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Home My WebLink AboutMiscellaneous - 102 PENNI LANE 4/30/2018 (2)ll� N O i 7 i f i ll� N O O N 'v o m Z z o z o zI oo m 0 North Andover Board of Assessors Public Access Parcel ID: 210/107.D-0065-0000.0 SKETCH Click on Sketch to Enlarge Community: North Andover PHOTO No Picture Available Location: 102 PENNI LANE Owner Name: FRENCH, KAREN I Owner Address: 102 PENNI LANE City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 7 - 7 Land Area: 1.07 acres Use Code: 101- SNGL-FAM-RES Total Finished Area: 2520 sgft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 538,100 502,500 Building Value: 322,600 303,100 Land Value: 215,500 199,400 Market Land Value: 215,500 Chapter Land Value: LATESTSALE Sale Price: 0 Arms Length Sale Code: N -NO -OTHER Cert Doc: Book: 01290 Sale Date: 12/31/1975 Grantor: Page: 0248 Page 1 of 1 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=809875 7/11/2006 101 We TOWN OF NORTH ANDOVER °t NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES F � P HEALTH DEPARTMENT 400 OSGOOD STREET " NORTH ANDOVER, MASSACHUSETTS 01845 «wst` 978.688.9540 - Phone Susan Y. Sawyer, REHS/RS 978.688.8476 - FAX Public Health Director E-MAIL: healthdeptaa..townofnorthandover.com WEBSITE: http://www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( p)1ePaired; by su«i 1 &u.,or �eytce_ Name) located at Jot Penal* toy Ale, 4&wl (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated Y- 2S 6 ( and last Revised on „�r/�- d �o , 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: A?y Final inspection date: do, E gmeer presentative (Signature) �` �� e. s V� And - Mnt Name - . 4.1,c.a. Engine Re esenta�tive (Signa e)'' Lsltat/ l • ( %. b t And - T*int Name Date: '7-07-0,4 Date: 7/2-7//.7 (fir. a-. tAORTFi qw- O 'l•�6tD 067 "IO OL O PUBLIC HEALTH DEPARTMENT (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 102 Penni Lane MAP: 107D INSTALLER: Soucy Excavation DESIGNER: New England Engineering PLAN DATE: 4-28-06 BOH APPROVAL DATE ON PLAN: 7-14-06 INSPECTIONS }} TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 7-25-06 DATE OF FINAL GRADE INSPECTION: - �� 1 b� SITE CONDITIONS Comments: SEPTIC TANK LOT: 65 ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading Monolithic 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 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TFI K41kh- j ) PUBLIC HEALTH DEPARTMENT Community Development Division 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ® 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: PUMP CHAMBER Bottom of tank hole has 6" stone base ® Weep hole plugged ❑ Combo Tank installed. Size: ® 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ® Inlet tee installed, centered under access port. ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ® 24" inch cover to within 6" of final grade installed over pump access port ® Water tightness of tank has been achieved Visual testing ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION -BOX ® Installed on stable stone base ® Inlet tee (if pumped or >0.087foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com SYSTEM ELEVATIONS pORTH OL O 1� Dip_ 11tocwa"M".1 �• / PUBLIC HEALTH DEPARTMENT Community Development Division INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT 99.47 99.82 Septic Tank IN 99.20 99.64 Septic Tank OUT 98.95 99.40 Pump Chamber IN 98.90 99.30 Pump Chamber OUT 98.65 98.89 Distribution Box IN 103.68 104.20 Distribution Box OUT 103.51 103.90 Lateral 1 INV 103.41 103.49 Lateral 1 TOP 103.74 103.85 Lateral INV 103.41 103.48 Lateral 2 TOP 103.74 103.84 Lateral 3 INV 103.41 103.45 Lateral 3 TOP 103.74 103.81 Lateral INV 103.41 103.46 Lateral 4 TOP 103.74 103.82 Lateral INV 103.41 103.47 Lateral 5 TOP 103.74 103.83 Lateral INV 103.41 103.47 Lateral 6 TOP 103.74 103.83 Lateral INV 103.41 103.46 Lateral 7 TOP 103.74 103.82 Lateral 8INV 103.41 103.45 Lateral 8 TOP 103.74 103.81 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com to /��° " �\ 1 �H. cu.ucn�t�wuw . 1• PUBLIC HEALTH DEPARTMENT Community Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory, setback ' Suction line 222(2) z 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 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 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) z 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 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ,DelleChiaie, Pamela Subject: Susan -Final Grade Inspection Location: 102 Penni Lane Start: Thu 7/27/2006 11:00 AM End: Thu 7/27/2006 11:30 AM Show Time As: Tentative Recurrence: (none) Meeting Status: ___Meeti g organizer Required Attendees;-- - D�11e��aie, Pamela; Sawyer, Susan 7/26/06 - Spoke with John Soucy. He said everything went ok with Mill River. Andy was there. He thinks site wi % ready for a FG tomorrow by 11:00, but will call end of day today, or tomorrow a.m. to confirm. Also, NEES needs to bringwn the Final As Built, which they told JS they would bring in Thurs. a.m. RUSH REQUEST -- 102 Penni Lane - Final Construction Inspection Report Page 1 of 1 �r • DelleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Wednesday, July 26, 2006 2:33 PM To: DelleChiaie, Pamela; 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)' Subject: RE: RUSH REQUEST -- 102 Penni Lane - Final Construction Inspection Report PAMELA, WE'RE UNABLE TO GET THE REPORT TO YOU TODAY; HOWEVER, WE CAN TELL YOU THAT THE INSPECTION WENT FINE AND ALL'S WELL. From: DelleChiaie, Pamela[mailto:pdellechiaie@townofnorthandover.com] Sent: Wednesday, July 26, 2006 12:06 PM To: Daniel Ottenheimer (E-mail); Lisa LeVasseur (E-mail); Marianne Peters (E-mail); McBrearty Andrew (E-mail) Subject: RUSH REQUEST -- 102 Penni Lane - Final Construction Inspection Report Hi, Can you send above report to us asap? The final const. inspection was done this a.m. Thank you. 88gf Raguad8, ,A4AV¢G44 D¢0,0¢40!0141¢ Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA o1845 978.688.9540 - Phone 978.688.8476 - Fax kttp://www.townofnorthandover.com healthdept@townofnorthandover.com 7/26/2006 Application for Septic Disposal System ►Construcfion'Permit - TOVN OF 'NORTH ANDOVER, MA 01845 Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer, use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key to move your 21Ceepair or replace an existing system component cursor - do not use the return A. Facility Information y rab Address or Lot # City/Town 2.