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HomeMy WebLinkAboutMiscellaneous - 55 MARBLERIDGE ROAD 4/30/2018 55 MARBLERIDGE ROAD 21W0_37-A-0014-0000.0 l I� Commonwealth of Massachusetts CityfTown of JUL System Pumping Record SR TQ�ryNpFNORTHANDoT Y p g HEALTH DEPARTMENT Form 4 - M yv y DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left ' f hous , LeftTRightrear of house, Left/right side of house, Left/ Right side of building;Le/Right front of building, Left/Right rear of building, Under deck Address '5 City/Town State Zip Code 2. System Owner. Name Address(if different from location) Ci /Town State tY �7i,p,Code Telephone Number B. Pumping Record 77 1. Date of PumpingDate 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? E] Yes O' to If yes, was it cleaned? ❑ Yes ❑ No 5. Condition u 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: G SQ Lowell Waste Water Signitufe Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts RECEIVED City/Town of NO. ANDOVER x System Pumping Record SEP 0 8 2008 Form 4 c4+M TOWN OF NORTH ANDOVER HE TH DEPARTMENT DEP has provided this form for use by local Boards of H aftg% tefft�rms-may sed, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use 55 MARBLE RIDGE RD. only the tab key Address to move your NO.ANDOVER MA 01845 cursor-do not City/Town use the returnState Zip Code key. 2. System Owner: BARBARA YOUNG Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 8/12/08 2..Quantity Pumped: 1000 Date Gallons 3. Type of system: ElCesspool(s) ptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Benjamin Shute H79 406 Name Vehicle License Number J's Septic&Drain Company 7. Location where contents were disposed: GLSD An w 8/12/08 ure Hauler Date t5form4.doc•06/03 System Pumping Record•Page f of 1 Coni onw alth of Massachusetts f" Massachusetts System Pumping Record System Owner System Location OUVJI nDv h�� �.J Date of Pumping: — Uu Quantity Pumped: gallons Cesspool: No Yes L) Septic Tank: No U Yes System Pumped by: Felredort License# Contents transferrred to : Greater Lawrence Sanitary District Date: _ Inspector: 17 Arm ��k,1� �•'� �. ���� ►�-Ott.� ���,�--� S SL �r 3el SCS Q� rr 4°c, %4-1 - IO x fA KA LE. ` 's+IDG . AKL��,E���. �,+��� � �t��:ia� '{�, '�tn��tx►n� &. ,�s�e..-��''�. �v�rs, � Sur verQrg. .. � r _ . 24 CL�fuwlb�4 S�. �.e'b'�i'rns'"�ct�, .�'`�.4ass:: }�� • . S .�/� j t � � f I i I� ., � I. I f i ' . �� r - A ' NL eo 25, CIS 40 OK x r; LMD LN Q ' S? S- TEM AS-b()jt..,7 KA By ------------ MA-r\b L.EP, ID(S E- er 1�1 C)AD (A ZLE Ian �`'. � .t ;. ` ScA�IE 2,0 . Nov, 3 ' Will i �. Survedrs i r I' I I ` k I i I' I I 1 I� i �I 1 Ili � . . SII 9 � l � r .i { I i I � I � I 1 co I I � I I � � r Mr. Michael Rosatti Board of Health Town of North Andover - 2 - October 14, 1983 This letter shall serve to advise that we agree to the additional re- quirements and will install the system accordingly. It is anticipated that work will begin on Wednesday or Thursday, October 19 or 20, 1983, weather permitting. We will call and advise your office and arrange for inspection of the work. Thanking you for your assistance in resolving this matter, and looking forward to the successful completion of this project, I remain, Respectfully, CROWLEY ASSOCIAItt JU4 T ES, INC. e Daniel J. McCarty DJM/jl CC. Stanley A. Young G. J. Crowley E. D. Crowley DM14481000 p — +� October 14, 1983 Board of Health Town of North Andover Town Hall North Andover, Massachusetts 01845 ATTN: Mr. Michael Rosatti Re: Stanley A. Young Residence 55 Marbleridge Road Dear Mr. Rosatti: Thank you for the courtesies extended during our telephone conversation on Thursday, October 13, 1983. As discussed, the Chairman of the Board of Health authorized you to indicate the increased capacity needed