Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 51 LONG PASTURE ROAD 4/30/2018 (2)
i i a E -15-1 4 F I 1 i 1 ' Commonwealth of Massachusetts Title 5 Official Inspection Form q3��O Subsurface Sewage Disposal System Form-Not for Voluntary Assessments RiE�CLL-'ViE r< 51 Lon Pasture sty. 0 Property Address Jane Barba allo T�wNoFN Owner Owner's Name �UHDFpgRT DD�FR required for information is North Andover MA 01845 4/13/2016 MFNT every page. Cityrrown 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. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Neil J. Bateson cursor-do not Name of Inspector use the return key. Bateson Enterprises Inc. Company Name � ffi 111 Argilla Road Company Address Andover MA 01810 City/Town State Zip Code 978-475-4786 S115 Telephone Number License Number 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: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Need Further Evaluation by the Local Approving Authority 4/13/2016 Inspect rs ignature 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 v 'Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 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: 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 Oficial Inspection Form;Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owners Name information is required for North Andover MA 01845 4/13/2016 every page. City/Town 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 of 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): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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,gf Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water El Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) 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: i ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 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 El ® 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 %day flow t5ins•3/13 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 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Z Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® 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 well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis 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 contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. 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 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must 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? ® ❑ 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 the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for 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(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ 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 Residential Flow Conditions: Number of bedrooms(design): 5 Number of bedrooms(actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: I Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage Yes 9 ( Y 9 (gpd))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: 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 Water meter readings, if available: 15ins•3/13 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 h 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown 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: 1500 gallons How was quantity pumped determined? Measured tank. Reason for pumping: Inspect tank&tees Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ 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 UA system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 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 51 Long Pasture Property Address Jane Barbagallo Owner Owners Name information is required for North Andover MA 01845 4/13/2016 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 16 years old, 7/24/2000, as built plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 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 Septic Tank(locate on site plan): Depth below grade: 0.5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'x 5'x 4' Sludge depth: 2" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown 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 31" 2" 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 13" Tape Measure How were dimensions determined? Comments(on pumping recommendations, inlet 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 above outlet invert, found outlet filter clogged. Clean filter, liquid level back to normal. Pumped septic tank. No evidence of leakage. t a Grease Trap(locate on site plan): Depth below grade: feet 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: 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 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons 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.