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Miscellaneous - 43 CANDLESTICK ROAD 4/30/2018
43 CANDLESTICK RQAD , 21 U�tO6A-0112-0000A rc� I f 1 I f f 0586 $ 01.520 Pes 87 80 0 1 8 7 MAILED FROM ANDOVER MA 0 18 0 r MERRIMACK ENGINEERING SERVICES INC. '' ao�� j EngineersSurveyors - Planners + 66 Park Street ANDOVER, MASSACHUSETTS 01810 oF�p i Leg 1 L, North Andover Board of Asses Public Access Page 1 of 1 Parcel ID: 210/106.A-0112-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge No Pictmrehk Available Location: 43 CANDLESTICK ROAD Owner Name: KRAPELS, EDWARD N SARAH A EMERSON Owner Address: 43 CANDLESTICK ROAD City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 8 - 8 Land Area: 1.01 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2556 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 507,300 485,400 Building Value: 306,000 293,700 Land Value: 201,300 191,700 Market Land Value: 201,300 Chapter Land Value: LATEST SALE Sale Price: 385,000 Sale Date: 09/17/1997 Arms Length Sale Code: Y-YES-VALID Grantor: SAMUEL GAGLIANO Cert Doc: Book: 04845 Page: 0186 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=467477 7/8/2005 Residential Property Record Card PARCEL ID:210/106.A-0112-0000.0 MAP:106.A BLOCK:0112 LOT:0000.0 PARCEL ADDRESSA3 CANDLESTICK ROAD PARCEL INFORMATION Use-Code: 101 Sale Price: 385,000 Book: 04845 Road Type: T Inspect Date: 12/08/2002 Tax Class: T Sale Date: 09/17/1997 Page: 0186 Rd Condition: P Meas Date: 12/08/2002 Owner: Tot Fin Area: 2556 Sale Type: P Cert/Doc: Traffic: M Entrance: X KRAPELS,EDWARD N Tot Land Area: 1.01 Sale Valid: Y Water: Collect Id: RRC SARAH A EMERSON Grantor: SAMUEL GAGLIANO Sewer: Inspect Reas: C Address: 43 CANDLESTICK ROAD Exempt-B/L% / Resid-B/L% 100/100 Comm-B/L0[A Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 7 Main Fn Area: 1352 Attic: Y NBHD CODE: 8 NBHD CLASS: 8 ZONE: R1 Story Height: 2.25 Bedrooms: 4 Up Fn Area: 1204 Bsmt Area: 1336 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1 201,247 Ext Wall: FB Half Baths: 1 Unfin Area: 302 Bsmt Grade: 2 R 101 A 0.01 47 Masonry Trim: Ext Bath Fix: Tot Fin Area: 2556 DETACHED STRUCTURE INFORMATION Foundation: CN Bath Qual: T RCNLD: 275934 Kitch Qual: T Eff Yr Built: 1983 Mkt Adj: 1.1 Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond%Good P/F/E/R Cost Class Heat Type: HW Ext Kitch: Year Built: 1979 Sound Value: PT S 420 1988 A A ///91 2,000 Fuel Type: G Grade: G Cost Bldg: 303,500 SE S 216 1988 A A ///91 500 Fireplace: 1 Bsmt Gar Cap: Condition: A Att Str Val 1: VALUATION INFORMATION Central AC: N Bsmt Gar SF: Pct Complete: Att Str Va12: Current Total: 507,300 Bldg: 306,000 Land: 201,300 MktLnd: 201,300 Att Gar SF: 864%Good P/F/E/R: /100/100/89 Prior Total: 485,400 Bldg: 293,700 Land: 191,700 MktLnd: 191,700 Porch Type Porch Area Porch Grade Factor P 152 W 48 SKETCH PHOTO 24 10140 Sq. D 18No 2 28 BQ �$ G 36 Picture 864 Sq.R. FU FM 120Y�Sq.Frq.R. 16 Rable 30 1 2 3 Parcel ID:210/106.A-0112-0000.0 as of 7/8/05 Page 1 of 1 Commonwealth of Massachusetts RECEIVED City/Town of ovi o E 2013 System Pumping Record FOrm 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use=by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using-this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left i ht rear of hou 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 l� StatCe Z/ Zip Code 2. System Owner. � (A " Name Address(if different from location) citynown Stat Telephone Number t B. Pumping Record 1. Date of Pumping p g Date 2. Quantity 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 ❑ Na. " 5. Conditio of Sy�` atAj ��� 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Ince Company 7.jSjge where contents were disposed: kHaule Lowell Waste Water to 43 Date t5fomm4.doc•06103 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts F City/Town ofCEiVED System Pumping Record Form 4 TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health. Othe fort#F�tr� 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 fron house, right front of house, left side of house, right side of house, Left rear of ho , . r of hou—seeJM side of building, right rear of building, under deck. Citylrown State Zip Code 2. System Owner: Name Address(if different from location) Citylrowni e To � (gz5 Telephone Number B. Pumping Record p 9 1. Date of Pumping Date �eptic anti mped: Gallons 3. Type of system: ❑ Cesspool(s) Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System ✓ ������""''� � � A_ � `+ 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Loc � ere contents were disposed: G.L.S.D. ste e Signatur of aul Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 U1LDI Gcr ftPl4A-fTrS; is OOT F.�- ' �D1'IJ• -Bic A UJ&%4&^wA'TY 23 ZZ-9341'9'fBH , ST I+ OF T'4 F. L AIVt -1 epic l' l ow, L ,2 I a i-v E L>;vvrnoJ aF T4 a< c,-n Nh tiY PA&T, seat-� 14 3, Gort�OtJ�a tti. d I 10 p oL• DL D i t4 loto04' byf 4" 'j ( 1-7p5�?r) J PUMP II.a O �• � F I oYi,Z f ,may a pvc SIN I e I � I f AS R.. I LT PLAID OF � SYSTEM SSI RFACE t !SAL Sly LOCATED IN AS PREPARED FOR �.1A�2-Iv IG►2•A SLS _�F-� DATE: S-o� �I✓ Lill SCALE: MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER. MASSACHUSETTS 01810 or TEL (617) 475-3SSS, 3MS721 Town of North Andover MORTq Office of the Health Department F Community Development and Services Division 400 OSGOOD STREET ► 0 .`4+ bA�TO North Andover,Massachusetts 01845 �ss�cMusEt Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax CEqW27jCA2�E Off' COJK(M'.GIA5YCE As of: August 17, 2005 This is to certify that the individual su6surface disposal system Repaired(X)- Fuf(System Repair by Todd(Bateson At 43 Candfistick Road North Andover, 911A 01845 Yfas 6een installed in accordance with the provisions of Title v of the State Sanitary Code and with the North Andover Board of Yfealth regulations. The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. Michele E. Grant Pu6licWealth Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The ndersigned hereby certify that the Sewage Disposal System ( ) constructed; ( epaired: by --1—0 DP;, 2�T6�0 located at 4—a G,4 L P fc JCL tZoAQ was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # dated ' with an approved design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Qv—?ice®�5 Q�^� Engineer Representati e Final inspection date: ` �- Engineer Represent ive Installer: Lic.#: Date: Design Engineer: _ Date: g��/� Page 1 of 1 DelleChiaie, Pamela From: Andy McBrearty [amcbrearty@millriverconsulting.com] Sent: Thursday, August 11, 2005 6:20 PM To: DelleChiaie, Pamela; Grant, Michele; Sawyer, Susan Cc: Daniel Ottenheimer(E-mail); Lisa LeVas�E-mai Subject: Final Const. Inspections- lot2 gr y&43 candlestic Hi All, Two inspections from last week and early this week. No problems found. Bateson's job as usual very 'neat'. Regards, -andy 8/12/2005 O AS-BUMT CHECKLIST LOT NUMBER, STREET NAME / ASSESSORS MAP &PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, V TIES TO LOT LINES &DWELLING WELLS a.. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC / TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D-BOX ORIGINAL STAMP& SIGNATURE V/ IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW LOCATION& ELEVATIONS OF BENCHMARK USED --1 V FINAL GRADE INSPECTION Date: to Address: , ��OAMED? EEDED? COVER PER PLAN? Other: 0 DelleChiaie, Pamela j From: DelleChiaie, Pamela Sent: Friday, August 05, 2005 8:54 AM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew,(E-mail)' Subject: 43 Candlestick Road - Final Const. Insp. Hi Dan, Bill Dufresne left a message last night requesting a Final Const. Insp. for Todd Bateson. Todd's number is: 978.815.2703. Please let me know when you have scheduled it. Thank you. 8¢sf R¢ga ds, Pa�ry¢Ba D¢��¢G�lliai¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com i o DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, August 02, 2005 3:14 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Cc: Sawyer, Susan; Grant, Michele Subject: 43 Candlestick Road - Bed Bottom Inspection Hi, Here is the report for above. Inspection was requested yesterday afternoon by Todd Bateson, and done this a.m. by Michele. LJ CONSTRUCTION INSP.-43 Candles... 8100 Raga�dg, Pwtiya�w DaBI�¢G�liiwi¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com %x 1 0 0 TOWN OF NORTH ANDOVER a NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES Ff� °°A HEALTH DEPARTMENT 400 OSGOOD STREET `►�, . ._ NORTH ANDOVER MASSACHUSETTS 01845 3,s'"" <`g ANDOVER, S�CHUg Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 43 Candlestick Road MAP: 106.A LOT: 12 INSTALLER: Todd Bateson DESIGNER: Merrimack Engineering Services PLAN DATE: 6/6/05 BOH APPROVAL DATE ON PLAN: 7/20/05 DATE OF BED BOTTOM INSPECTION: 8/2/05 (Michele Grant) Ca 8:30 a.m. DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING — HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1,500 +LOADING OF SEPTIC TANK = 440 ;GALLON PUMP CHAMBER = 1,000 gallons LOADING OF PUMP CHAMBER = 4 of 4 �IDTYPE OF SAS = Field ,:DIMENSIONS AND DETAILS OF SAS: 51 x 35 Comments: None SITE CONDITIONS E> Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: None Page 1 of 4 0 0 TOWN OF NORTH ANDOVER tµORTM Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'s8 CHU S`g Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SEPTIC TANK Bottom of tank hole has stone base Weep hole plugged gallon tank has been installed —old tank (H-10 or H-20) (monolithic or 2 piece) Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrsl Inlet tee installed, under access port Outlet tee (gas baffle or effluent filter) installed, under access port— El inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) DD Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 4 0 0 TOWN OF NORTH ANDOVER Ot NORTN Office of COMMUNITY DEVELOPMENT AND SERVICES ae .p •..•e c HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 "ss„CHU Susan Y.Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to soil layer, as provided on plan Size of SAS excavated as per plan* Title 5 sand installed, if specified on plan 3/4-1 %" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: *With overdig 47 x 61 okay. PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 4 0 Q TOWN OF NORTH ANDOVER 04'A0 Th Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 ��ss'„CHU Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 TOWN OF NORTH ANDOVER " E ItORTp Office of COMMUNITY DEVELOPMENT AND SERVICES '+ � • t°. HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 y�ss'CHU ACMUS Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES 1 ADDRESS: 611 , C k MAP: LOT:_ INSTALLER: DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = %,�'Oy LOADING OF SEPTIC TANK GALLON PUMP CHAMBER = 9 00a LOADING OF PUMP CH/AMBER =_ TYPE OF SAS = _ .(-i r IS DIMENSIONS AND DETAILS OF SAS: S/ 3S SITE CONDITIONS A( Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Page 1 of 4 TOWN OF NORTH ANDOVER t NORTFI 4 Office of COMMUNITY DEVELOPMENT AND SERVICES Z HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss�c ws Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK Bottom of tank hole has 6" stone base C�j Weep hole plugged F gallon tank has !talled/(H-10 or H-20) onolith', or 2 piece)) P- Water tightness oo an aeen achieved (Visual or Vacuum Test or Water held for 24hrs) C3' Inlet tee installed, under access port t Outlet tee (gas baffle or effluent filter) installed, under access port ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent er is present Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ allon Pump Ch stalled eet 1 or H-20) (tnolit)access or 2 piece) tee installed, port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 4 `TOWN OF NORTH ANDOVER ' f pORT{r Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01.845s'" 't<� S�CHUS Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution Comments: ElSpeed levelers provided (not required) SOIL ABSORPTION SYSTE�II -� Bottom of SAS excavated down to soil layer, as provided on plan Size of SAS excavated as per plan —Q ` 754 ( f Lam,/ Title 5 sand installed, if specified on plan IJ 3/4-1 Y" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals Comments: Elorifice size inch as per plan Page 3 of 4 r f 1 TOWN OF NORTH ANDOVER t NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET " NORTH ANDOVER, MASSACHUSETTS 0 184 �,SSACHUb�� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN —D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 Commonwealth of Massachusetts Map-Block-Lot 106.A-0112- Board of Health Permit No BHP-2005-0206 North Andover -_ __.____ _____ -__ P.I. FEE F.I. _ $250.00 Disposal Works Construction Permit Permission is hereby granted Todd Bateson to(Repair)an Individual Sewage Disposal System. at No 43 CANDLESTICK ROAD --------- ---- -- ---------------------------------------- ------------------------------------ ------------------ - ----- ----- ---------------- as shown on the application for Disposal Works Construction Permit No. BHP-2005-020 Dated July 07,2005 ------- ---------- Issued On: Jul-07-2005 r f eth Commonwealth of Massachusetts Map-Block-Lot 106.A-0112- Board of Health o North Andover °h�.,•�t� Certificate of Compliance THIS IS TO CERTIFY,That the Individual Sewage D' System (Repair) by ...Todd Bateson -----------------Bates-an------------- Installer at No 43 a CANDLESTICK pp been installed ink r ance with the provisions of TITLE 5 of the State Environmental Code as described in the a lication sr�ISisposal Works Construction Permit No. BHP-2005-020 Dated July 07,2005 - ---- ------ -- ----- -------------------------------------- - Printed On: Jul-07-2005 Board of Health t� town of North Andover Health Department Date: Locatio "7� n: (Indicate Address, if Residential,or Name of Business) Check#: Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ Septic. Design Approval $ gC,Sept c Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning zpw // $ / ➢ Swimming Pool ➢ Tobacco / Y $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER(Indicate) _ 890 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer O O TOWN OF NORTH ANDOVER a MORTN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 dq<,p,b 978.688.9540—Phone Susan Y.Sawyer, REHSIRS 978.688.9542—FAX Public Health Director healthdeptntownofnorthandover.com-e-mail www.townofnorthandover.com-website i APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: LOCATION: /—/3 LICENSED INSTALLER NAME: PLEASE PRINT TELEPHONE# 17Y16`Z'003 SIGNATURE: it CHECK ONE: ($250) FULL SYSTEM REPAIR: COMPONENT REPAIR(indicate what parts): ($125) * NEW CONSTRUCTION: I i * If NEW CONSTRUCTION,please attach the Foundation