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Home My WebLink AboutMiscellaneous - 30 BARCO LANE 4/30/2018- I- 0 z 0 m p 0 1 North Andover Board of Assessors Public Access Page I of I Parcel ID: 210/104.11-0146-0000.0 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO No Picture A vas- ql I a b I e Location: 30 BARCO LANE Owner Name: HOOPER III FAMILY TRUST S F, III & H E HOOPER, TRS Owner Address: 30 BARCO LANE I City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 6 - 6 Land Area: 1, acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2780 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 523,000 500,500 Building Value: 328,700 315,400 Land Value: 194,300 185,100 qarket Land Value: 194,300 Mapter Land Value: LATESTSALE Sale Price: 1 Sale Date: 06/25/1997 Arms Length Sale Code: F-NO-CONVNIENT Grantor: SIDNEY HOOPER III Cert Doc: Book:04782 Page:0232 http://csc-ma.usNandoverPubAcc/jsp/Homejsp?Page=3&Linkld=466689 8/29/2005 CV) CV) 00 00 cm 04 C-4 C-4 x Q m t5 c a) U) (L) C CL m 0. 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'Ar -�r VI si r4 %Aj Ek all 44 qj 01� Qj Qj 4j Li 14Q QQ Qj Ilk, 15) Cho 4it�L 3 NI , 7:1� Cd V) 14, QQ Cl 41 �;j ... ...... ... . Q c C- 4tM_ 10 NEW ENGLAND ENGINEERING SERVICES lk INC RECEIVEL, MAY 2 3 2005 TOWNOFNORT�-, -�.)VER HEALTH DEPART MENT May 20, 2005 North Andover Board of Health 400 Osgood Street North Andover, MA 0 1845 RE: TITLE V REPORT: RE: 30 Barco Lane, North Andover, MA 01845 Dear Sir or Madam: Enclosed is a copy of the Title V report for the above referenced property. The system PASSED our inspection. If there are any questions please call me at my office, 686-1768. Sincerely, B ein 2 C60 Jr. Certified Title 5 inspector 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 ..... ...... ... . ........ 's COUMNMALTH OF MASSACHUSEn 1 D.14 M11 I W; to] a a A W] a i 20"10 MAO MAY 2 3 2005 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT UTLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 30 Barco Lane North Andover MA 01845 Ownees Name: Helen Hooper OwneesAddmss. 30 Barco Lane North Andover MA 01M Date of Inspection: 05120/05 Name of Inspector; (please print) Benjamin C. Osgood Jr. PE. Company Name: New England Engineering Services Inc. Mailing Address: 60 Beechwood Drive North Andover, MA 01845 Telephone Number: (978) 686-1768 CERTIFICATION STATEMENT I cer* that I have personally inspected the sewage disposal *,stem at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The mspeWon was performed based on my bwning and experience in the proper fimction and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15340 of Title 5 Q 10 CMR 15.000). The system: ---,,/—Passes Condifionally Passes Needs Furdier Evaluation by 1he Local Approving Audiority Fads Inspector's Signature: 9 co J- Date: The system mspecW shall submit a copy Of this InVectlon 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 DER The original should be sent to the system owner and copies sent to the buyer, if apphcable� and the approving authority. Notes and Comments * * * *This report only describes conditions at the time of inspection and under The conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditious of use. Page 2 of 11 omcLA,LwsPEcn0N FORM -NOT FORV0LUNTARYASSESSNW24TS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPEcn0NFORM FARTA CERMCATION(mffivied) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper OwneesAddress- 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 Inspection Summary Check A, BCD or E / ALWAYS coniplete all US of Section D A. System Passes: ZI have not found any infommhon which indicates that any of the &kn criteria described m 3 10 CNR 15.303 or in 3 