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No � I t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown 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.): D-box level &distribution equal. No evidence of leakage. Evidence of carryover, pumped d-box to clean Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * 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): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Foam-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: 2 trenches 70'long ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil ok. Vegetation ok. No sign of ponding to surface. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form: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 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins-3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo. Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. City/Town 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 U� O 9-� y4c ` t4\4oll a 5( ` 10 t �4v I -�)C? ,l`7 J C� t5in •3 s /13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 51 Long Pasture Property Address Jane Barbagallo Owner Owners Name information is North Andover MA 01845 4/13/2016 required for 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: Date 996 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 test pit data on design plan Before 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments r 51 Long Pasture Property Address Jane Barbagallo Owner Owner's Name information is required for North Andover MA 01845 4/13/2016 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® 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 C om. monwealth of Massachusetts k LF UY/Town of . ,system Pumping.Record Foimn 4 DEP has:.provided this formfor use-by local Boards of Health. Other form's may be'used, but the i n,must be substantially ly th a same as that provided here. Before using.this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Le i ht frot�tof house ft/Right rear of house, Left/right side of house, Left Right side of building, Left/Rigf�t front of building, Left/Right rear of building, Under deck Address 1 l�f/y rC WAvA "` City/Town V State Zip Code 2. System Owner. Name Address(d different from location) CitylTown ' State Zip Code Telephone Number 1. B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: U Gallons 3. Type•ofsystem: ❑ Cesspool(s) eptic Tank • 11 Tight Tank Other(describe): 4. Effluent Tee Filter present? Q'5 ep Q' No If yes, was it cleaned? es ❑ No, 5. Condition of System: 6. System Pumped By.- Nell. y:Neil.Bateson ' F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locatio contents were disposed: S Lowell Waste Water Sign a Heul Date 5form4.doC 06/03 System Pumping Record•page 1 of 1 Apr, 20, 2016 1 it; 19 411amd card genereW ot,4z01201810:1"LI AM by Karen nenwn N o. 11514 P, 1 peaH t Town of North Andover Tax Map # 210-1063-0222-0000,0 Parcel Id 17617 51 LONG PASTURE ROAD BARBAGALLO, DEREK& JANE � 51 LONG PASTURE ROAD NORTH ANDOVER, MA 01 846 Class 101 Single Family Property Typal � 1 Rooldential Zoning/ 1 Rssidental Zoning3 1 Residential Size Total 2 Acres FY 2016 UB Mallialc index Name/Address Type Loan:Number ACGVe/Inact. From Until BARBAGALLO,DEREK 6 JANE Payor 51 LONG PASTURE ROAD NORTH ANDOVER,MA 01845 UB Account Ma.int. Account No Cycle Occupant Name Active/Inactive Bldg Id.117899.0•511 LONG PASTURE ROAD Last Silling Date 411412016 3170565 03 Cycle 03 Active UB Services Maint, Account No.3170566 Service Code Rate Charge MwItiplieNUssrs MISCFEE ADMIN FEE 11 9.18 1/ WTR WATER 01 ALL ME7€R SIZE 175.90 /1 UB Meter Maintenance Account No.3170565 Serial No Status Location Brand Type size YTD Cons 16300809 a Active ERT METE METE w Water 1 1 a97 Date Reading Code Consumption Posted Date Variance 3/9/2016 2294 sActuai 38 4/22/2016 44% 12110/2015 2256 a Actual 27 1/20/2016 50/6 9/9/2015 2229 a Actual 26 10/16/2015 4% 6/8/2015 2203 a Actual 24 7/24/2015 10% 3/11!2015 2179 a Actual 22 4128/2015 -7% 1211112014 2157 a Actual 24 1/15/2015 -10% 9/1112014 2133 a Actual 27 10/15/2014 -32% 6/11/2014 2106 8 Actual 39 7/16/2014 -16% 3/1212014 2067 2Actual 47 4/11/2014 21% 12/10/2013 2020 9Actua1 38 1/17/2014 34% 9/11/2013 1982 aActual 29 10/15/2013 18% 6/1112013 1953 aActual 24 7/24/2013 -9% 3/13/2013 1929 a Actual 27 4/22/2013 -10% /2111/2012 1902 aActual 29 1/912013 23% 9113/2012 1873 a Actual 25 10/1512012 -17% 611112012 1846 a Actual 29 7/15/2012 '1% 3/1312012 1619 a Acbaal 29 4114/2012 22% 12/13/20111 1790 aActual 24 1/17/2012 39% 9/1212011 1766 a Actual 18 10/13/2011 4% 6/02011 1746 a Actual 16 7120/2011 -8% 3/9/20`11 1730 a Actual 19 4/13/2011 -29% 121912010 1711 eActual 27 1/12/2011 -57% 9110/2010 1684 aActual 67 10/15/2010 132% 6/712010 1617 a Actual 27 7115/2010 12% 3/10/2010 1500 2Actu21 24 4/14/2010 -44% 12111/2009 1566 a Actual 44 111 PJ2010 112% 9110/2009 1522 a Actual 21 10/15/2009 -6% 6/9/2009 1501 a Actual 21 7120/2009 -8% 3/13/2009 1480 aActual 24 4/2012000 3% TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 11/15/00 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Leo Virnelli at 51 (Lot 6) Long Pasture Road has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. f The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector it TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal ystem(constructed; ( ) repaired; by located at o �� 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 totheBoard of Health. Bed inspection date: / //?