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HomeMy WebLinkAboutMiscellaneous - 40 SUGARCANE LANE 4/30/2018 (2) 40 SUGARCANE LANE ^� 21 of100.-�-0014-0000.0 j I I r F ' i A A i •p.4k tJ e f { }1 a"b..L'. i'�t ..:M' } ,�aY,'f, w •`�. sy%Mj • 1-Y'jF:q., �t s a .L,^v 5 • d Q .� 1.+f r,. ra ,� J..., n c t� y'. �f}t ,!tfti} l �? - ti :SY u-.. , T i.. �(•� y�!T { l P k�, r� �yT i.�_fyd�Y'f.i� rji'.AL, 'Mai nw• tK ti` Nt^ `�. f . . � MAP • # .,;. Y ¢'� LOT:,,# t ; :, ' PARCEL # STREET_.; —._. • CO.NSTRUCTIO.N—APPROVAL, HAS PLAN REVIEW FEE .DEEN PAID? YES NO PLAN APPROVAL= DATAZA?4� P.. BY_ C� 7�% _ DESIGNER: PLAN DATE. CONDITIONS WATER SUPPLY: TOW WELL . WELL PERidll_ DRILLER.—---­ WELL TESTS: CHEMICAL UA I E AF'F�ftUVEU._ f3A RIA I UA T E EIPPRUVED BACTERIA DATE APPROVED COMMENTS: FORM U APPROVAL: APPROVAL TO ISSUE YES ` NO DATE ISSUED G/C';L77 BY O CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU IrvlANY VARIANCE NEEDED YES NO 1f�b'p�°� FINAL BOARD OF HEALTH APPROVAL: DATE:. _,,._...,__..._ al 4 ! ,x.'. IS,THE INSTALLER LICENSED?.. Y NO . •: NEW .TYPE OF CONSTRUCTION: - NCW z REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF:.APPROVAL YES NO (FROM FORM U) l: `.,ISSUANCE OF DWC PERMIT YES NO D W C PERMIT_" N0. INSTALLER: +BEGIN INSPECTION YES NO: � ' \ EXCAVATION , INSPECTION: : NEEDED: •�, � -� r_ _t .. .. . .tom - v•'•S`• .. _ _. . '' -. '. ' BY PASSED .--,.CONSTRUCT I Or INSPECTION: NEEDED: = ��1 AS BUILT PLAN SATISFACTORY: YES: � APPROVAL" TO BACKFILL: DATE: •7 E BY - " ' . :,F'INAL . GRADING APPROVAL: DATE BY DATE: BY . „ ` '•FINAL CONSTRUCTION APPROVAL: Commonwealth of Massachusetts RECEIVED = City/Town of W° System Pumping.Record ' r Form 4 t'lEIA ff7 TF,:vq`�{y� u , s}z a DEP has provided this form for use-by local Boards of Health. Other forms may be'used, but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Leftt front of hou Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town State Trp Code 2. System Owner. Name Address(if different from location) Cityfrown state Zip Code Telephone Number i B. Pumping Record 1. Date of Pumping Dater 2uantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ -right Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No. 5. Condition of System: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. LoTaL re contents were disposed: Lowell Waste Water 4S� ZHUaulg Date t5form4.doe-06103 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts RECEWE® City/Town of oci o 2 2013 System Pumping Record TOWN of NORTH AND©viR Form 4 HEALTH;DEPARTMENT DEP has provided this form for uset by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the.form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Le igh ont of ho ; Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address Cs. A City/Town state Zip Code 2. System Owner. Name Address(if different from location) City/Town State Zip Code, Telephone Number r B. Pumping Record 1. Date of Pumping Date. 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) 0/Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes [�VINo If yes, was it cleaned? ❑ Yes ❑ No. 5. 'Condition of system: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number j Bateson Enterprises Inc Company 7. Locabo re contents were disposed: ge9THaul3eg Lowell Waste Water SigDate t5form4.doc•06/03 System Pumping Record•Page'.1 of 1 RECEIVED Commonwealth of Massachusetts City/Town of SLP p 5 209Z System Pumping Record TOWN OF NORTH ANDOVER Form 4 HEALTH DEPARTMENT M y DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left i ont of h Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address o-(- 0pat .i dm City/Town State Zip Code 2. System Owner. Name Address(if different from location) City/Town State Zip Code S Telephone Number B. Pumping Record 1. Date of PumpingDat _02'1 l02 2 Quantity Pumped: Gallons 3. Type of system: ElCesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: O�Mod I--e-yd 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: /G.L�S.Q Lowell Waste Water signitufe qt Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth.of Massachusetts City/Town of I RECEIVED System Pumping Record Form 4 SEP - 6 2006 DEP has provided this form for use by local Boards of Health.. TSytetrrR,um'p"rte ord must be submitted to the ocal Board of Health or other approving a thb t TH CEPARTMEN i A. Facility Information Important: When filling out 1. System Location: forms on then�U computer,use ...� , 13:� 2,2 only the tab key Address to move your Wo � 57d cursor-do not. . oe City/Town State use the:retum Zip Code key. 2.. System.Owner' 'Name nom Address if diff Brent from location CityfTown State Zip Code Telephone Number B. Pumping Record 1: Date of Pumping 2. QuantityPumped: ed: Date P Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe)` I ' 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes:0 No 5. Condition of. tem:; 6. System um ed �? t C,7 l Name — Vehicle License Number I Company -- .7. Location re contents is I Signatur f H ler D ate htt p://w ww.mass: ovld e /water/a PProyals/tbfo rms:htm#ins e ct t5form4.doc•06/03 System Pumping Record•Page 1 of 1 i TOWN OF SYSTEM PUMPING RECO DATE: � � RECEIVED $E P 16 2005 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) r ' t DATE OF PUMPING: QUANTITY PUMPED : GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste ' c0. COMMONWEALTH OF MASSACHUSETTS Z EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS p y d DEPARTMENT OF ENVIRONMENTAL PROTECTION F '9M SV0 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address:_40 Sugarcane Lane_ _North Andover_ Owner's Name:_James Ducey_ Owner's Address:_40 Sugarcane Lane_ _North Andover,Ma.01845_ N E Date of Inspection: 4/26/2001_ _ Name of Inspector: Neil J Bateson_ MAY 14 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: I X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fa 1 Inspector's Signature: Date: _4/26/2001_ 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 **** conditions at the time of inspection and under the conditions of use at that This report on describes c pec P only 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: 40 Sugarcane Lane_ _North Andover— Owner: Ducey Date of Inspection:_4/26/2001_ Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _X 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: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_40 Sugarcane Lane_ _North Andover_ Owner: Ducey Date of Inspection: 4/26/2001_ 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 surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for 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: 40 Sugarcane Lane_ _North Andover_ Owner: Ducey Date of Inspection:_4/26/2001_ 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 _No_ 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'h 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.] _No_(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: 40 Sugarcane Lane_ _North Andover— Owner: Ducey Date of Inspection:_4/26/2001_ 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 condition of 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 _ Existing information.For example,a plan at the Board of Health. No Determined in the field(if any of the failure criteria related to Part C is at issue approximation of diancste 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:_40 Sugarcane Lane_ North Andover— Owner: Ducey Date of Inspection: 4/26/2001 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_R4_ of Number of bedrooms(actual):_4 DESIGN flow based on 310 CM15.203(for example: 110 gpd x# bedrooms):_440 Number of current residents:_5 Does residence have a garbage grinder(yes or no):—Yes-- Is es_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:Jan 00 to Jan 01=33,900 fe x 7.5=254,250 Gals./365 Days=697 Gals./Day *Has Sprinkler system. Sump pump(yes or no): No_ Last date of occupancy:— Current-COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,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:_Two Years ago,owner_ Was system pumped as part of the inspection(yes or no): Yes_ If yes,volume pumped:_1500_gallons--How was quantity pumped determined? Measured tank. _ Reason for pumping:_Inspect tank&tees._ 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 obtained 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:_5 Years old.11/5/1996. As built plan._ Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 40 Sugarcane Lane_ _North Andover— Owner: Ducey Date of Inspection:_4/26/2001 BUILDING SEWER(locate on site plan)X Depth below grade: 18" Materials of construction:_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"PVC to septic tank.No leaks._ SEPTIC TANK: X_locate on site plan) P De th 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: 8" 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:_13" 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.): Pumped septic tank.Inlet&outlet tees ok.Depth of liquid at outlet invert.No evidence of leakage._ GREASE TRAP: locate on siteplan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(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: 40 Sugarcane Lane_ _North Andover— Owner: Ducey Date of Inspection: 4/26/2001_ 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/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.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:_0_ Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.):_D-box level&distribution equal.No evidence of leakage.Evidence of carryover,pumped d-box to clean._ locate on site plan) PUMP CHAMBER: ( p ) 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: 40 Sugarcane Lane_ North Andover— Owner: Ducey Date of Inspection:_4/26/2001 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: X leaching trenches,number,length: 2 trenches 65'long._ leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.):_Soil ok. Vegetation oL No sign of ponding to surface._ CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes 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: 40 Sugarcane Lane_ _North Andover— Owner: Ducey Date of Inspection: 4/26/2001_ 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. Garage Water Meter Driveway House B A Tank D- Box b5' A to Tank=5815" A to D-Box=54'8" B to Tank=33'5" B to D-Box=39'3" Page 11 of 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 40 Sugarcane Lane_ North Andover— Owner: Ducey Date of Inspection: 4/26/2001_ 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: JX Obtained from system design plans on record-If checked,date of design plan reviewed:_10/26/1995_ 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: 40 Sugarcane Lane, North Andover Owner: Ducey Date of Inspection: 4/26/2001 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. QJ. Ba Bateson Enterprises, Inc. TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) U L�o t� I DATE OF PUMPING: l ��6�UANTITY PUMPED c C1526""GALLONS f CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: SVM COMMENTS: __..,_..� MAY 14 2001 CONTENTS TRANSFERRED TO: I y i Commonwealth of Massachusetts ' &,-�,,,aassachusetts System Pumping Record System Owner System Location Date of Pumping: 9 Quantity Pumped: gallons Cesspool: No Yes L:J Septic Tank: No Yes System Pumped by: Fare-lea gieanhv a License# Contents transferrred to : Greater Lawrence Sanitary District Date: _ Inspector- i LRS `GlC�,: i s}aS �;PN�� QRRBR�t7L[. � - � IN C-,4 AQ° 3 �s i0$C 1q -B3 ,V "Y -b 4,.f/ � x % /34• •0 -Q0 X 0 ( t /211& ni V� E/VD /33 4 I -3 74"gNA 10 13 y ' 6�- C obc co000oob dab o O' d('. 00' 0 0 0 0 a qj,g moo, 3o, F i� "o 3 -3, i 9 f �k I NEW ENGLAND CHRQMACHEM ift[cam 6 NICH©p S STREET ENVIRONMENTAL, r' SALEM, MA 01970 'wUT1140 1-508-744-6600 -508 -74¢-6600 ANDANAI.Y818 0 fS Cn.L4, ®m'T Wax, >IA 01070 soe.7a��caao NEC 1 C�.i..i�.E~,` 1Z.. " J."O.a. 2 9 ' S UGPIRCAN- ..,+�'SIY r k.`'.,,/ y�`.�.r'•,.'�.'C..R Y / FIF P- E-f!�R . '.x?.Al.'j tiara —N7-,-,Y5 PYINTS, 4 7 . 2 50 )l 7 . S TRAY V 2 . 7 �fi l'E LABORATORY DIRECTOR cl .A 0 :3 U-4 $ :R _ T ElII1 fir. — T 2 - 0 :aa , I� I a �AoRT" UVM Ut 0 V Ur dover, Mass. 19?� •w�a CJCNICHEW!CK Fy �aRATED Ppb\ 'IC�t BOARD OF HEALTH MIT T Food/Kitchen Septic System_.' ING INSPECTOR THIS CERTIFIES THAT b ..l..t? .at ., .f� ,?. ]......... -c.!. ,Q� .. .................................. ,. // au has permission to erect........�„ .�.......... buildings on.,......`7.. ......... �f.. ' / ..... Raugh syr t0be OCCUPIed as.......................................................... I..!��?.�-e........1 .... .1..(.. ............................................. Chimney provided that the person accepting this permit shall in every respect conform to the ter sof the application on file in Final this office, and to the provisions of the Codes and By-Lavas relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. LUMBING VSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 's ug V /�� i s PERMIT EXPIRES IN 6 MONT iS f R y., I [`�i EL TRI AL SPECTO " UNLESS CONSTRUCTION START �A ��� I ... . . . . . . ................................. Service LDING INSFECTOR i Occupancy Penn.it Required to Occup' uilding GAS INSPECTOR -- — —:------- �.� Rough Display in a Conspicuous Place on the Premises — Do Not Remove in No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. EIRE DEPARTMENT qBurnet II 1 Y Street No. �'x'•mow Smoke Det.—O K (�•rrt� Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH January 6 , 19 97 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed N ) or repaired ( ) by Bob Innis INSTALLER at 50 Sugarcane Lane, North Andover, MA (Lot 29C) has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. 787 dated 11/2 19 95 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD OF HEALTH �i } G G'v 691U //,0 �? r/' •Cr g 17-le APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: /e"//f' CURRENT INSTALLER'S LICENSE# LOCATION: / 9' S� LICENSED INSTALLER: SIGNATURE:XLXCZ TELEPHONE# 6-OF - �C2-- 06 CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrat' a Use Only $75.00 Fee Attached? Yes - No Foundation As-Built? Yes No Approval Date: ,1 1 PLAT( REVIEW CHECKLIST ADDRESS 4o,7gC ENGINEER GENERAL 3 COPIES STAMP LOCUST NORTH ARROW � SCALE CONTOURS_ PROFILE �, SECTION S BENCHMARK L,,� SOIL & PERCS ELEVATIONSR WETS . DISCLAIMER WELLS'U WETS WATERSHED? DRIVEWAY �! (E1ev) WATER LINE FDN DRAIN SCH40 t/ TESTS CURRENT? 0 e SSOIL EVAL p2Sd SEPTIC TANK. MIN 1500G 17 INVERT DROPGARB . GRINDER/�n (+200a EDF) 25 ' TO CELLAR MANHOLE ELEV GWo , COMPS . D-BOX SIZE LINES FIRST 2 ' LEVEL STATEMENT 1�,3• rS��f J OUTLET - � _ (2" OR . 17 FT) TEE REQD.I—A LEACHING p1�' MIN 660 GPD? � 3 %ESERVE AREAV�' FROM PRIMARY? 2% -SLOPE100 ' TO WETLANDS100 ' TO WELLS (6" 4 ' TO S . H.GW 1;®" (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY��MIN 12" COVER FILL?T (15 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES (' WALL DIST. 3X EFF. . SIDE MIN 660 gpd� SLOPE (min . 005 or 6tt100 0 / ) � W OR D (MIN 6 ' ) (.,�� RESERVE BETWEEN TRENCHES . t✓IN FILL. MUST BE 10 ' MIN .L_,--- 4" PEA STONE? t,�V ENT? L,---' (>3 ' COVER; LINES >501 ) BOT + SIDE— X LDNG •.6 = TOT 1 (L x W x `) (DxLx2x4) (G/ ft2 )` Copyright(0 1995 by S.L. Starr 10/30/96 WED 18:10 FAX 617 498 4230 PROGRAMART CORP 0002 ?S Form 3800, April 1995 (Reverse) October 29, 1996 Ms. Sandra Starr Board of Health Town of North Andover 146 Main Street North Andover, MA 01845 Dear Ms. Starr: My home at 56 Sugarcane Lane (Lot 30) abuts a new home development on Lot 29. I have some special concerns about the septic system planned for the new house. My two neighbors also brought the issue, and their similar concerns, to my attention. The new septic system "catch box" is sitting on the edge of the two lots. The construction of the septic system has not been completed and Bob Innis (builder) informed me last Saturday that you will be reviewing it's progress late this week. The concerns I have come from the elevation of the unit, related to the downward grade toward my house, and the planned "mounding" Mr. Innis plans to make toward my lot in burying the unit. Street rain water run off around my house regularly proves that the grading between the two lots brings all water toward my residence. This repeated water flow situation during the rains only confirms suspicions that there is extreme potential for waste drainage problems. Additionally, the mounding and grading planned by Mr. Innis creates an unnatural, and unsightly, extended hill in the middle of a currently even and flat landscape on my side. These issues need to be resolved before construction completes. In leaving you a phone message today, I understand you are out of your office until tomorrow. I will call back then. Please call me at your earliest convenience during the day at (617)498-4067 or at night at (508)686-2664. Sincerely, C. Michael Staff 56 Sugarcane Lane North Andover, MA 01845 Town of North Andover, Massachusetts Form No.z gOR7q BOARD OF HEALTH F w A °--- DESIGN APPROVAL FOR ;,SSACHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No. Site Location [k5f --) q C Q- U��/ Reference Plans and Specs. -L�--''. �d-Q—a'� - CP a7A0/1 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. C I RMA ,BOARD OF HEALTH Fee b(D Site System Permit No. 3 F h d ? X r i z - � a k � a ^{ .k .� �'.3j,✓w`.s'�7"'`4 i�'� � c a �s; LC � � c t Form IVo 3 - N_octh�Andover' Massachusetts � �> _ To a �BOA � 3° �, • OL �,�yE.:. �"�Y. �. ,3. 5 f -�+\=��1'��' �� r `�� � r'i'• y' R D1�PS?SAL WORKS�©NSTRUCTIflWPIE=RMgtTta,�''`, 7SS wCNU gEt > i.ac �3.,. �'��.4 2�1 v� ? -''��.� a S a. y y.! Y i�µt -" 3 � '*'a� -u t...i f,�- �'3�.`' �L�.� >�# � r�'ar � _T's•. � Applicant_ '�,r K r r NAME a.a ADDRES5 TELEPHONE -'t rA! i y. a S• ; ::q x t„#' . t r 3.x F f s a x r r, r a .,p �'i d r� _; 45: •� a`�`a^f� �.x�s r� .{ # a:K � '� t t'F + 1� ^ri' )t F.' 3 ,�,' A� Sit .00atlOn ��� S•6 r .1^y ."Y9{YK b � N .Yf'�.A� �.:'S-k ✓Z 5 Y x � A ,d < " f .�. � �r• r r yv-Y°�� # t,.� - a k >sk'4r• h ° ' a e.. ,s ;.�r,* �2�-Perrriiss�on-'Is here b ranted to Construct�(� Re air .� ;;ars Indlvldua�Y SoI Absor tlon �-, ��, as r` �Sewage�Dlsposal System°as spgawn on`the Des�gn�Approv�l S S rlo c^ .•., k c h +�. "..� h �.i9. y'S s�(. a�ro Y `*. �. ; -.. - � � ,yk`a y..y� t'�',yr Y a.,�" _ q �n� � 1 3� � •�a'£�`a i^, a �•" i � o �'..;� �« �c f ar", ���,:'a�s��'��- t� 3` :.mss� m.t � i*tkt ��'!ia t�;t .h�Fi��z f y, #� �"..,t �c CHAIRMAN BOARD OF HEAITH� t T kff r t •°., 7 - "r ;r a . . r.rw rr h :� to3 a ,� ,i r �'!f 'r �>I a �_,. %` "� a f+'�' x� 4"s"t�` � ��.xi•t � nye F� ';�ba� D WrC No r„ � c�&4`k, ,y �""��. r 9 r r '12 � 's �; t x .a „+ -.. � `s w ,� t � � . x ,x t ti. t9,� t, .+', '' fix k� { y �. _ a x�� t. � �, ,; � � ✓ r z r:. 'x y YTq�C . �a t 7. w ]x, t .. � n 'h 1,- � � � F•i. >{_ E � :-. r K T, G r 3..� j�rt,� '�' 3 t i�r i -�� t -v-'�i: � a.,r 3°lr.., h � r �" .,. - "y �,r� .�'. '•'' :v i3" { - �i r k- t S»tet'r" v : F U:-a � r ki�'i•, zr7�a{.i r ht g.":' L_. � �~�y"'} � �, � � a`ur g�.',r !kf'9%x.� ��s ; �� i#n � t r>7 - �'•t" -'z a S��'t � � �a� � t-K.. -� ^s !# t4 I# m� +°- : `t .�,^, A �,*"` :'�'d^4 r'•F r �r x � _ { �� + 'f.: f '�Ya&p' v3':. 1 �w 1f r r � txq � r -2`• x w r t c i t•4 '-t t i '�' '3 y { rY ".s x _ ,.-3 r ✓ ;. +u f r *rfs� r � �p : y i Y t .1 a.*: r 'i ` � � �,+. ! . r �'�a� } '�� �t °�}a� } ` �'� �*�a6v �, rad �x� •��'� � s :-�x. � t � '�'.�r p ,G,� 1p y �. � �S�5 a k ���� � r..`� .;�yk 4 .��� t7:`,�`r>��r�i'k�� k ...F° �d�: � Y;-�s�L,� ,." .: zY��a-� � �i s`�x'e`;��°'��m�:<�,y�,r��� `rr�"'F,,•'! 7` .,x ,. �+ x'l �b,:.:, T �.,rf�: , C£w• � m�S:r"nJ �zdt�. 3�1 �a! ` �3� t�'t:q, k� .� �{ .+. i..�.d q„ t.aa..�y- �•''k�. {,'�r%�� .,n'�RS..<,.�F' v - ,�Yrix rtzzt" �...-..t sa r sem- r '{a -'•z ���.-1��,,.�,{L.31S �. �.:-';�{� r ��i� � h � k��i.'r ',. < ,� 4 K- "�. x f� qq� r�d �..xr� a'c`• �'�2 ;g a .- 4 tet,`"`',� x` r sr w � tix u:u zt•(+`'rr asi _r _,, 4 X �T r E< .�� k *Fc.i! �� •X "` ns.r : r fi- -;. it � � t :��r' t h h -� a} s'(.. s ,r iia +€ 1 -:rC ,,-�• 'f ! �� .s,r3 t �" ,� l�z.. �?' 1 r� � ; r .as s S `" ter,.� fw''. '� si !.�,5 +>; a ,.-w. ��. 3 s ;. s � d -�,+ it r Y� i .E d' (. 1°:� cr•r� .. i rs t{m - ,-;{ I i �R 4 9s':�.: 3 r q• ,t r' {"`gkt { 4..�`* o ro .,.� �: A i�+ T„c,�: z aY a' � �� ak` £' r c h, s tis a t z„a�a s..r� ,r3` �a.,F s �r < +.+t��" s'�>.r; "y- a r• �� r as a -s OxDecember 11, 1996 Town of North AndoverNORTIy OFFICE OF 3�0"t, .o e,tiOL COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street t North Andover, Massachusetts 01845 WILLIAM J. SCOTT 9SSAcHUS�� Director Mr. Robert Innis 475 Boston Road Billerica, MA 01821 Re: Lot 29C/#50 Sugarcane Lane Dear Mr. Innis: On November 25, 1996, I notified you that the sand in the septic system on Lot 29C Sugarcane Lane, North Andover was unacceptable due to the facts that: 1. The results of the sieve analysis you submitted did not meet Title V specifications. 2. The sieve analysis itself was unacceptable because the person who did it is not certified for this type of work. At that time I requested that you locate a certified lab that does soil analysis, remove a sample of sand from the site, have it tested and submit the results to me. To date you have not responded. I must remind you that I cannot issue a certificate of compliance on the SSDS until this matter is settled. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 10/30/96 RBD 18:10 FAX 617 498 4230 PROGRAMART CORP 10001 1D A PR0.i7hkRT 0 "T 10 N C 0 R R 5 ' Sale` a en Date: J 6t,6 TO:_)Mc, , �qo,�spa, - COMPANY: awe o of -Boali IMF 14� Fax: Sod gZ - Qs-j z- FROM:_ Sales Department FAX: (617) 498-4230 Contains: Z- pages, including cover sheet. Please call immediately if transmission is incomplete. Message: N. S O-krr Yef cam. 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'. - • - . . ,� <: - .. . e., .t .. . .. . _ - J" - L 'Y' - . L _. - - 1. ,-. I . . .. 'li - . ,. - - : -}S' - TO D JRE TIME AM PuF M .. ADE _ NO. 6 ff 6 C�1`l/O OF / /✓ EXT. ! 7 ..� A IVf $ 0- c eVi G ® E SI PHONED❑ BACK ❑ CALL RETURNED❑ SEE YOUO ❑ AGAIN ALL ❑ WASK URGENT FORM U —VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. , ****************Applicant fills out this section***************** APPLICANT: AMWT ,i�}/L/G�z Phone .56T YZ -J LOCATION: Assessor' s Map Number Parcel Subdivision -�— Lot(s) Street St. Number ************************Official Use Only************************ RECO DATI NS OF T, AGENTS: Date Approved N b Conservation Administrator Date Rejected Comments Ala Q��o�� i1dW C. Lt Date Approved Town Planner Date Rejected Comments k Date Approved Food Inspector-Health Date Rejected /12 Date Approved 7A� Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date n y PLAN REVIEW CHECKLIST ADDRESS �oS 9C' c/U�,�,eC,C�j�� ENGINEER GENERAL 3 COPIES STAMP Z-� LOCUSy NORTH ARROW SCALE CONTOURS t/ PROFILE SECTION C,� BENCHMARK L�-' SOIL & PERCS 4-1 ELEVATIONS WETS . DISCLAIMER WELLS & WETS WATERSHED? && DRIVEWAY t/'(Elev) ' WATER LINE c/ FDN DRAIN SCH4 0 v--' TESTS CURRENT? 6e SOIL EVAL D U Sd SEPTIC TANK MIN 150OG . 17 INVERT DROPy GARB. GRINDER�/n_(+200% EDF) 25 ' TO CELLAR 4-' MANHOLE ELEV GW,!�je- # COMPS . _ D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET /33,-0.S - OUTLET (2 11 OR . 17 FT) TEE REQD?� LEACHING 0(-- MIN 660 GPD? ,X/ RESERVE AREA 4 ' FROM PRIMARY? &,eX 2% SLOPE 100 ' TO WETLANDS 100 ' TO WELLS 4 ' TO S . H. GW (51 >2M/IN) 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP ✓ tt 1 1 �� 4 PERM. SOIL BELOW FACILITY � MIN 12 COVER FILL. (25 if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/ 1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 6 ' ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN . 411 PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright V 1995 by S.1.. Starr PITS MIN 660 LEACHING MIN 1 (13 'x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x ##) (2x(L+W)xD x ##) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 60 ' ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W)xD x #) (G/ft2) FIELDS MIN 660 GPD.Z 900 ft2 BED GW MIN 4 ' BELOW BOTTOM OF FIELD C/ PIPE ENDS JOINED? 4" PEA STONE? (-� DIST LINE SLOPE .005? z--- >3 'COVER-VENT SCH 40 MIN 12" CLOVER RATE 116- 1 / LDG '=6-6 X 660 = 900 X 16Z = TOTAL &0 It G G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gpm L W D Vol . DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. l ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright 0 1995 by S.L. Starr NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: PERMIT # 79 DATE RECEIVED APPLICANT tJ A Ji/4A1052, MAP 166-c PARCEL ADDRESS LOT ## ENG. /U4 'VG" STREET ADDRESS PLAN DATE ogA3REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: L5 �C� E� oM a LE��E tSTi T� TA,1/� TO /"fir AcG/�tJ� 19 A-1 5�M ENT 3�S` T4 C 3 AA),D _ r Pan Of L cnd TOWN OF NOFITH i�=4630VcR/ BOA?D OF �n F'�Y+�TH North Andover, Mass. OCT 10 X996 .. �. showing As—Built Foundation Location Lot 29C — Sugarcane Lane Prepared For Robert J. Janusz Scale: 1" = 40' Date: August 21, 1996 309.25' e f Zoning District: R- 7 (Residence 1 . District) Fd I Is, (Previously Approved Subdivision Under R-2 Zone, duly 1, 1988) Joan & Richard_. i '� �-°=-� ` = O'Donnell 5fl, ��� �`�tays \ / Note: Property line data token from a Definitive!"'" Subdivision Plan Of "Jerad Place -- Phase lV By Thomas E. Neve Associates, Inc., dated September 29 1, 1995 and revised toMarch .12, 1996. , J 335, 1,65 S.F. \ 7.69 Ac-. o„s r�- trUCt;� �\ In my opinion, the existing foundation is not in 'a t`�' Z01?e Flood Hazard Zone as shown on the USD.H.U.D. _ C? Cot- ng F \ Flood Hazard Boundary Maps, Community Panel 1, o, t� No. 250098 0009 C, revised to June 2, 1993. f/p* C? � �`�� l hereby certify that the foundation on this property a , --is located as shown and _complies with the Lisa & YfioJhael zoning requirements of the Town of North Andover, Sp, Top Of Foundation �:�'- ,---' �� Staff Massachusetts. �' Elevation = 137.02' J 3_>9, -' p fLou o ode e -' Pro i� urveyor --',- NEVE -4 --' a No.31724 CONAL LAKD SJR Thomas E. Neese Associates, Inc. Engineers - Surveyors - Land Use Planners 447 Old Boston Road - U.S Route 1 Topsfield, Massachusetts 0198) 887-8586 1449-29C-CFP -® �' ASS IATE CO TO� June 19, 1995 Ms. Sandy Starr Board of Health 120 Main Street North Andover, MA 01845 Re: Lot 28 Sugarcane Lane (formerly known as Lot 29) Jerad Phase IV Dear Sandy: We have enclosed copies of the soil logs as well as a sketch showing the test locations on the above-referenced lot. Please review these documents and call me to discuss the status of this lot. Very truly yours, THOMAS O S E. NEVE ASSOCIATES INC. Thomas E. Neve, PE, PLS President, CEO TEN/km Enclosures #1449 JERADIV.WPS • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 ��. �' _� __ _®__ '1 I I � � � . ' ,i � w l 9 ': _ p a i� 'A � �� r� 1�1 � _ e � - ,; � ® - ��• - � • - •� 111 _®�� -. � � �� i � �` �� 1 �: ■ �` � �� -- ` •' � 1 1 �®�� �� , .�� � � R. , � � I •,�: ' ��: ;� ,� , yr 1 i � ;t. � � r -. 3 �. sl.S�Nk ty: �.ya -�."n�' `Y:�'�5 �� s. � ,..'t' �Y .a .�� �-. .r_. ..r_il y L .6�;'i���r� ��..'.��M'r�. - +,:,.• t r,,�� r .t,�. ,za ;4 ,. k .:'.� x� � s..,.h . �.:y� � ;a� ';moi' �sn�= fi}� w� ..�Y�., , ..�� .�`�r .,.:?i �F.. —t ' ;:r c�.}. _ '�;,^� ..��.p ya.t 'ti;" �'rY �`:t` v.�+-... mss+. . ..y4�J►. :.i' Fy __ '�,; :v Y;'- a �.. �x �� 1 11 11111. 11 � �7. � � � Iti_. 1 i � �� / ''� i 11 s ,.. � � , 1���� til . �� � � 1 , , ���IIi, ., ; � �' � �� � � li �� �� � � 1 ;�_' r , � , -�: 1 111 i �� � � 5�:, 1 i 11 � i 1/ 111 � O _ = �� ,, 1 �� _ 1. 11, ,� ®, � . . - ..� . 1 e. �i1.,• Ifl � ,, � �i , . , ����' 111 �,� , 1 �, • ,/ � 1",1� , ;, 1 1 ,I, , ' ' GI , 11 .1, . ► ,1 � • t:. .1 ,. � SII �1 1 1 � . � t, w c .,(.. w4.y,,r t .JUTA-19-1 +95 16:33 TH 11AS E. PdEUE ASSOC. P.01 i� THO' SSSS T FAX COVER SHEET TO: FAX # : � _ FROM: DATE., MESSAGE* Page 3 of , NOTE- If you have not received the correct amount of pages, please call, * ENGINEERS . 4 LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route 01 Topsfield, MA 01983_ (508) 887.8586 FAX (508) 887-3480 / t• lye! � TTT/// // (''l `�� - rye n-�1 I .v�x=+,.F•::.c;v`.r�i�__.�-.r.. -�..r-_.n � •�.t, - .' _ - _ �' -j - -. - _ - - - - - - - - - �. �lC' Y .—l7� dfYCE1�► -- -- r - . -- �2t JUIII-19-1995 16:35 THOMAS E. NEUE ASSOC. P.04 6s, I I ------------- .717 - { tT, I "Rom :.�..� I II .a-�r�.�,� +N�a+.-�.-.a, w.l"sT"'•x��'-�'�e�.r.�`'*7'� - '`r"e'`�`'^- ... _ - LL t I Tj LP 1-0 7radv JI_IPJ-19-19915 lei: 6 THOMAS E. i lEUIE A:.SC=:. P.05 lop0 213i 124 48 VO 1 r1� � + � 1 t � • t � vim- �♦�'-•�-_ ay� �+ F t t ♦♦♦ "l N, 1 tt r �♦ 1 ! I 1 ♦\ r � I'or �►� PIP �♦ 1 rte+ � ♦ r I t t !� � I tt t+•��� Q 015 0 AL 44 iry �3� `�'_.,..,,� �`~- �� � ► it ,�,.-��6,� -~ � . i Qi f- _ � 691, -{ 66 6+2 .67 Ile a yy de 50 �a PP j� T r TOTAL P.05 -IN-20-19,95 10: 16 THUt',IAE E. I-1EUE P.02 -7 1E THOLVIAS r-,,. N! ASSOCLUES, INC. "0 June 19, '1995 IMs. Sandv St4L,.r Board of Health 120 Main str�.et NN r t h Ando v e r, NLA 0 18-4 JS Re: Lot 28 Sugarcane U-ne (formerly known. as Lot 29) Jerad Puase. rV Dea.- Sandy: We have e-nclosed copies, WE the soil togs as wC11 as a sketch showing the test Joc;-tions ,--)n the above-ref-erenced )ot. Please review these doc-umenis and call me to discuss the status of this lot. -\7 ery tilli' yours, J'HO'NtAS E. NITEGTE ASSOCIATES, PNC. Thomas E, Neve, PF, PLS PresideL)t, CEO Enclosures ff 41449 1UR,1.D1VAVPS • ENGINEERS LAND suAVEYORS LAND USE PLANNERS - 447 Old Boston Road U,$. Route #1 Topsfield, MA 01983 FAX (508) 887-3480 TOTAL P.02 . �, - _ -� ` .- -•� 41 2. r r \ � � r t r 1 .� ♦ 124 - - - N1 , / / \ 1 0N rj /it of 0 2 60 �� .� ,\♦�` � � ;+ � \\, vee% i3 Y i ♦♦---�"�Qi --- --ri IV Ele G,(�ped •3e . � � � E°sett' 07 62' �' , -- ' —_ _ `♦ 0 3 8. 32 12 _ \ e Q r � �--,. �•`••� t •� ,� 8+28.67 9 �\ �.,� 4 ; 0 — F� sa 550 9.5® SB Fid 51 1O ,, w )Nide 12 / ,' t S� S 004 / r 50 , .......` N /• ate' � - �- 4 - g9 / pr . 00 00 ,�,�03/' e �; .. ....... � a r t r. SB r 4' p� ryY 'F 60 o ea ed5 r �i`� H;F t r k` Mem TOVVN UF NORTH ANDOVER/ ASSOCBOARD OF: HFALTH E INC. M 161996 April 11, 1996 Sandy Starr, R.S. North Andover Board of Health 146 Main Street North Andover, MA 01845 Re: Lot 29C Sugarcane Lane Dear Sandy: We are in receipt of your letter dated April 3, 1996 regarding the above-referenced lot. This design has evolved since October 26, 1995 following meetings and discussions with Mike Howard, the Conservation Commission, and you. I thought that our latest design reflected what you and Mike agreed on. The 10/26/95 design, which no one liked, showed a trench system in total compliance with your regulations and an "old" wetland line previously approved by the NACC when Jerad Place Phase II was approved in 1986. Mike's most recent site visit indicated that the 1996 wetlands were 4' closer to the upland, resulting in a distance to the leaching facility of 96', therefore a revision to the design was made on January 17, 1996. We resubmitted this plan to you and indicated that a Board of Health waiver was necessary for the 96' to wetland. On January.30, 1996 we met with you and reviewed the plan. We