10 CMR 15.304 adst. Any failirre criteria not evaluated are indicated below. W."ATIMM-171 B. System Conditionally Passes: Answer yes, no or not detemimed (YNND) in the —forthe following staternei&. ff "not detennined'please exphn __Tbe septic tank is metal and over 20 years old* or the septic ta& (vvhedxr metal or not) is structurally unsound, adiibits substartal irifiltration or ex&Won or tank &h= is imminent System will pass inspection iftive, exishng tmk is replaced with a oomp4* septic taik as approved by the Board officalth. *A metal septic tank will pass inspection if it is structurally sound, not leakmV and ifa Certificate of Compliance indicating dri the tank is less than 20 yem old is available. ND eVlaim- -Obsm,zbon of wwage backup or break out or high static water level in the distribution box due to brokert or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass nispection if (with approval of Board of Health): __�broken pipe(s) are replaced obstruction is removed distribution box is leveled or replaced NDoq)Wm _Tbe system reqpiredpurrM moretim 4tim ayear ducto broken or obstructedpipe(s). The system willpass mspection if(with approval ofthe Board offlealth): broken pipe(s) are reaplaced -obstruction is removed Page 3of I I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTA CERTIRCATION(cmifinued) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper OwneesAddress- 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 C. Further Evaluation is Required by the Board of Health: D. A/ 0 Conditions e)69,Afich require firdier evaluafion by the Board offlealth in order to determine if the systern is khrig to prow public heft safety or the errvironmert I - System will pass unless Board of Health determines in accordance with 310 CMR, 15303(M) that the system is not functioning in a manner which w M 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 wedarid. or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, saky and environment: 'fhe system has a septic tank and soil absorption system (SAS) and the SAS is wdm 100 feet ofa, surlace water supply or tributary to a surflace water supply The system has a septic tank and SAS and 1he SAS is within a Zone I ofa, public water supply The system has a septic tank and SAS and the SAS is widm 50 feet of a private wax supp�y wdl The system has a septic tank and SAS and the SAS is less flian. 100 feet but 50 &et or more from aprivate water supply well". Method used to determine distance * Mits system passes if 1he well water analysA perfictmed at a DEP certified L+oratory, for coliform bacteria and voWe organic compounds indicates fliat the well is free from pollution from fid &cdity and the preserice of ammonia, rtift-ogeri and nitrate nivogm is equal to or less man 5 pptn, provided flia no odw failure criteria are triggered, A copy of 1he analysis must be attached to this form. 3. Other: Page 4of 11' OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENT'SSUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTA CERTIFICATION (continued) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper OwncesAddress: 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 D. System Failure Criteria applicable to all systems: You must indicate "yes" or "no" to each of the following for all inspections; Yes No _t��Backup of sewage into facility or system component due to overloaded or clogged S AS 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 — -1,,,:��iquid depth in cesspool is less man 6" below invert or available volume bless than 1/2 day flow --E:LRequired pumping more man 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _. — --i��Any portion of me SAS, cesspool or privy is below