/00 Engineer a sen ative Final inspection date: D Engineer Repr ative Installer: Lic.#:/ � Date: 10 d C� Design Engineer: Date: 1 r 1\ y� Form No,3 Massachusetts Town of B ARD OF HEALTH koRTH 1 OX. p RKS CONSTRUCTION PERMIT �o DISPOSAL WO ,SSACHUS� TELEPHONE •; AppADORES Applicant. NAM Site Location or Repair ( ) an Soil Absorption ruct Permission is hereby granted to ConstApproval S.S. No. Disposal System as shown on the Des Sewage ign CHAIRMAN,BOARD OF HEALTH D.W.C. No. I� S Fee��— APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: OU CTJRRENT D, "STALLER'S LICENSEr LOCATION: .`O(Z .�©n� /"os44f LICENSED INSTALLER:— SIGNATURE: iSTALLER:SIGNATURE: TELEPHONE CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only 575.00 Fee Attached? Yes y/ No Foundation As-Buiit? Yes L"- No Floor Plans? No Approval Date: -f ��------ _` APR 7 k INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at � �` ` ` /6no/ws�� relative to the application of dated for plans by `At r And dated with revisions dated *othe I understand and ee following obligations for management of this project: 1. As the installer I am obligated to 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 two shall be applicable . 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 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 verbal OK from engineer must be submitted to BOH,after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical 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. 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company 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 in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I diust 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. d) Installation of tank,D-box,pipes,stone,vent,pump chamber,retaining wall and other components. 5. 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. Undersigned License eptI er Date: /� d Town of North Andover, Massachusetts Form No. 1 NORTH q BOARD OF HEALTH �\J (� O STIED r64 1rO l V ` t. o � p R °<;, . <. > * APPLICATION FOR SITE TESTING/INSPECTION AoR4TEO PPP �5 9SSACHUS�� Applicant , #NAME j ADDRESS TELEPHONE Site Location � t Lz-n A Engineer NAME ADDRESS TELEPHONE k Test/InspectionDate and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. t° S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 N � ORTH BOARD OF HEALTH 3�01�z�eo i6ti�L r } 19 G o ; . � APPLICATION FOR SITE TESTING/INSPECTION SSACHUS� Applicant --' 4 - � NAME ADDRESS TELEPHONE Site Location n =' Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee � �' �� Test No. ` � S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508)373-0310 FAX: (508)372-3960 T0: Ms . Sandra Starr Board of Health North Andover ��; RE: Septic System Design Plans t to^7 Date: !� rS G /� Attached are plans for This design is a new submittal _ a revision with the following changes FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 Date: // Is (a No. Commonwealth of Massachusetts ' r Vo(ZTK Massachusetts Soil Suitabili Assessment for On-site Sewa a Disposal 1-�1�11�4. p1 Gpn/N��-C............................. � Date: - Z... .................... ' Performed By: ....................... :. .................... ............. ... ... S/�tl�f►J; S r q P—A.... ....................................................... ...... ........ ................................................. Witnessed y: ..............................................A. ............:............................ (,OT Owner's Name. L()Iq6, I�s.1STUl� ' Locufon Address or _ �j� Address,and Lot N L ON& SFS uIC.G Telephone N `�(O.1 ���� 3 ' ew Construction RRepair ❑ Office Review Published Soil Survey Available: No ❑ Yes ' /:/S..c.c` ' Soil Map Unit C 0............... Year Published /.. .��.�. Publication Scale 51-0 r— ..........................................:................. Drainage=Class Ulm (^ Soil Limltatlons ................ Surficial Geologic Report Available: No Eg"' Yes ❑ Year Published Publication Scale ........................:... Geologic-Material (Map )Unit .............................................................................................................................. .......................... Landform Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No El Yes ❑ - Within 100 year flood boundary No F-1 Yes ❑ Wetland Area: ........ National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Mont Range :Above Normal ❑Normal ❑Belc�.'/ Normal ❑ Other References Reviewed: DEP APPROVED FORM-12107/95 FORIM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. (AT (o UNCI ESI SiLfii fL On-site Review 5� �96 Time:. .j�:`�� Weather S(4NV'f GS°. Deep Hole Number Date:...... �,.-1:� :..:.. ::::.. Location (identify on site plan) ...::.::.:::.....:::.:... ... .. ..:........... Land Use Slope M -/S Surface Stones GoA"04J Vegetation M .. i✓.:.::.: :... Landform ..:....: Position on-landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area ://0.t- feet Property Line .. feet Drinking Water Well feet Other DEEP OBSERVATION HOLE -' OG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Grave0 -4 FSL loyvlz frup'�� M11,vy /Zoo 3 CJ/"v,?©,%J P-0 U 13 -/0� C CPS( 2�S'1� 5y��3 ufLs:Zy F/I?�? /,✓ PG19-f�'r Z4 t �¢ Ngle5/8 r-runac,6 0G47, /;?/ss/ve FEu Itod TU 7d �(I Zv°/u G12, f7�f7% Cavy /��/v ST L l d"/o f�U5513l.1� L�J6� � 7L �l�T �b ri Parent Material (geologic) 7/LL _ DepthtoBedrock: QUO weeping from Pit Face: _ r. Blandin — Depth to Groundwater- 9 Water in the Hole: Estimated Seasonal High Ground Water: 30 - UEP APPROVED FORM-12/07195 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. (,Or 6 (,01V& ["A S r U a On-site Review (f s4'4b& Time:. � .%�� Weather SUNNY 6570 Deep Hole Number ���..(. Date:-.:.::.::...:.::. . Location (idert LandUse ...�DSe plan) Slope ( /o) -/S y _ :.:...... :... .:.:: :.....:....:..: n p � � Surface Stones GoMr1!tt1"J Vegetation . w (NllllZ. : I. ^jp Landform Position on-landscape (sketch on the back) - Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line.. feet Drinking Water Well feet Other DEEP OBSERVATION HOLE :.OG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % GraveCo rvh o•N 2.00 7 S sr Fsc, Z,s-If 4 ¢ syr/3 Mils.S l uc 1-0 g c.o cr-Y G 3 D rr QEt�vt,/ lz.oGT3 N 7� 30" 7—t(,L DepthtoBedrock: Parent Material (geologic) ' Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: _ Estimated Seasonal High Ground Water: — DEP APPROVED FORM-12107/95 FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. LOT 6 WA//6- N4-S i WLE, P<_C" Determination for Seasonal High Water Table ' :Method Used: ❑ Depth observed standing in observation hole......:...... ... inches ❑ weeping Depth from side ofobservationhole........ . _ inches P P 9 u Depth to soil mottles .....5.0.: inches ' ❑ Ground water adjustment ........:........... feet Index Well Number .................. Reading Date ................... Index well level .................. ' Adjustment factor ............ Adjusted d ground water level ..........._............................... ....... :..... Depth of Naturally Occurring Pervious Material Does at' least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? YFS If not, what is the depth of naturally :occurring pervious material? s Certification _ I certify that on (date) -I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature &tUA Date DEP APPROVED FORM-12!07/95 FORM 12 - PERCOLATION TEST Location Address or Lot No. WT 6 Cory& PM S-j L4 . eo" COMMONWEALTH OF MASSACHUSETTS NoICti1 fqNDOVE - , Massachusetts Percolation Test* Date: ::.. to zS� i37 Time:, . 71/SIO 7 Observation Hole # P- /¢ - 3 ?_ Depth of Perc ¢7 (t Start Pre-soak End Pre-soak F tvc-1) Time at 12" Time at 9" OL Time at 6" q : S3 Time (9"-6") 573 Rate Min./Inch /nt/v/l/V Z MSN �i✓ * Minimum of 1 percolation test must be performed :in both the primary area AND reserve area. Site Passed ET Site Failed ❑ ..................................................................................................................................... _ ........... Performed By: Oft4ST71,54iy d Sg-k2 6 t, VVC- Witnessed By: M 1 C4-(R-/6- i2'I� Comments: :......:.......... ................................:.............................. .....................................,: ..- DEP APPROVED FORM-12/07/95 Town of North Andover, Massachusetts Form No.s f NOR*M BOARD OF HEALTH 19 F w A # i "'• �-- `�' DESIGN APPROVAL FOR dsACHU SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant-,,... � D Test No. Site Location T Reference Plans and Specs. '/'Z/z ENGINEER DESIGN DATE t Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH i -RRo " ; Fee Site System Permit No. �� SEPTIC PLAN SUBMITTALS LOCATION: NEW PLANS: YES $60.00/Plan REVISED PLANS: YES $25.00/Plan DATE: DESIGN ENGINEER: l �J When the submission is all in place, route to the Health Secretary SEPTIC PLAN SUBMITTAL FORM LOCATION: �' c �� 57 c ��Q NEW PLANS: YES $125.00/Plan REVISED PLANS; YE/ S / $60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: DESIGN ENGINEER: DATE TO CONSULTANT:_� �o� *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. i NORTH ANDOVER BOARD OF HEALTH /l DESIGN REVIEW REPORT DATE /`I/9 7 FEE: ;eo-6 PERMIT ## DATE RECEIVED a / ,a�%7 APPLICANT 1-,-)1,)6 /D196TU.PL- Iii/, (�O,e_1a MAPS PARCEL c ADDRESS 31-3 ZV , 8X/=-P 019ZI LOT ## STREET # ENG. &Ael 5 77,qu 5,�;6 STREET Z,6,q-s ENGINEER'ADD. /(g0 �LJ�`✓l/1i1 .