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HomeMy WebLinkAboutMiscellaneous - 130 WINDKIST FARM ROAD 4/30/2018� � � � w @ 2 c z_ k � / U) LU ± 2 c < w O it \ A< / 3= jj\ a,o «{§ CL {cl./ ) � \ v 0 0 d cn En \\ o as g 0 /) _ j§ Gr oG000 w9 m 00 \q aaaaa 2� RB § o> N� ± 00 Nn &-a.§ ea°®a E-0 o \\ nn k �/ ~^ co \ \ /k \\(\ a z z ■� ® =ao w�o£o �m �{ q\\ °° < zm� m -� we § �� �T Q< 20-0 0-G �/ k 0 o\ w 0�® m oC) gy=m T ■� 200 \\ �2= co� o.... �«�_\ eaI t 2 // 2 < ) m< ?-- k $ CL L) \ \ �) { ms Zee>2 P\Q� o _-0 qq F- o���%gea3% / -- p2 @G )/2/§ )�//A / R .... 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FEE F.I. $350.00 --------------------- DISPOSAL WORKS CONISTRUCTIONI PERMIT Permission is hereby granted Dean Dynan - ------------------------------------------------------------------------------------------- to (Construct) an Individual Sewage Disposal System. at No --1-3-0- ----Windkist--Farm--R--oad -------------------------------------------------------------------------------------------------- ---------�_Q --------- ----as shown on the application for Disposal Works Construction Permit No. BHP -2017- ted ob7 ---------------- Issued On: Oct -02-2017 BOARD OF HEALTH Application for Septic Disposal System Construction Permit - TOWN OF NORTH ANDOVER, MA 01845 Important: _qp When filling out forms on the computer, use only the tab key to move your cursor - do not use the return A. key. 9�PI11-Z TODAY'S DATE $350.00 - Full Repair $175.00 - Component 'ionAs hereby made for a permit to: �I j,( c /� Gi ri"onstruct a new on-site sewage disposal system* � ) [ / Repair or replace an existing on-site sewage disposal system* 3Ma_;/' Gom, ❑ Repair or replace an existing system component – What? lity Information Address or Lot # CitylTown /ems 2.- *TYPE OF SEPTIC SYSTEM*: ➢ ❑ Pumpravity (choose one) ***If pumEsyqtem, a ach copy of electrical permit to application*** ➢ 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) -------------------__---------_�.-_- ❑'r essureDosed�(D=Box-Presentj_S.A:S;---------_--------------------- - - - ---- ➢ �oes the system require an effluent filter? Yesr— No� If yes, does plan specify make and model of filter? YES = (no further info. needed) NO = (installer must specify brand of filter before DWC issu Wl,bat is the Make? , LY/hat is the Moder 2. Own r Information / Name y� P,Wt/'4^ different above) 0���� City/Town State -'7a"" '% Zip ode/1-101 %� Email address Telephone Number 3. Installer Information Name Name of Company A)dress Cityffown Statefj ��Cod / -- . ) l// / / Telephone Nbrnber (Cell Phon; # ff p sAble please) a. Desi ner Information Name Name of Company r6oAdd r��r City/Town State ZI Code ?� �5 e Teleph�ber (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 f!/-c,o/-) 0 5713 A i •-� '1-7, •. Application for Septic Disposal System Construction Permit —TOWN OF NORTH ANDOVER, MA 01845 PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: Residential Dwelling or ❑Commercial B. Agreement TODAY'S DATE $350.00 - Full Repair $175.00 - Component The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover. I understand that until a final Certificate of Compliance has been issued by this rd of Health, the installed system is not approved. /� a Dari App on pr ed By: (Board of Health Representative) pov Nam Date Application Disapproved for the following reasons: For Office Use Only: L Fee Attached.? Yes V/ No 2. Project Manager Ohligation Form Attached. Yes V No 3. Pump System? If so, Attach copy ofElectrical Permit Yes No V Applicantreceived copy of "Electrical Inspection Notes for Septic Systems" Yes No V Handout? 4. Reviewed approvalletter, aUpaperworkreceived.? Yes No Missing._ 5. Foundation As -Built? (new construction only): Yes No (Same scale as approved plan) G. Floor Plans? (new construction only): Yes No Application for Disposal System Construction Permit - Page 2 of 2 ' 808 Of ".,! 