The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 548 SHARPNERS POND ROAD 4/30/2018 548 SHARPNERS POND ROAD ROAD _ 210M O&D-0126-0000.0 \; -6e Y r I 1 i North Andover Board of Assessors Public Access > age-1 cf 1 Parcel ID: 210/105.D-0126-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge - r 548 L-12 SHARPNERS POND ROAD Location: 548 SHARPNERS POND ROAD Owner Name: CALLAHAN, KEVIN J. CALLAHAN, MAUREEN E. Owner Address: 548 SHARPNERS POND ROAD City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 6 -6 Land Area: 8.3 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2548 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 561,400 526,500 Building Value: 317,100 297,900 Land Value: 244,300 228,600 Market Land Value: 244,300 Chapter Land Value: LATESTSALE Sale Price: 585,000 Sale Date: 08/18/2003 Arms Length Sale Code: Y-YES-VALID Grantor: WALSH,JOHN Cert Doc: Book: 08161 Page: 0049 i http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=808490 6/13/200/ North Andover Board of Assessors Public Access Page 1 of 1 • Parcel ID: 210/105.D-0126-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge 1 548 L-12 SHARPNERS POND ROAD Location: 548 SHARPNERS POND ROAD Owner Name: CALLAHAN,KEVIN J. CALLAHAN,MAUREEN E. Owner Address: 548 SHARPNERS POND ROAD City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 6 -6 Land Area: 8.3 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2548 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 561,400 526,500 Building Value: 317,100 297,900 Land Value: 244,300 228,600 Market Land Value: 244,300 Chapter Land Value: LATEST SALE Sale Price: 585,000 Sale Date: 08/18/2003 Arms Length Sale Code: Y-YES-VALID Grantor: WALSH,JOHN Cert Doc: Book: 08161 Page: 0049 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=808490 6/13/200C 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: Le Righ#�gh eft/Right rear of house, Left/right side of house, Left/ Right side of building, Le Left/Right rear of building, Under deck Address City/Town State Zip Code 2. System Owner. Name RE ifferent from location) JULc' °M 1'5 State z Code ; TOWN OF NORTH ANDOVER Telephone Number i HEALTH DEPARTMENT B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons i 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes LSO If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: UN, - 6. System Pumped By. Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc' Company 7. Lo contents-were disposed: - aL S. Lowell Waste Water Sign Haul Date t5form4.doc•06103 System Pumping Record•Pais 1 of 1 Commonwealth of Massachusetts RECEIVE _ City/Town of System Pumping Record Uo� 0 8 201�l Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use;by local Boards of Health. Other forms may be used, ut 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/ I ht fron=ofhou4s , Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address �IJCAAJ\ CitylTown A State Zip Code 2. System Owner. Name Address(if different from location) City/Town Sta� �--r--de Telephone Number B. Pumping Record Y I's 1. Date of Pumpinggate 2. Qua tity Pumped: Dations 3. Type of system: ElCesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter resent? Y No If es was it P ❑ e$ � cleaned? Yes No: Y ❑ ❑ 5. Condition of st m: N, 6. System Pumped By.- Nell. y:Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Ince Company 7. 5LDcontents were disposed: Lowell Waste Water Sig HaulerU Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 6550 w Town of North Andover HEALTH DEPARTMENT �SsAcHust� s� CHECK#: 156S DATE: 1 LOCATION: c W►me r } J CONTRACTOR NAME: bd-,R Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ } ❑ Recreational Camp $ i ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ q ❑ TrashlSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: f ❑ Septic-Soil Testing $ E ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ M XTitle 5 Report i ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer i I i r Comi-nonwealth of Massachusetts RECEIVE® Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments JUL 2 2 2-013 TOWN OF NORTH ANDOVER 548 Sharpners Pond Road HEALTH np , Property Address Maureen Callahan Owner Owner's Name information is North Andover MA 01845 7/16/2013 required for every page. Cityrrown State Zip Code Date of Inspection L3 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: When filling out A. General Information 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 111 Argilla Road Company Address Andover MA 01810 Cityrrown 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 ❑ e s Further Evaluation by the Local Approving Authority 7/16/2013 Inspector's Signature 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•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 1 of 17 Corr>monvi ealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Cityrrown 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: ® 1 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 ❑ NO(Explain below): t5ins-3/13 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 2 of 17 Commohvvealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 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): i I i ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with 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 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 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 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 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owners Name information is required for North Andover MA 01845 7/16/2013 every page. CitylTown 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: ❑ 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 ❑ ® 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 EJ ® 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 Colrrrnlohvi ealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. City/Town 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: ❑ ® 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 w Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the followinghave been done. You must indicate"yes"or"no"as to each of the following: Y 9 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? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ElWere 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 si ® Elto 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)] I D. System Information Residential Flow Conditions: I Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 600 t5ins-3/13 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 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No j 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 d On well water 9 ( Y 9 (gP ))� Detail: I 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: t5ins•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 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Citylrown 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 July 2012 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&outlet tee 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 I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 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 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 26 years old, 12/22/1987, as built plan. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1.4 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" PVC through wall. 3" PVC in house, no leaks visible Septic Tank(locate on site plan): Depth below grade: .4 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: 3" t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Cityfrown 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 23" Scum thickness 1" pn Distance from top of scum to top of outlet tee or baffle v Distance from bottom of scum to bottom of outlet tee or baffle 17 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 leakage. Inlet cover has metal cover 2"deep. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Tithe 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road ,p Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Citylrown 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 t5ins•3113 Title 5 Official Inspection Form: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 yr< 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Citylrown 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•3113 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 Form-Not for Voluntary Assessments r 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: 2 trenches 50' ® leaching trenches number, length: long ! ❑ leaching fields number, dimensions: ! ❑ overflow cesspool number: ❑ innovative/alternative system I 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 El Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 i Commonwealth of Massachusetts Tithe 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Cityrrown 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.): i i i Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 0 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r` 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owner's Name information is required for North Andover MA 01845 7/16/2013 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Sep 0 t5ins•3/13 Title 5 official Inspection Forth: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 M 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owners Name information is required for North Andover MA 01845 7/16/2013 every page. Cityrrown 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: 4/12/1984 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•3/13 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 548 Sharpners Pond Road Property Address Maureen Callahan Owner Owners Name information is required for North Andover MA 01845 7/16/2013 every page. CityJTown 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 Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 DEP has provided this form for uses 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: LeftI ht71'M I�ous Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town State Zip Code 2. System Owner. Name Address(if different from location) City/Town State Zip 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? ❑ Yes 9-90 If yes, was it cleaned? ❑ Yes ❑ No ' S. Condition of System: 6. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locatio re contents were disposed: G S. Lowell Waste Water SignAtufe Haule Data t5form4.doc•06/03 System Pumping Record•Page 1 of 1 North Andover Health Department Community Development Division MEMORANDUM To: Lt. John Carney,NAPD From: Susan Sawyer, Health Director Date: June 27, 2012 Re: Noise and Odor complaints Cc: Gerald Brown, Inspector of Buildings As you are aware, it is common that similar complaints get submitted to various town departments simultaneously. The purpose of this memo is to address official response to resident complaints regarding odors or noise, created by others, that they consider injurious to their health and well being. As most of these complaints are first directed to the NA Dispatch on off hours and are responded to by the NAPD it is important to know that the DEP regulations do allow for the police to be the enforcer. This memo is not to address any specific issue as it is clear that each issue is unique. Please find the attached document supplied by Tom Natario, of MA DEP. The regulation identifies all local officials that have the approval to enforce the state regulations: "Any police department, fire department, board of health officials, or building inspector or his designee acting within his jurisdictional area is hereby authorized by the Department to enforce, as provided for in M.G.L. c. 111, § 142B, any regulation in which specific reference to 310 CMR 7.52, is cited." It also states what kinds of activities can be constituted air pollution as defined in the regulation "AIR POLLUTION means the presence in the ambient air space of one or more air contaminants or combinations thereof in such concentrations and of such duration as to: (a) cause a nuisance; (b) be injurious, or be on the basis of current information, potentially injurious to human or animal life, to vegetation, or to property; or 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com (c) unreasonably interfere with the comfortable enjoyment of life and property or the conduct of business." The enforcing authorities must use their best judgment at times, however with this information the NAPD can be assured that they are designated by DEP to enforce the regulation if it is determined that they apply. With the lack of a local odor and noise ordinance, other than for commercial noise being restricted to the hours of 7AM to 7PM, the MA DEP regulations appear to be our best response tool. I think it would be good to follow up this information with a discussion of the issue. Please let me know when you might be available. Thank you, I i I 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com NORTH ANDOVER HEALTH DEPARTMENT 27 Charles Street • North Andover, MA 01845 Tel. 978 688-9540 • Fax: 978 688-9542 email: healthdept@townofnorthandover.com Complaint Investigation/Inspection Report OWNER ADDRESS S -5 �--- DATE .� X2,0-zn�r - rJ `.. .�. � I f- �l G v-, z r DEL . S ( Lam/ �7 4 ti OF o a Rev.6/04 INSPECTOR Air Quality Nuisance Complaints: Dust, Odor and Noise MassDEP Regions Contacts for AQ Nuisances • Northeast Region — Tom Natario, 978-694-3269, thomas.natario@state.ma.us 0 • Central Region — Michelle Delemarre, 508-767-2777, michelle.delemarre@state.ma.us • Southeast Region & Cape Cod — Complaint Line, 508-946-2817 • Western Region — Main Phone Number, (413) 784-1100 MassDEP Regulations • Odor and Dust Control Regulation — 310 CMR 7.09 • Noise Control Regulation — 310 CMR 7.10 —Regulations adopted under the authority of M.G.L. Chapter 111, Section § 142B and § 142D and:can be enforced by local officials under 310 CMR 7.52. 310 CMR 7.52 Enforcement Provisions • "Any police department, fire department, board of health officials, or building inspector or his designee acting within his jurisdictional area is hereby authorized by the Department to enforce, as provided in M.G.L. c. 111, § 142B, any regulation in which specific reference to 310 CMR 7.52 is cited." Indoor Air Quality • MassDEP does not generally regulate indoor air quality (i.e.—mold, off-gassing of new carpets/cabinets, sick building syndrome, nail salons, etc.) • Indoor air regulated by the Department of Public Health's Bureau of Environmental Health Assessment —Ph. # 617-624-5757. • However, indoor air contamination resulting from hazardous materials spills from exterior sources are handled by MassDEP's Bureau of Waste Site Clean-up. What is an Air Contaminant per 310 CMR 7.00? • Air Contaminant - means any substance or man-made physical phenomenon in the ambient air space and includes, but is not limited to dust, fly-ash, gas, fume, odor, smoke, vapor, pollen, microorganism, radioactive material, radiation, heat, sound, any combination, or any decay or reaction production thereof. What Constitutes as a Condition of Air Pollution • Air Pollution - means the presence in the ambient air space of one or more air contaminants thereof in such concentrations and of such duration as to: Air Pollution Definition - Continued A. Cause a nuisance; B. Be injurious, or to be on the basis of current information, potentially injurious, to human or animal life, . to vegetation, or to property; or C. Unreasonably interfere with the comfortable enjoyment of life and property or the conduct of business. Documenting Complaints — Date/time of alleged problem — Duration/frequency of alleged problem — Description of alleged problem (i.e. - odor, what did they smell? rotten eggs, rubber, plastic, solvents, burning paper, asphalt, etc.) — Location of alleged problem (where were they when they noticed problem - home, work, etc) — Source of alleged problem (if known) — Weather conditions (wind speed, direction) Dust Investigating Dust Complaints • Note the weather condition • Determine if visible particulate emissions can be detected blowing onto the complainant's property or across sidewalks or road-ways. Note the intensity level and frequency of the dust emissions. Investigating Dust Complaints -Determine if the dust is causing a nuisance. Is it unreasonably interfering with the private enjoy-ment of that person's property, causing discomfort to pedestrians, or causing a safety hazard for drivers. Investigating Dust Complaints • Do an inspection to determine what is causing the excessive dust emissions. Examples of Potential Sources with Excessive Particulate Emissions • Sandblasting • Mechanical street-sweeping • Sand and gravel operations • Construction sites Sandblasting • Dust can not leave property while cleaning/ removing paint from stone/brick/metal buildings. — Need a containment structure that is properly vented. — Need to be aware of lead paint—before the 1970s lead based paint was commonly used in public buildings and residences. Street Sweeping — 310 CMR 7.09(6) • Equipment must be equipped with a suitable dust collection or dust suppression system which is maintained in good operating condition and is operated continuously while the street sweeping equipment is in use. Street Sweeping — Wet Road Leaf Blowers Can Cause a Dust Nuisance Sand and Gravel Operations — 310 CMR 7.09(4) _ • Handling of material — must be covered or wet while going through conveyors or crushers • Storage of material — piles must be covered, wetted, or otherwise treated • Transportation — dirt roads should be either paved, wet or treated and material covered while in transit Construction Sites • Per 310 CMR 7.09(3) - Responsible to seed, pave, cover, wet or otherwise treat the area to prevent excessive particulate emissions. Reducing the speed limit on sites with dirt roads may also help reduce particulate emissions. Examples of Chemical Dust Suppressants • Chloride Salts — Calcium Chloride — Magnesium Chloride • Oils — Petroleum based dust suppressants Ex. —PennzSuppressD — Soybean based dust suppressants Ex. - Dustkill, Soykill, Dust Lock Odor Investigating Odor Complaints • Note the weather condition. • Determine if the odor can be detected on the complainant's property. Note the intensity level, frequency, duration and type of the odor. • If an odor problem is determined, try to trace the odor back to its origin. Investigating Odor Complaints • Determine if the odor is causing a nuisance. Is it unreasonably interfering with the private enjoy-ment of that person's property. Investigating Odor Complaints • Do an inspection to determine what is causing the odor. Inquire about process schedules or timing of activities to determine if they match with the time of odor detection by complainants. Examples of Potential Odor Sources • Paint Spray Operations • Composting Operations Spray painting should be done inside in a paint spray booth — not outside. Paint Spray Booths • Paint spray booths are regulated by MassDEP under 310 CMR 7.03(16). • Also need to comply with certain sections of 310 CMR 7.18: — Good Housekeeping • Containers of volatile organic compounds (VOCs) must be kept closed when not in use. • Rags with solvent must be kept in tightly closed containers. g p g Y — Good Neighbor Requirements • Spray operations shall not cause excessive odors or particulate emissions. Example of Poor House-Keeping Some Requirements of 310 CMR 7.03(16) • Spray guns — high volume/low pressure (HVLP) or electrostatic • Enclosed gun washing/cleaning • Particulate control filters • Stacks which vent vertically, 10 feet above roof level Use of an Unapproved Air Atomized Spray Gun Example of an Enclosed Gun Washer Filters • Each spray booth shall be equipped with 2 or more layers of dry fiber mat filters with a total thickness of at least 2 inches or an equivalent system. • Filters should be maintained — no sags or gaps. Fiber Mat Filters in Use Stacks • Each paint booth must be equipped with a stack that: — Discharges vertically upwards. — Does not have rain protection of a type that restricts the vertical exhaust flow. — Stack gas exit velocity of greater than 40 feet per second. — Minimum stack height of 35 feet above the ground or ten feet above roof level. Example of Unacceptable Stack Head Rain Protection Leaf Composting Operations • Leaf composting operations are exempt from needing a site assignment from Mass DEP provided: — The operation "incorporates good management practice, is carried out in a manner that prevents an unpermitted discharge of pollutants to the air, water, or other natural resources of the Commonwealth, and results in no public nuisance". - The operation is registered with MassDEP. Unregistered Compost Site MassDEP Composting Forms • Leaf and Yard Waste Composting Registration Form: http://www.mass.gov/dep/recycle/gpprovals/cmpstreiz.pdf • Leaf and Yard Waste Composting Guidance Document: http://www.mass. og v/dep/recycle/reduce/leafguid.pdf • Listing of Active Compost Sites: http://www.mass. og v/dep/recycle/actcomp.doc MassDEP Technical Assistance with Odor Complaints • Excessive odors from wastewater treatment plants — Bureau of Resource Protection - Excessive odors from solid waste landfills — Bureau of Waste Prevention, Solid Waste Division - Excessive odors from industrial facilities — Bureau of Waste Prevention, Compliance &Enforcement Division • Noise Investigating Noise Complaints - Note the weather condition - Determine if the sound can be detected on the complainant's property. Note the intensity level, frequency, duration and type of sound. Investigating Noise Complaints *Determine if the sound is causing a nuisance. Is it unreasonably interfering with the private enjoyment of that person's property (i.e. — do you need to raise your voice to have a conversation on the complainant's property). -Conduct an inspection to determine the source of the noise. 310 CMR 7. 10(1) - Noise - "No person owning, leasing or controlling a source of sound shall willfully, negligently, or through failure to provide necessary equipment, service or maintenance or to take necessary precautions cause, suffer, allow, or permit unnecessary emissions from said source of sound that may cause noise." DEP Noise Policy #90-001 - A source of sound will be considered to be violating the DEP noise regulation if the source: 1. Increases the broadband level by more than 10 dB(A) above ambient, or 2. Produces a "pure tone" condition - when any octave band center frequency sound pressure level exceeds the two adjacent center frequency sound pressure levels by 3 decibels or more. Sound Measurements Sound measurements can be taken in the area impacted by the sound, with and without the contribution from the facility to determine if sound from the facility is exceeding the level permitted in the Department's Noise Policy. Sound Measurements Local officials can contact MassDEP's Regional Offices to make arrangements to borrow a sound level meter and receive training on how to utilize it. Common Sources of Noise Complaints: • Emergency generators —Should be equipped with a muffler —If not quiet enough with a muffler can baffle the generator with sound attenuating material Sources of Noise Complaints - Continued • Chillers — Roof-top chillers should be equipped with sound attenuating equipment. — Chillers at ground-level should either be equipped with sound attenuating equipment and/or baffled with sound walls. Chiller — Without Sound Mitigation Equipment Under Chiller Can Be Wrapped with Sound Attenuating Material Chillers with Noise Barrier Sources of Noise Complaints - Continued • Highway noise —MassDEP does not regulate — MassHighway has certain protocols which apply to noise for new highways versus existing. The noise program is overseen primarily by the Environmental Division in the Boston office. — Contact Kevin Walsh, Director of Environmental Services at MassHighway, at 617-973-7484 or kevin.walshgmhd.state.ma.us Sources of Noise Complaints - Continued • Vehicular traffic - MassDEP and BOHs do not have authority to have trucks turn off their reverse alarms or reduce the sound levels of emergency vehicle sirens. Sources of Noise Complaints — Continued • Roof top equipment — Company should have a maintenance plan for roof-top equipment. Most complaints result from equipment problems (ex. - loose belt). —Before adding new roof-top equipment, company should identify 1 n possible sound potential and identify sensitive receptors. Sources of Noise Complaints — Continued Rock Crusher What Can be Done if a Dust/Odor/Noise Violation is Confirmed • If the violation cannot be resolved immediately, let the source know a violation notice will be coming from the city/town. Request that the violation be corrected by a given.date or request the submittal of a compliance schedule for the town's review. • After the source has notified the city/town that compliance has been achieved, conduct a reinspection of the site and inform the source whether or not you were able to confirm compliance during the visit. Preventative Measures • Large Construction Projects —Before commencement, require a dust control and noise mitigation plan. — Some towns have by-laws limiting construction to certain hours during the weekdays and Saturdays and further limiting or prohibiting commercial construction on Sundays. Preventative Measures • New Facilities —Identify possible noise, dust and odor potential. —Look at stack height. —Identify sensitive receptors. Summary Slide — to be filled out for each region • How the region will typically respond to complaints that come into MassDEP • How MassDEP can and/or typically support the Health Departments in dealing with complaints • Any special equipment MassDEP can provide i f a c t s h e e t 71 Responding to Local Noise, Odor and Dust Complaints L I Across Massachusetts, environmental and public health officials are seeing an M a s sa c n u s e t t s increase in the number of noise, odor and dust complaints they are called upon to D e p a r t m e n t of handle. ENVIRONMENTAL P R 0 T E C T 1 0 N1 The local board of health or public health department is usually the first line of defense against these and other nuisance conditions. Municipal officials can respond to nuisance complaints in an informed, effective and timely way. In some cases,the Department of Environmental Protection (DEP)can assist and support local officials in their response, or take the lead in responding. This fact sheet was developed to guide municipal officials as they follow up on nuisance complaints and to help them determine when it might be appropriate to request DEP assistance. Local Response Most noise, odor and dust complaints can be handled on the local level. Boards of health have broad authority under state law(M.G.L. Chapter 111, Sections 31C and 122)to investigate and control nuisance conditions. They and other local government agencies are empowered by DEP (310 CMR 7.52)to take enforcement action against violators of DEP's noise, odor and dust regulations(310 CMR 7.09-7.10). When investigating nuisance complaints, municipal officials should determine whether: • Nuisance conditions unreasonably interfere with the enjoyment of residential property and/or the operation of a business; and/or • The source of the nuisance, if a business, has the necessary licenses, permits and approvals to be operating and conforms to local zoning requirements; and/or • Offending activities constitute a violation of local nuisance by-laws or ordinances that may be more stringent than state regulations or statutes. In many cases, those responsible for nuisance conditions are unaware of the problems they are causing and, in the interest of being good neighbors,will willingly take the necessary steps to solve them. In these instances, local officials need only notify the offending parties. I Other cases may require local officials to exercise their skills of diplomacy and mediation in helping the parties to a dispute reach an accommodation. For still others, local enforcement action can be an effective solution. When these efforts are unsuccessful, coordinating local actions with DEP follow-up may be necessary. Local officials should keep a log of all complaints they receive and clearly document their investigations and findings. Responding to Local Noise,Odor and Dust Complaints•Page 1 How DEP Can Help DEP can assist and support local officials in investigating noise, odor and dust complaints and taking appropriate enforcement actions by: • Providing policies, guidance and other forms of technical assistance; • Answering questions and offering regulatory expertise on request; and • Lending sound level meters and other equipment to boards of health or other local agencies on request. For details, contact the service center in the DEP regional office nearest you. Telephone numbers are provided below. Criteria for Direct DEP Involvement DEP may respond directly to local noise, odor and dust conditions at the request of local officials if: Massachusetts Department of . The identity of the complainant(s) is supplied to the agency"; and Environmental Protection One Winter Street • Nuisance conditions pose a potential imminent hazard to public health or the Boston,MA 02108-4746 environment, are causing significant impacts across municipal or state boundaries, or are symptomatic of a serious environmental compliance problem; or Commonwealth of Massachusetts • There have been numerous complaints about the facility that is the source of the Mitt Romney,Governor nuisance, there is a history of violations by the same party, or a state facility is causing the problem; or Executive Office of Environmental Affairs • Local officials have pursued and exhausted all other avenues without successfully Ellen Roy Herzfelder,Secretaryresolving the matter; or • The complaint is about a pure tone noise from a source that cannot readily be Department of identified. Environmental Protection Edward P.Kunce, *Complainant names and addresses must be known to DEP, but under the Fair Information and Acting Commissioner Practices Act(M.G.L. Chapter 644), the agency is required to keep all such information confidential while any investigation or enforcement action is ongoing. Produced by the Bureau of waste Prevention, For Additional Information February 2003. To learn more about responding to noise, odor and dust complaints or to request state Printed on recycled paper. assistance or support, please contact the service center in the nearest DEP regional office. This information is available in alternate format by calling our . Central Region, Worcester: (508) 792-7683 ADA Coordinator at . Northeast Region, Wilmington: (978)661-7677 (617)574-6872. • Southeast Region, Lakeville: (508) 946-2714 • Western Region, Springfield: (413)755-2214 Responding to Local Noise,Odor and Dust Complaints•Page 2 7` ) r:= fie" ¢.',+•�,,,� ��,. r •t-�' SP ,.-�we:�! rr��; � -,. _�[- t...i. Vie' ,� •r N ,• ,t,.� gin' t 4 4t7.1tv y �7•�,",�} �ip +. -'�.. h ,, ,';` • Odr � f r:'•5; Y av� r �` 'L.: 7 '"� ' t X,\- �c ` ,+,,.i .`�b`7 tea• ''�,! ��'s Sk North Andover MIMAP 548 Sharpners Pond Road May 23, 2012 .-. ._ @ esus - _•:.�;� 'at"_�•. ,alb: :_: _. Valu ulu �: �\'flit•- :.'v,lU•`_--'Rl /�� `'y �.,,. -- 7. , ,.i At. :aU tr I I,: QOM =-� til MIX ddl M t ..._. ._. ..... . . -• .... .°• t eon —Rail Line -';a Wetlands Zoning Interstates 0 Exempt Lands Busine sl (R-1) Interstate C Busine s 2(R-2) Horizontal Datum:MA Staleplane Coordinate System,Datum I—Major Roads Busine s 3(R-3) Meters Data Sources:The data for this map was produced by Merrimack 0 Busine s 4(Rd) HORT1{ Valley Planning Commission(MVPC)using data provided by the Town of Roads O Genera Business(G-B) Of t`t° 'aNorth Andover.Additional data provided by the Executive Office of C Planne Commercial Dev '° O Environmental Aflairs/MassGIS.The information depicted on this ma Is r Easements ? e� �° O p y C Corrido Development Dist ,; L for planning purposes only.It may not be adequate for legal boundary 0 MVPC Boundary C Corrido Development Dist O - --• _ A definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER 0 Municipal Boundary 0 Corrido Development Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING C I Industri12(1-2) In 11(1-1) Zoning Overlay M ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY B ndusAdult Entertainment OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT B Downtown Overlay District C Industri 3(I-3) �o •° 4% ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF C Industri I S(I-S) '► 0 Historic District Reside ce 1(R-1) 0 pO��r�o.�°v(°J THIS INFORMATION Water Protection CReside 7 ce 2(R-2) ,SSACMUSEt O Parcels o Ride ce 3(R-3) 92 Hydrographic Features da ce 4(R-4 -Streams 1"=526 ft de ce s(R-5> - Ede ca 6(R-6) .a a esidential VR 544 SHARPNERS POND ROAD 105.D-0125 Complaint Detail Report Printed On:Wed May 23,2012 Complaint#: CT-2011-000005 Status: In discovery GIS#: 6575 Violator: HORN,BENJAMIN&MARY ..rrn.r Address: 544 SHARPNERS POND ROAD Map: 105.D Address: 544 SHARPNERS POND Road -�-•. Date Recvd.: Jul-23-2010 Time Recvd.: 11:42 AM Block: 0125 NORTH ANDOVER,MA 018 Category: Well Lot: Type: Residential GeoTMS Module: Board of Health District: Trade: Recorded By: Pamela DelleChiaie Zoning: I Structure: Description: Complaint: 7/22/10 @ 1:00 p.m.(system down) Maureen Callahan of 548 Sharpners Pond Road called. She has a well,and is concerned about construction work that her neighbor at 544 S.P.Road is doing which affects the bufferzone/wetlands area. There is a lot of water and vegetative wetland. The neighbors are planning to build an addition and a large garage,and possibly do small engine work in the garage and is concerned about oils and other toxins getting into the groundwater. The homeowners proposing the addition are Mary and Benjamin Hom. They were at the Conservation meeting last night,and a board member who also had a well brought up concerns to them,and told them to call the Health Department. Another neighbor at 546 S.P.Road also has a well downgrade from 548 and 544,and would be affected also. Maureen Callahan—978.360.7399 Comments: Inspector Assigned to Complaint: Susan sawyer Contacts Contact Type Date Time Name Phone Best Time To Reach Recorded By Response Jul-23-2010 11:42 Maureen Callahan (978)360-7399 Q Pamela DelleChiaie AM .f%O Z— / 7 L-0- Actions l0Actions Taken GeoTMS Module Status Date Time Response Type Action Taken Comments Board of Health REFERRAL GeoTMS®2012 Des Lauriers Municipal Solutions, Inc. Page 1 of 1 NORTj4 O�tt�ae Ibg40 O � A TED Oq4 COCMIit lwKw`y1' �9SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division C(FRTI FICArIE O F COW IV.GIAj%(�E As of.- June f:,dune 1, 2009 This is to cert that the individuaCsu6surface dzsposafsystem received a SA7 S FACT01RT jYS(PEC 707 of the: replacement of the Septic Tank B . y Todd Bateson At: 548 Shiarpners Fond mad Wap — 105.D; Tarcef- 126 North Andover, AKA 01845 The Issuance of this certificate shad not 6e construed as a guarantee that the system wid function sati sfactordy. X! an 2'. Sa Tu6fic Yfeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com i NORTH Q�At LBC , q+ O �o a� �A COCMIC . 4A so ��SSACHUs��y PUBLIC HEALTH DEPARTMENT Community Development Division CE1��II FIC.A�E O F CO�Vl�1'GAAl As of.- June f:,dune 11 2009 'This is to cert that the individuaCsubsurface diTosafsystem received a SATTSEAC7ORTIM(PEMOYof the: Replacement of the Septa tank By• Todd Bateson .A.t: 548 Sharpners Fond mad Kap — 105.0; Parcel- 126 North Andover, 911,9 01845 The Issuance of this certificate shaff not 6e construed as a guarantee that the system wiff function satisfactorily. z.Af an T Sa (Yu6fzc ifealth(Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com p TOWN OF NORTH ANDOVER °RTS,q Office of COMMUNITY DEVELOPMENT AND SERVICES o ,'ao``'°�°am HEALTH. DEPARTMENT 1600 OSGOOD STREET;Building 2-36 " NORTH ANDOVER, MASSACHUSETTS 01845 "ssacHU5e�`h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone . Public Health Director 978.688.8476—:FAX , ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: Gni MAP:/�a/LOT: INSTALLER: _ 2� DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: � SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal.plumbing all to one building sewer ❑Topography not appreciably altered Commen SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ 'Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 J. TOWN OF NORTH ANDOVER KORT!{q 4, Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �4SSACHUS�t4h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health.Director 978.688.8476—FAX Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ Combo Tank installed. Size: ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ❑ Inlet tee installed, centered,under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump-On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers, requirements ❑ All components working in accordance with manufacturer's requirements Comments: Wastewater System Documentation—Feb 2006 Page 2 of 6 w to TOWN OF NORTH.ANDOVER to T#1 q Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT _ A .� 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 "SsaCH„5�<`h Susan Y. Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.8476—:FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM l ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Wastewater System Documentation—Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES 0 HEALTH DEPARTMENT 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 "sSACHUS Susan Y. Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROL PANEL ❑ Alarm``& Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH,ANDOVER �oRTK Office of COMMUNITY DEVELPMENT AND SERVICES HEALTH DEPARTMENT * ` 1600 OSGOOD STREET;Building.2-36 w"� NORTH ANDOVER,MASSACHUSETTS 01845 "Ss��N„Sk4th Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ❑ Property line 10` 10 -- ❑ Cellar wall 10 20 -- ❑ Inground pool, 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10. 10' ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 . 150` ❑ Trib. to surface water supply 325 325 ❑ Public well 400' 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains(wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains(Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). s As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Wastewater System Documentation—Feb 2006 Page 5 of 6 TOWN OF NORTH ANDOVER °RT11 q Office of COMMUNITY DEVELOPMENT AND SERVICESro',;o t.o HEALTH DEPARTMENT 1600 OSGOOD STREET;Building 2-36 •" NORTH ANDOVER,MASSACHUSETTS 01845 �9SSgCNUSkj�y Susan Y. Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Wastewater System Documentation—Feb 2006 Page 6 of 6 Rr Commonwealth of Massachusetts Map-Block-Lot 105.D-0126- ----------------------- Board ---- -------------- Board of Health Permit No •' North Andover BHP-Zoos-o5s5 P.I. FEE F.I. $125.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted Todd-Bateson ---------------------------------------------------------------------------------------------------- to(Repair-TANK ONLY)an Individual Sewage Disposal System. at No 548 SHARPNERS POND ROAD ---------------------------------------------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2009-053 Dated May-26-,-20-09 Issued On:May-26-200JiFrRE -Cr--`y A �if�I�ealth NR*y Map-Block-Lot Commonwealth of Massachusetts 105.D-0126- Board of Health North Andover • gyp* �,,'��P Certificate of Compliance THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair-TANK ONLY) by Todd Bateson Installer at No 548 SHARPNERS POND ROAD -------------------------------- -------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP-2009-053 Dated May-26,-2009 ----------------------- ------- -------- ------------- ------------------------------------ Printed On:May-26-2009 Board of Health U) r �a CY) Q o J f 1 p0 OTH w J o: ��•.°oM a � O Z Town of North AndoverCq HEALTH DEPARTMENT SSACHUSf 1 -_ m. CHECK#: DATE: • � ' Z LOCATION: ® ems Wx H/O NAME: Z.- 15 z_.- 9-:.-1 . -7 o CONTRACTOR NAME �.P - s �W a ru yRe of Permit or License:(Che 1�;��-.. u_ ❑ Animal W _ rn ❑ Body Art Establishment $ ° NZ u', ru N po rM ❑ Body Art Practitioner $ .Q r n 0 Dumpster $ ❑ Food Service-Type: $ N Funeral Directors $ ❑ Massage Establishment $ �j _ ru Z � W ❑ Massage Practice $ Ln LL L%- US 0 ru it ❑ Offal(Septic)Hauler $ Lu r a'L p off* w � �t � o r11 ❑ Recreational Camp $ .�' H z - n W x 0 Sun tanning $ w U. �p ❑ Swimming Pool $ W'W'o oLO ❑ Tobacco $ 0 a 3 Er ❑ Trash/Solid Waste Hauler $ LU _ 1 Ln Q a s ❑ Well Construction $. m p SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ a fY �3 ❑ Septic Disposal Works Construction(DWC) $ O Septic Disposal Works Installers(DW() $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other.(Indicate) $ g lfealtlt At Initials White-Applicant Yellow-Health Pink-Treasurer. l • �- RTIJ Application for Septic Disposal System TODAY'S DATE pConstruction Permit - TOWN OF `�' •�' ORTH ANDOVER, MA 01845 $250.00—Full Repair �'b•,,., $125.00 -Component SSACHU°+ Important: Application is hereby made for a permit to: When filling out forms on the El a new on-site sewage disposal system* computer,use ❑ Repair or replace an existing on-site sewage disposal system* only the tab keyr to move your [:] Repair or replace an existing system component—What? _11114- cursor-do not use the return key. A. Facility Information I!'�I Address or Lot# City/Town ® a✓-4x— 2.-*TYPE OF S PTIC SYSTEM*: ❑ Pump ravity(choose one) ***If pump system,attach copy of electrical permit to application*** onventional System(pipe and stone.system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S: 2. Owner Information Name , Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer InformationP 45,220 1 Name / Name o o �'� ^r 111 .Argifla RC Address Andover, MA 10 City/Town State Zip Code '?'7 - k1.5 - J 1'703 Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Best#to Reach) Application.for Disposal System Construction Permit•Page 1 of 2 MORTIS �y Application for Septic Disposal -System ° -07 ro TODAY S DATE =Construction Permit- TOWN .OF * ORTH ANDOVER, MA 01845 41 $250.00—Full Repair �. �•,... $125.00-Component PAGE 2OF2 A. Facility.Information continued.... 5. Type Of Buildin esidential Dwelling or Commercial VP q g B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been Issue, C" this Board of Health. � Name Date If, Applic n Approved B Board of Health Representative) i m Date Application Disapproved for the following reasons: For Office Use Only: Z Fee Attached. Yes No Z. Project Manager OMradon Form Attached. Yes No 'um S stem? Ifso,Attach eopv ofElectrical Permit Yes_ No 14 ' (new construction ronly): Yes_ No Same scale as approved plan) 5. Plans?(new construction only): Yes No rr Cx3c Q s,a':gg;4tiP,T f• F s a�+ a g k'rir �*t 9's - } Appr�cahon for Disposal System co •Page.2 of 2 t� sfi =s�� _ 4 ' - ., .tet`,• zr tx %' 3.3 <. ,y z xc7 M ,✓^cAaa.i _ - -.. ;r �z z SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) For plans by �j�Q � (Engineer) Relative to the application of /d"� (Installer's name) And dated (Original ate Dated C-U — 9 . o ay s ate With revisions dated (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approv d plans and the permit on site when any work is being done. 2. As the installer,I_must call for any and all inspections. If homeowner, contractor,project manager,or any other person not associated with my company schedules an inspection and the system is not ready,then item three shall be applicable. 3. As the installer, I am required to have the 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 ma-result in a$50.00 fine being leveed st me and/or m company. a. Bottom of Bed—Generally, this is the first (P) inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection—Engineer must first do their inspection for elevations, ties, etc.. As-built of verbal OK(or e-mail to: healthdeptgtownofnorthandover.com) from the engineer must, be submitted to the Board of Health, after which installer calls_for an inspection time. Installer must be present for this inspection. With a 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. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible. 5. As the installer, I understand that I must be on-site during the performance.of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board ofHealth staff or consultant. d. Installation of tank,D-Box,pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer, I understand that I am solely responsible for the installation of the system as per the lv n they ersons shall absolve r ved lans. No instructions b the homeowner general contractor, ora o approved y g y 1' me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) d I�5a�✓ _ ame— not ame- igne commonwealth.of Massachusetts RECEIVED City/Town of I AU G 11 System Pumping Record FOCIYt 4 TOWN OF NORTH ANDOVER HEALTH DEPARTNi_ENT DEP has provided this form for use by local Boards of Health.. 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 the computer.use only the tab key Address to move your cursor-do not 1 use the return City/Town State Zip Code .key. 2.. System Owner: 'Name Address(if different from location) . Cdy/Town Stat Q Zip Coder Telephone be hone Num r B. Pumping Record 1: Date.of Pumping-P g Date 2. Quantity Pumped: cations .3. Type of system: ❑ Cesspool(s) eptic Tank- [ATight:Tank I ❑ Other(describe): 4. Effluent Tee Filter resent? j p El No !f yes, was it cleaned? ❑ Yes" ❑ No 5. Condition of System- U\_ � 6: Syste Pumped 8 (,-..: (I �s7 Name rc Vehicle License Number Company -- . 7. Locatiowahere confen ere osed:. T � Signat e a er Date http://www.mass.gov/diep water/approvals/t5forms htm#inspect t5form4.doc•06103 System Qurnping Record•Page 1 of 1 COMMONWEALTH OF MASSACHUSETTS F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a d DEPARTMENT OF ENVIRONMENTAL PROTECTION t q 5�0 TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION C_F NORTH AND&, Property Address:_548 Sharpners Pond Road b'C. _ VND OF F€Lr'LTH —North Andover_ Owner's Name:Jay Walsh_ JUL 1t n@03i I � Owner's Address:_548 Sharpners Pond Road _ North Andover, MA 01845_ Date of Inspection:_7/9/2003_ Name of Inspector: Neil J.Bateson_ Company Name: Bateson Enterprises Inc._ Mailing Address:_111 Argilla Road_ _Andover,Ma.01810_ Telephone Number:_(978)475=4786 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 Local Approving Authority _ Fa' j Inspector's Signature: Date: -7/9/2003— V 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. Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:_548 Sharpners Pond Road- - North Andover— Owner:_Walsh_ Date of Inspection:_7/9/2003_ 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 the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the 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. 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: The system required pumping more than 4 tunes 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:_548 Sharpners Pond Road_ _North Andover_ Owner:_Walsh_ Date of Inspection:_7/9/2003_ 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 or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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 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: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_548 Sharpners Pond Road- - North Andover — Owner:_Walsh_ Date of Inspection:_7/9/2003 D. System Failure Criteria applicable to all systems: You must indicate"yes"or`no"to each of the following for all inspections: Yes No 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 less than 'h day flow _No_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _No_ Any portion of the SAS,cesspool or privy is below high ground water elevation. No_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface 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 is within 50 feet of a 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 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. 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 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. Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:_548 Sharpners Pond Road- - North Andover Owner:_Walsh_ Date of Inspection:_7/9/2003_ Check if the following have been done.You must indicate"yes"or"no"as to each of the following: 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? Yes_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) 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.. No 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 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:_548 Sharpners Pond Road- - North Andover— Owner:_Walsh_ Date of Inspection:_7/9/2003_ FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_4_ Number of bedrooms(actual):_4 MR _ DESIGN flow based on 310 C 15.203(for example: 110 gpd x#of bedrooms):_600_ Number of current residents:_4 Does residence have a garbage grinder(yes or no): Yes_ 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 readings:_On well water_ Sump pump(yes or no):—No_ Last date of occupancy:— Current-COMMERCIAL/INDUSTRIAL 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 this year,owner_ Was system pumped as part of the inspection(yes or no):—Nom- If o_If yes,volume pumped:_gallons--How was quantity pumped determined?_ Reason for pumping:_ 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) Tight tank _Attach a copy of the DEP approval Other(describe):_ Approximate age of all components,date installed(if known)and source of information:_16 years old,12/22/1987, As built plan._ 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:_548 Sharpners Pond Road_ _North Andover_ Owner:_Walsh_ Date of Inspection: 7/9/2003 BUILDING SEWER(locate on site plan)X Depth below grade:_18"_ Materials of 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,no leaks visible. j SEPTIC TANK: X locate on site plan) Depth below grade:_6" Material of construction:—X—concrete—metal fiberglass_polyethylene _other ex lain ( p ) If 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:_1"_ Distance from top of sludge to bottom of outlet tee or baffle: 26"_ Scum thickness:_1" 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:_20" How were dimensions determined:_Measured scum&sludge depth to tee length_ 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 at outlet invert. No evidence of leakage. GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(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:_548 Sharpners Pond Road- -North Andover — Owner:_Walsh_ Date of Inspection:_7/9/2003_ 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/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.): I DISTRIBUTION BOX: X (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.Slight solid carryover._ PUMP CHAMBER: (locate on site plan) Pump in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):_ I Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_548 Sharpners Pond Road- - oad_ _North Andover_ Owner:_Walsh_ Date of Inspection:_7/9/2003_ SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: _X_ leaching trenches,number,length:_2 trenches 50'long_ leaching fields,number,dimensions:_ overflow cesspool,number: innovativelalternative 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 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 11 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:_548 Sha' vers Pond Road- -North oad__North Andover_ Owner: Walsh_ Date of Inspection:_7/9/2003_ 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. Well Line Driveway House A A to Tank=23' A To D-Boz=34'8" Sematic Tank B to Tank=16' Q9 B to D-Boz=29'4" D-Boz 50' • Page 1.1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 548 Sharpners Pond Road_ North Andover Owner:_Walsh_ Date of Inspection: 7/9/2003_ SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 4_ feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-if checked,date of design plan reviewed:_4/12/1984_ 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:_ You must describe how you established the high ground water elevation: Design plan_ 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: 548 Sharpners Pond Road, North Andover Owner: Walsh Date of Inspection: 7/9/2003 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. +3,V1+ ».. w w ,nnwrrww'.w..+.dax.t 3 S�yy �'Y' 1 ° ! j J ° i. i C .S k'•'= , w, �C'+ / t•/�n t .t' I R d},jJ{,� G :•° " , pp�•J', ,�j(} il'y .Y3+t ,,� '�d*4 r . �I R SG. � !J/7� n�//,,,�,, ��//'�� tc F F•., +t Cr z: n - 3 y �V {:� n, ti: t 4�, y - 1 . In. .Ey� Y {Y' t rr t _ - t t ''/ate l�y. i/�J,WW 'i �+ i - +�r ,, a _ w -# 5 tit yet E�r "r: 'Y ` .� //1/ . _ 1.x_ /��/ .p/ ,�2 S �, zr "„$ ri k li '.fyk ' , _1 -f rr > �r9 Jt r,:{ '` rYt �I r r L d T /+�'�^ ,. ,r' t i tJ+r)<.r?' t u}p Si aSj , , jda r . r� ,k > ,. , - .f,:,. 1. ,7,-A �/r .Irn t ,yr.t ry t 1 t 4 wJCte,s +�Z.rMe. ® n� ',' 1 Q7 t + ° ppMM01y� 'r t y ,f; i r1. w: V� ` J. t !y w t rtt�wr r d .i t r } i .. 't \ z j t. i,�' t S r li I r �e 1`1 • �,K ``I t1 -,. •,+ ° - xh.\� i r a "`i'.c <J c ; i 5-:t --F t E, f , c t2 /y� °� rt.r.,,r t r j ^ ; c Il Bat 1. „r T� "�i�' �f , s ._ : f r' d ,', r'lll� '1. , °fN w t4 A(�t S s bzt r it + ” i r; t ' e: 1 *}` tae y t Ig rt 4 '" J a , .': , ayi+) t, Ai it'}gyp t {rr 3 d ° G ? {Y t 1 ta, rr k t I1 , e t f, ° :iy° f" �1` max.t ti t I 4 gr �fj f. �1 t r ?f ° ,.y i #+:.`,it }.2 1. C,:, r •. rtq h !°°F ., t.rrf k ti�!*'L rt"p agrI a ri 4 +',,i. .. r'- +rt t° w, aM r 3 fat.L 1 -O ' 7,tw. ,t d '�g',Pjrt , at Tol " -` ,� r+ °, +h fir t A' c s °t t'r z 3' J'' I BtIK ! 1� , � k ° k,3 I f w s F +� .0 w _3, r I 4 '. °r pt h sk � �. y:. , >fL ;4i nv S V' r + +, l,- r f -. �r'a° ar' t� k yr a 4t ,t['J tY�✓ p`� ; �,•" i / 4 !:' - �:. + { t °t K C '8 C 4/f�sx il't�tA{i.,+5fd=S�f}'i 4 y� }�" }rA'f ,>Y r..i t .`v f a ,t ! 'i`: t dL c(,L,rt'jr Ct' y'f 1- s''"ei T i i i dr x ^v �f » sy :+ �� x lk .r i i �1 t i g l P /C +� ° i,.r a ..�{s'' �[ ��l L-" p /� �� meq, a'L ,� .&'y a 4i�'J , �y�4� ?t- fray \ y l� #+5! a ��• C Com- �fY��i ,vl" r?Vrt _ $.K,a,�r tt �J'w'�rA s }\ .r"II . V a r e " NI .ff "i � fi a g�a < S.ad45ww , x / ,{14 , / as `.G /_� p�i�" ��nik'� t ,�. �{ (4(4£� g K..3 ... i �.r��a.,rw�nyp3ryyu/Lkj i �, °Y rJlryl%?. t Y., A i - ! '6 r t b 2 '7. j 9w n},f{(,A N!e.,fr^!!!!l13 as L dT 'HC�i - �k I,t; �F / d 'i`'>5 , �j/w�i:,.'/� - .,t rd �,tt,, .''r ; , >'`, " ;) �7�' , FpLy .1'''h b1"'t' :, I i r] } k . t.. t 3� A i� T a G. .- , _— _...�.�.f''-'t, ;�jti 3;}i ' i n;''=At`i'� �q u7 d', "tai Cr'{+: I ¢ / 3 f s ? r r t° f¢ y+ 4 9 1 avT.{x y v - .r.-� F i Twp tas, +�,.,.•.....I 1� B ,#.,pL �k `�z r�;r- {'E'.1 x rF ¢ s_° /''o v ',{,¢ a.: aS�`: a .`` as-,:,( ''4 Ji�� °. l. t`e xi"V61v �`«4Ch..JP ..� rt ua t %� y r ° �oy'l r i t �. ! t,p,c .--� �� L/ �'�--.�' r ai. �a��l At�y't•,.A-,�'rt�t.c ji'.srt k'.` '* ,ty r ..r gk - P. ,-r?ht,,-N-4 a 4a t�, 14' J I F a. ( v .,r7rs r r �'•s='t, rr",ttz'd s„�rr 7a JJ.rr j t s .y, i +fi t a t l a fid,� 3S/ y� k r ;c rs r'Ca� a•4 i il * ' r Sl 11. .j )" ,, t r 7�TV ,, rfi rq - ° !'� i'' A-°srr �, i+y"�P ) 9 }41•f/,$ �. ,.�{ I .• s r.r . a �,° i, t. T +�� ztr.,� ,ih� r w fi _ tom".' )°S SN jl�°+x r�S�"�Ir r l it Y`,r} ti ? aygl 1 s§ e S� .I v ,• ,t i r3 ' p a t 3Sw 4 °.;' F. -*i �1 +r, ' ! ,C T r ! `t'..- F x `• l 2+ f.f A to ']-4''fird'i"^ T.� �I -`' ," ^ r ) J+ ?ti{f'K a �.?r5,= l� /� 9 i'y�^ ""r.�.+ ri f �,,, l,' r?•?""'I".7�v�(r'fi?'C tsq°r t�.rG-+yip?,- ,II. I 7 rx, }- 'i, 3 r) t i� , i ., I. "e.;y (° ..7 g,k R t t l,<' } 4 al, dry rn iy � F /�M/� 7 rWLln: M L 3 t gy11 r�` , r "'.t n t - t 5 11- r i J ^ 1 ap r a'��1� .' t r 7 it hr. -A#: :` t -+^--�-- • �/1� .""ry.rr r t r P'.,L, 7 t-d J.`+ ,"+^, f t,+� w , '"'�" t v A3 e a a "s ss arcs nh IF r° 5z—,r vH ' {.:r ) -t, , ".= 7 / .;<iti ° i -T7.,(ir ,d5t+„t L+dJ'sR y 9T„� t a�4r'f-' + ,,t• r 3 VI-,t-; 51 'J r- # r '� ,If7, wZr !' '�t, 'F r VN• � 3y xv(G,'' x-S,t '�r+ - 1, I } t Y e 4 r.' r,n tcf} Yt i-. :. �/� R.} a kti y S�en'+'C �aai wk' 1 L,r r+�f t "i. 4 t� i1?'. :.{ '4 s i X //l� c ,°t P!,��'� i rk �' Cir '"r 6ji+^at+ ,t,�^ 5�,., 11 { t ,d p M' a 'rt '_1 F,, c f Jra+.,', ° d ,Lw n a r: .fr ? .I (..', /7� �'r }*N.y�+i, ',�b p�F,rl ,'` \i.r,'fYy sif �' .r y..�1 ! ta.-t �a 4'4.4 § �+J �..�.LK.] 0/� -' 16�i�, '�.7 `p V Z'f 4k'y.� 1�`�'thi"ix��'i"e k 9r1 t`i�r xJE �q�-M_i-'iw,'>jdr 11-kc-P, F11 t i:- r n , a y m C +tt.f t Jv*S�'>t'4+•r 8 F� F x k Y'}:� r zA ' r,' r 4�a- �.`/Y D A t / ��`.x}'t fP{r !T tt"trtkf°�. q{13q iry,6 a'#' F ''rvi�,{ } .. €r :'1, '';t _ ! a e I d '�,. __i`_", .. ,err -�� a Jw r d '1, .^3n,y3'-u�°y�e4 J,!,-.n rr�.;,",.�,u' S 4j t'K t ,,� Arj a,. I r , f.,.,,,a 7 b` ^-"'--'-}--""'L v w g,7 r+;'Y'wr,"�,t4�W 1.'C��i+' ��y . fA, t F rr 1 r 'f'' a r)ry� I <`�4ti,F``da'�t t'�'-.,",ztiy Yk 1,R11{. r `. 1.y"Lr }� .>f 2.* 'x s s +Y 4 rr� r rg.' )'Sk ti'� r°"iittr .y', , i O - //.' °;! / . '�'c f r kirk y'r a•'+j 'title {�?�,, �t�4"".r3 . x, C� v F / = I J t a} Y f �", s s rs f ;t t ai. ' " ` d r - / D ,r Tyt L'i f t {) 3"F 3rriy"`J dy,1.�'� 4.b P A�;t-,. y i r >t is y„,.'. A. . e '¢ f� � If 13"k� nr }f �-tiyrI 11,4 4 I7 d> bt Y t{3 ,x i,.� R 3 r r r+ -,. abi °s•y..'ra Et'+L f{#s ti k3k'#.'%4,,-,,,-`,s.r - 5: ka.k R h rltl J6 �' e!1 est 9+Mf ar(t �,}a}`'SS tyr.7. J f :, ; .i- , 'j '�� 97.J f't�x�/: is gi kty b1q$y'&k1K'� �'g 4fs e �, 7,iJ i { f .� , Ill, �,f M 'k Y4. J i k p'.: \ } _ t t 1. fi 'J'rC + sy" r 33 r °Ikl 'tia '`'t �� t yd L'nt i, i "? + +�M °�l 9� Ia"i 4:� �^r f t is V-,n t t t f - 3 7a , dz69 r°9,«I y" , fx f,• i'`r`a'Y r ! a a t 11`w ;- 4 t T $"yw e i 17 t"`� � �'v,�.NA 3*< 7 4 Y,' �' :4- ° r r v :�� r.-P r a tiY F F:i}'�",,�"q1 s°�'..)� r arp ,r° 4y `'3 �` T`f ° �,, v '}t _. kr '.'+'#,y r , J4y t T s 7 4 ! 't '7 h. ` `,iJ i'l. t 1 J, 11 t e s `4,,,,��Y rryF V %s�y a,,� {-'rt: I,. - 3 („ Oji` ijhr7 t j "r.4, j��Et a 5¢ lrat{"4 , r .j t •) t 2z c 1 - I f - r ,.kl Il�r g �� + 14'+ s 7t . 3? i s a i.r 3 t 1 'SJ 7,a1'7�`i y.nj vsfj: sR ta�U, ., t.! .Q ,` q p 514,�.e r w i+ I SA i a+ °fit e }M S 'If y '�,s t "F f z rr,'. . +,. f .i f.� @@�3 rY,,}. ^ 'r +€ . 9� k° �' °Ja7 p7y4 si :rR'¢T'1F �'t- ay } a I �`� L ' it + r,, 4 'F $ a,,�}}e}Q 7t�V� +� FY tG+t k��'. �'YT.N. y rr r a c r sF'�S ds`A^r'�ttrr J y ..t t�+ i- _ sr» z s r' ' say K. r- r d a 'i;t �r .rlt';--'y P,l '- r -yF' ?E�y. r A f rt,� - k+'�I��r r T.k'r.. a*rs.r'I € Y5d �_tr ,�e 14 Ef J::Itrry4.3^' )v 1+`4 1�yefl3pW.y� n a f{ 1 r t ) o- L:�• 3 t r 'r 'A.1 kit}£ � hf t ,"r te ' L o 2 1* I3 r ,.Jo .;.,' 1. x r 4 ` �, e 'T 'l ;j t _ a5 - r p xYyf4 ..c �`�t�de S`tv 8yrs' -!!: - r. ., �.9. - 'ri'• 7 ' - - "t'r S,n" v 1 p�; 1 J C �� arc � b� sF��} t t —� �/` (��wb�,�,�" / �/✓/�/ � � ,/�+�' 41, 71- CPMMONt 10 5 cp INN 4 9 4 i i J } �ti• l l .,Z_ fR:E /dam� �s Go_.�c� ._._.___--__ " 6'. )9 �v �� 3 ra.D 3s r. r , d S . AR&PA r� 0 4 E - ^rc�m.^.s•...,rr[mrrs��r.�+n�m%vr:.!nana+u*Grsa�.+�xa�cYcwxsam..«,n•>.a;s.+v!:rraa — /1� 1� RECEIVE f � Massachusetts Water Resources Commission/Division of Water Resources WATER WELL COMPLETION REPORT " WELL LOCATION Address-�N City/Town i l] %1 41 rrY 14,- G.S.Quadrangle Map _T..-_--.----.--. Grid Location Owner I- >4 Address T V� I/r WELL USE CONSOLIDATED WELL Domestic® Public❑ Industrial❑ f+ Type of Water-bearing Rock rr r w Other Water-bearing Zones METHOD DRILLED 1) From = To ' Rotary(type) Cable❑ 2) From Z I TO Other 3) From To 4) From To CASING Depth to Bedrock Length ' Diameter Type UNCONSOLIDATED WELL STATIC WATER LEVEL Water-bearing'Materials Feet below land surface /'I Sand: fine❑ medium❑ coarse❑ Date measured ?/ e ` t Gravel: fine❑ medium❑ coarse❑ GRAVEL PACK WELL Screen: El Slot# length from to Yes ❑ No Split Screen(or 2nd screen) WATER QUALITY TESTS MADE Slot# length from to Chemical ❑ Biological ❑ Depth To Bedrock PUMP TEST Drawdown feet after pumping days hours at GPM. How measured Recovery feet after hours. LOG of FORMATIONS COMMENTS:(On well or water) Materials From To Cb DRILLER Firm_ Address City IV-, •,d z ., Registration,No. ' " Aerator s Signature ease print nm y 10M-8181.164843 LABORA`1'ORY .ANALYSIS e e e. Stevens Water Analysi's 38 Montvale ont a A venue Stoneham MA 02180 9 Mass, 617 438-6114 0 Salem N.H. 603 893-3106 LABORATORY NUMBER: 2447 SAMPLE DATE: 3/17/86 SUBMITTED BY: WILMINGTON PUMP SUPPLY 639 Woburn Street Wilmington, MA 01887 SAMPLE SOURCE: New Well - S.B.. HOMES, INC, No. Andover, MA - Lot #12 ANALYSIS : According to Standard Methods of Water and Wastewater Analysis, 15th Ed . Total Coliform . . . . . . . . . 0 per 100 ml Chlorides . . . . . . . . . . 6 mg/L H ' P �. 7.9 Hardness . . . ` 88 mg/L Manganese . . . o.04 ung/L r Sodium . . r 10.2 mg/L t� Iron . . . . 0.20 mg/L Nitrate . . . . . . . . . . . . • less than 0.10 mg/L Nitrite . . . . . . . . . . less than 0.10 mg/L COMMENT : The results of these analyses meet the federal and state standards for drinking water. Water quality can vary significantly from time to time due to various local conditions. It is advisable to have your water tested in approximately six to twelve months to determine any change in water quality. i Chemist/Microbiologist No►�"rh �ti p�v�1�, i�tA, r g OP Et..c_. AP�oyCD G�L Ss a 5EP-r1 G Sy S macA9ES►<� PLAtJ 96546>'JCK D,4T COIOVITOo J5 D/ ►E R�45oNS D "I StPIy(G SY STEM pi STA I-t ATs oA.J �)4U.IT(o/J 9/ -r -a SS [] F41L. Frn�A�' I ti5��rlonJ 4PPRO\)EP Uuc- �,J— — APFr�ovrn)G ,��T+to��ry 4��iT1oNAc., In�Sr�i�N5 ��-aJy) DtS,I�Pr'►�dv17 DarC. r5l, FK d 6uel( l� cv� AL �JPPI�jvAL 1 Board of Health CULOUSj 6E= Noe.Y..'ind overyMass SUBSURFACE DISPOSAL°.DESIGN CHECK LIST LOT # IWD RP APPROVED DATE_2.� - y DISAPPROVED DATE Provided: Reasons: . _A Title V FAIL Oa Reg 2.5 The submitted plan must,show as a minim=: m=: the lot to be served-area,dimensions lot #,abutters ja) location and log deep observation hoes-distance toties clocation and results percolation tests-distance to ties ddesign calculations & calculations shoving required leaching areae) location and dimensions .of system-including reserve area f) existing and proposed,contours y (g) location any wet areas within 100' of sewage disposal system or X. disclaimer-check wetlands,mapping. -/(h) surface and, subsurface drains within 100' of sewage disposal system or disclaimer (i) location any .drainage easements within 1001 of sewage disposal system" or disclaiueir-Planning.Board files �(j) known sources of water supply,'vithin 2001 of sewage disposal d system or ,disclaimer . (k) location of;,.aby proposed well to serve lot-1001 from leaching facility (/(1) location of water lines on property-101 from leaching facility (�(m) location of benchmark (/(n) driveways /,"(o) garbage disposals /-/(p) no PVC to be used in construction 7(q) profile of system-elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, distribution field piping and Other elevations (r) maximum ground water elevation in area sewage disposal system 1,1(s) plan mast be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Reg 6 Septic Tanks /(a) capacities-150% of flow, water table, tees, depth of tees, access, pumping (b) cleanout (,c) lot from cellar wall or inground swimming pool /(d) 251 from subsurface drains Reg 10.2 Distribution Boxes J(a) s pe greater than 0.08 Reg 10.4 / 'b) sumo ! SOIL PROFILE & PER COLF,TION TEST DATA. �. No. &Street ' North Andover, _ � Lot No. LOC./Subdiv. Plan - Owner ; Znvesti.gator, � Observer ` SOIL PROFILES-DATE 1 _ Eley. . . Elev. 3' Elev. 4•-`-Eley. b 2 Ties to Test Pit, 3 - 3 3 3 _ 4 ,4 4 4 5 S S . 5 I6 6 6 r 7 ~• ] _ ] ] a• 8 $ _ 9 9 _ 9 0 10 10 Z0 Benchmark __Location • - El ev a tion Datum Percolation Tess-Date hate----- � Pit Number 1 - 3 r. 4 S Start Saturation Soak-Mins_ Start Test-Time __- Dr�o of 311-Ti e _ Dro of 6"-Time - I',ins _ i st, 3"Dro Mins_ 21r)d— 3`IDro _ j Pe�olation Rate - TOWN OF NORTH ANDOVER <Noerh •- r Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 41 ~ ` 400 OSGOOD STREET "� •" NORTH ANDOVER, MASSACHUSETTS 01845 CMuset 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.9542—FAX Public Health Director E-MAIL:healthdept@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), provided that the plastic bags may be put out for collection except in those places where such practice 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 r 'C'*\ Commonwealth of Massachusetts City/Town of System .. System Pumping Record Form 4 SEP 27 N i l �M DEP has provided this form for use by local Boards of Health. Other f r%$RgVe e ��utthinformation must be substantially the same as that provided here. Be , re ith your local Board of Health to determine the form they use.The System Pu miffed to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left front of hous Ight fronto �ou , left side of house, right side of house, Left rear of house, right rear of house, left side of building, right rear of building, under deck. Citylrown State Zip Code 2. System Owner: /) Name Address(if different from location) City/Town St�t�4F:5,c�) �� T ,Zin Code Telephone Number a B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes �No If yes, was it cleaned? ❑ Yes ❑ No 5. Con "tion of Sym: 6. System Pumpedyr Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Lo ere contents were disposed: G.L.S.D�) aste a Signature f HAI Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts REC City/Town of SEP 0 $ 2008 a 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. r, A. Facility Information 1 Important: 1. System Location: Left front left rear, left side of ho e. Right front i r r right Sid hous . When filling out yS g g O forms the � ��S computer, use � only the tab key Address to move your cursor-do not use the return City/Town State Zip Code key. ---__ 2. System Owner.all- Name Address(if different from location) City/Town State Zip Code r12)9- Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: [] Cesspool(s) EL43e'/ptic Tank Tight Tank p Other(describe): 4. Effluent Tee Filter present? 0 Yes p No If yes, was it cleaned? 0 Yes No 5. Condifon of System: 6. System Pumped By: Neil Bateson F 5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: L.S.D Lowell Waste Water igna ure of H u r Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 TOWN OF t SYSTEM PUMPING RECORD `S.,A.F i;F'L ; �� ri i i DATE: hil�Y 200i SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example:left front of house) 6ASIC, Sqj �ja(paf-(-5 f� DATE OF PUMPING: QUANTITY PUMPED : 15 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 Im Bateson Enterprises, Inc. COMMENTS: i CONTENTS TRANSFERRED TO: � . TOWN OF 0"1 6C RECEIVED SYSTEM PUMPING RECORD SEP - 3 2004 TOWN OF NORTH ANDOVER DATE: _ HEALTH DEPARTMENT ER�� SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example:left front of house) I N �6t. oA �-C�t DATE OF PUMPING: (�' (� QUANTITY PUMPED : 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 LEACHVIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: i CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste qO V 2r� Commonwealth of Massachusetts City/Town of 700 System Pumping Record H ANI ER ARTMEN r` Form 4 DEP has provided this form for use by local Boards of Health.Other forms ut theinformation must be substantially the same as that provided here. Before uheck with r 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 only the tab key Address to move your cursor-do notCity/Tavvn State Zip Code use the return key. 2. System Owner: WGI Name ISI Address(if different from location) City/Town State r L Zip Code C / Telephone Number B. Pumping Record 1. Date of Pumping a � 7 2. Quantity Pumped: N ' Date Gallons I Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes B tvo If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of SDys�em: � �a� 6. Systeln Pumped By: ;�� 1 Name Vehicle License Number Company 7. Locatio rWhere contents wer isposed: Signat#of Ha ler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 REC " Commonwealth of Massachusetts City/Town of EHEA,TH Ule System Pumping Record HANDOVER Y p g ART D 19Form 4MENT 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: Leftight front of house, /Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address SU Cityrrown State Zip Code 2. System Owner f w Name Address(if different from location) Cityrrown State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping r � Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: GUJ � 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Loca'on where contents were disposed: G.L S. Lowell Waste Water Sign toe Haule Date i t5form4.doc•06/03 System Pumping Record.Page 1 of 1 a I WELL DATABAS ADDRESS: AGE OF WELL: s WELL DRILLS a d"m �r WELL PERMIT?: WELLL CATIAN: WELL PERMIT DATE: DEPTH OF WELL: TYPE OF WELL: a.. DR.ILLE b. DUG c. LTN�NOWN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: � � � �� HIGH MANGANESE: Y N HIGH IRON: Y ON OTHER CONTAMINANTS: Y N