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Home My WebLink AboutMiscellaneous - 216 RALEIGH TAVERN LANE 4/30/2018 (2)North Andover Board of Assessors Public Access � n µOR7y , i�&gay Return to the Nome page click on logo New Search Sales Summary Residence Detached Structure Condo Commercial Comparable Sales 'r, own <W, WoxthAndavcr- $Gard (A Assessors. Page 1 of 1 Property I Record Card Parcel ID: 210/106.C-0103-0000.0 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO Click on Photo to Enlarge .,ocation: 216 RALEIGH TAVERN LANE )wner Name: BLIGH, KATHLEEN A )weer Address: 216 RALEIGH TAVERN LANE City: NORTH ANDOVER State: MA ZIP: 01845 Jeighborhood: 7 - 7 Land Area: 1.01 acres Jse Code: 101 - SNGL-FAM-RES Total Finished Area: 2344 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 530,600 554,300 Building Value: 305,800 317,700 Land Value: 224,800 236,600 ✓Iarket Land Value: 224,800 :hapter Land Value: LATEST SALE We Price: 365,000 Sale Date: 07/01/1999 krms Length Sale Code: Y -YES -VALID Grantor: COOLIDGE CONSTRUCTIC Zeit Doc: Book: 05486 . Page: 0322 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3 &Linkld=1181603 5/28/2008 r � NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS Ala 9 — X70 v o6V�� /O/ Q�/� This is to Certify that.......................................................``� SMR .............................. ...--•----_.� � % � �- ............................ RE98 qIS� HEREEBBYRANTES A LICEN For ..........•.....0 ..... = --r/ �f/ / _... ------------------ .-------------•---•-•----------- ------------------------- ------------------------------ -----•----------------------------------------- ---------•-••-••---------------------------------------------------------------•-----. ------------------.......................--------...._................_........----- .......................................... ---•--------•-----........---.......------------•------•------........-----------------•---••-------------.......------....-•---- This license is antold in conformity with the Statutes and ordinances relating thereto, and expires ......... _._�l�i%---------------------------unless sooner suspended or revoked. -- ............ �:::::::::: H&W - _ ................. ------------- -� •-'------•-- FORM 498 HOBBSB WARREN TM E F - NOR7N ' Application for `Septic Disposal System a0o �t��e egti a�_ ��`pConstruction Permit — TO�K1N OF Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ILEI TH ANDOVER. MA TODAY'S DATE $ 250.00 — Full Repair $125.00 - Component Application is hereby made for a permit to: ❑ Construct a new on-site sewage disposal system* ❑ Repair or replace an existing on-site sewage disposal system* M,Repair or replace an existing system component — What? A. Facility Information p'�A Address or Lot # City/Town d 4k t,4 2.- *TYPE OF SEPTIC SYSTEM*: MAY 2 q 2008 ❑ Pump ❑ Gravity (choose one) I TOWN Or NORTH ANDOVER I ***If pump system, attach copy of electrical permit to applicati **VEALTH DEPARTMENT ❑ Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D -Box Present) S.A.S. 2. Owner Information Name Address (if different from above) City/Town Stat Zip Zip Code �� '3s- %8`/ Telephone Number 3. Installer Information Name Name of Company Address �M.1 Aj 1.4 City/Town 4. Designer Information Name Address City/Town l 4t , (i. N State Zip Code Telephone Number (Cell Phone # if possible please) Name of Company State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit - Page 1 of 2 N°RTN Application for"Septic Disposal System O -Construction Permit -TOWN OF TODAY'S DATE ORTH ANDOVER, MA 01845 $ 250.00 — Full Repair qs ,r $125.00 - Component SACNUSk PAGE 2OF2 A. Facility Information continued.... 5. Type of Building:esidential Dwelling or ❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, anot to place the system in operation until a Certificate of Compliance has been issued b hi Board of Health. Name Date Application roved By: (B rd of Health Representative) Name Date App cation Disapproved fora following reasons: For Office Use Only: 1. Fee Attached. Yes No 2. Project Manager Obligation Form AttachedP Yes No 3. Pump System? If so, Attach copy of Electrical Permit Yes No 4. Foundation As -Built. (new construction ronly). (Same scale as approved plan) Yes No 5. Floor Plans? (new construction only). Yes No Application for Disposal System Construction Permit - Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: ,1144 G" V h l V. /—A'' (Address of septic system) Relative to the application of (Installer's name) Dated j - 9 3— a 2r oclay s ate For plans by And dated With revisions dated I understand the following obligations for management of this project: (Last revised date) 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 manager, 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 reduesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or MY company a. Bottom of Bed — Generally, this is the first (15� inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdept(2townofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a 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. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done 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 anv other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: )-r9- ame —Print) (Today's Date) -;64 e —Signed) TOWN OF NORTH ANDOVER NOR71{ COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p 1600 OSGOOD STREET: Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 ��SSp�HUSE��h Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX LOCATION INFORMATION ADDRESS: MAP: LOT: INSTALLER:-� DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS 1 _ (� • v'i -0 TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS Comments: -:. SEPTIC TANK ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" 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 Wastewater System Documentation — Feb 2006 Page 1 of 6 -1. TOWN OF NORTH ANDOVER NOR7y q Office of COMMUNITY DEVELOPMENT AND SERVICES 0 HEALTH DEPARTMENT A 1600 OSGOOD STREET; Building 2-36 � n� .-::.,„:.. �.>' Y NORTH ANDOVER, MASSACHUSETTS 01845 �9 TS1c"USE�th Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX -�a-100 ❑ Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel -less disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: Wastewater System Documentation — Feb 2006 Page 3 of 6 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: _216 Raleigh Tavern Lane _North Andover_ Owner's Name: _Kathleen Bligh Owner's Address: _216 Raleigh Tavern Lane _ North Andover, MA 01845 _ Date of Inspection: _6/2/2008 Name of Inspector: _Neil J. Bateson_ Company Name: _Bateson Enterprises Inc._ Mailing Address: _111 Argilla Road_ _Andover, MA 01810_ Telephone Number: _ (978) 475-4786 RECEIVED JUN 16 2008 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority 'ls Inspector's Signature: Date: 6/2/2008 _ The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments: After permit from B.O.H., new inlet tee, new outlet tee with gas baffle & d -box, inspection from B.O.H., septic system now passes Title 5 Inspection. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 _ 41 / COMMONWEALTH OF MASSACHUSETTS" J� VVV EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: _216 Raleigh Tavern Lane_ _North Andover_ Owner's Name: _Kathleen Bligh_ Owner's Address: _216 Raleigh Tavern Lane _ North Andover, MA 01845_. Date of Inspection: _1/30/2008_ Name of Inspector: Neil J. Bateson Company Name: Bateson Enterprises Inc._ Mailing Address: _111 Argilla Road_ _Andover, MA 01810_ Telephone Number: _ (978) 475-4786_ i,iECEiVED FEB 0 6 2008 TOWN Cls' NORTH ANDOVER HEALTH DEPARTMENT CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Passes _X_ Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: _1/30/2008 _ The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments: ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _216 Raleigh Tavern Lane_ _ North Andover— Owner: _ Bligh _ Date of Inspection: _1/30/2008 _ Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: X One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If "not determined" please explain. Inlet Pipe, Outlet Tee & D -Boz Replacement N The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: N Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is leveled or replaced ND explain: N The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed ND exnlain: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _216 Raleigh Tavern Lane- - North Andover— Owner: Bligh_ Date of inspection: _1/30/2008 _ C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: _ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _216 Raleigh Tavern Lane_ _ North Andover— Owner: Bligh _ Date of inspection: _1/30/2008 _ D. System Failure Criteria applicable to all systems: You must indicate "yes" or "no" to each of the following for all inspections: _ No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _No_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _No_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool No Liquid depth in cesspool is less than 6" below invert or available volume is'h day flow. _No_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the SAS, cesspool or privy is below high ground water elevation. _No_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _No_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _ _No_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ _No_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] _No_ (Yes/No) The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either `yes" or "no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone Il of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR- 15.304. MR15.304. The system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: _216 Raleigh Tavern Lane _ _ North Andover _ Owner: Bligh_ Date of Inspection: _1/30/200$_ Check if the following have been done. You must indicate `yes" or "no" as to each of the following: Yes No Yes Pumping information was provided by the owner, occupant, or Board of Health No Were any of the system components pumped out in the previous two weeks ? Yes Has the system received normal flows in the previous two week period ? No Have large volumes of water been introduced to the system recently or as part of this inspection ? _Yes_ _ Were as built plans of the system obtained and examined? Yes _ Was the facility or dwelling inspected for signs of sewage back up ? Yes_ _ Was the site inspected for signs of break out ? Yes_ _ Were all system components, excluding the SAS, located on site ? _Yes_ _ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? _Yes_ _ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes No _Yes_ _ Existing information. _Yes_ _ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [3 10 CMM 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: _216 Raleigh Tavern Lane_ _ North Andover– Owner: Bligh _ Date of Inspection: _1/30/2008 _ FLOW CONDITIONS RESIDENTIAL Number of bedrooms (design): _4_ Number of bedrooms (actual): _4_ DESIGN flow based on 310 CMR 15.203 _600_ Number of current residents: _2 Does residence have a garbage grinder (yes or no): No Is laundry on a separate sewage system (yes or no): No _ Laundry system inspected (yes or no): Seasonal use: (yes or no): _No_ Water meter reading: Yes_ Sump pump (yes or no): _No_ Last date of occupancy: _ Current_ COMMERCIAL/INDUSTRIAL Type of establishment: Design flow (based on 310 CMR 15.203): gpd Basis of design flow (seats/persons/sgft,etc.): — Grease trap present (yes or no): _ Industrial waste holding tank present (yes or no): Non -sanitary waste discharged to the Title 5 system (yes or no): _ Water meter readings, if available: _ Last date of occupancy/use: OTIiER (describe): GENERAL INFORMATION Pumping Records Source of information: _Pumped last year, owner _ Was system pumped as part of the inspection (yes or no): _No_ If yes, volume pumped: gallons -- How was quantity pumped determined? _ Reason for pumping: TYPE OF SYSTEM X Septic tank, distribution box, soil absorption system _ Single cesspool _ Overflow cesspool _ Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) _ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) Tight tank _ Attach a copy of the DEP approval Other (describe): _ Approximate age of all components, date installed (if known) and source of information 24 Years old, 1/13/1984, as built plan _ Were sewage odors detected when arriving at the site (yes or no): _No Page 7 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _216 Raleigh Tavern Lane_ _ North Andover _ Owner: Bligh _ Date of Inspection: _1/30/2008_ BUILDING SEWER _ X _ (locate on site plan) Depth below grade: _18"_ Materials of construction: cast iron _X 40 PVC _other Distance from private water supply well or suction line: Comments (on condition of joints, venting, evidence of leakage, etc.) _ 4" PVC thru wall, 3" PVC in house, no leaks visible SEPTIC TANK: X Depth below grade: _6" Material of construction: X concrete — metal fiberglass polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance (yes or no): _(attach a copy of certificate) Dimensions: 10' x 5' x 4' Sludge depth3"_ Distance from top of sludge to bottom of outlet tee or baffle: _N/A _ Scum thickness: _2" Distance from top of scum to top of outlet tee or baffle: _N/A_ N/A = Outlet tee corroded off Distance from bottom of scum to bottom of outlet tee or baffle: _N/A_ How were dimensions determined: _ Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc. _ Inlet tee ok. Inlet pipe partially under water, Found inlet pipe pitched into tank. Outlet tee corroded off. Depth of liquid at outlet invert. No evidence of leakage. _ GREASE TRAP: _(locate on site plan) Depth below grade: _ Material of construction: _concrete _metal _fiberglass polyethylene _other (explain):_ Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Page 8 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _216 Raleigh Tavern Lane _ _ North Andover_ Owner: Bigh _ Date of Inspection: _1/30/2008_ TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass _polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present (yes or no): Alarm level: Alarm in working order (yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX X Depth below grade 20"_ Depth of liquid level above outlet invert: _ 0 _ Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.) __D -box level & distribution equal.. No evidence of leakage. Evidence of carryover. D -box needs replaced. Was repair once with bricks on two sides. _ PUMP CHAMBER: _ (locate on site plan) Pump in working order (yes or no): Alarm in working order (yes or no): Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _216 Raleigh Tavern Lane _ _ North Andover— Owner: Bligh_ Date of Inspection: _1/30/2008_ SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan, excavation not required) If SAS not located explain why: Type leaching pits, number: _ leaching chambers, number: _ leaching galleries, number: _ leaching trench, number, length: X leaching field, number, dimensions: _1 field 25' x 59'_ overflow cesspool, number: innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.):—Lawn covered in snow. No signs of ponding to surface.. _ CESSPOOLS: Number and configuration: _ Depth — top of liquid to inlet invert: — Depth of sludge layer: _ Depth of scum layer: , Dimensions of cesspool: _ Materials of construction: Indication of groundwater inflow (yes or no): — Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: _216 Raleigh Tavern Lane _ North Andover Owner: Bligh _ Date of Inspection: _1/30/2008 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building Page 11 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _216 Raleigh Tavern Lane _ _ North Andover— Owner: Bligh_ Date of Inspection: _1/30/2008 _ SITE EXAM Slope _ No _ Surface water _ No _ Check cellar _ Dry _ Shallow wells _ No _ Estimated depth to ground water _ >4'_ Please indicate (check) all methods used to determine the high ground water elevation: _X_ Obtained from system design plans on record - If checked, date of design plan reviewed: _6/24/1982_ Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health -explain: _ _ Checked with local excavators, installers- (attach documentation) Accessed USGS database -explain: You must describe how you established the high ground water elevation: No water found 4' below system as per test pit data on design plan _ Summary Record Card generated on 21112008 11:01:24 AM by Karen Hanlon Town of North Andover Tax Map # 210-106.0-0103-0000.0 216 RALEIGH TAVERN LANE BLIGH, KATHLEEN 216 RALEIGH TAVERN LANE NORTH ANDOVER, MA 01845 Class ----1 01 Single Family Size Total 1.01 Acres FY 2008 Property Type UB Mailing Index Loan Number Active/lnact. Name/Address Type BLIGH, KATHLEEN Payor 216 RALEIGH TAVERN LANE NORTH ANDOVER, MA 01845 UB Account Maint. Occupant Name Account No Cycle Last Billing Date 1/8/2008 Bldg Id. 14152.0 - 216 RALEIGH TAVERN LANE From Active/inactive Active Charge 2100136 02 Cycle 02 7.82 UB Services Maint. 453.37 /1 Service Code Type Rate MISCFEE ADMIN FEE Consumption 0.635/8 WTR WATER 1/15/2008 01 ALL METER SIZE UB Meter Maintenance 1 Serial No Status Location 0029220586 a Active ENC RT Date Reading Code 11/1/2007 3244 a Actual 8/2/2007 3155 a Actual 5/3/2007 3064 a Actual 2/28/2007 3063 m Manual estimate 11/2/2006 3027 a Actual Trouble Code:03 9/20/2004 35 8/1/2006 2962 a Actual 5/4/2006 2886 a Actual Trouble Code:03 2/2/2006 2850 a Actual 11/2/2005 2830 a Actual Trouble Code:03 8/11/2005 2758 a Actual Trouble Code:03 5/2/2005 2653 a Actual 2/14/2005 2628 a Actual Trouble Code:03 11/19/2004 2607 a Actual 8/10/2004 2581 a Actual Trouble Code:03 5/17/2004 2503 m Manual estimate 2/17/2004 2468 a Actual 11/6/2003 2448 n New Meter From Active/inactive Active Charge Multiplier/Users 7.82 1/ 453.37 /1 Brand Type w Water Consumption Posted Date 89 1/15/2008 91 9/14/2007 1 6/26/2007 36 3/23/2007 65 12/22/2006 76 9/13/2006 36 6/20/2006 20 3/13/2006 72 12/14/2005 105 9/12/2005 25 6/8/2005 21 3/15/2005 26 12/17/2004 78 9/20/2004 35 6/14/2004 20 4/16/2004 0 11/6/2003 Size 0.63 0.63 1 Residential Until YTD Cons 0 Variance -2% 6300% -95% -56% -18% 116% 82% -75% -17% 220% 35% -6% -72% 136% 100% 0% 0% Tel: (978) 475-4786 Fax: (978) 475-5451 BATESON ENTERPRISES, INC. Excavating -Water& Sewer Lines -Septic Systems & Pumping Service 111 Argilla Road Andover, Mass. 01810 Title 5 Inspection Report Property Address: 216 Raleigh Tavern Lane, North Andover Owner: Bligh Date of Inspection: 1/30/2008 My report contained herein does not constitute a guarantee of future usage and the functionality of the existing septic system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any further operation of your current septic system. Bateson Enterprises, Inc. RECEIVED MAY - 12006 TOWN OF NORTH ANDOVER APPLICATION FOR 10 -DAY EMERGENCY PERM: BEAVER OR MUSKRAT THREAT TO BE F�IILLED OUT BY gAPPLICAjNT Fee (if applicable): $ Name: ice-' e r1 t \ t �� /1 Date: 02-(o 106, Address: [&4,t- ..., Town: NO C4,14. A"O vtf MA Zip Code: 01945 Daytime Tel. # qj g Evening Tel. # loEf-9 31?geD Agent Name: �,�`. �-, Tel. # (if applicable) ?]ai cation: - L - uy-E-fy�e a"yl V -14- S La -1 Is the problem entirely on your property? Yes: No: L/ Don't Know: Note: If the problem does not occur entirely on the applicant's property, consent forms from all other property owners must be obtained. Complaint Condition: Check appropriate box and provide a detailed description of the perceived threat to public health and safety ❑ Flooding of drinking water well ❑ Flooding of septic system or sewer Flooding of public or private way or driveway Q �I Ulf -644 A V ❑ Flooding of a utility structure such as an electrical or communications facility ❑ Flooding of a building C:1My Documents/Animals\2001\Beaver Forms\Application for IMay Emergency Permit.doc SS/aero Flooding cF- .LM ❑ Flooding which ❑ Other condition imnfnent threat of substantial property damage �q-es MO dnA)HC agricultural use of land EAMII�N. Mn Under M.G.L. c. 131, s. 80A, an emergency permit authorizes the applicant or his duly authorized agent to immediately remedy the threat to human health and safety by one or more of the following options: (a) the use of conibear or box or cage -type traps for the taking of beaver or muskrat, subject to regulations; (b) the breaching of dams, dikes, bogs or berms; and/or (c) employing any non -lethal management of water -flow devices. The emergency permit will be good for 10 days from the date of issue. I certify the above information is true and correct to the best of my knowledge Signature of Applicant: 6ka Date: 4 THIS SECTION IS FOR COMPLETION BY NORTH ANDOVER HEALTH AND CONSERVATION DEPARTMENTS Site visit by Health: Date Approved. Permit Denied Permit # Date Inspector name: Start Date End Date Ext. Date Director Signature Site visit by Conservation: Date Inspector name: Conservation Commission Application Required: Yes Findings & recommendations. 1W Note: Options (b) and/or (c) above require applicant to get North Andover Conservation Commission approval prior to such work in accordance with the Wetlands Protection Act. CAMy Documents/Animals\200BBeaver FormsWpplication for 10Day Emergency Permit.doc SS/aem ME i We, Tom & Maureen Scott, residing at 39 Hawkins Lane, North Andover and owners of property known as assessors map 106C, parcel # 18 do hereby give permission to Kathleen A. Bligh and her agents to obtain a permit to breach beaver dam and trap beaver located on my property. The said purpose of this consent is to alleviate problems associated g wiP beaver activity at this property and adjacent properties such as flooding, am water d , tree damage and other safety concerns. Date _ ?CIOG Scott Date xe O f, ORTl� t G FN q pt�so, • O .i'?