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HomeMy WebLinkAboutMiscellaneous - 89 BRIDGES LANE 4/30/2018N I/ I. / - I . .,s . .. . COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS ---'"ti' DEPARTMENT OF ENVIRONMENTAL -P,' QR TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: Owner's Name Owner's Address: Date of Inspection: — �a Name of Inspector: lease print) 0e4ze Company Name: p y Mailing Address: / / Telephone Number: 7 - —` CERTIFICATION STATEMENT 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 Se on 15.340 of Title 5 (310 CMR 15.000). The system: Passes Conditionally Passes =—,4, by the Local Approving Authority _ Inspector's Signature: Date:�Z-- The system inspector shall ubmit a copy of this inspection repotto the Approving Authority (Board of Health or DEP) within 30 days of c&npleting this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspelor 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. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: O 9 &W� Owner: Wl!�IMLQAW' Date of Inspection: Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D A. System Passes: have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments:, B. System Conditionally Passes: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired: The system, upon completion of the replacement or repair, as approved by the Board of health, will pass. Answer yes, no or not determined (Y,N,ND) in the 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 tAk 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. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or .o bstructed pipe(s) or_due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): - t broken pipes) are replaced obstruction is removed distribution box is leveled or replaced ND explain: 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): ND explain: broken pipe(s) are replaced obstruction is removed 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIIFICATION (continued) Property Address: 19 GlX/ Owner: Date of Inspection: _ 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 mann, which will protect .public bealth, 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and =- the pfesence',of ammonia nitrogen and nitrate nitrogens 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: Page 4 of 1 I �ry OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate "yes" or "no" to each of the following for all inspections: Yes No/" 9ackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _✓Discharge or ponding of effluent to the surface of the ground or sKace waters due to an overloaded or logged SAS or cesspool ., Static liquid level in the `distribution box abo a outlet invert due to an overloaded or clogged SAS or cesspool _ L'quid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number — �of times pumped �y portion of the SAS, cesspool or privy is below high ground water elevation. y portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. y portion of a cesspool or privy is within a Zone 1 of a public well. _ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _-j,,+l�ny 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 coliform bacteria and volatile organic compoaads indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] —14 (Yes/No) 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 consideredAa7arge sy`stent'the system alust serve a -fdcility with a design'flow of 1°0,000 gpd to 15,000 gpd• You must indicate either "yes" or "no" to eacli of the following: (The following criteria apply to large systems in addition to the criteria above) 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 — TWA) or a mapped Zone II of a public water supply well 77 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. s 114 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Y9 /alte es Z7,10. Owner: Date of inspection-'— -� Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yr o Pumping information was provided by the owner, occupant, or Board of Health , r r" _ .Were any tithe system components pumped �ut in the pfevious two Weeks? Has the system received normal flows in the previous two week period ? Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓Were as built plans of the system obtained and examined? (If they were not available note as N/A) V/ 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 ? JZ _ 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: Yes , no _ _Le -"Existing information. For example, a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [3 10 CMR 15.302(3)(b)] 5 r _ ��. of ...r.. d.4(t�:,n�-Jl.^r�y>tU.•:"` ��,1 « e .. ..��, ,c•- v r..,. .. . � .... a. �.