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HomeMy WebLinkAboutMiscellaneous - 216 REA STREET 4/30/2018 (2) 216 REA STREET _- 210/038.0-0132-0000.0 f J 'r North Andover Board of Assessors Pubic Access Page 1 of 1 wOR7N 'Fovea 01 PIotth A.W10VOr Property sn� s Return to the Home page click on logo Record Card Parcel ID:210/038.0-0132-0000.0 Community:North Andover SKETCH PHOTO New Search Click on Sketch to Enlarge Sales No Picture Summary Residence Available Detached Structure Condo Commercial Comparable Sales Location: 216 REA STREET Owner Name: SHEEHAN,STEVEN G SHARON A SHEEHAN Owner Address: 216 REA STREET City:NORTH ANDOVER State: MA ZIP:01845 Neighborhood:6-6 Land Area:0.91 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1924 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 523,500 556,700 Building Value: 316,800 328,000 Land Value: 206,700 228,700 Market Land Value:206,700 Chapter Land Value: LATEST SALE Sale Price:268,000 Sale Date: 12/08/1993 Arms Length Sale Code:Y-YES-VALID Grantor: BROWELL,DOUGLAS Cert Doc: Book:03923 Page:0078 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&LinkId=1175731 5/13/2008 FW: 216 Rea Street Page 1 of 5 Z L Y DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, May 13, 2008 2:01 PM To: 'Steve Sheehan' Subject: RE: 216 Rea Street It is good for you to send us the pumping slips; however, it is really just for our records. The local boards of health do not drive the Title V inspection process. It truly is the mortgage companies. You do not have to convince us, but you need to convince them. My supervisor recommends that you bring the pumping slips and a copy of the regulation and guidance to the real estate broker. They don't all know the rules well and may not understand this one regarding an extra year. Good Luck, Pamela -----Original Message----- From: Steve Sheehan [mailto:ssheehan723@comcast.net] Sent: Tuesday, May 13, 2008 12:47 PM To: DelleChiaie, Pamela Subject: RE: 216 Rea Street Hi Pamela: Sorry for all the questions...hopefully just two more. 1. If my system has been pumped twice during the two year Title V inspection period does that satisfy the requirement for a 1 year extension, or does it have to be every 12 months? 2. If so, does the system have to be pumped a third time during the extension period. Thanks, Steve From: DelleChiaie, Pamela [ma i Ito:pdel lech@townofnortha ndover.com] Sent: Tuesday, May 13, 2008 8:40 AM To: Steve Sheehan Subject: RE: 216 Rea Street Importance: High Hi Steve, The person you hired should actually give you pumping slip records as well as your invoice. The Health Dept. does not need copies of the invoices. What we need is called a Form 4. It is a state form. We modified it, and customized it to say Town of North Andover. Your pumper should be using these forms: http//www.townofnorthandover.com/Pagps/NAndoverMA_Healt_h/septicpumping.pd_f. 5/13/2008 FW: 216 Rea Street Page 2 of 5 Who did you hire to pump your system? Pamela -----Original Message----- From: Steve Sheehan [mailto:ssheehan723@comcast.net] Sent: Monday, May 12, 2008 5:58 PM To: DelleChiaie, Pamela Subject: RE: 216 Rea Street Got it. I will fax the invoices as soon as I get them. Thanks again, Steve From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Monday, May 12, 2008 2:51 PM To: Steve Sheehan Subject: RE: 216 Rea Street Importance: High No, we don't issue anything. It is just per Title 5 regulations: http://www.mass gov/dep/water_/wastewater/fagsprop.htm#howlong -----Original Message----- From: Steve Sheehan [mailto:ssheehan723@comcast.net] Sent: Monday, May 12, 2008 2:45 PM To: DelleChiaie, Pamela Subject: RE: 216 Rea Street Will do...thanks so much for the help. Will I get written notification from the town confirming the extension? Sorry for all the questions. Regards, Steve From: DelleChiaie, Pamela [mai Ito:pdellech@townofnorthandover.com] Sent: Monday, May 12, 2008 2:38 PM To: Steve Sheehan Subject: RE: 216 Rea Street Importance: High Yes. If it easier, you may fax them to: 978.688.8476. Thank you. -----Original Message----- From: Steve Sheehan [mailto:ssheehan723@comcast.net] Sent: Monday, May 12, 2008 2:19 PM To: DelleChiaie, Pamela Subject: RE: 216 Rea Street Yes, I spoke with them this morning and they said they were sent. I will get 5/13/2008 FW: 216 Rea Street Page 3 of 5 copies and bring them to the Health Dept. Will that be all I need to extend the Title V for another year? Thanks, Steve From: DelleChiaie, Pamela [mai Ito:pdellech@townofnorthandover.com] Sent: Monday, May 12, 2008 2:15 PM To: Steve Sheehan Subject: RE: 216 Rea Street Importance: High No, I do not have any other pumping records on file. Do you recall who you hired? Ask them to send you copies, and then be sure to have them send copies to us as well. -----Original Message----- From: Steve Sheehan [mailto:ssheehan723@comcast.net] Sent: Monday, May 12, 2008 2:13 PM To: DelleChiaie, Pamela Subject: RE: 216 Rea Street Hi Pamela: Thank you for the prompt response. The