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HomeMy WebLinkAboutCorrespondence - 456 SUMMER STREET 3/14/2011 DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, March 14, 2011 3:18 PM To: Grant, Michele; DelleChiaie, Pamela Subject: FW: 456 Summer The owner called again,Jim did not respond to his request last winter. He says he has a faulty pump, Does not want to file a complaint, but if any of us see Jim maybe we could ask if he gone by Summer street yet?As a gentle reminder that we know what's going on. Told her we hadn't seen him yet. Just an FYI if anyone takes a call from him. From: Sawyer, Susan Sent: Wednesday, December 15, 2010 2:40 PM To: 'jim.kellettexcavating @comcast.net' Subject: 456 Summer The owner of 456 Summer Street called to see if you were going to swing by and check his floats. Just told him I would ask you Susan SrtX/Saa Sputyn 1600 U`ag"d Stwd XUg 20,una 2.36 .No,A andau",✓bta 01845 of fke 978 688-9540 fax 978 6884476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http:/Jwww.sec.state_.ma.us re reidx.htm ]Massachusetts Public Records Law. Please note;the Massachusetts Secretary of State's office;has determined that most ernails to and from municipal offices and officials are public records.For more information please refer to:htt :lbwww.see.state.rna.usf re/S-reLdx.htm. Please consider the environment before printing this email. 1 Page 1 of 1. /o=North Andover/ou=First Administrative Group/cn=Recipients/cn=pdellech From: Sawyer, Susan Sent: Wednesday, September 17, 2008 10:02 AM To: DelleChiaie, Pamela Subject: RE: 456 Summer Street-Jim Kellet He will meet me at 2:15 as I head out of town, I am taking off after that. I have a meeting in Danvers for Rotary at 3. Don't let me forget... Thx S From: DelleChiaie, Pamela Sent: Tuesday, September 16, 2008 3:42 PM To: Sawyer Susan (ssawyer @townofnorthandover.com) Subject: 456 Summer Street -Jim Kellet I-1i Susan, Jim Kellett called. There was a anal inspection today. There was no water on at the house to test the pump. Is it okay to test at Final Grade? If not, he could meet you there tornot~row afternoon af=ter 1:00 p.m. His number is: 781.953.71461. Please let me know what the ;final plan is also. Thanks. P 0st R'OO 11rdAl P.1*061 AW00401#1410 Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite,2-36 North Andover,MA 01845 V978,68&9540-Phone 978M8.8476-Fax 6�ttl�:/lwwcv.l'zr�rare�I`nR�>rt iraractea�o-;,tt.e�a;arrr hr^altlide ptti?,rto,A no ri<7rrt roans erv_ehr.(roiii Tl)i"i is the beginning of a New 1-)gay. I have this day to use :.,Is I will. I east waste it or grow in its light, and hc�,, o1 servic°.e to olliers. But what I do vvi(l7 this day is inil)ortaill heeti.ise I li:ive exchanged a day oi'my lit'e for it. H/hen lolnorlloly (.Wnles, lodaY will be g�rane fbler el% I hope I will not rc rel the pries 11; aid tier h. 9/17/2008 Page 1 of 1 Sawyer, Susan From: Randy Burley [rburley @millriverconsulting.com] Sent: Tuesday, September 16, 2008 4:10 PM To: 'Daniel Ottenheimer; Grant, Michele; 'Isaac Rowe; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 456 Summer St. Dear Susan; attended a final inspection at 456 Summer Street today (the report will be forthcoming), and there are some items you should be aware of. There was not any water in the pump chamber so I could not verify float operation, pump operation or even distribution of water in the d-box. Furthermore, there was neither inspection port nor any magnetic marking tape. Finally, the wall and manholes to grade over the pump and effluent filter still needs to be constructed. discussed the above with installer Jim Kellett and he said he was going to contact you regarding same. As for elevations, tank"Tees,"etc. all are per plan. I just wanted to give you a"heads up." F Randy Burley, Project Manager Mill River Consulting, Inc. Can-Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 .ww.w.millrivei-eoli ultin ,.coiia, rbur•ley.