�%.. +,.:.. , , - .. �.. ,.._ a, Page 6 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Ad ess: 0-/— 6/20 Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of edrooms): Number of current residents: -�v^ ��� Does residence have a garbage grinder (yes or no): C Ga m c w / Is laundry on a separate sewage system (yes or no): ?!!r [if yes separate inspection required] Laundry system inspected (yes or no): = Seasonal use: (yes or nm):tVo I Water meter readings, if available (last 2 years usage (gpd)): Sump pump (yes or no): ,KV0 Last date of occupancy: /')c fa I-( COMMERCIAL/INDUSTRIAL Type of establishment: Design flow (based on 310 CMR 15.203): gpd Basis of design flow (seats/persons/sqft,etc.): Grease trap present (yes or no): _ Industrial waste holding tank present (yes or no): Non -sanitary waste discharged to the Title 5 system (yes or no): _ Water meter readings, if available: Last date of occupancy/use: OTHER (describe): GENERAL INFORMATION Pumping Records Source of information: �; , ll�45 Was system pumped as part of tde inspection (yes or no): �[�^ If yes, volume pumped: �gallons --How was quant4v pumped determined? Reason for pumping: /iV C pr 7– ;io–a— Ad& TYPE t F SYSTEM eptic 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) _ Tight tank _ Attach a copy of the DEP approval Other (describe): Approximate age of all components, date installed (if known) and source of information: /61T rs Were sewage odors detected when arriving at the site (yes or no):&&4 Page 7 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: /./ e51 LGl� Owner:�e—lv Date of I spection: BUILDING SEWER (locate on site plan) Depth below grade: g Materials of construction: L.ea iron _40 PVC _other (explain): Distance from private water supply well or suction line: Comments (on condition of joints, venting, ev)i deuce of leakage, etc.): SEPTIC TANK: _ (locate on site plan) Depth below grade: -z3 ,, y Material of construction:Loeeticrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: _ Is age confirmed by a Certificate of Compliance (yes or no): — (attach a copy of certificate) Dimensions: ( 'K / D Sludge depth: " ev, 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: Distance from bottom of scum to bottom outlet tee or baffle: How were dimensions determined:!/ Comments (on pumping recommendation , inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert evid'en of leakage, etc. Na ti ��s -1) �a� c a GREASE TRAP: _(locate on site plan) Depth below grade: _ 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: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): iA _ . .. ...... 'w -n.+ -...a -.+ ,s�w•v.-.. . r.... �N.r.. ,. .� r:r..., y..Tu'. �w,. N t i w• . Page 8 of I 1 k OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: z" Date of I spection: 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: •,) a Capacity:allorts t Design Flow: gallons/day Alarm present (yes or no): Alarm level: Alarm in working order (yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX:(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: _0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakk into r ut of bo,X, ;tc.): v _/t/Qi��(l a&IQ ^,j / SOIfli7 ( ( G!/lea D''o' f -fin's' �J6 PUMP CHAMBER %C6 ' ocate on site plan) Pumps in working order (yes or no): Alarms in working order (yes or no): Comments (note condition of pump chamber, copdition+of pumps and, appurtenances,,etc.): 8 Pag7je/ 9 of 11 4 'k S `OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) PrODertv Address: jig . llt�lODMIT�1 9, - SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not -required) If SAS not located explain why: Type ! ^ leaching pith, number: _ h leaching chambers, number: leaching galleries, number: / L. -leo -aching trenches, number, length: �� / �PNGL¢S leaching fields, number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, 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 or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ,.� PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Page 10 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM 'INFORMATION (continued) Property Address: D 9AIi es &, � Irw SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public. water supply enters the building. F 1 x t i G . 00 Page I of 11 Jw� OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection. SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth'to ground water feet / r Please indicate (check) a l methods useAo determine the high ground water elevation: Obtained from system design plans on record - If checked, date of design plan reviewed: 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: w You must describe how you established theigh ground water elevation: 11 C !