HomeMy WebLinkAboutMiscellaneous - 0 FOREST STREET 4/30/2018 (2)0 FOREST STREET
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WILLIAM J. SCOTT
Director
(978)688-9531
May 27, 1999
Andover Consultants Inc.
I East River Place
Methuen, MA 01844
RE: Lot C Forest Street
Dear Mr. MacLeod:
North Andover
OFFICE OF
LOPMENT AND SERVICES
27 Char' -s Street
North Andover, Massachusetts 01845
;~
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31 y° °c
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Fax(978)688-9542
This is to inform you that the plans for the proposed septic system at Lot C (Map
105d 71) Forest Street have been approved for a dwelling with a maximum of nine
rooms.
If you have any questions or comments, feel free to call the Health Department at
978-688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: G. Welch
A. Gilbert
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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BOARD OF HEALTH
NORTH ANDOVER, MA 01845
APPLICATION FOR SOIL TESTS
DATE: March 22. 1999
LOCATION OF SOIL TESTS:
Assessor's MAP & PARCEL NUMBER:
OWNER: Anna Gilbert
ADDRESS: 260 Main Street, Salem, NH
Lot C, Forest Street
Map 105D. Parcel 71
TEL. NO.: 603-890-6190
ENGINEER: Andover Consultants Inc. TEL. NO.: 687-3828
CERTIFIED SOIL EVALUATOR: David Jordan
Intended use of land: Residential subdivision, single family home, commercial
Repair Testing X Undeveloped lot testing
N.A. Conservation Commission Approval:
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
E MAR 2 41999
1. Proof of land ownership (tax bill, deed, or letter from owner permitting tests)
2. Plot plan
3. Fee of $275.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of $75.00 per lot for repairs
or upgrades.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic
disposal area.
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 "A 00) 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.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date: April 7, 1999
Commonwealth of Massachusetts
North Andover, Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: David Jordan Date: April 7,1999
Witnessed By: Carlton Brown
Location address or Lot #
Lot C
Forest Street
Town Map 105D, Lot 71
New Construction N Repair ❑
Office Review
Owner's Name, Address, and Tel. #
Anna Gilbert
260 Main Street Salem, NH
603-890-6190
Published Soil Survey Available: No ❑ Yes N
Year Published 1981 Publication Scale 1:15,840 Soil Map Unit CbC
Drainage Class WD Soil limitations Permeability, stones
Surficial Geologic Report Available: No N Yes ❑
Year Published Publication Scale Soil Map Unit
Geologic Material (Map Unit)
Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑
Within 500 year flood boundary No
Above 100 year flood boundary No ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS):
Range: Above Normal ❑
Other References Reviewed:
Yes N
Yes ❑
Yes N
Month March
Normal N Below Normal ❑
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No: Lot C, Forest Street
On-site Review
Deep Hole Number 1 Date: 4/7/99 Time: 9:40 AM Weather: 55° Partly Sunny
Location (identify on site plan)
Land Use: Wooded Slope (%) 0-3 Surface Stones Few 1-3' scattered
Vegetation: Oak, pine
Landform: Ground moraine
Position on landscape (Sketch on back)
Distances from:
Open Water Body: >100 Feet
Possible Wet Area: >100 Feet
Drinking Water Well: 160 Feet
Drainage Way: >100 Feet
Property Line: 47 Feet
Other:
DEEP OBSERVATION HOLE LOG
Depth from
Soil Horizon
Soil Texture
Soil Color
Soil Mottling
Other
Surface
(USDA)
(Munsell)
(Structure, Stones, boulders,
(inches)
Consistency, % Gravel
04
A
Sandy Loam
10YR3/4
4-17
Bw
Sandy Loam
7.5YR4/6
17-24
BC
Sandy Loam
10YR5/6
Massive, friable
20% gravel
24-75
C
Cobbly Sandy
2.5Y4/3
34"
Massive, friable,
Loam
many, coarse
Extremely gravelly, cobbly
2.5Y5/6
Parent Material (geologic) Basal Till Depth of Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face:
Estimated Seasonal High Ground Water: 34"
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. Lot C, Forest Street
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of observation hole inches
® Depth to soil mottles 34 inches
❑ Ground water adjustment feet
Index Well Number Reading Date Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? Yes
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on Fall 1996 (date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above
analysis was performed by me consistent with the required training, expertise and
experience described in 310 CMR 15.017.