�a'1 e pL O � LE - H coc 1.1 1" A a 0 0 9ssAC HUS�� PUBLIC HEALTH DEPARTMENT Community Development Division May 16, 2006 Ms. Kathleen A. Bligh 216 Raleigh Tavern Lane North Andover, MA 01845 RE: EMERGENCY PERMIT TO MANAGE BEAVER OR MUSKRAT THREAT at 216 Raleigh Tavern Lane, North Andover Dear Ms. Bligh, This letter has been prepared to inform you that your application fora 10 -day emergency permit to harvest the beavers in the 39 Hawkins Lane area has been DENIED. The North Andover Health Department has reviewed the application and has conducted two (2) site inspections on May 9, 2006, and most recently on May 15, 2006 following 13" of precipitation . . with personnel from the Conservation Department. During both inspections, we did not note an imminent human health or safety risk, as defined in M.G.L. c.131, §. 80A, (a) through (i). Furthermore, we did not observe:any water overtopping the existing fieldstone wall immediately upslope.of the edge of the Bordering Vegetated Wetland (BVW), along the left side of the driveway. It was noted that approximately 20 trees have been cut down within the limits of the wetland. In conversations held with, Mr. Bill Barrett, it is our understanding that you have been removing the hazardous trees within the wetland without Conservation Department's approval. Please be aware you can employ one of the following options for resolving the problem even though the criteria for an emergency 10 -day permit has not been met. You can appeal this decision to the MA Department of Public Health (MDPH) fora determination as to the existence of the threat; a You have the option to appeal this decision to the Division of Fisheries and Wildilfe (DFW) if there is a question as to the cause of the threat; :• Contact the Division of Fisheries & Wildlife for assistance with the solutions covered under non -health & safety threat section of the law (last paragraph of M.G.L. c.131, §. 80A). If you decide to appeal this decision to either MDPH and / or DFW, the appeal must be made in writing within 10 days of this letter by certified mail. The appellant must also include the denial letter written: by the North Andover Health Department, along with he name, address, and phone 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnortliandover.com S May 16. 2006 216 Raleigh Tavern Lane Page 2 of'2 number of the applicant; the name, address, and phone number of the duly authorized agent (if applicable); the address of the affected property; a statement of facts; a statement of the copy of the request has been sent to the landowner (if the appellant is a duly authorized agent) and Board of the town where the affected property is located; and a letter from the affected landowners expressing consent for any beaver or muskrat -related work on or affecting their property. Additionally, Conservation Commission approval is still necessary for breaching a dam or. installing a'water flow devise. If you choose to move forward with the application.to the Division of Fish and Wildlife our offices will assist you in this matter. This action is in accordance with the Town Beaver Bylaw. In a case such as yours, where there is beaver activity, a desire to be proactive in the situation, and the BOH finds that the criteria for an emergency permit is not met, the Health Department has been charged with guiding you through this process. Should you have any. further questions or comments regarding the contents of this letter, or need assistance with acquiring the appropriate permits through MDPH and / or DFW, please do not hesitate to contact the undersigns earliest convenience. Respectfully, NORTH AN)ER HEALTH DEPARTMENT e Sus�fi Sawyer, RENS/RS Health Director Cc: Alison McKay, Conservation Administrator Pamela Merrill, Conservation Associate Curt Bellavance, AICP, Community Development Director Tom & Maureen Scott, 39 Hawkins Lane, North Andover 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnortliandover.com If, Massachusetts Department of Environmental Protection Ll`�) Bureau of Resource Protection - Wetlands WPA Form 9 - Enforcement Order Massachusetts Wetlands Protection Act M.G1. c. 131, §40 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ,aa reran A. Violation Information This Enforcement Order is issued by: To: North Andover Conservation Commission Conservation Commission (Issuing Authority) Kathleen Bligh & Bill Barrett Name of Violator 216 Raleigh Tavern Lane, North Andover Address 1. Location of Violation: Thomas & Maureen Scott Property Owner (if different) 39 Hawkins Lane Street Address North Andover City/Town Map 106C Assessors Map/Plat Number May 25, 2006 Date 01845 Zip Code Lots 18 & 124 Parcel/Lot Number 2. Extent and Type of Activity (if more space is required, please attach a separate sheet): DEP File Number: The Enforcement Order is being issued as a mechanism to perform work within the limits of Boston Brook at 39 Hawkins Lane, North Andover. Specific work includes installing a water flow device into an existing beaver dam, in order to alleviate flooding problems along Hawkins Lane, Granville Lane, and Raleigh Tavern Lane. This Enforcement Order shall expire on Friday, June 9, 2006. Please see the attached letter prepared by the North Andover Conservation Department, dated May 25, 2006 for additional information and specific conditions. B. Findings The Issuing Authority has determined that the activity described above is in a resource area and/or buffer zone and 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 in an area subject to protection under c. 131, § 40 or the buffer zone without approval from the issuing authority (i.e., a valid Order of Conditions or Negative wpaform9a.doc • rev. 7/14/04 Page 1 of 4 Massachusetts Department of Environmental Protection �\ DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9 - Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) ❑ the activity has been/is being conducted in an area subject to protection under c. 131, § 40 or the buffer zone in violation of an issuing authority approval (i.e., valid Order of Conditions or Negative Determination of Applicability) issued to: Name File Number ❑ The Order of Conditions expired on (date): Date Dated Condition number(s) ❑ The activity violates provisions of the Certificate of Compliance. ❑ The activity is outside the areas subject to protection under MGL c.131 s.40 and the buffer zone, but has altered an area subject to MGL c.131 s.40. ❑ Other (specify): 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 any activity affecting the Buffer Zone and/or resource areas. ❑ Resource area alterations resulting from said activity shall be corrected and the resource areas returned to their original condition. ❑ A restoration plan shall be filed with the issuing authority on or before for the following: Date The restoration shall be completed in accordance with the conditions and timetable established by the issuing authority. wpaform9a.doc • rev. 7/14/04 Page 2 of 4 Massachusetts Department of Environmental Protection r Ll Bureau of Resource Protection - WetlandsDEP Fiie Number. WPA Form 9 - Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. Order (cont.) ❑ Complete the attached Notice of Intent (NOI). The NOI shall be filed with the Issuing Authority on or before: Date for the following: 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 (e.g., erosion/sedimentation controls) to prevent further violations of the Act: 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. 