE: ATTACHMENTS: COPY TO: Please call us if this fax is not clear and complete: Voice (978) 777 3050, Fax (978) 774 7816 or 774 4205 The information contained in this communication is confidential and is intended only for the use of the addressee. 11,97 Unauthorized use, disclosure or copying is strictly prohibited. Nov•25 02 04:20p Hock Rssc 44205 p.2 t 3:46 P.01 Gam" .fav PHILIP F. r N X S ATTORNEY _-- OLDS ANDOVER VIL-AuE•=WEST MALL POST OFFICE sox 486 89 MAIN STREET ANDOVER, MASSACHUSETTS 01810 Telephone (978) 4'70-2055 Fax (978)470-1583 FAx COVER SHEET DATE:' ,2002 TIME: PLEASE DELIVER THE FOLLOWING PAGES BUSINESS NAMBr REGARDING: /771 COPIER PHONE PHONe FROM: Philip F. Sullivan TOTAL NUMBER OF PAGES (INCLUDING THIS PAGE): MESSAGE: c-Gcfcr -/ /•= ji4"m' l tr,f "'0 IF YOU DO NOT RECEIVE ALL PAGES OR HAVE A PROBLEM WITH RECEIVING, PLEASE CALL: (978} 470-2055 AND ASK FOR JOYCE. CONFIDENTIALITY NOTICE THE INFORMATION CONTAINED IN THIS FACIlIMILE MESSAGE Is LEGALLY PRIVILEGED AND CONFID8NTIAL INF0RRAWv3N WHICH 19 INTENDED ONLY FOR THE USAF OF THE INDIVIDUAL OR ENTITY NAMED ABOVE". IF YOU ARAB NOT THE INTENDED RECIPIENT, YOU ARS HEREBT NOTIFIED THAT ANY D18CLODURE, COP?IAO, DISTRIBUTING OR 'TAKING OF ANT ACTION IN RELIANCE ON THE CONTENTS OF THIS TELECOPIRD INFORMATION IS STRICTLY PROHIBITED. If YOU HAVE RECSXVED TRIS MESSAGE Ili BRROR, PLEASE NOTIFY US BY TELEPHONE 80 THAT HE CAR ARRANOa FOR THE RETURN OF THE ORIGINAL DOCUMENTSiAT NO COST TO YOU. . Nov 25 02 04:20p Hock Assoc. 978 44205 Nov 20 '02,13:46 PHILIP F. SULLIVAN ATTORNEY AT LAW OLDS ANDOVER.VILLAGE-WEST MALL POST OFFICE BOX 486 89 MAIN STREET ANDOVER, MASSACHUSETTS 01810 Telephone (978) 470-2055 Fax (978)470-1583 FAx COVER BNEET DATE: ,2002 TIME: PLEASE DELIVER THE FOLLOWING PAGES BUSINESS NAMB: REGARDING: C_4 --_....__ COPIER PHONE NO. FROM: Philip F. SuAll,iven TOTAL NUMBER OF FACES (INCLUDING 'PHIS PAGE): MESSAGE: 'r (W, ..:-141M; P. 01 IF YOU 00 NOT RECEIVE ALL PAGES OR HAVE A PROBLEM WITH RECEIVING, PLZASE CALL: (978) 470-2055 AND ASK FOR JOYCE. CONFIDENTIALITY NOTIC THE INFORK&TION CONTAINED IN THIS FACSIMILE MESSAGE IS LEGALLY PRIVIL&9ZD AND CONFIDENTIAL IH►o=ATiON wmICN IS INTENDED ONLY FOR THE USK Of TUE INDIVIDUAL OR ENTITY NAMED ABOVE. If YOU ARE NOT THE INT6ND6D RECIPIENT, YOU ARE NWREBY NOTIFIED THAT ANY DISCLOSURE, COPYING, DISTRIBUTING OR 'TAMING OF ART ACTION IN RELIANCE 08 THE CONTENTS OF THIS TELECOPIRD INFORMATION IS STRICTLY PROHIBITED. IF YOU HAVE R8C&IVBD THIS ME88AOE IN 6RROR, PLEASE NOTIFY U8 BY TELEPHONE So THAT WE CAN ARRANoz itoR THE RETURN Of THE ORIGINAL DOCUMENTSIAT NO COST TO YOU. p.2 Nov 25 02 04:21p 17ck Assoc. 9787744205 p.3 Nov 20 '02C)3:46 P.02 MASSACHUSETTS QUITCLAIM DEED INDIVIDUAL Thomas M. Casey, of NoKLh Andover, Robert J. Casey, of North Andover, Essex County Massachusetts and Susanne S. Berman, of Concord, New Hampshire beiuq unmarried, in consideratAon of Fewer Than One Hundred Tweiit_y-five Thousand and 00/lU0 Dollars ($125,000.00) grants to Joseph Russo of 213 berry Street, North Andover, MA 01845 with quitclaim covenants t DeBCripo. , ,mil encumUren¢ee, iE anyl PROY117RTY ADDRESS: 213 Berry Street, North Andover, MA 01645 Two Certain parcels of land situated in North Andover, Essex County, Massachusetts and more particularly bounded and described as follows: Parcel 1: Beginning at a point, two hundred (200) feet from laud of Ryan (being Lot N3), and running NORTHERLY by Berry Street, so-called, being an abandoned road, one hundred (100) feet to Lot 47, as shown on a sketch of said property in possesc;.on of the grantors; Thence by Lot #7, t.wo hundred (200) feet EASTERLY by land now of Valiquvl.te, to a point; Thence turning and running SOUTHERLY, one hundred (100) feetby further land of Valiquette, to a point; Thence turning at i;.ght angles and running two hundred (200) feet WesLecl.y by hand now or formerly of Briand or Comeau, to the lj,-)int of beginning; Said premises being Lot. 116 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Parcel 2: Beginning at a poinL from land now owned by the grantees herein, and running NORTHERLY by Berry Street, so -Called being an abandoned road, one hundred (100) feet to Lot #8, as shown on a sketch of said property in possession of grantors; Thence by Lot #6, l,wo hundred (200) feet EASTERLY by land now of ValiqueLte, to a point; Thence turning and running SOUTHERLY, one hundred (100) feet by further land of Valiquette, to a point; Nov 25 02 04:21p Kr -%pock Assoc. ' s 978 744205 p.4 Nov 20 '0113:47 P.03 Thence turning at right angles and running two hundred (200) feet WESTERLY by land now or formerly of valiquette, to the point of beginning. Said premises being T.ot #7 on said sketch as previously referred to, and containing 20,000 square feet, more or less. Being the same premises conveyed to the grantors by deed of Thomas M. Casey et al dated Nuvember 13, 2001 and recorded with Esyc.x North District Registry of Deeds in Book 6484 Page 43. The property is hereby conveyed subject to the following rest:.riction required by thp. Town of North Andover Board of Heali.h, which restriction shall run with the land: The number of bedrooms fur. any dwelling on the existing property to be serviced by LhQ subsurface disposal system as pres<_ntly approved shall conLoin no more than three bedrooms. Witness our hands and scols this day of , 2002. Thomas M. Casey Robert J. Casey Susanne S. Berman COM40NWEALTH OF NASSACHUSETT5 Essex, ss. , 2.002 Then personally appeared the above named Thomas M. Casey and RoberL J. Casey as aforesaid, and acknowledged the foregoing instrument to be their free a, --L and deed, before me, Philip F. Sullivan, Notary Public My commission expires: Oct. 16, 2003 1 LJ NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nmaconversent.net July 1, 2002 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/079 213 Berry Street Assessors Map 106D, Lot 53 & 54 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated: January 10, 2002, and revised 1/24/02, by Hancock Engineering Associates. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 1) Show existing well and note that it is to be abandoned and sealed. 2) Add pipe lengths and slopes to profile. NA 8.02c 3) Revise cross-section to reflect 6 -in of stone and add double washed to stone reference. 4) Offset from property line to leaching area is less than 10 -ft. This requires a PLS reference. 220(3) 5) To septic tank detail add maximum distance from tee to centerline wall. 6) Add a note for alarm on pump to be on a separate circuit from pump. 7) Deed restriction required for a design flow less than 440 gallons. 8) Design plan is required for concrete retaining wall. 255(2)(b) 9) Provide % difference between first orifice in lateral and last orifice for discharge. Respectfully, John L. Noonan, P.L.S.-P.E. F lOffic e/boh/ 1770079. doc Land Surveyors Civil Engineers Environmental Planners r CHECKLIST FOR NORTH ANDOVER SEPTIC SYSTEM PLANS N & M Job 1770/ q The following is a checklist that incorporates all Title 5 and local regulations for septic plans. Name of Applicant: ���"r G� 5�� Name of Designer: /C Plan Date: o la Z._ Revision Date: 0' Date of Review: zG Property Address: 717 Bkn�d—' Y 55 1 Map: /dna % Lot: 5- # BOH Reviewer: 6/ C--�"' �''� �7� �' Type of Plan (new o(pgrade Number of Bedrooms in Assessor's Records: gpd) Garbage Disposal Allowed: General Information: N.A. = North Andover Septic Regulations Other numbers refer to Title 5 OK P blem N/A Locations of waterlines, drains, and subsurface utilities - 220(4)(m) �Z^ Street number and map/lot - 220(4)(u) Maximum scale of 1 "=40' for plot plan - 220(4) Maximum scale of 1 "=20' for profile and component details - 220(4) ``— Legal boundaries of the facility being served - 220(4)(a) Names of abutters from recent tax map - NA 8.02j r ` Number of bedrooms, design calcs., - NA 8.02i Name & address of record owner & applicant - NA 8.02k r-- Name & address of designer - NA 8.021 -� Holder and location of all easements - 220(4)(b) Date plan drawn & any revision date - NA 8.02m `^ All dwellings and buildings, existing and proposed - 220(4)(c) ✓' Location of all existing or proposed impervious areas - 220(4)(d) �-- All distances on site plan - NA 8.03a -c Elevation of proposed driveway - NA 8.02t '-1 Location and elevation of foundation drain - NA 8.02y Location and dimensions of the system incl. reserve (new