HomeMy WebLinkAboutBuilding Permit #Exception - 45 WELLINGTON WAY 5/1/2018 t%ORTy
BUILDING PERMIT o��T�ID
TOWN OF NORTH ANDOVER �� hl• `^" 46
APPLICATION FOR PLAN EXAMINATION y�y
Permit it Date Received
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building , One family
❑ Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Please Type r Print Clearly
OWNER: Name: Phone: . '-F'/?
Address• l N 6 MA b' ?3.
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ARCHITECT/ENGINEER & hone.g2ef-3-_Z "°,?31
Addressm&� i /ll,� 5' r�v� i iy MA Reg. No. 6-5�
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
r -��m i^ 'a •�. -�• z.. ... s mss.i+.:`• - —_' e_$�- - e: '"
Plans SubmittedA Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans I
TYPE OF SEWERAGE DISPOSAL
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 e U FORM
PLANNING & DEVELOPMENT Reviewed Ong /g7L�)/Signature_
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COMMENTSCQ� Z� S
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CONSERVATION Reviewed on Signature
COMMENTS - �� ��� �� /� ✓�
HEALTH Reviewed on Si nature rL
COMMENTS `�
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Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Pg
lannin Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Te >p Dempster on site yes
Located at 124 Main ;�,F�`t=�.�/ t t
Fire Department sig , ature/datey � �'t' '#K }'-�'t' � ��•�� �t� `;'�• �°.8��� t
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North Andover Health Department
Community and Economic Development Division
March 17, 2016
Philip Christiansen, P.E.
Christiansen and Sergi, Inc:
160 Summer Street
Haverhill, MA 01830
Re: (Lot 5) 45 Wellington Way (Map 1050, Lot84)
Dear Mr. Christiansen,
The proposed wastewater system design plan for the above site dated February 19, 2016 and
received on March 10, 2016 has been reviewed. Unfortunately, the plan cannot be approved 1
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 where applicable.
1. On sheet l of 2, the foundation drain location isnot clearly indicated and the elevation is
not shown on the design plan(NA 3.2).
2: An inspection port was not shown on the design plan(3 10 CMR 15.240(13)).
3. The breakout elevation for the leach field is not depicted on the design plan.
4. The soil evaluation forms are missing the ESHWT depth from the soil log page for TP-
7B and TP-7C.
5. On sheet 1 of 2,the ESHWT elevation of 113.50 for TP-7A is incorrect.
6. On sheet 1 of 2, the System Elevations for the house and septic tank do not match the
profile view elevations on sheet 2.
7. The ESHWT elevation(133.50) used for the design is incorrect. The ESHWT from TP-
7B must be used for the proposed leach field. The system elevations and profile need to
be revised accordingly.
8. Based on the revised system elevations it appears a sand overdig will be required and
should be depicted on the design plan.
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
i
9. On sheet 1 of 2, existing and proposed spot grade elevations should be added to the area
adjacent to the leach field to confirm the breakout elevation is met.
10. On sheet 2 of 2, the leach field longitudinal section does not depict the required base
material under the distribution pipes (3 10 CMR 15.247(a)).
11. On sheet 2 of 2, the cleanout outlet elevation is incorrect.
12. The area to the west of the leach field appears to be similar to a drainage/infiltration
basin. Please label all proposed drainage areas on the lot.
Please feel free to contact the office or Mill River Consulting at 978-282-0014 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,
Michele Grant
Health Inspector
cc: Messina Development Company
File
Page 2 of 2
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
978.688.8476—FAX
E-MAIL:healthdept@northandoverma.gov
WEBSITE: http://www.northandoverma.gov
SEPTIC PLAN SUBMITTAL
FORM
Date of Submission:
Site Location: tot-5 q-5— Wdl zqc� Wd,� RECEIVED
Engineer: LVapa �'ir) ,C_ MAR 10 2o16
a 15 st TOWN OF NORTH ANDOVER
New Plans? Yes 1i` $LAS/Plan Check# (includes 1 submission UIf MRTMENT
review only)
Revised Plans?Yes $75/Plan Check#/
Site Evaluation Forms Included? Yesy No
Local Upgrade Form Included? Yes No
Telephone#: ! 79- 313 —D3 / Fax#:
E-mail: &5 G&7q
Homeowner n
Name: 5 n.
