HomeMy WebLinkAboutBuilding Permit #Exception - 45 HOLLOW TREE LANE 5/1/2018 NORTH
BUILDING PERMIT o��iLeo ,b�tia
32 gE.;11 A. 6
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received 1-0
�gss�acHuS��Ry
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION. o llo
Print
PROPERTY GINNER. �?
a n �. .,�I:� ✓, Vi=e e .,•�,� ;,. r �. k<-- -:. -. . - .
. .. - - Print
L PAF) ..
MAp.210 PARCEL: ZONING DISTRICT:_ Historic Disfrict. yes. no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ fw Building ❑ One family
Addition ❑Two or more family 11 Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
dSeptic . .D Well p Floodplain D Wetlands � 1Nate'rstied District.
❑Wafer/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
f Z X i Y V S-e a.6 o lv/ j2 o o h Gv . ( a >a Y /G
Identification Please Type or Print Clearly)
OWNER: Name: h%C.I't, hiiv-e Qw�e U Phone:
Address: ��o �� w rig e p �✓
�/Bll .
CONTRACTOR Name:��af,A/PhoneYO/Z
Address: �i1 (�1,�lCGhc�G`C'Gh in
Supervisor's Construction License: (/S !E D Exp. Dater "l//✓?O
—7
Home,lmprovement License: I O �l D Exp. .Date: /a a
ARCHITECT/ENGINEER ; A Phone: l03 ' g'9o" oa,5�9"_
Address: 100 130Y Z 3 /b/so/C&1 - D 3 0 21 Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON
$125.00 PER S.F.
d0
Total Project Cost: $ 2 6 no O � FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contract r
Notes to File
45 Hollow Tree Lane—room addition off back of home
10/11/10 Form U received at Health Dept. File review took place. Found 2002 approval
letter with restrictions and deed restriction required before COC. Required Deed restriction was
never done. COC issued by Health Dept anyway. Homeowner denies knowing anything about
letter sent to Mr. Dufresne discussing the restriction. Reviewed Board of Health minutes to
determine whether this was a decision to restrict above the DEP regulation regarding these
variances granted. DEP requires no "additional flow". Ms. Starr's letter states no "additional
rooms". This is in conflict with our general operating procedures for homes that are served by
septic.
10/15/10 Board member, Larry Fixler, who resides on Hollow Tree Lane did a personal site
visit for me and confirmed that the current home has 8 —rooms and the additional room will be
9. A fax was received with a crude drawing of the floor for the file.
10/18/10 Susan Sawyer approved request for building addition, noting that the home is now
at its maximum room number of nine. Form U signed.
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOS
AL
Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
.
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
t
CONSERVATION Reviewed on 1b
Signature
COMMENTS � k-
HEALTH Reviewed on b iS7 ro Signature r1
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: . Comments
Water& Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS.
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANCER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use
® Notified for pickup - Date
Doc.Building Permit Revised 2010/October
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PUBLIC HEALTH DEPARTMENT
fommunity Development Division
October 18, 2010
Brian and Ann Feeney
45 Hollow Tree Lane
North Andover, MA 01845
Re: Application for home addition
Dear Mr. and Mrs. Feeney,
This correspondence is in regards to the application for a building permit and its relation to the
home size and its subsurface disposal system. The system at this property was approved for a
four bedroom, or maximum nine-room home. The approval in 2002 came with multiple local
upgrade approvals and local variances. The'state code restricts those who are granted these types
of approvals from increasing flow to the system. For this reason, the Health Department can not
allow the room number to exceed the maximum of nine rooms. After establishing that decision,
we requested a floor plan of all living spaces in your home.
Thank you for submitting the additional information on the floor plan of your home as requested.
With the additional room, the Health Department finds that your home will then have its
maximum nine rooms as allowed by the MA DEP Environmental code regarding subsurface
disposal systems. Your application for an additional room has been approved.
This brings your home to its maximum roo number. There will be no further approvals for
additional rooms on this property, unless mLicipal sewer becomes available and this property is
able to abandon the system and connect to the sewer. If you have any questions regarding this
Y
Yq g g
correspondence,please contact the Health Dept.
Sincerell ,
�-- usan Sawy
Health Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
Town of North AndoverpORTa
Office of the Health Department
Community Developmnt and Services Division
27 Char es Street
goRAT°o'�6�I
North Andover,Massachusetts 01845 'SSACHUS�
Heidi Griffin Telephone(978)688-9540
Acting Public Health Director Fax(978)688-9542
TOWN OF NORTH ANDOVER
i
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
9/26/03
This is to certify that
the individual subsurface disposal system
constructed ( ) or repaired (X)
by
Todd Bateson
at
45 Hollow Tree Lane
has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the
North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will function
satisfactorily.
Jona Markey
Chairman,North Andover Board of Health
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSER ATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
TOWN OF NORTH ANDOVER
SEWAGE DISPOSAL
SYSTEM
INSTALLATION CERTIFICATION
The rindersigned hereby certify that the Sewage Disposal System( ) constructed-
(�repaired:
by MM
located at 0Cj ow 26 11.8 -AN)p
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit# , dated with an approved design
flow of*40 gallons per day. The materials used were in conformance with those
specified on the approved plan; the system was installed in accordance with the provisions
of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees
'substantially with the approved plan. All work is accurately represented on the As-built
which has been submitted to the Board of Health.
Bed inspection date: ��`�-�- ► � �
Engi`neirr Representative
Final inspection date:
Engineer Repres ntative
Installer: Lic.#: Date: __._/Y/—
Design
d —Design Engineer: Date:
9
[SEP 2 0 2002
float
AS-BUILT CHECKLIST
LOT NUMBER, 7REET NAME
ASSESSORS MAP& PARCEL NUMBER
✓ LOT LINES & LOCATION OF DWELLINGS
LOCATIONS&: D[MF.NS[ONS OF SYSTEM,
✓ llA. II
TIES TO LOT LIES & DWELLING, WELLS
I
a. FROM SEPTIC TANK
b. FROM LEACI' AREA
LOCATIONS OF DEEP HOLES&PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
J
/ TOP OF FDN ELEVATION
LOCATIONS OF WELLS,DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
v LOCATION OF WATER GAS ELECTRIC LINES, CABLE
' DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK&D-BOX =
ORIGINAL STAMP& SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
- NORTH ARROW
LOCATION&ELEVATIONS
____ OF BENCHMARK USED
1
N&M Job number 1770/
I
TOWN OF NORTH ANDOVER
INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Site: f��L '?�?� �},Pj j/�r Final Date:
/ l
Installer: �I� j�¢>"� /4/ Tel:
Date
Yes No Initials
A. Bottom of Bed 1
1. Excavation to proper depth
2. With trenches,sides of excavation are beneath B horizon v-
3. Edge of excavation specified distance from foundation,etc.
Comments: (Use back of sheet for diagrams.)
