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HomeMy WebLinkAboutMiscellaneous - 58 SALEM STREET 4/30/2018 (2) V� �� �`� t„. III l I I I � f kf �I • Town of North Andover O Rt�ao bgti0 Office of the Health Department Community Development and Services Division *so 27 Charles Street North Andover, Massachusetts 01845 S^CHUSE Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 May 15, 2001 Ms. Ruth Pearson 58 Salem Street No. Andover, MA 01845 Re: Sewer Tie-in Dear Ms. Pearson: The Health Department has been supplied with a list of all residences, currently on septic, which have access to the municipal sewer system Your property was listed as having access as of November 2000 due to the completion of the new sewer.in your area. This office was notified that you were sent information from the Department of Public Works informing you of your status and the tie-in regulation. As previously published at a Public Hearing on March 17, 1994, the Board of Health has adopted regulations concerning the required sewer tie-in. The following timetable concerning your property status was adopted: 4.1 All establishments that currently do not have municipal sewer available to them must connect to the sewer as soon as it becomes available, with a maximum time limit of six months. The purpose of these regulations is to safeguard North Andover's drinking water, surface waters, groundwater and surrounding environment. Sanitary sewer is believed to be the most effective form of wastewater treatment. A copy of the entire regulation can be obtained at our office. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 J Any questions concerning this regulation should be directed. to the Board of Health at (978) 688-9540. Additional inquiries regarding the physical tie-in and permitting process should be directed to the Department of Public Works at (978) 685-0950. Please be advised this Board intends to persevere in this regulation. Yours truly, Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John pizza, D.M.D., Member SF/sc Form 4 - ystem Pumping Record Commonwealth of Massachusets 9 4 - y m Pumping Record Massachusetts :i W -Form System Pumping Record SEP TOmN HEALTH DEPARfive T System Owner System Location T I h j r t h 1n6.v, rr MP. Type: Emergency Routine Cesspool: W v Yes Septic tank: w =Y-- F ZI Date of Pumping; 40%- Qua"Pumped: (,�Gallons System Pumped By: Wind Over Enwfmnental, LLC Permit X: Contents transferred to: Contents Disposed at: Date: Pumper Signature: Condition of System/Other Comments Dep Approved Form 12/07/95 Form 4 -- System Pumping Record Commonwealth of Massachusetss : Massachusetts System Pumping Record System Owner System Location TIM -",IMPS I TIM �d ;SALEM S T RI I-r '0, SALEM STREET' NW,TH ANYAD .R. M U1345 N T<ni ANWVER. M 01841 683•-0749 (bid) 68:3-0749 Type: Emergency Routine if Cesspool: W Yes Septic tank: Mo =Yes Date of Pumping: o (�� Quantity Pumped: �+ ��, Gallons System Pumped By: Wind River Envirminento% LLC Permit 7t: Contents transferred to: Contents Disposed at: Date: Pumper Signature: Condition of System/Other Comments Dep Approved from - 12/07/95 h��J 1 3 t - Town of North Andover NoRTI, OFFICE OF 3a°,' '1�0 COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street North Andover, Massachusetts 01845 �9SsgcHus�t�y WILLIAM J.SCOTT Director (978)688-9531 Fax(978)688-9542 December 27, 1999 Ruth J. Pearson 58 Salem Street North Andover, MA 01845 RE: Septic System at 58 Salem Street Dear Homeowner: The North Andover Health Department has received and reviewed the Title 5 Inspection Report that was generated from the inspection of your septic system on November 23, 1999. Your inspector has determined that your septic system conditionally passes the inspection. After reviewing the inspection report the Board of Health has determined that your septic system will pass the Title 5 inspection if the following is done: • Hire a Massachusetts Licensed Professional Engineer or Registered Sanitarian to draft a plan showing the changes to be made to the septic system. • Submit the plan to the Health Department for review and approval. • Hire a North Andover licensed septic installer to implement the changes to the system and obtain proper inspections by the Health Department. • Submit an as-built plan of the altered system to the Health Department. All of these steps are necessary because your installer recommends that the actual design of the existing septic system, that is, 3 distribution boxes with their accompanying lines, be changed to a single distribution box. This exceeds a simple replacement of broken lines or a D-box. In addition, if this property is to be sold, it will be necessary to notify the new owner at time of closing that: • a tie-in to municipal sewer is mandatory as soon as it becomes available; • the existing septic system must be re-evaluated for proper operation in six months after the sale and re-occupancy. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 f Please do not hesitate to call the Health Department office at 978-688-9540 between 8:30 AM and 4:30 PM Monday through Friday if you have any questions. Sincerely, Sandra Starr,R.S., C.H.O. Health Administrator Encl. P.E. list Septic brochure Cc: T. Chigas, Currier Septic BOH File ! � 2 U�-�.-, � ��'�r 5 est,y � b ��� � � � /�'�/�Fa TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: January 7 2000 This is to certify that the individual subsurface disposal system constructed () or repaired (X) by David Currier at 58 Salem Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. Three distribution boxes and connecting pipes only The Issuance of this certificate shall-not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector i APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 3 D — cf CURRENT INSTALLER'S LICENSE LOCATION: . 5,/p46 51 fe A� LICENSED INSTALLER: 2 L r SIGNAT r TELEPHONE,�9�� 24-1- 7� CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. rn S7'-' t TG J_C-f V\J Administrative Use Only 575.00 Fee Attached? Yes L/" No Foundation As-Built? des No Floor Plans? Yes No Approval � i/ Date: /�� a • Town of North Andover, Massachusetts Form No.3 S BOARD OF HEALTH NORTH ��- Ottt�ao 1P g2opa C� O p F ' +, •�,,.,;.•`� DISPOSAL WORKS CONSTRUCTION PERMIT Applicant TELEPHONE ' NAME ADDRESS Site Location Permission is hereby granted to Construct ( ) or Repair an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. S3,xe-s CHAIRMAN,BOARD OF HEALTH D.W.C. No. Fee •F r,. DATE INVOICE AMOUNT CURRIER SEPTIC & DRAIN, INC, x'716 t s _.. _ 2113 107 FDREST.STREET:-1; :- MIDDLETON MASSACHUSETTS 01949 NO _ 8880 isisl 774-27721i.,sAY - o 1 AMOUNTJ � = f>' DOLLARS I' ., —CHECK _ ° t `{ T i xQTHEOAyDEA OE , °' }1 ` DATE GAOSS—AT DIS000NT_. .-CHECK-AMOUNT-- �( •t° yt ����+�x �^:1Fri .• ✓ �_.-: ! // •`�'> tt a s'1 r•w i t,� ; 1;7 _•�Z 3 r g d ... 1 y.,.., dvw,- i...._.., ••��' acumm'runnaa 1- ..7— DANVERS SAVINGS BANK-ONE.CONANT STREET I f"`�DANVERS, MASSACHUSETTS-(817)717.2200 + AUTHORIZED SI II'0088801e,':4 2 It L 3 TA i6-21: =3 S :-.30 3 16 S11' r Town of North Andover t AORTk , OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover,Massachusetts 01845 �4Ssgc►+u01 s�t�y WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 December 27, 1999 Ruth J. Pearson 58 Salem Street North Andover, MA 01845 RE: Septic System at 58 Salem Street Dear Homeowner: The North Andover Health Department has received and reviewed the Title 5 Inspection Report that was generated from the inspection of your septic system on November 23, 1999. Your inspector has determined that your septic system conditionally passes the inspection. After reviewing the inspection report the Board of Health has determined that your septic system will pass the Title 5 inspection if the following is done: • Hire a Massachusetts Licensed Professional Engineer or Registered Sanitarian to draft a plan showing the changes to be made to the septic system • Submit the plan to the Health Department,for review and approval. • Hire a North Andover licensed septic installer to implement the changes to the system and obtain proper inspections by the Health Department. • Submit an as-built plan of the altered system to the Health Department. All of these steps are necessary because your installer recommends that the actual design of the existing septic system, that is, 3 distribution boxes with their accompanying lines, be changed to a single distribution box. This exceeds a simple replacement of broken lines or a D-box. In addition, if this property is to be sold it will be necessary to not' the new owner at P PertY � �Y �y time of closing that: • a tie-in to municipal sewer is mandatory as soon as it becomes available; • the existing septic system must be re-evaluated for proper operation in six months after the sale and re-occupancy. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Please do not hesitate to call the Health Department office at 978-688-9540 between 8:30 AM and 4:30 PM Monday through Friday if you have any questions. Sincerely, Sandra Starr,R.S., C.H.O. Health Administrator Encl. P.E. list Septic brochure Cc: T. Chigas, Currier Septic BOH File i i i I 107 FOREST STREET FILE # 112399A MIDDLETON,MA 01949 D (978)774-2772 / 0-p a, J :SEPTIC & DRAIN CURRIElt SERVICE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PROPERTY OWNER'S NAME: PEARSON PROPERTY ADDRESS: 58 SALEM ST.N.ANDOVER,MA ADDRESS OF OWNER: SAME (IF DIFFERENT) DATE OF INSPECTION: 23 NOV 1999 NAME OF INSPECTOR: THOMAS CHIGAS * THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY 107 FOREST STREET FILE# 112399A MIDDLETON,MA 01949 (978)774-2772 SEPTIC&DRAIN SERVICE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION PROPERTY ADDRESS:58 SALEM ST. NAME OF OWNER: PEARSON N.ANDOVER.MA ADDRESS OF OWNER: SAME DATE OF INSPECTION: 23 NOV 1999 NAME OF INSPECTOR: (PLEASE PRINT)THOMAS CHIGAS I AM A DEP APPROVED INSPECTOR PURSUANT TO SECTION 15.340 OF TITLE 5 (3 10 CMR 15.000) COMPANY NAME: CURRIER SEPTIC &DRAIN MAILING ADDRESS: 107 FOREST STREET; MIDDLETON. MA 01949 TELEPHONE NUMBER: (978) 774-2772 CERTIFICATION STATEMENT I CERTIFY THAT I HAVE INSPECTED THE SEWAGE DISPOSAL SYSTEM AT THIS ADDRESS AND THAT THE INFORMATION REPORTED BELOW IS TRUE,ACCURATE AND COMPLETE AS OF THE TIME OF INSPECTION. THE INSPECTION WAS PREFORMED BASED ON MY TRAINING AND EXPERIENCE IN THE PROPER FUNCTION AND MAINTENANCE OF ON-SITE SEWAGE DISPOSAL SYSTEM. THE SYSTEM: PASSES YES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS e INSPECTOR'S SIGNATURE: DATE: 23 NOV 1999 THE SYSTEM INSPECTOR SHALL SUBMIT A COPY OF T61S INSPECT/N REPORT TO THE APPROVING AUTHORITY(BOARD OF HEALTH OR DEP) WITHIN THIRTY(30)DAYS OF COMPLETING THIS INSPECTION. IF THE SYSTEM IS A SHARED SYSTEM OR HAS A DESIGN FLOW OF 10,000 GALLON GPD OR GREATER,THE INSPECTOR AND THE SYSTEM OWNER SHALL SUBMIT THE REPORT TO THE APPROPRIATE REGIONAL OFFICE OF THE DEPARTMENT OF ENVIRONMENTAL PROTECTION. THE ORIGINAL SHOULD BE SENT TO THE SYSTEM OWNER AND COPIES SENT TO THE BUYER,IF APPLICABLE,AND THE APPROVING. NOTES AND COMMENTS: NEED TO REPIPE OUTLETS LINES TO THE CLAY LEACHLINES AND REPLACE D-BOX.AND OUTLET TEE THERE ARE THREE D-BOXES IN PLACE IN POOR CONDITION,THE OUTLET LINES CAN BE REPIPED INTO ONE D- BOX AND TIE IT INTO THE TANK. REVISED 9/2/98 PAGE 1 OF 11 A SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST. OWNER:PEARSON DATE OF INSPECTION:23 NOV 1999 INSPECTION SUMMARY: CHECK A, GB C, OR D: A. SYSTEM PASSES: N I HAVE NOT FOUND ANY INFORMATION,WHICH INDICATES THAT ANY OF THE FAILURE CONDITIONS DESCRIBED IN 310 CMR 15.303 EXIST. ANY FAILURE CRITERIA NOT EVALUATED ARE INDICATED BELOW. COMMENTS: B. SYSTEM CONIDTIONALLY PASSES: YESONE 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. INDICATE YES,NO,OR NOT DETERMINED(Y,N,OR ND). DESCRIBE BASIS OF DETERMINATION IN ALL INSTANCES. IF NOT DETERMINED",EXPLAIN WHY NOT. N THE SEPTIC TANK IS METAL,UNLESS THE OWNER OR OPERATOR HAS PROVIDED THE SYSTEM INSPECTOR WITH A COPY OF A CERTIFICATE OF COMPLIANCE(ATTACHED)INDICATING THAT THE TANK WAS INSTALLED WITHIN TWENTY(20)YEARS PRIOR TO THE DATE OF THE INSPECTION;OR THE SEPTIC TANK,WHETHER OR NOT METAL,IS CRACKED, STRUCTURALLY UNSOUND, SHOWS SUBSTANTIAL INFILTRATION OR EXFILTRATION,OR TANK FAILURE IS IMMINENT. THE SYSTEM WILL PASS INSPECTION IF THE EXISTING SEPTIC TANK IS REPLACED WITH A COMPLYING SEPTIC TANK AS APPROVED BY THE BOARD OF HEALTH. YES SEWAGE BACKUP OR BREAKOUT OR HIGH STATIC WATER LEVEL OBSERVED IN THE DISTRIBUTION BOX IS DUE TO BROKEN OR OBSTRUCTED PIPE(S)OR DUE TO A BROKEN, SETTLED OR UNEVEN DISTRIBUTION BOX. THE SYSTEM WILL PASS INSPECTION IF(WITH APPROVAL OF THE BOARD OF HEALTH). ISI YES BROKEN PIPE(S)ARE REPLACED THE OUTLET TEE BAFFLE NEEDS N OBSTRUCTION IS REMOVED REPLACING. YES DISTRIBUTION BOX IS LEVELLED OR REPLACED N THE SYSTEM REQUIRED PUMPING MORE THAN FOUR TIMES A YEAR DUE TO BROKEN OR OBSTRUCTED PIPE(S). THE SYSTEM WILL PASS INSPECTION IF(WITH APPROVAL OF THE BOARD OF HEALTH): N BROKEN PIPE(S)ARE REPLACED N OBSDTRUCTION IS REMOVED REVISED 9/2/98 PAGE 2 OF 11 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST. OWNER:PEARSON DATE OF INSPECTION:23 NOV 1999 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: NRE CONDITIONS EXIST WHICH UIRE FURTHER EVALUATION BY THE BOARD OF HEALTH IN ORDER TO _ Q DETERMINE IF THE SYSTEM IS FAILING TO PROTECT THE PUBLIC HEALTH, SAFETY AND 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 THE PUBLIC HEALTH AND SAFETY AND THE ENVIRNONMENT: N/A CESSPOOL OR PRIVY IS WITHIN 50 FEET OF SURFACE WATER N/A 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 AND SAFETY AND THE ENVIRONMENT: N THE SYTEM 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. N THE SYTEM HAS A SEPTIC TANK AND SOIL ABSORPTION SYSTEM AND THE SAS IS WITHIN A ZONE I OF PUBLIC WATER SUPPLY WELL. N THE SYSTEM HAS A SEPTIC TANK AND SOIL ABSORPTION SYSYTEM AND THE SAS IS WITHIN 50 FEET OF A PRIVATE WATER SUPPLY WELL. N THE SYSTEM HAS A SEPTIC TANK AND SOIL ABSORPTION SYSYTEM AND THE SAS IS LESS THAN 100 FEET BUT 50 FEET MORE FROM A PRIVATE WATER SUPPLY WELL, UNLESS A WELL WATER ANALYSIS FOR COLIFORM BACTERIA AND VOLATILE ORGANIC COMPOUNDS NDICATES 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. METHOD USED TO DETERMINED DISTANCE (APPROXIMATION NOT VALID). 3) OTHER: N/A I REVISED 9/2/98 PAGE 3 OF 11 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST. OWNER:PEARSON DATE OF INSEPCTION:23 NOV 1999 D. SYSTEM FAILS: YOU MUST INDICATE EITHER"YES"OR"NO"TO EACH OF THE FOLLOWING: N I HAVE DETERMINED THAT ONE OR MORE OF THE FOLLOWING FAILURE CONDITIONS EXIST AS DESCRIBED IN 310 CMR 15.303. THE BASIS FOR THIS DETERMINATION IS IDENTIFIED BELOW. THE BOARD OF HEALTH SHOULD BE CONTRACTED TO DERTERMINE WHAT WILL BE NECESSARY TO CORRECT THE FAILURE. YES NO N BACKUP OF SEWAGE INTO FACILITY OR SYSTEM COMPONENT DUE TO AN OVERLOADED OR CLOGGED SAS OR CESSPOOL. N DISCHARGE OR PONDING OF EFFLUENT TO THE SURFACE OF THE GROUND OR SURFACE WATERS DUE TO AN OVERLOADED OR CLOGGED SAS OR CESSPOOL. N STATIC LIQUID LEVEL IN THE DISTRIBUTION BOX ABOVE OUTLET INVERT DUE TO AN OVERLOADED OR CLOGGED SAS OR CESSPOOL. N/A LIQUID DEPTH IN CESSPOOL IS LESS THAN 6'BELOW INVERT OR AVAILABLE VOLUME IS LESS THAN /2 DAY FLOW. N REQUIRED PUMPING MORE THAN 4 TIMES IN THE LAST YEAR NOT DUE TO CLOGGED OR OBSTRUCTED PIPE(S). NUMBER OF TIMES PUMPED N ANY PORTION OF THE SOIL ABSORPTION SYSTEM, CESSPOOL OR PRIVY IS