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Miscellaneous - 66 CEDAR LANE 4/30/2018
66 CEDAR LANE 210/106.A-0143-0000.0 North And(ver Bqjard of Assessors Public Access Page 1 of 1 0 NORTH Northr.... Andover Board of Assessors Of i�� e y'�ti0 t • S/1CMUbtt I •�roperty Record Card Click Seal To Return Parcel ID :210/106.A-0143-0000.0 FY:2009 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge a Search for Parcels Search for Sales Summary Residence Detached Structure Condo 66 CEDAR LANE Commercial Location: 66 CEDAR LANE Owner Name: HARDWICK,JAMES THOMAS,III KATHLEEN ANN HARDWICK Owner Address: 66 CEDAR LANE City: NORTH ANDOVER State: MA Zip: 01845 J Neighborhood:6-6 Land Area: 1.75 acres I Use Code: 101-SNGL-FAM-RES Total Finished Area: 1856 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 405,300 412,700 Building Value: 190,900 198,300 Land Value: 214,400 214,400 Market and Value: 214,400 I Chapter Land Value: LATEST SALE I I Sale Price: 1 Sale 05/25/1988 Date: Arms Length Sale F-NO-CONVNIENT Grantor. HARDWICK Code: JAMES THOMA Cert Doc: Book: 02735 Page: 0315 i I ' I http://csc-ma.us/PROPAPP/display.do?linkld=1465093&town=NandoverPubAce 1/12/2009 ' r Commonwealth of Massachusetts RFCEOVED Title 5 Official Inspection Form r� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments A L N0 c_h v.1 Fa ov C1wN 4i TuNORTNR MINT R C C 17 nFPA \ Property Address , CA61AS + ►G�eIIC, fC � Ito e— V� Civ ner ON ner's Name *b information is N W 6 -Th A ,u L9- , (a 01$�5� -7 required f or 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 A. General Information filling out forms on the computer, use only the tab Inspectr: key to move yotr cursor-do not 3 �' L G RST A N use the return Name of Inspector key. Company Name 116 HAS Compan Address 6A0�bo��iz mAtr Clty/Town State Zip Code 9-7'K T 1S 313 2-- 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 Title5(310 CMR 15.000). The system: + LJ Passes ❑ Conditionally Passes ❑ Fails ❑ Nee Further Evaluatio by the Local Approving Authority Inspector's Signattre Date The system insr //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 . w the same or different conditions of use. t5ins•3/13 Title50fficial Ins pectionForn Subsurface Sewage Disposal System-Page 1 of 17 i r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments CP fl A Q L tj R operty Address N t C11,I,v l As t �► C�c 61 �.'�,� e- Ow ner Ow ner's Name information is required f or every NOrT� �ND6`1t� A 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) Syste Passes: I have not foY und an 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. g ❑ Y ❑ N ❑ ND(Explain below): t5ins-3/13 Tifle 5 Official Ins pec Eon Form:Subsurface Sewage Disposal System-Page 2 of 17 • i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address N tChcJAS IL (Yt►c�� I1 t �,��N Ow ner Owner's Name information is O�'rL �p�vZ� rn required for every '1 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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 mannerwhich 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•3113 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 3of17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments --- 4 e co A 2 fns Property Address 1 N II Ch61 61 as f M,A't ir— Ow ner O,v ner's Name / information is NV r? w pbv t� required for every page. aty/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: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ wrl", Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ R 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 1/2 day flow t5ins-3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments C COC(- LN Property Address N)I(_nC A9 M�ch� !1 e 4'1 0*0-e- Ow ner prr ner's Name information is required for every �►�r J 40 page. Oty/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: ❑ [!(J Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100et of a surface water supply or tributary to a surface water supply. ICO VT `t- ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ M/" 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.] ❑ B/ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,00 0g pd. ❑ 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. t5i ns•3/13 Title 50fficial 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 acwM— G �e G�a A tL l.N Property Address Nif Mic�12I] e �L1NG Ow ner Ow ner's Name //yy�� /I� information is required for every No`Z ti A m oc r_ I f1�} �'IJ 7 ---U 4 page. City/Town 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 EKI ❑ Pumping information was provided by t owne ccupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? Z/ ❑ 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) 2( ❑ 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? l� ❑ 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-`orre ample, 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 CM R 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): —+— Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): D L t5ins-3113 Tide50fficial Ins pec tion Form:Subsurface Sewage Disposal System-Page 6of17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w Lri CU)A 2 Lo Property Address AAAS + (A &J J�.3 C_ ON ner Owner's Name information is required for every `p(,� A m p o3 0L 04 Q' D p yr 7 —Al 16 Iv page. Qty/Town State Zip Code bate of Inspection D. System Information Description: I Number of current residents: Does residence have a garbage grinder? ❑ Yes LTJ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes CNo information in this report.) / Laundry system inspected? El Yes M No Seasonal use? ❑ Yes CH"No Water meter readings, if available (last 2 years usage (gpd)): Detail: � w will Sump pump? ❑ Yes V� No C V rre C�J-t Last date of occupancy:P Y: Date mercial/lnd Conditions: 1 " 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-3/13 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 c—cook Property Address w IC 1Ao l,As '-f Ow ner Ow ner's Name information is ��' R►�PB�acR- C) I�LI � required for every N 4� page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: e Date Other (describe below): General Information Pumping Records: Source of information: W N CCL Was system pumped as part of the inspection? ❑ Yes Mr"No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 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•3/13 Title5 Official Ins pec ton Form:Subsurface Sewage Disposal System-Page 8of17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Ceoo Lo Property Address t-- ,A Q^'ner ON ner's Name information is t� n �y. J 619116— 7—Al —1C required for every �"8 ` � � t� r,30�\3 Z'�' 'J!t— b 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: '7 vepe.S G —1 '7 4 1)c, 0 1T l Were sewage odors detected when arriving at the site? ❑ Yes 0 No l Building Sewer (locate on site plan): Depth below grade: feet Material of constructi;/40'PVC El cast iron ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: feet Material of construction: concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) pL -TAro IL b N-r— CO efZ If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Ib 00 T A C Sludge depth: t5ins•3113 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 wM G � C e o>�►sZ �_!N Property Address NkC�N0 [ O's k ONIAell- 11L,Ne_ Ow ner O�v ner's Name information is }�����-� pG��� rn n GIGL��' 7 a r — J ' required for every 1� 61 t� G 7 (� 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 Scum thickness � N Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? �{ Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TP w IL L"_4 cll� �1 t e T j 6 YT L�.T `I-c-e n1A4-z 1^. / Gr rap (locate on site plan): `Y 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-3113 Title 5 Official InspectiorfForm: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 Ce D ASL L ICY Property Address I MIC61A$ I Ncktlk- WL)1-j C_ ON ner Owner's Name information is t130`'� N p a's t(L (�W� `7 required for every page. City/Town 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.) : I �� O aAI 1 pvs 'i NZ I72A-TOr'$ G:�AmbtaS 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-3/13 Title 5 Official Ins pection Form:Subsurface Sewage Disposal System-Page 11 of 17 . i Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM CC c Q0-e Lo Property Address tv tc. o`As + x'11 ,cine, l lti ON ner Owner's Name /�, information is required for every 6 J A tj0o\)c4z_ 1►1 R page. City/Town 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 G 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.): Qo cr-.� + Lcoc-L Pump Chamber(locate on site plan): 1�1 Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.).- If tc.):If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 3;- 74 ITeaTa MS a -i t4 sip r Ta 0#,J Pc)P_T_' I'll)e.N-'r t5ins•3/13 Title 5 Official Ins pection Form.Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments `w � G Ce-o12 LN M Property Address t-4tA01AS � n1+c �.elilc � ; L ov ner Oro ner's NamTe /� information is required for every ND r I f-r N I>ottR- 04 01�yS 7 � ' page. City/Town State Zip Code hate of Inspection D. System Information (cont.) Type: ❑ leaching pits number: leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): ARp� N�� d► -� 02Y 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w �prp [VA6L Lw Property Address tN t c.1k 1 AS + I cl, 11 t �w Ow ner Cw ner's Name _ information is N®fT� A►JIRD-1G(L- ft)4- 113S 7 —� —K required for every page. City/Town 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.): �^1 (� �O St4 !v G} hyyrr4\1 4)(4 %3r �S p e C-1-1, .3 �d�`T b y-e O e t Cn+ SON O (3 d S m e l l it Privy (locate on site plan): �V Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official InspecfionForm:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w Ce Lha Property Address Nf��61Rs 1 mt)C, %Itllc 1L„s Ow ner ON ner's Name information is K)bCl YJP©�� Mn 6I ^7 6L) — required for every rr J� 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 f where public water supply enters the building. Check one of the boxes below: ❑ and-sketch in the area below drawing attached separately I i I t5ins•3113 Title50fficial Ins pec tion Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w - 66 CCpAP_ LN Property Address P 1 C� IS ns M l cktI I-e- 1&-11-c' Cw ner Ov ner's Name information is ©r�-� N LR /►, 0 0 ys- %7 _a required for every ���� page. aty/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: E Check Slope Surface water 2 Check cellar 2 Shallow wells Estimated depth to high ground water: feet Q1�N � �" Ft1c.. Npr dd Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record ff If checked, date of design plan reviewed: AS �peJ 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: 6 --lei Before filing this Inspection Report, please see Report Completeness Checklist on next page. 5ns•3113 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 Cc o PP— L rs Property Address ON ner O.v ner's Name information is �`O c�h (� 6u�f2 /y��} O 1 required for every 1 V V'� I'1 -71L) page. City/Town State Zip Code Date of Inspection E. ,R,/e'port Completeness Checklist L7� Inspection Summary: A, B, C, D, or E checked i Inspection Summary D (System Failure Criteria Applicable to All Systems)completed System Information—Estimated depth to high groundwater Lil' Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form,Subsurface Sewage Disposal System•Page 17 of 17 I SUMMARY OF INVERTS BUILDING TIES SEWER ® FDTN. 95.96 BLDG. CORNER A B C N_. THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 95.69 SEPTIC TANK 11.8 31.7 A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 95.44 IDIST. BOX 20.735.81 SYSTEM. IT IS A RECORD OF THE LOCATION DIST. BOX IN 95.34 AND ELEVATION OF THE EXISTING SYSTEM I DIST. BOX OUT 95.18 COMPONENTS. INV. IN CRAM. 95.14 BOTT. CHAM.. 94.5 I HEREBY CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM HAS BEEN INSTALLED IN ACCORDANCE WITH THE PROVISIONS OF 310 CMR. 15.00 (TITLE 5) AND THE APPROVED DESIGNS PLANS. L&A (78.300 S.F.) 1.800 GAL. D—BOX SEPTIC TANK i a LEACH FIELD W/ 10' 14' _nPrso 32 INFILTRATORS EXIST. 