high ground water elevation_ —�L�y portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. — —L—Any portion of a cesspool or privy is within a Zone I of a public well. c,-- Any portion of a cesspool or privy is within 50 feet of a private water supply well. �Ani portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is fi-ee from pollution from that facility and the presence of ammonia nitrogen and nib -ate nitrogen is equal to or less thart 5 ppm, provided that no other fidlure criteria are triggered. A copy ofthe analysis must be attached to this form.] AID (YesNo) The s�, fails. I have determined that one or more ofthe above &*n criteria exist as � in 3 10 CMR 15303, dxmfm & system fi&. The *-stem owner shcdd cottact the Board offlealth to dd=iw w1vit will be necessary to correct ffie &bre. 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 iAiwte either "yes" or "bo" to each ofthe follow* (1he Uowing to Wge systems in addition to the criteria above) to large yes no is . �-: --�ft systern is within 400 a surkice supply :7 — .r supply —the system is within 200 fed of a IrW�to a surfiwe drinking water supply the system is I a nitrogen sensitive arm�i Wellhead Protection Area - IWPA) or a mapped Xiie Il of public =� wen If you have answered "yes" to any question in Section E the systenibi�isild=d a significant thiwit, or answered Yin Section D above the Large wstem has fided. The owner or operator -of any large system considered a significant threat under Section E or fided under Section D shall upgrade the system *in accordance with 3 10 CMR 15-304. The system owner should contact ft appropriate regional office of the Department. PtgO of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY SSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTB CHECKLIST Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper Owmes Addn!m- 30 Barco Lane North Andover MA 01845 Date of Inspecdon: 05/20/05 Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No ,-' Pumi)M'R information was provided by the owner, occupant, or Board of Health — v 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? ZHave large volumes of water been introduced to the system recently or as part of this inspection? k/'-- Were as built plans of the system obtamied and examined? (If they were not available note as NI 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 i information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes no — Existing information. For example, a plan at theme Board of Health. ,--betern�iined in the field (if any ofthe fidure criteria related to Part C i at issue approximation of distance is is unacceptable) P 10 CMR 15.302(3)(b)] Page 6 of I I OFFICIAL INSPEMON FORM - NOT FOR VOLUWARY ASSESSMENTS STTBSIWACE SEWAGE DIWSAL SYSTEM INSPECT71ON FORM PART C SYSTEM P40RMATION Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper 0"neesAddress: 30 Barco Lane North Andover NU 01845 Dateofinspecdon: 05/20/05 FLOWCONDMONS RESEDENTIAL Number of bedrooms (design): L ) Number of bedrooms (actual): Ll DESIGN flow based on 310 CMR 15.203 (for example: 110 gpdx # of bedrooms):. Number of current residents: ?_ Does residence have a garbage grinder (yes or no): Is laundry on a seM'ate sewage system (yes or no) J�' 0(if yes separate inspmoction required) Laundry system ins� (yes or no): Seasonal use: (yes or no): _V 0 Water meter readings, if avolable (last 2 years usage (gpd) vi e �_L_ Sump pump (yes or no) Last date of occupancy. C_ v<—L CONMMCIALffiDUSTRIAL Type of establishment: Design flow (based on 3 10 CMR 15.203): Basis of design flow (seats/persons/sqftetc.): Grease trap present (yes or no): Industrial waste holding tank present (yes or no): Non -sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GIMRAL Fff ORMATION PumpingRecords Sourcc of information: 2- IF 12!