report only shows one septic pumping. Do you have the others on file? Regards, Steve Sheehan From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Monday, May 12, 2008 1:45 PM To: ssheehan723@comcast.net Subject: FW: 216 Rea Street Hello, Here is a copy of your file. Pamela -----Original Message----- From: noreply@yourcopier.com[mailto:noreply_@yourcopier.com] Sent: Monday,May 12,2008 2:34 PM To: DelleChiaie,Pamela Subject: 216 Rea Street <<SKM BT_60008051213330.pdf>> 5/13/2008 Mai 12 08 05: 17p Steve Sheehan 9706882863 P. 1 [Click here an;type address] -facsimk transmival To: M.s.Pamela Dellechiaie Fax. 978-688-8476 From: Steve Sheehan Date: 5/12/2008 Re: Septic Pages: 3 CC: 11 Urgent El For Review C1 Please Comment El Please Reply 0 Please Recycle Hi Pamela: These are the two receipts for the septic pumping at 216 Rea Street that we discussed yesterday. I haven't pumped the tank out this year yet,but I will send the receipt for that once the system is pumped. Thanks again for the help. Regards, Steve Sheehan . . . . . . . . . . . . . . . . . . . May 12 08 05: 18p Steve Sheehan 9786882863 p. 2 r�ai i r_i[tleiti 14:42 9786886675 DAIGLE ENTERPISES PAGE e1 "�,'+' q ZJ Invoice 07AM WNPOMMuMMM Date Invoice 0 7/8/2006 79918 Bill To Job Site Sheehan Sheehan 21.6}Zea Strcct 216 Ren Street: North Andover,MA 01845 North Andover,MA 01845 P.O. No. Terms Due Date Tech Other Tech(s) .Due on receipt 718/20% Mike Description Rate Serviced Amount Pump out the septic tank. 215.00 215.00 Subtotal $215.00 Please Remit Payment to: o Daigle Enterprise,INC. Sales Tax (0.0/o) SOM DHA Aooter-Man 11 least.Dracut Road Total Methuen,MA 01844 521.5.00 phone: Payments/Credits $_21500 800-345fi677 Fax: Balance Due 978-688-6675 $0.00 I I May 12. 08 05: 18p Steve Sheehan 9786882863 p. 3 JOE-03 V1600 RK ORDER `"Tv The RErcue' 1-800-34$6677 Lawrence 978-688-1181 Haverhill 978-373-7151 PATE OF ORDER Salem.NH 603$98-1554 Methuen 978.686-2214 Andover 978475-471 1 Newburyport 978-461-0661 --- CLI$'IYJMCR'S ORDER NO. PHONE _ / -- ME HELPER STARTING DA_'IE .- BILL 1"O ORDER TAKEN BY ADORESS!f�� -_--- ------2e E�MY WORK CITY '--- D CONTRACT El EXTRA JOB NAME AND u5ZW N PHONE DFSCRIPTION OF WORK_ _ ✓` 'l9-Cir 1- SSS �" '-✓ -'- - ' ' TOTAL_AMOUNT ❑No one home 1= A[rL"fiB bove work;or U Total billing to be mailed Si�lnalure after completion of vJOrk- _ - 1 bercby aG It- 'Ile r-ompletion OI r c abbvo-de;cdhcd vlork. TERM -C- _p.—Beeause of the nature of the work herein described and of its emergency,we prefer that all payments be made to mechanic on the job after completion_ A FINANCE CHARGE computed at a periodic rate of 1'/,%PER MONTH,which is an ANNUAL PERCENTAGE RATE of 18%will he Charged on all acexnmL remaining unpaid by the 101h of the month following the purchase. If r-otiecliolt proceedings are necessary,all fees,including legal fees,are the responsibility of the customer_ THANKYOU. A service charge of 515-00 will apply on all returned checks. t i ` PETER F. REILLY 136 ANDOVER STREET RECEIVED ANDOVER, MA 01810 (978) 375-3750 NOV 1 6 2009 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT TITLE V OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION Property Address: 216 Rea Street, North Andover, MA 01845 Name of Owner: Steven Sheehan Address of Owner: same Name of Inspector: Peter F. Reilly Company Name: same Mailing Address: 136 Andover Street, Andover, MA 01810 Telephone Number: (978) 375-3750 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 inspection.The inspection was f performed based on my training and experience in the properfunction 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 N/A Conditionally Passes N/A Needs Further Evalua ' n By the Local Approving Authority N/A Fails Inspector's Signature: Date: November 11, 2009 P er F. Reilly The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 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 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 a the time ofinspection and under 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 (See attached Disclaimer). 1. l 1 � t OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A - CERTIFICATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 INSPECTION SUMMARY: A. SYSTEM PASSES: Check A, B, C, D, or E/ALWAYS complete all of Section D ✓ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: The system met the Pass Criteria of Title V. B. SYSTEM CONDITIONALLY PASSES: N/A 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). Describe basis of determination in all instances. If"not determined", explain why not) N The septic tank is metal, and over 20 years old* or the septic tank (whether metal or not) is 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 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 a sewage backup or breakout or high static water level 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): N/A broken pipe(s) are replaced N/A obstruction is removed N/A distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed i I Y > OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A - CERTIFICATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 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 the public health, safety and 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: N/A Cesspool of privy is within 50 feet of a surface water N/A Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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: N/A The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. N/A The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply well. N/A The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. N/A The system has a septic tank and SAS the SAS is less than 100 feet but 50 feet or more from a private water supply well.**Method used to determine distance N/A This system passes if the water well water analysis, performed at a certified DEP 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. A copy of the analysis must be attached to this form. 3. Other N/A I • y y � OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 D. System Failure Criteria applicable to all systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No No Backup of sewage into facility or system component due to an 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. N/A Liquid depth in cesspool less than 6"below invert or available volume<%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: once No Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. N/A Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone I of a private water supply well. N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A 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 laboratory,for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen is less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form). N/A The system fails. I have determined that one or more of the above failure criteria exist as defined in 310 CMR 15.303,therefore the system fails.The property owner should contact the Board of Health should be contacted 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 a large system in addition to the criteria above) N/A The design flow of system is 10,000 gpd 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 N/A The system is within 400 feet of a surface drinking water supply N/A The system is within 200 feet of a tributary to a surface drinking water supply N/A The system is located in a nitrogen sensitive area (Interim Wellhead Area- IWPA) or a mapped Zone II of a public water supply well) If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any such system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t � OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART B - CHECKLIST Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 Check if the following have been done.You must indicate either"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 flow in the previous two week period ? No Have large volumes of water been introduced to the system recently or as part of this inspection? N/A Were as built plans of the system obtained and examined ? (If they were available note as N/A) Yes Was the facility or dwelling was inspected for signs of sewage backup ? Yes Was the site was inspected for signs of breakout? Yes Were all system components, excluding the SAS, located on the site? Yes Were the septic tank manholes uncovered, opened and the interior of the septic tank inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum? Yes Was the facility owner(and occupants of if different from the owner)provided information on the proper maintenance of subsurface sewerage 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. For example, a plan at the Board of Health. (owner's sketch) N/A Determined in the field if any of the failure criteria related to Part C is at issue (approximation of distance is unacceptable) [15.302(3)(b)]. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 FLOW CONDITIONS RESIDENTIAL: Number of bedrooms(design): unknown Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms: unknown Number of Current residents: 3 Does the residence have a garbage grinder(yes or no): yes Is the laundry on a separate sewerage system (yes or no): no (if yes, separate inspection required) Laundry system inspected (yes or no): N/A Seasonal use(yes or no): no Water meter readings, if available(last 2 years usage[gpd]): about 200 gpd(includes pool maintenance) Sump Pump(yes or no): yes Last date of occupancy: current COMMERCIAL/INDUSTRIAL: Type of Establishment: N/A Design Flow d on 15.203 9 9p (based N/A Basis of Design Flow(seats/perso s/sq.ft.,etc): N/A Grease trap present(yes or no): N/A Industrial waste holding tank present(yes or no): N/A Non-sanitary waste discharged to the Title 5 system (yes or no): N/A Water meter readings, if available: N/A Last date of occupancy/use: N/A OTHER: (Describe) N/A GENERAL INFORMATION PUMPING RECORDS Source of Information: owner Was system pumped as part