agreed to design the system on 110 gallon/bedroom/day and make other changes which would not require a Board of Health waiver and would satisfy the NACC as to their setbacks also. You, Mike and I had a phone conversation and all agreed to this plan. What would you like me to do now? Bob Janusz is going nuts and I am getting too old for this. Please advise. • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 ..r`' Sandra Starr Page 2 April 11, 1996 Attached please find all correspondence and plans for your reference. Also find a revised plan showing the distance from the septic tank to the dwelling and the elevations of the perc tests. I will ask Bob Janusz to drop off a check for$60.00. Very truly yours, THOMAS E. NEVE ASSOCIATES, INC. Thomas Neve, PE, PLS President, CEO Attachments TEN\ec cc: Bob Janusz Tom\305.doc � � THIONIA"S E ���� ����������� )�� E. ~- ` ' ( Encineer " Land Surveyors " Land Use Planners | 447 Boston Street UG �l | TOPSFELD. MASSACHUSETTS 0198.3 DATE� `-~~' 88^ .~~. � FAX (508) 887'348OATTENTION TO fl RE: WEARE SENDING YOU ttached O Under separate cover via the following items: � O Shop drawings O Prints O Plans O Samples O Specifications O Copy ofletter O Change order O COPIES DATE NO. DESCRIPTION 17 i ' � i THESE ARE TRANSMITTED oschecked below: | ! m� For approval O Approved O Resubmit copies-------- approval O For your use O Approved asnoted O Submit_----_-_'copies for distribution O As requested O Returned for corrections O Return-corrected prints > O For review and comment O O FOR BIDS DUE 10 -----__- O PRINTS RETURNED AFTER LOAN TOUS 7' A0JCOPY TO � ! @9 Contents:40%Pre-Consumer - SIGNED: � xenclosures are not asnoted,kindly notify usatonce. | | | April 3, 1996 Mr. Thomas Neve 447 Old Boston Road Topsfield, MA 01983 Re: Lot#29C Sugarcane Lane Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Design not based on 165 gallons per bedroom, minimum 660 gallons per day. 2. Please state distance of tank to dwelling on site plan. 3. Leach area not 3 5 feet from foundation. 4. Leach area only 25 feet from drainage easement, 35 feet to CB and 55±feet from street drain. 5. Leach area less than 100 feet from wetlands. 6. Perc elevations not present. �Ifou have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr R.S. Health Administrator '" /04.1) SS/cjp Tof North Andover of Ho pT►, -1ti OFFICE OF 32 y°� ° ° OOL COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street °9,.a<..•_._ • North Andover,Massachusetts 01845 97SACHUS�� (508) 688-9533 December 7, 1995 Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot 29C Sugarcane Lane Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: I) In order to use 195 code and class II soil loading, you must have soil evaluator. Who did tests of 8/95? 2) Need gas baffle on tank outlet. 3) Need assessor's map and parcel. 4)- Leaching area only 22 feet from subsurface drain to catch basin, and 28 feet from foundation drain. 5.)- Check note 14 and water line. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. bA_ Health Administrator SS/cjp i BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Start Kathleen Bradley Colwell THOMAS E. -NEVE Engineers a Land Surveyors * Land Use P.Ianners 447 8cston Street US #1 TOPSIFIELD, MASSACHUSE17S 010-83 DATE ) 15-08 837-8586 ATTENTION FAX (508) 8.87-3430 WE ARE SENDING YOU Ell,Attached F-1 Under separate cover via the following items: [I Shop drawings '[]._Prints 0 Plans 0 Samples 11 Specifications [I Copy of letter 0 Change order n COPIES DATE NO. DESCRIPTION r i THESE ARE TRANSMITTED as checked below: El For approval C1 Approved as submitted Resubmit copies for approval 0 For your use 0 Approved as noted 0 Submit—copies for distribution 0 As requested C1 Returned for corrections 0 Return—corrected prints > C3 For review and comment ❑ 0 FORBIDS DUE 19 0 PRINTS RETURNED AFTER LOAN TO US REMARKS b\j if- LcrT. A zr_ ,L_ e\JPN L-J a—co e C- kz 5 TV\A 4-- P,_, C,7'T IF S � ,j F f I::-CDC-4::-) t-,Ac,-T� t`l is 7E771-A 5— -T C Ic— D k'r-' -70Z, C 4r-- t::, T � d,''L, V\A TIA A t;t_11= • CT _T 01`-� i-AL1E_ (&-Tt f�f_ A COPY TO RECYCLED PAPER: < aP Contents:40%Pro-Consumer-10%Post-Consumer SIGNED: If enclosures are not as noted,kindly notify us at once. j 7 0 MIAZ' -E. N E V E A S S 0 C-A T r S, I NC. C 7 5u H luv-0,;L-F 7zQ 0 Engineers * Land Surveyors 9 Land Use Planners 00 L 147 Boston Street US #1 TOPSE-FIE-1—D, MASSACHUSETTS 0198-33; DATE JOB NO. (508) 387-8586 A V � ATTENTION A 503) 887-3,430 TO RE: V-- iC L A > WE ARE SENDING YOU Attached 7 Under separate cover via the following items: El Shop drawings %_'Prints E, Plans 11 Samples 11 Specifications C1 Copy of-letter 01 Change order F7 COPIES DATE NO. DESCRIPTION I sP, -ra .r -.e- Z_I I jr 1 e,6 (z- e�r,_\j 1—' C' _r,7-t,'C_ -z-I Ie, I C,(- �Z<,-:9-('58 t 15-� 7 r�k -,� S k",:, - 7� 13 1,9(�o THESE ARE TRANSMITTED as checked below: 0 For approval. El Approved as submitted 4P_�,Resubmit copies for approval 0 For your use C1 Approved as noted 0 Submit-copies for distribution > 0 As requested' 0 Returned for corrections 0 Return-corrected prints 0 For review and comment 1-1 0 FOR BIDS DUE 19 C3 PRINTS RETURNED AFTER LOAN TO US REMARKS > U G C­4!Elp py&cwt cLj i,_k N v Lc_ A,tJ­r S-n c­_N5. COPY TO RECYCLED PAPER: Contents:40%Pro-Consumer-10%Post-consumer SIGNED- ta,, �an._.c ItIf enclosures are not as noted,kindly not Town of North Andover F NORTH , OFFICE OF t.�eo ,e' HOL COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street *, North Andover, Massachusetts 01845 . ...;;:•a'`�5 9SSACHUSE� April 3, 1996 Mr. Thomas Neve 447 Old Boston Road Topsfield, MA 01983 Re: Lot 929C Sugarcane Lane Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Design not based on 165 gallons per bedroom,minimum 660 gallons per day. 2. Please state distance of tank to dwelling on site plan. 3. Leach area not 35 feet from foundation. 4. Leach area only 25 feet from drainage easement, 35 feet to CB and 55±feet from street drain. 5. Leach area less than 100 feet from wetlands. 6. Perc elevations not present. In addition, since this is anew design, the full review fee of sixty (60) dollars is required. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, V� �, } Sandra Starr, R.S., J = 1 Health Administrator L SS/cjp BOARD-OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover HORTp OFFICE OF 3�Oy` t e o e 1ti0 COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street ` t North Andover,Massachusetts 01845 °44..o SSACHUsti April 3, 1996 Mr. Thomas Neve 447 Old Boston Road Topsfield, MA 01983 Re: Lot#29C Sugarcane Lane Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Design not based on 165 gallons per bedroom, minimum 660 gallons per day. 2. Please state distance of tank to dwelling on site plan. 3. Leach area not 35 feet from foundation. 4. Leach area only 25 feet from drainage easement, 35 feet to CB and 55±feet from street drain. 5. Leach area less than 100 feet from wetlands. . 6. Perc elevations not present. In addition, since this is a new design, the full review fee of sixty (60) dollars is required. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 THOMAS E. NEVE ASSOCIATES, INC. P-AUUM @T 4MH1Q3 V-]0`ff VL 1L Engineers • Land Surveyors • Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01983 DATE I T'. Z. - (508) 887.8586 ATTENTION FAX (1508) 8877--3�48/�0 �7 TO �r+c�+Pl� G�1' W_4_( L- 5. RE.'LuT Z J�".�y t. !r LAOC' ----- M rNr-NO, APlQOVER/ r-.L- 3 M61 WE ARE SENDING YOU Attached ❑ Under separate cover via pe..Wle l ing items: ❑ Shop drawings '..Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION � %-jc%. 194 ZP_jC_�.'ss�tA�t.+PJIr__ UP11711JIG THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS p�Ea�e 5A+�1CrC: R�� FWD �1C.t.o p �(-EAG Sw P'�lL. R- -� 'CVIC 'Mtn w.t U C C � Hs�v+v DoE-. -tom- -yG�lt_Ev p,L.v A-comm sn MIPbP A*-4rP tsumg eyf_ t-jt t t 0-m 1 �1�'t B AtJL_ D tS'CA+a C.IE PuEAc S� lStYC� ��� �T�-1'�. �P►-p BNE�F t_.�r �pr'S 86�—� �vEyp '1x� "rtlg SEP-t�c_ "t►Av-�+Cr. L.AIS_CL_< wE_ W+4tt✓ 'BE C4%rE5on t-Acftr A SKS'C�nA, "C'+[� Su g S>v�+FAt�'s j��A-t�.►�,rC:� "tl-�S� P�G�y�.�CS w luL. gLc M.IPlrV45_ L_xt_1n6t_ A %-JE-"-rTCV_17 rc4- "fes- B3.o. 44. Mf-f-'Tt*_1C-=- o.� j P,-i . ZS, t`3 CA-LA— Ir- COPY FCOPY TO RECYCLED PAPER: 4 Contents:40%Pre-Consumer-10%Post-Consumer SIGNED: if enclosures are not as noted,kindly notify us at once. / z 9l Z /�#/40X)a A)o C Gel Town of North AndoverNORTH OFFICE OF 3�oge,tiOL COMMUNITY DEVELOPMENT AND SERVICES 00 146 Main Street ** r0 9opP . + North Andover, Massachusetts 0.1845 �SSACHUSE� (508) 688-9533 December 7, 1995 Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot 29C Sugarcane Lane Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1) In order to use 195 code and class II soil loading, you must have soil evaluator. Who did tests of 8/95? 2) Need gas baffle on tank outlet. 3) Need assessor's map and parcel. 4) Leaching area only 22 feet from subsurface drain to catch basin, and 28 feet from foundation drain. 5) Check note 14 and water line. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cj p BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell i NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: PERMIT # DATE RECEIVED APPLICANT '--BO 8 J 44y03 Z, MAP PARCEL ADDRESS LOT # a90 ENG. &&— STREET 7UG�aeC'/�NC G.4�G_ ADDRESS +47 IOL _BOS%dtJ RD T6 PLAN DATE /D lo'Z6/��� REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: 4G►.� /�5S So�G' �a����'�6 G�kDC-.e Td 4)5(9' qv� 0-4),b E /6�1 N��D CA5 G`�E OA, Tl�IV�C 00 7-1-457-, D AJG i3 7-6 ��rcH �r3�ic�j y PLAN REVIEW CHECKLIST ADDRESS ZOT -2lzG ENGINEER Wt--y<� GENERAL / 3 COPIES v STAMP L--' LOCUS L---- NORTH ARROW SCALE CONTOURS ✓ PROFILE tl SECTION L--- BENCHMARK t/ SOIL & PERCS ELEVATIONS / WETS. DISCLAIMER WELLS & WETS WATERSHED?A__ DRIVEWAY_�/(Elev) WATER LINE L1____ FDN DRAIN SCH40 L,"" TESTS CURRENT? Z56 SOIL EVAL J SEPTIC TANK MIN 1500G L,,-- . . 17 INVERT DROP GARB. GRINDER(+200% EDF) 25 ' TO CELLARsL� MANHOLE ELEV GW ## COMPS. D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET OUTLET 134.0 = Z0 (2" OR . 17 FT) TEE REQ'D? 'UO LEACHING / MIN 660 GPD? RESERVE AREA ✓ 4 ' FROM PRIMARY? 2% SLOPE 100 ' TO WETLANDS ✓ 100 ' TO WELLS f 4 ' TO S.H.GW / (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER ILL?— (25 ' if above natural elev; 10 ' if below) BREAKOUT MET? TRENCHES / MIN 660 gpd SLOPE (min .005 or 611/1001 ) ✓ SIDEWALL DIST. 3X EFF. W OR D (MIN6 ' ) RESERVE BETWEEN TRENCHES? !/ IN FILL? c--' MUST BE 10 ' MIN. y 4" PEA STONE? L"" VENT? t�' (>3 ' COVER; LINES >501 ) BOT > + SIDE / dC� X LDNG F to = TOT loV� ���� (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1995 by S.L. Starr l THOMAS E. NEVE ASSOCIATES, INC. [LIE44Ign O7 4 o n HQ3W044QL Engineers a Land Surveyors * Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01983 (508) 887-8586 DATE 3 09$. JOB NO. FAX (508) 887-3480 ATTENTIO S�fivo 5'T TORE: 'O� T �'u�y Lc/ y N(J`" WE ARE SENDING YOU Attached ❑ Undere cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION Bt "J THESE ARE TRANSMITTED as checked below: KFor approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE -may, 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS &4W 7_111E J -pez�'S. _77�" �T P/is ����- U,�.oWr02D 77ill_5 yO?� - //JE7 479�V_5- ham zf Wr»72-V �s 407- 10,4157 �� 46 r Z-7 TWI" rbZ7- ,i-Qee Pbare ,y- ::&Aa/(111!0 h 9P8� . AVD177o"ac La r!a� h of heel-7 e7c/ded 7'�VO" PYre-, sePr /2FE�� ritcc Z?WEu1,v61' 1s leeln% sem- wf Alf-S�te�7- 121:97_ 571117 Ce 77le- Bf�sC �? 7` h0J .fG',,q f,,--r 2 ' _5:v-uj 7-- ms s. call. COPY TO RECYCLED PAPER: g�Contents:40%Pre-Consumer-10%Post-Consumer SIGNED: If enclosures are not as noted,kindly notify us at once. Town of North Andover, Massachusetts Form No. 1 40RTH BOARD OF HEALTH 9 : APPLICATION FOR SITE TESTING/INSPECTION T 7 °Rq n 5 .� ED '( S SACHUS Applicant -7 7 15' NAME ADDRESS TELEPHONE Site Location Engineer— �Y� NAME ADDRESS TELEPHONE Test/Inspection Date and Time /2/49 Z74 /9 'YA-2- AIRWMN,BOARDHEALTH Fee- Test No. ��3 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH qA BOARD OF HEALTH 46 O� ^t a —19— AK 9k r co APPLICATION FOR SITE TESTING/INSPECTION �9SSACHUS���h Applicant �N3`lr` :�'L'',, 7 NAMEj / ) ADDRESS TELEPHONE Site LocationlJ �, Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time `j CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH • BOARD OF HEALTH 3�o�SStED 'b-1 � OL 1�....... �q+ / ':'o 19 �7J afr * V '0' N R APPLICATION FOR SITE TESTING/INSPECTION ��SSACHU$���y Applicant NAME ADDRE TELEPHONE Site Location C-0 1 I' a 0-� Engineer__ 9 j NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee k Test No. b 9 G S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH 3�0 y,SLED /,.1 - �J ; —19 , \ o r� m APPLICATION FOR SITE TESTING/INSPECTION p�HATED PPp`•�� �SS.4CHUS�� Applicant .h � . NAME V ADDRESS` TELEPHONE Site Location v Engineer �j me, NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee 1 Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. rR 1G. M� • V Town of North AndoverNORTH OFFICE OF 3?oy , ',�°o� COMMUNITY DEVELOPMENT AND SERVICES A 146 Main Street �A "'' e '1 p��.TFO^?P �L� KENNETH R.MAHONY North Andover, Massachusetts 01845 9SSnc►+USEt Director (508)688-9533 b November 16, 199 Mr. Bob Janusz 40 Sunset Rock Road Andover, MA 01810 r,s,y .,K: Dear Mr. Janusz: We are in receipt of your recent information; our records indicate that you still owe $150. 00 for Lot 28A Sugarcane Lane. Thank you for your cooperation in this matter. Sincerely, Sandra Starr, R.S. Health Administrator SS/cj p BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Patrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell TOWN OF SYSTEM PUMPING RECORD,— DATE.. �v-�-o � — 9 Zoog OCA SYSTEM OWNER& ADDRESS SYSTEM LOCATION Lq oa,ss c- (example:left front of house) 40 oufc V�'-k ��-CCVD� DATE OF PUMPING: yr QUANTITY PUMPED : l J�' GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CoNTENTs TRANsFERRED To: G.L.S.D Lowell Waste `fir TOWN OF RECEIVED SYSTEM PUMP G RECORD OCT 19 2004 4/1 TOWN OF NORTH ANDOVER DATE: ~V HEALTH DEPARTMENT SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example:left front of house) CVIW�ir Z �Q�l C) � ac Cc DATE OF PUMPING: 0^ ()4 QUANTITY PUMPED : C O G ONS CESSPOOL: NO YES SEPTIC TANK: NO YES ' NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.Dj Lowell Waste Commonwealth of Massachusetts City/Town of System Pumping Record w ` Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: forms on the \( _. �� JD Us'.e computer,use OL A only the tab key Address to move your U, cursor-do not City/Town State Zap Code use the return key. 2. System Owner: Name I�S�I Address(if different from location) City/Town Stat Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 2. Quantity Pumped: Date �aGallons 3. Type of system: ❑ Cesspool(s) 4D-se-ptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of SyCsCCm" 6. System Pu peck.By: F::--�D Name Vehicle License Number �(A �� � Company 7. Location wh a contents mre d' ed: `24urer�ler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 IL Commonwealth of Massachusett RECEIVED City/Town of System Pumping Record AUG 11 2009 Form 4 TOWN OF NDORTHRA�OVER DEP has provided this form for use by local Boards o e used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: Left front of house, ight fro�house, eft rear of house, Right rear of house forms on the computer, use only the tab key Address 0 , to move your L4 cursor-do not use the return City/Town State Zip Code key. 2. System Owner: A& Name Address(if different from location) Ci !Town State /Zip�/Zi e ,r� Telephone Number B. Pumping Record 1. Date of Pumping 2` Quantity Pumped: "`\j Date Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes Leo If yes, was it cleaned? ❑ Yes ❑ No 5. Condition o`���: '`�� 6. System Pumped By: Neil Bateson Name Vehicle License Number F5821 Bateson Enterprises Inc Company 7. Loc ' ere contents were disposed: G.L. Lowell Waste Water — a—`-4 Signature of Hauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 I Commonwealth of Massachusetts - � ..: City/Town of � System Pumping Record AUG 2 6 20 Form 4 , TOW,, � ;•• P.fH .tl�OJER FiC; n-rDMIENT DEP has provided this form for use by local Boards of Health.Other fo s4may-be-used;but t e 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 Important: When filling out 1. System Location forms on the �\ computer, use only the tab key AddressQJ _ to move your cursor- not use the return City/Town State Zip Code key. 2. System Owner: vl� Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 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 No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System _Pum�ed�By: Name Vehide-Licensee Number Company 7. Locatet7n (tgnts disposed: 4YZ �Q Signatu ler Date t5form4.doc^06/03 System Pumping Record^Page 1 of 1 Commonwealth of Massachusetts City/Town of System Pumping Record AUG I Form 4 wM TOWN®P NOWN HALfiM p DEP has provided this form for use by local Boards of Health. Other forms information must be,substantially the same as that provided here. Before using this form., check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Health ovatter approving authority. A. Facility Information _ 1 - ,Ri . System Location: Left side of house, Right side of house, Left front of hought fr of house Left rear of house, Right rear of house. Left rear of building. Right rear of building. Address City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State �dee Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quanti -Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condi ti n o System: y �� 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locatio r contents were disposed: L.S.D Low aste Water Signature f H I Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 ,N- Commonwealth of Massachusetts City/Town of RECEIVED W° System Pumping Record Form 4 SEP 1 2 1011 �M Svey`e. , DEP has provided this form for use by local Boards of59WH 01Eh C used, but the information must be substantially the same as that pro ' s form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left front of hous left side of house, right side of house, Left rear of house, right rear of house, left side of building, right rear of building, under deck. City/Town r State Zip Code 2. System Owner: Name �\ Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2• Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ No 5. Condit* n fSysStem`^-�" 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. L ere contents were disposed: G.L.S.D. ell Wast W r Signat a of au r Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1