The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 417 ABBOTT STREET 4/30/2018 � 417 ABBOTT STREET '_t. f2101038.0-0160-0000.0 ' l I! i o- N W E NeF C A/Z ET7"A /00.00 1 L,o7- LOT A/ i - 2G�oi9� 0) 500 BOX I50b GAL- .� 7AN'nC-- ys LEACryiNy o o 40T ;A A�3i3arf ST s , J%41/a a 0 .o - - /14.94• - — -.. /, A 8BOTT STR-E,! T ELEVATIONS description design as built INV. PIPE OUT OF HSE. t4 C'�•f/`�1•. - 11 INV. PIPE INTO TANK ` AIS' BUILT INV. PIPE OUT OF TANK INV PIPE INTO DIST. BOX SUE • SURFACE DISPOSAL INV. PIPE OUT OF DIST.BOX e INV. END OF PIPE o l 268.4; SYSTEM 2 E513,7& IN NDQyiaR q FOR' SAM DA-CtA TA Scale:" : YO Date: , Ap2_i� ,gg4 RICHARD F. KAMINSKI AND /ASSOCIATES INC. E NGINEERS ARCHITECT SURVEYORS LAND PLANNERS NORTH ANDOVER ,MASS. Address�!�,,7 ST Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ filum• Action Department Board of Appeals - Board of Health - Planning Board - Conservat6n Commission - Building Department G� oor•kv\ TOWNxOF ANDOVER SEPTIC SYSTEM SERVICING I REPORT Date: 14 Homeowner:— Pumper : RC-04er- kA A Street : b—) A141ti�1{�S� Address: Phone (oQ� -�, $d'1 Phone Nature of Service: Routine Emergency Observation:; : Good Condition Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) Descript'.on of Work Comments: Address —4 /)--PoTT S,T Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes. action Document/ document/ Num. Action Department Board of Appeals - Board of Health - Planning Board - Conservation Commission - Building Department � d^ To: North Andover, Mass.-April 5. 1985 Board of Health From: Design Engineer Re: Soil Absorption Sewage Dispoal System This is to certify that I have reviewed the construction materials of said disposal system at Lot A' Abbott Street North t et- North Andover, Massachusetts. Site Location The grades and construction materials are in eneral Conformance to my plans and specifications dated 84 and As-Built _8pri 1 5 1985- ` O� °=c� I. WILLIAM o _ P CE V - } Reg '01ST neer oHAL�N North Andbverf, Nass. Street No Lot No,4-f-R Ir)q/Subdiv. Pland— Owner A- I.nvestiSatorw'' IC r Observer _SOIL PROFILV: DATES ` 1_ lev 2.Elev 3.Elev _—_ 4.Elev,_ 0 0 0 -- --- -- -- — -- 6�p or- -- Ties to Tes- - - Pits- . 2 2 2 2 3 — - 3 -—-- ---- ---— 4 hy 7o. ?0 iK T:,Ca_tion ;l e,aation J117LL13COT:fJJ1 ("N 11 ?S DATES f Start S21urat on f 6 `-TJ r,e - -t rJ Z oU - - - - - 1 T8 iv 011-1 PP Y Board of, Health ecr"k .1indover,Ylasz SUBSURFACE DISPOSAL DESIGN CHECK LIST ----- - — -- - — LOT # APPROVED DATE I - DISAPPROVEM DATES Provided: , , Reasons: Title V FAIL JOK „ Reg 2.5 The submitted plan must show as a azi.nf mum: a) the lotto be serVed-area,dimensions lot #,abutters b location and log 'doep observation hoes-distance to ties c location and results percolation testa-distance to ties d design calculations,& calculations showing required leaching area (e) location and dimensions of system-including reserve area f) existing and proposed contours ,. (g) location any wet areas within 1001 of sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 100' of sewage disposal system or disclaimer (i) location any drainage easements within 100' of sewage disposal system or disclaimer-Planning Board files known-sources of eater supply with-200 . of sewage disposal e system or disclaimer (k) location of any. proposed well to serve lot-1001 from leaching facilit; (1) location of water lines on property-101 from leaching facility (m) location of benchmark (n) driveways (o) garbage disposals (p) no PVC to be used in construction (q) profile of system-elevations of basement, plumb, pipe, septic tank, - distribution box inlets and outlets, distribution field piping and btner elevations (r) maximam ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional Engineer or other professional authoriz-d by lax to prepare such plans Reg 6 Septic Tanks- (a) anks(a) capacities-1507, of flow, water table, tees, depth of tees, access, pumping (b) cleanout (c) lot from cellar wall or inground swimming pool (d) 251 from subsurface drains Reg 10.2 Distribution Boxes (a) slope greater UiE 0.08 Reg 10.1 b) suap Board of Health SEPTIC SISTF.K A G/M North Aadovqr,H�ea. - /� � S INSTA.SATICdQ CHHCg LI Sr Z.OT�`ft�_ ....L��1.� AF OVED DATE DI SAPPROVID AVATICN OE FAIL D- � easnnst D FAIL OK Lf�S I. Distance To: a. Wetlands b. Drains C.. Well 2. Water Line Location 3. No PPC Pipe }�. Septic Tank a. ..Tees -_Length do To Clean out Covers b. Cement Pipe to Tank - on Both Sides of Tank 5. Distribution Box a. Covers-& Box - No Cracks b. All Lines Flo wing Equal Amounts C. No Back Flow 6. , Leach Field or Trench a. Dizensions b. Stone Depth c. Capped Ends d. Clean Double Washed Stone 7. Leach Pits a. Dimensions b. Stone Depth c. Splash Pads d. Teas e. Cement Pipe to Pit - Both Sides f. Clean Double Washed Stone 8. No Garbage Disposal 9. Final Grading Inspection 10. Barricading Covered System 11. As Built Submitted a. Lot Location b. Dimensions of System c. Location with Regard-to Pere Test d. 'Elevations e: Water Table N W E NeF CALZ£T7'A - /oo op• 1 1 oT a LoA407- _--DI ST.Box aa' 1500 GAL„ SEPTIC LEA C HIND •>^ TANK-- FIELD p � p ,`\�l` 24'h 0 a, -- c ye .o o_ /� ---- A SJ50TT STRf1e7- ELEVATIONS description design os built F/ INV. PIPE OUT OF Ii SE. G`, v� �l•� Ate' �,« INV. PIPE INTO TANK 60 L /9 S U LT " INV. PIPE OUT OF TANK 60.1 INV. PIPE INTO DIST. BOX SUB • SURFACE DISPOSAL. INV. PIPE OUT OF DIST.BOX e INV. END OF PIPE - 0 1 ts8.�3 S J T J I IY+ Y 76.76 YST'E M .5 ' No RT H F'O R: � _�1A M DA MI TA Scale:�__cyo' Date: APR14 s i9®s RICHARD F. KAMINSKI AND ASSOCIATES , INC. ENGINEERS • ARCHITECT SURVEYORS LAND PLANNERS NORTH ANDOVER ,MASS. N W E MeF- C A L Z,ETTA /00.00 1 1 Lor3' . LoT A/ —DI ST.6 OX .- 3c.bo• n. 1500 GAL_ SEPTIC 5 -L EACNI N� p TANK— - y FJELD O y �a •�o - t-113Borr STRfeT ELEVATIONS description_ _ design os built INV. PIPE OUT OF HSE. 60. G 257-198 6o.i S �I �T I' INV. PIPE INTO TANK G INV. PIPE OUT OF TANK INV. PIPE INTO DIST. BOX SUB - SURFACE DISPOSAL L o INV. PIPE OUT OF DIST BOX e INV. END OF PIPE o 158. 3 SYSTEM Z 2se.7a IN �jo RT H ANDOVER_ MA. FOR SAM DA'`jATA Scole: / '" : Lfo" Dote: APRIL s. �9as RICHARD F. KAMINSKI AND ASSOCIATES r INC. ENGINEERS - ARCHITECT - SURVEYORS - LAND PLANNERS NORTH ANDOVER ,MASS. Town of North Andover, Massachusetts Form No. 1 QF NORTH BOARD OF HEALTH 9 32 ,,EO 6 q o L 19 O ;+ m APPLICATION FOR SITE TESTING/INSPECTION A�AAi[o ppP �co ��SSACHUSE� Applicant NAME ADDRESS TELEPHONE Site Location Engineer ' NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. lob C.C. Date 9 5 Plbg. Permit No.- S 44 lw e SEPTIC SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED gfo PROPERLY FUNCTIONING? Y� N WEATHER CONDITIONS COMMENTS : 14A'rER QUALITY TES I E-ts r' l:ES0-7r5? . DYE TEST PERFORMED? Y N DATE? SKETCIz r WATERSHED RESIDENTS QUESTIONNAIRE 1. Name .r ' :a� -; 1�;�� =� ' 1:2. i �^ 2. -.Street Address ��'% 3. How many members are in your household? ;:4. . What type of sewage disposal system do you have? ❑ cesspool [V septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? Elyes EJno 1K do not know 6. How old is your sewage disposal system? [Y 0-5 years ❑ 6-10 years ❑ 11-20 years ❑ over 20 years ❑ do not know 7. Has your sewa a disposal system been rebuilt or repaired? El yes [V no ❑ do not know If yes, approximately how long ago? years. What was done? S. How frequently is your sewage disposal system pumped out? ❑ annually ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years Fie' never 9. Have you had any problems with your sewage disposal system? ❑ yes no If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine dishwasher / garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub _oL_ 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher _422)` r clotheswasher 12. Does your property have a lawn? a? yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre [B/ 3/4 acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per year 4 - 3 Season(s) of the year �ri 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: (2ri m / / Check here if your lawn is maintained by a professional landscape contractor. i YfO O'2 r. 9f f ralzl 'f� FORM - SYSTEM PL.N PD;G RECORD Commonwealth of Massachusetts Massachusetts System Pumping Record -stem Uwner System Location A) o" A�kuor, Date of Pumping: L( -8—q5 Quantity Pumped: gallons Cesspool: \o ® Yes ❑ Septic Tank: No ❑ Yes 0 p System Pumped b%-: License #: - - Contents transferred to: • �` Date Inspector I NDDvt 'It BOARD OF NEA�tH i PpR1 � 1995 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM/ Address of property �-� �� Y� S�• wo� '� / V (�' �1� � Owner's name Date of Inspection l L -9--(-?5 PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. '-"'/As built plans have been obtained and examined. Note if they are not available with N/A. [//The facility or dwelling was inspected, for signs of sewage back-up. (/ The site was inspected for signs of breakout. y All system components, excluding the SAS, have been located on the site. ZThe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of /'sludge, depth of scum. y The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (andoccupants, if different from owner) were provided with information on the proper maintenance of SSDS. � r � 8 SUBSURFACE . SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION i FLOW CONDITIONS If residential number of bedrooms j Tnumber of current residents O garbage grinder, yes or no laundry connected to system, yes or no seasonal use, yes or no If nonresidential,, calculated flow: Water meter readings, if available: (\pv\P__ ,w�q�� Last date of occupancy j GENERAL INFORMATION Pumping records and source of information: System pumped as part of inspection, yes or no if yes, volume pumped tSCC) q 0- Reason for pumping.�Q --Q 0,A4 kA te� -6 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) Other (explain) Approximate age of all components. Date installed, if known. Source of information: to yeoSs � C) ,"Sewage odors detected when arriving at the site, yes or no ' 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: (locate on site plan) 4 depth below grade: - material of construction: �Concrete metal FRP other(explain) dimensions:2 X ��g K 4 zc- Y7' 5 `— 122220 � sludge depth distance from top of sludge to bottom of outlet tee or baffle scum thickness distance from top of scum to top of outlet tee or baffle 11 distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, eviden a of leakages( recommendatio for rgpairs etc )1(2 'ai'-qQA L13 'OSc0V\ D CJ 4P DISTRIBUTION BOX: (locate on site plan) depth of liquid level above outlet invert Comments: (note. if level and distribution is equal, evidence of solids carryover, e idence of 1 akage in o o ut of box reco a dation for rep r t . PUMP CHAMBER: �N (locate on site plan) ..pumps in working order, yes or no Comments: (note:„condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM ,INNFFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : " (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length a e--"G 2S r7/ ' 10nP leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of c ege ati n, rS�ommenSdatip s� for�XXCW[l n�^an a of�,.e airs,etc. ) CESSPOOLS (locate on site plan) : �Jcmp number and configuration depth-top of liquid to inlet invert depth of solids layer depth of scum layer dimensions of cesspool materials of construction indication of groundwater inflow (cesspool must be pumped as part:of inspection) Comments: (note: condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,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, recommendations for maintenance or repairs,etc. ) 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' tom'SCDkA. ks L4 I' `� Q aS A- - 0,S3 = IC� /i 40 Ccx VQC CA-1-uso _ (j +0 3 ova Sa G\•eaA&aA covrvS C5t/\ S3 Oc�� Gel- CaJQA - CSA �. DEPTH TO GROUNDWATER depth to groundwater WCUj � method of determination or approximation: T i t AV 12 � II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? i N Discharge or ponding of effluent to the surface of the ground or surface waters? 11 q Static liquid level in the distribution box above outlet invert? N IV Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? times or more in the last year?Required pumping 4 , number of times pumped Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? Iv within 100 feet of a surface water supply or tributary to a surface water supply? IN within a Zonea I of public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS)? Nwithin 50 feet of a private water supply well? i i less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well -has been analyzed to be acceptable, attach copy of well water analyst for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM I PART D i CERTIFICATION Name of Inspector Company Name V-1G. Company Address �I Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. C e one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303. Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15. 303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. i Inspector's Signature Date Original to system owner Copies to: Buyer (if applicable) Approving authority