� /f�U• PLAN DATE ////��6 REV. DATE CONDITIONSOFAPPROVAL 14 e-, &J APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: GUTL�4�®S �7lS �L //�lL� All //J 6 (,V, lC x'02 J Z' C 3 SSE /� PLAN REVIEW CHECKLIST ADDRESS �T �j )l /�� ,E'C ENGINEER C 'fST/��✓ �C-� GENERAL 3 COPIES v ..STAMP ✓ LOCUS &f NORTH ARROW ��f SCALE ��� CONTOURS t� PROFILE SECTION BENCHMARK L---' SOIL & - PERCS .ELEVATIONSWETS DISCLAIMER Wizs & WETS WATERSHED? DRIVEWAYElev): WATER LINE FDN DRAIN SCH40 TESTS _CURRENT: _ SOIL EVAL SEPTIC TANK MIN 1500G v 17'.. INVERT DROP GARB.. GRINDERjV_(2 comps +200) 10 TO FDNL, MANHOLEL. ELEV ✓/GW /## COMPS. GB D_BOX ... SIZE LINES 4�` :FIRST 2 ' LEVEL STATEMENT INLET OUTLET 2'r OR . 17 FT) TEE REQ'D? LEACHING MIN 440 GPD? RESERVE AREA 4 '` FROM PRIMARY? 2% SLOPE�� 100 ' TO- WETLANDS 100 ' TO WELLS`' 4 ' TO. S.H.GW4� (51 >2M/IN).._ 0 ' TO FND & .INTRCPTR _DRAINS 400 ': TO SURFACE H2O SUPP rte_ 4 ' PERM. SOIL BELOW, FACILITY MIN. 12" COVER BREAKOUT MET? TRENCHES MIN '440 .gpd SLOPE (min .005 or 6"/100 ' ) SIDEWALL DIST. 3X EFF. W OR {MIN 6 ` ,)' � RESERVE BETWEEN TRENCHES?6-- IN FILL? �`/ MUST BE 10 ' MINA" PEA STONE? �/ VENT? (>3 ' COVER; LINES >501 ) BOT ��d + SIDE �� X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright ® 1996 by S.L.. Starr Town of North Andover NaRT►v OFFICE OF 3a° '9 0 S'6 �0L COMMUNITY DEVELOPMENT AND SERVICES to Y X 146 Main Sheet North Andover,Massachusetts 01845 �9 0..,.a- °icy WILLIAM J. SCOTT SS^CNUS� Director February 19, 1997 Christiansen& Sergi 160 Summer Street Haverhill, MA 01845 Re: Lot #6 Long Pasture Road Dear Phil: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Wetlands disclaimer missing. (N.A. 6.02v) 2. "First 2 feet of pipe from D-box to be level" statement missing. (3 10 CMR 15.232(c)) 3. Assessor's map & parcel missing. (N.A. 6.02a) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508)373-0310 FAX: (508)372-3960 SV A..t_ -Aero-6, 1997 Ms . Sandra Starr 7Oj,"W ol: =7 Board of Health 146 Main St . � No. Andover, MA 01845 _ 1997 i RE: Long Pasture Road Lot 6 Dear Ms . Starr: In response to your letter of Feb 19, 1997, attached is a revision to the above referenced Septic System Design Plan. The following items have been added to the plan: 1 . Wetlands disclaimer 2 . D-box pipe statement 3 . Assessor' s map and parcel . Ver r P lip G. Christiansen PGC;lc Town of North Andover NORTN OFFICE OF 3;Oy`t a o 1 ti0 COMMUNITY DEVELOPMENT AND SERVICES ° . p • 30 School Street WII LIAM J. SCOTT North Andover, Massachusetts 01845 �9SSgCHUs��ty Director June 18, 1997 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 RE: Long Pasture subdivision Dear Phil: This letter is to inform you that the proposed septic plans for Lots 5 & 6 Long Pasture Road have been approved. If you have any questions, please do not hesitate to call the Board of .Health office at the number below. Sincerely, Sandra Starr, R.S; Health Administrator cc: Wm. Scott, Dir. CD&S File Steve Crowley Robin Barclay Book rnNF7,RV"11fW 6PI-9_ C 4:r.AJ17,41 .... 7TNI-N o CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830-6318 (978)373-0310 FAX: (978)372-3960 December 20, 1999 Ms. Sandra Starr: North Andover Board of Health 27 Charles Street North Andover, Ma 01845 Re: Lot 6 Long Pasture Road Dear Ms. Starr: On behalf of our client, Crowley Construction, we have revised the septic system design for the above referenced lot to accommodate a five-bedroom house. Enclosed are three copies of the plans. Please note that we were able to increase the effective leaching area to accommodate the additional flow by increasing the depth of the trenches from 1.0 feet to 1.75 feet. The length, width, and locations of the trenches and reserve areas have not been changed. The system profile has been revised to correspond with the increased depth of the trenches. We have also revised the plan to include the foundation footprint for the house to be constructed on the lot. Please contact me if you have any questions regarding this matter. yoss, iii Dec-22-99 02:35P Paul D. Turbide, PE/PLS 508-465-0313 P.02 December 22, 1999 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Title V second review for Lot 6 Long Pasture Road Dear Sandra, The design plan has a date of November 14, 1996 with revision dates of March 6, 1997 and December 20, 1999. The original design was approved probably around the March 6, 1997 date. This revision is to increase the size of the proposed leaching