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BAKERS ISLAND H2O QUALITY 1995-1996 �� 5( loU 3 _y� s .� � �5. >. �a�f'�-� ��Y �� r - Location 141 TINKERS ISLAND BAKERS ISI.-.,AND I 1 , � — s � r� / -- r r i t f3 =� _._ -) m - 3 1 1 7 s w I ; �, • �...a! '•,tel' , / >- LEGEND Well, Building - We Bu-'ding Foofprin s s 0 Parce I Lakes & Ponds Elevation Contours (5 foot intervals) I:' ♦ Vegetation • -�. -'... • *.,�. ,�'^Fi. `� °,. � �,'t .. .------ Cs ---- en Water r - , Rock Ledge i 17-14 w>_ u ` Rock Shore _m } LEGEND .� -- _2 Estimateded Setback Area for Title 5 Regulations Parcels Shoreline MA Hydrography DLG Title 5 Setback Buffer r.,x- K= � �� Atlantic Ocean 4 250 - 0 250 Feet 250 0 250 Feet Ir - - MEN. 3WM-77777 -w N BAKERS AND TINKERS ISLANDS, SALEM, MA Community Title 5 Septic Management Plan Source: Source data supplied by the Massachusetts Executive Office of Environmental Affairs,MassGIS. Hypsography from USGS 1:24k =� g:\proi\97-738\gisdata\salemtv.apr 12/29/97 mcb �_ STONE ENVIRONMENTAL. I N C JAN 2 1 1448 CITY OF SALEM HEALTH DEPT. AJ � ��. e r a/ SOj- 992_ sGoc �Y (R�- SDI 2-31 - 3417 Dar, Mom 61Z ( 4 - 04'13 AREA CODE I FROM MEN el NO. � ..ifSM �/,i. /�1J�li_MMIMMIIF ail IJ�� r imp m � I�r� y� ,JUL 30 '97 15:19 SALEM BEVERLY WTR BA P. 1/3 Y 1 SALEM AND BEVERLY WATER SUPPLY BOARD Thomas W. Knowlton,Superintendent 50 Arlington Avenue,Beverly,MA 01915-1036 (608) 922-2600 (608) 921-4684 Fax Anthony V. Fletcher, P.E.,Chairmen Stanley 1. Bornstein, F.E.,Member Frank Kiililea,P.E.,Member FAX LEAD SHEET TO: FROM: NUMBER. OF SHEETS TO FOLLOW: � SUBJECT: r; ffff il�t JUL 38 '97 15: 19 SRLEh1 BEVERLY WTR Ki - P /3 l Salem & Beverly Water Supply BoarCalkcbd a� ArWh d ,� a &aza Puituuian?«rs-Amok:afhsse:rdn �&s>1 TC � ✓� c� �.t MID x?030001. Df.4 la x MAW2 &aed FC l�i.Y ao- 94iva sum kfD.Yumb.r _� M-PC brow md''adaMP Cdl-dtal 1 at Dss 4¢s F"4 carom m T6ulC4 $om IOOMI PlW 4 CoOMOML S=pk YA-MoZl! l Nil if}i•Mti< 6:e3- Fxd I 7mi I aT.eat I P;nk Shtm ONPO Mt;G I Fcc:1 Tobi f T FC uwt � SR'•1 ; P �!P 100 .l00 !.P ,P i o }!v im t o 14 I � 0 !0 Iw Ix — ✓ SW4 + i 0 110 O 100� 1CO !0 C? .0 O IAtorc. SW-5 I i 0 Id 100 00 ID 1.0 i IRuud Sw.4 0 10 100 100 1,0 1.0 $w•7 ; 0 0 10 10 I.0 14 APs 2 Rwa { t143 �.i � erzj �z //3ra ?/oca l Judmn sw.e l� 1' jo 100 1.0 1 P N90 pa- - < lore �°p bbuGrry a"W 9 0 0 100�L- Y 1.0 l.D� a� x Nt �jp < i ff ;n,Ruud {SW-30 i •'0 0 100 00 110 J.0 0 ICdPO 40 .0 t I • i c4Gxw swan 0 11a p 100 0P 1.P 1.0 fdj 410 ` rdw i .14 0 il�yd--�_ 100 J40 1.0 .0 Luelr .551 . �0 0 100 u7 1.0 1.0 -- /ue �swld 0 0 Ito ,m 1.0 0 ooZ 111' ti l �a V:k 9� .?v — /20 t/Oo w/l .f7 I 1. 10000� 1P !.a Nra>$ lc+u�/8 fou f •13� 0 0 100 00 1D .P - -19 0 0 100 00 1.0 .0 I _ i 6? C Bi4eN I +F 9 we I f r SpaduuHm� .. 1.L AM%'C.4Yi biIImaK+ry I v o 123 Q /1000 !17 015 Ac y ( 1123 4l, C„ ( S AVt p .R] 1fY \2k ,'� ��, 120.: loose 3"I fie pt I fl AC <� 0'`'j 119 O 1 1. r° t Q coop ' o"' t'sO _ - � GRANO 00, LkMoL*t a." 11515 'k 0 \`Vii° L° 04 ya 1 .t - xe40 it 14 �o xxw k 0!1C e I ' t as0 a ya. 0' b;uo 4100 . apo p 1 t�r:po 6 Lbt _ ,w I.z ac•>t 1.6P t • - °' SSao• b• ` \ bb 3x0 t l6 4p ) 0 i 61107 '— o0 ..eo ,x: \V\ .4 CQ1 Aso0 ,bd° °, fix) R V, d It a ' Law 9 ,o0p° a @ 'oor 9b J bi 0 J,.x 3 $ \2a„^,) 19 b Y ST I ° 9 B •jOnB 4wo Y x 3 113 n,ra° w 2 Ap vne 10 5,00 tk 3 T to A x0^v0 3 m aa+ N} ° 14 46 ' � as a 1j rnz n =foib ^ a2 1 At V IIk Corn m un i c at Son Re Pcrt :r:41 SALEM HEALTH JUL 31 SS 7AM :kR' iii i.l.Y'ytra III'9:+.f..t d.R.�t.r:k 1111 #'t.:Y�$Vd i i'J:.YJi:4fY> Y�Y R-kWiYk:k9:Wti1 } IMk'#'B.tY kA e k M 0E REMOTE TERMINAL ID. START T1ME TIME PAGES STATUS r , 'S. I 5088 201 9417 0'%/31 07: 00 AM 02: 39 4 63 S t r RESULT TRANSMISSION It #kfi� }#tY41# tkliA:f's ii t*x4kCxi.+'ftiirfi-'Pk'tErrki.t-kb:'k�'kiA:Frf.%Rl t3i7A.k'Klii-i'b-�A'i-.kfr ri f.Y::4'�i:kl,WF`i d'.ae Yf f'4:k+ To: n l`�orse ...................................................................................................................................................... Fax: ...................................................................................................................................................... From: S S c 0 -/ 7L- .................................................................................................................................................... Date: 7- Y(- ...................................................................................................................................................... page(s) including this page. . ...................................................................................................................................................... fax From the desk of_ Joanne Scott, MPH,RS,CHO Health Agent Salem Board of Health 9 North Street Salem,Ma.01970 (508)141-1800 fax:(SOB)740-9705 UL 17 '96 11:03 SALEM BEVERLY WTR BD P. 1i3 SALEM AND BEVERLY WATER SUPPLY BOARD Thomas W. Knowlton,Superintendent 50 Arlington Avenue:Beverly,MA 01915-1035 (508) 922-2600 (508) 921-4584 Fax Anthony V. Fletcher,P.E., Chairman Charles F. Quigley,P.E.,Member George Zambouras,P-E,Member FAX LEAD SHEET FROM: �✓ /� Ct.c�_a- �L. c ,:c - 1�ccsu (d" ' NUMBER OF SHEETS TO FOLLOW: SUBJECT: OTfY� C.d/� ` ,._. C...-,- •-/�� ,p. :r K /YJ-GiKrd�OL�S�iRr" Q iia-� La Ice, "ki Z -er /J� V /,V, ( lr!-. 14/50, Ze5fA /h ?e"4.✓ 4 :F11�—/q ° GJUL 1f DU 11•U> 'JMLLI1 r.cou<u wart ui .� SALEM and BEVERLY WATER SUPPLY BOARD — WATER PURIFICATION PLANT RESULTS OF ANALYSES � 3c Collected C^ I' {�•-\, .. �' c4 %L, Examined COLT.AEROGEN£S GROUP NO. SOURCE OF SAMPLE Color ' o Presymptivc Confirm) �� I IO.Olml.I 0.1ml. 1.Ombl 10m1. MPNI i sWL fi^�c:; I< IC C R)-*/ owS61- 10 ► 0 `Pio I � I < /C C a9 N2a� � 5 91 ass e� 1 1< iO �,_ i rv� 100 _ice 0 0 � 1lS sc I I ZE7 I / C ' •-- I I II I SALEM AND BEVERLY WATER SUPPLY BOARD Bv... ' To: File: Baker's Island Septic Information CC: From: Joanne Scott Date: June 7, 1996 Subject: Discussion with Dave Ferris I spoke with Dave Ferris of the DEP yesterday regarding the memo letter and survey developed by Mark Tolman. This letter and survey is intended to be sent to the residents of Baker's and Tinker's Island. This is a summary of that conversation: 1. Dave liked the letter and survey form. 2. There are composting toilets available that do not need electricity. 3. The composting toilet/gray water system is approved for remedial use with existing properties. 4. With this system there may be a 40% reduction in the size of the leaching field. 5. The minimum size of the tank, according to TitleV, is 1500 gallons. However, Dave thinks that a 500 gallon tank with this system would be appropriate. In order to use that size tank, the DEP must grant a variance. 6. Each system still needs to have deep hole analysis and perc tests in accordance with Title V. 7. Dave reccommends the use of a fiberglass tank. 8. A Clivus Mulchim system requiring no tank is under investigation by the DEP. 9. The property owner should submit plans prepared by a registered PE or RS. It is a conflict for our department to design a plan since we are the approving authority. from the desk of... Joanne Scott, MPH, RS,CHO Health Agent Salem Board of Health 9 North Street Salem,Ma.01970 (508)741-1800 Fax: (508)740-9705 t JUL 17 '96 11.54 SALEM BEVERLY WTR BD P.2/3 .* SALEM and BEVERLY WATER SUPPLY BOARD - WATER PURIFICATION PLANT - RESULTS OF ANALYSES �y J Collected -{"�' c-T� { ti l c� Examined ` COLI-AEROGENES GROUP.�� NO. SOURCE OF SAMp LE Color 4 o" �/ � �~ t = 1 / , pPresumntivc Confirm _ {{ v t� O.OSrnL 0.1ml. 1.0ml. 10ml. MPN i UJ I ��iih 5G -v i �� i Ove ft':S /�iY•} ! `• ��e� � 16�J lP1L cot< 1C r 7u%{f �r� iicxS +.r'G.7'Lti f �C30 < �z OIL; to o b 1 s SALEM AND BEVERLY WATER SUPPLY BOARD Bv............._.__. .. .. .._..__, JUL 17 '9E 11:03 SALEM BEVERLY WTR BD P.1i3 SALEM AND BEVERLY WATER SUPPLY BOARD Thomas W. Knowlton,Superintendent 60 Arlington Avenues Beverly,MA 01916-1096 (608)922-2600 (608) 9214684 Fax Anthony V. Fletcher, P.E., Chairman Charles F. Quigley,P.E.,Member George Zambouras,P.E_,Member FAX LEAD SHEET TO- FROM: NUMBER OF SHEETS TO FOLLOW-----?=- SUBJECT- OLLOW- ?SUBJECT: PCe/c:.(� J/�djTiy-1yam/ G.r.0 '- 7 9r A' Ce ,ol CSi4,,oA V11 ¢C,d 1Z F�' iOl �,/�/J,•(�.eti.r^i.C..-J e 4j& Ll. Al o .rs J ��/f/. I'CC•�-� L.t ��is,�,,,_ -- �o/�/ e��i..mac., t•7 - FF arm ) /mm . �m>L •� THE COMMONWEALTH OF MASSACHUSETTS CITY OF SALEM HEALTH DEPARTMENT - 9 NORTH STREET, SALEM, MASS. 01970 Establishment Name Date Address Page—of— Item ageofItem No. In the space below describe all violations checked on front page. Ai al- iH , lea vsse, ry �_a� nom._ o m m o _ z m a m m m m a - m n m E Discussion with Management JUN 19 '95 12:31 SP LEM BEVERLY TR BDA/ R 2i4 Deu aaa '1 Salem & Beverly Water Supply Boat cued welee em;faelvn Phm-aeenWolAnepma saeaTC �'.Jrur G J` Pw31C 113030aa1,DOIDIMAoox sw1 PC "''tel Grnu<• I!o ,r^ /�-�.� 8mvec BouPtaWNmaner M.ECMadi m-Pade.MP C*AMC of Dae UK# poral Cotlfx ToW Cdfeem 1000UUMPM Cemle/JoomL 9lmpla Y&-MO-0Y NO, NN-M14 A.&, Peal Pi* gum ; Rmk Sfiem ONBO MUG Peed Tout 0n0 (&bml TO PC C94 C4/ %md / OW 1 l0 O 100 100 l.0 1.0 N f� -7VrC I '-T,F m /O /V /Je l o ( 17110 S+Syuar SW4 15-0 10 10 100 100 J.0 1.0 i rN7e I^Term /c/ F f 16 /QD r rnk 1 Baa Jo 10 Joe Jae I,o LA f NJ Jq3 CJD �sVY Ilk'S </o 0 3 A� 3 OW-4 10 lA Joe 1aa " 1.0 ,,r / V mea I /Q'u a p O 41 f� NG \,//o 1y / FT_J�l`-f JO JO 100 100 J,0 1.0 /mya o wco-h W 810 0o-6 Ak /oG0 Bumdl 6wi 10 l0 Q Jae JWP, J,0 LA Pa,.l 0W-7 10 lA l0 IV -7o q La Retatf¢tar /� 7 U• (9 30 lud+mr BW4 ,i 10 10 ICG '1 100 1.0 1.0 , >3? r N''4!- 3 aru a 7� Fo o ana.c.x sae !!/U 16 Jq Ica Joe Lo 1.0 Sop 10 12. €) N5' < t0 loS� Salo11,Y6, Jo 10 100 J40 1.a L0 !/ P FI 7119 I'Vr re It 2 Sys' < /O 4100 Pedy rw.jl 10 101.00 r( ItYrC To 70 V/ l LvrT YM' /tJ7C Ei Z II} /a (�000 / CaoaGend 9wdZ 10 !0 Ix io 1.0 �/ (V! Jcriw / t1 „'r;'.�'O6 t�f - -a2 !7'''J`:t I iYco SplarBetk SW-I3 !100 tII to 1Ca 1a7 J.a lA f 0 ur.�� C99 3 a1J t NeiLAI C 10 0 V' swu /I { Jo N�. to ND e1 raa ND r07� La N 2 8'W-13 JO 70 JW Me 1,0 J.0 J it t1 ai OW-16 V 10 Joe Joe 1.0 110 8P'-17 10 10 100 Joe 1,0 1.0 i 11W-13 10 10 1W 100 Lo Lo SW-15 10 10 100 100 Lo 1.0 B3aaN B BiluY mctomekR.,ie �—•. &aanta: bx . 4 Syp11'mmfavr r _ aft�p ni t 0. .,.. s _ 6-26-199513.21 617 935+6393 DEPS ' NORTHEASTiREGIONPiLI . xP,�02y,, " To: Edward Kunce@CommiseionerQGDEP BostonY0 -f10 David HowlandeOperationsopEP WERO S.Marcy WetherbeecOperations@DEP WERO John HigginsQBRP WPCODEP Boston John D. ViolaOCommissioner®DEP Boston Cc: Arleen ODonnellGBRPODEP Boston Dean SpencerWLegalaDEP Boston Boo : From: Oscar Pancorboolesadep les Subject : Wally Byam Case Date : Tuesday, April 4, 1995 18 : 09 : 51 EDT Attach: Certify: N Forwarded by: Christos DimisioriSOBRP WPCODEP Boston Forwarded to: David Ferrisebrp wpcQDEP NERO cc: Forwarded date: Wednesday, April 12, 1995 17 : 51 : 10 EDT 3 Comments by: Christos Dimisioris®BRP WPC®DEP Boston Comments: i As discussed. S Forwarded to: Richard ChretienoBRP WPC Christos DimisiorieDBRP WPCQDEP Boston CC: Forwarded date: Wednesday, April 5, 1995 9 :37 : 06 EDT Comments by: Dean SpencerOLegal@DEP Boston Comments: fyi, thought that you probably have most of this info already but that it may be useful in some other contexts as well as this one. --------- - ^--------------- [Original Message] Here are some additional facts for tomorrow' s Wally Byam meeting: 1) All the wastewater from a dwelling that doesn' t come from the toilets is classified as greywater. The toilet wastewater (and usually the garbage disposal waste) is called blackwater. 2) tinder many situations, greywater is not as much a threat to health & environmental quality as blackwater. However, greywater has been shown u;ider certain circumstances to contain more pathogens than are normally found in combined wastewater. Therefore, greywater should not be applied to the soil surface in areas where humans and pets have easy access, unless the greywater is first disinfected. In addition to pathogen exposures, the potential for odor and insect problems (flies and mosquitoes) is significant when raw greywater is disposed directly on the sail surface (Perkins, R.J. 1989 , Onsite Wastewater Disposal , Lewis Publishers, Inc. , Chelsea, Michigan) . 3) The following microbial pathogens and indicators have been found or could 6-26-19951'13:2222 617 935+63938NORTHEqT p p be found in greywater: 4 s ` a) • Fecal and non-fecal coliforms b) Fecal streptococci, including enterococci ` c) Salmonella app. d) Shigella spp. e) Vibrio cholerae f) Enterotoxigenic and other Escherichia coli i g) Campylobacter jejuni h) Yersinia enterocolitica i) Aeromonas hydrophila j ) Legionella pneumophila and other Legionellaceae k) Mycobacterium tuberculosis and other mycobacteria 1) Staphylococcus aureus and other staphylococci . m) Pseudomonas aeruginosa n) Klebaiella pneumoniae r o) Clostridium perfringens '- p) Enteric viruses including polioviruses, coxsackieviruses, echoviruses, hepatitis virus A, Norwalk virus, caliciviruses, astroviruses, reoviruses, rotaviruses, adenoviruses, etc . (over 100 i viruses) q) possibly Giardia cysts and Cryptosporidium oocysts Many of these organisms are opportunistic pathogens that affect more the older populations (such as may be found at Wally B. ) and those that are immunocompromised. Some of these organisms are commonly found on the skin and oral cavity of humans and are shed regularly during bathing (e .g. , some enteric bacteria and viruses, Staphylococcus aureus, etc. ) . 