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HomeMy WebLinkAboutMiscellaneous - 425 FOREST STREET 4/30/2018 (2) � . �i C� �� �� ��! � Commonwealth of Massachusetts W City/Town of NORTH ANDOVER ° System Pumping Record Form 4 GSM yey,'V - 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. PE E® A. Facility Information Important:When JUL 3 0 2014 filling out forms 1. System Location: TOWN OF NORTH ANDOVER on the computer, yEAI,TH DEPARTMENT use only the tab 425 FOREST STREET key to move your Address cursor-do not NORTH ANDOVER MA 01845 use the return City/Town State Zip Code key. 2. System Owner: f� ROBIN BARCLAY Name w[rrn Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 7/28/14 2. Quantity Pumped: 1500 Date Gallons 3. Component: ❑ Cesspool(s) ® Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑' No 5. Observed condition of component pumped: GOOD CONDITION 6. System Pumped By: JAMES H CURRIER II H79 406 Name Vehicle License Number X SEPTIC & DRAIN Company 7. Location where contents were disposed: GLSD 7/28/14 Signat of.Hauler._ Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc•11/12 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts North Andover, Massachusetts System Pumping Record P. . , RECEIVE System Owner& Address: Robin Barclay HAY 61 Z 425 Forest St North Andover, MA 01845 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Location of system: Next To Driveway ` Rate of Pumping: May 15, 2012 Type of system: Septic Tank Gallons Pumped: 1500 gallons System Pumped by: Service Pumping& Drain Co.,Inc. S Hallberg Park North Reading,Ma License#: BHP-2011-0413,0412,0411,0410,0409,0408 Contents transferred to: Greater Lawrence Sanitary District Date: May 15, 2012 Pumping Technician: PK This is PROPRIETARY and CONFIDENTIAL information that may be'used only by the Board of Health for regulatory purposes le m Rec 'US E7 DE P.hai p�ovlda0 h1 0;(n f�, neo MAR 5 2009 00 1111119(J l0 the IOC 11 g, at g0aIC1 0t n0B r ty In for t a!I o n HEALTH DEPgRTMEN _t n Hvnt '.:;�; µl (IdVfltlnl rcvnbuUcn; -------------- . T� o9non� rv,m0„ -- � PumPnO o r d Type of byi(0M: C999 50P c Tan, , I i`�fOlher (daacribe _ fs�, ra�� '�� )( Emuanl Tao F(Ile('P(pwr7 [' yo9 vn ' •/ J'Il�.. .'�/.f�f'�� �.'�� ��' Y'(,• �"�� ��. J�l. /f' /�, wry.V, / / �� -.. rY Py'mpod 8y:� '�:•i,,,'r,,, �� `• '' I it Oft T O 'Jconit - ' 7. o7161kn.�rneia coglenla'waia dl�posao: .,�',f�� ''N ,;�,,t• :iii;,. �. 't v/h'tV�(y�,y,<.,. l �J.8ov/dei,wei6116PPrpYaJsJlblorma.n.nal�9�acl i .. P. I S _ s� .. �� . ` .... ..,, �.«` �. � r ` ,' � .. �.. 1 � ' ... .. FORM 4 - SYSTEM PUMPING RECORD Commonwealth of Massachusetts North Andover, Massachusetts System Pumping Record System Owner: System Location: Robin Barcla4y front yard 425 Forest St . N rth Andover, MA 01845 Date of Pumping: June 19, 2002 Quantity Pumped: 1500 gallons I Cesspool: No /X /Yes // Septic Tank: No // Yes /X / System Pumped by: Service Pumping & Drain Co. , Inc License # 109-OOH Contents transferred to: Lawrence Treatment Plant Date: June 19 2002 Pumper: B.L. This is PROPRIETARCONFIDENTIAL ' . .._ - Y and ' information that may be used onlybthe y Board of Health for regulatory purposes. Address .S }--o f� S 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 STEWAPT/—MbOVER PAGE 0? JVaAW r-�h Na f1 h Ilonv�i- 47 R&rtRW P W-m u! Lie- t 5l-� N OF�pRp� Mk 01835 \ Lae_ # 978-372-7472 OFREPOSW TOM or /4not)uzy- ADDRZSS d-` p Z//3 off ti FOR - DATE /� TIM � P. M GCS PH©FVEf� OF AR TUANW PHONE YOUA CALL AREA CODE NUMBER EXTENSION PLEASE CALL'- MESSAGE .L ,GALL AGAIN, ''CAtUi�T0, '°SEE YDU SEE Y[!U ? SIGNED TOPS FORM 4003 1 , / 1 ,1 Sjry nom�`` �� N ABRUZESE, CONSILVIO & BARCLAY ATTORNEYS AT LAW 92 HIGH STREET MEDFORD, MASSACHUSETTS 02155 ROBERT G. ABRUZESE (617) 395-5211 FELIX J. CONSILVIO,JR. FAX(617) 395-3420 ROBIN M. BARCLAY KATHLEEN A. DESMONDpOVER/ BOARD 0�HEALTH July 20, 1995 JUS- 2 11995 VIA TELECOPIER - 508-688-9556 and First Class Mail Ms. Sandra Star, Director Board of Health Town of North Andover North Andover Town Hall 120 Main Street North Andover, MA 01845 RE: Long Pastures Development, N. Andover, Massachusetts Dear Ms. Star: I left a message for you on Monday but have not, as yet, heard back. It is my understanding that on Monday you inspected my property relative to the issues we discussed at our meeting. It had been my understanding that you would call me in advance so that I could be present at the inspection. In any event, I am anxious to hear your thoughts regarding the proposed impact of this development on our well and leaching field. Please call me at your earliest convenience. Thank you, once again, for your assistance in this matter. Ve Y yours, ours Rob M. Ba zlay RMB:rmc 1 h ABRUZESE, CONSILVIO & BARCLAY ATTORNEYS AT LAW 92 HIGH STREET MEDFORD, MASSACHUSETTS 02155 ROBERT G. ABRUZESE (617) 395-5211 FELIX J. CONSILVIO,JR. FAX(617) 395-3420 ROBIN M. BARCLAY KATHLEEN A. DESMOND September 22, 1995 POS Ms. Sandra Star, Director 40 `�• Board of Health 5� Town of North Andover North Andover Town Hall 120 Main Street North Andover, MA 01845 RE: Long Pastures Development, N. Andover, Massachusetts Dear Ms. Star: It was my understanding when you called in response to my letter of July 20, 1995 (attached) that you would be contacting me upon- your: return from Vacation to arrange a view of my property. However,.."I:°have, not heard from you. :_,,.Since we spoke, I have engaged an expert to review the problem. However, before he does an . in=depth �.Ahalysis, I would prefer to hear your thoughts to see if we could reach some kind of resolution prior to incurring the expense of the expert's report. Although the expert has indicated that it is likely that there will be a negative impact on our property and, specifically, our wells, his in-depth analysis will be quite expensive. It would seem more appropriate to pay for the study if I am required to litigate the matter and such a determination would be premature at this point. Please call me next week to further discuss this matter. Thank you. Very truly yours, Ro. in .M. Bar lay RMB:rme.. cc:;- .:Mr-. Ken: Mahoney Interim Town Manager 95-338.1tr � . ABRUZESE, CONSILVIO & BARCLAY ATTORNEYS AT LAW 92 HIGH STREET MEDFORD, MASSACHUSETTS 02155 ROBERT G. ABRUZESE (617) 395-5211 FELIX J. CONSILVIO,JR. FAX(617) 395-3420 ROBIN M. BARCLAY KATHLEEN A. DESMOND July 20, 1995 VIA TELECOPIER - 508-688-9556 and First Class Mail Ms. Sandra Star, Director Board of Health Town of North Andover North Andover Town Hall 120 Main Street North, Andover, MA 01845 RE: Lona Pastures Development, N. Andover, Massachusetts Dear Ms. Star: I left a message for you on Monday but have not, as yet, heard back.: It is my understanding that on Monday you inspected my property relative to the issues we discussed at our meeting. It had been my understanding that you would call me in advance so that I could be present at the inspection. In any event, I am anxious to hear your thoughts regarding the proposed impact of this development on our well and leaching field. Please call me at your earliest convenience. Thank you, once again, for your assistance in this matter. Very truly yours, Robin M. Barclay RMB:rmc 95-338.1tr T 65 .e (,raj G��.