- 0 L'� Was system pumped as part ofthe inspection (yes or no): rV C If yes, volume pumped: ------ gallons --How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic Tank, distribution box, soil absorption system —Single cesspool Overflow cesspool Privy Shared system ( yes or no) ( if yes, attach previous inspection records, if any Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) —Tight Tank Attach a copy of the DEP approval Other ( describe ) Appro)dmate age of a components, date installed (if known) and sou= of inforniation: �vjL_� jj�� p� f– Were sewage odors detected when arriving at the site (yes or no) IV 10 00 �) / L-�7_ Page -/ ot I I -OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSITM INFORMATION (continued) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper Owner's Address: 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 BUELDING SEWER 0ocate on site plan) Depth below grade 2,v Materials of construction -' cast iron 40 PVC other (explain) Distartoe from private water supply well or moon line: 3 o � Canments (on condition ofjoM vmbng, evide= ofleaka,�, etc): - P 1,PE- Z- C cj"'-s C:) I--/ / ^J i" 4S T - SEPTIC TANK _ 0ocate on site plan) Depth below grade: q " Material of construcTo—n7—concretq meW other(explain) Y,— — ---fibeT)ass — polyethylene Iftank is metal list age: _ Is age confirmed by a Certificate of Compliance (yes or no): _ (aWA a copy of certificate) DimensionsL—LL7, el o &A L t Sh*e depth ,� I Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness. 11 Dis�e from top of scum to top 6roudet tee or baffle: Distarice, from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: AA �: fi 15; o rz c- --ncj( Comments (on pumping recommeridations, det and outlet tee or baffle condition, struckiral intiqgnty, liquid levels as related to outlet mv4 evidence oflealaw etc): T-1 o i�:) '1-7 �� /,-� GREASE TRAP: /i/ -A aocate on site plan) Depth below grade: _ Material of construction: concrete mew (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 fiberglass — polyethylene — other Date of last pumping: Cornrnet& (on pumping recommendations, idet and outlet tee or baffle condition, stnictural integrity, liquid levels as related to outlet invem evidenee of leakage, dc.): ng6 zi or I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DI"SAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper Owner's Address: 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 TIGHT or HOLDING TANK. -,dL� (tank inust be punq)ed a time of inspection) (locate on site plan) Depth below grade: _ Material of construction: concrete mew fibeiglass — polyethylene _ other(explain): Dimensions: Capacity: gallons Design Flow gallons/day Alarm present (yes or no): _ Alarm level: Alarm in working order (yes or no): Date of last pumping: Corninetts (condition of abrin and float swAcbes, etc): DISTRIBUTION BOX: _ (if present must be opened) (locate on site plan) Depth ofhqmd level above outlet itivert: 0 " Comments (note ifbox is level and distnbution to cu[lets eWA any evidence of solids aaryover, any evidence of leakage into or out ofbox, etc.): IJ O'K 0 rz A.) D' IV �- o,,2 Al PUMP CHAMBER: — (locate on site plan) Pumps in working order (yes or no): Alarms 'in working order (yes or no): Comments (note condition of pump cliamber, condition of punp and appurtenances, etc.): Page9ofll OFFICLAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DI"SAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper Owner's Address: 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 SOIL ABSORPTION SYSTEM (SAS): _ Pocate on site plan, excavation not required) IFSAS not located explain w*. Type leaching pits, number leaching chambers, number -.