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: Pamela A. Merrill, Conservation Associate or Alison McKay, Conservation Administrator Name 978.688.9530 Phone Number Monday - Friday, 8:30 to 4:30pm Hours/Days Available Issued by: North Andover Conservation Commission Conservation Commission wpaformga.doc • rev. 7/14/04 Page 3 of 4 Massachusetts Department of Environmental Protection DEP File Number: ��- Bureau of Resource Protection - Wetlands WPA Form 9 - Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Conservation Commission signatures required on following page. D. Appeals/Signatures (cont:) 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: r i' I �"�---tom ✓ly��" I / �'�T �/ Signature of delivery person or certified mail number wpaform9a.doc • rev. 7114104 Page 4 of 4 NORTH q � 4 0 ^0R�Tf� r"e, 'W!ZSACHUS� CONSERVATION DEPARTMENT Community Development Division May 25, 2006 Ms. Kathleen Bligh Mr. Bill Barrett 216 Raleigh Tavern Lane North Andover, MA . 01845 CERTIFIED MAIL#70020510000008939783 RE: ENFORCEMENT ORDER- Beaver Dam at 39 Hawkins Lane, North Andover, MA Dear Ms. Bligh and Mr. Barrett, This letter and attached Enforcement Order are being issued to you, as the people who are ultimately responsible for the actions and / or work performed at the above referenced property. 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. If you have any questions about the contents of this Enforcement Order, please contact the Conservation Department for further guidance. This Enforcement Order is being issued as a mechanism to perform work within the limits of Boston Brook, located at 39 Hawkins Lane. Specific work will include installing a water flow device in -the -beaver dam at the -culvert on .Hawkins Lanes,.in.order to alleviate flooding ui and around the Granville Lane, Hawkins Lane and Raleigh Tavern Lane areas. Due to the major rain event on May 13`x' & 14", the force and volume of Boston Brook had breeched the beaver dam. Water levels within this area have dropped approximately 15'; however the volume is still substantially larger than normal conditions, and the majority of the beaver dam is still under water. It's my understanding that Thomas and Maureen Scott, property owners of 39 Hawkins Lane has given you permission to enter onto their property to install the water flow device. Please be aware, you will also be the parties whom are responsible for maintaining the water flow device on an as needed basis, in perpetuity. If this responsibility should change at any given time, please inform the Conservation Department in writing, who will assume responsibility. 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 918.688.9530 Fax 918.688.9542 Web www. http://www.townofnorthonclover.com/conserve1.htm The North Andover Conservation Cotnnussion (NACC) hereby mandates the following conditions under this Enforcement Order: Prior to the commencement of any work, please submit a written consent letter signed by Thomas and Maureen Scott giving you permission to access their property in order to install the water flow device. Additionally, please submit a written affidavit, which will designate the two of you as the responsible parties for maintaining the water flow device on an as needed basis, in perpetuity. This permit, or a copy thereof, shall be carried on the person(s) exercising the authority thereof, and shall be shown upon request to an Agent of the Conservation Commission, any agent of the Department of Fisheries Wildlife and Environmental Law Enforcement, or to any officer empowered to enforce the provisions of MGL Chapter 131, Section 40. Prior to the commencement of any work, the hired professional installer shall notify the Conservation Department with anticipated, installation dates. Limited breaching of the beaver dam shall occur by hand only. No mechanical machinery is allowed for the breaching activities. .• No breaching of the dam shall occur during and / or following a major storm event (.5 inches or greater of rainfall). Furthermore, no breaching shall occur unless a rain event as described above has adequately infiltrated (resulting in a lower water table). Breaching of the dam must be limited to a maximum of 2 -feet in length and 6 -inches in height, unless otherwise authorized by the Conservation Department. The hired professional shall contact the Conservation Department if a larger breaching area is necessary. .• Limited breaching of the dam must be carefully conducted to prevent downstream flooding; adverse impacts to the wildlife habitat located upstream and downstream, including the created beaver habitat; and changes to the hydrology of the wetland resource area. Breaching activities shall only occur at the beaver dam located at the culvert on Hawkins Lane. Upon completion of the breaching activities, you shall contact the Conservation Department,. so that we may conduct an nspection_.to ensure_that_wildlife habitat and the hydrology of the wetland resource system have not been significantly impacted or altered. All work shall be completed by no later than Friday, June 9, 2006. If the activities are not met by the imposed deadline, or if the Commission is not satisfied with any portion of the work that has been done, the NACC reserves the right to modify this Enforcement Order, which may result in future enforcement action, including a fine of not more than $300.00. Each day or portion thereof during which a violation continues, or unauthorized fill or other alteration remains in place, shall constitute a separate offense, and each provision of the bylaw, regulations, permits,.or administrative orders violated shall constitute a separate offence'. However, a fine will not be levied at this time. North Andover Wetlands Protection Bylaw, Section 178.10, Enforcement, Investigations & Violations. 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 918.688.9530 Fax 918.688.9542 Web www. http://www.townofnorthandover.com/conservel.htm Should you have any questions / comments regarding the contents of this letter and attached Enforcement Order, please do not hesitate to contact the undersigned at your earliest convenience. Thanking you in advance for your anticipated cooperation with this matter. Respectfully, NORTH ANDOVER CONSERVATION DEPARTMENT Pamela A. Ierr Conservation Associate Enc. Cc: Alison McKay, Conservation Administrator Thomas & Maureen Scott, 39 Hawkins Lane, North Andover Susan Sawyer, Health Department Director Michele Grant, Health Inspector Curt Bellavance, AICP, Community Development Director Department of Environmental Protection, NERO, Wetlands Division File 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 978.688.9530 . Fox 978.688.9542 Web www. http://www.townofnorthandover.com/conserve].him t rP 4w, FILE COMMENTS Name: Kathleen A. Bligh Comments: 216 Raleigh Tavern Lane Date: May 15, 2006 May 9th, 2006 Pam Merrill from Conservation and the Health Department has been dealing with the homeowner as well as Bill Barrett (A friend to Kathleen, the homeowner, that is assisting her through the process). The homeowner feels that the Beaver and Beaver Dams downstream are causing the water level to rise in her backyard. Pam and I did a walkthrough on May 9th 2006. The conservation Dept. considers that area up to the wall, Wetlands. The homeowner has cut down multiple trees, which she feels has put her home and family at risk. May 15, 2006 The town of North Andover has gotten 12" of rain over the past 3 days. There have been multiple homes, driveways, yards, etc. that are under water as well as many, evacuations to shelters. The Conservation Department did another walkthrough this morning and found the conditions to be good. Luckily the water level has not exceeded even the wall. It is about 6 inches up the wall. Please see pictures. At this time The Health Department and the Conservation Department do consider this to be a Health Risk. We will wait to see if more evidence comes in. r ". r1- NORTI1 O��t�ec �6q�0 ti T � ey yyT PUBLIC HEALTH DEPARTMENT Community Development Division May 16, 2006 Ms. Kathleen A. Bligh 216 Raleigh Tavern Lane North Andover, MA 01845 RE: EMERGENCY PERMIT TO MANAGE BEAVER OR MUSKRAT THREAT at 216 Raleigh Tavern Lane, North Andover Dear Ms. Bligh, This letter has been prepared to inform you that your application for a 10 -day emergency permit to harvest the beavers in the 39 Hawkins Lane area has been DENIED. The North Andover Health Department has reviewed the application and has conducted two (2) site inspections on May 9, 2006, and most recently on May 15, 2006 following 13" of precipitation with personnel from the Conservation Department. During both inspections, we did not note an imminent human health or safety risk, as defined in M.G.L. c.131, §. 80A, (a) through (i). Furthermore, we did not observe any water overtopping the existing fieldstone wall immediately upslope of the edge of the Bordering Vegetated Wetland (BVW), along the left side of the driveway. It was noted that approximately 20 trees have been cut down within the limits of the wetland. In conversations held with, Mr. Bill Barrett, it is our understanding that you have been removing the hazardous trees within the wetland without Conservation Department's approval. Please be aware you can employ one of the following options for resolving the problem even though the criteria for an emergency 10 -day permit has not been met. :• You can appeal this decision to the MA Department of Public Health (MDPH) for a determination as to the existence of the threat; You have the option to appeal this decision to the Division of Fisheries and Wildilfe (DFW) if there is a question as to the cause of the threat; :• Contact the Division of Fisheries & Wildlife for assistance with the solutions covered under non -health & safety threat section of the law (last paragraph of M.G.L. c.131, §. 80A). If you decide to appeal this decision to either MDPH and / or DFW, the appeal must be made in writing within 10 days of this letter by certified mail. The appellant must also include the denial letter written by the North Andover Health Department, along with he name, address, and phone 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com r May 16, 2006 216 Raleigh Tavern Lane Page 2 of 2 number of the applicant; the name, address, and phone number of the duly authorized agent (if applicable); the address of the affected property; a statement of facts; a statement of the copy of the request has been sent to the landowner (if the appellant is a duly authorized agent) and Board of the town where the affected property is located; and a letter from the affected landowners expressing consent for any beaver or muskrat -related work on or affecting their property. Additionally, Conservation Commission approval is still necessary for breaching a dam or installing a water flow devise. If you choose to move forward with the application to the Division of Fish and Wildlife our offices will assist you in this matter. This action is in accordance with the Town Beaver Bylaw. In a case such as yours, where there is beaver activity, a desire to be proactive in the situation, and the BOH finds that the criteria for an emergency permit is not met, the Health Department has been charged with guiding you through this process. Should you have any further questions or comments regarding the contents of this letter, or need assistance with acquiring the appropriate permits through MDPH and / or DFW, please do not hesitate to contact the undersigns earliest convenience. Respectfully, NORTH ANDOVER HEALTH DEPARTMENT 6 Sawyer, REHS/RS th Director Cc: Alison McKay, Conservation Administrator Pamela Merrill, Conservation Associate Curt Bellavance, AICP, Community Development Director Tom & Maureen Scott, 39 Hawkins Lane, North Andover 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com I NEW ENGLAND ENGINEERING SERVICES Mr91 December 18, 1997 North Andover Board of Health Town. Office Annex 120 Main St. North Andover, MA 01845 Re: Title V Report Enclosed is the Title V report f6r 216 Raleigh Tavern Lane North Andover, MA. The system passed the inspection. If there are any questions please call me at my office, 978-686-1768. Yours Truly, Benjamin C. Osg Jr. President WALKER RD. - SUITE 22 - NORTH ANDOVER, MA 01845 - (508) 686-1768 CO\4,%40NXX'EALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTIO ONE WINTER STREET. BOSTON. NIA 02108 617-292-5560 WILLIA%! F WELD Govcmo: ARGEO PAUL CELLUCCI Lt. Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: Z16 a' ,3\m TGU=ylv\ Lr, r A1` A.�eQ Address of Owner: Dale of Inspection: jZ1kz,),Iq (If different) Name of Inspector: BENJAMIN C. OSGOOD JR. I am a DEP approved system inspector pursuant to Section 15.340 of Title S (310 CMR 15.000) Company Name: NEW ENGLAND ENGINEERING SERVICES, INC. Mailing Address: 33 WALKER ROAD, NORTH ANDOVER.,,. -MA 01845 Telephone Number: 508-686-1768 10W,%; C),• j',,ORTH ANDUVtr+ i,Tf i OF HEALTH JAN�2 TRUDY COXE Sccrcurs DAVID B. STRUHS Commissioner CERTIFICATION STATEMENT I I cenify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-si(e sewage disposal systems. The system: ZP,asses CondiUonalk Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: ,2„/ The Svstern inspector shall submit a copy of this i spection report to the Approving Authorityjwithin thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10.000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the byyer, if applicable. and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A) SYSTEM PASSES: —ZI have not found any information which indicates that the system violates any of the failure cr:te::a as defined in 310 CN4R 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: One or more system components as described in the 'Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y. N. or ND). Describe basis of determination in all instances: If 'not determined', explain why not. _ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (r•�xs-d 04/35/911 pair. 1 or 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Z 1(_, {za l e i j�\ Tcc'vim �n f AJ, Owner: &e�c �c T-etrr Date of Inspection: 1 lq-1 l 2 ) Z, Bj SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if'(with approval of the Board of Health;. Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled: or replaced The system required pumping more than four times a year due to broken or obstructed pipets). The system will pass inspection if (with approval of the Board of Health) broken pipe(s) are replaces obstruction is removed Cj FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system.is failing to protect the public health. safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: t The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributalry to a suriace water supply. I _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and'the SAS is within SO feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free irom pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm. Method used to determine distance (approximation not valid). 