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Miscellaneous - 222 BRIDGES LANE 4/30/2018
J ' 222 BRIDGES LANE _ 2101104.D-0087-0000-0 • 5�.�17'ED'76g6 � PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 12/10/12 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: D-Box and Outlet Tee Repair By: Todd Bateson At: 222 Bridges Lane Map 104 D Lot 87 North Andover, MA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Susan Sawyer Public Health Agent Ekcj- copy 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Cf NORT1r 1h 6313 3?..'" of ti — p Town of North Andover HEALTH DEPARTMENT ,•rsACMU`+tt CHECK#: DATE: Z- LOCATION: H/O NAME: l CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $� XTitle 5 Report $ ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Commonwealth of Massachusetts Title 5 Official Inspection Form z y Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane h Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. Please see completeness checklist at the end of the,form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Neil James Bateson cursor-do not use the return Name of Inspector key. Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover MA 01810 R6e! Cityfrown State Zip Code 978-475-4786 S115 Telephone Number License Number �o B. Certification .1JOVER I certify that I have personally inspected the sewage disposal system at this address and that theT 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 ❑ F_ils Z, g� C .�CV7 �,LJ ❑ Need§ Further Evaluation by the Local Approving Authority f f4iaV.2 14 r r31,n1ly();4 11/15/2012 Inspectors SignatW6 Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of.the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. '***This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is North Andover MA 01845 11/15/2012 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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: ® One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. 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. ❑ Y ® N ❑ ND(Explain below): t5ins•11/10. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .�' 222 Bridges Lane Property Address Roger Goudreau Owner Owners Name information is North Andover MA 01845 11/15/2012 required for every page. City(rown State Zip Code Date of Inspection B. Certification-(cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ® N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ® N ❑ ND (Explain below): ❑ distribution box is leveled or.replaced ❑ Y ® N ❑ ND (Explain below): ❑ 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 ❑ Y ® N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ® N ❑ ND (Explain below): C) Furtherfvaluation 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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: Outlet tee in septic tank,d-box, &pipe repair. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into.facility or system component due to overloaded or clogged SAS or cesspool 0 ® . Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of.Massachusetts lugTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No El ® 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. El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the 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 ofthe analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. El ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to.determine what will.be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ Q 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 0 Elthe system is located in a nitrogen sensitive area (Interim Wellhead Protection 11 Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E.or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department t5ins°11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no"as to each of the.following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system_ obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® ❑ information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been-determined based on: ® ❑ Existing information.For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System.Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 600 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required.for North Andover MA 01845 11/15/2012 every page. City(rown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes Z No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Yes 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins 11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 i Commonwealth of Massachusetts fav Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. Cityrrown State Zip Code Date of Inspection p. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped 2009,owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Measured tank Reason for pumping: Inspect tank Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract © Tight tank. Attach a copy of the DEP approval ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: No as built. Design plan 9/27/1984 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.8 feet Material of construction: cast iron. ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): 4"Cast iron thru wall, 3"PVC in house, no leaks visible. Septic Tank(locate on site plan): Depth below grade: .8 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list ager years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: .10'x 5'x 4' 5.. Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 22" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom.of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and.outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumped septic tank. Inlet tee ok. Outlet tee badly corroded, needs to be replaced. Depth of liquid at outlet invert. No evidence of leakage. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete El metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness z 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: Date t5ins•11110, Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet'and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert(evidence of leakage, etc.): 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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 rdle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is North Andover MA 01845 11/15/2012 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box level&distribution not equal. No evidence of leakage. Evidence of carryover. D- box has corrosion holes, needs to be replaced.One pipe 5from d-box collapsed, needs to be replaced. Pump Chamber(locate on site plan): Pumps in working order: _ ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan,excavation not required): If SAS not located, explain why: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form " ° Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: I ❑ leaching'chambers number: I ❑ leaching galleries number: 4 trenches 50' ® leaching trenches number, length: long ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name.of technology. Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp.soil,condition of vegetation, etc.): Soil ok.Vegetation ok. No sign of ponding to surface. Cesspools(cesspool must be pumped as part.of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer . Dimensions of cesspool Materials of construction j Indication of groundwater inflow ❑ Yes ❑ No t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 • Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 222 Bridges Lane Property Address Roger Goudreau Owner owners Name information is required.for North Andover MA 01845 11/15/2012 every page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of.soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owner's Name information is required for North Andover MA 01845 11/15/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately v r 5Cp4-cc o `tusk a, t�-- qL t5ins•1111110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owners Name information is required for North Andover MA 01845 11/15/2012 every page. City/Town State Zip Code