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Miscellaneous - 55 TURTLE LANE 4/30/2018
' I � i 0 0 a a tn U a 00 r-1 O H a w aAv�3a'" o � � O a' b ° to C:�v.� U .V .8 o 0 3 Tdm.yo.G o •o �� � � � 3 � � � � a 4 3� �U¢�Aao k mchr� 08° a �x.3v s 4' d M 000' O C4 M� C)p U10Ol WU�OtH 3 3 v 0 R M Z N b w O �W V a � o � a w � � v o y o rA a 0.°1 0 a a U a v a w aAv�3a'" o � � 0 a a Fy L 0 0 U 0 0 N 0 r3 U a o a w o � � O a' b ° to C:�v.� U .V .8 o 0 3 Tdm.yo.G o •o �� � � � 3 � � � � a 4 3� �U¢�Aao k mchr� 08° a �x.3v s 4' d M 000' O C4 M� C)p U10Ol WU�OtH 3 3 v 0 R M Z N w � w �W � o � d � � O y o Q a 0.°1 Fy L 0 0 U 0 0 N 0 r3 Commonwealth of Massachusetts City/Town of NN-* �JLw System Pumping Record Facility Information: System Location: !2i � Address City/Town System Owner: �6 Name: Adress (if different from location of pump) XIAA State AUG 2 3 2014 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Zip Code City/Town State Zip Code Ing-,-- ] f���/�� Telephone Number Pumping Record Date of Pumping -3 t Y Quantity Pumped —gallons Type of System -2 --Septic Tank Grease Trap Other (what) System Pumped by: S _D4 IGI Company: ROOTER -MAN 46 Portland Street Lawrence, MA 01843 Location where contents were disposed: Signature of Hauler U • Date __� 0114 Commonwealth of Massachusetts North Andover, Massachusetts System Pumping Record System Owner & Address: Kristin Sweeney 55 Turtle Lane North Andover, MA 01845 Location of system: Front yard Date of Pumping: April 22, 2013 Type of system: Septic Tank Gallons Pumped: 1500 gallons System pumped by: Service Pumping & Drain Co., Inc. S Hallberg Park North Reading, Ma License #: BHP -2013-0098,0100,0765,0096,0097,0099,0101 Contents transferred to: Greater Lawrence Sanitary District Date: April 22„ 2013 Pumping Technician: DD RECEIVED 2013 1OVLvr OF NattrrANDOVER This is PROPRIETARY and CONFIDENTIAL information that may be used only by the Board of Health for regulatory purposes Parcel 25 Existing Bulkhead / d (To Be Replace / New Bulkhead / Enclosure) "Ir O� �i Qo (� .H Z -'T I I I a i Proposed i I Addition /I I 'way t °c°tion I�'a I Existing Sunroom (To Be Removed) / Proposed Deck j�- Exist. Conc. Pati A / 0 0/ / Existing Deck (To Be Removed) N/F Kathleen & Carl Schoene Lot Assessors Map 106, 43,568 S.i 0 0 0 Turtle Lane -_________,,._ Al�Proximate D�ivf LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-352-8318 fax 978 —352-2858 cell: 978-502-5921 April 22, 2009 Mr. Alan Smallman Smallman Construction P.O. Box 306 Boxford, Ma. 01921 RE: Sweeney Residence, 55 Turtle Lane, North Andover, MA. 01845 Dear Mr. Smallman As you requested I visited the project 4/22/09 to review the installation of the LVLs used in the framing of the above project. These are shown on plans prepared by Joppa Design dated June 30, 2008 and revised September 22,2008, Sheet A.04 Foundation & Framing Plans was certified by me December 9, 2008 for the framing. Based on my site visit and engineering review I can certify that to the best of my knowledge the LVLs are acceptable and meets the loading conditions required by the 7th Edition of the Massachusetts State Building Code. Should you have any questions please do not hesitate to call. Yours truly, awrence H. Ogden , P.E. Structural 27765 LAWRENCE /�An�Lo �'°+ q. ZL o 9 GDcNI M 0,� Commonwealth of Massachusetts City/Town of NORTH ANDD_ VER MASSACHUSETTS System Pumping Record i y Form 4 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 A. Facility Information Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 1. System Location: Address City/Town 2. System Owner: Name Haaress tit aitterent trom location) City/Town B. Pumping. Record 1. Date of Pumping 3. Type of system: ❑ t) ❑ Other (describe): MAY 10 2006 TOWN OF NORTH ANDOVER State Zip Code State telephone Number 12-� 1 -0 b Date' 2. Quantity Pumped Cesspool(s) [Septic Tank Zip Code �LSV0 Gallons ❑ Tight Tank 4. Effluent Tee Filter present? Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System:. 6. System Pumped By: �JyAgy s L.q I - 7: c�: Name Vehicle License Number Company 7. Location where contents were disposed: Signature of Hauler http://www. mass. gov/dep/water/approvals/t5forms, htm#inspect t5form4.doc- 06/03 r— qk A (o Date System Pumping Record • Page 1 of 1 Nov 03 03 05:08p NORTH RNDOVER 9786889542 p,3 NORI• , i °tri r C { C'Q 4 2003 E TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (-k repaired; located at Sass eA40ScF- Tv R. TLE L AJ C was installed in conformance with the North Andover Poard of Health approved plan, System Design Permit # , plan dated 1XCIJ • with a design flow of ,$50gat.ons per day. The materials used were in conformance withthose specified on the approved plan; the system was installed in accordance with the provisions of 310 C.'1R2 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved pian. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bed inspection date; Ox1 b3_ Final inspection date: 10(316-S. histaller: Lic.#: _ �cy_� t�►�r� � P � e= , Engineer Representative _ S"Tt' I" crs 1 P . Engineer Representative Date: //—//— ® 3 Engineer: �_ Date: f04/030 Nov 03 03 05308p NORTH ANDOVER 9786889542 p.2 INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at -SS- V(LZt_7E t,�1Nt relative to the application dated for plans by f6 L& ITE a NCz --and of __— dated y 2211 C 3 with revisions dated— I understand the following obligations for management of this proiect: 1. As the installer I arrx obligated to call for any and all inspections. If homeowner, contracto project manger, or any other person not associated with any company schedules an inspectio and the system is not ready then item two shall be applicable. 2. As the installer" I am required to have the necessary work completed prior to the apglicabl inspections as indicated below. I understated that requesting an inspection, withou completion of the items in accordance with Tile 5 and the Board of Health Regulations ma: result in a $50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be don, fust. Installetinust request the inspection but does not have to be present. b) Final inspection — Engineer must fust do their inspection for elevations, ties, etc. As -built o verbal OK from engineer must be submitted to Board of Health, after which installer calls fol inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to fund ° rete. Does not have to be c) Final Grade — Installer must request inspection when all grading P on site. 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in. tine attached application for installation. I further understated that work by others constitute reasons for denial of the unlicensed to install septic systems in North Andover can systema, and/or revocation or suspension of my license in the Town of Notch Andover plus significant fines to all persons involved. 4. 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 of Health staff. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components. As the installer I understand that I ane solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic staller -03— -------_._ Date:_% �il . Disposal Works Construction Permit # - NOV 14 2003 FORESITE Engineering Associates, Inc. 16 Gleasondale Road, Suite 1-1 Stow, Massachusetts 01775 Phone: (978) 461-2350 Fax: (978) 461-2352 Email: info(Ooresitelxom Web: ww .foresitel.com Letter of Transmittal TO: Brian Lagrasse, North Andover Board of Health FROM: Scott Hayes, PE Contents 3 Copies Sewage Disposal System Design Plan for Lot 4 — 55 Turtle Lane rev. 9/5/03 1 Copy Recorded Subdivision Plan for Turtle Lane 1 Copy Recorded Subdivision Plan for Long Pasture Road 1 Copy Pump Chamber Calculations and Float Setting Calculations 1 Copy Mortgage Plot Plan for Lot 4 Turtle Lane Notes The plan has been edited per review letter dated June 10, 2003 as follows: J 1. The description of the C layer is correct on the plans, and has not been edited. 2. An additional deep hole in the reserve area is not required under North Andover Board o Health Regulations. 3. Refer to the two recorded plans attached. The roadway easement ends onto abutting property as a water line easement. The grading of the septic system will have no effect on the waterline if installed. 4. The system profile had been edited to show the required 6" C Layer removal. 5. The record plan for the subdivision has been attached, as well as a mortgage plot plan. 6. The names of abutting property owners has been submitted on the Recorded Plan for Turtle Lane. J 7. See attached pump chamber calculations. / 8-10. 2 percolation tests have been performed in the primary and reserve areas, V and have been added to the plans. Please note that the 2MPI percolation test required the bed to be raised an additional foot, as is reflected on the plans. Please do not hesitate to contact me with any questions. Thanks, TOWN OF NORTE AN"i,3'` ER Approved Si'-,;lature June 10, 2003 Scott P. Hayes Foresite Engineering Associates, Inc. 16 Gleasondale Road, Suite 1-1 Stow, MA 01775 RE: 55 Turtle Lane Map 106B, Lot 25 Dear Mr. Hayes: NORTk O* t Q p - a � SRCHUSE{ A review of the septic design plan by Foresite Engineering Associates dated April 22, 2003 and received on May 5, 2003 has been completed. Unfortunately, the plan cannot be approved as submitted. The following items are in need of attention prior to plan approval: 1. The description of the C 1 soil horizon differs between the plan and Form 11. 2. Please provide an additional deep observation hole and percolation test in the reserve area. 3. Please provide additional detail regarding the road easement and demonstration that the overdig and grading needed for this septic system will not be impacted by the possible construction of this road. 4. The system profile should depict the 5' overdig shown on the site plan and also depict the requirement in Section 9.02 of the North Andover Board of Health Regulations for a minimum of 6" soil removal into the pervious horizon.. 5. Please provide a site plan which depicts the entire parcel boundaries 6. Please provide the names of owners of abutting properties 7. Please provide pump chamber float calculations to indicate adequacy of emergency storage. 8. Compliance with DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades is not demonstrated; compliance may be shown by including sieve analysis methodology, determination of soil compaction, Soil Evaluator's determination of soil type and class, and variance request. 9. Percolation test results done in 1978 cannot be used for this design since there is no information on the methodology employed and because of the test's distance from the proposed system, 10. The North Andover Board of Health cannot waive the DEP requirement for a variance to the percolation test. Please re -read the DEP information on this procedure and ascertain that the soil analysis was performed properly for this process. Additionally, while not a reason for disapproval, you may wish to consider switching the primary and reserve area in order to avoid the extensive tree removal required under this design. Please feel free to contact me with any questions you may have. Our office looks forward to working with you to obtain a replacement septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, �If " Sandra Starr, R.S., C.H.O. Health Director cc: Homeowner file Q h J 't i �11]Obd t OS• o Os- 5 os. b 5. E es. � s �5. p ps_ Y J� rE J �`�".R I I I SS I i I J W J 1f0 o f W c r�j I 4o ab o I ,• I i I I � I — IOEi rP = W d-3 r 0 ZN 4 O r �AIp01 i J'A CCI / I I 4,4co :y> �z�Fo MG t e[ r'S ✓' �i s j K � u Z i1 sto 3 u J� r �Z W ilk rn FS .i i r 93 i a CII I l \\\sCpf �.w%V r // .^�� � _1 _� / ) /• .OD9< .: ��A(:EN M3r:E1'.oc'S� I: /��^ I I ' J Q � >r r of �7 o o sp �"�'�^� Q uZ „� � ./\ _o°Q,�__'�.\ 9. ,�I /� �` f;• ;.y ,,,� W �3t _tet 1i Z u d -tt.tr Z m �vr 4 �4 � rt�•a N $ `\ � jlm \ \` /� ,i tiS•M1 •\..atr:: \� �p39O3 I°.> t> �, :n _ 1 \ •" .v+�\\ ,� /r j \ate---ey, •° � deo 3�� ��� Q W ^3.2x:(26✓ % / � I I 6U � d � y7 it J vQ y d o ek ib� 0 a� \ \� F y !'6 • � 2 '� � � vii � ; 8` F -61 W (b i � pj "a �e r9r. � •� *5 3 �.;/ si�r� .: , }} 3I GBNSeM, y'J ep /i�� �, 3 . i 5 a:\,:.BBB. is ddd L , ^ p'p Ny RR A g ms's. Vill e p 41W/ t \\ o ��, "88� W `.. � Ea°o° �• \ 8.` -011 s V4 9^xi' ^ y6i W ti � 5e O W \ kt P-4 - ti 3 9r•r W NFj(TO 03')�y TAL FRONTAGE 260. 1 OW a¢ Ox ________l �-Ref� �rj91G•ITC _ _ Snn Su `3.91.RILn )[vr7�T i� 04%02;03 WED 11:03 FAX 9786855900 CARLSON/GMAC RE r r,�0�19�I'�9y 29809 Farm Cv�w i OOn�nu�, Ina TB rl s..d h ...414 X14 Job No. F To s, &.I'- �o h� yco �, %r/rT�tz v ra; -rm : __ __r S" , e This pian was not prepared from an instrurnent survey- Offsets and dlsances shown should not be used to sstabllsh Ooparty lines. This plan is Intended for mortgage.purpoees only. I oeRity tW the structur® _;i—shown on this Plen In conformanoe with the zoning backs In effect at the Um' a of construction, I certify that the pe�cei shown is &Q �`— IwAged wlthtn a flood hazard area as depicted. on FEMA Flood In8urence Rate' Maps for Community No, , advo M . MORTGAGE LOAN INSPECTi0I4 LOCATION: izz SCALE:. �'� ' DA'« '✓� �� REGISTRY•_�Se'.w TITLE REFERENCE:,..,-,". RLAN REFERENCE:�..� Z COREY & DONAHUE. 'jNC. toga an a Soevgasa IU Cay 1poidle Real Weber KA 01191 I - /-j Amp e-mwacz-: C'At4's JOB.SS 7u 47LE I FORESITE ENGINEERING SHEET NO. CF 16 Gleasofidale Road Suite 1-1 STOW, MA 01775 CALCULATED BY DATE (078) 461-2350, CHECKED BY DATE RrAl F ..... ....... ..V.......... 1,0, L- �t: 1 ... ...... :— I- t-%Je7- vi 61 ............ 141 ................. ............. ............ ............. ........... . ......... . ............ ......... . ............. ........... .............. ............. 1> 15, .......... .............. ..... ... ....... ............ `ASO' ...... .......... m =C�.I—I Olm CIF =.:v I I. VVI 1 1 V �. in B 1-1 N; E: .: T TIME .N;.,.T 1' B SOIL7, I/V 11 IN i ;OL=. 710 N i S i .= OF -- - -I iNI_T TOWN OF NORTH ANDOVER BOARD OF HEALTH `7/'/� Location 5-6— %;47,ZZ 1 1. Permit # �L!ieGS'/%���`'• Food Service /� $ Retail Food �Jl $ Limited Retail of $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing $ Design Approval Permit $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ offal/Trash Hauler $ Other $ 6895 1.lea , Health Agent White - Applicant Yellow - Dept. Pink - Treasurer Town of North Andover, Massachusetts BOARD OF HEALTH DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �/L'-� /�l� �/y Test N Site Location 1:3-6 Reference Plans and Specs ENGINEER Form No. 2 19 Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN, BOARD OF HEALTH 10 Fee ���� Site System Permit No. �� � _.. ` V M ���-/ �,� � �.�' fy3�9�f ���: s' V SEPTIC PLAN SUBMITTAL FORM LOCATION: V 7;7,�e,7,—�-e NEW PLANS:YES $225.00/Plan Check #: (Includes 1 sr Re -Review nly) REVISED PLANS: YES $ 60.00/Plan Check #: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO DATE: �0 DATE TO CONSULTANT: i DESIGN ENGINEER: �c�.t°/rte �s�l�-, Telephone #: OFFICE USE ONLY When the submission is complete (including check): Ly Date stamp plans 2.✓ Complete the '; DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM form 3. !/ Attach file and route to the Health Director for review Applicant_ Site Location Engineer Town of North Andover, Massachusetts BOARD OF HEALTH APPLICATION FOR SITE TESTING/INSPECTION Test/Inspection Date and Time Form No. 1 19 �% CHAIRMAN, BOARD OF HEALTH c/! 9 Fee ©• Test No. �L S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. NORTH qA� Q�ZS LED 3`2 � 46 OL, i Town of North Andover, Massachusetts BOARD OF HEALTH APPLICATION FOR SITE TESTING/INSPECTION Applicant -.-- NAME r ` ADD Site Location Engineer Test/Inspection Date and Time Form No. 1 19 )S / I tLtPNUN ;S TFI FPHON CHAIRMAN, BOARD OF HEALTH T� Fee • Test No. A�l / �� �/ �7z S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. TOWN OF NORTH ANDOV R BOARD OF HEALTH r Z/// j Location Permit Food Service $ Retail Food $ Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing,--,*' $ Design Approval Perms $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ 6017 Health Agent White - Applicant Yellow - Dept. Pink - Treasurer BOARD OF HEALTH NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: ?-!.110-3 MAP & PARCEL:y '2_ S VA24Zai � LOCATION OF SOIL TESTS: g I y XT -LE L ez—A2I OWNER: G --E iz TEL. NO.: q78— ADDRESS: 78ADDRESS: ,63�_ % y J2: 1,[ ,�-A -Al Ats^a A_ _j j f Ani t7c+ �-e-t ENGINEER: New England Engineering TEL. NO.: 978-686-1768 CERTIFIED SOIL EVALUATOR: Richard C. Tangard and beniamiNC. osgood. Jr. Intended use of land: Residential Subdivision Ingle Family Home Commercial Is This: Repair testing V111— Undeveloped lot testing In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $200.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2: Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least -two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: L.- 47 MILL RIVER CONSULTING Septic System and Environmental Management Services 55 TURTLE LANE I am not sure what is going on here with the percolation test. It seems they couldn't perform one so a soil sample was taken to a lab, and they also indicated the percolation rate from an earlier test 25 years ago. The test from 25 years ago should be negated due to unknown methodology and location outside the current proposed soil absorption system area. The problem with the soil sample is that it was not analyzed properly and the methodology for not having a percolation test was not fully completed. They'll need a variance from your board and DEP for this, but they are missing some information in order to even obtain the variance. Unfortunately, it does not appear that the laboratory performed the soil analysis in accordance with DEP's policy. Once that information is submitted, it is also possible that the LTAR will change. Title 5 requires the designer to attempt to use trenches whenever possible due to their improved wastewater treatment. I inserted a note asking for an explanation, but it is not a requirement that they use trenches. The road easement will need to indicate that no soil can be removed which is in place for the purposes of the soil absorption system for 55 Turtle Lane without prior approval from your office. Otherwise when that road is built they might excavate the overdig and fill material on this plan. I doubt the easement currently says this so they'll likely need to have whoever is responsible for the easement agree to amend the wording and then show you a new version which has been recorded at the registry of deeds. Believe it or not, I had fun with these. Hope you enjoyed your time off. 420 Washington Street, Gloucester, Massachusetts 01930-1857 toll free 1.800.377.3044 978.282.0014 millriver@prodigy.net FORESITE Engineering Associates, Inc. 16 Gleasondale Road, Suite 1-1 Stow, Massachusetts 01775 Phone: (978) 461-2350 Fax: (978) 461-2352 Email: info@foresitel.com Web: www.foresitel.com Letter of Transmittal TO: Sandy Starr, RS, North Andover Board of Health "` ^ FROM: Scott Hayes, PE MAY — 5 2003 Contents 3 Copies Sewage Disposal System Design Plan for Lot 4 — 55 Turtle Lane 1 Copy Soil Logs and Sieve Analysis Notes At the time of testing the groundwater table made it impossible to perform a percolation test in the area of testing. A soil sample was taken and a sieve analysis was performed on the soil. The results of the analysis revealed a Class I soil. There is a percolation test in the front yard for which the existing leaching field was sized for. I have designed the proposed leaching facility to comply with North Andover Board of Health Regulations for new construction using the 10 MPI percolation test, providing a 900+ sq.ft. bed. I hope that this conservative design will suffice in lieu of a Title V variance for percolation testing. This will delay my clients for at least another month in the installation process. They wish to commence construction as soon as possible, as they are pumping the septic tank on a weekly basis. Please do not hesitate to contact me with any questions. Thanks, 16 MapQuest: Maps: map Page 1 of 2 • Address • Airport • ZIP Code • City • Area Code • Lat / Long • Road Atlas Key • Saved Maps What's Nearby Search for the nearest: Orbitz Travel Deals A Hotels: Save up to 70% on Orbitz Savers nationwide. 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ROUTE OVERVIEW: J http://www.mapquest.con/directions/main.adp?go=1 &do=nw&2ex=1 &src=maps&ct=NA... 8/12/2003 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 �:flARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Sandra Starr Public Health Director June 10, 2003 Scott P. Hayes Foresite Engineering Associates, Inc. 16 Gleasondale Road, Suite 1-1 Stow, MA 01775 RE: 55 Turtle Lane Map 106B, Lot 25 Dear Mr. Hayes: f NORTH 1 � Sulo ;bt �O sSACHUSE Telephone (978) 688-9540 FAX (978) 688-95.12 A review of the septic design plan by Foresite Engineering Associates dated April 22, 2003 and received on May 5, 2003 has been completed. Unfortunately, the plan cannot be approved as submitted. The following items are in need of attention prior to plan approval: 1. The description of the C 1 soil horizon differs between the plan and Form 11. 2. Please provide an additional deep observation hole and percolation test in the reserve area. 3. Please provide additional detail regarding the road easement and demonstration that the overdig and grading needed for this septic system will not be impacted by the possible construction of this road. 4. The system profile should depict the 5' overdig shown on the site plan and also depict the requirement in Section 9.02 of the North Andover Board of Health Regulations for a minimum of 6" soil removal into the pervious horizon.. 5. Please provide a site plan which depicts the entire parcel boundaries 6. Please provide the names of owners of abutting properties 7. Please provide pump chamber float calculations to indicate adequacy of emergency storage. 8. Compliance with DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades is not demonstrated; compliance may be shown by including sieve analysis methodology, determination of soil compaction, Soil Evaluator's determination of soil type and class, and variance request. 9. Percolation test results done in 1978 cannot be used for this design since there is no information on the methodology employed and because of the test's distance from the proposed system 10. The North Andover Board of Health cannot waive the DEP requirement for a variance to the percolation test. Please re -read the DEP information on this procedure and ascertain that the soil analysis was performed properly for this process. Additionally, while not a reason for disapproval, you may wish to consider switching the primary and reserve area in. order to avoid the extensive tree removal required under this design. Please feel free to contact me with any questions you may have. Our office looks forward to working with you to obtain a replacement septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Sandra Starr, R.S., C.H.O. Health Director cc: Homeowner file June 9, 2003 Edward Laubinger 55 Turtle Lane North Andover, MA 01845 RE: Septic Design Plan, 55 Turtle Lane, Map 106B, Lot 25 Dear Mr. Laubinger, A review of the septic design plan by Foresite Engineering Associates dated April 22, 2003 and received on May 5, 2003 has been completed. Unfortunately, the plan cannot be approved as submitted. The following items are in need of attention prior to plan approval: 1. Please explain why trenches were not utilized in the design. 2. The description of the C 1 soil horizon differs on the plan and Form 11. 3. Please provide an additional deep observation hole and percolation test in the reserve area. 4. Please provide additional detail regarding the road easement and demonstration that the overdig and grading needed for this septic system will not be impacted by the possible construction of this road. 5. The system profile should depict the 5' overdig shown on the site plan and also depict the requirement in Section 9.02 of the North Andover Board of Health Regulations for a minimum of 6" soil removal into the pervious horizon.. 6. Please provide a site plan which depicts the entire parcel boundaries 7. Please provide the names of owners of abutting properties 8. Please provide pump chamber float calculations to indicate adequacy of emergency storage. 9. Compliance with DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades is not demonstrated including sieve analysis methodology, determination of soil compaction, Soil Evaluator's determination of soil type and class, and variance request. Additionally, while not a reason for disapproval, you may wish to consider switching the primary and reserve area in order to avoid the extensive tree removal required under this design. Please feel free to contact me with any questions you may have. Our office looks forward to working with you to obtain a replacement septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Sandra Starr, R.S., C.H.O. Health Director cc: Foresite Engineering Associates file 27 Charles Street North Andover, MA 01845 Telephoned#(978) 688-9540 Fax%(978) 688-9542 To: From: Fax:9 7 0— T Com/ –4 46 Com-- Pages: Z i 0 Phone: Date: 3116 Re: CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Sandra Starr Public Health Director Robert Martins 55 Turtle Lane North Andover, MA 01845 Re: Confirmation of Title 5 Inspection Dear Mr. Martins: F NORTH 0 St4E0 �4♦ NO CHUS � . 9 Telephone (978) 688-9540 FAX (978) 688-9542 The North Andover Health Department has received and reviewed the inspection report that resulted from the inspection of your septic system on December 02, 2001. The DEP-approved system inspector has determined that your system was 44W deemed as "...failing to protect or threatening public health and safety or the environment..." as defined in Title 5 of the State Sanitary Code. After review of the inspection report, the Health Department has concurred with the inspector's report. In order to maintain your system in good condition, please conserve water, do not put medications, chemicals, paint or excess detergent into your septic system, and pump the septic tank at least every two to three years. Should you have any questions, please call the Health office at 978-688-9540 Monday through Friday from 8:30 to 4:30. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: File TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 CHARLES STREET NORTH. ANDOVER, MASSACHUSETTS 01.845 Sandra Starr Public Health Director June 10, 2003 Scott P. Hayes Foresite Engineering Associates, Inc. 16 Gleasondale Road, Suite 1-1 Stow, MA 01775 RE: 55 Turtle Lane Map 106B, Lot 25 Dear Mr. Hayes: f ttORTN 1 n SSACHUS Telephone (978) 688-9540 FAX (978) 688-9542 A review of the septic design plan by Foresite Engineering Associates dated April 22, 2003 and received on May 5, 2003 has been completed. Unfortunately, the plan cannot be approved as submitted. The following items are in need of attention prior to plan approval: 1. The description of the C 1 soil horizon differs between the plan and Form 11. 2. Please provide an additional deep observation hole and percolation test in the reserve area. 3. Please provide additional detail regarding the road easement and demonstration that the overdig and grading needed for this septic system will not be impacted by the possible construction of this road. 4. The system profile should depict the 5' overdig shown on the site plan and also depict the requirement in Section 9.02 of the North Andover Board of Health Regulations for a minimum of 6 soil removal into the pervious horizon.. 5. Please provide a site plan which depicts the entire parcel boundaries 6. Please provide the names of owners of abutting properties 7. Please provide pump chamber float calculations to indicate adequacy of emergency storage. 8. Compliance with DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades is not demonstrated; compliance may be shown by including sieve analysis methodology, determination of soil compaction, Soil Evaluator's determination of soil type and class, and variance request. 9. Percolation test results done in 1978 cannot be used for this design since there is no information on the methodology employed and because of the test's distance from the proposed system. 10. The North Andover Board of Health cannot waive the DEP requirement for a variance to the percolation test. Please re -read the DEP information on this procedure and ascertain that the soil analysis was performed properly for this process. Additionally, while not a reason for disapproval, you may wish to consider switching the primary and reserve area in. order to avoid the extensive tree removal required under this design. Please feel free to contact me with any questions you may have. Our office looks forward to working with you to obtain a replacement septic system that will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Sandra Starr, R.S., C.H.O. Health Director cc: Homeowner file FROM :UTS-OF-MA 100 90 53- 70 60 '1 Z 50 W w 40 a 30 20 10 C FAX NO. :781-1791880 Apr. 14 2003 05:06PM P2 GRAIN SIZE DISTRIBUTION TEST REPORT +3" 1 ? GRAVEL 0.0 2%.5 i3O 0.1 GRAIN SIZE - mn X SAND 7. SILT % CLAY SIEvE number eizo PERCENT SIEVE PERCENT FINER i ,nche� size � 83.0 1 100.0 20 0.75 95.6 40 64.3 50 58.4 100 GRAIN SIZE X60 0,324 24.5 03G j D10 0.01741 COEFrICIENTS I i O L. Cu p, 18.6 i3O 0.1 GRAIN SIZE - mn X SAND 7. SILT % CLAY SIEvE number eizo PERCENT FINER 4 83.0 10 77,5 20 71.5 40 64.3 50 58.4 100 42.1 200 24.5 UTS OF MAssnCHUSUTS , I hC . Richardson Leine Stanchom, MA 02180 O.G1 0.001 USCS L` PI Location-. *ON SI -E Description: • F -M SAND, SOME F -GRAVEL LIT -LE SILT, TRACE CLAY Remarks:7 #200 GNASH S 1 EVE L 1 Project No.: ~� Project: 55 TURTLE LANE, NORTH ANDOVER, MA, Date:. 4/14/2003 _` SUmplo No. 85x6 G�1 w 0cp �� 3 s .r � x► d ;� �° 7 Jh � ° � � r✓ti r Zd wd90: s0 COOZ t,; ads, esa :5Lz S'_l : ora XHA G�1 Bouyancy Calculations for Shea Model TK -1000 1000 GAL. Pump Chamber Assumptions : Unit weight of soil ys := 100 lb M- ft3 Given : SCOTT P. HAYES CIVIL Weight of Empty Tank w:= 87651b No. 17 Unit weight of water yw := 62.4 lb 3 NA ft Lenght of tank 1:= 8ft Width of tank b:= 5.17ft Bottom of Tank Elevation bot := 92.24 Groundwater Elevation GW := 95.0 Height of water on side of tank h:= GW - bot Cover over tank c := 1 ft h = 2.76 Bouyant force acting on tank Volume of water displaced by tank V:= I•b•h V = 114.154 ft Bouyant force acting on tank : B:= V•yw B = 7.123 x 103 lb ft 4 Total Upward Force U:= B U = 7.123 x 103 Ib ft Total vertical force acting downward : Volume of Soil over Tank: Vs := c•b-i Vs = 41.36ft3 Weight of soil acting on tank : Ws := ys•Vs Ws = 4.136 x 103 lb Total Downward Force D:=Ws+w D=1.29x10416 Since D is Greater than U; Tank will not experience heaving. Bouyancy Calculations for Shea Model TK -1500 1500 GAL. Septic Tank Assumptions : Unit weight of soil ys := 100 lb ft Given Weight of Empty Tank w:= 116701b Unit weight of water yw := 62.4 lb ft Lenght of tank I := 10.5ft Width of tank b := 5.7ft Bottom of Tank Elevation bot := 92.59 Groundwater Elevation GW := 95.0 Cover over tank c := 1 ft Bouyant force acting on tank Volume of water displaced by tank V:= I•b•h V = 144.238 ft Bouyant force acting on tank : B:= V•yw B =9x 103 lb t ft Total Upward Force U:=B U=9x 103 lb ft Height of water on side of tank h:= GW - bot h = 2.41 Total vertical force acting downward : Volume of Soil over Tank: Vs := ob-1 Vs = 59.85 ft Weight of soil acting on tank : Ws := ys•Vs Ws = 5.985 x 103 lb Total Downward Force D:= Ws+w D=1.766x 104lb Since D is Greater than U; Tank will not experience heaving. FORM 11 - SOIL EVALUATOR FORM Page 'i of 3 Location Address or Lot No, On-site -Review Deep Hole Number /. Date: /� Time:�� " Weather�'�"� Location (identify on site plan)r�'�! /. , Z''m7— Land Use .s '� ... Slope ("Yo) Surface Stones /� Vegetation'' Landform Pos'.tion on landscape (sketch on the back) Distances frorn: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG' I Depth from Surface (inches) Soil Horizon Sol[ Texture (VSDAi Soil color (Munsell) $oil Mottling Other i (Struetute, Stones, Boulders, Consistence, % Gravel) ly fYV w q�% L �7 b r tl Parent Material (geologic) DepthtoBedrock: DeethtoGroundwater. StandingWatatintheHole: Weeping from Pit pace: �r Estimated Seasonal High Ground 'Eater___ DBP APPROVED FOMI - W01/95 Uj/j1f2U6j 2u: 10 11b1Jd4h1Ib TANGARDR PAGE 04 FORM 11 - SOIL EVALUATOR FORM Page 2 or 3 1 nr•ulinn Arlrirncc nr i of Jn On-site Review Deep Hole Number Date: J Time: Weathers Location (iden�i y on site plan) 1�....' Land Use i . Slope (%) .--- Surface Stones ' ' Vegetation _�. Landform w Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG" f bepth from Surf8oe Cnchesi Soil Hvfizan Soil Texture (USDA) Soil Color (Munsall) Soil Mottling Other IStrucn.ue, Stones. Boulders, Consistency. 0% Gravel) 15 06 a 7 Parent hfaterial (geologic)4 // OepthtoBedrock: Dsoth to Groundwater: Standing Wates in rhe Hcle: G:? —5 Weeping front Pit Face: Estimat_d Seasonal High Ground Water: ))KP 1PPROVED FO"I • 1VU1,19$ UJl J1l GOVJ GU. It1 1+01.J3VC1110 Location Address or Lot Ido. _ I ANUAKL9'C MAUL ut FORAM 11 - SOIL EVALUATOR FORM Page 2 of 3 Oen-site Review Deep Naie Number Date:' +ime:/�' � Weather' Location (identify on site plan;�%�.,..�• Land Use ... S!ope M Surface Stones Vogetation ✓49 Landform Position on landscape (sketch on the barks O,starces from: Open Waier Body feet Drainage way feet Possible Wet Area feet Property -ine feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOO' � I I Depth 'rom SLOSU (,nchss) Sail Horizon I SO -I Texture WSDA) Soil Color (Munsell) Soil Mottling other (Strumure. Stones, Boulder;, Consistency, 56 Gravel) I Caw "10 - - nuivuv,vm yr G r1VLCJ r\C�iu1nGV h\1 CY6n1 rr Vr VJCu VJ.I.rVONL MnGM Parsnt Material (aaofogic) _ _ pepthtof3adrook: _. Deptt-to Gro.indwater: Standlrg Waterin the 46fl: 6-7 Weeping from Pit =ace: 4 7) Estimted 5easonal High Ground Water: DEP APPROVED FORM • 12,'07195 FORESITE ENGINEERING ASSOCIATES, INC. Town of North Andover Licenses and Permits SDS Application Fee 5/l/2003 2416 225.00 Citizens Bank 1240 - 55 Turtle Lane SDS App. 225.00 1 , I J ZZ W �ZW�O ,o2 u W M 1y�WwWk v SGF/ �2 of I I I Q I I Q I I W W I I � 1 , I J ZZ W �ZW�O u W M 1y�WwWk v SGF/ m ayhhv�a� m ffI u v SGF/ of I I I Q HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 Apr 08 2003 2:OOpm Last Transaction Date Time Type Identification Duration Pages Result Apr 8 1:58pm Fax Sent 819784612352 2:39 2 OK It �� �'�, �•^� P ✓ div A �✓ e' C2 A -6 Ct. �-1 E'er �s / �J ' c' �•/ TO: N Ap � '� E I" RD OF HEALTH,.-- * I o- Re: Soil Absorption Sewage FROM: SI�ENGINEER � 00 �10 System hspection This is to certify that I have in ected constr tion 94 the said dispo ' at 4'Ve North Andover, Mass. The grades and construction are as C3 C 7- d^' 19 76 fi i*n�my plans and specifications dated IN CP-O(AAJ b PLA IV 9 8G OF H• nitarian COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 55 Turde Lane North Andover Owner's Name: Bob Martins Owner's Address: 55 Turtle Lane North Andover Date of Inspection: 12/02/01 Name of Inspector: (please print) Jonathan Markey Company Name: _ Mailing Address: 17 Highland Terrace North Andover Telephone Number: (508) 395-7710 DEC 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: Inspector's Signatu Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Date: 12/02/01 The system inspector shall subthit 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: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12 02 01 Inspection Summary: Check A,B,CM or E / ALWAYS complete all of Section D A. System Passes: _®_ M I have not found any information which indicates that any of the failure criteria described in 310 CR 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 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): _❑_ broken pipe(s) are replaced _❑_ obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 55 Turtle Lane North Andover Owner: Sob Martins Date of Inspection: 12/02/01 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: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12 02 01 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 _❑_®_ Liquid depth in cesspool is less than 6" below invert or available volume is less than ''/z day flow _❑_®_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _❑�_ Any portion of the 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 l 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 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 _❑_ _Zl_ 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 Il 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: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12/02/01 Check if the following have been done. You must indicate `yes" or "no" as to each of the following: Yes No _®_ _❑_ Pumping information was provided by the owner, occupant, or Board of Health _❑_ _2_ Were any of the system components pumped out in the previous two weeks ? _®_ _❑_ Has the system received normal flows in the previous two week period ? _❑_ _®_ Have large volumes of water been introduced to the system recently or as part of this inspection ? N/A Were as built plans of the system obtained and examined? (If they were not available note as N/A) _❑ _®_ _❑_ Was the facility or dwelling inspected for signs of sewage back up ? _®_ _❑_ Was the site inspected for signs of break out ? _®_ _❑_ Were all system components, excluding the SAS, located on site ? _®_ _❑_ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? _®_ _❑—Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes no _®_ _❑_ 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) [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: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12/02101 FLOW CONDITIONS RESIDENTIAL 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): 440 Number of current residents: 2 Does residence have a garbage grinder (yes or no): NO Is laundry on a separate sewage system (yes or no): NO [if yes separate inspection required] Laundry system inspected (yes or no): _ Seasonal use: (yes or no): NO Water meter readings, if available (last 2 years usage (gpd)): A Sump pump (yes or no): _YES 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: Owner Was system pumped as part of the inspection (yes or no): NO If yes, volume pumped: _ gallons -- How was quantity pumped determined? _ Reason for pumping: _ TYPE OF SYSTEM _®_ Septic tank, distribution box, soil absorption system _El_ Single cesspool _0_ Overflow cesspool _n_ Privy _El_ Shared system (yes or no) (if yes, attach previous inspection records, if any) _R_ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) _0_ Tight tank _El_ Attach a copy of the DEP approval _El_ Other (describe): _ Approximate age of all components, date installed (if known) and source of information: System installed in 1976. System is approx. 25 years old. Design Plans on record Cal B.O.H. Were sewage odors detected when arriving at the site (yes or no): NO Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12 02 01 BUILDING SEWER (locate on site plan) Depth blow grade: 30" Materials of construction: _®_cast iron _❑ 40 PVC _[:]_other (explain): _ Distance from private water supply well or suction line: Comments (on condition of joints, venting, evidence of leakage, etc.): PVC plumbing in house in good condition. No evidence of leaking or staining. Vented normally through roof stack. SEPTIC TANK: _®_ (locate on site plan) Depth blow grade: 2' Material of construction: _®_concrete _❑_metal _[I fiberglass _❑_polyethylene _❑_other(explam)_ If tank is metal list age: Is age confirmed by a Certificate of Compliance (yes or no): (attach a copy of certificate) Dimensions: 8`L x VW x 4' eff. dept. ii Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: _33" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 14" How were dimensions determined: TJ = 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 and outlet concrete Baffles in good condition. Liquid level at outlet invert. No evidence of high water staining. Tank seems structurally sound with no leakage into or out of tank. No need for pumping at this time. 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: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12/02/01 TIGHT or HOLDING TANK: _❑_ (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: _ Material of construction: 11 --concrete _❑ metal —E]—fiberglass _❑_polyethylene _❑_other (explain): Dimensions: _ Capacity: gallons Design Flow: gallons/day Alarm present (yes or no): _ Alarm level: _ Alarm in working order (yes or no): _ Date of last pumping: _ Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: __N_ (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.): Uouid level at outlet inverts. No stainina or evidence of backup into box. Box seems structurally sound. PUMP CHAMBER: _❑_ (locate on site plan) Pumps in working order (yes or no): _ Alarms in working order (yes or no): _ Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12 02 01 SOIL ABSORPTION SYSTEM (SAS): _®_ (locate on site plan, excavation not required) If SAS not located explain why: Type _❑_ leaching pits, number: _ _❑_ leaching chambers, number: _ _❑_ leaching galleries, number: _ _❑_ leaching trenches, number, length: leaching fields, number, dimensions: (1) 45 x 20' _❑_ overflow cesspool, number: _ _❑_ innovative/alternative system Type/name of technology: _ Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Excavation of field revealed moist stone (not saturated) with no staining. No ponding of effluent present in observation pit dug through leaching bed to 4.5'. Overlying vegetation is consistent with that not over system. No ponding or breakout observed, no damp soil over system observed. This inspection revealed a healthy bion -at in the leaching bed, and that the system is functioning prooerly. 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: 55 Turtle Lane North Andover Owner: Bob Martins Date of Inspection: 12 02 01 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. t�-/I :.T L� �'SR- C- LL,J J I 5 �tl ire �- J 1 'I �~ TJ Q-7 L L L A tJ r, t Page 11 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 55 Tuttle Lane North Andover Owner: Bob Martins Date of Inspection: 12/02/01 SITE EXAM Slope 0% Surface water None Check cellar No staining or leakage. Sump pump is der r. Shallow wells None Estimated depth to ground water 4.2 feet Please indicate (check) all methods used to determine the high ground water elevation: _❑_ Obtained from system design plans on record - If checked, date of design plan reviewed: _ Observed site (abutting property/observation hole within 150 feet of SAS) _❑_ Checked with local Board of Health -explain: _ _❑_ Checked with local excavators, installers- (attach documentation) _❑_ Accessed USGS database -explain: _ You must describe how you established the high ground water elevation: Observation hole next to system revealed mottling (>5%) at W. Top of system is 3' below grade with a 6" bed therefore bed is not in estimated seasonal high groundwater. a TOWN OF NCRTH ANDOVER REPORT OF PERC TEST NORTH ANDOVER BOARD OF HEALTH ADDRESS OF SYSTEM 7/G / �� G % � -7 V91' _ DATE �,) NAME OF PROFESSIONAL ENGINEER OR SANITARIAN CONDUCTING TESTS zeec-a'li'O NAME OF LOT OWNER ADDRESS- _02� SHOW APPROXIMATE LOCATION OF PITS ON SKETCH ON REAR OF THIS SHEET Soil Lwl :�3/ Topsoil Subsoil Total _ g D the & s Water Level Pit Depth ` / /8'' �o'r ✓ p. _ rpt vC/tom �. cH its ` �0. (.t� -------------- Time to Time to Perc Te s Depth Saturation Time Drop 12+1 - 9f, Drop 9" - 6" Other Considerations:__,�_�,��aC�;�,�� Ile Recommendations:��r—SC? 0--� e✓�S !� E' C�'D•-� E G� G C-. l Signature __ TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: / SYSTEM OWNER & ADDRESS / �� x SYSTEM LOCATION (example: left front of house) �� /#�7 t:, DATE OF PUMPING: 1 /w� 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 LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: AND0%, -R/ COMMENTS: 7 CONTENTS TRANSFERRED TO: - TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Sandra Starr Public Health Director June 10, 2003 Scott P. Hayes Foresite Engineering Associates, Inc. 16 Gleasondale Road, Suite 1-1 Stow, MA 01775 RE: 55 Turtle Lane Map 106B, Lot 25 Dear Mr. Hayes: f NORTH O tt�e° .•••NO /O- A SSAC14 Telephone (978) 688-9540 FAX (978) 688-9542 A review of the septic design plan by Foresite Engineering Associates dated April 22, 2003 and received on May 5, 2003 has been completed. Unfortunately, the plan cannot be approved as submitted. The following items are in need of attention prior to plan approval: 1. The description of the C1 soil horizon differs between the plan and Form 11. 2. Please provide an additional deep observation hole and percolation test in the reserve area. 3. Please provide additional detail regarding the road easement and demonstration that the overdig and grading needed for this septic system will not be impacted by the possible construction of this road. 4. The system profile should depict the 5' overdig shown on the site plan and also depict the requirement in Section 9.02 of the North Andover Board of Health Regulations for a minimum of 6" soil removal into the pervious horizon.. 5. Please provide a site plan which depicts the entire parcel boundaries 6. Please provide the names of owners of abutting properties 7. Please provide pump chamber float calculations to indicate adequacy of emergency storage. 8. Compliance with DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades is not demonstrated; compliance may be shown by including sieve analysis methodology, determination of soil compaction, Soil Evaluator's determination of soil type and class, and variance request. 9. Percolation test results done in 1978 cannot be used for this design since there is no information on the methodology employed and because of the test's distance from the proposed system. 10. The North Andover Board of Health cannot waive the DEP requirement for a variance to the percolation test. Please re -read the DEP information on this procedure and ascertain that the soil analysis was performed properly for this process. Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETTS System Pumping Record Form 4 6. System Pumped By: fl I _ Name Vehicle License Nulqber Company 7. Location where contentsf �were disposed: Signature of Hauler Date hftp://www.mass.gov/dep/water/approvals/t5forms,htm#inspect t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 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 on the computer, use 7 J ��►�Tl.� only the tab key to move your cursor - do not Address use the return City/Town State Zip Code key. ey. 2. System Owner: Name — —SCA -0 — Address (if different from location) City/Town State Zip Code Telephone Number - B. Pumping. Record ba 1. Date of Pumping Date 2. Quantity Pumped: Gall 3. Type of system: ❑ Cesspool(s) VSeptic Tank ❑ ons Tight Tank ❑ 'Other (describe): 4. Effluent Tee Filter Yes ❑ No present? If yes, was it cleaned?es ❑ No 5. Condition of System:. q� 6. System Pumped By: fl I _ Name Vehicle License Nulqber Company 7. Location where contentsf �were disposed: Signature of Hauler Date hftp://www.mass.gov/dep/water/approvals/t5forms,htm#inspect t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 � Commonwealth of Massachusetts City/Town of w° System Pumping Record bVy Form 4 DEP has provided this form for use by local Boards of Health. OthZer!e be t9 ii, but he information must be substantially the same as that provided here.in this form, ch k with your local Board of Health to determine the form they use. The System ubmitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of hou , Left front of house ight front of house, Left rear of house, Right rear of house. Left rear of buil I g. Ig t rear of building. A Address City/Town l/ /State 2. System Owner: Name Address (f different from location) City/Town B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe): —f0-fv — 2. Quantity Pumped Septic Tank Date Cesspool(s) Zip Code State Zi Code �` -1:Lf0 Telephone Number Gallons ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes En -'No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: �) 0�aA�_ V, 6. System Pumped By: Neil Bateson Name Bateson Enterprises Inc Company 7.Locaf a contents were disposed: �. L i Lowell Waste Water of F5821 Vehicle License Number Date t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 loo 5 F41%, 5 N O N k W 4 W W h W 0 j O OO N O N k W © v � o. y o�� vo',E' - I✓�tv�r O � • 9 L 15 o I W oo;W�= �J V I i N O N k W M •f TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Sandra Starr Public Health Director Robert Martins 55 Turtle Lane North Andover, MA 01845 Re: Confirmation of Title 5 Inspection Dear Mr. Martins: NgRTM it � �q 4r • SS�CHus� Telephone (978) 688-9540 FAX (978) 688-9542 The North Andover Health Department has received and reviewed the inspection report that resulted from the inspection of your septic system on December 02, 2001. The DEP-approved system inspector has determined that your system was iv* deemed as "...failing to protect or threatening public health and safety or the environment..." as defined in Title 5 of the State Sanitary Code. After review of the inspection report, the Health Department has concurred with the inspector's report. In order to maintain your system in good condition, please conserve water, do not put medications, chemicals, paint or excess detergent into your septic system, and pump the septic tank at least every two to three years. Should you have any questions, please call the Health office at 978-688-9540 Monday through Friday from 8:30 to 4:30. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: File