� 4 3 r f �1srr L-150.00 BRIDGES LME i CERTIFY THATTHE SEPTIC SYSTEM WAS INSTAUEO AS'SHOWN*THIS PLAN IS NOT INTEND AS A WARRANTY OF THE SYSTEM.F-GUNGATION CERTIFICATION AND LOCATION EYCMSTIANSEN ENGINEERING INC- 'pa TJP FND 167-90 HOUSE OUTLET 165.00 ST u4LE r 164.47 ST OUI'Lr_- � 164.27 D- BOX IN tT 16385 D- BOX OUT LET 163.75 TRENCH ,* 1 153005 2 163:05 3 163.05 `�PtAN SHO -MN G SUBSURFACE SEWERAGE DISPOSAL SYSTEM! -AS DOLT LOCATION' L0 "68A BRIDGES LANE OWNER ETAL FEALTY TRUST CKE B-28-84 SCALE P 40 PRE PARED BY FLYNN A,�socl P Co Po Oo BOX X69 PI�,I.Si J��� 1�� f�� i Location q No. Date Check # 15979 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ c}�j r / Building Inspec o TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING yt,t aYxt,r.z p 3x;'�.A, ', --•'°,3.r""' G�.f 'tea{Y- 7-s � �Tlus Section for Official Use Onl BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date 1.l Property Address: 1.2 Assessors Map and Parcel Number: 164:0 0117 O iiy Map Number Parcel Number r 1.3 Zoning Information: 1.4 Property Dimensions: Lot Area Frontage ft Zoning District Proposed Use 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Requir=ed Provided 1.7 Water SupplyM.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System Public ❑ Private ❑ zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 ONyncrof Recor Name (Print) Address for Service ?2.!�- 87-/4Y7 Signature Telephone 2.2 Authorized Agent Ailrc Nam not Address for Service: �S y79�. Signature' Telephone 3.1 Li Construction Supervisor Not Applicable ❑ 1,1^C Auf 11 077317 AddressLicense Number f �r, ay%�», 51�. C/U %;. bi,o� L;icer Constructs sor:(� 9 Lp / Expiration Date 7 ! fE Signature Telephone 3.2 Registered a Improvement Contractor Not Applicable ❑ 1201 An' --4, /,;� -7 Company Name„ ArrAw ®tee .�e. �c)� 51� Registration Number /D� C G„2. d ss A f . o�ur'� Expiration Date j,5 1/ 7,9 ��� 7 Signatur Telephone I, L- lc I /��t3 cit h^LM /'71� CA&A -Lc as Owner/Authorized --Zer Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print rhe /,? /0-2, Signature of nt ate _..x Item Estimated Cost (Dollars) to be .� ` �)�i #AW ssMll Completed by permit applicant 14�11u-t ter` 1. Building (a) Building Permit Fee 81*', Multiplier 2 Electrical (b) Estimated Total Cost of Construction from (6) 3 Plumbing Building Permit fee (a) x (b) rp 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number `t 1.� "k Fc+r',• .}°x y.H61 r� C ;�.r (tt'.A(*� ;1�� kt. l�+p6y *' j„..,_£1n f3 �' 5 $r N:C i 5..`+..'a ���n' g 2.'lA A.44�.#�. - >„�Y"�'. '�,,r,,.''�>r'i�>�'S � 1�+,kia.,, tip,. �jSr`�,;�;�4 �41r Kt�' P�'hkY AK r 4 shx: ru�i f r �:�•.''�'� i�i. ".;,n�trg`�st " ��' t .i.,�. � t , � „i���� ^x..: �.;�� .t NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 9T2 ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE e 5°�4 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with -the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: Z,,4 l G[ m (Location Facility) re of Veymit Applicant /7/11 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector Murray Home Improvement Inc. PO Box 87 N. Chelmsford MA 01863 1-011110 Chuck & Laura McGlaughlin 89 Bridges Ln North Andover, Ma 01845 Invoice Date Invoice # 8/29/2002 209 Page 1 Due Date Project 9/6/2002 Siding, Gutters, ... Description Qty Rate Amount Removal of Siding: Remove existing siding and dispose 10.656 40.00 426.24 of. Siding: Install Certainteed (Monogram) std. color to 10.656 140.00 1,491.84 entire exterior using tyvek as a backer. traditional corners will be used. Soffit: Install perforated soffit to all eves for proper 42.624 3.00 127.87 ventilation drilling holes if neccessary. Trim: Aluminum coil stock .019 (white) will be used to 82.584 3.00 247.75 trim along entire roofline. Windows & Doors: Windows & doors will be flashed 10.323 60.00 619.38 & custom trimmed in aluminum coil stock. Electrical: Electrical service will be removed, painted 0.333 220.00 73.26 & replace by licensed electrician. Stylemark: Stylemark polyurethane millwork fluted 0.333 270.00 89.91 pilasters will be used at side of entrance door. Sunburst i will be ins!alled at top of door. Gutters: Install seamless aluminum gutters and 38.628 7.00 270.40 downspouts to all fascia board. -\ ga if Q yoFLIV Thank you for your bu ' ess. Total All material is guaranteed t be as s e , t work to be'performed in a workmanlike manner. 3 YEAR WORKMANSHIP NTEE Payments/Credits products installed by our authorized tech i ' s ar fully guaranteed against faulty workmanship for three years from the original date of installation. There will be no charge to the customer or labor or material on any repair due to faulty workmanship during that three (3) year period. Balance Due Page 1 \ —T �omosaa-,uirr,2 o�./Giaaocuiu�aelYa HOME IMPROVEMENT CONTRACTOR Registration: 127415 i Expiration: 10/26/2002 Type: Individual ERIC MURRAY ERIC MURRAY �tIORMAN RD ADMINISTRATOR BILLERICA MA 01662 • ` f � ✓lae. -C�amzn'zaizurP,ct� o�'��lirute,4/� e BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077319 !, Birthdate: 10/20/1973 j Expires: 10/20/2003 Tr. no: 77319 Restricted To: 00 ERIC J MURRAY tj 15 HORMAN ROAD.' °! i d LLERICA,_MA 01862 Administrator _-- Cf) C M m m y d CO) C') CD n Z y CD O 'v CL r � O d = y � O � "t CD O CD O Q %< d CD CCD o CD Ww C CD y� CD d O CO) C=D � v CO) O � Z CD CD CD 0 CD 0 0 0 W ?°0 p"• CO =r H co) Q, n CD CLO "� Cl)m G n N ® d= N = M d CO) �c •n 0 CD -mom N o O n ]' S O m CD N m p �\ nC Q oz O 62 ' c H • O � o a N = _ �a0 CL c� N NCD O m CL CD N d N • : ? d d_ c' C W • d t0 CA CO) m m CO u� o� V 5a1 N -O o , CD C 0& o �CD CD o m Im -0 a. -o o. a n m � m m y d rn �o p ~ n "� N G a y N CDG z G i"� (� i G :j n ]' a C CL ^gn 7 d O n .rt p �\ nC Q oz 1 e r z 0 O C CD ol C 3 11/04/2002 11:54 19782500488 "JAY" COLANGELO INS PAGE 01 a�ii=��®ERTIFI A F LIABI ITV INS CE GATE (MAUDOtYY) PRODUCER IMPOSE NO OBLIGATION 4 41 LABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVE& JW Ing. Ap M Inc. THIS CERTIFICATEISSUED ONLY AND CONFEIF AS A MATTER OF INFORMATION NO RIGHTS UPON THE CERTIFICATE 288 8t HOLDER. THIS CEICATE DOES NOT AMEND, EXTEND OR TER THE COVEE AFFORDED BY THE POLICIES BELOW. alM+nslold MA 01824A AFFORDING COVERAGE INSUREDINSURERS INSURER k RCE INSURANCE CO MURRAY NOME IMPROVEMENT INC INSURER B: AIM RADE CO PO BOX 87 INSURER C' CHELMSFORD MA ChM INSURER D.- INSURER E: THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLK ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT I PERIOD INDICATED. NOTWITHSTANDING WITH RESPECT TO WHICH T MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OFSCRI13ED HEREIN IS SUBJECT TO 4 S CERTIFICATE MAY BE ISSUED OR POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BE N AEDVCEQ BY PAID CLAIMS. ALL THE TERMS. I XCLUSIONS AND CONDITIONS OF SUCH A- N TYPE OF INSURANCE NUMBER 7— F N LIMITS A GENERAL LIABILITY X MJ4467 o7 t 2 � t o2 077 r o3 EACH OCCURRENCE $ 1.000.000 COMGENERAL Llae4rrY rERCwL CLAIMS MADE OCCUR FIRE DAMAGE I" one ere) S 50.000 MED EXP (Any are person) S 51000 PERSONAL iL ADV INJURY s 1.000.00D GENERAL AGGREGATE s 2,000,000 GENL AGGREGATE LIMIT�APPLIES PER: � PROpUCTS • COMPIOP AGG f 2,000,000 JECT LOC AUTOMOBILE LIABILITY ANY ALTO COMBINED SINGLE LIMIT (Ea mcklem) S ALL DINNED AUTOS SCHEDULED AUTOS BODILY INJURY S (Pm Pem) HIRED AUTOS NONQVYNEp AUTOS BODILY INJURY (Per accom)PROPERTY S QE _ Pw WX4"0 GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ ANY ANTfO OTHER THAN EA ACC S AUTO ONLY! AGO S EXCESS uABILRY OCCUR CLAIMS EACH OCCURRENCE $ AGGREGATE S MADE E DEDUCTIBLE s ReT>=NrwN s $ INCTA O WORKERS COMPENSATION AND 9 EMPLOYPAS L"krTY VWC6003224012001 08120/02 /20103LIMN EL EACH ACCIDENT S 100,000 El. DISEASE • EA EMPLOYEE S 100.000 OTHER E.L. DISEASE • POLICY LIMIT 15 500.000 ADDITIONAL M ARE& INSURER LETTER: 9 MIN&eN08 H ANDOVER NORTH ANDOVER MA ,846 ACOiRD 25-6 (7)97) SHOULD ANY OF THEA DESCRIBED POLICIES OF CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE Q INSURER WILL ENDEAVOR TO MALI• 10 DAYS MRUTTEN NOTICE TO THE CERTrt E HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 4 41 LABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVE& WTHORIZED REPRESENTA JAY COLANGELIO 0 ACORD CORPORATION ,BBB z -j � D Q = Z o v 0 n 0 rr D o� c� avv (D 7 rr o m m � � � o m �Q c �a 0 H m O -h v 0 c a l 1 9 l rt (D O -n 71 H gog Subsu ace Sewage Disposal System � Inspection Report � In Accordance With Title 5 (310CMR 15.000) a 0 � �'ouSince'7z' GGS P.O. Box 1027, Concord, Massachusetts 01742 (� (508) 369-1100 (800) 287-5541 FAX (508) 897-3848 l� website: http://www.raggsinc.com e-mail: info@raggsinc.com J D 0 RAGGS, INC., P. O. Box 1027, CONCORD, MA 01742 (978) 369-1100 OFFICIAL CERTIFICATION SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION IN ACCORDANCE WITH TITLE 5 (310 CMR 15.000) CERTIFICATION PREPARED FOR: Walter and Linda Rayta ADDRESS OF PROPERTY: 89 Bridges Lane North Andover, MA 01845 DATE OF INSPECTION: March 24, 1999 RESULTS: X This property has PASSED the criteria set forth in 310 CMR 15.000. This property has CONDITIONALLY PASSED the criteria set forth in 310 CMR 15.000. This property has NEEDS FURTHER EVALUATION BY THE BOARD OF HEALTH according to the criteria set forth in 310 CMR 15.000. This property has FAILED the criteria set forth in 310 CMR 15.000. Il �I r1 U 1 L' 1 i RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ADDRESS OF PROPERTY: 89 Bridges Lane North Andover, MA 01845 OWNER'S NAME: Walter and Linda Rayta DATE OF INSPECTION: March 24, 1999 PART A CERTIFICATION Name of Inspector: Garry A. Harmon - Certified Title 5 System Inspector Company Name: Raggs, Inc. Company Address: P. O. Box 1027, Concord, MA 01742 a Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: 11 t C C X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS ifispector's Snature L v Garry A. Ha on - Certified Title 5 System Inspector 13- C___117-rS Date Raggs, Inc. certifies that all work performed on the aforementioned property was done in accordance with the guidelines set forth in Title 5 (310 CMR 15.303). Frederick T. Fish, President - Raggs Septic Service, Inc. d/b/a E. A. Comeau File No_: 99-21947/RAYTAWALTE Copies to: Payer of inspection Local Board of Health or its agent �7/3�'199 Date e n C c D t 0 'I I a I M i e i i C RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (9781369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY A. System passes: I have not found any information which indicates that the system violates any of the X failure criteria as defined in 310CMR 15.303 Any failure criteria not evaluated are indicated below. B. System Conditionally Passes: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes no or not determined (Y, N, or ND) Describe basis of determination in all instances. If "not determined" explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. Septic tank is: Metal : Cracked: Structurally unsound: Substantial infiltration: Substantial exfiltration: Tank failure imminent: Tee(s) missing: The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box is due to a broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with the approval of the Board of Health): Broken pipe(s) are replaced: Obstruction is removed: Distribution box is leveled or replaced: K n Li n I w E. t i i C' P. RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY continued The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): Broken pipe(s) are replaced: Obstruction is removed: C. Further Evaluation Is Required By The Board Of Health: D 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, and the environment. 1. System will pass unless the Board of Health determines that the system is not functioning in a manner which will protect public health, safety and the environment: D D C 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: C3 9 Li u i d C I RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY continued 2. System will fail unless the Board of Health (and Public Water Supplier, if appropriate) determines.that the system is functioning in a manner that will protect public health, safety, and the environment. The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply.: The system has a septic tank and a soil absorption system and is within a Zone 1 of a public water supply well.: The system has a septic tank and a soil absorption system and is within 50 feet of a private water supply well.: 3. Other: The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and that the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm.: Method used to determine distance: (approximation not valid). 3. Other: d i n ERAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 19781369-1100 (� 99-21947/PAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY continued aD. System Fails: aYou must indicate either "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.: Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool.: Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS cesspool.: Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.: Required pumping more than four times in the last year NOT due to clogged or obstructed pipe(s): Number of times pumped: Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.: aAny portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.: Any portion of a cesspool or privy is within a Zone I of a public well.: DAny 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. 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.: Ell 5 e I a Lt 0 M w I G G Q Lf IN f Q e 10 RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (9781369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM INSPECTION SUMMARY continued E. Large System Fails: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria listed above: The design flow of the system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health, safety and the environment because one or more of the following conditions exist: 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): The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department of Environmental Protection for additional information. Li LI J r C I RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 n 99-21947/RAYTAWALTE 1U+ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST The following have been done - You must indicate "Yes" or "No" as to each of the following: 1. Pumping information was provided b the owner, occupant, and Board of Health: es p 9 p Y p Y a2. 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 abeen introduced into the system recently or as part of this inspection: yes n 3. As -built plans have been obtained and examined (Note if they were not available with n/a.): L n/a 4. The facility or dwelling was inspected for signs of sewage back-up: yes 5. The system does not receive non -sanitary or industrial flow: yes a6. The site was inspected for signs of breakout: yes D7. All system components, excluding the SAS, have been located on the site: yes IN D LI E, C 8. 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: yes Existing information (example Plan at Board of Health): yes Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.305(3)(b)] yes The facility owner (and occupants, if different from owner) were provided with information the proper maintenance of Sub -Surface Disposal System: yes w D n Li RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS Residential: design flow: number of bedrooms (design): number of current residents: laundry (separate system): no laundry system inspected: total design flow: number of bedrooms (actual): 4 garbage grinder: yes seasonal use: no Water meter readings, if available (last two (2) year usage: attached private well: n/a sump pump: no Last date of occupancy: occupied Commercial / Industrial Type of Establishment: design flow: (based on 15.203) Basis of deign flow: grease trap: industrial waste holding tank present: non -sanitary waste discharged to the Title 5 system: Water meter readings: Other: Last date of occupancy: Last date of occupancy: GENERAL INFORMATION Pumping records and source of information: System pumped as part of inspection: 4/98 Reason for pumping: check structure Type of system - Volume pumped: 1578 Septic tank/distribution box/soil absorption system: yes Single cesspool: Overflow cesspool: Privy: Shared system: I/A Technology etc. (Copy of up to date contract?): Other: C r C e G 0 i 2 aRAGGS INC. P.O. BOX 1027 CONCORD MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION continued n Approximate age of all components: 14 years u Date installed: Source of information: homeowner Sewage odors detected when arriving at the site: no C I r BUILDING SEWER (locate on site plan) Depth below grade: 20" Material of construction: Cast Iron: 40 PVC: yes Other: Distance from private water supply well or suction line: Diameter: 4" Comments: Condition of joints: good Venting: good Evidence of leakage: no SEPTIC TANK (locate on site plan) -- Depth below grade: 12" Material of construction - If tank is metal list age: Concrete: yes Metal: Fiberglass: Polyethylene: Other (explain): Is age confirmed by Certificate of Compliance: Dimensions: 9' L X 5.5' W X 4.25' D Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 27" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 22" How dimensions were determined: Recommendation for pumping: annual Condition of inlet and outlet tees or baffles: good a Depth of liquid level in relation to outlet invert: good Structural integrity: good Evidence of leakage: no 9 I I c ERAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 19781369-1100 99-21947/RAYTAWALTE Recommendation for repairs: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C j� SYSTEM INFORMATION continued LLJJ GREASE TRAP (locate on site plan) — n/a Depth below grade: Material of construction - Concrete: Metal: Fiberglass: Polyethylene: Other: 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: n Recommendation for pumping: U Condition of inlet and outlet tees or baffles: Depth of liquid level in relation to outlet invert: Structural integrity: Evidence of leakage: Recommendation for repairs: U TIGHT OR HOLDING TANK (locate on site plan) -- n/a Must be pumped prior to or at time of inspection Depth below grade: Material of construction - Concrete: Metal: Fiberglass: Polyethylene: Other: (� Dimensions: L� Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order (Y/N): (� Date of previous pumping: lJ Condition of inlet tee: Condition of alarm and float switches: Recommendations: DISTRIBUTION BOX (locate on site plan) -- Depth of liquid level above outlet invert: 0" Level and