HomeMy WebLinkAboutMiscellaneous - 98 MARIAN DRIVE 4/30/2018r
Plan Approval: Date: j 1 J Zz Approved by:
em`
Designer:kv-xvo� - Plan Date:- A� 'azo
—
Conditions;
. .,
Water Supply: Town : _ .,Well
Wel! Permit: _ -Driller:
-Well Tests: Chemical Date Approved.
Bacteria I-DatelApproved
_
Bacteria II e ate Approved
~
Plumbing Sign -Off:. = Wiring Sign -off:
Comments:
Form " U" Approval: Approval to Issue: YE N0
-
Date Issued. By: •
Conditions:,----
onditions:.
Final
Final Approval
-
All Permits Paid?. YES
NO
Well Construction Approval? YES
.
- Septic System Construction Approvals : YESNO'
'Certification? YES .
NO...._. _
Other? \�. YES.
N0
Any Variance Needed? :. YES
NO
F.
FINAL BOARD OF HEALTH APPROVAL:
DATE:
APPROVED BY:
CONDITIONS:
-Certificate of Compliance: Approval: Date:
a
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 98 MARIAN DRIVE
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 Section 15.340 of Title 5 (310 CMR 15.000). The system:
XPasses
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspector 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.
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
NORTH ANDOVER, MA 01845
EIVED
Owner's Name:
DWAYNE AND AMY BAILEY
Owner's Address:
98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
3 1 2006
[HEALTH
Date of Inspection:
AUGUST 15, 2006
OF NORTH DE�NTER
Name of Inspector: (please
print) HAROLD T. LINCOLN, JR.
EPARTMIWN
Company Name:
RAGGS, INC.
Mailing Address:
P.O. BOX 1027
CONCORD, MA 01742
Telephone Number:
978-369-1100
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 Section 15.340 of Title 5 (310 CMR 15.000). The system:
XPasses
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspector 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.
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 l
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: -- DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST 15, 2006
Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D
A. System Passes:
_X_ I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the "Conditional Pass" section need to be replaced or
repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass.
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 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.
ND explain:
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
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):
broken pipe(s) are replaced
obstruction is removed
ND explain:
Titles G incnantinn Vn— 411 ci)nnn 2
Page 3 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:
Owner's Name:
Date of Inspection:
98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
DWAYNE AND AMY BAILEY
AUGUST 15, 2006
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(l)(b) that the
system is not functioning in a manner which will protect public health, safety and the environment:
_ Cesspool or privy is within 50 feet of a surface water
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
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 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:
Titlo G incnurtinn Pn 4/1 v�nnn
3
Page 4 of 1 f -
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST 15, 2006
D. System Failure Criteria applicable to all systems:
You must indicate "yes" or "no" to each of the following for all inspections:
Yes No
_X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_X_ Liquid depth in cesspool is less than 6" below invert or available volume is less than ''/z day flow
_X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
_X_ Any portion of the SAS, cesspool or privy is below high ground water elevation.
_X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
X Any portion of a cesspool or. privy is within a Zone I of a public well.
_X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_X_ 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 coliform bacteria and volatile organic compounds
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 forma
NO_ (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 considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd.
You must indicate either "yes" or "no" to each 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— 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.
Titlo C 17^ m 4i1 cnnnn 4
Page 5 of I I
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST 15, 2006
Check if the following have been done. You must indicate "yes" or "no" as to each of the following:
Yes No
_X_ _ Pumping information was provided by the owner, occupant, or Board of Health
_X_ Were any of the system components pumped out in the previous two weeks ?
_X_ _ Has the system received normal flows in the previous two week period ?
_X_ Have large volumes of water been introduced to the system recently or as part of this inspection ?
_X_ _ Were as built plans of the system obtained and examined? (If they were not available note as N/A)
_X_ _ Was the facility or dwelling inspected for signs of sewage back up ?
_X_ _ Was the site inspected for signs of break out ?
_X_ _ Were all system components, excluding the SAS, located on site ?
_X —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 ?
_X _ 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
_X_ _ Existing information. For example, a plan at the Board of Health.
_X_ 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)]
T41. r% 1"enn +;— 17— 411 cvnnnn 5
Page 6 of I i
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST 15, 2006
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms (design): 4 Number of bedrooms (actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): 440
Number of current residents: 2
Does residence have a garbage grinder (yes or no): NO
Is laundry on a separate sewage system (yes or no): NO [if yes separate inspection required]
Laundry system inspected (yes or no): N/A
Seasonal use: (yes or no): NO
Water meter readings, if available (last 2 years usage (gpd)): 132.24 AVG. GPD (5/7/04-5/1/06)
Sump pump (yes or no): NO
Last date of occupancy: OCCUPIED
COMM ERCIALANDUSTRIAL
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: LAST SERVICE SEPTEMBER, 2004 — PER OWNER
Was system pumped as part of the inspection (yes or no): YES
If yes, volume pumped: 2,000 gallons -- How was quantity pumped determined? FIELD ESTIMATE
Reason for pumping: MAINTENANCE AND INSPECTION OF TANK AND PUMP CHAMBER
TYPE OF SYSTEM
_X 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)
Tight tank _ Attach a copy of the DEP approval
Other (describe):
Approximate age of all components, date installed (if known) and source of information: NOVEMBER, 1999 — PER
RECORD PLAN
Were sewage odors detected when arriving at the site (yes or no): NO
T41. f 1-TP/+;1 P-4/1 ci')nnn 6
Page 7 of I 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 98 MARIAN DRIVE
. NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST 15, 2006
BUILDING SEWER (locate on site plan)
Depth below grade: 14"
Materials of construction: _cast iron X_40 PVC _other (explain):
Distance from private water supply well or suction line:
Comments (on condition of joints, venting, evidence of leakage, etc.): GOOD; OK; NO EVIDENCE OF LEAKAGE
SEPTIC TANK: _ (locate on site plan)
Depth below grade: 8"
Material of construction: —X—concrete _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: 10'6" X 5'8" X 5'8"
Sludge depth: 5"
Distance from top of sludge to bottom of outlet tee or baffle: 36"
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 14"
How were dimensions determined: FIELD ESTIMATE
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage, etc.): RECOMMEND ANNUAL PUMPING; TEES INTACT;
STRUCTURALLY OK, LIQUID LEVEL AT OUTLET INVERT; NO EVIDENCE OF LEAKAGE
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.):
T41. C Tncn t;n P^— ui,;rmno
Page 8 of 1 I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST 15, 2006
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/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
leakage into or out of box, etc.): BOX IS LEVEL WITH EQUAL DISTRIBUTION. NO EVIDENCE OF
CARRYOVER OR LEAKAGE AT TIME OF INSPECTION
PUMP CHAMBER: (locate on site plan)
Pumps in working order (yes or no): YES
Alarms in working order (yes or no): YES
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): PUMP CHAMBER,
PUMP AND APPURTENANCES APPEAR TO BE IN GOOD WORKING CONDITION.
Tula ; incn t;n Firm 4n ci,)nnn 8
Page 9 of l -1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of inspection: AUGUST 15, 2006
SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required)
If SAS not located explain why:
Type
leaching pits, number: _
leaching chambers, number:
leaching galleries, number:
_X leaching trenches, number, length: 4 @ 40' RECORD
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,
etc.): SAND AND GRAVEL; NO EVIDENCE OF HYDRAULIC FAILURE OR PONDING ABOVE GROUND;
DRY; GRASS
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.):
T41a �, inc-t;nn T7nr 111 ciinnn 9
Page 10 of l 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
Owner's Name: DWAYNE AND AMY BAILEY
Date of Inspection: AUGUST l5, 2006
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.
