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Miscellaneous - 100 OGUNQUIT ROAD 4/30/2018
I-- I - 40 dp qb P.0 to do L , ` 1 / 1 Rak Ledge4040 - •1 Jq ---- /,,� y ,Jq • 3 .,, �. _ — r J*J► lop40 , +- 0 • "126 .l/ tq' I / _'040 40 �,?, . mo_r _ • dp .w / lop , 121--- Aft '�.. 1 ' / •ox. sept +c 2 / / , v oftif; / :f ` . �, Pc�o�ofdO dodp 60 Amms to IV ` AMML- Pi _ a*♦ 40' �4W40 do dF ft 40 r+ ++ •`, ♦♦♦ •iia �t(.0 , 1$ op 4b -Ep � / � � � l�TA NI • 7"7 �, 1 / ♦lb, 1 1 %�.. _' do 40 `y 1 00 46Oumadp to / , , 40 Ole Wllb %% wILL ♦ �. / /� CPT®* Code 90734 c, 'CPT is a registered trademark Menactra of the American Medical Association. Meningococcal (Groups A,C,Yand W-135) MKT9872-1 polysaccharide Diphtheria Toxoid Conjugate Vacdne DelleCliiaie, Pamela From: Sawyer, Susan Sent: Monday, April 02, 2007 10:43 AM To: Dan Ottenheimer (E-mail) Cc: DelleChiaie, Pamela Subject: Lots 1 and 2 Ogunquit Dan I have a question. If your answer is no, then I will have Michele or I do the testing. Lot 1 and 2 Ogunquit RD Neve and Morin are looking to do testing on these 2 old lots. There is quite a bit of old test pit info and I have told them the following Hi Greg, Yes, I remember the letter. I think I told John that a case was coming up that might set some precedent as they were asking for use of very old soils for new construction. The Board just heard that request earlier this month. They were open to the idea that there was not a lot of soil left to test and in concept allowed the variance to the local regulations for use of some outdated soils, but still wanted at least one confirming test to be done to validate the use of the others. It is a local variance I believe and would require you attend the BOH meeting for approval. I am fairly confident in that they would allow the variance, so in that light I would support their wishes. I guess you need to schedule the soils first. The applications are on the <http://www.townofnorthandover.com/Pages/NAndoverMA Health/index> , if you need one. It looks like we won't be doing very many tests so I would say a fee for one site should be sufficient, but I will confirm that when I see the application. Thanks for checking back in. Please pass this info on to John. I have only charged them for one lot instead of two. The whole idea is to minimize the amount of disturbed area so it should not take that long. So, the question is would Mill River like these soil tests, and if so, unless there is an unusual problem that requires additional testing, you do accept that there will only be fee for one new lot. Please let us know either way so we can schedule Michele and/or Pam will forward the application to you along with any old soil test info that is in the files that we can find. Thanks, have a good day. DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, April 02, 2007 10:43 AM To: Dan Ottenheimer (E-mail) Cc: DelleChiaie, Pamela Subject: Lots 1 and 2 Ogunquit Dan I have a question. If your answer is no, then I will have Michele or I do the testing. Lot 1 and 2 Ogunquit RD Neve and Morin are looking to do testing on these 2 old lots. There is quite a bit of old test pit info and I have told them the following Hi Greg, Yes, I remember the letter. I think I told John that a case was coming up that might set some precedent as they were asking for use of very old soils for new construction. The Board just heard that request earlier this month. They were open to the idea that there was not a lot of soil left to test and in concept allowed the variance to the local regulations for use of some outdated soils, but still wanted at least one confirming test to be done to validate the use of the others. It is a local variance I believe and would require you attend the BOH meeting for approval. I am fairly confident in that they would allow the variance, so in that light I would support their wishes. I guess you need to schedule the soils first. The applications are on the <h_ttp://www.townofnorthandover.com/Pages/NAndoverMA Health/index> , if you need one. It looks like we won't be doing very many tests so I would say a fee for one site should be sufficient, but I will confirm that when I see the application. Thanks for checking back in. Please pass this info on to John. I have only charged them for one lot instead of two. The whole idea is to minimize the amount of disturbed area so it should not take that long. So, the question is would Mill River like these soil tests, and if so, unless there is an unusual problem that requires additional testing, you do accept that there will only be fee for one new lot. Please let us know either way so we can schedule Michele and/or Pam will forward the application to you along with any old soil test info that is in the files that we can find. 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N Q. m O cc O � p m U m iii O mcc •-� _ � O U m W N }N p 0 .., c� ° --� o a c� � fn w fl. d �♦ V o r N M d L6 i MAN/ACNUSMS GUrrCLAIM DIIO INDIVIDUAL (LONG FOAM) W2 George H, Farr, John Enright, Peter R . Breen a/k/a Peter Breen Of North Andover, Essex County, Massachusetts &WJVhk, for consideration paid, and in full consideration of $20,000.00 husband a nd wife gmt tD Peter R. Breen and Kerry M. Breen/as Tenants by the Entirety and not as Joint Tenants nor Tenants in Common Of 770 Boxford Street, North Andover, Massachusetts with quittigim rtmettutds thelandin North Andover, Massachusetts, bounded and described as follows: 1Desaiption and encumbrances, if anyl SOUTHERLY: By Boxford Road, fifty-one and sixteen one -hundredths (51.16) feet; WESTERLY: Three hundred (300) feet by land now or formerly of Dianne E. Buco; SOUTHERLY: ± Four hundred thirty-seven (437)feet by land now or formerly of Dianne E. Buco, and land of Peter and Kerry Breen; WESTERLY: By a brook, one thousand eight hundred seventy-two (1,872) feet+, WESTERLY: About.five hundred -one (501) feet,+ and NORTHEASTERLY: About eighty-five (85) feet_fby land now or formerly of William J. and Dorothy Arsenault; WESTERLY: By a brook, sixty (60) feet+, and NORTHEASTERLY AND EASTERLY: By lands of sundry adjoining owners as shown on the plan hereinafter mentioned about twenty-one hundred forty-seven (2,147) feet.' NORTHWESTERLY: By lot #7 on said plan, two hundred sixty-four and forty-seven one hundredths (264.47) feet, and SOUTHWESTERLY: By lots #7 and #3 on said plan four hundred fifty-two (452) feet, to the point of beginning. All of the said boundaries, except the water lines, are determined by the Court to be located as shown on Plan No, 34498E, drawn by David A. Weber, Surveyor, dated September 23, 1983, as modified and approved by the Court, filed in the Land Regis- tration Office, 4 copy of a portion of which is filed with Certificate of Title No. q5b 4 Book, Page b , So much of the land hereby registered as is included with the area marked "Way" approximately shown on said plan, is subject to easements as set forth in two grants made by Stream and Forest Club of the Boston Globe Inc., one to Marion H. Galloway et al, dated January 11, 1968, recorded with Essex South District Registry of Deeds in Book 5509, Page 115, and one to Anna L. Nason et al, dated January 11, 1968, duly recorded in Book 1100, Page 204, and recorded with Essex South District Registry of Deeds in'Book 5509, Page 732, The land hereby registered is subject to the flow of a natural water course running through the same and shown as a brook. For ourttitle s ee a ertificate No. 7548 re F;is tered in book 501 page 597 N (*Individual — Joint Tenants —Tenants in Common.) . �— P ,♦' moi♦ ♦ice ` do too If / 1 1 ♦, i 64 60 i/ / ♦� 40 do 1 ♦ i'to 1 ,� / i ♦ / , / / / / I I J. i ♦ I / I .