distribution are equal: yes Evidence of solids carryover: yes Evidence of leakage into or out or box: no 10 r u L 0 r e I I ERAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 E 99-21947/RAYTAWALTE Recommendation for repairs: j -j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �j PART C SYSTEM INFORMATION continued PUMP CHAMBER (locate on site plan) - n/a Q Pumps in workingorder: a Alarms in working order: Condition of pump chamber: Condition of pumps and appurtenances: Recommendation for maintenance or repairs: j1 SOIL ABSORPTION SYSTEM (SAS) -- �,J (locate on site plan, if possible; excavation not required, but may be approximated by non - intrusive methods). If not determined to be present, explain: w 0 3 Lines leaving d -box 1 line snaked 70' long Condition of soil: gravel Signs of hydraulic failures: no Level of ponding: none Condition of vegetation: grass Recommendations for maintenance or repairs: Type: Leaching pits and number: Leaching chambers and number: Leaching galleries and number: n Leaching trenches, number, length: u Leaching fields, number, dimensions: Overflow cesspool, number: n Alternative system : j� Name of Technology: w 0 3 Lines leaving d -box 1 line snaked 70' long Condition of soil: gravel Signs of hydraulic failures: no Level of ponding: none Condition of vegetation: grass Recommendations for maintenance or repairs: r CRAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION continued CCESSPOOLS (locate on site plan) -- n/a 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: Inflow (cesspool must be pumped as part of inspection): Condition of soil: Signs of hydraulic failure: Level of ponding: Condition of vegetation: LI Recommendations for maintenance or repairs: r, PRIVY(locate on site plan) -- n/a Materials of construction: Dimensions: Depth of solids: Condition of soil: Signs of hydraulic failure: Level of ponding: Condition of vegetation: Recommendations for maintenance or repairs: 12 C i r y RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM * Include ties to at least two permanent references, landmarks or benchmarks * Locate all wells within 100 ft. * Locate where public water supply comes into house Bridges Lane `\ I \I 70' leach line \1 13 E n r I i i t RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION continued NRCS Report name: Soil Type Typical depth to groundwater: USGS Date website visited: Observation Wells checked: Groundwater depth: Shallow SITE EXAM Slope: Surface water: Check cellar: Shallow wells: Moderate Deep Estimated depth to groundwater: 5'+ Please indicate all the methods used to determine High Groundwater Elevations: Obtained from design plans on record: Observation of Site (Abutting property, observation hole, basement sump etc.): yes Determine it from local conditions: yes Check with local Board of Health: Check FEMA Maps: Check pumping records: Check local excavators, Installers: Use USGS Data: Describe in your own words how you established the High Groundwater Elevation. (Must be completed): dug up d -box down 2', probed hole 3' beyond d -box, found no standing water 14 n r, U 11 I D i L RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978369-1100 99-21947/RAYTAWALTE a Q APPENDIX A: a HISTORICAL PUMPING RECORDS, REPAIR RECORDS aRa99 s Inc. 4/98 a 0 0 a �o. a 0 �a a 15 I I I r RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 a99-21947/RAYTAWALTE �I APPENDIX B: SITE PLAN / AS BUILT PLAN Attached 16 P. 9 u C I Q) 150.0-0 BRIDGES Li \r.r EP IAL 1-EA1. I I '11-1! I THATTHE SEPTIC SYSTE1.1 V.A-� 11:'--,TALL!T-' ff4.THIS PLAN IS 140T INTEML) A--: t. WPAWITI YC'Trf I F70 !t:P/',71r111 !,pI.k'rjrj".j 1,�I, rk rv_ VT 69 A Q� �46,127 -lob. It;-, T ;!;7.1 i Ir sy65 T 1(,3, n5 I( 3,Q5 Q) 150.0-0 BRIDGES Li \r.r EP IAL 1-EA1. I I '11-1! I THATTHE SEPTIC SYSTE1.1 V.A-� 11:'--,TALL!T-' ff4.THIS PLAN IS 140T INTEML) A--: t. WPAWITI YC'Trf I F70 !t:P/',71r111 !,pI.k'rjrj".j 1,�I, w 0 I 1 CRAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 Q99-21947/RAYTAWALTE APPENDIX C: LISTING SHEET None available 17 L r c c 5 D RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 D99-21947/RAYTAWALTE D D D Appendix D: D Water Usage Documentation DAttached Mandatory Records Found (Y/N) DApplications, plans, and specifications N Approved system capacity N DDisposal Soil Evaluation Data construction permits N N As-Built Plan N Construction Inspection reports N Certificate of Compliance N System Pumping Records N Letters of Non-Compliance N D Enforcement orders N DOther Public Information Considered (Y/Nj FEMA Flood Maps Soil Maps N aUSGS Assessors Map Map Block Lot Topographical Map N N Local Conservation Map N Builders Sketch N D 18 D El w w 0 I v CI El 04 vvvv C+7 LA v t- N L OJ T T jJ r0 d N ww 4 m 04C. ora ¢ ►-i cu J m Or N rrrrTr 7-t� Ni ` :;"� T T LA L!1 Lf Lf P�■ . r Pti Pti m 0 m.0■0•0■04 Oar a �Cr7C'���'�.