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Miscellaneous - 60 PATTON LANE 4/30/2018 (2)
60 PATTON-LANE. .. 210/106.A-0166-0000.0 L. North Andover Board of Assessors Public Access ., Page 1 of 1 • w f NOR7H, North Andover Board of Assessors •ono✓`tom SSACHUSB roperty Record Card Click Seal To Return Parcel ID :210/106.A-0166-0000.0 FY:2011 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels FT7 Search for Sales ... k' Y Summary x- Residence Detached Structure 1 Condo 60 PATTON LANE '` Commercial Location: 60 PATTON LANE Owner Name: KENNEDY,JOSEPH M MONIKA M KENNEDY Owner Address: 60 PATTON LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 1.00 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2944 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 496,400 515,900 Building Value: 289,300 308,800 Land Value: 207,100 207,100 Market Land Value: 207,100 Chapter Land Value: LATEST SALE Sale Price: 320,000 Sale Date: 07/30/1987 Arms Length Sale Code: Y-YES-VALID Grantor: REARDON JOHN F Cert Doc: Book: 02560 Page: 0292 http://csc-ma.us/PROPAPP/display.do?linkId=1707841&town=NandoverPubAcc 7/13/2011 Residential Property Record Card PARCEL ID:210/106.A-0166-0000.0 MAP:106.A BLOCK:0166 LOT:0000.0 PARCEL ADDRESS:60 PATTON LANE FY:2011 PARCEL INFORMATION Use-Code: 101 Sale Price: 320,000 Book: 02560 Road Type: T T Inspect Date: 06/11/2008 TaxClass: T Sale Date: 07_/30/8.7 Page: 0292 Rd Condition: P Meas Date: 06/11/2.008 Owner: Tot Fin Area: 2944 Sale Type: P _^ Cert/Doc: Traffic: M Entrance: X KENNEDY,JOSEPH M Tot Land Area: 1.00 Sale Valid: Y Water: Collect Id: RRC MONIKA M KENNEDY Grantor: REARDON JOHN F Sewer: Inspect Reas: C Address: 60 PATTON LANE 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 NBHD CODE: 6 NBHD CLASS: 6 ZONE: R2 Style: CL Tot Rooms: 7 Main Fn Area: 1328 Attic: � _-_- y -- ' Se _T a Code Method .S Ft Acres Influ-Y/N Value Class Story Height: 2._0.0 Bedrooms: 4 Up Fn Area: 161.6 Bsmt Area: 1328 9 yP _ _ Q' Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43647 1.000 207,115 Ext Wall: FB Half Baths: 1- Unfin Area: Bsmt Grade: VALUATION INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 2944 Current Total: 496,400 Bldg: 289,300 Land: 207,100 MktLnd: 207,100 Foundation: CN BathQual: T RCNLD: _ 2892.63 Prior Total: 515,900 Bldg: 308,800 Land: 207,100 MktLnd: 207,100 ffi Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: Heat Type: HW Ext Kitch: Year Built: 19.8.4_ Sound Value: Fuel Type: G Grade: G Cost Bldg: 289,306 Fireplace: 1 Bsmt Gar Cap: 2 Condition: A Aft Str Vail: Central AC:_ N Bsmt Gar SF: Pct Complete: Att Str Va12: Aft Gar SF: %Good P/F/E/R: /100/100/88 Porch Tyne Porch Area Porch Grade Factor S 210 W 360 SKETCH PHOTO is 21 14210SCIff 252 Sq. 2 e. 22 1 R 12 21 Q FM/B 240 Ft FUJFMJB z 22 528 Sq.F � `z�o 1088 Sq.Ft 32 32 24 r 6 108 goFt - 4 34 60 PATTON LANE Parcel ID:210/106.A-0166-0000.0 as of 7/13/11 Page 1 of 1 Commonwealth of Massachusetts RECEIVO . Title 5 Official Inspection Form SEP L7 LU11 sf Subsurface Sewage Disposal System Form-Not for Voluntary Assess ents ?� � � _ TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Property Add(ess _ J UYI Owner Owner's Name. I / r� information is ��®61t) A\) pV\r1 �� �1Gt.�.E^, J-LAI L? a6r ;b I required for �`"' every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to your j cursor e o not use the return Name of Inspector key. Wind IR%yd Environ-mcf at.l Company Name Company Address G1cruCC5=r f MA _ 01930 CitylTown State Zip Code 171 -_R?R 7315 SIi3" U� 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. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: Passes Conditionally Passes ❑ Fails Needs F! tva!uation by the Local Approving Authority �uot�� l• �. ao) tt Inspector's Signature Date The system inspe or shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments � D Property Addre Owner Owner'S qarne information is 1 (Q(L\„ /A,n jovc( M /1 oipi �� 11()) required for I'BVI '[1 t /"1 \ �_1,�1 SJ1�T J Cyi every page. City/Town State Zip Code Date of fr4ection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E I always complete all of Section D A) System Passes: ❑ I have not found any irfcrmation tvhich indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: 0 One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System wiR pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. Y ❑ N ❑ ND(Explain below): t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments On Property Address Owner Owner's!Name information is required for IV�A ��-t�� J � �ol t V 1��_ -- _, `—'-~ every page. City/Town State Zip Code Date of pection B. Certification (cont.) B) System Conditionally Passes (cont.): f 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): ❑tt distributionboxis leveled or replaced El L[I _Nj El ND(Explain below): --O t,.1'1'I C� t Cl�� � rO t71 4c) balm lip. COQ! rmrieA ansa cnjmtj`(9 ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ evaluation b Conditions exist which require further y the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines In accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh thins•09108 Title 5 Official Inspection Form:Subsurface Sewage Dispose(System•Page 3 of 17 Commonwealth of Massachusetts N W Title 5 Official Inspection FoFsess Subsurface Sewage Disposal System Form -Not for Voluntary � ts�60 Patton LanewleJrwOF NORTH ANVOVM Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your James Gallant cursor-do not Name of Inspector use the return key. Wind River Environmental Company Name 163 Western Avenue Company Address Gloucester MA 01930 City/Town State Zip Code 978-282-7315 S113402 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ❑ Fails ® Needs Further E uation by the Local Approving Authority � GT Inspector's Signature Date h Approving Authority Board The system inspector hall submit a copy of this inspection report tot a App g y of Wealth 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 Commonwealth of Massachusetts u . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26 2011 every page. Cityrrown 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): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ® Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 s Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 60 Patton Lane M Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**./ Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: There is no outlet T. The outlet line to the distribution box sch 20 has collapsed. The distribution box has settled, causing it to overfill above the lines to push effluent to S.A.S. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Q,M SvoSV 60 Patton Lane Property Address Joseph Kennedy Owner Owners Name information is North Andover MA 01845 July 26, 2011 required for every page. CityfTown 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): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM °� 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 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 ears usage 710 gpd 9 ( Y 9 (gpd)) Detail: I obtained water records from the D.P.W. I did the calculations for gallons per day. Sump pump? ® Yes ❑ No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM ° 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26 2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Current Date Other(describe below): General Information Pumping Records: Source of information: The home owner and Wind River Environmental are the sources of the information. Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? The quantity was determined by the pump truck and it was measured. Reason for pumping: To check the structural integrity of the septic tank 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 60 Patton Lane Property Address Joseph Kennedy Owner Owners Name information is required for North Andover MA 01845 July 26 2011 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: The approximate age of all components is 29 years old. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 13"feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 32 feet Comments (on condition of joints, venting, evidence of leakage, etc.): There is p.v.c. to cast iron. The joints are clean and dry. The venting is good. There is no evidence of any kind of leakage. Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 101 X 5'W X 5'H Sludge depth: 4 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26 2011 every 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 28" Scum thickness 2" 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 16" How were dimensions determined? The dimensions were determined with a sludge judge, rod and ruler. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): My recommendations are to have the system serviced annually. The is inlet T is in place and in good condition. The outlet T is corroded and collapsing. The tank needs an outlet sanitary T. The structural integrity is good. The liquid level to outlet invert is good. There is no evidence of leakage into or out of the tank. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for Northover y AndMA 01845 Jul 26 2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Patton Lane 4,,M SvOy`w Property Address Joseph Kennedy Owner Owner's Name information is North Andover MA 01845 Jul 26 2011 required for Y every 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 1/4" above invert. 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.): The distribution box is level. The distribution box to both outlets is not equal. There is minimal carryover of solids. The distribution box is corroded. The distribution box has minimal leakage into or out of the distribution box due to corrosion. The distribution box has settled approximately 2". The distribution box is approximately 32" below grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): 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 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is North Andover MA 01845 July 26, 2011 required for every 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'LX20'W ❑ 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.): The soil is clean and dry. There is no signs of hydraulic failure. There is no ponding. The grass is green over the S.A.S. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for Northover y AndMA 01845 Jul 26, 2011 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 ti • ��,S3L"ED Jed • • • PUBLIC HEALTH DEPARTMENT Town of North Andover (ommunity Development Division Certiiic� ate of Compliance As of. %ovember 22, 2011 This is to cert that a SATISEACTORT IXS�PECTIOX Was completed for the: Installation of an 0-20 Distribution fox e� and Outlet Tipe To repair an On;Site Sey4ge D sposalSystem By. ToddBateson At: 60 Patton Gane 9Yap-106.A-Tarcel--0166 Xorth Andover, WA 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the On Site Sewage DisposalSystem willfunction satisfactorily. us n �Y. Sawy r, � 7{S/ (Public YfeaCth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover..com f � • Commonwealth of Massachusetts Map-Block-Lot 106.A0166 ----------------------- " ~' BOARD OF HEALTH Permit No North AndoverBHP-2011-08-22 --------- P.I. FEE F.I. $125.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Todd-B-ateson --------------------------------------------------------------------------------------------------- to(Repair-D-BOX ONLY)an Individual Sewage Disposal System. at No 60 PATTON LANE ---------------------------------------------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. 13HP-2011-082 Dated November 14 2011 ------------- ---------------- Issued On:Nov-14-2011------------------------------------------------- [ 1 B Ai ® l T • 5wtu�n., Commonwealth of Massachusetts Map-Block-Lot • 106.A0166 BOARD OF HEALTH ----------------------- North Andover CERTIFICATE OF COMPLIANCE THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair-D-BOX ONLY) by Todd Bateson ----------------------------------------------------------------------------------- ------------------------ --- --- Installer at No -60----PATTON LANE ---- ------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP-2011-082 Dated _November 14,2.0.11 ----------------------- --- ------------------------------------ Printed On:Nov-14-2011 BOARD OF HEALTH ofMORTN, Application for Septic Disposal System le-d "7-�j •4�Ma/j•'rp I TODAY'S DATE Xonstructlon Permit=TOWN OF *,,�-,� •� ORTH ANDOVERx MA 01.845 �25 oo-comp n nt`' , ss�c►ari� � � 1 Important: Application is hereby made for a permit to: / When filling out Construct a new on-site sewage disposal system* �; V/ forms on the computer,use ❑Repair or replace an existing on-site sewage disposal system* J ' only the tab key to move our �a air or replace an existingsystem component—What? Q 6aK z cursor-do not use the return A. Facility Information �. key. � 1_R'�f®o✓ �itr. t a/lloe II Address or Lot# _ ------ Citylrovm 2.-*TYPE OF SEPTIC SYSTEM*: Mel27 011 ❑Pump ravity(choose one) TOWN O OVER **' pump system,attach copy of electrical permit to piffifttl6fiMARTMENT Conventional System(pipe and stone system) ❑Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑Pressure Distribution S.A.S.(No D-Box)(Attach Draft Maintenance Agreement) ❑Pressure Dosed(D-Box Present)S.A.S. 2. Owner information Name Address(if different from above) City/Town State Zip�� Telephone Number 3. Installer Information BATESON ENTERPRISES,INC. _ 77 1 ARGILLA RO Name Name ofCokP_anyAJWQvtKMA0j8j0 address Cky/fown state Zip Code s Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Address Cityfrown State . Zip Code Telephone Number(Best#to Reach) Application for Disposal Systern Construction Permit Page i of 2 ORT01 Application..for Septic Disposal System 3r��+ of — TODAY'S DATE I. pconstruction Permit - TOWN OF ORTH ANDOVER MA 01845 $.250.00-Full Repair SCHUS�� $125.00-Component PAGE 2OF2 A. Facility.Information continued.... 5. Type of Building: Residential Dwelling or Commercial Vp 4 9 ❑ 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 b his Board of Health. Name Date Application Approved By: (Board of Health epresentative) Name Date Application Disapproved for the following reasons: For Office Use Only: Z Fee Attached. Yes f/ No 2. Project Manager Obligation Form Attached. Yes ✓ No 3. Pump 3 spm_? If so,Attach coRv ofElectrical 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 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: to PA-7 e0y • A,-. (Address of septic system) For plans by fin. e Relative to the application of �BO�! �A- -QS'J/✓ (installer's name) And dated n ate Dated f0" Ioctay''s ate With revisions dated st revised date) I understand the following obligations for management of this project: I. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved:plans and the permit on site when any work is being done. 2. As the installer,Lmust call for any and all-inspections. If homeowner,contractor,project manager,or any other person not associated with my company schedules an inspection and the system is not ready,then item three shall.be applicable. 3.` As the installer,I am required to.have the necessary work completed prior,to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a$50.00 fine beinglevied against me and/or my company a. Bottom of Bed-Generally,this is the first(1 s)inspection unless there is a`retaining wall,which should be done:first The installer must request the inspection but does not have to be present. b. Final:Construction.Inspection—Engineer must first do their inspection for elevations, ties, etc. As-built of verbal OK(or e-mail to:healthdel2t@townofnorthandover com) .from the engineer must be submitted to the Board of Health,after which.installer.cails for an inspection time. Installer must be present for this inspection. With a pump system,all electrical work :must be ready and able to cause:pump to work and.alarm to function.. c. Final Grade—Installer must request inspection when all grading is complete: Installer does not have to be on=site. 4. As the installer,I understand that only I may perform the work(other than simple excavation)and I atn required to complete the installation of the system. identified in.the attached application for installation. '.I further understand:that work done b .others ur3licensed to install se tics stems in North Andover can constitute reasons for denial of the system and/orrevocation or susl ensiori of my license to operate in the Town of North Andover. significant fines to all persons involved are also possible 5. As the installer, I understand that I musf be on-site during the performance of the following construction steps: a. Detemvnation that.the proper elevation of the excavation has been reached A Inspection of the sand and stone to be used. c. Final inspection by Board ofHealth staffor consultant. d. Installation of tank,D-Box,pipes,stone, vent,pump chamber,retaining wall and other components. 6. As the installer, I understand that I am solely responsible for the installation of the s stem as er the approved plans. No instructions by the homeowner general contractor, or any other persons shall absolve me of this obligation. Undersigned Ucensed Septic Installer: (Today's Date) B 440- A.1ame:— .Print) e r S�gTLED I • ^. R •�RarEn%��, North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 0 MAP: LOT: INSTALLER: S4-n DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ 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 ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed loading ❑ Monolithic tank construction ❑ Watertightness of tank has been achieved by testing ❑ Inlet tee installed, centered under access port M1 ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final 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 ❑ gallon Pump Chamber installed ❑ loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port Pum s installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing Comments: ElHydraulic cement around inlet & outlet CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement El signal located inside: basement Comments: DISTRIBUTION-BOX Installed on stable stone base H-20 D-Box Inlet teeed if um or >0.08'/ foot) pumped foot) Hydraulic cement around inlet & outlets Observed even distribution Speed levelers provided (not required) Comments: J/'l-s' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Property Address Owner Owner's Name information is required for every page. Cityllown 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 t r From deck A C ` deck C1 A-Ccakf 40' Pr"cakf i!S,44 A--o441eif 43 &+Ou4ld ib' 6 r d-bo 49' 15ins-11110 Fide 5 Official Inspection form:Subsurface Sewage Disposal System•page 15 of 17 it Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Patton Lane GSM SVey`ew Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 3.5' 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: 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: The test holes put water table 3.5" below grade on soil profile and percolation test done on May 25, 1983. Test done on August 16, 1984 observed by Mike Gray. The health department put the water level at 42" below grade. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 60 Patton Lane Property Address Joseph Kennedy Owner Owner's Name information is required for North Andover MA 01845 July 26, 2011 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 T rr=�7U i� f 7 � n' p. t 3 9 S `r --•;�a.,xrMr��ra...-.w... y,._,-.�.... ..—,.a.,.�z.-.,w.,eww:m„e�-v...+v.�m.-a.e.n.n..:.n.r-�+�+..."-...r�..�—_ "' DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, September 27, 2011 3:41 PM To: 'Joseph Kennedy' Cc: Sawyer, Susan Subject: RE: Title 5 Inspection 60 Patton lane N. Andover Importance: High Follow Up Flag: Follow up Flag Status: Flagged Hello again Mr.Kennedy, I just received in the mail today,the revised T-5 pages 1-3 for 60 Patton Lane. The status has changed from"Needs Further Evaluation by the Local Approving Authority" to"Conditional Pass". The notes in Item B.Certification-C.P.completed by James Gallant of Windriver Env.states that the: "Outlet line from septic tank to distribution box has collapsed. Distribution box has settled casuing effluent to back up. Distribution box is corroded and crumbling apart with minimal leakage." I will copy this to Susan Sawyer,our Health Director and ask her to give you a call regarding the results of this revised report,and the action that is needed to receive a passing Title 5 Inspection. Best Regards, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street Bldg 20 1 Suite 2-36 North Andover,MA 01845 N Office-978-688-9540 9 Fax-978-688-8476 9 Email-pdellechiaie@townofnorthandover.com ; Website http://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 -----Original Message----- From:Joseph Kennedy jmailto Joemken@comcast.netl Sent:Tuesday,September 27,20113:21 PM To:DelleChiaie,Pamela Cc: Monika Kennedy Subject:Title 5 Inspection 60 Patton lane N.Andover Hi Pamela, We've talked before about our Title 5 Inspection.We received a copy of the title 5 Inspection form last Friday the 23rd of September from our inspector Jim Gallant of Wind River.I assume your office has also received it. We conditionally passed subject to: A)replacing the septic tank with a complying septic tank approved by the Bd of Health. B)replacing/fixing collapsed outlet line from septic tank to distribution box,and C)replacing settled(causing effluent to back-up)and crumbling distribution box. Can you tell us how to properly proceed to fix the system and receive the Title 5 certification? Sincerely, Joe Kennedy PO Patton Lane, N.Andover MA 978-686-5146 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:http://www.sec.state.ma.us/pre/-reidx.htm. Please consider the environment before printing this email. 2 Town of North Andover f NO11T1f�N BUILDING DEPARTMENT&INSPECTIONAL SERVICES o?•=;d_ - Community Development and Services Divis 1600 OSGOOD STREET bbArib� 'l- Building 20; Suite 2-36 North Andover,Massachusetts 01845 P (978)688-9540 Susan Y.Sawyer hgp://www.townofnorthandover.com F (978)688-8476 Public Health Director 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 Date: E� Name: S L Phone number: 8 ' 0/D " 7 Fax number: o �rT®� L r�� Address: INQUIRY -Property in question: (Please include as much information as possible) Subject: Inquiry: OZ Ctu' 7 You will receive a call back within 24 hours. Thank you. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, December 21, 2011 10:15 AM To: 'Joseph Kennedy' Subject: COC -60 Patton Lane, North Andover Attachments: 20111221095608802.pdf Hello Mr.Kennedy, Attached is your Certificate of Compliance. This is good for two years from the date on the form. I will send the original in the mail. I hope you have a wonderful holiday with your family. "Holiday gift suggestions:to your enemy,forgiveness.To an opponent,tolerance.To a friend,your heart.To a customer, service.To all,charity.To every child,a good example.To yourself,respect.".--Oren Arnold Best Regards,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 N Office-978-688-9540 9 Fax-978-688-8476 9 Email-pdellechiaie@townofnorthandover.com ; Website http://www.townofnorthandover.com/Pages/index If you are happy with the customer service you have received from town departments,please let us know...feel free to complete the general Comment Form(click on underlined link):http://www.townofnorthandover.com/Pages/NAndoverMA WebDocs/contact -----Original Message----- From:noreply@townofnorthandover.com(mailto:norepWtownofnorthandover.com� Sent:Wednesday,December 21,20119:56 AM To:DelleChiaie,Pamela Subject: This E-mail was sent from"RNPOA428C" (Aficio MP C5000). Scan Date:12.21.201109:56:08 (-0500) 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:httl2://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. o� (S �1 /,4 DelleChiaie, Pamela From: Joseph Kennedy Doemken@comcast.net] Sent: Tuesday, October 04, 20112:32 PM To: Sawyer, Susan Cc: DelleChiaie, Pamela; Monika Kennedy Subject: Re: Title 5 Inspection 60 Patton lane N. Andover Importance: High Dear Ms. Sawyer, We are wondering if you have had a chance to review our revised T-5.Since we are planning on putting our house up for sale next year,we want to make the necessary repairs to our septic system before the winter sets in. Sincerely, Joseph&z Monika Kennedy 60 Patton Lane 978-686-5146 On 9/27/113:41 PM, "DelleChiaie,Pamela"<pdellech@townofnorthandover.com> wrote: >Hello again Mr.Kennedy, >I just received in the mail today,the revised T-5 pages 1-3 for 60 >Patton Lane. The status has changed from"Needs Further Evaluation by >the Local Approving Authority"to "Conditional Pass". >The notes in Item B. Certification-C.P.completed by James Gallant >of Windriver Env.states that the: "Outlet line from septic tank to >distribution box has collapsed. Distribution box has settled casuing effluent to back up. >Distribution box is corroded and crumbling apart with minimal leakage." >I will copy this to Susan Sawyer,our Health Director and ask her to >give you a call regarding the results of this revised report,and the >action that is needed to receive a passing Title 5 Inspection. >Best Regards, >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 N Office-978-688-9540 >9 Fax-978-688-8476 >9 Email-pdellechiaie@townofnorthandover.com >; Website http://www.townoffiorthandover.com/Pages/inde >"We can never see the path of our life if we are too busy focusing on >the pebbles under our feet."—Anonymous >-----Original Message----- >From:Joseph Kennedy[mailto:joemken@comcast.netl >Sent:Tuesday,September 27,20113:21 PM >To:DelleChiaie,Pamela 1 >Cc:Monika Kennedy >Subject:Title 5 Inspection 60 Patton lane N.Andover >Hi Pamela, >We've talked before about our Title 5 Inspection.We received a copy >of the title 5 Inspection form last Friday the 23rd of September from >our inspector Jim Gallant of Wind River. I assume your office has also received it. >We conditionally passed subject to: >A)replacing the septic tank with a complying septic tank approved by >the Bd of Health. >B)replacing/fixing collapsed outlet line from septic tank to >distribution box,and >C)replacing settled(causing effluent to back-up)and crumbling >distribution box. >Can you tell us how to properly proceed to fix the system and receive >the Title 5 certification? >Sincerely, >Joe Kennedy >60 Patton Lane,' >N.Andover MA >978-686-5146 >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: >htt2://www.sec.state.ma.us/pre/preidx.htm. >Please consider the environment before printing this email. 2 DelleChiaie, Pamela From: Aker, Elizabeth [eaker@wrenvironmental.com] Sent: Thursday, July 14, 2011 12:56 PM To: DelleC ' ' , , '' ken@comcast.net' Subject: RE: rR. -60 Patton Lane-)Scanned Health Dept. File Hi Joe I got everything you sent over. You would need to give all this information to the T5 inspection the day of the inspection. I would need the consent form back signed and then we can go ahead and set up the service for you... Thanks Elizabeth Aker Residential Systems Advisor Wind River Environmental 577 Main Street Suite 110 Hudson,MA 01749 (o) 800-499-1682 x 5063 (c) 978-265-3781 (f) 978-562-7255 From: DelleChiaie, Pamela fmailto:pdellech(?Otownofnorthandover comb Sent: Wednesday, July 13, 20113:37 PM To: 'joemken@comcast.net' Cc: Aker, Elizabeth Subject: I.R. - 60 Patton Lane - Scanned Health Dept. File Importance: High To: Joe Kennedy 978-686-5146 Re: 60 Patton Lane Dear Mr.Kennedy, Attached is a scanned copy of your Health Dept. File with regard to your septic system at 60 Patton Lane. Please call the office with any questions. Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 201 Suite 2-36 North Andover,MA oi845 2 Office-978-688-954o Fax-978-688-8476 I] Email-pdellechiaie(&townofnorthandover com Website hnp://www.townofilorthandover.com/Pages/index 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 1 J Title V Estimate and Consent Form ENV I It U N M E N1 A I. s�� - �� 41A, JUL IS 2011 Customer Name: Joseph Kennedy Property Address: 60 Patton Ln IOWN OFDOVER HEALTH OEPARTMENT North Andover,MA Scheduled date of Title V Inspection TBD JReminder: Please make sure you have the following available for your system inspection. ❑ Design plan 0 As-built septic plan ❑ 2 years of water bills t°�G//''G G�I�i,°/�v�✓®�I��� ' ❑ 2 years of pumping records Work Estimate: NOTE: Pumping: 211.93 Gallons 1000 This is an estimate provided to you Disposal fee based on your phone order. Actual Build-up inlet charges cannot be identified until we Build-up outlet are on the job site and perform a Inspection Report 1"t 440.00 physical assessment. No work or hour charges in excess of what is.outlined Inspection additional 145.39 will commence without your approval. hours Title V Inspections require digging Jackhammer fees which could include the use of heavy Zabel filter equipment. Wind River Environmental Fuel surcharge 15.00 is not responsible for any damage to Manifest fee landscaping including, but not limited Board of Health fee to, grass, shrubs, trees 7ad flowers. total Estimate as $ 812.32 quoted PLEASE INITIAL_: i A Title V inspection is often misunderstood to suggest that we are conducting a complete inspection of your system.A Title V inspection is limited to determining if,at the time of the inspection,the existing septic system is functioning.The State of Massachusetts has outlined specific tests that are to be performed,which will be completed during your Title V inspection. However,a Title V inspection,and the inspection that Wind River Environmental is performing hereunder,does not evaluate if the system was installed correctly,has been engineered in accordance with state and local regulations,or whether the system will continue to function in the future.It also does not evaluate whether the system would meet the past,current,or future Board of Health or State DEP regulations.A system can pass Title V but still not meet state or local requirements or be suitable for continued use. If the customer would like a complete inspection of their system, including an evaluation as to the design and suitability of your system,Wind.River Environmental can provide a quote as to the cost of such services,As well, Wind River Environmental strongly recommends persons interested in buying a home to have a full and complete system evaluation before purchasing a new home.A new home buyer should not rely on a Title V inspection in determining if the system will function in the future,and instead should commission a complete system inspection. 1 have read the above and agree to the terms of this inspection: Signed: �-���� � ;. '> -� ,.T Date: /3 c � TVEstimate:Ver2,011ev 2/13107 800-499-1682 � ..� 19_=__--- TO: NORTH ANDOVER, MASS BOARD OF HEALTH 31 Re::Soil Absorption Sewage FROM: DE,SI,GN ENGINEER • System Inspection. This is' to certify l that I have inspected the construction: of the said disposal system at • �� .� � �' ;�,=-�-r� �'� .• ,���/t.>,-�- North Andover, Mass.. SITE,LOC'AT.ION,,�; • , b,, '. .�,. and specifications dated The grades and construction are as specified in p ns Co cg. f n an S 111511 I TO: NORTH ANDOVER,•MASS s .1 19 `� BOARD OF HEALTH Re:,Soil Absorption Sewage FROM: DESIGN ,ENGINE'ER System Inspection. This is to certify; that I have inspected the construction, of the said disposal system at North Andover, Mass. SITE LQC*A.11UN -� The grades and constructioh arc as specified in plans and specifications.dated 4).�.IU COMM y C C eg. n cr/ c ni ian J /9N SLnc5' � Board of Health SEPTIC SISTEM North Ancinver2JHaae. INSTA?.LATION CHECK LIST LOT 'J_LL�4L" OVED DATE DISAPPROVED EXCAVATICN OK Y IL iFAIL OK /V uk-r 1. Di -tance Tot - as. Jetlands b. Drains Well 2. Wa, e'r Line Location 3•' No PPC Pipe �. Septic Tank a. -Tees -_Length do To Clean Out Covers b. 'Cement Pipe to Tank On Both Sides of Tank 5. Distribution Box a. Covers k Box - No Cracks b. All Lines Flowing Equal- Amounts c. No Back Flow 6. - L-ach Field or Trench a. - Dimensions b. Stone Depth c. C, pe&Eads - - d. Clean Double Washed Stone 7. Le.tch Pits ' a. Dimensions b. Stone Depth e. Splash Pads d. Tees e. Cemmt Pipe to Pit - Both Sides f. Clean Double Washed Stone 8. No Garbage 'IDi spo sal• ' . 9. Final Grading Inspection 10. Barricading Covered'System 11. As Built Submitted a. Lot Location 'b. Dimensions of System • c Location with,Regard-to,Pere Test d. " Elevations t. ., Water .Table - �- s SOIL PROFILE & PERCOLATION TEST DATA North Andover, Mass. Street No OFF 4R4i1.1V111e Lot No Loc/Subdiv. c,rl��E.�GI A17QES% -2-Z:7 Pland Owner Investigator /S�cyE Observer SOIL PROFILE DATES l.'Elev 2.Elev 3.Elev 4.Elev 0 0 0 O 1 1 1 1 II Tres P%s est 2 2 2 2 . . SbN 3 Co e�eSE 3 4�E� 3 3 = 4 5 5 5 5t�t..'� -ew, � �.►''D � SAND . 7 7 7 7 8 N 8 8 g 9 9 9 9c r Coe?�, s to 10 , 10 10 Benchmark Location Elevation Datum PERCO;ATION TESTS DATES Pit Number 1 2 3 4 j Start Saturation Soak-Minutes start e Drop of 311-Time Drop of 6"-Time M6ms-lst 311 drop lo 1 Mins.2nd 3" Drop Percolation i irk l� �Q M -t 1 r BoaH,of Health n<-,rtr :.,ndover,NaBs r , SUBSURFACE DISPOSAL DESIGN CHECK LIST . LOT 4 PA��o/V u l APPROVED DATE DISAPPROVED 'PATE Provided: Reasons: Title V FAIL OK Reg 2.5 The submitted plan must show as- a minimum: a) the lot to be served-area,dimensions lot #,abutters blocation and log deep observation holes-distance to ties c location and results percolation tests-distance to ties d design calculations & calculations showing required leaching area (e) location and dimensions of system-including reserve area f) existing and proposed contours (g) location any wet areas Within 100' of sewage disposal system or disclaimer-check wetlands mapping ' (h) surface and subsurface. drains within 100' of sewage disposal. system or disclaimer (i) location any drainage easements within 100' of sewage disposal system or disclaimer-Planning Board files (J) known sources of water supply within 2001 of sewage disposal � system or disclaimer (k) location of arty. proposed well to serve lot-1001 from leaching facilit; (1) location of water lines on property-101 from leaching facility (m) location of benchmark (n) driveways (o garbage disposals (p no PVC to be used in construction (q) profile of system-elevations of basement, plumb, pipe, septic tank, distribution box inlets and outlets, distribution field piping and Other elevations (r) maximum ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional R:igineer or other professional authorized by law to prepare such plans Reg 6 S tic Tanks flog, water"tableTtees., depth of tees, access, pumping (b) cleanout (c) 10, from cellar wall or inground swimming pool (d) 25!, from subsurface drains Reg 10.2 ' , Distribution Boxes . (a) slope greater Um ,0.08 Reg 10.h b) surnp. tubLl�,SL Depip Check List Pae 2 FAIL OK Leaching Pits Leachibg pits ;acre pretexred wh6re ,tbe installation is possible leg 1.1.2 a) calculations'of leaching area-mWi== 500 eq ft. 11..4 b) spacing 11;10 c) surface drainage 296 cover material e) 2-fx2lx4" splash pad f) tee at elbow g) no bends in pipe from d-box to pipe Leaching Fields . teg 15.1 a) no greater than 20 mutes/inch b) area-minimum 900 eq ft s 15.4 c) construction of field 1508- _-.. d)--zuface drainage 2 - 3.7 e) 201 from cellar wall or inground suimming pool Leaching Trenches tog 4.1 a)—calculations or. leaohing area-min,500 oq ft' 14.3 1 ib) spacing-4 ft min 6 ft with reserve between 14.4 kc) dimensions 14.6 Kd) construction 14.7 e) stone 14.10 f) surface--drainage 2% Downhill Slop e a) slope" y x ---Tlo be shown) b) y/x x 150 - (to be shown) EMS Reg 9.1 a) approval 9.6 b) stand-by power w .f' �i^ r<. �.. 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