BELOW THE HIGH GROUNDWATER ELEVATION. N/A ANY PORTION OF A CESSPOOL OR PRIVY IS WITHIN 100 FEET OF A SURFACE WATER SUPPLY OR TRIBUTARY TO A SURFACE WATER SUPPLY. N/A ANY PORTION OF A CESSPOOL OR PRIVY IS WITHIN A ZONE I OF A PUBLIC WELL. N/A ANY PORTION OF A CESSPOOL OR PRIVY IS WITHIN 50 FEET OF A PRIVATE WATER SUPPLY WELL. N/A ANY PORTION OF A CESSPOOL OR PRIVY IS LESS THAN 100 FEET BUT GREATER THAN 50 FEET FROM A PRIVATE WATER SUPPLLY WELL WITH NO ACCEPTABLE WATER QUALITY ANALYSIS. IF THE WELL HAS BEEN ANALYZED TO BE ACCEPTABLE,ATTACH COPY OF WELL WATER ANALYSIS FOR COLIFORM BACTERIA,VOLATILE ORGANIC COMPOUNDS,AMMONIA NITROGEN AND NITRATE NITROGEN. E. LARGE SYSTEM FAILS: MUST INDICATES EITHER"YES"OR"NO"TO EACH OF THE FOLLOWIN E FOLLOWING CRITRTIA APPLY TO LARGE SYSTEMS IN ADD ON TO THE CRTERIA ABOVE: N THE SYST ERVES A FACILITY WITH A DESIGN FL OF 10,000 GPD OR GREATER(LARGE SYSTEM) AND THE SYSTEM IS A IFICANT THREAT TO PUBLI ALTH AND SAFETY AND THE ENVIRONMENT BECAUSE ONE OR MORE OF OLLOWING CO ONS EXIST: YES NO THE SYSTEM IS WIT 400 FEE A SURFACE DRINKING WATER SUPPLY THE SYSTEM I ITHIN 200 FEET OF A UTARY TO A SURFACE DRINKING WATER SUPPLY THE SYS S LOCATED IN A NITROGEN SE VE AREA(INTERIM WELLHEAD PROTECTION AREA-IWPA A MAPPED ZONE II OF A PUBLIC WATER S Y WELL THE OWN OR OPERATOR OF ANY SUCH SYSTEM SHALL UPGRADE THE SYS IN ACCORDANCE WITH 310 CMR . 04(2).PLEASE CONSULT THE LOCAL REGIONAL OFFICE OF THE DEPARTME OR FURTHER ORMATION. REVISED 9/2/98 PAGE 4 OF 11 > I SUBSURFACE SEWAGE DISPOSAL SYSTEM INPSECTION FORM PART B CHECKLIST PROPERTY ADDRESS:58 SALEM ST. OWNER:PEARSON I DATE OF INSPECTION:23 NOV 1999 CHECK IF THE FOLLOWING HAVE BEEN DONE: YOU MUST INDICATE EITHER"YES"OR"NO"AS TO EACH OF THE FOLLOWING: YES NO Y PUMPING INFORMATION WAS PROVIDED BY THE OWNER, OCCUPANT, OR BOARD OF HEALTH. Y NONE ON THE SYSTEM COMPONENTS HAVE BEEN PUMPED FOR AT LEAST TWO WEEKS AND THE SYSTEM HAS BEEN RECEIVING NORMAL FLOW RATES DURING THAT PERIOD. LARGE VOLUMES OF WATER HAVE NOT BEEN INTRODUCED INTO THE SYTEM RECENTLY OR AS PART OF THIS INSPECTION. Y AS BUILT PLANS HAVE BEEN OBTAINED AND EXAMINED.NOTE IF THEY ARE NOT AVAILABLE WITH N/A. Y THE FACILITY OR DWELLING WAS INSPECTED FOR SIGNS OF SEWAGE BACK-UP. Y THE SYSTEM DOES NOT RECEIVE NON-SANITARY OR INDUSTRIAL WASTE FLOW. Y THE SITE WAS INSPECTED FOR SIGNS OF BREAKOUT. Y ALL SYSTEM COMPONENTS,EXCLUDING THE SOIL ABSORPTION SYSTEM HAVE BEEN LOCATED ON THE SITE. Y THE SEPTIC TANK MANHOLES WERE UNCOVERED, OPENED,AND THE INTERIOR OF THE SEPTIC TANK WAS INSPECTED FOR CONDITION OF BAFFLES OR TEES,MATERIAL OF . CONSTRUCTION,DIMENSIONS,DEPTH OF LIQUID,DEPTH OF SLUDGE, DEPTH OF SCUM. THE SIZE AND LOCATION OF THE SOIL ABSORPTION SYSTEM ON THE SITE HAS BEEN DETERMINED BASED ON: Y EXISTING INFORMATION. FOR EXAMPLE,PLAN AT B.O.H. Y DETERMINED IN THE FIELD(IF ANY OF THE FAILURE CRITERIA RELATED TO PART C IS AT ISSUE,APPROXIMATION OF DISTANCE IS UNACCEPTABLE) [15.302(3)(b)] Y THE FACILITY OWNER(AND OCCUPANTS, IF DIFFERENT FROM OWNER)WERE PROVIDED WITH INFORMATION ON THE PROPER MAINTENANCE OF SUBSURFACE DISPOSAL SYSTEMS. REVISED 9/2/98 PAGE 5 OF 11 SUBURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION PROPERTY ADDRESS:58 SALEM ST. OWNER:PEARSON DATE OF INSPECTION:23 NOV 1999 FLOW CONDITIONS RESIDENTIAL: DESIGN FLOW:330G.P.D./BEDROOM. NUMBER OF BEDROOMS(DESIGN): 3 NUMBER OF BEDROOMS(ACTUAL): 3 TOTAL DESIGN FLOW: 330 NUMBER OF CURRENT RESIDENTS: 1 GARBAGE GRINDER(YES OR NO):NO LAUNDRY(SEPARATE SYSTEM)(YES OR NO): YES;IF YES, SEPARATE INSPECTION REQUIRED LAUNDRY SYSTEM INPECTED(YES OR NO):YES SEASONAL USE(YES OR NO):NO WATER METER READINGS,IF AVAILABLE(LAST TWO YEAR'S USAGE(GPD): 55,352 FOR TWO YRS USAGE. SUMP PUMP(YES OR NO):NO LAST DATE OF OCCUPANCY: CURRENT COMMERCIAL/INDUSTRIAL: E OF ESTABLISHMENT: DES FLOW: GPD(BAESED ON 15.2 BASIS O SIGN FLOW: GREASE TRA SENT(YES OR INDUSTRAIL WAS HOLD ANK PRESENT(YES OR NO): NON-SANITARY WAS CHARGED TO THE TITLE 5 SYSTEM(YES OR NO): WATER METER RE GS, AVAILABLE: LAST DATE OF CUPANCY: OTH (DESCRIBE): ST DATE OF OCCUPANCY: GENERAL INFORMATION PUMPING RECORDS AND SOURCE OF INFORMATION: SYSTEM PUMPED AS PART OF INSPECTION(YES OR NO):NO IF YES,VOLUME PUMPED:N/A GALLONS REASON FOR PUMPING:WILL NEED TO BE PUMPED,DURING TIME OF REPAIR. TYPE OF SYSTEM YES SEPTIC TANK/DISTRIBUTION BOX/SOIL ABSORPTION SYSTEM N_ SINGLE CESSPOOL N_ OVERFLOW CESSPOOL N PRIVY N SHARED SYSTEM(YES OR NO)(IF YES,ATTACH PREVIOUS INSPECTION RECORDS,IF ANY) N I/A TECHNOLOGY ETC. ATTACH COPY OF UP TO DATE OPERATION AND MAINTENANVE CONTRACT TIGHT TANK COPY OF DEP APPROVAL OTHER:N/A APPROXIMATE AGE OF ALL COMPONENTS,DATE INSTALLED(IF KNOWN)AND SOURCE OF INFORMATION: INSTALLED IN 1962TAPER WORK AND OWNER SEWAGE ODORS DETECTED WHEN ARRIVING AT THE SITE(YES OR NO):NO REVISED 9/2/98 PAGE 6 OF 11 SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C SYSTEM INFORMATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST.,N.ANDOVER OWNER:PEARSON DATE OF INSPECTION:NOVEMBER 23, 1999 BUILDING SEWER: (LOCATE ON THE SITE PLAN) DEPTH BELOW GRADE: 23" MATERIAL OF CONSTRUCTION: YES CAST IRON 40 PVC OTHER(EXPLAIN) DISTANCE FROM PRIVATE WATER SUPPLY WELL OR SUCTION LINE:N/A DIAMETER:4" COMMENTS: (CONDITION OF JOINTS,VENTING,EVIDENCE OF LEAKAGE,ETC.) NO SIGNS OF LEAKAGE IN OR OUT,SOILS ARE CLEAN AND DRY. SEPTIC TANK: YES (LOCATE ON SITE PLAN) DEPTH BELOW GARDE: 14' MATERIAL OF CONSTRUCTIOMYESCONCRETE METEL FIBERGLASS POLYETHYLENE OTHER (EXPLAIN): IF TANK IS METAL,LIST AGE IS AGE CONFIRMED BY CERTIFICATE OF COMPLIANCE(YES/NO) DIMENSIONS: 6'D X 6'H OUTLET INVERT @ 5'= 1000 GAL SLUDGE DEPH: 8" DISTANCE FROM TOP OF SLUDGE TO BOTTOM OF OUTLET TEE OR BAFFLE:N/A SCUM THICKNESS: <1" DISTANCE FROM TOP OF SCUM TO TOP OF OUTLET TEE OR BAFFLE:N/A DISTANCE FROM BOTTOM OF SCUM TO BOTTON OF OUTLET TEE OR BAFFLE:N/A HOW DIMENSIONS WERE DETERMINED: SLUDGE JUDGE;ROD,RULER COMMENTS: (RECOMMENDATION FOR PUMPING,CONDITION OF INLET AND OUTLET TEES OR BAFFLES,DEPTH OF LIQUID LEVEL IN REALTION TO OUTLET INVERT, STRUCTURAL INTEGRITY,EVIDENCE OF LEAKAGE,ETC.)THE OUTLET TEE BAFFLE IS MISSING,SMALL SIGN OF DECAY IN AROUND OUTLET AREA.THE LIQUID LEVEL IS na NORMAL HIGHT.NO SIGNS OF LEAKAGE IN OR AROUND TANK.SOILS ARE CLEAN AND DRY. GREASE TRAP: _N CATE ON SITE PLAN) DEPTH B W GRADE: MATERIAL OF STRUCTION: CONCRETE AL FIBERGLASS POLYETHLENE OTHER (EXPLAIN) DIMENSIONS: SCUM THICKNESS: DISTANCE FROM TOP OF SCUM F OUTLET TEE OR BAFFLE: DISTANCE FROM BOTTOM CUM TO BO N OF OUTLET TEE OR BAFFLE: DATE OF LAST PUMP COMMEN (RE C ENDATION FOR PUMPING,CONDITION OF INLET AND ET TEES OR BAFFLES,DEPTH OF LIQUID EL IN REALTION TO OUTLET INVERT, STRUCTURAL INTEGRITY,E NCE OF LEAKAGE,ETC.) REVISED 9/2/98 PAGE 7 OF 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST.,N.ANDOVER OWNER:PEARSON DATE OF INSPECTION:NOVEMBER 23 1999 TIGHT OR HOLDING TANK:N(TANK MUST BE PUMPED PRIOR TO,OR TIME OF,INSPECTION) CATE ON SITE PLAN) DEPTH B W GRADE: MATERIAL OF C TRUCTION: CONCRETE AL FIBERGLASS POLYETHYLENE OTHER (EXPLAIN) DIMENSIONS: CAPACITY: GALLONS DESIGN FLOW: GALLO AY ALARM PRESENT: ALARM LEVEL: LARM IN WORKING ORD YES NO DATE OF PREV S PUMPING: COMMENT . (COND ON OF INLET TEE, CONDITION OF ALRM AND FLOAT S CHES,ETC.) DISTRIBUTION BOX: YES (LOCATE ON SITE PLAN) DEPTH OF LIQUID LEVEL ABOVE OUTLET INVERT: 0" COMMENTS: (NOTE IF LEVEL AND DISTRIBUTION IS EQUAL,EVIDENCE OF SOLIDS CARRYOVER,EVIDENCE OF LEAKAGE INTO OR OUT OF BOX,ETC.) ALL THREE D-BOXES ARE SHOWING SIGNS OF LEAKAGE AND DECAY.SOILS ARE DAMP AND CLEAMALL THREE BOXES ARE IN POOR CONDITION. PUMP CHAMBER:_N OCATE ON SITE PLAN) PUMPS IN ING ORDER OR NO): ALARMS IN WO ER(YES OR NO): COMMENTS: (NOTE ITIONS OF PUMP C BER, CONDITION OF PUMPS AND APPURTENANCES, ETC.) REVISED 9/2/98 PAGE 8 OF 11 . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST.,N.ANDOVER OWNER:PEARSON DATE OF INSPECTION:NOVEMBER 23 1999 SOIL ABSORPTION SYSYEM(SAS): YES (LOCATE ON SITE PLAN,IF POSSIBLE;EXCAVATION NOT REQUIRED,LOCATION MAY BE APPROXIMATED BY NON-INTRUSIVE METHODS) IF NOT LOCATED,EXPLAIN: TYPE: LEACHING PITS,NUMBER: LEACHING CHAMBERS,NUMBER: LEACHING GALLERIES,NUMBER: LEACHING TRENCHES,NUMBER,LENGTH: LEACHING FIELDS,NUMBER,DIMENSIONS: THREE CLAY LEACHLINES.90'L X 30'W OVERFLOW CESSPOOL,NUMBER: ALTERNATIVE SYSTEM: NAME OF TECHNOLOGY: COMMENTS: (NOTE CONDITION OF SOIL,SIGNS OF HYDRAULIC FAILURE,LEVEL OF PONDING,DAMP SOIL,CONDITION OF VEGETATION,ETC.) THE SOILS ARE CLEAN AND DRY.NO SIGNS OF HYDRAULIC FAILURE IN OR OUT THE CLAY LINES ARE IN GOOD CONDITION NO SIGNS OF DECAY.NO SIGN OF WETLAND VEGETATION IN OR AROUND S.A.S. CESSPOOL: N CATE ON SITE PLAN) NUMBS ND CONFIGURATION: DEPTH-TOP LIQUID TO INLET INVERT: DEPTH OF SOIL AYER: DEPTH OF SCUM L ER: DIMENSIONS OF CESS OL: MATERIALS OF CONSTRU O INDICATION OF GROUNDW INFLOW(CESSP MUS E PUMPED AS PART OF INSPECTION) COMMEN (NOTE NDITION OF SOIL,SIGNS OF HYDRAULIC FAIL LEVEL OF PONDING,CONDITION OF VEGETATION,ETC.) PRIVY:_N TE ON SITE PLAN) MATERIALS O STRUCTIO DIMENSIONS: DEPTH SOLIDS: COMMENTS: (NOTE COND N OF SOIL,SIGNS OF HY LIC FAILURE,LEVEL OF PONDING,CONDITION OF VEGETATION,ETC.) REVISED 9/2/98 PAGE 9 OF 11 #1. 1 t a y u SSURFAC SEWA c � F r� GE DI, SAL SYSTEM%INSPECTION I2M z ;1 F•k L' u T r i e. t�,+ s e ` 1.;,,T )) ;•` .�u a R 1 C a y�. x;�r 4•;: .,, , +rt ' �tx ky �C . SYSTEM ,f G TION(CONI T�L D �' s. k j L y � uk,. T i t,r thS4 PROPERLY ADARBSS 5$�EM,T•N•i4NDOVE?? }moi �c �• T �f� Rg' OWNER PEAR DATE OFIdNSPECTIO\ N ; a cMB1 R 23�1�.29 '4=. k,. .•' yam'. ;r9 .'. z*?'�`� �. SKETCIi OF SE« AGE;DISPOSAL'SYSTEM aINCLUDE.TI hS Tc0 AT I EAST TWO PERMNI. DEFERENCE LANDMARKS OR BENCHMARKS s$ LOCATEAI L WELLS WITHIN-I00' (LOCf E ' ;RE'PUBLIC W-A' R,SUPPLY..COMES IN. O.HOUSE) r � • -- r �44 ( I >Ar€ r s n'.. ^ „vt- II :ICi�t tJVd / 9.r girt4r r K. jr 1 t,q {rt'. "+t 45. .� 3; •" f rr`� S9L T I2 �I � '� FCR f''S i ,•`�' � 1 {xk 4y�: t� t r I 's r•, t• 1� a'S . s\ .it h •!,. '4 t il. (Vn) El i 1 f`t at. {�l -r•�19V'11c7si l�� �t4, 3. Y t =t r ".`7* .vs•f a ' - r +i l+ s.; J is - t >;k, F rdF''• els . 4I�4.', LUCK •Of EX(Yfl vy. r �' t:: r;;. II .y z _r--r r tx 7 x.�f 4 F n ^{P. }✓' 1}t ,�Pry`.v r� y2x 7�T7"r' ti�—r .a t t� .�' `R�x. t r�, � t'f �• a �� .•Er.9 3, 4 t*� ( tr *. S I'r',, ,; t r zE (Arxt t - }r rxt xkn J+•r ': b4 BA n!p y 4�i r }t ` 7C `� �i�ll 7. �>,F�a ° t °i "�•-] •��,:/ + �,� ds . . ..y�t� ,?k w'f _ �CUti r rn r &D ""•IsT��! �f����� ,� �o'Z�� {z / ��'' ,a �41a + 1 �`ftGlt �p�e ¢ Spirr�l;spp6', r i JI 11 ,.Ffes•. l.. {- 1',1:•1 AI � i .. CF Y Crly I � o t> ,. 1J / r4 jTr -' ` ���r '")✓ 1y ( r+^;�'�j S„ �f�.lr�rl L= r��� r' y t RE,ISED'9/2/98 <44'�•r7! ^ r f`•, ". f GGLEPHO)+iG-MUROOCK 6.4624 REG.PROF. ENGWL'ER 8•5100 3 . REG. LAND SURVEYOR .._ - _;, ,; v '" h;, t '•; - `.MUM. D. S. C. E. • .rt'. f ..-� rs _ K,r. �� k MSM.'AM.CONC. I NST. tHARLES E. CYR Z_464GINEER AND SURVEYOR 2. W ENCS. MASSACHUSETTS 300 Canal,Ztre et Sty °v s > s• V' �.s..._ "`^ :i ... __. .• '' t - . , •, .,� „dW s r blay 14, 1962 r 'Ia, iobn'A. `Pearson , 66 Salem Street ' At.1i Andover s DeArMMr.. Pearson: f you 'requested, I conducted A%.. percolation test on your. lot on 'Salem Street; North Andover, Md sachusetts. Tune to the type of soil -and ihol 'topo�aphy of the land, it is not possi- •bl tok°construct an ordinary-4Lsposal field. I recommend that an area approximately 30 feet by 90 feet be stripped of ` .oamjrga4"�`�'CC8v3i:e"Gc 3�f'tLta�":4 r .i�►':'...rtil 3uul� b�: approximate .rT2 `fdE t`! bc- low tae. proposed basement. flpor level. The excavated material shall be used t'o fotm; a dike 'with •a-;caval'_top, 4 feet above the bottom -of the hole eidr fi feet in width. ` ,Tajor axis of the excavated area shall be parall-61 the', existing contours: The area shall be filled with 3 feet of approved ,bank gravol. The rbottom of the trench. described. in Para- graph� 6 shall be 1 foot abovo he bottom of the excavation. I reea�mex�d that 40 feet of ,4-inch Bell and Spigot .pipe be .used in the 3.eachlhg• bed, for common use for-'each occupant, with a minimum total of 240 feet:; I° recommend x a 1OQQwgallon septic tank �+ e The "undrwa�te sh ld be : o .c s a ou :�tal� n�' are of `in a e crate s ste � 'c ' T 4, , -. r 7 m : onsi.,ting of a4Unk-ss- shown onA`the aec'omnanying diagram, together with -80 feet of 24 inch trench as: ,described�in:Paragraph,6. ` w The d stribution trench :should,have a minimum width of 24 inches, a mini mum of 18"inches of 6rushed,xstone under the pipe and a minimum ';of 4, inches. above the_'p .pe; maximum` p ch-s;ha11 not bef,over 6 inches per 100 lineal feet: The"and of the `,.pipe- should be- seeurely plugged. �t.'Avoid excessive'backfill so= that..the leaching bed stall be as el.ose to , ahs surface as is practicablex=,to -promote all possible aerobic activity, and also=:that the pipe..be "placed. so that it will be" parallel to the con- tours,of the finished ado f FT n st t trig' ski C " - f Civll ;ine nc'. su��cyor } �. "r¢ t a fJ' f �3 ++ s �..+?•.:irG:i�.:? �1y.1.ry;3^.':� �:,i:' �e �� w *�',j,,�°+rte{{+€'�1-•----�.._� - " .. . t r \ i 7f� - +• d'��"• ��re � ".$ ,r � r �� � it �•' � .t`*. - AO /Ol r 15 x .. ,4 "r -K<�� <x"i_} t -,t+• � -x �yrs t ' d ✓ 1 t. t � IL alit 6t t. J t . y a `y 'i••ycx r'w 1 1 E `�t ��r 4�a 2'? � ..�... t r 1 `a' '� p fir «..w.:,�..« f..c'Yvti... •Y '' ,_''. _ �....��:aL_t .+ .'•" r .,�, .t'.'„ +•.i t1+^ht t �,}' � r: / ;. 4 a }} { 5' t � ` n }y f � .. Vr.i .7q,t,+g? ,jaw O. ,�:. { Bi .... :'t 'r�#'ks'+t.'`tr ai: � s( • y{ rw n j � ;. , u iZ 'r' . 4 p+ a, i " h�.�/j t a.a • ftf �/. T� r t .. .. +fr, t'• a�f.t•r�w.{ 't!"� r ��f t �yt rx �;: �+shit: t � :. • 4\ .R/ a •� i ..'yd t r.. :/. ;.J•. (w t 1 4 t xx. ° �r-, T'+ t + t • • r !r¢ -r,rrV r `�t '^.r \1 ,. at J ,i A 4i.YN 'r X?Js• YRwy t� l t J k Ty{Ic,�. 5 u -M14 -i r Y d f •�i + a a 3 jv .. y -s r r , ?r tr "i,i•r+'� py'a, t c a -', 4 i 3sr:y,�a a ,•+ �; ` .r Y � S qs x'ty,t \ '.t `+' y tar tat T�_.g �' • q1 f 6. • ' �t rte/ '° ;N '� "7 +r t t a as to SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(CONTINUED) PROPERTY ADDRESS:58 SALEM ST.,N.ANDOVER OWNER:PEARSON DATE OF INSPECTION:NOVEMBER 23. 1999 NRCS REPORT NAMEN/A SOIL TYPE N/A TYPICAL DEPTH TO GROUNDWATER N/A j USGS DATE WEBSITE VISITED OBSERVATION WELLS CHECKED GROUNDWATER DEPTH: SHALLOW N MODERATE DEEP SITE EXAM SLOPE SURFACE WATER CHECK CELLAR SHALLOW WELLS ESTIMATED DEPTH TO GROUNDWATER 4'+APPROX FEET PLEASE INDICATE ALL THE METHODS USED TO DETERMINE HIGH GROUNDWATER ELEVATION: Y OBTAINED FROM DESIGN PLANS ON RECORD Y OBSERVED SITE(ABUTTING PROPERTY, OBSERVATION HOLE,BASEMENT SUMP, ETC.) Y DETERMINED FROM LOCAL CONDITIONS N CHECKED WITH LOCAL BOARD OF HEALTH N CHECKED FEMA MAPS Y CHECKED PUMPING RECORDS N CHECKED LOCAL EXCAVATORS INSTALLERS Y USED USGS DATA DESCIBE HOW YOU ESTABLISHED THE HIGH GROUNDWATER ELEVATION. (MUST BE COMPLETED) THE HOUSE HAS 8'FOUNDATION WITH NO SUMP PUMP.AND BASEMENT IS DRY.WHILE DIGGING IN YARD LOCATING SYSTEM THERE WAS NO SIGNS OF WATER TABLE.THE PLANS SHOWED 4'IN 1962.1HERE'S NO WETLAND OR STREAMS IN OR NEAR SYSTEM.NO ABBUTTING PROPERTY'S WELLS WITHIN 100' REVISED 9/2/98 PAGE 11 OF 11 •2- John Pearson 64 Salem St. APPLICATION FOR SEWAGE DISPOSAL IMALIATION HEA LTH DEPARTMENT - NORTH ANDOVER, KSS. I hereby make application for a permit for a sewage disposal installation at _Salem St. - I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1.% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of see *s-* in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of theround surface.g c I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of see =K lineal (square) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia. ) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia. ) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. **:w As per plan attached. DATE Signature of Applicant I hereby issue the above permit for the Board, of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as descr bed. DATE tJ:!'AV1 K Signature of lk pecting Officer Percolation Test Garbage Grinder 24 4 T),LEPHONE MURDOCK { 8_5100 REG.PROF. ENGINEER t REG. LAND SURVEYOR MEM. B. S. C. E. MEM. AM.CONC. INST. CHARLES E. CYR CIVIL ENGINEER AND SURVEYOR .R- WE"ay_12356 I&)(-ST RE e LAWRENCE. MASSACHUSETTS 300 Canal Street May 14, 1962 Mr. John A. Pearson 66 Salem Street North Andover Massachusetts Dear Mr. Pearson: As you requested, I conducted a percolation test on your lot on Salem Street, North Andover, Massachusetts. Due to the type of soil and the topography of the land, it is not possi- ble to construct an ordinary disposal field. I recommend that an area approximately 30 feet by 90 feet be stripped of loam and excavated so that the bottom shall be approximately 5a feet be- low the proposed basement floor level. The excavated material shall be used to form a dike with a level top, 4 feet above the bottom of the hole and 6 feet in width. The major axis of the excavated area shall be parallel to the existing contours. The area shall be filled with 3 feet of approved bank gravel. The bottom of the trench described in Para- graph 6 shall be 1 foot above the bottom of the excavation. I recommend that 40 feet of 4-inch Bell and Spigot pipe be used in the leaching bed for common use for each occupant, with a minimum total of 240 feet. I recommend a 1,000 gallon septic tank. The laundry waste should be taken care of in a separate system consisting of a tank as shown on the accompanying diagram, together with 80 feet of 24 inch trench as described in Paragraph 6. The distribution trench should have a minimum width of 24 inches, a mini- mum of 18 inches of crushed stone under the pipe and a minimum of 4 inches above the pipe; maximum pitch shall not be over 6 inches per 100 lineal feet. The end of the pipe should be securely plugged. Avoid excessive backfill so that the leaching bed shall be as close to the surface as is practicable to promote all possible aerobic activity, and also that the pipe be placed so that it will .be parallel to the con- tours of the finished grade. Mr. John A. Pearson May 14, 1962 Enclosed you will find a sketch showing the recommended location of the septic tank and distribution system, and a sketch showing the laundry waste disposal tank. Please inform me of the location of the gravel bank where the necessary gravel will be bought., and furnish me with samples of the material for approval. Very truly yours, Benjamin G. Farnum for Mr. C. E. Cyr BGF:nds Enclosures CHARLES U. GYR Givil Engineer and 'Surveyor =404 Canal _Stres Lawrence, Mnssaohusetts r r T"ll C ' � i .�...�.�. 4.{k .4 _ _� �e {, 4 r� t. i l'a�.v}c.',r ♦� . ,. � � f+..t l,,,,��:rt !.l�' f f }. p i N i E `. .PEP oT? T �' ocr Li i A,;i:fd_NI J 7.R E E T 19 6 a o v F— F? =� L E S, 7 EZT p oT--,osLJ 1 DWEL.Li NG 1 y c. ..1. Ll _ fv 1 �•; ' 1 J O)L-4Os C e" L 0 Nq & 16" LHY � SAND El \j s p 4. 0 F £ r Cis. , rJG N UO �nr aGA!E L .��v✓ >~+ E rl C =� MASS, �I 5E GNP' r,e r�^e Zr O N Z 0 � � AREA 044 Lo W 00 9d o 3 °l0 w c ' LU B uj 0 0 --- o� a 0 00� 'v 900 0 � CIO- i.P. �- 253-5- .� i P A SEL-VILLE WE—STOW PLAN OF LAND IN NOPTH A OWNED 8Y CARL PEAPSON SCALE 1 = 50MAR. 1962 N0 -f if fl,NUr-•Viii< ,MAS S. $RAS5EVGt AS50G1ATES HAVERHILL MASS. April 28, 1962 Miss Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Salem Street building site of John Pearson. The land in general is high. It,�is rec©mmenled that4 feet? of gravel fill be place in the area and that a W gallon concrete septic tank be installed together with 200 lineal feet of drain pipe. Very truly yours, William J. e ri}issdoll WJD:hd Lv C BOARD OFI:HEALTH _ = �Ta7N OF NORTH AIJDOVER, MASS. �6o fr 73 4000 7,'0...e l 8r ` t 1. NAP'.E cfo.st.cf ���,tzS�s.dJ . . DATE . . . . . .�. . /�E K 7- To n� rr 2 ADDRESS . .' ?°` .- ./LCIT N0. TEL . 3. N0, OF BEDROOt1S DEN YES . . . NO.. . . . . 4. GARBAGE GRIIdDER YES N0.. . 5. SHOW DITIWTSIOIS OF HOUSE 6. SHO?l DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIPI( NSIOM OF LOP a4,0-� �G e- 8. 8. SHOW LOCATION AN SIZE OF SEPTIC TANK O eESe•Peeb. 40-00�� 54� /2 g. NOTE LOCATION AND DISTANCE OF WELL FROTJ SEVVERAGE SYSTEM /Va W� r 10. SHaAl LOCATION OF PROOKS O STREA16,9 DITCHES 9 LEDGE OUTCROP, ETC. !�,�'c r/ '�'o •cJ 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FP014 HOUSE NOTE: LOCAL REGULATIOIZ SHOULD HE READ CAREFULLY. ey �i9GTER & /NU A5wl s—, t,.�.oasre�c7-o2 ..... /�lrG.Cf•T' /a�E'_ ,�C�.�/.0�2 R awloe �Aj&n SY May 29 1962 ALFRED L. FRECHETTE, M.D. Commissioner Board of Health Re: NORTH ANDOVER Public Water North Andover Supply--Determination of Massachusetts Lake Cochichewick- Watershed Boundary .Gentlemen: In response to, the request dated May 11, 1962, of Mary F. Sheridan, agent of your board, the Department of Public Health has caused one of its engineers to examine a plot of land on Salem Street to determine whether or not the land lies within the watershed of lake Cochichewick, the source of water supply for North Andover. The examination showed that the lot in question is located northerly of Salem Street and southerly of a swamp which eventually drains by means of an unnamed watercourse into Stevens Pond. Stevens Pond receives much of its water from Lake Cochichewick which lies at a higher elevation. In view of these facts, the Department of. Public Health is of the opinion that the parcel of land in question does not lie on the watershed of Lake Cochichewick. �Very truly yours, Worthen H: TaAor Director Division of Sanitary Engineering C- Board of Public Works North Andover C- Mr. A. Pearson Salem Street North Andover T/F= �rM i 1 i TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845-2909 J. WILLIAM HMURCIAK, DIRECTOR, P.E. Timothy J. Willett cE ao TIJ Telephone (978) 685-0950 Staff Engineera e•', .a'6"moo F p Fax(978) 688-9573 C U November 1, 2000 TO RESIDENTS OF SALEM STREET: Please be advised that the recently installed sewer main on Salem Street has passed all required testing and inspections. Consequently, it is now ready for public use. This affects the following houses on Salem Street: #39, #40, #49, #58, #59, #69, #70, #79, #99, and#120. You may now begin the process of connecting to the sewer. A sewer connection permit must be taken out from this office. The fee for the permit is.$1,000.00. You must hire your own contractor to make the connection. A list of contractors is available at this office. Contractors not on the list may also be hired. The permit requires"sign-offs"from the Health Agent and Conservation Agent at 27 Charles Street. Once the permit has been paid, and has been signed by the Conservation and Health Agents, your contractor may proceed to connect your house to the sewer line. The Board of Health has a regulation in place stating that all homes that have access to town sewerage must connect within six months after a line becomes ready for connections. CC: Sandra Starr Susan Ford I i i �� � Ger.-. �✓- 5����' b j ` �� �'•yam,��.�e,.i �/"�i9 G--�� Commonwealth of Massachusetts0i3 C ity/Town of OWN of Nc;a i H ANDOVER System Pumping Record NORTH ANDOVIERALTH�EPART,,_;,IT 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 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,useonly the tab key Address to move your cursor-do not City/Town State Zip Code use the return key. 2. System Owner: Name Address(if different from location) — ----- -- ---- City/Town -- -- — State - Zip Code Telephone Number B. Pumping Record OG 1. Date of Pumping Dale 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) [A-'geptic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): ----- ---- ------ 4. Effluent Tee Filter present? ❑ Yes E"o If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Namehicle License Number G,L. . - ,*.over,MA. Company 7. Location where contents were disposed: Signature of Hauler Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts (Y ! City/Town of NORTH ANDOVER, MASSACHUSETTS System -Pumping Record _ 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 approving RECEIVED A. Facility Information Important: JAN 1 0 2008 When filling out 1. System Location: forms on the computer,use GC �,e �. S YOHP �i NORM'DEPARTMENT�R ! only the tab key Address to move your ty Pq old Q C)e V­ I use the return cursor-do not City/Town State Zi de t J key. 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Dater quo , 2. Quantity Pumped: � 0-t::) � Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): — 4. Effluent Tee Filter present? ❑ Yes X No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: G-©od 6. System P mped By: Name L.tJ 4 a Vehicle License Number Company 7. Location where contents were disposed: Signature of Hauler Date http;//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 NORTH ANDOVER, MASSACHUSETTS System Pumping Record Al 'Form 4 RECEIVED DEP has provided this form for use by local Boards of ealth. The System Pum ing Record must be submitted to the local Board of Health or other appr ving �atUtJlo�ity 2009 A. Facility Information IVVOVV 11 UU TOWN OF NORTH ANDOVER Important: HEALTH DEPARTMENT When filling out 1. System Location: forms the computer,use V-V, only the tab key Addrss H& to move your ' cursor-do not Cii /Tow use the return y State Zip Code key. - 2. System Owner: a6 _ S Name Address(if different from location) City/Town State Zip Code _ 9 ?8- 483 - (37YJ Telephone Number B. Pumping Record 1. Date of Pumping /0 2Quantity Pumped: Date ^ f_�� . uany umpe : Galli 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: 6, System Pum ed By: Na e Vehicle License Number Company 7. Location where contents were disby.Vich water _ Treatment Plant Ipswich, NIA 01935 Signature of Hauler Date http://www.mass.gov/dep/waterlapprovals/t5forms.htm#inspect t5form4.doc•06103 System Pumping Record•Page 1 of 1