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Home My WebLink AboutMiscellaneous - 30 ANNE ROAD 4/30/2018ro C,) '-J CD cp > z m ri � MAP it LOT #__....... _� ___ __ __ �.^ . PARCEL # STHEET --------'--- --- — APPROVAL. HAS PLAN REVIEW FEE BEEN PAID? YES NO PLAN APPROVAL: DATEAPP. DESIGNER: PLAN CONDITIONS—�~�,.c�_______ WATER SUPPLY: WELL PERMIT.--- WELL ERMIT__WELL TESTS: COMMENTS: ' FORM U APPROVAL: ` DATE ISSUED CONDITIONS: (::::T�OWN WELL DRILLER__ CHEMICAi- DAlE BACTERIA l DA|E APPROVED _ BACTERIA II DA)E Ak'PROVED________ APPROVAL TD ISSUE NO _....... ...... ...... __.... .... FINAL APPROVAL: ALL PERMITS PAID WELL CONSTRUCTION APPROVAL SEPTIC SYSTEM CONSTRUCTION APPROVAL OTHER ANY VARIANCE NEEDED FINAL BOARD OF HEALTH APPROVAL: YES NO YES NO YES NO YES NO YES NO DA FE:. _____ _8Y:__ ____ 14 SEPTIC_5K.9TEM ''IS THE INSTALLER LICENSED? J, ..TYPE OF CONSTRUCTION: �NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW CONDITIONS OF APPROVAL (FROM FORM U) NEEDED: BY_ - N E E D E D NO NEW REPAIR 1\10 NO YES No INSTPLLER:--m.A--/pA-(2-D YES: 0 BY I . 1 �!, !" - , . t I ''. I " FINAL GRADING APPROVAL: DATE— —BY FINAL CONSTRUCTION APPROVAL: DATE: TI I'll IT7- BY ISSUANCE OF DWC PERMIT D WC PERMIT -,NO. BEGIN INSPECTION zy� 0 .,,EXCAVATION.INSPECTION: d :'PASSED CONSTRUCTION INSPECI AS BUILT PLAN SATISFACTORY: APPROVAL TO BACKFILL: DATE. NEEDED: BY_ - N E E D E D NO NEW REPAIR 1\10 NO YES No INSTPLLER:--m.A--/pA-(2-D YES: 0 BY I . 1 �!, !" - , . t I ''. I " FINAL GRADING APPROVAL: DATE— —BY FINAL CONSTRUCTION APPROVAL: DATE: TI I'll IT7- BY COMMONWEALTH OF MASSACHUSETTS EUCUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS IDEPARTIMM OF I&MIRONMENTAL PROTECnON ONE WINTER STREET, BOSTON MA 02108 (617) 2924500 TRUDY COXE semvtuy ARGEO PAUL CELLUCCI DAVID B. STRUHS Govemor SUBSURFACE SEWAGE DISPOSAL SYSTEFA MISPECTIO1111 FORM Comminioner - PARTA CERTIFICATION Property Address: 30 Anne Road, North Andover Name of Owner: David Sider! Address of Owner: 30 Anne Road, North Andover, MA. 01845 Date of Inspection: 611012000 Name of Inspector: Nell J. Bateson I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Bateson Enterprises Inc. Mailing Address: 111 Argilla Road Andover, MA 01810 Telephone Number: ( 978 ) 476-4786 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _X Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority 9 F il "a" Inspector's Signature: j� Date: 6/1012000 The System Inspector s mit a c of this inspection report to the Approving Authority (Board of Health or DEP)w1thin thirty (30) days of a 1 4,' completing this inspection. If Cthe syste i a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS revised 9/2/98 Page I of 11 Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 611012000 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: —X— I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: Pne or move system components as described in the'Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or NO). Describe basis of determination in all instances. If "not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed revised 912198 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 611012000 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 the environment. 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 THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water. Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 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 AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 Page 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 6110/2000 0. SYSTEM FAILS: You must indicate either "Yes" or "Nd'to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. 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 1/2 day flow. 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS - You must indicate either "Yes" or "No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (interim Wellhead Protection Area @ IWPA) or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 912/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 6110/2000 Check if the following have been done: You must indicate either "Yes" or"No" as to each of the following: Yes No —X— Pumping information was provided by the owner, occupant, or Board of Health. —X— None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. —X— As built plans have been obtained and examined. Note ff they are not available with NIA —X— The facility or dwelling was inspected for signs of sewage back-up. —X— The system does not receive non -sanitary or industrial waste flow. The site was inspected for signs of breakout. —X— AJI system components, excluding the Soil Absorption System, have been located on the site. —X— The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: —X— Existing information. For example, Plan at B.O.H. —X— Determined in the field (if any of the failure criteria related to Part Cis at issue, approximation of distance is unacceptable) [I 5.302(3)(b)] —X— The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 912/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 6/1012000 RESIDENTIAL: Designflow_150_ g.p.d./bedroom. Number of bedrooms (design): -4 Total DESIGN flow 600 Number of current reside�ts: FLOW CONDITIONS Number of bedrooms (actual-3— Garbage grinder (yes or no): – No– Laundry (separate system) (yes or no):– No– If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use (yes or no):_ No_ 0 ft3 Water meter readings. March 97 to March 99 = 4900 x 7.5 = 369,750 gals. / 730 days = 507 gals/ day Sump Pump (yes or no): _ No_ Last date of occupancy: –Current– COMMERCIALIINDUSTRIAL: Type of establishment: Design flow: gpd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no) _ Industrial Waste Holding Tank present: (yes or no) Non -sanitary waste discharged to the Title 5 system: (yes Water meter readings, if available: Last date of occupancy: OTHER: (Describe) _ Last date of occupancy: or no) GENERAL INFORMATION PUMPING RECORDS and source of information: Pumped three years ago. System pumped as part of inspection: (yes or no)-�Yes If yes, volume pumped: _1500_gallons Reason for purnping: Inspect tank. TYPE OF SYSTEM —x— Septic tank1distribution boxtsoil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) [/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed (if known) and source of information: 9 years old. 4/22/1991. As built plan. Sewage odors detected when arriving at the site: (yes or no)–No– revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address, 30 Anne Road, North Andover Owner: Sider! Date of Inspection: 611012000 BUILDING SEWER: X (Locate on site plan) Depth below grade: 24" Material of construction: —X— cast iron X— 40 PVC other (explain) Distance from private water supply well or suction line: Diameter:4" Comments: 4" Cast iron thru wall. 4" PVC in house. SEPTIC TANK:X (locate on site plan) Depth below grade: 12" Material of construction:—X— concrete —metal —Fiberglass _Polyethylene other (explain) If tank is metal, list age _Is age confirmed by Certificate of Compliance _ (Yes/No) Dimensions: 10'x5'x4' x7.5=1500gallons. Sludge depth: 8" Distance from top of sludge to bottom of outlet tee or baffle: 21" Scum thickness: 3" 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: 18" How dimensions were determined: Subtract scum & sludge depths to tee length. Comments: Pumped septic tank. Inlet & Outlet tees ok. Depth of liquid at outlet invert. No evidence of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: concrete metal —Fiberglass _Polyethylene _other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 30 Anne Road, North Andover Owner Sided Date of Inspection: 6110/2000 TIGHT OR HOLDING TANK: _None_ (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal _Fiberglass Polyethylene _other(explain) Dimensions: Capacity: allons Design flow: allons/day Alarm present Alarm level: Alarm in working order: Yes No Date of previous pumping: Comments: DISTRIBUTION BOX.:–X— (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: D -box level & distribution not equal. Found solids partially blocking one line. Pumped d -box to clean. Now equal distribution. No evidence of leakage. PUMP CHAMBER: —None, gravity system_ (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or NO) Comments: Revised 9/2198 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued)) Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 6/10/2000 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan, if possible; excavation not required, location may be approximated by non -intrusive methods) If not located, explain: Type: leaching pits, number: leaching chambers, number: leaching galleries, number. leaching trenches, number, length: 2 trenches 48'6" long. leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: Soil ok. Vegetation ok. No sign of ponding to surface. CESSPOOLS: None (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: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: PRn(Y: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: revised 912198 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 30 Anne Road, North Andover Owner: Sider! Date of Inspection: 6/1012000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) • to Tank = 26' • to D -box = 3 5'6" B to Tank = 29' B to D -Box = 36'6" revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 30 Anne Road, North Andover Owner: Sided Date of Inspection: 611012000 NRCS Report name Soil Type._ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 4 Feet Please indicate all the methods used to determine High Groundwater Elevation: —X—Obtained from Design Plans on record —X—Observed Site (Abutting property, observation hole, basement sump etc.) —X—Determined from local conditions —X—Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators, installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) As per design plan. revised 9/2/98 Page 11 of 11 Tel: (978) 475-4786 Fax: (978) 475-5451 BATESON ENTE"MSES, INC. Excavating -Water.