of inspection(yes or no): no if yes,volume pumped (gallons): N/A How was quantity pumped determined? N/A Reason for pumping: N/A TYPE OF SYSTEM ✓ Septic tank/distribution box, soil absorption system Single cesspool Overflow cesspool Privy NO 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 the 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: original septic tank (1973), replacement SAS, installed about 20 years ago. Were sewerage odors detected when arriving at the site (yes of no): no 4 r OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 BUILDING SEWER: (locate on site plan) Depth below grade: about 8"- 10" Materials of construction: cast iron ✓40 PVC other(explain) Distance from private water supply well or suction line N/A Diameter: 4" Comments: Condition of joints, venting, evidence of leakage, etc.) Both building sewers were watertight and appeared sound at foundation. SEPTIC TANK: ✓ (locate on site plan) Depth below grade: about 4"-6" Material of construction: ✓ concrete metal Fiberglass Polyethylene other(explain) If tank is metal, list age N/A Is age confirmed by Certificate of Compliance N/A(Yes/No) Dimensions: Rectangular- 1,000 gallons Sludge depth: <11, Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 1"-2" Distance from top of scum to top of outlet tee or baffle: 7 Distance from bottom of scum to bottom of outlet tee or baffle: 15" How dimensions were determined: observation Comments: (on pumping recommendations, of inlet and outlet tees or baffle condition, structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) Tank was watertight and appeared to be functioning properly.Concrete outlet baffle was in place. Inlet baffle could not be inspected by non-intrusive means (located underneath walkway). GREASE TRAP: N/A (locate on site plan) Depth below grade: material of construction: concrete metal FRP other(explain) Dimensions: N/A Scum thickness: N/A Distance from top of scum to top of outlet tee or baffle: N/A Distance from bottom of scum to bottom of outlet tee or baffle: N/A Date of Last Pumping: N/A Comments: (on pumping recommendations, of inlet and outlet tees or baffle condition, structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) N/A OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: N/A material of construction: concrete metal Fiberglass Polyethylene other (explain) Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day Alarm Present (yes or no): N/A Alarm level: N/A Alarm in working order (yes or no): N/A Date of last pumping: N/A Comments: (condition of alarm and float switches, etc.) N/A DISTRIBUTION BOX: ✓ (locate on site plan) 0" depth of liquid above outlet invert Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box, recommendation for repairs, etc.) D-box was level. Single line leading to SAS. Little solids carryover evident. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order (yes or no) N/A Alarms in working order (yes or no) N/A Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) not applicable OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 SOIL ABSORPTION SYSTEM (SAS): ✓ (locate on site plan, if possible; excavation not required) If SAS not located, explain why: Type ✓ leaching pits, number 1 pit(inspected) leaching chambers and number N/A leaching galleries and number N/A leaching trenches, number, length N/A leaching fields, number, dimensions N/A overflow cesspool, number N/A alternative system (name of technology) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) Soils in area of SAS appeared normal, no signs of breakout. There was no standing water in pit. Pit was approx. 6' diameter, Z feet deep, amount of crushed stone surrounding unknown. CESSPOOLS: N/A (locate on site plan) Number and configuration N/A Depth-top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow(cesspool ool must be pumped as part of inspection) N/A Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,recommendations for maintenance or repairs, etc.) not applicable PRIVY: N/A (locate on site plan) Materials of construction N/A Dimensions N/A Depth of solids N/A Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,recommendations for maintenance or repairs, etc.) not applicable OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 11/11/2009 SKETCH OF SEWAGE DISPOSAL SYSTEM: Provide a sketch of the sewerage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100'. Locate where public water supply enters the building. GARAGE HOUSE B APP. WATER 1,000 GAL. C SEPTIC O TANK PIT D-BOX FRONT YARD REA STREET SEPTIC TANK TIES: A to Center (C) 3010" B to Center 32'0" A to Outlet (0) 31'4" B to Outlet 33'4" D-BOX TIES: A to Box 3510" B to Box 3910" PIT TIES: A to Pit 4513" B to Pit 3216" NOTE: The system is in front yard. DISCLAIMER This passing septic inspection under Massachusetts Title V is in no way guaranty a uarant or warranty of the inspected septic system. The inspection is a"snapshot in time"and does not constitute a complete assessment of the