Signature Date
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No: Lot C, Forest Street
On-site Review
Deep Hole Number 2 Date: 4 799 Time:10:55 AM Weather: 55° Partly SRM
Location (identify on site plan)
Land Use: Wooded Slope (%) 0-3 Surface Stones Few 1-3' scattered
Vegetation: Pine, oak
Landform: Ground moraine
Position on landscape (Sketch on back)
Distances from:
Open Water Body: >100 Feet Drainage Way: >100 Feet
Possible Wet Area: >100 Feet Property Line: 58 Feet
Drinking Water Well: 172 Feet Other:
DEEP OBSERVATION HOLE LOG
Depth from
Soil Horizon
Soil Texture
Soil Color
Soil Mottling
Other
Surface
(USDA)
(Munsell)
(Structure, Stones, boulders,
(inches)
Consistency, % Gravel
0-4
A
Sandy Loam
10YR3/4
4-16
Bw
Sandy Loam
7.5Y4/6
16-24
BC
Sandy Loam
10YR4/6
24-84
C
Cobbly Sandy
2.5Y4/3
34"
Massive, friable
Loam
many coarse
extremely gravelly, cobbly
10YR5/8
Parent Material (geologic) Basal Till Depth of Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face:
Estimated Seasonal High Ground Water:
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. Lot C, Forest Street
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of observation hole inches
® Depth to soil mottles 34 inches
❑ Ground water adjustment feet
Index Well Number Reading Date Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? Yes
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on Fall 1996 (date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above
analysis was performed by me consistent with the required training, expertise and
experience described in 310 CMR 15.017.
Signature Date
Location Address or Lot No. Lot C, Forest Street
Commonwealth of Massachusetts
North Andover, Massachusetts
Percolation Test*
Date: April 7, 1999
Observation Hole #
1
2
Depth of Perc
42"
42"
Start of Pre-soak
10:36
10:46
End of Pre-soak
10:52
11:06
Time at 12"
10:52
11:06
Time at 9"
11:15
11:16
Time at 6"
11:45
11:29
Time (9"-6")
30
13
Rate (Min./Inch)
10
5
*Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed ® Site Failed ❑
Performed By: David Jordan
Witnessed By: Carlton Brown
Comments:
BOARD OF HEALTH TEL. 688-9540
NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE: 10 `2-6-9 ?f
LOCATION OF SOIL TESTS: 6icesi S+
Assessor's map & parcel number: _ /'a,7 t' 1 p � 1,o I
0WNER: tT �% - &'llia7, TEL. NO.:__91 S- 0
ADDRESS: �{S� IN�;�Z�l� S t—, � ew u2l &Ltk.
ENGINEER:Z,VWg�- ��L, TEL. NO.:
CERTIFIED SOIL EVALUATOR: �•
Intended use of land: residential subdivision, single fanjiy ho mercial
Repair testing Undevel ed t to 1/
N. A. Conservation Commission Approval:
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of $275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of $75.00 per lot for
repairs or upgrades.
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.
1
11/02/1998 15.37 508 940363
26.0 Main Street, Apt. #2
Salem, NH 03079
November 2, 1998
To whom it may concern:
Re: Lot C, Forest. Street
North Andover; MA
WILLIS A[ -,1D WILLIS
4
PAGE 02
1, Anna M. Gilbert, owner of the above property hereby authorize and assent
to William P. Johnson, Trustee of W. P. J. Development Trust filing for and testing
my property for septic system designs.
Sincerely,
6��� Y11
Anna M. Gilbert
9� 6
.".n..v.nz..: ,
r,
C
��q_ cocra�cwa ,1�
Applican
Town of North Andover, Massachusetts Form No. 1
BOARD OF HEALTH
&,Il a-5-- 19
APPLICATION FOR SITE TESTING/INSPECTION
61-69 If 1i
Site Location lleD7` 6 ;Z6 2:57 5r "106—b
Engineer AQ DO �j4)65V6,77VWa ^ T^ ^^
Test/Inspection Date and Time_ O? fP-IL 19q,7 /O hm
_
CHATRMAN, BOARD OF HEALTH
Fee 7 Test No. 9 �+/ l
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
+forth Andover epith Oe artment
1600 Osgood Street
3uilding 20, Suite 2.36
Borth Andover, MA 01845
978.688.9540 -phone
478.688.8476 — F(Ix E -Mail
henithde t townofnOtthandover.com
www.townofnorthandover.com website
l
�# Transmittal o
�.e�tt+2r � I
ATI°
Page of
9SSACHUS� �
I
DAiE:
FROM: Pamela DelleChiaie, Health Department Assistant
Fax:
O Copy of Lefler
Plans 0 Other (fill in below)
We are sending you:
These are transmitted as checked below:
Okr
Ofcrbe*Wnd`a Wme
OfarYowum
OAs&Ohed
REMARKS:
I (OPY i0:
COPY 10:
iSIGNED: (/
COPY TO
Odd apWfar
y. Off_— �p„�}Grdsx
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System constructed;
( ) repaired;
by _George Henderson Co Inc
located at #775 Forest St., North Andover MA (Subd Lot #C)
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit # , plan dated_ Dec . 10 , 2 0 0 , with a design flow
of 440 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: 7-1-04
Final inspection date: 11-18-04
Installer:
Joseph Burke, P.E.