4) Most of the work dealing with the characterization of wastewater flows from individual homes/dwellings was done by the University of Wisconsin-Madison in j the 1970s and was funded by the USEPA. The primary publication of this work is the following: Small Scale Waste Management Project, University of Wisconsin- Madison. 1978 . Management of Small Waste Flows. EPA-600/2-78-173 . USEPA, Cincinnati, Ohio. The following data came from this publication: a) Range of Flows (Liters/capita/day) a Toilet : 35 - 76 Bath/Shower: 24 - 47 Clothes Washing: 26 - 44 Kitchen sink/Dishwashing: 4 - .68 �i b) Range in per Capita Pollutant Contributicns (g/capita/day) 1 Wastewater Fraction BOD5 Total Suspnd Total N Total P Solids 1 Toilet 6 . 9 - 24 13 - 37 4 . 1 - 17 0 . 6 - 1 . 6 Garbage Disposal 11 - 31 16 - 44 0 . 2 - 0 . 9 0 . 1 Greywater (i .e. , sinks, bath/shower, appliances, etc . ) 25 - 39 11 - 23 1 . 1 - 2 . 0 2 . 2 - 3 .4 These figures are based on an average flow of 16 , 2 , and 29 gallons/capita/day for the toilet, garbage disposal, and greywater, respectively. c) Bacterial Indicator Concentrations (99k Zonfidence Interval, 6-1995 13:22 617 935+8393 RT El y organisms/100 mL) , q .tom Wastewater Fraction Coliforms Fecal streptococci � Total Fecal i Clothes Washing 45 - 1020 28 - 405 19 - 305 I Bathing 530 - 6160 330 - 4410 70 - 1510 As expected, the bacterial concentrations are markedly higher in the bathing wastewater due to shedding. In comparison, the mean concentrations of fecal coliforms and fecal streptococci in I septic tank effluents are only about 10x greater than the high j values given above for the bathing wastewater. These data show that the typical greywater flow is approximately 2 times that of the toilet wastewater. Furthermore, the per capita pollutant contributions of BODS , total suspended solids, and total phosphorus for greywater are equal to or greater than those of toilet wastewater. . In addition, the bacterial indicator concentrations in greywater {e ,g„ bathing water) can exceed 3 . 0 log1O/100 mL and are only lOx lower than those of septic tank effluents . Due to the recognized public health and environmental risks, onsite wastewater absorption fields are designed to ensure that there is no surface breakout of septic tank effluent . Similarly, soil surface discharge of greywater, containing similar microorganisms at only one order of magnitude lower in concentration than septic tank effluents, should be controlled. 5) Regarding the survival of microorganisms in soil, I am bringing you tomorrow copies of the following two excellent review papers on the topic : Gerba, C. P. and G. Bitton. 1984 . Microbial pollutants : their survival and transport pattern to groundwater. In: Groundwater Pollution Microbiology. Edited by G. Bitton and C.P . Gerba, John Wiley and Sons, Inc . , New York, NY. Gerba, C. P. et al . 1975 . Fate of wastewater bacteria and viruses in soil . Journal of the irrigation and Drainage Div. , ASCE, vol . 101, No. IR3 , pp. 157-174 . There are a number of soil-specific, microbe-epecific, and environmental factors that influence the survival and transport of bacteria and viruses in soil . In general , enteric bacteria and viruses can survive in soil from a few days to several months. I hope that you find this information helpful . I can answer any questions you may have when we meet tomorrow at 12 noon . See you then. Oscar . Salem Health Department 9 North Street Salem, MA 01970 (508) 741-1800 Fax: (508) 740-9705 FAX TRANSMISSION COVER SHEET Date: l%7 y�9S To: Ado ,S e Fax: Y/ 7 Subject: l la v Q u a l i /l/y- 1 /�a lie S ZSI mal ! P (7 r-< < Sender: 9-477 C d r F C SP6 (/J cC JCX?�1•22 YOU SHOULD RECEIVE ) PAGE(S), INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (508) 741-1800. DPa l ' pc K Pie s.., C?aa /1>fi iC yc)o time �?-7y q�IS't/des or to M A-a soy i a fCa� ee� /may -Act le Yo 141: Communication Report SALEM HEALTH JUN 29 195 06: 19 PM * MODE- REMOTE TERMINAL ID. START TIME TIME PAGES STATUS !: y ________ ______________ ______ _____ ______ i W TX 508 281 3417 08/29 06: 16 PM 03: 43 5 G3 S *' 1 t RESULT TRANSMISSION OK I LYk:iYYY t.t:Y:k:1Yf Yl.t:k'.Y:ikI k:Y1:1'.k:'I IYK:1'.1:'M.:Y AMIkt5:k Y:l kl:k:1:I::Alk.AP1:*:K1'.:YYIf.:Y1:K:Yh*tA:W.Y'.1:1'.t.'N:1:1:1'.:I::Y*#NX*i1a 1:1a X% � I - SALEM BOARD OF HEALTH 9 North Street Salem;Ma.01970 (508)741- 1800 Fax (508)740-9705 faxt r a n s m i t t a l to: Tv pipEr— fax: S- 3,,r-IJ— from: OA vlur 5c 077, H6,j/ 711 date: re: O 6)04 c,1 rX 67`-S1 �4k pages: two NOTES: ✓pS� � � (.��P��.c) o-� Sa��Oles �VD/✓1 �e `s Z�ldlk�lf 4v X00 . * Communication Report w:#* SALEM HEALTH JUL 11 '95 01: 15 PM W*Wffi%::K BWRkN%:A'**;YXNk%:%.N Y'%:WS:t:t x:€#%::K Y:%%:'WNi: :C MODE REMOTE TERMINAL I0. START TIME TIME PAGES STATUS * 1 ____ ______________ ______ _____ ______ Y. " TX 16034653512 07/11 01: 14 PM 81: 46 2 G3 S * * RESULT : TRANSMISSION OK ,, - pbev fp,) c)-� - "''� t - ;fie.... _ Fre ��r � %s... , z1-� F, may _ To: CK 1 IoK's E J�A,A, fC: 3Yi7 From: 70A nl Al E seo 77-- Date: TDate: (o - a io - 95- Subject: SSubject: WE-1 L Wg-rl�,- far 1Ee %�5Tiv6 .�Fs�c rs memo i�l-e li w PYJGjDse d from the desk of... Joanne Scott,MPH, RS,CHO Health Agent Salem Board of Health 9 North Street Salem,Ma.01970 (508)141-1800 Fax: (508)740-9705 C7V -e Y` ��rAY"�� __.----�`..� � i _ _ _ � -,� Lm ✓�'/�G�_ c— '_ _ /:/a�`.jVJyp� —i(a..�_s_ � �' .� tel/ . 9 vq wet/ -.kp7jj Awl CITY OF SALEM t�s1J s HEALTH DEPARTMENT w pM NINE NORTH STREET M - Q SALEM, MASSACHUSETTS 01970-3928' tETU;? o` 07 AUG q-r 6 ^fir �`DL.E`E ES j' 7 iit� Rey V(EA 'r1McTER SC119`:Y Iy Noa�Uck+ t r p, enot ot in ,0t mber� I�•�E�XMN C ICK +r § { RIDGE RD BOX 1996 NORTHWOOD NH 1 c tUT.. ZED TIME Fut, FOR'OVARDING HAI ` _/FIRED, M1 fi Ila CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT MPH RS CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 August 5, 1996 Dear Property Owner: As of March 31, 1995 all septic systems must comply with revised state regulation Title V. After analyzing Bakers Island and Tinkers Island properties,the following system has been approved by the Department of Environmental Protection: composting toilet with grey water garden leaching system. Cesspools need to be replaced if they exhibit signs of hydraulic failure, are located extremely close to private or public water supplies or otherwise fail to protect or pose a threat to public health,safety or the environment. I � New systems installed and old systems that need to be upgraded are to have a certified plot plan and a certified and stamped septic system designed by a registered professional engineer or registered sanitarian. The plot plan and design must be submitted to this department for review and approval by the Board of Health. This information will also be sent to the Department of Environmental Protection. If you have any questions regarding Title V feel free to contact Mark Tolman at(508) -741-1800. For the Board of Health: Reply To: oann� Mark Tolman Health Agent Sanitarian cc: Department of Environmental Protection c/o Dave Ferris JS/sjk mtm ' CITY OF SALEM HEALTH DEPARTMENT Nine North Street . —�' Salem,Massachusetts 01970 Septic System Survey Name Mailing Address Island Lot # No. Type of System: Conventional Septic " Cesspool Other Location if known ? # N0 o e f Bedrooms Resident more than six months Resident less than six months Well on Property YES NO Source of Electricity Generator Batterys Solar Panels CITY OF SALEM ESS,c c ALFi , .m�"' HEALTH DEPARTMENT G Pi --®�- r NINE NORTH STREET Qyt �O � �y 07 AUG a SALEM, MASSACHUSETTS 01970-3928 SI /8s6 H ..•..�ti MET �1t1G 2 3 1996 c i "fav I;BRADELY OOLEY !:jcl 310"C AV n:Utn � ,1s S ATE St. 02Z66,,----'\, No 0 lee in st't o no!remail in tNs envelope 00 ~� i - � � � .7 � � � � . . A CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01970-3928 JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 Fax:(508)740-9705 August 5, 1996 Dear Property Owner: As of March 31, 1995 all septic systems must comply with revised state regulation Title V. After analyzing Bakers Island and Tinkers Island properties, the following system has been approved by the Department of Environmental Protection:composting toilet with grey water garden leaching system. Cesspools need to be replaced if they exhibit signs of hydraulic failure, are located extremely close to private or public water supplies or otherwise fail to protect or pose a threat to public health,safety or the environment. New systems installed and old systems that need to be upgraded are to have a certified plot plan and a certified and stamped septic system designed by a registered professional engineer or registered sanitarian. The plot plan and design must be submitted to this department for review and approval by the Board of Health. This information will also be sent to the Department of Environmental Protection. If you have any questions regarding Title V feel free to contact Mark Tolman at (508)-741-1800. For the Board of Health: Reply To: ,J t. oanne ScottMark Tolman Health Agent Sanitarian cc: Department of Environmental Protection c/o Dave Ferris JS/sjk mldl5 F CITY OF SALEM HEALTH DEPARTMENT F Nine North Street Salem,Massachusetts 01970 Septic System Survey Name Mailing Address Island Lot # No. s, Type of System: Conventional Septic Cesspool Other Location if known ? # No. of Bedrooms Resident more than six months Resident less than six months Well on Property YES NO Source of Electricity Generator Batterys Solar Panels BAKERS ISLAND AND TINKERS ISLAND RESIDENCE RUTH BEEBE-CENTER ARTHOR& MARILYN BARSTOW PO BOX 291 WAKEFIELD KA& SM MOSER/DE & B MOSER QUEBEC CANADA BOX 3-GO 148 NEWGATE RD EAST GRANDY CT 06026 FRANK R SANDBLOM 8 ROCK WELL PL FREDRICK& CAROL PENDOLEY MILTON MA 02186 RR2 BOX 590 BRISTOL NH 03222 HOWARD SMITH JR ET ALI 14 BEACON ST PATRICIA D & WESLEY E STIMPSON MARLEHAED MA 01945 94 CANTERBURY CT CARISLE MA 01741 JAMES & JANICE LECOLST 34 MANFIELD ST PHILIP C SMITH/SUSAN E SMITH LYNN MA 01904 & ELIZABETH C ANDERSON 15 BRADY AVE PETER H VALLIS DERRY NH 03038-4202 PO BOX 892 SALEM MA 01970 GEORGE DAVIDSON 80 FARRELL RD RICHARD D CHENARD LYNN MA 01905 15 APPLETON ST DANVERS MA 01923 RALPH L V CHURCH 66 JERSEY ST I/BENJAMN CHADWICK MARBLEHEAD MA 01945 MouJ RIDGE RD BOX 543A NORTHWOOD NH 03261 STEVEN DB WHITNEY MICHELLE J CHENARD HOWARD & MARGARET GRAY 87 GROVE HILL AVE 7 MELLEN LN NEWTON MA 02160 WAYLAND MA 01778 JOHN T KEIAN MARTHA H HAYNES C/O DAN ALEN DITOMORE 5631 EMERALD RIDGE BLVD 125 MARSH GLEN LAKELAND FL 33811 ATLANTA GA 30328 FRIENDA MARY & PETER CHISTINA M BLANCHET MACFARLANE R W JR& R A BLANC14ET 50 MONTCLAIR AVE 8 PILLSBURY AVE ROSLINDALE MA 02131 TEWSBURT MA 01876 CONT BETSY DAVIS MASSE FAMILY IRREVOCABLE BOX 27 OLD TOWN ST TRUST HADLYME CT 06439 ANDREW & MARIE P MASSE TRS 260 IPSWICH RD HARRY F-EM GUNDERSON TOPSFIELD MA 01983 PETER M ZIAGLER-LYN L BOOKS 203 ATLANTC AVE STEPHEN LINDEN MARBLEHEAD MA 01945 250 WALDEN ST CAMBRIDGE MA 02140 SHERMAN C BURHAM C/O FLEET BANK KAREN LINDEN PO BOX 2197 MAMLBN3 14 BASIN ST - PO BOX 465 BOSTON MA 02106-2197 KINGTON NJ 08528-0465 KENNETH A MOSER CHARLES BEAN JR 13 FORREST RD SUSAN BEAN-LINDEN TOPSFIELD MA 01983 19 FOWLER ST SALEM MA 01970 WILLIAM & ROSEMARY WALTEN 2600 SECCOTA DR ROBERT T ADDEL/RICHARD 0 ABBE HAMPTON VA 23661 ROBERTA HALLOWELL-JOHN ABBE BOX 145 MARIE SAYLOR KETTSKIL BAY NY 12844 8 MONTALE RD WORCESTER MA 01609-1717 JAME BARTLETT LITTLEFIED TRUSTEE WILLIAM & ARLENE NORTON 31 OVAL AVE 2 POST RD RIVERSIDE CT 06878 LENOX MA 01240 ROBERT & JOHANNA MACULLAR ANNIE BURHAM 53 KIRTLAND ST C/O FLEET BANK LYNN MA 01905 ATT MRS HALL 17 UNION ST MANCHESTER MA 01944 BAKERS ISLAND WHARF C/O SAYLOR M L BAKERS ISLAND LAND TRUST 8 MONTVALE RD HARVEY J LOBDELL TR WORCHESTER MA 01609 149 WALNUT ST READING MA 01867 DOUGLAS & JANET RUSSELL PO BOX 151 DONSTABLE MA 01727-0151 ROBERT &VIRGINIA ABBE ANNE BURHAM BOX 145 C/O FLEET BANK OF MA KATTSKILL BAY NY 12844 ATTMRS HALL 17 UNION ST MANCHESTER MA 01944 RICHARD W ALLPHIN 20 LINCOLN ST ALBERT L CHABOT JAMESTOWN RI 02835 40 SHERRIN RD NEWTON LOWERFALLS MA 02162 BAKERS ISLAND ASSOCIATION C/O JOHN LITTLEFIELD TREAS LOWELL S &ANNA H NICHOLSON 31 OVAL AVE PO BOX 1033 RIVERSIDE CT 06878 MARBLEHEAD MA 01945 EDWIN H&NORMAN STILES MARILYN ENGLAND 25 NUTTER RD C/O MARILYN HAMMER NO READING MA 01864 48R MONUMENT ST WENHAM MA 01984 BERNARD J& ROBIN M GOLDEN 501 LOCUST ST ROBERT D GRACE E ROBERT H DANVERS MA 01923 & DAVID F THORNTON 504 STATE RD STEPHEN & BARBERA WOODBURY CHARAU SC 29520 16 CORNING ST BEVERLY MA 01915 PETER& BETSY SULSIBURY 29 HUNTING RIDGE FARMS ROBERT R PASCUCCI BRANFORD CT 06405 40 BEACH AVE SMAPSCOTT MA 01907 SUZANNE L & DAVID ARTHOR 7 BRAIN RD RONALD H ARTHOR SALEM NH 03079 48R MONUMENT ST WENHAM MA 01984 MARHTHA N ALLPHIN 3 SUSAN RD CLIFFARD W& PHYLLIS ENGLAND MARBLE HEAD MA 01945 8 PINEWOOD HILL W LEDANON NH 03784 PORTER E LITTLEFIELD 475 RENNE DR CHARLOTTE H CHASE BAYPORTER NY 11705-1236 2 FELLOW RD IPSWICH MA 01938 ROMANO REALITY TRUST PETER REMANO TR CARL E MOORE 150 ESSEX ST 5 SMITH PT RD LYNNFIELD MA 01940 MANCHESTER MA 01944 WINNIE-ETALI C MORRIS TR ROY H & SALLY R ANDERSON C/O DONALD W MORSE TREAS 28 CARVER ST 34 CENTRAL ST BEVERLY MA 01915 ROWLEY MA 01969 ROBERT S & FABRY BAKERS ISLAND HOMEOWNERS 1175 COLVSA AVE COPR INC. BERKLEY CT 94707 C/O MORRISON GAIL 69 MO-SETT SAVE CRAIG R& GLORIA A GANDER GOFFSTOWN NH 0345-2715 7178 LAFAYETTE WAY LITTLETON CO 80122 FRIEDA& PETER F MACFARLENE 50 MONCLAIR AVE ROBERT T LEAVENS & ROSLINDALE MA 02131 JOYCE SOBEL 10 BOXFORD FREDRICK M & CAROL PENDOLEY ROWLEY MA 01969 RR2 BOX 590 BRISTOL NH 03222 DONALD & THELMA M MATHESON 61 BURLEY ST RANDELL C &ARLENE CRAIG DANVERS MA 01923 5 WADDEN COURT MARBLEHEAD MA 01945 ROBERT L ANDERSON ET ALI 84 FOUR BRIDGES RD FRANK E & GEORGA B JUSON I1 DWIGHT ST BRADELY C DOOLEY FAIRFIELD CT 06430 310 CENTRAL AVE SCITUATE MA 02066 ELIZABETH & ALLEN J NADEAU 245 S WEST STREET JOHN & PATRICIA TAFT CARLISLE PA 17013 103 CHURCH ST NEWPORT RI 02840 ROBERT A 7 ELLEN D HARRISON 228 BUGBEE RD KEITH & LESLIE RUSSEL SPRINGFIELD VT 05156 24 COLONIAL DR NEWPORT RI 02840 BRUCE H& BARBARA J COLLINS 30 CRESCENT RD KEITH & LESLIE RUSSEL SO HAMLTIN MA 01982 24 COLONIAL DR CHELNSFORD BERNARD J&VERONICA GOLDEN MA 01824 12 WARREN AVE WOBURN MA 01801 MARY B WILSON POBOX 119 SHAPEIGH ME 04076 PHYLIP R MNNARTHY 12 MAVRICK CT MARBLEHEAD MA 01945 CHARLES C BARON REVOCABLE TRUST CHALES C BARON TR 23 OLD LOCKE RD PO BOX 564NO HAMPTON NH 03862 ROBERTAA HALLWELL 26 PLEASANT ST WENHAM MA 01984 OCEAN AVE REALITY TRUST RODENY F MAURICE ET AL TRS 11 APPLETON ST STEPHEN W WILLARD 64 ORNE ST MARBLEHEAD MA 01945 BETTY SCOTT LUCAS 84 HUDSON ST SOMERVILLE MA 02143 CITY OF SALEM HEALTH DEPARTMENT Nine North Street Salem,Massachusetts 01970 Septic System Surve p Y Y Name o�� t, C-��a�� ohg,t H ., �a�< � i HO' 2NTdN Mailing Address �o Sfa1 R Ghee Island Lot # No. 7o 5 Tr' avkg �� L6$ -Sewz�rrk Type of System: Conventional Septic Cesspool Other Location if known ? aid- 7/,kA # No. of Bedrooms JL— Resident —Resident more than six months Resident less than six months Well on Property YES NO Source of Electricity Generator Batterys —t �� Solar Panels — "� 08/14/96 11 : 24 E 603 964 5440 PARCEL PLUS NH 01 d AUG 14 1996 CITY OF SALEM BOARD OF HEALTH CITY Or SALEM Salem, Massachusetts 01970-3928 H2A!.T`t DEPT. JOANNE SCOTT,MPH,R5,CHO MNE NORTH STREET HEALTH AGENT *:(5m)741.1800 Fix;(608)740-9705 August 5, 1996 Dear Property Owner: ! As of March 31, 1995 all septic systems mull comply with revised state regulation This V. After analyzing Bakers Island and Tinkers IsLind properties, the following system has been approved by the Department of Environmental Protection: composting toilet with grey water garden leaching system. Cesspools heed to be replaced if they exhibit signs of hydraulic failure, are located extremely close to private or public water supplies or otherwise fail to protect or pose a threat to public he^L'I1,safety or the enviroranent• 164/aJ r rr!U 4 flew systems installed an olA s stems that need to be upgraded era iot lµ , and a certified and stamps septic system ostgnp y a gistered p asstone� ; registered sanitarlan. The plot plan and design must be submitted to this department for review and approval by the Board of Health. This information will also be sent to the Department of Environmental Protection. It you have any questions regarding Title V feel freo to contact Mark Tolman at(508) -741=1800, For the Board of Health: Reply To: oanne Scott Mark Tolman Health Agent Sanitaria oc: Department of Environmental Protection c/o Dave Fords J3/sik m= 2 J 00/14/96 11 :25 $ 603 964 5440 PARCEL PLUS NH 02 CITY OF SALEM HEALTH DEPARTMENT 4 , t Nina North Street Selem,Maesechusetts 01970 Septic System Survey Name Mailing Address Island Lot # No. Type of System: Conventional Septic Cesspool Other Location if known ? # No. of Bedrooms Resident more than six months Resident less than six months Well on Property YES NO Source of Electricity Generator Batterys Solar Panels -E �a i °-i V CITY OF SALEM HEALTH DEPARTMENT OJI�� s ,5 I 4' Nine North Street — Salem,Massachusetts 01970 SEP t t 1996 C1 TY OF SALB'd HEAL 1 H DEFT. . Septic System Survey Name JPV;z 4-- R, C- 7--r c Z-)- Mailing Address y7 �6- jZ 7 /) 0Yi70,Z Ncfw y�iZ 9� // '7pS Island Lot # No. 0 0 5 s Type of System: Conventional Septic X Cesspool Other Location if known ? o v z_ .,) /';z I V A); SJwrabJ . 7i.r ;oS/ac Sys,—<< y f� i i/�Cl�';1_ # No. of Bedrooms 2 __ Resident more than six months Resident less than six months X Well on Property YES NO X Source of Electricity Generator x Batterys Solar Panels c--i T SySi,ef /7 tri: iTAov;3 Ld /f rtC&t a7 y G .I t M g Il -QU l�jkl�lffSSU MED ` a � �jESTojPIIT, ; Oi i1P�t�sl say C3RQP, E50X IEI Fs�Ios�NCF:I��l�Ji ii sN�j��3li A2�III�NI�'�I5S1I1lIEWiI�1F9�1IIZI� �XY4s4e_-"4 t¢¢ I lZ44 48 WAU cool IV N, N � i0� � r r.y'<� a�CYe44ly 2 E w'1,y �✓` + lul Stfit dLoT IS LdT 19 L Q 40 -41 Ea-5TERK( AVEQUEigA60 WAY LoT 4ti ,NDBElON� NGTO PORTER E 'jRMAUE5.;6AKER;5j5LAND, 5ALEM ,MA55� `i �- ., Iitlli 3 �I: IS140wING P.R6P.,OSED5E41ACs dI5PO5AlSYSTEM ' aa�IG' fllf�V�. 1 w c � I�' � � � pal r e l SCALE '�1 _ 20�_, JUNE 1974 it , - �f+j ' I „j' id + I G { SF'js.E L+I,�A"'. , 1�F S� l22 r II t PRgP FA x i Zi I I Iia �� I '� I� � /'•— .1 ".-,� ��r,I r.'.�- ��U w� "; x ) a .-5;0.005 fl0 5 aO�ooS I ! $� �„ 14o.2n4L5 SeEIIEV=40i ` ..____._—..L—'-:. 'i Itlj" Y y !j yla xE aM � �3 � l — — II , 1 �yiE y�I II atYI �I nJJ��AA _ � ! y ;a 'MAO ' p Fi � •(y'!� "tea Y )) �' f�I 11) '.0 a, i ..__f _._ ( c'rta4� ' p�� SIG Iii �k��F!/.44��.. � ;�C1.�jg � {i�If� i r��Y 1 �5�,•1 r if! I y ti An v': ;!; ' � 'E ;;'^ ALTERNATE PRDFI LE � I I� ; .. � >3 a rII� I� la`i {�i, .. - .#. 41 �t! 1 � � im rtN,rSND 111 i 'I il ' AeTNCoVER(to" 1 u �IoU58 `Illt? MIU (OVER a � u IE`.��/y�GE."CUSPIED 4"Oil �10 IN r. h E � a T �f ^ v ��w, ay� ' il; m�as,'�Iil ! , RiU5N�D5"TbN� (> MI►1 � '� ,I, <N�n . j2, �� r I t " � � 1 .ice-,�-,�-•,.�.... � II I� 4 ` vl ti ii ml r; I , ♦. (� 1 41 ��11 1�� S p �u PROPU75( X—:4CT 101 �r SC.ALrt : hf "T III I1 4 JA ESi ✓, s iS 1 ITi'LEFiEID:pRvPi?R OM 5AKERS 1%2LAM9 b�µl JI'M�"' i r ' r . ` I J I j'Ji.' . { A ~S as Jul 1I�hl �` Y r 1974 �Mtc: F v I I I ILYt 'I "__ ... _ I I ul i F N{ 4 �� III II ��.}� i� 'u{��4,1� I1i, _ , � 11 11 {• ��»ill. " Building Inspoctor ?Nf {I c��. .,I 5 'Broad Street ¢ .�Salemo, I A ` 01970 .Dear Sir 1 1 ; iw ; 9 1 i N(° I Approval in lgiven� for. the. eonstrudtion or a private sewapn � u �'� 2 ita : V) disposal system for Lot 55 (formerly cot 11> c1 lots 19 � 19) at e3 II . !Bakers �iIsland. 1 Lot 55',ls owned by Porr r aml Ronalie S. Littlefield, F 1y'¢: Al �!I 1 , , II� 79 Tit Ia �No 'well. is to be dug or $tilled at thitt .-ropi7rev. (I t� ' �- 'R�,��G _ J�� n %Very truly, yours, aly to ISF HOARD OF 11FAIMI 'I "" f� health Agent �+ Sanital� IR $c +� JOhtQ f TOO"!EY USC. s!.)LId F. C7gl+l1 RO> p ( i ° �� 1I I ,+ ,enior rian if q - ` Illi if elf I t � yby, SAF it R i d`5 y�i �I1ti ' .I , �I�k�7 I ga7 �'xce.` '�" ^ss6 ` f.,gaw,;,�w r - +± F s��y..:ss, "''C`�.. s, -r r`>` --='rnr:.;�..p, ,; .. ..x. ✓e z- '� f aw �^ ?k+,,�.,n -;2` 4 x: . ; +h*§pi k w a . .-►- -"`" � _ .2, "K*'��'.a^� =.`�-, sw:- � :mix s_..4T .-,�,>,—'_�k-�—__�' �_° __ '__�,---•- ..'.-s4.,.z1rr.fifi est-_ _4� 5��, A� ��`s,fi��v L' F�'-4=' frr .;e u >L�i`L'�i•� >'htr�.z�'Y ru�"i-'-l„ /t-:=v:4"';t: .. n �°�.e . _ �. _q . ,.�._i -�;c s t,e. e CITY OF SALEM HEALTH DEPARTMENT — - — — sAF 5 Broad Street - --- - -- - — — - --- _-_ .. SALEM, MASSACHUSETTS 01970I� S.P�SIAGE - __ r « MAS✓• MEIFN ^'• � .0 �< .... lirt Littlefield Bakers'Island , _ _. . SalemHasa. 01970 — — B A %_E R S I S L .A-N n -- -- - - —' — ' 1 - - 1 EaTa a 't"' 02, aas�p3.a�,�r�,v :.-�1 � i_',_, c s- `fJ1�.''�- a r mss- .[ � t '�''n r•,, -v-.� ��+ � c. 3 ;a�-r• -ro.c.F � .4{.'[^25"C Y-'°-t.`t ��_ � fin.. 3_ "• ,y :.k � d. c'$$'rl �m X`�u`�• �',�,.,.k.-n.. �`�' ��x�- z.--!'-� -e'�-�»tt�` r �t gam• r- c - +, -""-"^-� y- -h"--`` Medi- _ ^`v;...^•.z^yR�:� K;:' '""` "'£'�"b /' '.`.-c.r""-e.-�g a�""o...'.. -. d .� ` t' - '.. pZ^a >a Qom«- cPw- ry nc h2: x a •z,w. = r a't as a ;,.d XF r'.3t 't.a ..r F;; , ' ' ,. +lai. i.- `*-��pl': +n3• E+t �mnnanr,�1'M"i $'i).=c Wzx . iC Y"''#7.;' ,ri5� r.,^Wfs'•r`v-„�.a {��-+, �'.. :�-� +moi ^1zy!`�� :w� .€6�:E��Fk'*r+�+:+. .¢ ., ,.- .aMr R`Fs. - r � .. .;.- Commonwealth of Massachusetts �t ` Exect fNe Office of Environmental Affairs S_... Department. of `� r Environmental Protection '"° ''= ' WISI n F.wow Trudy Coxa OMAN r eaeweiy Npaa poor cath" Df V S.Swuhs LL hews OWNTAN 01W SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A /� CERTIFCATION Property Address: L'd t{ 3 0 T 61 8.kara �1t[e" /I/ S'a(/ tot Address of Owner.. 'x. 0fd'L/.ac � /�/ j4 Dab of LuvocUsm $'-! "�,��,.f ) {+ ("different) A4o-f A 9-0y O Nome of lmspeator. Ae-f-e ' /vti r'A!d t O w►S A"05 A� S){ Company Name,Address and Teleplwee Number. DAW yAO-S j0'4 ,yjj3 ,50V77t/-3op/ CERTIFICATION STATEMENT I certify that I be"personally inspected the sewage disposal system at this address and that the information reported below,la true aavrma end complete as of the time of inspection. The inspection was performed based on toy training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes Conditionally Passes _ _ Needs Further Evaluation By the L W Approving Authority _ Fails Inspectors signature: /r + _ - Dats; The System inspector shalt snbmii a copy of this iaspxtma report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a dmign flow of 10,000 gpd or greeter,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owns: and copies sent to the btlwer, if applicable and the approving authority. INSPECTION SUMMARY- Check A,B, C,or D: AI SYSTEM PASSES- I have act found any infumation which Johnston that the system violates my of the failun eeiamia as deSnd in 910 CM8 15.303. Any faitun rritena not•ramrod are i:>dcated below. ' BI SYSTEM CONDITIONALLY PASSES: One or-non system components teed to be replaced or repaired. The syetam,upon wmplation of the replacement or repair, pave inspection Indicate yes,no,or not determined(Y.N.or ND). Describe basis of determination in all ingenues. If"not determiner,explain why rot) _ The septic tank a meettnl, cracked,structurally unsound, shows substantial infiltration or ex8lketion,.or tank failure is imminent. The system will pan inspection if the acting septic tank is replaced with a conforming septic tank as approved by the Board of Ho4lth. (revised. 11/03/95) 1 On•WkrW Street • Boston,Maasschusetts 02108 • FAX(617)55&1049 a Tolephmw(SM 292.5600 0 P mtad m Rwyc*d raps SOL SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(Cautioned) PinyAdd/r.se: )G: 3D / l 45 k-e,s 'T S 4 J- f Owner. Le L✓ "/•c3 G. , a �9v' %3G a�w Date of Inspection: 8)SYSTEM CONDITIONALLY PASSES(eoatumed) $swage backup or break=or high static lova)observed in the distribution bar is dor to broken or obstructed pipe(s) or duo to a broken,settled or uneven boat. The system will par-speamn if(with approval of the Board of Hsshh): broken pipNs)we obstruc is distribuuioa boat is or replaced Tae SYVAW Q4+rired pUmplog mare than lour times a due to broken or aksumcmd.pipe(s):'Th1,lsyspaa will pan it(with approval of the Board of Health): • � broken pipe{s)ealn'rep'laced• . �' '�.+ a,..�••, . ' obtx+nRrea.u' 6o od, C) FURTHER EVALUATI IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which Anther evaluation by the Board of Health in order to if the system is failing to protea the public he"safety and a aovirooment 1) SYSTEM WILL PASS BOARD OF HEALTH DETERMINES THAT THE IS NOT FUNCTIONING IN A MANNER WHICH WILL PR TELT THE PUBLIC HEALTH AND SAFETY AND ENVIRONMENT: Carpool or privy is 60 feet of a surface water Cesspool or privy is within feet of•bordering vegetated wetland or a soh marsh. 1) SYSTEM WILL FAIL UNLESS THE ARD OF HFALTH(AND PUBLIC WATER SUPPLI IF APPROPRIATE) DETERMINES THAT THE SYSTEM FUNCTIONING IN A MANNER THAT PROTECT TH PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. The system has a septic tank and soil ' n system and to within 100 feet to a aurfwe Pply or tributary to a surface water supply. •_ The system has a septic tank and soil ' n system and is within a Zona I of a public water an ly well. That opstam has a septic tank and soil system and is within 60 fret of a prints water Supp "well. " The system has a septic tank and soil system and is bass than 100 feet but 50 feet or mon a private water supply web,infer a wall water analysis for battens AM""stile orgaux compounds ladiratss the wail is Sea from pollution from that facility and the of--is nitropa and nhnte nitrogen a equal to at Ira than 6 ppm. 3) OTHER (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(otontiuued) PtupoetyAddnwc twi 3 1- 31 /Jta koeez �S Iao� + , •S a la i� Owner. i t g Dal*of Inspecuo Dm. DI SYSTEM FAIIB I bave datertamw that the system violates ane or moo of tb following failu a criteria as defined in 310 CUR 16.903. Tb basis for this drtamination is sdantified below. Tb Hoard of Health abouid be contacted to 4astums what will be ascan a:y to am. tb failure. p of rwap into Utility or system past duo to an over brdad or dogged S48 or oarpool. or ponding of affluent to the of tb Vviand or anrhos waters duo to an overloaded or dogged SAS or L Static level is the distribution boa above invert duo to an overloaded or ckwad 8A8 or coespool. Liquid tb la cesspool it lees than S"below invert available whoa is ler than ll2 dry flow, Required Ping mare than 4 times in the Ire year b due to cleeeed a abounded pipe(s). Number of pumped Any portion of Seri)Absorption System,cesspool or pr)vy below the high groundwater elevation. Any portion of a pool or privy is witbia 190 feet of a surface to supply or tnbutary to a sarfia water supply. Any portion of a I or privy is within a?ane I of a public well. boef rivets prvy owitd50 feet oapwater su ly well. Any Portion of a cesspool or is less tan 100 fest but pater tan d0 fart from a private water supply well with no acceptable water quality It the well hes boon analysed to be acceptable,attach copy of wall water analysis for coliform bacteria,volatile o compound+,ammonia aittogeu and nitrate nitron. El LARGE SYSTEM FAILS- -The following criteria apply to tarp systems in " n to the criteria above: Tb system serves a bo'lity with a damp flow of 10, SPd or poster(Large System)and the system a sip tF—nt threat to public hrlth and safety VA tb a mcg meeat because one or of the k4lowing condition east: the system is within 400 feet aI a sa faco , , water supply the system is within 200 fief of a tributary to a drinking water supply tbs system it bested in a mtsogea sroctive ata E Wallbeed,Protection Area(IWPA)a a mapped U da public water supply Wall) The owner or operator of any such system shall being the system and Ua(lity full compliance with the puuadwater treatment program mpirements of 314 CMR 6.00 and 8.00. Plaaselunsult the lou)regmnel office the Department for fmtbar information.. (revised 11/03/95) 3 E� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Pkep"Adetnes: t, �� t / 13a. tC[�S �$ t'aF'J! Owner. C_ . Do"of inspection: Check if the following have ban done: information was requested of the owner,occupant,and Board of Health. Now of the system components have been pumped for at least two wake and the system has been removing normal slow nue /dmW that period. Large volumes of water have ace boon introduced into the system neatly or as part of this ioapeetion. As built plans have ban obtained and examined. Note if they are not avagabbe with NIA zTM facility or dwelling was inspected for agar of sewage bolt-rep. }CTM system does not receive noneanhary or industrial waste flow (zTM site was inspected for signs of breakout. ZAAB system components,excluding the Soil Absorption System, Mve been located on the site. CTM septic tank manholes were uncovered opened, and the interior of the septic tank was inspected for condition of Mf 1w or /tea,material of construction,dimensions,depth of liquid depth of sludge,depth of scum l/TM am and location of the Soil Absorption System on the au has been determined based on misting information or appruamsted by non-intrusive methods, facility owner(end owupants, if dteetent from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. I i I (revised 11/03/45) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address t o 0-f fJ a k e r'S 7'� J, .�0, fe -L Owner. Gh P -e y Q ar civ Date of Iuapeotiont FLAW CONDITIONS RAF ,ID M.Vw, a Number of eurreat rridenta:,Y Garbage grinder(y"or no):-AL0 Laundry=nnected to systemor no).—yn/- Ssasoaal nee(yas or ao):-yj Water meter readings,q' available: /T �✓/"lf t u t� Ty �C/( ✓ /Ja 7 c r^ dt?lel cNt Q $ 1 J t.{ /'!✓ Q�'X+�.Y,�. ,1"L��f �3tr.t•Lt L1Gc _-_ Inst dab of occupancy: ru 3I N �JI �MMERi lishmant: Design t10 uonNday Gnr"trap p • (Sas or no)` - Iadnatrial Waste H ank present: (ya or no)_ . Non4outary Waste the Title 5 system: (qes or no)_ Water meter readingr, if available: Last data of oocupsmcy: OTHER:(Desmil*) Inst data of occupancy: GENERAL INFORMATION PUMPING RECORDS and scum of information: po / es System pumped as part of u (lor no)�d o If yes,volume pumped: one Reason for pumping TYPEPF SYSTEM Septic tankktdisteibution boshcil absorption system Single="pool Overflow="pool Pavy Shared eystam(y"or no) (if yet,attach previous inspection records, if aqv) Other(explain) Ro3� LATE E of all componemte,date=07 (if�o+�n)a�scum information: I �. 11 1�r ' j'�rs `' ✓� 5 �e Ove Zs S �.+ ¢FttN / �— Sewage odors detected When arriving at the site: (yes or no)X0 (revised 47103195) b SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM ��INFORMATION p(continued) Property Address: `o/ -{ 3/ 8A > -z'-S -TS 4w J, Owner. L4'C r its C . a Jar S t y Q« i itJ Deo of Inspection: / SEPTIC TANK (locate on site plan) Depth below grade. 2 Material of aonstnstma:_concrete_metal_FRp_other(esplaia) Dimensions: ' c nwr z , K 63" d�e W Sludge depth: N a S L )A� o 6 c&Ar v A d Divan from top of sludge to bottom of outlet w or bate:' Set=thickness: � y 11 Distance from top of scum to top of outlet tee or baffle: �' 9 Distance from bottom of scum to bottom of outlet tee or baffle: "'S Comments: )recommendation for pumping,condition of inlet and outlet tees or ba>nes, depth of liquid level in reletum to outlet invert,structural integrity. evidence of leakage,ste. o4 r.r..t iv-0 S: I-dcx- S r'`� /M1. 4 n�• ,L OLC- is .+-In !JW ar SC(..M BW.0 Vfr o.✓rl LYG- o 777 1 .•7e o ire e� ram. h a GREASE TRAP._ (bra n site plan) Depth below _ Material o! _concrete metal FSP_ ezplaia) Dimensions: Scrum tbrknw: Distance from top of stem to cop o! tea or bade: Distance from bottom o!scum to bottom tea or baffle: Comments: (recommendation(or pumping,condition of inlet and tees or baffles,depth of ' l in relation to outlet invert,structural integrity. evidence of leakage.am.) (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYST&M VMPBCTION FORM PART C SYSTEM INFOR/KATION(aamtlausd) Property Addtasa �'d + 3 f /�a/{d<'� `�',$ loo•! d, S'e� �it,f DW of Iapectiam /R S C , 4 .0 �1 /JorSRY hj A aN TIGHT OR HOLDING TANW_ haemes as sits p1m) Depth below vm&: _ Mstseisl of oanstrt CUM:comets_mewl FRP_thertamlaW CaParity: Deeip Am 4W Alum lave I: t CovnmraU: (condition of ialet we,aondfaou of alum mad float eta.) DISTRIBUTION BO&„ (locate on site plan) it Depth of liquid level above outlet invert: Q Comments: (notelif level&4d distributionie squel,evidence of solids amnyover,widen&;of hmkar unto or out of baa,etc.) /a- c/ --y -..e �-7' 4uL.. =<F^�C'.. . aa, .o .R c tL i.Y 2 co PUMP CHAMBER:,6�/11- (baats�onsits ppm) PamPs m war�Fq for no).._.. CmomenU: (now condition of punvp 6 mbar,bion of pumps ate) (revised 11/03/95) y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(eon/tinned) Property Addtvsc 3, 4.1r S �$ f.✓�+ a t� �"( Owner. (xS C ✓r JQ7' �et rar47 Dazs of Inupnollms: a SOIL ABSORPTION SYSTEM(SAS)Z pooste on site plan,if panZls,aanstion not isquind,but vow be spproammod by wa4stn des methods) If aft determined to be pnsmt,cplain: 57'Ps: leaching pita,aember:_ leafhing chambers,number,_ Caching galietia,number:_ Caching trannhas, mnaber length: / Cathing fields,number,dimensions-- •-:S a" • .. G`Ns$ �[ p�ovarfiow 1, r: l T /-� PL O-4[t2 )..�✓�!1?_e A. lzic'^ sy S � tq ((note condition of soil,iigas of hydraulic ,Cvd of ponding,condition; vsg�}Wqstt.) 1d' T,—,A t�, -u•=� oi^ lt� ru,..l.'t' i/+,�+^< 0SSv a Rd ..- y U S Z - tA ✓ t4k2c,' a of I..r cG c arr Rr oS CESSPOOL& J ponce on site plea) A— Number and configuration: Depth-top o nisi to inlet invert: Depth of solids Depth of seom buyer:_ Dimensions of onspool:_ Materials of convouctiou: Iodination of gmuodwater: iodow(aespool must be pum part of ioepection) Commeats:(now condition of soil, 4w of hydraulic failure, of ponding,condition of vegetation,ote.) PRIVY: (Craw on site plan) Macaws of oamrls+tettaa: Dimwsiams: Depth of solids: Comments:tufts condition of son,signs of hydraulic faputw. omditCa of ate) (revised 11103145) g i SUBSURFACE SEWAGE DISPOSAL SYSTEM DiSPF.CTION FORM PART C )SYSTEM INFORbIATIOON(eeatinued) Peoperey Addrem C D f 30 > 3/ /7 Q e, 3 �$ [`.✓�, Sec l!iP t LIi «r Drier.Insw /�S �arS4r aro N SKETCH OF SEWAGE DISPOSAL SYSTEM: iedode Sift to et leaet two prmuunt reforown landmarks or bex3mari<s baud all wells whbin 100, _,, / / / /— Sfly Q7 c,cc c.� (�l AeW DEPTH To GROUNDWATER Depth to pamdwater y/f fw / L method of or l �•o t.7 j s ✓Z r c loSo G� �u 4) ?. A c c: Tor✓ .c n tc L✓, c o �,�P r^ .a r/ t+-P. S V S i 1 o '/iJ..r✓ ` /�,P `[✓ 'Q l(L' 4,t o, 4.v li? _ .S u ry rrt (revised 11/03/95) 9 INSPECTION REPORT SUMMARY No criteria were observed at the time of inspection which would indicate that the subsurface sewage disposal system fails to protect public health or the environment. It is also my opinion that further evaluation is not required by the Board of Health. However, the following points are made to further clarify comments made in the Subsurface Sewage Disposal System Inspection Form. 1. Tees: The 4" PVC tees were observed in good condition and operating properly even though they were designed and constructed with an elbow instead of a tee. So, while the bottom of the tee is extended below the scum and above the sludge and effluent is flowing out of the septic tank, gas is not allowed to escape from the field or the tank. (Please see the attached Diagram of a Typical Tee.) A typically constructed tee would theoretically optimize efficiency but, I know of no approved method to measure the effectiveness of the existing tee when compared to a typical tee. 2. Distribution Box: The D-box was observed in proper working order at the time of inspection. It is recommended that this component be sealed in order to prevent the intrusion of surface water into the system. 3. Groundwater: In this community, potable water is provided from a common well located several hundred feet from the soil absorption system (SAS). According to residents' statements, this well was drilled at least two hundred feet(200') through granite before an adequate water supply was reached. These conditions support my estimated groundwater elevation to be below the SAS. 4. Sludge: Because the septic tank had never been pumped, special care was taken to measure sludge buildup. To my surprise, no accumulated sludge was observed at the time of inspection. The only explanation I can offer is that the seasonal use of this the system allows maximum bacteria] digestion of solids. This phenomena is not without the support of documented eases. 5. Breakout: This property is located on the windward side ofthe island and, the SAS is several hundred feet from surface water(the Atlantic Ocean). I hiked the shore for signs of breakout and observed pooled water in granite crevices. This water had no odor and, the source was not ascertained. (It could have been captured surface water from rain or tides or, domestic wastewater breaking out of failed septic systems on the island.) In any case, no evidence of breakout due specifically to the failure of this system was observed at the time of inspection. 6. Depth of Components Below Surface: Title 5 requires components of a newly constructed septic system to be installed no more than 36" below finished grade - 310 CMR 15.221 (7); with 9" of backfill- 310 CMR 15.240 (9); and with 4' of naturally occurring pervious sail below the entire SAS - 310 CMR 240 (1). I suspect that this system.may not comply with these construction criteria but, in my professional judgment, the system does not fail to protect public health or the environment in accordance with the failure criteria of Title 5 - 310 CMR15.303. In summary, considering the physical conditions of Bakers Island, this system was well designed and constructed and, was observed in proper working order at the,time of inspection. TYPICAL TEE —to leaching field septic tank Direction of gas flow t plumbing vent a building sewer liquid level inlet 4; tee OBSERVED TEE —to leaching field septic tank to plumbing vent and bui i g sewer n of Ilnrd flOW inlet tee liquid level FLAM OF LAW EijL0K1(rlHG TO CHARI-E-5 C. OAP_OM OAKEQ 5 15CAWD, 5ALEMt,Mass SHO MG PROPOSED PI5POSAL SYSTEM SCALE: I` =00' OCTODF. Z,t97-31 �ON j A .: "7'ul j s / •�` moi' � `;:y: _,.•, : ;' i In 4u, r\ f j . suua=/cK s , / Aj � �ic• 1 SUMMERf �U i e=-TEbT PIT, VIOME ' ` 4 AY OF SALEM HEALTH DEPARTMENT Wlae North Street Salem,Massachusetts 01970 P 14 'Fi Septic System Survey " Name + ��esz4 4�po/") Mailing Address ',7.3 pfd Louie i Island Lot # No. ? f 3I Type of System: Conventional Septic Cesspool Other Location if known ? # No. of Bedrooms -- Resident more than six months /VO Resident less than six months _ �_5 Well on Property YES NO Source of Electricity Generator „V� j Batterys Solar Panels _ F'LA J OF L f4P E3i:L0'Wr!HG TO CHARI-C- 5 C. 31aPf�+�1 i BAKERS 15Uml), 5ALEM,M4SS 4• SAVMNG PROPOSED 5PEWA E Pi5PO5AL 5YSTE" M SCALE: :1 W OCTODFR,1073 ,r/ / I(U �32' / 44j i SU1J DECK L_ k ! 1 . 1 N' Al ti•�T't� / j � r� SUti1k1cR! �� (,gFajR5 A�uin_ol c i � NOUIE o E)=TEiiT PiT, V. r 9 I ( I 100.o i CuARLrS L LYDIA M.-5C.AQ 05/05/2014 14:35 975'2514569 WINDRIVER - PAGE 02/14 .. e'§if1'797d7:�n4 051011$000 Commonwealth of Massachusetts Form 4--system Pumping Record `^ Massachusetts System Pumping Record System Owner System Location Torigan Carolyn Primacy .Home 10 Barnet Aye 10 Barneo Ave Salem, SvLA, 01970 Salem, MA, 01970 (978)-745-1134 x (978)-745-1134 x Torigan Carolyn. Type Emergent Routine Cesspool: No Yes Septic Tank: No YesQ Date of Pumping: f.{„2 C— y quantity Pumped: Gallons System Pumped By: [ Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: &E,S,D. . Salem. MA:, Data! - Pumper Signature: r a Condition of System/Other Comments ,L Dep,Approved Form-12/07/95