� �i't✓L7 �] rbC�lnl -- WEI.C.. ,SPF-loyCD1YJrC ss 3t ? SEPI-IC Sy S T E•c I PE51<^A ---------- ( ( dPAJPITIDLJj �15A PPS vEp p�iE R�ASoNS = 1/T5 S Q Fait_ �IN�Ci� l iJS(�EG j 10/J pPPl�c�vED U4TC ADDIT�D�AL I�St�zi(ONS �1F- A►�Y) D�Sl�PI'�Uv�l� D,a rC RtJ,QL APPR(jvAL -2,147 �S �J1LT �=�11��C�S • OF. VoJp"TtcV4 � r off' tµ�. �� p\T 1 , = q�.54 S zJta cam. c9 � p , 3 N o-fix 21•S' i�.\' VV.\ 30 A 30,lo t3C\t5V. CCkf-. Lk �II i l c o � . J1LT PLAN rte. URFA, DISFI(XSAL SYSTEM r V.i : r AS PREPARED FC#R OF DATE ROBERT C ,11 j yl.i., lon ex• r}�n� Ad t :;tr a DAL" ,;3 t O f rte. ,,ME , IMACK ENGINEERING SERVICES INC. PIkOFE SSIONAI ENGlMENS • LA"D SURVEYORS 0 PLANNERS 00 MRA S1REEi 0 AMOCW11t. MAUACMUMITS 01410 0 194 f617? 47$-IMS. S � hs_n' 11.11. la7CI'tk, k ELIZ- WW, =1W , 11J 't7-'EiOK El..= q�,23 "w aur b-S (X �cvV i�.l p1� 2 tL� � S ►.1 t AJv O-fix X7.5► 1�.1� VAT 1 30.1 30.10 CCASY (tJ�SF�G� TSE vJST��1 � 30. ' �v cry • a •:. V8 u N LOT E t52,,�00 SF be 000 oe 7L 4ANF b / DIV > ? oT� i'_-TEM SPOSAL ?t 4 x d - r {` y EPARr r r } {y A_sP'� AIl. i �` 4�'9'4.`! ,wd�p0- 4v ytl >`J WL Of r • tIN, *1 u, $ a fit._ q�1L FY ' � r ,�'c�'�_ r� e� vy .r��. e^ t„F.+.r { .. }. i, �wti '� •�"��' � �1`� t.k r b � -- r c .-�• , b #`�?•F�F x� ii �� �- t � � �t� - SSP r� t •./� �� ',,�t'}'>?�. rPC M1FM Il ►CKNGIRINfs SERVICES, INC. . h F*OF f$$ N^t f NGINERS • �^W SUM YOBS • P4AMWRS ; • IMl;lMt�►.StR T ; Aa IaOY#l. �rul3 11 �13�►SEt�S► al"llip fit..ysl las-USS , im MOM ON 0 \ SPECIFICATIONS - STANDARD MODELS Max. Recommended INLET Power REPLACE Overall DimensionsInches MODEL Flow Rate AND Dimensions(Inches) SHIPPING DATA NUMBER OUTLET Con- MENT GPrA GPHSIZE' sumption LAMP(S) LENGTH WIDTH HE'IUHT GrogtWgt. Net W9t., Cu.Ft. A75 1.25 75 3/3"NPT 10 watts G8T5 21 8 12 21 Ibs. 14 Ibs. 2.3 A250 4 250 3/."NPT 38 watts S18T6VZ 21 8 12 28 lbs. 21 lbs. 2.3 A600 10 600 3/d"NPT 60 watts S36T6VZ 38 8 12 35 Ibs. 25 lbs. 4 A2400 40 2,400 2"NPT 140 watts GX48VZ 50 8 13 50 Ibs. 38 Ibs. 4.5 A5000 83 5,000 2"NPT 280 watts GX48VZamps) (2 La50 22 16 139 Ibs. 85 Ibs. 17 2"NPT GX48VZ A 10,000 166 10,000 O 560 watts (4 Lamps) 50 22 33 282 lbs. 174 lbs. 30 \ A 15,000 250 15,000 2"NPT 840 vGX48VZ watts 50 22 50 425 Ibs. 263 Ibs. 44 O (6 Lamps) - 2"NPT 1120 GX48VZ A 20,000 333 20,000 O watts (8 Lamps) 50 22 67 568 lbs. 352 lbs. 58 3 01 Two connections in parallel Q2 Three connections in parallel 03 Four connections in parallel DATA IS FOR 115V 60 CYCLE OPERATION. MAXIMUM RECOMMENDED OPERATING PRESSURE FOR ALL PURIFIERS IS 100 PSI. PRESSURE DROP AT MAXIMUM RECOMMENDED FLOW RATE IS 5 PSI OR LESS. ADVANTAGES OF THE SANITRON METHOD EFFECTIVE—All micro-organisms are susceptible to Sanitron disinfection. Effluent is guaranteed to exceed United States Public Health Standards for bacterial purity. ECONOMICAL—Hundreds of gallons•are purified for each penny operating cost. SAFE—No danger of overdosing, no addition of dangerous chemicals. FAST—Water.is ready for use as soon as it leaves the purifier—no further contact time required. EASY—Simple installation and maintenance. Compact units require,minimum space. AUTOMATIC—Provides.continuous or intermittent disinfection without special attention or measurement. NO CHEMICALS—No chlorine taste or corrosion problems. 6 r ' r R IIe1iA®®®11®A®®®i®�11N1111e1111111 � � � 1111111111111111N�1N1111111111111 IIIIIIIIIIIIIIIINII1111111111ME ' IIIIIIIIIIIIIIIInL111111e11111111 Im IIIIIIIIIIIIIIIIN1111111111111111 _ IIIIIIIIIIIIIIIINI111111111111111 1111111111111111N11111111111111111 1111111111111111NIH111111Will11 p IIIN11111111111NII111111111111111 1111111111111111N1111111111111111 r IIIe111111111111N1i111111111111111 1111111111111111n1�i11111111IN I 11111111111111f1111111111111111111 1111111111111111NI�A11111111111111 �: :� 111111111111111e111,I�11111111111111 1111e11111111111N1�i1111111111111 - � 11111111111i1111N111111Ne1111111 _ Ie1111,111n11 1 v MilIIIIIIIIIIIIni1 1111111 �, . a �' IIIIIIIIIIIIIIIIN1111111111111111 �_ 01111 G K. :, � 1111111111111111111111111111111111 , § � � rt IIIIIIIIIIIIe®11111111111111111111 _ { rz :w 111111111111111ee11111111111111111 `0 1111111111111111111111e®1111111111 ` _ { 3 =<< � i ®11®111111®fell®1. 11111111111®1®lel � • _ � ' - � ' Subsurface Design Check List Page 2 r FAIL OK , Leaching pits are preferred where the installation is possible Reg 11.2 a) calculations of leaching area-xd nimnm 500 eq ft 11.4 b) spacing n ao o surface drainage 2% 11.11 d cover material --7e) I'x2 x4" splash pad f) tee at elbow g) no bends in pipe from d-box to pipe Leach�in ,Fields Reg 15.1 Od") ) no greater than 20 minutes/inch area-minimum 900 sq ft 15.4 ) construction of field 15.8 surface drainage 2 %3.7 ) 201 Brom cellar wall or ingroand swiffing pool Leaching mchas Reg 14.1 ,i a)—calculations or leaching area-min 500 sq ft 14.3 ✓ b) spacing-4 ft min 6 ft with reserve between 14.4 c) dimensions 14.6 d) construction 14.7 e) stone 14.10 ✓ f) surface drainage 2% Downhill Slop e a) s ope 77x- --- to be shown) b) y/x x 150 - (to be shown) EMS Reg 9.1 a) awroval 9.6 A,b) stand-by power HOARD OF. HEALTH 4 No.Andover,-Mass . OL VO • SUBSURFACE DISPOSAL DFSIGN CFIDC^K*, LIST .r LOT #- :APPROVED DATE DISAPPROVED DATE�� Providdd: Reasons: (: ss 3/7 -3-�� DW C :365 Title V FAIL 09 . Reg 2.5 The submitted plan. must show as a minimums a) the lot to be served-area,dimensions lot #,abutters b localocation and reon and sultspobeezpercollat on tests-distancetion eto tierto s c 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 Athin 100' of.sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 1001 of sewage disposal system or disclaimer (i) location any drainage easements within 1.001 of sewage disposal system or disclaimer-Planning Board Piles 10) known sources of water supply within 2001 of sewage disposal 6 . system or disclaimer (k) location of amy proposed well to serve lot-1001 from leaching facility (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 F Otter elevations is (r) maximum ground water elevation in area sewage disposal system (s) plan mast be prepared by a Professional Engineer or other professional authorized by lax to prepare such plans Reg 6 Septic Tanks (a) capacities-150;6 of flog, water table, tees, depth of tees, access, pumping (b) cleanout (c) 10, from cellar wall or inground swimming pool (d) 251 from subsurface drains `- Reg 10.2 Distribution Boxes (a) s pe_greater 0.08 r ` Reg 10.11 b) sdp = f' 0 Town of North Andover t MaRT4 ti OFFICE OF 3?o•, • ' 00 COMMUNITY DEVELOPMENT AND SERVICES p t . 146 Main Street North Andover Massachusetts 01845 ' SSACHUSB June 10, 1996 Robin Barclay 425 Forest Street` North Andover, MA 01845 Re: Long Pasture Dear Ms. Barclay: In response to your letter of June 6, 1996. I repeatedly attempted to reach you, most often hearing that you were in court. In addition, I left messages on your home answering machine. At the time I told you your well was in danger because; 1) it is a shallow-dug well; 2) it is very close to the street; 3) we have no idea where your closest neighbor's septic system is located; and recommended, at least, the drilling of a deep well as soon.as possible. We discussed your neighbor's septic system and who should approach them about its location. It was my understanding that you intended to speak with your neighbor and get back to me. There is and has been no development of the Long Pasture Subdivision. On May 23rd & 24th the engineering company and I were on the site doing soil testing. We will.be cn the site at a later date to complete the site evaluation by doing perc tests. The engineer of the project at 410 Forest Street, Joe Barbagallo, was specifically asked to address setbacks to wells around the 410 Forest Street site. He has stated, and certified by st,pping the plan, that there are no wells within 100 feet of the proposed septic system. This is the setback required by the Health Department and the State. I must again urge you to address the issue of your shallow-dug well. Because of its depth your concerns about negative impact are valid. To avoid these issues and to safeguard your water supply, you should have a well drilled. The greater depth is a protection from pollution as well as a safeguard to groundwater diversion. I hope you will consider this. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Page 2 Long Pasture Subdivision June 10, 1996 As to the development of.Long Pasture, soil testing is still not complete. You will be kept apprised of progress with the subdivision. Sincerely, Sandra Starr, R.S., Health Administrator S S/cjp cc: Bill Scott, Director, Planning & Comm. Deva Bob Halpin, Town Manager Mike Howard, Conservation Admin. I I l s e"rivzd�c�de� ,C'aBvzatvzc�, ��c. 66 LITTLETON RD. -WESTFORD, MA 01886 (617) 692.8395 Report Number : W-S170 Report Date: November 06 , 1986 Client : Sample Taken at : ATTN: Ann Olenio SAME q09 .Forest St . N . Andover . MA C1845 5 i Sample Taken bg : CLIENT On: November S 1986 CERTIFICATE OF ANALYSIS -=--------------------- Test Parameter : Results: Coliform Bacteria 0 per 100 cc Total Plate Count NT per 100 cc NT (`JOT TESTED The qualitg of this water sample satisfies all State , Federal (EPA) and local requirements for coliform bacteria . 9 1 Peter T. Thorstensen, for Thorstensen Laboratory , Inc. Nassachusetts State Microbiological Drinking Water Lab # 33051 PTT/wp Nondestructive•Chemical •Pollution • Metallurgical i Arnold Greene 4.,. Inspection • Evaluation •Analysis Testing Laboratories Research. Development Branch Laboratories: Springfield, Mass. 01109 Auburn, Mass. 01501 _ O O OUTLET O SIGHT PORT 2 ULTRAVIOLET DUAL ACTION RAYS WIPER SEGMENT WIPER GERMICIDAL ROD 1Q LAMP IN QUARTZ INLET SLEEVE FLOW CHAMBER EVO� o c o TRANSFORMER HOUSING Sj o AND JUNCTION BOX WIPER � KNOB 0 DRAIN PRINCIPLE OF OPERATION 10 The water enters the purifier and flows into the annular space between the quartz sleeve and the outside chamber wall. O2 The wiper segments induce turbulence in the flowing liquid to insure uniform exposure of suspended micro-organisms to the lethal ultraviolet rays. 0 The sight port enables visual observation of lamp operation. The wiper assembly facilitates periodic cleaning of the quartz sleeve without any disassembly or interruption of purifier operation. Water leaving the purifier is instantly ready for use. C^ 3 TOWN OF`NO$TH ANDOVER 4' SYSTEM KWINo RECORD DATE -e� + 2 2p0� SYSTEM OWNER&ADDRESS SYSTEM LOCATION xds �� DATE OF PUMPING QUANTITY PUMPED / C 6 CESSPOOL NO YIES SEPTIC TANK NO YES NATURE OF SERVICE; RQvTINE�EMERGENCY i ,i . OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE _ BAFFLES IN LACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS •FLOODED SOLID CARRYOVER OTHER EXPLAIN SYSTEM PUMPED BY COMMENTS: CONTENTS TRANSFERRED TO