Engineer Representative
Joseph Burke, P.E.
Engineer Representative
#:2_21& Date: 5 -Z -7 -05 -
Engineer:
-2-7-OS
Engineer: Date: 6-1-0-5
William S. Macleod, R.S., P.L.S. -
OF
WILLIAM yG
g S.
-J' MACLEOD ti
N0. 742
'ISTER��
ot Spy
RECEIVED
JUN 16 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Town of North Andover
Office of the Health Department
Community Development and Services Division
400 OSGOOD STREET
North Andover, Massachusetts 01845
Susan Y. Sawyer, REHS/ RS
Public Health Director
978.688.9540 - Phone
978.688.8476 - Fax
CE2�'�FIC,A�E o�F C09Y(DrIANCE
As of:
,dune 16, 2005
9his is to cert that
the individual su6surface disposal system
Constructed(X)l or
Repaired— (----
oy
George Yfenderson
775 (aka -.Got C) Forest Street
North Andover, WA 01845
9fas 6een installed in accordance with the provisions of Title V of the State Sanitary Code and
with the North Andover Board ofifealth regulations.
The issuance of this certificate shall not 6e construed as a guarantee that the system will
function satisfactorily.
usan T Sawyer, E91[S/R5
fu6C�c Yfealth Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEAL'T'H 688-9540 PLANNING 688-9535
FINAL GRADE INSPECTION
Date: �,-.,v
Address:
�Y/�AMED?
EDED?
o COVER PER PLAN?
Other:
�),5r
AS -BUILT CHECKLIST
/ LOT NUMBER, STREET NAME
V ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
`TIES TO LOT LINES DWELLING, WELLS
a. FROM SEPTIC TANK
vt. FRidq�CH AREA
ORIGINAL STAMP & SIGNATURE
I .
MPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
�/ LOCATION & ELEVATIONS OF BENCHMARK USED
LOCATIONS OF DEEP HOLES & PERC
V
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D -BOX
ORIGINAL STAMP & SIGNATURE
I .
MPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
�/ LOCATION & ELEVATIONS OF BENCHMARK USED
AS -BUILT CHECHI,IST
V L
/ OT NUMBER, STREET NAME
V/ ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
TIES TO LOT LINES & DWELLING, WELLS
a. FROM SEPTIC TANK
/ b. FROM LEACH AREA
LOCATIONS OF DEEP HOLES & PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM YZ 04 -f -u r�
TOP OF FDN ELEVATION
J6
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.
I/ NORTH ARROW
LOCATION & ELEVATIONS OF BENCHMARK USED
i sluff puot—
TOWN OF NORTH ANDOVER NORTH
O� ,a•
Office of COMMUNITY DEVELOPMENT AND SERVICES �r •' tp
HEALTH DEPARTMENT
t
400 OSGOOD STREET►
NORTH ANDOVER, MASSACHUSETTS 01845 cHust`�
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
,775 -
ADDRESS: -fti6 Forest Street (aka Lot C) MAP: 105D
INSTALLER: George Henderson
DESIGNER: Andover Consultants
PLAN DATE: 12/8/2003
BOH APPROVAL DATE ON PLAN: 12/10/2003
DATE OF BED BOTTOM INSPECTION:9/22/2004, again on 10/8/04
DATE OF FINAL CONSTRUCTION INSPECTION: 11/29/04,12/2/04
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE Gravity Distribution
COMPONENT SUMMARY FROM PLAN
GALLON TANK = 1500
LOADING OF SEPTIC TANK = H-10
GALLON PUMP CHAMBER = n/a
LOADING OF PUMP CHAMBER = n/a
TYPE OF SAS = Trenches
DIMENSIONS AND DETAILS OF SAS:
SITE CONDITIONS
❑Existing septic tank properly abandoned
®Internal plumbing all to one building sewer
®Topography not appreciably altered
Comments:
LOT: 71
Page 1 of 3
TOWN OF NORTH ANDOVER pORT11
of .• �ti
Office of COMMUNITY DEVELOPMENT AND SERVICES 3r •'`f� °o°
!O- s A
HEALTH DEPARTMENT 41
400 OSGOOD STREET �'^• •'"''
NORTH ANDOVER, MASSACHUSETTS 01845 �'�S`s;;C,,,;s
Susan Y. Sawyer, REHS/RS 978.688.9540 —Phone
Public Health Director 978.688.9542 — FAX
SEPTIC TANK
® Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading 2 -Piece construction
® Water tightness of tank has been achieved
(Water held for 24hrs)
® Inlet tee installed, centered under access port
® Outlet tee (gas baffle) installed, centered under
access port
® 24" inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
® Hydraulic cement around inlet & outlet
Comments:
D -BOX
® Installed on stable stone base
❑ Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
® Speed levelers provided (not required)
Comments:
Page 2 of 3
TOWN OF NORTH ANDOVER NORTH ,
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT41
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS Ol 845 �'ss;C,�„5 t�
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
SOIL ABSORPTION SYSTEM
® Bottom of SAS excavated down to C soil layer, as
provided on plan
® Size of SAS excavated as per plan
® Title 5 sand installed, if specified on plan
® 3/4-1 Y2" double washed stone installed
® 1/8-1/2" (peastone) double washed stone installed
® laterals installed and ends connected to header (and
vented if impervious material above)
® Orifices @ 5 & 7 o'clock positions
❑ Gravelless disposal systems: type, number and
location as per plan
® Elevations of laterals installed as on approved plan
❑ 40 Mil HDPE barrier installed
❑ Retaining wall (boulder / concrete / timber/ block)
❑ Final cover as per plan
Comments:
SYSTEM ELEVATIONS
Benchmark: 152.00
Rod at Benchmark: 3.06
Height of Instrument: 155.06
INVERT ON DESIGN PLAN INVERT ELEVATION
Building Sewer OUT
152.50
152.28
Septic Tank IN
152.30
152.05
Septic Tank OUT
152.05
151.89
Middle of Pipe
151.51
D -BOX IN
151.08
151.11
D -Box OUT
150.91
150.95
Trench High End
150.73
150.91
Trench Low End
150.50
150.67
High End
150.73
150.93
Low End
150.50
150.67
High End
150.73
150.93
Low End
150.50
150.67
High End
150.73
150.91
Low End
150.50
150.66
Page 3 of 3
Page 1 of 1
Dellechiaie, Pamela
From: Dan Ottenheimer [info@millriverconsulting.com]
Sent: Friday, December 03, 2004 1:40 PM
To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer
Subject: Forest Street
Folks,
Attached are the inspection reports for Lot A and Lot C Forest Street. We did the final inspection earlier this week
and then a water tightness test (no charge) for the tanks yesterday. The two leach fields are now properly
constructed. The tank for 785 Forest Street is fine, the one for 795 Forest Street appears to not be watertight. I
will contact George about this to get him to figure out what is going on.
Dan
I
Daniel Ottenheimer, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.millriverconsulting.com
dano@millriverconsulting.com
12/3/2004
Page 1 of 1
Dellechiaie, Pamela
From: Lisa LeVasseur [lisal@millriverconsulting.com]
Sent: Wednesday, December 01, 2004 9:46 AM
To: Susan Sawyer; amcbrearty@miliriverconsulting.com; 'Pamela Dellechiaie'
Subject: North Andover inspections
Good morning,
The following inspections are scheduled:
Thursday, Dec. 2:
9:15 1101 Turnpike, Mass Electric
10:00 23 Ash Street
After 80 Boston Street
Monday, Dec 6
fl Fo�reet, Lot C
Tuesday, Dec 7
10:00 1132 Salem Street
1:00 1659 Osgood Street
Please call with any questions. Have a great day.
Lisa LeVasseur
Mill River Consulting
Your Complete Source for Onsite Wastewater Management
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.millriverconsulting.com
12/7/2004
Page 1 of 1
Dellechiaie, Pamela
From: Dan Ottenheimer [info@millriverconsulting.com]
Sent: Friday, November 26, 2004 1:51 PM
To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer
Subject: inspections
Folks,
We will be inspecting Forest Street Lot 2 (Osgood)(Forest Street Lbts A C enderson) and 70 Oakes Drive
(Whyman) on Monday morning 11/29. �-�
Dan
'0
Daniel Ottenheimer, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.millriverconsulting.com
dano@millr_i_verconsulting.com
11/29/2004
Clear Day
Dellechiaie, Pamela
Dan Ottenheimer [info@millriverconsulting.com]
From:
Page 1 of 2
Sent: Thursday, November 11, 2004 8:03 PM
To: pdellechiaie@townofnorthandover.com; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Cc: 'Sa u an; 'Grant, Michele'
Subject: RE. Lot C F rest Street - Request for Final Inspection
Sensitivity: P vate
Sue, Pam & Michelle,
I went to both lots Aay and found quite the situation. A bit too complex to try put into an e-mail at this
hour but suffice it to neither site was given the permission to backfill and that further work needs to be
done by the contractor before a final inspection can occur by us.
