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Home My WebLink AboutMiscellaneous - 33 CRICKET LANE 4/30/2018N O O w D C) \t) Q aZ 0 o m 0 North Andover Board of Assessors Public Access t ,►ORTil ♦ L- s wcNus�t Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 roperty Record Card Location: 33 CRICKET LANE Owner Name: SHAW, KEVIN M & LISA M TOBIN Owner Address: 33 CRICKET LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 7 - 7 Land Area: 1.00 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2922 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 590,300 648,200 Building Value: 364,400 422,300 Land Value: 225,900 225,900 Market Land Value: 225,900 Chanter Land Value: http://csc-ma.us/PROPAPP/display.do?linkId=1708573&town=NandoverPubAcc 4/28/2011 0 N LLL N N O Y U O J m i O O O O O N N O a O r O T - C4 ., C O cu a. � � 00 r y oo O) O t0 LdL N N t0 U N N O O CA. -y r dj co O 0c U U N N >N z OO 4) (h cCC m O_cc= C Ow rnrn (D4)�ov) a — - U.S 01-- z QLL a NN N N �rU M Z 3 Z O ccyye 0 Om �a r i- CL � W � � � m c o Z o 0 c 0 �oo 5 �O �o LUQ CL.— O N a F- Z o o c OU�-N m m LL Z to ZN •��' @U 0) 3 1...rn LLL O civ gy U)� m O �0 J o_v M` W U 2 Lu C) > mm z r V J y l.. 00 W Vi0 MN � .. r _ W S z o x Li O m - O C) �o 0) v U) CO Y Z E = O W �N m�U CL tI LU o O� W GN D m a) wW L LL 2 ai0 a p z U- dl co U a aooa�� U o 0 c 0 T ca mi d O i •� 'O t00 0�0 tN0 to rCf0 M M a) cn co cn co Ua) y j N O L mQR 0)N Nco O L _ >_>_C V O w N.-. �— N O (A J Q C m L L\ LL U E m E Z O y U) fn O 1-1N N O Of �HN� y C (a U Y O O of QmLLm w2(1cO) S m o L ids o z. 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Lot & Street 3_5 Map/Parcel IL") as CONSTRUCTION APPROVAL Has plan review fee been paid: YES Plan Approval: Date: Designer: -eel � mo G kl,9 L){re5Ae Conditions: Water Suppl Town Well Well Permit: _ Driller: NO Permit# fl % Approved by: 4-0-k" Plan Date: 5/ 12 Well Tests: Chemical Date Approved _ Bacteria I Date Approved Bacteria II Date Approved Plumbing Sign -Off: Wiring Sign -off: Comments: Form "U" Approval: Approval to Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? —YEE NO Well Construction Approval? YES NO Septic System Construction Approval? NO Certification? YES NO Other? YES NO Any Variance Needed? YES C NO FINAL BOARD F H DATE: /3 APPROVED BY: ►LTH APPROVAL: SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? Type of Construction: New Construction: Certified Plot Plan Review Floor Plan Review Conditions of Approval from Form Issuance of DWC permit: DWC Permit Paid? DWC Permit # I;�'51% Installer: Begin Inspection: Excavation Inspection: Needed: C'2 Y= Passed: to 7Z— By: V7 (� Construction Inspection: Needed: Ian Satisfactory: Approval of Backfill: Date: Final Grading Approval: Date: 'lil b2 YE NO r--'-�A- EPXI*R`-,YES YES U YES -<XW NO ES rrNO A YES NO By: By: Final Construction Approval: Date: -/ /3 4P, By: � Certificate of Compliance: Approval: Date: PLEASE ❑ CALL 11 FIN 1:1LIKE ME ❑ STOP IT ❑ E-MAIL ❑ SHUT UP ❑ GO AW I ❑ BE NICE KNOCKKNOCKSTUFF.COM • ® 2009 WHO'S THERE, INC. NORT" 5466 of•.�., •1ho 0 �• ` • 0 • Town of North Andover ---- `�, •o,,,,o ,.� ,�' HEALTH DEPARTMENT CHUSt� ! 7 CHECK #: tP DATE;- LOCATION AT LOCATION H/O NAME: CONTRACTOR ME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ itle 5 Report $ '" 11 ❑ Other. (Indicate) $ If the 'I th Agent Initials White - Applicant Yellow - Health Pink - Treasurer Owner information is required for every page. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. tab reran t5ins • 09/08 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner's Name North Andover _ MA 01845 05/02/2011 City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information RECUIU: Inspector: John Soucy Name of Inspector Soucy's Sewer Service TOWN OF NORTH ANDOVE ------- Company NameTMENT 78 N. Broadway Company Address Salem NH 03079 City/Town 603-898-9339 Telephone Number B. Certification State 13397 License Number Zip Code 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 ❑ Ne_edsl°'Further Evaluation by the Local Approving Authority a+{` :' c� m. -t • 05/06/2011 Ins ctor'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. . I Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 1 of 17 i w Commonwealth of Massachusetts ro Title 5 Official Inspection Form 1�8�j Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 0 33 Cricket Ln. Property Address Lisa Torbin-Shaw _ Owner Owner's Name information is required for every North Andover MA 01845 05/02/2011 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E / always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310'CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for "yes", "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins • 09/08 Title 5 Official Inspection Form. Subsurface Sewage Disposal System • Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is North Andover MA 01845 required for every -- page. City/Town State Zip Code B. Certification (cont.) B) System Conditionally Passes (cont.): 05/02/2011 Date of Inspection ❑ 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 ❑ obstruction is removed ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 • 09108 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 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is North Andover MA 01845 05/02/2011 required for every -.— page. City/Town 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 P. vate 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 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: 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 '/2 day flow t5ins • 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i= 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name nformaequined for every tion is equireNorth Andover MA 01845 05/02/2011 age. City/Town 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: El® Any portion of the SAS, cesspool or privy is below high ground water elevation. 1:1® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. F1® Any portion of a cesspool or privy is within a Zone 1 of a public well. El® 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.] i r p ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 11 of a public water supply well If you have answered "yes" to any question in Section E the system is considered a s;ynificant 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 • 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 5 of 17 ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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 11 of a public water supply well If you have answered "yes" to any question in Section E the system is considered a s;ynificant 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 • 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is required for every North Andover MA 01845 page. City/Town State Zip Code C. Checklist 05/02/2011 Date of Inspection 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 consf-:,ction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] Q. 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): 440 t5ins • 09108 Title 5 Oficial Inspection Form: Subsurface Sewage Disposal System - Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments -� 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is North Andover MA 01845 _ 05/02/2011 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Yes 3 No ❑ Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: See Attached Sump pump? Last date of occupancy: Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? Industrial waste holding tank present? Non -sanitary waste discharged to the Title 5 system? Water meter readings, if available: Gallons per day (gpd) ❑ Yes ® No Current Date ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No t5ins - 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 7 of 17 Commonwealth of Massachusetts N -W Title 5 Official Inspection Form m' W Subsurface Sewage Disposal System Form - Not for Voluntary Assessments i °M 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is required for every North Andover _ MA page. City/Town State D. System Information (cont.) Last date of occupancy/use: Other (describe below): 01845 _ 05/02/2011 Zip Code Date of Inspection Date General Information Pumping Records: Source of information: Owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 _ gallons How was quantity pumped determined? Gauge on truck Reason for pumping: Maintenance & inspect Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ins - 09108 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Cricket Ln. _. Property Address Lisa Torbin-Shaw Owner Owner's Name information is MA 01845 05/02/2011 required for every North Andover page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 04/19/2002 Were sewage odors detected when arriving at the site? Building Sewer (locate on site plan): 24" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other (explain): - — Distance from private water supply well or suction line: N/A feet Comments (on condition of joints, venting, evidence of leakage, etc.) Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal 10" feet ❑ Yes ® No ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) 6'X11' Dimensions: 4" Sludge depth: ❑ Yes ❑ No t5ins - 09/08 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 M 33 Cricket Ln. _ Property Address Lisa Torbin-Shaw Owner Owner's Name information is required for every North Andover page. City/Town t5ins • 09/08 D. System Information (cont.) Septic Tank (cont.) MA _ 01845 State Zip Code 05/02/2011 Date of Inspection Distance from top of sludge to bottom of outlet tee or baffle 37" --- 4" Scum thickness Distance from top of scum to top of outlet tee or baffle 4 44") Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Tape & Sludge tool Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Service tank once per year if 4 or more reside. __ Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal feet ❑ 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 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 10 of 17 Commonwealth of Massachusetts aur Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 33 Cricket Ln. _ Property Address Lisa Torbin-Shaw Owner-------------- - -- Owner's Name information is required for every North Andover MA 01845 05/02/2011 page. City/Town 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.): All baffle tees aood. 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 Date of last pumping: Date Comments (condition of alarm and float switches, etc.): ❑ Yes ❑ No * Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins • 09/08 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 33 Cricket Ln. I'roperty Address Lisa Torbin-Shaw Owner Owner's Name information is required for every North Andover page. City/Town _MA 01845 _ 05/02/2011 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 11 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.): Flow checked ok. Pump Chamber (locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins • 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 12 of 17 Commonwealth of Massachusetts 01 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 11 r.rirkat I In Property Address Lisa Torbin-Shaw _ Owner Owner's Name information is MA 01845 05/02/2011 required for every North Andover _ _ page. City/Town 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: 0'X45' ❑ 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.): No signs of hydraulic failure. 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 - 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form =' = Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is required for every North Andover page. City/Town MA 01845 State Zip Code 05/02/2011 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 • 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ='offi, �i ! Subsurface Sewage Disposal System Form - Not for Voluntary Assessments O 15 33 Cricket Ln. Property Address Lisa Torbin-Shaw_ _ Owner Owner's Name information is North Andover MA 01845 05/02/2011 required for every _ page. City/Town 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 9 HOMME �VllW Lore, (117,141-15? 1. q4 f. mto*f') e0�1ve_ 00 SI LIerE: -ran t adCv11FIC-A-17T,i1 is DoT 4'kiTEti, rT 14 a ar"", OF ir1c ,4`7 EL$VA?{o i ep TsJ� r�yr��rt SYK tt tl.T: Tye t5ins • 09/08 , p _1%1 o'17 Commonwealth of Massachusetts Title 5 Official Inspection Form m' Subsurface Sewage Disposal System Form Not for Voluntary Assessments p 33 Cricket Ln. Property Address I isa Torhin-Shaw _ Owner Owner's Name information is required for every North Andover page. City/Town D. System Information (cont.) t5ins • 09/08 MA 01845 05/02/2011 _ State Zip Code Date of Inspection Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells 54" Estimated depth to high ground water: 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 Ian reviewed: 09/04/2001 g p Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health - explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: Dug hole with augerw drop off area, 4.5' no water. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 1, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 33 Cricket Ln. Property Address Lisa Torbin-Shaw Owner Owner's Name information is required for every North Andover MA _ 01845 page. City/Town State Zip Code E. Report Completeness Checklist 05/02/2011 Date of Inspection ® 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 • 09/08 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 17 of 17 4 r Summary Record Card generated on 4/2712011 11 3657 AM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210-107.A-0220-0000.0 Parcel Id 18026 33 CRICKET LANE SHAW, KEVIN & LISA TORBIN 33 CRICKET LANE NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Size Total 1 Acres FY 2011 UB Mailing index NamelAddress Type Loan Number Active/inact. From Until SHAW, KEVIN & LISA TORBIN Payor 33 CRICKET LANE NORTH ANDOVER, MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/inactive Bldg Id, 14269.0 - 33 CRICKET LANE Last Billing Date 3/2/2011 2100265 02 Cycle 02 Active UB Services Maint. Account No. 2100265 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 64.60 /1 UB Meter Maintenance Account No. 2100265 Serial No Status Location Brand Type Size YTD Cons 35487146 a Active ERT HH b BadaeF- - --, w Water 0.63 0.63 274 Date Reading Code Consumption Posted Date Variance 2/4/2011 223 a Actual 17 3/15/2011 -78% 11/1/2010 206 a Actual 73 12/13/2010 10% 8/3/2010 133 a Actual 67 9/13/2010 384% 5/4/2010 66 a Actual 14 6/9/2010 -1% 2/1/2010 52 a Actual 14 3/11/2010 -70% 11/2/2009 38 a Actual 38 12/11/2009 -100% 8/20/2009 0 n New Meter 0 9/11/2009 -100% 8/20/2009 4772 r Replacement 51 9/11/2009 98% 5/4/2009 4721 a Actual 21 6/1612009 0% 2/5/2009 4700 m Manual estimate 22 3/16/2009 -56% MSG 11/5/2008 4678 m Manual estimate 50 12/10/2008 -44% MSG 8/4/2008 4628 a Actual 91 9112/2008 343% 5/2/2008 4537 a Actual 19 6/18/2008 -6% 2/5/2008 4518 a Actual 22 3/14/2008 -83% 11/2/2007 4496 a Actual 124 1/15/2008 36% 8/3/2007 4372 a Actual 91 9/14/2007 210% 5/4/2007 4281 a Actual 21 6/22/2007 35% 2/28/2007 4260 m Manual estimate 28 3/23/2007 -55% 11/3/2006 4232 a Actual 39 12/22/2006 5% Trouble Code:03 8/21/2006 4193 a Actual 54 9/13/2006 79% Trouble Code:03 5/5/2006 4139 a Actual 24 6/20/2006 -4% Trouble Code:03 4 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, April 28, 20119:21 AM To: 'Itorbin-shaw@comcast. net' Subject: I. R. - Septic - 33 Cricket Lane, North Andover - Septic As Built Plan Attachments: 20110428085549080 To: Lisa Torbin Shaw - 978-852-0070 Hello Lisa, It was nice to speak with you on the phone yesterday. Hard to believe it's been 28 years since high school! Please say hello to your sister Lori for me. Attached is your Septic As Built Plan as you requested. I am also sending you a second email with additional information on your septic system from the file. Please feel free to call back if you have any further questions. Have a great day!-- O &W Re9444, Pamela (Adkins) DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 i Suite 2-36 North Andover, MA o1845 111 Office - 978-688-9540 D Fax - 978-688-8476 Email - pdellechiaie(&townofnorthandover.com -1 Website httD://www.townofnorthandover.com/Paees/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous v� DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, April 28, 20119:24 AM To: 'Itorbin-shaw@comcast.net' Subject: I.R. - Septic - 33 Cricket Lane - Septic File Information Attachments: 20110428085623371 To: Lisa Torbin Shaw - 978-852-0070 As stated in previous e-mail, attached is the additional information from your file. -- Pamela (Adkins) DelleChiaie Departmental Assistant ( Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 2 Office - 978-688-9540 Fax -978-688-8476 ( Email - pdellechiaieotownofnorthandover.com SIL Website httD://www.townofnorthandover.com/Paces/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous 10 Lo o �III�Ir (+3p`m Sf) Lzw AS. BUILT PLAN 0 i� OF SljrAiRFACE INSPOSAL SYSTEM LOCATED IN k frr,.r,l A u HA -450,/ �i3 G2i a�ef' L." . �,. T L.I4 �► (.1 coop) OTE : T4 is R A-� # 1S U OT A UA" -* 01"`( 0 f f 4E '506'iUe4w-g lllr%L 4Y�,TEM , TT is, A S6cow OF 7�.;g Lcr-rbc{ A wV EjI:VAll0J OF ri4a ewr 1,*T uei 5,Y91rr WHroNi:►J ty, . 5cc --I 5iov cls,, 1lrrr FG rA&* AS BUILT PLAN OFSUBSURFACE LOCATED IN fJO2j'!'{ �NI�OVti�tZ., AS PREPARED FOR DISPOSAL SYSTEM r-�kn./ 33 G¢icrzT fir: 6At20L � '�TCVe HAV9:L'.- DATE: + 1,1- 02 SCALE: I "-- LWI 107A 'rL 220 DANIEL KORAVOS CIVIL No. 37752 MERRIMACK ENGINEERING SERVICES, r INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 60 PARK STREET 0 ANDOVER. MASSACHUSETTS 01810 O TEL (617) 473-3555. 373-5721 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. I�1 Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 REE 11`- 'D MAY 2 2 2007 TOWN OF NORTH A- .)0VER DEP has provided this form for use by local Boards of Health. Other formt4rib a i66d' f ist 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 Lgcatio Address ./� � ` f-, ) C�`—�(7�v_ P City/Town �State Zip Code 2. System Owner: skcx� Name Address (if different from location) City/Town State Code Telephone Number B. Pumping Record 5��,� 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes L -No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition,�f (:)t V� Vv 6. Syste q� Pfl v mped By: Name Company 7. Vehicle License Number Date t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 J Commonw aitlt of Massachusetts V "a'�Massachusctts a Commonwealth of Massachusetts Massachusetts Svstem Pumping Record Systef1 Owner Date of Pumping: Lf —(C)—q t1 Cesspool: No 1.`? Yes L.) System Location LVI J� 0j, Quantity Pumped: I�� gallons Septic Tank: No U Yes 1� System Pumped by: vat`eeoa 51re? Wei License # Contents transferrred to : Greater Lawrence Sanitary District Date: _ Inspector: FORM 4 - SYSTEM PUN Pr\G RECORD Commonwealth of Massachusetts , Massachusetts System Pumping Record •stem Owner O,AWD.�-/ V�I-Qlk ystem Location L Date of Pumping: S�, --�, ! 5— Quantity Pumped: /SCJ gallons Cesspool: No � Yes ❑ Septic Tank: No ❑ Yes System Pumped by-, � _ License #: Contents transferred to: Date Inspector Page 1 of 2 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, May 08, 2007 3:12 PM To: 'Lisa Torbin-Shaw' Subject: RE: Septic System Importance: High I At our office: 1600 Osgood Street, Building 20, Suite 2-36. This is the old Lucent building. Are you familiar with it? Call me if you need further directions. I am out tomorrow, but tell Susan or Deb that I left the file out for you. Pamela -----Original Message ----- From: Lisa Torbin-Shaw [mailto:ltorbin-shaw@comcast.net] Sent: Tuesday, May 08, 2007 10:34 AM To: DelleChiaie, Pamela Subject: RE: Septic System Thank you so much for your quick response. Where would I pick it up? Lisa From: DelleChiaie, Pamela[mai Ito: pdel lech ia ie@townofnortha ndover.com] Sent: Tuesday, May 08, 2007 8:51 AM To: Lisa Torbin-Shaw Subject: RE: Septic System Importance: High Hello, If there is an As Built septic plan in the file, we would have it. I will pull the file and look. If you have a fax number, I can fax it to you. If not, I can mail it, or you can pick it up. Please let me know. Best Regards, paml¢6a De6eecliiaie HeaefA Depapioftehf Assisfamt 978.688.9640 -----Original Message ----- From: Lisa Torbin-Shaw [mailto:ltorbin-shaw@comcast.net] Sent: Monday, May 07, 2007 10:04 PM To: DelleChiaie, Pamela Subject: Septic System Hello We'd like to get a copy of the "As Built" plan for our septic system at our home on 33 Cricket Lane, North Andover. We are getting the septic serviced by Bateson and they need this. Where would I get this? Thank you 5/8/2007 Lisa Torbin-Shaw Kevin Shaw 33 Cricket Lane 5/8/2007 Page 2 of 2 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Health Director TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 6/13/2002 This is to certify that the individual components Q, entire (X) subsurface disposal system constructed ( ),repaired (X), or upgraded ( ) by John Shaw at 33 Cricket Lane Telephone (978) 688-9540 Fax (978) 688-9542 has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5), North Andover Board of Health septic system regulations, and the design plan approval #1170 dated November 15, 2001. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANTNTNG 688-9535 L-AtJ?-, AS -BUILT CHECKLIST LOT LIO OF HIAL B NUMBER, STREET NAME ARD ASSESSORS MAP & PARCEL NUMBERN ju r LOT LINES & LOCATION OF DWELLINGS / LOCATIONS & DIMENSIONS OF SYSTEM, 1150MMIEEZE 5 EEC, It "A vl- TIES TO LOT LINES & DWELLING, VA9199 IJA. d. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM V" TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN ISO' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D -BOX = ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (( repaired; by LA0141) �99Aw located at_ � 0 K— t;T LA 0 es was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # , dated with an approved design flow of 4Wgallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bed inspection date: Final inspection date: q--1'7 -V'7- Engineer epre entative Engineer Repre entative Installer:Lic.#: Date: Design Enginee Date: e:�. - I ak - 0 >-. Town of North Andover, Massachusetts Form NO.3 t NORTil BOARD OF HEALTH O�0 %a O A F A ♦ off_ .«.<':...: �� DISPOSAL WORKS CONSTRUCTION PERMIT ,SSACHUSEt Applicant Site Location C --?,,5 Permission is hereby granted to Construct ( ) or Repair ( n IndividuaaSoil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. `/ Fee -'d 2zz� CHAT MAN, ROARIYOF HEALTH D.W.C. No. � BOARD OF HEALTH TU;VN OF NORTH ANDOVER/ NORTH ANDOVER, MA 01845: BOARD OF HEALTH 978-688-9540 i APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 3 -7 G o2 CURRENT INSTALLER'S LICENSE# LOCATION: Z C r G ZA,1 LICENSED INSTALLER: SIGNATURF_'-� ,��_ . _ TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. $160.00 Fee Attached? Foundation As -Built? Administrative Use Only Yes (/ No Yes No Floor Plans? '-Yes No Approval '��-/ '`' Date: �3 �� INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at33 f to the application of o4 ✓-2�,Lated__-J // G� for plans by ��, ��,��.,��,�<4 and dated S 5; GoZ with revisions dated I understand the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable. 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade — Installer must request inspection when all grading is complete. Does not have to be on site. 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components. 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: 3 i,4 ()a Disposal Works Construction Permit # / �r Town of North Andover Office of the Health Department Community Development and Services Division ; 27 Charles Street North Andover, Massachusetts 01845 �sS"CAU Sandra Starr Health Director November 15, 2001 Bill Dufresne Merrimack Engineering 66 Park Street Andover, MA 01810 Re: 33 Cricket Lane Dear Bill: Telephone (978) 688-9540 Fax (978) 688-9542 This is to notify you that the plans dated 10/5/01 for 33 Cricket Lane have been approved. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director SS/smc cc: *der File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 SEPTIC PLAN SUBMITTAL FORM LOCATION:UZ b NEW PLANS: YES $160.00/Plan REVISED PLANS: S $ 60.00/Plan�yulp F3� OWN SITE EVALUATION FORMS INCLUDED: YES ��e111 del s cam,, r��—rj DATE: 1 [— DESIGN ENGINEER: H f-�I,�c �► I tjan- !3 ,t�j DATE TO CONSULTANT: When the submission is all in place, route to the Health Secretary. 'ti 0 �e�10F N0`� 4 NOV 72001 Town of North AndoverriaRTh Office of the Health Department o ��,��° q� Community Development and Services Division i 27 Charles Street North Andover, Massachusetts 01845 °SSaCHUSE< Sandra Starr .Health Director November 1, 2001 Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: 33 Cricket Lane Assessors Map 107A, Lot 220 Dear Engineer: Telephone (978) 688-9540 Fax (978) 688-9542 Please address the concerns listed in the enclosed letter from our consulting engineer, and submit revised plans with the $60.00 fee. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: Homeowner File SS/aem BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@,getwgy.com Date October 18, 2001 Town of North Andover Office of the Health Department rQ c iv O"""-- -- -� Community Development and Services Division 80q C;J 1, 0 27 Charles Street North Andover, MA 01845 12001 RE: Subsurface Sewage Disposal System Plan Review, 1770/053 33 Cricket Lane Assessors Map 107A, Lot 220 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated 09/20/01, by Merrimack Engineering Services. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 1) The highest elevation for water table is 190.2. This is estimated using highest ground A..-',1,4, -O-a7f if elevation in leaching area. Revise design or perform soil testing at highest elevation. irk Profile not drawn to scale. 220(4)0, NA 8.02C. /3 rovide a note identifying presence or not of surface supplies 400 feet, public wells 250 d rivate well 150 feet. NA 8.02 r. /,�--4) Testing is not located within system 102 (2). f�� e(.b� AJP6. /� !/�� ll/e��✓ �� rovide buoyancy calculations for septic t . o p rovide greater delta between D- ox outlet an furthest distri ution pipe (0.08).ygz�- &a//pal-FIC Z- _ n s o ac g system shall be connected wit an up elbow at end. I en Y w e necessary. z WrC Avrcoo -r-t, Pl.. J Pa,9rj Lj5 rovide spotgrades for 2% slope overleac ' g system 240 (10). i:5� V.AjPE5 7tPilEO -ro --(1+i=- O -AP-) Respectfully, John L. Noonan, P.L.S.-P.E. G:office/forms/tonarev 1770053 %'� <�►l�V,i- -t fir, )'� owner's Name: 41 ?ftJL A. cd• 07 J Address: Tet: 616 I'&:w Repair 611/ Datet-{ �D l Wetlands Zone II -- Soll Symbol-�—usoll Dame Soil Class f �j Deep Observation Hole Logs �Elevation Depth Soil Horizon Soil TwureSoil Color Soil e Mottling /o Gravel St �A� a 4 re L. Ioy ko/ ' ones. etc,. y 'I 1� Z.I �`wt•E� 13•x" �3.,�, b*5�� 32 cp y C2 5�• Iv2 Z�SY�� SY►� .1 Parent hiatetial I w Depth 7, �Y��/9 I D�- I �'/� �'1.�i� Ems• to aedroc{:- Standing %vaterIn the $ale -,_,_weeping —•-- [rani Pit Face JEMMY: 5 �✓ Dater -O { PerrPlation Tests Observation Hole C Parent Materia- � Depth to BedrocL :: Blandin= Water N the $a1r._.!�We p jn= tram Pit Face EB$Gtk:rj� Start Proal; i p ; Time at u" Performed I3%:� �, i2o'Tol,�p' Witnessed B. IZ�I IN 4 re L. Ioy ko/ y 'I 32 cp y C2 5�• Iv2 Z�SY�� SY►� Parent hiatetial I w Depth to aedroc{:- Standing %vaterIn the $ale -,_,_weeping —•-- [rani Pit Face JEMMY: 5 �✓ Dater -O { PerrPlation Tests Observation Hole C p I Depth of Perc � Start Proal; i p ; Time at u" Time at 9" e, Time at 6" Time (9"-611) • Rate Minffncb . I v. I Performed I3%:� �, i2o'Tol,�p' Witnessed B. SEPTIC PLAN SUBMITTAL FORM LOCATION: ��% G-k"CT LAOIi NEW PLANS: YES $160.00/Plan ✓ q� REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: S NO DATE: -Z( 'e-01 DESIGN ENGINEER: �-'��'1►-�a II��E-� f �Ii 7-U'�j DATE TO CONSULTANT: /Jo /9/6 When the submission is all in place, route to the Health Secretary. r � �Ci=.i ION: � �. •� ��,�� ; r, 0 V; T N E'S E b F S is 1=111111111 NONE � Emm MEN Im ON I MINE, INININNIM111111111111111 111111 pill 1 1111112 Emil 1111olffil III on 111111111HIIIIIIII NINE =11NIIIIIIIII 1111 in 11111111111-0111 III EIIIIIIIIIII111mmliiilmmiimmOEM E1111111I no 11I Em11 Im 11IN III I IIN INN 0 1 ME S is BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 2 3 2001 a j APPLICATION FOR SOIL TESTS DATE: MAP & PARCEL: LOCATION OF SOIL TESTS: OWNER: 47TP-fe �I'-'I A net TEL. NO.: ADDRESS: 1 C C Ke�-r LI� ENGINEER: H 0044I K j TEL. NO.: CERTIFIED SOIL EVALUATOR: (.- at - Intended Use of Land: Residential Subdivision etta�ye Commercial Is This: % Repair Testing: L/ Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $200.00 per lot for re airs or ppgrades. (If time is not critical, fee for repairs is $75.00) GENERAL INFORMATION I . Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1 "-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: ` Date Received: Check Amount: C6 Check Date: j/,9 j a COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE S WN OF NORTH ANDOVE BOARD OF HEALTH 'AUG 2 4 2001 I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY A9 SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 33 Cricket Lane _North Andover_ Owner's Name: _Stephen Mader Owner's Address: _33 Cricket Lane_ _North Andover, Ma. 01845_ Date of Inspection. _8/18/2001_ Name of Inspector: Neil J. Bateson Company Name: Bateson Enterprises Inc._ Mailing Address: _111 Argilla Road_ _Andover, Ma. 01810— Telephone Number: _( 978 ) 475-4786_ CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of 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 Needs Further Evaluation by the Local Approving Authority Xails a Inspector's Signature: ate: 8/18/2001 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 Cricket Lane_ North Andover— Owner• _Mader Date of Inspection: 8/18/2001 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. Answer yes, no or not determined (Y,N,ND) in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed ND explain: 01 Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 Cricket Lane_ _North Andover — Owner: Mader Date of Inspection: 8/18/2001 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 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 su_rface 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 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, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 Cricket Lane_ North Andover— Owner: Mader Date of Inspection: _8/18/2001_ D. System Failure Criteria applicable to all systems: You must indicate "yes" or `no" to each of the following for all inspections: Yes No _ No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _Yes_ — Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ _No_ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow _No_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _ No Any portion of the SAS, cesspool or privy is below high ground water elevation. No— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _No_ Any portion of a cesspool or privy is within a Zone 1 of a public well. No Any portion of a cesspool or privy is within 50 feet of a private water supply well. —No 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 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, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] _Yes_ (Yes/No) 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. 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) 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. Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 33 Cricket Lane_ North Andover— Owner: Mader Date of Inspection: _8/18/2001_ Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No _Yes_ _ Pumping information was provided by the owner, occupant, or Board of Health No Were any of the system components pumped out in the previous two weeks ? Yes_ ` Has the system received normal flows in the previous two week period ? No Have large volumes of water been introduced to the system recently or as part of this inspection ? Yes _ Were as built plans of the system obtained and examined? (If they were not available note as N/A) Yes_ _ Was the facility or dwelling inspected for signs of sewage back up ? Yes_ _ Was the site inspected for signs of break out ? _Yes_ _ Were all system components, excluding the SAS, located on site ? _Yes_ _ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the ion conditof the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? _Yes_ _ 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: Yes no Yes T Existing information. For example, a plan at the Board of Health. anc _No_ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of diste is unacceptable) [3 10 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 33 Cricket Lane_ North Andover_ Owner: Mader Date of Inspection: 8/18/2001 FLOW CONDITIONS RESIDENTIAL Number of bedrooms (design): _4_ Number of bedrooms (actual): _4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): _600 Number of current residents: Does residence have a garbage grinder (yes or no): _No Is laundry on a separate sewage 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: May 00 to May 01=14,200 Fe x 7.5 =106,500 Gals./365 Days = 292 Gals./ Day _ Sump pump (yes or no): No_ Last date of occupancy: _Current COMMERCIAL NDUSTRIAL Type of establishment: Design flow (based on 310 CMR 15.203): gpd Basis of design flow (seats/persons/sqft,etc.): Grease trap present (yes or no): _ Industrial waste holding tank present (yes or no): Non -sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER (describe): GENERAL INFORMATION Pumping Records Source of information: _Pumped two years ago, owner_ Was system pumped as part of the inspection (yes or no): _No_ _ If yes, volume pumped: gallons -- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X 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 ob— tained from system owner) Tight tank , Attach a copy of the DEP approval Other (describe): Approximate age of all components, date installed (if known) and source of information: 21 years old. 10/19/1979. As built plan._ Were sewage odors detected when arriving at the site (yes or no): _No Page 7 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 33 Cricket Lane_ _North Andover— Owner: Mader Date of Inspection: 8/18/2001 BUILDING SEWER (locate on site plan) X Depth below grade: 18" Materials of construction: —X—cast iron _X_40 PVC other (explain): Distance from private water supply well or suction line: Comments (on condition of joints, venting, evidence of leakage, etc.): _4" Cast iron thru wall. 3" PVC in house. No leaks. _ SEPTIC TANK: X locate on site plan) Depth below grade: 6" Material of construction: —X—concrete _metal fiberglass --Polyethylene _other(explain) If tank is metal list age: _ Is age confirmed by a Certificate of Compliance (yes or no): _ (attach a copy of certificate) Dimensions: 10' x 5' x 4' Sludge depth 3" Distance from top of sludge to bottom of outlet tee or baffle: —24" Scum thickness: 1" 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: _20" How were dimensions determined: Subtract scum & sludge depth to tee length. _ Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): _Inlet tee ok. Outlet tee corroded. Depth of liquid at outlet invert. No evidence of leakage. GREASE TRAP: _(locate on site plan) Depth below grade: _ d. Material of construction: _concrete metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Page 8 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 33 Cricket Lane_ North Andover - Owner: Mader Date of Inspection: 8/18/2001 TIGHT or HOLDING TANK: r---- (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/day Alarm present (yes or no): Alarm level: Alarm in working order (yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): M DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: _1"_ 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 cover broken, replaced same. D -Box level. Distribution equal. Evidence of leakage. Evidence of carryover. _ PUMP CHAMBER: (locate on site plan) Pumps in working order (yes or no): Alarms in working order (yes or no): Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _33 Cricket Lane_ North Andover — Owner: _Mader Date of Inspection: 8/18/2001 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan, excavation not required) If SAS not located explain why: Type leaching pits, number: _ leaching chambers, number: leaching galleries, number: leaching trenches, number, length: _X leaching fields, number, dimensions: _1 field 21.5' x 471 _ overflow cesspool, number: innovative/altemative 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. Sign of hydraulic failure, water above inverts in pipes. _ 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 or no): 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.): Page 10 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 33 Cricket Lane_ North Andover — Owner: Mader Date of Inspection: _8/18/2001_ SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. House Water Meter B Porch A Septic Tank D -Boz 47' 21'6" Driveway A to Tank = 28'6" A to D -Boz = 36'7" B to Tank =15'7" B to d -Boz = 27110" Page 11 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 33 Cricket Lane_ North Andover— Owner: Mader Date of Inspection: 8/18/2001_ SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water —4 feet Please indicate (check) all methods used to determine the high ground water elevation: X_ Obtained from system design plans on record - If checked, date of design plan reviewed: _4/6/1978 _ Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health -explain: Checked with local excavators, installers- (attach documentation) Accessed USGS database -explain: You must describe how you established the high ground water elevation: As per design plan_ Tel: (978) 475-4786 Fax: (978) 475-5451 BATESON ENTERPRISES, INC. Excavating -Water.& Sewer Lines -Septic Systems & Pumping Service 111 Argilla Road Andover, Mass. 01810 Title 5 Inspection Report Property Address: 33 Cricket Lane, North Andover Owner: Mader Date of Inspection: 8/18/2001 My report contained herein does not constitute a guarantee of future usage and the functionality of the existing septic system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any further operation of your current septic system. &;6: --- Neil J. Bateson Bateson Enterprises, Inc. INSPECTION CHECKLIST FOR SEPTIC SYSTEMS 1�v 5 Tom' 4� -,, ezp--,, Yes A. Bottom of Bed 1. Excavation to proper depth 2. With trenches, sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation, etc. Comments: NO tials B. Retaining Wall 1. Wall height and width as spec' 2. Waterproofed 3. Wall min' to leaching facility 4.. Wall eets specifications of plan Comments: C. Building Sewer�� 1. Pipe diameter minimum 4"�-- 2. Schedule 40 pipe 3. Watertight joints G�- 4. Inlet to tank cemented �_- 5. Slope minimum 0.01 or 1/8" per foot minimum 6. Pipe properly set on compact firm base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90° change 10. 10' minimum offset to water line ---- Comments: D. Septic Tank Z- 1. Level l 2. 1,500 gal minimum 4---- 3. Gas baffle present on outlet �' e-- J T- 4. Manhole to grade 5. Manholes over center and each tee o 771'L-- / 6. 3-20" manholes 7. Inlet tee minimum 12" under invert '7 / 7.',�� s 8. Outlet tee minimum 14" under invert r-tO."-1 ✓ 'N rr c•� �� 9. Outlet line cemented P�fe-a� ✓ / j' �T' 10. Air space 3" above tees 11. 2" - 3" drop from inlet to outlet 12. Pipe set 13. Compact base with 6" of V crushed stone under tank 14. Tank is watertight Comments: ��09� ti it E. Pump Chamber 1. If separate from tank, compact base with 6" of stone underneath 2. Minimum 2 pipe to d -box if gravity system 3. 20" access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan sp ication 7. Manhole to grade 8. Check valve and b er hole present 9. Alarm in build g on separate circuit 10. Alarm f lions 11. Manual operating switch 12. Pump delivers liquid to d -box Comments: F. Distribution Box I. D -box level 2. Minimum 0. IT' (2") drop from inlet to outlet 3. Minimum 6" sump 4. Outlet pipes show equal distribution 5. Compact base with 6" of stone beneath box 6. Box is watertight 7. All lines cemented with hydraulic cement 8. Schedule 40 pipe Comments: Yes NO ®/C G. Soil Absorption system 1. All stone double -washed -'/4" = 1 ''/z" - pea stone Bucket test done? 2. Minimum 2" of pea stone above distribution lines 3. Minimum 6" stone beneath pipe 4. Distribution lines capped or connected together v- 5. Grading meets 3:1 slope 6. Minimum of 9" of fill graded over system ' 7. Toe of slope stops minimum 5' from edge of property; if not, then Swale. Comments: H. Leach Trenches 1. Minimum 2 trenches 2. Length of trenches agree with plan. (Max. length 100') 3. Width of trenches agree with plan - Minimum 2'; maxi r 4 4. Vent present if <50 feet or specified 5. Distance between trenches minimum 4' maximum of 6' 6. Minimum distance betw�tr10' 7. Pipe slope minimu er 100' 8. Depth of trenches below outlet invert minimum of 6". . •l Yes NO 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6" per 100' 3. Separation between pipe 6' maximum 4-- 4. i4. Pipes connected at endy 5. Separation between adjacent fields 10' minimum —•--, 6. Pipes set on stable base 7. Maximum 4' separation from edge of field to first line 8. Minimum two distribution lines ✓ 9. Maximum perc rate 20 mpi Comments: J. Leaching Pits 1. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between ' and 48" wide 4. Access manhol, s on each pit 5.. , Pipes cemented with hydraul' ce t Comments: K. Final Grade I. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9" soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond Project Request Record Town of North Andover Date: Client Id: ToNA Card Id: ToNA Client/Company Name: Board of Health r Card Tyne -Cheng; ContacvName Ms: Sandia Starr. Phone:. 978=69&9540r Title D"irector Fax:: 978-688_9542', Address: 27,'Charles:Streetc Email.sstarr@townofnorthandover.com Notes: Town North. Andover. State MA Zip Code:" M45" ,, sF Other contacts;if;applicalle ie:Enginee Iiis e . tr fifl�'��lljt7}f i.' Name-. - J 0/��S °� �t d✓. Phone: i% Titre `` Fax:_ Or-r"/CG 778 r— Address: Email: 1 •, F Notes ..'Town- own State:. State: Zip Code:.p. ,. Project: Project Id: 1770 Project Title: Town of North Andover, Board of Health (JOB NO) (PROJECT NAME & STREET ADDRESS) Manager: NOW Billing Group: Billing CodJ: FixedF ContracbInfo: Project. Description+for each. billing; group APp'licant: T7�`7/ � Assessors 1VIan, 10.7.1. Lot Street 3 3 ciC �. T C_4�, Type of•service, S T -®re— 7 ,gg 0 C_ i<v s / C�:- Officdforms/jbrqutona File �dk Iools Qata Maintain Qrocess View Report 09 Vvindows Help Project: 1770 �� Office of Health Department 27 Charles Street, No. Andover, �) Billing Group ID: PFixed 1Billing Type: Fee Billing Fee: 300.00J Card ID: IToNA Mgin Billi g _Qontract Info Classification GLAccognts Qilling Messages Alerts Staffing Actiyities sign To CDepartment Contract Number: Proposal Number: 71 Contract Date: 4119!02 Work Start Date: 4119102 Expected Finish Date: 4/30102 Oluse Government Invoice Style Description: Engineering services required for two final inspections. Installer: John Shaw cell#978-815-7411, office#978-474-8088 Assessors Map 107A, Lot 220 Applicant: Steve Maden 33 Cricket Lane $ave � Close j�otes... Town of North Andover, Massachusetts Form No, z NORTq BOARD OF HEALTH O't�o i�'�,f•C ae�� O L , A „.,'e" DESIGN APPROVAL FOR ss"C""SE` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant j��y� / ' / P b 4--4 Test No. �d ✓2 Site Locationr Reference Plans and Specs.% "J/h' ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN, BOARD OF HEALTH Fee /,/ Site System Permit No. // 740 Town of North Andover, Massachusetts Form No. 1 NORT)l qA BOARD OF HEALTH O �S LE° 646'Y O � L APPLICATION FOR SITE TESTING/INSPECTION °Ra rte.. PPP.RS Applicant Site Location 33 cel, J'J �r Z4 Engineer Test/Inspection Date and Time '6/ /04!3 CHM RMAN, BOARD OF HEALTH Fee Test No. le02 L -L S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. NORTF Town of North Andover, Massachusetts BOARD OF HEALTH APPLICATION FOR SITE TESTING/INSPECTION Form No. 1 19 Applicant NAME ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time Fee CHAIRMAN, BOARD OF HEALTH Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. 0 N rz r 4 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr .Health Director November 1, 2001 Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: 33 Cricket Lane Assessors Map 107A, Lot 220 Telephone (978) 688-9540 Fax (978) 688-9542 Dear Engineer: Please address the concerns listed in the enclosed letter from our consulting engineer, and submit revised plans with the $60.00 fee. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: Homeowner File SS/aem BOARD OF APPEALS 688-9541 BUILD NIG 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNMG 688-9535 NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nmgnetwU.com Date October 18, 2001 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/053 33 Cricket Lane Assessors Map 107A, Lot 220 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated 09/20/01, by Merrimack Engineering Services. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 1) The highest elevation for water table is 190.2. This is estimated using highest ground elevation in leaching area. Revise design or perform soil testing at highest elevation. 2) Profile not drawn to scale. 220(4)0, NA 8.02C. 3) Provide a note identifying presence or not of surface supplies 400 feet, public wells 250 feet and private wells 150 feet. NA 8.02 r. 4) Testing is not located within system 102 (2). 5) Provide buoyancy calculations for septic tank 221 (8). 6) Provide greater delta between D -Box outlet and furthest distribution pipe (0.08). 7) Ends of leaching system shall be connected with an up elbow at end. Identify where necessary. 8) Provide spot grades for 2% slope over leaching system 240 (10). Respectfully, John L. Noonan, P.L.S.