-- leaching galleries, number leaching trenches, number ten —leaching fields, number, i ensions: overflow cesspool, nuniber: / . ..... XV innovative/alternative system Typ&name ofWinology: Comments (note condition of soil, signs ofhydraulic failure, level ofponding, damp soil, condition ofvegetation, etc.): -V c> P -A,1,41- /Vo 64'm? t t - I "V o"�2 1 A-,' ��/ C-- t- L-> "i q I C H L'111 Vq- --C r -c- '� /- > -I-C" 1?'e� C I F4 -, '4 "�) D CESSPOOLS: L,0�cesspool must be pumped as part of inspection) (tocate on site plan) Number and configuration: Depth - top of liquid to inlet invert Depth of solids layer: Depth of scum layer: Dimensions oftesspool: Materiats of construction: Indication of groundwater inflow 6�es or no): Comments (note condition of soil, signs of hydraulic failure, level ofpondirig, condition of vegetation, etc): PRIVY: �� (� (locate on site plan) Materials of construction: Dimensions: Depth of solids Cornments (note condition ofsoil, signs ofhydrmlic fbilure� level ofponding, condition oftegemon, etc.): Page lu ot I I OFFICIAL INSPECTION FORM - NOT FOR VOLMARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTC SYSTEM INFORMATION (continued) Property Address: 30 Barco Lane North Andover MA 01845 Owner's Name: Helen Hooper Owner's Address: 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20105 MUNCH OF SEWAGE DISPOSALsysnm Provide a sketch of the sewage &9)osal *,stm mchxhng ties to at least two pemianft refereme bn&na& or bericbmrks. Locate all wells wdbm 100 feet Locate where public water sup* mters 1he bW&g U11 G P 6 agellotil OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARTC SYSTEM INFORMATION (continued) Property Address: 30 Barco Lane North Andover NIA 01845 Ownees Name: Helen Hooper Owner's Address: 30 Barco Lane North Andover MA 01845 Date of Inspection: 05/20/05 STMEXAM Slope P Surface water Check cellar A/,) Shallow wells 1,1., N�— Estimated depth to ground water (, feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record - If checked, date of design plan reviewed —�LObserved site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health -explain: Checked with local excavators, installers- (aftach docurrientation) Accessed USGS database -explain: You must describe how you established the high ground water elevation j -1 T C., M P, jf I'l (2 ec�- -Tt"—/ A oue- R'C' fi-0 C'�-' L� p F7L D OT 'q DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, August 29, 2005 1:11 PM To: Sawyer, Susan Subject: 30 Barco Lane - Septic Question from potential homebuyer Hi, Received a call from a Felix Layne 978.376.4808 - who is interested in purchasing the above property. He states that the system has a 1,000 gallon tank and is 4 bedrooms. He would like to add an in-law apartment above the garage which would be 2-3 rooms in addition to the current house. I told Mr. Layne that we really cannot give hypothetical answers to general questions like this, and that we require a current and proposed floor plan. He was insistent on some type of answer based on the size of the tank, and thought the tank could just be enlarged to accommodate the house. I told him that without reviewing the file, I could not give him an immediate answer. I took his information (above) and told him that you would call him back. I will leave the file in your inbox. Thanks. 1paftooa A010.04064W10 Health Department Assistant Town of North Andover 400 Osgood Street North Andover, MA o1845 978.688-9540 - Phone 978.688.8476 - Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com r.> 4L C_'.' - C -S --L- N. L/ a "4, N 1, � 4 1 L �� d�iT r��M� Y�l 15 y ' t {[Y [ {je S � � � 1 �. qJ � �� ro .. a 1 if x 3 ��3 . � .. � ,.. r [t /. '� `.Id �'9.51�,� 4 .. ,'l,+,F. "f`",�;N�'�,r"t{?"�*�1'i+8wa��rrri�e�wi,�jeuMa� ., TO: NORTH ANDOVER, MASS 19 TF BOARD OF HEALTH F ROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at 7- AC 641,leo 219NE North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated 19— NORYfl, AN.-DCATM BO."IRD OF T.7-,S-��:*;_ C,',l 'K I J. CHA, LIST APPROV-a. :i� .4 EXCAVATION OK T)a�'_e: Reason: A I 5_-ZV74 As Zilt Subr�dtted Check: Lot location., dimensions of system, location in regard to u percolation tests., depth of system, irater table 2. Distance to Wetl�,�d Areas3 Drains, Street & House, Drainage Easement and Wells. 1 3. Water ine Location No PVC Pipe 5. Sept.Xailcank - T' les, Cement -Pipe Tank -Joints on both side of Tank. ox or c 6. Distribution Box - No cracks -in x or cover, all lin/eflOTT e('ually fzrom box. 7. ( Leach Fields, - Dinensions, StoneZe" �-_Ihs, Capp;_� �ndss, Clean doub1c-i-.ashed stone 8. Leach Pits - Dimensions, Depth of Stone, SpIntsh pac�'Llces. Cement -pipe to tank - joints on both sides of tank, Clean double- va she d stone "'o Garb e Disposals 9. No Garb e Disposals n 10. rIFI n a 1 ;a cdbi n ""arricading of sifo-surface system� I. NORTH ANDOVER 0j< V'*_ pju� (I - 7. 7A 4144ol ?jJ0jvA e) (a) he lot to be served - I -,r (b)5�11ocation and dimensions of the system (includinp�% SUBSURFACE DISPOSAL SYSTEM CHECK LIST General Information Reg. 2.5 The submitted plan must show as a minimum: reserve area) (C)o**'design calculations Woe'calculations showing required leaching area (e),-e'existing and proposed contours (f).,�ocation and log of deep observation holes - dfstance to ties (g)/'location and results of percolation tests - .,distance to ties (h)oel�ocation of any wet areas within 1001 of the sewage disposal system or disclaimer M,,,surface and subsurface drains within 1001 of h- disposal system or disclaimer );,,�t e sewage ocation of any drainage easements within 1-0,01 of the sewage disposal system or disclaimer W nown sources of water supply within 2001 of sewage disposal system or disclaimer' 1 cation of any proposed well to serve the lot oc-ation of water lines on the property (m) � 9c (n) maximum ground water elevation in the area of ;e6 the sewage disposal system (0) a profile of the system (p);e'h0"Q_,PVC is to be used in construction (q)��Tocation of benchmark (r) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare .00o__� such plans. II. o@`a�rbaqe Disposers Or IV. Pumps Reg. 9.1 (a) Approval Reg. 9.6 (b) Stand-by power III. Septic Tanks Reg. 6.1 (a),---�ra acities ��r 150% of flow Reg. 6.7 (b)4!5� al-er table eTre ��Ie Reg. Reg. 6.8 6.9 c e s (d),�6e.pth of tees Reg. 6.12 (e) A�,ess Reg. 6.18 (f ) /0�u`Fnping (g) /Orcleanout IV. Pumps Reg. 9.1 (a) Approval Reg. 9.6 (b) Stand-by power k V V. Distribution Boxes Reg. 10.2 (a) Slope greater than 0.08 Reg. 10.4 (b)..,, -Sump VI. Leaching Pits Leaching pits are preferred where the installation is possible. Reg. 11.2 (a). Calculations of leaching area (minimum 500 S.F.) Reg. 11.4 (b) Spacing Reg. 11.10 (c) Surface drainage 2% Reg. 11.11 W Cover material VII. Leaching Fields Greater than 20 minutes/inch Reg. 15.1 (a)/� Reg. 15.1 (b) Area (minimum 900 S.F.) Reg. 15.4 (c K, bnstruction of field Reg. 15.8 (d Surface drainage 2% Ix. Downhill Slope (a-) Slope y/x = (to be shown) ,/(b) y/x X 1 50 = (to he shown) SOIL PROFILE &.PERCOLATION TEST DAT -A North Andover.,Mass. No.