� . is 1 slope /rj% , / / , �♦ ♦ ♦♦ / w/ R; p • Rep, ; fit 7A JL / J I I / 1 ► / / , 1 /. ►ri I � � 1 1 � i r � �� 1;. 1 R56 / I/ / 1• / f l i 1 J i I I, • 1S7 it, •I 1� I I / / I / � 1 o r D � 1 r !/ JAS WO � 1 `. / r 1 1 1 1 1 1 1 r � � ♦ 11 J �( 1 ,• �� i i , i i 1 i 1 1 00L. x' •� � b / Test- 1 i 1 fGA �-i ~iGi`I � ;iii 'iii r 1 ; 1 1 �RA [ i 47r 1 J / nk ,Ap� / / / ♦ 1 1 i % 1 i iii AThe Neve -Morin � Group, Inc. April 15, 2008 Ms. Susan Y. Sawyer, REHS/RS Public Health Director 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 APR 2 8 2008 TOWN HEOLTH ER DEP ,RT __F NORTH T A Re: Sanitary Disposal System Design Plan for Lot 2 —100 Ogunquit Road, Map 90A, Lot 76 Dear Ms. Sawyer: We received your letter, dated March 18, 2008, regarding the sanitary disposal system design submitted for the above referenced property and we have revised the design based on your comments (attached). Using a groundwater gradient we have raised the septic tank so that the inlet and outlet of the proposed septic tank are at least 12 inches above the estimated seasonal high ground water elevation. We have also raised the invert at the foundation and modified the run from the septic tank to the distribution box. In addition we have provided buoyancy calculations and a note specifying that a riser be installed on the distribution box to within 6 inches of finish grade as requested. If you should have any questions regarding this information, or require any additional information, please do note hesitate to contact our office. Sincerely, THE NEVE-MORIN GROUP, INC. Greg J. Hochmuth, RS Environmental Planner GJH/kmm Attachment cc: Peter & Kerry Breen F:\KA.THYM\Breen 6WLot 2\NABH Rev SSD.doc ENGINEERS • SURVEYORS 0 ENVIRONMENTAL CONSULTANTS 0 LAND USE PLANNERS 447 Old Boston Road (U.S. Route 1),Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com he Neve-MorinT Group, Inc. May 14, 2007 Susan Sawyer, R.S./R.E.H.S. Health Director North Andover Health Department 1600 Osgood Street, Bldg. 20, Suite 2-36 North Andover, MA 01845 Re: Lot2, 100 Ogunquit Road (Map 90A, Lot 76) Owners: Peter & Kerry Breen Dear Mrs. Sawyer: RECEIVED MAY 17 2007 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT In accordance with 310 CMR 15.018 — Function of Soil Evaluators, please find enclosed copies of the soil evaluation forms for the soil testing which were conducted at the above -referenced property on May 10, 2007. If you should have any questions regarding any of this information please do not hesitate to contact our office. Sincerely, THE NEVE-MORIN GROUP, INC. _4 Greg Hochmuth, R.S. Environmental Sanitarian Enclosures ENGINEERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS 447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com TONN N OF NORTH ANDOVER Office of COMMUNITY DEVELOP TIENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 AD,u�k 978.68&9540 Phone Susan Y. Saiif-er, REHSIRS 9;'8.688.8476–FAX Public Health Director E-MAIL: healtlidept,( toivtiofiiortlyitidover.coiii NVEBSITE: hn f/A1 Nrx toiviio iioitlia€3dovercot z SEPTIC PLAN SUBMITTAL FORM-�;3.y �D I [HEALTH - Date of Submission: October , 2007 N 3 2008 Site Location: Lot 2,100 02unquit Road F NORTH ANDOVER DEPARTMENT Engineer: The Neve -Morin Group, Inc. New Plans? Yes 0$225/Plan Check # (includes 1st submission and one re -review only) Revised Plans? Yes R$75/Plan Check # Site Evaluation Forms Included? Yes ® No ❑ Local Upgrade Form Included? Yes ❑ No Telephone #: 978-887-8586 Fax #: 978-887-3480 E-mail: ioanne(a,nevemorin.com Homeowner Name: Peter & Kerry Breen OFFICE USE ONLY When the submission is complete (including check): ➢ Date stamp plans and letter ➢ �— Complete and attach Receipt ➢V Copy File; Forward to Consultant ➢ I/ Enter on Log Sheet and Database F:Uoanne\TOWN OF NORTH ANDOVER—Septic Plan Submittal Form.doc w TOti'N OF NORTH ANDON'Efi Office of C'O\INJ NITI DEVELOPMENT SERVICES HEALTH DEPART' TENT �. I600 C1SGC)t3P STREET, BUILDING 20 S'LITE 2-36 NORTH ANWi vR.'r,7 yawn X. ynwy,-r. REH*. Ry- Ptt%bc Hrnkit Director a �S.658.S4`4 - PAX � �T �; ." (� - �K1 t'idev nc `a re'1 +nd� e c ri ;a aa.t si. fiic.c fii ?e : er pan APPLICATION FOR SOIL TESTS MAR 2 9 2007 DATE: March 28.2007 MAP & PARCEL: Map 90A, Parcel 77 L_ .,.__ _„�_ _ _•. LOCATION OF SOIL TESTS: Lot 1 70 Ogunqui t Road OWNER: Peter & Kerry Breen Contact #: 978 -687-7774 APPLICANT: Contact #: ADDRESS: ENGINEER: The Neve -Morin Group, Inc. Contact #: 978-887-8586 CERTIFIED SOIL EVALUATOR: Isaac Rowe 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 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 within two weeks of testing. ➢ Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent: Date back to Health Department: (stamp in): ;2aY _KkVCKft' �f 4W -- ft( QV04 0A/1 l�nT MS & TPS �� I r North Andover Health Department (ommunity Development Division Attorney Joe Keyes 289 Main St. North Reading, MA 01864 RE: Lot 2 Ogunquit Road, North Andover, Mass. Dear Attorney Keyes: This letter is to confirm that the septic plan approved in May 2, of 2008 for Lot 2 Ogunquit Road has not expired, and has a valid approval for the purpose of installing a septic system on the lot as drawn on the plan, until April 12, 2015. If you have any questions, please contact the Health Office. Sincerely, I � Ct✓Ui Michele Grant 4 Health Inspector Cc: Peter Breen, owner Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 V V North Andover Health Department Community Development Division December 2, 2010 John Morin, PE 447 Old Boston Road Topsfield, MA 01983 RE: Section 173 of Chapter 240 of the Acts of 2010 affecting Lots 1,06 Ogunquit Road Dear Mr. Morin: The Health office has received your inquiry regarding the septic system approvals for the above mentioned lots. This letter is to confirm that these approvals are extended until two years from the extension dates listed in your letter, into the year 2013. As you described, this extension is due to the legislative approval of the Economic Development Reorganization Bill, rather than a vote from the Board of Health. Please note that during such time of construction it is expected and required that these areas will be protected and remain in an unaltered condition. If at a later date it is determined that this requirement is violated, the site will be in non-compliance, which could terminate the previous plan approval. This activity would also be in violation of 15.204 (1) as the construction is "not in compliance" with "terms and conditions" of this local Approving Authority's approval. If you have any questions regarding this correspondence please contact the Health Office. in Sawyer ith Director cc: Peter Breen, owner 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com I he Neve -Morin ATn Group, Inc. November 23, 2010 Ms. Susan Sawyer, Health Director Board of Health 1600 Osgood Street North Andover, MA 01845 Re: Lot 2, 100 Ogunquit Road Owner/Applicant: Peter & Kerry Breen Dear Ms. Sawyer: TOWN OF NORTH ANDOVER HEALTH DEPARTMENT On May 2, 2008 you approved the sanitary disposal system design for the above referenced property, which is due to expire on May 2, 2011. As you.. know, the. Economic. Development Reorganization Bill, which was approved in August 2010, extended certain permits in existence between August 2008 and August 2010; a septic approval.is one of those permits. Therefore, it is our understanding this permit is extended until May 2, 2013. Please confirm that this septic approval is hereby extended until May 2, 2013. If you have any questions please do not hesitate to contact our office. Sincerely, THE NEVE-MORIN GROUP, INC. John M. Morin, PE President, CEO CC: Peter.,,& .Kerry Breen . BkATHYM\Breen 684ULot 2\NABH Septic Permit Ext Act Ltr.doc ENGINEERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS 447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com he Neve -Morin Group, Inc. 29 i 010 AT EHLEALTOF NORTH ANDOVER November 23, 2010 H DEPARTMENT Ms. Susan Sawyer, Health Director Board of Health 1600 Osgood Street North Andover, MA 01845 Re: Lot 6, 85 Ogunquit Road Owner/Applicant: Peter & Kerry Breen Dear Ms. Sawyer: On March 19, 2007 you approved the sanitary disposal system design for the above referenced property,,which was,due to,explre-on March 19, 2010 As you know, the Economic Development Reorganization Bill, "which was approved in August 2010, extended: certain,,permits in existence between August 2008 and August 2010; a septic, approval is one of those permits. Therefore, it is our understanding this permit is extended until March 19,.2012. Please confirm that this septic approval is hereby extended until March 19, 2012. If you have any questions please do not hesitate to contact our office. Sincerely, THE NEVE-MORIN GROUP, INC. John M. Morin, PE President., CEO JMM/kmm. cc: Peter &: Kerry Breen FAKATHYM\Breen 6841Lot 6\N4BH Permit.Ext Act Ltr.doc ENGINEERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS4 LAND, USE. PLANNERS. 447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com -A . % The Neve -Morin Group, Inc. November 23, 2010 Ms. Susan Sawyer, Health Director Board of Health 1600 Osgood Street North Andover, MA 01845 Re: Lot 1, 70 Ogunquit Road Owner/Applicant: Peter & Kerry Breen Dear Ms. Sawyer: TOWN OP NORTH Hi�Nl?0VeR� FA to i „rte. __ On March 18, 2008 you approved the sanitary disposal system design for the above referenced property, :which was; due- to expire. on. March 18, 2010 and was extended by your Board until March 18, 2011. As you know, the Economic Development Reorganization Bill, which was approved in August 201'0; .extended certain permits. in existence between August 2008 and August 2010; a septic approval is one of those permits. Therefore, it is our understanding this permit is extended until March 18, 2013. Please confirm that this septic approval is hereby extended until March 18, 2013. If you have any questions please do not hesitate to contact our office. Sincer>ly, THE NEVE-MORINT GROUP, INC. John M. Morin, PE President, CEO JMM/kmrii cc: Peter & Kerry Breen F:;\KATHY,t, \Breein;684\L•ot 1WABH Septic -Permit Ext Act Ltr.doc ENGINEERS SURVEYORS • ENVIRONMENTAL CONSULTANTS LAND USE PLANNERS 447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com 41 he Neve AT -Morin Group, Inc. November 23, 2010 Ms. Susan Sawyer, Health Director Board of Health 1600 Osgood Street North Andover; MA 01845 Re: Lot 2, 100 Ogunquit Road Owner/Applicant: Peter & Kerry Breen Dear Ms. Sawyer: TOWN OF NORTH ANDOVER HEALTH DEPARTMENT On May 2, 2008 you approved the sanitary disposal system design for the above referenced property, which is due to expire on May 2, 2011. Asyou ,know, the Economic Development Reorganization Bill, which was approved in August 2010, extended certain permits in existence between August 2008 and August 2010; a septic approval.is one of those permits. Therefore, it is our understanding this permit is extended until May 2, 2013. Please confirm that this septic approval is hereby extended until May 2, 2013. If you have any questions please do not hesitate to contact our office. Sincerely, THE NEVE-MORIN GROUP, INC. '11w�� /14, John M. Morin, PE President, CEO 71V M/kmiri cc: - ,.Peter.,& Kerry Breen F:\KATHYM\Breen 6841ot 2\NABH Septic Permit Ext Act Ltr.doc ENGINEERS • SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS 447 Old Boston Road (U.S. Route 1), Topsfield, MA 01983 978-887-8586 FAX 978-887-3480 Providing Professional Services Since 1978 www.nevemorin.com ext for SB2582 of 2009-2010 Session/,, l _eport of the committee of conference on the disagreeing votes of the two branches, with reference to the House amendments to the Senate Bill relative to economic development reorganization Prime sponsor: Conference Committee AN ACT RELATIVE TO ECONOMIC DEVELOPMENT REORGANIZATION. Whereas, The deferred operation of this act would tend to defeat its purpose, which is to provide forthwith a business friendly environment that will stimulate job growth and improve -the ease with which businesses can operate in the markets they serve, and to coordinate economic development activities funded by the commonwealth, therefore it is hereby declared to be an emergency law, necessary for the immediate preservation of the public convenience. Be it enacted by the Senate and House of Representatives in General Court assembler) And by the authority of the same, as follows: SECTION 173. Notwithstanding any general or special law to the contrary, certain regulatory approvals are hereby extended as provided in this section. (a) For purposes of this section, the following words shall, unless the context clearly requires otherwise, have the following meanings: "Approval" except as otherwise provided in subsection (b), any permit, certificate, order, excluding enforcement orders, license, certification, determination, exemption, variance, waiver, building permit, or other approval or determination of rights from any municipal, regional or state governmental entity, including any agency, department, commission, or other instrumentality of the municipal, regional or state governmental entity, concerning the use or development of real property, including certificates, licenses, certifications, determinations, exemptions, variances, waivers, building permits, or other approvals or determination of rights issued or made under chapter 21, chapter 21A excepting section 16, chapter 2 1 D , sections 61 to 62H, inclusive, of chapter 30, chapters 30A, 40, 40A to 40C, inclusive, 44R, 41, 43D, section 21 of chapter 81, chapter 91 , chapter 131 , chapter 131A, chapter 143, sections 4 and 5 of chapter 249, or chapter 258 , of the General Laws or chapter 665 of the acts of 1956, or any local bylaw or ordinance. "Development", division of a parcel of land into 2 or more parcels, the construction, reconstruction, conversion, structural alteration, relocation or enlargement of a building or other structure or facility, or any grading, soil removal or relocation, excavation or landfill or any use or change in the use of any building or other structure or land or extension of the use of land. tJow z.©1Z the period beginning August 15, 2008, and continuing through August 15, 210A. (b) (1) Notwithstanding any general or special law to the contrary, an approval in effect or existence c tolliniz period shall be extended for a period ofXyears, in addition to the lawful term of the approval. (2) Nothing in this Section shall be deemed totend or purport to extend: rho 4 gears (i) a permit or approval issued by the government of the United States or an agency or instrumentality of the government of the United States or to a permit or approval, of which the duration of effect or the date or terms of its expiration are specified or determined by or under law or regulation of the federal goverment or any of its agencies or instrumentalities; (ii) a comprehensive permit issued by a board of appeals under sections 20 to The Permit Extension Act Co v p OA_ Yt`k_� 1 ✓1 ,4' )&�ft 1�1 r �� �►� has � �CC IY�/J� �4 The Official Website of the Executive Office of Housing and Economic Development (EOHED) Housing and Economic Development *Home > Initiatives > Executive Office of Housing and Economic... > MPRO > The Permit Extension Act The Permit Extension Act \j ,J _l Page 1 of 4 Frequently Asked Questions- Updated September 18, 2012 WZ This page provides answers to frequently asked questions about the permit extension act as it affects permits issued by state agencies. It is not intended to provide guidance with respect to permits issued by a municipality. WHAT IS THE PERMIT EXTENSION ACT? The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008 and extending through August 15, 2012. WHAT TYPES OF APPROVALS ARE INCLUDED IN THIS ACT? The Act applies to regulatory approvals issued by local, regional or state entities that concern the use or development of real property. "Approval' is defined broadly to include any permit, certificate, license, certification, determination, exemption, variance, waiver, building permit, or other approval or determination of rights, and any order, except for enforcement orders. DOES THIS EXTENSION APPLY ONLY TO STATE -ISSUED PERMITS? No, this extension applies to all qualifying permits issued by any municipal, regional, or state entity. THE ACT REFERS TO A LIST OF STATUTES. DOES THE ACT COVER APPROVALS UNDER OTHER STATUTES? Yes. While the definition of "Approval' includes a particular list of statutes, it is not an exclusive list of all statutes affected by this Act. As such, the Act applies to all regulatory approvals concerning the use or development of real property, except those expressly exempted. ARE ANY TYPES OF APPROVALS EXEMPTED FROM THIS STATUTE? Yes. The following approvals are expressly exempted and therefore are NOT covered by the Act: • Permits or approvals issued by the Federal government, or by a state agency issued pursuant to federal law • Permits issued under sections 20 to 23 of Chapter 40B • Hunting, fishing and aquaculture approvals issued by the Division of Fisheries and Wildlife under Chapterl31 • Enforcement orders. ARE PRE -DEVELOPMENT ACTIVITIES CONSIDERED APPROVALS? No. Use or development of real property concerns buildings or structures, or site work specifically associated with the development of buildings or structures, rather than pre -development activities such as oil or hazardous material cleanup. Even though such actions may be deemed a precondition to making real property suitable for use or development, pre -development activities that are independently undertaken outside of the context of a larger development project are not covered by the Act. DOES THIS STATUTE APPLY TO PROPERTY RIGHTS GRANTED TO THIRD PARTIES TO USE STATE OWNED PROPERTIES? No. The Act does not apply to the property rights issued by the Commonwealth in its role as a landowner and as such does not apply to easements, leases, licenses for the use of property (except to the extent that a license may authorize the use or development of property, such as in the case of a license issued under Chapter 91 or a curb cut permit), and/or conservation or agricultural restrictions. IS THE 4 YEAR EXTENSION AUTOMATIC? Yes. The four year extension authorized by the Act is automatic, meaning it occurred by operation of law. Neither the permit holder nor the issuing agency needs to take action to implement the extension. DOES A PERMIT OR APPROVAL EXTENDED BY THE ACT REQUIRE ANY FURTHER REVIEW? No, unless the permit or approval by its terms called for such further review when in effect during the qualifying period. Permits or approvals issued prior to the qualifying period and in effect at any time during the qualifying period, and permits or approvals issued during the qualifying period have completed review and are valid for four additional years from the original date of expiration. WHAT IS THE NEW EXPIRATION DATE? The new expiration date is four years from the date that otherwise marked the end of the lawful term of the permit or approval. For example, a permit that expired on September 1, 2009 is now revived and will expire on September 1, 2013. ARE ISSUING AGENCIES REQUIRED TO ISSUE WRITTEN NOTICES OF EXTENSION TO APPROVAL HOLDERS? http://www.mass.gov/hedleconomic/eohed/pro/zoning-laws/permit-extension-act.html 3/17/2014 0r4ra- b0i� f PUBLIC HEALTH DEPARTMENT Community Development Division May 2, 2005 Peter and Derry Breen 770 Boxford Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for lot 2 (100) Ogunquit Road, map 90A, Parcel 76, North Andover, MA Dear Mr. and Mrs. Breen, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans dated October 1, 2007, received January 30, 2005, final revision dated April 12, 2005 have been approved for a five (5) bedroom, maximum eleven -room home. In accordance with local subsurface disposal regulations "Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". During this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. 1. Prior to receiving a building permit, the applicant must provide complete floor plans of the new home. Including basement and attic. 2. Prior to receiving a Disposal Works Construction permit, the applicant must provide a foundation plan in I" = 20' scale to overlay on the septic plan. 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 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com shalt not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 975-688-9540 with any questions you may have. Sincerely, ;7 Susan Y. Sa er, REHS Public Health Director Encl: list of licensed septic system installers Cc: The Neve Morin Group 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com RTh-N. �0�/"*" y �tLev 16'-ryO\ \�O cocwiiwiivww 1' AOR.tTEo I.Pp'�y,��j PUBLIC HEALTH DEPARTMENT (ommunity Development Division February 26, 2010 Peter Breen 770 Boxford Street North Andover, MA 01845 ELEJCOpy RE: Lot 1, Ogunquit Road - North Andover, MA — Man 90A; Lot 77 Dear Mr. Breen, The North Andover Board of Health made a decision at the February 25, 2010 Board of Health meeting regarding the above. A. Lot 1 Ogunquit Road — Request from John Morin of Neve Morin Group, Inc. for a one year extension of the approved septic plan until March 18, 2011. Property Owner: Peter Breen Motion ➢ A motion was made by Dr. MacMillan to approve the extension for the validity of the already approved septic plan. The motion was seconded by Mr. Fixler. ➢ The septic plan for Lot 1 Ogunquit Road will be valid until March 18, 2011 and after such time will be considered expired, and a new septic plan submission must be submitted to the Health Department for approval. The original letter of approval was issued on March 18, 2008. Your effort to provide a properly functioning septic system for your future dwelling is greatly appreciated. The Health Department may be reached at 978.688.9540 with any questions you may have. Sincer ly, i Michele E. Grant Public Health Inspector Cc: Neve Morin & Associates — attn: Johngnevemorin. com and Kathy(a,nevemorin. com Attach: Septic Approval Letter dated March 18, 2008 to Peter & Kerry Breen re: Lot I Ogunquit Road 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com �10RTH 0 �t LEo I q� C toL ?, �� ea � 04 cx.�oiiwrt■ 1• 4/ PUBLIC HEALTH DEPARTMENT Community Development Division March 18, 2008 Peter & Kerry Breen 770 Boxford Street North Andover, Ma Ol 845 RE: Septic System Design; Lot ] 70 Ogunguit Road Man 90A Lot 77 Dear Mr. & Mrs. Breen, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Neve -Morin Group, Inc., dated October 1, 2007. We are pleased to inform you that this plan has been approved. This plan is valid for two years from the date of this approval. The design has been approved for use in the construction of an onsite septic system for a 5 -bedroom house (maximum 10 - room). During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. This approval is subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit. 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe or imply compliance with any of the aforementioned requirement. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincere , Susan Y. Sa er, RE /RS Public Hea th Direc or Encl: list of licensed septic system installers Cc: Neve -Morin Group 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com The Permit Extension Act Page 2 of 4 No. The Act does not require issuing agencies to provide written notice of extension and an approval holder does not need written notice of extension of its permit or approval. However, an issuing agency may post a general notice of the Act on its website and may issue a standard notice of extension eligibility to approval holders who request a document for financing or other purposes. DOES THE ACT APPLY TO BUILDING PERMITS? Yes. Any building permit issued or in effect between August 15, 2008 and August 15, 2012 has been extended by four years from the date on which the permit was otherwise set to expire. DOES THE ACT APPLY TO MASSACHUSETTS ENVIRONMENTAL POLICY ACT (MEPA) DECISIONS, CERTIFICATES OR WAIVERS? Yes. Certificates issued pursuant to MEPA are specifically listed in the definition of "Approval" included in the Act. Therefore, Certificates that were issued or were in effect between August 15, 2008 and August 15, 2012 will have four additional years before a "Lapse of Time" will have occurred triggering either a Notice of Project Change or a new Environmental Notification Form (See 301 CMR 11.10). ASIDE FROM THE 4 YEAR EXTENSION, HAS THE PERMITTING OR CONSTRUCTION PROCESS OTHERWISE BEEN CHANGED BY THE ACT? No. WHAT IF I SUBMITTED AN APPLICATION FOR A PERMIT DURING THE QUALIFYING PERIOD, BUT IT WAS NOT ISSUED UNTIL AFTER THE PERIOD HAD PASSED? The permit does not qualify for extension. The Act only extends permits that were issued or already in effect at any point (e.g., even for one day) during the qualifying period. WHAT IF A PERMIT WAS ISSUED BY A BUILDING OFFICIAL DURING THE QUALIFYING PERIOD, BUT NEVER PICKED UP BY THE APPLICANT? If the permit was issued and never revoked, it qualifies for the extension regardless of whether it was ever picked up. WHAT IF I RECEIVED A PARTIAL BUILDING PERMIT DURING THE QUALIFYING PERIOD, BUT NOT A PERMIT FOR THE REST OF THE PROJECT? Only the permit that was issued or was already in effect is eligible for the four year extension. For instance, if a foundation permit was issued during the qualifying period, but other permits for the remainder of the project were issued outside of the qualifying period, only the foundation permit is extended. No approvals or permits that were not either issued or already in effect during the qualifying period are eligible for automatic extension. 00, DOES THE ACT APPLY TO A PERMIT THAT EXPIRED DURING THE QUALIFYING PERIOD? Yes, the Act revives and extends any permit or approval that was valid during the qualifying period of August 15, 2008 through August 15, 2012. For instance, a permit that expired on July 1, 2009µis now revived and set to expire on July 1, 2013. DOES THE ACT APPLY TO A PERMIT OR APPROVAL THAT WAS NOT DUE TO EXPIRE UNTIL AFTER THE QUALIFYING PERIOD? Yes. The Act provides an additional four years to the original `lawful term of the permit" or approval. S.etember 1, 2011, it will now automatically expire on September 1, 2015. If a permit or approval was due to expire on DOES THE ACT APPLY TO A PERMIT THAT HAD AN EXPIRATION DATE THAT FELL WITHIN THE QUALIFYING PERIOD BUT HAS BEEN ADMINISTRATIVELY CONTINUED PAST AUGUST 15, 2012, PURSUANT TO A TIMELY APPLICATION FOR RENEWAL? Yes. The Act applies to any permit or approval valid during the qualifying period and extends the permit or approval four years in addition to the "lawful term of the approval." DOES THE ACT EXTEND THE TERM OF A PERMIT THAT WAS REVOKED DURING THE QUALIFYING PERIOD? No. The Act applies to permits or approvals that were "in effect or existence" during the qualifying period. Any permits or approvals that were revoked during the qualifying period were not in effect or existence for the purposes of this Act. The Act expressly preserves an issuing agency's authority to suspend or revoke an approval in accordance with the terms of approval itself, or the authorizing statute or regulations. DOES THE ACT APPLY TO A PERMIT THAT EXPIRED PRIOR TO THE QUALIFYING PERIOD, BUT WHICH HAD BEEN EXTENDED BY THE ISSUING AGENCY? Yes, provided the extension resulted in the permit being "in effect" during the qualifying period; if the permit application was pending but not granted during the qualifying period it was not "in effect or existence" for purposes of the Act. For example, a permit that was set to expire on January 31, 2007, but which was lawfully extended for three years by the issuing authority (until January 31, 2010), would now be set to expire on January 31, 2014. IF MY PERMIT WAS EXTENDED BY THE AGENCY DURING THE QUALIFYING PERIOD, SUCH THAT I HAD TWO VALID PERMITS FOR THE SAME PROJECT, ARE BOTH EXTENDED? While both permits may technically be extended, they would run concurrently, such that the four year extension on the second permit would be the controlling and relevant deadline. For example, if your permit were due to expire on August 15, 2009, and you applied for and received a one year extension until August 15, 2010, your new permit deadline would be August 15, 2014. CAN AN AGENCY REVOKE OR SUSPEND A PERMIT OR APPROVAL TO AVOID THE 4 YEAR EXTENSION? No. An issuing agency must have an independent reason authorized by the terms of the permit, the statute or the regulation to revoke or to suspend a permit. DOES THE ACT REVIVE PERMITS THAT EXPIRED DURING THE QUALIFYING PERIOD WHERE A REQUEST FOR AN EXTENSION OR RENEWAL WAS ALREADY DENIED? Yes. The Act only preserves certain rights of an agency to suspend or to revoke an approval. Even if an extension had been previously denied, the permit or approval is revived by the Act. However, a permitting authority retains its rights to revoke or modify a permit to the extent authorized permitted by the underlying permit, statutory or regulatory authority. http://www.mass. gov/hed/economic/eohed/pro/zoning-laws/permit-extension-act.html 3/17/2014 j V -_fit LEO ,6•°�O� 32 �X ' ��' a 0 O c �yy � eyb `T O�� COCMCIq Ngtw _ 7' 4L/ PUBLIC HEALTH DEPARTMENT Community Development Division May 2, 2005 Peter and Kerry Breen 770 Boxford Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for lot 2 (100) Ogunquit Road, map 90A, Parcel 76, North Andover, MA Dear W. and Mrs. Breen, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans dated October 1, 2007, received January 30, 2008, final revision dated April 12, 2008 have been approved for a five (5) bedroom, maximum eleven -room home. In accordance with local subsurface disposal regulations "Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". During this time a Iicensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. 1. Prior to receiving a building permit, the applicant must provide complete floor plans of the new home. Including basement and attic. 2. Prior to receiving a Disposal Works Construction permit, the applicant must provide a foundation plan in I" = 20' scale to overlay on the septic plan. 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 I5.020(I)). 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 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincerely, Susan Y. Sa er, REHS Public Health Director Encl: list of licensed septic system installers Cc: The Neve Morin Group 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Health Department March 18, 2008 Mr. John M. Morin P.E. Neve -Morin Group, Inc. 447 Old Boston Road Topsfield, MA 01983 Re: Sanitary Disposal System Design Plan for Lot 2 —100 Ogunquit Road Map 90A, Lot 76 Dear Mr. Morin: The proposed wastewater system design plan for the above site dated October 1, 2007 and received on January 30, 2008 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover (NA) regulation that has not met by this design follows each item for your convenience. 1. Using the theoretical ESHGW gradient and the elevations specified in the design for the primary tank it appears that the tank has been placed well below the ESHGW for its current location. Please provide a minimum of 12" from the outlet of the tank to the ESHGW (227(5)) 2. Please provide buoyancy calculations for the primary tank if any portion lies within the theoretical ESHGW gradient (221(8)) 3. Please specify a riser on the distribution box to within six inches of final grade (232(3), 221(13), 228(1)) 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. i / i Y. Sawyer, 'HS/RS Public Health Director cc: Owner File 1600 Osgood Street HEALTH DEPARTMENT Building 20; Suite 2-36 E -Mail: healthdept@townofnorthandover.com North Andover, MA 01845 Phone: 978.688.9540 Page 1 of 1 Fax: 978.688.8476 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 5/29/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Construction of an On -Site Sewage Disposal System By: Peter Breen At: 100 0imncluit Rd. Lot 2 Map 090.A Lot 0076 Nort Andover, MA 01845 tes ance of this cert' to N? rlljll�be f con rued as a guarantee that the system will function satisfactorily. P Michele Grant Public Health Agent 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com PUBLIC HEALTH DEPARTMENT (ommunity Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System 00 constructed; ( ) repaired; By: Peter Breen (Print Name) Located at: i -»O -r Z. — 100 0!1.o n J 1 t R d• (Installation A dress) Was installed in conformance with the North Andover Board of Health approved plan, originally dated 1011101 and last revised on I O I Z?W l ¢ , with a design flow of 550 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 accuxftely represented on the As -built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: Nod 2014 �of't�^4, a -t t;�„ Tot Engineer Representative (Signature) .JOH" M. MoittN And — Print Name Final Construction Inspection Date: MC. , 31 2014 Engineer Representative (Signature) J ol�iey Nt. M o ci t l`t And — Print Name h1jR 0 9.2015 Installer:S / (Signature) Date: E/ .e—c Enginer: (' WW- (Signature) Peter green And — Print Name Date: JI -7/1 JoKA M. MoR►N And — Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 , Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com Q w North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION �p�r� ADDRESS: 100 Ogunquit Rd. Lot 2 MAP: V ().,A LOT: Uv I�j/ INSTALLER: Peter Breen DESIGNER: Neve -Morin Group PLAN DATE: 10/1/07 Rev. 11/22/14 BOH APPROVAL DATE ON PLAN: 10/22/14 INSPECTIONS TANK INSPECTION: 10/29/14 DATE OF BED BOTTOM INSPECTION: 11/3/14 DATE OF FINAL CONSTRUCTION INSPECTION: 11/19/14 DATE OF FINAL GRADE INSPECTION: 12-11 1� SITE CONDITIONS Comments: SEPTIC TANK ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ❑ Topography not appreciably altered ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan X Bottom of tank hole has 6" stone base ® Weep hole plugged X 1500 gallon tank has been installed H-10 loading X Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle) ❑ inch cover to within 6" of finish grade installed over one access port ® Hydraulic cement around inlet & outlet (boots) Comments: MRC - Will need cover to within 6" of final grade over one opening of septic tank DISTRIBUTION -BOX ® Installed on stable stone base ® H-20 D -Box ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: MRC — Will need riser on d -box to bring to within 6" of finished grade if there is more than 9" of cover over it, which is likely SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan - 2 piles dropped ❑ 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: 68' length, with overdig L77'xW38'6" FINAL GRADE Loamed Seeded Cover per plan W Comments: DOCJIJMENTS NEEDED Certification of Installation Form submitted y engineer and signed and dated by ngineer and installer As -Built Plan BM = 130.38 HR = 5.24 HI = 135.62 SYSTEM ELEVATIONS SKETCH PLAN ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Building Sewer OUT 1.65 133.64 131.2 Septic Tank IN 2.08 133.21 131.0 Septic Tank OUT 2.44 132.85 130.75 Distribution Box IN 126.10 Distribution Box OUT 125.93 Lateral 1 TOP 9.39 125.90 125.93 Lateral 1 INVERT 9.71 125.58 125.60 Lateral 2 TOP 10.39 124.90 124.93 Lateral 2 INVERT 10.71 124.58 124.60 Lateral 3 TOP 10.49 124.80 124.83 Lateral 31NVERT 10.82 124.47 124.50 SKETCH PLAN d . . t. CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland / Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other) Foundation 10 (5) 20 (10) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws Town of North Andover — Septic System - AS -BUILT CHECKLIST 1) All changes to the design plan have been reflected on the as -built 2) ( Is of suitable scale; (one inch = 40 feet or fewer for plot plans and one inch = 20 or fewer for details of system components) 3) Lot number, Street Name, Assessors Map and Parcel Number 4) \ Lot Lines and Location of Dwellings served by the system 5) Locations, Elevations and nsionf-systems including reserve (if applicable) 6) Ties to dwelling or Permanent Structure & Wells ''7 a. From Septic Tank & Distribution (D) Box V.." b. From Leach Area Ties to Lot Lines from leach area 8) Locations of Deep Holes & Peres 9 :ZTopof Foundation Elevation 10) J Locations of Wells, Drains, Watercourses within 150 feet of system 11) ti/ Location of water, gas, electric lines, cable 12) Location of Structures within 6 Inches of Finished Grade 13)riginal Stamp & Signature 14) ;1 Location and holder of any easements which could impact the system 15) `/ Impervious Areas; Driveways, etc 16) e/ North Arrow 1 Location & Elevations of Benchmark enchmark used 18) STATEMENT ON PLAN (NA 5.3) a. "I certify the locations, elevations, ties, cover material; exposed component covers etc., shown on this as -built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met." Signature of Designer Date b. "If a STUCTURAL WALL IS PRESENT (NA 4-9) a Letter or statement on the as -built indicating the wall - was, or was not, constructed in accordance with the intended design and any manufacturer's �Secifications. " Signature of Designer Date As of: Tuesday, July 30, 2013 Commonwealth of Massachusetts Map -Block -Lot BOARD OF HEALTH ---------------------- Permit No North Andover BHP -2014 127 - 4 P.I. ----------------------- F.I. FEE $250.00 ---------------------- - ISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Peter Breen ------------------------------------------------------------------ to (Construct) an Individual Sewage Disposal System. at No 100 OGUNQUIT-ROAD as shown on the application for Disposal Works Construction Permit No. �BLIl?-201��12 k- bbed October 22 2014 Issued On: Oct -22-2014 --------------------------------------------------------------- BOARD OF HEALTH - , 4. °RT Application for Septic Disposal System Construction Permit - TOWN OF i ► *'.ORTH ANDOVER MA 01845 3�SS+ICHU E,ytg 1 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. �I Applicatioutis hereby made fora permit to: Construct a new on-site sewage disposal system* 161JAI0 TODAY' DATE Full Repair cl� I Component ❑ Repair or replace an existing on-site sewage disposal system* ❑ Repair or replace an existing system component — What? A. Facility Inform? 'on io v � rl (�" r i Address or Lot # City/Town i9C61 V D TOWN 0- tWRINA i 2, *TYPE OF SEPTIC SYSTEM*: HEALTH IDEPARTIVI T ❑ Pump 1[,Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** rconventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D -Box Present) S.A.S. 2. Name 6lv C �� Address (if different from above) 3. Installer Information 4. 2 ,M a I R Y� State Zip Code Telephone Number Name DD Name of Company Address Al' 6 nd oy{r-YR -9 � a O / F y S» City/Town State Zip Code Designer Information 'o4 rvtar t � Name Address City/Town telephone Number (Cell Phone # if possible please) Name of Company M Ck- State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 °Rte Application for Septic Disposal System Of staa ,a'SY - Construction Permit - TOWN OF ORTH ANDOVER. MA 01845 PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: j(Residential Dwelling or ❑Commercial B. Agreement TODAY'S DATE $ 250.00 - Full Repair $125.00 - Component The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. G t2 PC: i �S rz-e,, 6 L,--) a Name Date Application pproved By: (Bo of Health Representative) Na Date pplication Disapproved for the following reasons: For Office Use Only: L Fee Attached. Yes No 2. Project Manager Obligation Form Attached? Yes ✓ No 3. Pump Ssy tem? Iiso, Attach cove of Electrical Permit Yes No 4. Foundation As -Built? (new construction ronly): Yes V__� No (Same scale as approved plan) or)_� ;0 1 2-,1 ` /- �,` ; 51 cam-` 5. Floor Plans? (new construction only): Yes No Application for Disposal System Construction Permit • Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) (� Relative to the application of (Installer's name) Dated l 1 o ay s ate For plans by ryk6 r % -1k4 11eV t (Engineer) And dated (Origin ate With revisions dated 16 ` (Last revised date) 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 Vrior 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 manager, 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 Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company., a. Bottom of Bed — Generally, this is the first (1s) inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdept@townofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a 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. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done 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: (Today's Date) p 7cf 2 6rcf,. /Z�,, ame —Print) ame — Signe TOWN OF NORTH ANDOVER NORTH ANDOVER, MASSACHUSETTS 01845 Pemait Number Date issued l o Z 1 ,Expiration Date Jackie's Law — Permit Application Pursuant to G.L. c. 82A §1 and 520 CMR 7..00 et seq.(as amended) THIS PERMIT MUST RE MLX COMPL9TED PRIOR TO CONSIDNPATION 'Name of A,ppl(caut vel—e-A, g ��JJ� f P(h�one Cell Street Address ry City/Town MA Zip Name of Excavator Of different from applicant) Phone Cell Street Address Cityfrown MA 2TP Name of Owner(s) of Property Phone Cell Street Address O City/Town . P ZlP Permit ]Fee Received No X Other Contact Description, location and purpose of proposed trench: Please describe the exact location of the proposed trench and its purpose (jaclude a description of what is (a rls intendad) to be laid in proposed trench (eg; pipes/cable Nunes ate..) please use reverse side if additional space is needed. T -C S -r G t 03 1usurance Certificate 0: Received Time Oct.22, 2014 3:01PM No.0904 !l G! Name and Contact Informatlom of Insurer: P 5 ,, Ur�- d S650A. S; PWy Expiradon Date; Dig Safe #: Name of Competent person (9s defined by $20 CMR 7.02): Ddu G Massachusetts Hoistlag License # License Grade: E iration Date: BY SIGNING TRIS FORM, THE APPLICANT, OWNER, AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT THEY ARE FAMILIAR WITH, OR, BEFORE COMMENCEMENT OF THE WORC WILL BECOIVI E FAMMIAR WrIN, ALL LAWS AND REGULATIONS APPLICABLE TO WORK PROPOSED, INCLUDING OSHA REGULATIONS, G.L. e. 82A, 520 CMR 7.00 et seg., AND ANY APPLICABLE MUNICIPAL ORDINANCES, BY -TAWS ANO REGULATIONS AND THEY COVENANT AND AGREE THAT ALL WORK DONE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN ALL RESPECTS AND WITH THE CONDITIONS SET FORTH BELOW. THE UNDERSIGNED OWNER AUTHORIZES THE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO UNDERTAKE SUCH WORK ON TOE PROPERTY OF 'ITfE OWNER, AND ALSO, FOR THE DURATION OF CONSTRUCTION, AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR AND INSPECT THE WORK FOR CONFORMITY WITH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND RFGIVI,ATIONS COVERING SUCH WORK THE UNT)I 2.SIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALTY TO REIMBURSE TIM MUNICIPALITY FOR ANY AND ALT. COST'S AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNXCTION WITH THIS PERMIT AND THE WORK CONDUCTED THEREUNDER, IIVCLUDING BUT NOT LIMITED TO ENFORCING THE RIEQUInMENT'S OF STATE LAW AND CONDITIONS OF TTIIS PERMIT, INSPECTIONS MADE TO ASSURE COMPLIANCE THEREWITH, ,ANA MEASURES TAKEN BY'x'82; MUNICIPALITY TO PROTECT TRE PUBLIC WHERE THA APPLICANT OWNER OR EXCAVATOR HAS F'AIIXb TO COMPLY 'T'HEREWIT'H INCLUDING POLICE DETAILS AND OT=R REMEDIAL MEASURES DEEMED NECESSARY BY TIM MUNICIPALITY. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR ,AGUE JOINTLY AND SEVERALLY TO DEFEND, INDEMNIK AND HOLD HARMLESS THE MUNICIPALITY AND ALL' OF ITS AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILI'T'Y, CAUSES OR ACTION, COSTS, AND,EXPENSES RESULTING FROM OR ARISING OUT OF ANY INJURY, DEATH, LOSS, OR DAMAGE TO ANY PERSON OR PROPERTY DURING THE WORK CONDUCTED UNDER THIS PERAHT. APPLICANT SIGNATURE le-0�L`�'� DATE41 EXCAVATOR SIGNATURE (IF DIMRENT) DATE OWNER'S SIGNATURE (TF DIFFERENT) DATE: 2IFage Received Time Oct.22. 2014 3:01PM No.0904 CONI )MONS AND REQUIREMENTS PURSUANT TO G.L.C.82A AND 520 CMR 7.00 et seq. (as amended) By signkg the application, the applicant understands and agrees to comply withthe following: i. No trench, may.be excavated unless the requirements of sections 40 through 40D of chapter 82, and any accompanying reguladon,s, have been met and this permit is invalid unless and unti 1 said requirements have been complied with by the excavator applying for the permit including, but not limited to, the establishment of a valid excavation number with the underground plant damage prevention system as said system is defined in section 761D of chapter 164 MIG SAFE); Trenches may pose a significant health and safety hazard. pursuant to Section 1 of Chapter 82 of the General Laws, an excavator shall not leave any open trench unattended without first making every reasonable effort to eliminate any recognized safety hazard that may exist as a result of leaving said open trench unattended, Excavators should consult regulations promulgated by the Department of Public Safety in order to famWarize themselves with the recognized safety hazards associated with excavations and open trenches and the procedures required or recommended by said department in order to make every reasonable effort to eliminate said sm%ty hazards which may iuelude covering, barricading or otherwise protecting open trenches from accidental entry. Persons engaging in any in any treracbing operation shall familiarize themselves with the federal safety standards promulgated by the Occupational Safety and Health Administration on excavations: 29 CPR 1926.650 et.seq, entitled Subpart P `Sxoavations". iv. vi, Excavators engaging in arty trenching operation who utilize hoisting or other mechanical equipment subject to chapter 146 shall only employ individuals licensed to operate said equipment by the Department of Public Safety pursuant to said chapter and this permit must be presented to said licensed operator before any excavation is commenced; By applying for, accepting and signing this permit, the applicant hereby attests to the following: (1) that they have read and understands the regulations promulgated by the Department of'Public Safety with regard to construction related excavations and trench safety; (2) that he has read and understands the federal safety standards promulgated by the Occupational Safety and Health Administration on excavations: 29 CMR 1926.650 et-seq., entitled Subpart P "Excavations" as well as any other excavation requirements established by this municipality; and (3) that be is aware of and has, with regard to the proposed trench excavation on private property or proposed excavation of a city or town public way that forms the basis of the permit application, complied with the requirements of sections 40- 40D of chapter 82.A. This permit shall be posted in, plain view on the site of the trench. For additional information please visit the Department of Public Safety's website at mm.mass. vJdua 31Page Received Time Oct.22, 2014 3:01PM No,0904 lGV0312014 12:20 3786833147 rrT%lr– w.r U.J. CERTIFICATE OF LIABILITY 'INSURANCEDAMP'"° ffm -MJS CBRMGA79 IS ISSN AS. A MAran OF INFOIt wwN ONLY Alla MFERS No mom UPON THR 110/3/2014 CERTFICATE HOLur�z rites GEILWMTF P= NOT A"MMATIVMY OR N&GATA RELY AMEND, E1(T$ND OR ALTER TWE COVFRAGN APPORDED sy Til! pOLIM BELOW. 'rHl4 CERTMCATE OF 9459RANCE DOLS NOT CONSWJTE A CONTRACT BETWM THE. ($Sum INSIREA, AN?FIORM REPRE$W. ArJS Lila PRODUCER. AND TW CERTLFIGA:B NOL,DER. IMPORTANT: Ken cefbllm� Bo1pOr (s an AOCIfLObIAL IN p, tl"e peky��) o111Qt be eelftaed. 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