quality or potential longevity of the septic system.The pass/fail criteria are specific and outlined in detail in this report. Under the limited criteria of a Title V inspection, it is impossible to determine how long any septic system will last. The inspector made a diligent effort to certify the septic system based on the criteria required under Title V. Under Massachusetts Title V, soil evaluation is the accepted method of determining the high groundwater elevation. This inspector is not a certified soil evaluator and is therefore not qualified under Title V to determine or establish the high groundwater elevation.The method used to estimate the high groundwater for this inspection was based on the public records and methods of observation described on the previous page. Groundwater levels can vary greatly from season to season,year to year and soil evaluation is considered the most reliable method of groundwater determination under Title V. i, Peter F. Reilly Inspector November 11, 2009 PETER F. REILLY 136 ANDOVER STREET ANDOVER, MA 01810 (978) 375-3750 i TITLE V OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION Property Address: 216 Rea Street, North Andover, MA 01845 Name of Owner: Steven Sheehan Address of Owner: same Name of Inspector: Peter F. Reilly Company Name: same Mailing Address: 136 Andover Street, Andover, MA 01810 Telephone Number: (978) 375-3750 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 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 N/A Conditionally Passes N/A Needs Further Evaluation By the Local Approving Authority N/A Fails Inspector's Signature: Date: July 8, 2006 Pete . Reilly i The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 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 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 a the time of inspection and under 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 (See attached Disclaimer). OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 INSPECTION SUMMARY: A. SYSTEM PASSES: Check A, B, C, D, or E/ALWAYS complete all of Section D ✓ I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: The system met the Pass Criteria of Title V. B. SYSTEM CONDITIONALLY PASSES: N/A 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). Describe basis of determination in all instances. If"not determined", explain why not) N The septic tank is metal, and over 20 years old*or the septic tank (whether metal or not) is 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 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 a sewage backup or breakout or high static water level 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): N/A broken pipe(s) are replaced N/A obstruction is removed N/A distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 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 the public health, safety and 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: N/A Cesspool of privy is within 50 feet of a surface water N/A Cesspool or privy is within 50 feet of a bordering vegetated wetland or 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: N/A The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. N/A The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply well. N/A The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. N/A The system has a septic tank and SAS the SAS is less than 100 feet but 50 feet or more from a private water supply well.**Method used to determine distance N/A This system passes if the water well water analysis, performed at a certified DEP 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. A copy of the analysis must be attached to this form. 3. Other N/A OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A- CERTIFICATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 D. System Failure Criteria applicable to all systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No No Backup of sewage into facility or system component due to an 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. N/A Liquid depth in cesspool less than 6"below invert or available volume<'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: once No Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. N/A Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone I of a private water supply well. N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A 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 laboratory,for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen is less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form). N/A The system fails. I have determined that one or more of the above failure criteria exist as defined in 310 CMR 15.303,therefore the system fails.The property owner should contact the Board of Health should be contacted 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 a large system in addition to the criteria above) N/A The design flow of system is 10,000 gpd 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 N/A The system is within 400 feet of a surface drinking water supply N/A The system is within 200 feet of a tributary to a surface drinking water supply N/A The system is located in a nitrogen sensitive area(Interim Wellhead Area-IWPA)or a mapped Zone II of a public water supply well) If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed.The owner or operator of any such system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART B - CHECKLIST Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 Check if the following have been done. You must indicate either "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 flow in the previous two week period ? No Have large volumes of water been introduced to the system recently or as part of this inspection? N/A Were as built plans of the system obtained and examined ? (If they were available note as N/A) Yes Was the facility or dwelling was inspected for signs of sewage backup ? Yes Was the site was inspected for signs of breakout? Yes Were all system components, excluding the SAS, located on the site? Yes Were the septic tank manholes uncovered, opened and the interior of the septic tank inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum? Yes Was the facility owner(and occupants of if different from the owner) provided information on the proper maintenance of subsurface sewerage 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. For example, a plan at the Board of Health. (owner's sketch) N/A Determined in the field if any of the failure criteria related to Part C is at issue (approximation of distance is unacceptable) [15.302(3)(b)]. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 FLOW CONDITIONS RESIDENTIAL: Number of bedrooms(design): unkonwn Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms: unknown Number of Current residents: 3 Does the residence have a garbage grinder(yes or no): yes Is the laundry on a separate sewerage system(yes or no): no (if yes,separate inspection required) Laundry system inspected (yes or no): N/A Seasonal use(yes or no): no Water meter readings, if available(last 2 years usage[gpd]): about 200 gpd(includes pool maintenance) Sump Pump(yes or no): yes Last date of occupancy: current COMMERCIAL/INDUSTRIAL: Type of Establishment: N/A Design Flow gpd (based on 15.203): N/A Basis of Design Flow(seats/persons/sq.ft.,etc): N/A Grease trap present(yes or no): N/A Industrial waste holding tank present(yes or no): N/A Non-sanitary waste discharged to the Title 5 system(yes or no): N/A Water meter readings, if available: N/A Last date of occupancy/use: N/A OTHER: (Describe) N/A GENERAL INFORMATION PUMPING RECORDS Source of Information: owner Was system pumped as part of inspection (yes or no): no if yes,volume pumped (gallons): N/A How was quantity pumped determined? N/A Reason for pumping: N/A TYPE OF SYSTEM ✓ Septic tank/distribution box, soil absorption system Single cesspool Overflow cesspool Privy NO 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 the 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:original septic tank(1973), replacement SAS, installed 15-20 years ago. Were sewerage odors detected when arriving at the site(yes of no): no OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 4 BUILDING SEWER: (locate on site plan) Depth below grade: about 8" - 10" Materials of construction: cast iron ✓40 PVC other(explain) Distance from private water supply well or suction line N/A Diameter: 4" Comments: Condition of joints, venting, evidence of leakage, etc.) Both building sewers were watertight and appeared sound at foundation. SEPTIC TANK: ✓ (locate on site plan) Depth below grade: about 4"-6" Material of construction: ✓ concrete metal Fiberglass Polyethylene other(explain) If tank is metal, list age N/A Is age confirmed by Certificate of Compliance N/A(Yes/No) Dimensions: Rectangular- 1,000 gallons Sludge depth: <1" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 111-211 Distance from top of scum to top of outlet tee or baffle: 7 Distance from bottom of scum to bottom of outlet tee or baffle: 15" How dimensions were determined: observation Comments: (on pumping recommendations, of inlet and outlet tees or baffle condition, structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) Tank was watertight and appeared to be functioning properly.Concrete outlet baffle was in place. Inlet baffle could not be inspected by non-intrusive means(located underneath walkway). GREASE TRAP: N/A (locate on site plan) Depth below grade: material of construction: concrete metal FRP other(explain) Dimensions: N/A Scum thickness: N/A Distance from top of scum to top of outlet tee or baffle: N/A Distance from bottom of scum to bottom of outlet tee or baffle: N/A Date of Last Pumping: N/A Comments: (on pumping recommendations, of inlet and outlet tees or baffle condition, structural integrity, liquid level as related to outlet invert, evidence of leakage, etc.) N/A OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: N/A material of construction: concrete metal Fiberglass Polyethylene other (explain) Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day Alarm Present (yes or no): N/A Alarm level: N/A Alarm in working order (yes or no): N/A Date of last pumping: N/A Comments: (condition of alarm and float switches, etc.) N/A DISTRIBUTION BOX: ✓ (locate on site plan) 0" depth of liquid above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) D-box was level. Single line leading to SAS. Little solids carryover evident. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order (yes or no) N/A a Alarms in working order (yes or no) N/A Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) not applicable i i i OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 SOIL ABSORPTION SYSTEM (SAS): ✓ (locate on site plan, if possible; excavation not required) If SAS not located, explain why: Type ✓ leaching pits, number 1 pit(inspected) leaching chambers and number N/A leaching galleries and number N/A leaching trenches, number, length N/A leaching fields, number, dimensions N/A overflow cesspool, number N/A alternative system (name of technology) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.) Soils in area of SAS appeared normal, no signs of breakout.About 2"-4"of standing water observed in pit. Pit was approx. 6' diameter, 2'feet deep, amount of crushed stone surrounding unknown. CESSPOOLS: N/A (locate on site plan) Number and configuration N/A Depth-top of liquid to inlet invert N/A Depth of solids layer N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow(cesspool must be pumped as part of inspection) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable PRIVY: N/A (locate on site plan) Materials of construction N/A Dimensions N/A Depth of solids N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 SKETCH OF SEWAGE DISPOSAL SYSTEM: Provide a sketch of the sewerage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100'. Locate where public water supply enters the building. GARAGE HOUSE B. APP. WATER 1,000 GAL. C SEPTIC O TANK PIT to,BOX FRONT YARD REA STREET SEPTIC TANK TIES: A to Center (C) 30'0" B to Center 32'0" A to Outlet (0) 3114" B to Outlet 3314" D-BOX TIES: A to Box 3510" B to Box 3910" PIT TIES: A to Pit 4513" B to Pit 3216" NOTE: The system is in front yard. OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 216 Rea Street, North Andover Owner's Name: Sheehan Date of Inspection: 7/8/2006 SITE EXAM Slope level to gently sloping in area of system Surface water none observed Check cellar dry Shallow wells none observed Estimated Depth to Groundwater>1" (below bottom of SAS) Please indicate (check) all methods used to determine the high ground water elevation: N Obtained from Design Plans on record - if checked, date of design plan reviewed: N/A Y Observed site (abutting property, observation hole within 150 feet of SAS) N Check with Local Board of Health - explain: N/A Y Check local excavators, installers - (attach documentation) N Accessed USGS Database - explain: website too complicated You must describe how you established the high ground water elevation. No design plan available. The soils and grade changes in the area indicate no groundwater in the SAS. f However, the precise groundwater elevation cannot be determined or certain without a soil evaluation test. *Inspector's Note: Soil Evaluation is the currently recognized method for determining or establishing the high groundwater elevation. Since I am not a licensed or certified soil evaluator, I am notq ualified to determine or establish the high groundwater elevation beyond the public information available, such as recent design plans of the site or the nearby area. My estimation of the high groundwater elevation is based on a due diligence effort to obtain all available information both on and off the site and my experience as a certified subsurface disposal system inspector. (see attached Disclaimer) DISCLAIMER This passing septic inspection under Massachusetts Title V is in no way a guaranty or warranty of the inspected septic system. The inspection is a "snapshot in time" and does not constitute a complete assessment of the quality or potential longevity of the septic system. The pass/fail criteria are specific and outlined in detail in this report. Under the limited criteria of a Title V inspection, it is impossible to determine how long any septic system will last. The inspector made a diligent effort to certify the septic system based on the criteria required under Title V. Under Massachusetts Title V, soil evaluation is the accepted method of determining the high groundwater elevation. This inspector is not a certified soil evaluator and is therefore not qualified under Title V to determine or establish the high groundwater elevation. The method used to estimate the high groundwaterfor this inspection was based on the public records and methods of observation described on the previous page. 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