OFFICE USE ONLY
When the submission is complete (including check):
➢ ✓ Date stamp plans and letter
➢ ✓ Complete and attach Receipt
➢ Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
ABOARD OF HEALTH ^ c
7'a l
OF NOIO-71 ' &4 D 1ju�-;�
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCT "- MAR
Iry OF
Application for a Permit to Construct Repair ( ) Upgrade ( ) Abandon ( ) - Complete System ❑ k F SER
I nAm Wtw Mezl'n 4 Ovy
a
Lo^cation ¢ ��� QUA „pwner's ame
/Parcel# 97,f
Lot# ar
Telephone IT
Installer's Name JL bssi r' Name r ]
Address Address
Telephone# Telephone#
Type of Building: IVAdd Lot Size al, -7.FD Sgfeet
Dwelling—No.of Bedrooms Garbage Grinder
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow(min.'r_equire ) 4W) gpd Calculated design flow gpd Design flow provided gpd
Plan: D e /i� Number of sheets =� Revision Date
Title sinwi I)evpn (oIS —
Description of Soil(s)
Soil Evaluator Form No.1/a ! PL Name of Soil Evaluator valuation 1 3
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further P--4(
�, h
agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed S�,,t4_e, Date /
Inspections
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
` Commonwealth of Massachusetts
City/Town of North Andover
Percolation Test
Form 12
G„M
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
filling out forms A. Site Information
on the computer,
use only the tab Gordon Family Trust
key to move your Owner Name
cursor-do not 602 Boxford Street LOT 5
use the return
key. Street Address or Lot#
'
North Andover MA 01845
I` City/Town State Zip Code
Philip Christiansen 978.373.0310
Contact Person(if different from Owner) Telephone Number
B. Test Results
1/13/2015 11:20 am 1/13/2015 1:00 pm
Date Time Date Time
Observation Hole# 7A 7B
Depth of Perc
30" 30" '
Start Pre-Soak 11:24 1:00
End Pre-Soak 11:39 1:15
Time at 12" 11:39 1:15
Time at 9" 11:40 1:17
Time at 6" 11:42 1:20
Time (9"-6") 2 min 2 min
Rate(Min./Inch) <2 min/inch 2 min/inch
Test Passed: ® Test Passed:
Test Failed: ❑ Test Failed: ❑
Philip Christiansen
Test Performed By:
Isaac Rowe
Witnessed By:
Comments:
l
t5form12.doc•06/03- - _ ,_ __ r-_. ____ _._.._______-_.__ _______.__--_-Perc Test-Page 1-of,1
Commonwealth of Massachusetts
j City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
IA. Facility Information
Gorton Family Trust
Owner Name
602 Boxford Street LOT 5 Map 105C Lot 88
Street Address Map/Lot#
North Andover MA 01845
City State Zip Code
B. Site Information
i
1. (Check one) ® New Construction ❑ Upgrade ❑ Repair
1
NCRS 421 B &C
2. Soil Survey Available? ® Yes ❑ No If yes: Source Soil Map unit
CANTON LARGE STONES
Soil Name Soil Limitations
j 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published/Source Publication Scale Map Unit
r
Geologic/Parent Material Landform
i
14. Flood Rate Insurance Map
1
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
i
15. Wetland Area: Wetlands Conservancy Program Map Map unit Name
i
6. Current Water Resource Conditions (USGS): Month/Year Range: El AboveNormal ElNormal El BelowNormal
7. Other references reviewed:
� I
tplot7•rev.3/13 I Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8
i
Commonwealth of Massachusetts
City/Town of North Andover
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)
i Deep Observation Hole Number: 7-A 1/9/2015 11 am 32 SNOW
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 123.5 Location (identify on plan):
2WOODS NO 0-3
. Land Use
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
OAK W PINE OUTWASH PLAIN BOTTOM
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body Drainage Way
feet>100 feet>100 >100
Possible Wet Area feet
>50 >100 >100
