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HomeMy WebLinkAboutMiscellaneous - 113 BRIDGES LANE 4/30/2018 / I 113 BRIDGES LANE 1\, f 210/104.=15-0000.0 . I y i I y 113 BRIDGES LANE JS-2005-0256 Proiect Detail Report Printed On: Wed Oct 06,2004 Project Name: _ GIS#: 6293 Project No: JS-2005-0256 Owner of Record KITCHEN,DWIGHT G& r j#QRT'+ Map: 10.4.1) Date Submitted: Sep-22-2004 113 BRIDGES LANE ° Block: 0115 Status: Open NORTH ANDOVER,MA 01845 Lot: Work Category: Work Location: 113 BRIDGES LANE r, emr. ; Zoning: Proposed Use: District: ��s'-*_^•4 land Use: 101 Proposed Use Detail Subdivision tCKUg — Description Septic System Comments• of Work: Department Status GeoTMS Module: Status Fil LCDate: Board of Health GREEN FLAG BF �n Permit History I F na Type: Permit No: Issue Date Status \� Project No: Description of Work: Plan Review BHP-2004-0678 NEEDS 1111 c JS-2005-0256 New • Soil Testing-Repair BHP-2004-0653 Sep-22-2004 SIGNEL V\ JS-2005-0256 Soil Testing �"` --C!^111tions,Inc. Page 1 of I 113 BRIDGES LANE JS-2005-0256 Proiect Detail Report Printed On: Wed Oct 06,2004 Project Name: GIS#: 6293 Project No: JS-2005-0256 Owner of Record KITCHEN,DWIGHT G& 4 Map: 104.13 Date Submitted: Sep-22-2004 113 BRIDGES LANE ° ��'� e` NORTH ANDOVER,MA 01845 • °A Block: 0115 Status: Open Lot: Work Category: Work Location: 113 BRIDGES LANE Zoning: Proposed Use: District: land Use: 101 Proposed Use Detail Subdivision Description Septic System FComments• of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2004-0136 Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Plan Review BHP-2004-0678 NEEDS REVIEW JS-2005-0256 New Soil Testing-Repair BHP-2004-0653 Sep-22-2004 SIGNED OFF JS-2005-0256 Soil Testing ^� -1-itions,Inc. - Page 1 of 1 ',C 113 BRIDGES LANE JS-2005-0256 Proiect Detail Report Printed On: Wed Sep 22,2004 Project Name: GIS#: 6293 Project No: JS-2005-0256 Owner of Record KITCHEN,DWIGHT G& Map: 104.1) Date Submitted: Sep-22-2004 113 BRIDGES LANE Block: 0115 Status: Open NORTH ANDOVER, MA 01845 Lot: Work Category- Work Location: 113 BRIDGES LANE Zoning: Proposed Use: District: land Use: 1.01 Proposed Use Detail Subdivision Description Septic System Comments: of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2004-01.36 Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Soil Testing-Repair BHP-2004-0653 Sep-22-2004 SIGNED OFF JS-2005-0256 Soil Testing r GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. Page 1 of I Town of North Andover NORTH Office of the Health Department 0; Community Development and Services Division 400 OSGOOD STREET ► North Andover,Massachusetts 01845 cMus Susan Y. Sawyer,RENS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax C2�FIC. OF COJW�1'.Gl.I. CIE As of: .1-Iprif25, 2005 This is to cert that the individual subsurface disposal system repaired�f1 — FuffSystem by James Yellett at 113 Bridges .Gane .NorthAndover, 11,4 01845 has been installed in accordance with the provisions of Title v of the State Sanitary Code'and with the North Andover Board of Yfealth regulations. The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. an T. Sawyer T'u6fcYlealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Page 1 of 1 1 Dellechiaie, Pamela From: Andy McBrearty [amcbrearty@millriverconsulting.coni] Sent: Tuesday, April 12, 2005 11:30 AM To: healthdept@townofnorthandover.com; Pamela Dellechiaie; Susan Sawyer (ssawyer@townofnorthandover.com) Cc: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)' Subject: Re: 113 Bridges Lane Hi Pamela& Susan, Completed inspection this morning (4/12). Things looked good, gave OK to backfill. Two items to look for on final: 1. Charcoal vent cover on field. 2. Re-check distribution flows at D-box. Just to make sure we don't have drain-back from right-most(as you face house) row. Not a big issue here, but if you get a chance. We also need some note from designer that the Liberty pump being used was an acceptable replacement for the Hydromatic pump specified.. I also did not see pump literature near control panel Kellett's work looked good overall. -andy (Glad.you are back in action, Pamela!!) health department wrote: Hi, Jim Kellet called to find out when you can schedule a final inspection. I think I sent Susan's inspection report last week. Can you call him to follow-up at: 781.953.7146. Thanks so much. p.s. I seem to have finally gotten my computer back in working order and have my old contact lists back -- I'm so excited! Best Regards, Pamela DelleChiaie Health Department Assistant Town of North Andover 400 Osgood Street North Andover, MA 01845 978. 688. 9540 - Phone 978. 688.8476 - Fax h_ttp /www.townofnorthandover_com healthdept@townofnorthandover.com 4/12/2005 TOWN OF NORTH ANDOVER .ppRTp Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT t 400 Osgood Street • r ° AiD NORTH ANDOVER, MASSACHUSETTS 01845 "ss�CHU Susan Y. Sawyer,RENS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 113 Bridges Lane MAP: 104.D LOT: 115 INSTALLER: James Kellett DESIGNER: Ben Osgood PLAN DATE: 9/30/04 BOH APPROVAL DATE ON PLAN: 11/22/04 DATE OF BED BOTTOM INSPECTION: 4/1/05 DATE OF FINAL CONSTRUCTION INSPECTION: 4/12/05 DATE OF FINAL GRADE INSPECTION: SYSTEM TYPE: PRESSURE DOSING COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = 1,000 LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = Infiltrator field DIMENSIONS AND DETAILS OF SAS: 8rows of 6 chambers SITE CONDITIONS D Existing septic tank properly abandoned Internal plumbing all to one building sewer Topography not appreciably altered Comments:Verified that all plumbing to single outlet. Page 1 of 4 TOWN OF NORTH ANDOVER °E NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES � b A HEALTH DEPARTMENT 400 Osgood Street NORTH ANDOVER, MASSACHUSETTS 01845 "SSACHUSet Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK D Bottom of tank hole has 6" stone base O Weep hole plugged gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) Water tightness of tank has been achieved (Visual or Vacuum Test orWater held for 24hrs) D Inlet tee installed, under access port ❑x Outlet tee (gas baffle or effluent filter) installed, under access port ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present D Hydraulic cement around inlet & outlet Comments: Tanks placed on 12/22/04, then work stopped. No tees or building sewer in yet. In addition, variance to eight foot tank to foundation granted due to site conditions. PUMP CHAMBER ❑x Bottom of tank hole has 6" stone base 0 Weep hole plugged 0 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) El Inlet tee installed, under access port ❑x Pump(s) installed on stable base ❑x Alarm float working 0 Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs Hydraulic cement around inlet & outlet Comments: ` Page 2 of 4 5 e TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ar � -• . o� HEALTH DEPARTMENT 400 Osgood Street D'TATD � NORTH ANDOVER, MASSACHUSETTS 01845 "SS,CHUS�` Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX D Installed on stable stone base D Inlet tee (if pumped or >0.08'/foot) D Hydraulic cement around inlet & outlets 0 Observed even distribution ❑ Speed levelers provided (not required) Comments: 4/12/05 - Some back-flow from distribution line on Row 1 (right hand side as face house from D-box). Elevations checked "OK" and should settle. Might want to check at final grade. SOIL ABSORPTION SYSTEM 0 Bottom of SAS excavated down to C soil layer, as provided on plan 0 Size of SAS excavated as per plan D Title 5 sand installed, if specified on plan D laterals installed and ends connected to header (and vented if impervious material above) D Gravelless disposal systems: type, number and location as per plan 0 Elevations of laterals installed as on approved plan 0 4.0 Mil HDPE barrier installed 0 Retaining wall ( block) ❑ Final cover as per plan Comments: The old system required extensive excavation at 5 feet deeper than plan. Pitcherville will submit two sieve analysis. 4/12/05 —Missing Charcoal Filter at vent. Wall seems high to have no geogrid support. Not possible with location of system and house. CONTROL PANEL 0 Alarm & Pump are on separate circuits 0 Alarm sounds when float is tripped 0 Location of control panel: Basement ❑ Rated for exterior if placed outside Comments: No Pump literature in control panel. Check at final. Page 3 of 4 TOWN OF NORTH ANDOVER f NCRTh Office of COMMUNITY DEVELOPMENT AND SERVICES s?,• HEALTH DEPARTMENT 400 Osgood Street NORTH ANDOVER, MASSACHUSETTS 01845 "SS�CNUS�` Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-FAX SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 100.12 100.86 Septic Tank IN 9992 100.54 Septic Tank OUT 99.67 100.10 Pump Chamber IN 99.62 100.08 Pump Chamber OUT 99.37 99.80 Distribution Box IN 104.72 104.73 D-Box OUT Manifold 104.55 104.56 Row 1 TOP Start/End 104.91 104.94/ 104.88 Row 1 Invert 104.45 104.43 Row 2 TOP Start/End 104.91 104.90\ 104.87 Row 2 Invert 104.45 104.43 Row 3 TOP Start/End 104.91 104.90\ 104.89 Row 3 Invert 104.45 104.45 Row 4 TOP Start/End 104.91 104.91 \ 104.89 Row 4 Invert 104.45 104.43 Row 5 TOP Start/End 104.91 104.90\ 104.89 Row 5 Invert 104.45 104.45 Row 6 TOP Start/End 104.91 104.90\ 104.89 Row 6 Invert 104.45 104.45 Row 7 TOP Start/End 104.91 104.88\ 104.89 Row 7 Invert 104.45 104.43 Row 8 TOP Start/End 104.91 104.89\ 104.87 Row 8 Invert 104.45 104.45 Page 4 of 4 TOWN OF NORTH ANDOVER a p°RTH Office of COMMUNITY DEVELOPMENT AND SERVICES oL HEALTH DEPARTMENT 400 Osgood Street {kO r{P1r NORTH ANDOVER,MASSACHUSETTS 01845 SSgC U Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 11.3 Bridges Lane MAP: 104.D LOT: 115 INSTALLER: James Kellett DESIGNER: Ben Osgood PLAN DATE: 9/30/04 BOH APPROVAL DATE ON PLAN: 11/22/04 DATE OF BED BOTTOM INSPECTION: 4/1/05 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION X PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = 1.000 LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer D Topography not appreciably altered Comments:Check with plumbing and work done Page 1 of 1 TOWN OF NORTH ANDOVER of gORTH N Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT _ p 400 Osgood Street 4 •>` 'oA rYpy�S NORTH ANDOVER, MASSACHUSETTS 01845 SSS 1Ciao NUSE� Susan Y. Sawyer,R.EHS/RS 978.688.9540—Phone Public Health Director. 978.688.9542—FAX SEPTIC TANK ❑x Bottom of tank hole has 6" stone base ❑x Weep hole plugged ❑x gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) O Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, under access port ❑ 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: Tanks placed on 12/22/04, then work stopped. No tees or building sewer in yet. In addition, variance to eight foot tank to foundation granted due to site conditions. PUMP CHAMBER ❑x Bottom of tank hole has 6" stone base El Weep hole plugged 0 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working El Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 2 i TOWN OF NORTH ANDOVER f vkORTH Office of COMMUNITY DEVELOPMENT AND SERVICES 3 OEteo `a•a�OL HEALTH DEPARTMENT 400 Osgood Street NORTH ANDOVER,MASSACHUSETTS 01845 9SSgC USES Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution F-1Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM 0 Bottom of SAS excavated down to C soil layer, as provided on plan D Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: The old system required extensive excavation at 5 feet deeper than plan. Pitcherville will submit two sieve analysis. PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals Page 3 of 3 T J TOWN OF NORTH ANDOVER Q HBRTH q Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ° ~ 400 Osgood Street NORTH ANDOVER, MASSACHUSETTS 01845 »,T.o•o° ay 9SSACHUSEt Susan Y. Sawyer,.R.EHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX ❑ I orifice size inch as per plan Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV @ TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 •- TOWN OF NORTH ANDOVER onaRTH , Office of COMMUNITY DEVELOPMENT AND SERVICES o HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01845 �9SSACHU S� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public I-Iealth Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: /I MAP:/iyeOT: // S INSTALLER: ' — DESIGNER: NSTALLER: v DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: 1112- DATE OF BED BOTTOM INSPECTION: S DATE OF FINAL CONSTRUCTION INSPECTIO DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1ST LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = -� LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS Existing septic tank properly abandoned G� /�lvw•�%�- '? ❑ Internal plumbing all to one building sewer Topography not appreciably altered Comments: Page 1 of 2 TOWN OF NORTH ANDOVER f p0T A Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01845 �'�ss;�CN�se<`y Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK Bottom of tank hole has 6" stone base f Weep hole plugged r gallon tank has been installed Z"'' S I (H-10 or H-20) (monolithic or 2 piece) Water-tightness of tank has been achieved ��al or Vacuum Test or Water held for 24hrs) ` �r ❑ `IraLett installed, under access port r ❑ Outlet tee (gas baffle or effluent filter) installed, under access port /��� 5 s, d� ❑ 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: �/y•-i �-� `�z� z_ �L ` --Po PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ , Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 2 TOWN OF NORTH ANDOVER gORTy 0TlO nb q� Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER MASSACFMSETTS 01845 �'�s q^reo EtSy � S,1CHU5 Susan Y. Sawyer,.R.EHS/RS 978.688.9540—Phone Public Health Director 978.688.9542 --FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to soil layer, as provided on plan f,,s*.L)e Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed �-, '� �-�- ❑ laterals installed and ends connected to header(and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ill s✓/,- ,-4- ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 3 TOWN OF NORTH ANDOVER OF ape oTH'q Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET ` �a 4 .zwi iia. u NORTH ANDOVER, MASSACHUSETTS 01845CRs»rsn.'�A Susan Y. Sawyer,REHSIRS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: El for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV(cry TOP OF PIPE INVERT ELEVATION' Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 TOWN OF NORTH ANDOVER MORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT s 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'s"„CHWU Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX November 22, 2004 Dwight& Patricia Kitchen 113 Bridges Lane North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 113 Bridges Lane, Map 104B,Lot 115 Dear Mr. &Ms. Kitchen The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by New England Engineering Services dated September 30, 2004 and received by this office on October 1, 2004. The design has been approved for use in the construction of an upgrade onsite septic system. This approval is valid for three years from the date of this letter and 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. The following variances were approved at the regularly scheduled Board of Health Meeting on October 28, 2004: 113 Bridges Lane—October 1, 2004 Request of Ben Osgood,New England Engineering to allow a,Local Bylaw Waiver: 1. Allow reduction in offset distance between leach bed and wetlands from 100 feet required to 51 feet. 2. Allow reduction in offset distance between leach bed and deck from 10 feet required to 8 feet 3. Allow reduction in offset distance between septic tank to wetland from 75 feet required to 71 feet. Ms. Barczak motioned to allow the above requested variance. Dr. Trowbridge seconded the motion. All were in favor. 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 g s n m g plan and/or soil evaluation the originally issued Disposal System Construction Permit is TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (XS repaired; locatedNJ at rid was installed in conformance with the North Andover Board of Health atpp ah a pprovesid pal flow System Design Permit# ,plan dated of 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. s� Bed inspection date: EngineerRepresentative resentative P Final inspection date: ZZ S Engineer Representative Installer: Lic.#: Date: ° d� Engineer: Date: f HORTF�1 y r TOWN OF NORTH ANDOVER HEALTH DEPARTMENT a t 27 CHARLES STREET -:�::..�, : NORTH ANDOVER,MASSACHUSETTS 01845 �qs•�_� '' s'qcmus Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—Fax healthdeptt@townofnorthandover.com www.townofnorthandover.com FAX Benjamin C.Osgood,Jr.,EIT From: Pamela To: NEW ENGLAND ENGINEERING SERVICES,INC. 60 Beechwood Drive North Andover,MA 01845 978-685-1099 Pages: Fax: 978-686-1768 Date: Phone: Septic Plan Response CC: File Re: j ❑ Urgent x For Review ❑Please Comment ❑ Please Reply ❑ Please Recycle i • Comments: Attached is the response from the Health Agent regarding S s for the following property: i //LJ Z-61A copy has also been mailed to the homeowner. Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File Approved: Not Approved: Other: U� i cam' . TRANSMISSION VERIFICATION REPORT TIME 12121/2004 13:53 NAME HEALTH FAX 9786888476 TEL 9786888476 SER. # 000B4J120960 DATE DIME 12121 13:51 FAX NO./NAME 89786851099 PAGE(S) DURATION 00:00:35 RESULT OK MODE STANDARD ECM TOWN OF NORTH ANDOVER c�NonrN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT WNIMW 27 CHARLES STREET NORTH ANDOVER MASSACHUSETTS 01845 �'SS�CH ` Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX December 21,2004 Dwight&Patricia Kitchen 113 Bridges Lane North Andover,MA 01845 RE: Subsurface Sewage Disposal System Plan for 113 Bridges Lane,Map 104B,Lot 115 Dear Mr.&Ms.Kitchen, The North Andover Subsurface Disposal Regulations specify that septic system installations stop November 30''of each year and begin March l'the following year.Weather permitting,it was decided that installations of repair systems could continue until otherwise specified The permit for the septic installation on your property was issued on December 9,2004.Yesterday,December 20,2004,the Health Department made the decision to stop installations of those leaching systems not yet in progress.This decision was made in the best interest for the homeowner and for the longevity and integrity of your new septic system. Your installer and your engineer have been notified and will take steps to finish and stabilize any work that has been initiated.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 might have. 2Since Y. Sawyer,REHS/RS Public Health Director cc: New England Engineering Services file i To 'WnofNorth- dover A-41 Realth Dep"ent Date: Location: (Indicate Address,if Residential,or Name of Business) Check#: Type of Permit or License:(Circle) ➢ Animal $ > Dumpster $ > Food Service-Type.- $ > Funeral Directors > Massage Establishment $ > Massage Practice $ > Offal(Septic)Hauler $ > Recreational Camp > SEPTIC PERMITS: u Septic-Soil Testing Li Septic -DesignApproval $ V u";eptic Disposal Works Construction(DWQ$ u Septic Disposal Works Installers(DWI) $ > Sun tanning > Swimming Pool $ > Tobacco $ > TrashlSolid Waste Hauler > Well Construction $ > OTHER:(Indicate) fie­alih Agent Initials 422 White-Applicant Yellow-Health Pink-Treasurer i r i q 17]����1�Yli1� "i +.i•:' �`X�:�.i'�1��e o .1�%ti��it� wall A&M irlfltk i C Tui 1t�% . 0,;ems"zk-uo�"'ww1c)ac eLmom'`t-Z swaon vs ;e_1pw(ow I i'? DX� N)KOII coil rod inumism trc)Cc_ s a�•s`�:i��: � �•:i Tgog' © e• :1 um 1111A) IR bat TBIADOPI LAVE liY i—r%it •I fail,. • 'u' •"• o WAW Ups ABOWWnweas %w- Aqwd NINAft TC7i1MMOM Nwdu t• 11.3 w1r,lop-AIMIYA, 1]a i) ID. el 1D• e-r 0 0D$ Fj TOWN OF NORTH ANDOVER o� NpRr!{q Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT v n 27 CHARLES STREET NORTH ANDOVER MASSACHUSETTS 01845Tlu Ya'�tlj S�1C HU5ti Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX h ea 1 thdept.Ctown q fn o rthando ver.c om www.townoffiorthandover.com APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE:_/2_ — 7 LOCATION: /l. �/� �� ✓��'�- LICENSED INSTALLER NAME:_ /moi 011e7e_7' PLEASE PRINT J1�` SIGNATURE: TELEPHONE# ��/ '71 V-6 CHECK ONE: FULL SYSTEM REPAIR: ($250) COMPONENT REPAIR (indicate what parts): ($125) * NEW CONSTRUCTION: * If NEW CONSTRUCTION,please attach the Foundation As-Built Plan. $250 OO or$12S Fee Attached? Yes No Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No Approval of Health Agent Date: Z _ INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at_ relative to the application of( 1 j�IlPf dated ` 3 for plans by :/ I�� and dated -I 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 nec ssa rywork 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, onsite. 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 d licensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the Installer I understand that I must be on site during the performance of the following construction.steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: 2— _e sposal Works Construction Permit# Dellechiaie, Pamela From: Sawyer, Susan Sent: Wednesday, January 12, 2005 11:32 AM To: Dellechiaie, Pamela Subject: 113 Bridges 113 Bridges Lane 1.12.05.doc Please add on attachments previous letter sent(in file) VOID and send copy of permit to install copy of installers obligation form signed by jim T r 0 NEW ENGLAND ENGINEERING SERVICES INC October 1, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 113 Bridges Lane,North Andover Septic System Design Submittal Dear Susan: The following plans and enclosures for the above referenced property are being submitted for approval. 1. (3) Copies of the Septic System Design Plans. 2. (1) Copy of Form 11-Soil Evaluation Sheets. 3. (1) Copy of Form 12-Perc Test Data. 4. (1) Copy of Septic Plan Submittal Form. 5. (1) Check for payment 4 the Town approval fee. If you have any comments or questions please do not hesitate to contact this office. Sincere Thomas K. Hector Project Engineer RECEIVED OCT 0 1 2004 TOWN HENLOTFHNORTH ANDOVER DEPARTMENT 60 BEECHWOOD DRIVE-.NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 0 NEW ENGLAND ENGINEERING SERVICES INC October 1, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 113 Bridges Lane,North Andover,MA Local Bylaw Waiver Request Dear Susan, 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 variances: Local Bylaw Waivers Required 1. Allow reduction in offset distance between leach bed and wetlands from 100 feet required to 51 feet. 2. Allow reduction in offset distance between leach bed and deck from 10 feet required to 8 feet. 3. Allow reduction in offset distance between septic tank to wetland from 75 feet required to 71 feet. If you have any comments or questions please do not hesitate to contact this office. Since ely, J Thomas Hector Project Engineer z ER 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 Town of North Andover HEALTH DEPARTMENT , 27 Charles Street North Andover,MA 01845 0 C T 0 978.688.9540 2004 healthdepWownofnorthandover.com Toww ;,UK;.-,ANDOVER HEALTH DEPARTMENT SEPTIC PLAN SUBMITTAL FORM DATE OF SUBMISSION: 1 01 1 LO y SITE LOCATION:_ 113 ENGMEP,--jUeW E eeriAl S e C gtce V NEW PLANS: YES $225.00/Plan Check#. (Includes 1 Ew UW and one Re-Review Only) REVISED PLANS: YES $75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO' Tele hone#: (q78 6 816 —X 76 g Faz#: --�76 E-mail: 1l eeseAg ig a a l,cower HOMEOWNER NAME: �a��nc t� �+��ey' i OFFICE USE ONLY When the submission is complete Oncluding check): —Date stamp plans and letter. 2. Complete and attach Receipt 3. Copy File; Forward to Consultant 4. Enter on Log Sheet and Database 0 Commonwealth of Massachusetts " m ]14DVER City/Town ofPercolation TestOCT o 1 Form 12 TOvvf,v u; iNOR7 H HEAL1i 1 DEPAR A y6 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer, use Patricia Kitchen only the tab key Owner Name to move your 113 Bridges Lane cursor-do not Street Address or Lot# use the return key. North Andover MA 08145 City/Town State Zip Code - (978)682-7634 Contact Person(if different from Owner) Telephone Number B. Test Results 9/21/04 12:00 9/22/04 9:30 Date Time Date Time Observation Hole# PT1 PT1 Depth of Perc 40'719" 40'719" Start Pre-Soak 11:59 9:28 End Pre-Soak 12:16 9:43 Time at 12" 12:16 9:43 Time at 9" 12:46 @ 10" 10:39 Time at 6" - 11:58 Time (9"-6") - 79 MIN. Rate (Min./Inch) - 30 MIN./INCH Test Passed: ❑ Test Passed: Test Failed: ® Test Failed: ❑ Benjamin C. Osgood, Jr, New England Engineering Services, Inc. Test Performed By: Andrew McBrearty, Mill River Consulting Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 O 0 FORM 11 - SOIL 'VAL`UAATO: rk4R; 1 Page 1 of 3 0CT 0 I °004 Tu, L wU VE - No. a e. Commonwealth of Massachusetts , Massachusetts Soil suitability Assessment for On-site Sewage Disposal Performed By: C - C � z Date: ���/04 / . Witnessed By: /;A/ . ... ........... .... ..... ................................. .. Lacaiion Addrus a //J a zr's Nam, Telephone/ d//, New construction ❑ Repair _Office Review i Published Soil Survey Available: No ❑ Yes Year Published g �................... Publication Scal / ` � Soil Map Unit Drainage Class �G �.............. Soil Limitations ........ .. . Surficial Geologic Report Available: No ® Yes ❑ Year Published Publication Scale - Geologic Material gAap Unit) ................................_.......... ...... ........ ........... .................. ..... Landform .................................................................................................................................... . .... ..__.. ... ..... Flood Insurance Rate Map: Above 500 year flood boundary No []Yes Within .500 year flood boundary No ❑Yes ❑ bound ❑ Within 100 year flood boundary No ❑Yes Wetland Area: National Wetland Inventory Map (map unit) - Wetlands Conservancy Program Map (map unit) - .... - - ----.. i Current Water Resource Conditions (USGS): MonthAa� - i Range :Above Norrnal ©Normal ❑Belc,.v Normal ❑ Other References Reviewed: — --— DEP APPROVED FORA-12/07/95 0 O FORUM 11 SOIL EVALUATOR FORM Page of 3 Location Address or Lot iJo./— ��/� S i%fi r N• Ill/�C�' — On-site Review / d Deep Hole Number / De:A-1 Weather I-PC (�? Location (ide ify on site plan) Land Use CJ / "`�l7i�L Slope M) Surface Stones — Vegetation Landform '`—�G� Position on landscape Distances from: Open Water Body � D feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well/�/,o feet Other DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Cons stency. =c Gravel) I I J l , �� B >�G i Parent Material (geologic) _ '—" " DepthtoBedrock: __..- Depth to Groundwater: Standing Water in the Hole: _ Weeping from Pit Face: �D r Estimated Seasonal High Ground Water:____ �17- DEP APPROVED FORM • 11/07/95 O O FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole ....... inches �❑ Depth to soil mottles inches ❑ Ground water adjustment ................... feet Index Well Number .................. Reading Date ................ Index well level Adjustment factor ....%.......... Adjusted ground water level .............. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in oilgreas observed throughout the area proposed for the soil absorption system? If not, what 'is the depth of naturally occurring pervious material? Certification I certify that on q5 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 1 17. �G� ate{ Si9 natur Date / DEP APPROVED FORM•12/07195 T FORM 11 - SOIL f-;VALUATOR DORM Page ? of 3 Location Address or Lot too. On-site Review 2— 1,09ylle�14 Time:�( — Weathe�C Deep Hole Number Date: Location (identify on site Ian) /�� Locat ( y p / Land Use (%) 2 Surface Stones Vegetation Landform ��d���/� 4 ��/'� Position on landscape Distances from: Open Water Body feet Drainage way 70 feet Possible Wet Area feet Property Line 30 feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency. I ic Gravel) i i I L� s � Coo sem/ Sti�o� �y Parent Material (geologic) �u ' G� DepthtoBedrock: Depth to Groundwater: Standing Water in lhe.Hole: ¢ _ Weeping from Pit Face: Estimated Seasonal High Grcund Water:_ DEP APPROVED FORM• 12/07/95 I t t� BOARD OF HEALTH NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: q 'Z2 �� - MAP&PARCEL: 10gP — //5- LOCATION OF SOIL TESTS: W3,3 GP-%NT�'/ L.AN G, N . A-ne D6vF-2 MA OWNER:_ i7 W i C-r1t &W� (PAIRIUA' K iTLH*N TEL.NO.: ADDRESS: 113 l3?►AGES U4f-3 F- ts. Mobd VAR , MA ENGINEER:U1yAKW C. OSCWb , J R, (NeF-S� TEL.NO.:_ CERTIFIED SOIL EVALUATOR: R t C EAtzD c . 1 NN 4R�k / &Ai74MW e. 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: 1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests) 2. Plot plan 3. Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. 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