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Miscellaneous - 59 BANNAN DRIVE 4/30/2018 (3)
59 BANNAN DRIVE �-{ 2101038.0-0113-0000.0 _I C,r L �Cb "ZPC -_ � � _ ,�. e ,.` r ,_� North Andover Board of Assessors PAblic Access 1 Page 1 of 1 NORTH North Andover Board of Assessors Ot t ��o.e stip S3ACMU50 Mproperty Record Card Click Seal To Retum Parcel ID :210/038.0-0113-0000.0 FY:2011 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e Search for Parcels a 4.. :3 .s Search for Sales � a Summary Residence Detached Structure Condo 59 BANNAN DRIVE i Commercial Location: 59 BANNAN DRIVE Owner Name: BLACKSHAW,THOMAS A SANDRA A BLACKSHAW Owner Address: 59 BANNAN DRIVE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 0.57 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1344 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 378,600 375,600 Building Value: 177,800 174,800 Land Value: 200,800 200,800 Market Land Value: 200,800 Chapter Land Value: LATEST SALE Sale Price: 191,000 Sale Date: 12/22/1993 Arms Length Sale Code: Y-YES-VALID Grantor: WEINSTEIN,LOUIS . Cert Doc: Book: 03940 Page: 0108 http://csc-ma.us/PROPA,PP/display.do?linkld=1702262&town=NandoverPubAcc 1/7/2011 Residential Property Record Card PARCEL ID:210/038.0-0113-0000.0 MAP:038.0 BLOCK:0113 LOT:0000.0 PARCEL ADDRESS:59 BANNAN DRIVE FY:2011 PARCEL INFORMATION Use-Code: _101 Sale Price: 191,000 Book: . 03946 Road Type: T Inspect Date: 10/06/2005 Tax Class: T Sale Date: 12/22/93Page: 0108 Rd Condition: P Meas Date: 10/06/2005 Owner: _ . _ LTot Land Area: 0.57 Sale Valid: Y Water: Collect Id: SGC ACKSHAW,THOMAS A Tot Fin Area: 1344 Sale Type: P Cert/Doc: Traffic: M Entrance: X B SANDRA A BLACKSHAW AS Grantor: WEINSTEIN,LOUIS Sewer: InspectReas: M Address: _ 59 BANNAN DRIVE Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / NORTH ANDOVER MA 01845 r RESIDENCE INFORMATION LAND INFORMATION Style: RR Tot Rooms: 6 Main Fn Area: 1344 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R3 Story Height: 1.00 Bedrooms: 3Up Fn Area: Bsmt Area : 1300 Seg Type Code Method Sq-Ft Acres Influ_-Y/N Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 650 1 P 101 S 25000 0.570 200,806 Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION - _ Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 1344 - - - o Foundation: CN Bath Qual. T RCNLD: 166251 Str Unit Msr-1 Msr 2 E-YR-Blt Grade Cond Good P/F/E/R Cost Class Kitch Qual: T Eff Yr Built: 1980 Mkt Adj: SE S 100 0.00 1988 A A ///88 200 Heat Type: HW Ext Kitch: Year Built: 1975 Sound Value: PV S 480 0.00 2005 AG G /50//49 11,300 1 Fuel Type: G Grade: AG Cost Bldg: 166,300_. VALUATION INFORMATION Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Val 1: Current Total: 378,600 Bldg: 177,800 Land: 200,800 MktLnd: 200,800 Central AC: N Bsmt Gar SF: Pct Complete: Att Str Val2: Prior Total: 375,600 Bldg: 174,800 Land: 200,800 MktLnd: 200,800 Aft Gar SF: %Good P/F/E/R: /100/100/82 Porch y.pe Porch Area Porch Grade Factor - -- W_ _ .300 _ - SKETCH PHOTO W hi 15 300 Sq.R 15 1: FE 650 Sq.R 1344 Sq.Ft id 2526 59 BANNAN DRIVE , Parcel ID:210/038.0-0113-0000.0 as of 1/7/11 Page 1 of 1 Commonwealth of Massachusetts w v City/Town of North Andover System Pumping Record Form 4 TO M yv FAOFNO A DEP has provided this form for use by local Boards of Health. Other forms the information must be substantially the same as that provided here. Before using this toTcheck 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 forms 1. System Location: on the computer, use only the tab 59 Bannon Drive key to move your Address cursor-do not North Andover MA 01845-3103 use the return key. City/Town State Zip Code 2. System Owner: Sandra Blackshaw Name renrm Address(if different from location) City/Town State Zip Code 978-314-6672 Telephone Number B. Pumping Record 1. Date of Pumping 12/5/2016 2. Quantity Pumped: 1500 Date Gallons 3. Type of system: ❑ Cesspool(s) Z Septic Tank ❑ Tight Tank ❑ Grease Wrap ❑ Other(describe): 4. Effluent Tee Filter present? Yes rN No If yes, was it cleaned? Yes �� No 5. Condition of System: Good, system operating properly 6. System Pumped By: Jason Elliott S71437 Name Vehicle License Number Ivester and Elliott Services LLC-DBA Jason Elliott Pumping 7. Location where contents were disposed: G�k) 12/5/2016 ig a au er Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 • • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 1/10/14 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Tank and Distribution Box By: Joseph Watson At: 59 Bannan Drive Map 38 Lot 113 North Andover, MA 01845 The Issu of this ce ate shall not be construed as a guarantee that the system will function satisfactorily. bus n Sa Public Healthent g 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com e�t1011 Scott P.Cameron,P.E. '39 ft Owner M:781.520.9496 O P:978.539.8p74 CSIProfessional@gmail.com v www.CameronSI.com CSI Professional Stormwater Management System P.O.BOX 262 and Septic System inspectors Middleton,MA 01949 Registered Professional Engineers,System Inspectors&Soil Evaluators I NO eTM 6546 Of. •1ti0 • Town of North Andover ` '•�;,;p�: HEALTH DEPARTMENT ,s'SACHUSEI CHECK#: DATE: LOCATION: H/O NAME: A) CONTRACTOR NAME ft �Ak j Tyne of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ Title 5 Report $M,--- ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer 6546 Town of North Andover '�'•.,,,o HEALTH DEPARTMENT ,SSACHUSf� CHECK#: On 7 DATE: LOCATION: 4� )-A f)N a H/O NAME: TN 4A iAi CONTRACTOR NAME MYA . TYye of Permit or License:(Check boxxY ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ Title 5 Report ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer ction e 5P so RECEIVED Qj JELL '1 ? 2013 TOWN OF NORTH ANDOVER Professional Stormwate HEALTH DEPARTMENT Management System and Septic System Inspectors OFFICIAL TITLE V INSPECTION REPORT for the property located at 59 BANNON DRIVE NORTH ANDOVER, MASSACHUSETTS Prepared for: Thomas and Sandra Blackshaw 59 Bannon Drive North Andover, MA 01845 Prepared by: Scott P. Cameron, P.E. Mass Certified Title V System Inspector# 12345 Cameron Site Inspection, Inc. P.O. Box 262 Middleton, MA 01949 P: (781) 520-9496 JULY 15, 2013 CSI Job No.2013-011 Commonwealth of Massachusetts it Title 5 Official Inspection Form 1,) Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21, 2013 &Jul 13, 2013 required for every y page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms 5(.rnwt f)e-Mtffz way. Please see completeness checklist at the end of the form. RECEIVE® Important:When JUL filling out forms A. General Information "17 2013 on the computer, use only the tab 1. Inspector: TOWN OF NORTH ANDOVER key to move your HEALTH DEPARTMENT cursor-do not Scott P. Cameron, P.E. use the return Name of Inspector key. Cameron Site Inspection, Inc. raa Company Name P.O. Box 262 Company Address return Middleton MA 01949 City/Town State Zip Code (781) 520-9496 12345 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000 . The system: ❑ Passes I ® Conditionally Passes ❑ Fails ❑ Needs h r Eva tion by the Local Approving Authority i �s ! Inspectors Sign ture Da The s stem ins ctor shall submit a copy of this inspection report to the Approving Authority(Board of Healt or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form f Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 &July 13, 2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) tem Passes: ❑ I have not fou information which indicates that any of the failure criteria described in 310 CMR 15.303 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ® One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally In exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pa ' spection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the to less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain ow): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form 9 p Subsurface Sewage Disposal System Form Not for Voluntary 9 p Y Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21 2013 &July 13, 2013 required for every , page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ® Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ® distribution box is leveled or replaced ® Y ❑ N ❑ ND (Explain below): 1 outlet approximately 1/2" above other 3 outlets which are set level. Installed flow equalizers on July 13, 2013. Static water level in d-box would not rise due to discharge through side wall of distribution box. Concrete approximately 1"above normal operating level is 100% corroded and discharges directly to gravel in field if operating level is increased with flow eqaulizers. D-box must therefore be replaced. Recommend replacing outlet pipes up to start of perforated field laterals to restore positive flow. he system required pumping more than 4 times a year due to broken or obstructed pipe(s). The Sysill pass inspection if(with approval of the Board of Health): Elbroken are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): rther Evaluation is Required by the Board of Health: ❑ Conditions exls require further evaluation by the Board of Health in order to determine if the system is failing to p ublic health, safety or the environment. 1. System will pass unless Board o th determines in accordance with 310 CMR 15.303(1)(b)that the system is not functions manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts u : Title 5 Official Inspection Form ,3 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 &July 13, 2013 page. City/Town State Zip Code Date of Inspection Certification (cont.) System will fail unless the Board of Health (and Public Water Supplier, if any) de mines that the system is functioning in a manner that protects the public health, safet nd environment: ❑ Th ystem has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a ace water supply or tributary to a surface water supply. ❑ The syst has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system ha septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank d SAS and the SAS is less than 100 feet but 50 feet or more from a private water suppl ell**. Method used to determine distance: **This system passes if the well water analysis, p ormed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure crit ' are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool NIA ❑ ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 4.' Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21 2013 &Jul 13, 2013 required for every y page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. N/A ❑ ❑ Any portion of 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 1 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 supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) La Systems: To be considered a large system the system must serve a facility with a design of 10,000 gpd to 15,000 gpd. For large systems, must indicate either."yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within eet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a utary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sense area (Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public er supply well If you have answered "yes" to any question in Section E the system is consi d a significant threat, or answered "yes" in Section D above the large system has failed. The owner or o for of any large system considered a significant threat under Section E or failed under Section D shall ade the system in accordance with 310 CMR 15.304. The system owner should contact the approprl regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 &July 13, 2013 page. Cityfrown State Zip Code Date of Inspection C. Checklist 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 ❑ ® 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? ® ❑ 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: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 3 I� DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 GPD t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth.of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21, 2013 &Jul 13, 2013 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information Description: Tank, D-Box, Leaching Field I Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 192 GPD Detail: Water Usage Report from North Andover Water Department. Usage consistent with 4 person occupancy. Sump pump? ❑ Yes ® No Last date of occupancy: Currently Occupied Com ial/Industrial Flow Conditions: Type of Establishm Design flow(based on 310 CM 03): Gallons per day(gpd) i Basis of design flow(seats/persons/sq.ft., etc. . r G ease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? es ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments "z 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 &July 13, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of o cy/use: Date Other(describe below): General Information Pumping Records: Source of information: 2/10/12 - 1,000 Gal - Board of Health Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: Not pumpedgallons How was quantity pumped determined? n/a Reason for pumping: n/a Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21 2013 &July 13, 2013 required for every , page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 5/29/1975 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 12"-18"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: 7 feet Comments (on condition of joints, venting, evidence of leakage, etc.): Sewer pipe in excellent condition inside dwelling, dry, no evidence of staining or prior leaks, mortar sound and secure at foundation wall. Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: n/ayears Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 92"L x 51"D x 54" W Sludge depth: 12" t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form W� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Bannon Drive Property Address p Y Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 &July 13, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 25" Scum thickness 3" 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 11" How were dimensions determined? Measuring tape and sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1,350 gallons below outlet, good condition, concrete inlet&outlet baffles in good condition. Minimal concrete corrosion. No evidence of leaks, effluent level with outlet invert. Grease Trap (locate on site plan): Depth be grade: feet Material of construc ❑ concrete ❑ meta ❑ 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: Date t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .� 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21 2013 & July 13, 2013 required for every , page. City/Town State Zip Code Date of Inspection System Information (cont.) C ments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liqu levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Ta\mustped at time of inspection) (locate on site plan): Depth below grade: Material of constructi❑ concrete ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: \—allons Design Flow: gado\YeF Alarm present: ❑ No Alarm level: Alarrder: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ o t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts x Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 &July 13, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): 1 outlet approximately 1/2" above other 3 outlets which are set level. Installed flow equalizers on July 13, 2013. Static water level in d-box would not rise due to discharge through side wall of distribution box. Concrete approximately 1"above normal operating level is 100% corroded and discharges directly to gravel in field if operating level is increased with flow eqaulizers. D-box must therefore be replaced. Recommend replacing outlet pipes up to start of perforated field laterals to restore positive flow. 15" below grade.. Chamber(locate on site plan): Pumps in working r: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No N/A Comments(note condition of pump chamber, c tion of pumps and appurtenances, etc.): 77 -- Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Y rY 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21, 2013 &Jul 13, 2013 required for every Y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: (1)45'x20' ❑ 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.): Inspected all 4 laterals of SAS by camera and located ends. All laterals clean, dry and relatively free of solids. No evidence of surcharge in field. Connectors between d-box and perforated laterals should be levelled to restore positive flow gradient during d-box replacement. Augered field corners to verify extent of stone. No discolored vegetated/grass, no odor, no signs of breakout or hydraulic failure. Condition of premises around leaching field excellent. Ce ools (cesspool must be pumped as part of inspection) (locate on site plan): Number and config 'on Depth —top of liquid to inlet inve Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every Northover June y AndMA 01845 J 21, 2013 &Jul 13 2013 page. City/Town State Zip Code Date of Inspection System Information (cont.) C ments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc. Privy(locate on site\soil, signs Materials of construc Dimensions Depth of solids Comments(note conaulic failure, level of ponding, condition of vegetation, etc.): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .% 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21, 2013 &Jul 13, 2013 required for every y page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately System Ties A B �- (7Rtu&AJAY T1: 22.7' 39.4' 32.x1 lg.g� T2: 27.0' 41.6' - - - - - - DB 43.1' 48.7' F1: 43.6' 49.7' ; A $ F2: 47.4' 52.3' DcC F3: 50.6' 53.9' F4: 54.9' 56.6' - - - - - - j F5: 87.6' 96.9' T t F6: 84.9' 95.3' F7: 82.1' 93.5' F8: 79.3' 92.2' Tie 'A' measured from left outside molding of door, tie 'B' measured from inside corner board. I I F2 F3 F4 F8 F7 WCrLA1U D t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a 1 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is required for every North Andover MA 01845 June 21, 2013 & July 13, 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope: 2%+/-over field ® Surface water: none ® Check cellar: dry ® Shallow wells: none Estimated depth to high ground water: 1.5' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 12/1/1974 Date ® 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: Invert of field laterals approximately 20" below grade. Bottom of stone approximately 26" below grade per test auger at corners. Augered near adjacent stone wall, finish grade at stone wall approximately 30" below finish grade over field. Groundwater at stone wall approximately 24" down. Groundwater estimated to be 18"to 20" below bottom of stone in field. This also appears to be consistent with adjacent wetland which is plus or minus 2' lower than the grade of the stone wall. Design plan is consistent with observed constructed condition. t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 59 Bannon Drive Property Address Thomas and Sandra Blackshaw Owner Owner's Name information is North Andover MA 01845 June 21, 2013 &July 13 2013 required for every , page. City/Town State Zip Code Date of Inspection Before filing this Inspection Report, please see Report Completeness Checklist on next page. E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 i TO: ; NORTH ANDOVER MASS _ 19 `?< BOARD OF HEALTH k FROM : DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection i This is to certify that I have inspected the construction of the said disposal system at /Y/V 6 N- North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated r �+` 19 r eg. o . gineerf Reg. S itarian � q .1 '.R e� ^4� •1'6;�'..e..0..°,,<•'v'.' 3 f. •.v �� , .i, � l .4'� 1:I� r ``� 1 � ."w. �c>,ms's "''•"4''�"i '� +5!1� �'�ar.'a°`gwn*'. � '�J �31�`�} �i'i�ivi!at�3tl�N L`.r 1 J ax#4'r$�rF�?y� l�iy, JI t` s 1 r f '. A SOR,pTjOr4 BED END SE c,rION 213 6.9.` ""~!°>«a,1.a..a,�t+, `..��,,,a�ip�yd��,� '-•?• ,+,.., „Lw � Y`Y��a��� .� Em. 1 �, v• - tr, .4'E7+3`s`�'�i(7�8} ,t. —.r,... �44.'� .�.7$�:.•Y....:.a }� �k� k.�'iV•iA t+ .,,, • :. }}pp�yo$ ,. cai:'t '�'a`hfi� �'�".�.•�, d S`r'1� �Da r h. .�,.. { .. ,11., :w..*'sa�.:g�t' �s'''.:�tk�""'�'."fie,�« ��.���+.r�'J,� ''.z�y •'4'.£ SY.STEM PROFILE 45 Via` - v " • ' _ t 1 Js �, "-»..1,-.--.»�::.•"•_:•..7+•:,.»n.M .t . `'w�.`wl..-:.w'":`.S"».,'s`�.".."., ,,..".y. �'t' �., p� i ' ti�.ekn 1 b'* aQ' S t` �Cq £�1w ���������!!!iii- �. .,4�.C�ri '� ' �ALfbe,�9.�.. ,•�f "t Oro'_ 4C.' mow` f �Fe`t€Y•�r`♦��6 +aa. �y�,Zg�+iy.�'+��•��p p���(��� �•g�y pry q y±/� bf CE•?f"j, -. kLt... Fw ° 4FTc t�'C' �Er 4w� Ca 7[.%Y i 4lF 'i7d AFb�arb`. 'b'1Ten� A10.S,%," . , -t�. �C� RA► E,t 4 +, "'' 'fit y,�"'t"pi d vr�P64 V-iLOWMED �,��"`�"�PSa��• --- -Mir S :tU `fit-sEi t ..,, til. dr • flirt t �V CJ"i3���i..r f GrR t'f3."7,f't f � - LL t�6C3 UJ{!'CL� Summary Record Card generated on 7/15/201310:22:37 AM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210-038.0-0113-0000.0 Parcel Id 10416 59 BANNAN DRIVE BLACKSHAW, THOMAS 59 BANNAN DRIVE N. ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residential Zoning2 1 Residential Zoning3 1 Residential Size Total 0.57 Acres FY 2014 UB Mailing Index Name/Address Type Loan Number Active/inact. From Until BLACKSHAW,THOMAS Payor 59 BANNAN DRIVE N.ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id.16099.0-59 BANNAN DRIVE Last Billing Date 7/12/2013 3160141 03 Cycle 03 Active UB Services Maint. Account No.3160141 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 0.635/8 7.82 1/ WTR WATER 01 ALL METER SIZE 114.85 /1 UB Meter Maintenance Account No.3160141 Serial No Status Location Brand Type Size YTD Cons 32707561 a Active 00 b Badger w Water 0.63 0.63 541 Date Reading Code Consumption Posted Date Variance 6/7/2013 721 a Actual 27 7/24/2013 46% 3/11/2013 694 a Actual 20 4/22/2013 -18% 12/6/2012 674 a Actual 22 1/9/2013 -23% 9/11/2012 652 a Actual 32 10/15/2012 21% 6/7/2012 620 a Actual 25 7/16/2012 47% 3/8/2012 595 a Actual 17 4/14/2012 -15% 12/8/2011 578 a Actual 20 1/17/2012 -45% 9/8/2011 558 a Actual 39 10/13/2011 71% 6/2/2011 519 a Actual 21 7/20/2011 28% 3/4/2011 498 a Actual 16 4/13/2011 -22% 12/6/2010 482 a Actual 22 1/12/2011 -65% 9/3/2010 460 a Actual 61 10/15/2010 68% 6/3/2010 399 a Actual 36 7/15/2010 109% 3/4/2010 363 a Actual 17 4/14/2010 -21% 12/4/2009 346 a Actual 22 1/12/2010 -18% 9/3/2009 324 a Actual 27 10/15/2009 -2% 6/2/2009 297 a Actual 26 7/20/2009 81% 3/6/2009 271 a Actual 15 4/29/2009 -38% 12/4/2008 256 a Actual 24 1/20/2009 -12% 9/4/2008 232 a Actual 28 10/10/2008 13% 6/3/2008 204 a Actual 24 7/16/2008 52% Skip Code:06 3/5/2008 180 a Actual 16 4/11/2008 -26% 12/5/2007 164 a Actual 20 1/22/2008 -45% 9/12/2007 144 a Actual 40 10/12/2007 95% 6/11/2007 104 a Actual 21 7/20/2007 27% 3/8/2007 83 a Actual 16 4/16/2007 -13% 12/6/2006 67 a Actual 18 1/19/2007 -24% 9/7/2006 49 a Actual 23 10/20/2006 8% Water Usage Calculation e�t1011 Address: 59 Bannon Drive lk North Andover Proj. No.: 2013-011 CAv-*,# Date: July 15, 2013 a, rofessional Stormwater Management System and Sepcic System Inspectors Meter Days Between Average Date Usage per Reading Readings Day(GPD) 6/7/2013 721 88 229.5 3/11/2013 694 95 157.5 12/6/2012 674 86 191.3 9/11/2012 652 96 249.3 6/7/2012 620 91 205.5 3/8/2012 595 91 139.7 12/8/2011 578 91 164.4 9/8/2011 558 Average 192.0 ti ,1 k .e......... ..�.. Commonwealth of Massachusetts Z .. + i /Town of REQ fy �a . System Pumping Record EEd ', 4 'Lull Form 4 q. TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health.Other MEAL oEa Information must be substantially the same as that provided here.Before using this form,check wish your local Board of Health to determine the form they use_The System Pumping Record must be submitted b the local Board of Health or other approving authority. A. Facility Information 1. System Location:Left/Right front of house, ee Rig rear of ,Left/right side of house,Left/ Right side of building, Left/Right front of building,Left/ ig rear of building, Under deck Address (� �., ..�q ,tl\V�c�v �ze City/town state Zip Code 2. System Owner. Name l Address(if different from location) City/Town ---- S Telephone Number B. Pumping Record 1. Date of Pumping Date 2_ Quantify Pumped: Galonsl 3. Type of system: ❑ Cesspool(s) Q--geptic Tank ❑ Tight Tank g ❑ Other(describe): - 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? Yes ❑ No i 5. Condition of System: 6. System Pumped By: Neil Bateson F5821 Name VehicleLicense N ber _Bateson Enterprises Inc Company 7. Locati re contents were disposed: S Lowell Waste Water — C� — to� sip Haub Date Wom%doo•Oti/03 Punk peooed•pap 1 of t 6 5 7017/2110 ' THOMAS;BLACKSHAW> 7 7 8 59 BANNONDR NORTH ANDOVERM'A3. 01845=3103 DATEQ PAY TO THE e , p h ORDER DOLLARS r h y �,R Citrzens Bank® ,• � r MEMO 1: 11 : 2 110 70 1 7 S. L 30''4 SiI b,3 Commonwealth of Massachusetts W City/Town of North Andover Certificate of Compliance Form 3 M SV e 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 the local Board of Health to determine the form they use. This is to Certify that the following work on an On-Site Sewage Disposal System Important:When filling out forms ❑ Construction of a new system on the computer, ❑ Repair or replacement of an existing system use only the tab ® Repair or replacement of an existing system component key to move your cursor-do not use the return Has been done in accordance with Title 5 and the Disposal System Construction Permit(DSCP): key. r� DSCP Number DSCP Date Sandra Blackshaw Facility Owner 59 Bannan Drive Street Address or Lot# North Andover MA 01845 City/Town �sY State Zip Code QF'peaMSS Designer Information: at> Benjamin C. Osgood, J f 9ENJAMM C. Pennoni Associates Ne �' U u z' Name of Company I'dIL 11-22-13 Nn Azm ) );Signature Date fgTER �FC `F. 4�� Installer Information: '— s NAL Name Name of Company Signature Date Use of this system is conditioned on compliance with the provisions set forth below: JAN 10 2014 r T,. ��"�;�yr rvi�i►-i AhJDOVER HEAL.TI-,'DEPARTMENT The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. Approving Authority Signature Date t5form3.doc•06/03 Certificate of Compliance•Page 1 of 1 •,5���b"ED 1�d' • North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 59 Bannan Dr. MAP_ 38 LOT: 113 INSTALLER: Buddy Watson DESIGNER: Pennoni Assoc: . . PLAN DATE: 10/9/13 II BOH APPROVAL DATE ON PLAN: 11/13/13 INSPECTIONS TANK HOLE ONLY: 11/19/13 PIPE AND D-BOX: 11/25/13 TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK Build' sewer in continuous rade on ❑ g grade, compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base X Weep hole plugged ❑ 1500 gallon tank has been installed H-10. loading ❑ Monolithic tank construction ❑ Water tightness of tank has been achieved by i visual testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged ❑ 1500 gallon Pump Chamber installed ❑ H-10 loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line El cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing Hydraulic cement around inlet & outlet Comments: CONTROL PANEL Alarm& Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base X H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) X Hydraulic cement around inlet & outlets X Observed even distribution X Speed levelers provided (not required) Comments: Used a level, already backfilled SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed El Laterals installed and ends connected to header (and vented if impervious material above) ❑ Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = FINAL GRADE Loamed Seeded Cover per plan Comments: DOCUMENTS NEEDED ❑ Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer As-Built Plan Sawyer, Susan From: sandra.blackshaw@comcast.net Sent: Monday, October 21, 2013 8:40 AM To: Hughes,Jennifer Cc: Sawyer, Susan Subject: Re: 59 Bannon Good Morning Jen & Heidi, I just wanted to let you know that Ben Osgood is revising the plans to include the " replacing or re- pitching of the outlet pipes to the perforated pipes to the field". I believe he is also making adjustments to the erosion control as well. He told me I should have the revised plans by noon today, so I plan on getting them to you this afternoon. I have updated the narrative to reflect this change as well. Susan, I will drop off a new set of plans today also. Best regards, Sandra Blackshaw 978-314-6672 From: "Susan Sawyer" <ssawye r@town ofnortha n d over.co m> To: "sand ra.blackshaw@comcast.net" <sandra.blackshaw@comcast.net> Cc: "Jennifer Hughes" <jhughes@townofnorthandover.com>, "Heidi Gaffney" <HGaffney@townofnorthandover.com> Sent: Friday, October 18, 2013 11:56:58 AM Subject: RE: 59 Bannon Hello Sandra, This is in regards to our conversation this morning about replacing the solid portion of the distribution pipes to the leach area. I spoke briefly with Jen Hughes and am relaying some thoughts you can pass on to your engineer 1) to reiterate, it is important that potential installers are aware of the entire scope of the project. Hence the plans usually conform to the entire scope of work 2) The work recommended came from Scott Cameron from the Title V inspection as an observation. It was not a failure criteria, but seems to be saying that the system would work better if this work was done. Hopefully you spoke to Scott for clarification. 3) Health Dept. would accept a hand altered, red lined plan rather than require a new printed CAD plan. He could do that here in our office or send additional copies. 4) Conservation could possibly accept the same; as the big change for them relates mostly to relocation of the erosion control, but again the commission would definitely need to see the entire project before rendering a decision. 5) The engineer should update the narrative to include the alteration to the plan. i I copied both Heidi and Jen on this, just in case I left something out. Thank you Susan -----Original Message----- From: Benjamin Osgood [mailto:BOsgood@Pennoni.com] Sent: Thursday, October 17, 2013 5:04 PM To: Sawyer, Susan Cc: 'sandra.blackshaw@comcast.net' Subject: RE: 59 Bannon We will revise the plan so con com knows the full extent of the work ben Benjamin C. Osgood, Jr. , PE Sr. Engineer/ Engineering Manager PENNONI ASSOCIATES INC. 13 Branch Street, Suite 103 93 Stiles Road, Suite 201 Methuen, MA 01844 Salem, NH 03079 Office: 978-749-9929 x 2575 Office: 603-226-1950 Direct: 978-296-2575 Fax: 603-226-3235 Mobil: 978-435-1324 Fax: 978-749-9920 http://www.pennoni.com I bosgood@pennoni.com Consulting Engineers providing. Environmental - Geotechnical - Inspection & Testing - Land Development - MEP Landscape Architecture - Structural - Survey - Transportation -Water/Wastewater -----Original Message----- From: Sawyer, Susan [mailto:ssawyer@townofnorthandover.com] Sent: Thursday, October 17, 2013 5:00 PM To: Benjamin Osgood Cc: 'sandra.blackshaw@comcast.net' Subject: RE: 59 Bannon My'preference is everything on the plan, but I don't mind conditioning it as long as we have good communication with installers. Anyone bidding it would not know what is needed so it might be extra if it is a surprise. As the engineer, do you have a preference? -----Original Message----- From: Benjamin Osgood [mailto:BOsgood@Pennoni.com] 2 Sent: Thursday, October 17, 2013 4:52 PM To: Sawyer, Susan Cc: 'sandra.blackshaw@comcast.net' Subject: RE: 59 Bannon Susan, I did receive your message but didn't have a chance to respond. The pipes from the box to the end of the lines should probably be replaced as they were probably set level back in those days. If you like we can revise the plans with a note or you could make it an approval condition. ben Benjamin C. Osgood, Jr. , PE Sr. Engineer/ Engineering Manager PENNONI ASSOCIATES INC. 13 Branch Street, Suite 103 93 Stiles Road, Suite 201 Methuen, MA 01844 Salem, NH 03079 Office: 978-749-9929 x 2575 Office: 603-226-1950 Direct: 978-296-2575 Fax: 603-226-3235 Mobil: 978-435-1324 Fax: 978-749-9920 http://www.pennoni.com I bosgood@pennoni.com Consulting Engineers providing. Environmental - Geotechnical - Inspection & Testing - Land Development - MEP Landscape Architecture - Structural - Survey - Transportation -Water/Wastewater -----Original Message----- From: Sawyer, Susan [mailto:ssawyer@townofnorthandover.com] Sent: Thursday, October 17, 2013 4:48 PM To: Benjamin Osgood Subject: 59 Bannon Ben, I am sendingyou a page from the title V. It has an interesting comment. The insp. Is Scott Cameron Y p g 9 p PE. What do you think? Will an installer have to do more than what is on your proposed tank and d-box change plan? Thx Susan -----Original Message----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Thursday, October 17, 2013 1:37 PM To: Sawyer, Susan Subject: Message from "ComDev-Health-Ricoh" 3 This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 10.17.2013 13:36:34 (-0400) Queries to: noreply@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. i �I 4 ► �_ Commonwealth of Massachusetts Map-Block-Lot x, 038.00113 BOARD OF HEALTH PermitNo North Andover� MBHP-2013-1018 ----------------------- - P.I. FEE F.I. $125.00 -------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted JOSEPH WATSON to(Repair)an Individual Sewage Disposal Systemb'�� COPY at No 59 BANNAN DRIVE as shown on the application for Disposal Works Construction Permit No. BHP-2013-101 Dated. November 13,-2013 ---------------------------------------------------------------- Issued On:Nov-13-2013 BOARD OF HEALTH Pennoni PENNONI ASSOCIATES INC. CONSULTING ENGINEERS November 12, 2013 RECEIVED Attn: Susan Sawyer, Administrator NODI 1 3 2013 North Andover Board of Health TOWN OF NORTH ANDOVER 1600 Osgood Street HEALTH DEPARTMENT Bld. 20 Suite 2035 North Andover, MA 01845 Re: 59 Bannan Drive, North Andover Dear Susan: Enclosed are three (3) copies of revised plans for the above reference property depicting the new septic tank and building sewer layout. These plans have been revised to account for the conditions discovered in the field which differ from what was originally shown. If you have any questions regarding this information prior to the meeting please do not hesitate to contact this office. Sincerely, PENNONI ASSOCIATES, INC. Benjamin C. Osgoo , Jr. P.E. Sr. Engineer 13 Branch Street, Suite 103•Methuen, MA 01844•Tel:978-749-9929•Fax:978-749-9920 www.pennoni.com *n Commonwealth of Massachusetts Map-Block-Lot 038.00113 `.. BOARD OF HEALTH -- -------- • Permit No North Andover BHP-2013-1018 B--------------------- P.I. FEE 'aMr ►1+ F.I. $125.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted JOSEPH WATSON - -------------------------------------------------------------------------------------------------- to(Repair)an Individual Sewage Disposal System. W� /tin d-4aoL atNo 59 BANNAN DRIVEl/� -_59 shown on the application for Disposal Works Construction Permit No. BHP-2013-101 Dated November 04,2013 ----------------------- ----------------------------- Issued On:Nov-04-2013 — OA�RD Ay TH ...................................................................................... ..............-.................... 59 BANNAN DRIVE Reference No: BHJ-2013-000080 ............... ................... Permit No: BHP-2013-1018 Department: ................................... North Andover BOARD OF HEALTH ... ...................................................................................... Account No: 1001001.1.5.0510.00 FeeType: .................................... DWC-Component Repair PERMIT Receipt No: REC-2014-000565 ......................................................................................... .................................... Paid By: Paid in Full On: Mon Nov 04,2013 .................................... BLACKSHAW,THOMAS A .......................................................................................... Check No: 9138 Received By: .................................... Lisa Blackburn ......................................................................................... DEPARTMENT'S COPY Amount: $125.00 L---......-•--- ...........................................••-•---•---••-----•-----• --------------..........---...--••- ...... ....... ...... oRH Application for Septic Disposal System Construction Permit — TOWN OF TODAY'S DATE O $250.00-Full Repair RTH ANDOVER MA 01845 ,SS��Hu5e4 $125.00 -Component Important: Application is hereby made for a permit to: When filling out forms on the ❑ Construct a new on-site sewage disposal system* computer,use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key ,,--,,�� to moovrelloour not 2Kepair or replace an existing system component–What? +curs use the return key. A. Facility Information �GG�V1/1�1.U�'C Ill Address or Lot# City/Town 2.-*TYPE OF SEPTIC SYSTEM*: 0 4 ❑ Pump ❑ Gravity(choose one) ORTH ANpOvER ***If pump system, attach copy of electrical permit to application*** TOWN OF NOEPpRTMENT E:1Conventional System (pipe and stone system) HEALTH ❑ Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information 01Name Address(if different fro above) City/Town State Zip Code Telephone Number 3. Installer Information Name Name of Company —' Address w 0n. _aryl City Town S ate Zip Code _ 12V— 93-�- 3 cl, 0 y Telephone Number(Cell Phone#if possible please) 4. Designer Information 14W.- J'azn � Name � , I'�1J `/��- Name of Company Addres city/to—viniv State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 '4 aRt�, Application for Septic Disposal System %Construction Permit - TOWN OF TODAY'S DATE $250.00-Full Repair ORTH ANDOVER, MA 01845 $125.00-Component SSS ecHus�s PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. AW/ 3 Name-J- Date Application Approved By: (Board of Health Representative) Name Date Application Disapproved for the following reasons: For Office Use Only: Z Fee Attached. Yes No 2. Project Manager Obligation Form Attached? Yes_ No 3. Pump System? Ifs Attach copy of Electrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes_ No (Same scale.as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit-Page 2 of 2 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: �LWORTANT:Applicant must -complete all items on this page LOCATION �___! / — Prmt PROPERTY OWNER Print MAP NOA)2)7, PA•CEL:W ZONING DISTRICT: Historic District yes n ' Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family jk<ddition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition [I Other ❑Fl ❑�W $ { 4aterSlledfDlstrlct' }` '^k� ood lam. etiv W ©,Septicf ®Well I >� rew, DESCRIPTIOI OF WORK TO BE PERFORMED: Identification Please Type or Print CIearly) OWNER: Name:—195; �,a Phone: Address:_ CONTRACTOR Name: d�Phone:. Address: Supervisor's Construction License: eo -4�6175-16 6 Exp. Date: /® ^ Home Improvement License: &;/ 77 Exp. Date: hV ARCHITECT/EN GlNEE R ,/'� Phone:_ -3LJ`e5tYlv ? Address: 04 � �/ ,r� Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � 0 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund - �ent/Ownera`� -- Pians Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans L TYPE OF SEWERAGEDISPOSAL Swimming Pools 1 Public Sewer Tanning/Massage/B ody Art ❑ Well ❑ Tobacco Sales ❑ FoodPackaginglSales Private(septic tank,etc. Permanent Dumpster on Site ❑ THE FOLLOWING SEGTIONSN FOR IFORM E ONLY INTERDEPARTMENTAL SIG DATE REJECTED DATEAPPROVED I ;� —� PLANNING & DEVELOPMENT � / / COMMENTS # rJYY� CONSERVATION Reviewed on Si nature 3 COMMENTS ` _ c HEALTH Reviewed on Si nater� ,✓ COMMENTS Zoning Board ofA Variance, Petition No: Zoning Decision/receipt submitted yes Appeals: Planning Board Decision: ' Comments Conservation Decision: Comments Drivewa Water &Sewer Connection/ nature&Date Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date DH cFND) GENERAL NOTES 1.DWELLING LOCATION,TEST PIT LOCATION,AND TOPOGRAPHIC INFORMATION TAKEN FROM `r AN ON THE GROUND SURVEY PERFORMED BY PENNONI ASSOCIATES 2.PENNONI ASSOCIATES HAS BEEN RETAINED TO FURNISH DESIGN AND CONSTRUCTION PLANS FOR THE INSTALLATION OF A NEW SEPTIC TANK AND DISTRIBUTION BCONFORMSOX,IXCLUOINC PENNONCERTIFIES THAT THIS PLAN THE SITE CONSTRUCTION SROF TITLE 55 EXCEPT WNTH SUPERVISION'HERE NOTED.NO GUARANTEE OR WARRANTEE,EXPRESSED OR Pennon! Opdf' IMPLIED,IS MADE TO THE CLIENT WITH RESPECT TO FUTURE SYSTEM FUNCTIONING. PENNONI ASSOCIATES IS NOT RESPONSIBLE FOR INTERIOR PLUMBING LAYOUT.CONTRACTOR O SHALL VERIFY PROPOSED INTERIOR PLUMBING IS INSTALLED PER CODE O 3.DEED REFERENCE BOOK 3940 PAGE 108,SOUTHERN MIDDLESEX REGISTRY OF DEEDS MAP 38.PARCEL 112 Sq�S 4.PLAN RUERo CE yWWETUN PLAN L SIC F LAND'BY SCOTT L GILES.FRANK S GILES PENNONI ASSOCIATES INC. N/F VISCO 9 DUNHAM \ > CONSULTING ENGINEERS _ - \ 5.BENCH MARK: FINISH FLOOR GARAGE-ASSUMED ELEV.-100,00 .Ga 6.LEACH FIELD LOCATION FROM TIES PROVIDED BY OTHERS CONTRACTOR SHALL VERIFY 4 B A N N A N NJ$.17 \@ LOCATION PRIOR TO CONSTRUCTION. DRIVE ' I N 7.LEACH FIELD SHALL BE PROTECTED FROM VEHICULAR TRAFFIC DURING CONSTLtUC110N. BENCHMARK ' °a\ FINISH FLOOR / ' :,: ..... p ELEV.= 100.00 i0 m LOCUS PLAN ASSUMED DATUM) NTS m I -EXISTING' AREA BE FINISHED WITH 4 OF TOPSOIL,RAKED FREE - cxAr�c scAIE CONSTRUCTION NOTES: i LANDSCAPED a a o a m 4D LL DRWEWAi 'i WITH BOLDER 7H SITE WHIG?ARE INOT NCLUDING F 1. DAMAGED BY VEHICLES AND EQUIPMENT ACCESSING c INV.P9aDRAIN OF STONES,FERTILIZED.AND c I ' PRO (IN FEur LEGEND: 2.UNDERGROUND UTILITIES SHALL BE LOCATED PRIOR TO CONSTRICTION.LOCATIONS SHOWN �" "� PROP.LANDSCAPE TIE O m Y1'. WALL AROUND PATIO 1 1mh= !L ARE APPROXIMATE 01 000 PROP.DRAIN S ALL DISPOSAL SYSTEM COMPONENTS SUBJECT TO VEHICULAR LOADS SHALL BE e O 1 �5A.. x N RIM-9980 EXISTING CONTOUR - CONSTRUCTED USING H-20 RATED COMPONENTS. rn !a 1 �\ „„;', 4.ALL CONSTRUCTION IS TO CONFORM TO 310 CMR 15(TITLE 5). S g �+ j `` \ PROPOSED CONTOUR -100- o / PROP. _ 5.MAGNETIC LOCATING TAPE SHALL BE PLACED 6'MIN.ABOVE PIPING. S / Pgmo SEDIMENT �«' 6.FILL UNDER SEPTIC TANK AND DISTRIBUTION BOX SHALL BE PLACED IN LIFTS NOT lkz _ ✓ i /„ DIMENT SOCK SEWER UNE .-S- EXCEEDING 127 AND MECHANICALLY COMPACTED. / 7.GRAVITY PIPING SHALL BE GLUED JOINT WATERTIGHT SCH 40 PVC LAID IN A STRAIGHT Q BENCH MARK AS NOTED ON PLAN LINE AT A CONSISTENT GRADE ON A FINE COMPACT BASE 1 n�jory\ I PROPARO�T. L \ 8.PIPE PENETRATIONS IN FOUNDATION,SEPTIC TANK,AND DISTRIBUTION BOX SHALL BE \ `*T'o•� I\ SEPTIC TAN `,\ SEALED WITH HYDRAULIC CEMENT. 9.INTERIOR PLUMBING AND BUILDING SEWER SHALL BE IN ACCORDANCE WITH STATE r3 �� PROP.', } PLUMBING CODE 248 CMR 200.SEWAGE FLOW.INCLUDING GRAY WATER DISCHARGE c p 0' D-BOX', �\ to \ \\ CONNECT EXIST.GREY WATER \ y Q, \ 19' 1 '( .. SHALL BE CONNECTED TO SYSTEM. O) 03 \ TO NEW SEPTIC TANK Qp�O p S,O• O I MAP 6%PARCEL 283 10.RISERS ON SEPTIC TANK AND PUMP CHAMBER SHALL BE EQUIPPED WITH CHILD PROOF O] \ IXTENTO NEW EXIST.CAST IVIK `/ \� �ti o - `� - -- ',I N/F SWIMM OPERATION NOTES: COVQts II.EHCINEER SHALL PROVIDE AS BUILT PLAN AND CERTIFICATION THAT CONSTRUCTION , Qp O I COMPLIES WITH THIS DESIGN PLAN. }wM •1 1.THIS SYSTEM IS NOT DESIGNED TO ACCOMODATE A GARBAGE ORINDER. 12.CONTRACTOR SHALL VERIFY THAT PIPE FROM D-BOX TO DISTRIBUTION PIPES IS SLOPED Qj mmp \ EXIST. �� O�. , ry YiT• I 4�, I I ' NO GARBAGE GRINDERS ARE TO BE ATTACHED TO SYSTEM. PROPERLY AND ADJUST THE PIPES AS REQUIRED. Drw \ POOL i I D I t 68• DECK ' L z I _ 2.THE SEPTIC TANK IS TO BE PUMPED WHEN SLUDGE LEVII IS W1TIiW 12 y ,6„ 13.ELEVATION OF SLAB DETERMINED AND VERIFIED BY OTTERS 03 1 DM EXISTING 1 SEP C I II .' SEE CONSTRUCTIWI INCHES OF THE BOTTOM OF THE OUTLET TEE OR AT 2 YEAR INTERVALS w7w IO ¢fu FOOL /1 Io T I I i ,11� NOTE 12. - >xUY 1NDP2fq SOIL I I I 1 _ - IL maw 3 J° STOCKPILE I x I EL, I-Off o BENJAMIN C. �°y1 1) /f pr+ OSGOOD.JR. ` AREA I wI WETLANDS UNE RC( _E��{�� CVj c DONE CIVIL MAP 3B.PARCEL 114 \����••%%% "`o ..' ..% AJ (FLAGED BY OTHERS) •SGV ZQZF V'Pcy,�PGISTER�° N/F LEDUC \ 'O3 I oQa3 FJSiDrtALEr \ 1 2013 W0�D r�1 NpV <O a \ � Qom] °PF. 61'12 1 e� q^ TOWNUFK KFii � °�' AfiL 2"X2" WOODEN STAKE CURRENT PROPERTY OWNER lHiEALTIRAF F, \ R \ (FND) SANDRA BLACKSHAW d, FILTER SOCK/HAY WADLE. T \ �69 ; 25'NO DISTURB 59 BANNAN DRIVE BUFFER NORTH ANDOVER, MA 01845 o raj Z r 100'BUFFER \ • / BOF SNO UFFER D\\ SYSTEM ELEVATIONS: a MAP 66,PARCEL H LOCATION DESIGN INVERT AS-BUILT INVERT - W PLAN N/F BRYAN HOUSE OUT 99.90 99.90 �I- 1"=20' SEPTIC TANK SEP71C TANTOUT 98.20 - O O U) w Section DISTRIBUTION Box FLOW IN 9a12 - - Q ;W o 10 10' DISTRIBUTION Sox our 97.95 - 97.95 0 o g M y o >� STAKE ON _ ~ Z ` 2(•MIN.DW CLEANOUT COVERS •q) +� Q LLJ Q J W S Q 10" LINEAL vm owsE�HGm�TEW6• •� ZJ� OC SPACING Cq Z O y n_a Q o UPSLOPE Q Z Q a O m Q W C m Z n PROFILE q) 0 0°Q o d �� DOWNSLOPE G I I ' I n SCALE:1'=20'HOR.;1'=2'VERT. rc' =N y Z FILTER SOCK/HAY WADLE 104 RISER TO WITHIN 6' ,V ir N OF FINISH GRADE u O[n Plan View 103 SILL PROPOSED 1500 GALLON D-BOX INV. IN = 98.12 Q scH.bO Lal SEDIMENT SOCK DETAIL P 03.0 vcTEES 102 ELEV. 10 SEPTIC TANK EXIST. INV. OUT= 97.95 W c NLET ELEV. 98.45 NOT TO SCALE• OUTLET ELEV. 98.20 EXISTING LEACHING AREA ti W FINISH W MIN. 101 N f GRADE + �W MAX.COVER GARAGE \ /-RISER y aa 100-ELEV. 100.00 EXISTING GRADE TQ O FND. All DODIMFNIS PREPARED BY PENNplI ASSOOAT6 Z 2 i_ ARE wsnillYENM OF sETMCE W RESPECT OF TIE b SCH.40 SEE TANK INV-99.46 PROECi.INET ARE RDT WTENDEO DR-- SON. RISER try z PVC TEE NOTEY2 99- 4' 4" SCH 4O T/� PRPECf.ANYSREUSE-T --Y. wancA°w (AS REQUIRED) V j ro EIE swTAB1£EDR REUSE BY DYNEN IXt oTIERs 4'SON.40 PVC 1'.4• O I , 1 PVC OR ADAPTATW BY Pp NON ASSOCA 6 FDR TIE F 4'SCH.b - 4'DIA INLET�.' / SPEOFlC PURPOSE DITFNOED wLL BE AT OMNQtS PVC TEE INV=96.45 .`� � •� VDIOUT �� S=o t/k / / ~� W�.IWr N�iD HMOLD LTM ANDNN ASSO (6)4•DIN.OUTLET INV-00.20 /}( CIATE5 FROM ALL C S.DAMAGES.LOSSES AND V T; EX INV.-97.96) ,o 97 TANK NOTES 1r MAX. LOU •�V b ' ID LEVEL Z m EXPENSES RINSING OUT OF OR REAILTNG TIERDROY 1. TANK SHALL BE WATER TIGHT AS SUPPLIED B96Y 12 MAX.: ( SEE CONSTRUCTION NOTE 12 O _ JOB NO. PLAN VIEW 2•--� N MANUFACTURER. JV BLKS 1301. 2. JOINT SEALED WITH BUTYLE RESIN BY SON.40 PVC TEE m� _ SECTION VIEW 4" SCH 40 Ti.MANUFACTURER. a o 3. 9' GAS BnRE _ PVC SEWER I MINIMUM;36"MAXIMUM COVER REQUIRED 95 OF 1 OVER TANK. 5=0.032 s¢Er 1 1. FIRST TWO FEET OF PIPE FROM D-BOX SHALL BE SET LEVEL 4, UNUSED OPENINGS SHALL BE FILLED WITH3' �� ft/ft 32'j -{ 3' 2.D-BOX SHALL BE SET IN 6"OF COMPACTED 3/4'CRUSHED STONE HYDRAULIC CEMENT. 3.FILL BELOW D-BOX SHALL BE COMPACTED(SEE CONST.NOTE/6). su4E muwNO Nn 4.D-BOX SHALL BE WATERTIGHT(SEE CONST.NOTE#S). I 93 AS SHO 5.ALL OUTLETS SHALL BE AT THE SAME ELEVATION. 6.INSTALL RISER TO WITHIN 6'OF FINISH GRADE DRAXN Br 7.D-BOX TO BE H-20 LOADING. 6'OF COMPACTED 3/4'CRUSHED STONE 2'TAPER /�/w� JJ �..�.. ��......r.......•r.........v •16/1f1 f_AI 1^k!11AAtJA1 IT411C CCDTIC TAIAIk __ _ ___.__._ �.. _.. - __-_- __. _ _ _ - _. _ _ 04 - ,..,"DR_ ■-\.77n-f_-_ Sawyer, Susan From: sandra.blackshaw@comcast.net Sent: Monday, November 05, 2012 3:40 PM To: Sawyer, Susan Subject: Re: 59 Bannan Drive Susan, Thank you for the information today. I have something related to the septic that I would like to show you. Are you in the office tomorrow? Sandy Blackshaw From: "Susan Sawyer" <ssawyer .townofnorthandover.com> To: "sand ra.blackshaw(cD-comcast.net" <sand ra.blackshaw(a)-comcast.net> Cc: "Heidi Gaffney" <HGaffneyaa townofnorthandover.com>, "Michele Grant" <mgrant .townofnorthandover.com>, "Lisa Blackburn" <LBlackburnCaD-townofnorthandover.com> Sent: Monday, November 5, 2012 2:46:29 PM Subject: 59 Bannan Drive Good luck with your project Sandra, Heidi, I cc'd you on this,to introduce you to Sandra;the homeowner of 59 Bannan Drive.They are considering an addition and she is aware of the presence of wetlands near or on the property. Hence she will have questions. Sandra, I have reviewed your file and I believe I have uncovered some information that could be supportive to your project. Please provide this to any persons you may hire for the job. Your home was built a 3 bedroom, but there since there is no As-built we cannot be sure of the actual size of the leaching area.Since you will need a complete Title V to determine the condition and actual location of all of the components; please see if the dimensions of the field can be established as well. If it is found to be a 45 by 20 leach field;your engineer can make the case that this system was built per the original plan. If you look at the proposed house septic plan,the system leach area size was 45 feet by 20 feet and the home was to be a 4 bedroom. It may be that they built the larger system, but with a smaller house. Also for the system inspector.When doing the as-built, be mindful of the edge of the leach area as well, because the plan showed it was to be build 20 feet from the foundation.Twenty feet is the minimum from the foundation wall to the leach area. Thank you, Susan Susan Sawyer Public Health Director Town of North Andover � 1 ooo00 ��,:� gooon � �-�r ? or� oos�o0�2 f s NORTH Town of`North Andover a, BUILDING DEPARTMENT&INSPECTIONAL SERVICES c? Community Development and Services Divis *s b 1600 OSGOOD STREET •; . 4r 6,,C Building 20; Suite 2-36 ,sSAHUSE� North Andover,Massachusetts 01845 P (978)688-9540 J� Susan .Sawyer hgp://www.townofnorthandover.com F (978)688-8476 Publi Health Director V _ 97 INFORMATION REQUEST Health Department ®� Please use this form if the Health Inspector or Health Director are unavailable to provide immediate assistance to you. Please fill out this form in its entirety to ensure an accurate and prompt response. All requests for information will be handled as soon as possible. CONTACT INFORMATION JAN 19 2011 Date: ��/�` TOWN NORTH ANDOVER —HEAlT Name: Phone number: 973— l/ Fax number: Address: ��� INQUIRY Property in question: (Please include as much information as possible) Subject: Inquiry: K' e You will receive a call back within 24 hoM. Thank you. l � BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 II ! TC N, NORTH�ANPOVE'R I I ME�LTH qe-PARTMENT' + -F-F-1! I11 I I I I II ' I ;PT /;i I I O�cf.roam_ _ �_ ' -�;___; _ ;–_ '_�.w.��►_ �.�"';=I—�_ ,_ r _ - 1 - 4 -1- -• .- r--t-. --I ,.-- ---- . I - t r-- r-t- - �- r-- j- • � - r-- �i- � --r--t-� I -{-+-`-i-T-- ,-r-j r-j-�- r- --r-r - - r - - f T - L ► I I ! + -- r---i--t- r-- +-r-,-4-i--+ --r --, -- r- �- --I- 1 - - r--t---i- CoLr 1J�'"_�'.' , �Q��� .... t--r-rte--•.-�_t�i-- ---�- �--t- -�'---t--.-r-t-�-� �i�--h-.1. _. -t -r--1-- •-- V-� r-l-��--r-I- -- - �-. r- r--r --t- -t--C- r -- r ! ! f1 ' I • ! 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PRINTED A Pamela DelleChiaie-PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, January 07, 2011 3:04 PM To: Sawyer, Susan; Grant, Michele Subject: FW: Emailing: PrintablePDF-59 Bannan Drive-Assessor's Information Attachments: PrintablePDF.pdf Importance: High FYI as a reference. See previous email to this one. fiat,�?ulwrda, Pamela DelleChiaie Departmental Assistant i Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 0 Fax-978-688-8476 El Email-pdellechiaiePtownofnorthandover.com '1� Website hap://www.townoftiorthandover.com/Pages/index iorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous From: DelleChiaie, Pamela Sent: Friday, January 07, 20113:03 PM To: 'sandra.blackshaw@comcast.net' Subject: Emailing: PrintablePDF - 59 Bannan Drive -Assessor's Information Importance: High Hi Sandra, Here is your property information card from the Assessor's website for your reference. &s RV444, Pamela DelleChiaie Departmental Assistant I Community Development i Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 1 Fax-978-688-8476 0 Email-pdellechiaiePtownofnorthandover.com -111 Website hM://www.townoftiorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous I IOFI DelleChiaie,Pamela PRINTED BY:Pamela DelleChiaie-PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, January 07, 2011 3:03 PM To: sandra.blackshaw@comcast.net Subject: Emailing: PrintablePDF-59 Bannan Drive-Assessor's Information Attachments: PrintablePDF.pdf Importance: High Hi Sandra, Here is your property information card from the Assessor's website for your reference. 'fit�?�gando, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA oi845 2 Office-978-688-9540 ( Fax-978-688-8476 Email-pdellechiaieotownofnorthandover.com 18 Website hiip://www.townoftiorthandover.com/Pazes/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet"--Anonymous I OF I DelleChiaie,Pamela Residential Property Record Card PARCEL ID:210/038.0-0113-0000.0 MAP:038.0 BLOCK:0113 LOT:0000.0 PARCEL ADDRESS:59 BAN NAN DRIVE FY:2011 PARCEL INFORMATION Use-Code: 101 Sale Price: 191,000 Book: 0940 Road Type: T T Inspect Date. 10/06%3005 Tax Class T Sale Date: 12/22/93 Page: 0108 Rd-Condition: P Meas Date: 10/06/2005 Owner: - -- - - - - BLACKSHAW,THOMAS A Tot Fin Area _-1344 _ Sale Type: P Cert/Doc:__ _ Traffic: _ M Entrance: X Tot Land Area: 0.57 Sale Valid: Y" Water: Collect Id: SGC_ SANDRA A BLACKSHAW LOUIS_ _ �"_-._-�----Grantor: WEINSTEIN, LOUIS - Sewer: Inspect Reas: "M Address: - -- - - - - - 59 BANNAN DRIVE Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: RR Tot Rooms: 6 Main Fn Area: 1344 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE R3 "_ Story Height: 1.00 Bedrooms: 3 Up Fn Area: Bsmt Area: -1300_ Seg Type Code_ Met_h_od Sq-Ft��Acres Influ-Y/N - Value Class - 11 P 101 S 25000 0.570 200,806 Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 650 Ext Wall: - F_B Half Baths: 1 Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 1344 — - -- - — - Foundation: CN_ Bath Qual: T RCNLD: 166251 Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond"/oGood P%F%E%R Cost_ Class" . --__ - - - -- - SE S 100 0.00 1988 A A ///88 - - 200 Kitch Qual: T Eff Yr Built: 1980 Mkt Adj: • PV S 480 0.00 2005 AG G /50//49 11,300 1 Heat Type: HW' Ext Kitch: Year Built: 1975 Sound Value_: Fuel Type: G Grade: AG Cost Bldg: 166,300 VALUATION INFORMATION Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Va11: Current Total: 378,600 Bldg: 177,800 Land: 200,800 MktLnd: 200,800 m Central AC: N Bsmt Gar SF: Pct Coplete: Atf Str Val2: Prior Total: 375,600 Bldg: 174,800 Land: 200,800 MktLnd: 200,800 Aft Gar SF: %Good P/F/E/R: /100/100/82 Porch Type Porch Area Porch Grade Factor W 300 SKETCH PHOTO 20 k• W 15 300 Sq.R 1526 32 S2 1 20 FE t 650 Sq.R 194 Sq.R 25 � 22 59 BANNAN DRIVE Parcel ID:210/038.0-0113-0000.0 as of 1/7/11 Page 1 of 1 978-475-3926 my* Kurt L. Kefferstan Title V Inspector Ljc. Drain Layer,Septic Installer ProPefi►Adddess= D(inking Water Facility Operator O..r. Andover,MA Date Of hapecdorc- 43 Lic.#DW7093DG SKE111011 OF SEWAGE gISpoSAL SYSTERk pemmmint reference landmarks or bwmhmwks include lies to at least two water supply comes into house) locate an wags within 100'(Locate where VAft \\.261 F! 7a AIT_ ' V-1- To L/ T P 0 , -TS 0 o I Poe- SpTtcgQea T #aTe ic 1 A To f* LP,/ ci- A' V".3 C -Flo, Lk f—TIO revised 9/2/98 Pw 10 of 11 Z' 4� •moi,�:�;, L 31 F -r-tu I q I ` f Y ya l h �sip .. _ v4h .. x All i � 3' i .�Q / ,,ft oo SZ, ZI Accra . ,. ' �. � o��M� � �•S o00 zi � Q3sad�d ":2I ell -Lid 153LL (I 2.. r t —L,;;-a1 7?1ad 7/74?(7 IYylY/Y68 BLACKSHAW 59 BANNAN DRIVE NORTH ANDOVER, NLA 01845 MAP 38,PARCEL 113 i AREA=0.57 D.O.S.=12/23/93 DEED BOOK 3940. PAGE 108 —' MAI'3,�_jf -EL_t 12 VISCO.DEBORAI I A\&GEORGE:J 62 BANNAN DRIVE \ NORTH ANDO VFR=:\,G\.0 RK.41S2 PG.21 S 78.47'31.77 � I B ANNAN DRIVE lt,F wA Y N os �\ �U.N4.H. `ini.sl \\ ArFI IN. NIAP 38PARCEE.i Ia �---• FGrp c.2 tt�i n n W O.1 1 DONALD J.&JULIE M \ LEDUC i \ 7 c 7C7�i� k."f 5l BAINi`fANDRIVE \\ ��' ' t \ 1�� x � Q FI IttP NORTH ANDOVER,MA.01815 ivas\ X ,0 BK.5176G83 \ \ r AREA=057 \ r I I S[LTA"CION _ ._T%.oI'X I'XY T C-E\CEfl�CE; F, \'t'AI�ES I\EACH BALE z z 12 2•F VARIES_ C J Io-, ,C-N Commonwealth of Massachusetts Ra City/Town of RECEIVED System Pumping Record �g Form 4 JAN 1 1 2008 DEP has provided this form for use by local Boards of Health.Ot erg onw NORTH y ANDOVER abut the information must be substantially the same as that provided here. ore using this form,check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: I ,� When filling out 1. SystT,ZLLocafi n ��=� forms on the computer, use only the tab key Address ^ ,, /l�/j` to move your -'lit GSW �V t0� _ 1 ! cursor-do not Cityfrown State Zip Code use the return key. 2. System Owner: YQ Name ISI Address(if different from location) City/Town state `C �z _4 S — Telephone Number B. Pumping Record /C 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Ic ank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes B- oil' If yes,was it cleaned? ❑ Yes ❑ No 5. Condition oG��l_�( 6. SystemPumped By: PC\ - - -� Name Vehicle License Number H2A� �� Company 7. Location re conten wer osed: Signatur Hpfiler Date t5fonn4.doc^06/03 System Pumping Record.Page 1 of 1 I TOWN SY TEM PUMPING RECORD RECE DATE: � � MAR 2 4 2005 TH ANDOVER TOHEOF NRTMENT Aj DEPAR SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example: left front of house) ka4-xJ DATE OF PUMPING: QUANTITY PUMPED : GALLONS CESSPOOL: NO SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED To: G.L.S.D Lowell Waste TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: . -6 SYSTEM OWNER&ADDRESS SYSTEM LOCATION VQ C�5 (example: left front of house) �vt r ba cv (►, DATE OF PUMPING:_1,2-!2'O1 QUANTITY PUMPEDGALLONS 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: �C1r�„I-f 50!/1 LnT E,OARD OF WEALTH COMMENTS: r DEC 2 1 2001 j CONTENTS TRANSFERRED TO: Commonwealth of Massachusetts , Massachusetts System Pumping Record System Owner System Location Date of Pumping: �' 1-7 Quantity Pumped: gallons Cesspool: No �-� Yes [I Septic Tank: No [] Yes P—'— System Pumped by: 64&44* License# Contents transferred to: Greater Lawrence Sanitary District Date: Inspector: JAN 3 1 FORM - SYSTEM PUMMG RECORD Commonwealth of Massachusetts Massachusetts system Pumping Record j -N•stem caner stem Location Date of Pumping: Quantity Pumped: /a;�) gallons - Cesspool: No �' Yes ElSeptic Tank: No Yes System Pumped by. _ License #: Contents transferred to: ` Date Inspector 1 l yI L; — — OR U LOT RELEASE FORM s ' � INSTRUCTIONS: This rm is used to iverify , n£y that all-necessary approval/permits from Boards and De artmen ha t, P jurisdiction have been obtained. This does not relieve the applicant and or land o r fir compliance with any applicable requirements. I.................■ ... ............■.......■...............i.............■ APPLICAN 0 fA PHONE C(�F - 91s-- ASSESSORS c ,F' t ASSESSORS MAP NUMBER C 30?LOT NUMBER SUBDIVISION LOT NUMBER STREET STREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TO AGENTS I � INN... .................■ on ■■r.........■■■■............................... DATE APPROVED COVERVATION ADNIINISTRAT �{ e 1 ( DATE REJECTED COMMENTS �� !D OcSec! ®cRTdSrc�2. mf /00 20n f; f DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD ECTOR-HEAL DATE REJECTED DATE APPROVED .? Z S I I C INSPECTOR- TH DATE REJECTED COMMENTS PUBLIC WORKS—SEWER/WATER C !i DRIVEWAY PERMIT ; i I FIRE DEPARTMENT DATE APPROVED � DATE REJECTED i f COMMENTS f j RECEIVED BY BUILDING INSPECTOR DATE Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen Town of Nt Andover ) ( Town of N_ AndnvPr addresses N. Andover, MA 018.45 ) ( N:::,Andover,.:MA 01845_ ( REt Insured: Louis Weinstein Property address: 159 Bannan Drive N. Andover, MA Policy No HX20-503305 Loss of 8/16/92 19. File or Claim No. WAP14764 Water Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Adjuster Title: On this date, I caused copies of this nbtlee to be sent to the persons named above at the addresses indicated above by first class mail. PATRICK J. DONOVAN ASSOCIATES, INC. C)A P 111M(x� 9/16/92 P.O. BOX 110 Signature and date WAKEFIELD, MA 01880 PRINTED BY:Pamela DelleChiaie-PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, January 07, 20112:59 PM To: 'sandra.blackshaw@comcast.net' Cc: Grant, Michele; Sawyer, Susan Subject: I.R. -59 Bannan Drive-Health Dept. File Attachments: 20110107141100419 Importance: High Hello Sandra, Re: 59 Bannan Drive Here is a scanned copy of your Health Dept.file. The setbacks for the foundation (deck on footings)to the tank is 5 feet, and 10 feet to the leaching field. The N.A. septic regulations are on our website. The setbacks are supplemental to MADEP 310CMR 15(state regulations). I understand from our conversation that you are thinking of possibly doing an addition on your home. Once you have a chance to review the attached, please call our off=ice back and speak with either Michele Grant, our Health Inspector, or Susan Sawyer, Health Director. One of them would most likely be able to answer the questions that you have related to this. Just so you know,to give you a better idea of what would work for an addition,when a resident submits a building application for an addition to the Building Department,and the homeowner has a septic system,the Health Department requires that you submit floor plans as to how your home is laid out presently, and how/what you want to do to expand_ !t, as well as having a Title 5 Report completed. However,as this is just preliminary, Michele or Susan may be able to answer some general questions for you so that you have an idea of which direction to head in. I hope you have a great afternoon.0 &At;189904, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 Fax-978-688-8476 Email-pdellechiaie@townofnorthandover.com Website hM://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."—~Anonymous I IOFI DelleChiaie,Pamela PRINTED BY: Pamela DelleChiaie-PLEASE LEAVE IN PRINT-OUT TRAY.......THANK YOU. DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, January 07, 2011 3:03 PM To: 'sandra.blackshaw@comcast.net' Subject: Emailing: PrintablePDF-59 Bannan Drive-Assessor's Information Attachments: PrintablePDF.pdf Importance: High Hi Sandra, Here is your property information card from the Assessor's website for your reference. �t�igatda, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department , Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 2 Fax-978-688-8476 i El Email-pdellechiaie(@townofnorthandover.com -16 Website hnp://www.townoftiorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous I OF I DelleChiaie,Pamela Residential Property Record Card PARCEL ID:210/038.0-0113-0000.0 MAP:038.0 BLOCK:0113 LOT:0000.0 PARCEL ADDRESS:59 BAN NAN DRIVE FY:2011 PARCEL INFORMATION Use-Code: 10_1 Sale Price:_ 191,000 Book: 03940_- Road Type: T Inspect Date: 10106/2005 Tax Class: T _ Sale Date 12/22/93 Page: 0108 Rd Condition: P _ Meas Dated 10/06/2005 Owner: - � - - - -- - - - - - •- BLACKSHAW,THOMAS A Tot Fin Area:-' 1344_ -Sale Type P Cert/Doc_: _ Traffic: _ M_ Entrance: X SANDRA A BLACKSHAW Tot Land Area: 0.57 Sale Valid: Y - _Water: _ Collect Id: SGC_rT --- _ - Grantor:- WEINSTEIN, LOUIS - Sewer: - Inspect Reas M Address: __—_- - . ___�-__ _ — _- _- ___ ___��.�_ _ ___-- _____ __ _ 59 BANNAN DRIVE Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: RR Tot Rooms: 6 Main Fn Area: 1344 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R3 Story Height: 1.00 Bedrooms: 3 Up Fn Area: Bsmt Area: 1300 Seg Type Code Method�Sq-Ft Acres -'Influ-Y/N Value Classy Roof---- -- - -- - - 1 P 101 S 25000 -0.570__ _ -200,806 Roof: G Full Baths: 2 - Add Fn Area:: Fn Bsmt Area: 650 1 Ext Wali: FB Half Baths: 1 Unfin Area: -Bsmt Grade —Mir HED STRUCTURE INFORMATION_ Masonry Trim: Ext Bath Fix: 0 - To_t Fin Area: _1344 _ - -- - - Foundation: CN Bath Qual: T RCNLD:_ 16625_1 Str Unit 'Wsr-1 Msr-2 E-YR-81t'Grade Ccnd'/oGood P/F/ESR Cost Class --- -n- - SE�S_-100_ _0.00 __1988__W__--X--11188---- 200- -- Kitch Qual: T Eff Yr Built: 1980 Mkt Ad/: ] PV S 480 0.00 2005 . AG G /50//49 11,300 1 Heat Type: HW Ext Kitch: Year Built: 1975 Sound Value Fuel Type_ _GGrade-:_� ' Grade: - AG - Cost Bldg: 16_6,300 ] VALUATION INFORMATION Fireplace. 1 Bsmt Gar Cap: Condition: A _ Att-Str Val1 __ Current Total: 378,600 Bldg: 177,800 Land: 200,800 MktLnd: 200,800 Central AC:- N Bsmt Gar SF: Pct Complete: _ Aft Val2: Att Gar SF: %Good P/F/E/R: /100/100/82 _ , Prior Total: 375,600 Bldg: 174,800 Land: 200,800 MktLnd: 200,800 r r Porch Type Porch Area Porch Grade Factor W 300 SKETCH PHOTO . s W � 15 300 Sq.R 152632 20 .t I 650 Sq.R 1 49 Sq.Ft 25 � I 9Z6 1 1132 11 22 59 BANNAN DRIVE Parcel ID:210/038.0-0113-0000.0 as of 1/7/11 Page 1 of 1 CNEsrZE� SUL 41 t1,4 C/ .Gor,e /4 A/0 4x1do4,--,e , MAsS. 1] Tlzi5T i7 i T" TAU D�CEMBE'.e /� /9rf¢ � :�J'r j'S'�;.f�t �fc••. i J"o-sE!�H J. l3A�2BA4'AdL4 , .P.s, ,`. .s, ..� •" r�;; �� „ A ,000s� 4p �M J DwEat.�NG 35! SPK l i{ � J / gA isizs.ao� { Commonwealth of Massachusetts City/Town of RECEIVED System Pumping Record . JAN 1 1 2008 Form.4 DEP has provided this form for use by local Boards of Health.Ot"e1r0T1etm6wmaym&usoATWTH A the Information must be substantially the same as that provided heres orf, k with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: A When out 1. Syst Locati on the forms on the computer,use only the tab key Address to move your cursor-donot use the return cyfro State ZIP code key. 2. System Owner. Af----h �6 ®UII Name Address(If dffferent from location) CihdTown S � Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspoof(s) ©-3ep Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes C3'96' If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of Syste�Aal 6. Syste .,Pmped�By: Name �(�f Vehicle Ucense Number Company 7. Location ire conten�kwerp-dvosed:. Stnatu H Date t5form4 doc•W03 System Pumping Record•Page 1 of 1 TOWN OF SYSTEM PUMPING RECORD DATE: SYSTEM OWNER ADDRESS SYSTEM LOCATION (example:left front of house) Cr SAC DATE OF PUMPING: QUANTITY PUMPED : GALL •NS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACIMELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIl-4) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: cowmwrs TRANSFERRED To: G.L.S.D Lowell Waste TOWN SY TEM PUMPING RECORD DATE: � `, MAR 4 �Q05 OF KORTK AN ENT�� TOW RTS He H D pA SYSTEM OWNER&ADDRESS SYSTEM LOCATION (example:left front of house) f 3, kaoi ')a�Y10 vl� DATE OF PUMPING: QUANTITY PUMPED: GALLONS CESSPOOL: NOYES 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: Bateson Enterprises, Inc. COMMENT'S: CONTENTS nUNSF MM TO: G.L.S.o_r__r_ Lowell waste TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER&ADDRESS SYSTEM LOCATION Vctcvtk�u) (example: left front of house) 51 Banq 041- (,Ow- DATE OF PUMPING:I�-12`OI QUANTITY PUMPED_ GALLONS CESSPOOL: NO YES S PTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSP,RVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: '=P } COMMENTS: ; DEC 21 20M CONTENTS TRANSFERRED TO: . Commonwealth of Massachusetts Massachusetts System PumpInu Record System Owner System stem Location C: �qri vie-Y) Date of Pumping: Quantity Pumped: lJ gallons Cesspool: No E-] Yes [] Septic Tank: No [] Yes H� System Pumped by: 64teG" 46License# Contents transferred to: Qrgater Lawrence Sanitary District Date: Inspector: ,SAN 4 . FORti14- SYSTEM Pl11PL\G RECORD Connnonwealth of Massachusetts Massachusetts System frig cord System Owner System Location /fv QG� Date of Pum ing: 'allonsQuantit� Pum ed: Cesspool: No � Yes ❑ Septic Tank: No Yes System Pumped by- License #: Contents transferred to: Date Inspector � F ` O - U - LOT RELEASE FORM. INSTRUCTIONS: This rm is used to verify that all-necess �y ary approval/perrruts from Boards and Departmen ha ' jurisdiction have been obtained.This does not relieve the applicant and or lando r fr -compliance with any applicable requirements. err■r■■r■r■■■■a■■ar ■■■ rr■rrra■■■rrr■■■ ■■rw�■rrr■■arr■ar■aa■■r■r■■■wrr■■■ r APPLICAN ft �A phtujPHONE ASSESSORS MAp NUMBER LOT NUMBER ?� SUBDIVISION LOT NUMBER STREET / STREET NUMBER e■r■a■■■■ ■ ■■ ■w■ ■■ ■■ ■■■. ■arr■■■■■■■■■■wr ■ ■ ■ ■ OFF.iCL&L USE ONLY ` �■■■■rr■•ra■■a■■rr■■■r■■■r■■r■r■■■ar■r■■■■'r■■■raa■■r■r■■r■■■w■■r■■■■■ar■rrrw } ,RECO :�ATIONS OF TOWNs.r AGENTS ■■■arr■■■■wr■■■■■■w■■■rawaaar■rrr■r iii DATE APPROVED cS W_ou CO VATION ADMIMTRA DATE REJECTED CO TOOoctfbt, e. /go TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED FOOD ECTOR-HEAL DATE REJECTED DATE APPROVED Z Cv S INSPECTx?R- TH T_ DATE REJECTED COM' { PUBLIC WORKS- SEWER!WATE C DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CO RECEIVED BY BUILDING INSPECTOR DATE r BLACKSHAW 59 BAMMAN DRIVE NORTH ANDOVER MA 01 S45 IAP 38,PARCEL 113 AREA=0.57 D.O.S.=12/33/93 DEED BOOK 3940. PAGE 108 - - y1,4P 3:1-2-12(11,1 i VISCO.DEBORAIIA&GF_ORG 62 BANNAN DRA \ NORTH ANDOVF:R::%L' 31.77 i pie E BANNAN DRIVE a ` c 1 D.M.H. q ra , of � cwr�I�.rJ Wolf DONALD I&JULIE M 5C74it Ffo. B.let LEDUC Y 51 BAMMAN DRIVE Q F}Itel� NORTHANDOVER,MA.01845 \ y `104.3 0 BK.5176t83 \�- \ \ X j AREA-0.57 \ \ SILTATION I` _ 5 I PENCE, y I \srnrn ire SALE I 704 YC Form of Notice of Casualty Loss to Building nT . Under MASS. GEN. LAWS, Ch. 139, Sec. 3B TOt Building Commissioner ok Board of Health or •_' Inspector of Buildings Board of Selectmen 'Town of Nt Andover } i Town of N. Andover } addresses } N. AndoverMA 1 N.:.Andover,. MA 01845 REs Insureds Louis Weinstein Property addresst 59 Bannan Drive N. Andover MA Policy No HX20-503305 Loss of 8/16/92 19. File or Claim No. WAP14764 Water Claim has been made Involving loss, damage or destruction of tite above•captinned property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 1439 SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 8B Is appropriate please direct It to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Adjuster Titles On this date, I caused copies of this notice to be sent to the persons named above at tite addresses Indicated above by first class email. PATRICK J. DONOVAN ASSOCIATES, INC. 4V U1 I v _ 9/16/92 P.O. BOX 110 Signature anti date WAKEFIELD, MA 01880 : tYw : >��� c > , + i , j � " f.e . . . . w , . _ , . fi 5 ,:/ I\ . . > rakv «ri l: . . . 1. J g �1. .amt>`..:.. .1`''• )�' - 7 a. K/, S' i`rJ 'ro'. - Ci S .S F f.. ,iR. r:y; `..-,-. ytij'c.:,': 'r: G. 5 ':i 1'. :�;- r J, ,YS 1 .'r5 } ..^moi"'i�f •PtF 'a••3' :<1.:� mommmTiY�� .•[:�, :,. ,,•:.. ,,,.:.�.:.. ..-.. �. ::a:�; °\cam 23.- z r .. ht r:• : `. a; i } P, Y `' :., ti', P ,.. , ;�">. •air � lt�>~. _ �-. zo$ t ...... '�.. ... .;,,:'-: :-. 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ST .;la.,. t:` ;. i-i', {`:'.,:' ,`f. x _ _' .. - i: Eta L t> 7�•Y�f T 4C.`u?xT.:.it)E ,.._•- :,.;, N --j O kl 41 '��' ' C . . t� Et ' €' M .; P. . ,i Gi . & .. Lh Al—E.' r, . ?13 i . �. tYi U . ::. "�i(tet: - i s . . t� . f?A Er E' `i'i. A. . uo wa - - ' .. . - . �. :_._ ¢ ._.-' Town of North Andover, Massachusetts Form No. 1 BOARD OF HEALTH ►�� ORTly 'y ' 0.0 19 a O.� ,;v7 ► e F APRILVr .?a} .46 �k�>SSAC8HU F�{+A~w APPLICATION FOR SITE TESTING/INSPECTION Py►rrr'��� Applicant NA ADDRESS TELEPHONE Site Location Engineer A E ADDRESS TELEPHONE Test/Inspection Date and Time IRMAN,BOA OF HEALTH Fee D Test No. �d y S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. y - TO: NORTH ANDOVER, MASS G 19 BOARD OF HEALTH i FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at Lc 7` R /Y/'V 6 ) �` � , North Andover, Mass. SITE LOCATION The grades and construction are as specified in my plans and specifications dated eg. of. gineer/Reg. S�. itarian Commonwealth of Massachusetts 7RECEIVED City/Town of System Pumping Record ; 4 iUV Form 4 TOWN OF NORTH ANDOVER HEALTH DEP A T�r1E DEP has provided this form for use by local Boards of Health. Other f e=use�, Uatlj information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, /Rig rear of h , Left/right side of house, Left/ Right side of building, Left/Right front of bui Ing, Left/ Ig t rear of building, Under deck Address f:�� D_ b _ _/� 4 City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town Stat n Zi Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: -\o�- V\,0A V 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locatiore contents were disposed: L S. Lowell Waste Water (,-IT/lao/o- 11 - /0 13 SignAtufe cfHauleV Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1