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Miscellaneous - 31 CANDLESTICK ROAD 4/30/2018 (2)
' 31 CANDLESTICK ROAD :d f 2101106.A-0113-0000.0 l � i i i I 31 CANDLESTICK ROAD d 210f106.A-0113-0000.0 1 - t ,i i i I I I i i i I t i I �r �i i R - er C i"' ^' '�s r _ra . Y�g •{" +'SaY SY {mY� j c . .+, s ." , ! ,� Y r • , 'r,. ... P•T-7 �• NSTA-C �. - 1 � .�r•�-� .m 'kk .. `i.$4 ISTHE- INSTALLER +LICENSED?~ YES N NEW REPA OF TYPE. .a. . NEW CONSTRUCTION: ,.. CERTIFIED PLOT. PLAN REVIEW. YES CONDITIONS OF..APPROVAL. YES NO (FROM FORM U) YES NO `..ISSUANCE OF DWC PERMIT = - 77 DWC PERMIT N0. INSTALLER: BEGIN INSPECTIDN YES N0: ' EXCAVATION .•INSPECTION: NEED 'PASSED BY. . . CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY: YES: t _ r APPROVAL. TO BACKFILL: DATE: BY FINAL . GRADING APPRDVAL: DATE ` BY FINAL CONSTRUCTION APPROVAL: DATE: 7/ T BY�. „tit,•' _ - - r .� .` - � • .- .�' . • • _ - `..• _ '. ' •' . VP er � � v�J° E.✓ o r 1C c Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments b31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/14/2014 every page. Cityr'Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not,be altteira_dan y way. Please see completeness checklist at the end of the form. RECEIVED Important: A. General Information When filling out JUN 17 2014 forms on the computer,use 1. Inspector: TOWN OF NORTH ANDOVER only the tab key to move your Neil J. Bateson HEALTH DEPARTMENT cursor-do not Name of Inspector use the return key. Bateson Enterprises Inc. Company Name - --__ 111 Argilla Road Company Address Andover MA 01810 City/Town State Zip Code 978-475-4786 S115 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Nee s Further Evaluation by the Local Approving Authority 1)1i�Al"' 4/14/2014 In p o s Signatu 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts 1 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/14/2014 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: After Hall Pump installed new splice box outside of pump tank , septic system now passes Title 5 inspection. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 6 7.5 3 Town of North Andover ` '•�,;„o.. HEALTH DEPARTMENT ,SS.�CMUSlt CHECK#: AT : . LOCATION: Af)j 10, H/O NAME: Utn,nifiA CONTRACTOR NAME: Type of Permit or License: (Check box) O 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 $ Title 5 Report $� ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Commonwealth of Massachusetts Al r � Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1 31 Candlestick Road Property Address T Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown 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 endo rm. Important: A. General Information When filling out forme on the A� � � s}fl+�4 computer,use 1. Inspector: A 4.0 only the tab key ANDOVER to move your Neil J. Bateson cursor-do not TOWN OF NORTART H IT use the return Name of Inspector H key. Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover MA 01810 Cityfrown State Zip Code 978-475-4786 S115 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ❑ Passes ® Conditionally Passes ❑ Fails ❑ Nee s Further Evaluation by the Local Approving Authority 4/10/2014 Inspector's Signature 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•3/13 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 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown 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•3/13 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 °rr 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 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 31 Candlestick Road Property Address Allen Canning Owner Owner's Name ' I information is required for North Andover MA 01845 4/10/2014 every page. Cityfrown 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: Electric junction box in pump tank needs to be replaced. 11 f 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 ❑ ® 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/z day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection f=orm Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ..`` 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® 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 of the 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- 1 0,000g pd. ❑ ® 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 ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown 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? ❑ ® 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: Z ❑ 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): 660 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts lowTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Candlestick Road Property Address Allen Canning, Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Yes 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments "t 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped 2010, 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&tees 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): I i t5ins•3/13 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 M . " 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 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: Tank original. Pump tank, d-box&leach trenches 17 years old, 7/1/1997, as built plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.4 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 through wall, 3" PVC in house. No leaks visible Septic Tank(locate on site plan): Depth below grade: .4 feet Material of construction: 0 concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'x 5'x 4' Sludge depth: 6" t5ins•3/13 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 °r 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. City/Town 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 27" Scum thickness 6" 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 9 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 ok. Depth of liquid at outlet invert. No evidence of leakage. Grease Trap (locate on site plan): Depth below grade: feet 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: Date t5ins•3113 Title 5 official Inspection Forth: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 M ' 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown 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•3113 Title 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 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 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 equal. No evidence of carryover. No evidence of leakage 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.): Pump tank ok. Pump ok. Floats ok. Electric junction box has no cover, needs to be replaced. Alarm has both visual &audible. " If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 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 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 field 15'x 75' ❑ 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 Indication of groundwater inflow ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °r 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown 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•3/13 Title 5 Official Inspection Forth: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 r 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 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 cv,v� � seems r ick O t P � =L40S a ; 506<< =5b'(o�� too t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form IM, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover NIA 01845 4/10/2014 every page. Citylrown State Zip Code Date of Inspection D. 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: 6/14/1996Date ❑ 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: Test pit data on design plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 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 31 Candlestick Road Property Address Allen Canning Owner Owner's Name information is required for North Andover MA 01845 4/10/2014 every page. Cityrrown 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 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 Commonwealth of Massachusetts _ City/Town of System Pumping Record 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/Right front of hous Left Rig rear of ho , Left/right side of house, Left/ Right side of building, Left/Right front of buRdffig, Left/Right rear of building, Under deck Address ll C /Town CA L-� /`�' state Zip Code 2. System Owner. Name Address(if different from location) citylrown State E Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type-of s stem: p � � L system*- ❑ Cess Dol s eptic Tank El Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 2ND if yes, was It cleaned? ❑ Yes ❑ Na ' S. Conditiom,of System: 6. System Pumped By: Nell Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc- Company 7. Location contents-were disposed: Lowell Waste Water Sig Hsu41 Date t5form4.doc=06/03 System Pumping Record•Page 1 of 1 Sum Mary Record Card generated on 4/4/2014 10:53:10 AM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210-106.A-0113-0000.0 Parcel Id 17258 31 CANDLESTICK ROAD CANNING, ALAN & LAURIE 31 CANDLESTICK ROAD N. ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 1.03 Acres FY 2014 UB Mailing Index Name/Address Type Loan Number Active/Inact. From Until CANNING,ALAN&LAURIE Payor 31 CANDLESTICK ROAD N.ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 17615.0-31 CANDLESTICK ROAD Last Billing Date 4/2/2014 3170286 03 Cycle 03 Active UB Services Maint. Account No. 3170286 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 98.20 /1 UB Meter Maintenance Account No. 3170286 Serial No Status Location Brand Type Size YTD Cons 29324804 a Active ERT HH b Badger w Water 0.63 0.63 437 Date Reading Code Consumption Posted Date Variance 3/11/2014 608 a Actual 24 4/11/2014 -5% 12/10/2013 584 a Actual 25 1/17/2014 69% 9/11/2013 559 a Actual 15 10/15/2013 7% 6/12/2013 544 a Actual 14 7/24/2013 -17% 3/13/2013 530 a Actual 17 4/22/2013 27% 12/11/2012 513 a Actual 13 1/9/2013 -53% 9/13/2012 500 a Actual 29 10/15/2012 40% 6/12/2012 471 a Actual 20 7/16/2012 9% 3/14/2012 451 a Actual 19 4/14/2012 24% 12/12/2011 432 a Actual 15 1/17/2012 -43% 9/12/2011 417 a Actual 28 10/13/2011 64% 6/7/2011 389 a Actual 16 7/20/2011 -2% 3/8/2011 373 a Actual 16 4/13/2011 8% 12/9/2010 357 a Actual 15 1/12/2011 -41% 9/10/2010 342 a Actual 27 10/15/2010 60% 6/7/2010 315 a Actual 16 7/15/2010 -15% 3/9/2010 299 a Actual 19 4/14/2010 36% 12/8/2009 280 a Actual 14 1/12/2010 9% 9/8/2009 266 a Actual 13 10/15/2009 -9% 6/8/2009 253 a Actual 13 7/20/2009 -32% 3/16/2009 240 a Actual 22 4/29/2009 39% 12/9/2008 218 a Actual 15 1/20/2009 -4% 9/8/2008 203 a Actual 16 10/10/2008 -3% 6/6/2008 187 a Actual 16 7/16/2008 2% 3/7/2008 171 a Actual 15 4/11/2008 3% 12/11/2007 156 a Actual 16 1/22/2008 21% 9/6/2007 140 a Actual 11 10/12/2007 -18% 6/18/2007 129 a Actual 16 7/20/2007 -27% 3/14/2007 113 a Actual 22 4/16/2007 42% i • `EMCC,TAA WV, L `•ELD Rktw Table- Septic Compliance, Inc F. Paul Cardone, Soil Evaluator COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL P'ROTEMON ONE WINTER STREET,BOSTON MA 02108 (617)292-5500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 31 Candlestick Rd.No.Andover,Ma.01845 Name of Owner:Matt Fogelgren Address of Owner:Same Date of Inspeclion:10-27-99 Name of inspector.(Please Print)Paul Cardone I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name:Septic Compliance,Inc. Mailing Address:447 Boston St.Topsfleld,Ma.01883 Telephone Number-.978-W7-8586 CERTIFICATION STATEMENT I ceatify 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: PassesJXX Conditionally Passes Needs F r n by the I Aad Approving Authority Fails Inspector's Signature: Date:x/—/ The System Inspector n submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection. Ifthe 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 ofthe Department of Environmental Protection. The original should be sent to the System owner and oopies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS •TITLE 5 SYSTEM INSPECTORS • D.E.P. SOIL EVALUATORS • 447 Boston St.,Topsfield,MA 01983 37%2 Baremeadow St., Methuen,MA 01844 Tel (978)887-8586 Fax (978) 887-3480 (978) 681-0726 A/ Revised 9/2/98 Page 1 of 11 -819% 1 -WEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET,BOSTON MA 02108(617)292-5500 x TRUDY CONE Secretary ARGEO PAUL CELLUCCI Govennor DAVID B.STRUHS Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 31 Candlestick Rd.No.Andover,Ma.01845 Name of Owner:Matt Fogelgren Address of Owner.Same Date of Inspection:10-27-99 Name of Inspector:(Please Print)Paul Cardone I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000)Company Name:Mailing Address:Telephone Number: 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: XX Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority F ' inspector's Signature: Dateyfz—y.� The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP within thirty(30)days of completing this inspection.If the system is a shared system or has a design flow of 10,000 god 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 1 of i I t SUBSURFACE SEWAGE DISPOSAL SYSTEM(INSPECTION FORM PART A CERTIFICATION(continued) Property Address:Owner:Date of inspection: 31 Candlestick Rd.No.Andover, Ma.01845 Matt Fogelgren 10-27-99 INSPECTION SUMMARY:check A.%C,or D. A.SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 16.303 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. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a 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 levelled 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 9/2/98 Page 2 of 11 c 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:31 Candlestick Rd.No.Andover,Ma.01846 Owner:Matt Fogelgren Date of Inspection:10-77-99 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. 