bed to accommodate five bedrooms instead of four bedrooms as shown on the approved design. The proposed leaching bed will have the same length, width and location,but the depth of the leaching trenches will be 1.75 feet rather than the 1.0 feet shown on the previously approved plans. Therefore this revision was reviewed only for the increase in depth of the leaching trenches to 1.75 feet, and for an increase in number of bedrooms to five. I have performed the abbreviated review as outlined above and find that the revised design plans dated December 20, 1999 adequately address the regulations. If you have any questions or comments please feet free to contact us. Sincerer Carlton A. Brown, PEIPLS Longpasture6.doc PORT ENGINEERING Civil Engineers& Land Surveyors One.Harris Street. Newburvport,MA 01950 (978)465-8594 Nov 02 00 07: 56a Cozint Andover 978-470-8004 p. 1 c � 978 409-6449 0 .�ftx To: lU�( From: goi t � Fax: �i�D " ! 2- Pages: Phone: Date: jRe: �4G1 IIG 5j^E r�6( CC: 0 Urgent For Review 0 Please Comment ,lease Reply ❑Please Recycle o Notes: 115 Lt CO AA 5fixx--IVIM-e g'v, CIA9,s Pew a vY d 1 W55-1,offxa kL f t ((yQ c i� Utt �i�5� taJ�ttCC /t ` ow Q Ga�'►'l � C(f2 G j�2T�' Gf6S1 Yak /S v -TULKLt oCk 111�- OdV"09— r- Y ll� Nov 02 00 07: 56a Cozint Andover' 978-470-8004 p. 2 COLLOPY ENGINEERING CONSULTANTS 65 AYER STREET METHUEN,MA 01844 FRANCIS H.COLLOPY RESIDENCE:(978)685-7969 REG.PROFFESIONAL ENGINEEER OFFICE/FAX:(978)685-8069 CIVIL STRUCTURAL DYNAMICS October 26, 2000 Mr and Mrs Robert Sederman 51 Long Pasture Road No. Andover, MA 01845 Dear Mr & Mrs Sederman: I. am enclosing a copy of my Report on my site inspection of your house under construction. As you can see it is quite extensive. It is that for apparent reasons when you read it. My original quote of a minimum of 2 hours was based on a relatively quick site visit and and a brief letter either indicating to you that the cracks were a problem or not. From a professional viewpoint, I felt obligated to write whatever Report was necessary to properly capture the essence Of my site observations. I realized after thinking about it while on the return trip to my Office that I needed to be clear about those observations and what they could mean in the next few years. I did not want to indicate that the .cracks presented no problem since I did not even get to see the cracks! i ! I believe my take on the matter and the material enclosed in the Report captures the situation as I could observe it. My curious nature caused me to contact the Building Inspector s Office, especially since I was challenged to do so by my friend, Mr. Crowley. I thought it important to point out to you what I found out . This was done by telephone, and if necessary an actual visit could be made to personally inspect what is in the file folder. I believe my call to them has caused them to have a question in their mind relative to the lack of a PE stamp on the LVL main girders, and I would not doubt if they would be asking a few questions of the contractor. Obviously, I spent considerable time on this Report, which I think I did on your behalf, and also for myself in that I don't want to be responsible if the wall has any unwanted cracking and movement in the next few years, since up until today, I had not been involved in that building at all, i.e. , design, construction and inspection. I am enclosing an added billing of an hour and a half which I believe is fair and equitable. Maybe legally, you are under no obligation to pay, although others would say differently. This Nov 02 00 07: 57a Cozint Andover 978-470-8004 p. 3 s Report took longer than the 1/2 hour allowed for it by more than the 1 1/2 hour billing, but I feel that this amount is a fair and equitable amount. I would remind you that I was at the site from 8 :55 until about 10 :20 listening to all the "ranting" of the builder. If you have any questions concerning this matter, please do not hesitate to call this office. Sincerely, COLLOPY ENGINEERING CONSULTANTS 17 �� Francis H. Collopy, P.E. Structural Engineer Nov 02 00 07: 57a Cozint Andover 978-470-8004 p. 4 �ic COLLOPY ENGINEERING CONSULTANTS 65 AYER STREET METHUEN,MA 01844 FRANCIS H.COLLOPY RESIDENCE:(978 685.7969 REG.PROFFESIONAL ENGINEEER OFFICE f FAX:(978)685-8069 CIVIL STRUCTURAL DYNAMICS October 26, 2000 A< ! FRANCIS H. COLLOPY u 20172 Mr and Mrs Robert Sederman 51 Long Pasture Road No. Andover, MA 01845 Pdn ` Dear Mr & Mrs Sederman: I am writing in regards to the site visit which I made earlier today to your residential building under construction at 51 Long Pasture Road in No. Andover MA. INTRODUCTION I met at the site with Mrs. Sederman, the contractor Steve Crowley, and a real estate broker. The purpose of my site visit was to inspect some cracks in the foundation walls which you had a concern with. As you are aware, when I got there the cracks had just recently been covered over with a masonry material by the contractor. Therefore, I could not see the actual cracks, only the place where they had been. I believe that everyone agreed with the location of the "corrected cracks" as being at: 1. vertical crack in the front concrete foundation wall of the garage 2 . vertical crack in the left side wall of the garage near the door entrance to the basement. 