Property Line feet Drinking Water Well feet Other feet
4. Parent Material: Alluvial Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: El Yes ® No If yes-
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 113.50
inches elevation
1
1
I i
e
tp lot7•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8
f
j Commonwealth of Massachusetts
City/Town of North Andover _
' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number:
7-A
i
Redoximorphic Features Coarse Fragments
Depth(in.) Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil
Soil Consistence Other
i Layer Moist(Munsell) (USDA) Cobbles$ Structure Moist
Depth Color Percent Gravel Stones (Moist)
i
0-5 A 10YR3/2 FSL
i
! 5-26 BW 1 10YR4/4 LS
26-51 C1 10YR4/5 CS
51-96 C2 2.5Y5/4 MS
96 REFUSAL
i
Additional Notes:
i
i
tp lot7•rev.3/13 ; Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8
t
Commonwealth of Massachusetts
City/Town of North Andover
!Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
i
3 C. On-Site Review (continued)
Deep Observation Hole Number: 7-B 1/9/2015 11 AM 32 SNOW
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 124.00 Location (identify on plan):
j 2. Land Use WOODS NO 0-3
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
OAK W PINE OUTWASH PLAIN BOTTOM
Vegetation Landform Position on Landscape(attach sheet)
i
F
:3. Distances from: Open Water Body '100 Drainage Way >100 Possible Wet Area '100
f feet feet feet
Property Line fee Drinking Water Well fee00 Other feet
14. Parent Material: ALLUVIAL Unsuitable Materials Present: ❑ Yes ® No
i
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
i 5. Groundwater Observed: ® Yes ❑ No Ifes: 80
y Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 72" 118.00
inches elevation
i
{
1
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tp lot7•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8
i
i
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 7-B
Redoximorphic Features Coarse Fragments
iDepth(in.) Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil
Soil Consistence Other
Layer Moist(Munsell) (USDA) Cobbles& Structure
j Depth Color Percent Gravel Stones (Moist)
{
� 0-5 A 10YR3/2 FSL
I5-26 BW 1 10YR4/4 LS
26-51 C1 10YR4/6 CS
i 51-86 C2 2.5Y5/4 MS
86 REFUSAL
i
j
Additional Notes:
f �
i
i
i
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tp lot7-rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8
4
i Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 7-C 1/9/2015 11 AM 32 SNOW
Date Time Weather
i 1. Location
Ground Elevation at Surface of Hole: 125.00 Location (identify on plan):
12. Land Use WOODS NO 0-3
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
i OAK W PINE OUTWASH PLAIN BOTTOM
i Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100
feet feet feet
Property Line feefee>50 Drinking Water Well >100 Other feet
®
4. Parent Material: ALLUVIAL
Unsuitable Materials Present: El Yes No
z
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) 11 Weathered/Fractured Rock ElBedrock
64 80"
r 5. Groundwater Observed: ® Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: in 120.75
i, nches elevation
s �
ii
1
tp lot7-C•rev.3/13 Form 11 —Soil.Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8
r
jCommonwealth of Massachusetts
lCity/Town of North Andover
- _ (Form 11 - Soil Suitability Assessment for On-Site Sewage; Disposal
i
i`
ID. Determination of High Groundwater Elevation
�1. Method Used:
ElDepth observed standing water in observation hole A. B.
inches inches
❑ Depth weeping from side of observation hole A. B.
inches inches
E] Depth el 113.50el118.00 B.Depth to soil redoximorphic features (mottles) inches inches
❑ Groundwater adjustment(USGS methodology) A. B.
inches inches
2.
Index Well Number Reading Date Index Well Level
Adjustment Factor Adjusted Groundwater Level
i
JE. Depth of Pervious Material
11. 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?
® Yes ❑ No
a
i b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: inches
i
tp lot7•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8
A
} 'Commonwealth of Massachusetts
'City/Town of North Andover
m ;Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 7-C
Redoximorphic Features Coarse Fragments
i Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume , Soil Soil
Depth(in.) Consistence Other
Layer Moist Munsell
y (Munsell) (USDA) Cobbles& Structure Moist
Depth Color Percent Gravel Stones (Moist)
0-4 A 10YR3/2 FSL
4-32 BW 1 10YR4/4 FSL
32-84 C1 2.56/4 FLS
i
REFUSAL
3
I
{ Additional Notes:
i
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4
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tp 1 lot7-C•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8
_
I ,
i Commonwealth of Massachusetts
City/Town of North Andover
1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. Certification
certify that 1 am currently approved by the Department of Environmental Protection pursuant to 31.0 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 rther certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form,
are accurst nd in accor nc ith 310 CIVIR 15.100 through 15.107.
1/9/2015
Si dature o oil uator Date
Philip ristiansen #378 11/1994
I
Typed/,Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam
Isaac Rowe North Andover
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 Test Form 12.
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tp lot?-rev.3/13 ! Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 7 of 8
TOWN OF NORTH ANDOVER '`
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
ANDOVER; MASSACHUSETTS 01845 -
Susan Y.Sawyer,REHS,RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
healthde tRytownofnorthandc ver.com +
wtivw.townofnorthandover.co a C�—WED
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APPLICATION FOR SOIL TESTS NOV 'L,,g 2014
DATE: 11/24/2014 MAP&PARCEL: 105C.22 TOWN Ur NUS<IHANDUVF_R
602 Boxford St, NA Lot " A '' �
a ��R �� T
LOCATION OF SOIL TESTS..
OWNER: Gorton Family Trust--' __ Contact#:
APPLICANT:Messina Development -Contact#:978-83_7-__956
ADDRESS:277 Washington St; -Groveland; -MA-01834
ENGrIEEx:-Christiansen-&-Sergi,--Inc -- Contact#: 978-6373-0310 - --
_
Christiansen
CERTIFIED SOIL EVALUATOR: Philip
-Intended Use of Land:, Residential Subdivision-, Single Family Home Commercial
Is This: Repair Testing: Undeveloped Lot Testing: ^ Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No X
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 plan&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 withiri 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 ate: o !
Signature of Conservation Agent:
Date back to Health Department: (stamp in):
C��fL�t•�t
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17
North Andover Health Department
Community and Economic Development Divisi
March 28, 2016
2
/ G
Messina Development CorpP
277 Washington Street
Groveland, MA 01834
Re: Subsurface Sewage Disposal System Pla or 45 Wellington ay—Lot 5
(Map 105C, Lot 88)
To Whom It May'Concern:
The proposed wastewater system design plan for the above site dat d February 22, 2016 with a
final revision date of March 22, 2016 and received on March 23, 2016 has been approved.
The design has been approved for use in the construction of a new on-site septic system for a 4-
bedroom(max 9-room)home utilizing a gravity leach field system. This design plan approval is
valid until March 24, 2019.
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.
This approval is also subject to the following conditions:
1. Prior to the issuance of the Disposal Works Construction Permit, the applicant must?
submit a foundation as-built at the same scale as the approved plan'`
r ..� l
2. Prior to the issuance of the Disposal Works Construction Permit,the applicantm_s
submit the floor plans of the proposed dwelling showing no,greater than 4 bedrooms
or a total of 9 rooms.
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
45 Wellington Way—Lot 5 March 28, 2016
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
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 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.
cerely,
, � �
L
Michele Grant
Health Inspector
Encl. Installers list
cc: Philip Christiansen, P.E.
File
Page 2 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
CHRISTIANSEN & SERGI, INC
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET,HAVERHILL,MA 01830
tel:978-373-0310 www.csi-engr.com fax 978-372-3960
March 21, 2016
Michelle Grant
Health Inspector
RE-
North Andover Board of health
1600 Osgood St, Suite 2035 MAH L Cu I u
North Andover, MA 01845
5 TOWN OF NORTH ANDOVER
RE: (Lot 5)i Wellington Way HEALTH DEPARTMENT
Dear Ms. Grant:
In response to your letter of March 18, with Comments on the Septic System Design, I
offer the following:
1 On sheet 1 of 2, the foundation drain location is not clearly indicated and the elevation is
not shown on the design plan (NA 3.2). The foundation drain has been labeled and an
invert added
2 An inspection port was not shown on the design plan (3 10 CMR 15.240(13)). An
inspection port has been added
3 The breakout elevation for the leach field is not depicted on the design plan. The
breakout elevation has been added to the plans in profile as well as plan view
4 The soil evaluation forms are missing the ESHWT depth from the soil log page for TP-
7B and TP-7C. The soil evaluation forms have been corrected.
5 On sheet 1 of 2, the ESHWT elevation of 113.50 for TP-7A is incorrect. The elevation for
ESHWT has been corrected.
6 On sheet 1 of 2, the System Elevations for the house and septic tank do not snatch the
profile view elevations on sheet 2. The elevations have been corrected to match
7 The ESHWT elevation (133.50) used for the design is incorrect. The ESHWT from TP-
7B must be used for the proposed leach field. The system elevations and profile need to
be revised accordingly. The system design has been corrected to use the data from TP-7B.
8 Based on the revised system elevations it appears a sand overdig will be
required and should be depicted on the design plan. The overdig has been
revised on the plan
9 On sheet 1 of 2, existing and proposed spot grade elevations should be
added to the area adjacent to the leach field to confirm the breakout
elevation is met. Proposed contours have been added to plan view to
confirm the breakout grading
10 On sheet 2 of 2, the leach field longitudinal section does not depict the
required base material under the distribution pipes (3 10 CMR
15.247(a)). The note concerning base material has been added
11 On sheet 2 of 2, the cleanout outlet elevation is incorrect. Cleanout
elevation has been added
12 The area to the west of the leach field appears to be similar to a drainage/infiltration
basin. Please label all proposed drainage areas on the lot.It is not a designed infiltration
are but only a flat area in the yard. No credit for infiltration was claimed for this area in
the Stormwater report. If it was to be considered a drainage area it complies with the
offset requirements of Title S.
I hope this answers all of your concerns. If you have any additional questions, please do not
hesitate to call me.
Sincer ly
Phil' G. Christiansen
Commonwealth of Massachusetts RECEIVED
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On=Site Sewage Disposal
MAK 2 2 [016
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
A. Facility Information
Gorton Family Trust
Owner Name
602 Boxford Street LOT 5 Map 105C Lot 88
Street Address Map/Lot#
North Andover MA 01845
City State Zip Code
B. Site Information
1. (Check one) ® New Construction ❑ Upgrade ❑ Repair
2. Soil Survey Available? ® Yes ❑ No if yes: NCRS. 421 B &C
Source Soil Map Unit
CANTON LARGE STONES
Soil Name Soil Limitations
3. Surficial Geological Report Available? ❑ Yes 0 No If yes: Year Published/Source Publication Scale Map Unit.
Geologic/Parent Material Landform
4. Flood Rate Insurance Map
Above the 500-year flood boundary?, ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No
i
Within the 500-year flood boundary?, ❑ Yes ❑ No Within a velocity zone? ❑ Yes [1 No
5. Wetland Area: Wetlands Conservancy Program Map
Map Unit Name
6. Current Water Resource Condition's (USGS): Month/Year Range: Above.Normal E] Normal ❑ Below Normal
.
7. Other references reviewed:
3-2,1-1(.
tp lot7•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8
Commonwealth of Massachusetts
City/Town of North Andover
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-A 1/9/2015 11 am 32 SNOW
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 123.5 Location (identify on plan):
2. Land Use WOODS NO 0-3
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
OAK W PINE OUTWASH PLAIN BOTTOM
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water;Body >100 Drainage Way >100 Possible Wet Area >100
feet feet feet
>50 >100 >100
Property Line feet Drinking Water Well feet Other feet
4. Parent Material: Alluvial Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: 0 Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 96" 115.50
inches elevation
tp lot7•rev.3/" Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8
-�L\ Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site,Review (continued)
Deep Observation Hole Number: 7-A
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 8 (Moist)
Stones
0-5 A 10YR3/2 FSL
5-26 BW 1 10YR4/4 LS
26-51 C1 10YR4/5 CS
51-96 C2 2.5Y5/4 MS
96 REFUSAL
Additional Notes:
tp lot7•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site.Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 7-B 1/9/2015 11 AM 32 SNOW
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 124.00 Location (identify on plan):
2. Land Use WOODS NO 0-3
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
OAK W PINE OUTWASH PLAIN BOTTOM
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body '100 Drainage Way >100 ; Possible Wet Area >100
feet feet . i feet
Property Line >50 — Drinking Water Well >100 '
100' Otherfeet feet
4. Parent Material: ALLUVIAL Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
80
5. Groundwater.Observed: ® Yes ❑ No If yes: Depth.Weeping from Pit Depth Standing Water in Hole
72" 118.00
Estimated Depth to High Groundwater: inches elevation
tp lot7•rev.343 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 7-13
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil
Depth(in.) La er Moist Consistence Other
Munsell
y ( ) (USDA) Cobbles& Structure
Depth Color Percent Gravel Stones (Moist)
0-5 A 10YR3/2 FSL
5-26 BW 1 10YR4/4 LS
26-51 C1 10YR4/6 CS
51-86 C2 2.5Y5/4 MS
86 REFUSAL
ESHWT 72"
Additional Notes:
tp lot7•rev.aa3 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8
Commonwealth of Massachusetts
City/Town of North Andover
A Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number:' 7-C 1/9/2015 11 AM 32 SNOW
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 125.00 Location (identify on plan):
2. Land Use WOODS NO 0-3
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
OAK W PINE OUTWASH PLAIN BOTTOM
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100
feet feet feet
Property Line ee0 Drinking Water Well >1fee00 Other feet
4. Parent Material: ALLUVIAL Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
64 80"
5. Groundwater Observed: ® Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 51 120.75
inches elevation
tp lot7-C•rev.343 Form 11 -Soil.Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 7-C
Redoximorphic Features Coarse fragments.
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume; Soil
Depth(in.) Soil Consistence Other
Layer Moist(Munsell)' (USDA) Cobbles& Structure
� Depth Color Percent Gravel (Moist)
Stones
0-4 A 10YR3/2 FSL
4-32 BW 1 10YR4/4 FSL
32-84 C1 2.56/4 FLS
REFUSAL
ESHWT 51" l
Additional Notes:
tp lot7-C•rev.34-3 Form 11 —Soil Suitability.Assessment for On-Site Sewage Disposal •Page 5 of 8.
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination. of High Groundwater Elevation
1. Method Used:
❑ Depth observed standing water in observation hole A. B.
inches inches
❑ Depth weeping from side of observation hole A. B.inches inches
❑ Depth to soil redoximorphic features (mottles) A. -115.50- B. 118.00
inches 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?
® Yes ❑ No
b. If yes;at what depth was it observed? Upper boundary: inches Lower boundary: inches
tp lot7•rev.3/13 . Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8
Commonwealth of Massachusetts
City/Town of North Andover
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. 1 rther certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form,
are accurat nd in accor nc ith 310 C R 15.100 through 15.107.
-
1/9/2015
Si nature o oil uator Date
Philip ristiansen-#378 11/1994
Typed Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam
Isaac Rowe North Andover
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 Test Form 12.
tp lot7•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8