-P.E. G:office/forms/tonarev 1770053 Land Surveyors Civil Engineers Environmental Planners NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netwa, Date O / Q Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/ 0 S - 3 :i cK 7- e.. aAs:- Assessors Map a -74, Lot zz p Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated i ®A/ by 4-c,4_' 17 s.e�vi It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: /74/GlfO�3 T ! Tifr� i. e_--yjT/v r-4� G✓� T�� T'it�G / S -Z,67-5- y S cz L 2) /�acl� / L : .n� o T ✓✓ Z2P ��,v , ^/09L 7-0 !I% p.�/v�r�� X5-0 �T 0 Respectfully, J7725`5 7— John John L. Noonan, P.L.S.-P.E. G:office/f rms/tonarev) 7?AG�3 Y r12Q v mE C�� TG -e 7- fav Qc%2 777e nE s Land Surveyors Civil ineers Environmental Planners 0 CHECKLIST FOR NORTH ANDOVER N & M Job 1770/ SEPTIC SYSTEM PLANS �,� The following is a checklist that incorporates all Title 5 and local regulations for septic plans. Name of Applicant: I %z`V E:- Plan Date: 9 n �� Revision Date: Name of Designer:14-1 � Date of Review: /a ZZ% !zz Property Address: 9 3 GR/ cAc- 7` Map: Ja 7 Lot: 2*e__C2 BOH Reviewer: ZZ G— `�' ''�� Type of Plan (new or grad p_ p,,/cWzz�,' Number of Bedrooms in Assessors Records: _ gpd) Garbage Disposal Allowed: Q General Information: N.A. = North Andover Septic Regulations Other numbers refer to Title 5 OK Problem N/A Street number and map/lot - 220(4)(u) Maximum scale of 1 "=40' for plot plan - 220(4) Maximum scale of 1 "=20' for profile and component details - 220(4) Legal boundaries of the facility being served - 220(4)(a) Names of abutters from recent tax map - NA 8.02j t� Number of bedrooms, design calcs., - NA 8.02i Name & address of record owner & applicant - NA 8.02k �✓' Name & address of designer - NA 8.021 Holder and location of all easements - 220(4)(b) Date plan drawn & any revision date - NA 8.02m G^ All dwellings and buildings, existing and proposed - 220(4)(c) G" Location of all existing or proposed impervious areas - 220(4)(d) `�— All distances on site plan — NA 8.03a -c -+-�_ Elevation of proposed driveway - NA 8.02t Location and elevation of foundation drain - NA 8.02y Location and dimensions of the system incl. reserve (new const.) - 220(4)(e) �-^ Limits of excavation of leach area on site plan - NA 8.02z Locus plan - 220(4)(t) (Not to scale) �— North arrow - 220(4)(g) Existing and proposed contours - 220(4)(g) Locations and logs of deep holes - 220(4)(h) Locations and logs of percolation tests - 220(4)(i) Date(s) of soil testing - 220(4)(h) & (i) �._ Existing grade elevation of each deep hole - 220(4)(h) — Elevation of percolation tests — N.A. 8.02n Name of approving authority representative - 220(4)(h) & (i) �C Name of soil evaluator - 220(4)0) Soil logs and perc test logs match BOH records �r Locations of waterlines, drains, and subsurface utilities - 220(4)(m) n Observed and adjusted g.w. elevation in the vicinity of the system - 220(4)(n) Complete profile of the system to scale - 220(4)(o), NA 8.02c Cross section of leaching facility - NA 8.02w (Not to scale) Location of benchmark(s) within 50-75 feet of facility - 220(4)(q) cr Note listing all variance requests with proper citations - 220(4)(p) Local upgrade approval request form submitted _ 403(l) S- Original R.S./P.E. stamp, signature & date - 220(l) & (2) — If P.E., discipline specified within stamp. MGL C. 112 s. 81M sfc. supplies (w/in 400'), pub. wells (w/in 250'), pvt. wells (w/in 150') - 220(4)( Location of watercourses, wetlands, wells, etc. w/in 150' of system — NA 8.02r G— - Wetland disclaimer — NA 8.02s s6 RLS plan reference & certification required (prop line setbacks) - 220(3) — Use approvals / standards checked for I/A system - DEP docs., -� — Inground pool 10 20 Slab foundation 10 10 Deck, on footings, etc. 5 10 �----T Waterline 10 10 Private drinking well 75 100 Irrigation well 75 100 Wetlands 75 100 Public well 400 400 Wetlands bordering surface 150 150 water Supply or trib. (in Watershed) c� Trib. To Surface Water supply 325 325 Reservoirs 400 400 Tributaries to reservoirs 200 200 Drains (wat. supply/trib.) 50 100 Drains (intercept g.w.) 25 50 Foundation drains 10 20 Drains (Other) 5 10 `-- Drywells 20 25 —� Downhill slope 15' to 3:1 slope Building Sewer OK Problem N/A w/o barrier Grease trap required for certain uses (check 230 for details) Pipe diameter listed (4" minimum) - 222(1) Pipe schedule listed - 222(3) Pipe cast iron or Sch 40 PVC – NA 11.02 Watertight joints specified - 222(3) & (4) Pipe laid on compact, fin base - 222(5) Pipe laid on continuous grade in straight line - 222(7)@ Cleanouts precede all changes in alignment and grade - 222(8) Cleanout provided every 100 feet - 222(8) Manhole at any 90 degree alignment change - 222(8) Invert elevation at building: Invert elevation at septic tank: Length of run: Slope: (minimum of 0.01 - 0.02 desired) - 222(6) 10' offset to private well or suction line - 222(2) 3 3 IV N Pressure dosed l.f. if flow >= 2,000 gpd - 254(1)(a) & 254(2)(a) Cycles per day is consistent with chamber volume - 23 1 Volumes-aiculations include flowback volume - 2') 1(2) i� storage capacity above pump on elevation - 231(2) ber of pumps: 2 if system serves >2 dwelling units - 231(6) acity of pump(s) - gpm @ 'TDH - 220(4)(r) p can pass 1 1/4 "solids (minimum) - 231(7) p controls specified - 220(�)(r) m equipment specif- -231(2) m is inbuildin d powered on separate circuit -dm pump - 2') 1(9) ump sequence rrect (off -lead on -lag on-alan- n) - 231(8) Pump perfo ance curves included - 220( (KI Manual erating switch - NA 12.01 Ch valve, bleeder hole - NA 12. ildproof, 24" riser/manhole final grade - 2'31(5), Soil compaction beneath p p chamber specified (if soil is non-native) - 221(2) 6"of <=3/4"stone benea chmbr. specified - 221(2) & 228(1), Buoyancy calculatio if chamber is at or below water table - 221(8)@ 9" of cover over amber (minimum) - 228(1) H- 10 loadin min.) - H-20 if traffic - 226(')), Chamb ' watertight - 221 (1) Top of chamber <=36" below grade - 221(7) Leaching Facility (general - complete for all designs) OK Problem N/A 50% larger if garbage disposal - 240(4) �-- Trenches to be used whenever possible - 240(6) No vehicle or imperv. area above l.f. unless unavoidable - 240(7); NA 13.02 Vented if under impervious cover - 241 (1) -,= Vented through same pipes as distribution system - 241 (1)(a) Vent protected from precipitation/animal entry - 241 (1)(b) Vent is placed beyond traffic or impervious area - 24 1 (1)(c) All lines connected to vent if bed or trenches - 241(1)(d) 9" cover over peastone - 240(9) Reserve area provided (new construction) - 248(1) <—: Reserve 4' from primary leach area — NA 9.04 C 4' (5' if perc rate <=2 MPI) separation to g.w. - 212(a) &'(b) 4' (down to 2' with variance or UA - upgrades only) of natural soil under l.f. GW separation is adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005'- 251(9) Require 5' removal and replacement if in fill - 255(5) �-� Top of leach facility <= 36" below grade - 221(7) Final grade over I.f. minimum 0.02 ft/ft -240(10) Surface & subsurface drainage away from I.f. - 240(1 1) & 245(5) Minimum design flow 440 gpd without deed restriction — NA 13.01 3:1 slope where grading required - 255(2) Toe of fill slope stops 5' from property line or swale installed - 255(2) Impermeable barrier if < 3:1 slope or < 15 feet to—3:lslope - 255(2) Impermeable barrier/retaining wall poured concrete — NA 9.02 Retaining wall stamped by P.E. - 255(2)(b) Top of retaining wall >= top of peastone elevation - 255(2)(f) 10' offset from edge of leach facility to edge of ret. wall - 255(2)(g) Perc test(s) done in most restrictive layer - 104(2) Perc test 4' below leaching elevation — NA 7.06 Design flow listed and required/provided leach area given - 220(4)(f) Leach pipes SCH40 PVC — NA 10.01 Leach pipes minimum 4" diameter except for dosed system — NA 14.04 Leach lines capped, vented, or connected together - 251(9) �--`� Pressure dosing guidance followed if pressure distribution - 254(2)(c ), Pressure dosing required over 2,000 gpd or with I/A remedial use - 231(1) 5 Selection: one (Project ID Equal To '1770'?) Project: 1770 - 052 (continued) Include Cost Tvnes in Fee Include? Cost Tye Yes [BLUE] Billerica Blueprint Yes [Prof] Professional Services BILLING INFORMATION Rate Schedule: General Rate Schedule Finance Charee Method Finance Charge: [1.5% per month] 18% Annual Chrge After 30 Days BILLING GROUP BILLING MESSAGES Start Date: 9/25/2001 Billing Group: 053 Engineering services required for plan review. Engineer: Merrimack Engineering Inc. 66 Park Street, Andover, MA Applicant: Steve Maden, 33 Cricket Lane Assessors Map -107A, Lot 220 Include Cost Types in Fee Include? Cost Tye Yes [BLUE] Billerica Blueprint Yes [Prof] Professional Services BILLING INFORMATION Rate Schedule: General Rate Schedule Finance Charee Method Finance Charge: [1.5% per month] 18% Annual Chrge After 30 Days BILLING GROUP BILLING MESSAGES Start Date: 9/25/2001 Noonan & McDowell, Inc. PROJECT RECORD Tye Allocate? Labor Yes Labor Yes Tyne Allocate? Labor Yes Labor Yes Printed on 10/12/2001 at 12:58:47PM Page 20 File Edit Tools Data Maintain Process View Report (Jppj Windows Help Project: 1770 �I�1 Office of Health Department 27 Charles Street, No. Andover, Billing Group ID: Billing Type: Fixed Fee Billing Fee: 150_00 Card ID: To NA 11 M.gin I Billinglnfo Contractlnfo _Classification GLAccounts Billing Messages i' Alerts StaffingAc�—tivities Proposal Number: Contract Number: Contract Date: 9125/2001 Work Start Date: 9/25/2001 Expected Finish Date: 1 011 212 0 01 i Description: Engineering services required for plan review. Engineer: Merrimack Engineering Inc. 66 Park Street, Andover, MA Applicant: Steve Maden, 33 Cricket Lane Assessors Map -107A, Lot 220 Save Close FAssign To _ Department: ---Qi� I'1 vJ J Use Government Invoice Style -NEI es... NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: mm(a]netwa .com Date October 18, 2001 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/053 33 Cricket Lane Assessors Map 107A, Lot 220 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated 09/20/01, by Merrimack Engineering Services. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 1) The highest elevation for water table is 190.2. This is estimated using highest ground elevation in leaching area. Revise design or perform soil testing at highest elevation. 2) Profile not drawn to scale. 220(4)0, NA 8.02C. 3) Provide a note identifying presence or not of surface supplies 400 feet, public wells 250 feet and private wells 150 feet. NA 8.02 r. 4) Testing is not located within system 102 (2). 5) Provide buoyancy calculations for septic tank 221 (8). 6) Provide greater delta between D -Box outlet and furthest distribution pipe (0.08). 7) Ends of leaching system shall be connected with an up elbow at end. Identify where necessary. 8) Provide spot grades for 2% slope over leaching system 240 (10). Respectfully, r-~ John L. Noonan, P.L.S.-P.E. G: office/forms/tonarev 1770053 Land Surveyors Civil Engineers Environmental Planners NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm a,netwa .coni Date October 18, 2001 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/053 33 Cricket Lane Assessors Map 107A, Lot 220 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated 09/20/01, by Merrimack Engineering Services. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: 1) The highest elevation for water table is 190.2. This is estimated using highest ground elevation in leaching area. Revise design or perform soil testing at highest elevation. 2) Profile not drawn to scale. 220(4)0, NA 8.02C. 3) Provide a note identifying presence or not of surface supplies 400 feet, public wells 250 feet and private wells 150 feet. NA 8.02 r. 4) Testing is not located within system 102 (2). 5) Provide buoyancy calculations for septic tank 221 (8). 6) Provide greater delta between D -Box outlet and furthest distribution pipe (0.08). 7) Ends of leaching system shall be connected with an up elbow at end. Identify where necessary. 8) Provide spot grades for 2% slope over leaching system 240 (10). Respectfully, z� John L. Noonan, P.L.S.-P.E. G:office/forms/tonarev 1770053 Land Surveyors Civil Engineers Environmental Planners 27 Charles Street North Andover, MA -01845 Telephone#(978)688-95=0 Fax#(978) 688-9542 "30 4 Al .5I7 evieDrat' c, /%ed scrz h Ie ' r 'GQ h S eaP y f (L �e / l /o c� i�`'e Fcix ac 1`7�ctah fyiv� t 'tF Ocdi /l�c�c��/a� /1/i��iOccl /� f 1�ec/ -iv 47 clr'4'�' ei, f address. / -fa *e d ecrrecf /ki4v Ao SGV Mr- /cedes ni 0r' It --De-Prpsn e o n t/ /0-5- CC To: �eV'e At (/ r From: An P�%�� Fax: Phone: Re: 7, .? '62f y Q V u0 Pages: Date: a C k o 1 �a n 'eJ CC: ❑ Urgent ❑ For Review O Please Comment ❑ Please Reply ❑ Please Recycle • Comments: '!�ln'YJ a �� ' '�� h��► -. 2U' ro r, fl s o c- t' *e con J e y-\ v� , y 27 Charles Street North Andover, MA -01845 Telephone#(978)688-9540 Fax#(978) 688-9542 Fax To: / // DICJ freit, kl/--, From: Fax: Phone: Re: 37 r—,L7a Pages: Date: IS/ CC: NortE� Andover BoardoiHeafih ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: 14r. D61 fl- ej n // ,,1•fi�t,S ornt'�� Weems r �&f(e d cul d U/t esS Gp h4o C ,lel �l 7 v r- a UP ke sure �v �� de'0014 >'� `Jc�w�fl � sar r Project Request Record Town of North Andover Date: Client Id: ToNA Card Id: ToNA Client/Company Name: Board of Health =••f arrll,Tvna_F:'lian* Contact, Name: M§. Sandra: Starr Phone: . �i e:Director. Fax: Address: 27' Clink& Street. Email: s ? Notes: Town: , North Andover. _ .State: MA. Zip Code:. 0.1845 ;Other: contacts if, apphcable�Installer. 1. Name: ��2/ry /1'�� U %✓� phone: l' Titlei. _ Fax: Address: / G �'/%1�� J�� Einail: Notes: - '�- f; State:: /7,e Zip Code: Project: Project Id: 1770 Project Title: Town of North Andover Board of Health (JOB NO) -- (PROJECT NAME & STREET ADDRESS) Manager: NOW Billing Group: Billing Cod4: Fixed Fee 3_45�7 Contract'Info. Project Description; for each billing group Applicant _ S ??_-'V t—. - Assessors n AssessorsIVlan Ja 74. Lot Z z -O Street GnI eoti5- 7- ga::- . 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'+ r �,: o ;..'. .�; .: �` .•;': ,k4 � i.;.,,' ;4 � gr� f {yct�,�",�'a�nr�-;,�k�' "....tit-:.y-��7'- .t�:,i '� .....d( (w�J'+ i a, rt7v1� n..i�n. .n.e-,w fr.. :'..;. .-,` �.<+, ,nry ,i :ttr a r "krt'•of'�'' _ p xP,w•p .sv ra; - g;x, .�'. :,i� '�,,+ »: •" r.i _y, '= ! t �1 t '.c.,' , ,;: ._, ,• ',. ��.:� � � ,( ,v' '” �,., r'Zv ,,t-, s.t�r '%yr I BOARD OF HEALTH--- —.M OF NORTH XQ0, --- NORTH ANDOVER MA 01845 1¢`L° e� 978-688-9540 '2 3 2001 APPLICATION FOR SOIL TESTS DATE: MAP & PARCEL: 10-7A LOCATION OF SOIL TESTS: 11�1 G 0rlC a f OWNER:B �-�I !k i�G �i TEL. NO.: ADDRESS: �1 C wnC e�-r �tknl� ENGINEER: i;IY�AG� '! Y—I / TEL. NO.: (��►� CERTIFIED SOIL EVALUATOR: 1uL- r2L, err� Intended Use of Land: Residential Subdivision e!tamity a Commercial Is This: / Repair Testing: G/ Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $200.00 per lot for repairs or upgrades. (If time is not critical, fee for repairs is $75.00) GENERAL INFORMATION 1. Only Certified Soil_ Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1 "-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. 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A � �7 c U�''�.r � � yN �•i - ;,fi+& +` �.� d:. -'}' N .:.r^v; :r':� �?�y � ' :v t '� f+.. .w.. Ski .'' � i�� .�... $ ...• h .�'^ F 'G r. sv '� ' ,R r.. x �,,..f �fi k- 4 �-: �;``°� .c� `tr:. ::;y M a .;t trxn;�. .Ak , .,�k':: .�,�, ,.y,. L ,ak` 9+vt.V r p �, -}r a Fi' a., (.,P. f i ,�j•,y : . �?.F ht•^ex;.k �, :�., }.. .;� .t+;av ,r sr3°k''i i ` ,� ' ` 'n r rf.' � .:s r r. r Acrells IRMS i$r fi �f i ,: Y rrrLUyt,u DA' S IN&UMOTO D im A2`IC�I Og FAIL O$ 1. Distance Toi, ../ a. wetlands - b. Drains c. Well 2. Water Line Location No. Pvc Pipe :!_ %R. -. Septic.- - a• . Te13s -.-_Length To Clean— Ouj b. Cement Pipe to Tank -.Oi Both Sides of Tank - - Distribution Box Covers & Box - No Cracks b. All. Lines Flo-, l.ng Fqusl mounts -- c. 110 Back FJ ox - 6. Leach Field or Trench - - a. Dimensions - - b. Store Depth e. Cawed Ends - - . d. Clean Double- Washed Stone_-._.__ 7. Leach Fits a. Di.si b. sto:j epth _ c. ash Pad d. e -es • Ce`t Pipe to Pit - Both Sides f. Clean Dbuble Washed Stone 8. No Garbage ' Disposal sal 9. Final. Grading Inspection 10.- Barricading Covered System _-- Il. As Built Sabn.tted a. Lot Location b. Dimensions of System C. Location -with Regard`to Pere Test d. IIevations - e: Water Table '.]O:TH ANDOVER BOAt'D OF HEALTH,_ '► ��'�-9�.. DISAPPROVED DATE TIME REASON .PPROV ED DtJE PROVIDED -- -- - v J. .,T Titl 5 Reg 2.5 Fail e submitted plan must show as a minumum: ,(�a) the lot to be served (area,dimensions,lot //,abutters) / (Planning Board files) location and log of deep observation holes -distance to ties c)_ location and results of percolation tests -distance to ties d) design calculations & calculations showing required leaching area location and dimensions sf system .(including reserve area) r'"existing and proposed contours `location of any wet areas within '100' of the sewage ao disposal system o r disclaimer (check wetlands mapping surface and subsurface drains within 100' of sewage disposal system or disclaimer location of any drainage easem ents within '100' off sew,age disposal system or disclaimer (planning board files) ') knoY�n-souTees_ of=seater supply--within-.200' -Of sewage - - disposai_.system_ or -.disclaimer (k),�-'Iocation of any -proposed -well to serve -the -lot ('100' from leaching facility) f�location of waterlines on property ('10' from.leachi (l facilities) �m location of benchmark n driveways o) _..garba ge disposers 1p - no PVC is to be used in construction q� a profile of the system (elevations of basement, p1L pipe septic tank, distribution box inlets and outlet / distribution -field piping and any other elevations) (r) maximum ground water elevation in area of setrage di; ,� system / (s) plan must be prepared by a Professional Engineer or other professional authorized by law to prepare suc] plans /Septic Tanks � 6 (a) Capacities - '150° of flow, water table, tees, depth Rep'. of tees, access, pumping, (b) Cleanout e 10' from cellar wall or inground swimming pool �d 25' from subsurface drains 0 5.1 T.1 5.4 T.15.8 �• -3.7 ;.'14.1 ;.'14.3 ;.14.4 1.4:'5 r.1-4 : 6`- =:= -14-? x.14.1 ---- D. 9.1 9.6 ,Distribution Boxes f, /`(a) Slope greater than 0.08 (b Sump - Leaching Pits Leaching pits are preferred where the installation is possible (a) Calculations of leaching area (minimum 500 S.F.) (b Spacin� (c) Surfa e drainage 2% _ d Cpve "lip fec2Cr ib;,�a2S11 "`� arco .%,j4, ,. -u I- Leachzng Fields �� p`7 ('a) %Greater than 20 minutes/inch s �b Area (minimum --900 S.F.) c Construction of field �(d Surface drainage 2%- (e 20' from cellar wall or inground swimming pool Leaching Trenches (a Calculations of leaching area (min. 500 S.F.) (b Spacing (4 ft. min. 6 ft. with reserve between): (c Dimensions/ (d :_Constructifon.--_==- (e ) St orie (f) Surface drainage 2% Downhill 'lo e Slope x= to be shown�a� by/x X 1500 5 /0 = �to be shown Pumps (a . Appro'al . (b� Stan -by power P4,Vf-O F ©R. �SuN Go�P 45 ► ,1�Nncy,r�tL S-�2��-r I:RA.Nw— C . G��,na o� rvo Assoc�ta-r s5, �r�C,�rat�.�.Rs A,rat� Asa..c.►�tTc.c.Ts NQr+�-rN As uagv�Fa.OG�t4�, PARK. N opt -r i,4 l2e✓i-sev . 512-08 � 4 �\e: •a�iu 7ir�A,� kiiNNAAW is `"Alb�I�II ir1 iii arrr�ii. ir.rr.�r P4,Vf-O F ©R. �SuN Go�P 45 ► ,1�Nncy,r�tL S-�2��-r I:RA.Nw— C . G��,na o� rvo Assoc�ta-r s5, �r�C,�rat�.�.Rs A,rat� Asa..c.►�tTc.c.Ts NQr+�-rN As uagv�Fa.OG�t4�, PARK. N opt -r i,4 l2e✓i-sev . 512-08 S.Ioa C � ZTg Zd' L- 9O. i�! • - o>r(5p TeG-r T pe ¢Got-.m►T►OI.1"�'t-��'C' • - — --- CSC iS.T'u.lC� CAIJ"1'pt�i�� .1Z, rLvtG �9 Z V crr�s � . uo str rz�A�r--. wa-r;��. w�-ru � •� +moo' c�c � -- � 'r. ► ►�^. _�.�•-L+t2Fn[..� p1t�N�.�, 'Stri2G'Ac.� ��'.o.t'�a'� ^ k� , v getu ,o,c� t; a `�� t`� CN-r'S 1•..� T L!. • tJ t cx, • oc 5`t `.��" • � i, . 3 . 'TCn' Y �,� �1�f`�'h L �! IL+.! -L- � � "v!''�VG U AT LF�fif�-� • `. � � I A�..�:� s►JD 1~� Q '�.iziM�'rt:�� QF 1/0' ltl ,C►,L� !�'1��,T't��.� �ti� �F F �1'a(r'_ 't.,i rf•. C;�'�,C.V�,(... A iJo bt�eC3e•aE U2�NtZ �11A..1r LUQ U;�r+*�, i I f-- Z; x H&Pjc)tZY aslrr,-�. Ai r 174 V7 9, - �, t74 I S Z t�cA I $4 - • �irG�.>J D� �J��U(Z�pr L �1SF"v`��L`..:`� �'�C.?'i QDct�k,►�.�L cn t 40 'Lr OPF bJ 30 ' x F L-JT" i' Lo-r 1 . .• t44 ELJ--V. = I a! t, t33 15CIO Clar_ vT ti z4 • 8• d-1 ny r (�W'�SLL INGf Oji F6. s t9 .q S.Ioa C � ZTg Zd' L- 9O. i�! • - o>r(5p TeG-r T pe ¢Got-.m►T►OI.1"�'t-��'C' • - — --- CSC iS.T'u.lC� CAIJ"1'pt�i�� .1Z, rLvtG �9 Z V crr�s � . uo str rz�A�r--. wa-r;��. w�-ru � •� +moo' c�c � -- � 'r. ► ►�^. _�.�•-L+t2Fn[..� p1t�N�.�, 'Stri2G'Ac.� ��'.o.t'�a'� ^ k� , v getu ,o,c� t; a `�� t`� CN-r'S 1•..� T L!. • tJ t cx, • oc 5`t `.��" • � i, . 3 . 'TCn' Y �,� �1�f`�'h L �! IL+.! -L- � � "v!''�VG U AT LF�fif�-� • `. � � I A�..�:� s►JD 1~� Q '�.iziM�'rt:�� QF 1/0' ltl ,C►,L� !�'1��,T't��.� �ti� �F F �1'a(r'_ 't.,i rf•. C;�'�,C.V�,(... A iJo bt�eC3e•aE U2�NtZ �11A..1r LUQ U;�r+*�, i I f-- Z; -%OIL OtS QEjlQV4 DATA wv %oM,-tt%r 4 DA -M 4tdp/'79 —Grid Ls.1 5F a Gpt) 8 "TOM - f Lt VA"'"ott _SF x SA"T%JRA'Tlo,m -M%%%. 76TAL PIT Le,*e_+4itArqr CAPAc-%TY 14 GPD /PIT GP PLOW D/PiT -PITS READ , USE-- PITS it. PK*l:%Lt-D0_fP PtT DATE 'TOP- E LE VXT i ON -Tor5olL SUBSOIL PARENT SOIL It, WATER -TA'5 LE vaTtEe WAX ERIAsuE r=LrvA-TwYA BOTTOM ELEVATION S. R_ Of, 'K_ Gam. U 9 %r IoOO GPD FLOW �o %JSE- 1000 GAL.S F_PTW_ -TAtAK GPD Flow x ITT LEAs w% war Q�WA, 40 4O Grpo 1:10W A C400 SF 13" USE qOO 'SF `rypp- 4 MVIL mptl 1.0 EWALL ARTA —Grid Ls.1 5F a Gpt) Bo,TTom AptaA _SF x 76TAL PIT Le,*e_+4itArqr CAPAc-%TY GPD /PIT GP PLOW D/PiT -PITS READ , USE-- PITS SIDEWALL AREA r IB 07ro M AREA. r- / Ll: -A---- G -ALS / SF = —GAL./ Livc;:T. -TaTAL_MF_tACH J_F_.ACI,4ING- C_ApkC_jT"ly GAL/ UN .'P6T. ___ GPD PLOW _' - Q&14LixrT.=_LF.TRr-wc_wEs RF-qz. Usp- , I -F No -r F_,; : - -0&- G E 2 , OF � - I p z 1-•� 4 -z d All a z IIS' IILL IILL II" TILL a � w II I' ii zz !I II it II IIfLd it II U' Z: d Il II o II � II o �� II II it ,o II aN. II II 7 a� in" _ II ►� �� it W� II jl g w,�, ��dw. II II o � tu °�Ilod II II a au, ICY LL I � �� Ii►i, II (I � J� W � o rNDl ��1434 ' Q Z p °z a 5 0 s �r � J Q1 ►-� i n. �, .� of Y r Hid '4 x ot d� W \ o �I I Id r vrs. 3 vp 5 I a ° N J V) a ft!a- ,Q ,o w v t s fir► . 3,a' 7 wa I a ° N J V) �- a -or ,off _J w - _- w I a ° N J V) ,FACE U1 OF L n -r 8 t. 2i creeT Lxst4 E Nae - I-4 At4p we a, , NAN , P z EPA VIV—o F USZ OESU tom! 6 Q ¢.P. 451 ANt7avzfz S -rase" �4 otc.-114 6NPc1% / Xv j�►'1 . 1 MAU AIALCIZ �:MAJ-+K.. Amo �•.k �U Nowt -r -i �.rvaa}re t� ,Mra. Ot$A L.c;rr i I 1� . �C�T4cD 1 10 1 At r r , 1 ID pE 12G.oL.ATlow-ve,--r 1 z -c U.v- ExpnNsioxi & :A i r 40' LT oFr 3n' r -F L.0 r �, of Lo -r 1500 GSL '5nvT r L "r" i= V'JTES: i . No SLtz�,a1L WAmar_ wi-r w kclo� r3s= 5Y .:T �.%.+rl . `� �.i^ �::�t L��w'c'►_F.eC.� p2A�fJ�.°, 5Lh'.�'AC.� 1�QC.Iyy Off' '3. TC1 f �.�•t� -'y 1.. E4�+.�... � �� V!�fC' C� a►T LF.1�*.s..� 1ti/� D''•2===-rtc^�'� /�':,,� T i � ._,t`,. � . J � �.!! Tr1 C7P_,c�vC,L . 4. No �It�E(�e.Ciir C�f�"►Nii� �l1A�l. TSL.., I A y 1� . �C�T4cD 1 10 1 At r r , 1 ID pE 12G.oL.ATlow-ve,--r 1 z -c U.v- ExpnNsioxi & :A i r 40' LT oFr 3n' r -F L.0 r �, of Lo -r 1500 GSL '5nvT r L "r" i= V'JTES: i . No SLtz�,a1L WAmar_ wi-r w kclo� r3s= 5Y .:T �.%.+rl . `� �.i^ �::�t L��w'c'►_F.eC.� p2A�fJ�.°, 5Lh'.�'AC.� 1�QC.Iyy Off' '3. TC1 f �.�•t� -'y 1.. E4�+.�... � �� V!�fC' C� a►T LF.1�*.s..� 1ti/� D''•2===-rtc^�'� /�':,,� T i � ._,t`,. � . J � �.!! Tr1 C7P_,c�vC,L . 4. No �It�E(�e.Ciir C�f�"►Nii� �l1A�l. TSL.., I E5IC►'N DATA J,CALCULATIOAS %01- OSSE1RVATIONS by.. ��_��A.C�,EaI.R.O V ,-rt4jSS E., i�sa�lr6tAy Pswousa tom -TesT No. 1 2 3 4 S -DATE-------- CoOO CTPD FLow x1_� sF�G-A�.= _ �©� SF sF.D use 40a sF � TOP-ELLVgTIpN }Q,a.. � � i`Y1►Ia 4 lWFpt. , (TYP) BdTTOM E l! VA"t IOT1 19 C SIDEWALI. AREA ------__- SF X ._ G'ALS.� SA-TURAT1oN - MIKS. -_ -1V 1 GALS. SF = GPD TOTAL. PIT LFAr- 1KCt CAPAC_ITr _ _ _ _ _ _ _ _ _ ---►S" DRoP-MINS. 4___ 1 =__-- Rn5 RE . USE _ _____PITS T�► E1J C H €S StdE1NALL ARES► --GALS I'S ; _GAL.ILS'N.FT. BOTTOM AIR EA __---__- _--SF�LF x (sALS�SF = (1,AL./ G►a.Ft. -TC)TAL. �t E to C t-1 I_F_AC N I NG fi FERC . RA?E _ Gr Ai. / L m YT. _ GPD Low SAL jLiH.�-`C.= L.F.TRENCHE 1~?FcD USE L.F So►L PRoFILE-DEEP PLT NO,�2 �3 4 DATE -79 TOP -ELEVATION i 04 5 -TOPSOIL ,Z SUBSOIL PARENT PARENT SC)IL 1� Z• WATER TABLE i WATER -TABLE ELEVATION BOTTOM ELEVATION — 4_B.R.,oR x 150 GAL.. JUMIT - 6000 GPD F"tow &ccs GPD FLOW x 1SO'/= C�00 GPD USE 1S150GALS EPTIC-TAKK L£gC.H i Nr3r APmk CoOO CTPD FLow x1_� sF�G-A�.= _ �©� SF sF.D use 40a sF pITs i`Y1►Ia 4 lWFpt. , (TYP) SIDEWALI. AREA ------__- SF X ._ G'ALS.� 160TTOM AREA :_-- x GALS. SF = GPD TOTAL. PIT LFAr- 1KCt CAPAC_ITr _ _ _ _ _ _ _ _ _ G`PD /PIT _._ __ GP D FLow -_- _-_----.__GPD/PtT =__-- Rn5 RE . USE _ _____PITS T�► E1J C H €S StdE1NALL ARES► --GALS I'S ; _GAL.ILS'N.FT. BOTTOM AIR EA __---__- _--SF�LF x (sALS�SF = (1,AL./ G►a.Ft. -TC)TAL. �t E to C t-1 I_F_AC N I NG CAPACITY _ . - - -- _ _ Gr Ai. / L m YT. _ GPD Low SAL jLiH.�-`C.= L.F.TRENCHE 1~?FcD USE L.F N T E5 WAGE 2 OF 3 FG 3 or 5 to �j U 71 Nil �� 1d�9� O Z �N�'7i9M4 Cc Y �2, CO � O.Idi� o�flC a G� p is Jj ti ii 3dfl�o�LL�uz FG 3 or 5 to �j U 71 Nil �� 1d�9� O Z �N�'7i9M4 FG 3 or 5 I J a �al Al t 5'8131 13 9VIS 00 Lh %,A (0 M pA wa �t 72 uj; LL QQ a �al Al t 5'8131 13 9VIS N UQ.r- AC E DSPOSA o� L o -r L'-,rziueE-T Non --n4 Amo Wr-rL , M,\ . YS -TEM _SIGN P R E PAK.�O F OSZ 45 l &Nvov6z Q orz-r A 6t-lc�lcl%q atz M &"az:=) . F:V-A,Nw- C A o ASSOCt�a TE.S �-fvGt1NE-E.RS Ar -AD AR«+{TECTS Now--rN Ra'R-L ,t� NoR-rt-a AtvpovESZ,MA, o1a4S �n,J� I L bT -7 m wiro I t "r I 0 i ° f Ptrl�,i.1 � ..�. ` U. t— 0 e o�sl�M DATA. -_4 K SOIL ©BSERVATIONS 5y- WITNESS PN►L.LiP� - (�- PERCCLATIom -TEST Ro. 1 2 3 4 S CWT F_ 4/ co/76 - ToP-ELEVAT ION BOTTOI•/I-ELtvA-TION 1 190 5 SATURATION -MINS. + 15 t -- �12" --0-9" DROP- MIN5. 14 "9" --.• G'• D ROP - M 1 N5. -- PERI .RAZE-M114./DN. SOIL PROFILE -DEEP PIT No. 1 2 3 4 - DATE DATE 4 I to 1-7,q 'TOP -ELEVATION !q4 5 i -ToPSolL t •' ' - �SUBSOIL PARE NT SOIL 1� WATER TABLE �jpr►a Y WA-TERINBLE ELEUA_TIota ! j i �BOTTom ELEVATION � t BUILD1Nc-�T�PE'DweL.1-INCA 13.R oR, x 15o GAL. UNIT GPD Flow 6?0a GPD Flow x GPD USE -1600 GALSF_PTIc-TANK LEt*CHING AREA QED Oa GPD FLow x j. SF�G-A�. __ �Qo SF BE.D USE qG©_ SF PITS : TYPE 4 4\A';: k. (TYP.) is SI DEW ALL AREA : --SF x-- - _G -AL%.( SF =— --- — - GPD - - - BOTTOM AREA :_ __SF X___ _-GAI.S./ SF GPD 'TOTAL. PIT LFAc1-I tAct' CATAc-%TY _ _ _ _ _ GPD /PIT GPD FLOW a-_ . _ . _GPD/PiT =_ P115 REQ'D . USF---- __PITS �ENCHIES SIDEWALL AREA . _ - SF/LFx_ _ !GALS (SF BOTTOM AIR EA _ i SF/LF X� ___ GALS/SP = GAL./ LIN.PT. 70TAL-MENCH LEACHING CAPNCITY _ _ _ _ GAL,/ LIW PT. GPD FLoW -:- GCI �LtH.fiT,= L.P.�RF NCNES REq'D USE k- T= NoT ES t li N , IIS U. ITU. IIIL TILL II 'Ij II,� II II it i, II Qo II fl 71No1 -ol-LJ39 "IV E?rxxl Z � wJ J 0 k I� le I J CL 3 P&.-5 op Z II II II II j� II li II t7 d06 II II to �I j AI tL II it II II�d II II I' II CL II II ll '! II a �� o ��. Q A I�f � Lb 1 i d316 LL I I� 71No1 -ol-LJ39 "IV E?rxxl Z � wJ J 0 k I� le I J CL 3 P&.-5 op Z II II II II j� II li II II �° II II d06 II II II II li.�,IIoaII tL II it II II�d II II I' II CL II II ll '! II I1=ALL ii II it II II 71No1 -ol-LJ39 "IV E?rxxl Z � wJ J 0 k I� le I J CL 3 P&.-5 op 1• LL O AW Al J z • y GG. 5 OF t r h1,W1 2-1 t,/;�'�` 11`+1,•'1 �'' • i ..�1'I►r 1. , ,�� 11=1.1 r ri'1 ► ' lit 1 , i�h =111111. J►1 % -'- r,M �; girl ► � � �►!111 �I,t��1, ;, � , 11 Vit► `� �w�.l+r+�► , , .1 �/ ii•►11111,1 �,' WIJ ,. • LL O AW Al J z • y GG. 5 OF E M r+ r Ck' .. Min�► r, *" � w 21,5 I i 2- C k' - L -o, `# a 4 q ,5y4b-r ice.. �Rr4,t��, �t:"7�.►Nty►.S � AS,3t7�G1�4.TES .c'� mat �►N 'fict2 '�!C",' �Q. ICS..t�i 1��:. .