HomeMy WebLinkAboutMiscellaneous - 671 JOHNSON STREET 4/30/2018 671 JOHNSON STREET !t
�{� • 2901038.0-0076-0000.0 \
COMMONWEALTH OF MASSACHUSETTS RECEIVED
TOWN OF: NORTH ANDOVER
----------- MAY a 8-2014
SYSTEM PUMPING REPORT
REPORT FOR MONTH OF APRIL 2014 TOWN OF NORTH ANDOVER
Y HEALTH DEPARTMENT
CONTENTS CONDITION OF
/DATE NAME ADDRESS GAL TYPE TRANSFERRED TO SYSTEM
r4/-9/20-1 4—MICHAEL PAVOR EY 671 JOHNSON ST 1,000 SEPTIC LWWTP
�4/I7/2-0-1-4-MERRIMACK COLLEGE ----315TURNPIKE 9,500.SEPTIC LWWTP
------
................. -This report contains CONFIDENTIAL AND PROPRIETARY information and is for regulatory
purposes
I
ENTERPRISES, INC.
Z-6 !.ivingston Street
Lowell, MA 018B
_ COMMONWEALTH OF MASSACHUSETTS
TOWN OF: NORTH ANDOVER
SYSTEM PUMPING REPORT
---=
MONTH OF APRIL 2007 _ LTOHEALTt
c `` 4
- 1 0 2007
CONTENTS CONDITION OF
DATE _ NAME ADDRESS GAL TYPE TRANSFERRED TO SYSTEM _
4/13/2007 PAUL PIEROG 1000 TURNPIKE STREET 1,000 SEPTIC LOWELL WWTP `OWN OF1 41
4/18/2007 ROLLING RIDGE CONDOS 660 GREAT POND ROAD 12,000 SEPTIC GREATER LAWRENCE _ —�
_4/19/2007 MICHAEL PANSOVOY 671 JOHNSON STREET 1,000 SEPTIC LOWELL WWTP _
4/20/2007 ROLLING RIDGE CONDOS 660 GREAT POND ROAD —_ 12,000 SEPTIC LOWELL WWTP -
- - _--------_
-------------
--
. . Achusetts
r ;Q• RVER° MASS
m�r. �J.�:�1�ii,�,,,��Pump�t�g. tRec'c�rd
i Formr 4 tIAY 1 0 2007
�i �l Bj3 !✓ ,.
DEP,.haa provided this form for use by local Boards of Health. y torly In � d must
be submitted to the.local Board of Health or other approving aut or • ALI H
A Faciii Information
+ tY ,
fulling out 1 System Locat(on
comp
;;foitrp
. uter,use �•; .
only the tab key Address
to move your:. -
cursor-do not
use the r@turim; Clty/Town State
Zip Code.'
key
System Owner. " r
2
Address(if different from location
City/Town
State^
Telephone Number
umping Record �.
.a • 1' Date of Pumping oat 2. Quantity Pumped:
Uons
3, ype of system:'. ❑ Cesspools) ptic Tank
❑ Tight Tank
'Other(describe); -
4 Effluent Tee Filter present?.❑ Yes If yes, was It cleaned? ❑ Yes ❑ No
Condition f
p Y' '
�G I
�Iams
77
Vehicle Ucen*e Number
dNiry•'YA N�1,+�tf,l , t lir} ,ty St'1•'t ti '.':. .
7. Location where coptents Were.dl;3posed:.
, b
i Stens• e of Hauler:�! �.• Date
http;//www.mass.gov/dep✓water,/apprpv4ls/t5forms,htm#Inspect
t5forrn4.doc-08/03 System Pumping Record Page 1 of 1
Town of North Andover pf NORTk
' F `St�aD 16T N�A
Office of the Health Department z
Community Development and Services Division
William J.Scott,Division Director O D'T4TtD
27 Charles Street "SS�CHU
North Andover,Massachusetts 01845
Sandra Starr Telephone(978)688-9540
Health Director Fax(978)688-9542
May 3, 2001
Michael Pansovoy
671 Johnson Street
North Andover, MA 01845
Dear Mr. Pansovoy,
This is a follow-up to the complaint lodged by you to the Health Department, concerning a
reoccurring "burning smell' near your home on 671 Johnson Street. An inspection was made of
the area on April 27, 2001. At that time there was no identification of a burning smell. As this
type of complaint is hard to identify I have a couple of suggestions.
1} If the odor/irritation is identified during regular business hours, 8:30—4:30, Monday
through Friday, please contact the Health Department so that an investigation as to the
source may be initiated.
2) If the odor/irritation is identified off hours,please keep a log on the date, time,
duration and any other pertinent information and forward this information to the
Health Department.
Both actions by you could help this office; help you with your concerns. If you have any
additional questions, please contact the Health Department. Thank you.
Since ly,
usan Ford, R.S.
Health Inspector
Cc: Sandra Starr, Health Director
file
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
t
Complaint# 46 Complaintant
D _.
Complaint
Date
Michael Pans ovoy
smells buming-like electrical fire(plastic).Smells it all the time,
04/26/2001 when incinerator is down it doesn't smell,when its on it smells.
Address
671 Johnson Street
Phone#
978-794-1811
Owner of Property
Incinerator on Holt Road
Action
Owners Address Phone
ShemTood Homes
APPLICATION FOR SEWAGE DISMAL INSTALIATION Lot # 9, ON ASO
HEALTH DEPARTMENT - NORTH ANDOVER, NASS.
I hereby make application for a permit for a sewage disposal installation at
Lot # 91 1 0 L N 4 v h }. I will install this system in ac-
cordance with all the laws of the Commonwealth of Massachusetts and regulations of
the Board of Health of the Town of North Andover.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. I will install a con-
crete septic tank of 1000ga1+ in size. A manhole (s) permitting easy cleaning
will be provided with removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 180 lineal iY ) feet of effective absorption area.
The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar
material to a height of 2 inches above the crown of the pipe. The joints of these
pipes will be protected from clogging and before filling the trench, 2 inches of
gravel or stone 1/8" to 1/4" (dia. ) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, two lines of the will be
installed. A minimum of 6 feet will be maintained between the center lines of the
disposal field trenches and the average depth of trench shall not exceed 36 inches.
No part of the installation will be less than 100 feet from any private water supply,
25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line.
I further agree not to cover any portion of this installation until approved by the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the permit. Plot Plans m t be submitted with pp ication.
DA TE 7
SignTe of Applicant M
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DA TE4,dIJ&/
ignature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Signature of kliNspecting Officer
Percolation Test 2 min. Soil: sandy-gravel fill
Garbage Grinder No
July 8, 1961
Miss Mary Sheridan R. N.
Health Agent
Board of Health
North Andover, Mass.
Dear Miss Sheridan:
An examination was made as requested in order to determine the
suitability of the soil for the subsurface disposal of sewage on the
proposed Johnson Street building site (Lot #9) of Sherwood Homes, Inc.
The land in general is high.
The subsoil in the area was of gravel content (fill) and a
2-minute percolation test was conducted.
It is recommended that a 1,000 gallon concrete septic tank be
installed together with 180 lineal feet of drain pipe.
Very truly yours,
CA4lliam J. Drzsc
WJD:hd
t9—JA
BOARD of HE.k'fljj
TOWN OF NOMI-11 AiIZO VB
bLii.� MASS.
1
�--------may -� �
T) ,
Fflol I -V
ir O C 9 ILI-
A404 eqr —I/—
1. NAME ^^. DATE .
2. ADDRESS"�`o�yso� . .�� . Lar N0. 9 . TEL.
3. NO. OF BEDROONS . :3 . . DEN YES NO. `� .
4. GARBAGE GRINDER YES . . . . . N0. /9o- . . .
5, SHOW DIPIENISIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7, SHOW DIh'ENSION'S OF LOT
8, SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9, NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10. SHCW LOCATION OF BROOKS, STF.EANS, DITCHES., LEDGE OUTCROPO ETC.
11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
ONOR~
OFFICES OF: °m Town of 120 Main Street
APPEALS ;ems; NORTH ANDOVER
North Andover,
BUILDING Massachusetts01845
CONSERVATION `"USE4� DIVISION OF (617)685-4775
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
September 27 1988
Sam Martin
671 Johnson Street
North Andover, Mass.
re= 671 Johnson St.
This office has no record of complaints or problems with
the Septic System at this address.
Sincerely
--------------- ----------------
Sanitarian Boa of Health
Town of North Andover ttoRT1f q
Office of the Health Department
Community Development and Services Division
William J.Scott,Division Director ------
".0
27 Charles Street gSswC US
North Andover,Massachusetts 01845
Sandra Starr Telephone(978)688-9540
Health Director Fax(978)688-9542
May 3, 2001
Michael Pansovoy
671 Johnson Street
North Andover, MA 01845
Dear Mr. Pansovoy,
This is a follow-up to the complaint lodged by you to the Health Department, concerning a
reoccurring "burning smell' near your home on 671 Johnson Street. An inspection was made of
the area on April 27, 2001. At that time there was no identification of a burning smell. As this
type of complaint is hard to identify I have a couple of suggestions.
1) If the odor/irritation is identified during regular business hours, 8:30—4:30, Monday
through Friday,please contact the Health Department so that an investigation as to the
source may be initiated.
2) If the odor/irritation is identified off hours,please keep a log on the date, time,
duration and any other pertinent information and forward this information to the
Health Department.
Both actions by you could help this office;help you with your concerns. If you have any
additional questions, please contact the Health Department. Thank you.
Since ly,
,i usan Ford, R.S.
Health Inspector
Cc: Sandra Starr, Health Director
file
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
0. 7L29 /f^/
,f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Address of property v171 361 ivso j :T QU; 19 "oov e—
' Owner's name 4E;19 m
Date of Inspection +� 3 I AND
TOw BOARD OF HEA
CHECKLIST
41995
w Checkifif e following have been done:
Pumping information was requested of the owner,occupant,and Board of
None of the system components have been pumped for at least two weeks and the system
has been receiving normal flow rates during that period. Large volumes of water have not
been introduced into the system recently or as part of this inspection.
�/5 As built plans have been obtained and examined. Note if they are not available with N/A.
/The facility or dwelling was inspected for signs of sewage back-up.
The site was inspected for signs of breakout.
All system components,excluding the SAS,have been located on the site.
The septic tank manholes were uncovered,opened,and the interior of the septic tank was
inspected for condition of baffles or tees,material of construction, dimensions, depth of
liquid,depth of sludge,depth of scum.
The size and location of the SAS on the site has been determined based on existing
formation or approximated.
r
The facility owner(and occupants,if different from owner)were provided with information
on the proper maintenance of SSDS.
4 J�
fS'
.f •
r
;i
4r
:f
3 G
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
SYSTEM INFORMATION
FLOW CONDITIONS
If residential
number of bedrooms
0 number of current residents
IVO garbage grinder,yes or no
•� laundry connected to system,yes or no
F f
VJ seasonal use,yes or no
If nonresidential,calculated flow:
r Water meter readings,if available: /V OAJk UA A43 /4
j
+l '
—Last date of occupancy
GENERAL OCCUPANCY
Pumping records and source of information:
(A)
System
G ccs S' �, i lam;
System must be pum ed to permit inspection
d' Volume pumped .)s
U
Typ�ystem
Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
_ . -O Shared system(yes or no) (if yes,attach previous inspection records,if any),
Other (explain)
41
Approximate age of all components. Date installed,if known. Source of information:
�s-rA IAQ 1960 P--£,e
j; N� Sewage odors detected when arriving at the site,yes or no
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
SYSTEM INFORMATION continued
SEPTIC TANK: 75-o Gly
depth below grade:
KF
material of construction: concrete metal FRP other (explain)
(�
dimensions:
sludge depth
distance from top of sludge to bottom of outlet tee or baffle
/ scum thickness
distance from top of scum to top of outlet tee or baffle
l " distance from bottom of scum to bottom of outlet tee or baffle
Comments: .
' condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural
integrity,evidence of leakage,recommendations for repairs,etc.
PUMP CHAMBER:
pumps in working order,yes or no
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,recommendations for
maintenance or repairs,etc.)
r
i
a
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
SYSTEM INFORMATION continued
SOIL ABSORPTION SYSTEM (SAS):
If not determined to be present,explain:
Type:
leaching pits and number
leaching chambers and number
leaching galleries and number
leaching trenches,number,length
leaching fields,number,dimensions / fk eo G%uAi S PP/CcrX
overflow cesspool,number
_ Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,
recommendations for maintenance or repairs,etc.)
1U0 1�00,fly�d
CESSPOOLS:
d 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
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,
recommendations for maintenance or repairs,etc.)
PRIVY:
materials of construction
dimensions
depth of solids
Comments:
�
note condition of soil,signs( of hydraulic failure,level of ponding,condition of vegetation,
recommendations for maintenance or repairs,etc.)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
SYSTEM INFORMATION continued
SKETCH OF SEWAGE DISPOSAL SYSTEM:
locate all wells within 100'
0
v�
• Si
is
a�
w�
depth to groundwater
�proxirnafion:
method of determination or
V
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
FAILURE CRITERIA
Indicate yes,no, or not determined (Y,N, or ND). Describe basis of determination in all instances. If
not determined",explain why not)
_ Backup of sewage into facility?
_ O Discharge or ponding of effluent to the surface of the ground or surface waters?
t;
_ Static liquid level in the distribution box above outlet invert?
Liquid depth in cesspool <6"below invert or available volume <1/2 day flow?
Aki
Required pumping 4 times or more in the last year?
number of times pumped
/JO Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial
exfiltration? tank failure imminent?
Is any portion of the SAS,cesspool or privy:
below the high groundwater elevation?
within 50 feet of a surface water?
AJO within 100 feet of a surface water supply of tributary to a surface water supply?
A1(J within a Zone I of a public well?
AJO within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only,
not the SAS)?
" within 50 feet of a private water supply well?
�Q less than 100 feet but greater than 50 feet from a private water supply well with no
" acceptable water quality analysis? If the well has been analyzed to be acceptable, attach
copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia
nitrogen and nitrate nitrogen.
Y,
3�
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
CERTIFICATION
Name of InspectoriePukd
ABC Cesspool Co.
292 High Street, Acton, MA 01720, 263-5802
`a
a;
Certification Statement
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported as true,accurate and complete as of the time of inspection. The inspection was
performed and any recommendations regarding upgrade,maintenance and repair are consistent with
my training and experience in the proper function and maintenance of on-site sewage disposal systems.
This certification does not consist of any warranty or future performance of this system.
Check one:
I have not found aninformation which indicates that the system fails to adequately protect
Y Y q Y
public health or the environment as defined in 310 CMR 15.303. Any failure not evaluated
are as stated in the FAILURE CRITERIA section of this form.
' I have determined that the system fails to protect public health and the environment as
defined in 310 CMR 15.303. The basis for this determination is provided in the FAILURE
CRITERIA section o this form.
Inspector's Signature
DateXyj
Original to system owner
Copies to:
a: Buyer (if applicable)
Approving authority
.a
s
ACTION-KING ENTERPRISES, INC
26 Livingston Street
Lowell, MA 01852 MAY
��A
COMMONWEALTH OF MASSACHUSETTS MAY 3 2008
TOWN OF: NORTH ANDOVER �— TOWN OF NORTH ANDOVER
SYSTEM PUMPING REPORT HELdb DEPARTMENT
ACTION KING ENTERPRISES,INC REPORT FOR THE MONTH OF:APRIL 2008 �—
I
CONTENTS CONDITION OF
DATE L _ NAME ADDRESS GAL TYPE TRANSFERRED TO SYSTEM
4/1/2008, MICHAEL PANSOVOY 671 JOHNSON STREET 1,000 SEPTIC 'LOWELL WWTP
4/29/2008 THE LOFT RESTAURANT 1140 OSGOOD ROAD 3,500 GREASE CORREN_CO
4/29/2008 JOE FISH RESTAURANT 1120 OSGOOD ROAD 3,500 GREASE CORRENCO
I I -
I -
ACTION-KING €NTFRPRISES, INC.
26 Livingston Street
Lowell, MA 01812 -
R C
COMMONWEALTH OF MASSACHUSETTS MAY
l * rlq�
TOWN OF: NORTH ANDOVER MA fp�o i V t
_ I _
SYSTEM PUMPING REPORT VN WNWHANDOVER
— — I I -- ZALTH DEPARTMENT
ACTION KING ENTERPRISES,INC REPORT FOR THE MONTH OF APRIL 2010
CONTENTS CONDITION OF
DATE NAME ADDRESS GAL ' TYPE TRANSFERRED TO SYSTEM
4/2/2010 MERRIMACK COLLEGE RNPIKE BIREE 7,500 1 GREASE CORRENCO
4/6/2010 MICHAEL PANSOVOY 671 JOHNSON STREET 1,000 SEPTIC LOWELL WWTP \\p
i
COMMONWEALTH OF MASSACHUSETTS RECEIVED
TOWN OF: NORTH ANDOVER
SYSTEM PUMPING REPORT DEC 0 8 2005
ACTION KING ENTERPRISES, INC REPORT FOR THE MONTH OF NOVEMBER 2005 TOW Ult
N OF NORTH ANDOVER
CONTENTS HEALTH DEPARTMENT
TRANSFERRED CONDITION OF
DATE NAME ADDRESS GAL TYPE TO SYSTEM
11/5/2005 DEMOULAS 350 WINTHROP AVE 1,000 SEPTIC LOWELL WWTP 34
_ .
11/7/2005 MICHAEL PANSOVOY 671 JOHNSON ST 1000 SEPTIC LOWELL W-- -
I
--------------------------
35
----------
------------
- ---