3) OTHER (r.vis.d 04/7S/97) Pag. 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Z. ) G lZc d e t 51�*% _PCW0144 L h , Al, Owner: rJC T—r r r Date of Inspection: 1 D) SYSTEM FAILS: You must indicate either -Yes" or -No- as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface otthe ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above oydet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipels). ' Number of bines pumped _. Any portion of the Soil Absorption Svstem, cesspool or privy is below the high groundwater elevation Anv portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a suriace water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Am porton of a cesspool or privy is within 50 feet of a private water supply well. Anv porton of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has ibeen analyzed to be acceptable, attach copv of well water analysis fqr co!iiorm bactgria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: I I You must indicate either 'Yes- or 'No- as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 go or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: a lb 1 c,,5 L, TMJ t, 1, yt, A) 40,J -G� Owner: Dale of Inspection: �J r`✓e-- 12I12�,�') Check if the following have been done: You must indicate either 'Yes- or 'No- as to each -of the following: Yes/ No J _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as pan of this inspections _ A� built plans have been obtained and examined. Note d they are not �vailab.e with N/A. _ The iacility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non -sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components. excluding the Soil Absorption System, have been located on the site. _�•. _ Tlhe septic tank manholets were uncovered, opened. and the interior of the septic tank was in1pected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner tand occupants, if different from owner were provided with information on the proper maintenance of Sub -Surface Disposal System. ►� _ Existing information. Ex.tPlan at B.O.H. i Determined in the field (d anv of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) I (revised 04/2s/97) P&9. 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION -FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:_ ft.p.dJbedroom for S.A.S Number of bedrooms: Number of current residents: '7— Garbage Garbage gr.r.der (yes or not: \ Laundry connected to system yes or no):14— Seasonal use (yes or no): AJ Water meter readings, if available (last two (2) year usage (gpd): .Sump Pump (yes or no):_ /t , Last date of occupancy:Co.,, t, I I COMMERCIAIJI NDUSTRIAL: Type of establishment: Design fldw: pllons/dav Grease trap present: (yes or nol_ Industrial Waste Holding Tank present: Ives or no)_ Non -sanitary waste discharged to the Title i system: (yes or no)_ Water meter readings, if available I 0 Last date of occupancy: I i I OTHER: (Describe% Last date of occupancy. GENERAL INFORMATION PUMPING R CORDS a source of information L 3 0.-'4 4 e -o r -s aao a7r.�l` p t.0 vt�2 System pumped as pan of inspection: (yes or no)_,6ZO If yes, volume pumped: ealloits Reason for pumping TYPE OF SYSTEM _ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,-.Ittach previous inspection records, if any) VA Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: /3 A v Sewage odors detected when arriving at the site: (yes or no) M0 (r*viNsd 04/25/27) Paye 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: z l(, R�tle�`. T4t,m, Owner: C co r c T Date of Inspection: ) 21121Ciq . BUILDING SEWER: (Locate on site plan) Depth below grade: l� Material of construction: cast iron _ 40 PVC _ other (explain) Distance from private water supply well or suction lire Diameter _ Comments: (condition of joints, venhing, evidence of leakage, etc.) SEPTIC TANK:_ (locate on site plant tr Depth below grade: 69 Material of construction: concrete _metal _Fiberglas; _Polyethylene _other(explain) If tank is metal, list age _ Is age coniumed by Cene nate of Compliance _ (Yes/No) Dimensions: /,soo CrAi-,-on/ Sludge depth: &" „ Distance from top of sludge to bottom of oddet tee or barflje: Z8 Scum thickness: ZEr Distance from top of scum to top of outlet tee or banle:4_ Distance from bottom of scum to bottom of outlet tee or baffle:� How dimensions were determined: Si"?cK Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, struoural integrity, evidence of leakage, � netc/.)� 7-4,-j /A, /5 r " o iti C.a r�"Ot j'e d r � b t 1-t r -(v Ter '5 Sitea'i D 10c tn. i'1Le.D 'fm M ��.o,r_ e --He cO-c r2 tv__ b'(+1 -e- fr-e S C' or ,,., 0 e - GREASE TRAP: (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles. depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (r.vived 04/25197) page & of 10 rpm SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: e 1 (Zo.leiy Tcii/{/✓� G..�ti A), ovVL Owner: G -co Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to. or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: concrete _metal _Fiberglass _Polyethylene other(explain) Dimensions: Capacity: gallons Design f!oN gallon/da% Alarm level Alarm In working order _ Yes: _ No Date of previous pumping: Comments: (condition of Inlet tee. condition oV alarm and float switches. etc.) 0 i DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet inven:_� Comments: (note if level and distribution Is equal. evidence of solids carryo+er, evidence of leakage into or out of box, etc.) dyx rat C��s cQ C� H cQ• fi' d � � ! I PUMP CHAMBER:_ (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/971 Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Z 1l, (� t -4J tivL r - Owner: Date of Inspection: 6-e e, t Frsr IZ112(tirj - SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non -intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: c I leaching fields. number. dimensions:1 i e1r9 1411 pox ZS` X(,d I overflow cesspool, number: Alternative system: I Name of. Technology: i Comments: (note condition of soiltt signs of hydraulic failure, level of ponding, condition of vegetation. etc.) CESSPOOLS: _ (locate on site plan) Number and configuration Depth -top of liquid to inlet invert: Drpth of solids layer: Depth of scum layer: Dimensions of cesspoo!: Materials of construction: I I Indication of groundwater: inflow (cesspool must be pumped as pan of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY - (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/11) page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Z I(, iZu e i� in 1 J¢M ✓� / �• �},,�,, eR Owner: Date of Inspection: f 12 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) (revised 04/25/97) l-( 1 aUE2N I -14x19 Paye 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: z)(, (la �i3i. '/-rq v errt nm Ap Fi �Dc)� ,Z Owner: &C -Q r-5 c. f-y4fz 2 r Date of Inspection: 12!2 �'► Depth to Groundwater S Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record ?( Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it irom- local conditions Check .v,th !oca! Board of health I � Checi. FEMA Maps Check pumping records t Check local excavators. installers _ Use USGS Data Describe in %our own words how you established the High Groundwater Elevation.? (Must be completed) 1/• j/ejt /•� p�G•-• S �8 S ✓oil V� /' `_! S `7 t._ 0 cc 1 fv l7 f SLS Pes cQcwn 0/' 3 6 i di e S I t I (r—ia.d 04/25/97) Paq. 10 or 10 v SUBSURFACE DI&POSAL DESIGN CHECK LIS` APPROM ' DATE Provided: � - -, 11 ZF� rezi DISAPPRTM DATE Reasons: LOT.1,�e�. 