Date of Inspection M.System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system:design plans on record, If checked, date.of design plan reviewed: 9/27/1984 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Design,plan ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: As per test pit data on design plan Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 222 Bridges Lane Property Address Roger Goudreau Owner Owners Name information is required for North Andover MA 01845 11/15/2012 every page. CityrTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file l5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Summary Record Card generated on 10/16/2012 2:00:53 PM by Maureen McAuley Page 1 Town of North Andover Tax Map.# 210-104.D-0087-0000.0 Parcel Id 16774 222 BRIDGES LANE GOUDREAU, ROGER 222 BRIDGES LANE NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 1.17 Acres FY 2013 UB Mailing Index Name/Address Type Loan Number Active/lnact. From Until GOUDREAU,ROGER Owner 222 BRIDGES LANE NORTH ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id.22887.0-222 BRIDGES LANE Last Billing Date 10/2/2012 3170446 03 Cycle 03 Active UB Services Maint. Account No.3170446 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 419.72 /1 UB Meter Maintenance Account No.317044E Serial No Status Location Brand Type Size YTD Cons 40661439 a Active ERT HH b Badger w Water 0.63 0.63 350 Date Reading Code Consumption Posted Date Variance 9/12/2012 232 a Actual 82 10/15/2012 238% 6/12/2012 150 a Actual 24 7/16/2012 170% 3/13/2012 126 a Actual 9 4/14/2012 -12% 12/12/2011 117 a Actual 10 1/17/2012 -86% 9/13/2011 107 a Actual 77 10/13/2011 456% 6/7/2011 30 a Actual 13 7/20/2011 40% 3/7/2011 17 a Actual 9 4/13/2011 -13% 12/8/2010 8 a Actual 8 1/12/2011 -100% 9/30/2010 0 n New Meter 0 10/15/2010 -100% 9/30/2010 4171 r Replacement 118 10/15/2010 489% 6/8/2010 4053 m Manual estimate 16 7/15/2010 0% MSG 3/9/2010 4037 m Manual estimate 17 4/14/2010 .21% MSG 12/11/2009 4020 aActual 14 1/12/2010 -71% 9/8/2009 4006 a Actual 47 10/15/2009 174% 6/9/2009 3959 a Actual 16 7/20/2009 9% 3/16/2009 3943 a Actual 17 4/29/2009 -54% 12/8/2008 3926 a Actual 33 1/20/2009 -38% 9/11/2008 3893 a Actual 59 10/10/2008 257% 6/6/2008 3834 a Actual 15 7/16/2008 -11% 3/10/2008 3819 a Actual 17 4/11/2008 -66% 12/12/2007 3802 a Actual 54 1/22/2008 -61% 9/6/2007 3748 'a Actual 112 10/12/2007 656% 6/19/2007 3636 a Actual 18 7/20/2007 13% 3/15/2007 3618 m Manual estimate 20 4/16/2007 -16% 12/12/2006 3598 a Actual 23 1/19/2007 -76% 9/13/2006 '3575 a Actual 91 10/20/2006 500% Trouble Code:03 6/19/2006 3484 a Actual 18 7/10/2006 24% • Commonwealth of Massachusetts _ City/Town of System Pumping Record r� form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left Ight front of Aobuil� eft/Right rear of house, Left/right side of house, Left Right side of building, Lei ft/ 11�g` i roning, Left/Right rear of building, Under deck Address City/Town State Zip Code 2. System Owner. Name Address(d different from location) City/rown State Zi Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) ptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes If yes,was it cleaned? ❑ Yes ❑ No 5. Conditio of System: /Ut(�� t-&Je 4e kz—A ` 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locatio ere contents were disposed: S. Lowell Waste Water rf Slg4Q7e Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 f I~I. • °'w� Commonwealth of Massachusetts Map-Block-Lot _� s- _• r 104.D0087 BOARD OF HEALTH ----------------------- North Andover D-b 0-�c CERTIFICATE OF COMPLIANCE -� `, tr THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair) b U l rj by Todd Bateson ---------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at No222 BRIDGES LANE ---------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP-2012-077 Dated November 27 2012 ----------------------------------------------------------------- Printed On:Nov-27-2012 BOARD OF HEALTH • S� °� Commonwealth of Massachusetts Map-Block-Lot • 104.D0087 • ^� BOARD OF HEALTH Permit No North Andover -BHP-2012-0772------------- ----- ---- FEE $125.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Todd B-ateson - - - -------------------------------- -------------------------------------------------------- to(Repair)an Individual Sewage Disposal System. at No 222 BRIDGES LANE as shown on the application for Disposal Works Construction Permit No. BHP-2012-077 Dated November 27,2012 ----------------------- ----------------------------- ----------------- - - ----------------------------------------- Issued On:Nov-27-2012 BOARD OF HEALTH w � � S�T'fLEDl�c North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 222 Bridges Lane MAP: 104 D LOT: 87 INSTALLER: Todd Bateson DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: 12/10/12 (D-Box and outlet tee) DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading ❑ Monolithic tank construction ❑ Watertightness of tank has been achieved by visual testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon Pump Chamber installed ❑ H-10 loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base ❑ H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: See Picture (D-Box and outlet tee). Unable to view. Todd Bateson sent in pictures. aaE ,;m� x Jlf �—e P . I k p 1� e� g II r 7 � r sof a : , f - ,, r 'I ! Jr r )116 Aq, + s a io. P � � �} ok Ya r ■ " � •+t,� � "� � �i -lye � in. _ � �� ��� r � �� _ n t - .p 0 , , � �,. .�, 'y°° � M�" d � � " ,." �� ! '►.fix- �. �,. Wer . 4. ! ., • e . , k, q, Ape 'd: VIA ! q r. �+ � �� ��t � " ;. �� ^ it �i,t� �PT « %^r r,•: , r 5' ell .`, d' j4 � t •x w e 5 a JIMA 14 .- �' »� y � ♦ ilk'�`d �J`+-'i" Yrr` as x �; e+' � `+<: PPII L a 4 . ` 4 s „� ✓ ,��� � ". art+ q '"° #)� �f A 1 ..3 �_ �' �, � 4 � ! `> ,� _, .�� � we , :• e� .Y � q s �a 6 x y F fir "> r Ir • e9 t rev t oil a ' , .a u , a 4 T ' ' It t t , ` -q Aaf u Ya a , 1 •, n , r t -� �. .@• #mow _ 4 ,.-~^�- a'� .s r t t' �a ;j'a, _�'� '�.�, �, 'a. iia€ � `t`a�-�J�.�-�� ��.� •�, ra �- . ir e . 1 .J .",y.,s t',y., X Vii•.f= t ,r • 1. t ( ` 41 M1 F' a r.. Ex +.6 •• .F r a as t, a .y. r J p w w e °fµORTH 1 Application for Septic Disposal System / I - V- L 3� •` ;. `��' °c TODAY'S DATE Construction Permit - TOWN OF ORTH ANDOVER MA 01845 $250.00—Full Repair °•.».��`� $125.00-Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the i computer,use _n_.Rpnnir nr_ranlcra nn_avi-+inn nn-A%i+a caur2na Aicnncni cuc am* - - .� 222 BRIDGES LANE Reference No: BHJ-2012-000037 Department: Permit No: BHP-2012-0772 North Andover BOARD OF HEALTH .----.................................................................................... Account No: 1001001.1.5.0510.00 FeeType: .................................... DWC-Component Repair PERMIT Receipt No: REC-2013-000705 .................................... ......................................................................................... Paid By: Paid in Full On: Tue Nov 27,2012 GOUDREAU, ROGER L ROSEMARY L GOU "" ' ' " ' "' Received.By........... Check No: 7082................ ....Lisa Blackburn.......................................................... DEPARTMENT'S COPY Amount: $125.00 i............................................................................................................................................. ...........................................................................................................................................................---....... 222 BRIDGES LANE Reference No: BHJ-2012-000037 Department: Permit No: BHP-2012-0772 North Andover BOARD OF HEALTH .. ................................................................................ Account No: 1001001.1.5.0510.00 Fee Type: ................................... : DWC-Component Repair PERMIT Receipt No: REC-2013-000705 ......................................................................................... Paid By: Paid in Full On: T_ue No.v_27 2012 GOUDREAU ROGER L ROSEMARY L GOU .. ........ �- �... . . ..........� ' ...'............................................................ Check No: 7082 Received By: Lisa Blackburn CUSTOMER'S COPY Amount: $125.00 ...................................................................................................................................... ..................................... City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 j "•:T"1a Applicati'on..for Septic Disposal System A_ ` 3=��. '. :• °c ; TODAY'S DATE h pConstruction -Permit ' .. TOWN -OF x - *. �s 14 , ORTH ANDOVER, MA 01.845 $25.00-Component s%CMUS PAGE 2OF2 A, Facility.Information continued.... 5. Type-of Buildincr rid ntial Dwelling or[]Commercial B. Agreement The undersigned agrees to.ensure the construction and maintenance of the afore-described on-site sewage disposal system In accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover,and not to place the system in operation until a Certificate of Compliance has been Issued by this Board of Health. 10-BcS� /l-916 Name Date Application pproved y: (Board of Health Representative) dame / Date Application Disapproved,f r the following reasons: For Office Use Only: 1 'FeeAtwched?: Yes No 2.. ProjectAlariager Obligation Form Attached? Yes No 3.: Pum,PSwstem? Ifsoj Attach copy ofElectrical Permit Yes No 4. Foundation As Built.?(new construction-ronly): Yes No (Same scale as approved plan) O 5. Floor Plans?(hew construction only): Yes_ No Applicationior,vispotal$ysthm,Oonstructloo Permft%Page 2 of 2 SEPTIC .STEM.•INSTALhE PRGJE 'GEMENT OBLIGATIONS As the North Andover•licensed ii§taller for&d.constructiQn forseptic system-for.the-property at L t., For plans by (Address of septic system) (Engineer) Relative to the.application of And dated (In'staller's name) rnginal date). Dated A—g— /'— With revisions dated ' o s a e) (Last revised date) I understand the following obligations for management of•t lls project: ; 1. obtain.all permits and Board of Health approved plans P or to As the installer,I am.obligated to .performing any work on a site. I must have the aptroved plans and the permit on site when any work is U done• 2. As the installer,•I snust.•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•b C.applicable. 3..` As-the installer,I•atn•-requYred to.have.the Aecessary work•completed prior to the.applicable inspections as indicatedbelow. titYdef`stand that rec ie'si an inspection without comtiletion of the items in,accordance with Title 5 and me Boatd 414e—lib e616ons may reuYtin a$50 00 fine beim•levied against me..and/or �om�any. •• .• • . . . : .• .. .. :.' • : .. . •• . . • a�. l8o'ttom of B.eti Generally, this-is the-�Cst.(1"j:inspecbom unless.there is a°retaining wah,which should.be done< rst: The uistall tiiust quest the i;ispectida but does not have to be present. . b. Final-Construction.Itispeetiori—Engineer=Ust`firs :clo theiirinsj ection for elevations;ti°es,etc. As-L�iulY of '- t. OK dor a-mail to: ealthd��lo_wpofiiorthandoyer.com):from the engineer must be stibniitEed to.te.Board'ofHealth,aftet•.vhich::nstaller.calls for-an inspection time. Installer must be present for this.inspection, with a pump system,'all electrical wotk;must be ready and-able to cause putrip.to arork arid:alarm:to f indtion.. c. :Final :d Installer must request•inspection vhen'0ll grading is complete: .Installer•does not have to be•on=site. 4. As-the installer,'I understand that only 1mg perform the work•(other than dmple excavation)and I am requited to complete the installation of the system identified in the•attached application for.installation: :I further understand-that Zork done by others uiilicensed-to'iristal ,;eptic systems•in North Andover can con8dwte reasons for denial•gf the- andloi.'revocatiolver su6iftsion of.my lieense••to operate in.the Town.of North And, si ficant fines toll ViersonsJgvolyed ate also possible. 5.. As the.installer,T understand that I tnu§te on-site during the.perfortnance of the following construction. steps: a: Defenminatiori dbat.the pro per•elcm on of the evcatratron has been reached b. Inspection ofthe'sand and stone to be used. c. Finalinspection by Board ofHealth stafforconsultan t. d. Installation..of hwk,D-Box pipes,stone, vent,primp chamber,retaining wall and other components. 6. As thg installer i•understand that I an sbleft responsible for the installation of the system as per the LQvd dans No instructions by thehomeowrier general contr2Ctor or any other persons shall-absolve i�Q€this obligafion. Undersigned Licensed Septic.Ins.•tallex: ame:— .rent k. �;:: _ __.._-__+__.___..-,...__.... .........-..�......•r....•.�.+wnMnwwrvlw•ww•n�..wnwrw.wr.Ylvwll�a�IYMW.nr:.n.•Iwaw1•w•Ma.Y.�R%IW+FI/MO'rtVl�'1WYh\•IYN'YNW11�1dY4LL11tl)lM.4IXMIRPN/JI11NiV1M11YitWYNW/Ai1NYtIVIM(//VMWNYIIfI.MHM�W:-Mg1pMl1.IAKl.NWT1f1A9MY1PI:MIIMRNI.MYMNIW.YItl•IMYA.IYMVMMMflatl �v /SLA N �S�/Ott//�/Ca a/rv,5 o pwt� f��..,v,�' I,�/� �-�/� 164o�- fS Po5 of.[ x s. e r-/3" P.E'OP03ED SUBSl1RFALE SLCWAfiE I�eSpt-�SqL cS�STEM Goca_ f/a %c oy .(fyA/S : '/L/"-:raA"- xF1V - _ AA/AO PRO POSED Lo 7- �RAd/wG DATE : 4 - z 7 REVISE a N 8 C 6t< E Fl/V-D u'r A /4.Ss _ DIESie;A/Ei2 • �`o / yj. tet, GTOSEPN cl. BA�2BA4ALL 0 /�✓c• J �c`r�, ' ✓U? " _ A/ed CheCCEit REACVA/e, MASS. ' ` • _ TSL. �G 4�-�983 I '�, ,.. � _ Z)65/G Ai DATA � � 8 TYPE or BU/GD✓A/U= 4 a•A• ,Z` c.�.fl /f/�,�; AVQRRAGE C46"R PL!/A981A/6� � � , I ty; t S.4CW4GE A'GOW f,'ST/MATE: c� G c • a SEPT/C TRAl*C : /.!'1,c c= ek R F_ S a L. 1.7 5,o C4 �f S. e i 3 t ' y� �� y' ABs-aeP r"ioN AREA = � C•'•_^ .� 1�� - �� C� C^-:~+_t/• r- -' ®PER�c.vrio�v sr3 / Ar.2 fop bArE 7 ' - A t c • 1 -.�1-g t t ` ---" -- E �`__ ,, 2 6io77n,4f E[E+W Tin/ J fr! 1 7 F tSAT4/,c.4 T/opt/ �• o P !S M/A/ . MrN, M//v Mier. �. 1 , 9" IOROP 3 M/N. .Kia/ iHiv. Mi�.r t t L g t p / . N lD al r,: � '. MNMA./. / . ,I L J � � � G DROP a z �. //`+ AL AeoLA T/ON RATE ,rr.st//v� JEST PITS /f� # /car 116�3 amq � � � .�- �` ! � �,�`� {:; � �.�`t �` •�,�_ ,r/�/jam;, DATEs-9- � /0-/9-$ ? { \ ! f o',� +,= TDP ELEVAT/Dull fie 4 / - / 4L ` t i �8�'� � �5 � '!•�P-f Su E ,l'to/°4-S&4 b a 'to,411,4 ::i.. 6 • l ti .SO/L TYPES .5 �Sa"d v .3`l" Sr°/v�? 4 GYa v�c-� WATER TABLE N a 12FFuS t ;� •1,'E ;...f-- (178? �r7y•S 0 ( t ? G ) BOTTOM E[EVA7-10 / 77 /7y,S I t -7G /G'on.T TESTS CGx/Lk1C TED BY S H�+ f3 0 0 C f+/A IS y ,%e}n�.5 a ei! /tt = /7 S 8 3 /V/n^ / �' /!v /` TESTS W/reVESSEo BY o /' tot r7 S'Af / M' G�p P�AAr e' DEs14�rAr Ge/rE,e/A O'c ,2 nobvvcmrwwrwawwcnruumwvwia+nrwrwwuriw..vuwwnn.Hyva..e•vtirwrwrrMryr. _.. . uaeorrw.p•wes • - _, _' _ __.. • . . •' � _ T � c.SE.•�cED �/,tlT, c.SOG/D f��C. P/F'E • C-> G • -o . CAPPEp ENDS (o.e EG?u/vAcENr) � �o /`•�Q�T%4L 8�/� EiV 0 �EC T-ip/lJ - u �FQ� SPEC/F/C!1 T �O�t/S - SEE SECT/U�! AT zowse ,E'/GNT) /SOO 674E. CONC.eETE SEPT/G TAVAC •SEALED XOW775 4 PERF. Re e. ' s..0a-5- /DG A AJ A-%DT Tp cSC.4GE ------------------- JELEGT - f 1 f; _.- _- _ • • i�., raAIV c j/8_ w,q5 NES 4r 0( esec-oeA i� 0 d v ro /�Z" WASHED CD - t Q 0 C QL/SNED STONE O �1 J r � �AOUBLE NiAS.NED V •\ C- r-i/-moo 1-I8 R .�•e'G7F/G E a t 1' , ��' �?asa•ePT/C/v BEo /'-*LAA! 4,vvSEG -/O Al } I 1��, � I i 1 0 1 1 MI C 3a J -!,W-F;z P. 4-d 3 O oS/ } f uSETTs / .. j. d7oN Bo:.rd of Ytalth �16VIg1 0 00 wk( Nce,Y AndoverpMass F SUBSURFACE DISPOSAL DESIGN CHECK LIST J� r y LOT (7 ,C-PROVED DATE U- [- DISAPPROVED DATE Provided: Reasons: Title V FAIL OK Reg 2.5 The submitted plan must show as a minimi: it a) the lot to be served-area,dimensions .ot # abutters b location and log deep observation M is-distance to ties c location and results percolation test.,-distance to ties d design calculations k calculations sh wing required leaching area (e) location and dimensions of system-in.c .uding reserve area f) existing and proposed contours (g) location any wet areas within 100 of %swage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 1n0l of sewage disposal system or disclaimer (i) location any drainage easements within 3.001 of sewage disposal system or disclaimer-Planning Board files (J) known sources of water supply within 2001 of sewage disposal e system or disclaimer (k) location of ar4r proposed well to serve lot-1001 from leaching facilit; (1) location of water lines on property-101 from leaching facility (m) location of benchmark (n) driveways (o) garbage disposals (p) no PVC to be used in construction (q) profile of system-elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, ,tistribution field piping and Other elevations (r) maximum ground water elevation in area sewage disposal system (s) plan must be prepared by, a Profession,1 Engineer or other professional authorized by law to prv, are such plans Reg 6 Septic Tanks (a) capacities-150s of flow, water taF e, tees, depth of tees, access, pumping (b) cleanout (c) 10' from cellar wall or inground swimming pool (d) 251 from subsurface drains Reg 10.2 Distribution Boxes (a) slope greater than 0.08 Reg 10.4 b) sump ``.. /i�/�^"� l..r%�' (�A�� ��^✓�a.:�,v,_,F,'../� LST C.it.%--C'�-/��1 ,/��--("y.�rL.y1-C3�X.�-^� �.%�G-/��1, sQ._.2./l/2/"ti/G.,+� "' G'✓--� �rlsZ...,,(,�ti f` L.,�c^--G��< V �''�l.(.C�� f'�—r� _��-•�i�✓%,.G �,,.f�n,.,ti,tv�� �.•v-.� C!` _""_1 C.,.�"r"' / X..k. �,.�,Q/� r SOIL PROFILE & PERCOLATION TEST DAT& th Andover, Mass. Street NoLot No ` Lot/Subdiv. Pland Owner1�.�( L.b Investigator <S::1 r; a r- VA Q SOIL PRUi-ii Z 1.!Elev 2.Elev 3.Elev 4.Elev 0 0 0 0 1 1 1 1 Tkes8 est 2 2 2 2 31 Si L 3 3 3 4 4 4 4 5 5 5 5 6 6 6 6 7 _. 7 - 7 7 8 8 8 8 9 9 9 9 10! 10 10 10 Benchmark Location Elevation Datum t PERCOjATION TESTS DATES to Zi7 'S✓ Pit Number r - i P 2 3 4 Start Saturation Soak-Minutes Start e i t0. Drop of 3"-Time -Drop of 6"-Time Maas.lst 3" drop Mins.2nd " Drop Percolation F-IuRD of NaI�Th AryMA, �PP�� C�tiJ Q^FbWnl ❑ WEU- - � U DQT- 5S . SCI rl c sy S- I EM vL-s►cel API-1z001J6 Aurhol? ry ------------- Cov,�iTio�vs �I�PPRpVEp 0/�jE R�(ISoNs D ScP� r c SYSTE�'1 J,k)s►A U-ATlOAJ FINAL I u5P6-�-Tloo PPROOEp Q/3TC ,4VPIT(DJAL� IAj5j:bc.i(oN5 �I 4oy) D(IS/11PP)�ovCID pArC IZ ��NS FVAL APPRpVAL APPRalvJG 6L)i Hogl ice/ ♦. �NORip,ti OFFICES OF: o Town of . 120 Main Street NORTH ANDOVER Massorth Massachusetts W11_I)ING MaSsnChusettS0k845 C;ONSFRVATION " 5E` DIVISION OF (617)6854775 H1 A1:1'H PLANNING ' PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR April 22 1987 Charles Foster Building Inspector This is in regard to the attached letter dated April 21 1987 written by your departement. In the letter you state that I approved the Septic System and that it has been functioning properly ever since. I feel this can be misconstrued to mean that I stated it is functioning properly which I never have. It strikes me that this kind of statement is outside the- usual jurisdiction of your departement and I would like' to Know if you will be certifying Septic. Systems on a regular basis in the future. Since you stated that the Septic System for Lot 18 has been f�:.tctionirg properly ever since you must have had this lot under regular observation because the letter you wrote was written within one hour of the Cahills request for it, quite soon for a site visit to have been conducted that morning. Please provide me with the name of the inspector who examined the lot, the date of his inspection and his findings. Sincerely Sanitarian, Boar of ealth cc-Director of Planning Karen Nelson Town Manager :1 ' ^ a1'm,„.° :Iiti OFo . Town of 120 Main St rccr.t ►;\I.S NORTH N.()rII, v► ow VER 4. 11.I1ING . 4Moss diusett5 0 1845 ,)NSI--RVATION ,C"Ua I)IVISI(),N OF (h 1 7)685-4775 .Il .i\I:IiI ' I'I.;\NNIN(;' PLANNING & COMMUNITY DEVELOPMEN'F KAREN 11.1'. NE-1-SON, I)IIZG(;'1'Olt Apn.c,t 21, 1987 To Whom IT May Concenn:' I fie 'awed-i.ng bu i,>tt lion JohnCaUti on Lot #18., Bn i.dge;s Lane, ways pn.ope t y inspected and approved by aZt Ins pec tou inc.Lud- kng Michaet G4aL San tau'an ,Son No)tth Andover Board o6 Heaf-th.. T1te ze.pti.e syztem ways inspected and appn.oved .'ate .fast 6axt and it hay been 6uncti.on,i.ng pupeAZy eveA /since. youu tAUZ y, �A ChaAte!% H . F6,5 te&, Ihspeeta!t. o{I Buuitdinq,s CHF:gb cc: DiA• , ' DPCD M. Gna6 Address 2 tIDC-,-ES Title of File P.age of Date f=ile Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and note action Document/ document/ Num. Action De artment Board of Appeals - Board of Health Planning Board _ Conservation Commission - Boiidin� DepartM, erR t