to provide the capability of tying the existing three bedroom home to the septic sys- tem for the cabana should the existing house system fail. As shown on the engineered plan previously submitted, one pit will ac- commodate 307 gallons per day. Therefore, two pits will handle 614 gallons per day. The system, as designed, was for one pit with a 1,500 gallon tank. The house with three bedrooms calculates to 450 gallons per day and the cabana is at 200 gallons per day for a total maximum of 650 gallons per day. This total assumes twenty persons at the pool on a continual basis. Based on all of the above and the fact that city sewer will be avail- able at a later date, it was agreed during our telephone conversation that the system will be increased and installed as follows: Original Design Current Installation Requirement Tank Size 1,500 2,000 gallons Pit 1 2 25 MOHAWK DRIVE LEOMINSTER , MA 0 1 4 5 3 T E L . 6 1 7 - 5 3 4 - 6 1 1 1 of Healthlard ,Korth Andovr2Haaa. 8$PTIC SZSTEli ' INSTALLATICK CHECK LIST OVIII DATE DISUPtgUTE� AVATICBI O IL FAIL OK C, 1. Distance Tos 10130�� J a. wetlands PZM, 5 1 CZV G J U&ti T-6 b. Drains c.. Well q�� ©tirU t;�tSZW� rl uv ' 2. Water Line Location 3. No PVC Pipe VE%h1�UL ��K� �(� e r� ��-►, �. Septic Tank a. _Tess -_Length Ec To Clean Out Covers. b. Cement Pipe to Tank -..On Both Sides of Tank 400 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Floating Equal Amounts C. No Back Flow 6. . Leach Field or Trench_.. ' a. Dimensions b. Stone c. ed ids Clean Double Washed Stone' Leach Pits ' a. Dimensions b. Stone Depth c. Splash Pads f d. Tees e. Cement Pipe to Pit - Both Sides. f. Clean Double Washed Stone 8. No Garbage Disposal i 9, Final Grading Inspection 10. Barricading Covered System 11. As Built Submitted- _ -_ - a. --Lot Location b. Dimensions of System C. Location -wi.th Aegar&t•o Pere Test d. Elevations ` e: Water Table k i s S ,1 Board of Health North Andover„Maas SUBSURFACE DISPOSAL DESIGN CHECK LIST LOT ✓ 5 �, APPROM DATE DISAPPROVED DATE i Provided: y�i� z! Reasons: r Title V FAR � Reg 2.5 The submitted plan must show as a minimum: a) the lot to be served-area,dimensions lot #,abutters b location and log deep observation hoes-distance to ties c location and results percolation tests-distance to ties design calculations & calculations showing required leaching area e) location and dimensions of system-including neserve area f) existing and proposed contours (g) location any wet areas within 1001 of sewage disposal system or disclaimer-check wetlands mapping (h) surface and subsurface drains within 1001 of sewage disposal system or disclaimer (i) location any drainage easements within 1001 of sewage disposal system or disclaimer-Planning Board files (J) knom sources of water supply within 2001 of sewage disposal system or disclaimer (k) location of amy 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 (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 (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) 101 from cellar gall or inground swi=ping pool (d) 25+ from subsurface drains Reg 10.2 Distribution Boxes (a) slope greater EZ 0.08 Reg 10.1 b) sump • Subsurface Design Check List Page 2 FAIL OK Leaching Pits Leaching pits are preferred where the installation is possible Reg 11.2 all calculations of leaching area-minitmm 500 eq ft 11.4 1b) spacing 11.10 c) surface drainage 2% 11.11 d) cover material e) 21x2tx4a splash pad f) tee at elbow g) no bends in pipe from d-box to pipe LeaEMBg Fields Reg 15.1 a) no greater than 20 minutes/inch b area-minizon 900 sq ft 15.4 c construction of field 15.8 d) surface drainage 2 % 3.7 e) 201 from cellar wall or inground swimming pool Lmt!Eg Trenches Reg 14.1 a) calculations of leaching area-min 500 eq ft 14.3 b) spacing-4 ft min 6 ft with reserve between 14.4 c) dimensions 14.6 d)' construction 14.7 e) stone 14.10 f) surface drainage 2% Downhill Slope a) s ope y x = to be shown) b) y/x X 150 = (to be shown) EMS Reg 9.1 a) ,approval 9.6 b) stand-by power Y ,• STANLEY A. YOUNG \� 163 PIONEER DRIVE LEOMINSTER, MA 01453 617 537-4001 August 25, 1982 Julius Kay, M.D. Chairman BOARD OF HEALTH North Andover, MA 01845 Dear Dr. Kay: Please be advised that as a result of inclement weather, the usage of the cabana and toilet system has been very limited. The contractor is making arrangements to pump the tank and will advise you of such action plus all other activities regarding the final conclusion of this sewerage problem. Ver. truly , rs, a y ng '1 S Ycs cc/enc: Gerry Crowley CROWLEY ASSOCIATES August 11, 1982 Mr. StaiLley Yaun-g 55 14arbleridge Rd No.Andover, Mass. Dear `ir. Young: .At our Jane meeting this board granted you pennission to u:.e your septic tank connected to your pool caballa as hold-Lig tank pend-L _';'; your proposed connection to the town sewerage sy3 tMt Possibly by Cctober. It was our understanding that one our registered disposal hanUers mould pini�j the tank, Quaff"i n6 the siximer wind reports would be moiled with this office. l redly get in touch with this office relating `o the proCress of your dealings T.*i th the 3oard of Public ?�!orks and plans for sewer connections. Very truly yours, Juliva Kay,M.D. Cha:ima,"i NORTH ANDOVER BUILDING DEPARTMENT aORTif 120 MAIN STREET Fao. .o jNORTH ANDOVER, MA 01845 p - cO s s E^GNUS INSPECTOR oP BUrLDrNGS TEL. 688.8102 ELECTRICAL INSPECTOR GAS INSPECTOR July 2, 1982 Mr. Stanley Young 55 Marbleridge Road North Andover, Ma. Dear Sir: As you well }mow, the cabana that you built on your property violates the setback requirements of our Zoning By— Law. This situation must be remedied in some manner; either by variance, moving the cabana or purchasing adjacent land. No occupancy permit has been issued for the use of this building and apparently you are using it in violation of both the Zoning By—Law and the Building Code. Failure on your part to rectify the situation immediately will cause the Town of North Andover to institute the necessary legal action to abate these violations. Very truly yours, CHARLES H. FOSTER 1 INSPECTOR OF BUILDINGS CHF:ad Copies to: Daniel P. Schevis, Jr. Board of Health SEPTIC 'SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED 'PROPERLY FliNCTION.ING? N WEATHER CONDITIONS COMMENTS M 5 n.a tS. DYE TEST PERFORMED? Y N DATE? SKETCH.: � < t' a • A: r. 1 WATERSHED RESIDENTS QUESTIONNAIRE 1. Name -�5Y6 N 1_111 A, o N C 2. Street Address A TU3 LL r?1 ') (-e 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool CD,'septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? Dl,-'yes ❑ no ❑ do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years \E1 11-20 years ` -z Com'over 20 years ❑ do not know - 7. Has your sewage disposal system been rebuilt or repaired? 0yes �o Eldo not know If yes, approximately how long ago? years. What was done? -i 8. How frequently is your sewage disposal system pumped out? ❑ annually [every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes CL7—no If yes, what problems? --= ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground J, - ' 10. How many of each appliance are connected to your sewage disposal system? washing machine i dishwasher —L_ garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liq%id or powder) of detergent you use for: dishwasher clotheswasher '1�-�- 12. Does your property have a lawn? yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre D?'1/2acre ❑ % acre ❑ 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per year Z Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: 