(cr iiiillrivcrcoln,,sultx,t,g.coiii 9/17/2008 Pale I of I /o=North Andoverlou=First Administrative Group/cn=Recipients1cn=pde11ech From: Marianne Peters [mpeters@millriverconsulting.com] Sent: Monday, September 15, 2008 4:58 PM To: Sawyer, Susan Cc: DelleChiaie, Pamela; dano@miliriverconsulting.com Subject: RE:456 Summer Street All set; scheduled for tomorrow at 2:00. Right-click here to download pictures.To help protect your privacy,Outlook prevented automatic download of this picture from the In Marianne Peters Office Manager ph 800-377-3044 ph 978-282-0014 fx 978-282-0012 web: ww\v,ti-ijili°iverconstiltitig.cot-fi From: Sawyer, Susan [mai Ito:ssawyer@townofnorthandover.com] Sent: Monday, September 15, 2008 2:40 PM To: mpeters@millriverconsultitig.com Cc: DelleChiaie, Pamela; dano@millriverconsulting.com Subject: 456 Summer Street Jack McQuilken from JM Associates just called in regarding 456 Summer Street. He has completed his as-built of the elevations and it is ready for the town inspection. Please contact Jim Kellet for a final inspection. Thank you Susan Susan Sawyer Public Health Director office -978 688-9540 1600 Osgood Street Bldg, 20, unit 2-36 North Andover, MA 01845 9/16/2008 ATM Associates Civil Engineering Consultants 325 Main Street North Reading, Ma 01864 Tel. 978-664-6668 Fax 978-664-8155 Letter of Transmittal Date: 10/26/07 To: North Andover Health Dept. 1600 Osgood St. North Andover, Ma. 01.1345 4 Attn: Susan Sawyer RE: #456 Summer St.,North Andover, Ma . We are sending;you: Copies Date Description 6 10/15/07 Septic System Repair Plan 2 10/17/07 Application for Local Upgrade Approval 2 Pump Performance Curve Barnes SE-4 CC: Hassan Hussein 4RT if r o Q K d At"'.CM ' PUBLIC HEALTH DEPARTMENT Community Development Division October 31, 2007 Hassan Hussein 1 Carroll St., Unit 1 Methuen, MA 01844 RE: Septic System Design, 456 Summer Street, North Andover, Map 107A, Lot 76 IMPORTANT: Please be advised that all permits for subsurface disposal systems for this year must be issued by November 15th and the systems are to be completed by November 30th. The installation season begins March 1'4 of each year depending on weather conditions. Dear Mr. Hussein, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by JM Associates, dated July 9, 2007, last revised October 15, 2007. This approval includes Local Upgrade Approvals for the request to have only one test pit within the area of the proposed system and a reduction of the 12 inch separation between the inlet and outlet tees of the tanks and high groundwater. This plan is valid for two years from May 23, 2007,the date that the septic system was deemed failed by a licensed inspector. Please note that the septic season for the North Andover closes on November 30". The design has been approved for use in the construction of an onsite septic system for a 4- bedroom house(maximum 9-room). During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the t installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring, the North Andover Board of Health may reduce the time period for which this plan is valid. This approval is subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit. 2, It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandovor.com I requirements are met. These may include review by the Conservation Commission, Zoning Board,Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe or imply compliance with any of the aforementioned requirement. 3. Please keep the attached Form 9b for your records. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated, The Health Department may be reached at 978-688-9540 with any questions you may have. Sincere , S an Y. S er, REH /RS Public Health Director Encl: list of licensed septic system installers Form 9b Cc: 3M Assoc. 1600 Osgood Street,North Andovor,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 913 DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important: When tilling out 1. Facility Name and Address forms on the computer,use Hassan Hussein only the tab key Name to move your 456 Summer St cursor-do not use the return Street Address key. North Andover MA 01845 Cityrrown State Zip Code 2. Owner Name and Address(if different from above): 1 Carroll St Name Street Address Methuen MA City/Town State 01844 Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commeroial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd John McQuilkin Jr. 5. System Designer: Name 0 P F-1 IRS 325 Main St N. Reading