3 . vertical crack in the basement near the corner of the interior intersection of two perpendicular walls. This location was at a location where there was earth backfill on the exterior under the location of the Farmer's Porch. 4. diagonal crack in the front wall on the left side of the building 5. a vertical crack in rear wail of the garage. This wall is more of a short knee wall. DISCUSSION OF INSPECTION PROCESS During the site visit, I tried to ask a number of questions of the contractor, Steve Crowley who was very animated and argumentative Nov 02 00 07: 57a Cozint Andover 978-470-8004 p. 5 51 Long Pasture Road, No. Andover Page 2 during the course of my site visit . Therefore, he provided very little substantial information for me to understand the nature of the cracks. He continued to call them shrinkage cracks, which some of them well could be since concrete does shrink while it is curing. If it is curing during extreme temperature conditions(winter months) then there is a better chance to have shrinkage cracks. Also, he constantly indicated that they did not go though the thickness of the wall . Mr Crowley did say that. he chiseled out a small v-groove and filled it with hydraulic cement. Mr Crowley said that the cracks were not deep, did not extend through the wall thickness and when he cut the v-groove, he could see that the crack ended with'"an inch or less of the interior surface. This is why he said that he only put in the cement material for a short distance through the thickness. He showed us the container from which this cement was taken. It is Quikrete Hydraulic Waterstop Cement. The container surface has remarks and recommendations for its use which I will discuss later in this Report in "Additional Comments" . It has been my experience that shrinkage cracks in foundation walls usually are vertical and are near the middle of long segments of walls . Therefore, I have a minor concern about two of the cracks which I was not able to inspect other than the location of them. First, the crack at the perpendicular intersection of the 10 foot high walls in the front middle of the building. This crack was supposedly near the intersection of the walls as shown below; PLAN U )C-vd fi ? Utz As shown above, there is soil pressure on the each exterior surface of the intersecting walls which tends to rotate the walls inward at right angles to each other and causes tension cracks at this location unless there is corner bar reinforcing in place. Also, the State Building Code, Section 3604 of One and Two Family Dwellings, specifically states that walls, which have an unbalanced fill of over 8 feet, requires a structural design by a licensed Professional Engineer which would include the proper reinforcing rods to be placed horizontally and vertically. when I attempted to ask Mr Crowley- if there was any rebars in the wall, he indicated that there was a lot of reinforcing, but did not provide any details when asked further by me. This was at one of his animated periods. He did indicate to me that the Town of North Andover had inspected the walls and approved them, He asked me if I had taken the time to go to the Town Hall and review his approvals or something to that Nov 02 00 07: 58a Cozint Andover 978-470-8004 p. 6 51 Long Pasture Road, No. Andover Page 3 effect. I told hien 1 had not, but I since have discussed that with one of the Building Inspectors and I will provide that insight below in the Section called Auditionai Comments. In another matter not directly connected with the cracks in the concrete walls, he -showed me the plans drawn by aruno Associates of North Andover, and he mentioned that the laminated girders had been designed by an Engineer. I asked him if the plans were stamped by a Professional Engineer(PE) . The set he had were not stamped, but he indicated that he thought that the plans in the records at row:, Hall had been stamped. I can now share some insight to that issues and I will in Additional Comments. There was a crack in the small concrete wall in the rear of the garage, which had also been repaired. Mr Crowley indicated that this crack also was a small shrinkage one that did not penetrate through the wall . When i pointed out that there was a crack on the top of this wall, shown across the entire thickness, he indicated that it ::as probably only down a suLall distance. During