- *TYPE OF SEPTIC SYSTEM*: ❑ Pump ❑ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** TODAY'S DATE /__��!�7_ $ 250.00 — ull Repair 1. - Component ❑ Conventional 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 Address (if differ rom abi City/Town State Zip Code �.�. L on Telephe Number �— — 3. Installer Inform a ion Name Name of Company 4. r+aare City/Town tate 77D -NM Zip Code CT ' T ephone Number (Cell Phone # if possible please) Designpr Information Name Address _ Name of Company City/Town — —tate , ljp Code-- -- --- - Tele o IquiTibereest # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 Z 10 Z 86ed . Iiwaad uoponi;suoo wajsAS lesodsiQ jol uoileogddy ON —s ON —sad 6 : (Aluo uoi;onajsuoo mou) z suvld .ioold •5 (uvld pazocddn sv alms aiuns) :(Aluoa uo�i;ona;suoo Mau) zilzng-sd uot;vpunoI •p, —oN SdA ;zuuad MIU aaMo Voi yan; `OSJI Zu sl -s s wnd •£ ON SdA zpagon;.ly uuol uoz;v�zlgo iagvuvNlia to -id •z 7 —ox _1 zpagavnv aad 'I ale(] a eN (ani;e;uesaidaa y;jesH JO paeo8) :Aa panoj d4oge!Iddy ale(] eN y;IeaH 10 pies.y; �(q p n si uaaq sey eoueildwoo jo a;eo!j!peo a /!;un uoi;ejado ut wa;sAs ay; eoeld o;;ou pue `aan uv ypoN jo umol ay; jo{ suo!;elnBaa lesodsto aoeunsgnS le3o7 ay; se {/aan se `opoo ie;uawuoarnu3 ay; so g al;!l So suoistnord ay; y;iM a3uepio33e ut wa;sAs lesodsip oBemes 8;!S-uo pagiaosep-aaoje ay; jo aoueua;Wew pue uoi;anj;suoo ay; einsus o; seeiBe pou6isiopun ayl luouodwo3 - 00.9Z6$ jiedaa iin_q - 00.09Z $ 31VO S VGOI 7 W juow8gjBd •8 ieioaawwooE] jo 6uivanna iei}uapisa ulplln8 jO a j •9 ••••penuiluo3 uoi;euaaojul I!1!3e3 •d ZJOZ3Jdd 30 N&O I, — }!WJGd uopon.i4suo3i W04S S !eso s!Q 314aS aol u014eo!! d INSTA'LLER'PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at It t /l relative to the application ^ of Lbw ated �7-04P for plans by / Y 1 E..eand dated with revisions dated I understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the 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. UndersigiWdd Vicensed Septic Iytaller Date: `i 7- 0 > ;y Otricial Use Only Commonwealth of Massachusetts Permit No. Department of Fire Services JUL 6 Occupancy and Fee CheckedS B ARD OF FIRE PREVENTION REGULATIONS Rev. 11199] (leave blank) TO` iti' i i -i ANDOVER :;E;PP,RTI0ENT kPPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 5 7 C�, R 12.00 (PLEASE PRINT IJV NK OR TYPE ALL1INFORbMATION) Date: ~' // U City or Town of: AoLVc)q-- To the Inspe for f 6vires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number)% �A 0�(}��tQ r� Owner or Tenant Y A h F-' 1 / 1 a e Soy Telephone No. Owner's Address SFi ry-,) C Is this permit in conjunction with a�O� building permit? J•/ o• ,04 ,SSACNUS� Yes ❑ No 0 Commonwealth 9f Massa (Check Appropriate Box) Utility Authorization No. ❑ Undgrd ❑ No. of Meters ❑ Undgrd ❑ No. of Meters 1 C, Z table may be waived by the Inspector of Wires. !2 -t)A Date....... -1 .................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .............. �-- 4! q.. ...../..'�.�P: '!? !.......................... has permission to perform ......... .....i,F�.7 �yy ..........................3.>!...T.:.l,............... wiring in the building of 41-4,�t �' ..f........ ./ '' ....'................. at ....... ...''.............�.........................5' r' S .... , North Andover, Mass. ............ Fee.,. . Lic. No. o.' . 119 � �p ELECTRICALINSPECTOR r Check ttl- t n No. of Total Transformers KVA KVA �G�+-enerators t`lo.of Emergency Lighting I Rotten- TTnitC FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Alerting Devices No. of Self -Contained Detection/Alerting Devices Local ❑ N'lunicipal ❑ Other Connection Security Systems: No. of Devices or Equivalent Data Wiring: No. of Devices or Equivalent Telecommunications Wirina: No. of Devices or E uivalent F•.tlr,fr. .rcectorofWirc ,formance of electrical work may issue unless .overage or its substantial equivalent. The ;e to the ermit issuing office. ------ _ (Expiration Date) �o, of L iolitin; i:itar s in�min,t poo treti by municipal policy.) brdance with EIEC Rule 10, and upon completion. ! cern y, under dllc afns and penalties ojperjury, that the information on this application is true and complete. FIRM NAME: > V t % A. ' ha I'' LIC. Licensee: Sionatur( i?1 - LIC. NO.: (Inapplicable, enter '"erenipt "" in the fi •ease number 1 e.) Bus. Tel. No.:J Address: :,/i/fu,JLF(z12 I etyp �' li �IA, Alt. Tel. No.: '!-35 OWNER'St SURANCE WAVER: I am aware that theULicensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PER1>II7'FEE: S Signature _ Telephone No. _ j Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 117 % Occupancy and Fee Checked [Rev. 9/05] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfornmed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:' -- --�� U City or Town of: AL AxiAy4 /l To the Inspector of Wires: By this application the undersigned�gives notice of his or her intention to perform the electrical work described below. Location (Street &Number) ® lot / Owner or Tenant s 4,_ed6 �. L• Telephone No. Owner's Address�,d$Ot Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Bos) Purpose of Building__ r--Plj A Utility Authorization No. Existing Servicel?e-1✓ Amps,✓Zf, / 4,(Volts Overhead � Undgrd ❑ No. of Meters i New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity RECEIVED 9 JUL 1012006 ANOOVER ,TM+ENT Date.... ........................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING r This certifies that ......Y Z4,1.... <✓'.!!• ................................................................ has permission to perform ..... -� wiring in the building of.....�?...rt .............................. ................. t ...... %/` North Andover, Mass. 14 ee ...:.�. ❑....... Lic. No....... j ,�......... tit' 7 -:..... ELECTRICAL INSPECTOR Check # if desired, or as required by the Inspector of 6Vires. 67 7 nicipal policy.) i MEC Rule 10, and upon completion. 11NSUFA1NUL (-UVERAUt: unless walveu oy Lne uwller, 110 pe11111L 10L Lilt; performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify, un der the pains. td penalties ofperjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.:% Licensee: ,L,y Signature LIC. NO.: /�r�. I a licable i er ' es M� lam=, (If r } pt" in the license; ber line.) Bus. Tel. No.: Address: !-�—�` rl� �! �� ' J'aj``� - /�"�I� �jEp Alt. Tel. No.: *Security System Contractor License required for this w Irk; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ I wing table nray be ivaived by the Inspector of FVires. ( i No. of Total Transformers KVA F. Generators KV ❑ o. o mergency ig in Battery Units FIRE ALARMS No. o Zones i No. of Detection and Initiatin Device No. of Alerting Dev'ces No. of Self-Contai ed Detection/Alerti Devices Local❑ Munic' al Conn ction Other Security Syste s: No. of De ces or Equivalent Data Wirin No. of evices or Equivalent r _ Teleco munications Wiring: No. of Devices or Equivalent R, ' tg 9sr i PF. C E Ell. NEw 1ENGLAND lENG ERING "SERVICFS, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 11'1: (978) 686-1768 • Fax: (978) 327-6138 Benjamin C. Osgood, Jr., P.E. President Mr. Susan Sawyer North Andover Board of Health 400 Osgood Street North Andover, MA 01845 Re: 102 Penni Lane, No. Andover, MA Septic System Design Dear Ms. Sawyer, TOVvr.. u, . ;y :.,p. !!OVER HEALTH DEPARTMENT July 14, 2066 Proiect # 11 R2 S�� tA15 MVP M( Enclosed are 5 copies of revised plans for the aboi the plan include the following which address the c _ _- __........,«. 119c;G1 V VU ay this office earlier today. 1. The name of the owner has been added to the title block. 2. A swale has been added between the soil absorption system and the dwelling. 3. The leach area note has been modified to indicate a 1539 square foot leach area. 4. The gray water note has not been changed. This is a general construction note which has been on our plans since we have been designing systems. The purpose of the note is to put the owner and contractor on notice that all waste including the gray water are required to be directed in to the new system and therefore prevent someone from installing a new gray water disposal system. 5. The conservation commission has approved the plan as presented. A note has been added indicating who delineated the wetlands. If you have any comments or questions please do not hesitate to contact this office. Sincerely, 9 -2 C c/ Benjamin C. Osgood, Jr., P.E. President /p o. '.,�+ se --i,4 Pr :-i...r�-may ✓' � �.d Cj� S L1.n� 7uly 1 a, 200 Karen French 102 Penni Lane North Andover, MA 018645 107 �. peptic aystem Design, 102 rah"i ane, �vv'il' �'iitiuv�r, iv�a13 107D Lot 6' Dear Homeowner, fE- - se-E__the North Al-uover Board ofiealth has completed the rr ries iPiic system =sign flnu for t ie above referenced property, submitted on your behalf buy New- England Engineering Services iilc ., uaiou April 280, 20\06, 'last revisiondatedJuly 14, 20vv, i hie Board of health approved 'local upgrade approvals on May 25, 2006 as listed below. With E local � t , 'has _ _ t, £ 4 £ E_ the local upgrades, the design'uts been approved for use in the construction of a 4 -bedroom (9 - room iilaxii€ uni) visite septic, system. This approval is valid 'Iortwo yearshoni the date of the approval in accordance with current local regulations and during this tinie 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. I , Allow the use of a sieve analysis to determine loading rake in lieu of perioriiiiiig a C Ane i•e percolation test section 'J.�+vj ti) 2. Reduction in offset distance between the estimated seasonalhigh groundwater and the E_ r_ * R a y nn�•r r �, septic tank invert uoin 12 in to 8 section 15.22 7 (5) E 9 7E �' This approval is subject to the following conditions-. Tiie attached DEEP Form 9b must be submitted by the homeowner to the appropriate Regional O ice cif the Department of Brivironrhental Protection; Bureau cif Resource Protection, Mass ;Br ERO, 2015B f,oweli Street, `�iliiung-ton, IDA 01887 i . u site conditions are four's in the fie" to be dii er enc from those iiiuicated tr' the design Alar' and/or coil 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 small 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. Sawyer, REH Public Health Director Encl: list of licensed septic system installers Cc: New England Engineering Page 1 of 1 -r DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Friday, July 14, 2006 6:56 AM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: 102 Penni Lane plan review The plan review is attached. The design had a few small items in need of attention plus one potentially significant item which we suggested they take a look at. To help move things along we are sending NEES a copy of the body of the letter so they can be prepared more quickly to deal with the outstanding items (and the owner can stop calling both your office and their office). Hope this helps, Dan XI i Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.miliriverconsulting.com dano@millriverconsulting.com 7/19/2006 Health Department July 13, 2006 Benjamin Osgood, PE New England Engineering Services 1600 Osgood Street, Building 20, Suite 2-64 North Andover, MA 01845 RE: 102 Penni Lane, North Andover, MA Map 107D, Lot 65 Dear Mr. Osgood, The proposed wastewater system design plans for the above site dated April 28, 2006, revised May 11, 2006 has been reviewed. Unfortunately, the plans cannot be approved as submitted. The following items are in need of attention prior to approval, with the section of Title 5 (3 10 CMR 15.000) or the North Andover Board of Health regulation noted: 1. The name of the client in the title block is "Kellett Excavating", whereas the owner name on various applications is "Karen French". Please verify the owner and applicant names on the submitted documents. 