I
B. Retaining Wall
1. Wall height and width as specified
2. Waterproofed
3. Wall minimum 10'to leaching facility
4. Wall meets specifications of plan
Comments:
C. Building Sewer
1. Pipe diameter minimum 4"
2. Schedule 40 pipe
3. Inlet to tank cemented
4. Slope minimum 0.01 or 1/8"
per foot minimum
5. Piproperly Pipe p p y set on compact firm base
6. Pipe laid on continuous grade in straight line t/
7. Cleanouts precede all change in alignment and grade
8. Manholes at any 90°change AZA
9. 10'minimum offset to water line
Comments:
D. Septic Tank
1. Level L/
2. 1,500 gal minimum
3. Gas baffle present on outlet
4. Manhole to w/in 6"of grade �/L
5. Manholes over center and each tee
6. 3-20"manholes t/
7. Outlet line cemented
8. 2"–3"drop from inlet to outlet �-
9. Pipe set
10. Compact base with 6"of/4"crushed stone under tank
11. Tank is watertight a
12. -Tees 12"off side of tank U
I
N&M Job number 1770/
Date I Yes No Initials
Comments:
E. Pump Chamber
1. If separate from tank,compact base with 6"of 3/a"stone underneath
2. Minimum 2"pipe to d-box if gravity system
3. 20"access manhole
4. Tank level
5. Watertight
6. Tank size agrees with plan specification
7. Manhole to grade
8. Check valve and bleeder hole present
9. Alarm in building on separate circuit
10. Alarm functions
11. Manual operating switch /
12. Pump delivers liquid to d-box
Comments:
I
F. Distribution Box
1. D-box level
2. Minimum 0.17"(2")drop from inlet to outlet t/
3. Minimum 6"sump — -
4. Outlet pipes show equal distribution
5. Compact base with 6"of stone beneath box
6. Box is watertight
7. All lines cemented with hydraulic cement
8. Schedule 40 pipe I/
9. First 2' from box laid level
Comments:
G. Soil Absorption system
1. All stone double-washed—3/<"— 1 '/"
-pea stone !/
Bucket test done?
2. Minimum 2 of pea stone above distribution linesy
3. Minimum 6"stone beneath pipe
4. Distribution lines capped or connected together v
5. Toe of slope stops minimum 5' from edge of property;
5a. if not,then swale.
Comments:
II
N&M Job number 1770/
Date Yes No Initials
H. Leach Trenches
1. Minimum 2 trenches
2. Length of trenches agrees with plan. (Max. length 100')
3. Width of trenches agrees with plan-Minimum 2';maximum-4'.
4. Vent present if>50 feet or specified
5. Minimum distance between trenches 10'
6. Pipe slope minimum 0.005 or 6"per 100'
7. Depth of trenches below outlet invert minimum of 6".
8. Pipes set on stable base.
Comments:
I. Leach Field t/
1. Maximum length of field 100'
2. Pipe slope minimum 0.005 or 6"per 100'
3. Separation between pipes 6'maximum
4. Pipes connected at end&vent end raised ��
5. Separation between adjacent fields 10'minimum
6. Pipes set on stable base
7. Maximum 4' separation from edge of field to first line
8. Minimum two distribution lines
Comments:
J. Leaching Pits
1. Minimum inlet pipe 4"
2. Pits of concrete
3. Sidewall between 12"and 48"wide
4. Access manholes on each pit
5. Pipes cemented with hydraulic cement
6.
Comments:
K. Final Grade
1. Slope over soil absorption system minimum 0.02
2. All system components covered by at least 9"soil
3. Cover soil free of stones larger than 6"
4. Grading slopes away from dwelling
5. No areas over system that may pond
6. Grading meets 3:1 slope
7. Minimum of 9"of fill graded over system
Town of North Andover, Massachusetts Form No.3
t NORTH BOARD OF HEALTH (�!�
F P
* ' ���
�T' DISPOSAL WORKS CONSTRUCTION PERMIT
+O°T�D ``
SACMUSEt
Applicant_ Io �';-'40-J04
NAME _ ADDRESS TELEPHONE
Site-L-ocation—
Permission is hereby granted to Construct ( ) or Repair ..y'an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
CHAIRMAN, BOARD OF HEALTH
Fee D.W.C. No.
I
I
G�
BOARD OF.HEALTH
NORTH ANDOVER, MA 01845
978-688-954.0
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: 7- l i CURRENT INSTALLER'S LICENSE#
LOCATION: �`7G /� �� Al.
LICENSED INSTALL t ,q,
SIGNATURE: TELEPHONE#
CHECK ONE:
REPAIR: V NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
160.00 Fee Attached? Yes / No
Manager er Ob. Yes No
g
Foundation As-Built? Yes No
Floor Plans? Yes No
Approval /� Date:
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover[licensed installer for the,construction of the septic system for the
property at 'I S /7o�(Oy✓ �f c� ,��J relative to the application
of dated `? — �- oL for plans by / /.eey,-mt,,k A9, and
dated !fir D JL, with revisions dated r4-° J__-
I understand the following obligations for management of this project:
1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior
to performing any work on a site. I must have the approved plans and the permit on site
when any work is being done.
2. As the installer I must call for any and all inspections. If homeowner, contractor, project
manger, or any other person not associated with my company schedules an inspection and the
system is not ready then item three shall be applicable.
3. As the installer I am required to have the no�essary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection, without
completion of the items in accordance with Tile 5 and the Board of Health Regulations may
result in a$50.00 fine being levied against my company.
a) Bottom of Bed -generally first inspection unless there is a retaining wall which should be done
first. Installer must request the inspection butdoes not have to be present.
b) Final inspection – Engineer must first do th it inspection for elevations, ties, etc. As-built or
verbal OK from engineer must be submitted 110 Board of Health, after which installer calls for
inspection time. Installer must be present fo I this inspection. With pump system all electrical
work must be ready and able to cause pump to work and alarm to function.
c) Final Grade Installer must request inspection when all grading is complete. Does not have to be
on site.
4. As the installer I understand that only I may perform the work(other than simple excavation)
required to complete the installation of the system identified in the attached application for
installation. I further understand that work by others unlicensed to install septic systems in
North Andover can constitute reasons for denial of the system, and/or revocation or
suspension of my license to operate in the Town of North Andover; significant fines to all
persons involved are also possible.
5. As the Installer I understand that I must be on site during the performance of the following
construction steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff or consultant.
d) Installation of tank, D-box, pipes, stone, valent, pump chamber, retaining wall and other
components.
6. As the installer I understand that I am solely relponsible for the installation of the system as
per the approved plans. No instructions by the homeowner, general contractor, or any other
Persons shall absolve me of this obligation.
Unders'_,_,�j�Licensed Septic Installer
Date:
Disposal Works Construction Permit#
10-DAY EMERGENCY BEAVER OR MUSKRAT PERMIT
Name: Permit No.
`-i
Address: L-1 S 144,I 1, .1
Authorized Agent Name(if applicable): ;J 1, 3 j ft,
Complaint Location: `f-5 L4.,
In accordance with and pursuant to provisions contained in chapter 131 of the Massachusetts
General Laws section 40, 80A and 321 Code of Massachusetts Regulation 2.08 and 10.00
(Wetlands Protection Act), the permittee(s) above named may immediately remedy the threat to
i
human health and safety by one or more of the following options:
Phe use of conibear or box or cage-type traps for the taking of beaver or muskrat,
subject to the regulations promulgated by the Division of Fisheries and Wildlife(see
back)
the breaching of dams, dikes, bogs or berms, so-called*
(c) employing any non-lethal management or water-flow devices*
*If the permittee chooses option(s)b and/or c,he/she must appear before the local conservation
commission to obtain an emergency certification regarding specifications for breach size and/or water-
flow device installation in accordance to M.G.L. c. 131, s. 40(Wetlands Protection Act).
The Board of Health has determined that said beaver or muskrat problem poses a threat to public
health and safety as stated in M.G.L. c.131, s.80A.
Specify: L) c_x
G. -t�5 L G� �-� t rf C� '`�_ GU •�o�p C r f x w
Board of Health Official Name:
Board of Health Official Signature: �/ _ Date: 7 1yDS
The above signature validates this permit for 10 consecutive days from the date shown for
option (a) only. If the permittee chooses options(b) and/or(c), he/she must return to the Board
of Health for a final signature after obtaining an emergency certification from the conservation
commission.
Please attach the emergency certification to this permit and return to the Board of Health
for final approval.
(See Back)
i
r ,
4 '
This permit is valid for 10 consecutive days from the date of the final Board of Health
signature.
Board of Health Official Name:
Board of Health Official Signature: Date:
This permit does not allow permittee(s)or their authorized agent to trespass on private
property.
This permit or a copy thereof shall be carried on the person of any individual exercising the
authority thereof and shall be shown upon request if challenged by any local or state law
enforcement officer empowered to enforce the provisions of M.G.L. c. 131.
Massachusetts Division of Fisheries and Wildlife trapping regulations
Permittee(s) may destroy problem forbearing mammals(named above) by means of a body
gripping trap or by means of a box or cage type trap including Hancock or Bailey traps for
catching beaver. The pan of Hancock and Bailey traps must be submerged in water. Problem
furbearing mammals that are captured alive shall be disposed of by destruction in a humane
manner. Body gripping traps with a jaw spread not less than 4 inches and not greater than 7
inches or body gripping traps with a jaw spread not less than 6 inches and not exceeding 10
inches for the trapping of beaver only, may be used if such traps are completely submerged in
water. The placement of traps in reference to the proximity of the beaver lodge or beaver dam is
unrestricted, but the disturbance or destruction of the beaver lodge or beaver dam is strictly
prohibited unless otherwise authorized.
Permittees) taking problem forbearing mammals, on the property of another, by means of a trap
shall possess a valid Massachusetts trapping license and traps shall be registered according to
M.G.L. c. 131, s. 80.
Said problem furbearing mammals(named above), their carcasses or parts thereof may be
retained by the permittee, sold, bartered, or exchanged for consideration during the open
regulated harvest season for that species. Sealing of beaver pelts is required. Disposition of all
carcasses obtained from the incidental capture of furbearing mammals not authorized by this
permit must be surrendered to the.District Wildlife Manager of the Division of Fisheries and
Wildlife having jurisdiction in the town where the forbearing mammal was taken.
i
I
Town of North Andover o'M°oT",1tio
' Office of the Conservation Department 0:
Community Development and Services Division
400 Osgood Street 1ss^CNU
North Andover,Massachusetts 01845 Telephone(978)688-9530
Alison McKay Fax(978)688-9542
Conservation Administrator
July 14, 2005
Brian& Anne Feeney
45 Hollow Tree Lane
North Andover., MA 01845
RE: Emergency Certification for Beaver Dam Breach at 45 Hollow Tree Lane
Dear Mr. & Mrs. Feeney:
Enclosed is an Emergency Certification Form issued by the North Andover Conservation
Department permitting the limited breach of a beaver dam located at your property by the hired
professional,Mr. John Benedetto. This limited breaching of the beaver dam was in response to
your concern that the beaver ponding created by the dam was causing flooding concerns into your
yard and in close proximity to your home.
The Board of Health has determined that the aforementioned flooding conditions are in fact a
threat to human health and safety and has issued a 10-day emergency permit to immediately
alleviate the threat. If the problems are not alleviated over the next 10 days, you may request in
writing for a 10-day extension permit.
Limited breaching of the dam, as conditioned in the attached permit, must be carefully conducted
so as to prevent downstream flooding; impacts to the wildlife habitat located upstream and
downstream, including the created beaver habitat; and changes to the hydrology of the wetland
resource area.
Please feel free to contact me if you have any further questions or concerns in this regard.
Sincerely,
Lison E. McKay
Conservation Administrator
CC: Board of Health
DEP
DF&W
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEAL'TII 688-9540 PLANNING 6.88-0535
SPECIAL CONDITIONS
1. No breaching of the dam shall occur during and/or following a major storm event(.6
inches or greater of rainfall). Further, no breaching shall occur unless a rain event as
described above has adequately infiltrated (resulting in a lower water table).
2. Limited breaching of the dam must be carefully conducted so as to prevent downstream
flooding; impacts to the wildlife habitat located upstream and downstream, including the
created beaver habitat; and changes to the hydrology of the wetland resource area. In as
such, breaching activities shall only occur in locations in which the impact to downstream
properties is least impacted(e.g. in locations near the stream outlet/inlet).
3. Limited breaching of the beaver dam shall occur by hand only. No mechanical machinery
is allowed for the breaching activities.
4. Breaching of the dam must be limited to no greater than 2 feet in length and no greater
than 6 inches in height unless otherwise authorized by the Conservation Department. The
hired professional shall contact the Conservation Department if a larger breaching area is
necessary.
5. This permit, or a copy thereof, shall be carried on the person of any individual exercising
the authority thereof and shall be shown upon request to an agent of the conservation
commission, any agent of the Department of Fisheries Wildlife and Environmental Law
Enforcement or to any officer empowered to enforce the provisions of MGL Chapter 131.
6. The issuance of this permit does not authorize the individual receiving the permit to
trespass upon private property to use that permit. If the dam is located on abutting
properties, signed authorization from abutters permitting the breaching of the dam on
their property must be submitted to the Conservation Department.
7. This permit is valid from July 15, 2005 to July 24, 2005 and is limited to the activities
described above.
8. The Conservation Department shall be notified for an inspection upon completion of
breaching activities to ensure that wildlife habitat and the hydrology of the wetland
resource system have not been significantly impacted or altered.
permitted in this Emergency Certification must be
9. Additional work beyond the activities perms g Y
breaching oft
he
approved by the North Andover Conservation Commission. Additionalg
dam must be authorized through an extension permit.
10. The applicant may request in writing for a 10-day extension permit.
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Emergency Certification Form
Massachusetts Wetlands Protection Act M.G.L.c. 131,§40
A. Emergency Information
Important: Issuance From:
North Andover Conservation Commission
When filling out Issuing Authority
forms on the 45 Hollow Tree Lane
computer, use 1. Site Location:
only the tab
key to move 2 Reason for Emergency:
your cursor-
do not use the To reduce and alleviate flooding impacts to an existing single family dwelling. Beaver related ponding
return key. was observed to be in close proximity to the home at the time of the inspection.
3. Applicant to perform work:
Mr. &Mrs Feeney
4. Public agency to perform work or public agency ordering the work to be performed:
r John A. Benedetto
5. Date of Site Visit: Start Date: End Date':
6/16/05 7/15/05 7/24/05
'no later than 30 days from start date or 60 days in the
case of an Immediate Response Action approved by
DEP to address an oil/hazardous material release.
6. Work to be allowed':
Limited breaching of a beaver dam -see attached conditions
"May not include work beyond that necessary to abate the emergency.
B. Signatures
Certified to be an Emergency by this Issuing Authority.
Sign es:
7/14/05
Chairman(or designee) Date
A copy of this form must be provided to the appropriate DEP Regional Office.
WPA Emergency Certification Page 1 of 2
Rev.11101
1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Emergency Certification Form
Massachusetts Wetlands Protection Act M.G.L.c. 131,§40
C. General Conditions
1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory
measures, shall be deemed cause to revoke or modify this Emergency Certification or subject to
enforcement action.
2. This Emergency Certification does not grant any property rights or any exclusive privileges; it does not
authorize any injury to private property or invasion of property rights.
3. This Emergency Certification does not relieve the applicant or any other person of the necessity of
complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations.
4. Any work conducted beyond that described above, and any work conducted beyond that necessary to
abate the emergency, shall require the filing of a Notice of Intent.
5. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Emergency Certification at
reasonable hours to evaluate compliance with this Certification, and may require the submittal of any
data deemed necessary by the Conservation Commission or the Department for that evaluation.
6. This Emergency Certification shall apply to any contractor or any other person performing work
authorized under this Certification.
7. No work may be authorized beyond 30 days from the date of this certification without extension by the
Issuing Authority.
D. Special Conditions
See attached cover letter
k
E. Appeals
The Department may, on its own motion or at the request of any person, review: an emergency
certification issued by a conservation commission and any work permitted thereunder; a denial by a
conservation commission of a request for emergency certification; or the failure by a conservation
commission to act within 24 hours of a request for emergency certification. Such review shall not
operate to stay the work permitted by the emergency certification unless the Department specifically so
orders. The Department's review shall be conducted within seven days of: issuance by a conservation
commission of the emergency certification; denial by a conservation commission of the emergency
certification; or failure by a conservation commission to act within 24 hours of a request for emergency
certification. If certification was improperly granted,or the work allowed thereunder is excessive or not
required to protect the health and safety of citizens of the Commonwealth, the Department may revoke
the emergency certification, condition the work permitted thereunder, or take such other action as it
deems appropriate.
WPA Emergency Certification Page 2 of 2
Rev.11/01
i!
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS 0 PLANNERS
iuL 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com
TO: North Andover Board of Health
FROM: Bill Dufresne/Merrimack Engineering
DATE: - -
BOARD OF f,E-ALT 1"I
u-5 eu-) 1aee- -Lov"e DEC 13 2001
„
TM: 1 D1-+A
a
OWNER(NAME& ADDRESS) IA�1E
Txe L--,iN
Members of the Board:
An upgrade sewage disposal system plan dated: has been
submitted for the above referenced site. Pursuant to Title 5, and the North Andover
Board of Health Regulations, Local upgrade approval and/or variances are being sought
from the following sections.
2) r�
3) Il��t �, dz 0157 �rz 1�.1�.5. C f pi 722
w nor
Please consider these requests for approval on your earliest available meeting agenda.
We respectfully request your consideration of these matters.
Very truly yours,
MERRIMACK ENGINEERING SERVICES
William Dufresne
cd
Location:` � I I _f 4J Owner's Name:
Map/Parcel:— -;a �g '�f"' Address: ' r'J
. , � NMI LN
Installer. Tel#.. 0,
Repair
Wetlands �ne EL. Sall Symbol-L.20—Sou 1Qam
Boll Hass
Deep Obseivation Hole Logs
Elevation Depth Soil Horizon Soil Twure Sall Color Sall Mottling �
1 % Gravel,Stones,etc
��i �'7.�i�� F I liL• .
It-tK)w LAO
V• PVAtALOL4
5 Y»
Parent AintetiaE �l.i���L41.�De tit to Btdtoel:r •
Blandin=�Ynterlethe Ra Weepint(Mtn?ItFace
. x'120„ G M�•Srovn 2,5Y S�. ►t,���a.�,to'' ��� S�
sY"46
Parent Material
Deptlt is lldladt— Yater in tie hale
— �Z t4apta;fmm Pit Fe"-13_ESHGIY: 40
Date �� I(e,D t Percolation Tests
Observation Hole 0
Depth of Pere
Start Pre-soil:
Time at 12"
Time at 91'
Time at 6r'
Time(9r'-6")
Rate Miu/Inch I •�. 2 -
Performed 13v u r Witnessed Bv:
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 DEP: 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: &r-IA j R NJ Fc-c-po '
Address: yS WLA,!5 O Tj?-e0 L.+ve
Phone#: (1-v) kM moi/yr-S
Address of facility: �,kr-j ja
2) Applicant(if different from above)
Name:
Address:
Phone#:
3) T"e of Facility:
e/Residential Commercial School Institutional
(Specify)
Page 2 of 5
4) Type of Existing System:
_privy cesspools) Zonventional system
other(describe)
Type of soil absorption system(trenches,chambers,pits,etc.) e-Z'/]
5) Design Flow Based on 310 CMR 15.203:
a) Design flow of existing system 44p gpd
Approved: _yes Approval date:
no Why:
b) Design flow of proposed upgraded system qqaA Why
c) Design flow of facility — gpd
6) Proposqlupgrade 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)
(date)
b) Describe the proposed upgrade to the system:
1 15;10-* 64t, TAA)JC—
� l
c) %icl of the following are applicable to the proposed upgrade?
Reduction of setback(s)(list setbacks to be reduced with proposed setback
distances) -M7T!� % PLV /
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)
_ZReduction of required separation between bottom of SAS & high
groundwater(specify proposed reduction&perc rate) S' 4o
Page 3 of 5
i
Other requirements of 310 CMR 15.000 that cannot be met(specify sections
of the code)
I-M
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 4 feet
As determined by:
Evaluator's name: ti ate.
Evaluator's Signature:
Date of evaluation: I1-1�-ot
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 CMR 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:
b) An alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible.
Ak 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?
es 0-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 Signature Date
efkjifY
Print Name
Name of Preparer Date —'
Irqa --IS -moi 5S— )
Telephone No. &Address of reparer
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.
1
NOONAN & Mc DOWELL, INC.
25 Bridge Street, Suite 6, Billerica, MA 01821-1023
Voice (978) 667-9736 Fax (978) 671-9565
Email: nm(a netway.com
Date: January 16, 2002
Town of North Andover
Office of the Health Department
B V
r^ U. BOARD 0;
Community Development and Services Division
HEALTH ,
27 Charles Street
North Andover, MA 01845 2 2002
RE: Subsurface Sewage Disposal System �_ . � •�
Plan Review, 1770/065
45 Hollow Tree Lane -"
Assessors Map 104A, Lot 18
Dear Members of the Board,
Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated 12/4/01,
by Merrimack Engineering Services. It is our opinion that the proposed design will meet the
requirements of Title 5 and the North Andover Board of Health`By-Laws"if the following is
addressed:
ell-I Relocate D-Box to ensure that distribution pipes can be set level for first 2 ft. 232(3)(6)
/,,-'2.) Provide a beginning of leaching pipe elevation on profile (96.38).
3.) Minimum grades over system are
Septic Tank- 99.1
D-Box - 98.2
Beginning of Field- 97.9 �-
End of Field—97.7
Please revise grading as necessary.
p,,-14.) Revise location of 96 contour on south side for breakout compliance (96.9).
5.) The profile is not drawn to scale and cannot be checked. pt/;,y t dna c-
Z
6.) List of upgrades needs to be relabeled as Title 5 variance requests. Some of which can be
handled by the Board of Health as a Variance ie item 3 and others 1 and 2 will require D.
E. P. approval. 15.403
I,
Land Surveyors Civil Engineers Environmental Planners
7.) No disclosure of public wells within 250'is provided. 220 (4)
�.) Extend leaching pipes to end of field and provide an upturned solid pipe and Inter connect
all ends. NA 15.01
Respectfully,
John L.Noonan, P.L.S.-P.E.
Qoffice/forms/45 Hollow.doc
Land Surveyors Civil Engineers Environmental Planners
2
NOONAN & Mc DOWELL, INC.
25 Bridge Street, Suite 6, Billerica, MA 01821-1023
Voice (978) 667-9736 , Fax (978) 671-9565
Email: nm@netway.com
Date /G _—
Town of North Andover
Office of the Health Department
Community Development and Services Division
27 Charles Street
North Andover, MA 01845
RE: Subsurface Sewage Disposal System
Plan Review, 1770/ 06 S�
Assessors Map Z4z_jL/j-Lot
Dear Members of the Board,
Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated
by
It is our opinion that the proposed design will meet the requirements of Title 5 and the North
Andover Board of Health `By-Laws" if the following is addressed:
,..7-- 7---
-�
Z-) /RIC 61 V/4/ _45_�
7-/ �'9
Respectfully,
ewes C C_o C;,
John L. Noonan, P.L.S.-P.E.
G:office/forms/tonarev
Xla 7--
Land Surveyors Civil Engineers Environmental Planners
�'"� .T�T� � �' V fJ�i it`r✓G.�— �� ����'�.
rkO-L
b
CHECKLIST FOR NORTH ANDOVER
N&M Job 1770/ SEPTIC SYSTEM PLANS
The following is a checklist that incorporates all Title 5 and local regulations for septic plans.
Name of Applicant:
//qa/4-J I lfv4'� Name of Designer: /67 157 �/
Plan Date: Z! Revision Date: Date of Review:� '2—
I
Property Address: �� /��'L4C'� / � �`� Map: �Q' - Lot:
BOH Reviewer: Type of Plan(new orpgrade):
Number of Bedrooms ' Ass s Records:_ gpd)Garbage Disposal Allowed: d'1V Q
Qtr fGN�
General Information: N.A.=North Andover Septic Regulations Other numbers refer to Title 5
OK Problem N/A
! Street number and map/lot-220(4)(u)
-�-a Maximum scale of 1 "=40'for plot plan-220(4)
Maximum scale of 1 "=20'for profile and component details-220(4)
Legal boundaries of the facility being served-220(4)(a)
✓ Names of abutters from recent tax map- NA 8.02j
Number of bedrooms,design calcs.,-NA 8.02i
v' Name&address of record owner&applicant- NA 8.02k
Name&address of designer-NA 8.021
� Holder and location of all easements-220(4)(b)
Date plan drawn&any revision date- NA 8.02m
All dwellings and buildings,existing and proposed-220(4)(c)
Location of all existing or proposed impervious areas-220(4)(d)
: All distances ori site`plan=NA 8.03a-c' -
Elevation of proposed driveway-NA 8.02t
Location and elevation of foundation drain-NA 8.02y
Location and dimensions of the system incl.reserve(new const.)-220(4)(e)
f1 Limits of excavation of leach area on site plan-NA 8.02z
�^ Locus plan-220(4)(t) (Not to scale)
North arrow-220(4)(g)
Existing and proposed contours-220(4)(g)
7 Locations and logs of deep holes-220(4)(h)
�7 Locations and logs of percolation tests-220(4)(i)
Date(s)of soil testing-220(4)(h)&(i)
Existing grade elevation of each deep hole-220(4)(h)
a- Elevation of percolation tests-N.A. 8.02n
Name of approving authority representative-220(4)(h)&(i)
Name of soil evaluator-220(4)0)
Soil logs and1perc test logs match BOH records
Locations of waterlines;drains,and subsurface utilities-220(4)(m)
Observed and adjusted g.w.elevation in the vicinity of the system-220(4)(n)
7.— Complete profile of the system to scale-220(4)(o),NA 8.02c
Cross section of leaching facility-NA 8.02w (Not to scale)
Location of benchmark(s)within 50-75 feet of facility-220(4)(q)
Note listing all variance requests with proper citations-220(4)(p)
a--, Local upgrade approval request form submitted 403(1)
Original R.S./P.E. stamp,signature&date-220(1)&(2)
G- If P.E.,discipline specified within stamp. MGL C. 112 s. 81M
sfc. supplies(w/in 400'),pub. wells(w/in 250'),pvt. wells(w/in 150') -220(4)(
Location of watercourses,wetlands,wells,etc. w/in 150'of system-NA 8.02r
Wetland disclaimer-NA 8.02s
RLS plan reference&certification required(prop line setbacks)-220(3)
l-a�a=�etx�ins�desigtreF-s-e r�
Use approvals/standards checked for I/A system-DEP docs.,
2�
6--z_ Perc rate>30 MPI-not allowed for new,LUA for upgrade-245(1)&('3)
Perc rate>60 MPI-must use modified tight tank or IIA technology-245(4)
Proposed system qualifies as"shared" system-002(definitions)
Flow is over 2,000 gpd-No R.S. allowed-220(1)
Design flow was set in accordance with code-203
Existing system location and note on proper abandonment-354
Leaching facility at least 1' above Base Flood elevation—NA 9.05
All piping Sch 40 minimum—NA 10.01
Basement floor minimum F above groundwater elevation—NA 5.04
Foundation drain present with elevation—NA 8.02y
On-site Soil and Groundwater Review
OK Problem N/A
a Proper deep observation hole logs on plan-220(4)(h)
All deep holes and peres.shown,including aborted tests.—NA 8.02n
Soil evaluation forms submitted within 60 days of field work-018(2)
Proper percolation test log-220(4)(i)
Ample deep observation holes in primary disposal area(minimum 2)- 102(2)
Ample deep observation holes in secondary disposal area(minimum 2)- 102(2)
f� Ample perc testing(one in each disposal area,3 in prim.>2,000 gpd)- 104(4)
Deep hole testing conducted within two years—NA 7.05
Hole Identification Numbers:
ground elevation el. C_
acceptable soil el. "—
Leach facilitv invert el.
ground water el.
refusal el.
bottom of leach facility el.
thickness of acceptable soil rr�
before&after soil R&R
c
separation to groundwater
separation to refusal
soil class
perc rate
loading rate
septic tank below g.w.table (yes or no)
pump tank below g.w.table (yes or no)
l.f in fill -255(l)
Setback Distances(Given in feet) 15.21 1
YES NO Is the lot in the Lake Cochiewick Watershed? NA 6.00&5.02
OK Problem N/A
Septic Tank Leach Facility
Property line 10 10
Cellar wall
71� / 5 2
3
Inground pool 10 20
Slab foundation 10 10
r�
Deck,on footings,etc. 5 10
Waterline 10 10
Private drinking well 75 100
.� Irrigation well 75 100
Wetlands
Public well 400. 400
Wetlands bordering surface 150 150
water Supply or trib. (in Watershed)
Trib.To Surface Water supply 325 325
Reservoirs 400 400
Tributaries to reservoirs 200 200
Drains(wat.supply/trib.) 50 100
Drains(intercept g.w.)
Foundation drains 10 20
Drains(Other) 5 10
Drywells 20 25
Downhill slope 15'to 3:1 slope
w/o barrier
Building Sewer
OK Problem N/A
Grease trap required for certain uses(check 230 for details)
Pipe diameter listed(4" minimum)-222(1)
Pipe schedule listed-222(3)
Pipe cast iron or Sch 40 PVC—NA 11.02
Watertight joints specified-222(3)&(4)
Pipe laid on compact,fin base-222(5)
Pipe laid on continuous grade in straight line-222(7)Ca)
Cleanouts precede all changes in alignment and grade-222(8)
Cleanout provided every 100 feet-222(8)
Manhole at any 90 degree alignment change-222(8)
Invert elevation at building:
Invert elevation at septic tank:
Length of run:
Slope: (minimum of 0.01 -0.02 desired)-222(6)
10'offset to private well or suction line-222(2)
3
4
Septic Tank
OK/Problem N/A
L Tank is accessible-228(3)
No structures above tank—(228(3)
Tank can accommodate both primary&reserve—NA 9.04
200%of flow(required&provided given. 1500 min.)-220(4)(f)&223)(1)(a)
2-3"drop from inlet-to outlet-227(5)
Minimum of 4'liquid depth-223(2)
3"air space above tees/baffles(minimum)-227(4)
9"air space above flow line(minimum)-227(4)
l Tees are not to be replaced by baffles-227(1)
Tees extend 6" above flow line-227(1)
Inlet tee extends 10"below flow line(minimum)-227(6)
Outlet tee extends 14"-below flow line(more for deeper tanks)-227(6)
Gas baffle installed on outlet-227(4)
Access manhole cover above center of tank&each tee(except 2 compart)228(2)
3-20"manholes-228(2)
1 childproof,24"riser/manhole w/in 6"of final grade if<1000gpd-228(2)
172 Inlet and outlet tees on center line-227(1)
Soil compaction below tank specified(if soil is non-native)-221(2)
T 6"of<=3/4"stone beneath tank specified-221(2)&22 8(1)
If> 1,000 gpd AND nota single fam.dwell.must be 2 tks or 2 comp.-223(1)(b)
If plan specifies disposal must be 2 tanks in series or 2 com part.tank-223(1)(c)
Buoyancy calcs.required if tank at or below water table-221(8)
Tank is watertight-221 (1)
9"of cover over tank(minimum)-228(1)
H- 10 loading(min.)-H-20 if traffic-226(3)
Top of tank<=36"below grade-221(7)
All pumping to tank(if applies)in accordance with-229
Tank is set to keep old system in service during install if possible
Distribution BOX(Check here if not present: )
OK oblem N/A
Inlet elevation:
Outlet elevation:
0.17'drop from inlet to outlet(minimum)-232(3)(b)
6" sump(minimum)-232(3)(e)
All outlets at same elevation-232(3)(b)
Outlet pipes laid level for first 2 ft.-232(3)(c)
Pipe Sch 40-NA 10.01
Number of outlets: Number of laterals:
Size of outlets:
Inlet baffle/tee min. 1"over outlet invert for all d-boxes-232(3)(a),
Soil compaction below distribution box specified(if soil is non-native)-221(2)
6"of stone beneath distribution box specified-221(2)
Box is watertight-221 (1)
Top of box<=36"below grade-221(7)
Buoyancy calculations required if box is at or below water table-221(8)
PumpChamber(Check here if not present: )
4
OK Problem N/A
Volu ci ied: 220(4)(r) .
ump on elevation- 220(4)(r)
Pump off eleva ' 220(4)(r)
Alarm on vation: 220
Numb of cycles per da - r (also 254(1)(d)if gravity from d-box)
imum 2" me to d-box if gravity-254(1)(c)
4
5
Pressure dosed-11.if flow>=2,000 gpd-254(1)(a)&254(2)(a).
Cycle e dr ay is consistent with chamber volume-23 1
Volume calculations include flowback volume-2') 1(2)
4 hour storage capacity above"pump on elevation-231(2)
Number of pumps: if system serves>2 dwelling units-231(6)
Capacity of pum .(sJ--_ gpm @ 'TDH-220(4)(r)
Pump can, a1/4 "solids(minimum)-231(7)
Pum ntrols sp ified-220(4)(r)
arm equipment specified-231(2)
Alarm is. uilding and powered on separate circuit from pump-2') 1(9)
Pump s uence correct(off-lead on-lag on-alan-n on)-23 .(8)
Pum. erformance curves included-220(4)(r
M ual operating switch-NA 12.01
heck valve,bleeder hole-NA Inl
1 childproof,24"riser/male to final e-2'31(5),
Soil compaction beth pump ch r specified(if soil is non-native)-221(2)
6"of<=3/4"stone beneath chmb pecified-221(2)-&228(1),
Buoyanecalculations if ch er is at or below water table-221(8)@
9" cover over chamb minimum)-228(1)
H- 10 loading(min. -20 if traffic-226(')),
Chamber is w fight-221 (1)
Top of ch am <=36"below grade-221(7)
Leaching Facility(general-complete for all designs)
OK Problem. N/A
50%larger if garbage.disposal-240(4)
--— Trenches to be used whenever possible-240(6)
No vehicle or imperv. area above 11 unless unavoidable-240(7);NA 13.02
Vented if under impervious cover-241 (1)
Vented through same pipes as distribution system-241 (1)(a)
Vent protected from precipitation/animal entry-241 (1)(b)
Vent is placed beyond traffic or impervious area-24 1 (1)(c)
All lines conn ent if bed orches-241(1)(d)
-- 9"cover over peastone-240(9) CYC!
----R-eserve-area-pro-vided(mew construction)-248(1)
ese�v:eALfcQm pimary.-le ca area–NA 9.04
4'(5'if perc rate<=2 MPI) separation to g.w.-212(a)&(b)
4'(down to 2'with variance or UA-upgrades only)of natural soil under 11.
GW separation is adjusted to highest existing grade if facility cuts into a hillside
Pipe slope minimum of 0.005-251(9)
GG Require 5'removal and replacement if in fill-255(5)
Top of leach facility<=36"below grade-221(7)
l/ Final grade over 11.minimum 0.02 ft/ft-240(10)
r' Surface&subsurface drainage away from 11-240(1 1)&245(5)
�^ Minimum design flow 440 gpd without deed restriction–NA 13.01
-- — — 3:1 slope where grading required-255(2)
Toe of fill slope stops 5'from property line or swale installed-255(2)
Impermeable barrier if<3:1 slope or< 15 feet to–3:lslope-255(2)
Impermeable barrier/retaining wall poured concrete–NA 9.02
Retaining wall stamped by P.E.-255(2)(b)
--�_ Top of retaining wall>=top of peastone elevation-255(2)(f)
10'offset from edge of leach facility to edge of ret.wall-255(2)(g)
Perc test(s)done in most restrictive layer- 104(2)
Perc test 4' below leaching elevation–NA 7.06
Design flow listed and required/provided leach area given-220(4)(f)
Leach pipes SCH40 PVC–NA 10.01
Leach pipes minimum 4"diameter except for dosed system–NA 14.04
Leach lines capped,vented,or connected together-251(9)
Pressure dosing guidance followed if pressure distribution-254(2)(c),
Pressure dosing required over 2,000 gpd or with I/A remedial use-231(1)
5
i
6
Leaching Trenches(Check here if not present: )
OK Problem N/A
mbe of trenches:
Ming um of 2 trenches-NA 9:01'(2)
Depth of trenches(max eff.2'): -247(l)
idth of trenches(2'min.,4'max.): -251 (1)(b)
Length of trenches(100'max.): -25 1 (1)(a)
Trenches are vented(when>50')-251 (11)
Trenches follow contour lines-251(2)
Trench spacing 3 times effective th or depth ' imum-251 (1)(d)
In fill or reserve between ches, 10' min.- 14.01& 14.03
Available leach are even(Min.500 s.f.)- 9.01(2)'
Bottom—�� x W x# — s.f.
S' wall
=L xD x# x2= s.f:
Eff ctive leach area given
Loading factor:
Effective area=total area s.f.x LTAR = g/day
Effective area is>=design w of facility being served
2"of 1/8"- 1/2"2x washed eastone.-247(2)
Trench depth of 3/4"to 1 /2"double'washed stone-247(1)
Leach Fields(Check here if not present: )
OK Problem N/A
Number of fields: (need dosing chamber if> 1,231 (1)) f
�^ Length(100'max.): -252(2)(b)
-� Width:
Total area:L x W = s.f.
Minimum 900 square feet-NA 9.01(1)
n Distribution lines connected with solid pipe—NA 15.01
/ Effective leach area given
Loading factor:
Effective area=total area s.f x LTAR = g/dav
Effective area is>=design flow of facility being served
.� Minimum of two distribution lines 252(2)(a)
F 6'line separation(max.)-252(2)(d)
4'maximum separation from edge of field to line-252(2)(e)
10'minimum separation between adjacent leach fields-252(2)(f)
Between 6"and 12"of 3/4- 1 1/2" stone beneath field-252(2)(g)&247(2)
G 2"of 1/8"-1/2"2x washed peastone.-247(2)
Final Grading
OK Problem N/A
Slope over leach area minimum of 0.02 feet/foot—240(10)
Grading shall divert drainage away from leach area—240(l 1)
Grading slopes away from dwelling
5/24/01 f:/office/forms/tonackltr.doc
6
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d TOWN OF NORTH ANDOVER °ES•`'°,•;'"o
HEALTH DEPARTMENT p
27 CHARLES STREET �• . ,�;
NORTH ANDOVER, MASSACHUSETTS 01845
sSACMub
Sandra Starr Telephone(978)688-9540
Public Health Director FAX(978)688-9542
March 28,2002
William Dufresne
Merrimack Engineering
66 Park Street
Andover,MA 01810
Re: 45 Hollow Tree Lane
Dear Mr.Dufresne:
This is to notify you that the proposed plans dated 12/4/01 and revised 1/31/02 for the repair of the septic
system at 45 Hollow Tree Lane,North Andover have been approved with the following variances:
1. Distance from the SAS to foundation,from 20' 15'.
2. Distance from septic tank to foundation,from 10'to 7'.
3. Vertical offset/separation from the bottom of the SAS to groundwater,from 5'to 4'.
4. Distance of septic tank to wetland,from 75'to 51'.
5. Distance of SAS to wetland,from 100'to 51'.
6. Distance from the SAS to street drain from 50'to 32'.
7. Waiver of scaled profile plan.
The homeowner should be made aware that with the high number of variances,and particularly variance number
3,that no additional rooms may be added on to the dwelling until such time as the house is connected to a
functioning sewer system. With this design the septic system is as large as it can be.
In addition,as the engineer,you should note that variance number 7—waiver of scaled plan- will not be granted
again.
If you have any questions,please call the office at 978-688-9540.
Sincerely,
Sandra Starr,R.S.,C.H.O.
Public Health Director
Cc: BOH
Homeowner
J.Noonan
File
Town of North Andover, Massachusetts Form No.2
f MORT1y BOARD OF HEALTH
2 49-
O•'«�e •�ti0
a
DESIGN APPROVAL FOR
ss4CHUSE< SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Te t No.
Site Location
Reference Plans and Specs.
d
NGINEER SIGN 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
,s
x
Fee � Site System Permit No. /// 7L23
SEPTIC PLAN SUBMITTAL FORM
LOCATION:-4LOCATION:-42 OUI- P14 <
NEW PLANS: YES $160.00/Plan
REVISED PLANS: YES11-1 $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES O �
DATE: 1 -- 3l ''n 2..-
DESIGN
iDESIGN ENGINEER: p�R, Gi � C lI/\fj
DATE TO CONSULTANT:
WN OF NORTH ANQOV-72
a BOARD OF HEALTH
When the submission is all in place, route to the Health Secretary
FEB 1 1 2002
i
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com
February 1, 2002
Mr. Sandra Starr, Director of Public Health -`-
�'Jl?' ®� �®cxAE�i
Community Development Department i
27 Charles Street
North Andover, MA 01845 p FEB I 12002 '
RE: 45 Hollow Tree Lane
Upgrade Plan of Subsurface Disposal System
Dear Ms. Starr:
We are in receipt of a review letter from Noonan & McDowell, Inc. dated January 16, 2002
for the above referenced project.
Enclosed herewith are three (3) copies of a revised plan and a septic plan submittal form
dated February 1, 2002.
With regards to the eight (8) items contained in the review letter, we offer the following
comments:
1. The D-Box has been drawn to scale to demonstrate that (2) feet does exist
between the beginning of the leach field and the D-Box although we do not
agree with the reviewer nor can we find any provision in Title 5 or the North
Andover Regulations which require the 1st two level feet to be solid pipe
separated from the soil absorption system. 15.232(3) simply states "outlet
distribution lines shall be level for a minimum of their first two feet of length".
If the reviewer's interpretation were correct then butterfly type systems or
system with the D-Box located in the center of the SAS which distribute in
opposite directions would be prohibited and would not exist.
2. The beginning of the leaching pipe elevation has been provided on the plan.
3. These minimum grades, as determined by the reviewer, are met. Title 5,
15.240 (9,10 and 11) requires 9 inches of soil backfill excluding loam and a
minimum slope of 2% to direct surface drainage away from the system. These
requirements are met.
i
Mr. Sandra Starr, Director of Public Health
February 2, 2002
Page 2
4. In order to meet breakout requirements on the southerly (driveway) side of the
SAS the 96 contour is required to be 17.7 feet from the edge of the leach field.
This requirement is met.
5. All systems inverts, pipe lengths and slopes and finish grades can be easily
determined by the profile as shown and demonstrated by the reviewer's
comment#3, as such, we feel the plan adequately provides any installer the
necessary information to properly install the system and question what
information the reviewer needs to properly check the design for compliance
with Title 5. We request a waiver from the North Andover Regulations
regarding the scale of the profile.
6. We disagree with the reviewer and feel these items are clearly local upgrade
approvals pursuant to Title 5 Sec. 15.403.
7. Plan note#15 makes a statement with regards to existing wells within 150' as
required by 15.220 (4)K(3).
8. Again we disagree with the reviewer in that the distribution lines should be 2.5
feet from the end of the system as they are 2.5 feet from the sides, however, we
have revised the plan accordingly and provide a note with regards to
connecting and upturning the distribution line ends.
We feel, the system as revised, meets the requirements of Title 5 and the North Andover
Board of Health and ask that the design be approved as re-submitted.
Very truly yours,
MER`RIMACK ENGINEERING SERVICES
0,.A� 01,�
William Dufresne
cd
Enclosure
cc: Brian Feeney
MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET • ANDOVER.MASSACHUSETTS 01810
NOONAN & Mc DOWELL, INC.
25 Bridge Street, Suite 6, Billerica, MA 01821-1023
Voice (978) 667-9736 Fax (978) 671-95650QR_rH1 p,Y�lF:�G'
Email: nm@netway.com
E,C3A��OF F6FA1T
MAR 7 2002
Date: March 1, 2002
Town of North Andover
Office of the Health Department
Community Development and Services Division
27 Charles Street
North Andover, MA 01845
RE: Subsurface Sewage Disposal System
Plan Review, 1770/065
45 Hollow Tree Lane
Assessors Map 104A, Lot 18
Dear Members of the Board,
Please be advised that Noonan& McDowell, Inc. has reviewed the plan dated 12/4/01 and
revised 1/16/02, by Merrimack Engineering Services. It is our opinion that the proposed design
will meet the requirements of Title 5 and the North Andover Board of Health`By-Laws" if the
following is addressed:
1) Provide proposed spot grades over septic tank.
2) A wavier is requested for profile not drawn to scale. I believe this should not be granted.
The purpose of a scale is to ensure that vertical and horizontal elements of the design are
complied with. If no scale is used the lines shown provide the allusion of compliance which
may not exist.
3) The upgrade wavier request for items I and 2 should be considered only if it is not possible to
adhere with the regulations. Also what is the mitigating environmental protection provided
to allow for a setback reduction.
4) Items in 220(4)(k) 1 & 2 are not disclosed as to their existence or not.
Respectfully,
John L. Noonan, P.L.S.-P.E.
F:off i ce/boh/1770065-2
Land Surveyors Civil Engineers Environmental Planners
I
NOONAN & Mc DOWELL, INC.
25 Bridge Street, Suite 6, Billerica, MA 01821-1023
Voice (978) 667-9736 Fax (978) 671-9565
Email: nm@netwac
Date 3 / ?�—
Town of North Andover
Office of the Health Department
Community Development and Services Division
27 Charles Street
North Andover, MA '0 1845
RE: Subsurface Sewage Disposal System
Plan Review, 1770/ 1?G�
Assessors Map 1 a—y- Lot /
Dear Members of the Board,
Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated /ZAo i �1,r�cvi sc�
It is our opinion thatthe proposed design will meet the requirements of Title 5 and the North
Andover Board of Health `By-Laws"if the following is addressed:
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John L. Noonan, P.L.S.-P.E. �
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Land Surveyors Civil Engineers Environmental Planners
. 1
Town of North Andover, Massachusetts
1 NORTIy • BOARD OF HEALTH Form No. 1
O��tLEib D �-Y�
3� h. 46 pL
O 10/
�9SS,?Area APPLICATION FOR SITE TESTING/INSPECTIC usON
Applicant 16r an 4- 11 Y1 /
NAME Q 74olO
ADDRESS
Site Location f Ir��9 � � ,�, TELEPHONE
Engineer P—rrl
NAME ADDRESS
Test/Inspection Date and Time TELEPHONE
Fee
CHAIRMAN,BOARD O HEA
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Test No. 0 :�
i
S.S. Permit NO..D.W.C_ No.
C.C. Date. Plbg. Permit No.
i
BOARD OF HEALTH
` H NORTH ANDOVER, MA 01845 ,v of
978-688-9540 eogRo o�'
w cgLTG:r'
APPLICATION FOR SOIL TESTS * V
h
DATE: & PARCEL:
LOCATION OF SOIL TESTS:'
OWNER: I7y t xt of�= r A J\-)10 �!��TIEL. NO.:
ADDRESS: Z'�' j5�— L-a-&JC
ENGINEER: TEL. NO.:
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CERTIFIED SOIL EVALUATOR:
7/f,..(.- Cztiff
3
Intended Use of Land: Residential Subdivision Sin y me Commercial
i
Is This:
` Repair Testing: Undeveloped lot testing:
In the Lake Cochichewick Watershed? Yes No
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$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$200.00 per lot for repairs or
Lipgrades. (If time is not critical, fee for repairs is $75.00)
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans.
3. At least two deep holes 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.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval:
Date Received: �`3 f «'� �'
Check Amount: ��� Check Date:
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TO: NORTH ANDOVER, MASS 'S 19 77
BOARD OF HEALTH
FROM: DESIGN ENGINEER Re: Soil Absorption Sewage
System Inspection
This is to certify that I have inspected the construction of the said disposal system at
Zcs �— lS /7/- 1'1c'1-U Ls¢jsiE North Andover, Mass.
SITE LOCATION
The grades and construction are as specified in my plans and specifications dated
19
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