As to the neighbors concerns about grading - it does generally appear that the systems are going in as per the
design plans. This might not assuage her concern, but in theory a properly designed, built and maintained
onsite system should not pose a risk to a neighbors property from things like drainage. We'll know more after
the final inspection.
Dan
Alill River
consultin
Daniel Ottenheimer, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.millriverconsultin2.com
dano@millriverconsulting.com
11/15/2004
Clear Day
From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com]
Sent: Monday, November 08, 2004 1:34 PM
To: 'Daniel Ottenheimer (E-mail)'; Lisa LeVasseur (E-mail); 'McBrearty Andrew (E-mail)'
Cc: Sawyer, Susan; Grant, Michele
Subject: Lot C Forest Street - Request for Final Inspection
Importance: High
Sensitivity: Private
Hi,
Page 2 of 2
Per Joe Burke of Andover Consultants and George Henderson, Lot C is ready for a final inspection. Please
schedule. Lot A is not quite ready yet -- maybe after tomorrow.
Pamela DelleChiaie, Health Dept. Assistant
Town of North Andover
Community Development & Services
27 Charles Street
North Andover, MA 01845
pdellechiaie@townofnorthandover. corn
Tel. 978-688-9540
Fax 978-688-9542
11/15/2004
FM
Page 1 of 1
Dellechiaie, Pamela
From: Dan Ottenheimer [info@millriverconsulting.com]
Sent: Tuesday, October 12, 2004 2:06 PM
To: amcbrearty@millriverconsulting.com; Lisa LaVasseur; 'Pamela Dell iaie'; Susan Sawyer
Subject: Forest Street inspections n
Sue and Pam, ,[
Attached please find bed bottom construction inspection reports or 785 795 orest Street. Both jobs were
generally found to be acceptable.
Dan
River
consultin <
Daniel Ottenheimer, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.millriverconsulting corn
dano�a mill&erconsulting.com
10/12/2004
TOWN OF NORTH ANDOVER f �►ORTM
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 01845
Susan Y. Sawyer, REHS/RS
Public Health Director
ADDRESS:5 Forest Street (aka Lot C)
INSTALLER: George Henderson
DESIGNER: Andover Consultants
PLAN DATE: 12/10/2003
BOH APPROVAL DATE ON PLAN:
DATE OF BED BOTTOM INSPECTION: 10/8/04
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE Gravity Trenches
COMPONENT SUMMARY FROM PLAN
GALLON TANK = 1500
LOADING OF SEPTIC TANK = H-10
GALLON PUMP CHAMBER = n/a
LOADING OF PUMP CHAMBER = n/a
TYPE OF SAS = Trenches
DIMENSIONS AND DETAILS OF SAS: 4 each 46' Long
SITE CONDITIONS
F ` M
A
,sSACMUStS
978.688.9540 — Phone
978.688.9542 — FAX
MAP: 105D LOT: 71
[]Existing septic tank properly abandoned
❑Internal plumbing all to one building sewer
®Topography not appreciably altered
Comments:
Sand stockpile present on site. May be material moved from adjacent Lot A. Generally
seems suitable sand and gave permission to use.
Tree with benchmark could not be located. Requested installer have designer establish
a new benchmark and provide this in writing to the Health Department prior to final
construction inspection.
Page 1 of 1
TOWN OF NORTH ANDOVER NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES �•`"_•
HEALTH DEPARTMENT y
27 CHARLES STREET �..°�
NORTH ANDOVER, MASSACHUSETTS 01845IV
s►cMuStt
Susan Y. Sawyer, REHS/RS 978.688.9540 —Phone
Public Health Director 978.688.9542 — FAX
SEPTIC TANK
® Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon tank has been installed
H-10 loading 2-Piece construction
❑ Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
❑ Inlet tee installed, centered under access port
❑ Outlet tee (gas baffle or effluent filter) installed,
centered under access port
❑ 24" inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
❑ Hydraulic cement around inlet & outlet
Comments:
Appears that stone has been placed beneath tank as evidenced by stone visible on one
side. Stone provided was 11/2" stone. Measured tank from house, 10' offset met.
2 part tank will need watertightness test.