2. Please provide a swale on the side of the soil absorption system to ensure drainage from the SAS will be carried away from the house. 3. The provided leaching area appears to be correct, but should indicate the 1,359 square feet provided, not 1,539 square feet. 4. Please depict the approximate location of the gray water system referenced in the Construction Notes to provide the Installer with a location to perform the abandonment. Also, you may wish to advise the installer that a licensed plumber will be required to make the internal plumbing changes likely required with the abandonment of the gray water system. 5. Please confirm the resource area boundary shown with the Conservation Commission and indicate their concurrence. Additionally, while not a reason for disapproval, you may wish to consider assessing the depth of the impervious barrier specified on the design plan. It appears to be placed so it might trap significant volume of ground water and may cause operational difficulties for the soil absorption system. 1600 Osgood Street Building 20; Suite 2-36 North Andover, MA 01845 HEALTH DEPARTMENT E -Mail: healthdept@townofnorthandover.com Phone: 978.688.9540 Page 1 of 1 Fax: 978.688.8476 :•� ' Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a replacement wastewater system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Susan Y. Sawyer, REHS/RS Public Health Director cc: Homeowner File I\ JUL-13-2006 11:26 David S. Fox ATTORNEY AT LAW Four Longfellow Place Suite 3703 Boston, MA 02114 TELECOPIER (617) 227-1474 ADMITTED IN MASSACHUSETTS AND FLORIDA VIA FACSIMILE: 978.699.8476 ATTN: Michelle Board of Health Department Town of North Andover North Andover, MA 01845 TELEPHONE (617) 227-8889 July 13, 2006 RE: Board of Health Approval for Septic System Installation Karen French, 102 Penni Lane Dear Michelle: Per our telephone conversations on this date, you have indicated that the Board of Health is still awaiting receipt of an updated engineer's report regarding the above - referenced property and septic system. You also indicated that the report may become available as of tomorrow, Friday, July 14, 2006, which may result in a denial of the issuance of a permit. Kindly accept this letter as my request to obtain a copy of said report and any additional information regarding the Board of Health application regarding this matter. Your kind attention and cooperation are greatly appreciated. WavwidS. Qox C ___" DSF:agb P.01/01 TOTAL P.01 Pagel of 3 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Friday, July 07, 2006 9:36 AM To: DelleChiaie, Pamela Subject: RE: 102 Penni Lane Pamela, We should have this to you sometime on Monday/Tuesday; we've been short-staffed with vacations, holidays, short -weeks, etc. Marianne 0 Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsu.1tinia.com dano@miliriv_erconsulting.corn From: DelleChiaie, Pamela [ma iIto: pdellechiaie@townofnorthandover.com] Sent: Wednesday, July 05, 2006 9:16 AM To: Daniel Ottenheimer (E-mail); Lisa LeVasseur (E-mail); Marianne Peters (E-mail); McBrearty Andrew (E-mail) Cc: Sawyer, Susan Subject: FW: 102 Penni Lane Please confirm that the plan for the above has been reviewed - dated 4/28/06, revised on 5/11/06 done by NEES. It was mailed out for review on June 12, 2006. This site was a confusing one ---originally a plan was sent with one design for the initial buyers, that was scrapped, and a new plan designed for a different set of buyers. So, there may have been some confusion with it. Can you just confirm where this one is at now? Thank you. -----Original Message ----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Friday, June 30, 2006 10:39 AM To: DelleChiaie, Pamela Subject: RE: 102 Penni Lane Pamela, Dan's away in Spain, returning July 10th. Yes, we did get the info; I'll look into the status and get back to you shortly. 7/7/2006 Page 2 of 3 Marianne Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultLng.com dano millriverconsultin2.com From: DelleChiaie, Pamela [mai Ito: pdellechiaie@townofnorthandover.com] Sent: Friday, June 30, 2006 8:58 AM To: info@millriverconsulting.com Subject: RE: 102 Penni Lane Hi Dan, Do you have any idea when you may have a response re: this plan? Did you get the fax with the below information you wanted? The homeowner is anxious, as they are evidently closing the end of next month. I think John Soucy is going to get the contract on this one, as he called today, and will be down to pull a permit soon. -----Original Message ----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Wednesday, June 21, 2006 9:00 AM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: 102 Penni Lane Reviewing revised submission for this site and had a few questions: We had concerns with the Local Upgrade Approval application (form 9a) they submitted last time. Was a new one submitted? If so, could you send over a copy? Did they provide the sieve analysis for the soils which were sent to the laboratory? If so, could you send those over? Thanks much, Dan 0 Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 7/7/2006 Page 3 of 3 fax: 978-282-0012 www.millriverconsulting.com danQ@millriverconsultiniz.com 7/7/2006 Page 1 of 2 4 DelleChiaie, Pamela From: Marianne Peters[mpeters@miliriverconsulting.com] Sent: Wednesday; Jt��5 2006 d.:56 PM To:e'Chiaie, Pamela Subl atRE: 102 Penni Lane PAMELA, IT SHOULD BE DONE FAIRLY SOON; WE'VE BEEN SHORT-STAFFED DUE TO VACATIONS, SHORT HOLIDAY WEEKS, ETC. THANKS, From: DelleChiaie, Pamela [mai Ito: pdellechiaie@townofnorthandover.com] Sent: Wednesday, July 05, 2006 10:16 AM To: Daniel Ottenheimer (E-mail); Lisa LeVasseur (E-mail); Marianne Peters (E-mail); McBrearty Andrew (E-mail) Cc: Sawyer, Susan Subject: FW: 102 Penni Lane Please confirm that the plan for the above has been reviewed - dated 4/28/06, revised on 5/11/06 done by NEES. It was mailed out for review on June 12, 2006. This site was a confusing one ---originally a plan was sent with one design for the initial buyers, that was scrapped, and a new plan designed for a different set of buyers. So, there may have been some confusion with it. Can you just confirm where this one is at now? Thank you. -----Original Message ----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Friday, June 30, 2006 10:39 AM To: DelleChiaie, Pamela Subject: RE: 102 Penni Lane Pamela, Dan's away in Spain, returning July 10th. Yes, we did get the info; I'll look into the status and get back to you shortly. Marianne Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 7/5/2006 Page 2 of 2 www.millrivercQ_nsultiLig.com (lano.