0;/Check here if your lawn is maintained by a professional landscape contractor. K UT PJR ���� {/yam {, y 1 � 4_ J' INA at I hereby m9ke application for porrjito for a se,,98go disposal :Ins F,1 n IL t J�c,. IV[-rb]a rd a a "'_'-q8_ , - I will install this systeia' in accord- ance rut all the 17als a the Commonwealth of Alassachusettts and rep;tj'Latio-qs of the Board of Health of the Town of north i;,ndover. Further, I will construct the house sewer of bell and spigot I;jjj)e; t,�6 minimum diameter being 4 inchesa and utill Maintain a iiilnimum 6r&deo.."" 1;�; vnt..* ,, 10 feet preceding the cesspool or septic tank, where the grade shel._11 not exceed 2%*. 1 will install a cc;',sspoCl or septic tankr. of (2) 500 gal. each in size. A manhole ( s) permitting easy cleaning will be �F8_v=to!1-7 , rG4,e VD b.-IL'). cover (s) of iron or cone ;4 within 12 inches o.i,,' the ground sur-pace, I will provide subsurface disposal field I-With open JoLrited bell and cpigot pipe or perforated pipe at leust 4 inches in diameil-ler and laid in F i3-31 I WEI of trenches, the bottom of which will provide a minixa= of 270 Lineal (AP&W feet of effective absorption area. on a 6 inch layer Of clean gravel or crushed stone ranging in size f-om 3/4., to lb�- inches (dia. ) and the pipes will be surroWnded by Sim-o'jlar mate""i'al to a height of 2 inches above the crown of the pipe. The join �s Of will be protected from clogging and before filling the tronch, 2 Inches o'. gravel or stone 1/811 to 1/411 (dia, ) nill be placed over the course el"lave.l. 07-. Stone. The disposal field will be installed at -a, grr­da.; of 4 to 6 inohes/:wc) feet* Ro single tile line will exceed 100 feet in length and in a.-ri;Y n'cloep two lines of tile will be installed, A Minimum of 06 feet will be ,.between the center lines of the disposal field trenches and the average .depth of trench shall not exceed 36 inches. In the case of tlill q extesioll of a cesspool into a subsurface disposnl field or another cesspool both inlet and outlet connections to the cesspool shall be providedwith ."sanitary tees". All measurements of cesspool shall be t&'1ken at tl-.)e botlxzz of the inlet pipe. NO Part Of the installation will be less than 31001 ifee,"- from any private water supply, 25 feet from arjy stream, 20 Eget e'et f-enj any dwelling or 10 feat from arky propex-ty I.,ne. I furthor not "1 6­0 cover J. Mee, aa-Onionofthis installation until approv-57 S T e �10 1 —0 11'_�,`7 as pr-o- may be attached to the permit, (Plan proposed with a distribution box added). DIM © I Ilereby issue the above permit fox, the Board Of Health of th6 "`Own cXt North Andover., MassFchusetta. Date i 9&a a -7 7 Z:F I have inspected the uncovered systelm indicatted rzbove and done as described. DRtG S/I VX ::7 gEa re, ov. lng"a 7c.- Percolation Test �� �.�Yf � � � •�, ��_ �! 4 -----y .. y---- -- �-. -_ - - �. �� -�! .�'' �lc r.�..--.--r . { i 'f 4 p Commonwealth of Massachusetts 4 City/Town of No.Andover � a -__ System Pumping Record TOWN OF NORTH ANDMA •'' Form 4 I HEALTH DG ARTMENT. DEP has provided this form for use by local Boards of Health. Other forms may'be used, but the 1 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use ffawr, only the tab key Address to move your No.Andover Ma 01845 cursor-do not use the return City/Town State Zip Code key. 2. System Owner: rab Name 'P10l1 Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallon 3. Type of system: ❑ Cesspool(s) [Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Con ' o S stem: a)1A5,- 6. yst m Pumped B5I C ame Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 �'1 I S Signature of Hauler Date Signature of ReceivingFa li Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 ii