HomeMy WebLinkAboutBuilding Permit #Exception - 325 BOSTON STREET 5/1/2018 w
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION 3a
Print.
PROPERTY OWNER S T-�-V e- FaAy4 o 0�A- ran,R-e, -
Print 100 Year Old Structure yes G
MAP NO: 101 D PARCEL: 1.3(o ZONING DISTRICT: Historic District yes no
Machine Shop Village yes n
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building &1,6ne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ pernolition ❑ Other
Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
PANater/mer
DESCRIPTION OF WORK TO BE PERFORMED:
a STi vuT � .3 6�0 SF SiWtle- FAv-k �
Identification Please Type or Print Clearly)
OWNER: Name: S Ted i r—fLA cw \oCA Phone: 77 PA1707?
Address: '�6' FWrLv-- o �)
CONTRACTOR Name: +q is Yoa� Phone: f dor)3 2 Y V 6
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agentt/Owwne Sig nature of contract
Plans Submitted L`i' Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
V
Q
Plans Submitted 19' Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF_-SEWERAGE.DISPOSAL
- Swimming Pools ❑
Public Sewer ❑ Tanning/MassageBodyArt
well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc.. 19 Permanent-Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on / Si 'nature
COMMENTS
r
C
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes .
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer ConnectioniSignature&Date Driveway Permit
DPW Tows Engineer: Signature: Located 384 Osgood Street
FIRE DEAR�ft I e�9T - Temp Dumpster on site yes no
-Located-at 124 Mair Street
Fire Department sigriature/date
i.�n an nrKl+c,
SETTLED
vt: :t
kti FILE COPY
North Andover Health Department
(ommunity Development Division
August 7, 2013
Stephen Franciosa
8 Newell Farm Drive
West Newbury, MA 01985
Re: Subsurface Sewage Disposal System Plan for (Lot 13) 325 Boston Street, Map 107D,
Lot 136
Dear Mr. Franciosa:
The proposed wastewater system design plan for the above site dated July 23, 2013 with a final
revision dated August 5, 2013, received on August 6, 2013 has been approved.
The design has been approved for use in the construction of a new upgraded onsite septic system,
designed for a new 4-bedroom(maximum 9- room) home. This plan is good for 3-years from the
date of approval. 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 installer, designer and
the Town of North Andover or the plan approval will be voided.
This approval is also subject to the following conditions:
1. Prior to the issuance of the Disposal Works Installers Permit, the applicant must
submit a foundation as-built at the same scale as the approved plan.
2. Prior to the issuance of the Disposal Works Installer's Permit,the applicant must
submit the floor plans of the home showing no greater than four bedrooms or a total
of nine rooms.
3. 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(3 10 CMR 15.020(1)).
4. 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 requirements are met. These may include review by the Conservation
Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector
Page 1 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
325 Boston Street(Lot 1.3) August 7, 2013
and/or Electrical Inspector. The issuance of a Disposal System Construction Permit
shall not construe and/or imply compliance with-any of the aforementioned
requirements.
Please feel free to contact the office with any questions you may have. We look forward to
working with you to install 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.
S/ce
fS . Sa er, S/RS
Public Health Director
Encl. N Andover Installer's list
cc: Phil Christiansen, P.E.
File
Page 2 of 2
North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
ST2141.'
LED j .
h
a TED A
514, tom _
North Andover Health Department
Community Development Division a U i-
August 5, 2013
Philip Christiansen,P.E.
Christiansen and Sergi, Inc.
160 Summer Street
Haverhill,MA 01830
Re: Subsurface Sewage Disposal System Plan for Lot 13—325 Boston Street(Map 107D,Lot 136)
Dear Mr. Christiansen,
The proposed wastewater system design plan for the above site dated July 23,2013 and received on July
24, 2013 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 regulation that is not met
by this design follows each item.
1. Th si a ped by the was not signed
y the designer.
2. On sheet 1 of 2,the trench sidewall depth of 1.5' for the conventional system appears to provide
only 1000 sf of leaching area. Please modify the calculations to provide 1100 sf of leaching area.
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.
Sincerely,
Susan Y. Sawyer, REHS/RS
Public Health Director
cc: Stephen Franciosa
File
Page 1 of 1
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER,MASSACHUSETTS,01845
978.688.9540-Phone
Susan Y.Sawyer,RENS/RS 978.688.8476-FAX
Public Health Director E-MAIL:healthdot(a townofnorthandover.com
WEBSITE:http://www.townofnortliandover.com
SEPTIC PLAN SUBMITTAL FORM
Date of Submission:J u ly 24, 2013
Site Location: Lot 13 Boston Street, Map 107D, Lot 136
Engineer:Christiansen & Sergi, Inc
New Plans? Yes XX $225/Plan Check# 17 (includes 1St submission and one re-
review only) RECEn/E )
Revised Plans?Yes $75/Plan Check#
Site Evaluation Forms Included? Yes XX No JUL z 4 2013
TOWN OF NORTH ANDOVER
Local Upgrade Form Included? Yes No XX HEALTH DEPARTMENT
Telephone#:978-373-0310 Fax#:978-372-3960
E-mail:-phil@csi-engr.com
Homeowner
Name:Lone Star realty Trust
OFFICE USE ONLY
When the sub ssion is complete(including check):
➢ Date stamp plans and letter
➢
Complete and attach Receipt
p p
➢ Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
iernnionwealth of Massachusetts
City/Town of North Andover, Ma.01845
Farm 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. facility Information R7LEA
D
Steve Franciosa Owner Name tj, g 345 Boston Street --ygsCt� NVJ 107DStreet Address TOWN OOVERMap/Lot#
fvca. Andover HEALTH DENT _ _ 01845-6204
City T--- -- —`— ate Zip Code
B. Site Information
1. (Check one) ® New Construction ❑ Upgrade ❑ Repair
2. Published Soil Survey Available? ® Yes ❑ No If yes: 1981 1,24.000 36
Year Published Publication Scale Soil Map Unit
Soil Name Soil Limitations
3. Surficial Geological Report Available? ❑ Yes ❑ No If yes:
Year Published Publication Scale Map Unit
Geologic Material Landform — —
4. Flood Rate Insurance Map
Above the 500-year flood boundary? ❑ Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No
Within the 500-year flood boundary? ❑ Yes ❑ No Within a velocity zone? ❑ Yes ❑ No
5. Wetland Area: National Wetland Inventory Map Map Unit Name
Wetlands Conservancy Program Map Map Unit Name
6. Current Water Resource Conditions (USGS): Month/Year Range: ❑ Above Normal ❑ Normal ❑ Below Normal
7. Other references reviewed: --- ----
Soils for 345 boston St No.Andover OP 1&2 7-9-13•rev. 1/10 Form 11 –Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8
Commonwealth of Massachusetts
r Cit /Town of Forth Andover Ma.01845
}- I° Y
�- - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area)
Deep Observation Hole Number: — 7-9-13 9AM Cloudy 70
Dale Time Weather
1. Location
Ground Elevation at Surface of Hole: — Location (identify on plan): -- —
2. Land Use Residential ^ _ Fe_w _ _ 8%
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
Mature Trees _ Drumlin
Vegetation Landform __ Position on Landscape(attach sheet)
3. Distances from: Open Water Body N/A Drainage Way 100+ Possible Wet Area 100+
feet feet feet
Property Line e�t Drinking Water Well N/A
— Other feet
4. Parent Material: Glacial Till _ Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ La er Impervious s
p y ( ) ❑ Weathered/Fractured Rock El Bedrock
5. Groundwater Observed: ® Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 4511
---- --
inches elevation
Soils for 345 boston St No.Andover OP 1&2 7-9-13-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8
Commonwealth of Massachusetts
` D
City/Town of North Andover, Ma.01845
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: -- --
Redoximorphic Features Coarse Fragments
y Soil
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %b Volume Soil
Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbles 8 Stones (Moist)
0"-8" A 10YR3/4 F/S/L Weak Very
Friable
8"-14" BW 10YR5/6 F/S/L Weak Friable
14"-120" C 2.5Y5/6 45" 5Y5/4 Gr/L/S 20% 5% SABK Friable
Additional Notes:
Soils for 345 boston St No.Andover OP 182 7-9-13•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8
` .
Commonwealth of Massachusetts
City/Town ofNorth Andover, Ma.01845
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
G. On-Site Review (continued)
2 7'Q-13 1OAWl Cloudy 75
Deep K}baarvatimmHole ��unmbmr: - —'----- -------- ---
Date Time vveamv,
1 Location
Ground Elevation otSurface ofHole: ------ Location (identify on plan): ------ — ---
2. Woodland Few 896
----- ------------- - --
Land Use (o.g,wmou|mnu,agricultural field,vacant lot,etc.) Surface Stones Slope("�)
Mature Trees Drumlin
Vegetation Landform Position unLandscape(attach sheet)
N64 100+ 100+
3 Oin�annaa fnnnn� Open Water Body ------- Drainage Way ----- Possible VVatAveo
3. Distances oao� oae� m,ot
2U+ N/A
Property Line ------ Drinking Water ------ Other ------
m,o� oae� oaot
' Till4. ParentMaterial: Glacial TiUnsuitable K8aharie|a Present: Yeo No
If Yes: 0 Disturbed Soil El Fill Material El |mpominuoLayer(o) [] VVeathered/FnactuvedRook [] Bedrock
5 Groundwater �� Yam �� No If� � �� �� �
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth toHigh Groundwater: 43" ---------------
inches elevation
Soils for a«ouvgvncxNo.Andover oP1aa7*'1n^rev. x10 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal ^Page 4nf8
Commonwealth of Massachusetts
1= - Irw City/Town of North Andover, Ma.01845
F Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-§ate Review (continued)
Deep Observation Hole Number: 2 --— --—
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil
Depth(in.) layer Moist(Munsell) (USDA) Cobbles& Structure Consistence Other
Depth Color Percent Gravel Stones (Moist)
0"-8" A 10YR4/3 F/S/L Weak Very
Friable
8"-15" BW 10YR5/6 S/L Weak Friable
15"-120" C 2.5Y5/4 Gr/L/S 20% SABK Friable
Additional Notes:
Soils for 345 boston St No.Andover OP 1$2 7-9-13•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8
Commonwealth of Massachusetts
City/Town of North Andover, Ma.01845
Form 11 Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used:
El Depth observed standing water in observation hole A. N/A B. N/A
inches inches
El Depth weeping from side of observation hole A. N/A B. N/A
inches- inches
F-1 Depth to soil redoximorphic features (mottles) inc-hes A. 45" B. 43"
inches
❑ Groundwater adjustment(USGS methodology) A. B.
inches inches
2.
Index Well Number Reading Date Index Well Level
Adjustment Factor Adjusted Groundwater Level
E. Depth of Pervious Material
1. Depth of Naturally Occurring Pervious Material
a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
absorption system?
0 Yes M No
b. If yes, at what depth was it observed? Upper boundary: Lower boundary: 45"-120"
inches inches
Soils for 345 boston St No.Andover OP 1&2 7-9-13-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 6 of 8
Corrimonwealth of Massachusetts
Cit /Town of North Andover, Ma.01845
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
Y 9 p
F. Certification
I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil
evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017. 1 furth certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form,
are accurate and i nc 310 CMR 15.100 through 15.107.
n e o Soil Evalua Date ^
F. Paul Cardone/ Septic Compliance, Inc. 6/9_6
Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam
Isaac Rowe From Mill River Engineering#SE322 _No. Andover,Ma.
Name of Board of Health Witness Board of Health
Note: In accordance with 310 CMR 15.01$(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and
to the designer and the property owner with Percolation Test Form 12.
Soils for 345 boston St No.Andover OP 1&2 7-9-13•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8
Commonwealth of Massachusetts
City/Town of No Andover, Ma.
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. Facility Information
Steve Franciosa
Owner Name
345 Boston Street Crmat) 107q_/_/
Street Address Map/Lot#
No. Andover Ma. 01845-6204
City State Zip Code
B. Site Information
1. (Check one) 0 New Construction El Upgrade ❑ Repair
2. Published Soil Survey Available? ❑ Yes ❑ No If yes:
Year Published Publication Scale Soil Map Unit
Soil Name Soil Limitations
3. Surficial Geological Report Available? ❑ Yes El No If yes: Year Published Publication Scale Map Unit
_Ge0_106_1c_Material Landform
4. Flood Rate Insurance Map
Above the 500-year flood boundary? El Yes E] No Within the 100-year flood boundary? [] Yes E:1 No
Within the 500-year flood boundary? E] Yes El No Within a velocity zone? El Yes 0 No
5. Wetland Area: National Wetland Inventory Map
Map Unit Name
Wetlands Conservancy Program Map Map Unit Name
6. Current Water Resource Conditions (USGS)-. Month/Year Range: E] Above Normal E] Normal El Below Normal
7. Other references reviewed'.
Soils for 345 Boston Street No.Andover OP#3&4 79-13-rev. 1/10 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal -Page 1 of 8
Commonwealth of Massachusetts
,� -- City/Town of No Andover, Ma.
� = Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (minimum of two holes required at every proposed primary Qnd reserved disposal area)
Deep Observation Hole Number: 3 7-9-13 10:30_ _ Part Sun 75 _
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: Location (identify on plan): - - ----
Residential _ _ _ _ Few 5-7% _
2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
Mature Trees _ Drumlin
Vegetation' Landform ��— Position on Landscape(attach sheet)
_
3. Distances from: Open Water Body feet N/A Drainage Way feet 100+ Possible Wet Area 100+
feet
Property Line 20+— Drinking Water Well N/A Other
feet feet feet
4. Parent Material: Glacial Till ----------- Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ® Yes ❑ NO If yes: Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: inches elevation
Soils for 345 Boston Street No.Andover OP#3&4 79-13•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8
Cornmonwealth of Massachusetts
city/Town of No Andover, Ma.
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 3 -----
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil
Depth(in.) - - -- Consistence Other
Layer Moist(Munsell) (USDA) Cobbles& Structure
Depth Color Percent Gravel (Moist)
Stones
Very
Friable T-6" A 10YR3/4 F/S/L Weak Friable
6"-13" BW 10YR5/6 F/S/L Weak Friable
13"-120" C 2.5Y5/6 Gr/L/S 20% 5% SABK Friable
Additional Notes:
Soils for 345 Boston Street No.Andover OP#3&4 79-13•rev. 1/10 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8
'
Commonwealth of Massachusetts
City/Town Of No Andover, M@.
Form 11 ~ Soil Suitability Assessment for ��n��'�� Sewage Disposal
C. On-Site Review (continuecl)
4 7-0-13 12�00 80Pu� Sun
��aap ��bmenvmtimnHole Nurnber' ----------' - '---
' Date Time vvoame,
1. Location
Ground Elevation sdSurface cfHole: ------- Location (identify on plan): --�-----------------
2 Land Use
Residential Few
-- ---- '----'---'-----
<eg..woodland,agricultural field,vacant lot,vtol Surface Stones 8|upo(.$)
Vegetation Landform Position onLandscape(attach sheet)
N/A 10U+ 1OO+
3 Die�anoe� hnnn� Open ------- Drainage Way ----- Pos�ib|oVVetAnaa
3. Distances � feet oaot foot
Property20+Line ------- Drinking Water ---N6�--- Other ------
feet feet feet
Glacial Till
4. Parent Material: ------ Unsuitable Materials Present: Fl Yea 0 No
If Yes: [] Disturbed Soil El Fill Material El |mpen/iouoLuye4o) VVeutharod/Frootu/odRook E] Bedrock
S N/A N/ADepth Weeping from Pit Depth Standing Water in Hole
Groundwater �� Yes �� No |fy�a� --
Estimated Depth UoHigh Groundwater: 44^
inches r/evauon
Soils for 84oBoston Street No.Andover Op#3&4rg'1s^rev. 1/10 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal ^Page 4vf8
Commonwealth of Massachusetts
-� -- �2 City/Town of No Andover, Ma.
;- - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
hDeep Observation Hole Number: 4 -- ---
Redoximorphic Features Coarse Fragments
Soil Horizon/ Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil
Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbles& (Moist)
Stones
0"-10" A 10YR3/4 F/S/L Weak Very
Friable
10"-17" BW 10YR5/6 F/S/L Weak Friable
17"-120" C 2.5Y5/6 GR/L/S SABK Friable
Additional Notes:
Soils for 345 Boston Street No.Andover OP#38,4 79-13-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal .Page 5 of 8
Commonwealth of Massachusetts
City/Town of No Andover, Ma.
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
---
1. Method Used:
El Depth observed standing water in observation hole A. N/A B. N/A
inches inches
El Depth weeping from side of observation hole A. N/A B. N/A inches
nches
Depth to soil redoximorphic features (mottles) A. 40" B_44'__
inches inches
❑ Groundwater adjustment(USGS methodology) A. .B.
inches inches
Z
Index Well Number Reading Date Index Well Level
Adjustment Factor Adjusted Groundwater Level
E. Depth of Pervious Material
1. Depth of Naturally Occurring Pervious Material
a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
absorption system?
M Yes ir-1 No
b. If yes, at what depth was it observed? Upper boundary: — Lower boundary: 40"-120"
inches inches
Soils for 345 Boston Street No.Andover OP#384 79-13-rev. 1/10 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal -Page 6 of 8
_ Commonwealth of Massachusetts
City/Town of No Andover Ma.
r� Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. Certification -._--- ---
I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil
evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017. I furthe ify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form,
are accurate and in c r c 31 CMIR 15.100 through 15.107.
—.__---! 7-11-13
Sig r Soil Evaluator Date
F. Paul Cardone/ Septic Commence, Inc#SE322. _ _ _ _6/96 _
Typed or Printed Name of Soil Evaluator/License# �^ Date of Soil Evaluator Exam —
Mill River Engineering Isaac Rowe —__ _ _ _ No. Andover, Ma._ _
Name of Board of Health Witness �— Board of Health
Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and
to the designer and the property owner with Percolation lest Form 12.
Soils for 345 Boston Street No.Andover OP#384 79-13•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8
Commonwealth of Massachusetts
City/Town of No. Andover, Ma.
f Percolation Test
- ,- Farm 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:When A. Site Information
filling out forms
on the computer,
use only the tab Steve Franciosa
key to move your Owner Name 1%4,0 -b
cursor-do not 345 Boston Street(y1, UA (0.7 Q UT L to
use the return Street Address or Lot#
key.
No. Andover Ma. 01845-6204
City/Town State Zip Code
Phil Christiansen 978-373-0093
Contact Person(if different from Owner) Telephone Number
B. Test Results
7-9-13 10:15 7-9-13 10:54
Date Time Date Time
Observation Hole# 1 3 _
Depth of Perc 23" +18"=41" _ 18"+18"=36"
Start Pre-Soak 10:15 10_54
End Pre-Soak 10:30 11:09
Time at 12° 10:30 11:09
_
Time at 9" 11:15 11:27
Time at 6" 12:17 _ 11:50
Time (9"-6") 62 minutes _ 23 minutes
Rate (Min./Inch) 20 min/inch 8 min/inch _
Test Passed: ® Test Passed:
Test Failed: ❑ Test Failed: ❑
F. Paul Cardone/Septic Compliance, Inc.
Test Performed By:
Mill River Engineering Isaac Rowe
Witnessed By:
Comments:
t5form12.doc•06/03 Perc Test•Page 1 of 1
a•
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER,MASSACHUSETTS 01845
Susan Y.Sawyer,REHS,RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
healthdel2t@,townofnorthandover.com
www.townofnorthandover.com
APPLICATION FOR SOIL TESTS
DATE: 6 — /7 MAP&PARCEL: Map 107D Parcel 136
LOCATION OF SOIL TESTS: L® r 1319S7'0<,1 sem,
OWNER: Contact STAR RT Contact#:
APPLICANT:STEVE FRANCIOSA contact#:978-361-7078
ADDRESS: 8 NEWELL FARM ROAD, WEST NEWBURY MA 01985
ENGINEER: CHRISTIANSEN & SERGI Contact#: 978-373-0310
CERTIFIED SOILEVALUATOR: PHILIP CHRISTIANSEN RECEIVED
Intended Use of Land: Residential Subdivision Ingle Family Ho Commercial JUN 17 2013
Is This: Repair Testing: Undeveloped Lot Testing:XX Upgrade for Addition: TOWN OF NORTH ANDOVER
li1ALTH DEPARTMENT
In the Lake Cochichewick Watershed? Yes No XX
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership(Tax bill,or letter from owner permitting test)
➢ 8.5"x 11"Plot elan&Location of Testing(please indicate test pit sites on the plan)
➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades.
GENERAL INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans.
➢ At least two deep holes and two percolation tests are required for each septic system disposal area.
➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
➢ 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).
➢ Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval Date: kLf
Signature of Conservation Agent.
Date back to Health Department: (stamp in):
I �
1
I EDGE OF BORDERING
i VEGETATED WETLAND
iLIMIT OF 1501 BUFFER
1 ZONE
` \ 1
./ GE OF BORDERING
\ "\ IMITOF200'BUFFER \ \ / VEGETATED WETLAND
OF
ZONE \ \ #305 BOSTON STREET i FROM PLAN 93
RECORD FOR#314
BOSTON STREET
\ 1
\
4p
\ \ \ 1 \ moa
\
\ - 1 LIMIT OF 200'BUFF \
\ ZONE
\ I \
\
\ \ TEST PIT
/ LIMIT OF 150'BUFFER \� \ ® \
\ PERC T \
ZONE
'\ \ TEST PIT TEST PIT \ \
E�w PERC TEST \ \
\ \ LOT 13 BOSTON STREET 0 PIT
1 EDGE OF BORDERING \ \
_ VEGETATED WETLAND \
\ FROM AS-BUILT PLAN \
\ OF LAND LOT 12 NO.
345 BOSTON STREET 1
\ I 1
\
4345 BOSTON STREET
/ � I
hlii9SAC:IIC:SI:'f"1'S iLti.iUCL1'I'[UN OF tIEA;:.'t"OI?S'
CONTRACT TO PURCHASE REAL ESTATE 9501
(With Contingencies)
(Binding Contract.If Legal Advice Is Desired,Consult An Attorney.)
From: BUYER(S): / r To: OWNER OF RECORD
Name(s): ��. _ i Name(s):
Address: IJ
Address:
The BUYER offers to urch a the real pr rty described as 7 J7 C Tcw
to/ethzz
all but}din and impryements eon(the "Premises")to which I have been.introduced by ?�I ,wry
�'i✓Ja/ ,��u LdAj 5 t,. upon the following terms and conditions:
d0
1. Purchase Price The BUYER agrees to pay the sum of$ to the SELLER for the purchase of the
.'remises,due as follows, i
i• $ _as a deposit to bind this Offer;
ii. $ as an additional deposit upon executing the Purchase And Sale Agreement;
iii. Bal ce by bank's,cashier's,treasurer's or certified check o_rwire
'transfer at time for closing.
2. Duration Of Offer. This Offer is valid until El a.m.LI"p.m, on r- f by which time a copy of
this Offer shall be signed by the SELLER, accepting this Offer and returned t e . R, otherwise this Offer shall be deemed
rejected and the money tendered herewith shall be returned to the BUYER. Upon written notice to the BUYER or BUYER'S agent of
the SELLER'S acceptance,the accepted Offer shall form a binding agreement.Time is of the essence as to each provision.
3. Purchase And Sale Agreement. The SELLER and the BUYER shall,on or before /� �a rn.-�p.m. on
1-7( P117 execute the Standard Purchase and Sale Agreement of th M SACHUSETTS ASSOCIATION OF
REALTORS® or substantial equivalent which, when executed, shall become the entire agreement between the parties and this Offer
shall have no further force and effect.
4.Clasine ELLER agrees to deliver a good and sufficten deed convey good nd clear record and marketable title at 'er Q
a.m. m. on )t;��i' 3 -P Lt l at the _ _ l /j County Registry of Deeds or such other time
or place as may be mutually agreed updn by the arties.
5.Escrow. The deposit shall be held by J , )7A- as escrow agent,subject to the terms
hereof. Endorsement or negotiation of this deposit by the real estate broker shall not be deemed acceptance of the terms of the+Offer. In
the event of any disagreement between the parties concerning to whom escrowed funds should be paid, the escrow agent may retain
said deposit pending written instructions mutually given by the BUYER and SELLER. The escrow agent shall abide by any Court
decision concerning to whom the funds shall be paid and shall not be made a party to a pending lawsuit solely as a result of holding.
escrowed funds. Should the escrow agent be made a party in violation of this paragraph, the escrow agent shall be dismissed and the
party asserting a claim against the escrow agent shall pay the agent's reasonable attorneys'fees and costs.
6.Contingencies . It is agreed that the BUYER'S obligations under this Offer and any.Purchase and Sale Agreement signed pursuant
to this Offer are expressly conditioned upon the following terms and conditions:
a. Mortgage . (Delete if Waived) The:BUYER'S obligation to purchase is conditioned upon obtaining a written commitment for
financing in the amount of$ iJr" at prevailing rates, terms and conditions by
The BUYER shall have an obligation to act reasonably diligently to satisfy any condition within the BUYER'S control. If, despite
reasonable efforts, the BUYER has been unable to obtain such written commitment the BUYER may terminate this agreement by
giving written notice that is received by 5:UU p.m. on the calendar day after the date set forth above. In the event that notice has not
been received,this condition is deemed waived.In the event that due notice has been received,the obligations of the parties shall cease
and this agreement shall be void; and all monies deposited by the BUYER shall be returned. In no event shall the BUYER
be deemed to have used reasonable efforts to obtain financing unless the BUYER has submitted one application by
and acted reasonably promptly in providing additional information requested by the mortgage lender.
45013.30.07/214648
MASSFORMS. C1-1991,20007 2001,2002,2007,2010 MASSACHUSETTS ASSOCIATION OF REALTORS(
$lull•+'iUt)InnUerd Ifl.'11(Fz4All•FUrnu.
rgi.ninii,w:
�rm.vry
___ Form 501
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b.Inspections. (Delete if Waived) The BUYER'S obligations under this agreement are subject to the right to obtain inspection(s)of
the Premises or any aspect thereof, including, but not limited to, home, pest, radon, lead paint, mold, septic/sewer, water quality, and
water drainage by consultant(s) regularly in the business of conducting said inspections,of BUYER'S own choosing, and at BUYER'S
sole cost within days after SELLER'S acceptance of this agreement. If the results are not satisfactory to BUYER, in
BUYER'S sole discretion, BUYER shall have the right to give written notice received by the SELLER or SELLER'S agent by 5:00 p.
m. on the calendar day after the date set forth above, terminating this agreement. Upon receipt of such notice this agreement shall be
void and all monies deposited by the BUYER shall be returned. Failure to provide timely.notice of termination shall constitute a
waiver. In the event that the BUYER does not exercise the right to have such inspection(s) or to so terminate, the SELLER and the
listing broker are each released from claims relating to the condition of the Premises that the BUYER or the BUYER'S consultants
could reasonably have discovered.
7. Representations/Acknowledgments . The BUYER, acknowledges receipt of an agency disclosure, lead paint disclosure (for
residences built before 1978),and Home Inspectors Facts For Consumers brochure(prepared by the Office of Consumer Affairs). The
BUYER is not relying upon any representation, verbal or written, from any real estate broker or licensee concerning legal use. Any
reference to the category (single family, multi-family, residential, commercial) or the use of this property in any advertisement or
listing sheet, including the number of units, number of rooms or other classification is not a representation concerning legal use or
compliance with zoning by-laws, building code, sanitary code.or other public or private restrictions by the broker. The BUYER
understands that if this information is important to BUYER, it is the duty of the BUYER to seek advice from an attorney or written
confirmation from the municipality.In addition,the.BUYER acknowledges that there are no warranties or representations made by the
SELLER or any broker on which BUYER relies in making this Offer, except those previously made in writing and the following: (if
none,write"NONE"):
S.Buyer's Default. If the BUYER defaults in BUYER'S obligations,all monies tendered as a deposit shall be paid to the SELLER as
liquidated damages and this shall be SELLER'S sole remedy.
9. Additional Term /
C�/Ut U,. Kti' C: /5'1c7 Qk A&-ill e-6b4c c7 .'rAL, 46,66 y
/ O L _ LL_,.,
ate �G�&! ,�C( `�J E L?l jA/
BU ER Date
S L; BUY
SELLER'S REPLY
SELLE :(check one and sign below) y
(a) ACCEPT(S)the Offer as set forth above at� a.m. p.m.on this day of / U
(b) REJECT(S)the Offer.
(c) Reject(s)the Offer and MAKE(S)A COUNTEROFFER on the following terms:
This Counteroffer shall expire at ❑a.m. ❑ p.m.on if not withdrawn earlier.
�A ���)Date4ZO
SELLER Date
STEL ER,or spousse
IIF COUNTEROFFER FROM SELLER)BUYER'S REPLY
The BUYER: (check one and sign below):
_(a) ACCEPT(S)the Counteroffer as set forth above at ❑a.m. ❑ p.m.on this day of
_fib) REJECT(S)the Counteroffer.
Date _ Date
BUYER BUYER
MASSFORMS`" 01999,2000,2001,2002,2007,2010 MASSACHUSETTS ASSOCIATION OF REALTORS&
Stut—ld,51uud.d Ke l taupe turves
RECEIPT FOR DEPOSIT
I hereby acknowledge receipt of a deposit in the amount of$ from the BUYER this day of
Escrow Agent or Authorized representative
MASSFOR.MS" (9-099,2000.2001,2002),2007,2010 MASSACHUSETTS ASSOCIATION OF REALTORSO12k
st—wide so—d"rd Rrnl V.1—F,1rn
Blackburn, Lisa
From: Isaac Rowe <irowe@millriverconsulting.com>
Sent: Tuesday,July 09, 2013 3:11 PM
To: Blackburn, Lisa; 'Dan Ottenheimer'; 'Pam Lally'
Cc: Sawyer, Susan; 'Isaac Rowe'
Subject: RE: 325 Boston St. (Lot 13)
Attachments: 325 Boston Street - Soil testing results 7-9-13.PDF
Susan/Lisa,
Attached are the soil testing results from today. This was for new construction.
Let me know if you have any questions.
Thanks,
Isaac M.Rowe,R.S.
Project Manager
Mill River Consulting
6 Sargent Street
i
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