@millriverconsu.ItinR.com From: DelleChiaie, Pamela [mailto:pdellechiaie@townofnorthandover.com] Sent: Friday, June 30, 2006 8:58 AM To: info@millriverconsulting.com Subject: RE: 102 Penni Lane Hi Dan, Do you have any idea when you may have a response re: this plan? Did you get the fax with the below information you wanted? ' The homeowner is anxious, as they are evidently closing the end of next month. I think John Soucy is going to get the contract on this one, as he called today, and will be down to pull a permit soon. -----Original Message ----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Wednesday, June 21, 2006 9:00 AM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: 102 Penni Lane Reviewing revised submission for this site and had a few questions: We had concerns with the Local Upgrade Approval application (form 9a) they submitted last time. Was a new one submitted? If so, could you send over a copy? Did they provide the sieve analysis for the soils which were sent to the laboratory? If so, could you send those over? Thanks much, Dan Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater 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@mi_llriv_erconsulting.com 7/5/2006 NEw ENGLANDENGINEEMG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 'del: (978) 686-1768 • Fax: (978) 327-6138 Benjamin C. Osgood, Jr., P.E. President May 26, 2006 Susan Sawyer North Andover Board of Health 400 Osgood Street North Andover, MA 01845 Re: 102 Penny Lane Septic System Design Dear Susan: MAY 2 6 2005 TOWN OF HEALTH Enclosed are the following documents pertaining to the above referenced property. 1. (5) Copies of a revised septic system design plan. 2. (1) Copy of a plan submittal form 3. Check to cover the review fee. I apologize for the confusion at last nights Board of Health meeting regarding the revised plans. I was under the impression that the plans had been submitted to your department and apparently they were not. I take full responsibility for this oversight. If you have any questions or require any additional information please do not hesitate to contact this office. Sincerely, 4/od,BenjZin C. Jr. P.E. President F' ii r f _ Town -0f -N0 rth Andover Health Department ,D Location: ZLIal (Indicate Address, if Residential, or N, k Check #• r' Type of Permit or License: (Circle) a ➢ Animal $ ➢ Dumpster $ " ➢ Food Service - Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal (Septic) Hauler $ ➢ Recreational Camp $ ` ➢ SEPTIC PERMITS: ❑ Septic - Soil Testing $ ��ticesign Approval $ ❑ Septic Disposal Works Construction (DWC) $ ri ❑ Septic Disposal Works Installers (DWI) $ '. ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER: (Indicate) Health Agent Initials 1563 White - Applicant Yellow - Health Pink - Treasurer TOWN OF NORTH ANDOVER N°RTM Office of COMMUNITY DEVELOPMENT AND SERVICES o?°`a°D HEALTH DEPARTMENT O400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 'ss�cHuSE< 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476— FAX Public Health Director E-MAIL: healthdeptatownofnorthandover.com WEBSITE: http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: >S" zz &/d G Site Location: / o ? f bN N u �. ,4v N o /Li}{ �►�v p� Engineer: .Mg w jF v & j,4,v p New Plans? Yes_)(_$225/Plan Check # (includes 1St submission and one re- review only) Revised Plans? Yes $75/Plan Check # Site Evaluation Forms Included? Yes No x OLocal Upgrade Form Included? Yes No w Telephone #: !1-78— `B& -176,p Fax #: 9 78 -- 68.5'— (a? y E-mail: NESS ziFNG- F> f}'y L, c d ," Homeowner Name: K a. ran T:72e •• �. OFFICE USE ONLY When the submiss'on is complete (including check): RE�EI�ED ➢ � Date stamp plans and letter MAY 2 6 2006 ➢ ./ Complete and attach Receipt TOWNOF NORTH E ARI�OVER ➢ _Copy File; Forward to Consultant NT ➢ Enter on Log Sheet and Database z m {� m z ILA t.� VNi C? O I CTI c� i z m s z 2M z "+ m m ILA t.� VNi C? O I CTI r z Z W m m C $ m 0 ILA t.� VNi C? O I CTI t TOWN OF NORTH ANDOVER 1% OE µORTM Office of COMMUNITY DEVELOPMENT AND SERIES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss4CH Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone978.688.8476— FAX Public Health Director E-MAIL: healthdept@townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: Site Location: /W Azon i laim. Alp. Engineer: New Plans? Yes review only) imi;1 C " D.S MAY - 1 2006 TOWN` „:11-i ANDOVER HEALTH DEPARTMENT �25/Plan Check # (includes I" submission and one re - Revised Plans? Yes $75/Plan Check # Site Evaluation Forms Included? Yes L,� No Local Upgrade Form Included? Yes t/� No Telephone #: l 7L & M —/ % A Fax #: E-mail: a0/. eGri') Homeowner Name: OFFICE USE ONLY When the submission is complete (including check): ➢ _Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database REC-r- 7 MAY - 1 2006 TOWN HEALTH QEPARTMENT NEw IENGLAND IENGINEEMG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tlel: (978) 686-1768 • Fax: (978) 327-6138 Ms. Susan Sawyer North Andover Board of Health 400 Osgood Street No. Andover, MA 01845 Re: 102 Penni Lane, No Andover, MA Local Upgrade Approval Request Dear Ms. Sawyer, April 28, 2006 Project # 1182 MAY - 1 2006 TOWNOE ;� .?'H ANuOVER HEALTH DEPARTMENT The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following Local Upgrade Approval : Local Upgrade ade Approvals Required 1. Allow the use of a sieve analysis to determine loading rate in lieu of performing a percolation test. Title 5, Section 15.405(1). 2. Reduction in offset distance between the estimated seasonal high groundwater and the septic tank invert from 12" required by Title 5, Section 15.227(5) to 8". If you have any comments or questions please do not hesitate to contact this office. 1 Sincerely, Benjamin C. Osgood Jr. P.E. President Commonwealth of Massachusetts City/Town of North Ahdow Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Leach field. 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: B. Proposed Upgrade of System 1. Proposed upgrade is (check one): unknown gpd 440 gpd 440 gpd ❑ Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: 2. Describe the proposed upgrade to the system: Replace leaching field and components. 3. Local Upgrade Approval is requested for (check all that apply): ❑ Reduction in setback(s) — describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. ❑ Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate Depth to groundwater ft. min./inch ft. Unknown date of inspection % reduction Form 9A Application for Local Upgrade Approval • rev. 5/02 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Mas sachusetts City/Town of NOr+I ArLdow Form 9A - Application for Local Upgrade Approval 5•y`• DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ® Other requirements of 310 CMR 15.000 that cannot be met— describe and specify sections of the Code: Allow the use of a sieve analysis to determine loading rate in lieu of prforming a percolation test. Title 5, Section 15.405(1). Reduction in offset distance between the estimated seasonal high groundwater and the septic tank invert from 12" required by Title 5, Section 15.227(5) to 8". If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1). The soil evaluator must be a member or agent of the local approving autho ft High groundwater evaluation determined by: Alexander Parker 4/6/2006 Evaluator's Name (type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: No other available location on the lot. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: An alternative system would be cost prohibitive. Form 9A Application for Local Upgrade Approval • rev. 5/02 Application for Local Upgrade Approval* Page 3 of 4 Commonwealth of Massachusetts ED City/Town ofoy, p/ Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: No other adjacent is available. 4. Connection to a public sewer is not feasible: Public sewer is not available in the area. 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ❑ Application for Disposal System Construction Permit ❑ Complete plans and specifications ❑ Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other (List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." A., e�� p / 4/28/2006 Facil Owner's Signatur Date Benjamin C. Osgood Jr, P.E. (agent for owner) Print Name New England Engineering Services, Inc. Name of Preparer 1600 Osgood St Bldg. 20 Suite 2-64 Preparer's address MA 01845 State/ZIP Code 4/28/2006 Date North Andover City/Town (978)686-1768 Telephone Form 9A Application for Local Upgrade Approval - rev. 5102 Application for Local Upgrade Approval* Page 4 of 4 1NEw IENGLAND IENGINE EMG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 10: (978) 686-1768 9 Fax: (978) 327-6138 Mr. Susan Sawyer North Andover Board of Health 400 Osgood Street North Andover, MA 01845 Re: 102 Penni Lane, No. Andover, MA Septic System Design Dear Ms. Sawyer, April 28, 2006 Project # 1182 En MAY - 1 2006 TOHEALTH�ER DEPARTMENT The following plans and enclosures for the above referenced property are being submitted for approval. 1. (5) Copies of the Septic System Design Plans. 2. (2) Copies of the Form 11 -Soil Sheets 3. (2) Copies of the Sieve Analysis 4. (2) Copies of the Form 9A — Request for Local Upgrade Approval 5. (1) Copy of letter requesting to be heard at the Board of Health Meeting If you have any comments or questions please do not hesitate to contact this office. Sincerely, C 0�/ Benjamin C. Osgood, Jr.,P.E. President 7 TOWN OF NORTH ANDOVER `�°RTH Office of COMMUNITY DEVELOPMENT AND SER I ES o °E'"`° '•�a° HEALTH DEPARTMENT 4 '° 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'S$ CH„5 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476— FAX Public Health Director E-MAIL: healthdeptoa townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM I MAY - 1 2006 Date of Submission: Site Location: nn aiY Engineer: �Y OS161 X77 New Plans? Yes ✓$225/Plan Check # (includes 1St submission and one re- review only) Revised Plans? Yes $75/Plan Check # Site Evaluation Forms Included? Yes L,,-' No Local Upgrade Form Included? Yes " ' No Telephone #: 9 ZL & M —1 a Fax #: E-mail: ee miu%0 ao 1. (76ni Homeowner Name: ivI g OFFICE USE ONLY When the submission is complete (including check): ➢ Date stamp plans and letter Complete and attach Receipt Copy File; Forward to Consultant ➢ —/—Enter on Log Sheet and Database ;'r, N Ew IES GLAt-\\�DIEN(CCI\TEE; ,INV, SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768 • Far: (978) 327-6138 Mr. Susan Sawyer North Andover Board of Health 400 Osgood Street North Andover, MA 01845 Re: 102 Penni Lane, No. Andover, MA Septic System Design Dear Ms. Sawyer, April 28, 2006 Project # 1182 MAY - 1 2006 11EALT H C-LPP'iiiPi EN f The following plans and enclosures for the above referenced property are being submitted for approval. 1. (5) Copies of the Septic System Design Plans. 2. (2) Copies of the Form 11 -Soil Sheets 3. (2) Copies of the Sieve Analysis 4. (2) Copies of the Form 9A — Request for Local Upgrade Approval 5. (1) Copy of letter requesting to be heard at the Board of Health Meeting If you have any comments or questions please do not hesitate to contact this office. Sincerely, i C 0 ` Benjamin C. Osgood, Jr.,P.E. President Commonwealth of Massachusetts City/Town of %10- i /4ndo,,er Form 9A - Application for Local Upgrade Approval r DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. lab Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 5.404(1), is not feasible. 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before commencement of construction. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information 1. Facility Name and Address: Karen French Name 102 Penni Lane Street Address No Andover City/Town 2. Owner Name and Address (if different from above): Same as Above Name City/Town Zip Code 3. Type of Facility (check all that apply): ® Residential ❑ Institutional 4. Describe Facility: ,TAV State Street Address State_ Telephone Number ❑ Commercial ❑ School Installation of subsurface sewage disposal system. 5. Type of Existing System: 01845 Zip Code ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other (describe below): Form 9A Application for Local Upgrade Approval • rev. 5/02 Application for Local Upgrade Approval* Page 1 of 4 J Commonwealth of Massachusetts City/Town of NOyh fjrjj)W, 10 Form 9A - Application for Local Upgrade Approval M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Leach field. 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: B. Proposed Upgrade of System 1. Proposed upgrade is (check one): unknown gpd 440 gpd 440 gpd ❑ Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: Unknown date of inspection 2. Describe the proposed upgrade to the system: Replace leaching field and components. 3. Local Upgrade Approval is requested for (check all that apply): ❑ Reduction in setback(s) — describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. ❑ Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate Depth to groundwater Form 9A Application for Local Upgrade Approval • rev. 5/02 ft. min./inch ft. % reduction Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts City/Town of Nof+ l %�r dow Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ® Other requirements of 310 CMR 15.000 that cannot be met —describe and specify sections of the Code: Allow the use of a sieve analysis to determine loading rate in lieu of prforming a percolation test. Title 5, Section 15.405(1). Reduction in offset distance between the estimated seasonal high groundwater and the septic tank invert from 12" required by Title 5, Section 15.227(5) to 8". If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Alexander Parker Evaluator's Name (type or print) Signature C. Explanation 4/6/2006 Date of evaluation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: No other available location on the lot. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: An alternative system would be cost prohibitive. Form 9A Application for Local Upgrade Approval • rev. 5/02 Application for Local Upgrade Approval, Page 3 of 4 Commonwealth of Massachusetts City/Town of Novo, a- dw �/ Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: No other adjacent is available. 4. Connection to a public sewer is not feasible: Public sewer is not available in the area. 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ❑ Application for Disposal System Construction Permit ❑ Complete plans and specifications ❑ Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been noted pursuant to 310 CMR 15.405(2). ❑ Other (List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete: I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." IL t,-- C9 /4 Facil Owner's Signatur Benjamin C. Osgood Jr, P.E. (agent for owner) Print Name New England Engineering Services, Inc. Name of Preparer 1600 Osgood St Bldg. 20 Suite 2-64 Preparer's address MA 01845 State/ZIP Code 4/28/2006 Date 4/28/2006 Date North Andover City/Town (978)686-1768 Telephone Form 9A Application for Local Upgrade Approval • rev. 5/02 Application for Local Upgrade Approval* Page 4 of 4 NEw, IENGL�-D E GII\NEEPd ((;, SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768 • Fax: (978) 327-6138 April 28, 2006 Project # 1182 Ms. Susan Sawyer North Andover Board of Health 400 Osgood Street No. Andover, MA 01845 MAY - 1 2006 Re: 102 Penni Lane, No Andover, MA Local Upgrade Approval Request Dear Ms. Sawyer, The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following Local Upgrade Approval : Local Upgrade ade Approvals Required Allow the use of a sieve analysis to determine loading rate in lieu of performing a percolation test. Title 5, Section 15.405(1). 2. Reduction in offset distance between the estimated seasonal high groundwater and the septic tank invert from 12" required by Title 5, Section 15.227(5) to 8". If you have any comments or questions please do not hesitate to contact this office. 1 Sincerely, if 1 Benjamin C. Osgood Jr. P.E. President Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key-�� I� reb Commonwealth of Massachusetts Cityrrown of Local Upgrade Approval Form 913 DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. The system owner shall provide a copy of the Local Upgrade Approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before commencement of construction. A. Facility Information 1. Facility Name and Address Karen French Name 102 Penni Lane Street Address North Andover Cityfrown 2. Owner Name and Address (if different from above): Name Cityfrown Zip Code 3. Type of Facility (check all that apply): X Residential ❑ Institutional 4. Design flow per 310 CMR 15.203: 5. System Designer. 1600 Osgood St., Bldg 20 Address B. Approval MA 01845 State Zip Code Street Address State Telephone Number ❑ Commercial ❑ School 440 gpd Ben Osgood Jr. X PE ❑ RS Name North Andover MA Cityrrown 1. Local Upgrade Approval is granted for State, ZIP OTHER: Use of a sieve analysis in lieu of performing a percolation test (15.405(1) Reduction in offset distance between ESHWf and septic tank invert from 12 in to 8 in (15.227(5) ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. % reduction 102 Penni Lane 9b 7.14.06.doc • rev. 5/02 Local upgrade Approval* Page 1 of 1 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B B. Approval (continued) E] Reduction in separation between the SAS and high groundwater. Separation reduction Percolation rate min./inch Depth to groundwater ft El Relocation of water supply well (explain): List local variances granted not requiring DEP approval per 310 CMR 15.412(4): List variances granted requiring DEP approval: Susan Sawyer Approving Authority Public Health Director Print or Type Name and Title October 25, 2004 Date 102 Penni Lane 9b 7.14.06.doc • rev. 5/02 Local Upgrade Approval, Page 2 of 2 Commonwealth of Massachusetts City/Town of NO-th (-6c%V' Form 9A - Application for Local Upgrade Approval M yv y DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 5.404(1), is not feasible. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the appropriate'Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before commencement of construction. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information 1. Facility Name and Address: Karen French Name 102 Penni Lane Street Address No Andover City/Town 2. Owner Name and Address (if different from above): Same as Above Name City/Town Zip Code 3. Type of Facility (check all that apply): ® Residential ❑ Institutional 4. Describe Facility: MA 01845 State Zip Code Street Address State Telephone Number ❑ Commercial ❑ School Installation of subsurface sewage disposal system. 5. 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Was a new one submitted? If so, could you send over a copy? Did they provide the sieve analysis for the soils which were sent to the laboratory? If so, could you send those over? Thanks much, Dan Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.mmillriverconsulting.com dano@mi ll riverconsulting.com 6/21/2006 Soil and Plant Nutrient Testing Lab 04/14/06 West Experiment Station University of Massachusetts Amherst, MA 01003 413.545.2311 http://www.umass-edu/plsoils/soiltest TEXTURAL ANALYSIS RESULTS Customer Name: New England Engineering Services 1600 Osgood St. Bdlg 20 Suite 2-64 North Andover, MA 01845 . Sample ID: 66003-2 Customer Designation: 102 Penny Lane C -layer USDA SIZE FRACTIONS 1.0-2.0 Main Fractions Size (mm) Percent Sand 0.05-2.0 71.6 Silt 0.002-0.05 26.2 Clay < 0.002 2.2 Total < 2.0 100.0 Sand Fractions Size (mm) Percent Very Coarse 1.0-2.0 13.3 Coarse 0.5-1.0 12.3 Medium 0.25-0.5 15.1 Fine 0.10-0.25 17.7 Very Fine 0.05-0.10 13.2 0.05 #270 71.6 Silt Fractions Size (mm) Percent Coarse 0.02-0.05 13.2 Medium 0.005-0.02 10.2 Fine 0.002-0.005 2.8 26.2 USDA Textural Class = coarse sandy loam Gravel Content = 18.2% PERCENT OF WHOLE SAMPLE PASSING Size (mm) Sieve # 2.00 #10 81.8 1.00 #18 70.9 0.50 #35 60.8 0.25 #60 48.5 0.10 #140 34.1 0.05 #270 23.2 0.02 20 um 12.5 0.005 5 um 4.1 0.002 2 um 1.8 COMMENTS: TOWN OF NORTH ANDOVER of NORTH 1 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ♦ 1 • M 400 OSGOOD STREET , ...•••:.. •r +' NORTH AN1DV 1=M.7SSA�I-SETTS 01845 'ss�c►wst` Susan Y. Sawyer, REHS, RS Public Health Director MAR 2 63 2006 TGA,r, n,= 11-i I ALIH ,EPAR i %,!(-N APPLICATION FOR SOIL TESTS DATE: .1 > Na&k 0 LOCATION OF SOIL TESTS: 8.688.9540 — Phone 8.688.8476 — FAX townofnorthandover.com MAP & PARCEL: ! 011 I 1 lOJ gnu Liw- l). Andoeer J OWNER: Q 0 -ti -roan ch _ Contact #: APPLICAN'. ADDRESS: ENGINEER: CERTIFIED SOIL EVALUATOR: Contact #: 97e—&glD' ISA Intended Use of Land: ResidentiaOubdivision �mLglemily Home Commercial Is This: Repair Testing:__IzUndeveloped Lot Testing: Upgrade for Additio 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) ➢ & S"x 11 "Plot plan & Location of Testing (please indicate test nit 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): C�e at ?km ffl'qmyA� +t) DKIV�10'1 GG � -� � � � S� k A. 4D .6� I % � Sed 010 1 0V Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Thursday, March 30, 2006 2:45 PM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Test Date Change for 102 Penni Lane -now April 6th Please disregard yesterday's e-mail regarding 102 Penni Lane; the soil test for this has been rescheduled to April 6th at 11:00 with Benjamin Osgood. Please call if you have any questions. Marianne Daniel Ottenheimer, President Mill River Consulting, Inc. Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultinQ.com _d_ano@a millriverconsulting.com 3/30/2006 Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Monday, April 03, 2006 3:42 PM To: DelleChiaie, Pamela; Grant, Michele; Sawyer, Susan; Andrew McBrearty; Lisa Kozel LeVasseur; Dan Ottenheimer; Marianne Peters Subject: Soil Test Reschedule; 102 Penni Lane to 9:00, not 11:00 102 Penni Lane has been rescheduled (same day, different time) to 9:00 rather than 11:00 on April 6th. Please disregard earlier e-mail. Marianne 978/282-0014 4/4/2006 1 "belleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Monday, April 24, 20061:45 PM To: Andrew McBrearty; Dan Ottenheimer; Lisa Kozel LeVasseur; Marianne Peters; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Results - 102 Penni Lane LI image001 Jpg Soil Results - 102 Penni Lane.... Attached please find the soil test results from 102 Penni Lane done on April 6th with Ben Osgood. Please call if you have any questions. Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx 1 36 Location v jo PgLgivi L -Ay - pave -q- Date is 1 0(6 Project I Client . osdsgap - - t.*%A LA SSMOOM H606S 'UPrALA-0t 9611- 7 - Tp - I V46ACAUIT Al y%4 o 1-& SL & I esmwn 14 q f? 00'al of I I Location Project Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Wednesday, March 29, 2006 11:33 AM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Testing; 102 Penni Lane; April 11th Good morning, Soil testing for 102 Penni Lane has been scheduled for April 11th @ 9:00 a.m. with Ben Osgood. If you have any questions, please call. Marianne Peters Daniel Ottenheimer, President Mill River Consulting, Inc. Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultinp.com dano@millriverconsulting porn. 3/29/2006 A i' .I i I i"r i:=-► I i I r'1 k, -'i I A i I C. I r i li- 1 -Oka- 03 - I ►-r-�N G10-1 'i(a kilo. Ail L,4tj�: