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HomeMy WebLinkAboutCorrespondence - 139 OLYMPIC LANE 10/15/2004 is f FORM - U - LOT RELEASE FORM INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. BREW.■■..-..---.-■■MEN.......-■r--•e.■-MEN t-.ROME...........................■ APPLICANT6� PHONE ASSESSORS MAP NUMBER_ 10616 LOT NUMBER & SUBDIVISION LOT NUMBER STREET ► + C I4-G vl,- STREET NUMBER f �..-■--■--■.. . ................................................... ........ OFFICIAL USE ONLY ■.-.r-nr-■ra■■r.-■■-.■■...--■a.r-■■■■.■■-■■■■■.r-.r.a r-.--r-.r.--■-.r--rr■r RE O AT ONS OF TOWN AGENTS .... --■ .---■• .. ..................................... EMBER DATE APPROVED CO RVATION STRATOR �—� - DATE EREJECTE CONIMEN I'M TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED FOOD INS P CTOR-HEALTH ,. DATE REJECTED DATE APPROVED SEP -INSP TOR- DATE REJECTED COMNIENTS r" D PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Cr� COMMONWEASSACHLTSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION METROPOLITAN BOSTON— NORTHEAST REGIONAL OFFICE 44 MITT ROMNEY ELLEN ROY HERLFELDER Governor Secretary KERRY HEALEY ROBERT W. GOLLEDGE,Jr. Lieutenant Governor Commissioner October 14, 2003 Philip Ferraguto 139 Olympia Lane North Andover,Massachusetts 01845 Re:TITLE 5 VARIANCE REQUEST Application For: BRPWP59b 1.39 Olympia Lane, North Andover (17-Ipswich) DEP Transmittal No,W044061 Dear Mr. Ferraguto: Your application and the correct payment for the Title 5 variance requested listed above have been received and a start date of September 30, 2003 has been established. In accordance with 310 CMR 4.04 and 31.0 CMR 15.412(2)the Department has 30 days to perform its review and either request additional information or issue a decision to grant or deny the application. If the Department does not act on your application within these 30 days, your variance request shall be considered presumptively approved in accordance with 310 CMR 15.412(3) and work may commence. In the event your application is presumptively approved, you are not entitled to a refund of the application fee. If you have any questions regarding your application,please contact me at(617) 654-6516. Very truly yours, Claire A. Golden Environmental Engineer Bureau of Resource Protection cc: O Board of Health,27 Charles Street,North Andover,MA 01845 e Richard C.Tangard,P.E.,New England Engineering Services,Inc.,60 Beechwood Drive,North Andover,MA 01845 This information is available in alternate format bF'calling our ADA Coordinator at(617)574-6872. One Winter Street,Boston,MA 02108•Phone(617)654-6500 a Fax(617)556-1049 m TDD#(800)298-2207 DEP on the World Wide Web: http://www.state.ma.us/dep 0 Printed on Recycled Paper Health Department rown of Nortti Andover .tit°tt°tt:tttt. tit. .t���.Developffient and Services .. attst.o 27 Charles Street North AiWo er, Massachtisetts 018 45 Sandra Starr Ted.ei how(978)688-9540 iaaaiiiic i ieaNtia Director Fax ( M)688-9542 September 22, 2003 Ben Osgood,Jr. New England Engineering Services, Inc. 60 Beechwood Drive North Andover,MA 01845 RE: 139 Olympic Lane,North Andover Mr. Osgood: This letter is to inform you that the North Andover Board of Health, at their regularly scheduled meeting on August 23,2003, they unanimously voted to issue a variance to 310 CMR 15.104 to allow the use of a sieve analysis to determine the loading rate of the soil in lieu of a percolation test as required. The North Andover Board of Health soil evaluator,Sandra Starr, also indicated that the soil on site in the C layer is not compact. Should you have any questions,please do not hesitate to call the Health Department at the num, er Est l below. 13 car 0 . aGrasse, Health Inspector cc: File 1:3O a.R.I)0'/kPillnr,\q.S 688 1)54t BC flLDI'N4r 68H-954" HEA1,11 1 688-9540 P1,A "N114G fb x-9535 ...... �m..... . ....... .............. _...