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 PROJECT 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 wetlend or a sale 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 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 4 PART A CERTIFICATION(continued) Property Address:31 Candlestick Rd.No.Andover,Ma.01845 Owner:Date of Inspection:Matt Fogelgren 10-27-99 D.SYSTEM FAILS: You must indicate either"Yes"or"No"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 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 G'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 then 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 servos 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 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:Owner:Date at Inspection:31 Candlestick Rd.No.Andover,Ma.018435 Matt Fogelgren 10.27-99 Check if the following have been done:You must indicate either"Yes'or*No"as to each of the following: Yes No Yes Pumping information was provided by the.owner,occupant,or Board of Health. Yes None of system components have at least two weeks and has been flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. Yes _Proposed_ As built plans have been obtained and examined.Note if they are not available with WA Yes The facility or dwelling was inspected for signs of sewage back-up. Yes The system does not receive non-sanitary or industrial waste flow. Yes The site was inspected for signs of breakout. Yes All system components,excluding the Soil Absorption System,have been located on the site. Yes 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: Yes Existing information.For example,Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) (15.302(3)(b)) Yes The facility owner land occupants,if different-owner)were provided information on the proper maintenance f Subsurface Disposal Systems. revised 9/2/98 Page 5 of 11 I i I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:31 Candlestick Rd.No.Andover,Ma.01845 Owner:Matt Fogelgren Date of Inspection:10-27-99 FLOW CONDITIONS RESIDENTIAL: Design flow: 165 g.p.d./bedroom. Number of bedrooms(design): 4 Number of bedrooms(actual): 4 Total DESIGN flow 660 Number of current residents: 1 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 Water meter readings,if available(last two year's usage(gpd): Sump Pump(yes or no): No Last date of occupancy:_Occupied COMMERCILA I INDUSTRIAL: Type of establishment: Design fkrw: 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 or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Lest date of occupancy:_occupied GENERAL INFORMATION PUMPING RECORDS and source of information: The system has never been pumped due to the fact that the current system is only two years of acre. System pumped as part of inspection:(yes or no) Yes If yes,volume pumped: 1000 gallons Reason for pumping: To properly inspect condition of baffles and structural integrity of the tank. TYPE OF SYSTEM XX 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank_Copy of DEP Approval Other This is a pump type s tem. APPROXIMATE AGE of all components,date installed(if known)and source of information: The system according to the plan is two years of age 6-26- 96 Sewage odors detected when arriving at the site:(yes or no) No revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPEC71ON FORM PART C SYSTEM INFORMATION(continued) Property Address:31 Candlestick No.Andover,Ma.01845 Owner.Matt Fogelgren Date at Inspection:10-27-99 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: cast iron_40 PVC_other(explain) Distance from private water supply well or suction line Diameter_ Comments:(condition of joints,venting,evidence of leakage,etc. SEPTIC TANK: XX_ (locate on site plan) Depth below grade:1' Material of construction: X2 concrete_metal_Fiberglass_Polyethylene_other(explain) If tank is metal,list age_Is age confirmed-by Certificate of Compliance (Yes/No) Dimensions: 8'0" x 5'1"x 64" invert 4'6'/" Sludge depth: 8-10" Distance from top of sludge to bottom of outlet tee or baffle:-24-26" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle:—B'— Distance affle_8"Distance from bottom of scum to bottom of outlet tee or baffle: 11-13" How dimensions were determined: Septic dip-stick Comments: (recommendation for pumping,condition of inlet and outlet toes or-baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) We recommend tank be pumped once every year,tees were in good shape liquid level was good structural integrity was aced no evidence of leaks in septic tank and pump c hamber. GREASE TRAP: N/A (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 too or baffle: Distance from bottom of scum to bottom of outlet tee or baffle:_ Date of last pumping: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:31 Candlestick Rd.No.Andover,Ma.01845 Owner:Matt Fogeigren Date of Inspection:10-27-99 TIGHT OR HOLDING TANK: N/a (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: Material of construction:_-concrete_-metal_-Fiberglass_-Polyethylene_other(explain) Dimensions: Capacity: gallons Design flow: gallons/day 9 9 y Alarm present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX:Yes (locate on site plan) Depth of liquid level above outlet invert: Level was good.level came rite up when I set off pump chamber. Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) Distribution was egual.no evidence of solids Carryover.no evidence of leaks in or out of box. PUMP CHAMBER: Yes (Date on site plan) Pumps in working order:(Yes or No) Yes Alarms in working order(Yes or No) Yes Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) 1500 gallon chamber,all componants were in excellent working order,system was fairly nre. Revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:31 Candlestick Rd.No.Andover,Ma.01845 Owner:Matt Fogelgren Date of Inspection:10-27-99 SOIL ABSORPTION SYSTEM(SAS):Yes (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: XX leaching fields,number,dimensions: 1 field 155c75' overflow cesspool,number. Alternative system: Name of Technology. Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) Normal none None No grassy back yard area CESSPOOLS: N/A (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: (note condition of soil,signs of hydraulic failure,level of pending,condition of vegetation,ft.) PRIVY: NIA (locate on site plan) Materjals of construction: Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) CA /�lOIlI�AM710N \ , sum1 DO`/ • aur vm / t � 1'S!h► Li/V p� w Pur�T i� M OHM aur ma ,r ^ Gz ,7 &o IL -I 'Q V _ Z 0�.�1 ADNMI l os � 13Dmml 109-40 ,. G lA7. >;..,a +Fh-lit '.\ .�w'L�.* '. 7.�.i.s.,+... _••. ,•� t..... �' •n. .. i -. '' ,�,,.�,t ii Z Z Y•:. 00 3.1;0 Cha - - Lu.v i GRADE - . _ SP-t Sp-2: SP-.3 SMALL STONE 0' : IOT:38 _. 0 100.40 Q• 100.44 .'. ::.. SANDY p_ SAVOY p , SANDY A LOAM -ARGE STONE LO =too s3'- 0' 99.57 1e' 98.94 ETT END INVERT SANDY ew Siw�rr` ew- SANDY B ��� LOAM L41W LOM . 24' .9938 O x �7¢ c =ND INVERT SAND ct 24 9e.4D 36' x7.44 Y'` a 'aiQ BOTTOM 4Y Q . 97.88 34' . SZ 97.57 45' SZ 98.69 Q. 97.38 S0 Cl SAND C1 SANDYm.- .. LOAM C2 48' 96.57 SANDY..: C2 >- O LOAM- 96.1 O ? r 96' 93.38 68' 9490 96' 9244 REFUSAL 10" DATE: 6/14/96 DATE: . ;6/14 '96 DATE: _6/27/96 EVAL: CRO EVAL: CRb EVAL: CRO Y AGENT: S. STARR - AGENTS. STARR AGENT: S. FORD U :Z £ .� 3 SL DENOTES E.S.H.WT. _ 1 r `r SOIL PROFILE DATA ' R 4 a 1 rr ' `o - ;r • t a a PHIS DESIGN,JS BASED ON AN ASSUMED RATE-OF .10 MPI -NO •PERCOLATION. TEST WAS POSSIBLE AT _-THE-.TIME .OF SOILS �---- -- -TESTING-DUE--TO-?HE' HYGH-WATER` ERCQLATIQN T.-E '� DATA : 36 TOWN OF NCl4TH ANDOVER/ '•'(� _ Q' T � BOAFD OFHEALTH 141,7V 4 BEDROOMS X 165 GAL/BEDROOM = .660 GAL/DAY PERCOLATION RATE: 10 MINUTES INCH . AP P LI CATI O N RATE: 0.6 GAL/SF `� rn .:c� revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:31 Candlestick Rd.No.Andover,Ma.01846 Owner.Matt Fogelgren Date of Inspectlon:10-27-99 NRCS Report name Soil Survey Of Essex County Massachusetts Northern Oart Soil Type CbC Canton Typical depth to groundwater 6' USGS Date website visited Observation Wells checked Groundwater depth:Shallow Moderate Deep SITE EXAM Slope 8-15% Surface water None Check Cellar Dry No Water marks on basement walls Shallow wells None Estimated Depth to Groundwater 6' Feet Please indicate all the methods used to determine High Groundwater Elevation: XX Obtained from Design Plans on record XX Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions XX Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers XX Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) In addition to tthe above.soil logs are new,this system is elevated with a yump compgnant. I <--vent Y y fNn` iliill(/„51{(;4 0 INYf1 s I{ ea 10 InWI"M"ogllinulYwtlWll'iilp SEPTIGTANK LEACH=IELO Water Table Septic Compliance, Inc F. Paul Cardone, Soil Evaluator November 4, 1999 Board of Health 27 Charles Street North Andover, MA 01845 Attn: Sandra Starr Re: Sanitary Disposal System Inspection 31 Candlestick Road-Matt Fogelgren Dear Ms. Starr: In accordance with the Commonwealth of Massachusetts, Department of Environmental Protection, State Environmental Code (Title V), 310 CMR 15.301, paragraph 7, please find attached a"Subsurface Sewage Disposal System Inspection Form"for your records. If you have any questions regarding this report or any of its contents please do not hesitate to contact this office. We thank you, in advance, for your continued cooperation in these matters. Very truly yours, SEPTIC COMPLIANCE, INC. Paul Cardone Certified Septic Inspector Attachment PC/jmp T5FOGELG.WPS • TITLE 5 SYSTEM INSPECTORS • D.E.P. SOIL EVALUATORS - 447 Boston St., Topsfield, MA 01983 37'/2 Baremeadow St., Methuen,MA 01844 Tel (978) 887-8586 Fax (978) 887-3480 (978) 681-0726 Commonwealth of Massachusetts RECEIVED > City/Town of DEC System Pumping Record NORTH ANDD R Form 4 TOWN OF NORTH ANDOVER tiL HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be use , u 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use / %�L' ----- -------- --only the tab key Address �— to move your ��— ------- -- — -- �1 � cursor-do not 14<- --—-— State Zip Code use the return Cily/Town key. 2. System Owner: 9 ame Address(if different from location) -- ----- - — --- - — ------ ----- - ------ City/Town State��/ q�^Ziip Code " ----- Telephone Number B. Pumping Record 1. Date of PumpingL�-- 2. Quantity Pumped: aeons —----- 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): -- --- - - — -------- 4. ------4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of ystem: 6. System Pumped By: t 4 71C�-- Name Vehicle License Number Company 7. Location where contents were disposed: Signature of Hauler Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETT o System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: forms on the �1� j computer, use 3 1 -0-✓P((���r�'�(` 17'�-( only the tab key Address to move your A-I�(�w-er cursor-do not City/Town �1 f'T Q use the return Y State Zip Code key. 2 S7�telrn V Owner: Q -1)r 60-i r, (-Iq Name u 414 tt_ Address(if different from /� m IocaUon) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of PumpingD to — 2. Quantity Pumped: /a Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank t) ❑ Other(describe): 4. Effluent Tee Filter present?\[A Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of S stem:. 7� 6. System Pumped By: 1 -7�3� _ Name ` Vehicle License Number Compa^ny—F 7. ,Location where contents were disposed: /Ap,, Signature of Hauler Date hftp://www.mass.gov/dep/water/approvals/t5forms,htm#inspect t5form4.doc•06/03 System Pumping Y p g Record•Page 1 of 1 6. a.NCt -Q Y� " FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. """APPLICANT FILLS OUT THIS SECTION*********************** �~ APPLICANT i C'Gkc, o l � � r��-r,` �'�s /� PHONEq? ?,V LOCATION: Assessor's Map NumberLojg /CIARCEL-7'� SUBDIVISION LOT (S) Y---,',STREET 3 1 C !a ST. NUMBER ********* OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 4 4- t v SEPTIC INSPECTOR-HEA TH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm N co 'dl lwooy W 'V L FjFvli t I e e) Roo " i L 1 4 FIOOR i Town of North Andover °� NORTp '6 Office N° Office of the Health Department 3r '` AL Community Development and Services Division William J. Scott,Division Director q,.�c 27 Charles Street 9SS 4r.o t Sandra Starr P ( )978 hone North Andover,Massachusetts 01845 Tele 688-9540 Health Director• Fax(978)688-9542 QA i Oka North Andover,MA 01845 Co for`e, Ji Re: Application for Dear: ��11 � Your application for(k Q (b M(11 fYA at 3 1004 'AiZ as been reviewed by the Health Department. The application was denied on N0)!0 eN,2001 for the following reasons: 1. C� Missing information 0I 60T i 5 2. ❑ Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition b. Certified plot plan showing house,septic system and proposed project in scale If#2 is checked: fa. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 a a 0 o RAGGS INC . 0 a Subsurface Soil Disposal Inspection Report � In Accordance With � a Title 5 (310CMR 15.000) a a o � o Seng you Since 189a P. O. Box 1027, Concord, MA 01742 (508) 369-1100 / (800) 287-5541 O FAX (508) 897-3848 .0 i D Q RAGGS, INC., P. O. Box 1027, CONCORD, MA 01742 (508) 369-1100 D OFFICIAL CERTIFICATION ❑ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION IN ACCORDANCE WITH TITLE 5 (310 CMR 15.000) ❑ CERTIFICATION PREPARED FOR- Robert Ponzini Q ADDRESS OF PROPERTY: 31 Candlestick Road North Andover, MA 0185=45 d. DATE OF INSPECTION: May 20 1996 ._ RESULTS: This property has PASSED the criteria set forth in 310 CMR 15.000. This property has CONDITIONALLY PASSED the criteria set forth in 310 CMR 15.000. 0. This property has NEEDS FURTHER EVALUATION BY THE BOARD OF HEALTH according to the criteria set forth in 0. 