& Sewer Lines -Septic Systems & Pumping Service I I I Argilla Road Andover, Mass. 0 18 10 Title 5 Inspection Report Property Address: 30 Anne Road, North Andover Owner: Sideri Date of Inspection: 6/10/2000 My report contained herein does not constitute a guarantee of future usage and the functionality of the existing septic system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any further operation of your current septic system. Neil J. B son Bateson Enterprises, Inc. ep ,Z;, o � 7, �-/� t�j �gv n, . lid, t py�� it 410 Pt AIJ 6�p�p IV �% JLzv All q� um -Tb,V.) T>05e,.j 7 ( Irq4 C', C-'5 (0011- en� Any appeal shall be filed within affter the c..'a te o 11 N c t i c e in the Offlce of the Town Clerk. 0 % # ArmIL7" *M C U VV TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date ... Ap:Kil. 24,. ......... Petition No.... 90-9Z ............ Date of Hearing.. Ap-ril. Petition of .. D.avid. S—S.ideri ........................................................... Premises affected .30. Anne. Road ................. ........................................ Referring to the above petition for a variation from the requirements of the . Section. .4,, .4...121.(.1.7.). of. th.e. Zoning. �y�4w .......................................... so as to permit . c9j1ptruqtion. of. a.Fami.ly Suite ............. ........................... After a public hearing given on the above date, the Board of Appeals voted to - - qMNT .... the ... �pecial. P�ermit ................... and hereby authorize the Building Inspector to issue a permit to . . Ravid. &. Susan. Sid.e.ri ...................................................... for the construction of the above work, based upon the following conditions: 1. the premises be occup;Led by Ronald and Elizabeth Fountain; 2. the Special Permit shall expire at the time that Ronald and Elizabeth Fountain cease to occupy the Family Suite; 3. the Special Permit shall expire at the time the premises are conveyed to any person, partnership, trust, corporation or other entity; 4. the applicant, by acceptance of the - Signed Certificate of Occupancy issued pursuant to the Special Permit, Frank Serio, Ahairman grants the Building Inspector or ................................ I .......... his lawful designee the right to William Sullivan, Vic.e-Chairman inspect the premises annually. .......................................... Walter Soule, Clerk ......................................... Anna O'Connor ...................................... ............................... Board of Appeals Any appeal shall be filed within (20) (-'-,,s aft�,?r the ,_%_It� OT '11-11'y OT ihis Notice i,e 01fice of the Town ,%ORTH 0�,, c5 U 1� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS David and Susan Sideri 30 Anne Road North Andover, MA 01845 Petition #009-92 DECISION The Board of Appeals held a public hearing on Tuesday, April 14, 1992 upon the application of David -and Susan Sideri requesting a Special Permit under Section 4, Paragraph 4.121(17) of the Zoning Bylaws so as to allow a family member an in-law apartment located at 30 Anne Road. The following members were present and voting: Frank Serio, Jr., Chairman, William Sullivan, vice-chairman, Walter Soule, Clerk and Anna O'Connor. The hearing was advertised in the North Andover Citizen on April 1 and 8, 1992 and all abutters were notified. Upon motion by Mr. Sullivan and second by Mrs. O'Connor, the Board voted unanimously to GRANT the Special Permit as requested, subject to the following conditions: 1. the premises be occupied by Mr. & Mrs. Ronald Fountain; 2. the Special Permit shall expire at the time that Mr. & Mrs. Fountain cease to occupy the family suite; 3. the Special Permit shall expire at the time the premises are conveyed to any person, partnership, trust, corporation or other entity; 4. the applicant by acceptance of the Certificate of Occupancy issued pursuant to the Special Permit, grants the Building Inspector or his lawful designee the right to inspect the premises annually. NORTH ANDOVER BOARD OF APPEALS DAVID & SUSAN SIDERI - DECISION The Board finds that the petitioner has satisfied the provisions of Section 10, Paragraph 10.31 of the Zoning Bylaw. Dated this 24th day of April 1992. BOARD OF APPEALS F ank S -e' io, jr,//' Chairman