MA 01845 Address Cltylrown State,ZIP B. Approval 1. Local Upgrade Approval is granted for ❑ Reduction in setback(s)-specify: ❑ Reduction in SAS area of up to 25%: SAS size,s .ft. %reduction 456 Summer Street 9b•rev.7106 Local Upgrade Approval, Page t of 2 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction f Percolation rate mindinch Depth to groundwater ❑ Relocation of water supply well (explain): ® Reduction of 12-Inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a pert test List local variances granted not requiring DEP approval per 310 CMR 15.412(4): List variances granted requiring DEP approval: North Andover Health Dept. 4z 4�2 Approving Authority Susan Sawyer, Health Dir. 10/31/07 Print or Type Name and Title ignature Date 456 Summer Street 9b•rev.7106 Local Upgrade Approval, Page 2 of 2 ........... JNI ASSOCIATES CIVIL ENGINEERS-LAND SURVEYORS 325 MAIN STET RE NORTH READING, MA. 01864 TEL. 978-664-6668 FAX 978-664-8155 Request for clarification to comments on Septic System design 456 Summer St, North Andover dated 8-29-07 Comment# 2. —Water Line Location- The existing water line is shown next to the driveway east of the proposed system We will show a setback distance from 0 osed leachfield. Is this sufficient? 1�Cs'l-wivic: 1,11C Wu(cr litleis flo( s��mvll orl dic we 11"Ive liere ml (fle, I fowe�,,Cr, It WOUld hC SL01iCjC11[ 11M( ell v\,<.acr fitic be depicte,�%Ianda 11,otll the elosc poitit to (11c, lea6 1,ieki pro6dcd 4. —Revised breakout elevation- Raising the breakout elevation I foot will result in raising the retaining wall I foot and also necessitate a I foot retaining wall along the driveway. Would the board of health allow a one foot reduction to water table under Local Upgrade Approval in order to keep the wall height and expense down? 1t is tily is that. Ilic Boat°d historically does iwl a.)xttuit it ill �j'ro lnckvttel� of,f,se i'01AC,1;0)C1iC j)LH'j')()SCS or to keel) cwsts dow��i. "fifle 5 clv,,idy stfles ill 5,404(l) th,tt Full Colnpliance is fl-le go,,11 of',,11iy design. 1`111-dic,•illore. it. 4raLditig t%,,(IL.tirerncw cin be ino ii'th(., eleva(ionahove the ch'illiber systerl) is a( k,,,aIst 101 a harrier is ins1a11Cd ,'11'0Lfl1d the SAS al the exlei)k cal` the ease aelr,g (k()J) (fl'halTiCl bR2,,tk0Llt ,1t &V 100) 01C .3:1 P,111dilW, I-C,(lLJIVMellt cati be ,tc.hic �,cd back lo the without the Lise, ol,.l retziillitlg \V l as the gnading tni,isl oifly be i-nct h,oin the locltioll of'(hc oilp. goer the.;the le ach 0.are0�a wa afte eol 8-Effluent Filter- Can th?efltnt'filter be eliminated or is it required? Alva- &04,-t 1Zcsr)oitse: at effhtcrt t ffl[Cf� 111LISt hC p,ioi lo or withiti the ptuiip (Jiai))hel• I 5 21 1(10)) 17- Pump Control Panel- The referenced section in Title 5 (15.220(4)(r) does not require specifications for the control panel. Please advise. Resl-,)oiise: 15,2)1(2) stij)Ltlates (hC p)Lfflip aiid AM'111 111USt bC, 011 Cilvltit. T11iS 110tC tw'I'st be w(kkxl to the lflaiti� Title 5 does aio( recillh,c fli"'It the, designer sI)c6l'y thew slic"Cific c,o itrcfl hmve\e N4a-,. cQtalilke l \ ish to cordrol 11mv 1)is desigil openaes by sjwc it'd inp I specflic col,arol 17 27- Vent Protection- We will propose to install a screen on the end of the vent pipe as well as a note that the vent pipe shall be backfilled tightly to prevent seepage of surface water into the system. Is this sufficient? Spccil''�itlgl llhwiSWIV NSiSkffl'1CC Mid atiirnal pro4prolcdion is safflicient. 32- Concrete Block Wall- It is my understanding that the Town of North Andover will allow a concrete block wall. However, a wall of this height will require horizontal geogrid approximately 3.5 —4 feet in length. This placement of the geogrid will then necessitate the polyethelyne barrier to be placed approximately 6 to 6.5 feet from the leachfield. Is this acceptable? Re,spoiisc: 'Fitle 5saggesis a 10 1'oot o l"Set Fron� the e(fge ol'tlic SAS to [lie i�npcnnc,,ible F)<,�rrier. Colvlll-coll prachc(", is, to irlst all flic, lxrric�rai ffie extc its o('ffie o\/erdig 5 1cel of'f [lie ed"'c o Ole C111�111'-)Crs I 11cre'llore, da I'M is a stifficietil dist"�rlce t%ORTH 6 0 0 fp 7. "o Areo PUBLIC HEALTH DEPARTMENT (ommunity Development Division August 29, 2007 Mr. John McQuilkin Jr. P.E. JM Associates 325 Main Street North Reading, MA 0 18 64 Re: Septic System Repair Plan for 456 Summer Street -Map 107A, Lot 76 Dear Mr. McQuilkin: The proposed wastewater system design plan for the above site dated July 9,2007 and received on July 30,2007 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover(NA) regulation that has not met by this design follows each item for your convenience. Please clearly indicate the limits of excavation for the leach area on the site plan and appropriate profiles (NA 8.02(z)) 2. Please depict the location of the water line which serves the dwelling and also confirm the water line meets the required setback distances (15.220(4)(m)) 3. Please indicate magnetic marking tape to be installed above the required system components (15.221) 4. Recent changes to the Remedial use approval for the Infiltrator System Quick 4 Gravel-less chambers stipulates the breakout elevation to be measured from the top of the chamber. Please revise the design so the grading meets the 15' to 3:1 slope requirement or specify an impermeable barrier (15.25 5) Please specify all pipes to serve the system to be laid on compact, firm base (15.222(5)) 6. Please specify all pipes to serve system to be laid on continuous grade and in a straight line (15.222(7)) 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com RE: Septic System Design: 456 Summer Street,North Andover Map 107A,Lot 76 8/29/2007 Page 2 of 3 Please provide a more detailed primary (septic) tank detail (15.227(1)(4)(6)(7)) 8. Please provide an effluent filter maintenance schedule (15.227(7)) � '-9. Please depict the necessary manhole cover to grade required over the effluent filter located in the primary tank in the details and profile (15.221 & 15.228(2)) 10, Both the primary and pump chamber tanks appear to be partially located below the ESHGW. Please provide the appropriate buoyancy calculations (221(8)) "14. Please provide the required notation as to the water tightness of the tanks in the system (221(l)) 1/42. Please provide notation that all outlets of the distribution box shall be at the same elevation (232(3)(b)) 13. Please specify and depict in the detail an inlet tee to be installed in the distribution box (I 5.232(3)(a)) 14, Please provide notation that the distribution box is to be water tight (15.221(1)) Please specify and depict where appropriate, a riser to within 6"of final grade for the distribution box (15.232(3), 221(13), 228(1)) 16. Please provide more detailed pump calculations which include the drain back volume (15231(2)) 17. Please specify the make and model of control panel to serve the system (I 5.220(4)(r)) 1,18. Please provide a notation that the alarm is in the building and powered by a separate circuit of that serving the pump (15.231(9)) lease provide the appropriate pump performance curve for the specified pump to serve the system (15.220(4)(r)) V120. Please specify a manual operating switch for the pump (NA 12.01) /,2'1. It appears the pump chamber outlet is depicted incorrectly in the detail. Please clarify 22. Please specify and depict where appropriate, a riser to within 6" of final grade for the pump ✓ chamber (15.231(5)) 23. Currently the primary tank is specified as H-20 loading. Please specify a load rating for the pump chamber 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 970.688.9540 Fax 978.688.8476 Web www.townofnorthondover.com RE: Septic System Design: 456 Summer Street,North Andover Map 107A,Lot 76 8/29/2007 Page 3 of 3 �V24. The current elevation of the outlet invert for the pump chamber is not more that 12" above the ESHGW. Please revise the design or request a Local Upgrade Approval (15.227(5)) 25. Only one (1) deep observation hole is utilized in the primary soil absorption area. Please fA request a Local Upgrade Approval (15.102(2)) ,/'28. As leachina, trenches are the preferred system please provide and explanation as to why a design utilizing trenches was not chosen (15.240(6)) i",,217'. Please specify protection for the system vent from precipitation and animal entry (15.241(1)(b)) 28. Please specify that excavation is to extend at least 6" into natural soil (NA 9.02) ,�,29. Please provide specifications for fill material to be used (15,255(3)) 3 ,,,," /0. Please specify and depict where appropriate inspection ports for the soil absorption system (15.240(13)) 3 1, Please specify a 3:1 slope where grading required (15.255) 32 The current design utilizes a concrete block wall. North Andover regulations require a poured concrete retaining wall. Please revise the design accordingly (NA 9.02) Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincere �ZY. S Ilan Y. Sawyer, REHS/RS Public Health Director Cc: File Homeowner 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Commonwealth of Massachusetts CitylTown of Form 9A - Application for Local Upgrade Approval DEP has provided this farm for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: forms on the computer,use Hassan Hussein only the tab key Name to move your 456 Summer St cursor-do not Street Address use the return key. North Andover Ma 01845 Citylrown State Zip Code rah 2. Owner Name and Address (if different from above): Hassan Hussein 1 Carroll St. , Unit 1 rehm Name Street Address Methuen Ma City[Town State 01844 978-794-4304 Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: 4 Bedroom Dwelling ..___ ----- 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): 6. "type of soil absorption system (trenches, chambers, leach field, pits, etc): chambers _ LimitedUpgrdAppvll01207.doe-rev.7/06 Application for Local Upgrade Approval, page 1 of 1 Commonwealth of Massachusetts City/Town of Form 9A - Application for Local Upgrade Approval DRP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: 330 Design flow of existing system: gpd 440 Design flow of proposed upgraded system gpd 440 Design flow of facility: gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): ❑ Voluntary ❑ Required by order, letter, etc. (attach copy) 5/23107 ® Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Replace existing trench system with pumped chambers stem 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Deduction in SAS area of yap to 25W SAS size,sq,ft. T� reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft. Percolation rate rnin.linch Depth to groundwater ft Limited U pgrdAppvl 10 1 207.doc•rev.7106 Application for Local Upgrade Approval* Wage 2 of 4 Commonwealth of Massachusetts CitylTown of Form 9A -- Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ® Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met–describe and specify sections of the Code: 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 groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority, High groundwater evaluation determined by: Rand Burle 6/28/07 Evaluator's Name(type or print) Signature Dat te o of of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: a. The proposed elevation of the pump chamber will allow the existing building sewer and driveway to remain in place. b. At the time of soil testing we we did excavate 2 deep holes but were unaware of the location of the proposed s r�stem - 2. An alternative system approvers pursuant to 3'10 CMR '15.283 to 15.288 is not feasible: not necessary___- LimitedUpgrdAppvl101207.doc•rev.7106 Application for Local Upgrade Approval* Page 3 of 3 7ROI°I : 0000000300of' r'i ioi iC h-00. : OOOoaoe ou OCT. 2�5 2007 11:2GAM r'1 JM ASSOCIATE: PC:aGE 05/05 Commonwealth of Massachusetts City/Town of �- Fortes 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health, tither forms may be used, but the information must be substantially the same as that provided here. Before using this.form,check with your local Board of Health to determin6 the form they use. C. Explanation (continued) S. A shared system is not feasible: 4. Connection to a public sewer ie not feasible: not available 5. The Applications for focal upgrade Approval must be accompanied by all of the following(cheok the appropriate boxes): Application for Disposal System Construction hermit ® Complete plans and,,pecifioations Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private watOr supply well's or property lines, Provide proof that affected abutters have been notified pursuant to 310 CMft 15.4135(2), Other(fist): Q. Certification 9, the facility owner,certify under penalty of law that this document and tall attachments, to thp±hest of my knowledge and belief, are true,accurate, and complete, I am aware that there May be significant consequences for submitting false information, loo€uding, but not limited to, penWtlos or fine and/or imprisonment for deizerate violations," I, Facility owner's Signature Date Hassan Hussein Print Name.................. -- . JM Assoclates Name of Preparer 325 Main St, North Readinga,Y Freparesls ada>oec _u riityrr6wn Ma 01864 - 978-66_4-C-568 StatetZ[P Ooda Telephone LXtedUp9rdA%0PVl#04207.dorr•rev.7106 Application for E.0081 Upgrade Approval*Page 4 of 4 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, August 29, 2007 1:43 PM To: Sawyer, Susan Subject: FW: Soil Eval-456 Summer St-sched for July 27th @ 9:00 -----Original Message----- From: Marianne Peters [mailto:mpeters@millrlverconsulting.com] Sent: Monday, August 13, 2007 9:48 AM To: DelleChiaie, Pamela Subject: RE: Soil Eval-456 Summer St-sched for July 27th @ 9:00 PAMELA, I'VE NOT CALLED HIM AND I'M NOT SURE IF DAN HAS....I'LL HAVE TO CHECK W/HIM WHEN HE'S BACK LATER TODAY (I LEFT EARLY ON FRIDAY). DAN STATED THE POLICY AND I'M NOT SURE WHY THE GENTLEMAN CAN'T"ACCEPT THAT.....? From: DelleChiaie, Pamela [maiIto:pdellechiaie@townofnorthandover.com] Sent: Friday, August 10, 2007 2:04 PM To: Marianne Peters (E-mail) Subject: FW: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High Hi, How did you make out on this?? P -----Original Message----- From: DelleChiaie, Pamela Sent: Thursday, August 09, 2007 1:57 PM To: Marianne Peters (E-mail) Cc: Sawyer, Susan Subject: FW: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High Hi, Mr. Hussein is here now at my counter. This is a record of the request he made on the 30th of July. (He stated just 1 now that he made the request 3 weeks ago). His number is: 978.885.0448. If you could explain your policy of 24 hours notice of cx to him directly, I would appreciate it. Thank you. Pamela -----Original Message----- From: DelleChiaie, Pamela Sent: Thursday, August 02, 2007 10:20 AM To: Dan Obrzut (E-mail); Daniel Ottenheimer (E-mail); Marianne Peters (E-mail) Subject: FW: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High H!, Please let me know what the answer is on this. The applicant called me this a.m. about it, Thanks. P -----Original Message----- From: DelleChiaie, Pamela Sent: Monday, July 30, 2007 1:13 PM To: 'Marianne Peters' Cc: Sawyer, Susan Subject: RE: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High Hi, Persepective owner, Hassan Hussein, dropped off the plans for this site today. He stated that the soil eval, for this past Friday was cx. Is that the case? It was a second request for soil tests to see the potential for another site; however, JM Assoc. arrived and stated that the new location would not work, and they called to cx. with Mill River. If you are going to rescind the charges, let me know, and I will schedule a refund of the soil evaluation fee. I don't know what your cx, policy is (24 hours notice, etc.) The soils referred to on the plan are from 6/28/07. 1 am mailing the plans for review in todays' mail. Please let me know when you receive them. -----Original Message----- From: Marianne Peters [maiIto:mpeters@millriverconsulting.com] Sent: Tuesday, July 17, 2007 9:05 AM To: Daniel Ottenheimer; dobrzut@millriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Soil Eval for 456 Summer St. with Jack McQuilkan of J&M scheduled for July 27th @ 9:00 Marianne Peters Mill River Consulting 2 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.millriverconsulting.com DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, August 29, 2007 1:40 PM To: Sawyer, Susan Subject: FW: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High -----Original Message----- From: DelleChiaie, Pamela Sent: Thursday, August 02, 2007 10:20 AM To: Dan Obrzut(E-mail); Daniel Ottenheimer (E-mail); Marianne Peters (E-mail) Subject: FW: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High Hi, Please let me know what the answer is on this. The applicant called me this a.m. about it, Thanks. P -----Original Message----- From: DelleChiaie, Pamela Sent: Monday, July 30, 2007 1:13 PM To: 'Marianne Peters' Cc: Sawyer, Susan Subject: RE: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Importance: High Hi, Persepective owner, Hassan Hussein, dropped off the plans for this site today. He stated that the soil eval. for this past Friday was cx. Is that the case? It was a second request for soil tests to see the potential for another site; however, JM Assoc. arrived and stated that the new location would not work, and they called to cx, with Mill River. If you are going to rescind the charges, let me know, and I will schedule a refund of the soil evaluation fee. I don't know what your cx. policy is (24 hours notice, etc.) The soils referred to on the plan are from 6/28/07, 1 am mailing the plans for review in todays' mail. Please let me know when you receive them. -----Original Message----- From: Marianne Peters [mailto:mpeters@millriverconsulting.com] Sent: Tuesday, July 17, 2007 9:05 AM To: Daniel Ottenheimer; dobrzut@miliriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Eval-456 Summer St-sched for July 27th @ 9:00 3 ` ' Soi| Eval for 456 Summer St, with Jack MoOui|hanufJ&K8 scheduled for July 27m@8:00 Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MAO103U 978-282-0014 ph 978-282-0012fx vm^mv.m|Uriveroonew|tinU.00m Del[eChiaie Pamela Fnzon: DeUeChimie, Pamela Sent: Wednesday, August 29, 2007 1:40 PM /o: uawyer, Susan Subject: FVV: Soil Eva|-458 Summer 8t-eched for July 27th Q:OO Importance: High -----Original Message----- From: De||eChiaie, Pamela Sent; Monday, July 3O, 2007 1:13 PM To: 'Marianne Peters' Cc: Sawyer, Susan Subject: RE: Soil Eva|-456 Summer St-sched for July 27th @ 4:00 Importance: High Hi, Persepective owner, Hassan Hussein, dropped off the plans for this site today. He stated that the soil evai for this past Friday was cx. |e that the case? It was a second request for soil tests b/ see the potential for another site; however, Jk8Assoc. arrived and stated that the new location would not work, and they called tVox. with Mill River. |f you are going to rescind the charges, let me know, and I will schedule a refund of the soil evaluation fee. | don't know what your cx. policy is (24 hours notice, etc.) The soils referred to on the plan are from 6/28/O7. lam mailing the plans,for review intmdmys' mail. Please let nne know when you receive them. -----Original Message----- 4 I From: Marianne Peters [mailto:mpeters @millriverconsulting.com] Sent: Tuesday, July 17, 2007 9:05 AM To: Daniel Ottenheimer; dobrzut @millriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Eval-456 Summer St-sched for July 27th @ 9:00 Soil Eval for 456 Summer St. with Jack McQuilkan of J&M scheduled for July 271h @ 9:00 Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.millriverconsulting.com 5 "IM , 9�Vpau ytrrmi TOWN OF NORTI-f ANDOVER � � . Office of'COMMUNITY NITY DEVELC)1'MT<',N T AND SERVICES ES ���'�w '�`"�°„ HEA1,T]l DEPARTMENT M a 1600 OSGOOD STREET; BUILDING 20, SUITE 2-36 NORTIA ANDOVER, MASWHUSU S 01845 978.688.9540— Phone Susan Y. Sawyer, TtEHS/RS 978.588.8476-- FAX Public Health Director l -MAIL1)(�althde)l ),,ovvLiofi7artlran(iow,er.crrm WEBSIT,L;,.1ittp_:_/6yvyw toga nQ ilorthandover.00i7� SEPTIC FLAN SUBMITTAL FORM RECE E Date of Submission: �� . _ __ JUL 3 0 2007 Site Location: _. .. _SUMMER STREET 'OWN(,){ _ _. ris > $225/l�lan Check (includes I" submission and one re- review Yes.,..._ .__ .... w .. review only) Revised flans?Yes $75/Plan Check# Site Evaluation Dorms Included? YesX No Local. Upgrade Form Included? Yes No X "Telephone #: ( 9 7 8 ) 885-0448 F ax#: E-mail: Homeowner -FVA& OFFICE USE ONLY When the submission is complete (including check): Date stanip plans and letter n plete and attach Reccipi. ,. Cr�l.w l'i; w: Forw o-d it) C:wr lli1s?„t ' Gl// Enter on Log Sheet irid Diiabasc Commonwealth of Massachusetts City/Town of Percolation Test - Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms the computer, use only the tab key Owner Name to move your 41 s cursor-do not use the return Street Address or Lot key. ►Crd � .v .� �u ! %' rvr� . G� 4`� City/Town Slate Zip Code Contact Person(if different from Owner) Telephone Number B. 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