�b■0b■D H O NNNN �► E W H i.[ �-•� •nii S; ^' ¢ ¢ } a, D a , En _gym c o H ►- F- o m d oc o cn ¢ n Z S C N U. J U. ¢ Or O 0. O W Kf M", o= a c E r M 41TTLALMLALANNPr.N T r T T- r T O J LL. 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Z S Ccu LL. th?3 LL.¢fYC 7 Vfr O O. O W M 3: a a, m Z Zr N r-1%I�-NNNNT T O wco a•JTTTTTTTTTTTTT U. ¢^� C ■ ■ ■ ■ ■ ■ ■ . ■ ■ • ■ ■ c I—N GiNNNrTTT■O�O�O■OC"�C"� Ci }T L 4 4 4unL11Lf1Ll1MMMCrJC' m cn m N O V •,<`< LY © © n n _j C2 vT U. 22 _ ©Go o ■■ r..� E-mo.n.mmo-a.mmaamm CwC2 u C2 In 0 92 C2 3 �e v v * v ¢ ©© H* r* T tk T* T 7k T* T 7R u r u cn .Oc■O.OP.ItiNNNN S GI O■ O. Or 0■ O■ O. Or O. O. O. C. 0. O• n � f 41 E m m N N M1 h. T T •O ■O v n O S V O m N v© Z W v L Ct m0C2NNNNCr7C'9mMLALA W G C n a I E J 0 0 D G 0 D 0 0 0 0 0 0 0 0 0 0 0 3 L) T- 0 O Li ►- ¢ m� x¢x¢s¢x¢ C. CL 0 CL 0CL0C. m W F- m J a ¢ r 1 3 © � CL^Crmmmmmm ©© r © W W W W W W W W (M r6 © ¢¢¢¢¢¢¢¢ W M P7 •• w m 3333333'3 Q .• D I� 0 0 cu).- N co w w D w w C)% a !°— ^�Z toy- 4 a0.o•aaamm C4 ¢ r 1... " 1 ` % . "% 1% 1% %. % r -I CE J C7, © © 0 N a11 a L%0 m m r-4 •• 1.� N N Z a • • • • ., A. �% 1%1%. ti 1 \ O •r1 T►-� r L. �# 0Cv)LALAO.atrT I—m O� ©0cmcma©©© .. C 0 W L 3 ci 7- T- Q LA 40 N a l it M LA Ln ri </? V). m C H L W O Lr4 G 1N N c OD .r At O m ...i O d m LA -0 N a -' -1 O 8 C+7 Ln L!1 ¢ Of OD L Y O r- iJ 41 m m O .. LM m 0-4 J O •r1 Z x T � T W. dJ LA DD N 40 O O LA T OD At C O T T N N M 3 L) T- 0 O Li ►- ¢ m� x¢x¢s¢x¢ C. CL 0 CL 0CL0C. m W F- m J a ¢ r 1 3 © � CL^Crmmmmmm ©© r © W W W W W W W W (M r6 © ¢¢¢¢¢¢¢¢ W M P7 •• w m 3333333'3 Q .• 0 0 cu).- N co w w D w w C)% a !°— ^�Z toy- 4 a0.o•aaamm C4 ¢ r 1... " 1 ` % . "% 1% 1% %. % r -I CE J C7, © © 0 N a11 a L%0 m m r-4 © r ++ rI N Z a • • • • ., A. �% 1%1%. ti 1 \ O •r1 T►-� r L. �# 0Cv)LALAO.atrT I—m O� ©0cmcma©©© .. C 0 W L 3 ci 7- T- c a G I I RAGGS, INC., P.O. BOX 1027, CONCORD, MA 01742 (978)369-1100 99-21947/RAYTAWALTE Appendix E: Recommendations: Pump annually 19 L) C u 5 C C e y M *� ng youSince y�0• GGS,1 General Maintenance Recommendations Proper maintenance of your septic system can help prevent premature failure of your soil absorption system. RAGGS, INC. recommends the following: DO PUMP your system ANNUALLY. DO OPEN your D -Box every THREE TO FOUR YEARS. DO ensure that your VENT PIPES are installed properly. DO make sure you know where your TANK is LOCATED. DO make sure you know where your LEACHING FIELD is LOCATED. DO look for GREEN STRIPES over leaching field. DO check to determine if you can smell any ODORS from field location. DO bring your COVERS WITHIN 6" OF GRADE. DO USE LIQUID DETERGENT. DO USE NON-ABRASIVE HOUSEHOLD CLEANING PRODUCTS. DO USE ENVIRONMENTALLY SAFE PRODUCTS. DO INSTALL WATER SAVING DEVICES, where appropriate. DO USE SMALL AMOUNTS OF BLEACH when cleaning toilets, etc. DO AVOID having roof gutters and downspouts DRAIN ONTO the LEACHING FIELD. RAGGS SEPTIC SERVICE, INC. d.b.a. E.A. COMEAU SEPTIC P.O. Box 1027 Concord, Massachusetts 01742 (978) 369-1100 (800) 287-5541 FAX (978) 897-3848 website: http://www.raggsinc.com e-mail: info@raggsinc.com 96 C rI I Li V I D 0 D fl C ��ng fou Sime '".�G• GGS,1 General Maintenance Recommendations (con'd) DON'T DISPOSE anything NON -BIODEGRADABLE IN TOILETS. (i.e.: cigarettes, sanitary napkins, diapers) DON'T wash paint brushes used in latex or oil PAINT. DON'T allow any PAINT, THINNERS, OR ANY OTHER TOXIC OR CAUSTIC LIQUIDS to go down sink or toilets. DON'T allow ANY GREASE or FAT to enter system. DON'T DISPOSE BONES, EGG SHELLS, COFFEE GROUNDS,OR FIBROUS MATERIAL, etc. when using a garbage disposal DON'T use powdered detergents with phosphates. DON'T use any DRAIN CLEANERS. DON'T use any ENZYMES. DON'T use any GREASE DISSOLVERS. DO NOT ADD ANY ADDITIVES TO YOUR SYSTEM FOR ANY REASON. In the event of a clog or other plumbing problem, contact your local plumber, rooter or pumper. DON'T PLANT any trees or shrubs WITHIN 10 FT. OF THE LEACHING FIELD. DON'T ALLOW SPRINKLER SYSTEMS or other WATERING DEVICES OVER THE LEACHING FIELD. DON'T DRIVE any VEHICLES or place any HEAVY OBJECTS ON TOP OF THE LEACHING FIELD. DON'T INSTALL a swimming pool, a patio, or a driveway over the tank or leaching field. DON'T CONNECT a basement sump pump to a household drain. RAGGS SEPTIC SERVICE, INC. d.b.a. E.A. COMEAU SEPTIC P.O. Box 1027 Concord, Massachusetts 01742 (978) 369-1100 (800) 287-5541 FAX (978) 897-3848 website: http://www.raggsinc.com e-mail: info@raggsinc.com E w 5 w w