THIS SKETCH IS NOT TO SCALE.
DESCRIPTION A B
T TANK 38' 21.5'
or/0 P PUMP CHAMBER 50' 20.7'
D D -BOX 44.8'
6X1S'7?40,- 41W
,Goch
., S
MARIAN 1DRA/e) NORT74 A.NpavE&,MO
T;+1a f rncnontinn P^— A/14Y)nnn 10
Page l l ,of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner's Name:
Date of Inspection:
SITE EXAM
Slope
Surface water
Check cellar X
Shallow wells
98 MARIAN DRIVE
NORTH ANDOVER, MA 01845
DWAYNE AND AMY BAILEY
AUGUST 15, 2006
Estimated depth to ground water 4 feet BELOW BOTTOM OF SYSTEM
Please indicate (check) all methods used to determine the high ground water elevation:
_X_ Obtained from system design plans on record - If checked, date of design plan reviewed: 11/1/99
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: REGULATIONS IN EFFECT AT
TIME OF DESIGN AND CONSTRUCTION REQUIRED A MINIMUM FOUR FOOT OFFSET BETWEEN
BOTTOM OF SYSTEM AND GROUNDWATER. RECORD PLANS INDICATE THAT BOTTOM OF
TRENCHES # 1 & 2 WERE TO BE AT ELEVATION 99.9 WITH ADJUSTED GROUNDWATER ELEVATION
OF 95.9. TRENCHES # 3 & 4 WERE TO BE AT ELEVATION 98.60 WITH AN ADJUSTED GROUNDWATER
ELEVATION OF 94.6. CELLAR WAS DRY WITH NO SUMP PUMP.
T41. G Inenontinn Gn— 4/1;i10nn I I
Jul 26 06 12::?7p
(� Sumn ary Record Card generated on 7/26/2006 11:33:38 AM by Elaine aereley
Town of North Andover
Tax Map # 210-107.C-0055-0000.0
98 MARIAN DRIVE
BAILEY, DWAYNE
GAUTHIER, AMY
q,? lg, � `1 2j �' g 98 MARIAN DRIVE
N. ANDOVER, MA
01845
Class 101 Single Family
Size Total 1.11 Acres
FY 2006
US Mailing Index
Name/Address Type Loan Number
BAILEY, DWAYNE Payor
GAUTHIER, AMY
98 MARIAN DRIVE
N. ANDOVER, MA
01845
Property Type
Active/Inect. From
Page t
1 Residential
Until
US Account Maint.
Activefinactive
Account No Cycls
Occupant Name
Last Billing Date 5/10/2006
Bldg Id. 13640.0- 93 MARIAN DRIVE
Active
1090318 01 Cycle 01
US Services M.3int.
Service Code
Rate
Charge
Mukipiier/Users
MISCFEE ADMIN FEE
0.635/8
7.82
1/
WTR WATER
01 ALL METER SIZE 37.29
/1
US Meter Maintenance
Type Size
YTD Cons
Serial No Status Location
Brand
?
w Water 0.63 0.63
0
16748901 a A,;tive ERT
Consumption
Posted Date
Variance
Date Reeding
Code
11
118
5/16/2006
-30°r6
5/1/2006 297
aActual
17
21111/33/2006
"5%
1/31/2006 286
a Actual
/2005
-2%
10/26/2005 269
a Actual
17
8/10/2005
21%
7120/2005 251
a Actual
13
5/13/2005
0%
4/20/2005 234
a Actual
15
2/15/200 5
1 %
1/26/2005 221
a Actual
14
11/15/205
17%
10/21/2004 206
a Actual
10
8/25/2004
-4%
7/22/2004 192
a Actual
13
6/8/2004
-6%
5/7/2004 182
a Actual
15
2/84/2004
0%2/2/2004
169
a Actual
e
I?� ng YOU Since ytG.
itQ
General Maintenance Recommendations
Proper maintenance of your septic system can help prevent premature failure of your soil
absorption system. RAGGS, INC. recommends the following:
4 DO PUMP your system on a regular basis, preferably ANNUALLY for most households.
Larger systems, such as those serving multi -family locations or commerical properties,
may require more frequent pumping. The purpose of pumping is to remove solid
material and scum material from the tank. This will help prevent unwanted material
floating out to the leaching facility.
4 DO OPEN your D -Box every THREE TO FOUR YEARS.
This is a good way to spot little problems before they grow into bigger ones.
4 DO ensure that your VENT PIPES are INSTALLED properly.
Vent pipes are used to allow oxygen into the system, thereby allowing bacteria to
breathe and grow.
4 DO make sure you know WHERE your TANK is LOCATED.
Check the covers to make sure that they are not deteriorating and causing a potential
hazard.
4 DO make sure you know WHERE your LEACHING FIELD is LOCATED.
If the field ever goes into failure and "break out", it would be necessary to isolate the
area for health protection.
4 DO look for GREEN STRIPES over leaching field.
If you see this, it is indicative a field starting to back-up. Act immediately when you
see this warning sign.
DO check to determine if you can smell any ODORS from field location.
Odors can indicate that the leaching facility is having a problem.
4 DO raise the tank COVERS up to WITHIN 6" OF GRADE.
4 DO USE LIQUID DETERGENTS and USE SMALL AMOUNTS OF BLEACH when
cleaning toilets, etc..
4 DO USE NON-ABRASIVE HOUSEHOLD CLEANING PRODUCTS.
RAGGS SEPTIC SERVICE, INC.
d.b.a. E.A. COMEAU SEPTIC
RO. Box 1027 Concord, Massachusetts 01742
(978) 369-1100 (800) 287-5541 FAY, (978) 897-3848
website: httpWwww.raggsinc-com e-mail: info@mggainc.com
��ng y�SiriOe�G.
GGS,1
4 DO USE ENVIRONMENTALLY SAFE PRODUCTS.
4 DO INSTALL WATER SAVING DEVICES, where appropriate.
4 DO AVOID having roof gutters and downspouts DRAIN ONTO the LEACHING FIELD.
THE DON'TS
4 DON'T DISPOSE any NON -BIODEGRADABLE MATTER IN TOILETS.
Foreign items can cause blockages in the lines and back-ups. (i.e.: cigarettes, sanitary
napkins, diapers)
4 DON'T wash paint brushes used in latex or oil PAINT.
Paint residues are not broken down by a leaching system. In fact, they will travel out
to the leaching facility and impede its ability to function.
4 DON'T allow any PAINT, THINNERS, OR ANY OTHER TOXIC OR CAUSTIC LIQUIDS,
to go down sink or toilets.
4 DON'T allow ANY GREASE or FAT to enter system.
Residential sites do not have grease traps. Therefore, if grease is allowed into the
system it will congeal and travel out to the leaching facility leading to damage.
4 DON'T DISPOSE BONES, EGG SHELLS, COFFEE GROUNDS, DENTAL FLOSS, OR
FIBROUS MATERIAL, etc. when using a garbage disposal.
However,. it is recommended that garbage disposals aren't used at all.
4 DON'T use POWDERED DETERGENTS with phosphates.
They don't break down and can re -solidify.
4 DON'T use any DRAIN CLEANERS, such as Drano®, LiquidPlumbr®.
Call a rooter professional or buy a small rooter snake at the hardware store. Drain
cleaners KILL bacteria. Bacteria keeps your system alive.
RAGGS SEPTIC SERVICE, INC.
d.b.a. E.A. COMEAU SEPTIC
P.O. Boz 1027 Concord, Massachusetts 01742
(978) 369-1100 (800) 287-5541 FAX (978) 8974848
website: httpJ/www.raggsinc.com e-mail: info®raggainc.com
ne YOU StneS
�A�[�I•
GGS,1
THE DON'TS
4 DON'T use any ENZYMES or BACTERIAL ADDITIVES.
These products usually have too low a pH to be effective. Often they are sitting on a
shelf too long. Normal activity and proper use of a septic system should provide plenty
of bacteria naturally.
4 DON'T use any GREASE DISSOLVERS.
Degreasers allow grease to flow out of the tank and into your field.
4 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.
Root systems can cause damage to the piping in the leaching facility.
4 DON'T ALLOW SPRINKLER SYSTEMS or other WATERING DEVICES OVER the
LEACHING FIELD. Doing so will saturate the field, damaging the system's
performance. Systems are designed to handle up to a certain quantity of flow.
4 DON'T DRIVE any VEHICLES or place any HEAVY OBJECTS ON TOP of the LEACHING
FIELD. Damage to piping could result.
4 DON'T INSTALL a swimming pool, a patio, or a driveway over the tank or leaching field.
If installing a swimming pool, ensure that the backwas-h -does not enter the leaching
system. Do not obstruct access to the tank otherwise it will be difficult to maintain.
4 DON'T CONNECT a basement SUMP PUMP to a household DRAIN.
4 DON'T ALLOW WATER USAGE to EXCEED the DESIGN FLOW OF YOUR SYSTEM.
4 DON'T ALLOW a WATER SOFTENER TO BE HOOKED UP to a SEPTIC SYSTEM.
Check with the local authority to see if an alternative place for the backwash can be
used.
RAGGS SEPTIC SERVICE, INC.
d.b.a. E.A. COMEAU SEPTIC
P.O. Boz 1027 Concord, Massachusetts 01742
(978) 369-1100 (800) 287-5541 FAX (978) 897-3848
website: httpJ/www.raggsinc.com e-mail: info®raggainc.com
s u►I
• 1L�/
Tire xigr,
r .
-.y QTY )
q
40
acv
1
14
I OLV6;/
pump
00
/ Q / .�'
12
40
/ 8y
vie IfT
`LrzIA;,1 Dr SVG PLAN
SCALE: 1 " = 20'
v-4 T. F. _ GY' O 24" DIA. C. 1. MANHOLE RAISED
�� F.G.= 9�.Z TO WITHIN 4" OF F.G.
(MIN.)
e
L.F.
4" DIA. SCH. 40 PVC PIPE
S = 0.02 FT./FT. (MIN.) TEES
INV.= ��►`��
r,
1500 GALLON CONCRETE
SEPTIC TANK
a,
C.F.=
ul►=
M'Nw.r-
prc �3�V-4
N;!;
4-1
yA
1
i `l v�
too
kit �
H*N -r
Pw� ��t4
L. F.
4" SOLID SCH 40 PVC PIPE
S = 0.010 (MIN.)
L.F.
2" DIA. SCH. 40 PVC PIPE
FORCE MAIN (SEE DETAIL)
—]�
PROP.
TEE
6 -OUTLET
CONC. D -BOX - FIRST TWO FEET SHALL
BE SET LEVEL
�- 4" DIA. SCH. 40 PVC PIPE
-
(M+�.) 2X
--- 12" MIN. COVER
PRO
& A F
FINISH GRADE 10
LOAMED k SEEDED
2" OF i/8"- 3/Q"
__ - i�:y.yw,TPei9� 9.'61JM.�PZi17KW
4" DIA. PERF. SCH. 40 PVC 5-0.005 FT. FT.
INV.
6-d n INTERCONNECT
INV.- t, r, ijl: ILv_.OF 3/4"- PIPE ENDS
PROPOSED 1000 GAL. I 1/2" STONE
--.-- PUMP TANK (SEE DETAILS) +►2.3 s
(TYP.)
40 FT. .►
PROFILE
SCALE: I"= 4' HORIZONTAL
yAr r✓ -1 �`�c'�n�
I"= 2' VERTICAL
lu
'Al GG
+'4' DIA
CI I ANI.IItI I:IIVI IA
I 1 1 I
I I
II
III AN VII W
- I- t" IAPI Ir
4" 101' (It" I I - 7G)
6" GIA OU I LET J
PUMP (;I IAMItF R
1000 GAI ION
\ SEI NOII ^+
3.9 7-F SECTION VIEW
PUMP TANK DETAILS
NOT TO SCALE
r%rly hGH di
PLAN
SCALE: 1" = 20'
51.99 \ %11 NUI.
-- 2.98
SC.Cf10N VIEW
PUMP TANK DETAIL 5
NOT TO SCALE
in
PROVIDE VENT
WITH CARBON 1 IL II. R
& RODENT SCREEN
TUE 10 BE SI.I 11ACHING IRI:NCH
EEDED FNI) SF(: (ION 1011 I YPICAI
SIDI SIOPI 1)IIAll
MINI
F. G.
-3/8" STONE
11ONCH INI OMMAHON
IR it 1R#2 IR#.f IR#4 11?#5
�' ��-:;�� E�: '` 101/yO IO x,40 It,Z'. I � Il:�•I o �
112.10 lao.`io I'q'(60
SEASO�1 �)(:ll yYAI(R
L1..-• `�I l ( "11i) 1 � 1.1 OIA L 1. MANIIO1i RAISRI)
IO WITIIIN 1` of, 1 (i )
1
I r 1
0 */
INV
l" Of
I ONI
4'
jlYv )
4 (MIN.)
l� f
.'iI AS. 111(:11 WA II Ir
LF.. -ACHING
I NO `;1
N I.'
4" INA. 1" OIA 10111)
/i 11)1 40 PVC IONCI MAIN
INTI I PIPE II I(I ! 9 PUMP NO I L-..`:
AI ARM ON 1 ) rIIMI' 'alAl 1 111 1
II..." -.T,Zp
t'IIMr' ON
00 11. ' 'I Lh 0 I
6L,; g -7, 5
1I h' Il1A INI I I
PUMP 0 I
I 1
11,' ACIINY
YWIQ�IIt 1
VIA rVC
Cll({(:K VAI VI A 01 VA.'1'ON11 I 1/%
AI 1 0I R UO1 f r1)MN1 NI ROI N N
IOIIAI (1 hO S
1.) I'OMI' '11A11 IU INI
A RI COMMI NI)A 1101 '
1�! IIt' III:AVY OIIIY
.1 Jim,, milAl 1. 1) 111011 WA II II AI AIM
I I' WWAW MAW 111 1NSIAIIfI) IN A
OWI I I ING,
If 10m 'I.) AI AIIM '.IIAI I NI /
1110M 1111 POMP 1'1
�..'I i.1,nU�.•i,
a 1/..u..u..1.a....n'...n ..1 L....'..,'.','..". / ,
n n
All INTI 11 A (11111
........ n. CD' 1 �nl l/^f"•� I �?
A.) I'IIMI' 1:IIAM0I H%
fllll YI WIMP 't►IAI I
PUMP & TANK DETAILS
1.) IMI R(JI N(: Y '001W
N01 10 SCAf.I 50.5 0A1../1JAY. !illi
►I I— I" (IYP.)
CLlANOIII
as -
C
(A lANOO I l
01' V11 W
14 IIIA. C I MAN1101I I(A1111)
1(1 WII IIIN 1 •• (11 1 IJ (II 10) 1 OAI HN0
PVI: OR I'RI (:ASI CON(. M%
IIOW I I Ij p
I500 OM ION
GONG. Sfl'TIC. TANK
(II 10 I OAOINO)
✓/ I� :, I PROVIOI. (JAS NA/i'1A _
O 110 Orly./flURM.
n.) ruMr Is sII to I)
I 17' O I 111• II ',11 I / (11ANOur
f
Hyl
7 L; I. (ALANOUI /
IOi' Vll W
Y4IIIA. I: I WANIIOI I RAI!(! 0
/1 IU WIIIIIN I" 01 1 (1 ()l 10) 10AIIINO
PVI' OR PRLCAST coo: Ill.S rl •U �'
II lLuw_ .�.
I I t
►Luw
11(1(1 (JAI ION
II
CONC. UPTIC TANK
(H 10 LOADING) }
� su"
C' .Lj1 — PRuvivi (/As eAIMA I
1 In"
CII— t., J.
�►
k-rfih-n-rr11-n-n'-n-n-nl•o'b•el-tt �n-n-o-fi•-rf; n -n
! F• I H 1 �.+� ;11 11;�111�111; 11��11 �111�1111111111111 �Illlq'1'11111i 111'1 llll�llll 'll 11 11 11 11 l'111 111111'111111 X111 11 1111 I
II�FIIIII�Illn 11111/w1111 1111111111; 111111„ 111i111„111111111111111 11 11 11 111111 , , 111 1 111111 1
..! `..., J., 11 .,!1.,1!wilN11•,IIq IIw11N'�1n f!gll n!!I, 11w!1. QI11!11111„1 1
FI.r.✓."(, Ile”
SE CI ION
NOW Al l IN$1 15, (111111 I.I. JOINI5• ANO COVI RS
SIIALL Yl SLALLO ANO MAOI WAIL.R 110111
SEPTIC TANK DETAII-S
NUI 10 SCALL
DEEP TEST RESULTS
r' -r-1 ##
T 2—
EL.
EL. = Ili I , Ii,
- - --
-- .
EL. _
619 5
hLiL, l0Y93/3
5„ A
FSI. IO`{413._.
$•1 p
r
IGr,r,
FhL, 215' `'/v
144”
5/A
- �Z,cb
I�'l� F,N: a.lc,c�.,
��
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2,0
TC^ 1-lv- (lA ' 1
CIO ,
_
---
---- - -----
O.W.T. O
00t) e
O.W.T. O
E. S. W. T.
EL. =
O �L
9 y `�
E. S. W. T.
O
.
EL.
TEST DATE:
7
EVALUATOR:
U r g 1.%,
INSPECTOR:
`J • "-?TNaQ'
i
DEPTH
SOAK 1
12"-9'
9•,-6.,
PERC R
TEST &
ENGINES
INSPECT
`" 0 6n, 1/n
/ SfoNt Y! .)
+. I
(IYI' )
►'�)
Ido Of .114" 1 1/1..
5 I ONI (1 YI'. )
co,
ACHING
TRFNCH
I NO SI (; ZION
N I.'.
NU I L-')
0-
t IN1111 uNAW %11,411
Ht 1 OAMt 0 A 1 t t 1)t 11
N1,1
V 'OIAI I 111 I /7 11 I' :I WADI I'llMr CArAR11
?'A..'i1NG 1 1/;?" MA 'i01111', A% MIO, NY I INI NI Y
r'., NO NW N. N. Y • Ill OrM O
+,• x[)11111 (1R ArrRUVI (1
At (1 .111 -it Nit i)
r 511A1 l NI INT I A111 U ACCONOINU 10 Milli NPI C. %
I COMM) NOAIION
I.
I WA 11 H AI ARM A MANNAI Orl RA IIN(j ' WII CH NIIAf 1
W51AI111) IN ACCI NN1N11 I OCAIION IN ,1111 fill
VINO.
tM ';11,411 NO VOWI RI 11 NY A CIRCO/I 5Irt RA11
A 1111 MIMI, 11OWI N
INf 1 1'i A 001111'- '.11A1I lit ';1 AI I O Wllll IIYI11IA1)1IC CI MI NI.
P CNAMNLII!; 511,411 NO %1AIJO 10 A%311111 WAIIRIIW4IN/5ti.
'I WRAP 311,411111 NL 0WRI O.
WI NCY '; IO►UOI AIIOVI "AI AHM ON 1(Z�Py (JAf ./l l -
OAL.IOAY. !illi f ICIf N1 ION 94 IIR. STORAUI' -' HORM, •I)WI11 .
In OI'll.1noRM. - `l ` 5? apo.
P V, !if 1 10 OOSI 9AS I WIN N PIR OAY
101' V/1 -W
IIIA !Ni l I I
6 (1.1111 I
UON, 1) OOK
.7" 01A. 01111.I.IS
(I Yl'.)
--a 7" WALLS
NOTES
1.) All fill 10 111 IN CON)"ORMANCI. WITH .310
J.) ;ION1 10 111 000111.f WASHED AS NFCFSSAR
.i.) II115 SYSlI.V IS NOT OESIGNI:D FOR (ISE WIT
4.) RFMOVI A1.1 TOPSOIL, ROOTS AND SUBSOIL. A
.9 11,1.1 Of' SYSTEM.
5.) COVI R MATERIAI OVER THE SYSTEM SHALT. 81
STAMPS, OR WASTE.- CONSTRUCTION MATERIAL.
` URIACI SEEDED. MACHINERY WHICH MAY CR,
IHI PIPES IN THl DISPOSAL AREA SHALL. NOl
G.) IOI/NDAIION DRAINS ARF N01 TO RL INSIALI.
NOR WITHIN /OA 1-T. OI' THE 5011. ARSORPTIO
/.)
All PIPING ';IIAI I 131 4" DIA. ` CI I1-D(I1 f 40
N.) f'IN01'1 R f Y 1 INI ti 5;HOWN WI RI IAKI:N 1'ROM 1
'1.) lift. CON IRAC ION SIIAI I III RI SPONSInI.1 I OI
I XVi'l1NG I/Illl11FS SIIOWN OR N01 SHOWN OI
10.) fill CONI RACTOR SHAI. l NOTII Y THF DI: SIGN .
SY S II M IIACKI 11 I SO II IA I AN A'S 1111/1.1 STIR
1 1.) I HI CONI RAC IOR SHAI I Ill. RI. SPONSIIILE 101i'
PIAN SIIA11 III INCIIIDED AS PARI Of 011. l;
1,) ) 101? fill RI PAIR (')R OPGRADI.) 0.' SYSIEMS,
ANTI lIN01 RI YING SPOIL.I.D SOII SliAI I. LIF LW.
WIIIIIN 5 1' 1. Of /'HE PROPOSED SYSTEM.
1.5.) fOR IHC REPAIR (OR UPGRADE.) OF SYSTEMS,
PUMPED ANO EITHER PUNCTURED AT THE 801*H
OR COLLAPSED AND REMOVED FROM THE SITE.
14,) �rro 1,4 e r n.,� n� �� l�i'1' I. ''f ►-i ll.l
1 5) 42 u g,� i= yr � E 12T'`i l V czG G
(MIN.)