__.. NEW ENGLAND ENGINEERING SERVICES i �. _w._....... INC—.._...w...................................... .... ........................................................ ... ............................ .......u............,..,. August 25, 7003 North Andover Health Department 'down Hall Annex 7 Charles Street North Andover, MA 01845 Re: 139 Olympic Lane, North Andover, Septic system design �a � � Dear Sir or Madam: Enclosed are the final soil sheets lor the above referenced propertya Sincerely, Benjamin C. Osgoo r., Ell' President 60 BEEC1���1WOO.) DRIVE-NO RTH ANDOVE , MA 01845..(976)686-1766- (888)359-7645 (978)685-109 FORM 11 - SOIL EVALUATOR FORM Page I of 3 No. Date: 61,2,01©3 Commonwealth of Massachusetts Massachusetts Soil Suitability Assessment for On-site Sewavae Disposal Performed Byy:: ... . . C. wv �/, Date:......... ....*............... Witnessed B . ...... Loution Addr"s or L01 I Address,and A/0. Telephom I New construction ❑ Repair L 1 e ' Office Review Published Soil Survey Available: No ❑ Yes Year Published ... Publication Scale ..... Soil Map Unit Drainage Class /, ' /. L................... Soil Limitations Surficial Geologic Report Available: No M Yes ❑ Year Published Publication Scale Geologic Material (Map Unit) ..........I I.............- ................. Landform .................................................-......... .......... .................................... Flood Insurance Rate Map: Above 500 year flood boundary No E]Yes [X] Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑Yes F-1 Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month, /� Range :Above Normal JMNormal ❑Belcw Normal ❑ Other References Reviewed: DEP APPROVED FORM•12/07/95 FORM. 11 - SOIL F,VALUATOR FOR- Page 2 of 3 Location Address or Lot No. oLY Can-site Review Deep Hole Number � ..,. Date:_ / 3 Time; Weather Location (identify on site plan) Land Use .. ! TEL Slope (%) Surface Stones _. Vegetation . � Landform Position on landscape . ... .. . . Distances from; Open Water BodO� '9 feet Drainage way �a feet Possible Wet Area /1010 . feet Property Line -20.. feet Drinking Water Well 74,,57. feet Other .. . ,. DEEP OBSERVATION 'HOLE LOG' Depth from Soil Horizon Soil Texture Soll Color Soil Other Surface llnchesl (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency. '.o Gravel) A111Z 7 I /a� Parent Materlel (geologic) _(. �� Cp'�� ��T"�' s`` DepthwBedrock: Depth IQ6►ovndwetert Stending Water In the Hole; d°Z Weeping from Pit Face: Estimated Seasonal High Ground Water; DEI APPROVED PORAI 12/07195 FORM. II SOIL EVALUATOR FORM Page 2 or 3 Location Address or Lot No. ( �� <57Z/ On-site Review 0 Deep Hole Number Date:.,. �? Time:./ '�`� Weather t Location (identify on site plan) Land Use Z)--4t�4 ,- Slope (%) - Surface Stones Vegetation Landform Position on landscape Distances from: Open Water Bodyv�,:'o feet Drainage ways do feet Possible Wet Area . 7 feet Property Line . ......• feet Drinking Water Well feet Other . . , .,-..... ......:. DEEP OBSERVATION HOLE LOG' Depth from Soil Horizon Soil Texture Soll Color Soil Other Surface (Inches) (USDA) (Munaeiq Mottling (Structure, Stones, Boulders, Cons siency. 'b Gravel) /P i. i Patent Material IOtolOgic! ® "�" S� DepthtoBedrock: r __ 0wh to(r0vndweter: Standing Water In the Hole: Weeping from Pit Face: Eslirruted Seasonal High Ground Water: 5�A__ DEP APPROVED FOKA1• 11/07/95 FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No/!2 �G�/`dl��( � � /VO Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole .......... inches ❑ Depth weeping from side of observation hole ......... _ inches ® De p th to soil mottles inches # Z " ❑ Ground water adjustment ................... feet S� 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 al areas observed throughout the area proposed for the soil absorption system? � 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 �/��/3 DEP APPROVED FORM•12/07/95 u�" ua"6 Mw VCO�m, TOWN OF NOIRT11 ANDOVER HEALTH DETARTNIENT I U 1 AID LL T REE i" NORTH ANDOVER, MASSACIJ 0SEI-I'S 01845 �Udi Gir60'in °i'dcpf�w� '(979)688..9540 Acting,i fe�dfli tikedor FAX (978)688-9542 Notice of Decision Year 2003 Property at: 139 Olympic Lane NAME: Philip&Marie Ferraguto HEARING(S): 8/28/03 ADDRESS: 139 Olympic Lane PETITION: 8.28.2003-01 North Andover,MA 01845 TYPING DATE: September 3,2003 The North Andover Health Department held a public hearing at its regular meeting on Thursday,August 28,2003 at 7:00 PM at the DPW Building, 384 Osgood Street,North Andover,MA upon the application of Philip and Marie Ferraguto,139 Olympic Lane,North Andover,MA,Map 106.B,Block number 01.34, requesting an approval of Variances to the requirements of the Title 5,the state law governing the installation of septic systems. The request is being made to allow the installation of a septic system to replace the existing failed septic system. The following Variance is being requested: TITLE 5 VARIANCE: Allow the use of a sieve analysis to determine the loading rate of the soil in lieu of a percolation test as required by Title 5 section 15.104. A notice was advertised by New England Engineering Services to the abutters of this address regarding the request of Mr.Phil Ferraguto. The following members were present: Jonathan Markey, Chairman; Cheryl Barezak, Clerk. Upon a motion by Jonathan Markey and 2nd by Cheryl Barczak,the Board voted to allow the petitioner to allow the use of a sieve analysis to determine the loading rate of the soil in lieu of a percolation test as required by Title 5,section 15.104. Voting in favor of the variance: Jonathan Markey and Cheryl Barczak. Town of North Andover Board of Health, Jonatliau44arkey, Chairman Xc: Ben Osgood,New England Engineering Decision 8.28.200301 TOWN OF NORTH ANDOVER sdarar b�� PUBLIC HEALTH DEPARTMENT 27 CHARLES STREET „ V � r NORTH ANDOVER,MASSACHUSETTS 01845 ,"....0. ' IUS nd 1TeU hT*` Sandra Starr Telephone(978) 688-9540 Public Health Director FAX(978)688-9542 August 5, 2003 Ben Osgood, Jr. New England Engineering Services, Inc. 60 Beechwood Drive North Andover, MA 01845 Re: 224 Summer Street, North Andover Dear Mr. Osgood: This letter is a re-iteration that at their regularly scheduled meeting on April 24, 2003 a duly advertised hearing was held to determine whether the North Andover Board of Health would consider a variance to 310 CMR 15.000, the State Environmental Code, to accept the results of a sieve analysis in lieu of a percolation test to determine the loading rate for a septic repair design at 224 Summer Street, North Andover. After deliberation and the assertion by the Health Director that the soils on the site were not compact, the Board voted unanimously to approve the variance request and accept the sieve analysis results. Should you have any questions, please do not hesitate to call the Health office at the above number. F FORM - U - LOT RELEASE FORM INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. NIKON.........■r.......ra.....................■r...........r................■ APPLICANT f Fi t PHONE ASSESSORS MAP NUMBER LOT NUMBER Q/ 3 SUBDIVISION LOT NUMBER ON 0 l L A su STREET NUMBER STREET ' OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION �4 r u, DATE REJECTED COMMENTS j.- ,+1 oil �D N fe Jo' N �'� ,y DATE APPROVED TOWN PLANNER DATE REJECTED CONRVIENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED /EPTIC INSPECTOR-HEALTH DATE REJECTED CONRVIENTS �Cp­kLc \� �rJrJ� s � a� JD'y��,�cQ •� l�J.ic�J( PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIEN"T DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ad ,CAGk'W!f d � 1A''o, ,i,; gar anCa , July 10, 2003 Ben Osgood, Jr. New England Engineering Services, Inc. North Andover, MA 01 845 RE: Septic Design Plan, 139 Olympic Lane Dear Mr. Osgood: A review of the septic design plan by New England Engineering Services dated June 24, 2003 and received on July 1, 2003 has been completed. Unfortunately, the plan cannot be approved as submitted. The following items are in need of attention prior to plan approval: 1. The site plan indicates an easement on the southeast side of the property,please note its purpose and state the holder of the easement. 2. The discipline of the engineer should be indicated on the stamp. 3. Please indicate the regulatory reference for each variance requested. Please feel free to contact me with any questions you may have. Our office looks forward to working with you to obtain a replacement septic system that will comply with all regulations and ensure protection of public health and the environment of North Andover. Sincerely, Sandra Starr, R.S., C.H.O. Health Director cc: homeowner Mile Page 1 of 5 9A-APPLICATION FOR LOCAL UPGRADE APPROVAL Commonwealth of Massachusetts North Andover, Massachusetts Application for Local Upgrade Approval Title 5, 310 CMR 15.000 DEP approved form required by 310 CMR 15.403(1) To be submitted to Local Approving Authority/Board of Health: For the upgrade of a failed or non-conforming system with a design flow of<10,000 gpd, where full compliance, as defined in 310•CMR 15.404(1), is not feasible. To be submitted to DER For the upgrade of a failed or non-conforming system with a .design flow of 10,000 up to 15,000 gpd and/or for upgrade of state of federal facility, where full compliance, as defined in 310 CMF 15.404(1), is not feasible. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of new design flow to a cesspool or privy or the addition of new design flow above the existing approved capacity of a system constructed in accordance with either the 1978 Code or 310 CMR 15/000. 1) Facility/System Owner: Name: Pl l t-( AG i Address: i 3 q Phone ff: 578- V, c Address of facility: 2) Applicant(if different from above) Name: t.�� Address: Phone #: 3) Type of Facility: Residential Commercial School Institutional (Specify) 5 L"I&-I _ z-) f?,,l ce-I V c, Page 2 of 5 4) Type of Existing System: _privy cesspools) conventional system other(describe) Type of soil absorption system(trenches, chambers, pits, etc.) f LAID 5) Design Flow Based on 310 CMR 15.203: a) Design flow of existing system gpd Approved: __yes Approval date: no Why: b) Design flow of proposed upgraded system y-/a Why_E,E Q�t tz c �> c) Design flow of facility W y gpd 6) Proposed upgrade of existing system is: a) Voluntary required by order, letter, etc. (attach copy) - Required following inspection required by 31 CMR 15.301 (provide date inspection form was submitted to the approving authority) :vim i 4, (date) b) Describe the proposed upgrade to the system: I A.I,s y 0 L L- Aj t°� ►_I i> U-5 is F-7(i-s r�Av 6-- 77A-,vA c) Which of the following are applicable to the proposed upgrade? Reduction of setback(s) (list setbacks to be reduced with proposed setback distances) Percolation rate of 30-60 minutes per inch(state actual perc rate) Up to 25% reduction in subsurface disposal area design requirements (state required& proposed size) Relocation of water supply well (identify well, describe relocation) -/"Reduction of required separation between bottom of SAS & high groundwater(specify proposed reduction& perc rate) 7b 3 i Page 3 of 5 : Other requirements of 310 CUR 15.000 that cannot be met(specify sections of the code) System upgrades that cannot be performed in accordance with 31 CMR 15.404 & 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410-15.417. 7) If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high ground water elevation pursuant to 310 CMR 15.405(1)(1)(1). The evaluator must be a member or agent of the local approving authority: Distance from soil absorption system to high groundwater feet As determined by: Evaluator's name: � ; ✓��,rL� ��2 Evaluator's Signature: Date of evaluation: 26C.� 8) Notice to Abutters: No application for upgrade approval in which the setback from property lines or a private water supply well is reduced shall be complete until the applicant has notified all abutters whose property 9or well is affected by certified at least ten days before the Board of Health meeting at which the upgrade approval will be on the agenda. Such notice shall include the date, time and place where the upgrade approval will be discussed. If the department is the approving authority, then such notice to abutters must be completed prior to the date of submission of the application to the department. The notices to abutters shall include a copy of the completed application form and shall reference the standards set forth in 310 CUR 15.402 through 15.405. Page 4 of 5 List of affected abutters: Abutter Name Date notified ' Address Abutter Name Date notified Address Abutter Name Date notified Address Abutter Name Date notified Address -__ 9) Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible (each section must be completed): a) An upgraded system in full compliance with 310 CMR 15.000 is not feasible: yW"C ,Jt S-,y {'y CZ....✓�.�1_lP 1i V,l...i!.A P ..54j 1-0-tA mot"I '7 1-1 71 71 .a�-- +u-- b) An alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible. c) A shared system is not feasible. d) Connection to a sewer is not feasible. 10)An application for a disposal system construction permit, including all required attachments (e.g. plans & specifications, site evaluation forms), must accompany this application. Is the DSCP application attached? ?� yes no Page 5 of 5 11)Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true,accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for knowing violations." Facility Owner's Sij6ature Date Print Name Name o Preparer Date �! C 4✓ EJ e& ° (L 4./ //a,uc 4r 41v,7 Telephone No. &Address of Preparer NOTE: Title 5, 310 CMR 15.403(4) requires the system owner or operator to submit to the Department a copy of the local upgrade approval upon issuance by the Board of Health and prior to commencement of construction. SEPTIC PLAN SUBMITTALS LOCATION: � �' ( � �e L G,vt�t� Map &Parcel 1 C'6 F, NEW PLANS: a $225.00/Plan L- Check#: REVISED PLANS: YES $ 60.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO DATE: }�� DATE TO CONSULTANT: DESIGN ENGINEER: 1ue, Telephone#: V When the submission is complete (including check), date stamp plans, COPY for Conservation, and place in existing file with green Design Approval form. 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O O O O k .�y •P �+ a' C3 O 0 o Z o 0 o o <, w Q, w w w w w w ® �D w W 00 00 00 00 00 00 z,w a' o �O O CD zMz o Ly w o t� Or Or c o d a < n /�CD CD H C rQ. y CD 'Y H tD y H yy N O tT1 COD a- n 90 a N A ® � N m � O �N dCD ti y 'L O � O N O O w O vwi N T O N O O /A d �o � o N O O W O W b r®�ra y �7 CD Q (� O W 1 N ti O Cho O N O Vd Town of North Andover, Massachusetts Form N®.2 poRTy BOARD OF HEALTH o@ 9 19 ' � n ° - °- DESIGN APPROVAL FOR �34CHUSf4 SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM I i t A // /�/ ✓`, � pp can Test No. Site Location �°! � G�'��/,�/�/ ,�i�,•i'✓ ' Reference Plans and Specs.L';V4� EIV INEER y i DESIGN 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 OF HEALTH Fee / Site System Permit No. Town of North Andover, Massachusetts Form No. , Q 14ORTH 9 BOARD OF HEALTH 3�OS EO ,64btOL _ l s.. 19 APPLICATION FOR SITE TESTING/INSPECTION gATEO SSACHUS' Applicant =-NAME ADDRESS TELEPHONE Site Location ' Engineer — t; NAME .r ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee Test No y S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.