As-Built Plan. i $250.00 or$125 Fee Attached? Yes No Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes NO . Floor Plans? Yes No r Date: Approval of Health Agent ti INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the �. G•� `� Ge s ��G relative to the application property at of Twd �3> 7Q Som dated — "7— for plans by �111f," �� � ►. and a dated ����5 with revisions dated I understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved glans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. If homeowner, contractor, project manger,or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the necgssary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a$50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection – Engineer must first do their inspection for elevations, ties, etc. As-built or ard of verbal Otirme. Installer must be present for thiisr must be submitted to oinspect on.Health,l ht pump'ch system installer ll electrical inspectionls for work must be ready and able to cause pump to work and alarm to function. c) Final Grade–Installer must request inspection when all grading is complete. Does not have to be on site. 4. As the installer I understand that only I_may perform the work(other than simple excavation required to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the Installer I understand that I must be on site during the performance of the following construction.steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. b. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersig �/Liccensed Septic Installer or�^'� 63 Date: Disposal Works Construction Permit# L, 1 1 1-4 4 ;,TTS � •v o y J m } �WW00 i u I a I � Y Z ooh»p - N 7 H ANDOVER BOARD Gig HFALT$.r� INSTALLATION CHECK LIST APP VED DATE DISAPPROVED DATE hXCAVATION OK RF i FAIL OK_ 1 . Distance T Wetl s D ins ell , .?.,- r ,Vlater Line Location �o _ � iso. PVC Pipe �( 4. Septic Tank T e e-s_- Len -a--r+ -0u-t_Csv_ers , pe toTank- - On Both Side --e-f--Tank 5. Distribution Box-- Box - No Cracks Flowing Equal Amounts T�Tok Flow 6. Leach Field or Trench Dimensions Stone Depth Capped Ends Clean Double trashed Stone 7. Leach Pits plash Pads r t Pipe to Pit - Both Si Stone 8. '4 rage Disposal .�a ing Inspection 1Q_ •aging Covered System 11 . As - Built Submitted Lot Location Dimensions of System Location with Regard to Pere Test Elevations Water Table 0 0 LETTER OF TRANSMITTAL North Andover Health DepartmentO� NORTH q 400 Osgood Street 3r North Andover,MA 01845 ,O - 978.688.9540 - Phone 978.688.8476 - Fax `o •�«• "� yA cee«uww.c■ �. healthdent(i�townofnorthandover.com -E-mail �'p �''�*•o �r'`� www.townofnorthandover.com - Website Page of SSgC USES TO: DATE: WILLIAM (BILL) DUFRESNE, 02� PROJECT MANAGER COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant MERRIMACK ENGINEERING SERVICES RE: Phone: 978.475.3555 G Fax: 978.475.1448 We are sending you: an Review Letter �VED ONOT APPROVED OSystem Construction Follow-Up OOther These are transmitted as checked below: OFor your File OAs Required OAs Requested OFor Your Use REMARKS: COPY TO: Fax# Homeowner or .Mailed COPY TO: Fax# File or Mailed COPY TO: Fax# or Mailed -0- 0 ti TRANSMISSION VERIFICATION REPORT TIME 07/21/2005 13:03 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 0004J120960 DATE DIME 07121 13:02 FAX NO./NAME 819784751448 DURATION 00:01:04 PAGE{S} 02 RESULT OK MODE STANDARD ECM O TOWN OF NORTH ANDOVER 0 °t NCR*N Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 C14 Susan Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—1~AX July 20,2005 Edward Krapels 43 Candlestick Road North Andover,MA 01845 Re: Septic Design for 43 Candlestick Road Street,Map 106A,Lot 112 Dear Mr.Krapels: The North Andover Board of Health has completed the review of the septic system design plans,for the above referenced property,submitted on your behalf by Merrimack Engineering Services dated June 16,2005,final revision date of July 19,2005.The design has been approved for use in the construction of an upgrade onsite septic system. Generally,a new plan approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work,and a Certificate of Compliance must be endorsed by the installer,designer and the Town of North Andover.The time period,for which this plan is valid, is reduced to two years from the date of a septic system inspection that did not meet the acceptable criteria in the state regulations. The 4-bedroom(9-room maximum)design has been approved for use in the construction of a replacement onsite septic system. 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void,installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 2. It is the responsibility of the applicant and/or the applicant's septic system designer,septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely; n�san Y. Sawyer,RENS/RS �~ Public Health Director cc: Anthony Donato,Merrimack Engineering Services File C 0 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com July 14, 2005 Susan Sawyer, REH/R.S. RECEIVED Public Health Director JUL '005 400 Osgood Street North Andover, MA 01845 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Re: 43 Candlestick Road Dear Ms. Sawyer: We are in receipt of your review letter for the above referenced site dated 7-5-2005. We have revised our design plan relative to items 1, 2, 4, and 8 of your letter. We respectfully disagree with your comments regarding the following items of your letter and offer the following comments: 3. Tees shall be located not necessarily in the center but directly below the cleanout manholes as centering them creates difficultly in maintaining, accessing and servicing the septic tank. 5. This plan is designed to conform to Title 5 and the North Andover Regulations and not the Electrical Department spec's. Any requirement outside the applicable regulations should be a condition of that specific permit not the septic plan. 6. A trench type S.A.S is not a feasible application in this situation because it creates a greater horizontal extent of work, and a higher extent of work both resulting in greater fill and cost to the homeowner and the system would not function as a trench system as it would be constructed in fill material not naturally occurring soil. 7. The plan as drawn indicates the specified information both nominally and graphically and it should not be the position of the reviewer to dictate how the designer chooses to prepare a design plan. 9. Pump tanks as provided by the local concrete manufactures are simply septic tanks and the pre-cast openings are specifically intended in height size, and location for 4" gravity pipes. Although, the outlet can often be used in a pumping situation and compliant with Title 5, this is not always the case. In this instance the contractor should be aware of the plan as noted specifically with regards to 15.221(6)a. 0 Susan Sawyer, REH/R.S. July 14, 2005 Page 2 With regard to your additional recommendations, we feel effluent tee filters are a benefit to the life of a system and not in conflict with the design regulations, as such can be a condition of your approval however as designers, we are not at liberty to vary Title 5 design requirements when we see fit and we feel changing the dosing requirements is in direct conflict with Title 5. As such,we choose not to revise our design as recommended. We feel our design, as revised, meets the requirements of Title 5 and the North Andover Board of Health regulations and respectfully request the design be approved as re- submitted. Very truly yours, MERRIMACK ENGINEER SERVICES William Dufresne Project Manager ti cc: Ed Krapels MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET • ANDOVER,MASSACHUSETTS 01810 O Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, July 14, 2005 12:17 PM To: 'Andy McBrearty' Cc: Sawyer, Susan Subject: RE: 43 Candlestick Road - Plan Status Yikes--you are right-- it did get sent to Bill Dufresne on July 8th, but we have not received the revised plan yet. I must have gotten screwed up over the long weekend! Thank you. P -----Original Message----- From: Andy McBrearty [mailto:amcbrearty@millriverconsulting.com] Sent: Thursday, July 14, 2005 11:47 AM To: DelleChiaie, Pamela Cc: Daniel Ottenheimer(E-mail); Lisa LeVasseur (E-mail); Sawyer, Susan; Grant, Michele Subject: Re: 43 Candlestick Road - Plan Status Hi Pam, et. al.: We did the review(disapproved) and sent the review to you on 7/5/05 (see attached.) I have also included the review itself, in case attaching an e-mail does not work... -andy DelleChiaie, Pamela wrote: Hello, Do you know what the plan review status is for above? I think these homeowners (Krapels) are anxious to get the plan reviewed, as they have already hired an installer to do the job. The installer(Todd Bateson) has already pulled the permit, and I have it all set in the file, ready to go as soon as we get approval on it. Thanks! 4agl Raga.1dg, Pa1*004 A0.000MI410 Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover..com healthdept@townofnorthandover.com 7/14/2005 o a LETTER OF TRANSMITTAL North Andover Health Department NORTH q 400 Osgood Street o <s`'`0 North Andover,MA 01845 ♦O O� 978.688.9540-Phone IL 1� •yy '� 978.688.8476 -Fax n healthdept�townofnorthandover comcom « - E-mail �� TOO www.townofnorthandover.com - Website Page / of V5 �stHUSE� TO: DATE: WILLIAM (BILL) DUFRESNE, PROJECT MANAGER COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant MERRIMACK ENGINEERING SERVICES RE: Phone: 978.475.3555 Cay Fax: 978.475.1448 We erre sending you: an Review Letter OAPPROVED T APPROVED OSystem Construction Follow-Up OOther These are transmitted as checked below: OFor your FileALS's Re wired OAs Re nested O q q For Your Use REMARKS: COPY TO: Fax# Homeowner or ( Mailed COPY TO: Fax# J File or Mailed COPY TO: Fax# or Mailed o 0 TRANSMISSION VERIFICATION REPORT TIME 07/08/2005 08:54 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 07108 08:52 FAX NO./NAME 89784751448 DURATION 00:01:24 PAGE(S) 03 RESULT OK MODE STANDARD ECM 0 0 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET 140 " NORTH ANDOVER, MASSACHUSETTS 01845 .�^CH ,SSACMU'+�t Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX July 5,2005 Anthony Donato,P.E. Merrimack Engineering Services 66 Park Street Andover,MA 01810 RE: Subsurface Sewage Disposal System plan for 43 Candlestick Road,North Andover,Map 106A,Lot 112 Dear Mr.Donato: The proposed septic system design plans for the above site dated June 16,2005 and received on June 24,2005 have been reviewed. Unfortunately,they cannot be approved until the following items are corrected. The specific section in Title 5:310 CMR 15.00,or North Andover Board of Health regulation that is not met by this design follows each item. 1. Please change notations to"Candlewood"to"Candlestick"Road. 2. Please provide distances from the septic tank and pump chamber to property bounds-NA 8.03 3. As we have had problems with installers not doing this, please provide for a septic tank with inlet and outlet tees clearly indicate to be centered within the access holes. -227 4. Please clarify the notation regarding final grade over the septic tank and pump chamber. The Profile notation"EG=FG" is believed to mean that the existing grade is to be the final grade. If this is interpreted correctly, then insufficient cover is provided over the two tanks. Please clarify both this note and what is intended for final grade over the tanks.EG as shown is at 102?-228 5. The Town Electrical Inspector has informed me of a requirement to provide a shutoff in plain site of any motor. This includes a septic pump.The inspector is now requiring an exterior shut-off switch.Please note on plan. Feel free to contact Peter Murphy at (978) 688-9545 with any questions. Also, please provide a performance curve for the pump specified -220 6. Please use a soil absorption system in a trench configuration if possible,or explain why it is not feasible at this site.Please note reason on the plan-240 7. Please provide greater clarification to the installer regarding the removal of natural soil to a depth of 6" below the top of the C horizon. Please show on profile (the note in the test pit logs is hard to locate not sufficient). -NA 9.02 8. Please clarify Note#7 as it conflicts with other details on the design plan regarding the size of piping used in the onsite wastewater system.Please add to the note"except the force main..or in the SAS" 9. The note stating, "core pump chamber as req'd..."appears to be unnecessary as this is a new tank.If there is a reason not to use the precast opening set for a 2-inch pipe, please note why. Otherwise please remove notation. Additionally recommended,but not required: A. An effluent filter inside the septic tank may reduce the risk of solid material carryover into the soil absorption system. B. The BOH recommends,but is not requiring,more frequent application of wastewater from the pump chamber to the soil absorption system. This would provide for generally improved wastewater treatment and reduce risks associated with dosing large volumes of wastewater at one time. a o Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerel /Su Y. Sawyer, S/RS Public Health Director Cc: owner file I a O TOWN OF NORTH ANDOVER 0 �onrN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ' 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss;;CHU Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX July 5,2005 Anthony Donato,P.E. Merrimack Engineering Services 66 Park Street Andover,MA 01810 RE: Subsurface Sewage Disposal System Plan for 43 Candlestick Road,North Andover,Map 106A,Lot 112 Dear Mr.Donato: The proposed septic system design plans for the above site dated June 16,2005 and received on June 24,2005 have been reviewed. Unfortunately,they cannot be approved until the following items are corrected. The specific section in Title 5:310 CMR 15.00,or North Andover Board of Health regulation that is not met by this design follows each item. V1 Please change notations to"Candlewood"to"Candlestick"Road. V L Please provide distances from the septic tank and pump chamber to property bounds-NA 8.03 3. As we have had problems with installers not doing this, please provide for a septic tank with inlet and outlet tees clearly indicate to be centered within the access holes. -227 4. Please clarify the notation regarding final grade over the septic tank and pump chamber. The Profile notation"EG--FG" is believed to mean that the existing grade is to be the final grade. If this is interpreted correctly, then insufficient cover is provided over the two tanks. Please clarify both this note and what is intended for final grade over the tanks.EG as shown is at 102?-228 5. The Town Electrical Inspector has informed me of a requirement to provide a shutoff in plain site of any motor. This includes a septic pump. The inspector is now requiring an exterior shutoff switch.Please note on plan. Feel free to contact Peter Murphy at (978) 688-9545 with any questions. Also, please provide a performance curve for the pump specified -220 6. Please use a soil absorption system in a trench configuration if possible,or explain why it is not feasible at this site.Please note reason on the plan-240 7. Please provide greater clarification to the installer regarding the removal of natural soil to a depth of 6" below the top of the C horizon. Please show on profile (the note in the test pit logs is hard to locate not sufficient). -NA 9.02 8. Please clarify Note#7 as it conflicts with other details on the design plan regarding the size of piping used in the onsite wastewater system.Please add to the note"except the force main..or in the SAS" 9. The note stating, "core pump chamber as regal.."appears to be unnecessary as this is a new tank.If there is a reason not to use the pre-cast opening set for a 2-inch pipe, please note why. Otherwise please remove notation. Additionally recommended,but not required: A. An effluent filter inside the septic tank may reduce the risk of solid material carryover into the soil absorption system. B. The BOH recommends,but is not requiring,more fiequent application of wastewater from the pump chamber to the soil absorption system. This would provide for generally improved wastewater treatment and reduce risks associated with dosing large volumes of wastewater at one time. i I I O O Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerel ,,Su Y. Sawyer,REHS/RS Public Health Director Cc: owner file Town ''North Andover Health Department Date: �� Location: (Indicate Address,if Residential,or Name of Business) Check#: TjMe of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: F ❑ Septic Soil Testing $ o ''Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste.Hauler $ ➢ Well Construction $ ➢ OTHER(Indicate) /4' Heaaith Agent Initials 824 White-Applicant Yellow-Health Pink-Treasurer Town of North Andover HEALTH DEPARTMENT 27 Charles Street North Andover,MA 01815 978.688.9540 healihdej7qagyozvnofnortriandover:cont SEPTIC PLAN SUBMITTAL FORM DATE OF SUBMISSION. " SITE LOCATION: , lam.i 2 i2f, $-QcIG 99r-r-? ENGINEER: C'h:ki4 WAGk-- COU6 11 SdVLL& � ;eiyict,-s //Q� NEW PLANS: YESy 5.0j Check#:(:22 ncludwr and one Re-Review Only) REVISED PLANS: YES S 75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO Telephone#: Fax#• E-mail: HOMEOWNER NAME: 106dA gA2 Lam- 6V6 S OFFICE USE ONLY When the submission is complete rineluding check): I. L,4nak stamp pions and terser RECEIVE 2. :Zg- Compide and attach Receipt 3. ✓ py File;Forward to Consultant JUN 2 4 2005 4. Enter on Log Sheet and Database TOWN of NOR i"H ANDOVER HEALTH DEPARTMENT i EJ1Ocatfl:lon: !t1 (,AAJP1.e r,TaD Ownees Name: E Dj. sA, q k-W A fit:L S Address: `'�3 Tel#: (4�,- 570-151 New maLRepatr Date:fe �-m S 'Vethndk — Zone,13L, Sall SymboISoI Rame �nJ t a''f`Soil Cl. h Deep Observation Hole Logs Elevation Depth Soil Hprimn Soli Texture Soil Color SOU biottliag % Gravel,Stones,etc r,5 L if Yw3iZ �.�C le+n.wt��+6IL- r_ �v Z7,L. Z,SY/y 7�Ywy�` y{nls ArJ� .� . �'f S.�ti Z/ STmwes i C•�1�,� Parent 1►Saterlat. `�"1��- Depth to BedsscL•�Stmdia�Natorla the Holes Sf'sephs=from lit Faee��FSBGLvs�7 . I tns 12-I� � .. f�5 !. I oy�rl'�/G — I,•,�x�v� -�v�.�+:, evteIit 2-SYS/3 rye #A N7 yv-t o2� Gz S Z,5Y Parent atlrtet Ti .t. T"1h to Betlte-Pwwjp=w2w in the Heart weepins litem tft FSFiGtiYs �e}- Date 'Permolation Tests Observation Holed Depth of Peu Stut Pre-soslc Time at 12't Time at 9" Time at 6" Time(9"-6") •Rate b lnftch • . Performed Br: Witnessed Btu V Famad Cii UOL�f7`l�"�- �Lb Ou�ner'sNAMC:Address:Tel#:Z&� New MRL-.-_._RePalr c,/ VI►etlands__Zoae II=Sotl Symbolgin �Soll Fame�t �� y'Solt Q Deep Observation Hole Logs man Elmatton Depth Solt Horizon Soil TeMre Soil Color Solt hiottllag. % Gravel,Stoaes,etc,• FIAe,41 OC Fri,I A�t-,W Parent hfateei -4 1 • L:Ln.rw!. Pareat Material Depth to Bd Stardla=�iterla the Holc,__Nee . Pit Iraq ZYt Face ESaGtiY: Date /. -o Percolation Tests Obsen-ation Holed P-3 Depth of Pere Stat Pre-ask 7147 Time at n Time at 9" i Time at 6" t Time(9"-6")_ q Rate Nih Qnch Performed Bp:�, p� �'y Witnessed Br. ye TO: NORTH ANDOVER, MASS QC- 1 J (0 19 '77 BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at L-07 2-2- ��Nl�L-E5'7-��/� Ad - North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated 19 55�o�a coM,�o2� Reg. b gi er ReA.M. nitarian p� Z a T U 101- too GL.�V .5h'o�Y/Nry S/✓a�1�"�` � t (r �c��a ����c cca c��c�� Loj" �c*AAGa'Nro fl I r6 30 ,r� /� LD% 2 f SAS-/uG�. G�G�� � 7 ' I ' LOc-.4770v; OAI,)/)�-C 26 . ! T 2 � � 3 .5f/�9c-cow ,moi t .:r=����.J .c��r��.�a�,a��,�� j•� ;. �_., � BAPKW �► �I r l' 19¢ :s'%�y' I � ' A j � s j eo OleV 4 , '�T E" �7--2 7.77 ----- __ X /Jd = ova f't�. C3EC,�?C. 1� - --- _ WELL 114 C, 77 GIiJ6070" N 5DT'��f 516.2 d ;3er. X ,77G. 3 55 6x4c 60 z __ �__�1 _-_. ___.---- —_- )S .SIDE X / 83 6 = Gd�� 2S 6�tC.. Si�E 1 , Ta�9 G3 _' - IY,a! ___. /Y/A/ M!M Mid/. / `1 7z� ' -- ; - -- /Y// Nib MIN. Mei✓ S lyn,/A/ MIRY / ' (l r1/7//A/ U5L .3 S,`IAR17S � , ,yam, ,� ' { � i �� PIP&00 (o - Sl-77 Y`fi�}.� .� T` !f>���', .• �.�f`J ���dy y ♦ I' •t,•,..� /� .� �,✓ �j/I I/ r•-,�%G^' i r1 1,if ,` / 8¢ co�2SE� SAA/A• 4U471-e& L7215 ']i�•�/ � �i�,/ /w ��/��+���+/� �J/ /�� /�"1+E. ' `I f J r_' � t a+ _ /J•/'I ..?Chi/��1_ f i Y / 'J' 1 "' / ��T 3 I / � C V !,.i'7' // /fel vii / / r;,,,— Copy to Public Works SUBSURFACE DISPOSAL SYSTEM CHECK LIST NORTH ANDOVER BOARD OF HEALTH ' APP OVED DATE PROVIDED „ DISAPPROVED DATE TIME REASON 11 - Title 5 Reg. 2. 5 Fail OK The submitted plan must show as a minumum: the lot to be served (area,dimensions ,l.ot #,abutters) (Planning Board files) bT location and log of deep observation holes-distance to ties ocation and results of percolation tests-distance ' to ties design calculations & calculations showing required leaching area location and dimensions of system (including reserve area) �" ►(- ) existing and proposed contours location of any wet areas within 100' of the sewage disposal system or disclaimer (check wetlands mapping) surface and subsurface drains within 100' of sewage disposal system ordisclaimer location of any drainage easements within 100' of k sewage disposal system or disclaimer (planning board files) own sources of water supply within 200' of sewage disposal system or disclaimer ocation of any proposed well to serve the lot (100' from leaching facility) ! ocation of water lines on property (10' from leaching facilities) i (m) location of benchmark driveways garbage disposers no PVC is to be used in construction a profile of the system (elevations of basement , plumbers' pipe septic tank, distribution box inlets and outlets, distribution field piping and any other elevations) f maximum ground water elevation in area of sewage disposal( system plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Se tic. Tanks Reg. 6 ( Capacities - 150% of flow, water table , tees , depth of tees , access, pumping, (b) Cleanout (c) 10' from cellar wall or inground swimming pool (d) 25' from subsurface drains i -b" L • Fail OK Distribution Boxes , Reg.10.2 a) Slope greater than 9.08 Reg.10.4 (b Sump Leaching Pits Leaching pits are preferred where the installation is possible Reg.11 .2 a Calculations of leaching area (minimum 500 S.F. ) Reg.11 .4 Spacing Reg.11 .IC Surface drainage 2% Reg.11 .11 Cover material Leaching Fields Reg.15.1 (a) RiGreater than 20 minutes/inch - Reg.15.1 (b) Area (minimum 900 S.F.) Reg.15.4 (c) Construction of field Reg.15.8 (d) Surface drainage 2% Reg. 3.7 (e) 20' from- cellar wall or inground swimming pool Leaching Trenches Reg.14.1 (a Calculations of leaching area (min. 500 S.F.) Reg.14.3 (b Spacing (4 ft. min. 6 ft. with reserve between) Reg.14.4 (c Dimensions 14.5 Reg.14.6 (d) Construction Reg.14.7 (e) Stone Reg.14.IC (f) Surface drainage 2% Downhill Slope a Slope y/x to be shown) (b� y/x X 150 = to be shown) /]/I Pumps Reg. 9.1 (a) Approval Reg. 9.6 (b) Stand-by power SOIL PROFILE & PERCOLATION TEST DATA Town/City. No.&Street ✓�� Lot No. \V�f Loc./Subdiv. ✓ �' ,-� �'� (�14ce/P1an Owner j r� Investigator �/ r Observer SOIL PROFILES-DATE 1. E ev. 2. Elev. 3' Elev. 4'Elev. e0 77 0 0 0 1 1 1 42 2 2 2 3 3 3 3 4 4 4 4 5 5 5 5 6 0� 6 6 6 7 - 7 . 7 7 8 g 8 8 .9 9 9 9 -1D 10 10 10 Benchmark Location - Elevation Datum Percolation Tests-Date 77 Pit Number 1 2 3 4 S Start Saturation Soak-Mins. Start Test-Time Drop of 3"-Time Drop of 6"-Time Mins. lst 3"Dro 1 Mins. 2nd 3"Dro Notes & Sketches on Back ' Frank C. Gelinas & Associates, North And. V / Z 2 M � �4o9 ' t _ •ar„dS 135vn?�.,19 �? � ' v ! o v/� / yL M d/ytl `\ \i /, / . L' 1VV 7,A,a'A'l rY`-0 S'N16icV4C '*/y 0/40 01/01 N / 59 r Ar C* )y/N/!a Jhb� 1fP/✓ /N/f�/N S /G✓ 3111 ' r / �' � 'N/f,� Y►'/N NIl✓ st'.r crt 4, 1 -- -- JY/�✓ %� 'If'/f►f "lf�✓ n�U1N?J' r � f' � 49G/S -___ 1 L•L L•L af�d �' Licx.�tx��� Cid 51 oo 9 = ,9 aV k ot,,v — — - d,/�? OG�f s 11r /1stAlow : avv1s7rw jle 41 HAM- ,s 3o N e ��I I ,h� All Z Z 1 7 ;ley 2 V,5 1 I -107 TIT J67 OWSQ15W r h (c 7ades/arx�nc a3sct,��o/ �3 � 0� 4=> ONIA0#9 /+7c� oo! Zoi Ls w .CSS CA,.iti#,,4OUT -. leRCAS'r 6^44 . OeOP)AGL PNT C LAEA:MOUT IW To i OG' ivwww c usHrry srowe IZ" MAXCO/EtZ. CL�I�sI,�1v1�NtC -AA4Na SPt:L• Y-11-(00 �\ W MAX. 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DIS rRISar/ON BOX sNEET 20,1=3 i i x 7-3 �I i 1 Page 1 of 1 DelleChiaie, Pamela From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Tuesday, June 14, 2005 12:59 PM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: 43 Candlestick Road soils Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriv-erconsulting.com 6/14/2005 -CAL r C?W, 5yno 09 _ w 4 �voS 1S �xva avc� ;tris .r BI/6b �d--)a Lt h�IV -0 as Iq d 1by*, (3 �T•c;� oSt2Ld rwNV�n r � u,7 S JA,, .T �y�„y - u5��� �r����� 1Sc�` 'a ni_p -. 7NSe��n� ���•� y��.�+�1 1. ds -endm „szk �_a1 —S,ci'`�u i V i i �i �.ys ' I $/ V'Lu'� 7�.tl•OS� �r�,�.i al p �I�.,w S� V'-`: d �I�� O 117J Q Lr, -b 4 :Z► vos Abd i i"!s 1 i I Page 1 of 1 Q DelleChiaie, Pamela i From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Thursday, May 26, 2005 11:39 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela, dano@millriverconsulting.com Subject: Many soil tests Soil tests have been scheduled for thefolio ing places, dates, and times: June 7: 43 Candlestick Road 9:00 June 8: 94 Boxford Street AND 1312 Salem Street Starting at 9:00 June 16: 1503 Osgood Street 9:00 June 21: Lot.14 Laconia Circle 9:00 Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverco_nsulting.com I 5/26/2005 0 0 LETTER OF TRANSMITTAL NpRT11 North Andover Health Department 400 Osgood Street North Andover,MA 01845 . 978.688.9540 - Phone I -^ m � � C •"• '� 978.688.8476 - Fax '� 04 Ca wK. healthdent6iDtownofnorthandover.com -E-mail �.y A•�+T.D www.townofnorthandover.com -Website Page / of SS�eHuS�K TO: DATE: Daniel Ottenheimer COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant Mill River Consulting _ RE: Phone: l.800.377.3044 or 978.282.0014 ezw Fax: 978.282.0012 We are sending you: OSroilTest OPlans or Review /7 Other all an below) These are transmitted as checked below: 17For Review and comment OAs RequestedA19's Required OFor Your Use REMARKS: COPY TO COPY TO: COPY TO: IV V SIGNED: I FT RANSMISSION VERIFICATION REPORT TIME 05125/2005 11:18 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 0004J120960 DATE DIME 05125 11:14 FAX NO./NAME 819782820012 DURATION 00:00:44 PAGE(S) 04 RESULT OK MODE STANDARD ECM a o ` HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 May 23 2005 1:57pm Last Transaction Dae Time T= Identification Duration Panes Result I May 23 1:56pm Fax Sent 819782820012 1:05 3 OK BOARD OF HEALTT-) NORTH ANDOVER, MAS. 01845 RECEIVE® 978-688-9540 APPLICATION FOR SOIL TESTS MAY 17 2005 TOWN OF NORTH ANDOVER DATE: �� ' I I ' MAP&PARCEL: 1 A HEAL?H DEPARTMENT LOCATION OF SOIL TESTS: 4-77 GA A)12L F1'V c L, 121 A-12 OWNER: �!�k�ft,+2� Lil'L�b Pa;L S TEL.NO.: ADDRESS: &AIii'hL.E`telC46-, W—VAV ENGINEER: Pl eX I7A MAG Imo' "61&jN)kTEL.NO.: CERTIFIED SOIL EVALUATOR: P71 LA-- . t2L rtZ *0e Intended use of land: Residential Subdivisionmgle Family Horp Commercial Is This: Repair testing Undeveloped lot testing Upgrade for addition In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST RE INCLUDED WITH THIS FORM: 1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests) 2. Plot plan 3. Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. I 2. Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing,a scaled plan(no smaller than I"-100'))shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval: Date Received . Check Amount: . Check Date. i i i c � C .._—.- TO 3 1 � I f a � K � i coMI Mo � v, J k i o o LETTER OF TRANSMITTAL NpRT&a North Andover Health Department pE�s�.eo ,° 400 Osgood Street 3? d`: _ '.. `° 0 North Andover, NSA 01845 Walk ' C 978.688.9540 - Phone 978.688.8476 - Fax healthdet)toa,townofnorthandover.com - E-mail �.qs�''Tso '''�''�'t`� us� www.townofnorthandover.com -Website Page / of SneN TO: DATE: �G�� Daniel Ottenheimer COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant Mill River Consulting RE: Phone: 1.800.377.3044 or 978.282.0014 Fax: 978.282.0012 We are sending you: oil Test OPlans or Review L7 Other ill in below) 4`2 These are transmitted as checked below: OFor Review and comment OAs RequestedA� s Required OFor Your Use REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: l fi BOARD OF HEALT NORTH ANDOVER, MASS. 01845 RECEIVED 978-688-9540 APPLICATION FOR SOIL TESTS MAY 17 2005 _t7� ' I�'�J TOWN OF NORTH ANDOVER DATE: MAP&PARCEL: d� Ati HEALTH DEPARTMENT LOCATION OF SOIL TESTS: 4`77 6A ill D L OWNER:—ET �if'1�bP�L S TEL.NO.: fs Qa'e- .je`t 5 ADDRESS: "1 GIS 6J i�LE 6j_0 GrG a b ENGINEER: "6111 TEL.NO.: CERTIFIED SOIL EVALUATOR: t7n l.-t— t2U Pr" *NG Intended use of land: Residential Subdivision mgle Family Ho Commercial Is This: / Repair testing V Undeveloped lot testing Upgrade for addition In the Lake Cochichewick Watershed? Yes . No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests) 2. Plot plan 3. Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval: tA C:,-) Date Received: Check Amount: Check Date: As o ._..... .-70 79- 41 -?'_ark ?'�.�'-:'�! L3 �YFt4 --t• .�-o T z. I I A I n 1 I �• �P r'R �• f7 N `K'cw.7 I A# w �m 3 -t �o COMM F• O [aj I . i GAN Town of North Andover Health Department Date: Location: ��`� (Indicate Address,if Residential,or Name of Business) Check#: 0 Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: Ole) ©" eptic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) 814 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer 0 a LETTER OF TRANSMITTAL NpRTN North Andover Health Department 400 a Osgood Street g a. O North Andover, MA 01845 4t - 978.688.9540 - Phone % ''� •� 978.688.8476 - Fax o� CCOM healthdept&,,townofnorthandover.com - E-mail www.townofnorthandover.com -Website Page / of SSACHus� TO: DATE: DanielOttenheimerG D COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant Mill River Consulting Phone: 1.800.377.3044 or 978.282.0014 Fax: 978.282.0012 We are sendin ou: eoil Test OPlans or Review /7 Other all in below These are transmitted as checked below: L7 For Review and comment OAs RequestedAte" s Required OFor Your Use REMARKS: COPY TO: COPY TO: v COPY TO: SIGNED: 0 • TRANSMISSION VERIFICATION REPORT TIME 05/25/2005 11:18 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 05125 11:14 FAX NO./NAME 819782820012 DURATION 00:00:44 PAGE(S) 04 RESULT OK MODE STANDARD ECM O Q HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 May 23 2005 1:57pm Last Transaction Dae Time Type Identification Duration Pages R= May 23 1:56pm Fax Sent 819782820012 1:05 3 OK BOARD OF HEAL10, NORTH ANDOVER, MASS. 01845 RECEIVED 978-688-9540 APPLICATION FOR SOIL TESTSOF NORTH MAY 17 2005 OER DATE: fJ�" I I'� MAP&PARCEL: J m A TOWN HEALTH DEPARTM NT LOCATION OF SOIL TESTS: 4-27 GA �t1 p L G OWNER: ,V V-4""4 ax-7 -4""►ax-7 TEL.NO.: e e-<,' ADDRESS: "I tJVLF.-1-1-1 Chi I2.l�AP� ENGINEER: 116)ZVj M AG 1r,- "6 j&2e 1PJQ TEL.NO.: 4?5; —715�5 7 CERTIFIED SOIL EVALUATOR: 1?2l L, . t2L6 *1Je� Intended use of land: Residential Subdivision mgle Family Ho Commercial Is This: / Repair testing V Undeveloped lot testing Upgrade for addition In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests) 2. Plot plan 3. Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval: Date Received: Check Amount: Check Date: • �J � a� ��� b��� X10_ � ._..�� �,� _.�: G • y 74a w �7 i I i n COMM ,c'x w/ 1 l i f GAN Commonwealth of Massachusetts _ City/Town of FOCT System Pumping RecordForm 42007 b" .0\1 DEP has provided this form for use by local Boards of Health. Other#orms may be used-but the information must be substantially the same as that provided here-Befi re 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 Al computer,use only the tab key Address to move your cursor-do not City/Town State Trp Code use the return key. 2 System Owner: Name ISI Address(if different from location) CitylTown States �j �t ��gQe Telephone Number B. Pumping Record 1. Date of PumpingDate, Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): / 4. Effluent Tee Filter present? El Yes ❑�O If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of V�System: i 'A�� 6. Systemu � �a-\ C Z Name Vehicle License Number Company 7. Location where contents we sposed: Signature H I Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts ����,`� City/Town of System Pumping-Record A ' < ; Form 4 ,TOWN OF NOnT 1/ER HEALTH DEPAK;,v, iVT DEP has provided this form for use=by local Boards of Health.Other forms may&e used, but the information must be substantially the same as that provided here. Before using Ahis form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Left/Right front of h ouK, a Rig rear =house�)_eft-/right side of house, Left/ Right side of building, Left/Right front of ul irig, Left/Right rear of building, Under deck Address t4 3 Citylrown State Zip Code 2. System Owner. Name' �/�► Address(if different from location) City/rown State .p(;pd i Telephone Number .B. Pumping Record �. 1. Date of Pumping Date 2. Quantity Pu ped: Gallons y—? 3. Type-of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ No, 5. Condition of st m: m. . 6.. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locationtwere contents-were disposed: L Lowell Waste Water Si gn Haul Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD v 9 1?00 DATE: -6 SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) ( c DATE OF PUMPING: QUANTITY PUMPED I 'S�L GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY I OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: —]Eb" COMMENTS: CONTENTS TRANSFERRED TO: P 9 i a Q NEW ENGLAND ENGINEERING SERVICES INC y August, 1997 North Andover Board of Health Town Hall Annex School Street North Andover,MA 01845 RE: TITLE V REPORT 43 Candlestick Road Enclosed is the Title V report for 43 candlestick Road,North Andover,MA. The system passed our inspection. If there are any questions please call me at my office,686-1768. Yours truly, aurin C. Osgood Jr.,E.I.T. esident 33 WALKER RD. - SUITE 22 - NORTH ANDOVER, MA 01845 - (508) 686-1768 /44rg COM. MON\VEALTH OF MASSACHUSETTS ° 'y EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS r_r DEPARTMENT OF ENVIRONMENTAL PROTECTION �A ONE WINTER STREET. BOSTON. NIA 02109 617-292-5560 IRDY a OXE WILLIA\1 F WELD �v � Se kctar% Govcmo- ARGEO PAUL CELLUCCI DA UHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioncr PART A /f CERTIFICATION Property Address: �!}►!OLlzS7��Ga/�°O " Address of Owner: �� � Dale of Inspection: ��/�rl (If different) Name of Inspector: BENJAMIN C. OSGOOD JR. I am a DEP approved system inspector pursuant to Section 15.340 of Title S (310 CMR 15.000) Company Name: NEW ENGLAND ENGINEERING SERVICES, INC. Mailing Address: 33 WALKER ROAD, NORTH ANDOVER, MA 01845 Telephone Number: 508-686-1768 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _Passes Condrtionalh. Passes Needs Funher Evaluation By the Local Approving Authority _ Fails Inspector's Signature: �� Date: 711 1 The System Inspector shall s mit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check(qB, C, or D: AJ SYSTEM PASSES: v I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: One or more system components as described in the 'Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y. N. or ND). Describe basis of determination in all instances. If"not determined", explain why not. _ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty(20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revip•d 04/25/97) par. 1 of 10 0 a : SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Sj�m ���x-Liwa Date of Inspection: BI SYSTEM CONDITIONALLY PASSES (continued; Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if'(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health) broken pipe(s) are replacec obstruction is removed Cj FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health. safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or pri%-%" is within SO feet of a surface water Cesspool or pri.y is within SO feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has,a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within SO feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but SO feet or more from a private water supply well. unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm. Method used to determine distance (approximation not valid). 3) OTHER (r.vi..d 04/75/97) Y•y I or 10 'I ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A / G CERTIFICATION (continued) Property Address: '`l�� nLPS G_ �� 40 Owner: -COh7Q/3Ql!f)/7 D Date of Inspection: DJ SYSTEM FAILS: You must indicate either "Yes- or -No-as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution boa above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day floc . Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any porton of the Soil Absorption System, cesspool or privy is below the high groundwater elevation Any porton of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supple. Any ponion of a cesspool or privy is within a Zone I of a public well. Am porton of a cesspool or privy is within 50 feet of a private water supply well. Anv porton of a cesspool or privy is less than 100 feet but greater than SO feet from a private water supply well with no acceptable Nater quality analysis. If the well has been analyzed to be acceptable, attach copv of well water analysis for cohiorm bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. Q LARGE SYSTEM FAILS: You must indicate either "Yes- or "No- as to each of the following: The following criteria appy to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA) or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (re ixod 04/25/77) Page 3 o1 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 111viJ0,Wet Owner: Date of Inspection: Check if the following have been done: You must indicate either -Yes"or`No' as to each-of the following: Yes No ✓ _ Pumping in(ormation was provided by the owner, occupant, or Board of Health. V _ 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. IVA _ As built plans have been obtained and examined Note if they ere not availab,'e with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout 1✓ _ All system components. excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened. and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner Land occupants, if different irom owners were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (r.vi..d 04/25/97) P-y. 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 11 // SYSTEM INFORMATION Property Address: 11.3 C7*tt,ote,< ck ed,/ /,a �-jck,oewr mlp- Owner: -<$-n Date of Inspection: _7 A/1 -7 FLOW CONDITIONS RESIDENTIAL: Design flow: g.p.dJbedroom for S.A.S Number of bedrooms: I/ Number of current residents:_: Garbage pr.der (yes or no!: t4VO Laundry connected to system (yes or no) Seasonal use (yes or no):L Water meter readings, if available (last two (2) vear usage (gpd): Sump Pump (ves or no): /VO Last date of occupancy: Ljvte�7� COMMERCIAUINDUSTRIAL: Type of establishment: Design flow- Qallons/dav Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: Ives or no)--- Non-sanitary ot_Non-sanitary waste discharged to the Title 5 system: tyes or no)_ Water meter readings, if available Last date of occupancy: OTHER: (Describe! Last date of occupancy. GENERAL INFORMATION PUMPING RECORDS and source of information System pumped as pan of inspection: (yes or no)AV I(yes, volume pumped: gallons Reason for pumping TYP!,PF 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) VA Technology etc_ Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: /X178 Sewage odors detected when arriving at the site: (yes or no) IL (r.vi..d 0{/25/97) P.V. 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ��SYSTEM INFORMATION (continued) Property Address y� OLDS `C k 'u'/ 11/U A oeie e, Owner: m Date of Inspection: BUILDING SEWER: / (Locate on site plan) Depth below grade: Material of construction: cast iron_40 PVC _other (explain) Distance from private water supply well or suction I,- - 49 c, To Qdip/Z , (��>��G %� F--" f' Diameter N Comments: (condition of joints, venting, evidence of leakage, etc.) .1-ook.t r?fop -Z� ge5a w« SEPTIC TANK:_ (locate on site plana Depth below grade: Material of construction: foncrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal. list age _ Is age confirmed by Ceniiicate of Compliance _(Yes/No) Dimensions: -5'.X 6"t, ` Sludge depth: 4t,' Distance from top of sludge to bottom of outlet tee or baffle. f Scum thickness:�'#- Distance from top of scum to top of outlet tee or baffle y„ Distance from bottom of scum to bottom of outlet tee or barite: /9" How dimensions were determined: AIEBsv,��rre., Sf cK Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) %ink .27S Pic GREASE TRAP: (locate on site plan) /y cam_ 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: (recommendation for pumping, condition of inlet and outlet tees_ or baffles, depth of liquid level in relation to outlet invert. structural integrity, evidence of leakage, etc.) (r—i—d 04/75/97) p-4- 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C /SYSTEM INFORMATION (continued) Property Address: 'i/ e91KD1QS4'c-k eW/ 410 AdBve-f,of Owner: Date of Inspection: TIGHT OR HOLDING TANK: .Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene other(explain) Dimensions: Capacity: gallons Design flow — gallon/da% Alarm level. Alarm in working order _ Yes. _ No Date of previous pumping Comments: (condition of inlet tee, condition o:alarm and float switches. etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet inven: Comments: (note ii level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) O - f ox A00/Cs o/< - k,-eoS Oect- &-orer_ - 0PePCec<ro *s PA01- rb's X.sP�, PUMP CHAMBER:_ (locate on site plan) Pumps in wonting order: (Yes or Nol IJJ4►/ Alarms in working order (Yes or Not Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (r.vis.d 04/25/97) P&q. 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C / SYSTEM INFORMATION (continued) Property Address: e04- ieSI�G�� , /vo 4 4ovP.t'i � Owner: S 64461_'*-V0 Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methodsl I If not determined to be present, explain: Type: leaching pits, number._ f/ ,� ,� �� •�S leaching chambers, number:3 leaching galleries, number: leaching trenches, number.length: leaching fields, number, dimensions:_ overflow cesspool, number. Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic/failure, level of ponding, condition of vegetation, etc.) /4Q�Q .0.-r PA /�ooki /VPwlyl D,eV u.,'AA lt'.0^101 CESSPOOLS: _ (locate on site plan) Number and configuration Depth-top of liquid to inlet invert: Depth.of solids layer: Depth of scum laver: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as pan of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: _ (locate onsite plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (r.vi-d 04/25/97) P.Q. a or 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C �1 p//SYSTEM INFORMATION (continued) Property Address: ,./ C%I(a{�+b�-s�`'G� jet, ave e, #f-0 Owner: Date of Inspection: t7A SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) � qe Co 4f-C 14 t P.r (r.vi..d 04/75/971 P.O. 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propertv Address: Owner: Date of Inspection: Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, obsen•ation' hole. basement sump etc) Determine it from local conditions Check .v!th !o-,a! Board of health Checi FEMA Maps Check pumping records Check local excavators. installers Use USGS Data Describe in %our own words how you established the High Groundwater Elevation. (Must be completed) �•� -Desi Esta PLtkws Diu ZI-c v<Jtwo ts..A �cze J-o 9 LIZ-, `T C3 00 e 1U w U-A}fi2 jW9L(T-- 610- 0<-.0 10- 2f) USCG .iK+�.`��� �E � � ss C�f�K �,w � C`,�g) u.h•�ti (r—i—d 04/75/97) P.y. 10 of 10