&Street Lot No. Loc./Subdiv. Plan Owner Investigator Observer Cp SOIL PROFILES -DATE Elev. 2. Elev. 3. Elev. 4 'Elev. 0 0 0 0 Ties to Test Pits 3 3 3 3 4 5 6 - 4 1 6 4 5 6 7 7 7 7 8 8' 8 8 9 9 9 9 10 10 10 10 Benchmark Location - Elevation Datum Percolation Tests -Date Pit Number 1 2 3 4 5 Start Saturation 4�1 Soak -Mins. Start Test -Time Drop of 311 -Time - Drop of 611 -Time Mins.1st 3"Drop Mins.2nd 3"Dro2 Notes & Sketches on Back „koRTH 0* ,,E. 6” 0 Town of North Andover, Massachusetts BOARD OF HEALTH APPLICATION FOR SITE TESTING/INSPECTION Applicant NAME�/ Site Location /I Engineer li ,a,z -.7- (, Test/l nspection Date and Time Fee— �/ '9 Form No.1 -19 �z CHAI RMAN, BOARD OF HEALTH v — I Test No. � -� -?-- S.S. Permit No.:2 -5-,0 D.W.C. No. ->�< C.C. DateLb—�/?hlbg. Permit No. :7-7 10 Town of North Andover, Massachusetts BOARD OF.HEALTH I- APPLICATION FOR SITE TESTING/INSPECTION Form No.1 19 Applicant NAMT ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee Test No. S.S. Permit No. �'6 S D.W.C. No. C.C. Date 11 -2 - 11 Plbg. Permit No. -9-W --- // I, A-��5:f // -0 Board of Health - North And—One-r-2*389 )(121 p- -L Sum SISTEM INSTAIIATICK CHECK LISr joamwwttzn�� ReaF_mnst LOT E CN OK FAI L 1. Distance Tot a. We t1an ds b. Drains c.. wen 2. Water Line Location 3. No PVC Pipe 4. Septic Tank a. Tees -,-Length To Clean Out Covers b.', Cement Pipe to Tank Oa B6th Sides of Tank 5. Distribution Box a. Covers &,Box No Cracks. b. All Lines Flo-AMg tq�Ai, Arnouh s c,. No Back., Flow 6. Leach Field or Tteiich a. Dimensi=3 b. Stone Depth co Capped Ends d. Clean Double Washed Stone 7. Leach Pits a. Dimansions b. Stone Depth c. Splash Pads d. Te -es e. Cen, Mt pipe to Pit Both Sides f. Cie -an Double Washed Stone 8. No Garbage Disposal 9.' Final Grading Ins pection 10. Barricading Covered System 11. As Built Submitted a. Lot Location b. Dixensions of System C., Location with Regard -to Perc Test d' 'Elevations e.' Water Table k� Board of RapIth :-:.APPROM. DATE -- Provided: Title V Reg 2.5 Reg 6 Reg 10.2 Reg 10.4 ,!-,'�,TRFACE DI-<2OSAL DFMM C. DISAPPROVED Reasonsi MTV.-- -LCFT ZAJ 6", , -,! I.t"d plan mint show as a L - -W be served-areap U, 0! and log deep observa" nce to ti6s and results -percOlatiO' ce to U85 j rp-1culations &--calculat�'(, B' - I :,,,quired leaching Pr- End dimensions of sys- 1�6serve area and proposed contours g) any .--t-areas i4thin 2(Yi of ce disposal Byste�na d:, er-check wetlands naPp-j"- 10' ( and sub,5-arface drains - e disposal o' s C -w'29 or discl�-Ixler any drainage easezent6 !t�--� Of sevsge disPost.! disclair—er-PLimiing r--. c, f; -ater sim of 6 -ply I U sevrage dispom .-e or discla . -of azy proposed well s i��! I r�,o I fi -om leachirL, i,, of ,,--te�r lines on pm,.--. le-azhing facffi i. m) of benchm-ark disposals to be used in construct, q) of systerelevationB of ',,isc nb.0 pipe., sept' t- plu C, ai.z.':-1--wtion box inlets and Out ibution field pip cvations r) ground water elevation '2,- art ::�-ze dis - sal sYs DO ts \ - be prepared by a Pro -J,- -Lneer or other P onal autboriz ed by lav Pr roi,�h- plans ci Ybj Tanks cs-150%- of flow., depth of tees., punping Cellar 1*11 or ingrol: subEazface drains tion Boxes eater than 0.08 Subs!e e_ Design Check List page 2 FAIL 1 19 T.,Pnf-*Mn& P4+o eff. 9.1 9.6 Leaching pits are preferred where the installl.Alira is possible [a) calculations of leaching area-rdnim"" 5bO aq ft, �Ib) spacing r ,c) surface drainage 2% ,d) cover material ""e) R'x2Ix4" splash pad 'f) tee at elbow ,g) no bends in pipe from d -box to pipe '*' Leaching_ Fields ,a) —greater than 20 minutes/inch no .b� area-minimram 900 aq ft c construction of field .d) uurface drainage 2 % e) 202 from cellar vall or inground swiwadmg pool Leachina Trenches a) culations of leaching area -min 5bO Bq ft, b) spacing -4 ft, min 6 ft with reserve between c) dimensions d) construction e) stone f) surface drainage 2%_ Davnh—Ill Slope a) slop a y7x- _i_�t_o - be - shown) b) y1x 1 150 -�_ (to-- be � shown) I VOOI�YIJILO Vz" stand-by power--- 0 Stevens Water Analysi's 38 Montvale Avenue * Stoneham, MA 02180 * Mass. (617) 438-6114 * Salem, N.H. (603) 893-3106 LABORATORY NUMBER: 12587 SAMPLE DATE: 4/27/84 SUBMITTED BY: FAXON ARTESIAN WELLS & PUMPS 12 Klein Drive Salem, NH 03079 SAMPLE SOURCE: New Well/collected from well pump Paul Nigrelli, No. Andover, MA ANALYSIS: According, to StandardMethods of' Water and Wastewater Analysis, 15th Ed. Total Coliform . . . . . . . . . 0 per 100 ml Chlorides . . . . . . . . . . . . 6 mg/L pH . . ... . . . . . . . . . . . 7.0 Hardness .. . . . . . . . . . . . Manganese . . . . . . . . . . . . Sodium . . . . . . . . . . . . . Iron . . I . . . . . . . . . . . . Nitrate . . . . . . . . . . . . . Nitrite . . . . . . . . . . . . . 58 mg/L 0.24 mg/L 6.0 mg/L 2.28 mg/L less than 0.10 mg/L less than 0.10 mg/L COMMENT: The results of these analyses meet the required federal and state standards for drinking water. However, the iron and manganese do not meet the recommended standards. Although iron and manganese are not harmful to your health, they can affect the taste, color and odor of your water. Iron and manganese are frequently found at elevated levels in new wells; however, it is likely that the concentrations will decrease when the well is put into regular use. Chemist/Microbil�-Iogist BOARD OF HEALTH kown of J�Zorth AndoverMass. Permit' Dat e 19 APPLICATION FOR WELL & PUMP PERMIT 7 Y Application is here made for permit to drill a wel Applicati-on is made to install Wya pump system-. Lot # Location: Address r 6.g F.,3 q 72 0 w n e d d r e s s ..Tel. C1 Well Contracto T el. Pump Contractor Address Tel.; ---- /- WELL CONTRACTOR (To be completed at time of pump test) Galvanized Plastic Well Pit (-) Type of Well Well used for Anp S1 )C. Diameter of Well- Size of Casing Depth of Bed Rock Depth casing into Bed Rock._.__ Was Seal Tested? Yes No Date of Testing Depth of Well Well Ended in What Material Depth to Water ---Delivers- Gals.Per Min. for 4 hours Drai,.,down feet after pumping ours at GPM Date of -Completion A� Signature ell Cont actor -- PUMP INSTALLER -M be filled-in bef-ore-installa-tion)- Size & Name -Pump __---_---Pump Type Used Water Pump Delivers--- -GPM Size of Tank Pipe Material Used in �4ell:-Cast-Iron Galvanized Plastic Well Pit (-) or Pitless- Adapter Was sleeve used to protect pipe? --Yes (--) NO(-) Type or Name 1�.Jell Seal - Date 'N Ye It *k -N -7'T- Y—V Y6, Oe 7JT- w , 'x. w Date Water analysis report submitted to'Board of Health Date release -given tD owner of record & Bldg. Insp. H H -ispector ealth -h -4- kl 7 31 S 9 Ll TO: N R HANDO�ER,MAS BOARDOF HEALTH Re: Soil Absorption Sewage FROM: .DESIGN ENGINEER System Inspection .6 This is to certify that I have inspected the construction of the said disposal system at L /I R -C 0 North Andover, Mass. SITE,LOCATION The grades and construction are as specified in my plans and specifications dated PRI L 16 19 Ad,�ZA6A -) ---- .jj�� .5 7- W.4' .01 A. 2ZIM 6, /9S I ZAZ GRQb?1V4( IOZAAI-10-31-,6� cO r VA tMAL ///L/ co Cl ,z 0 -/ �2 /,j AA' IV) -< # q IZ N _j -it N Iz 0 Q7 Q -4 q ;t 0- t o �z CA 41 oq Im op Izi r___A (Z go rs e4 e4 i'l� 0- 00 0, 00 4Q tu 4L 4 0 4x r4 0- a - 4j tj $� k NZ LU rk JU 41 J� 44 vz uj 14 k ir Q_ 10 Gib z -< # q IZ N _j -it N Iz 0 Q7 Q -4 q ;t 0- t o �z CA 41 oq Im op Izi r___A (Z go rs e4 e4 i'l� 0- 00 0, 00 4Q tu 4L 4 0 4x r4 0- a - 4j tj $� k NZ LU rk JU 41 J� 44 vz uj 14 k ir Q_ ui —Irk Lo 4j IT QQ QQ Oli 4 to o Lr o- CIO k�4 Q'i uj /,Vv 95.0 F) "Zi ri ku Ik lk -As-. Aff— tj 15 - 4 2. 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