310 CMR15.000. x This property has FAILED the criteria set �- forth in 310 CMR 15.000. nr 11_ RAGGS, INC., P.O. BOX 1027, CONCORD, rVIA 01'742 15051363-1100 a96-10734/PONZINIROB SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY A. System passes: aI have not found any information which indicates that the system violates any of the failure criteria as defined in 310CMR 15.303 Any failure criteria not evaluated are aindicated below. aB. System Conditionally Passes: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Septic tank is: Metal: Cracked: Structurally unsound: Substantial infiltration: Substantial exfiltration: Tank failure imminent: Tee(s) missing: The system will pass inspection if the existing septic tank is replaced with a conforming 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 a broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with the approval of the Board of Health): Broken pipe(s) are replaced: Obstruction is removed: Distribution box is levelled or replaced: The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): aBroken pipe(s) are replaced: aObstruction is removed: 2 a RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (508)369-1100 96-10734/PONZINIROB a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY continued a C. Further Evaluation Is Required B The Board Of Health: � y DConditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety, and the environment. 1. System will pass unless the Board of Health determines that the system is not functioning in a manner which will protect public health, safety and the environment: aCesspool or privy is within 50 feet of a surface water: Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh: 2. System will fail unless the Board of Health (and Public Water Supplier, if aappropriate) determines that the system is functioning in a manner that will protect public health, safety, and the environment. DThe system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply.: The system has a septic tank and a soil absorption system and is within a Zone 1 of a public water supply well.: The system has a septic tank and a soil absorption system and is within 50 feet of a private water supply well.: aThe system has a septic tank and soil absorption system and 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 volitale organic compounds indicates that the well is free from pollution from that facility and that the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm.: a3 RAG GS, INC., P.O. BOX 1027, CONCORD, MA 017421508)369-1100 96-10734/PONZINIROB SUBSURFACE SEWAGE DISPOSAL_ SYSTEM INSPECTION FORM INSPECTION SUMMARY continued aD. System Fails: aX I have determined that the system violates one or more of the following failure iteria as defined in 310CMR 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. 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 cesspool.: YES Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.: aRequired pumping more than four 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 aor 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 fess than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If a the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volitale organic compunds, ammonia nitrogen and nitrate nitrogen.: a4 RAGGS, INC., P.®. BOX 1027, CONCORD, MA 01742 (508)369-1100 96-10734/PONZINIROB SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY continued E. Large System Fails: g The following criteria apply to large systems in addition to the citeria listed above: I The design flow of the system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health, safety and the environment because aone or morer of the following conditions exist: The system is within 400 feet of a surface drinking water supply. The system is within 200 feet of a tributary to a surface drinking water supply: The system is located in a nitrogen sensitive area (interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply well): The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department of Environmental Protection for additional 'll information. 5 a RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (508)369-1100 a96-10734/PONZINIROB SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST aThe following have been done - 1. Pumping information was requested of the owner, occupant, and Board of Health: Yes a2. 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: Yes 3. As-built plans have been obtained and examined: Yes a4. The facility or dwelling was inspected for signs of sewage back-up: Yes 5. The site was inspected for signs of breakout: Yes 6. All system components, excluding the SAS, have been located on the site: Yes 7. 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: Yes a8. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods: Yes g. The facilityowner and occupants, if different from owner were provided with information � p ) Qthe proper maintenance of SSDS: Enclosed with report. a a D a6 a RAGGS, INC., P.O. BOX 1027, CONCORD, CdA 01742 (508)369-1100 96-10734/PONZINIROB a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS Residential: design flow: number of bedrooms: 4 Dnumber of current residents: 3 garbage grinder: no laundry connected to system: yes seasonal use: no aWater meter readings: see Appendix D private well: no Last date of occupancy: occupied Commercial / Industrial: Type of Establishment: n!a a design flow: grease trap: industrial waste holding tank: non-sanitary waste discharged to the Title 5 system: DWater meter readings: Last date of occupancy: aOther: n/a Last date of occupancy.- GENERAL ccupancy:GENERAL INFORMATION Pumping records and source of information: see Appendix A; Homeowner a System pumped as part of inspection: Yes Volumepumped- 1,500 gallons e tank. Reason for pumping: examination of the structural Integrity of the Type of system- Septic tank/distribution box/soil absorption system: yes Single cesspool: Overflow cesspool: Privy: n Shared system: Li Other: Approximate age of all components: 7 years a Date installed: October, 1989 Source of information: As-Built plan from Board of Health Sewage odors detected when arriving at the site: no a 7 � a RAGGS, INC., P.O. BOX 1027, CONCORD, ISA 01742 (508)369-1100 96-10734/PONZI N I ROB SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION continued SEPTIC TANK (locate on site plan) -- see page 11 and Appendix B Depth below grade: .8' Material of construction - Concrete: X Metal: FRP: Other: aDimensions: 10' X 5' X 4' Sludge depth: .S' Distance from top of sludge to bottom of outlet tee or baffle: 1.9' Scum thickness: .3' Distance from top of scum to top of outlet tee or baffle: .5 Distance from bottom of scum to bottom of outlet tee or baffle: 1.3' Recommendation for pumping: annually Condition of inlet and outlet tees or baffles: intact Depth of liquid level in relation to outlet invert: level Structural integrity: good Evidence of leakage: none Recommendation for maintenance: pump annually GREASE TRAP (locate on site plan) -- n/a Depth below grade: aMaterial of construction - Concrete: Metal: FRP: Other: Dimensions: aScum 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: Recommendation for pumping: Q Condition of inlet and outlet tees or baffles: Depth of liquid level in relation to outlet invert: Structural integrity: Evidence of leakage: QRecommendation for repairs: a8 RAGS INC. P.O. BOX 1027, CONCORD MA 01742 (508)369-1100 96-10734/PONZINIROB DSUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION continued TIGHT OR HOLDING TANK (locate on site plan) -- n/a Depth below grade: Material of construction - Concrete: Metal: FRP: Other: aDimensions: Capacity: Design flow: Alarm level: Condition of inlet tee: a Condition of alarm and float switches: Recommendations: aDISTRIBUTION BOX (locate on site plan) -- see page 11 and Appendix B Depth of liquid level above outlet invert: over by .3' Level and distribution are equal: yes Evidence of solids carryover: no Evidence of leakage into or out or box: no Recommendation for repairs: replace system PUMP CHAMBER (locate on site plan) -- n/a Pumps in working order: Condition of pump chamber: Condition of pumps and appurtenances: Recommendation for maintenance or repairs: U a9 RAGGS, INC., P.C. BOX 1027, CONCORD, MA 01742 (5081369-1100 96-10734/PONZINIROB n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM {� PART C SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) -- see page 11 and Appendix B (locate on site plan, if possible; excavation not required, but may be approximated by non- intrusive methods). n If not determined to be present, explain: U Type: a Leaching pits and number: Leaching chambers and number: Leaching galleries and number: Leaching trenches, number, length: Leaching fields, number, dimensions: field of Bio-Diffussers with no stone aggregate Overflow cesspool, number: Condition of soil: saturated to within 24" of ground surface Signs of hydraulic failures: Yes, observation hole dug at the Bio-Diffuser/D-Box junction to determine condition of stone - effluent poured out of the Bio-Diffuser at the D instant the soil was loosened at the Bio-Diffuser/sand interface. No stone aggregate had been used to construct the system. Level of ponding: entire infiltrator inundated Condition of vegetation: normal Recommendations for maintenance or repairs: replace system L� CESSPOOLS (locate on site plan) -- n/a u 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) a Condition of soil: Signs of hydraulic failure: Level of ponding: Condition of vegetation: Recommendations for maintenance or repairs: PRIVY(locate on site plan) -- n/a Q Materials of construction: Dimensions: Depth of solids: Condition of soil: Signs of hydraulic failure: Level of ponding: Condition of vegetation: Recommendations for maintenance or repairs: a10 BA.GGS. INC., F.O. BOX 1027, CONCORD, MA 01742 (508)369-1100 96-10734/PONZINIROB SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C n SYSTEM INFORMATION continued u SKETCH OF SEWAGE DISPOSAL SYSTEM * Include ties to at least two permanent references, landmarks or benchmarks * Locate all wells within 100 ft. r a — TIES vt caIPTioN SE��Tc7.�HK 1ti � 1•n9•S a2 " z3, /y,o' u I � I 4 BE�R08N 1J ,uCLLIN6 1JF,r 1 ,,, �I CAUCEL�'rICE: ROAy _ n I -r�NK I rjr,t r RA , //j NEL 'M SiiNJ nNo �'f,,AjC fl6Gh'r GA7r UrE> DEPTH TO GROUNDWATER- riot determined METHOD OF DETERMINATION OR APPROXIMATION- To be determined during soil Dtesting in the presence of the Board of Health a D11 RAGG3, INC., P.O. BOX 1027, CONCORD, MA 01742 (503)369-1100 a96-10734/PONZINIROB D a a APPENDIX A: a HISTORICAL D PUMPING RECORDS, REPAID RECORDS a a � D � a a a ' D D ' a a n 12 r - `n STATEMENT Tel. (508) 475-4786 n Bateson Enterprises Inc. L1 111 Argilla Road • Andover, Mass. 01810 aDec- . 1;)- 19 -'Q1- F lair . Robert Ponzini 44 Crowdis Street n Salem, Ma . 01970 U L J To insure proper credit please return this stub with your remittance. AMOUNT$ DATE DESCRIPTION AMOUNT 31 Candlestick Road North Andover, 14a. 01845 12/17/91 At the time of pumping out the septic Paid tank, the septic system was in proper 165 ,00 working order . 'the septic tank is 1500 gallons . In no way is this certification guaranteeing the septic system from failure. Neil 4. Bateson Bateson Enterprises, Inc. -Andover, MA 01810 a a D C� BATESON ENTERPRISES INC. Septic Systems—Excavating—Water&Sewer Lines—Blasting 111 Argilla Road Andover, Massachusetts 01810 (508)475-1474 Septic System Certification Check Off List December 17, 1991 Pn 31 Candlestick Road North Andover , 'iiia . 01845 1) Septic Tank Size ( In Gallons ) a A) 500 B) 750 C ) 1000 n 0) 1500 L� 2) Septic Tank Operating Level +y) Normal B) Abnormal 3) Soil Pipe To Septic Tank 0) C lear B) Clogged 4) Baffles In Place dP) Inlet a) Outlet 5) Solid Content In Tank A) Light ®) Medium C ) Heavy 6) Leach System Type A ) Trenches B) Drywells I) Field Bio Diffuser 'Type D) Unknown 7) Effluent Visible On Lawn A) Yes 0) No 8) Run Back From Leach System A) Yes 0) No 9) Washing Machine Discharges To U 0 Septic Tank l.! B) Drywell 10) Current Plan At Board Of Health A ) Yes No As Built Vas Never Submitted j4hen system Vas Replaced . a RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742(508)369-1100 a96-10734/PONZINIROB a a a �? 31 Candlestick Road, Forth Andover, MA 01845 Prior to inspection, system was pumped by Bateson Enterprises, Inc. on 12/17/91. Source of information: Homeowner a a a 0 a a a a 0 0 0 a13 D RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (508)369-1100 96-10734/PONZINIROB a a D APPENDIX B: D a SITE PLAN / AS BUILT PLAN a D D D D D D D a - D a D14 13D of HF-�4�-�1 r _z-rw S-Ftc 13TH Ati p6ve)-, MA, D W TES Sy�NL7 Q FDWrJ CJ WE(..t_ ,�Nr'KoUCD IYJT'C ', SEJ�TI c Sy STS VESA 'PPI ovED D ' PUAry DSS+ GiV C I QA-) Di4 7� D AP 94v5 Co,�olr�a�5 Dvow roao� /�vSi)yS %� iw &)JT t I �S A 5 D s� 10 -- lir r stPT"!C SYSTEM I,vS1ALLA 71n�J v�JTcc','�j Uj f-1 e. aP�i�ovE,� �i�TC !Q -Z�—� ��P►'r?pV►�vG �1�TFI����Ty �� �4��IT�ONAL In�S�c.i IoNs CI%A►-ly) D DtSAP�'�ov�l7 D,arC a � a N/'�- Olr,l ' D D . i r . INTRODUCING a B10 o user � h. f•�..Y, rest.tp k: ytw;x a;i•' r'.C?'c a .�:�' rjr. �x'4 Q�. 'X� f,, ry� rt:4 i T.F .y{�pr �{}��{'. ,.jxp�'•+m3 2- sr .T, •��X .4 w ''z !� rv!,��'�• I?'Dlffuackfi=�+,•"t+•x iv7cl x+ e >•.Y n Y.xi�'4.'` �..: •./.,�,=. .y:.- �, ✓., ,7. qr 'tic°. ?, j l ytt tyr t ?, "•if.5(,�34Y;X !V*� 7 '',��,A e 'Y, t� 9'.rr ♦ t,ir;,r aap:,✓ I,�•,`r�+''.n.Y"r /} ♦ • t' '• r h r� 4 •n i •r; .'�s d• y'Z 'e!,a ,T i' ♦ �,c, .tee '- a.,e,,•» ' r*. �.«�-yl`�Aa�gy'�✓ .,,t 1rr i7s, d 9 KA1" " � *k'' � s,�, +h" rn �4Y i:. }fit+ '' ��/f+/''�J,�i 4 F• y M >ib ..A !C,1k,rr'r +P�,[wrt+ki.J }x �r �.,, '�l ♦ „/' �t/nl,S�~ ��3r : ��$toneeSS ���� - ,!/� ' ��r '�•x+�ii; iit,aF� j�`fl��;��x `, vertical r� 'design fore I; :kyr �' + ��� = r« No I � ;s r ;'.;• intrusion 7. ra..�.greater sto ;,h •� .. '. r• ;i* s':Yrs h�s�$h � >' ��> Gf�' ! a f i-}.fir '� Ix ��''k•� `=l::--�, ,r♦','S i t' +�Of f neS�i x�7,�+ ���t �� Ews9�f? `t! ar � ♦ • 't.=i,. a r1�}s��, sat 'r}/�Fr ass �' ny 'n'rf �,�•'� Wit;•, �"� ���pfs O en side al ; ,��;f �� g., N k FK $ !ng,eff PPfiuiaects -r h rs prot i ;` x z w r`" ' �; �_ `• ,y, ' ,; s j � open"sidewall ' y x. � .,• �� a asf °� S a Native�011:0 ;;.�• '�';,�.