❑
Installed on stable stone base
❑
Inlet tee (if pumped or >0.08'/foot)
❑
Hydraulic cement around inlet & outlets
❑
Observed even distribution
ElSpeed
levelers provided (not required)
Comments:
Page 2 of 2
TOWN OF NORTH ANDOVER of Noarh
Office of COMMUNITY DEVELOPMENT AND SERVICES 3: •�`�`•�;''•"°oma
HEALTH DEPARTMENT A
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 01845
Susan Y. Sawyer, REHS/RS S�cHuse978.688.9540 —Phone
Public Health Director 978.688.9542 — FAX
SOIL ABSORPTION SYSTEM
® Bottom of SAS excavated down to C soil layer, as
provided on plan
® Size of SAS excavated as per plan
❑ Title 5 sand installed, if specified on plan
❑ 3/4-1 Y2" double washed stone installed
❑ 1/8-1/2" (peastone) double washed stone installed
❑ laterals installed and ends connected to header (and
vented if impervious material above)
❑ Orifices @ 5 & 7 o'clock positions
❑ Gravelless disposal systems: type, number and
location as per plan
❑ Elevations of laterals installed as on approved plan
❑ 40 Mil HDPE barrier installed
❑ Retaining wall (boulder / concrete / timber/ block)
❑
Comments: Final cover as per plan
Size of trenches correct, excavation extended deeper than 6" into C horizon. Additional
sand fill will need to be utilized.
SYSTEM ELEVATIONS
Benchmark: unknown
Rod at Benchmark:
Height of Instrument:
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
D -Box IN
D -Box OUT
Trench High End
Trench Low End
INVERT ON DESIGN PLAN
152.50
152.30
152.05
151.08
150.91
150.73
150.50
INVERT ELEVATION
Page 3 of 3
UU/VU/ZVu4 uf.Zts hAA IUft14ouvol 'I UUUtt4WtLLo ' ipjVVdtVV[
a Massachusetts Department of Environmental Management 130229
Office of Water Resources
TYPE OR PRINT ONLY Well Completion Report
tddress at Well Location: r/f49a .��� Property Owner:
_.. T ��
notal Depth Drilled
Date Drilling Complete
Subdivision Name.
Size O.D. (in)
Mailing Address:
7777,ijII'I.j� 49 l!I.it:{;i !i�+I�Ff ��i iNI9/. ih Y t+�1' ''I
From (ft) To (ft)
Slot Size Screen Type and Material
City/Town: `�
City/Town:
'
Assessors Map P'Assessors tot e:
NOTE: Assessors Map and Lot # mandatory if
no street address available
Board of Health permit obtained:
Yes ❑ Not Required LY-' Permit Number
Date Issued
I WORK PERFORMED
3.:.PROPOSE01189y ; "i '', ;' 4.'0 Lt1�G,fiAETf1gD
❑ New Well 0 -Abandon
❑ Domestic C3 Irrigation El Cable
F-1Auger
F-3Dsapen l=] Fteconditinn
❑ Monitoring Ll Municipal 0 Air Hammer
❑ Direct Push
Replace -----M—Other
_ ❑ Industrial ❑ Other ❑ Mud Rotary
❑ Other
S. WELL LOG rrUnconsolidated
Consolidated S.,WE-SKETCH (use
nnvsntwnsw" WM ais"W
From (ft) To (It) High Low
v aM-0ry1 m
_
Other
Rock Type
LtJ
s Sr
r�
r'7
notal Depth Drilled
Date Drilling Complete
jFrom(It) To (h) Casing Type and Material
Size O.D. (in)
Well Seal Type
7777,ijII'I.j� 49 l!I.it:{;i !i�+I�Ff ��i iNI9/. ih Y t+�1' ''I
11i Llt•
From (ft) To (ft)
Slot Size Screen Type and Material
Screen Diameter
'1a+19LTER• PACWJ GRO WT AB,ANDO M MA% Il1lL ,� �. " I' : fn Oi ;' ; ; t s,
11�- ADDI IAS WELL
INFORNA-nOk ;: ,;
From (ft) To (ft)
'�Q�i
Material Description Purpose Developed? ❑Yes
Fracture
Enhancement? ❑Yes
Method
Disinfected? ❑ Yes
Cl No
[3 No
❑ No
'a2'' tl A (000DUCTIO 'L 'r St;�A..C�J *.' ,r y ;�taS' ii;a
X >kTER'LEUE'L WE S)
Date Method
Yield Time Pumped Drawdown to Time Recovery to
(GPM) (hrs & min) (Ft. BGS) (hrs. & min) (Ft. BGS)
Date Measured
Depth Below
(around Surface (Fl
1,4: PERMANENT PUMP (IF AmLABLE) yL•WE1+MEBA OF PUMP INSTALLATION COMPANY
Pump Description. __ Horsepower _
Pump Intake Depth (ft) Nominal Pump Capacity (gpm)
{, This well was drilled and/or abandoned under my supervision, according to applicable rules
and regulations, and this report is complete and correct to the best of my knowledge.
)04-z� Supervising Driller Signature: _ Registration #: s
Date: Rig Permit
Completion Reports mast be filed by dee registered well driller within 30 day, of well comptewon.
DRILLER COPY
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 01845
Susan Y. Sawyer, REHS/RS
Public Health Director
July 27, 2004
S & R Realty Trust
Jason Stanichuk
75 Raymond Road
Tewksbury, MA 01876
Dear Mr. Stanichuk,
978.688.9540 — Phone
978.688.9542 — FAX
healthdept@townofnorthandover.com
www.townofnorthandover.com
This letter is in regards to two of your properties known as Lot A (793)d Lot C F , rest Street,
North Andover. As the owner or trustee of these properties, it is important t ou understand
the current situation at the site.
On Thursday, July 22°d, the Health Department was notified that work was being done in the area
on both of the septic systems. This information prompted a visit to the sites. Please see the
attached photographs taken on Friday, July 23, 2004 that shows the conditions observed on that
day. Both areas of the septic systems had been excavated and were in different stages of system
installation. Also, both had concrete septic tanks installed. One tank was backfilled and the other
was not.
All work being done on these septic systems is in violation of the MA Department of
Environmental Protection Title V regulations, and the North Andover Subsurface Disposal
Regulations, Section 3.01. The plan was approved on December 12, 2003. A septic Disposal
Works Construction permit was applied for on June 7, 2004, but to date no permit to install has
been approved.
The Health Department had a discussion with a North Andover licensed septic installer Mr.
George Henderson on June 7, 2004 concerning the application for two disposal works
construction permits. In attendance with Mr. Henderson was Ryan Scott. Mr. Scott, is not a
licensed installer with the Town of North Andover, but was intending to work with Mr.
Henderson on this project. Mr. George Henderson applied and paid for two Disposal Works
Construction Permits for the above named properties. However, the permits and approved plans
were not issued as we were waiting on additional paperwork, i.e., foundation plans in the correct
scale, and proof that 781 Forest Street had the water main installed and the well abandoned and
had tied into town water. This initial directive was made on July 12, 1999 by the former Health
Director.
On
initi line 2-
20
receiveYreguested3 we receo
v
attar for ddAaAe�•W,o O wever�.Ihecopies ° ft
In them IOnal detailsgOrding have been Certs ]cat*
ins ar0ved pticic e, A'Ir, s house n ext d° acceted In hisl�s f°` 0ac
a Per t PI ease b�stein Alm Fent ahea or PI ease seecasattach
TO date t' not to scale
shoukaalth Dthout the rav1SCd that d did thea wd began w attached Sept have not as
Ae d be su partlnent galled in any �'°rk °rk W . °rk! o not
a
de �7njt or sic Aer�,is'i and Wil SPCctio c°nns ote
lAle h°ut the n the s pprOval
terminad in ts. Wt and conduct ve to be re wlth0atacd under thendanceso f without
aplease hav his case he Town °sg the work oved Aro ins Structio bcanSdseptic
°r
AAr°v halve North °n tha Person
taller °fa s
i this case Permit. Atensed Inst �IdOvern1ayrse eptic y to er than the]- ot•ba accem Without
Tom Iation U er no Ci coat time dear contact t esult in f S. idr°rk nil tensed ns d by
Permit feConsupon per
instance w seal th dap e health da 'which ha eithout a allot
by the co e covers nt s� 11�i11 since a 1 the aAAlnlent iti �ment Yet to be
as to
on
a set fiver Ate -co ant 1 disc with re
the gftd
fto un t would ember °f n°nst lcti nt ctiOn rlsllOwed os the act. to °bta
The N° hat must guIre additpections to data Rection Ions ns that ora Ining the
Notallatioh o d°ver ka bepaid t° thanal fees Evora in pest the ur be sche�u he SepticxRected in
to sign
And tha SPticalth DeA Town ° f u will be Ions and oa °factio lad with t
gn ° tBuil systatn1ent N°rth notice varsi n The . he
card fcat� °n the build. ding De nls °nU. will c° ]Cd
,,dA�ortghtdeeme Initial
Plans ofcOlnPl aningpe�i men tO of is A teoue to w°rk r prior to aha y extra�ns cessaty
correspond tact the he e has been s the S � theme ha°� this COP
o �d K'ith you next Insp Ins
tion.
Sincere ence.
health ° face I f ed In each stems ha e. �kaalth 1) Qpce Is b surin e a Aro
ly you haper
ve any a been insta, ent will g sent t° th
dditiOnal , certiaed °t be able
e
Su 9uestions in re and a
P lit H� lak'Yer� golds to this
th Diractor I1 ' RS
Cc
Will . Niceda
am , B
411
din ,d°rge Ile d � cLeoddR g C°n ISS.
Grim.,
i ff °son, S grstere stoner
n, C eptic D d Sanit
unityDeval°sal u'° ksn, AES A
Rment Dirt
,rector ndOver Consult,
Town of North Andover
HealthVeArtment Date:
S 7
Location:
(Indicate Address, if Residential, or Name of Business)
Check #:
Tvpe of Permit or License: (Circle)
Animal
Dumpster
> Food Service - Type.--
$
> Funeral Directors
$-
> Massage Establishment
$
> Massage Practice
$
> Offal (Septic) Hauler
$
> Recreational Camp
$
> SEPTIC PERMITS:
Ll Septic - Soil Testing
Ll Sleptic - Design Approval $
Septic Disposal Works Construction (DWO $��60
L) Septic Disposal Works Installers (DW[)
$
> Sun tanning
$
> Swimming Pool
$-
> Tobacco
$
> Tras4lSolid Waste Hauler
$-
> Well Construction
$
> OTHER- (Indicate)
UO Health Agent Initials
White - Applicant Yellow - Health Pink - Treasurer
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES o
HEALTH DEPARTMENT ` ` ~ p
27 CHARLES STREET
NORTH ANDOVER, MASSACHUSETTS 01.845 �9Ss�C Us
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
healthdept@townofnorthandover.com
www.townofnorthandover.com
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE:
LOCATI.ON:
LICENSED INSTALLER NAME: lT; /em 42L y s c
I PLEASE PRINT
SIGNATURE: TELEPHONE#
� CHECK ONE:
FULL SYSTEM REPAIR:
COMPONENT REPAIR (indicate what parts):
* NEW CONSTRUCTION:
lr
L % t ro g—
* If NEW CONSTRUCTION, please attach the Foundation As -Built Plan.
$250.00 Fee Attached? Yes No
Project Manager Obligation From Attached? Yes No
Foundation As -Built? Yes No
Floor Plans? Yes No
Approval of Health Agent Date:
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the
property at L 7—C relative to the application
of dated for plans by
dated with revisions dated
I understand the following obligations for management of this project:
and
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 necessary 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 but does not have to be present.
b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or
verbal OK from engineer must be submitted to Board of Health, after which installer calls for
inspection time. Installer must be present for 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, vent, pump chamber, retaining wall and other
components.
6. As the installer I understand that I am solely responsible 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.
Undersigned Licensed Septic Installer
Date:
Disposal Works Construction Permit #
FOREST
\99-04\PLOT.dwg
PLOT PLAN
LOT C, FOREST STREET
NORTH ANDOVER, MASS.
Prepared for
S & R REALTY TRUST
STREET
dover
\an
onsultants
inc.
SCALE:1 "=40' DATE: 01-29-04 1 1 East River Place, Methuen, Mass.
I'ar
��,MIA,
f
TOWN'OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System constructed;
( ) repaired;
by_ George Henderson Co. Inc
located at #775 Forest St., North Andover MA (Subd
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit # , plan dated _Dec. 10, 2 0 0 , with a design flow
of 440 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: 7-1-04
Final inspection date: 11-18-04
Installer:
Joseph Burke, P.E.
Engineer Representative
Joseph Burke, P.E.
Engineer Representative
#f�L Date: 5 -2-7 -p
Engineer: Date: 6 - 1 - 0 5
William'S. Mac eod, R.S., P.L.S.
�'Jt1 OF
WILLIAMyG
o
S.
MACLE00
N0. 742
9FC/STER��
F�`0 ✓0NAL
RECEIVED
JUN 16 2005
TOWN OF NORTH ANDER
HEALTH DEPARTMENT
TOWN'OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System constructed;
( ) repaired;
by George Henderson Co. Inc
located at #775 Forest St North Andover, ML___j Subd Lot #C)
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit # , plan dated Dec . 10 , 00 , with a design flow
of 4 4 n 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 S 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: 7-1-04
Final inspection date: 11-18 - 0 4
Installer:
Engineer:
OF bqf
WILLIAM yG
S.
MACLEOID -+
y 3.
,o NO. 742
/STER��
AI SaN��P
Joseph Burke, P.E.
Engineer Representative
Joseph Burke, P.E.
Engineer Representative
;L Date: _.5-Z-7 -pS
Date: 6-1-05
.S. -
RECEIVE
UUN 16 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT