HomeMy WebLinkAboutMiscellaneous - 209 BRIDGES LANE 9/17/2001 Town of North Andover, Massachusetts Form No.a
of tORTN BOARD OF HEALTH
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DESIGN APPROVAL FOR
: SS"CNU SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Z ;n! Test No.
L
Site Location )
Reference Plans and Specs. �-'
NGINEER D GN l DA E
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
-C1+A+R44AN,BOARD OF HEALTH
Fee v( 6 Site System Permit No.
FORM 11 - SOIL EVALUATOR FORM
Page I of 3
No.--'Da�' te-o
Commonwealth of Massachusetts
Massachusetts
So U Suitabilitv Assessment -for.On-site Sewage &�osa[
Performed By: -7�. ..... Date:
WitnessedBy: ........... ....................."...... ....... ...... ...... ... ...
"bon Address or Oww's Name,Lot I Address,xtW
/V
New construction ❑ Repair 10
.Office Review
Published Soil Survey Available: No 1:1 Yes K
Year Published P_2�1
... Publication Scale Soil Map Unit
Drainage Class 10 _L.................... Soil Limitations ......... ......
Surficial Geologic Report Available: No Q Yes ❑
Year Published Publication Scale v.
Geologic Material (Map Unit) ..................... ...................................
Landform .................. .................................................... ..................... ..................
Flood Insurance Rate Map:,
Above 500 year flood boundary No []Yes
Within 500 year flood boundary No ❑Yes ❑
Within 100 year flood boundary No ❑Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
............................................
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal [9113elcw Normal ❑
Other References Reviewed:
DEP APPROVED FORM•12/07/95
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. O ���� �O` Jul�l��
On-site Review
Deep Hole Number / Date:. Time:.. O Weathe ��
Location (identify on site plan) - L ...
Land Use Slope /o)( Z` Surface Stones .
0
Vegetation
Landform �' �'
Position on landscape (sketch on the back)
Distances from:
Open Water Body/Z feet Drainage way4cr feet
Possible Wet Area feet Property Line .. ��.. feet
Drinking Water Well feet Other :..:...
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boul elders, Consistency, %
Parent Material (geologic) ��� — DepthtoBedrock: — -
Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face:
Estimated Seasonal High Ground Water:
DEP APPROVED FORM• 12/07/95
FORM 11 - SOIL EVALUATOR FORA
Page 2 of 3
Location Address or Lot No,
On-site Review
Deep Hole Number Date:° Time:. S- Weathee'�
Location (identify on site plan) CTS
Land Use Slope M Surface Stones
Vegetation
Landform G x 1 W . ..:
Position on landscape (sketch on the back) ��
Distances from: O
Open Water Body feet Drainage way feet
Possible Wet Area feet Property Line ..: __ feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG`
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Bounders, Consistency, %
INIMUM OF 2 HOLES REQUIRED T=—ERY PROPOSED DISPOSAL AKLA
zL N
Parent Material (geologic) �'�/� DepthtoBedrock-
Depth to Groundwater: Standing Water in the Hole: _ Weeping from Pit Face:—
Estimated Seasonal High Ground Water: �� — --- --- -
DEP APPROVED FORM• 12107/95
FORM U - SOIL LVALUATOR FORM
Page- 3 of 3
Location Address or Lot No.
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole................... inches
❑ Depth weeping from side of observation hole.;.......... ... inches
KL /
Depth to soil mottles ...,.:e-',., inches
❑ Ground water adjustment .................. feetZ—
Index Well Number .................. Reading Date .................. Index well level .................
Adjustment factor ................... Adjusted ground water level .......................................................
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in a I areas
observed throughout the area proposed for the soil absorption system? >4_
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on (date) I have passed the soil evaluator 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 / Date
AEP APPROVED FORM•12/07/95
Saw or, Susan
From: Sawyer, Susan
Sent: Tuesday, April 10, 2007 1:32 FPM
To: DelleChiaie, Pamela
Subject: 200 Bridges
i c0uct Ben,
Told him that l suggest that they do a con firir,nin g .rin:nitls test and SUbMit the pAans as new
i wish � could neeneacwwrrRxN'thi s one, it has my mane n.rirn it.
ty
-----original Message-----
From: DelleChiaie,Pamela
Sent: Wednesday,April 04,2007 3:38 PM
To: Sawyer,Susan
Subject: Questions From Ben Osgood
Importance: High
i°ti Susan,
Beam called. He (lid as design t)laan 3-4 years ago for 209 Bridges l..aaunee. The owwnne, was going to esaail, but theera took his
house: cuff the nrnaaiket. Do they need to do new plans, or ran ffw previous ones be u..used
so, for 1312 Saaiem Street, th ea ree was as note in the tillea about wanUng the Hfud Grades on the As BUM plan. Be.,u,r
states that they don't uSLjaailya do ffiiaa, as as survey c:areww nanu..st go chant„ arid of new an extra $300 for the horrne own er. Does
he really need to do this?
1.:Iea a c:aali hirna back at 97 8,686,1768,
tltt.'768,
Best Regards,
Pamela ®elleChiaie �..
Health Department Assistant
Town of North Andover
1600 Osgood Street
Building 20, Suite 2-36
North Andover,MA 01845
W978.688-9540-Phone
w' 978.688.8476-Fax
http://www.towiiofiioithandover.com
healthdept@townofnorthandover.cam
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NEW E1'1JG1,,AND ENGINEERING SERVICES
.............................. --------- I N C
September 12, 2001
Sandra Stair, Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 209 Bridges Lane, North Andover, Septic system design
Dear Sandra:
Enclosed are revised plans, additional review fee, and application for approval for the
above referenced property. The following changes have been made.
1. The year of the plan was corrected.
2. The tank sizing has been revised to reflect a 5 bedroom house.
3. The wetland note has been revised to indicate 150 feet.
4. The building sewer slope has been indicated on the plans.
If you have any questions please do not hesitate to contact this office.
Sincerely,
Benjamin C. 0 r., EIT
President
..... JI;
60 BE'-'GHWOOC) DRIVE NORTH ANDOVER, MA 01845 6861768-(888)'359-1645.. FAX(9-78)685-1099
............................................
i
SEPTIC PLAN SUBMITTAL FORM
LOCATION: ko c ),
)(0c)
NEW PLANS: $1-2-5-.00/Plan V
REVISED PLANS: YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES NO
DATE:; ' iJ
DESIGN ENGINEER: M
DATE TO CONSULTANT: .
*If you want your plans expedited, please submit three 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.
.;ipi;ou ia�;?; ',lfyS:s��:>tf�?,ti�ti i>;i.:;.tY' �,.tr., „,,;<.,. �,•�, :,>,>i,� ,,.!t��:, ,,,�,,r it;y>�.t:3ay�it�t>af1S2>yt�t'tt�iozi�it?k��tr,�i�>io�>a�a�:. ita<<,r�;..� �.tv ;.1>,>, i,>,,,�3t,,;ft3t>,;,?t.;>i.� ., ,..,f�. ,t,i,...:.>t:$r
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� NORTF/
TOWN OF NORTH ANDOVER ®tAtLeo
HEALTH DEPARTMEN T
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 018454°�gATEO.P*` y
Sandra Starr Telephone(978) 688-9540
Public Health Director FAX(978)688-9542
September 17, 2001
Joseph Contrata
209 Bridges Lane
North Andover, MA 01845
Re: septic plan approval
Dear Mr. Contrata:
This letter comes as a confirmation that the proposed septic system plans dated 9/11/01
for the repair of the system at 209 Bridges Lane,North Andover have been approved.
Accompanying this letter is a completed Design Approval Form#1162.
Please do not hesitate to call me at 978-688-9540 should you have any questions.
Sincerely,
Sandra Starr,R.S., C.H.O.
Health Director
Cc: B. Osgood, Jr.
File
BOARD OF M,AL'TfI
NORTH OVL , A 01845 �9 � ��,��
`..,b 978-6$8®9540
APPLICATION FOR SOIL TESTS
of
DATE: ���a'2���a MAP & PARCEL:
LOCATION OF SOIL TESTS: e, Lv'°i r fit . I "10
OWNER:
TEL. NO.: '?
ADDRESS:
ENGINEER: New England Engineering Services TEL. NO.: 978-686-1768
CERTIFIED SOIL EVALUATOR: Benjamin Q. Osgood, Jr. and Richard Q. Tangard
Intended Use of Land: Residential Subdivision Sin le Farnil Hor Commercial
� ....._._...KK....Y
Is This:
Repair Testing: Undeveloped lot testing:
In the Lake Cochichewick Watershed? Yes No X�
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
1. Proof of land ownership (Tax bill, or letter from owner permitting test)
2. Plot plan & Location of Testing
3. Fee of$275.00 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.
amides.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only .Mass Registered Sanitarians and Professional Engineers ineers can design septic plans.
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3. At least two deep hales 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.
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Please Do Not Write Below This Line "
N.N.A. Conservation Commission Approval:�
Date Received: Check Amount: Check Date:
R?.. trf�„E"x � 7AM
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