const.) - 220(4)(e) Limits of excavation of leach area on site plan - NA 8.02z G Locus plan - 220(4)(t) (Not to scale) r North arrow - 220(4)(g) Existing and proposed contours - 220(4)(g) Locations and logs of deep holes - 220(4)(h) ✓ Locations and logs of percolation tests - 220(4)(i) Date(s) of soil testing - 220(4)(h) & (i) " Existing grade elevation of each deep hole - 220(4)(h) Elevation of percolation tests - N.A. 8.02n Name of approving authority representative - 220(4)(h) & (i) Name of soil evaluator - 220(4)0) v t5 - Soil logs and perc test logs match BOH records -ice Locations of waterlines, drains, and subsurface utilities - 220(4)(m) �Z^ Observed and adjusted g.w. elevation in the vicinity of the system - 220(4)(n) Complete profile of the system to scale - 220(4)(o), NA 8.02c Cross section of leaching facility - NA 8.02w (Not to scale) Location of benchmark(s) within 50-75 feet of facility - 220(4)(q) ``— Note listing all variance requests with proper citations - 220(4)(p) Local upgrade approval request form submitted - 403(1) r ` Original R.S./P.E. stamp, signature & date - 220(1) & (2) If P.E., discipline specified within stamp. MGL C. 112 s. 81M sfc. supplies (Win 400'), pub. wells (Win 250'), pvt. wells (w/in 150') - 220(4)( Location of watercourses, wetlands, wells, etc. w/in 150' of system - NA 8.02r Wetland disclaimer - NA 8.02s RLS plan reference & certification required (prop line setbacks) - 220(3) Use approvals / standards checked for UA system - DEP docs., 2+ ty Perc rate >30 MPI not allowed for new, LUA for upgrade - 245(1)&('3) Perc rate > 60 MPI - must use modified tight tank or UA technology - 245(4). Proposed system qualifies as "shared" system - 002 (definitions) Flow is over 2,000 gpd - No R.S. allowed - 220(1) Design flow was set in accordance with code - 203 Existing system location and note on proper abandonment - 354 Leaching facility at least 1' above Base Flood elevation – NA 9.05 All piping Sch 40 minimum – NA 10.01 —� Basement floor minimum 1' above groundwater elevation – NA 5.04 Foundation drain present with elevation – NA 8.02y On-site Soil and Groundwater Review OK Problem N/A Proper deep observation hole logs on plan - 220(4)(h) All deep holes and peres shown, including aborted tests – NA 8.02n Soil evaluation forms submitted within 60 days of field work - 018(2) Proper percolation test log - 220(4)(i) (7 Ample deep observation holes in primary disposal area (minimum 2) - 102(2) TD ( Ample deep observation holes in secondary disposal area (minimum 2) - 102(2) Ample perc testing (one in each disposal area, 3 in prim. > 2,000 gpd) - 104(4) G G — Deep hole testing conducted within two years – NA 7.05 Hole Identification Numbers: ground elevation el. v acceptable soil el. Leach facilitv invert el. _ ground water el. refusal el. bottom of leach facility el. l/ thickness of acceptable soil _ before & after soil R&R separation to groundwater separation to refusal soil class perc rate loading rate septic tank below g.w. table (yes or no) pump tank below g.w. table (yes or no) l.f in fill � -255(l) Setback Distances (Given in feet) 15.21 1 YES NO Is the lot in the Lake Cochiewick Watershed? NA 6.00 & 5.02 OK Problem N/A Septic Tank Leach Facility Property line 10 10 Cellar wall 10 20 2 Building Sewer OK Problem N/A Grease trap required for certain uses (check 230 for details) Pipe diameter listed (4" minimum) - 222(1) Pipe schedule listed - 222(3) Pipe cast iron or Sch 40 PVC - NA 11.02 Watertight joints specified - 222(3) & (4) Pipe laid on compact, fin base - 222(5) Pipe laid on continuous grade in straight line - 222(7) @ Cleanouts precede all changes in alignment and grade - 222(8) Cleanout provided every 100 feet - 222(8) Manhole at any 90 degree alignment change - 222(8) Invert elevation at building: Invert elevation at septic tank: Length of run: -� Slope: (minimum of 0.01 - 0.02 desired) - 222(6) 10' offset to private well or suction line - 222(2) 3 3 Inground pool 10 20 Slab foundation 10 10 Deck, on footings, etc. 5 10 Waterline 10 10 Private drinking well j 75 4"M0 Irrigation well 75 100 Wetlands X30 4-175 -51p 100 �-- C2-- Public well 400 400 Wetlands bordering surface 150 150 / water Supply or trib. (in Watershed) d Trib. To Surface Water supply 325 325 -- Reservoirs 400 400 L� Tributaries to reservoirs 200 200 �-- —' Drains (wat. supply/trib.) 50 100 Drains (intercept g.w.) 25 50 Foundation drains 10 20 Drains (Other) 5 10 �- Drywells 20 25 --� Downhill slope 15' to 3:1 slope w/o barrier Building Sewer OK Problem N/A Grease trap required for certain uses (check 230 for details) Pipe diameter listed (4" minimum) - 222(1) Pipe schedule listed - 222(3) Pipe cast iron or Sch 40 PVC - NA 11.02 Watertight joints specified - 222(3) & (4) Pipe laid on compact, fin base - 222(5) Pipe laid on continuous grade in straight line - 222(7) @ Cleanouts precede all changes in alignment and grade - 222(8) Cleanout provided every 100 feet - 222(8) Manhole at any 90 degree alignment change - 222(8) Invert elevation at building: Invert elevation at septic tank: Length of run: -� Slope: (minimum of 0.01 - 0.02 desired) - 222(6) 10' offset to private well or suction line - 222(2) 3 3 Septic Tank OK Problem N/A L/ Tank is accessible - 228(3) No structures above tank – (228(3) Tank can accommodate both primary & reserve – NA 9.04 200% of flow (required & provided given. 1500 min.) - 220(4)(f) & 223)(1)(a) 2-3" drop from inlet to outlet - 227(5) Minimum of 4' liquid depth - 223(2) 3" air space above tees/baffles (minimum) 227(4) 9"air space above flow line (minimum) - 227(4) Tees are not to be replaced by baffles - 227(1) Tees extend 6" above flow line - 227(1) Inlet tee extends 10" below flow line (minimum) - 227(6) Outlet tee extends 14" below flow line (more for deeper tanks) - 227(6) Gas baffle installed on outlet - 227(4) Access manhole cover above center of tank & each tee (except 2 compart) 228(2) 3-20" manholes - 228(2) 1 childproof, 24" riser/manhole Win 6" of final grade if <1000gpd- 228(2) Inlet and outlet tees on center line - 227(1) Soil compaction below tank specified (if soil is non-native) - 221(2) 6" of <=3/4"stone beneath tank specified - 221(2) & 22 8(1) If > 1,000 gpd AND not a single fam. dwell. must be 2 tks or 2 comp. - 223(1)(b) If plan specifies disposal must be 2 tanks in series or 2 compart. tank - 223(1)(c) Buoyancy calcs. required if tank at or below water table - 221(8) Tank is watertight - 221 (1) 9" of cover over tank (minimum) - 228(1) H- 10 loading (min.) - H-20 if traffic - 226(3) Top of tank <=36" below grade - 221(7) All pumping to tank (if applies) in accordance with - 229 Tank is set to keep old system in service during install if possible —, ) Z "l ;F-0 7�i� i''iJ—,;�spzu Iz:- Distribution Box (Check here if not present: 1 OK oblem N/A Inlet -elevation: /dutlet elevation: 0.17' drop from inlet to outle mmum) - 232(3)(b) 1l� 6" sump (minimum) - (3)(e) All outlets at s elevation - 232(3)(b) !✓'� Outlet pi aid level for fust 2 ft. - 232(3)(c) Pipe 40 - NA 10.01 mber of outlets: Xt65ber of laterals: _ Size of outlets: / Inlet baffle/tee min. over outlet invert for all d -boxes - 232(3)(a), — Soil compaction ow distribution box specified (if soil is no - ti e - 221(2) 6" of stone be ath distribution box specified - 221(2) Box is wat ight - 221 (1) Top of b <=36" below grade - 221(7) Buoyan y calculations required if box is at r below water table - 221(8) Pump Chamber (Check here if not present: ) OK Problem N/A Volume specified: 220(4)(r) �^ Pump on elevation- 220(4)(r) Pump off elevation: 220(4)(r) T Alarm on elevation: 220(4)(r) Number of cycles per day - 220(4)(r) (also 254(1)(d) if gravity from d -box) Minimum 2" delivery line to d -box if gravity - 254(1)( c) 4 +' 4 " 11 5 J Pressure dosed 11 if flow >= 2,000 gpd - 254(1)(a) & 254(2)(a) Cycles per day is consistent with chamber volume - 23 1 Volume calculations include flowback volume - 2') 1(2) 24 hour storage capacity above pump on elevation - 231(2) Number of pumps: 2 if system serves>2 dwelling units - 231(6) Capacity of pump(s) - gpm @ ' TDH - 220(4)(r) Pump can pass 1 1/4 "solids (minimum) - 231(7) Pump controls specified - 220(4)(r) Alarm equipment specified - 231(2) Alarm is in building and powered on separate circuit from pump - 2') 1(9) Pump sequence correct (off -lead on -lag on-alan-n on) - 231(8) Pump performance curves included - 220(4)(r) Manual operating switch - NA 12.01 Check valve, bleeder hole - NA 12.01 1 childproof, 24" riser/manhole to final grade - 2'31(5), Soil compaction beneath pump chamber specified (if soil is non-native) - 221(2) 6"of <=3/4"stone beneath chmbr. specified - 221(2) & 228(1), Buoyancy calculations if chamber is at or below water table - 221(8)@ 9" of cover over chamber (minimum) - 228(1) H- 10 loading (min.) - H-20 if traffic - 226(')), Chamber is watertight - 221 (1) Top of chamber <=36" below grade - 221(7) Leaching Facility (general - complete for all designs) OK Problem N/A t/' 50% larger if garbage disposal - 240(4) Trenches to be used whenever possible - 240(6) No vehicle or imperv. area above 11 unless unavoidable - 240(7); NA 13.02 Vented if under impervious cover - 241 (1) Vented through same pipes as distribution system - 241 (1)(a) Vent protected from precipitation/animal entry - 241 (1)(b) Vent is placed beyond traffic or impervious area - 24 1 (1)(c) All lines connected to vent if bed or trenches - 241(1)(d) 9" cover over peastone - 240(9) Reserve area provided (new construction) - 248(1) Reserve 4' from primary leach area – NA 9.04 4' (5' if perc rate <=2 MPI) separation to g.w. - 212(a) & (b) 4' (down to 2' with variance or I/A - upgrades only) of natural soil under 11. GW separation is adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005 - 251(9) Require 5' removal and replacement if in fill - 255(5) Top of leach facility <= 36" below grade - 221(7) Final grade over 11. minimum 0.02 ft/ft -240(10) Surface & subsurface drainage away from 11. - 240(1 1) & 245(5) Minimum design flow 440 ennd vAthout deed restriction – NA 13.01 3:1 slope where grading required - 255(2) Toe of fill slope stops 5' from property line or swale installed - 255(2) . Impermeable barrier if < 3:1 slope or < 15 feet to–3:1slope - 255(2) Impermeable barrier/retaining wall poured concrete – NA 9.02 Retaining wall stamped by P.E. - 255(2)(b) Top of retaining wall >= top of peastone elevation - 255(2)(f) 10' offset from edge of leach facility to edge of ret. wall - 255(2)(g) Perc test(s) done in most restrictive layer - 104(2) Perc test 4' below leaching elevation – NA 7.06 Design flow listed and required/provided leach area given - 220(4)(f) Leach pipes SCH40 PVC – NA 10.01 Leach pipes minimum 4" diameter except for dosed system – NA 14.04 Leach lines capped, vented, or connected together - 251(9) Pressure dosing guidance followed if pressure distribution - 254(2)(c ), Pressure dosing required over 2,000.gpd or with I/A remedial use - 231(1) Leaching Trenches (Check here if not present: ) OK Problem N/A Number of trenches: Minimum of 2 trenches - NA 9.01(2) Depth of trenches (max efi 2'): -247(l) Width of trenches (2:niin., 4' max.): - 251 (1)(b) Length of trenches (100' max.): - 25 1 (1)(a) Trenches are"vented (when > 50') - 251 (11) Trench s follow contour lines - 251(2) IT-rench spacing 3 times effective width or depth minimum- 4-(1)(d) In fill or reserve between trenches, 10' min. - NA & 14.03 Available leach area given (Min. 500 s.£) - 9.01(2) Bottom = L x W x # = s.f. Sidewall = L x x# -x2= s. f. Effective leach area give Loading factor Effective a - total area s.f. x LTAR = Effective area is >= design flow of facility being served 2"of 1 '�1/2" 2x washed peastone.- 247(2) Tr ch depth of 3/4" to 1 1/2" double washed sto - 247(1) Leach Fields (Check here if not present: ) OK P,r•6blem N/A Number of fields: (need dosing chamber if > 1, 231 (1)) Length (100' max.): - 252 (2)(b) Width: Total area: L x W = s. f. Minimum 900 square feet - NA 9.01(1) Distribution lines connected with solid pipe - NA 15.01 Effective leach area given Loading factor: �} Effective area = total area s.f x LTAR = g/dav Effective area is >= design flow of facility being served �- Minimum of two distribution lines - 252(2)(a) 6' line separation (max.) - 252(2)(d) 4' maximum separation from edge of field to line - 252(2)(e) '�-� 10' minimum separation between adjacent leach fields - 252(2)(f) Between 6" and 12" of 3/4 - 1 1/2" stone beneath field - 252(2)(g) & 247(2) 2"of 1/8"-1/2" 2x washed peastone.- 247(2) Final Grading OK Problem N/A .y/ Slope over leach area minimum of 0.02 feet/foot - 240(10) Grading shall divert drainage away from leach area - 240(l 1) ,G Grading slopes away from dwelling 5/24/01 f:/office/forms/tonackltr.doc 6 is v - 0 NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica; MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netway.com Date 4 Z. Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposzpystem Plan Review, 1770/ (2 7 Assessors Map 146 ",Lot t Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated ✓ `" / Qin 'z by tf It is our opinion t6 the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: f2 t✓� S -C -qc�p -5"$ 7'r -P 7— .0 .0 FF s rE-.r- n M Z /-j c rte. I,,/ rr�ve-- .rx� Respec T-0S��PT�� T>�a✓ %� John L. Noonan, P.L.S.-P.E. G: office/forms/tonarev 11 Land Surveyors Civil Engineers Environmental Planners /��A�-�- /9 -'''fes �`,s7�-c�`"�..•= r c � �n t? /.� � s r��� e 0 File Edit Tools Data Maintain Process View Report i9a Windows Help -- - ._ Project: 1770 Gffice of Health Department 27 Charles Street, No. Andover, Billing Group ID: 079 t Billing Type: Fixed FeeA - Billing Fee: }P 28b^tTUT_Card ID: ToNA J Moin I Billing Info Contract Info Classification 1 GLAccounts billing Messages I Alerts , Staffing Actiyities Proposal Number: Contract Number: -Assign To Department: �� J I Contract Date: 6!26!02 Work Start Date: 6/261 2� v T Expected Finish Date: f 7112102 r Use Government Invoice Style Description: Engineering services required for Plan Review. Engineer: Hancock Engineering # 978-777-3050 Assessors Map 106D, Lot 53 & 54 Applicant: Robert Casey 213 Berry Street Save I Close Groups: Adding Notes... Project Request Record Town of North Andover Date:'Z O —z_ Client/Company Name: Board of Health Client Id: ToNA Card Id: ToNA Card' Type -Client: Contact Name:, Ms.. Sdndra•Starr, Phone: 978=688-9540 is fe; Title Director- Fax: 978-688-9542 ?j;ir ( Ad'diessc: 27. Charles Street' Email:. sstarr@townofnorihandover.com:r fr�% Notes:. r ., r Town:. North=Andover State: MA Zip Code: 04'845 .� a' Otlier; contacts if apphealle.. Engineer nstaller ` , /Name:. A1`' GoG cvv iNe��L� Phone: `% 7 of ,- 7,7 - p 1 j/r, Title Fax: , ;f v Address:. Email: f 1a Notes Town.. ------------ (,.,State: Zip Code:lk %r Project: Project Id: 1770 Project Title: Town of North Andover. Board of Health (JOB NO) (PROJECT NAME & STREET AD,KESS) Manager: NOW Billing Group: Billing Cod :Fixed Fee Contract Info:.Project Description for each,billing group TQ tjG—wr 7— e%*1 S Y BG% Applicant , Assessors: lVlan I 0 ,9� L> Lot f15 - Street `z i .Type:ofiservice O!V_ S rz_ ;I l Office/forms/jbrqutona RETURN DOCUMENT BK 6682 PG 151 INTEGRATE o LOAN7SERVICES ------------------!KY Lk - -CT -0606----(Space Above This Line For Recording Data)- --------------------------- - ------------- --- EASTERN BANK REVOLVING EQUITY MORTGAGE DEED THIS MORTGAGE SECURES A REVOLVING LINE OF CREDIT AGREEMENT THAT IS SUBJECT TO A VARIABLE RATE OF INTEREST. THEREFORE, THE AMOUNT OF THE OBLIGATION SECURED BY THIS MORTGAGE MAY INCREASE AND DECREASE PERIODICALLY. THIS MORTGAGE ("Security Instrument") is given on OCTOBER 18, 2001. Month Day Year The mortgagor is THOMAS M. CASEY, ROBERT J. CASEY, SUSANNE S. BERMAN, ("Borrower"), whose mailing address is 213 BERRY STREET, NORTH ANDOVER, MA 01845. This Security Instrument is given to EASTERN BANK, which is organized and existing under the laws of the Commonwealth of Massachusetts, and whose address is 112 Market Street, Lynn, Massachusetts 01901 ("Lender"). Borrower owes Lender all amounts advanced from time to time under the terms of an open end credit plan (as defined in the Truth -in -Lending Act), which will not be more than the principal sum of ONE HUNDRED THOUSAND AND 001100 Dollars (U.S. S 100,000.00) plus interest and other charges. This debt is evidenced by a revolving equity credit line agreement signed by Borrower and dated the same date as this Security Instrument, which may be amended from time to time ("Agreemenf'). The Agreement provides for monthly payments, with the full debt, if not paid earlier, due r and payable on OCTOBER 18, 2021. ` This Security Instrument secures to Lender: (a) the repayment of the debt evidenced by the Agreement, with interest, and all renewals, extensions and modifications; (b) the payment of all other sutras, with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the performance of Borrower's covenants and agreements under this Security Instrument and the Agreement. For this purpose, Borrower does hereby mortgage, grant and convey to Lender, with mortgage covenants and with power of sale, the following described property located in the town or city of NORTH ANDOVER and county of ESSEX in the state or Commonwealth of MASSACHUSETTS: That certain piece or parcel of land and the buildings and improvements thereon known as 213 BERRY STREET in the Town of NORTH ANDOVER, County of ESSEX and State of MASSACHUSETTS and being more particularly described in a deed recorded in Book 1454 Page 118 of the ESSEX NORTH COUNTY REGISTRY OF DEEDS. Which has the address of 213 BERRY STREET, NORTH ANDOVER FEB 22'02 A193.45 (Street) (City) MASSACHUSETTS 01845 ("Property Address"). (state) (Zip) TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements, right, appurtenances, rents, royalties, mineral, oil and gas rights and profits, water rights and stock and all fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property". BORROWER COVENANTS that Borrower is lawfully seized of the estate hereby conveyed and has the right to mortgage, grant and convey the Property and that the Property is unencumbered. Borrower warrants and will defend generally the title to the Property against all claims and demands. THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited variations by jurisdiction to constitute a uniform security instrument covering real property. Initials's�LL.7"F (Page 1 of 4 pages) NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netway.com February 14, 2002 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/062 213 Berry Street Assessors Map 106D, Lot 41 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated January 10,2002 and revised2/13/02 by: Hancock Engineering Associates. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 1) Dimension Leaching bed on plan view. 2) Please check soil color for T2, BWI. The Board of Health record is 10 yr 5/4 and low croma color is 5 yr 7/3. 3) Identify water line as either pressure or suction. 4) Provide pipe lengths and slopes in profile NA 8.02c 5) Provide a benchmark. 220(4)(q) 6) Identify the existence or not of wells within 150 ft. 7) Provide reference to a record plan for property lines shown. 8) Check weight of soil over pump chamber. 9) Provide size of riser between forcemain and laterals on manifold detail. 10) Provide detail for concrete retaining wall and include top of wall elevation. 255(2)(b) Land Surveyors Civil Engineers Environmental Planners y/ 11) Item two of construction notes should be revised to clay or concrete. A HDPE barrier maybe used if a DEP Policy Letter is provided on its use. 12) The retaining wall/barrier is 5 ft. off the leaching facility not 10 ft. 255(2)(g) 13) Provide percent pressure loss between beginning and end of lateral & manifold to ensure that it is within the guidance policy requirements. Respectfully, John L. Noonan, P.L.S.-P.E. G: office/boh/ 1770062 Land Surveyors Civil Engineers Environmental Planners 2 C 0 NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netwa�com Date / 3 O 'Z - Town of North Andover Office of the Health Depa Community Developmeni 27 Charles Street C. _ North Andover, MA 018, RE: Subsurface Sewag Plan Review, 177( j /0—� -- Assessors Map `� l� Y-/ 67 perf n t Dear Members of the Boa94 Please be advised that No( %�!7 J� � cJ 4X" It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: %] 1,—e7 - / (o7 ` G 4 ;);f G -%, fir— )55r -e-� c� -,,— e 3J t `-7 `��J / S / Q Yc��9� �°v w �,z r ", C_ 4 J �IZZ-71/ /mom 17 espectfully, John n, - Gr/ �- L c✓/ Ti7`� ai /'Tc� ��-,! G: office/forms/tonarev r=C7e-Z_ 0sLo©6r-,W-7- Land Surveyors Civil Engineers Environmental Planners 1/5�-�-�Igr - � Te-Aj �v ,�7 "-I-- 7- -Iv ��TN� i. -.f G L v c✓ � TQ �� cz �� T - -N � "/f O �✓ ); 44 % 7✓� �/fes �C � i'�`�� "t c.� s� � � /�g-� � � i �� / 5 S � 7— � w- NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netway.com Date,, 3 n –Z— Town Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/ ab Assessors Map /�6 tom, Lot Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated ✓- r ��, z oo Z o It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 3J P /, e7 c---/ J / P " /_ G /1'/ eu es /15F d7 c,;, ­'. e I- U /,E-, t_<, ?02 7-77--/ewi� T �,c`' y Gt/ ,y Trs f<- �,z ?'iC__ 7-1 CL--' 1 v ,®z5- r/f �iFav G r19„?Ur©if ;7- espectfully, � s T Gjs” � � �2 � � i � �•- John n, C_ 4– 5c✓ / T�7`� �v %Tc, �T� G:office/forms/tonarev / jr='C7e-Z®mo o p 7- y t /, Land Surveyors Civil Engineers Environmental Planners P6-1l/e-7 14K_7 / L v TQ /' a T zts- S 771,,�T /r �s HANCOCYN Environmental Consultand:;' 235 Newbury Street, Danvers, MA 01923 (978) 777-3050 Fax (978) 7747816 O 12 Farnsworth Street ❑ 626 Main Street DATE �¢� JOB NO. Boston, MA 02210 Bolton, MA 01740 (� (617) 350-7906 (978) 779-6767 ATTENTI N To / E: >i/ R1� [�t '� & Aj /�WaOL�� WE ARE SENDING YOU C�Attached ❑ Under separate cover via ❑ Shop drawings Prints ❑ Plans V Copy of letter ❑ Change order ❑ the following items: ❑ Samples ❑ Specifications THESE ARE TRANSMITTED as checked below: `(For approval ElApproved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FORBIDS DUE REMARKS ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO if enclo— SIGNED: kindly notify us at TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 400 Osgood Street North Andover, Massachusetts 01845 To Curt Bellavance Director of Community Development RE: 213 Berry Notice of owner/agent was posted on the window (B) Kody & Company Mike Dulong 60 Ashland Street, North Andover 508- 662-3549 (c) Telephone (978) 688-9545 FAX (978) 688-9542 September 24, 2014 Issues observed at requested inspection and all photos were taken from the exterior of the structure. 1) .General condition of 213 Berry Street is poor. 2) Foundation is (K) cement blocks and piers. 3) There is no (M) driveway and the septic system looks as if to be under the entire front yard, due to the raised soil. 4) The rear property appears to be (0) wetland and not suitable for building. 5) The inside is dated 1960's (E)(A)(H)and a complete up date is needed. second floor was not observed. No entry was obtained. Interior code violations are unknown. 6) Exterior has rotted window (c). 7) Two chimneys (F) (J) that are poorly built. 8) Rot and deterioration was observed in multiple locations. 9) A 500 gallon propane tank was observed in the wetland area. See Aerial view photo. Sincerely Yours, f �3 tt-- - , Brian Leathe Local Inspector 1� PREMIERE **NEW OWNER CONTACT INFORMATION** May 29,2014 R. 213 ornp Shat 'Z-hAndo.o. MA OIIUS To wAan.iUmyaoncan: 'On t.61raPund- A-0—,k�m tw.daMworursoftllizptppmy;i MIR brJ—kdae.arm-yi,— r i. W'.Vmy �KB�Ya'nat6'uq pngrini9us pttxplsty. Ck,teSa tnt.Ae+iweWantxtmeat thrilsrorpwiimkkw 1 OI1im name: Kody R Company, fu nmacl naar bfik9 WlonB. Addro w 60 Addond SUW Nosh Antlowt. MA Of M5 Teleommnumber; 508-662-35,19 e11 Fmx numbcr. 978-686-1514 Mtc?nota wmna numhr 978.686.1954 fri- W... 1..uaai%q--(m(—mniraad mo,'o,u— Posting Notification p,tk.la,,drf. MY.Wn iM, pi qn.1 y Ns btn imp.cltd ,n. twM b q..ont a eb,dYwd. 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JF , a _ ' �,. } ,f. ♦,� +f, ' �<• +ter="�,"-- '""_ ,.� t k'' ;.�K"a, IVA m' y� r ��,.•-�,� f +fir "4�, s. � �j r=.� , t `,�,� tti z,,:�+' tw;:t�,,, f` t, ��.�, ��� $i • R _ �' �t � h,i?'wt.::F�`� ... .. .._....•i��. ' {_„_.� r: tom' 4 . 15- 4 L .• t t l ni„r TAiC �. t ♦ y �'t i � a ��j� �li h�t� ��� i Pt1�ii11�I��1 t�. _ ,grfell •� a`��y -fit .iY �``yYk ry��err 11 Ar S +:v, ryr) yp %fir... I U TOWN OF NOKU! ANDOVER 10 HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Sandra Starr, R.S., C.H.O. (978) 688-9540 - Telephone Public Health Director (978) 688-9542 - Fax �M 6 TO: Fax: From: Pages: 1-2 Phone: Date: Re: CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Please call 978-688-9540 for assistance with any questions. Thank you. xc: Address File Chrono File V� 41 6'al-7 8b`4 5 v v" a a ,&° f /-v &2,t Ce, pe,e imge,d lni kalley as '6,tYUrn rc dlahc% as efflMe, e(D FORM 11 - SOIL EVALUATOR FORNI Page 1 of 3 No. ,�C6 Date: �60 Commonwealth of Massachusetts Massachusetts Soil Suitability Assesstnent for On-site Sewage Disposal Performed By: JAMe; SC{3WL0,11i Date: 12 / 1 z 1 b Witnessed By: 6AAj1)Lj �t-rm.,p / 13ejal-' La.,.. Ad&." 01 z{3 .� � Owrcr'� Nine. No ArdoL)er ✓tA cii4,5 Jew Construction ❑ Repair (K Office Review Published Soil Survey Available: No ❑ Yes Year Published fq�� Publication Scale Drainage Class ............. Soil Limitations Surficial Geologic Report Available: No [A Yes ❑ Year Published Publication Scale Geologic Material (Map Unit) ............................. Landform..................................................................................... Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes 19 Within 500 year flood boundary No 19yes ❑ Within 100 year flood boundary No U'^ Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map ._zit 15.8 io Soil Map Unites �. . .................................................. .... ........ .... ........ . Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Below NormalLOIN Other References Reviewed: kiDFP APPROVED FORM • 12/01/95 �k�bzr �l FOR -'\I 11 IL EVALUATOR FORM 01 1 • C Page 2 of 3 Location Address or Lot No. Ori -site Review Deep Hole Number T=( Date: IZIJL1d1 Location (identify on site plan) Land Use rrt)ni yard Slope M) 3-6 Vegetation Landform Position on landscape (sketch on the back) Distances from: Time: Weather COLA Surface Stones��_ Open Water Body N/A feet Drainage way N/A feet Possible Wet Area L 100 feet Property Line 10-t feet Drinking Water Well L100 feet Other DEEP OBSERVATION HOLE LOG' Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other Structure, Stones, Boulders, Consistency, % Gravel) FS - m zl - 17 ice, F5L 10 r F 3z- 38 Cl INV oL� �,i k�ItI i. i) KD I , q0'r'cs/R Parent Material (geologic) �Dep-&-ecirock: (1 (( �fY`� _ D_ epth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: N Estimated Seasonal High Ground Wa;er: ?j G; DEP AYPRONT -D FORT: - 11/07/95 a FOR_%I 11 CIL EVALUATOR FORM Page 2of3 Location Address or Lot No.Z( 'C a (vim lV,11Cjl)W Oji -site Review Deep Hole Number �- Z Date: �Z) )ZI b� Time: Weather COIJ Location (identify on site plan) Land Use F" �\� �C(r f Slope M) 3_E, Surface Stones , Vegetation C! Landform Position on landscape (sketch on the back) Distances from: Open Water Body hL/A feet Drainage way 101A feet Possible Wet Area laj feet Property Line 10 L feet Drinking Water Well Z_10() feet Other 7 DEEP OBSERVATION HOLE LOG' Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other .Structure, Stones, Boulders, Consistency, % Gravel) ©--15 FrLI A 35 f3�, LoAm IOU -3k m F 35-- y7 F S L � � y CO5' � H 4 I( ft) F 5Z Cf �ytt�r,I y 75q 1'18 r1 �lr�► Z'q$ - i�11" 5`'13 � ii vj��-,i't'l rol C, TAT TTFSTir3 Parent Material (geologic) _ �� DeP"oBedrock: 1f r `ktif M, Depth to Groundwater: Standing Water in the Hole: Weeping from fit Face: Estimated Seasonal High Ground Water: qq) DEP MTROYFD FORS! . 12/07/95 I I FORM 12 - PERCOLATION TES I- Location Address or Lot No. 2!3 (ms[�a�c�C�✓ COMMONWEALTH OF MASSACHUSETTS ko A4"(? K , Massachusetts Percolation Test* Date:... 1Z: 12 ti k Time:. Observation Hole # - _ I Depth of Perc 5911- 9ii^Start StartPre-soak End Pre-soak 1 2 0 Time at 12" Time at 9" ; 5� Time at 6" Z S Time (9"-6") `J7 Rate Min./Inch 2-0 Minimum of 1 percoiation test must be performed in both the primary area AND reserve area. Site Passed E Site Failed ❑ Performed By: Witnessed By: Comments: DEP APPROVED FORM - 12/07/95 FORIM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. 213 2421 Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole inches Depth to soil mottles J(Ines inches Ground water adjustment ........... feet Index Well Number ... Reading Date .............. Index well level .. Adjustment factor ... ...... Adjusted ground water level . ............................. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ko If not, what is the depth of naturally occurring pervious material? �9�� " Certification I certify that on giol C (date) I havePassed the soil evaluator examination approved by the partment of Environmental Protection and that the above analysis Alas performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date O/ DFP APPROVED FORM - 12/07145 HANCOCY Environmental Consultand 235 Newbury Street, Danvers, MA 01923 (978) 777-3050 Fax (978) 774-7816 El 12 Farnsworth Street 0 626 Main Street Boston, MA 02210 Bolton, MA 01740 (617)350-7906 (978)779-6767 • , l `.. wo, WE ARE SENDING YOU Attached ❑ Under separate cover via ❑ Shop drawings ❑ Prints ❑ Plans -4 Copy of letter ❑ Change order ❑ LETTER OF TRANSMITTAL DATE � �} D� JOB NO. ATTENTION RE; Si, %�• �iV oy/ ❑ Samples following items: ❑ Specifications •' • 12 ,7&/,g/ • o rw, REMARKS ✓ ,1,iO n 1 1 ` THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ ❑ For your use ❑ '� As requested ❑ ❑ For review and comment ❑ ❑ FORBIDS DUE Approved as submitted Approved as noted Returned for corrections ❑ ❑ Resubmit copies f proval ❑ Submit c pies for distribution ❑ Return corrected prints PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted, kindly notif at on e. _ - 9305 SEWAGE PUMP STATION DESIGN COMPUTATIONS for 213 BERRY STREET NORTH ANDOVER, MA OWNER AND APPLICANT F 0"z a moo ROBERT CASEY LTH ''' 213 BERRY STREET JUN Z NORTH ANDOVER January 24, 2002 HANCOCK Engineering Associates A DIVISION OF H.SA., Inc. 235 NEWBURY STREET, DANVERS, MA 01921 VOICE (978) 777-3050, FAX (978) 7747816 C SEWAGE PUMP STATION DESIGN COMPUTATIONS Job, No. 9305 For: . ROBERT CASEY - Calculated by: jbs Date: 01/24/2002 Checked by: rfd DESIGN DATA: DESIGN FLOW 330 SOIL CLASS 2 PERC RATE 30 FORCE MAIN DIA. 2 HAZEN WILLIAMS C -VALUE 150 SUBMERSIBLE PUMP SPECIFICATIONS: MANUFACTURER: Peabody -Barnes MODEL #: SE411 HORSEPOWER: 0.4 IMPELLER DIAMETER: 5.44" SOLIDS HANDLING: 1-1/2" PUMP CHAMBER SPECIFICATIONS: STORAGE PRIMARY RESERVE VOL. IN PIPE RUN TOTAL DIMENSIONS LENGTH* WIDTH* DEPTH* ELEVATIONS INLET INVERT ALARM ON OFF SUMP CALCULATE STATIC HEAD: DISCHARGE ELEV. PUMP OFF ELEV. TOTAL STATIC HEAD 330.0 330.0 5.7 665.7 8.83 4.17 4.25 Gal/Day Min/Inch SDR 21 PVC DISCHARGE SPEED: VOLTAGE: PHASE: gallons gallons gallons gallons feet feet feet *INSIDE DIMENSIONS 95.25 feet 93.2 feet 92.7 feet 91.5 feet 91.0 feet 100.90 feet 91.5 feet 9.4 feet Pump Designs.xis 2" NPT 1750 RPM 115V SINGLE SEWAGE PUMP STATION DESIGN COMPUTATIONS Job No. 9305 For: , ROBERT CASEY Calculated by: jbs Date: 01/24/2002 Checked by: rfd CALCULATE EQUIVALENT LENGTH: FRICTION LOSSES IN PUMP CHAMBER: QTY DIA (IN) LOSS/FITTING (FT) FITTING TOTAL 1 2 5.0 90° BEND 5.0 FT 0 2 2.5 45° BEND 0.0 FT 1 2 14.0 CHECK VALVE 14.0 FT 1 2 1.2 GATE VALVE 1.2 FT TOTAL 'LOSS b 21.0 FT 20.2 FT FRICTION LOSSES IN PIPE RUN: QTY DIA (IN) LOSS/FITTING (FT) FITTING TOTAL 4 2 5.0 90° BEND 20.0 FT 0 2 2.5 450 BEND 0.0 FT 0 2 1.3 22.50 BEND 0.0 FT 1 2 11:0 TEE 11.0 FT LENGTH OF RUN 35.0 FT MISC. PIPE 3.5 FT TOTAL LOSS b 70.0 FT 69.5 FT TOTAL EQUIV. LENGTH: b b 1 91 T Pump Designs.xls SEWAGE PUMP STATION DESIGN COMPUTATIONS For: ROBERT CASEY Date: 01/24/2002 0 Job No. 9305 Calculated by: jbs Checked by: rfd PRESSURE DISTRIBUTION SYSTEM PARAMETERS: GENERAL Unit Value Comment. F Parent Soil Type 2 1=sand / loamy sand; 2=loams Dosing Frequency doses / day 1 Min. Volume per Dose gallons 336 No. of Laterals 6 FORCE MAIN Length of Force Main feet Total Equivalent Length feet Nominal Inside Diameter inches MANIFOLD No. of Segments Length of Manifold Segment Equivalent Length feet Nominal Inside Diameter inches EACH LATERAL Length of Lateral feet Nominal Inside Diameter inches Min. Residual Pressure feet Orifice Diameter inches No. of Orifices Orifice Spacing inches SYSTEM PERFORMANCE SUMMARY FLOW VELOCITY Force Main ft/sec Manifold ft/sec Lateral ft/sec ORIFICE DISCHARGE gal/min NETWORK VOLUME gallons MIN. DOSE VOL./NETWORK VOL. NETWORK DISCHARGE gal/min 35 91 2 1 12 23 2 28 1 3.0 0.25 6 56 4.7 2.3 0.4 1.3 0.19=3/16;0.31=5/16; 0.44=7/16;0.56=9/16 maximum = 60 inches 9 laterals and manifold 38 minimum allowable = 5 46 minimum pump discharge Pump Designs.xls SEWAGE PUMP STATION DESIGN COMPUTATIONS Job No. 9305 For: ROBERT CASEY Calculated by: jbs Date: 01/24/2002 Checked by: Ad PRESSURE DISTRIBUTION NETWORK SYSTEM CURVE - Pump Off Elev. 91.5 Hazen -Williams "C" Value 150 Manifold Invert Elev. 100.90 K Factor for C > 100 0.47 Lateral Invert Elev. 100.90 FORCE MAIN Flow Velocity Hi100 Friction Loss (dpm) (fps) (ft./100 ft.) (feet) 30 3.1 1.8 1.6 35 3.6 2.4 2.2 40 4.1 3.1 2.8 45 4.6 3.8 3.5 50 5.1 4.7 4.2 MANIFOLD (EACH SEGMEN Flow Velocity HV100 Friction Loss (gpm) (fps) (ft./100 ft.) (feet) - 30 3.1 1.8 0.4 35 3.6 2.4 0.6 40 4.1 3.1 0.7 45 4.6 3.8 0.9 50 5.1 4.7 1.1 EACH LATERAL Flow Velocity H�100 Friction Loss (gpm) (fps) (ft./100 ft.) (feet) 5 2.0 1.9 0.5 6 2.4 2.6 0.7 7 2.7 3.3 0.9 8 3.1 4.1 1.1 8 3.4 4.9 1.4 COMPOSITE SYSTEM CURVE Flow (gpm) Static Head (feet) Residual Press. at Distal End TDH (feet) 30 9.4 3.0 15.0 35 9.4 3.0 15.9 40 9.4 3.0 16.8 45 9.4 3.0 17.9 50 9.4 3.0 19.1 Plot Flow and TDH on Pump Curve to determine operating point of pump. Pump Designs.xls V' BARNES SUBMERSIB- LE NON CLOG Series: SE, Manual & Automatic 1-1/2" Spherical Solids Handling - Series: SEA HP 1750 RPM (SE411 & SE421) THE BELOW LISTINGS ARE FOR SE411, SE411A & SE421 ONLY. ca® Canadian Standards Association File No. LR16567 ULUnderwriters Laboratories Inc. File No. E142177 Description: SUBMERSIBLE NON -CLOG SEWAGE PUMP DESIGNED FOR TYPICAL RAW SEWAGE APPLICATIONS. Sample Specifications: Section 1 Pages 13-14. C RA N E I PUMPS & SYSTEMS Barnes Pumps, Inc Distributor Sales & Service Dept 420 Third Street/P.O. Box 603 Piqua. Ohio 45356-0603 Ph (513)773-2442 Fax (513)773-2238 O PUMPS Specifications - SECTION 1A PAGE 1 DATE _ 5/ 44 REPLACES 7/93 DISCHARGE: 2" NPT, Vertical LIQUID TEMPERATURE: 104° F Continuous. VOLUTE: Cast Iron, ASTM A-48 Class 30. MOTOR HOUSING: Cast Iron ASTM A-48, Class 36. SEAL PLATE: Cast Iron ASTM A-48 Class 30. IMPELLER: Design: 2 Vane, Open, With Pump Out . Vanes On Back Side. Dynamically Balanced, ISO G6.3. Material. Zytel 70G43 Nylon, Glass Filled. SHAFT: 416 Stainless Steel. SQUARE RINGS: Buna-N HARDWARE:. 300 Series Stainless Steel. PAINT: Air Dry Enamel. SEAL: Design: Single Mechanical, Oil -Filled Reservoir, Secondary Exclusion Seal. Material. Rotating Face - Carbon Stationary Face - Ceramic Elastomer - Buna-N Hardware - 300 Series Stainless CABLE ENTRY: 15 ft. Cord w/Plug On 115 and 230 Volt, Pressure Grommet For Sealing And Strain Relief. SPEED: 1750 RPM (Nominal). UPPER BEARING: Design: Sleeve Lubrication: Oil Load: Radial LOWER BEARING: Design: Single Row, Ball Lubrication: Oil Load: Radial & Thrust MOTOR: Design: NEMA L Torque Curve. Completely Oil -Filled, Squirrel Cage Induction. Insulation: Class A. SINGLE PHASE: Permanent Split Capacitor (PSC). Includes Overload Protection In Motor. FLOAT: Automatic Models. Wide Angle, Polypropylene, 15ft. Cable. SE411A & SE421A, Float w/Plug Attached To Discharge Piping, SE411AU & SE421AU Float Attached To Pump. ON and OFF Points are Adjustable. OPTIONAL EQUIPMENT: Seal Material, Additional Cable and Cast Iron Impeller. Barnes Pumps, Inc Bid -To -Spec & Project Sales 1485 Lexington Ave Mansfield. Ohio 44907.2674 Ph. (419) 774-1511 Fax (419) 774-1530 'MEMBER: V' SECTION 1A PAGE 2 DATE 5/94 REPLACES 7/93 SE411A & 421A SE411 & SE421 (Less Float) -120' Pumping 9.00 Differential I C I I 16.00 U 3.86 I O 7.72 a 4.00 SE411AU & 421AU %��. —T 120* 9.00 rPumpinPg Differential 16.00 4.00 '2 MODEL •PART HP VOLT PH RPM NEMA FULL LOCKED CORD CORD CORD NO. NO. (Nom) CODE LOAD ROTOR SIZE TYPE OD AMPS AMPS 411A 082215 0.4 115 1 1750 A 10.0 19.0 14/3 vV V-/,% V.JJV SJTOW-A 0.390 SE411AU 093193 0.4 115 1 1750 A 10.0 19.0 14/3 SJTOW-A 0.390 SE421 082089 0.4 230 1 1750 A 5.0 9.5 14/3 SJTOW-A 0.390 SE421A 093194 0.4 230 1 1750 A 5.0 9.5 14/3 SJTOW-A 0.390 SE421AU 093195 0.4 230 1 1750 A 5.0 9.5 14/3 SJTOW-A 0.390 Mercury Switch on SE411A & Mechanical on SE421A, Cable 16/2, SJOW-A, 0.320 O.D., Piggy -Back Plug. Mechanical Switch (SE411AU & SE421AU), Cable 14/2, SJOOW-A (UL), SJOW (CSA), 0.370 O.D. Fax: (513) 773-2238 IMPORTANTI 1.) DO NOT USE THIS PUMP TO PUMP FLAMMABLE LIQUIDS. 2.) THIS PUMP IS APPROPRIATE FOR LOCATIONS CLASSIFIED AS DIVISION II. 3.) THIS PUMP IS MCI APPROVED FOR USE IN SWIMMING POOLS, RECREATIONAL WATER INSTALLATIONS,DECORATIVE FOUNTAINS OR ANY INSTALLATION WHERE HUMAN CONTACT WITH THE PUMPED FLUID IS COMMON WHILE THE PUMP IS RUNNING. 4.) PUMP CAN BE OPERATED DRY FOR EXTENDED PERIODS WITHOUT DAMAGE TO MOTOR AND/OR SEALS. CRANE I PUMPS & SYSTEMS ------ Barnes Pumps, Inc. Barnes Pumps, Inc. Distributor Sates & Service Dept. Bid -To -Spec & Project Sales 420 Third Street/P.O. Box 603 1485 Lexington Ave. Piqua, Ohio 45356-0603 Mansfield, Ohio 44907-2674 Ph: (513) 773-2442 Ph: (419) 774-1511 Fax: (513) 773-2238 Fax: (419) 774-1530 cp BARNES CONTROL PANELS Versatrol Standard Simplex and Duplex NEMA 3R SIMPLEX DUPLEX Series: Simplex & Duplex Single Phase: .5HP - 15HP Three Phase: .5HP - 200HP ERANE PUMPS & SYSTEMS Barnes Pumps, Inc Distributor Sales & Service Dept. 420 Third StreeVP.O. Box 603 P iqua, Ohio 4 53 56-060 3 Ph (513) 773-2442 Fax (513) 773-2238 0 Specifications: SECTION NEMA 3R Raintight, Outdoor Mounting 6A PAGE 3 DATE 7/93 REPLACES 7/90 ENCLOSURE: NEMA 3R Raintight, Outdoor Mounting G-90 Galvanized Steel, Gray Polyester Powder Finish, Door Gasket for RAINTIGHT Outdoor use, Padlockable Draw -Pull Latches, Panel Drilled and Tapped, Machine Screw Mounted Componets. CIRCUIT BREAKER: For Short Circuit Protection STARTER: Electromechanical OVERLOAD RELAY: Bimetal Type, Ambient Compensated HEATER ELEMENT: Class 10 Quick Trip, One Heater for Each Motor Phase. SWITCH: Hand -Off -Automatic, 1/2 Inch NEMA 1 LIGHT: SUB PLATE: Pump Motor Run, 1/2 Inch NEMA 1 Switch and Light Mounting TRANSFORMER: For 115 Volt Control on 3 Phase FUSE: Control Transformer Primary When Used. Meet Requirements of NEC. FUSE: Control Circuit, Meet Requirements of NEC. TERMINAL STRIP: Box Lugs for Customer Wiring WIRING: Color Coded to NEC Requirements; Black Power Wiring Red Numbered Control Wring White Numbered Neutral Wiring Green Ground Wring ALTERNATOR: For Duplex ONLY, Automatic. Available in Sizes for .5 HP to 15 HP, 115 and 230 Volt AC, 1- Phase. .5HP to 200HP, 200, 230, 460 and 575 Volt AC, 3- Phase. All 230 volt panels are stamped "200/230 volts" and may be used throughout this voltage range. All components are "UL" Listed. NOTES: 4.5 and 7.5 horsepower single phase panels are designed for use with Barnes Pumps special single phase models, 4SE4526L. 4SE4526HL, 4SE4524L, 4SE7524L & 4SE7524HL. Optional Equipment Available See Pages 15 thru 20. UL 508 Label on Request. Barnes Pumps, Inc. B d -To -Spec 8 Project Sales 1485 Lexington Ave. Mansfield, Ohio 44507-2674 Ph, (419) 774-1511 Fax(419)774-1530 O BARNES®ALARMS Wall Mounted , Specifications: P/N: 061486 FOR INDOOR USE .ONLY. P/N: 061487 FOR INDOOR USE ONLY. CRANE PUMPS & SYSTEMS X] SECTION 6A PAGE 43 DATE 7/93 REPLACES 10/85 061486 High Water Alarm includes stainless steel wall plate with red jewel light and one mercury level control With 10 ft. of 18/2 cord. T " � 2.75 QQ— 2 HOLES FOR 6-32 x 114 3.81 SCREWS D 4.25 I 061487 High Water Alarm (Solid State) includes stainless steel wall plate; audible and visual alarm with silencer button and one mercury level control with 10 ft. of 18/2 cord. 4.56 1 I 3.28 4.50 e— e— I---1.81 Barnes Pumps, Inc Barnes Pumps. Inc. Distributor Sales & Service Dept. Bid -To -Spec & Project Sales 420 Third Street/P.O. Box 603 1485 Lexington Ave. Piqua, Ohio 45356-0603 Mansfield, Ohio 44907.2674 Ph (513) 773-2442 Ph: (419) 7 74 -1511 Fax (513) 773-2238 fax: (419) 774.1530 -SECTION 6C PAGE 48 DATE 7/93 REPLACES 7/92 TYPICAL SIMPLEX WIRING SCHEMATIC L1 L1 ON L2 OFF STARTER - COIL AUXILIARY CONTACT ti TO MOTOR TYPICAL ALARM WIRING SCHEMATIC L1 120V 60HZ N 4.50 SAW" PUk53% M 1 F — — SILENCE 3 --- L—TJ E2 1 ALARM CONTACT (MINI -FLOAT) ALARM LIGH R TYPICAL PIPE MOUNTED INSTALLATION: General Comments: 1. Never work in the sump with the power on. 2. Attach the Level Controls to the mounting pipe or the pump discharge pipe. The "off' float should be below the "on" float in a "pump out" application - 3. Arrange the Level Controls so they do not tangle or hang up. 4. Insert the hose clamp through the two slots in the pipe/cable clamp, circle the discharge pipe with the hose clamp, feed the end of the hose clamp through the screw and tighten. 5. Measuring the difference between mounting points given the "pump down" differential. Important Notes -Mercury Level Controls are pilot duty devices. They cannot be used to directly power pump motors. Also, do not use Mercury Level Controls in gasoline or other combustibles. Mercury level control are compatible with intrinsically safe relays. CRANE PUMPS & SYSTEMS Barnes Pumps. Inc. Distributor Safes 8 Service Dept. Barnes Pumps, Inc Bid -To -Spec & Project Sales 420 Third Street/P.O. Box 603 1485 Lexington Ave. Piqua. Ohio 45356-0603 Ph: (513) 773-2442 Mansfield, Ohio 44907.2674 Fax: (513) 773-2238 Ph (419) 774-1511 Fax (419)774-1530 R1 2 AUDIBLE MOUNTING OR DISCHARGE PIPE DN" FLOAT DIFFERENTIAL WATER LFVFI II - .1 0 0 Buoyancy_fatculatiott - NCOCK' Pi'b}ect 6Cn 931Q5 Project: 213 Berry Street . Owner: Robert-Csey Date: 24 -Jan -02 Structur.e:. 1500 gallon monolithic sept tank -Q2,0) Parameter- UrtW Vairb--- Comment finish -grade EL- 95.0 outside top of structure.,,, z' EL 97.3 outside bottom -of -structure— EL 54.4 Estimated Seasonal High Groundwater EL 95.0 eshgw 36" below grade structure outside -diameter- FF-- 0.0 structure outside length FT 10.8 structure-outside-YAdth-- FT-- 5.7 structure footprint SF 61.6 weighte#-suture-- LB— - 13,549 # of manholes # 2 manhole --diameter— FT- 2 top of manhole EL 97.5 weight -o€ -ballast* LB- - 0 unit weight of soil cover" PCF 110 weightof-s*caver-- - Lim . 4,906 weight of water displaced (structure) LB 13,829 weight -of water displaced (baAas 7 LB- 0 NET --FORGE— LB- 31626 (negative number indicates floatation possible) Factor of -safety==- 1-.26_-- (6oes:not-iecludevveot-of-extenbone collars or frame and cover) * Station assumed totally dry inside. Neglect weight of equipment inside and outside soil fiction force. —Neglect-weight-of soft -over "last. Page S a L o Q Huny,mr-y Cauls da IIiANC-0 Project No. 9305 Project: 213 Berry Street . Owner: Rob"sey Date: 24 -Jan -02 Sfructare -- -20) parameter- Unit Val- _ Comment frriWvgrade-- - EL-- 99.0 outside top of structure,? -v EL 96.4 outside bottom -of structure--- E1= - 9-0-P Estimated Seasonal High Groundwater EL 96.0 eshgw 36" below grade strae#ure-Gutside-diameter - - FT- - 0.0 structure outside length FT 9.7 structure -outside -width- FT__ 5.0 structure footprint SF 48.4 weight-of-s#ucture---- LB— - 9,785 # of manholes # 1 manhole -diameter- - FT-- - 2 top of manhole EL 98.5 weight-- baAaW- - L -B--- 0 unit weight of soil cover" PCF 110 weightotsaitzover— - t:B— 1 ,103 weight of water displaced (structure) LB 16,292 w.,ot owater-displacedtballast) -- LB--- 0 NETTORCE - - LB- 6,596 (negative number indicates floatation possible) Fact"esa}fety-- t-AG—(DoeenstineiuWe" nreig#A-of-extentien-cQllars or frame and cover) Station assumed totally dry inside. Neglect weight of equipment inside and outside soil friction force. —Neglect weight-ofsoil overballast. Pam 1. C Project Request Record Town of North Andover Date: �— Client Id: ToNA Card Id: ToNA Client/Company Name: Board of Health Card Type -Client Contact Name: Ms. Sandra Starr Title:- Director Address: 27 Charles Street Town: North Andover State: MA Zip Code: 01845 Other: contacts ifapplicable: n ' staller Name: X -- Title: Address: Town: State: Zip Code: Project: Phone: 978-688-9540 Fax: 978-688-9542;,1 Email: sstarr@townofnorthandover.com. _. Notes: Phone: Fax: Email: Notes: Project Id: 1770 Project Title: Town of North Andover, Board of Health (JOB NO) (PROJECT NAME & STREET ADDRESS) Revs Manager: NOW Billing Groupr-- �� —' Billing Cod : Fixed Fee �� Contract Info: Project Description for each billing group BG/ Applicant T 4C -'0f --J- 6 Y Assessors Map /676 D Lot. ? Street 3' T Type of service ° �� /� ,�Q � PG ?ate �.�-- ✓ / ��1 Office/forms/jbrqutona Eile Edit Tools Data Maintain Process View Report @Vgl Vt4ndows Help Project: Billing Group ID: Billing Type: M.qin 1, Billing Info Proposal Number: Contract Number: Contract Date: Work Start Date: Expected Finish Date: Description: 1770 �t Office of Health Department 27 Charles Street, No. Andover, ----------- -- fixed Feed Billing Fee: 150.001 Card ID: ToNA .,ontractInfo Classiticati4n GLAccounts BillingMessages Alerts St ffnia g Acttyities Engineering services required for plan review Engineer: Hancock Engineering # 978-777-3050 Assessors Map: 106D, Lot 41 Applicant: Robert Casey 213 Berry Street ssign To Department: 1� J �7 J Use Government Invoice Style S�ave� �� Close Notes... RANOOCK gunyancy Calculadaff . - Project No. 95 Project: 2133BBerry Street . Owner: R ley Date: 24 -Jan -02 Structure:— tD00 gatton�la ,-20) t law_.. C ent Parameter - - - �- EL 99.0 EL 96.4 outside top of structure.., � outside -bottom -of structure-- EL Estimated Seasonal High Groundwater EL 96.0 eshgw 36" below grade structure -Outside -diameter - - FT- _ 0.0 structure outside length FT 9.7 structure-outsid Width- FT- 5.0 structure footprint SF 48.4 weight -of st vCture-- tom_ - _ 9,785 # of manholes # 1 manhole -diameter- - - _ FT -. ...- 2 top of manhole EL 98.5 L -B-- - - 0 weight-ofba#aW-- / L! PCF a6 .JLC 10 unit weight of soil cover** iijtkofsoiE-cnver-- - C$-- F3,103 we J weight of water displaced (structure) LB 16,292 wei�ate"isplaced ballast)--- LB-- 0 - LB- (negative number indicates floatation possible) ,�� _- . �g�..�..�{�e�eig�t.ef�xtentiert-collars FaetoF e#�afety or frame and cover) station assumed totally dry inside. Neglect weight of equipment inside and outside soil friction force. Neglect-weight-ofsoit over -ballast. paged -of a- Page 1 of 5 9A - APPLICATION FOR LOCAL UPGRADE APPROVAL Commonwealth of Massachusetts Q North Andover, Massachusetts �Y FEB - 1 2002 Application for Local Upgrade Approval__ R r __ Title 5,310 CMR 15.000 DEP approved form required by 310 CMR 15.403(1) To be submitted to Local Approving Authority/Board of Health: For the upgrade of a failed or non -conforming system with a design flow of <10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. To be submitted to DEP: For the upgrade of a failed or non -conforming system with a design flow of 10,000 up to 15,000 gpd and/or for upgrade of state of federal facility, where full compliance, as defined in 310 CMF 15.404(1), is not feasible. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of new design flow to a cesspool or privy or the addition of new design flow above the existing approved capacity of a system constructed in accordance with either the 1978 Code or 310 CMR 15/000. 1) Facility/System Owner: Name: PosE2T Case\/ Address: ZI3 P_%-_� 5T N. AtuDoveIiZ. Phone #: qZ$ - (06(0- 5$75 Address of facility: Zj3 CSP. j S -F, 2) Applicant (if different from above) Name: Address: 5A M E Phone #: 3) Type of Facility: Residential Commercial School Institutional (Specify) Page 2 of 5 4) Type of Existing System: _privy Ycesspool(s) conventional system other(describe) Type of soil absorption system (trenches, chambers, pits, etc.) 5) Design Flow Based on 310 CMR 15.203: a) Design flow of existing system NIA gpd Approved: _yes lkpproval date: no Why: b) Design flow of proposed upgraded system gpd c) Design flow of facility_gpd W3 6) Proposed upgrade of existing system is: a) Voluntary required by order, letter, etc. (attach copy) Required following inspection required by 31 CMR 15.301 (provide date inspection form was submitted to the approving authority) (date) b) Describe the proposed upgrade to the system: COMPLZTIF 5- 5L6 Nj c) Which of the following are applicable to the proposed upgrade? Reduction of setback(s) (list setbacks to be reduced with proposed setback distances) See pt_p t,4 Percolation rate of 30-60 minutes per inch (state actual perc rate) 30. Kuhl IN (DtSI(MN) Up to 25% reduction in subsurface disposal area design requirements (state required & proposed size) Relocation of water supply well (identify well, describe relocation) Reduction of required separation between bottom of SAS & high groundwater (specify proposed reduction & perc rate) Page 3 of 5 Other requirements of 310 CMR 15.000 that cannot be met (specify sections of the code) No NG IV. Atj oyu6 DE 5.02 - LEAC.0 FlaD To iE14AND 100' 6V' SEPnr T -Ad t TO t pR' LAjQ L)S 4S' 1!5eP71(- T7wti 7a LLY---U -7 55' ci .py - No Razu& AeEA- 0.13.01 5 8EA12c,-Vm OeS /4,k) System upgrades that cannot be performed in accordance with 31 CMR 15.404 & 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410-15.417. 7) If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high ground water elevation pursuant to 310 CMR 15.405(1)(1)(1). The evaluator must be a member or agent of the local approving authority: Distance from soil absorption system to high groundwater feet As determined by: Evaluator's name: Evaluator's Signature: Date of evaluation: 8) Notice to Abutters: No application for upgrade approval in which the setback from property lines or a private water supply well is reduced shall be complete until the applicant has notified all abutters whose property 9or well is affected by certified at least ten days before the Board of Health meeting at which the upgrade approval will be on the agenda. Such notice shall include the date, time and place where the upgrade approval will be discussed. If the department is the approving authority, then such notice to abutters must be completed prior to the date of submission of the application to the department. The notices to abutters shall include a copy of the completed application form and shall reference the standards set forth in 310 CMR 15.402 through 15.405. Page 4 of 5 List of affected abutters: Abutter Name Date notified Address Abutter Name Date notified Address Abutter Name Date notified Address Abutter Name Date notified Address 9) Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible (each section must be completed): a) An upgraded system in full compliance with 310 CMR 15.000 is not feasible: L►m►Te-D &Wt) ©IV PIMPEM. /:AID OF U.�ETtffij b) An alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible. c) A shared system is not feasible. d) Connection to a sewer is not feasible. L6 seu► )er 10) An application for a disposal system construction permit, including all required attachments (e.g. plans & specifications, site evaluation forms), must accompany this application. Is the DSCP application attached? yes no G i 1 Page 5 of 5 11) Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for knowing violations." 'AT� G/- Z P-- 0 Z Facility Owner's Signature Date 9 a 19 'T G f 1= Print Name Telephone No. & Address of Preparer NOTE: Title 5,310 CMR 15.403(4) requires the system owner or operator to submit to the Department a copy of the local upgrade approval upon issuance by the Board of Health and prior to commencement of construction. ar-09-00 13:45 Nor -Andover Com. Dev. 5qf---�688 9542 SEPIC PLAN SUBMITTAL F M LOCATION:2/ NEW PLAN'S: YES Il o.flo °'/Plan'# 1&0 �o REVISED PLANS: 41ma S 60.00/Plan SITE EVALUATION FORMS NCLUDED: NO DATE: QZ DESIGN ENGINEER: NwncooML to uteri, Assoc,Qfes L;S Newry S rml-, lYanvers, MA o1923 DATE TQ CONSULTANT: -4. *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to snail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. P.O1 Applicant Site Location Engineer own of North And -over, M,�–�achusetts Form No. 1 BOARD OF HEALTH D APPLICATION FOR SITE TESTING/INSPECTION Test/Inspection Date and Time Fee— ��65?e-6 ss TELEPHONE ;F UADDjRESS TELEPHONE CHAIRMAN, BOARD OF HEALTH Test No. 16-31 S.S. Permit No.-D.W.C. No.-C.C. Date-Plbg. Permit No. Nov -08-01 12:59P ir--1N P.02 DtYHn11 yr rir,taL t .rt` J NORTH ANDOVER, MA 01.945 978-688-9540 A NPLICATION FOR SOIL TESTS DATE: 11 $ OI MAP & PARCEL: 53 LOC:A'TION OF SOTT. TFSTS: 213 OWNI-.R:_ Robo> Caseti. I'I;L. NO.: 1 1p�'�� SP, 15 A17DRVSS: Az 39 C ire. d ee �c�tNtrerS , MA E91gz3 ENGINFF.R: E' oytctO, _Gh. neer;n!yAy ic-AL5 TEL. NO.: 777-303t7 C'ERTIFIE'D SOI i. EVALUATOR: Jay-.eS C'A'IcwtIav► or Intended Use of Vapid: Residential SubdivisionSingle family Ho Commercial Is This: Repair Testing: Undeveloped Int testing: In the Lake Cochichewick Watershed? Yes No THE, FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of $42_�S-QQ per got for new construction: This covers the minimutn two deep holes and two percolation tests r"uired for each disposal area. Fcc of S-200,00 per lot liar rejpai.rs or upgrades. Ades. (l1 time is not critical, 1�c tur repairs is $75.00) GENF..1tAL INFORMATION 1. Only Certilied Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional 14tlginecrs can design septic plans. 3. Al least two deep holes and two percolation tests are required f)r each septic system disposal area. 4_ Repairs require at least two deep holes and at least one percoLgtion test, at the discretion of the P011 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 stllalIer than I"-100') shall be submitted to the Board of Health showing the location ofall tests (including aborted tests). 7. Within 60 flays of testitlg soil evaluation ku-nis shall be submitted. Please Do Not Write Below This Line N.A. C onservati,ltl C'otnmission Approval: Date Received: Check Atnournt: Check gate: Nov -08-01 12:59P IfllHyill V I' I1 '' AL I \ NORTH ANDOVER, MA ' ,, � 45 978-688-9540 A NNLI.CATION FOR SOIL TEST'S TKIV. 111610, MAM PARCLL: Mu) 10(p) Qcrcei 5_75e i.00ATION OF SOIL T>;STS: 2 -IS v OWNFIR: _R��iet� �TEL. NO.: Lq'3 &' - SSf 3S ADDRt-:SS: A) 39 C.ev)ke. 93-6-e.r,+ Dc,rs AAA olciz3 LNGINFF.R: __-1 wc.ecl ChVuireer;nwAs,,Qc:i1,,45 TEL. NO.: (' J� 71-7- 309D CERTIFIi I) tiUll. EVALUATt712 -S CoA-- O-A1o.v► or Intended 1Jse of i..and: Residential SubdivisionSi yHo Commercial is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes . No.. THi VOLLOWINC.MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (1', -Lx bill, or letter from owner permitting; test) 2. !'lot plan & Location of Testing 3. Fee of $4-2.5.0 per lot for new construction_ This covers the mitwnum two deep holes and two percolation tests r"uired for each disposal area. Nee of'1200,00 per lot liar repairs or upgrades. ades. (Iftime is not critical, tee sur repairs is $75.00) GENERAL INFORMATION P-02 1. Only Certified Soil )svaivatons may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Ftigineers 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 cleep holes and at least one percolation test, at the discretion of the 8011 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 I"-100') shall be submitted to the Board of Health showing the location ol'all tests (including aborted tests). 7. Within 60 clays of testing soil evaluation Rims shall be submitted. Please Do Not Write Below This Line --tc N.A. C'c�nserv;tti��t1 C'utnmission Approval: xOa.�ls oK-std Ft k Tate Received.- Check AIr10L111t: Check bate: Ne}t f�)r seer — Tcst- P4s o. K = K Lawn arca ;. ">' �s.; •• CURRIER SEPTIC & DRAIN SERVICE 107 FOREST STREET; MIDDLETON, MA 01949 (978)774-2772 4X1. t- FORM 4 - SYSTEM PUMPING RECORD COMMONVJEALTH OF MASSACHUSETTS ✓e MASSACHUSETTS SYSING,RECORD SYSTEM OWNER: cel� ffe6riS�_ SYSTEM LOCATION: b c', ? jr) 6'de bc(. cl V7 P Y -� S "- / / 4 DATE OF PUMPING: /2 - 3 " / QUANTITY PUMPED: GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES �---- - SYSTEM PUMPED BY: CUIRRIER SEPTIC & DRAIN ERVICE . . `CONTENTS TRANSFERRED TO: �,_ t --S Lj DATE: / ;3 / INSPECTOR: /� y JAN 1 0 n u CURRIER SEPTIC & DRAIN SERVICE 107 FOREST STREET; MIDDLETON, MA 01949 / (978) 774-2772 COMMONWEALTH OF MAS; SYSTEM OWNER: C�5t-/ 21-3 13,C Ay s r DATE OF PUMPING: CESSPOOL: NO F7 YES SYSTEM PUMPED BY: CURRII CONTENTS TRANSFERRED TO: DATE: r I SYSTEM LOCA QUANTITY SEPTIC TANK: 4 - SYSTEM PUMPING RECORD TTS GGA D: GALLONS NO F--] YES 107 Forest St. Middleton, MA 01949 (5013) 771-2772 ystem Q%Nmer FORM 4 - SYSTEM PLJ1NTPrs;G RECORD Commonwealth of Massachusetts �� ! 1114L - Maa, Issachusetts&' inning Record Date of Pumping: - //'q'1/ y Cesspool: No ❑ Yes ❑ Septic Ta Quantit}r Pumped: 0 allons nl:: No ❑ Yes System Pumped by: 14 12 r C`t' � License #: Contents transferred to: Date — % ` "I `; Inspector 0 THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY 0 CTown of North Andover: Mk.,Jr Watershed Septic System Servicing Report Date: Homeowner: Street Phone Nature of Service: Routine Emergency yumper Address: Phone BOARD OF HEALTH °'•�" Julius Fay. %1.D., Chairman NORTH ANDOVER R. Gcorgc Caron MASSACHUSETTS Edward J. Scanlon � -�-�—_ 01845 �'� ,.••t� ,SS4CMUSE4 COMPLA.DTr REPORT TEL. 682-6400 Date Made By6Uer Address/ ee � T 54'. IUAOd0 tJf= Z V OLS Tel 7-5 Nature of Complaint i)e/h d r d i i/ ? I'%'�� K Q 2 C -L od l 0,-72ra�Pr ��/ • 045-oger-w�,�ti�� �ega l %pi s a re u') r C S4�d / �c1O c l lC� ?012 70�Ii�c/�e Location �Prr l/ s7 [�%. �/1 Lr� t/C�� Oc cupaz. t Owner or Agent Address DO NOT WRITE BELOW THIS LINE Referred -to Date Investigated - Result of Investigation Recc=. endations Action taken � 4 Form 4 -- System Pumping Record Commonwealth of Massachusetss Massachusetts System Pumping Record System Owner System Location Type: Ertrcrgency Routine Cesspool: W Yes Septic tank: w Yes 173 -- Daft of Pumping: T Quantity Pumped: J SB'l7 Gallons System Pumped By: Contents transferred to: Wind River Env#vnnenW, LLC Permit #: Contents Disposed at: �� Date: ! Pumper Signature: Condition of System/Other Comments Dep Approved from - 12/07/95 a�+`