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Miscellaneous - 49 CARLTON LANE 4/30/2018
49 CARLTON LANE i 2101106.C-0090-0000.0 :J r . x + Commonwealth of Massachusetts Map-Block-Lot 106.00090 BOARD OF HEALTH Permit No 3 B North Andover BHP-2015-008383 FEE 4'Y $125.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Todd Bateson to(Construct)an Individual Sewage Disposal System. at No 49 CARLTON LANE ----------------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2015r 008 -Dated March 31,2015 ----,,�------------ --- µ �..�ti.+►i Issued On:Mar-31-2015 BOARD OF HEALTH ✓ �.i.y�::..,., Application for Septic disposal System TODAY'S DATE Construction Permit-TOWN OF NORTH ANDOVER, MA 01845 $ 2s°.00-ComRepair Important: Application is hereby made for a permit to: When fining out ❑Construct a new on-site sewage disposal system' forms on the computer,use ❑Repair or replace an existing on-site sewage disposal system' only the tab key to move your ;pair or replace an existing system component—What. cursor-do not use the return A. Facility Information key. - % e s t JT1G1- �.N• Address or Lot# ab Citylrowny A ` 2.-*TYPE OF SEP110-SYSTEW: ❑Pump [/Gravity(choose one) —If pump system,attach copy of electrical permit to applicafi e'Conventional System(pipe and stone system) /.,e,y�. P '�� E]Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your ce►t ca on to install_this type of system.) ❑Pressure Distribution S.A.S.(No D-Box) ➢ ❑Pressure Dosed(D-Box Present)S.A.S. ➢ ❑Does the system require an effluent filter? Yes Nom. . If yes,does plan specify make and model of Filter? YES=(no furth r info. needed) `yJI NO=(installer must specify brand of filter before D WC issuance) What-is the Make? What is theModea`3 hiM 312015 2. Owner Information T01u. HE *tame Address(if different from above) Cityfrown State Zip Code Telephone Number 3. Installer Information Name Name of Company l(o' p DATE','ON ENTERPRISES,INC. Address ANDOVER,R/iA 01810 City/Town State a, Zip Code Telephone Number(Cell Phone#If possible please) 4. Designer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Best#fo Reach) Application for Disposal System Construction Permit-Page 1 of 2 A_ pplication..for Septic Disposal System _ pC.onstruction -Permit-TOWN -OF TODAY'S DATE 4� ORTH AND OVLR MA 01845 � $.250.00-Full Repair $125.00.-Component PAGE 2 OF 2 A. Fadifity.Information continued.... S. Type,of BuNding: esidentiaDwelling� l 9 or❑Comme real B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-si(e sewage disposal system In accordance with the provisions of Title 5 of the } Envlronmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover,and not to place the system In operation until a Certificate of Compliance has been Issued Is Board of Health. Date lio n Approve oard He Representatitive) _ am Date Application Disapproved. or the following reasons: For Office Use OMv I Fee Attached? Yes_ No 2, ProjectMaaaget Obligation Form Attacb-eda Yes 3.: Puma, vstem? lzsot Atta_ch cony ofElectrical Permit �'es.___ No 4. Foundation As Bulk?(new construction ronly). Yes (Same scale as approved plan) No 5. FloorPlans?(hely construction only). Yes_ No A0p!rcit1on{or DWPosal Sgste':oonstroction tsermft Page 2 02 SEI�J, C•SYST tCTM As 4*.N¢xtkAndavrs.lic�asad iaE fa rtIi et nttuet 'ftst.the egetE42'f'at.the jnOpCdyatt (Ad4mu of sepdc opt=) .gcspi,us,by Relative sA du.epp}lcm of (Saes trs"e nmu AM dated Dated ` - tao a �s Doth psi da date) I uudmtaud the following O lgatioix fat nagemestt of is gmlect: i. As the inatalta,F a'=.oblipw to obtais di p $�aP:wotic cit a gibe: p �and Bcr,Gtii ofI-Iegdth a gmwcd pleas t'o 2. As du immlle�.I,�ii�at•.t�1i���asci��petlibns+ I£hom«raracz QthetPcmcm not 04�e3�ed with mP mp�y�ea•an iaspec#o snd the pxgact manem or any item three sbnlLh er spl ble. natein is notmek thcfl �• �'��x�•t�40 lsa�e tEre od � iixd� � ��t�d•prlat~zo the,applicab�e itta�tecxip�ss '�� '• .. . � ahs b�•�a" ��� ;6n that ,����gec:t{aa_pa1�a.:theseisiarrinug ,which. . .b• �' �?ht`� �fit ftiapado�1}nt clQes•not bane to bt prescas;•, As bi31t af — tatdc>ttefi flee �e��I pK-(ar e�dt�• pQu fos eIcFo, ..tik etc. -be tWmgt6edto theW . from nust laepiCsttf 8crard'ofH =}a�ttoille . r-i6 titue t�Uct ititiist inapecda�, kith at puthA at, c ctticat 4"t]iXwt ba m eoaae p;iu�p•t�4ork tied to on,, readp sncl able c• lbstoer mwt t t eetioa rh &V6#a be+onf�te. :, pitta: Iststallet does riot 4. As•t>ze iastalier:•I ud that�9'��►petlatm tLe Vic'o�u •~ � .• •,,• 16u cmpiete the eat&tan of the aystetl►idea#i i s� �»}attd 1 am reg4ured . ., �PP �oA� itistrtltarian j 4 te2xnns Fw� ��sw uii vvr `Al'$E4Yf[9�[1b'Af RLit►tn�D -• .,.Q.... '5. ba theiaap�•F vdadeutioail tLtI t .. �. ,`• • P. -,of th foiiawittg coast fiaa Dettms�aeto�r�tt�epropdi►clevp�taaarttler.�����•,�e " '• - b. la=Ptto&oftheirsad aadOd ieV fie awd �A tseoc6cdG a FkdAmvccdaabfBoWotarfforcaWulg&t d lwA4lla#cta artaank, v-{$a prYlp 'F arose,VW4POW dobat r $ toad atlrer 6. c'ampctaem, 4 . Mid 61 the rm-1 per the r' in ��4?r :j��ithtr fle�sena s �It�bBgl Uadere3Qatdcea:ed S4, aA= _ fl'oda DateY MOR71/ 7059 h 9 Town of North Andover HEALTH DEPARTMENT CNps�� CHECK#: 0 3-1DTE: v I )� LOCATION: H/0 NAME: CONTRACTOR NAME: Type of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ Septic Disposal Works Construction(DWC) $ I ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer 1 a North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 49 Carlton Lane MAP: LOT: INSTALLER: Todd Bateson DESIGNER: PLAN'DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS D-BOX INSPECTION: 4/2/15 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading ❑ Monolithic tank construction ❑ Water tightness of tank has been achieved by visual testing ❑ Inlet tee installed, centered under access port S ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ ''f \Iic cement around inlet & outlet Comments: PUMP CHP;" �(�� p k hole has 6" stone base ,gged np Chamber installed \�struction L , entered under access port stable base �,X" -king 1� V �l(,`'� 'a is Q�D ".,,ressure line over at final grade installed over pump ,.;e ss port /Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX / Installed on stable stone base Q H-20 D-Box ❑ Inlet tee (if pumped or>0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution Speed levelers provided (not required) Schedule 40 P C Pipe - l shoo Comments: 1 \J i ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon Pump Chamber installed ❑ H-10 loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ -Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOXV/ Installed on stable stone base kH-20 D-Box ❑ Inlet tee (if pumped or>0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution j Speed levelers provided (not required) Schedule 40 P C Pipe Comments: IC{� ly� J UD dte commonwealth of Massachusetts 9 1` - 4 6- �11 1 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments i 49 Carlton Lane rf Property Address f Eleanor Lucarini Owner Owners Name information is required for I North Andover A 01845 1212/2014 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way.Please see completeness checklist at thelend of the form. Important: A. General Information When fining out Z014forms on the Qt l computer,use only the tab key 1. Inspector: Tfy�hY: to move your Neil J. Bateson cursor-do not Name of Inspector use the return key. Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover MA 01810 1IM Citylrown state Zip Code 9784754786 S115 Telephone Number License Number l B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP'approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: 1, ❑ Passes ® Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 12/2/2014 ln*ecVes trignatureUi Date I The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completin6 this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. i ****This report only describes conditions at them time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3113 Title 5 Oficial Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 I Commonwealth of Massachusetts Title 5 Official Insp�eition Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane _ Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. CityTrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: f i ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: i 1 B) System Conditionally Passes: ` i One or more system components as descI ibed in the"Conditional Pass"section need to be replaced or repaired..The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old;or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infilttation or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is repla, with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it iso structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ® N ❑ ND(Explain below): I j i I I � t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 i I I� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary. Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board lof Health): ❑ broken pipe(s)are replaced Y ® N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ® N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ® N ❑ ND(Explain below): i I I ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approviil of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ® N ❑ ND(Explain below): I ❑ obstruction is removed ❑ Y ® N ❑ ND (Explain below): i 1 C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of HiIalth determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet I f a surface water I ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 7 Commonwealth of Massachusetts Title 5 Official Inapetion Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owners Name information is . required for North Andover MA 01845 12/2/2014 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) j 2. System will fail unless the Board of(Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. El The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: j i I **This system passes if the well water analysils, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the pre�ence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other flailure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: i D-box 1 &2 badly corroded, d-box 3 corrosion holes needs to be replaced I D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or;clogged SAS or cesspool E] ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspoollis less than 6"below invert or available volume is less than %day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Yes No j ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. El ® Any portion of cesspool for privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ 0 Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the vSell water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen wind nitrate nitrogen is equal to or less than 5 ppm, provided that no othe 1 failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving'a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described In 310 CMR 15.303, therefore the system fails. The system owner should cointact the Board of Health to determine what will be necessary to correct the failure. i E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. i For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 Ifeet of a surface drinking water supply ❑ ❑ the system is within 400 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in;is nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well i If you have answered"yes"to any question in,$ection E the system is considered a significant threat, or answered"yes,"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 or 17 1 Commonwealth of Massachusetts Title, 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You rI ust indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? I ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of th�system obtained and examined?(If they were not available note as N/A) i ® ❑ Was the facility or dwellinig inspected for signs of sewage back up? ® ❑ Was the site inspected foir signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(a'L occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based 6n: ® ❑ Existing information. For;example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information ! ; I Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 i DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 600 I i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owners Name information is required for North Andover MA 01845 12/2/2014 every page. Citylrown State Zip Code Date of Inspection D. System Information Description: i Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No I i Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Yes Detail: I j i i Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: i Type of Establishment: j Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No i Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini owner owner's Name information is required for North Andover MA 01845 12/2/2014 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: .Source of information: Pumped 2014, owner Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? i Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool I Privy ❑ Shared system (Yes or no)(If es, attach previous inspection records if any) i ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system b� system operator under contract ❑ Tight tank.Attach a copy of thle DEP approval. ❑ Other(describe): i t5ins•3l13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. Cityfrown state Zip Code Date of Inspection D. System Information (cont.) I Approximate age of all components, date inst�lled(if known)and source of information: 31 years old,6/15/1983, as built plan Were sewage odors detected when arriving at the site? ❑ Yes No Building Sewer(locate on site plan): 2 Depth below grade: feet Material of construction: ® cast iron ®40 PVC ❑!other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): 4"Cast iron through wall, 3"PVC in house, no leaks visible i i i I Septic Tank(locate on site plan): Depth below grade: feet Material of construction: I ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) i i If tank is metal, list age: j years Is age confirmed by a Certificate of Compliang.e?(attach a copy of certificate) ❑ Yes ❑ No 10'x 5'x 4' Dimensions: Sludge depth: 0 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-�ot for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 33 Scum thickness Distance from top of scum to top of outlet tee;or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 14" I How were dimensions determined? Tape Measure Comments(on pumping recommendations, in'let and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet tee ok. Outlet tee ok. Depth of liquid atjoutlet invert. No evidence of leakage Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee'or baffle i Distance from bottom of scum to bottom of otatlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner owner's Name information is required for North Andover MA 01845 12/2/2014 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, iii let and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): i I I i i Tight or Holding Tank(tank must be pumpetl at time of inspection) (locate on site plan): . Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): I *Attach copy of current pumping contract(regIpired). Is copy attached? ❑ Yes ❑ No i I t5ins•3113 i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 'I Commonwealth of Massachusetts lk Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owners Name information is required for North Andover MA 01845 12/2/2014 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Drop box 1 badly corroded, drop bbx 2 badly corroded, either replace with pipe or replace boxes. D-Box 3 has corrosion holes, evidence of leakage. Evidence of carryover. I i I I i Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes [I No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): i i *If pumps or alarms are not in working order; system is a conditional pass. Soil Absorption System(SAS)(locate on site plan, excavation not required): I If SAS not located, explain why: I i t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 IP Commonwealth of Massachusetts i Title 5 Official Inspetion Form Subsurface Sewage Disposal System Forth-Not for Voluntary Assessments r 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 3 ❑ leaching chambers number: ❑ leaching galleries number: I ❑ leaching trenches number, length: i ❑ leaching fields number, dimensions: i, El overflow cesspool number: ❑ innovative/alternative system Type/n'ame of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil ok.Vegetation ok. No sign of ponding tol surface. Camera inside of leach pits through outlets in d-box. No liquid to inverts of pits. i i i i i i Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert i Depth of solids layer Depth of scum layer i Dimensions of cesspool Materials of construction j Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucadni _ Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hy�raulic failure, level of ponding, condition of vegetation, etc.): i I Privy(locate on site plan): Materials of construction: Dimensions Depth of solids ; Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i i i i i I I I I I i t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts `Me 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments . ' 49 Carlton Lane Property Address Eleanor Lucarini Owner Owners Name information is required for North Andover MA 01845 12/2/2014 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide'!,a view of the sewage disposal system, including ties to at least two permanent reference landmarks:or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.1 Check one of the boxes below: ® hand-sketch in the area below ,\ ❑ drawing attached separately a OVA �— �U�, /ar 3 a ` ,7 ldat j FL i�oBz7l�5 I t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 i -, Commonwealth of Massachusetts Title 5 Official Inspedlion Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane _ Property Address Eleanor Lucarini Owner Owners Name information is required for North Andover MA 01845 12/2/2014 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3/31/1981 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Design plan ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: As per design plan test pit data i i I I Befofe filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 12/2/2014 every page.- City/town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked E Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Summary Record Card generated on 12/9/2014 11:27:44 AM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210-106.C-009.0-0000.0 Parcel Id 17726 49 CARLTON LANE LUCARINI, VINCENT 49 CARLTON LANE NORTH ANDOVER, MA 01845 Class 101 Single Family i Property Type 1 Residential Zoning2 1 Residential i Zoning3 1 Residential Size Total 1.1 Acres FY 2015 j UB Mailing Index Name/Address Type Loan Number i Activellnact. From Until LUCARINI,VINCENT Payor 49 CARLTON LANE NORTH ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 13890.0-49 CARLTON LANE Last Billing Date 12/3/2014 2100678 02 Cycle 02 Active UB Services Maint. j Account No.2100678 j Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7182 11 WTR WATER 01 ALL METER SIZE 76.00 /1 UB Meter Maintenance i Account No.2100678 Serial No Status Location Brand Type Size YTD Cons 13242606 a Active ERT HH METE METE w Water 0.63 0.63 550 Date Reading Code Consumption Posted Date Variance 11/3/2014 892 aActual 20 12/15/2014 -28% 8/1/2014 872 aActual 26 9/11/2014 66% 5/5/2014 846 a Actual 16 6/12/2014 -10% 2/4/2014 830 a Actual 19 3/17/2014 6% 10/31/2013 811 aActual 17 12/20/2013 1% 8/1/2013 794 a Actual 17 9/18/2013 -10% 5/1/2013 777 a Actual 17 6/18/2013 8% 2/7/2013 760 aActual 19 3/13/2013 -1% 10/30/2012 741 a Actual 17 12/13/2012 -32% 8/2/2012 724 . a Actual 26 9/26/2012 50% 5/2/2012 698 a Actual 17 6120/2012 -2% 2/2/2012 681 a Actual 18 3/14/2012 -29% 11/1/2011 663 a Actual 25 12/15/2011 3% 8/112011 638 a Actual 24 9/1412011 35% 5/2/2011 614 a Actual 17 6/13/2011 -2% 2/4/2011 597 a Actual 19 3/15/2011 -14% 11/1/2010 578 aActual 1 21 12/13/2010 -33% 8/3/2010 557. a Actual 32 9/13/2010 76% 5/3/2010 525 a Actual 18 6/9/2010 -5% 2/1/2010 507 aActual 19 3/11/2010 -17% 11/2/2009 488 aActual 23 12/11/2009 -2% 8/3/2009 465 aActual 23 9/11/2009 19% 5/6/2009 442 a Actual 20 6/16/2009 5% 2/3/2009 422 a Actual 19 3/16/2009 -16% 11/3/2008 403 a Actual 23 12/10/2008 -41% 8/1/2008 380 aActual 38 9/12/2008 95% 5/1/2008 342 aActual 18 6/18/2008 14% 2/6/2008 324 a Actual 18. 3/14/2008 -54% 11/1/2007 306 aActual 36 1/15/2008 23% n 4 7186 MOR7ry of•...o •hyo F?�•.r •• tp Town of North Andover HEALTH DEPARTMENT ,SSACHU•+E4 CHECK#: :DATE: LOCATION: H/O NAME: CONTRACTOR NAME: Tyne of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ Title 5 Report $ ❑ Other. (Indicate) $ e2 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer ,.. 7186 �f� 1 f pORTy,`T.l9.- p`�� w r!.�0 • : Town of North Andover HEALTH DEPARTMENT .. SACMUSEt CHECK#: DATE: LOCATION: �jfilj)4U'A H NAME: 1� I , CONTRACTOR NAME: Ajl�� Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ Title 5 Report ❑ Other. (Indicate) $ r / Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer ' Commonwealth of Massachusetts �_2.�- caE Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owner's Name information is required for North Andover MA 01845 4/3/2015 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. W en filling out A. General Information forms on the �� �Q� computer,use 1. Inspector: �.a✓� `! only the tab key to move your Neil J. Bateson YQ� cursor-do not Name of Inspector }{ use the return key. Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover MA 01810 City/rown State Zip Code 978-4754786 S115 Telephone Number License Number B. Certification I certify that U have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Fijrther Evaluation by the Local Approving Authority Z 4/3/2015 InspottoO Sklfature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owners Name information is required for North Andover MA 01845 4/3/2015 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: After permit from B.O.H., install new d-box, clean out access & remove two drop boxes, inspection from B.O.H., septic system now passes Title 5 Inspection. B) System Conditionally Passes: ❑ One or more.system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined"(Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 17 _a Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 49 Carlton Lane Property Address Eleanor Lucarini Owner Owners Name information is required for North Andover MA 01845 4/3/2015 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least.two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately G w �jvS� A- B I QGi c)�r. I � 6 p- Q� ►� I > ao t C�. G�Qa,N.o•r� 1 tip 3�� _ �a ' t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 64-2. 6GC4 •� TD • S.�KTL'ED I�6 . �!� J 4z.- * COPY PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 4/7/2015 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of D-Box By: Todd Bateson At: 49 Carlton Lane Map 106.0 Lot 0090 ,orth Andover, MA 01845 TM'Issu cc of this fic to shall n �be construed as a guarantee that the system will function satisfactorily. I E Michele Grant J Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com i �►OR7y ' BUILDING PERMIT a o OL TOWN OF NORTH ANDOVER .,y APPLICATION FOR PLAN EXAMINATI * - It Permit NO: Date Received Date Issued: CHU �r� IMPORTAN T:Applicant must complete all items on this age Li 7 LOCATION Com/ ?/7�i1 LA) Print PROPERTY OWNER Print MAP NO: . PARCEL: ZONING DISTRICT: Historic District yes no . Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential U New Building )).,One family U Addition Two or more family U Industrial Ll Alteration No.of units: u Commercial ,"epair, replacement u Assessory Bldg u Others: U Demolition U Other u Septic Li Well U Floodplain U Wetlands U Watershed District U Water/Sewer Identification Please Type or Print Clearly) i1 0 � OWNER: Name-. Vlnli ? LL) AJ i Phone: Ke, � Address: CONTRACTOR Name:� Phone:q7 `?- .K?,9 Address: l Supervisor's Construction License: 01 Exp. Date: Home Improvement License: i Exp. Date: ARCHITECT/ENGI NEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$1200 PER$1004.00 OF THE TOTAL ESTIMATED DOST BASED ON$1215.00 PER S.F. Total Project Cost: $ lr y425J. FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with nregistered contractors do not have access to the guaranty fund Signature of Agent%Owner ,�----__Sig-nature of contracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan -'-E1' Plans ❑ ,I TYPE OF SEWERAGE DISPOSAL L Public Sewer ❑ Tanning/Massage/SodyArt ElSwilu gPools ❑ �,ii Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ i Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ 4i t i i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on _ Signature COMMENTS HEALTH Reviewed on Z )�j Si nature V COMMENTS4f l" / J Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& ®ate Driveway Permit DPW Town Engineer: Signature: ?LFaoIcREt_edDat- Located .Xf8`4oOsgood g ood Str�eset EPARTMEP %'CJTt' _ D 2r4aMnfar—pt; ._ er on y Firet.Departm ne t?sign}atur�e%dated �.� r MAP AND PARCEL ADDRESS Sri ,C Gc� A OWNER SIZE OF LOT IN SQUARE FEET #BEDROOMS_ r SEPTIC SYSTEM LOCATION (For example, FRONT YARD SOUTHEAST CORNER) FINAL GRADING DATE AS BUILT PLAN IN FILE,? B ZA INSTALLERLL� DWC PERMIT DATE CERTIFICATE OF COMPLIANCE DATE ENGINEER /C 4—O N Form No.3 Town of North Andover, Massachusetts BOARD OF HEALTH k- h. t NORTH 1 3 c/ 1912— r � p DISPOSAL WORKS CONSTRUCTION PERMIT - ,SSACM�SEZ Applicant U�ADDRE55 TELEPHONE NA c- Site Location n Individual Soil Absorption Permission is hereby granted to Construct ( ) or Repair (�' — Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH . D.W.C. No. Fee r. r Mi APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 1D J3 ( / CURRENT INSTALLER'S LICENSE# LOCATION: GA r l��� 44- LICENSED INSTALLER: B �A �Sd ✓ SIGNATURE:_'�= LEPHONE# 7�. CHECK ONE: REPAIR: ✓ NEW CONSTRUCTION: IF NEW CONSTRUCTION,PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes �G— No Foundation As-built? Yes No Floor plans on file? es No Approval Date: I a 7 I � V 1 -1.11 � IV O FIT JT Z }� d I 15± PIT�`i OT2(o 1 L o-T- oT 2 5 p I � - so r � P•6°EI b I -ra nr Ic I QN ` /1A7 _ DES\G.N AS eiutk-T A � 1 1 T PE OvT OF HSE. I I S .b E) U I L 1 I NTD 1L . ,,�, E 0 UTOFT I S UP-S U V, PAGE D I S POSAI_ 1w v ViP %NTO D. o ! 53. 14 5Y5T EM INV NIDE OUT D 130X ` INTO 1C t'1 1 I`1 v P Pc ou-r' 'P. 8 - _, oitTH d. Qr.2ovE.CE �!S wy �IY # Z }4�•� J�-r_� I__ 5C-ALE I 4C DATE;G/ IS/�3 EtJ61NEE�.S � alZCl-IITE.GTS � L�.Ni7 PL��.11JE2S�dND SU�.�/ 1=`lO�S N b t✓T I-I d N D 0�/>=f� O 1=>=I G E Pa 12.K- I,J I I i �� . �, �� �� vw `�1�noaN•7 Hry oaNv r-I .1 �lqr+ S�zo).3 ��acis orvv`S�3Nrvv1d arvv'1 ' v ` saa � rN19N:3 �rv= s�i�I�ossv nNv I�sr+ iwv�l oavH�i� �7'!_t�l Lbl , r7A Iq, ANI --21-73 ICD-- -- — L �"Lit , d l no 33 d 'Nl Lei-a -L G; L `cc,l o d olNl 3,6{Z A r4l i i n s-can c b hoin 1 ^�1 r1 L�'� :� o�lv I 1 1 I 1 i `il C� -:JO -LOCIX41 ny V� 1 s ` 1 y Yn i -,)i ry Vi- `3 L`3 2 N �n 1 +51 I If i' 4-L 4 r rte " k12 1m 6� 'J Ik I+ SID i TO: NORTH .LNDOVER, MASS. June 17 1 4 83 BO'.RD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage Disposal System I This is to certify that I rave inspected the construction materials of said disposal system at Lot 26D Carlton Lane Site Location North Andover, Mass . ! ; The grades and construction materials a �s si ied in my plans and 1.WILLI specifications dated May 24 , 19 arPU S- It June 15 1983 crvru r .31012,0 x Reg. Pror-. X-EnNNI g' .. e anitarian ' e y COMMONIATALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON, NIA 02108 6117-2924A00 TRUDY COXE WILLIAM F.WELD Secmtm Governor DAVID B.STRUFIS ARGEO PAUL CELLUCCI Commissioner Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A gqCERTIFICATION U9 C'' ac}�. s Property Address: �,�� �' � resof Owner: Date of Inspection: (If different) Name of Inspector: �►( �' am a D ppr ved system inspe for pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: Mailing Address: Telephone Number: 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: P s . Conditionally Passes _ Needs Further Evaluation By the local Approving Authority F `o !6 -47 Inspectors Signature: Date: The System Inspector shall ubmit 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 A, B, C, or D:r A] SYSTEM PASSES: 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: B] SYSTEM C IONALLY 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,wi,l�S CCus t -��tacc C2 �-wd�rt,'` Indicate yes,no,or not determined-(Y, N,or ND). Describe is of determination in all instanter. It"not determined",explain y not. _ The septic tank is metal, unless the owner or operator has provided the system inspeector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty(2())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. t (revised 04/25/97) 1t�pa 1 OL 30 DEP on the World Wide Wets httpJlwww.ma6net.st1%-rn$-us✓ae0 Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFIG.,�TION (continued) Property Address: `4c7 C_coK` L,". Owner; to 6 36v r1 f 'C 60 V\Y".6 Date of Inspection: 10 B]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). Desctibe 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 replaced obstruction is removed C1 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 15 NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD-OF HEALTH (AND PUBLIC WATER SUPPLIER, IF 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 1SAS)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 50 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 to 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 5 ppm. Method used to determine distance .(approiimation.tot valid). 3) OTHER (revised 04/25/91) paga.2 of it1 _ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Q Loot/ - -A-oY L n+. Owner: Date of Inspection: 10 , 16-9`7 D) SYSTEM FAILS: 7 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 box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than.112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation.. Any gonion of a cesspool or privy is within 100 feet of a surfaci water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within'a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water.supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water.anafysis for coliiorm bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen, Ej LARGE SYSTEM FAILS: You must indicate either"Yes" or"No"as to each of the following: The following criteria apply 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 It 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 Depattmertt for further information. . s (revised 01/2S/47) Pat* 3 of 10' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property,Address: �Q C.�� 1' p'� �,►�1. �`� '� V Owner: Al.t ':soV� C`0A V-NQ' 1 Date of Inspection:U Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following: Yes o Pumping information was provided by the owner,occupant, or Board of Health, !/ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System,have been located on the site. _U-; _ 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 oni The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System, isting information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is. unacceptable) (15.302(3)(b)) (revised 04/25/97) page 4 of 16 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Prop" Address: VlIx Owner: �, �v`� C 60V\��1 Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: t t V rt.p.d./bedroom for S.A.S. Number of bedrooms:L Number of current residents:3 Garbage grinder(yes or no):�-L Laundry connected to system lyes or no):-yes Seasonal use Lyes or no): PO �y Water meter readings, if available (last two(2)year usage(gpd):"1 ,a� 7t�'s = /�4 Sump Pump(yes or no): Last date of occupancy:��� Cl c4 COMME RC I AUI N D USTR IAL• Type of establishment: CWj2j-O Design flow:�gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title i system: (yes 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. '{ ®1tlE'12 : System pumped as part of inspection: (yes or no),_ (,U) wkQA If yes, volume pumped: ttallons A � 'a Reason for pumping: c" TYPE OSTEM STEM 1-q w 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 1 , APPRO MATF AGE of all components, date installed (if known)and source of information: r~ � Sewage odors detected when arriving at the site: (yes or no) Nd (tevised 04/25/97) 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C R SYSTEM INFORMATION (continued) Property Address: `-1� �( 1,`t \�W^\ Owner: Date of Inspection. L©-LCA-q.7 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: t iron_40 PVC_ other(explain) Distance from private water supply well or suction line a Diameter Comments: (condition o joints venting, evidence of leakage, etc.) SEPTIC TANK:..f (locate on site plan) 11 Depth below grade: other(explain) Material of construction: _E ncrete,.,_.metal ,Fiberglass _Polyethylene _ If tank is metal, list age— Is age confirmed by Certificate of Compliance _ (Yes/No) Dimensions: tic) Ie-SI X ly 7`S ' I SGvtS Sludge depth:_ �� � �D�� Distance from top of Sludge to bottom of outlet tee or baffle: A11A- OttW 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:_ How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffle , d pth of liquid level in relation to outlet vert, 5tru ural integrity,ev'dence of leaka a etc. r GREASE TRAP:V\OV'V— (locate on site plan) 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 baffles4 depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) (swvived 04/2S/97) Page 6 0! 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: q q Cam`-tel Lw. , ^0o cam"" , Owner: w— �CDvw\ Date of Inspection: (6-CV-1 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:_ gallons/day Alarm level: Alarm in working order_Yes; _ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) nS DISTRIBUTION BOX.gL� �— `J�x ( A QA—e— (locate on site plan) (AaS—Y-V— 4S> Depth of liquid level above outlet invert: Comments: (n to if Intel and distribution is equal, evidence of solids carryover evidence of I age into or out f bo etc.) PUMP CHAMBER: -.c-cw (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) I (revised 09/25/97) Pate 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C I r ( _ ' ,, .SYSTEM Vol9FORMAATIOgN (continued) Property Address: `-v I Ca�c�l� � V � 4k�Vjex Owner:. �CD y`q-\ Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation hot required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type. leaching pits, number `1 leaching chambers, number.,^ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (no co clition of Foil, signs of h dr is failure level of onding, con 'ion of veg ion, etc. t � v CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) I Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) PRIVY: — (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) r (revised 04/2S/91) Peg* 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM • PART C SYSTEM INFORMATION (continued) Property Address:! r'` q ''t✓' ` - "— 1 , �� Owner: \ Date of Inspection: a LD 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) v(S a 1 ' k 15 TA ( C-� (rovissd 04/25/97) Psg6 9 of 10 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) q9 C Property Address: �`� � . NO � "U2,,q-- Date of Inspection: Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record bservation of Site (Abutting property, observation hole, basement sump etc.) etermine it from local conditions Ch� i eck with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) aAA GkD (raviaad 04/25/97) Page 10 of 10 V I "! I TFL: (508) 475-1474 • FAX: (508) 475-5451 1 BATESON ENTERPRISES, INC. Excavating-Water&Sewer Lines-Septic Systems &Pumping Service i I I Argilla Road a Andover, Mass. 01810 I Title 5 Inspection Report Property Address: ------- --------- owner:----------------------------- 1d-[6, qt Data of Inspections---------------- My report contained herein does not constitute a guarantee of future usage and the functionality of the existing sept1c system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any futther operation of your current septic system. Neil J: Bateson Bateson enterprises Inc. 11 of i l' COMMONWEALTH OF MASSACHUSETTS t � EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION. ONE WINTER STREET. BOSTON. 61A 02108 61-7-292-5500 WILLIAS?F.WELD TRUDY CORE Governo: Secretan ARGEO PAUL CELLUCCI DAVID B.STRU14S Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTtFIf,AT10N Property Address: y �( cC•(.k 01nV, ,—�' A L"-&^ AQd resd s of Owner: Date of Inspection: —a� Of different) Name of Inspector: I am a DE ppr ved systerg_Lnspec r pursuant to Section 15.340 of Title 5 (310 CMR,15.000) Company Name: Mailing Address: Telephone Number. 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 sewaa isposal systems. The system: _ Passes _ Conditionally Passes _ Needs Furt4er Evaluation By the Local Approving Authority Fi Inspector's Signature: Date: The System Inspector shall Lit a py 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 A, B, C, or AJ SYSTEM P S: 7 1 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,Ar`itena not waluat are indicated below. k it COMMENTS: � -e Cr 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. (revised 04/2S/17) Page 1 e! to DEP on the World VOde Web: httpJhWAv.ms9net.stste,m9.u81dep 0 Printed on Recycled Paper Lard of deal:-h 5 TIC SISTM North An(1a•ver_s!`aas. ZHSTALLATICtt CEgcg LI SI' LCT ~ DISAPFiaJED AVATION OK FAIL OED -- 1. -Distance Tos - . a. Wetlands _ b. Drains 2. Water Line Location 3, No PPC Pipe -- _ 'Septic Tank a.--Tess--Leath & To Clean Ont Co�ars. OBD b. Cement Pipe to Tank - Oa Both Sides of Tank 5. Distribution Box - -8o)° sr a. Covers & Box - No Cracks otic-- -S - t q�.4 � - b. All bines Flowing Equal Amounts c. No Back Flow 6. Leach Field o encu a. Damen b. S - o 0 app ed Fad . .Clean Double-Washed Stone 7.- Leach Pits a. Di =sione b. Stone Depth c. Splash Pads d. Teas - e. Cement Pipe to Pit - Both Sides f. Clean Double Washed Stone Be No Garbage Disposal 9. -Final Grading Inspection 10. Barricading Covered System 11. ' As Built Submitted- a. hot Location - b. Dimensions of System c. Location with Regard_to Pere Test d. Elevations e; Water Table ' `�JB� �DE'S►C,FJ .C',.4'IC.� � �� J Board of Health North AndovertMass WB50RFACE DISPOSAL-DFSIGK CHECK LIST' LOT APFR DATE �" DISAPPROVED DATE_,,, Provided Reasonss Title V FAIL CK Reg 2.5 The submitted plan must show as a minimum: / a) the lot to be served-area,dimensions lot #sabatters location and log deep observation hoes-distance to ties blocation and results percolation tests-distance to ties d design calculations & calculations showing required leaching area (e) location and dimensions of system-including reserve area f) existing and proposed contours {g) location any wet areas ai.thin 1001 of sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 100' of sewage disposal system or disclaimer i) location any drainage easements within 100' of sewage disposal system or disclaimer-Planning Board files (j) known sources of nater supply within 200' of sewage disposal tl system or disclaimer =— (k) location of any proposed well to serve lot-100' from leaching facility (1) location of water lines on property-l0' from leaching facility (m) location of benchmark ri(n) driveways o) garbage disposals no PVC to be used in construction (q) profile of system-elevations of basement, plumbs pipe, septic tank, distribution box inlets and outlets, distribution field piping and father elevations (r) maximum ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional ionalpreparee p another professional authorized by Reg 6 Septic Tanks i/(a) capacities-1 -;6,S0 of flow, water table, tees, depth of tees, access, pumping (b) cleanout c) 10' from cellar gall or inground swimming pool - (d) 251 from subsurface drains Reg 10.2 Distribution Boxes slope greater than 0.08 Reg 10.4 b) sum