the inspection I went outside at this point and observed a small crack running down the wall on the outside from the siding to the boil surface. Again, he tried to imply that it did not go through the wail, at which point I indicated that it clearly did since we saw e'v'idence of it being exactly where the repair had been done on the inside, and of course we observed the crack across the top. At this point, I should say that this crack was very small in width and is most likely a shrinkage crack. The location of the soil on the outside and the slab on the inside are at approximately the same height and therefore there is no differential pressure to worry about. The point I would make is that the same comments about the crack being "small and not going through the wall thickness" which were made here, was also made at the other cracks discussed earlier, and yet the crack in the rear garage wall did indeed go through. ADDITIONAL- COM42NTS When I inspected the side of the container holding the uuikrete, i observed instructions on which was the correct way to make the repair and this is what it showed,: Preparing Surfaces: ::gong OK Best Nov 02 00 07: 58a Cozint Rndover 978-470-8004 p. 7 51 Long Pasture Road, No. Andover Page 4 it is of interest to note, that I specifiCally asked Mr Crowley if he made a v-groove similar- to the. first one shown above and he said he did. I asked if he did a "reverse v-groove" similar to the last . one shown above(and I demonstrated this with my hands) and he said that he did not do that but did the regular v-groove instead. For all the animation and shouting about his construction and methods, he demonstrated that he can not or did not follow the instructions by the manufacturer of this Quikrete product. Relative to the not so common height of the 10 foot foundation walls, and the PE stamp on the drawings, I did call the North Andover Building Inspectors Office and inquired of those two things . I was told that the plans on record were not stamped by a Professional Engineer. I asked about any knowledge of reinforcing that they had inspected and approved and I understood them to say that they had no record of any rebar in the walls. I shared with them my take on the interpretation of State Building Code as it regards unbalanced fill of more than 8 feet. During the brief site visit-, I did observe some other construction matters which I shared with Mrs Sederman about the improved quality of the construction which was visible in the cellar or as shown on the plans, namely th use of 2 x 12 joists in the upper floor framing where 2 x 10' s may have been sufficient according to Code. Also, the. contractor used the stronger "springfield plates" on top of the lally columns supporting the main girders, whereas some contractors Only use the smaller plates which come with the lally columns from the lumber- yard. CONCLUSION Since I did not have the luxury to ever see the cracks in question, /or to observe the correction procedures used in their repair, then I can not predict, the. future, or assure that the cracks- will not reopen. In fact, I would not be surprised if they do at a few of the locations. At this point they would have to be properly repaired by a company who specializes in such repair.- You might want toconsider in your final negotiations the possibility of such an occurrence and have a guaranteed agreement and/or escrow account for that purpose. If you have any questions concerning this matter, please do not hesitate to call this office. - Sincerely, COLLOPY ENGINEERING CONSULTANTS Francis H. Collopy, P.F. Structural Engineer FORM U - LOQ" `EAS E FO RM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant andlor landowner from compliance with any applicable or requirements. * ***** *AFFLICANT FILLS OUT THIS SECTION APPLICANT ( v l C -;J PHONE //dJ /� ^— LOCATION: Assess&s Map Number PARCEL SUBDIVISION LOT (S) STREET CF/ fyhwre &? ST. NUMBER **** **** OFF1ClAL USE RECOMMENDATIONS OF TOWN AGENTS: ppl: P,u I C0 -� S c4 CONSERVATION ADMINISTRATOR DATE APPROVED 1z-11r.14 DATE REJECTED COMMENTS TOWN#LANER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED I INSPECTOR-HEALTH DATE APPROVED o� DATE REJECTED COMMENTS 1L - . -- . s- c PUBLIC WORKS -SEVERIWATER CONNECTIONS (9k q DRIVEWAY PERMIT FIRE DEPARTMENT e i2° "v �I"G i " l DATE RECEIVED BY EUILDING iNSPECTCR Revised 9197 im Len: !1.13 Jen-24-®6 1512b From ?78' <S� l=Ft)aaS�rJ�S �a9e 2, REV15 D SEPTIC SYSTEM ELEVATONS INV 0 FOUNDATION = 113.66 INV SEPTIC TANK INLET = 113.46 INV 0 SEPTIC TANK OUTLET = 113.21 INV ® D-BOX INLET = 112.85 r PSOIL AND VENT-, :A VA TION: I .• _ _ r TRENCHES f 4' 1 r I4' 42.7' f r Y l , 1 7 :► °j f •1 j., f ;r F DRAT - � 70' f 1 I -21' ' 1500 GALLON J h J f l SEPTIC TANK Pj 10, v `l J 0 6 �. .1� J� g - f h� \ ``� • ` 1 79. 1' � j l � t