HomeMy WebLinkAboutMiscellaneous - 546 SHARPNERS POND ROAD 4/30/2018 '+ 546 SHARPNERS POND ROAD
2101105.D-0085-0000.0 Road
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Residential Property Record Card
PARCEL ID:210/105.D-0085-0000.0 MAP:105.D BLOCK:0085 LOT:0000.0 PARCEL ADDRESS:546 SHARPNERS POND ROAD
PARCEL INFORMATION Use-Code: 101 Sale Price: 385,000 Book: 04809 Road Type: T Inspect Date: 11/20/2002
Owner: Tax Class: T Sale Date: 07/31/1997 Page: 0291 Rd Condition: P Meas Date: 11/20/2002
PETROZZA,JOHN C Tot"Fin Area: 2908 SaWType: P Cert/Doc.` Traffic: M Entrance:- X
DAWN M A PETROZZA Tot Land Area: 9.1 Sale Valid: Y Water: Collect Id: RRC
Address: _ Grantor: ' JOHN MC CONNELL-- - - 'Sewer: - Inspect Reas: C
546 SHARPNERS POND ROAD Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LOW Indust-B/L% 0/0 Open Sp-B/L% 0/0
NORTH ANDOVER MA 01845
RESIDENCE INFORMATION LAND INFORMATION t
Style: CL Tot Rooms: 7 Main Fn Area: 1788 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R1 f
Story Height: 2 Bedrooms: 4 Up Fn Area: 1120 Bsmt Area: 1372 Seg" Type Code Method Sq=Ft Acres Influ-YIN Value Class •}
Roof: H Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1 182,080
Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: 2 R 101 A 8.1 38,070
Masonry Trim_ : Ext Bath Fix: Tot Fin Area: 2908 DETACHED STRUCTURE INFORMATION
Foundation: CN Bath Qual: T _ RCNLD: 304160
Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: 1.1 Str Unit Msr-1 Msr_-2 E-YR-BIt Grade_ Co_nd%Good P/F/E/R Cost Class 1
Heat Type: HW Ext Kitch: Year Built: 1987 Sound Value: - SE S 96 2002 A A ///99 1,100
Fuel Type: G _ Grade`. _G Cost Bldg: 334_;6_0_0 ' SE S 140 2002 A A ///99 1,700
Fireplace: 1 Bsmt Gar Cap: Condition G Aft-S-tr'Val 1: VALUATION INFORMATION
Central'AC: --N- Bsiiit Gar SF: 416 Pcf Complete:-:_ Aft Str V612: Current Total: 557,600 Bldg: 337,400 Land: 220,200 MktLnd: 220,200
Aft Gar SF: /oGood P/F/E/R: /100/100/92 Prior Total: 501,600 Bldg: 304,400 Land: 197,200 MktLnd:
Porch Tyne Porch Area Porch Grade Factor
W 312
SKETCH PHOTO
12
.�-
12168 Sq.1 0243 to
6 �
I HW B14
416 Sq.IF IpIRISAIMSq.Ft.
26 ig 28
18
16 2 4n 14
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546 SHARPNERS, POND ROAD
Parcel ID:210/105.D-0085-0000.0 as of 6/13/06 Page 1 of 1
North Andover Board of Assessors Public Access Page 1 of 1
Parcel ID: 210/105.D-0085-0000.0 Community: North Andover
SKETCH PHOTO
Click on Sketch to Enlarge Click on Photo to Enlarge
I 1E
546 SHARPNERS POND ROAD
Location: 546 SHARPNERS POND ROAD
Owner Name: PETROZZA,JOHN C
DAWN M A PETROZZA
Owner Address: 546 SHARPNERS POND ROAD
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 5 - 5 Land Area: 9.1 acres
Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2908 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 557,600 501,600
Building Value: 337,400 304,400
Land Value: 220,200 197,200
Market Land Value: 220,200
Chapter Land Value:
LATESTSALE "
Sale Price: 385,000 Sale Date: 07/31/1997
Arms Length Sale Code: Y-YES-VALID Grantor: JOHN MC CONNELL
Cert Doc: Book: 04809 Page: 0291
http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=810932 6/13/2006
•
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 514.,-47y r d �Qi//� /'✓ /Y �r�'
Owner: P / / �J' a
t
Date of Inspection: `- op/t'�e`l Gj ,41� /
D] SYSTEM FAILS (continued):
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;1/2:day flow.
� � �R Required pumpcngkmore than 4 times m the last year NOT due to clogged or obstructed pipe(s)
a
_ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a 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 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 J
-acceptable water quality analysis: If the well has been analyzed.to be acceptable,attach copyof well water analysis for V
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E)LARGE SYSTEM FAILS:
The following criteria apply to.large systems in addition to the criteria above:
The design flow of system is 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:
x
k
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
tie system is loca�2d`"in�a' tfrgen"saris(ivearea(lfitenm. ellhead Protection AFea (I�UPA)'=or,a ►apped Zdne If;of.aF.__ :..
public water.supply well)"
The owner or operator of any such system shall bring the.system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
s
4;
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(revised 8/15/95) 3
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�b
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: ' ,
Owner: / f a
Date of Inspection: �' G" ��loll e `f
m Checkif the fol,lowtn have been done:
kM
_
ping` riformahbn
'WA--Y6ues a °oft "e owner,"o cuparit,'an ri oa -off ealt`fi:'"`"""
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 part of this inspection.
_As built plans have been obtained and examined. Note if they are not available with N/A.
he facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow A
" The site was inspected for signs"of breakout.
- r
II system components, excluding the Soil Absorption.System, have been located on the site.
lhe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
ees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
ahe size and location of the Soil Absorption System on the site has been determined based on existing information or
pproximated by non-intrusive methods.
_The facility o•,%ner (and occupants, if different from o\,*-ner) were provided with information on the proper maintenance of Sub
Surface Disposal System.
fir''•t r:-'63 kr n:»: Y,a `7:, A'tivn;:f,:k-��c.7. 'IF 4 ::!
�''a� °° xTfin�r o.;+�;��^^^«mewtro- r-"arra°• �i �. ,� _ bz
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(revised 8/15/95) 4
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10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
;k PART'C
SYSTEM JNFORMATION
Property Address. (/
Owner:
Date of Inspection:
i
FLOW CONDITIONS I
RESIDENTIAL:
Design flow: stall
Number of bedrooms-
Number Number of current residents
„ Garbage grinder (yes or no) ; `, rr °� ''' 4
{,1' �,�` -�fiL�uritlry'�t"br�'neded`to,syste (yes orno)�c.�.ta�,�".., s,vp��-:�' b ,w.a,?�`+�r�ti.F".*_ n �, ;S "• -.
I1r. ..�..�,�. �f�`�'�I"—tl$L•t�( ��,� _. - +nwsas.wr :vww...ww..w«ts.,..ra+...r-wrhw, ..,�:�a +:w _
#F yuv.5� jy�5 �::` "' .�ri....:�,1e.��•'�,t.. .,spfi.:_�..,,�. •x,.��q .�.. r :'... q.... {.,�, �...+y....-. 7-,n.-t... .:a• � ,,�-,:; �.. ,
Water meter readings, +f available.
Last date of occupancy:�cU f P
COMMERCIALIINDUSTRIAL:
Type of establishment:
t Design flow:_gallons/day
Grease trap present: (yes or no)_ n
p' Industrial Waste Holding Tank present: (yes or no)' �
f.. Non-sanitay waste discharged to the Title 5.system: (yes or no)
Water meter readings; if available: s'
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information: �y,
tye
�mdas.part of inspecton (ye!�,ytin,;t. ,,, "' .�,�s.�;wsvIvum ed P on,fping:
ig
-TVP E-O YSTEM
Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Other(explain)
t
APPROXIMATE AGE of all components; date installed (if known) and source of information: ` ic
Sewage odors detected when arriving at the site: (yes or no)_
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(revised 8/15/95) S t
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d
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
`i PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner.:
p` Date of Inspection:
SEPTIC TANK:_
(locate on site plan) y
Depth below grade: l
Material of construction concrete metal FRP
•Sludge depth: r t/ � '~� '' ��
Distance from top ofasludge to bottom of outlet tee or baffle:��v
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:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.)
GREASE TRAP:_
(locate on site plan)
i
Depth below grade:
Material of construction: _concrete _metal FRP—other(explain)
Dimensions:
.Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom od .,rum to bottom of outlet tee or battle:
Comments;, zB x .., Yf ,, ;� w g+x CF' .b .e h 70
itr 3?Z w,F�kKu-e�+`x..a—tv a,nAa76'"F; nF...�q.yl:.i^�r r�w'6• ,1 –& R, ^Y 1.. .. _
(recommendation for pumping, cori34jontofr� r�"�"utteYt�e +fir*•baffles,�tdeptof°tz�uxti 1vPlinYe�atrortto �tleb�invert;,.structurals .
integrity, evidence of leakage;;„:.etc.'i
�I
(revised 8/15/95)
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,. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM'
PART C
SYSTEM INFORMATION (continued)
• . Property Address: y69
Owner:
Date of Inspection: C o'I'l4f/ (�
TIGHT OR HOLDING TANK:' '
(locate on site plan)
+ Depth below grade. r "�
Material ofconstructaon .concrete- metal FRR other explain ��._, �`
Dimensions:
Capacity: gallons /
Design flow: gallons/day
Alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:
(locate on site plan)
Depth of liquid level above outlet invert:
_�T�
Comments:
(note if level and distrbuticr equal, evidence of solids carnover, evidence of leakage into or out of box, etc.)
e- -1C
P G i �v
.,.�,.
PUMP
J ({
MP CHAMBER_
(loocate on site plan)
r
Pumps in working order,(yes or no)
Comments:
a' (notecondition of pump chamber, condition of pumps andr appurtenances, etc.)
{
Y
:
i
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(revised 8/15/95) 7
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4
SUBSURFACE-SEWAGE DISPOSAL SYSTEM INSPECTION.FORM .4
j: PART C
r. SYSTEM INFORMATION (continued)
j
Property Address:, P r 1� � tJ ��✓ � s
� N i
(�
Owner: .,
Date of Inspection: '� ��NCpI`
SOIL ABSORPTION SYSTEM (SAS): PS
(locate on site pian, if possible; excavation not required, but maybe approximated by non-intrusive methods)
If not determined to be present, explain:
i
pe-
leaching pits, number._.
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length: T Y04C FS
leaching fields, number, dimensions:
overflow cesspool, number:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.)
t. CESSPOOLS:, ,
(locate on site plan)
SM
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)
a•'�•S�....�`� 7...*a���✓•+'�q�n+vdS.�i,,' *•�,��`�,`i%wt',�"_ ;h.��
Comments: (note condition of.soiI sign"s of hydraulic'failure, level of'ponding, condition of vegetation, etc:) '
F `
PRIVY:_
(locate on site plan) "
Materials of construction: Dimensions: t
Depth of solids:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
r
P
(revised 8/15/95) 8
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
j` PART C
SYSTEM INFORMATION (continued)
rr. Property Address: ` Co _ S14 av p A ,-V f . : f✓Q�.4V"�GJ i
Owner:
Date of Inspection: Hc "W n e`
SKETCH OF SEWAGE DISPOSAL SYSTEM:
n
#
include ties to.,at least two permanent references landmarks or benchmarks
locate all wells withint100'-
v.,..'r
rn.
« a°
r
V
/
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1
DEPTH TO GROUNDWATER
Depth to groundwater: feet /
method of determination or approximation: (��i E
}
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(revised 8/15/95) 9 f
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LC
Septic System Information
546 SHARPNERS POND ROAD
Printed On: Thursday,June 29, 2006
System ID: BHS-2002-1588
General System Information Latest Permit Information
Calcaluted Design Flow: Test Pits Septic Tank Disposal Trench
Design Flow: One Two Capacity: Number:
Design Flow Provided: Minutes per inch: Width: Width:
Total Flow: Depth: Length: Length:
Seasonal: No No Depth to Water: Diameter: Leaching:
Grinder: No No Soil Type: Depth:
Laundry: No No
Hauling/Pumping Listing Quantity
Type System Type Pumped Pumped By Transferred To Disposed At Date Pumped (gallons)
Routine Septic Tank Bateson Enterprises 05/23/2005 1500 /
Inspections:
Inspected: Expires: Inspector: Status:
06/14/2006 Neil J.Bateson Passes
Comments: Title 5
Title 5
GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Page 1 of 1
Town of North An ver
Health Department Date:
Location:
(Indicate Address, if Resident'a1, r Name of Business)
6
Check#: O�
Type of Permit or License: (Circle)
➢ Animal $
➢ Dumpster $
➢ Food Service-Type: $
➢ Funeral Directors $
➢ Massage Establishment $
➢ Massage Practice $
➢ Offal(Septic)Hauler $
➢ Recreational Camp $
➢ SEPTIC PERMITS:
I
❑ Septic-Soil Testing $
❑ Septic-Design Approval $
❑ Septic Disposal Works Construction(DWC)$
❑ Septic Disposal Works Installers.(DWI) $
➢ Sun tanning $
➢ Swimming Pool $
➢ Tobacco $
)0, TrashlSolid Waste Hauler $
➢ Well Construction A $
➢ OTHER:(Indicate)
16.E 0 ®'�
health Agent Initials
White-Applicant Yellow-Health Pink-Treasurer
COMMONWEALTH OF MASSACHUSE'T'TS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
a DEPARTMENT OF ENVIRONMENTAL PROTECTION
RECEIVED
�e
JUN 2 S 2006
TOWN OF NORTH ANDOVER
TITLE 5 HEALTH DEPARTMENT
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 546 Sharpners Pond Road_
_North Andover_
Owner's Name:_John Petrozza
Owner's Address:_546 Sharpners Pond Road
_
North Andover,MA 01845 r _
Date of Inspection:6/14/2006_
Name of Inspector:j4eil J.Bateson
Company Name: Bateson Enterprises Inc._
Mailing Address:_111 Argilla Road
_Andover,Ma.01810_
Telephone Number:_(978)4754786_
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 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:
X Passes
Conditionally Passes
Needs Further Evaluation by the Loral Approving Authority
Fails
Inspector's Signature: ,Q Date: _6/14/2006_
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.
Notes and Comments:
****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.
i
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:_546 Sharpners Pond Road_
_North Andover_
Owner:_Petrozza
Date of Inspection: 6/14/2006_
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
X 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
in the for the following statements.
n ar not determined Y N ND g
the Board of Health will ass.Answer es, o ( )
P Y
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.
ND explain:
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
obstruction is removed
distribution box is leveled or replaced
ND explain:
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 approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
Page 3 of 11
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:_546 Sha rpvers Pond Road_
_North Andover_
Owner:_Petrozza
Date of Inspection: 6/14/2006_
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 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
nvironment: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
I
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:
_ ThesY stem 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 l 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 1.00 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 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,provided that no other
failure criteria are triggered.A copy of the analysis must be attached to this form.
3. Other:
Y • '
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:_546 Sharpners Pond Road_
_North Andover—
Owner:_Petrozza_
Date of Inspection:_6/14/2406_
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
_ No_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_ No_ Liquid depth in cesspool is less than 6"below invert or available volume is'h day flow.
No— Required pumping more than 4 times in the last year NOT due to clogged or obstruobstructedpipe(s).
— Number of times pumped
_
No Any portion of the SAS,cesspool or privy is below high ground water elevation.
or privy is within 100 feet of a surface water supply or tributary to a surface
No An portion of cesspool PP
_ _ _ Y P P P "Y
water supply.
No Any portion of a cesspool or privy is within a Zone 1 of a public well.
_ _No_ Any portion of a cesspool or privy a vy is within 50 feet private water supply well.
_ _No_ 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 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,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this form.]
`No (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described
in 31.0 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 he considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd-
You must indicate either`yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
_ the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone 11 of a public water supply well
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.
Page 5 of l 1
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
i
Property Address:_546 Sharpners Pond Road_
_North Andover_
Owner: Petrozza_
Date of Inspection:_6/14/1006
Check if the following have been done You must indicate`yes"or"no"as to each of the following:
I
Yes No
Yes_ _ Pumping information was provided by the owner,occupant,or Board of Health
No Were any of the system components pumped out in the previous two weeks?
Yes_ — Has the system received normal flows in the previous two week period?
No Have large volumes of water been introduced to the system recently or as part of this inspection?
N/A Were as built plans of the system obtained and examined?
_Yes — Was the facility or dwelling inspected for signs of sewage back up?
Yes Was the site inspected for signs of break out?
Yes _ Were all system components,excluding the SAS,located on site?
_Yes_ _ 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 ?
_Yes_ _ 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:
Yes No
_Yes_ _ Existing information.Old Title 5 Report.
_Yes_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance is unacceptable)[3 10 CMR 15.302(3)(b)]
Page 6 of I 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address:_546 Sharpners Pond Road_
—North Andover_
Owner: Petrozza_
Date of&spection: 6/14/2006_
FLAW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): N/A_ Number of bedrooms(actual):—4—
DESIGN flow based on 310 CMR 15.203
Number of current residents:_5
Does residence have a garbage grinder(yes or no):_No_
Is laundry on a separate sewage system(yes or no):_No—
Laundry system inspected(yes or no):
Seasonal use:(yes or no):_No—
Water meter reading:_On well Water_
Sump pump(yes or no):_No
Last date of occupancy _Current
CON1I MRCIALANDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203):_gpd
Basis of design flow(seats/persons/sgft,etc.):,
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information:Pumped 2004,owner_
Was system pumped as part of the inspection(yes or no): Yes_
If yes,volume pumped:_1500 gallons--How was quantity pumped determined?_Measured tank
Reason for pumping: juspect tank&tees&baffle_
TYPE OF SYSTEM
X 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)
_'fight tank _Attach a copy of the DEP approval
_Other(describe):—
Approximate age of all components,date installed(if known)and source of information:—Unknown_
Were sewage odors detected when arriving at the site(yes or no):_No_
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE'SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:_546 Sharpners Pond Road_
_North Andover
Owner: Petrozza_ —
Date of Inspection:_6/14/2006
BUELDING SEWER_X_ (locate on site plan)
Depth below grade:_18"
Materialsof construction: _—cast iron X 40 PVC—other
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.) 4"PVC thru wall,3"PVC in house with
no leaks visible_
SEPTIC TANKS:_X
Depth below grade:_6"_
Material of construction: X concrete____metal_fiberglass—polyethylene
other(explain)—tank tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):`(attach a copy of
certificate)
Dimensions:_10'x 5'x 4'_
Sludge depth:j 6"_Distance from top of sludge to bottom of outlet tee or baffle: 25"_
Scum thickness:_6"
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:_9"_
How were dimensions determined: Tape Measure_
Comments(on pumping recommendations,inlet.and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc Pumped septic tank.Inlet tee ok. Outlet tee ok.Depth of
liquid at outlet invert.No evidence of septic tank leaking in or out.
GREASE TRAP:_(locate on site plan)
Depth below grade:_
Material of construction: concrete metal fiberglass___polyethylene other
(explain); — — —fiberglass
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(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
Page 8 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:_546 Sharpners Pond Road_
North Andover–
Owner:_Petrozza
Date of Inspection: 6/14/2006_
TIGHT or HOLDING TANKS (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/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX.• X
Depth below grade _12"_
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.Evidence of carryover,pumped d-box to
j clean.No evidence of leakage._
PUMP CHAMBER:_(locate on site plan)
Pump in working order(yes or no):—
Alarm in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
Page 9 of 11
I
I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 546 Sha vers Pond Road
–North Andover_
Owner:_Petrozza_
Date of inspection: 6/i4/2006_
Son,ABSORPTION SYSTEM(SAS):_%(locate on site plan,excavation not required)
If not located explain why:
Type
X leaching pits,number: _2_
leaching chambers,number:—
leaching galleries,number:
leaching trenches,number,length:
leaching field,number,dimensions:_
overflow cesspool,number;
innovative/alternative system Typelname 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.Camera inside of pits,both pits holding no
liquid_
CESSPOOLS-_
Number and configuration:
Depth–top of liquid to inlet invert:—
Depth of sludge layer:_
Depth of scum layer:_
Dimensions of cesspool:_
Materials of construction:
Indication of groundwater inflow(yes or no):
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.):
Page 10 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 546 Sharpners Pond Road
_North Andover_
Owner:_Petrozza
Date of Inspection_:_6/14/2006_
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch 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.
Driveway
Pit#1
A To Well
Septic Tank House
D' 2 1
Box B
Pit#2
Ato1=16'3"
Ato2=23'
A to D-Box=315"
Bto1=13'
B to 2=2018"
B to D-Box=3115"
o
Page 11 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 546,Sharpness Pond Road_
—_North Andover_
Owner:inspection:
Date of Inspection: 6/14/2006_
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water _>6'_
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:_
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain: —Essex County Soil Map—
You
apYou must describe how you established the high ground water elevation: Essex County Soil Map,Sheet#37,
Canton Soil,Water>6'Deep_
Tel: (978) 475-4786
Fax: (978) 475-5451
BATESON ENTERPRISES, INC.
Excavating-Water.& Sewer Lines-Septic Systems&Pumping Service
111 Argilla Road Andover,Mass. 01810
Title 5 Inspection Report
Property Address: 546 Sharpners Pond 'Road, North Andover
Owner: Petrosa
Date of Inspection: 6/14/2006
My report contained herein does not constitute a guarantee of future usage and the functionality of the existing
septic system. Such report issued herewith is merely based upon my observations,and I hereby disclaim any further
operation of your current septic system.
Neil J. Bateson
Bateson Enterprises,Inc.
TOWN OF NORTH ANDOVER f N°pTN
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT "
400 OSGOOD STREET
s ,�14T.0
NORTH ANDOVER, MASSACHUSETTS 01845 �sswcause<
978.688.9540—Phone
Susan Y.Sawyer,RENS/RS 978.688.9542—FAX
Public Health Director E-MAIL:healthdeptt@townofnorthandover.com
WEBSITE:http://www.townofnorthandover.com
April 11, 2005
To all Sharpeners Pond Road Residents:
Please note that it has come to the attention of the Health Department that many residents are
leaving their trash barrels and trash bags out at the curbside for days, or weeks at a time.
Empty trash barrels blowing about in the road are a safety hazard, and trash and debris along the
roadway is a health hazard. Please be mindful of this, as the Health Department will conduct
periodic inspections of the area to determine who is in violation, and fines will be issued if
protocol is not followed.
The Board of Health follows the State Sanitary Code regarding Human Habitation,
105.CMR.410, Section 1:
410.600
(A): Garbage or mixed garbage and rubbish shall be stored in watertight receptacles with tight-
fitting covers. Said receptacles and covers shall be of metal or other durable, rodent-proof
material. Rubbish shall be stored in receptacles of metal or other durable,rodent-proof material.
Garbage and rubbish shall be put out for collection no earlier than the day of collection.
(B): Plastic bags shall be used to store garbage or mixed rubbish and garbage only if used as a
liner in watertight receptacles with tight-fitting covers as required in 105 CMR 410.600(A),
j p ovided that the plastic bags may be put out for collection except in those places where such
pra tice is prohibited by local rule or ordinance or except in those cases where the Department of
Public Health determines that such practice constitutes a health problem. For purposes of the
preceding sentence in making its determination the Department shall consider, among other
things,evidence of strewn garbage,torn garbage bags, or evidence of rodents.
410.602
(A) Land. The owner of any parcel of land, vacant or otherwise, shall be responsible for
maintaining such parcel of land in a clean and sanitary condition and free from garbage, rubbish
or other refuse. The owner of such parcel of land shall correct any condition caused by or on
such parcel or its appurtenance which affects the health or safety, and well-being of the
occupants of any dwelling or of the general public.
(D) Common Areas. The owner of any dwelling abutting a private passageway or right-of-way
owned or used in common with other dwellings or which the owner or occupants under his
control have the right to use or are in fact using shall be responsible for maintaining in a clean
and sanitary condition free of garbage, rubbish, other filth or causes of sickness that part of the
passageway or right-of-way which abuts his property and which he or the occupants under his
control have the right to use, or are in fact using, or which he owns.
Residents should know the following:
• The Town has a mandatory paper and cardboard recycling ordinance that requires
residents to separate these items from their household trash. Paper and cardboard are
collected every other week on the same day as the household's normal trash. Residents
can call the DPW at 978.685.0950 to get their recycling schedule.
• Residents are responsible for picking up loose trash left at the curb after collection.
Banned Items and Recycling Requirements:
Please refer to the DPW website for a complete list of all the recycling requirements:
http://www.northandoverrecycles.com.
Please contact the Health Department if you have any additional questions. Thank you.
Sincere
an Y. Sawyer, REHS/RS
Public Health Director
File
WELL DATABASE
ADDRESS: 3wMr �
AGE OF WELL: WELL DRILLER.-
W=
RILLER:WELL PERS ET.' WELL LOCATION:
.—WELL-PERilvZT DATE: DEPTH OF WELL:
" TYPE OF WELL: a-. DRILLED b. DUG C. UNKNOWN
TYPE OF WATT BEARING ROCK_
WATER ANALYSIS DATE: /TANENA.NTS:
IGH MANGANESE: Y N
HIGH IRON: Y N OTT C Y N
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE:
SYSTEM OWNER &ADDRESS SYSTEM LOCATION
(example: left front of house)
StAQC
_jjeS
DATE OF PUMPING: (o`( 0( QUANTITY PUMPED I Som GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
SYSTEM PUMPED BY:
COMMENTS:
CONTENTS TRANSFERRED TO:
/ v - ®r
TOWN OF RECEIVED
SYSTEM PUMPING RECORD
MAY 3 12005
DATE: TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
SYST OWNER & ADDRESS SYSTEM LOCATION
�CJ'L `tel (example:left front of house)
5 ; S"vv�-Sll f-v <:�� 8
DATE OF PUMPING: QUANTITY PUMPED . GALLONS
CESSPOOL: NO SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER(EXPLAIN)
i
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
i
COMMENTS:
CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste
Commonwealth of Massachusetts RECEEIVED
City/Town of JUN o 9 2008
System Pumping Record
9 HEALTH DEPARTMENT
Form 4 TOWN OF NORTH ANDOVER'
DEP has provided this form for use by local Boards of Health.Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form,check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
Important:
When filling out 1. System Location:
forms on the
computer, use n mow,
only the tab key. Address
to move your
cursor-do not y�� State Zip Code
use the return ��—
key� 2. System Owner:
Name
11 Address(if different from location)
City/Town State �. . Code
� /
Telephone Number
B. Pumping Record
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank
❑ Other(describe): �, ,�
4. Effluent Tee Filter present? El Yes Ej- lvo If yes,was it cleaned? ❑ Yes ❑ No
5. Condition of System: e ./� A
6. Systegn Ppmped
' Name / , ,� � Vehicle License Number
Company
I
7. Location wh a co tents re d' osed:
Signaturea er Date
t5form4.doc^06/03 System Pumping Record^Page 1 of 1
Commonwealth of Massachusetts
City/Town of
a System Pumping Record
IP "
Form 4
b V9y'
DEP has provided this form for use by local Boards of Health. Ot er for& bu the
information must be substantially the same as that provided here Before_usin this form, c ck with your
local Board of Health to determine the form they use. The Syste � '� submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left front of house, right front of house, left side of houseCright si a of hou Left
rear of house, right rear of house, left side of building, right rear of building, under deck.
N � ,jk,.'j.0veC
City/Town �— State Zip Code
2. System Owner:
Name
Address(if different from location)
City/Town State Zip Code
`l`IL 1 I
Telephone Number
B. Pumping Record
1. Date of Pumping t Z. antity Pumped: b ISO Date Gallons
3. Type of system: ElCesspool(s) ® Septic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
6. System Pumped By:
Neil J. Bateson F5821
Name Vehicle License Number
Bateson Enterprises Inc.
Company
7. Location where contents were disposed:
L.S.D Lowell Waste Water
Signature of Hauler Date
t5form4.doc•06/03 System Pumping Record•Page 1 of 1
RECEIVED
Commonwealth of Massachusetts
City/Town of �u L 2U12
System Pumping Record TOWN OF NORTH ANDOVER
Form 4
HEALTH DEPARTMENT
.
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here.'Before using this form, check with your
local Board of Health to determine the form they use.The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left/Right front of house, Left/Right rear of house, Left/ ht side of hou Left/
Right side of building, Left/Right front of building, Left/Right rear of building, Under deck
Address <.�(�` (,
Cityrrown State Zip Code
2. System Owner.
Name
Address(if different from location)
City/Town State Code
Telephone Number
B. Pumping Record
1. Date of PumpingDate 2. Qu ntity Pumped: Gallons
3. Type of system: F-1Cesspool(s) ;Septic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No
5. Condition of System:
6. System Pumped By:
Neil Bateson F5821
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Location where contents were disposed:
G.L S. Lowell Waste Water
Sig Haule Date �(
t5form4.doc•06/03 System Pumping Record.Page 1 of 1
Commonwealth of Massachusetts
City/Town of
System Pumping Record
Form 4
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using.this form, check with your
local Board of Health to determine the form they use.The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left/Right front of house, Left/Right rear of house, Left ht'side of house;'L ft/
Right side of building, Left/Right front of building, Left/Right rear of building, n
Address
1r �
Cityrrown State Zip Code
2. System Owner.
l
Name
Address(if different from location)
CitylTown State ��de 4-Y
7
Telephone Number lJ
B. Pumping Record
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes a No If yes, was it cleaned? ❑ Yes ❑ No,
5. Condit of stem:
6. System Pumped By:
Neil.Bateson F5821
Name Vehicle Livens" Numb4.QV I1
Bateson Enterprises Inc
Company TOWN 0NURTH ANU,..1`!EF �
HEA,t-TiH DEPARTMENT
7. Location wbare contents were disposed:
S. Lowell Waste Water
I
Signitufe qt Haule Date
t5form4.doc•06/03
System Pumping Record•Page 1 of 1