41,E Title V nn CK Reg 2.5 The submitted plan must show as a minimum: a) the lot to be served-area,dimensi.ons lot #,abutters location and log deep observation holes -distance to ties location and results percolation tests -distance to ties design calculations & calculations showing required leaching area location and dimensions of system -including reserve area existing and proposed contours Ig) location any wet areas within 1001 of sewage disposal system or disclaimer -check wetlands mapping h) surface and subsurface drains within 1001 of sewage disposal system or disclaimer (i location any drainage easements i4thin 1001 of sewage disposal system or disclaimer -Planning Board Piles (j known sources of Water supply within 2001 of sewage disposal n system or disclaimer location of any proposed well to serve lot -1001 from leaching facilit; 1) location of water lines on property -101 from leaching facility location of benchmark driveways garbage disposals no PVC to be used in construction (q) profile of system -elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, distribution yield piping and Other elevations (r) maximcm ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg 6 Septic Tanks (a) capac t es -150 of flow, water table, tees, depth of tees, access, pumping b) cleanout (c) 101 from cellar wall or inground sut=d-ng pool (d) 251 from subsurface drains Reg 10.2 / Distribution Boxes (a) slope greater than 0.08 Reg 10.4 b) sump 4 p nerd of LC'�i;it v SUBSURFACE DI&POSAL DESIGN CHECK LIS` APPROM ' DATE Provided: � - -, 11 ZF� rezi DISAPPRTM DATE Reasons: LOT.1,�e�. 41,E Title V nn CK Reg 2.5 The submitted plan must show as a minimum: a) the lot to be served-area,dimensi.ons lot #,abutters location and log deep observation holes -distance to ties location and results percolation tests -distance to ties design calculations & calculations showing required leaching area location and dimensions of system -including reserve area existing and proposed contours Ig) location any wet areas within 1001 of sewage disposal system or disclaimer -check wetlands mapping h) surface and subsurface drains within 1001 of sewage disposal system or disclaimer (i location any drainage easements i4thin 1001 of sewage disposal system or disclaimer -Planning Board Piles (j known sources of Water supply within 2001 of sewage disposal n system or disclaimer location of any proposed well to serve lot -1001 from leaching facilit; 1) location of water lines on property -101 from leaching facility location of benchmark driveways garbage disposals no PVC to be used in construction (q) profile of system -elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, distribution yield piping and Other elevations (r) maximcm ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg 6 Septic Tanks (a) capac t es -150 of flow, water table, tees, depth of tees, access, pumping b) cleanout (c) 101 from cellar wall or inground sut=d-ng pool (d) 251 from subsurface drains Reg 10.2 / Distribution Boxes (a) slope greater than 0.08 Reg 10.4 b) sump t � � c `k R'y1► i Jusuu face FAIL Che, --k List ! 0K P ge 2' Leaching Pits Leaching pits are p ferred where the installation is possible a) calculations o eaching area -minim, 500 sq ft b) spacing C) surface a 2 d) cover erial e) 2'x21 p splash pad f) to at elbow g) n6 bends in pipe from d -box to pipe Leaching Fields A,) no greater than 20 minutes/inch b area-mt -minium 900 sq ft construction of field d surface drainage 2 % 201 from cellar wall or inground swimxdng pool Leachin Tuenche a) c ons o eaching area-rdn 500 Sq ft b) spacing -4 f min 6 ft with reserve between c) dimensio d) cons on ;e) Ston f) ace drainage 2% Downhill Slope slope y x = kto be shown) ,b) y/x X 150 = (to be shown) agrpraval stand-by power 1 2 4 5 7 n. 1 Benchmark Elevation nag 1 2 3 4 5 )CerF S 7 Gi Location Datum PERCO;,ATION TESTS 1 2 3 4 5 6 7 8 9 10 Ties P" Test Pit Number 1 2 3 4 SOIL PROFILE & PERCOLATION TEST DATA Start Saturation North Andover, Mass. Street No 1.� � Q t:C.�G'.�^i? Lot No �- Loc/Subdiv. Pland Owner..' Y" Investigator 2.,= �/ U Observer ✓ / n Drop of 6" -Time o l c- SOIL PROFILE DATES 1.�El.ev 2.Elev� 3.Elev 4.Elev / Z, 0 ��i 0 I 0 .l, 0 1 2 4 5 7 n. 1 Benchmark Elevation nag 1 2 3 4 5 )CerF S 7 Gi Location Datum PERCO;,ATION TESTS 1 2 3 4 5 6 7 8 9 10 Ties P" Test Pit Number 1 2 3 4 Start Saturation Soak -Minutes Start e Drop of 3" -Time Drop of 6" -Time M6ms-lst 3" drop Mins.2nd 311 Drop Percolation SOIL PROFILE & PERCOLATION TEST DATA North An-*---- ,•_",. Nn _ R�4 rcr�f 2,0 T.nt Nn. Loc./Subdiv.- Plan Owner Invest i -gator . ✓0,5 Observers /�7,e ~ if SoSL PROFILES -DATE 2. Elev. 3. 4'Elev. Elev. Elev. 1 2 1 Ties to Test Pits Benchmark Elevation 2 2 2 3 3 3 -- 4 4 4 5 5 5 PA L.164 6 6 6 o 7 7 7 A WC, A 8 8 8'+ 9 9 9 `Lf,lr, r 10 10 10 Cot v loci Location_ Datum Percolation Tests -Date Pit Number 1 2 3 4 5 Start Saturation q:�Z Soak -Mins. Start Test -Time :Z7 Drop of 311 -Time - ''-Time-Dro Drop of 6" -Time f0 Mins. lst. 3"Dro Z7, Mins . 2nd 3"Drop 4170 Percolation Rate Notes & Skatchas on Back 3&G' 27 Frank C. Gelinas and Associates Engineers & Architects North Andover Office Park NORTH ANDOVER, MASS. 01845 Phone 687-1483 h AZ L IEUT ° (MIF MQ MEDU1 UM DATE JOB NO. ATTENT UN WE GENTLEMEN. WE ARE SENDING YOU ❑Attached ❑ Under separate cover via ❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TR9NSMITTED as checked below: For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS the following items: ❑ Specifications ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ 'Return corrected prints COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. Board of Health North Aa ver H ia. BEPTIC gYSTEM / INSTALLATI(�1 �MCK LISP LOT I r OK Reansi Bu�G 1. Distance Tot a. Wetlands b. Drains ct{c /G LES dam/ c. Well •4s - Z.,/ G 7 2. Water Line Location 3. No PVC Pipe / E� it. Septic Tank T a. - -Tess Length & To Clean -Out Covers.. b. Cement Pipe to Tank on Both Sides of Tank 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Flowing Lqual Amounts c. No Back Floss Leach Field or Trench a. Dimensions b. Stone Depth ,, // A c. Capped Ends Me, 13WZ;r d. Clean Don a Washed Stone' 7. Leach Pit IJ�1T/%14 Av �- a. Dim 0�8 b. Sto Depth C' S ash Pads d. s ' e. sraent Pipe to Pit - Both Sides f Clean Double Washed StoneJ4l!5 P,5,-feqA 8. No Garbage Disposal 9. Final Crad ng Inspection %V war 10. Barricading Cowered System f 11. As Built Submitted a. Lot Location b. Dimensions of System c. Location with Regard -to Perc Test r d. Elevations �/' e: Water Table 5.!3? LOT 4A 114 323 q-- ± 80'NEW ENGLAND F�o',,'_f? CON4PANYEA: aib • .'�- _ •s - _:_-awfis..+•r,nw.•�s+r..r.�.w..ww•_+.-,.+.rYc•..�r+•+..r.•.s.r.- �...r.... wv.+wwwa•+T„++�.n-r+. - i w / Jo,00 !! Lai 4A 64, 114,323 — 8C"NErV ENGLAND POVie8 COMPANY EASEMENT It S _ E MG s . 17 zo cl_ f �• �• 1 oa Y-•`/ i ! :. , s - _ .�� SH JI S1U�.11.�.tL ELkVA ONS n f OWNERGEORGE E FA R; u „ G1N1eET ► �fi SANK QULE 1:?•Q PREPARED 81C-�-`. ti 7-45 r .�z�f�i�..,' 417-35' a , FLYNN•. �"�✓`A O v r -569e� j . 4�--• 0 , l 5a It O i5":tiri' t F S . u.w • , ♦ . to �� .'�:. ,� y � 4� A