�� - .;� /jam / r�tVY3�� " � 3aays ,,,, ID -'�i+ °'r'F:4f�.m':t%Ix � �"f a..•rr� r .� r L "�i�/i: .' � �• / ��,;',���. ' '�i� rr1��"ra�>�"y9�'i��lii`��'f�"' vP'4�; h S0� �I,�r t�;�'�•'P� `,iap roved:fillp» `'r+✓ .i atayyrial pe��nt,,,)}j ,�;rt, cr R "`�'`_c',i .s. -+'•��-pry//�/�/!,�♦ ����•��}'•F�y/i`� l , '" ^`kr�O�1Y theryre,�'V/.fyt . ?�'f'y �.t7s � *\ ,��- �^�• .'�/ , '/ wI�''A♦I y'� ,'��i�,yf'+ z1 k�,r •:•Sp rlN asF £# 't;zt a a.r .r• �� E Y�i ": '�• 7' L o r �� r { `• r 0 en bottom, :�. , y:r. ,.. r: +• a a p. "^ia"r�' !' ( `♦-t tWl�.'����_.♦ :�w `• r r t F '�;}° s 4 I �'+�;,. nrrt•S f). f .I ssr (� ! 7f �•,�`�`gr -� 'ti � , fi t ,1,2.;s A _ .-.. .' ° y' � ��, i r r , 55.� ,�,.�. )..• wl i�, v3 ry � �s�+r � �,eliminates 4 ,� , ; ti P�z Im roved°Performanqe p Y '8 s r. r ti 1°Y t ♦ !•,:.. i maSlCing Or 7s'' Utz ,� fi�, ,iti r�" J3' # , is rrE Y.economical ;Pt sift ry 1q+1� r;�f � �1� Fk � r�i1 (*r..;' .r�' f;_, :rtr u.;r r .:n t,,,..j .,d F. . s• :�•:, 1r-4,.;rt el w a6 M�I'�ti, :•ft �,�,, t. i USTONELESS WASTEWATER D IS P OSA LS SYSTEM EM • State-of-the-art technology • Engineered for strength and durability • Lightweight, convenient and:economical The Bio Diffuser. represents a significant improvement in Bio Diffuser is approved by the Maine Department of traditional disposal systems, especially where site features Human a advancedSe design Div s i earned et on of l ah disposal Engineering. It's favor trenched or terraced systems. Made of environmentally safe high density structural foam plastic, it is application rating of 25 square feet for trench use and 18 strong, lightweight and impervious to sewage materials.The square feet for bed use. a e The Bio Diffuser provides: • Greater ratio of open •Convenience and Greater choice of • Compatibility with other systems on 9 desi n options. the market and requires no special sidewall to bottom area. flexibility for the installation crew. design modifications for use. t f �u;'wts... � - �':^ vXlri✓'�i�h1�t.if,ah.;�d�' b ?°�'-�j��,��zz�'i �'N, — if xthy >yti 's•,���4t�kti� ';t�� �b F.er�' J �; }wHgf{,�+,+e<'.`7°Y — - zr UU ; 1 .�: �• ) a :Z.. ':\ � K,�. Bio Diffuser is a "snap" to installZZ t a1 Common tools are all that are required. Every unit has four snaplocks built right in to connect the units securely. Only one end cap to order �i End caps are universal. Knockouts allow for pipe entry E= a as required. Inventory is simplified, guesswork is eliminated. Maximizes unmasked leaching surfaces :t f�r �„'U .A..r). .�".:tii`�,��xs �1 r1n. :i,rp4�� ��drls^'t,1..•n-,,h..;s n'tcf�Sk�fat� j•1hT•�c The Bio Diffuser provides the optimum amount of _ unmasked effective leaching surface. It's design.objective is Units Snap Together End-to-End to provide an open bottom and unmasked sidewall to allow effluent to flow via capillary action in all directions. This has been achieved by combining the traditional open bottom with a series of louvers along the sides. Effluent inside the f. chamber flows to uncompacted soil along the full length of , each side.The louvers are designed to allow effluent to pass into the uncompacted backfill vviliie preventing ii fiorn migrating into the chamber. f # a Wide variety of installation options w " The Bio Diffuser provides the site evaluator and installer with the flexibility to match the features with the right `; Ws{ solutions. Specifications: Every Bio Diffuser unit is 76" long x 34' wide x 14" high, weighs approximately 35 lbs. and is made 5 r of structural foam plastic. The units, when installed at minimum depths of 12" and 17", withstand H-10 and H- Bed Installation'w-"-,5 load factors respectively. The invert of the inlet is 9.5" fro . the bottom. A single dual purpose end piece simplifies w ordering and stocking of inventory. s z , LIMITED WARRANTY F. a j da yam* = Y''�� 1.Each Bio Diffuser Unit is warranted to the original purchaser against defects in materials and �7 ` workmanship for one year from the date of manufacture when installed in accordance with manufactter's instructions.PSA,Inc.must be notified within ten days of the appearance of any defect during this warrantee period.PSA,Inc.will supply a replacement unit.PSA,Inc.'s liability x' y S 1 4 •; �j i by specifically excludes the cost of removal and/or installation of the units. 2.This warranty is exclusive.There are no other warranties with respect to the units,including no warranties of merchantability or fitness for a particular purpose.The warrantee does not extend to incidental,consequential,special or indirect damages.Specifically excluded Irom warrantee coverage are:damage due to ordinary wear and tear;alteration,abuse or misuse; subjection to stresses greater than those prescribed in the installation instructions;the placement of improper materials by buyer into buyer's system;any event not caused by or v P•c' under the comwl of PSA,Inc.In nu event shell PSA,h+c.be responsible for any ioss or damage to the buyer,the units,or any third party resulting installation or shipment. 3.Buyer shall be solely responsible for insuring that installation of the system is completed in5.1a?...Y t)#.a ,t.€s r:ate=•f,,. accordance with all applicable laws,codes,rules and regulations. 4.No warranties or representations at any time made by any representative of PSA,Inc.shall Trench Installation (series mode) vary or expand the provisions hereof.No warrantee applies to any party other than the original -- – -- -- — -- purchaser. Bio Diffuser is manufactured by PSA,Inc.and is available from the following supplier of high quality and reliable products: "AT. .0 E i' •.t\ t'•. l� til rrorr,r q7�r w sf�, � i "' •' d d4 �� • }1, ''f 014 9 Drop Box Design a Patent Pending D RAGGS, INC., P.O. SOX 1027, CONCORD, MA 01742 (508)369-1100 D96-10734/PONZINIROB � a a D a D D D a D D D a � D D D D15 D RAGGS, INC., P.O. BOX 1027, CONCORD, SIA 01742 (505)369-1100 D96-10734/PONZINIROB a D a APPENDIX G: D a LISTING SKEET D D � D D D D D a D D D 16 D RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 1505)369-1100 D96-10734/PONZINIROB D D D D 31 Candlestick Road, North Andover, MA 01845 No listing sheet was available for this Property. D D D D D D D D D D D D17 � D RAGGS, INC., F.O. BOX 1027, CONCORD, IIIA 01742 (508)369-1100 a96-10734/PONZINIROB a a a DAppendix D. a aWater Usage Documentation a a � D a D D D D D D D18 a RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (505)369-1100 iJ 96-10734/PONZ!NIROB 31 Candlestick Road, North Andover, MA 01645 5/16/94-171,000 cubic feet 5/06/96-161,400 cubic feet Total usage = 10,400 cubic feet/721 days = 14.42 cubic feet/day X 7.46 gallons/cubic feet = D106 gallons per day usage. Q a 0 a 0 a a19 U RAGGS, INC., P.O. BOX 1027, CONCORD, NSA 01742 (508)369-1100 96-10734/PONZINIROB � a 0 Appendix E: Q Recommendations: U Repair, Pumping, & Maintenance Q Q a a a � � Q a a 0 a20 RAGG3, INC., P.O. BOX 1027, CONCORD, MA 01742 (508)369-1100 96-10734/PONZI N I ROB LJ Recommendations for 31 Candlestick Road, North Andover, MA 01845 1. Replace system. Q 2. Pump system.annually. a Q 0 0 21 i I 'eFb inee `nB You S1 *4GGS , 1� General Maintenance Recommendations Proper maintenance of your septic system can help prevent premature failure of your soil absorption system. RAGGS, INC. recommends the following: DO PUMP your system ANNUALLY. DO OPEN your D-Box every THREE TO FOUR YEARS. aDO ensure that your VENT PIPES are installed properly. nDO make sure you know where your TANK is LOCATED. DO make sure you know whereY our LEACHING FIELD is LOCATED. DO look for GREEN STRIPES over leaching field. nDO check to determine if you can smell any ODORS from field location. u DO bring your COVERS WITHIN 6" OF GRADE. aDO USE LIQUID DETERGENT. DO USE NON-ABRASIVE HOUSEHOLD CLEANING PRODUCTS. DO USE ENVIRONMENTALLY SAFE PRODUCTS. DO INSTALL WATER SAVING DEVICES, where appropriate. DO USE SMALL AMOUNTS OF BLEACH when cleaning toilets, etc. aDO AVOID having roof gutters and downspouts DRAIN ONTO the LEACHING FIELD. CRAGGS SEPTIC SERVICE, INC.d.b.a. E.A.COMEAU SEPTIC P.O.Box 1027 Concord,Massachusetts 01742 (800)287-5541 (508)369-1100 FAX(508)897-3848 Q Q Q .You Sint' 1 4GGS , QGeneral Maintenance Recommendations (con'd) DON'T DISPOSE anything NON-BIODEGRADABLE IN TOILETS. (i.e.: cigarettes, sanitary napkins, diapers) QDON'T wash paint brushes used in latex or oil PAINT. DON'T allow any PAINT, THINNERS, OR ANY OTHER TOXIC OR CAUSTIC LIQUIDS to go down sink or toilets. DON'T allow ANY GREASE or FAT to enter system. QDON'T DISPOSE BONES, EGG SHELLS, COFFEE GROUNDS,OR FIBROUS MATERIAL, etc. when using a garbage disposal QDON'T use powdered detergents with phosphates. DON'T use any DRAIN CLEANERS. Q DON'T use any ENZYMES. QDON'T use any GREASE DISSOLVERS. DO NOT ADD ANY ADDITIVES TO YOUR SYSTEM FOR ANY REASON. Q In the event of a clog or other plumbing problem, contact your local plumber, rooter or pumper. DON'T PLANT any trees or shrubs WITHIN 10 FT. OF THE LEACHING FIELD. Q DON'T ALLOW SPRINKLER SYSTEMS or other WATERING DEVICES OVER THE LEACHING FIELD. DON'T DRIVE any VEHICLES or place any HEAVY OBJECTS ON TOP OF THE QLEACHING FIELD, DON'T INSTALL a swimming pool, a patio, or a driveway over the tank or leaching field. QDON'T CONNECT a basement sump pump to a household drain. RAGGS SEPTIC SERVICE, INC. Q d.b.a. E.A. COMEA U SEPTIC P.O. Box 1027 Concord,Massachusetts 01742 (800)287-5541 (508)369-1100 FAX(508)897-3848 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 bn SYN OF NORTH'ANDOVER . - 22003 SYST SM PUkPING RECORD )11'.J-TEM! 0WJyF.R & ADDRESS ,. SYSTEM LOCATION -- (example: left front of house) . UA TF OF PUMPINC/ `Z —(13 QUANTITY t'UMPCO Pp (;ALL0.'-,, CESSPOOL: NO YES` SEPTIC TANK: NO YES NATURE OF SERY)CE; ROUTINE , EMERGENCY ulial?RYAT10NSr GOOD CONDMOM FULL TO COYER HEAVY GREASE BAFFLES IN PLACL ROOTS ;; LEACHFIELD RUNBACK., 1=XCESSIWI?SQLlDS _._. = _- FLOODED SOLIDS CARRYOYER R�WHRR (EXPLAJN) 7 >>'a'IT-11m PUMPC6 DY: • -� ' r C'V NI M MTS: u�'rI:NTs TRANSRIUMED T0: Address C -14-NnkI5LS7-tcK ko Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ — (Wum• Action Department Board of Appeals - Board of Health - Planning Board _ Conseruafion Commission - Building D epartnlen;t ��' D TE TIMEAM PM AREA ODE -� NO. 3 q ' 95dj rEXT. FOE SIGNED ONED❑ BACK ❑ CALL RNED❑ SEE YOUO ❑ AGIAIN ALL ❑ WAS IN ❑ URGENT❑ `v % DIVERSIFIED CIVIL ENGINEERING FAX LEAD SHEET SENT TO: y yo.�• �°` COMPANY: FAX NUMBER: DATE: SENT BY: (, ,rt D " NUMBER OF PAGES INCLUDBW THIS COVER SHEET: The information coatmed within is sensitive and diem pnvacW mftmatm.If you have madvette*received this transmission you arse hereby regocsWd to notify this ofee mediately via Collar pine call and report the k Mission error.If tmadvad in error,Viewreturn the transmission to as via U.S.mail.whereupon Ton will be ritimbursad for the cost of postar-Your 000pesatlon is steady*prmated 359 Littleton Road,westlord, MA 01888 (508)892-0939 P. x A+le tauMA 0184-1 9 s ; � ,.a•, -::. , ::.. "' .>.:� a _ -rK..... r.. . . ...Ott. , z ��.� ... r i i i X �O �v h �e•�o Imam x 19'ia� t L9t jos JM Now a � ya i� A Lon d Q- t�7 �� �r � �' ! •ss�x-� 7Mis m10 �" • -*,��c�cr�i �S� 'LSIX'� MAY YI�O s � 3M � nouwAo►>N 1 9� a+ I 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.242: LTAR-Effluent Loading Rates (1) The effluent loading rates set forth below are adjusted to account for the long term acceptance rate(LTAR)of the proposed soil absorption system. The LTAR is limited in large part by both the texture of the most hydraulically restrictive soil layer included within the four-foot zone beneath the proposed soil absorption system and the formation of a biomat based on the strength of effluent applied to the soil. As such the effluent loading rates have been based on the strength of typical settled sanitary sewage and may be adjusted proportionately downward if the proposed effluent strength is determined by the local approving authority or the Department to exceed that of typical sanitary sewage. Soil textural classes and soil types comprising the classes are defined in 310 CMR 15.243 and 310 CMR 15.244. EFFLUENT LOADING RATE gpd/sq.ft(cm/day) PERC.RATE SOIL CLASS (min./inch) CLASS I CLASS II CLASS III CLASS IV s5 .74(3.0) 0.60(2.5) - - 6 0.70(2.9) 0.60(2.5) - - 7 0.68(2.8) 0.60(2.5) - - 8 0.66(2.7) 0.60(2.5) - - 10 - 0.60(2.5) - - 15 - 0.56(2.3) 0.37(l.5) - 20 - 0.53 (2.2) 0.34(l.4) - 25 - 0.40(l.6) 0.33(t.3) - 30 - 0.33(l.3) 0.29(l.2) - Loading Rate Criteria Listed Below Apply Only to the Upgrade of Existing Systems pursuant to 310 CMR 15.405(1)(c) or Systems Constructed pursuant to 310 CMR 15.417. 40 - - 0.25(l.0) - 60 - - 0.15(0.6) 0.15 (0.6) (2) Calculation of Effluent Loading Rates - Interim Rule . For Disposal System Construction Permit applications filed prior to January 1, 1996,the Long Term Acceptance Rates(LTAR's)effluent loading rates set forth in 310 CMR 15.242 based on the soil types and classifications specified in 310 CMR 15.243 and 310 CMR 15.244 may be used in the design of soil absorption systems,if an approved soil evaluator acting either as the agent of the approving authority or as the independent agent of the applicant has performed a soils evaluation for the site. Where there has been no evaluation by an approved soil evaluator, the lower effluent rate listed for the relevant percolation rate in the chart at 310 CMR 15.242 shall be used,except that the Class I effluent loading rate of 0.74 gallons per day per square foot shall be used where the percolation rate is two minutes per inch or faster. 