(MIN. )
b 0,1111 1
UON, 1) I?OX
1011 VIrW
I
SECTION VIEW
Y" (:ON - OVI H
1.4
.7" Inn. 01111.F:1ti
tvvn rri�,nry v•� , ,. 111 1111. .'A1. Atmurtl'I'lurV JY)1
�.) All 1'11'1Nc SIIA11 111 4" DIA. SCHI-1)(111 40 PVC.
H.) f'IN01'I Il l Y I INI N S11OWN Wf Rl I AKf N I ROM 1 XI S IIN,
9.) 1141 CON &YAC IOR SHAI I III RI SPONS1111.1 I OR VE Rll
I -XI S 11NG 0/11/111''S SHOWN OR NOI SHOWN ON II -IFS
10.) lilt CONIRACIOH SHAH NO[ II Y 0I1- Of -SIGN f:NGINE
SYSI1 M IIACKfII l SO IHAI AN AS -110111 SIJRVFY Cl
III/ CON 1 NAC 1011 SHAT. I Ht RF SPONSfill. f. 101? PROV
PIAN SHAll HI INCIIIDI:D AS PARI 01 THF CONSIR
12-) 101? 1111 HI PAIR (OR II!'I;RAI11.) 0' SYS l -FMS, IvE" f
AND IJNDI.111 YING SPOILED SOII SHAII. 191:.- 1:XCAVAI'F1
WITHIN 5 11. OF fllf: PROPOSFD SYSTEM.
l.J.) 101l lilt. REPAIR (OR UPGRADE) OF SYSTEMS, THE F
PUMPED AND EITHER PUNCTURED AT THE BOTTOM At
OR COLLAPSED AND REMOVED FROM T14E SITE.
14,) w o w Ir 1" L 4% r -i174 r" t ST � � � � T H 1 til ► DO
`7Y,�2 TE M ,
16 0r
66,L►?tt, I-)
,.. wAL1 �,
(TYI'.)
NON: All INLFI:S A OI.111LIS SITAII CII tilAIFO
WITH IIYORA1l11C CI MUNI.
D -BOX DETAILS
NOT FO SCALE
PERC TEST RESULTS
0 rI
PTH
'
IAK TIME
"-9" DROP
"'-6" DROP
RC RATE
I M.P.I.
ST DATE:
'GINEER:
iPECTOR:
0
DEPTH
SOAK TIME
12"-9" DROP
9"-6" DROP
PERC RATE M. P. I.
DESIGN CALCULATIONS
DESIGN FLOW = BEDROOMS x U
DESIGN PERC RATE_: ��} MIN./IN.
DESIGN FOR LEACHING TRENCHES (SEF. DETAIL)
EFF FCTIVE. WIDTH = 36" - EFFECTIVE DEPTH
SOIL CLASS:
1'REN..CI f CAPACITY -- �• S.F./FT. x `�' GAL.I
`I`Iv GAL./ 2 • ?'GAL./FT. = I '� I F T. OF TRENC
USE `I TRENCHES AT '10 FT. := I &O FT. OF
1 CERTIFY THAT ON MAY 9, 1996, 1 PASSED TF -
BY THE DEPARTMENT OF ENVIRONMENTAL PROTE
ANALYSIS WAS PERFORMED BY ME CONSISTENT
EXPERTISE AND EXPERIENCE DESCRIBED IN 310
SIGNATURE _ _...
L. L'I F6 a-;A-'r2C " PLA N OF
S UBS URFA CE SEWAGE DIS
IN
1'.J 0✓1- � ►-{ A ►J �O�/G ►2 / �
AS PREPARED FOR l
-'2 1A POIJ
-'I 1�.1�►�t��
SCALE: AS SHOWN
ASSESSORS MAP # 10:2 LOT '55
NERRIMACK ENGINEERII
66 PARK STREET
ANDOVER, MASSACHUSETTSI
IAI I
t0t11
,1/•z..e7 I- h EO
VU mac{)
NOTES
�J
LO("US MAF
NO l l O %('Al I
4/\
GI} E
0
n
Gl
1.)
All fill IO 1.11, IN CONFORMANCI WITH 310 CMR 15.255 (3).
l.)
S1ONI 10 111 0000.111 WASHED AS NFCF SSARY AND FREE OF IRON, FINES, AND DUST.
S,)
r• IIIIS SYSIUM IS NOI DFSIGNF:D FOR USE WITH A GARBAGE_ GRINDER.
4.)
I?LMOVI ALL TOPSOII , ROOTS ANI) SUBSOII.. AND REPLACE WITH SPF.CIFIE-D FILL WITHIN
r
.) I7 !_ 1 OF SYSTEM.
5.)
COVER MATI.RIAI. OVI.R THF: SYSTEM SHALL. BE FREE OF CLAY, STONES, MASONRY,
.WOMPS, OR WA`iTF CONSTRUCTION MATERIAL. THE TOP 4" SHALL BE LOAMED AND
.SURFACI SEEDED. MACHINERY WHICH MAY CRUSH OR DISTURB THE ALIGNMENT OF
fill PIPES IN THF. DISPOSAL. AREA SHALL NOT BF ALLOWED.
6.)
IOUNVAIION DRAINS ARE NOT TO BE: INSTALLED WITHIN /V/I 11. OF THE SEPTIC LANK
NOR WITHIN /04 F1. OI- iF1E SOIL ABSORPTION SYSTEM.
/.)
All PIPING SHAII LII 4" DIA. SCIIEDUI f 40 PVC.
PROf'f l?I1' I TNI ti SHOWN WI RI IAKFN I ROM I XISIING PIANS AND RECORD';.
I HF CONI RAC IOL? SHAII Hl RI SPONS1131.I I OR VIRIF PING THL F XAC I I OCA KION 01 AL.I
I XIS IINI: 111111111 S ')IIOWN OR NO1 SHOWN ON I HF -SI PI.ANS.
10.)
till CONI RAC IOI? SHAL I NO M Y fill DI_ SIGN ENGINEER 48 HRS. IN ADVANCE OF
S YS I L M HACKF II l SO I HA I AN AS 111.111. I SUI?VFY CAN BE PERI ORME: D.
t 1.)
fill CONIRACIOR SIIAI I IIF RI.SPONSIIII.I. 101? PROVIDING AN AS-Llllll.l PIAN. SUCH
PIAN SIIAll III INCIUDFD AS PARI Of FI11 CONSIRUCHON CONTRACT.
1,11)
10V fill RI PAII? ;O►.' UPGRADE.) o' SYSIF.MS, ITL- EXISTING S.A.S. AND SIIRROIIN.DING
ANI) UNI)I RI YING .'51"011-1.0 `5011 SIIAI.L HV L:XCAVATED AND REMOV1.0 WHEREVER 11 IS
WIIIIIN 5 11. Of* FFIF PROPOSE -D SYSTEM.
I.S.)
/0/? 1111. RI PAIR (OR ()[)GRADE) OF SYSTEMS, THE EXISTING SEPTIC TANK SHALL RF
(►s
VUMPI O AND EIIIIEI? PUNCTURED AT THE BOTTOM AND FILLED WITH CLEAN SAND
OR COL I APSI: D AND 1?FMOVF. D FROM THE SITE..
14,)
I,..IU I4 Ir 1 L 1.A,,117h F
1 5�,)
`l u g >; lJT' I ��(J ✓1-'r `f 15 tZ-C, r1-v,?ee,r) I tiL P-3 v-. , I I & 2 f26, &,f o
' NON W111110 ivy+ fl. 01 IHf ,NUII_ AN)URI'IIUN `;Y51F.M.
/.)
All 11PING ";MAI I 111 4" DIA. ')' III.0(111 40 PVC.
H.) PROPI RI Y I INI .`; SHOWN WF R! I AKI N I ROM F XIS IING PIANS AND RFCOROS.
9.) 1 HF CONI RAC IOR SHAI I III RI SPONS1111.1 I OR W RIFYING TWO F XA(: I I.O(A I10N OF All
I XISIING 111111111 S SHOWN OR NOI SHOWN ON fllFSl. PIANS.
IU.) IHI ('ONIRAI:FOIr SHAH N011l Y 1111 DL SIGN I-NGINEER 48 HRS. IN ADVANCI UI
SY.'i lI M IIACKI III SO fllA I AN A') /)(.)III SIIRVE Y CAN Iff 111RI ORME: D.
11.) fill CONIRAC1011 SIIAII Hl RF.SPONSIE11.1 IOR PROVIDING AN AS 11U11.1 PIAN. SU(:II
PIAN SIIA1 1 fit INCI IIDF D AS PARI OI THF: CON Sl RUCTION CONI RACT
1, .) 1 01? fill HI PAIR (011 1J!'GIlAI)I 1 0! SvcTf.-MS, THE EXISTING S.A.S AND ;I►RRO(INDING
ANI) UNI)l RI YING SP011.E D S011 SHAH. Ill EXCAVATED AND REMOVED WHEREVER R I1 1.1;
WIIIIIN 5 It. Ol /fit PROPOSED SYSTEM.
I.5.) ION /Ht Rf PAIR (OR UPGRADE) OF SYSTEMS, THE EXISTING SEPTIC TANK SHALL HF
tis PUMPS 0 AND E:ITHF.R PUNCTURED AT THE BOTTOM AND FILLED WITH CLEAN SAND
OR COL APSI-O AND REMOVED FROM THE SITE.
14,) I -i o I,4 E 1g7s. I LiT I r 'i ►-i 11.1 100 ' op 'rN E �� >4 .1 C,1 f,
15) 49 u gra eUr Ft.7,rE O'N 16 f2 coo rz 0 o" o I l.l. (�`V, , I I z Pw . qv
N17rL�. rrLa Loa Ioro, -rAv-GN �►�a�r--1 �' . 551 �.
DESIGN CALCULATIONS
DESIGN f E OW = BEDROOMS x I GAL./DAY/BDRM
DESIGN PERC RATE: 14 MIN./IN.
DESIGN FOR LEACHING TRENCHES (SEE DETAIL)
EFf*1.CTIVE WIDT14 = 36" - EFFECTIVE_ DEPTH = I Z
SOlt CLASS:
TRENCH CAPACITY = S.F./FT. x '� GAL./S.F. = 2, GAL./FT.
` foGAL./ 2-CGA1../FT. -- I -�7 FT. OF TRENCH RFQUIRF_D
USF `I TRENCHES AT `f0 FT. = 1&0 FT. Of' TRENCH PROVIDED
I CERTIFY THAT ON MAY 9, 1996, 1 PASSED THE EXAMINATION APPROVED
BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE
ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING,
EXPERTISE AND EXPERIENCE DESCRIBED IN 310 CMR 15.017.
� C,
SIGNATURE DATE
---- ---
L,1('6 rkc�E " PLA N OF
SUBSURFACE SEWAGE DISPOSAL SYSTEM
IN
p✓L i Aor20r2- ) 1-1.4 .
AS PREPARED- FOR
rt I'o,
SCALE: AS SHOWN DATE: I/ - 1 -
ASSESSORS MAP # _LQ:7G LOT SUBDIVISION LOT #
MERRIMACK ENGINEERING SERVICES
66 PARK STREET
ANDOVER, MASSACHUSETTS 01810
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
6/5/00
This is to certify that
the individual subsurface disposal system
constructed ( ) or repaired (X )
by
John Soucy
at
98 Marion Drive
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The ndersigned hereby certify that the Sewage Disposal System ( ) constructed;
( epaired:
by .,poi -!r`1
located at If 6j'AVL14(23 ow --I've
was installed in conformance with the Nort Andover Board of Health approved plan,
System Design Permit # //66, dated // oZ2-9 with an approved design
flow of+�p 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.
Bed inspection date:
Final inspection date:
NA -
Engineer Representative
K
ILEngineer Representative
Installer: / Lic.#: Date: da
Design En 'neer: Date:.
o
DANIEL yGcn
s KOR VOS +
C)
v CIVIL cn
No. 37752
fI
.ti
INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
A. Bottom of Bed
1. Excavation to proper depth
2. With trenches, sides of excavation are beneath B horizon
3. Edge of excavation specified distance from foundation, etc.
Comments:
B. Retaining Wall
1. Wall height and width as specified
2. Waterproofed
3. Wall minimum 10' to leaching facility
4. Wall meets specifications of plan.
Comments: /
Yes NO Initial
Comments:
D. Septic Tank
1. Level
C. Building Sewer
4"
✓
1.
Pipe diameter minimum
2.
Schedule 40 pipe
5. Manholes over center and each tee
3.
Watertight joints
✓
4.
Inlet to tank cemented
'
5.
Slope minimum 0.01 or 1/8" per foot minimum
6.
Pipe properly set on compact firm base
11. 2" - 3" drop from inlet to outlet
7.
Pipe laid on continuous grade in straight line
8.
Cleanouts precede all change in alignment and grade
14. Tank is watertight
9.
Manholes at any 90° change
10.
10' minimum offset to water line
Comments:
D. Septic Tank
1. Level
2. 1,500 gal minimum
✓
3. Gas baffle present on outlet
4. Manhole to grade
✓
-�
5. Manholes over center and each tee
6. 3-20" manholes
✓
7. Inlet tee minimum 12" under invert
o✓
8. Outlet tee minimum 14" under invert
✓
9. Outlet line cemented
10. Air space 3" above tees
11. 2" - 3" drop from inlet to outlet
12. Pipe set
13. Compact base with 6" .of 3/e" crushed stone under tank
14. Tank is watertight
Comments:
_.a
E. Pump Chamber
1. If separate from tank, compact base with 6" of 1/4" stone underneath
2. Minimum 2" pipe to d -box if gravity system
3. 20" access manhole
4. Tank level
5. Watertight
6. Tank size agrees with plan specification
7. Manhole to grade
8. Check valve and bleeder hole present
9. Alarm in building on separate circuit
10. Alarm functions
11. Manual operating switch
12. Pump delivers liquid to d -box
Comments:
Yes NO
F. Distribution Box
1. D -box level
2. Minimum 0.17'(2") drop from inlet to outlet
3. Minimum 6" sump
4. Outlet pipes show equal distribution
5. Compact base with 6" of stone beneath box
6. Box is watertight
7. All lines cemented with hydraulic cement
8. Schedule 40 pipe
Comments:
G. Soil Absorption system
1. All stone double -washed - % 1 '/2"
- pea stone
Bucket test done?
2. Minimum 2",of pea stone above distribution lines_
3. Minimum 6" stone beneath pipe
4. Distribution lines capped or connected together
5. Grading meets 3:1 slope
6. Minimum of 9" of fill graded over system
7. Toe of slope stops minimum 5' from edge of property; if not, then swale.
Comments:
H. Leach Trenches /
1. Minimum 2 trenches
2. Length of trenches agree with plan. (Max. length 100')
3. Width of trenches agree with plan - Minimum 2'; maximum - 4'.
4. Vent present if <50 feet or specified�_-
5. Distance between trenches minimum 4' and maximum of 6' 2/
6. Minimum distance between trenches 10'
7. Pipe slope minimum 0.005 or 6" per 100'
8. Depth of trenches below outlet invert minimum of 6".
Yes NO
9. Pipes set on stable base.
Comments:
1. Leach Field
1. Maximum bength of field 100'
2. Pipe slope minimum 0.005 or 6" per 100'
3. Separation between pipe 6' maximum
4. Pipes connected at end
5. Separation between\adjacent fields 10' minimum
6. Pipes set on stable base
7. Maximum 4' separatio from edge of field to first line
8. Minimum two distributio lines
9. Maximum perc rate 20 mpi
Comments:
I Leaching Pits
1. Minimum inlet pipe 4"
2. Pits of concrete
3. Sidewall between 12" and 48" wide
4. Access manholes on each pit
5. Pipes cemented with hydraulic cement
Comments:
K. Final Grade
I. Slope over soil absorption system minimum 0.02
2. All system components covered by at least 9" soil
3. Cover soil free of stones larger than 6"
4. Grading slopes away from dwelling
5. No areas over system that may pond
AS -BUILT CHECKLIST
'26
✓
LOT NUMBER, STREET NAME
_
ASSESSORS MAP & PARCEL NUMBER
V/
LOT LINES & LOCATION OF DWELLINGS
✓
LOCATION & DEMENSIONS OF SYSTEM,
INCLUDING 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
W/IN 150' OF SYSTEM
LOCATION OF WATER, GA$, ELECTRIC LINES, CABLE
✓
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D -BOX
STAMP & SIGNATURE
_ ✓
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
✓
FINAL CONTOURS
✓
LOCATION & ELEVATION OF BENCHMARK USED
LOCUS PLAN
'26
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERINJJT
DATE: 0 CURRENT L'V'STALLER'S LICENSES �---
LOCATION: w cyu o vl J)Z .
LICENSED P
SIGNATURE:
CHECK ONE
REPAIR: V
TELEPH61NEm �3 - 92 421 0060&- 3-7S"- 13(f
NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOLIiDATION AS -BUILT.
575.00 Fee Attached?
Foundation As -Built?
,
Administrative Use Only
Yes No
Yes No
Floor Plans? Yes No
Approval __<2
Date: �3 l
MAR
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the property
at'ja f G,1.1 Dy1 &. relative to the application of t S o S602k,
dated ) i for plans by A!�1 ovwk [-Mand dated I 1 with
revisions dated l —
I understand and agree to the following obligations for management of this project:
1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor,
project manger, or any other person not associated with my company schedules an inspection
and the system is not ready then item two shall be applicable .
2. 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 my company.
a) Bottom of Bed — generally first inspection unless there is a retaining wall which should be done first. Installer
must request the inspection but does not have to be present.
b) Final Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or verbal OK from
engineer must be submitted to BOH, after which installer calls for inspection time. Installer must be present
for this inspection. With 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. Does not have to be on site.
i.:
3. As the installer I understand that persons or companies not associated with my company may
not perform the work required by my company to complete the installation of the system
identified in the attached application for installation. I further understand that work 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 in the Town of North Andover plus
significant fines to all persons involved.
4. 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.
d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components.
5. As the installer I understand that I am solely responsible for the installation of the system as per
the approved plans. No instructions by the homeowner, general contractor, or any other persons
shall absolve me of this obligation.
Undersi n d Licensed eptic Installer
Date:
Nov -17-99,09:26A Paul D. Turbide, PE/PLS 508-465-0313 P.02
November 17, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover, MA 01845
RE: Title V review for 98 Marion Drive
Dear Sandra,
I have the following concerns and comments regarding the. design plans dated 11-1-99
o The design is for two stepped trenches with a pump. The upper and lower trenches
will be connected together by a vent. A detail should be included showing the
design of how effluent running to the end of the higher Trench 1 and Trench 3 will
not run down the vent pipe to the lower Trench 2 and Trench 4.
o The design requires a local variance to use a geo-membrane barrier instead of a
concrete retaining wall (this is a reasonable request, especially since this is an
upgrade).
If you have any questions or comments please feel free to contact me.
Sincerely
Carlton A. Brown, PE/PLS
Marion98.doc
POPRT
ENGINEERING
Civil Engineers &
Land Surveyors
One. Harris Street
Newburyport, MA
01950
(978)465-8594
Town of North Andover
"� j OFFICE OF�+�j'+ �jy'��
COMMUNITY DEVELOPMENT AND SERVICES
WILLIAM J. SCOTT
Director
(978)688-9531
November 18, 1999
William Dufresne,
Merrimack Engineering
66 Park Street
Andover, MA 01810
27 Charles Street
North Andover, Massachusetts 01845
RE: 98 Marion Drive, -North Andover
Dear Mr. Dufresne:
Fax(978)688-9542
This is to inform you that the proposed plan for the repair of the septic system
located at 98 Marion Drive, North Andover, has a problem which must be addressed
before the plan can be approved. The concern is that with the stepped trenches
connected by a vent, effluent running to the end of the higher trench may run down the
vent pipe to the lower trenches. Please submit a detail showing how this can be
prevented. -
Please be advised that all plan resubmittals require a $60.00 fee. If you have any
questions, feel free to contact the Health Department at 978-688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: S. Gilbert
File —
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover NaRT►,
OFFICE OF �a o �'' to '61
40
COMMUNITY DEVELOPMENT AND SERVICES � A
27 Charles Street ►0
North Andover, Massachusetts 01845
WILLIAM J. -SCOTT SSACHUS�
Director
(978) 688-9531 Fax (978) 688-9542
December 3, 1999
William Dufresne
Merrimack Engineering
66 Park Street
Andover, MA 01810
RE: 98 Marion Drive, North Andover
Dear Mr. Dufresne:
This is to inform you that the proposed plan dated 11/22/99 for the repair of the septic
system located at 98 Marion Drive, North Andover, has been approved.
If you have any questions, feel free to contact the Health Department at 978-688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: S. Gilbert
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover, Massachusetts Form No. 2
NORTH BOARD OF HEALTH
0 1921—
DESIGN APPROVAL FOR
ss,C""5`` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
if a .
Applicant ZlrATest No.
r '
Site Location
Reference Plans and Specs. it%a�/9
ENGINEER D GN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN, BOARD O EALTH
Fee 4�— Site System Permit No. 1
t%ORTH Town of North Andover) Massachusetts Form No.
20��1"ED '6� BOARD OF HEALTH
0
L 60
10 19
ArED APPLICATION FOR SITE TESTING/INSPECTION
�pADR9SSA
C us
Applicant
NAME
ADDRESS
Site LocationTELEPHONE
Engineer
NAME
Engineers/
ADDRESS
Test/Inspection Date and Time TELEPHONE
T�
I
Fee �,i 75- CFMIRMA BO HEALT
LI T H-'
Test No.
S.S. Permit NO.—.D.W.C. NO,
--C.C. Date --- �Plbg. Permit No.
BOARD OF HEALTH TEL. 688-9540
NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE: V-,,-1 & -141'
LOCATION OF SOIL TESTS: ` eE IkiIjA,j' M(y
Assessor's map & parcel number t aZe.'l a 1*
OWNER: l%I.LI-Ct Q6r� 6 1 it -r TEL. NO.: - 69(,- Z90
ADDRESS:_ b.Aifw 1 OW `(i.
ENGINEER: _I-l'�I�I�I �o TEL. NO.:�'���
CERTIFIED SOIL EVALUATOR:) Irts t:�24
Intended use of l!�"
sidential subdivision, single family home, commercial
Repair testing Undeveloped lot testing
w
N. A. Conservation Commission Approval: _C—M
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of 1275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of $75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
1 Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic
plans.
3. At least two deep holes and two percolation tests are required for each septic system
disposal area.
4. Repairs require at least two,deep holes and at least one percolation test, at the
discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of testing.
6. 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).
7. Within 60 days of testing soil evaluation forms shall be submitted. �-
9 1999 j
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T N I T_
FORM 11 - SOIL EVALUATOR FOR11s
Page 1
DatB.....��".... -3 7
Commonwealth of Massachusetts
ouo" t1jv0 av g e, , Massachusetts
&H Saitabft Assesmen for On-site SAF Disaosal
PerformedBy: ........ __..... �.................. ......................
witnessed BY:
..............................................................................._.................................................._........... .
LAced. a GI.G! (✓dam �d � #Akin w.e. � f sem✓ �lG/3
La f./Irgt.ad
-� T�kpAeu f
New Construction ❑ Repalr a
Published Soil Survey Available: No ❑ Yes ET/
{
Year Published .../�M Publication Scale /ZZ.5.NCa Soil Map Unit ........GL,
Drainage Class
...... '.... Soil Umitations................................................................._:.....__..._...1.......
Surficial Geologic Report Available: No Q' Yes ❑
Year Published ... _.___....... Publication Scale ...............•..
GeologicMaterial (Map Unit)............................................................................................._.._....._........................_......................
Landform................. _...................... ..............................................................................................................................:.......................................
Flood Insurance Rate Map:
Above 500 year flood boundary
Within 500 year flood boundary
Within 100 year flood boundary
No ❑ Yes
No Yes ❑
No L' Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit) .......................................... ............. .............
Wetlands Conservancy Program Map (map unit) ........................................... ......................... ....
_ _ ._..�.._..
Current Water Resource Conditions (USGSI: Month . ••• ?�
Range : Above Normal ❑ Normal Below Normal ❑ .
I ,,1999
Other References Reviewed: Pl 61 a __
r
FORA4 11 - SOIL EVAWATOR FORM
page Z
Deep Hole Number Time'.J/ EA144 Weather
Location (Identify on site plant
:%• Land Use Slope 161 �l1Z'�'04urface Stones
Vegetation ...._...��L�-� _. _ ..._. wr__....._...._...___
position on landsospe laketch on the back(
Distanoes from:
Open Water Body >kL-' feet Drainage way -Z- feet,
Possible Wot Area -2wp-� feet Property Une ._.. ' feet
Drinking water Webfeet Other
'i .
Parent Material igeologlcl------_ L- --- - -�--- -- -�- - -- Depth to Bedrook:
Di to Groundwater: Standing Water in the Hole:.. Weeping from Pit Face: _
Estimated Seasonal High Ground Water:.. `�
.
4
yp
1rORA4 1t - SOIL EVAWATOR V011M
Palo Z
Deep Hole Number .1 2 Oate:_S1»l Time: ��:`�e Weather _y
Location (Identify on site plant
Land Use -� 1 �� - slope (461 --<� Surface Stones ....1.�7
VOQOtation
Landform».» .� _.. :�-ate^~'_.».»» _ ..» _»_»».............. ....._...»__.....».».».» .__» ...».»_»»� . »..�
position on landscape (sketch on the back(
Dlstanoeg from: ,
Open Water Body —Zic ' feet Drainage way --71 feet, ,
Possible Wet Area ; % feet Property Una feet
Drinking Water Wall feet Other
Parent Material (geologic( Depth to Bedrock:
4
i3enth to Groundwater: Standing Water In the Hole: !'1c'z,. caping from Pit Faca:4107- '
1
Estimated Seasonal High Ground Water: �.
F
FORM 11 • SOIL EVALUATOR FORM
Pagc 3
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of, observation hole inches
--
Depth to soil mottles .. t `:
Q/ inches C s 14r, z
❑ Ground water adjustment —..--- feet
Index Well Number Reeding. Date Index well level �..
Adjustment Adjusted ground water level _......
.__....... _ _�_..�.�....
Does at least four feet of naturally occurring pervious material exist in.ell areas
+ observed throughout the area proposed for the soil absorption system?
If not, what is the -depth of naturally occurring pervious material?
ttlfication
1 certify that on Natal I have passed the examination approved by the
Department of Environmental Protection and that the above analysis was
performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
Signature/
11
DORM 12 - PERCOLATION'(
COMMONWEALTH 'OF MASSACHUSETTS
At,171 Massachusetts
Site Passed EY*'
Site Failed ❑
Performed By:
_... ...................... .
Witnessed By: YL. it') 4-v Lz,
Comments:...... ...........................
12 ;�
Percolation Test
Date: . `,— Tilt
Observation Hole #
Depth of Pere
Start Pre-sook
End Pre-soak
Time at 12"
Time at 9"
22�
Time at 6"
Time 19"-681
Rate Min./Inch
Site Passed EY*'
Site Failed ❑
Performed By:
_... ...................... .
Witnessed By: YL. it') 4-v Lz,
Comments:...... ...........................
12 ;�
SEPTIC PLAN SUBMITTAL FORM
LOCATION: r/V
NEW PLANS:
REVISED PLANS: YES
SITE EVALUATION FORMS INCLUDED:
DATE: 9
$125.00/Plan L�
$ 60.00/Plan
DESIGN ENGINEER: f
DATE TO CONSULTANT:
NO
*If you want your plans expedited, please submit four plans and included a stamped
envelope with the correct amount of postage to mail plans to Port Engineering.
When the submission is all in place, route to the Health Secretary.
2s
Z 5 X-25
,ql
Hillside Acres
Lot # 4
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot # 4, Hillside Acres 0 1 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%. 1 will install a con-
crete septic tank of _ 1000 gal. —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 . 200 lineal (arqUWO feet of effective absorption area.
The pipes will be laid on a 6 i ch 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 1/811 to 1/41, (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 tile 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.
Ifurther 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 must be submitted with application.
DATE
z' o
S of Applicant
T�
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Signature �T Inspecting Officer
Percolation Test 8 min. Soil: Cl&X:
Garbage Grinder L�?�
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
1 -df 6
r
10.
3 og
Sb
.l-
f--
1. NAME DATE
2. ADDRESS, Cow t r t e Mor i f . LOT NO. t 12 TEL. i ` -ir,J' � ¢.
3. NO. OF BEDROOMS DEN YES �'' NO
4. GARBAGE GRINDER YES NO '"
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSIONS OF LOT
8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9, NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
.
I
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
NAME OF APPLICANT J - i- Segadelli, Inc.
LOCATION Lot #4, Hillside Acres
Address of lot no.
BUILDING:
Dwelling Other
SYSTEM: New X Repair
GENERAL DESCRIPTION OF LAND High
SUBSOIL: Clay X
PERCOLATION TEST B
DATE Nov. 26, 1966
Gravel�M Sand____
minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK
1000
gallon
capacity.
LEACH FIELD 200 —lineal
feet of
drain pipe.
I J)'N" czed
illiam s
J. r coll, Engi eer
Board of Hea h