4 8D IA VAST. { CHAMBERS ",UV lUN^ #66: RT.:TaNC INSP. : —*S.M.. �T`F-100.0 4 cri+ir--7 \ PORT,, L':, t �� _� �• VENT — i _ efisT. ULL T^'L 9 1 29.24 S8 9 APPR6X. CEDAR LANE 0 mu- i • f I�A OF i X` 0 p� VLADIMIR L. NEMCHENOK c 11r 'V N . ~. ,c�, AS BUILT PLAN ss,�NAL OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./66 CEDAR LANE AS PREPARED FOR RECEIVED THOMAS HARDWICK TM: 106A DATE: 6-19-09 TL: 143 JUN,2 5 Z� SCALE: 1"=400 �9 0 20 40 80 To. OF.NOR Iie p 'ANDOVER 'MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed or repaired ( ) by INSTALLER at Lc,l A- Lek,-+L SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. dated 19 . The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Cr BOARD OF HEALTH ENGINEER 41 T0: '3l h le D;"ER, I•ASS. 5- I�._� T-.ALTH i Re: Sub Surface OI.: 'T. T e I:VITNEER. System Xnspec- it n Mis I have inspected the construction of the sub surface Zf CZ=dl4 R 2 1/i /VE' No.Andover.MaG-i, The r'ion are .as specified in my plan.- and ;pec-.l ' �a+=d % 1 7y PrV. ins>• r .*rt nl f/ NORTH q • O O 1y ?, e" T Coe., lwKM 7' R ��Ssgc Nus�t�y Ii PUBLIC HEALTH DEPARTMENT Community Development Division CER2IFIC4rr1F 01F COM�1' 1,45VCE As of: ,dune 18, 2009 This is to cert that the individuaCsu6surface d&posa(system received a SAT1ST,4CT0RT1 SPEC7I0Nof the: F'uff Repair of the Subsurface Sewage 1DisposalSystem By. Todd Bateson At: 66 Cedar.Gane 9Wap — 106.,X; Parcel- 143 9Vorth Andover, MA 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system u4ff function satisfactoriCy. us n T qauyep--*"' fu6Cic.Meath Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ` NaRvM o m . 9 R 9 yn ♦6 � M ap41[c.Pf y{J 95SACt1USE5 PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION ZL The undersigned hereby certify that the Sewage Disposal System( )constructed;( repairBy: 1,49V-® i�� 1:(Print Name) RTH AND Located at: 66 (.i��i0�,� L (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated D f and last revised on a' ,with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan;the system was installed in accordance with the provisions of 310.CMR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan.All work is accurately,represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: Engineer Representative(Signature) And—Print Name (Z Installer: (Signature) Date: a � a OF Rigs VLADIMIR L. NEMCMENOK ,`�',� And—Print Name Enginer: IL t`�. (Signature) Date: 0 2 Y Z19 G� Alyce' And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com DelleChiaie, Pamela From: brdufresne@comcast.net Sent: Tuesday, June 23, 2009 2:48 PM To: DelleChiaie, Pamela Subject: Re: 66 Cedar Lane Pam, They are both in the works, the as-built plan will be completed in the next day or so and then I will get you a copy along with a completed certification form. Thx, Bill ----- Original Message ----- From: "Pamela DelleChiaie" <pdellech@townofnorthandover.com> To: "Bill Dufresne (brdufresne@comcast.net)" <b rd ufresne@com cast.net> Cc: "Susan Sawyer" <ssawyer@townofnorthandover.com> - Sent: Tuesday, June 23, 2009 2:14:10 PM GMT -05:00 US/Canada Eastern Subject: 66 Cedar Lane Hi Bill, I need a completed certification form for 66 Cedar Lane before I can issue a COC. Can you get that form over to me? Todd will then need to sign it as well. Also will need a final as built and schedule a final grade inspection. I left you a voice mail as well. Thanks, P. ;v"tda Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only-no response requested at this time 1 AS-BUILT CHECKLIST � ,./ LOT NUMBER, STREET NAME ASSESSORS MAP &PARCEL NUMBER (� LOT LINES &LOCATION OF DWELLINGS LOCATIONS &DIMENSIONS OF SYSTEM, G.RESERVE TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS,DRAINS, WATERCOURSES �^ WITHIN 150' OF SYSTEM Y LOCATION OF WATER, GAS,ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-BOX ORIGINAL STAMP& SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW . LOCATION&ELEVATIONS OF BENCHMARK USED I TOWN OF NORTWANDOVER NORTH Otao q Office of COMMUNITY DEVELOPMENT AND SERVICES or b' _ °4,°0 HEALTH DEPARTMENT y 1600 OSGOOD STREET;Building 2-36 "•� . , NORTH ANDOVER,MASSACHUSETTS 01845 ��Ss�c`NUs�tty Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public.Health Director 978.688.8476—FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: �� AP/ '9b- _4LOT: A/ 3 INSTALLER: DESIGNER: e9 . / PLAN DATE: IL �/6 A BOH APPROVAL DATE ON PLAN: /zS/� 9 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS xistingseptic tank properly abandoned ernal plumbing all to one building sewer ❑Topography not appreciably altered Comments: Ott v T SEPTIC TANK s Bottom of tank hole has 6" stone base ❑ Weep hole plugged T l 1500 gallon tank has been installed H-10 loading onolithic construction -�, C d ❑ Water tightness been ac ' d (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 TOWN OF NORTH ANDOVER NORTH � Y Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 {GNU`� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health.Director 978.688.8476—FAX Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ Combo Tank installed. Size: ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic 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 ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: Wastewater System Documentation—Feb 20% Page 2 of 6 t Q ' TOWN OF NORTI6N66VERa. Office of COMMUNITY DEVELOPMENT AND SERVICES 3r 4..:, 0. HEALTH DEPARTMENT p 1600 OSGOOD STREET;Building 2-36 ►' NORTH ANDOVER, MASSACHUSETTS 01845 S;CH„SwK`h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM- Bottom of SAS excavated down to soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan 3/4-1 '/2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Wastewater System Documentation—Feb 2006 Page 3 of 6 r TOWN OF NORTH ANDOVER {SORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �'"SS��H�Set�h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 7 F TOWN OF.NORTH ANDOVER � t►oRTH Office of COMMUNITY DEVELOPMENT AND SERVICES O , M HEALTH DEPARTMENT 1600 OSGOOD STREET;Building 2-36 � . . NORTH ANDOVER,MASSACHUSETTS 01845 "SS CHUSFt`h Susan Y. Sawyer,RENS/RS 978.688.9540—Phone Public.Health Director 978.688.8476—FAX CRITICAL SETBACK.DISTANCES Mark those distances checked in the field against the design'plan and regulatory setback Tank SAS Sewer ❑ Property line 10 10 -- ❑ Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ ' Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot.Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains (Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Wastewater System Documentation—Feb 2006 Page 5 of 6 r TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES oro41. n0. HEALTH DEPARTMENT it 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �9SSRClIu5Ett9 Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Wastewater System Documentation—Feb 2006 Page 6 of 6 i r � Commonwealth of Massachusetts Map-Block-Lot ®a y" a•< °o` 106.A-0143- Board of Health ----------------------- Permit No North Andover BHP-2009-0532 ----------------------- P .I. FEE SsAcwuF.I. $250.00 ----------------------- Disposal Works Construction Permit Permission is hereby anted Todd-Bateson- to(Repair-FULL)an Individual Sewage Disposal System. at No 66 CEDAR LANE as shown on the application for Disposal Works Construction Permit No. B Dated May 22,2009 . op --------- ------------ Issued On:May-22-2009 Board of Health � a Qtd0.Tk1� A' plication for Septic Disposal System_ �:.`:� ;�°o< TODAY'S DATE Xonstruction Permit - TOWN OF K�•' •� « ORTH ANDOVER, MA 61W, $ 250.00—Full Repair �,�•.,,,,,,,K-� $125.00 -Component SSACNUyt Important: Application is hereby made for a permit to: When fining out ❑ Construct a new on-site sewage disposal system* forms on the computer,use 5� a air or replace an existing on-site sewage:disposal system* only the tab key to move your ❑ Repair or replace an existing system component—What? cursor-do not use the return A. Facility Information key. Address or Lot# Ism II City/Town d ✓�Oz_ II 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump ❑ Gravity(choose one) ***If pump system, attach copy of electrical permit to application*** ❑ 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 777 4l 6 4-3 Name Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information /sem �- Sar✓ Name Name G �•-'�., P1 �¢�y /l.� 111 ,Ars, '' LL.-,- Address Andover, fill,A (,•,v-i 0 / M - City/Town State Zip Code 17J-9 els - '�0-3 Telephone Number(Cell Phone#if possible please) 4. Designer Information _ Name N ma a of Company Address o��-lam City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page t of 2 , r p r .Zoe' � r'Pplication for Septic Disposal Svstem =Construction Permit — TOWN OF TODAY'S DATE ` •-.' •' ORTH ANDOVER. MA 01845 $250.00—Full Repair 'Ss.KH„eF` $125.00-Component PAGE 2OF2 A. Fad!Iity.Information continued. 5. Type of Building: esidential 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 issue his Board of Health. Name Date Application pproved By: (B rd of Health Representative) Na �— -2-1 Date "Application Disapproved for the following reasons: For Office Use Only: 1. Fee Attached. Yes No Z. Project Manager Obligation Form Attached. Yes No 3. Pum,p Ssy tem? Ifso.Attach copy 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 i Appluxhon for pt pcsal System Construction Perrnd-Page 2 of 2 n <v SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andoverlicensedinstaller for the construction for the septic system for the property at: �►� C�.,��.1'�9-2 �-N . _ f" l.e�/'�r��� Nal c i✓'..�2.1'� �-y (Address of septic system) For plans by .J AA �� (Engineer) Relative to the application of �P�tsC. �'�`7'��-'�SoN r© (Installer's name) And dated I --�� (unginaate Dated �--C)'d_—O —�'ToT's ate With revisions dated (Last revised date) I understand the following obligations for management of this project: 1. 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, I must 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 being levied against me and/or my company. a. Bottom of Bed–Generally,this is the first (15) 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: healthdeptna townofnorthandover.com- from the engineer must be submitted to the Board of Health, after which installer calls.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 am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension 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 must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or 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 system as per the a1212roved plans No instructions by the homeowner,general contractor or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) �� � 7a—me–Print) e DelleChiaie, Pamela From: Isaac Rowe[irowe@millriverconsulting.com] Sent: Wednesday, January 07, 2009 9:08 AM To: 'Daniel Ottenheimer'; Grant, Michele; irowe@millriverconsulting.com; 'Marianne Peters'; DelleChiaie, Pamela;'Randy-Burley';_Sawyer, Susan Subject: 66_Cedar Lane-Plan review Attachments: 66 Cedar Lane Disapproval Letter 1-7-09.doc Susan, Please find attached a disapproval plan review letter for the above referenced property. You may want to show the Conservation Agent the notation on the plan regarding the wetlands, "Approx. edge of wetlands from field measurement". I am guess she will require the wetlands to be flagged and that may change the 100' buffer zone shown on the plan and the required Conservation filing. Again the SAS is proposed outside any test pits and this was NOT discussed on site during the soil testing. Bill mentioned the option of using only 1 test pit for the design (T-1). Please let me know if you have any questions. Thank you, Isaac D� Isaac M. Rowe,R.S. 1 Project Manager Mill River Consulting r 2 Blackburn Center 1 s HORTF � OEtt�ao ha'�q.0 o � n s - s '9ySACHU`��t Health Department January 17, 2009 Vladimir Nemchenok Merrimack Engineering Services g g 66 Park Street Andover, MA 01810 Re: Subsurface Sewage Disposal System Plan for 66 Cedar Lane,May 106A,Lot 143 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated August 14, 2008 and received on December 30, 2008,has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. There are no test pits in the proposed soil absorption system area. A Local Upgrade Approval for only having one test pit in the soil absorption system area cannot be requested. A variance from Title 5, 310 CMR 15.102 must be requested. ---*'2. Please provide a scaled profile of the system(NA 8.02 c). 3. Please specify all system components shall be marked with magnetic marking tape including the septic tank(3 10 CMR 15.221(12)). Please note the outlet tee in the septic tank should extend 14" into the liquid and not 16" (3 10 CMR 15.227(6)). �. If the design plan indicates the use of an effluent filter inside the septic tank. Also note the required annual maintenance necessary(3 10 CMR 15.227(7)). 6. Please provide soil evaluation forms 11 and 12 in accordance with 310 CMR 15.018(2). 7. Please provide a cleanout at all changes in direction of the building sewer(3 10 CMR 15.222(8)) or indicate the building sewer must be laid in a straight line. Note: N. Andover prefers the tank be located such that there are no bends in the building sewer ,,-�8. Please provide a riser to within 6" of finish grade for the d-box if greater than 9"of cover material is proposed(3 10 CMR 15.232(2)(f)). 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 2-36 E-Mail:healthdept@townofnorthandover.com North Andover,MA 01845 Phone:978.688.9540 Fax:978.688.8476 Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, S an Y. S er, REHS S Public Health Director cc: Thomas &Kathleen Hardwick File DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, January 26, 2009 9:33 AM To: DelleChiaie, Pamela; brdufresne@comcast.net Subject: 66 Cedar Lane Attachments: SKMBT_60009012610160.pdf Bill, Please find the attached review of 66 Cedar Lane. Note that the request for no test pits within the system is not approvable in this case without a local and a state variance. Last year we did approve one site submitted by you in this manner, so I understand that you may think this acceptable, but then there were extenuating circumstances. I am not comfortable with continuing that practice, nor do I feel it is best for the homeowners. If you redesign such that a single test pit can be used in a design you may request a local upgrade. I conferred with Mill River, regarding this site and with Claire Golden regarding the code and its intention in this issue. We had Jennifer Hughes,from Conservation,go to the site to investigate the wetland line you noted.She did not confirm the line other than it appeared that the system was Greater than 100 feet away. If you move the system, I will again get her opinion on this. The choice is yours at this point, let us know which way you would like to go with this and we'll do what we can to move it along. Susan 1 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS LAND SURVEYORS PLANNERS 66 PARK STREET•ANDOVER,MA 01810•(978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL Info@merrimackengineering.com LFebruary 18, 2008 r`'— Susan Sawyer v Public Health.Director RECEIVED 1600 Osgood Street Building 20, Suite 2-36 MAR 2 5 2009 North Andover, MA 01845 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT RE: 66 Cedar Lane Dear Ms. Sawyer: We have received your review letter dated 1-17-09 and your e-mail dated 1-26-09 for the above referenced site. We have revised the plan in response to items 2,4,5 & 8 of your letter. With regard to item#1 of your letter and your e-mail,it is sometimes not possible to perform a test pit in the exact location of the proposed s.a.s. for many different reasons. Every upgrade design is unique and very site specific. We do not make a regular practice of performing test pits outside the s.a.s. location. In this instance,the existing s.a.s.,tank, underground utilities,mature trees(which are not shown)and a playground interfered with our ability to conduct soil testing exactly where we would have liked to. Secondly, the exact size&location of the proposed s.a.s. is not even known when soil testing is being conducted, we generally do the best we can with regard to locating them. In this instance, your inspector and I had discussions specific to this issue and he was aware that the test pits may vary from the location of the s.a.s.,but being in the field together,we both understood the obstacles before us. It is unfortunate that the sentiments expressed in the field are not conveyed when it comes time to review the plan. How is soil testing even possible if an upgrade design is being performed in the same location as the existing system? Obviously one cannot perform soil testing through the existing s.a.s.,tank or underground utilities. Does that mean every time a system is replaced in the same location,which is often,that it requires a State variance? I don't think that is the intent of Title 5. The soil testing is intended to demonstrate soil suitability and based on the evaluators&Inspectors knowledge of the site, geology, existing records and the testing performed, some reasonableness is used in determining if the testing performed on site, is representative of the soil conditions beneath the proposed s.a.s. That is what is acceptable in most every other community in Massachusetts where we complete designs, in fact, many towns routinely only require 1 test pit for upgrades with the understanding that the less soil disturbed and the less disruption to the property,the better. You may ask,why not move the s.a.s. over the test pits?We don't believe that is the intent of Title 5 either, to choose the location of the s.a.s.based on the ease of performing test pits,but rather to choose the location based on what is most compliant with the regulations and what is most environmentally beneficial. In this case, given the location of the wetlands and the existing wells, replacement in the same general location is the best solution and testing simply couldn't be performed there. With regard to item#3,pursuant to 15.221(12),cast iron tank covers are specified and are not only a comparable, but a better means of magnetic location than tape. With regard to item#6,the soil forms submitted have always been acceptable to you in the past and are allowed by DEP, are they no longer acceptable? Lastly,with regard to item#7,the change in alignment is immediately outside the foundation wall. A cleanout is provided just inside the foundation wall and accessible from the basement. An additional outside cleanout would not provide any useful function. Submitted herewith are 3 copies of the revised plan. We respectfully request that the revised plans be approved with the condition that a confirmatory test pit be performed by a Mass.certified soil evaluator at the time of excavation inspection and prior to system installation. Very truly yours, (--�oa� William Dufresne Merrimack Engineering Services MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810 Sawyer, Susan From: Sawyer, Susan Sent: Monday, March 30, 2009 9:27 AM To: 'dano@millriverconsulting.com'; 'Isaac Rowe' Subject: 66 Cedar Lane Attachments: SKMBT_60009033009140.pdf Hi Dan and Isaac, I have attached a disapproval letter and Bill Dufresne's response for the property above. In an email I sent to Bill, I hoped I was clear about my expectations, but he is still asking for approval of a system without any test pits in the active area. Can one or both of you check out his response and let me know what you think? Thankyou Susan From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Monday, March 30, 2009 10:14 AM To: Sawyer, Susan Subject: Message from KMBT 600 i Sawyer, Susan From: Sawyer, Susan Sent: Monday, March 30, 2009 9:37 AM To: 'Golden, Claire(DEP)' Subject: question Attachments: SKMBT_60009033009140.pdf Hi Claire, I am sending you a couple of things to read and a question. I spoke to you in January about the Merrimack Eng.'s concept on having 0 test pits in the primary area. If you could look at my disapproval letter, item #1 and Bill Dufresne's response on item#1 from his letter I would appreciate it. He of course says it is common place that this takes place in repairs. Can you give any guidance?Would you think this an acceptable response to my request. I thought my position was clear, but he disagrees. Thx Susan 1 NoRrh of ttLlO Il�M x i '�' O-b.trisiira 4 r ��sgAClWsff` Health Department Sent via electronic mail and regular mail: brdufresne@comeast.net April 1, 2009 William Dufresne Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Subsurface Sewage Disposal System Plan for 66 Cedar Lane,May 106A.Lot 143 Dear Mr.Dufresne: The proposed revised wastewater system design plan for the above site dated February 17,2009 and received on March 27,2009,has been reviewed. Unfortunately,the plan cannot be approved. From the previous disapproval letter it is noted that items 2, 4,5 &8 have been corrected.The explanation for 3 is accepted as the cast iron could be construed as"comparable means"to marking tape as found in the code. For item 6 please note North Andover is asking that forms 11 and 12 be used in the future to standardize all plan submissions. In regard to item(s)still in question please see comments below: 1. There are no test pits in the proposed soil absorption system area. A Local Upgrade Approval for only having one test pit in the soil absorption system area cannot be requested. A variance from Title 5,310 CMR 15.102 must be requested. I have reviewed your list regarding the playground obstructions and underground utilities,as well as the issue of proper conveyance of discussions which take place at a particular site during inspections with septic consultants. I have also discussed your concerns with the Town's consultant who was on site at the time of the soil testing and I have asked opinion of Claire Golden at the DEP. The conclusion is,although it has been common practice to allow the second needed test pit to be done during construction,it is not acceptable to have zero test pits.The test pits in your case are over 5-10 feet from the system.There are ample ways to conduct them even with the 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 2-36 E-Mail:healthdept@townofnorthandover.com North Andover,MA 01846 Phone:978.688.9540 Fax:978.688.8476 obstructions: i.e.,properly mark the estimated underground utilities, and/or move the play structure. There may also be a better alternative to using the old leaching area location for the new system. Subsurface disposal systems must be in parent soil,therefore best practice should be to not place the system back over the original area, but rather to take less problematic variances that could place it more appropriately. Your initial choice for test locations indicates this may have been your thought as well. In this case there seems to be no compelling reason to change the previous decision,therefore the decision stands as written. If the leach area is to remain in this location there must be two test pits located within the system area,or one pit and a request for a local upgrade must be submitted or a state variance is needed. 7. Please provide a cleanout at all changes in direction of the building sewer(3 10 CMR 15.222(8))or indicate the building sewer must be laid in a straight line.Note:North Andover prefers the tank be located such that there are no bends in the building sewer. Title V requires a cleanout at each bend in the building sewer. To mare the plan compliant to the state code please: • place the tank in a location that allows for a straight line and add a note,or, • add the clean-out to the plan. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Please note that additional plan revisions require an additional fee of$75 payable to the Town of North Andover. Also,please note as a side issue,that the Board of Health hearing will be held on April 16th at the North Andover High School to discuss proposed revisions to the current local subsurface disposal regulations. This is an open meeting and all comments are welcomed either in person or in writing to the Board. The draft is at the link provided. hgp://www.townoffiorthandover.conVPagesNAndoverNIA Health/index Sincerel usan Y. Sawyer,REHS/RS Public Health Director cc: ➢ Homeowners- Thomas&Kathleen Hardwick ➢ Engineer- Vladimir Nemchenol, P.E., Merrimack Eng. ➢ Septic Consultant-Mill River Consultants ➢ File tiORTH O� ,Lao 6'9ti0 `O +� T � C, '1s,9SSgC HUs���y PUBLIC HEALTH DEPARTMENT (ommunity Development Division May 14, 2009 Thomas and Kathleen Hardwick 66 Cedar Lane North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 66 Cedar Lane,Map 106A Lot 143 North Andover,Massachusetts Dear Mr. and Mrs. Hardwick, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans dated December 16, 2008, final revision date of May 6, 2009,have been approved for a four(4)bedroom, maximum nine-room home. Approvals for two local upgrades to the design have been allowed and as follows: 1. To reduce the distance from the SAS to foundation from 20 feet to 14 feet 2. To allow a one deep hole rather than 2 within the area of the subsurface disposal system. a. With this approval a second deep hole will not be required by the Health Dept. upon excavation of the bottom of bed as noted on the plan. In accordance with local subsurface disposal regulations"Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". During this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. This approval is subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board,Planning Board,Building Inspector, Plumbing Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely, S an Sawyer, RE /RS Public Health Director Cc: Merrimack Engineering Services—Attn: Bill Dufresne 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com P - TOWN OF NORTH ANDOVER F NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,RENS/RS 978.688.8476—FAX Public Health Director E-MAIL: healthdep!@townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM RECEIVED DEC 3 0 2008 Date of Submission: q .-pg TpHEALTH DEPARTMENT Site Location:_ (� G�'n,�, /� � �N 1G Engineer:__ "6M,,j g� rj� a I New Plans? Yes /$225/Plan Check (includes 1"submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes ✓ No Telephone#:_]??j) Z75r�;&5 Fax#: E-mail: �a,_ 7S'' f "I. Homeowner Name: "'` Z 17412VA����. � OFFICE USE ONLY When the subm ssion is complete(including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database sar-ation:.1 1% Onncr's Name; MaplParcel: Installer. Tel J � New 9154- _gcpdr • i Dater + 0< _Wedaadt�=ZoneII Sotl SptnbolSo11 Rime Soo Q f I F D=p Obsu vatign Sole Logs Elegy-ation Dcpth Son Hpr#ion Soil Truce Sail Color Sof!htott&:. %Gmvel,Stone;etci yam, uoo l paueut�i�Wrtd.�LL 11e ta8s�4sc _StsylatR(akrL.a ciff4Ix ,"ORcfaaruF.« pSH�Lir �.` 1� !lit I�+- L {..IIC • t Panat A'Iatetial _'Ti�:1 ,. pipy,q pe6WdtQt Watetin lha Hila""' �lfeeplA=fwas ttt Farc�_E�CtYc �" Date l 2- t 1 CO` ction Tests RECEIVED Obseevationnolef M200 Depth of pm F -npr, 3 Stut Pisoil; r, ii 1 TOWN OF NORT AN�Oti FR Time at i rirK�i: —2TNiEfJ'r ---- Time at 9"- Time at 6" Time(.V--6"L Rate b iana - Performed B�: , , ,�Vrltncsscd Bt- _ h Commonwealth of Massachusetts City/Town of North Andover Y n Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the E"HEALTDEPARTM inforation must be substantially the same as that provided here. Before using this form,check with your local oard of Health to determine the form they use. Form A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming 9eptic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.40 (1), is not feasible. OVERS t upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not lie granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: forms on the computer,use Thomas Hardwick only the tab key Name to move your 66 Cedar Lane cursor-do not use the return Street Address key. North Andover Ma 01845 City/Town State Zip Code 2. Owner Name and Address(if different from above): SAME BQ11 Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: 4 Bedroom House 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) Z Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Seepage pits t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 1 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 9A - Application for Local Upgrade Approval M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: unknown gpd Design flow of proposed upgraded system 440 gpd Design flow of facility: 440 gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): ® voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: New 1500 gal. monolithic tank, 604 s.f.leach field with Infiltrator chambers 3. Local Upgrade Approval is requested for(check all that apply): ® Reduction in setback(s)—describe reductions: Distance from s.a.s. to fdtn. from 20 ft. to 14 ft. ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 2 of 4 p Commonwealth of Massachusetts Cityrrown of North Andover Form 9A Application for Local Upgrade Approval 5 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well(explain): a ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) f 1. An upgraded system in full compliance with 310 CMis 15.000 s not feasible: limited space due to well setbacks and existing underground utilities and the existing s.a.s. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: NA t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 3 of 4 b ,,. Commonwealth of Massachusetts City/Town of North Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: NA 4. Connection to a public sewer is not feasible: none available 5. The Application for Local Upgrade Approval must be accompanied by all of the following(check the appropriate boxes): ❑ Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." 12-18-08 Facility Owner's Signature Date Thomas Hardwick Print Name Bill Dufresne/Merrimack Engineering 12-18-08 Name of Preparer Date 66 Park Street Andover Preparer's address City/Town Ma/01810 (978)475-3555 State/ZIP Code Telephone SII t5form9a.doc•rev.7/06 Application for Local Upgrade Approval• Page 4 of 4 i '0 � 'TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT : UP , 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 °"^ NORT SETTS 01845 X91 SRCN05�Sh Susan Y.Sawyer, RENS,RS e�'0 978.688.9540—Phone Public Ilealth Director NOV 17, 2008 978.688.8476—FAX healthde�townofnorthandover com D� fANDOVERwww.townofnorthandover.com T09OF.NORHEALTH DEPMENT APPLICATION FOR S IIES DATE: I I— 11+" 0,92 MAP&PARCEL: 16 4 A 3 LOCATION OF SOIL TESTS: &61 -CapQ Q, OWNER: L#q:g - CW SZ • G�I 7 f APPLICANT: �j�(,l(,(,� Contact#: ADDRESS: ENGINEER:_k6MAC _eA-24j&6QU Contact#: CERTIFIED SOIL EVALUATOR: f t /tf F-99,��K(E Intended Use of Land: Residential Subdivision Sil CeF i y Home Commercial Is This: Repair Testing: V"' Undeveloped Lot Testing: Upgrade for Addition:_ In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test nit sites on the plagi ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Oniy Dass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ 'At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval Date: Signature of Conservation Agent: Date back to Health Department.(stamp in): • i 4 } � k {{ s QW! � l E two q '.E .' r MYs i �. •' W. .A Y�}' tl p J i X '�(4 �'M E� 3 ' J k�� � ✓ @ � d � � •Yr { ldt rSf M-34",9 imoo* s ? AA''{!s y'� ._•'6 �`.�.. '� s a ^� ♦ 1"•� / ^' L j s F'3 k £v�Wa'"� 7 E � .1'A ,�Yi 't w f f �, .i!: .wx"' ♦ s Sok ti;.. i' g a 1 .. •F 11YY r �# } ^_'., � 4.x J �Y H✓ 7 1 ,v•K.a�i fi s.c: 1' �'� n� 1'`a y y .a a _ , t t;; _ .. t 4 . � cb � � _ y/'x �K6u''L,L f.. syq'� i•.'� �k 1�� c S 1 '!,- : •W I1 N 1 S�'•� E' x f TpE� �, i ° ..� �� � YAR '�i• t o t (` •d, 1t 4 � � ��E i�vt � i 1 3 R••R � Y ,7' , Ab onto4 SUM i DelleChiaie, Pamela From: Isaac Rowe[irowe@millriverconsulting.com] Sent: Thursday, December 11, 2008 3:48 PM To: Daniel Ottenheimer, Grant, Michele; irowe@millriverconsulting.com, Marianne Peters, DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: 66 Cedar Lane Attachments: Soil Testing Results-66 Cedar Lane- 12-11-08.pdf Susan, Please find attached the soil testing results for the above referenced property. Soil testing was conducted today for the repair of the existing failed leach pits. There are wetlands in the rear of the property and private wells. Please let me know if you have any questions. Thank you, Isaac Isaac M. Rowe,R.S. Project Manager Mill River Consulting 2 Blackburn Center 1 I i 5 - - �c - f _ry - i ctC�r r w s' i5. 2..�/ — ! 41-7 11 brie s s � i I _- iso. --- a . r rt' a419 O1!46- 'lP?5j- 1 f SUMMARY OF INVERTS BUILDING TIES SEWER ® FDTN. 95.96 BLDG. CORNER A B C �� THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 95.69 SEPTIC TANK 11.8 31.7 A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 95.44 DIST. BOX 20.7 35.8 SYSTEM. IT IS A RECORD OF THE LOCATION DIST. BOX IN 95.34 AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX OUT 95.18 COMPONENTS. INV. IN CRAM. 95.14 BOTT. CRAM. 94.5 I HEREBY CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM HAS BEEN INSTALLED IN ACCORDANCE WITH THE PROVISIONS OF 310 CMR. 15.00 (TITLE 5) AND THE APPROVED DESIGNS PLANS. I Lau (76,300 S.F.) 1,500 GAL SEPTIC TANK D—BOX { "' • LEACH FIELD W/ 10' A 14. •, f 0`' 32 INFILTRATORS - tX15t 4 84A CHAMBERS „N DW L 'NL; IN SP ;; *B.M. TF-100.0 8 ' l VENT / _ 1c_c .< r j WE Lo41.69 29.24 _ SL# SB V CEDAR LANE ra hr!.t. I SQL OF Off' VLADIMIR L. y� �cNEMCHEN Kr � .y h1r •�I, A l � 4 C� AS BUILT PLAN NAL OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER MASS. 66 CEDAR / LANE � AS PREPARED FOR THOMAS HARDWICK TM: 106A DATE: 6-19--09 TL: 143 SCALE: 1"=40' 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 I SUMMARY OF INVERTS BUILDING TIES A'��� SEWER 0 FDTN. 95.96 BLDG. CORNER A B C NOTE:E: THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 95.69 SEPTIC TANK 11.8 31.7 A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 95.44 DIST. BOX 20.7 35.8 SYSTEM. IT IS A RECORD OF THE LOCATION DIST. BOX IN 95.34 AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX OUT 95.18 COMPONENTS. INV. IN CHAM. 95.14 BOTT. CHAM. 94.5 I HEREBY CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM HAS BEEN INSTALLED IN ACCORDANCE WITH THE PROVISIONS OF 310, CMR. 15.00 (TITLE 5) AND THE APPROVED DESIGNS PLANS. =A (78.300 S.F.) 1.500 GAL D-BOX SEPTIC TANK .,., -3 ,7. \ LEACH FIELD W/ 10, A �+ y 14' � -APr'ROK h0 32 INFILTRATORS LxIS � y.7. 8[.. tk - kwsT. CHAMBERS „N 1, DWELUNG f,n6 f 6T, C_NKI INSP. *B.M. TF-1 10 PORT,fig l VENT ,� i Lit .:.�._ 0 29.24 SD v� SB CEDAR LANE ��. b VLAD! ilR L. NEMCHENOK o �IV T} I N�S /�1 > ASO QFC 8 fin, c�r ,�• I AS BUILT PLAN AL� f OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./66 CEDAR LANE AS PREPARED FOR THOMAS HARDWICK TM: 106A DATE: 6-19--09 TL: 143 SCALE: 1"=40' 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 WELL DATABASE ADDRESS: AGE OF EI r ?' WELL DRILLER: 71 Y�LL.L PEitLYl.l1 .T. Z, WELL LOCA'T'I_1 ON: '/ /' (e✓y "� -ALL PERMIT DATE: � DEPTH OF WELL: � -- - TYPE OF WELL: a.. DRIL.I.ED b. DUG c. LN'tOWN -- TYPEOFWATER.BFkRINGROCK: WATER ANALYSIS•DATE_ 17 �!KGH MANGANESz:. Y N - -= EIGHIRON: Y N• OT=CONTAMIXA�`NTS: Y N - A, - Phi, WELL DATABASE g ADDRESS: d ` AGE OF WELL: WELL DRILLER: ►iti' WELL PERMIT rr ^� WELL LOCATI l Cyy o� WELL PERMIT DATE:.Z DEPTH OF WELL: (y' O TYPE OF WELL: . DRILL b. DUG c. UNKNOWN TYPE OF WATER BEARING ROCK: ` WATER ANALYSIS DATE: , HIGH MANGANESE: Y N HIGH IRON: Y N OTHER CONTAMINANTS: Y N i FDIST. MARY OF INVERTS BUILDING TIE !TA FDTN. 95,96 S '�n�T�e� ' NK IN BLDG. CORNER A B C .!�'v � THIS PLAN & CERTIFICATION IS NOT 95.69 SEPTIC TANK 11.8 31.7 A WARRANTY OF THE SUBSURFACE NK OUT 95.44 DIST. BOX RFACE DISPOSAL OX IN 95.34 20.7 35.8 SYSTEM. IT IS A RECORD OF THE LOCATION OX OUT 95.18 AND ELEVATION OF THE EXISTING SYSTEM CRAM. 95.14 COMPONENTS. BOTT. CHAM. 94.5 I HEREBY CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM HAS BEEN INSTALLED IN ACCORDANCE WITH THE PROVISIONS OF 310 CMR. 15.00 (TITLE APPROVED DESIGNS PL4NS 5) AND THE r I+ UMA �7 ) 1,500 GAL. D-BOX SEPTIC TANK ry. ( LEACH FIELD W/ �0 I 32 INFILTRATORS 14' Il CHAMBERS ry r,IS'l 4 8DJ'M _hP4Ox, ay C3tDi!N'; r,, INSP. 'B.M. TF�IDD.O c7 PORp vtasR ' r T-1 -.A - Lr41.89 i 29.24' 9d SB CEDAR LANE :A'wFu 5 ,1 so �O VLADIPMIR L. o NEMCHENOK f^ v AS BUILT 7 .. � AL�N OF SUBSURFACE DISPOSAL LOCATED IN SYSTEM NORTH ANDOVER, MASS./66 CEDAR AS PREPARED FOR LANE FcF/v D THOMAS HARDWICK DATE: 6-19-09 TM: 106A JUN 2 5 2009 SCALE: 1"=40' TL: 143 �OkEA�H cp�RTNDO�En 0 20 40 MEN7 80 MERRIMACK ENGINE 66 PARK STREET ENGINEERING SERVICES ANDOVER, MASSACHUSETTS 01810 � I I N