12/27/96 310 CMR-525 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVI]ONMENTAL PROTECTION METROPOLITAN BOSTON-NORTHEAST REGIONAL OFFICE WILLIAM F.WELD TRUDY CORE Secretary Governor ARGEO PAUL CELLUCCI DAVID B.3TRUHS Commissioner Lt.Governor _. September 25, 1996 Roger Ponzini 31 Candlestick Road North Andover, ,MA 01845 RE: APPROVAL OF TITLE 5 VARIANCE (BRPWP59c) 31 Candlestick Road, North Andover DEP Transmittal No. 120124 Dear Mr. Ponzini: The Metropolitan Boston-Northeast Regional Office of the Department of Environmental Protection has received and reviewed your application for approval of a sanitary sewage variance pursuant to 310 CMR 15.412 with the above transmittal number. The application was received by the Department on August 27 Aug , 1996. The application contained written notification dated August 1, 1996 stating that the Sherborn Board of Health had, on July 25, 1996, approved variance to the provision of 310 CMR 15.101(2) of Title 5 of that State Environmental Code as it requires percolation testing of all proposed soil absorption system (SAS) areas. Accompanying the application were plans consisting of one (1) sheet, titled as follows: Title: Sewage Disposal System Plan Location: 31 Candlestick Road Municipality: North Andover, MA Applicant: Robert Ponzini P.E. or R.S.: Peter G. parent, P.E. No. 37846 1996 Jul 18 1996 Date Last Revision): June 26, (July ) ( An engineer of the Department has reviewed the plan and the accompanying data, and it is the opinion of the Department that the plans are in compliance except for the following provision of Title 5: 310 CMR 15.101(2) as it requires percolation testing of all proposed soil absorption system (SAS) areas [Groundwater conditions prevented conduction of percolation testing. Known data from adjacent sites was used along with the soil evaluation, to estimate the percolation rate.]. 10 Commerce Way • Woburn,Massachusetts 01801 • FAX (617)932-7615 • Telephone (617)932-7600 • TDD#t(617)932-7679 Printed on Recycled Paper Robert Ponzini Page 2 September 25, 1996 It is the opinion of the Department that the requirements for the granting of variances as specified at 310 CMR 15.412 have been satisfied. The enforcement of the provision of the Code from which variance is being sought would do manifest injustice and the applicant has proved to the Department's satisfaction that the same degree of environmental protection required under Title 5 can be achieved without strict application of the subject provision. As part of its approval of this variance to the provisions of Title 5 of the State Environmental Code, the Department will require that the following conditions be complied with by the applicant or this approval shall be rendered null and void: • Prior tb construction the applicant must obtain a Disposal System Construction Permit from the North Andover Board of Health. • The s;stem is not designed to accommodate a garbage disposal. As such, one should be neither installed nor used at this dwelling. • At the time of installation of the system a percolation test shall be attempted. The Department will not take issue of the test cannot be conducted. If the test can be conducted and the result indicates percolation rates slower than 10 minutes per inch, the Department shall be contacted immediately and construction shall cease until the issue is resolved. Should you have any questions regarding this matter, please contact Ms. Claire A. Holland of my staff at (617) 932-7743. Ve truly your , Sabin M. Lord, Jr. Regional Engineer for Resource Protection SMUCAH/ch \1996d isk2 nz\nandover\title5\v-120124.app cc: • Sandra Starr,Agent, Board of Health, Town Hall Annex-120 Main Street, North Andover, MA 01945 • Peter G. Parent, P.E., Diversified Civil Engineering, 359 Littleton Road, Chelmsford, MA 01886 • Kevin Mahoney, Permit Administrator North Andover Health Dept. • 27 Charles Street North Andover,MA 01845 • 978-688-9450 Fax 978-688-9542 facsiffnfle.ftwsmiffal - To: Gretchen Papineau Fax: 470-2762 From: Sandra Starr Date: 10/21/99 Re: 31 Candlestick Road,N.Andover Pages: 1 CC: [Click here and type name] ❑ Urgent ❑ For Review ❑ Please Comment ❑Please Reply ❑ Please Recycle In answer to your questions: If the attic is finished,no additional moms,other than bathrooms,may be added to the house. With the septic system size in mind,there can be no more than 9 roans of living space. This does not count bathrooms,so another bathroom could be added. I would not recommend moving the septic tank because there is very little room to move it to. There are wetlands restrictions as well. Bottom line is that one additional roan,2*may be added to the house. Hope this answers your questions adequately. �. i • • • a . • • • • . . • • • • • . • • . . • • • • . . 10/20/99 TED 15:31 FAX 978 470 2762 HUNNEMAN VICTOR 1@001 To: Sandra Starr From: Gretchen Papineau, Hunneman Victor Coldwell Banker Subject: 31 Candlestick Road,North.Anidover Date: October 20, 1999 Sandra, My clients have made an offer on thus property; which is for sale. We were at the Board of Health today and spoke'briefly with SusanFord. Our questions generally revolve around the;potentiaLat this property for future expansion; both within the current structure and with additions. We would appreciate your input on the following questions. We realize these are hypothetical questions, but need an initial basis to consider the potential at this property. The system was replaced two years ago, and there is an extensive file at your office. 1.There is an existing walk up attic. If,the space were to be finished in this area, would this be counted as a room?. Currently this is an 8 room, 21/2 bath home with the existing approved septic system) Would this affect their ability to add either a bonus room over.the.ga�ago oz..enclose the deck with a year round room? 2. Could another bath(either half or full)be;added to this house? 3. Given the new system, is it possible to move the tank so that a concrete foundation could be used underneath the:potential enclosed year round room at the current deck footprint? I can be reached at(978) 475-2201. 'thank.you for your help in this matter. 't. Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH August 7 , 19 97 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed ( ) or repaired (X) by John Soucy INSTALLER at 31 Candlestick Lane, North Andover SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. 887 dated November 25 996 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD O EALTH ENGINEER f TOW BOARD OFHAOVER/ FORM 11 - SOIL EVALUATOR FORM 9 1996 Page 1 of 3 NO. 96154 Date: 7/18/96 Commonwealth of Massachusetts North Andover , Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Charles R.......Ogden................................................. Date: 6/14/96. _. . .... .. . .................................. . 6/27/96 Witnessed By: Sandra StarS .. ... ................................................ ....... ...........- r/ .. . owners N-- Robert Ponzini Location Address or 31 Candlestick Road Address.and 31 Candlestick Road Loc# Telephone/ 508-688-0771 evv :onstruction ❑ Repair R I Office Review Published Soil Survey Available: No 11Yes Y::ar 'urlished 1..9.8.1.... Publication Scale 1 : 15,840 Soil Map Unit CbC Drainage Class we Soil Limitations _.............._...................................... ......... ... .............. . ............. Surficial Geologic Report Available: No C Yes ❑ Year Published Publication Scale Geoiog:c Ma.tenal (Map Unit .................................... ........................................................................... - -.............. . . . ......... ........ . .................................. ......................................... .......... . ......_............... La^dform .......................... ............ ............... Flood Insurance Rate Map: 250098 0009 C Zone X Above 500 year flood boundary No ❑Yes ❑ Within 500 year flood boundary No ❑Yes ❑ - Within 100 year flood boundary No 91Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) ................................................................................ .......................... Wetlands Conservancy Program Map (map unit) .................................................................................................. Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Belt,.v Normal ❑ Other References Reviewed: DEP APPROVED FORM-12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. 31 Candlestick Road On-site Review Deep Hole Number SR:-t. Date:. 6/:1.:4/9 6 Time:. Weather warm/sunny: Location (identify on site plan) See ,attached ske.tch. .... Land Use :Res .denir.ial.. . Slope (%) 4 Surface Stones . ..few.:::... . . Vegetation :.:Lawn .: Landform Ground.. Moraine Position on landscape (sketch on the back) .. .:... - Distances from: Open Water Body > 100 feet Drainage way 200 feet Possible Wet Area 14 0. . feet Property Line .23 feet Drinking Water Well >1.00 . feet Other DEEP OBSERVATION HOLE -OG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surfacs(Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, Gravel) 0 - 9" A S/L 10 yr None Very friable 3/3 9 - 24" Bw S/L 10 yr - Friable - 15% gravel 4/6 24 - 48" 1C S 2.5 y @ 42" Sand and gravel 5/6 7. 5 yr 5/8 - C2D 48 — 96" 2C S/L 2. 5 y 10 yr Fine, massive 5/4 5/8 Heavily mottled 5y 6/3 10% stones C3P Parent Material(geologic) Compact till DepthtoBedrock: 7 9611 Depth to Groundwater: Standing Water in the Hole: 8 6-" Weeping from Pit Face: 7511 Estimated Seasonal High Ground Water: 42" (mottles) DEP APPROVED FORM-12/07195 FORM 11 - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. 31 Candlestick Road On-site Review Deep Hole Number SP:-:2::. Date:...6/1.4/9 6 Time:. Weather warm/sunny . Location (identify on site plan) See,,,.at;tached,_sketch., ,,,,.... ,,. Land Use ...:Regi,de.ntial Slope (%) 4g. Surface Stones . feW.::- . Vegetation _Lawn _.:..:.:..... . .. . Landform ....:.. Ground. Moraine .:....... . Position on landscape (sketch on the back) - Distances from: Open Water Body > 100 feet Drainage way 200 feet Possible Wet Area 10 3. feet Property Line 40. feet Drinking Water Well >:1 00.. feet Other DEEP OBSERVATION HOLE -OG` Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) 0 - loll Ap S/L 10 yr None Very Friable 3/3 10 - 24" Bw S/L 10 yr - Friable 4/6 24 - 46" Cl L/S 10 yr @ 34" Friable, massive 4/6 Redox Angular gravel 7.5 yr 5/8 - 2.5 y /6 C2d 46 - 66" -C2 S/L 2.5 y @ 46" Fine S/L 5/4 7.5 y Massive, firm in place 4/6 Boulders @ 66" R 5 y 6/ Parent Material (geologic) Compact till DepthtoBedrock: 6 6 of Depth to Groundwater: Standing Water in the Hole: 6211 Weeping from Pit Face: 6211 Estimated Seasonal High Ground Water: @ 34 (mottles) DEP APPROVED FORM-12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. 31 Candlestick Road On-site Review Deep Hole Number SP.....-3::. Date:. 6127/96 Time: _. Weather waril /sunny . Location (identify on site plan) See.....a c,hed .sketch Land Use ..:.:Residential Slope (%} 4$. Surface Stones .few._..:,... . , Vegetation .:.:.::.L:awn.::::: Landform ...:.:. .Ground Moraine Position on landscape (sketch on the back) Distances from: Open Water Body > 100 feet Drainage way 200 feet Possible Wet Area 12.6 feet Property Line ... 2.5 feet Drinking Water Well >100 feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) 0 - 18" A S/L 10 yr None Crumb Friable 3/2 18 - 36" B S/L 10 yr Friable - Gravel 10% 4/4 - 36 - 96" C S 2.5 y @ 45" Granular-gravel 15% 5/6 7. 5 y -Cobbles 15% 5/8 - MINIMUM OF 2 HOLES REQUIRED AT-EVER715ROPOSED DISPOSAL AREA Parent Material(geologic) Proglacial outwash DepthtoBedrock: 9611 -Depth to Groundwater: Standing Water in the Hole: 7811 - Weeping from Pit Face: Estimated Seasonal High Ground Water: @ 45" DEP APPROVED FORM-12/07/9S s FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. -31 (an,d1 Pct; r•k Road Determination for Seasonal Hiigh Water Table Method Used: ❑ Depth observed standing in observation hole........... .... inches ❑ Depth weeping from side of observation hole .......... inches ® Depth to soil mottles 3:4. inches (SP-2) (SP-1 =42" , SP-3=45" ) ❑ Ground water adjustment ................... feet Index Well Number ................ Reading Date ..........._..... Index well level ....._... .... . Adjustment factor ................... Adjusted ground water level ................................. ................. Depth of Naturally accurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes ii not, what is the depth of naturally occurring pervious material? Certification I certify that on 10/16/95 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature �l Date 1e 4(_p DEP APPROVED FORM-12/07/95 ®NSR-1 SP'2 v L o I al ° W � 0 CADLESTIC K ROAD TEST HOLE LOCATIONS 31 CANDLESTICK ROAD DIVERSIFIED CIVIL ENGINEERING 359 UTTLETON ROAD, WESTFORD, MA NORTH ANDOVER, MASSACHUSETTS P.O. Box 880, METHUEN, MA JULY 18, 1996 7NOT TO SCALE 0 ,i/-1 AUG 4 1997 s DIVERSIFIED _ CIVIL ENGIN EERIN CERTIFICATION Property Location: 31 Candlestick Road Town/State; North Andover,Massachusetts DCE Plan Reference: Drawing Number 1296 Job No: 96154 .I, Peter G. Parent, a Civil,Engineer, duly licensed as such in the Commonwealth of Massachusetts, do hereby certify that this firm has visually inspected the constructed subsurface sewage disposal system shown on the referenced plan, and ftuther certify that the system, as constructed, generally conforms, except as noted below, within acceptable tolerances to the regulations, as varied, set forth in 310 CMR 15.000 and the North Andover Board of Health Regulations. Our Certification is wholly based upon the results of our as-built survey(s) on June 27, 1997; no warranty of the system is hereby made or implied in part or in whole. Alterations made to the system after our latest date of inspection may not be shown on the as-built plan. This Certification does not include any portions of the system which were covered and/or not visible to us on the date(s) of inspection. N OF Nfgss 7 7 q r G. Parent, P.E. Date. �• G PETERG. PARENT No.37846 O 9F4IS1�Q'� 359 Littleton Road, Westford, MA 01886 (508)692-0939 NAL ' P.O. Box 880, Methuen, MA 01844 (508) 686-4200 Town of North Andover. N TOWN OF NORTH ANDOVER/ Watershed Septic System BOARD OF HEALTH Servicing Report ! JUN Date: 5/z-0 Homeowner• -PItj Z(k) i Pumper sme- 38gV 1 azmi e Street : 3 ( Address:P_ ,D6Q2LlL a PhoneC _ " Q ��/ Phone �� s(09-ll bC� Nature of Service: - Routine Emergency Observations: Good Condition Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) Description of Work: 7bj Ar Comments: s 4426 BORACZEK'S SEPTIC & DRAIN SERVICE 10 Belmont Avenue,Haverhill,MA 01830 (978)374-8803 & 1-(603)329-5005 COMIvtONWEALTH OF MASSACHUSETTS k'4110()Uut MASSACHUSETTS SYSTEM 1'WIPING RECORD SYSTEM OWNER: SYSTEM LOCATION: SY�/ C CC7/+ �I/UnC� Uv7 /✓/j CIC f Sf � �l „dl�e�NDVc,✓L 7_ �5FS(O I � UANTITY PUMPED�S GALLONS: DATE OF PUMPING I Cesspool:No Yes Septic Tank: No Yes I 1 SYSTEM PUMPED BY• BORACZEK''V SEPTIC c& DRAIN.SERt-7ICE Contents Transferred To-.- DATE: o:DATE: lU- 2? / INSPECTOR: Town of North Andover, Massachusetts Form No.2 NOR7q BOARD OF HEALTH D O � A DESIGN APPROVAL FOR • *i,b��nn.A"�j MUSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant ' c))ao.o— QO h 7_ r\-�- Test No. Site Location C m ,s Reference Plans and Specs. �� V Ys oeCX ENGINEER DESIGN DAT Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. 'CRAIRMAN,BOARD OF HEALTH Fee Site System Permit No. \TO DATE TIME AM P f pZ PM H FROM pp (� AREACODE Og V CS�� `✓ NO. rr O 3 p (3 O OF EXT �? 6 / O N E e M s M G CJ c D e SIGNED PHONE CALLRETURNED WANTS TO � WILL CALL ElWASIN URGENT BACK CALL SEE YOU AGAIN ZT- Town of North Andover, Massachusetts Form No.3 f 14OR7q BOARD OF HEALTH ,+ /1� J, l p � 191_ 41 DISPOSAL WORKS CONSTRUCTION PERMIT SACHUSE Applicant NAME ADDRESS /j TELEPHONE Site Location Permission is hereby granted to Construct ( ) or Repair (C4-an"Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. 5- 1-1-? ZZ ¢ CHAIRMAN,BOARD OF HEALTH Fee 7L�Dd D.W.C. No. ��3 e � N ANDOVER/ TOWN OF NORT BOARD OF NFAR�H 1 DIVERSIFIED JUL 19 199e w , CIVIL, ENGINEERING July 19, 1996 Gayton Osgood, Chairman North Andover Board of Health Town Hall Annex .146 Main Street North Andover,MA 01845 Re: 31 Candlestick Road,North Andover, MA Sewage Disposal System Up-grade Design Dear Mr. Osgood: Please find attached to this letter `� / �e disposal osal s stem plan for the above referenced property. Thi: pon a review of our original l submittal to Sandra Starr. Basic age disposal system of this property has failed a Title V inspection, t ��� � as compliant with 310 CMR 15.000 s as possible. We believe the attf goal. Theosero d plan has been desi ea in au�.,�...____ licabie State and Town regulations P P P � � with the following exceptions from which we are seeking relief. Please regard this letter as a formal request to grant the following variances. 1. A variance to 310 CMR 15.104(4)is sought to allow a percolation rate based on empirical ( ) g P P data instead of the required 1 percolation test per area. Due to the existing high groundwater elevation, performing a percolation test in the"C2"horizon has not been feasible and therefore the rate can only be based on previous testing on the lot. A rate of 10 minutes per inch has been selected for the purpose of this design. li 2. A variance is herebyrequested from the North Andover Board of Health Regulation 4.09 � requiring that two.Percolation Tests shall be performed on each lot. (see note 1 above) 3. A variance is hereby requested from the North Andover Board of Health Regulation 18.05 requiring a 12 inch-depth of 3/4 to 1 1/2 inch stone to allow a 6 inch depth. 4. Furthermore,the Town agent has requested that the proposed retaining wall be constructed of reinforced concrete. In a phone conversation with Claire Holland of DEP, it has been relayed to us that other types of impermeable barriers are adequate provided that they are acceptable to the local approving authority. In that light,we respectfully request the Board to consider allowing use of the retaining wall detailed on our plan. 359 Littleton,Road, Westford, MA 01886 (508) 692-0939 P.O. Box 880, Methuen, MA 01844 (508) 687-7161 e . TOWN OF NORTH AN BOARD OF WEA'_. .� 9 1996 DIVERSIFIED CIVIL. ENGINEERING July 19, 1996 Gayton Osgood, Chairman North Andover Board of Health Town Hall Annex 146 Main Street North Andover, MA 01845 Re: 31 Candlestick Road,North Andover., MA Sewage Disposal System Up-grade Design Dear Mr. Osgood: Please find attached to this letter two copies of a revised sewage disposal system plan for the above referenced property. This plan has been revised based,upon a review of our original 1. submittal to Sandra Starr. Basically,whereas the existing sewage disposal system of this property has failed a Title V inspection,the plan has been revised to be as compliant with 310 CMR 15.000 as possible. We believe the attached design complies with this goal. The proposed plan has been designed in accordance with applicable State and Town regulations with the following exceptions from which we are seeking relief. Please regard this letter as a formal request to grant the following variances. 1. A variance to 310 CMR 15.104(4)is sought to allow a percolation rate based on empirical data instead of the required 1 percolation test per area. Due to the existing high groundwater elevation, performing a percolation test in the"C2"horizon has not been feasible and therefore the rate can only be based on previous testing on the lot. A rate of 10 minutes per inch has been selected for the purpose of this design. 2. A variance is hereby requested from the North Andover Board of Health Regulation 4.09 requiring that two Percolation Tests shall be performed on each lot. (see note 1 above) 3. A variance is hereby requested from the North Andover Board of Health Regulation 18.05 requiring a 12 inch depth of 3/4 to 1 1/2 inch stone to allow a 6 inch depth. 4. Furthermore,the Town agent has requested that the proposed retaining wall be constructed of reinforced concrete. In a phone conversation with Claire Holland of DEP it has been,relayed to us that other types of impermeable barriers are adequate provided that they are acceptable to the local approving authority. In that light, we respectfully request the Board to consider allowing use of the retaining wall detailed on our plan. 359 Littleton Road Westford MA1 - 0 886. 508 692 0939 P.O. Box 880, Methuen, MA 01844 (508) 687-7161 Gayton.Osgood, Chairman- July 19, 1996 page two' In addition, we request to be placed on the Thursday, July 25 North Andover Board'of Health agenda for your consideration of the variances requested. We will be in attendance to answer any questions that the Board may have. Thank you for your time and fair consideration. Very truly yours, DI SIFTED CIVIL ENGINEE G Peter G. Parent, P.E. I Town of North Andover t NORTH , OFFICE OF 3�o` , ,o °c COMMUNITY DEVELOPMENT AND SERVICES I.° 146 Main Street • 9 " North Andover, Massachusetts 0184594°4,,,0- SSAcHUS� August 1, 1996 DEP Northeast 10 Commerce Way Woburn, MA 01801 Re: 31 Candlestick Road, North Andover, MA 01845 To Whom it May Concern: On July 25, 1996, the North Andover Board of Health at a duly publicized meeting, granted a variance to allow the assumption of a 10 minute per inch percolation rate for the ` repair of the septic system at 31 Candlestick Road, North Andover, MA 01845. Percolation tests have been attempted unsuccessfully at two different times, on June 14, 1996 & June 27, 1996. Groundwater rising into the hole was the reason the tests could not be run. The original design of 1977 showed a perc rate of 6 minutes per inch at 3.75 feet. The lot next to this was also perced at 6 minutes per inch in 1977, and the lot directly across the street was tested in 1994 & 1995 with results of 2 & 5 minute per inch. I believe that these rates easily support an assumed rate of 10 minutes per inch. If you need more information, please contact the Health Office at 508-688-9540. Sincerely, Sandra Starr, R.S., Health Administrator S S/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover f NORTH OFFICE OF 3�0 6 �� COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street • _ ,� North Andover, Massachusetts 01845 WILLIAM J. SCOTT 9SSACHUSEt Director FAX TRANSMITTAL DATE' Q Deliver to (�/�/� /C �G( � From 'Z3/9NJ�/ Company FAX Number ��S C�'`� FAX Number: 508-688-9542 Total Number of Pages Including Transmittal Form 1 '�;2— BOARD OF APPEALS 688-9541 BUIIDING 688-9543 CONSERVATION 688-9530 HEALTH 688-9540 PL.ANNL`IG 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Stora K:uhlaeo Bradley Colwell I j DATE�Ip � „C Sheet of �v1 APER�MIT 0 BOARD OF HEALTH 9 TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW # DATE RECEIVEDo APPLICANT ASSESSOR' S MAP PARCEL # ADDRESS LOT # ENGINEER STREET # �PETE,2 '%�/�-,eE'ijjj ADDRESS J�” G1JE5TFa e� PLAN DATE lv���/�/lc ��� REVISION DATE CONDITIONS OF APPROVAL: . APPROVED DISAPPROVED Ale Y f� M� ss, E u>c�P Ha ccs 1DE TE'e/oeoDFC-� ;5,Z7 s�� i/t/ ov � ,_4y-� elf �S SCE D o /�E-��TDifJE 'DEQU/.2�&o /3z)l) /tiG/��5 i� /�Ei�TH T"� Sd/G LOG' (ZK- EL 7-6 -pU,4,11,0 1 PLAN REVIEW STATUS FORM SITE LOCATION �'9tiDC ". REVIEW STATUS DATE o0 ,e i DIVERSIFIED [LIEUVIgn @7 UJ G3IMMOVUIf, CIVIL ENGINEERING '010 • 359 LITTLETON ROAD WESTFORD,MASSACHUSETTS 01886 DATE ® JOB NO.� l�� (508)692-0939 FAX(508)692-5339 ATTENTION TO _ Ncf-TR Waiec &afA 4 ecd,f� RE: 3t C�rtales-��GK RooJ r 1�o ren /1-neer ( MA O f� S % - 19° �► WE ARE SENDING YOU MAttached ❑ Under separate cover via �� —the following items: > + .-� - ❑ Shop drawings El Prints C�Plans l,�a� Samples ❑ Specifications Copy of letter ❑ Change order ❑ _ COPIES DATE NO. DESCRIPTION � � 4prvM Isle C",1 1 Zs IZn l2 j 1.e. ^^ b V P 2 to 2t q10 grco82�C-1 Se �,'s I S s �c ►'hart w0.�� P� , to Z614(p THESE ARE TRANSMITTED as checked below: W/For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. To 1 a 39 cn S:GNFJ _ .ter -� % Yo ] Ai:wPAD PEO.23-776 400 SETS RECYCLED PAPEn R r- COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION METROPOLITAN BOSTON-NORTHEAST REGIONAL OFFICE TOWN OF NORTH ANDOVER/ BOARD OF TRUDY CORE WILLIAM F.WELD Secy Governor OCT ARGEO PAUL CELLUCCI OCT 1730 DAVID B. STRUHS Commissioner Lt.Governor September 25, 1996 Roger Ponzini 31 Candlestick Road North Andover, MA 01845 RE: APPROVAL OF TITLE 5 VARIANCE (BRPWP59c) 31 Candlestick Road, North Andover DEP Transmittal No. 120124 Dear Mr. Ponzini: The Metropolitan Boston-Northeast Regional Office of the Department of Environmental Protection has received and reviewed your application for approval of a sanitary sewage variance pursuant to 310 CMR 15.412 with the above transmittal number. The application was received by.the Department on August 27, 1996. The application contained written notification dated August 1, 1996 stating that the Sherborn Board of Health had, on July 25, 1996, approved variance to the provision of 310 CMR 15.101(2) of Title 5 of that State Environmental Code as it requires percolation testing of all proposed soil absorption system (SAS) areas. Accompanying the application were plans consisting of one (1) sheet, titled as follows: Title: Sewage Disposal System Plan Location: 31 Candlestick Road Municipality: North Andover, MA Applicant: Robert Ponzini P.E. or R.S.: Peter G. parent, P.E. No. 37846 Date (Last Revision): June 26, 1996 (July 18, 1996) An engineer of the Department has reviewed the plan and the accompanying data, and it is the opinion of the Department that the plans are in compliance except for the following provision of Title 5: 310 CMR 15.101(2) as it requires percolation testing of all proposed soil absorption system (SAS) areas [Groundwater conditions prevented conduction of percolation testing. Known data from adjacent sites was used along with the soil evaluation, to estimate the percolation rate.]. 10 Commerce Way • Woburn,Massachusetts 01801 • FAX (617)932-7615 • Telephone (617)932-7600 • TDD#(617)932-7679 40 Printed on Recycled Paper Robert Ponzini Page 2 September 25, 1996 It is the opinion of the Department that the requirements for the granting of variances as specified at 310 CMR 15.412 have been satisfied. The enforcement of the provision of the Code from which variance is being sought would do manifest injustice and the applicant has proved to the Department's satisfaction that the same degree of environmental protection required under Title 5 can be achieved without strict application of the subject provision. As part of its approval of this variance to the provisions of Title 5 of the State Environmental Code, the Department will require that the following conditions be complied with by the applicant or this approval shall be rendered null and void: • Prior to construction the applicant must obtain a Disposal System Construction Permit from the North Andover Board of Health. • The system is not designed to accommodate a garbage disposal. As such, one should be neither installed nor used at this dwelling. • At the time of installation of the system a percolation test shall be attempted. The Department will not take issue of the test cannot be conducted. If the test can be conducted and the result indicates percolation rates slower than 10 minutes per inch, the Department shall be contacted immediately and construction shall cease until the issue is resolved. Should you have any questions regarding this matter, please contact Ms. Claire A. Holland of my staff at (617) 932-7743. Ve truly your , Sabin M. Lord, Jr. Regional Engineer for Resource Protection SMUCAH/ch \1996d isk2 nz\nandover\title5\v-120124.app cc: • Sandra Starr, Agent, Board of Health, Town Hall Annex- 120 Main Street, North Andover, MA 01945 • Peter G. Parent, P.E., Diversified Civil Engineering, 359 Littleton Road, Chelmsford, MA 01886 • Kevin Mahoney, Permit Administrator F� � � 1 ` COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a DEPARTMENT OF ENVIIZONMENTAL PROTECTION METROPOLITAN BOSTON-NORTHEAST REGIONAL OFFICE s f TOWN OF NORTPI r BOARD OF WILLIAM F.WELD j TRUDY CORE Governor Cen _ `, 'n9 I Secretary ARGEO PAUL CELLUCCI JLr J J DAVID B. STRUHS Lt. Governor Commissioner August 26, 1996 Sandra Starr, R.S., Health Administrator Board of Health Town Hall Annex - 120 Main Street North Andover, MA 01845 RE: CLARIFICATION OF TITLE 5 REQUIREMENTS - Estimated Percolation Rate Dear Ms. Starr: The Metropolitan Boston-Northeast Regional Office of the Department of Environmental Protection is in receipt of two letters dated June 25, 1996 and August 1, 1996 in which you request clarification on Title 5, specifically as it relates to the use estimated percolation rates. The question concerns upgrade of an existing system located at 31 Candlestick Road in North Andover. 310 CMR 15.101(2) of the State Environmental Code (1995) outlines the requirement that a percolation test be performed in the area of the proposed soil absorption system (SAS). The Department recognizes that groundwater conditions may result in an inability to perform a percolation test. In such cases, the Department has preferred that a dewatered percolation test be performed. Where site constraints preclude the use of a dewatered percolation test, a sieve analysis of the soil should be informed. Use of an estimated percolation rate, even one based upon a sieve analysis requires variance from the Code. This information was relayed to you in June and to the design engineer, Peter Parent, in early July. To date, the Department has not received a variance application for this project although your August 1, 1996 letter states that the North Andover Board of Health had approved this variance. If an application package is needed, please contact the Department's Service Center at (617) 932-7677. From the information presented, it appears as though neither a dewatered percolation test nor a sieve analysis were performed. There is some recent percolation information available for an adjacent site. The design percolation rate appears to be based on the nearby percolation information with a slight safety factor. The Department cannot really comment upon the validity of this assumed percolation rate until such time as a variance application for the subject site has been received and is under review. Although the matter in which this estimated percolation rate was determined is different from the preferred methods outlined above, the variance application, as are all other applications, shall be judged on its own merits. The Department recognizes that some communities have local bylaws governing subsurface 10 Commerce Way • Woburn,Massachusetts 01801 • FAX (617)932-7615 • Telephone (617)932-7600 • TDD#(617)932-7679 �«Printed on Recycled Paper Sandra Starr, R.S. Page2 August 26, 1996 disposal systems. This letter of clarification addresses only the requirements of Title 5 of the State Sanitary Code. Should you have any questions regarding the contents of this letter, please contact Ms. Claire A. Holland of my staff at (617) 932-7743. Very truly you s, 4aiLord, Jr. Regional Engineer for Resource Protection SMUCAH/ch \1996disk2nz\nandover\title5\31 candle.cl1 cc: Peter Parent, Diversified Civil Engineering, 359 Littleton Road,Westford, MA 01886 NORTH ANDOVER `1. "�- 41.4 SUBSURFACE DISPOSAL SYSTEM CHECK LIST f 0'0 I. General Information Reg. 2. 5 The submitted plan must show as a minimum: W04,the lot to be served (b) location and dimensions of the system (including reserve area) (c)d�. design calculations (d W calculations showing required leaching area (e)W-existing and proposed contours (f)Wlocation and log of deep observation holes - Ur- distance to ties (g)6L location and results of percolation tests - distance to ties, (hocation of any wet areas w' ' of the 204s,ewage disposal system s (i)ae.-�Llurface and subsurface drains within 100 ' of the sewage disposal system or disclaimer (j ) location of any drainage easements with* 100 ' of the sewage disposal system o disclai W04 known sources of water supply within of the sewage disposal system or disclaimer (1)4<location of any proposed well to serve the lot (m)c,�location of water lines on the property (n)0(-'maximum ground water elevation in the area of the sewage disposal system (0)()( a profile of the system (p)ot to PVC is to be used in construction (q)&4location of benchmark (r),4plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans. II. Garbage Disposers III. Septic Tanks Reg. 6.1 (a)� Capacities - 150% of flow Reg. 6. 7 (.b)V-Water table Reg. 6.8 (c) Tees Reg. 6.9 (d) Depth of tees Reg. 6. 12 (e Access Reg. 6. 18 (g) Pumping Cleanout IV. Pumps Reg. 9. 1 (a) Approval Reg. 9.6 (b) Stand-by power K} I V. Distribution Boxes Reg. 10.2 (a) Slope greater than 0.08 O j< Reg. 10.4 (b) Sump VI. Leachinq 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 (d) Cover material VII. Leaching Fields Reg. 15.1 (ab(— Greater than 20 minutes/inch Reg. 15.1 (b)QLArea (minimum 900 S.F. ) Reg. 15.4 (c)fjGConstruction of field Reg. 15.8 W c4surface drainage 2% IX. Downhill Slope (a) Slope y/x = (to be shown)o6t (b) y/x X 150 = (to be shown) • SOIL PROFILE & PERCOLATION TEST DATA �U. Town/City No.&Street Z Lot No. Loc./Subdiv. ✓ ,' / „c 6.01- re/Plan Owner 'e7 Investigator Z Observer SOIL PROFILES-DATE 1' E ev. 2' Elev. 3' Elev. 4'Elev. 0 6z:4 77 0 eIp 0 2 2 2 3 3 3 3 4 4 4 k) 5 5 5 6 6 6 77 7 8 8 8 9 9 9 9 10 10 10 10 Benchmark Location Elevation Datum Percolation Tests-Date a Pit Number 1 2 3 4 5 Start Saturation ✓p • -)V Soak-Mins. /s Start Test-Time Q_ ; ,58 Drop of 3"-Time U Drop of 6"-Time / 2 Mins. lst 3"Dro Z Mins-2nd 3"Dro Notes & Sketches on Back Frank C. Gelinas & Associates, North And. ��G GU.--,�fir. r''-�����a✓� ���J` �o .lc �,a' i''�f ' S 686-4924 REG.PROF.ENGINEER,MASS.NO.1791 TELEPHONE 1f 682_5458 REG.LAND SURVEYOR,MASS.140.1732 MEM.B.S.C.E. MEM.AM.CONC.INST. CHARLES E. CYR CIVIL ENGINEER AND SURVEYOR ESTABLISHED 1984 300 CANAL STREET LAWRENCE, MASSACHUSETTS 01840 June 9, 1978 North Andover Board of Health 120 Main Street North Andover, Massachusetts 018 .5 Att: Mr. Phillips Dear Mr. Phillips: I hereby certify that the individual sewage disposal system on Lot #23 Candlestick Road, has been constructed in accordance with the provisions of the regulation of the North Andover Board of Health in accordance with the permit issued. Sincerely, CH/A=S E. CYR Charles E. Cyr, L.S., P.E. CEC/lad NORTH Of 3� BOARD OF HEALTH L ' 120 MAIN STREET ��SSACNUSEt�y NORTH ANDOVER, MASS. 01845 TEL. 682-6400 March 6 1986 Greater New England Mortgage P.O.Box 1097 Burlington, MASS . Re= 31 Candlestick Lane Sirs , This office has no records of complaints about the Septic System at this property and no records of any repairs done on it . Yours truly cc-D. 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'"., �. _ a ._ _• , `r vp Town of North Andover NORTH OFFICE OF 3a ' e',�O COMMUNITY DEVELOPMENT AND SERVICES A 146 Main Street * > xZ ; x North Andover, Massachusetts 01845 9SSA HUS�� June 25, 1996 Ms. Claire Holland DEP Northeast 10 Commerce Way Woburn, MA 01801 Dear Ms. Holland: On June 14, 1996 I visited 31 Candlestick Road in order to witness soil tests for a failed system. We could not run a percolation test due to groundwater rising in the perc hole. The original design of 1977 showed a perc rate of 6 minutes per inch at 3.75 feet. The lot next to this was also perced at 6 minutes per inch in 1977, and the lot directly across the street was tested in 1994 and 1995 with results of 2 minutes per inch,and 5 minutes per inch. I believe the soils in the C2 horizon are consistent with these rates and would like to assume a rate of 10 minutes per inch for the design. See partial logs below. OP#1 24-48 C1 2.5y 5/6 gravelly medium to coarse sand; single grained; loose 48-96 C2 2.5y 5/4 fine sandy loam 10% stones rrassive, friable OP#2 24-46 C1 10 yr. 5/6 fine!U�-nl:d:um.1C,_�nvV sa.n Mass'.1e,frk ble 46-66 C2 2.5 5/4 an lar gravelly fine sandy loam massive firm in.. lace friable out This property is involved in a title transfer so I would appreciate a response ASAP. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp cc: Diversified Civil Engineering File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 21URD of H&a,-,-H Ll--)-r z GDN�I SSI �. kol�TN *)PnvEi'�, NIA. w�, T,6R sSOPFL7 Q rew�I D UJE�.c_ SS 6NNtioucU IYJr'C 5tPTi c sy STSG APR700w6) Aulvjoi�'iry D.4 7Zr� DI SAPPKUVEp C��DI�rO�J j 94 Te N�kf Bim, R�4SoNS = / /iJ (Zl�C) vv e� levo PI l�sr3Ys - 0 - C H E �G j Ili I/ iJCI'lC� 4i:�p � R 717Z4 It C- CX4U4T(O1J 1NSP�:GTrp,v v�TG �C�-7�,�� -{�"IiJ 5 S � F='J►�- ��JSpF�rlonJ P1 PE RajA-A t-tocJr= rc) -TA 0 t� L. PA S5 'T-1 R)L a Ppi�dvEp �Ji�T� a� JrADD 10 AL. WYbc.,IONS CIF=-,aoy) LTJ1 I��✓j5o NS �� . I1A, = i Town of North Andover o<<40 oT s,ti OFFICE OF 3? y, ., O L COMMUNITY DEVELOPMENT AND SERVICES p r 146 Main Street KENNETH R.MAHONY North Andover,Massachusetts 01845 "Ss"CHus�� Director (508) 688-9533 FAXA76 TRANSMITTAL DATE Deliver to �l� � �G From is 9wbeA Company FAX Number �����` `�`�g - FAX Number: 508-688-9542 Total Number of Pages Including Transmittal Form i s�A) BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Perrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell FORM U.- LOT RELEASE FORM. INSTRUCTIONS: This form is used to verify that all necessary approvals/ Boards and Departments having jurisdiction have been obtained. This permits iron the applicant and/or landowner from compliance with any applicable s does not nts. E P or requirements. CANT FILLS OUT THIS SECTION APPLICANT PHONE TIE LOCATION: Assessor's Map Number-' � ( flu SUBDIVISION PARCEtI LOT(S) STREETIPA ----- ST. NUMBER OFFtC1AL USE ONLY******* ******** �► ** R COMMENDATIONS OF TOWN AGENTS: ONSERVATION ADMINISTRATOR DATE APPROVE=D DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED 4SETIC DATE REJECTED INSPECT'ORR--HEALT DAT�APPR�ZO � p DATE COMMENTS �C6-cq_ 'OLft-kI_0% 0;CU- "i — / A)o !U e W — wko wNeS tD — , v Q ��ti PUBLIC WORKS - SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED By BUILDING INSPECTOR DATE_ Revised 9197 jm -_____ - -,---- __ ____ -7 ." 11 11 I I � .-- I ---- - , --" * , , . .- 1:� � I _ _."lor� - — — i . I . - . . � � . . I -. . ,_ q I I I �. . � � . I � �Woi� W-AWWW I - Z-��ffi . . ____________+_�.���__ - I. . . I I __ 1 . . . . .. � 11 I . - . - . , . . - , - - " 1 . �. � . I . . - , , , - �� , - , .� .. .. � __ I_� .� ..! � _�', I. - ,� , �.11 .11 �_ - .�. - . 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I. � It- ,._,;��_--��.--�, , � ____ - ��. . -- �. . ,.-_4 , �. .__ t :. -, _��+;� - - - . .1 � � jl� 3.� . �. � � . ,� � .---- ., . , - e � r � . ,- - I -,;, - . ,�,, . ���', . __ - .�I .I � I � - . _. - , ,- _ - , , ,af _. 7 - - . ..*� i _ -&_liti I � � , , , - - ;C-,:�!4 -, - � . - - ,- �, w _�.!�� - � � � - - ,- - ". -I , .:1. . -1.1 .11 _ - � I � - , -i_,,V,."-:�.�,I A-I ,- _�_ -" , , . _�_ _._.,� r �� -_f, ".�,, - ,li_ ! � 1 I. _--`� ;��"�__ , . - j 1 - �.: --, .. -1 - ,Z�� , - __ - - .- - � - . . - - --r- __ __ - - - - - - . .1 - _ I- PRoPos 8 " NOTES o 1 . (2z MIND�RA� F EL. 103- 42' CONCRETE SHALL BE PLACED IN ACCORDANCE WITH AMERICAN CONCRETE INSTITUTE AC-318-89- V-6" APPROX. TO 2. REINFORCING BARS SHALL BE GRADE 60. PROPERTY BOUNDARY 3. CONCRETE TO HAVE A MIN. COMPRESSIVE STRENGTH OF 3000 PSI . 4. MIN. CONCRETE COVERAGE SHALL BE 2" U.N. O. 5. FORM TIE HOLES TO BE FILLED WITH EPDXY OR 10'-0" MIN. TO HYDRAULIC CEMENT BEFORE FOUNDATION IS. SEALED LEACH FIELD #4 @ 24 O. C. TO A MIN. DEPTH OF 1 " BOTH SIDES. EL. 101 ' -0" ( MIN. AT WALL ) EXISTING GRADE 6. FOUNDATION SEALER TO BE APPLIED IN ACCORDANCE VARIES T0 -103'-0" VARIES WITH ASTM C790 -STANDARD PACTICES FOR USE OF LATEX SEALING COMPOUNDS OR ASTM C804 STANDARD PRACTICES FOR USE OF SOLVENT RELEASE TYPE SEALANTS. SEALED SWALE AREA 7. FOUNDATION SEALER TO BE PLACED ON THE UPGRADIENT SIDE THE FULL HEIGHT OF THE WALL AND FOOTING AND TO THE GRADE LEVEL ON THE DOWN GRADIENT SIDE. 8. CONCRETE FOOTING TO BE PLACED ON UNDISTURBED SOIL WITH A MIN. ALLOWABLE BEARING OF 1 TON/FT2. 9. COMPLIANCE WITH THIS DRAWING WILL PROVIDE A WATER PROOF BARRIER. 10. WORK THIS DRAWING WITH DIVERSIFIED CIVIL ENGINEERING VOLCLAY WATERSTOP-RX DRAWING N0. 1296 SH- 1 OF 1 JOB N0. 96154. BY CE TCO OR EQUIVALENT - I I I , #4 @ 2-4" EL. 97. 83' ` Q 3 J w Inl4'I' I , w , w REV DESCRIPTION BY CHKD. APPD. Or l'4$ ' 97' -0" o E Ls PHELAN ENGINEERING A- 3 " MIN. ��� PAUL A. _ \-#4 @ 12" W PHELAI JR a ST RUCT URAL/CN/L CONSULTANTS o CIVIL y . W " No.34751 12 SLEIGH ROAD w ------------ $O�'4fGISTEREO@CHELMSFORD, MA 0/824 f G V ELEVATION VIEW o 31 CANDLESTICK ROAD DRAWING NORTH ANDOVER , MA. TITLE SEWAGE DISPOSAL SYSTEM RETAINING WALL PLAN VIEW cc JOB N0. DRAWING 960825C-1 No. 960825C-1 Ic PR NOTES : 8 " NOTE S 2x •pRaO EL. 103. 42' 1 . CONCRETE SHALL BE PLACED IN ACCORDANCE WITH AMERICAN CONCRETE INSTITUTE AC-318-89. 7'-6" APPROX. TO 2. REINFORCING BARS SHALL BE GRADE 60. PROPERTY BOUNDARY 3. CONCRETE TO HAVE A MIN. COMPRESSIVE STRENGTH OF 3000 PSI . 4. MIN. CONCRETE COVERAGE SHALL BE 2" U. N. O. 5. FORM TIE HOLES TO BE FILLED WITH EPDXY OR 10'-0" MIN. TO " O. C. HYDRAULIC CEMENT BEFORE FOUNDATION IS SEALED #q @ 24 LEACH FIELD TO A MIN. DEPTH OF 1 " BOTH SIDES. EL. 101 ' -0" ( MIN. AT WALL ) EXISTING GRADE 6. FOUNDATION SEALER TO BE APPLIED IN ACCORDANCE VARIES TO 103'-0" VARIES WITH ASTM C790 STANDARD PACTICES FOR USE OF LATEX SEALING COMPOUNDS OR' ASTM C804 STANDARD PRACTICES FOR USE OF SOLVENT RELEASE TYPE SEALANTS. SEALED SWALE 7. FOUNDATION SEALER TO BE PLACED ON THE UPGRADIENT AREA SIDE THE FULL HEIGHT OF THE WALL AND FOOTING AND TO THE GRADE LEVEL ON THE DOWN GRADIENT SIDE. 8. CONCRETE FOOTING TO BE PLACED ON UNDISTURBED SOIL WITH A MIN. ALLOWABLE BEARING OF 1 TON/FT2. 9. COMPLIANCE WITH THIS DRAWING WILL PROVIDE A WATER PROOF BARRIER. 10. WORK THIS DRAWING WITH DIVERSIFIED CIVIL ENGINEERING VOLCLAY WATERSTOP—RX DRAWING N0. 1296 SH- 1 OF 1 JOB N0. 96154. ` - ' � BY CETCO OR EQUIVALENT ;- - - ' 1 1 1 i 1 V / 1 1 , #4 @ 2-4 1 I I , EL. 97. 83 ' ' J 1 /SSwW Ric CootS7reuw--r/MI o w rr Z W ; REV DESCRIPTION BY CHKD. APPD. cc EL-97' -O" o CC mss PHELAN ENGINEERING I � o 3 " M I N. J PAUL A. ym 1 -8 4 La 12" co w PHEuw JR ST RUCT URAL/CIVIL CONSULTANTS CIVIL y l2 SL.EIGH ROAD ,� , � No.34751 1 1 W --------- - EaEo a�` CHELMSFORD, MA 0/824 a f��ON AL ENG z 31 CANDLESTICK ROAD c ELEVATION VIEW Q DRAWING NORTH ANDOVER , MA. 'c TITLE SEWAGE DISPOSAL SYSTEM a� RETAINING WALL cc PLAN VIEW DRAWING c JOB N0. 960825C-1 NO. 960825C-1 c Ic c ! a� 0 DIVERSIFIED CIVIL ]ENGINEERING October 28, 1996 Gayton Osgood, Chairman North Andover Board of Health Town Hall Annex 146 Main Street North Andover, MA 01845 Re: 31 Candlestick Road,North Andover, MA Sewage Disposal System Up-grade Dear Mr. Osgood: Please find attached to this letter two copies of the revised Sewage Disposal System Plan, and two copies of the Retaining Wall Plan for the above referenced property. These plans has been included to address the remaining outstanding issues. 1. A variance to 310 CMR 15.101(2)was sought from the Department of Environmental Protection to allow a percolation rate based on empirical data instead of the required percolation test per area. A letter, dated September 25, 1996, has been included stating that the variance was granted by the Northeast Regional Office of the DEP. 2. A variance was requested for relief from the North Andover Board of Health Regulation 4.09 requiring that two Percolation Tests shall be performed on each lot. (see note 1 above) This variance was granted by the Board on July 25, 1996. 3. A variance was requested from the North Andover Board of Health Regulation 18.05 requiring a 12 inch depth of 3/4 to 1 1/2 inch stone to allow a 6 inch depth. This variance was granted by the Board on July 25, 1996. 4. A variance was requested from the North Andover Board of Health to allow a clay barrier and wood retaining wall instead of the required reinforced concrete retaining wall. This variance was denied by the Board. A Retaining Wall Plan was prepared by Phelan Engineering(drawing number 960825C-1, dated October 21, 1996), and has been included. The Sewage Disposal System Plan has been revised to replace the wood retaining wall with the concrete retaining wall. 359 Littleton Road, Westford, MA .01886 (508) 692-0939 P.O. Box 880, Methuen, MA 01844 (508) 686-4200 l i Osgood, Gayton October 28, 1996 page 2 i At this time we would request that the Sewage Disposal System Plan be approved, and that a permit be granted. Should you have any questions or comments please do not hesitate to contact us. Thank you for your time and fair consideration. Very truly yours, DIVERSIFIED CIVIL ENGINEERING Charles R. Ogden. E.LT. I i i 310 CMR: DEPARTMENT OF ENVIRONN ENTAL PROTECTION 15.255: continued r (a) The retaining wall shall be constructed of reinforced concrete, shall have no weep holes, and shall be waterproof. (b) The retaining wall shall be designed by a Registered Professional Engineer, who shall certify that the above condition is met by the submitted design. (c) The upgradient side of the retaining wall shall be waterproofed. (d) Construction of the retaining wall shall be supervised by the design engineer. (e) An.as-built plan shall be prepared and certified by the design engineer that the wall has been constructed in accordance with his approved design plan. (f) The elevation of the top of the retaining wall shall be no lower than the "breakout" elevation,which is the elevation of the top of the two inch layer of.1/8 inch to 1/2 inch washed stone aggregate cover. (g) The distance from the wall to the edge of the leaching area should be at least ten feet. (3) Fill material for systems constructed in fill shall consist of select on-site or imported soil material. The fill shall be-comprised of clean granular sand, free from organic matter and deleterious substances. Mixtures and layers of different classes of soil shall not be used. The fill shall not contain any material larger than two inches.A sieve analysis,using a#4 sieve,shall be perfornrd on a rcpr esentative ssmple of the fill.Up to 45%by weight of the fill sample may be retained on the#4 sieve. Sieve analyses also shall be performed on the fraction of the fill sample passing the#4 sieve,such analyses must demonstrate that the material meets each of the following specifications: SIEVE SIZE EFFECTIVE %THAT MUST PARTICLE SIZE PASS SIEVE # 4 4.75 mm 100% 450 0.30 nun 10%_ 100% #100 0.15 mm 0%- 20% 4200 0.075 mm 0%- 5% A plot of the sieve analyses of the portion of the sample passing the#4 sieve shall fall on or - between the lines on the following graph: PARTICLE SIZE DISTRIBUTION 100 #200 #100 #SO #t Sievc See � so I ! B� t 70 60 C / 1 _ 5q W 40 0- 30 ! 20 ! 10 Of � I e Micron 60 200 600 2 6 10 mm 12/1/95 (Effective 11/ - _ � 3/95) corrected 310 CIvrR 531 G /BOjv� ro1VGJ �raft Inas s;v� 8�[.v�S� l.��gr2veJ y� IQv�I alters /OLS 44- Y Zae :54 t+a a 7 � �C.�IP- dam'f ��` •-r--t 1�-► £��-L�., Page of i ESTABLISH MENI, lAAfIE t� ADDRESS / --� a;���04 Item No. /" 1, t .'_"^'dam ,..: 1' • i �� r v ✓- t i 1 �� Ile r }J (ZI t C" �V,c y L) cs Discussion with Management: Certified Food Handler Signature of Person-in-Charge Health Inspector's Signature 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.253: continued (5) Two or more chambers or galleries connected in series shall constitute a chamber or gallery system. The application of 310 CMR 15.253(1)(c) (pits separation distances) shall be applied to adjacent chamber or gallery systems as a unit rather than to the individually connected chambers or galleries. (6) Inlets to chamber and gallery systems installed in trench configuration shall be provided at intervals not to exceed 20.feet. Chamber or gallery systems in bed configuration shall be provided with at least one inlet for every 40-foot square section.- 15.254: Dosing (1) Gravity Distribution. (a) Dosing systems employing gravity distribution to the soil absorption system shall be restricted to systems designed to accept less than 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. c) Di�tributic- lines to the soil absorption system shall have a minimum diameter of two inches and shall otherwise be in conformance with the provisions of 310 Qvq—z 15.251 (Trenches). - (d) Septic tank effluent shall be dosed to the soil absorption system based on the system design flow in accordance with the following frequency: Soil Type Dosing Frequency Sands, Loamy Sands 4 Doses Pei Day Sandy Loam, Loams 1 Dose Per Day Silt Loam 1 Dose Per Day Clays, Silty Clay Loams l Dose Per Day (2) Pressure Distribution. (a) Pressure distribution of septic tank/recirculating sand filter effluent to the soil absorption system shall be required for all system designs in excess of 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) The pressure distribution system shall be designed in accordance with the procedures set forth in Department guidance. (d) Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in strict accordance with the manufacturer's specifications.In no instance shall inspection be performed less frequently than once every three months. The results of such inspections shall be submitted to the approving authority. 15.255: Construction in Fill (1) Any system where fill is required to replace topsoil,subsoil,peat or other unsuitable or impervious soil layer above the requisite four feet of naturally occurring pervious material shall be considered as a system constructed in fill. Any system constructed in fill which extends either wholly or partially above natural grade for the purpose of complying with 310 CMR 15.212 (depth to groundwater) is a mounded system. All soil absorption systems constructed in fill shall be sized using the soil type of the underlying naturally pervious material. (2) The finished side slopes of a mounded system shall not be steeper .than 3:1 (horizontal:vertical). A minimum 15 foot horizontal separation distance shall be provided between the soil absorption area and the adjacent side slope as measured from the edge of the top of the two inch layer of 1/s to rh inch washed stone aggregate cover. The toe of the slope shall be a minimum of five feet from any adjacent property line; or a swale or other drainage system directing runoff away from the adjacent property shall be installed. Adjustments to the above side slopes may be allowed if a suitable impervious barrier (such as a vertical concrete retaining wall constructed in accordance with 310 CMR 15.255(2)) is installed to mitigate potential sewage breakout. 3/24/95 (Effective 3/31/95) 310 CMR - 530 i I Town of North Andoverf %ORTh 1 OFFICE OF 3�0i1O L COMMUNITY DEVELOPMENT AND SERVICES A 146 Main Street • Z � ` • 09 - - f North Andover, Massachusetts 01845 WILLIAM J. SCOTT SS�1CfHU5 Director July 1, 1996 Mr. Peter Parent 359 Littleton Road Westford, MA 01886 Re: 31 Candlestick Road Dear Mr. Parent: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Please show existing grade on profile. 2. Retaining wall shall be reinforced concrete, designed and certified by a Mass. P.E.; no weep holes, side waterproofed shall be inspected by P.E., Board of Health, and certified in writing by a P.E. 3. Please show groundwater elevation on profile. 4. Site evaluation forms not included with plans. Fee sixty ($60) dollars for design review also missing. 5. 4 inches of peastone required. 6. Trenches shall be used whenever possible 310 CME 15.240(6). 7. Manual operating switch required for pump. 8. Please add inches in depth to soil log and elevations to pump. 9. What is the emergency storage capacity of the pump chamber. 10. Groundwater must be at least one foot below chamber inlet. If you have any questions, please do not hesitate to call the office. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp BOARD OF APPEALS 688-9541 B=ING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 • DIVERSIFIED TOWN OF NORTH�,NDOVER/ CIVIL ENGINEERING BOARD OFL �Uz] • 359 UTTLETON ROAD WESTFORD,MASSACHUSETTS 01886 I DATE JOB NO. /�,it �sN (508)692-0939 FAX(508)692-5339 ATTENTION 'IY TO N© ofA— of �`�o RE: q 3j ca'Me-4a sz.,.A 'Boto Pos�z+n WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION Z 7 1bI9,#, 12 clto SbS PL.ArJ - 31 ca iAle-s `e-K FA. 1 ~T Iq 4to Varictv+ce— \Q� 0 15 <)H. THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures enclosures are not as noted,kindly notify us at once. 1 PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W) xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W) xD x #) (G/ft2) FIELDS / MIN 660 GPD V 900 ft2 BED GW MIN 4 ' BELOW BOTTOM OF FIELD-,L-- PIPE ENDS JOINED? 1,,-' 4" PEA STONE? DIST LINE SLOPE . 005? >3 'COVER-VENT C--'-- SCH 40 MIN 12" COVER Lam`" RATE LDG X 6 6 0 = // /O X = TOTAL G/ft2 REQ'D (ft2) LXW DOSING T!�XFS AND PUMPS DIMENSIONS X X = PUMP CAPACITY 9Pm L W D Vol. DISCHARGE SIZE ,":1f, 6r DISCHARGE RATE DISCHARGE TIME 8 /� 9Pm MANHOLES TO GRADE ALARM SEP. CIRC. y/GW_)(I (Min. 1 ' below inlet) HWL LWL CHECK VALVE &---- BLEEDER HOLE L----- MANUAL OP. SWITCH Copyright m 1995 by S.L.Start r PLAN REVIEW STATUS FORM SITE LOCATION REVIEW STATUS DATE .� /fir G �� sr o r✓� .e & Cf��M� E /itJ DATE—.-Z1-27 �,�j Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER jo SUBSURFACE DISPOSAL DESIGN REVIEW QPERMIT # DATE RECEIVED Za1�96 APPLICANT ASSESSOR' S MAP PARCEL # ADDRESS LOT # STREET # ENGINEER '�ETE.e %�/�-,eE�J� ADDRESS ,3cf9 •�/If�ETDr[> l I /,(J�SrFaeJ' PLAN DATE lv/0'2ih6 REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED Ale u>ccP N a cGs y 7-/04) lor— /7'E �1!/9L U Ig C� �Die/�'s /U0.7 //UG � LJ,oE6 4U1T� to . o O 7 T�CiVG/fes Z�F/l/�� 3 to e Af 40 1900 D E119Tfl 7`"0 I PLAN REVIEW CHECKLIST ADDRESS u/ ��Q�� C�C� ST'/G,(^ ENGINEER GENERAL 3 COPIES STAMP-L,,-1 LOCUS_1Z-- NORTH ARROW (/ SCALE_ CONTOURSPROFILE L�-' SECTIONy BENCHMARK SOIL & PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS � WATERSHED?A_ DRIVEWAY .— (Eley) WATER LINE FDN DRAIN SCH40 TESTS CURRENT? y SOIL EVAL SEPTIC TANK MIN 1500G . 17 INVERT DROP GARB. GRINDER A/ (+200 EDF) 25 ' TO CELLAR RA-NH9LE ELEV ,,GW # COMPS. D-BOX SIZE # LINES J FIRST 2 ' LEVEL STATEMENT INLET /0,�.C/5 - OUTLET /OoZAo/ = /7 (2" OR . 17 FT) TEE REQ'D? y�-S LEACHING MIN 660 GPD? � RESERVE AREA-y-- 4 ' FROM PRIMARY? 2% SLOPE a/ 100 ' TO WETLANDS 100 ' TO WELLS 1-� 4 ' TO S.H.GW (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP - 4 ' PERM. SOIL BELOW FACILITY 17 MIN 12" COVER -"" FILL? (25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES ,tet MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright© 1995 by S.L. Starr Town of North Andover NORTH � OFFICE OF 3?Og`4. 10 ,s1Q0 COMMUNITY DEVELOPMENT AND SERVICES ° x 146 Main Street • North Andover,Massachusetts 01845 SS US June 25, 1996 Ms. Claire Holland DEP Northeast 10 Commerce Way Woburn, MA 01801 i Dear Ms. Holland: On June 14, 1996 I visited 31 Candlestick Road in order to witness soil tests for a failed system. We could not run a percolation test due to groundwater rising in the perc hole. The original design of 1977 showed a perc rate of 6 minutes per inch at 3.75 feet. The lot next to this was also perced at 6 minutes per inch in 1977, and the lot directly across the street was tested in 1994 and 1995 with results of 2 minutes per inch,and 5 minutes per inch. I believe the soils in the C2 horizon are consistent with these rates and would like to assume a rate of 10 minutes per inch for the design. See partial logs below. )P#1 24-4,o C 1 2.5y 5/6 gravelly medium to coarse sand; single grained; loose 48-96 C2 2.5y 5/4 fine sandy loam 10% stones massive, friable OP#2 24-46 C1 10 yr. 5/6fine to medium loamy sand massive, friable 46-66 C2_ 2.5y 5/4 angular gravelly fine sandy loam, massive, firm in place, finable out This property is involved in a title transfer so I would appreciate a response ASAP. Sincerely, -4 Sandra Starr, R.S., Health Administrator SS/cjp cc: Diversified Civil Engineering File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 v - -- �9ccEss MA,v oc.Es To G,e,goF oe BEzow G,C of 0¢/N. oe Less) IL r 8" ail _ - U IrEe THE DETA/LS Sf,tdo[IN" G,v Ti4ls PLA,v SHEET eXST I,eov TEE �%F a I EFTA/nJCf15TI,Pt/FAC 7 ZIROR. EC U l vA - C1' 3t/4"' Z6 Ir- /7.f-bOuC 7'S Mt4Y 4 BF SG/$ST/TU TLp s Qt/L 1/ Gv/TH Tye n AP.o.20!/AG DF .�Ty 4 Ott 4" rNE 90.4,eb Oma• A4EALTN . 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