10-3? t .,. ' • O9 Town of North Andover `�'•,,,,o .: HEALTH DEPARTMENT ,SSACHU`>tt CHECK DATE: .;ol7 LOCATION:/3o// i i S/Z-mP4 H/O NAME: �7`��C� Ani CONTRACTOR NAME: S� I'S (fol) S1/'UCI,�1 TYpe of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrasWSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems tems: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ xSeptic Disposal Works Construction (DWC) 50— $350- 0 ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ He dt}rAgent Initials White - Applicant Yellow - Health Pink - Treasurer SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) Relative to the application of 0&1 �l✓j�' i (Installer's nai e) Dated 2/6y:f //� (I o ay s ate For plans by P—A4 v � I i i/i/ l-6 LA (Engineer) And dated V4�6 / xigina ate With revisions dated —i -- (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans 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 allinspections. If homeowner, contractor, project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company. a. Bottom of Bed — Generally, this is the first (VS inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdept@northandoverma.gov) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade — Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simile excavation) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible. 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached, b. Inspection of the sand and stone to be used. c. Final inspection by Board ofHealth 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 another persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) ame — Print e — igne Commonwealth of Massachusetts Map -Block -Lot • S � '• �108.-CO139 - BOARD OF HEALTH,az r"�� Permit No North Andover -BHP-2017-0574 ---------------------- P.I. FEE F.I. $350.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Dean_Dynan------------------------------------------------------------ --------------------------- to (Construct) an Individual Sewage Disposal System. at No 130 Windkist Farm Road as shown on the application for Disposal Works Construction Permit No. BHP-2017-057,,Dated October , 17 Issued On: Oct -02-2017 A OF HEALT • y�°� . Commonwealth of Massachusetts Map -Block -Lot �, — • 108.00139 BOARD OF HEALTH --------------------- North Andover CERTIFICAT COMPLIANC THIS IS TO CERTIFY That the Individual Sewage ' sal em (Construct) by---Dean Dynan-------------------------------------------------------- ---- at No 130 Windkist Farm Road has been installed in accordance with the pro 'ions of TITLE 5 of the State Environmental Code as describe the application for Disposal Works Cons on Permit No. BHP -2017-057 Dated October 02, 2017 ----------------------- -------------------------------------------- --- Printed On: Oct -02-2017 BOARD OF HEALTH • SwD Commonwealth of Massachusetts Map -Block -Lot • 108.00139 BOARD OF HEALTH Permit No North Andover BHP -2017-0574 ----------------------- FEE $350.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Dean Dynan ------------------------------------------------------------------------------------------- to (Construct) an Individual Sewage Disposal System. at No 130 Windkist Farm Road ---------------------------------------------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP -2017-057 Dated October -0-22-2-0-17 Issued On: Oct -02-2017 ---------------------------------------------- BOARD OF HEALTH s CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS cv, 160 SUMMER STREET, HAVERHILL, MA 01830 tel: 978-373-0310 www.Gsi-engr.com fax 978-372-3960 August 23, 2017 SOV -0 Mr. Brian LaGrasse G Director of Public Health North Andover Health Dept. 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Re: Septic System Design Plan for Lot 9 Windkist Farm Road (Map 109 Lot 54) Dear Mr. LaGrasse: We have received your August 14, 2017 comments on the above referenced plan, and we offer the following response. 1. The holder of the drain easement has been labeled on sheet 1 of 2. 2. A north arrow has been added to sheet 1 of 2. 3. The statement has been added to sheet 2 of 2 under General Notes, Note 21. 4. The designer certification has been added to sheet 1 of 2.. 5. A note has been added on sheet 2 of 2 under General Notes, Note 12. 6. A foundation drain and invert were added to the plan. 7. The grading in the Profile View and Plan View has been revised to show less than 36" of cover over the septic tank. In order to achieve this, the grading was revised and the septic tank was raised in elevation. 8. The proposed septic tank is monolithic. 9. The proposed D -box is to be H-20. 10. The manufacturers and model numbers for the D -box and septic tank are listed on the respective details on sheet 2 of 2. 11. The note has been added on sheet 2 of 2 un the Distribution Box Detail, Note 5. 12. An inspection port has been added to the plan view and a detail has been added to sheet 2 of 2. 13. The label on sheet 1 of 2 for the primary and reserve trenches has been revised to show the length of the trenches to be 48'. I trust that these responses fully address all of your comments. Please contact me if you have any questions. Very truly yours, Christiansen & Sergi, Inc. Philip G. Christiansen 0 Page 2 V a 2 ' � 1 Li Wo= Li a � O � :L h tim B / W2 b O � � Q I O OOOOpO 00000 pO BN3 8�PS3ms3� �!E Op o H m r�i ISI �I 1 II II E a II II i•� a0 LJ I + U� R cc a 11 4 [' Ell 5 BN3 8�PS3ms3� �!E Op o H r _ P, H { tRC 38 O R MON.- y �ge3oo�a r�i ISI �I 1 II II E a II II i•� a0 LJ I + U� R cc a 11 r�i ISI �I 1 II II E a II II i•� a0 LJ I + U� R S 4 [' Ell 5 BN3 8�PS3ms3� �!E Op o H a H { tRC 38 O R W y �ge3oo�a r�i ISI �I 1 II II E a II II i•� a0 LJ I + U� R � w Ula O �W WtiO i �j �g o �OWzti �N� 2e Elm FFo= Sg�&w_a3.sgyQ���p�4�a�3m���a8�g's�y ,'��,a5�:��Ws��d ���o„�oFww'��E8§� 4§ �$'E�a=�m:<���w"7a7�rco”&a�°"g b�oaEff€ zW"��a����w;""€3 ox�au*;s��$d < c; v�s"°m�"�•-'o�'ye��"xa; �Gz owZw:���eo �Weog�o��e���s3y�j�w8��e _sw�°g����g =nce5w3��>45""�9j=��mO�g'o"��w""��¢�LL�a�aJz�Zw "�e��_o' ;8�nzoW" o°az�'es to�"$�g�'g�7:�`'F£ o in, NUN' Z WA Hill go " n W 101 HIS T MET =HNSHMa ON; _�wC�a cf1 H 1 " W Wyg i 11 1 MI p 1 1x 1M x € y Ho11g<N aa�o�Wa _M � 1 e z h g" i r�gK " btl 1 i N I � � z � v gE •• •a I e� G$ 7ff r j APPLICATION FOR SOIL TESTS DATE: 5/5/17 LOCATION OF SOIL TESTS: OWNER: Robert Rivard MAP & PARCEL: 109.0-0054 Lot 9 Windkist Farm Road Contact #: APPLICANT: Steven Knight Contact #: ADDRESS: 334 Maple Street Danvers, MA 01923 ENGINEER: Christiansen & Sergi, Inc. Contact #: 978 373 0310 CERTIFIED SOIL EVALUATOR: Phil Christiansen, SE 378 Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: Y Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5"x 11 "Plot plan & Location of Testiniz (please indicate test pit sites on the plan) ➢ Fee of $585.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $440.00 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 Date back to Health Department: (stamp in): TOWN OF NORTH ANDOVER Community & Economic Development RECEIVE® HEALTH DEPARTMENT 120 Mainn Street MV NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 —Phone �� 978.688.9542 — FAX healthdept@northandoverma.gov www.northandoverma.gov APPLICATION FOR SOIL TESTS DATE: 5/5/17 LOCATION OF SOIL TESTS: OWNER: Robert Rivard MAP & PARCEL: 109.0-0054 Lot 9 Windkist Farm Road Contact #: APPLICANT: Steven Knight Contact #: ADDRESS: 334 Maple Street Danvers, MA 01923 ENGINEER: Christiansen & Sergi, Inc. Contact #: 978 373 0310 CERTIFIED SOIL EVALUATOR: Phil Christiansen, SE 378 Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: Y Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5"x 11 "Plot plan & Location of Testiniz (please indicate test pit sites on the plan) ➢ Fee of $585.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $440.00 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 Date back to Health Department: (stamp in): 'I UVVI I UI IVUILII /A[IUUVCi, i -IM 109.0-0058 109.0-0057 d,?l 'per 109,0-0056 Gf s� 109.0-0055 .c. 3_ Property information Property 109.0-0054-0000.0 ID Location 0 WINDKIST FARM ROAD Owner RIVARD, ROBERT 109,0-0035 APPROX. TEST LOCATION 109.0-0034 MAP FOR REFERENCE ONLY NOT A LEGAL DOCUMENT Town of North Andover, MA makes no claims and no warranties, expressed or implied, concerning the validity or accuracy of the GIS data presented on this map. may 0, cU.L i D 1" = 158 ft CPORT :,y 7860 F _ m Town of North Andover HEALTH DEPARTMENT ,SSACHUS CHECK#: DATE: 5-1.7,-.2011 LOCATION: ,Lo4- ? � / 2r/►? �f� H/ O NAME: & ie,1-4 6�' Iard CONTRACTOR NAME: A�7";2& S Type of Permit or License: (Check box) $ ❑ Animal $ ❑ Body Ar{Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Sustems: xSeptic - Soil Testing $f 85- 0 Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector , $ ❑ Title 5 Report $ ❑ Other: (Indicate) $ H d A'jent Initials White - Applicant Yellow - Health Pink - Treasurer ifr • ' ' 1 ' 1 I 1 1 1 1 1 1 OF HEALTH TH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS MAP & PARCEL: /09 I– tyl-- 9 LOCATION OF SOIL TESTS: �,—__ L� 1 /��!! / RO OWNER: ADDRESS: ENGINE.EF i CERTIFIED SOIL EVALUATOR: % G/�GGOJIJ/"� Intended use of land: Residential Subdivision (Sin gl armly Hontc Commercial Is This:y I Repair testing Undeveloped lot testing 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 5200.00 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 I"-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. N.A. Conservation Co;151 Approval:S °26 Q3 Date Received: Check Amount: '��J heck Date: �U S CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830-6318 May 5, 2005 Susan Sawyer Public Health Director Town of North Andover Health Department 40 Osgood Street North Andover MA 01845 Re Lot 9 Windkist Farms Dear Susan: (978) 373-0310 FAX: (978) 372-3960 r,. MAY if 2005 TOWN L H D ARTMENTER The following is a response to your comments in your letter of April 28, 2004 provided in the same order as in your letter. yl. We have added the owner to the plan. The client is Dav Dev which is clearly labeled as such on the plan `2/1 Street address and map and lot added V. Abutters added to plan 4. Note 11 has been corrected 5. The distance from the property line to the septic tank has been added 6. Section 220(4)(h) does not require providing all test hole locations and logs. However all test holes are shown on the plan. Additionally soil logs for all test pits were submitted with the design on DEP soil evaluator forms. I have added the test log results for test pit 3 to the plans. 7. The bench mark shown on the plan is correct. We do however put a new bench mark in the field when we stake out the system and the note is provided for that reason. The bench mark shown meets the regulations. We will not establish the new bench mark until the developer clears the site and is ready to have the system staked. 8. The plan has been modified to comply with breakout at the high end of the trenched. The plan complies with 211. 9. The notes have been changed to specify watertight joints 10. A note has been added to reflect 222 11. The basement floor is at elevation 240 because the top of foundation is at 248. The sewer pipe is at 235 because a steeper slope would be severe. (See your comment A) 12. The tee does extend 6 inches above the flow line 13. The outlet tee has been corrected to extend 14 inches 14. Note 1 on the plans clearly states no garbage grinders 15. There is already a note on the plan that the first 2 feet out of the d -box is level. It is not necessary to repeat all of title 5 in the notes on the plan. Licensed installers should know that the outlets on the d -box should be at the same level. Our detail shows outlets at the same elevation and the note specifies the box is to be laid level 16. We assumed a 3 foot water table and calculated the water table by subtracting 3 feet from the existing ground at the trench locations. 17. A note has been added to the plan 18. The calculations have been redone to reflect an average depth of stone of .625 ft and yields a capacity of 576 gal/day. The system has .5 ft of stone at the end of the trench and .75 ft at the high end. If the end walls were used it would add 4 square feet per trench or a total of 16 square feet at .56 gallons per square foot would provide an additional 8.9 gal per day to the system capacity 19. Legend provided 20. Notes 2 and 3 have been removed A The slope from the house to the septic tank will not be a problem with a ductile iron pipe. B We wish to leave the tank where proposed fy yours istiansen RECEIVED MAY 10 2005 Clvv . ' r+. /',N :)VER iii LI -i��iMf ." P` iENT El LETTER OF TRANSMITTAL North Andover Health Department 400 Osgood Street North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax healthdept(a,townofnorthandover.com - E-mail www.townofnorthandover.com - Website Page '/ of 0? b=6 OOH iOC.KMwKa _ 7' To: DATE: aq1 COMPANY: FROM: Pamela DelleChiaie, Health Dept. Assistant Phone: Fax: We are sending vou: env of'Letter OPlans /7 Other (fill in below. These are transmitted as checked below: OApproved as Noted OAs Requested OAs Required 9Resubmit J copies for approval OFor approval OFor Review and comment OFor Your Use OSubmit copies for dist. REMARKS: COPY TO: COPY TO: SIGNED: COPY TO: ACTIVITY REPORT TIME 04129/2005 14:21 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 NO. DATE TIME FAX NO./NAME DURATION PAGE(S) RESULT COMMENT #286 04/25 14:30 89788518547 22 01 OK TX ECM #287 04/25 14:31 89788518547 18 01 OK TX ECM 04/25 15:00 9786897305 38 01 OK RX #288 04/25 16:11 817812709406 33 03 OK TX ECM 4290 04/25 16:14 89786835396 32 03 OK TX ECM #289 04/25 16:19 89786836595 01:15 03 OK TX ECM #291 04/25 16:23 816034872298 01:32 04 OK TX ECM #292 04/26 10:18 819784655455 00 00 BUSY TX #293 04/26 10:22 819784655455 00 00 BUSY TX #294 04/26 14:57 819784091269 40 02 OK TX 04/27 11:56 9787258181 15 01 OK RX ECM #296 04/27 13:59 819783884340 01:09 02 OK TX ECM #295 04/27 14:05 89783884340 00 00 BUSY TX #297 04/27 14:48 819786870563 02:04 03 OK TX 04/27 19:22 508 6870563 01:42 02 OK RX 04/28 11:31 9782820012 25 02 OK RX ECM #298 04/28 13:22 819784091269 01:15 03 OK TX 04/28 14:31 19 00 NG RX 04/28 14:32 9783276563 28 02 OK RX ECM #299 04/29 13:54 819782820012 36 03 OK TX ECM #300 04/29 14:17 89783723960 32 03 / OK TX ECM #301 04/29 14:18 89786823758 01:08 03 i/ OK TX ECM BUSY: BUSY/NO RESPONSE NG POOR LINE CONDITION / OUT OF MEMORY CV COVERPAGE POL POLLING RET RETRIEVAL PC PC -FAX TOWN OF NORTH ANDOVER of NORTa Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT •i� 400 OSGOOD STREET • �, CC—Vzt-. ,` • NORTH ANDOVER, MASSACHUSETTS 01845 �'sSACNus t� 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.9542 — FAX Public Health Director E-MAIL: healthdept(a,townofnorthandover.com WEBSITE: hqp://www.townofnorthandover.com April 28, 2005 Philip Christiansen, P.E. Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Re: Subsurface Sewage Disposal System Plan for Lot 9, Windkist Farm Dear Mr. Christiansen: The proposed septic system design plans for the above site dated August 25, 2000, revised on March 9, 2005 and received on April 12, 2005 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. Please indicate the current property owner and their mailing address. It is unclear if Dav Dev Realty Trust is the owner or your client. ✓ Please indicate the street address and map/lot number. — 220(4) v,<, Please indicate property abutters on this or a separate map. — NA 8.02 Please indicate if there are or are not wetland resource areas within 100 feet of the proposed soil absorption system. Note 11 appears to be attempting to clarify this matter but is not a complete sentence. — NA 8.02s `5. Please depict the distance from the septic tank to the property bounds. — NA 8.03 6. Please provide the location and logs of all test holes excavated on the property. — 220(4)(h) 7. The benchmark provided on the design plan was likely established in 2000 when the original design plan was created. Note 9 references the creation of a new benchmark prior to construction. The proper location and depiction of survey controls is integral to accurate installation of the onsite wastewater system serving this parcel. Please confirm the existence of the benchmark depicted on the site plan as well as establish a new reference mark prior to submission of a revised design plan. Requirements for preventing sewage breakout in a lateral direction have not been demonstrated (15' horizontal in a lateral direction from the soil absorption system breakout elevation). Please modify the plan accordingly. — 211 Please specify piping with watertight joints. — 222(3) & NA 11.02 f lease specify piping to be laid on a compacted firm base. — 222 11. is unclear why the basement floor is indicated to be elevation 240 when the building sewer is listed to exit the dwelling at elevation 235. Please clarify this matter. 1'. The septic tank tees must extend 6" above the flow line. — 227(1) The septic tank outlet tee must extend 14" below the flow line. — 227(6) 1,4. lease indicate if the onsite wastewater system is or is not designed to accommodate a C/ garbage disposal inside the dwelling. If so, please make sure the system is designed a cordingly. �15. Pease indicate that the distribution box outlets must be at the same elevation and the ping leaving the box must be level for the first 2'. — 232(3) he elevation of the ground water beneath the leach trenches appears to have been ` extrapolated from the two soil tests performed in the area. It appears this was completed properly and the required separation between the estimated seasonal high ground water and the bottom of the soil absorption system has been maintained. W owever, please provide a description of how this was determined so this can be nfirmed. Please indicate that removal of soil horizons A & B shall extend at least 6" into the suitable soil of the C horizon. (NA 9.02) It appears that the soil absorption system is sized for 549 gallons per day, not the 550 gallons per day indicated on the design plan. Please demonstrate the calculations used to indicate the system can accommodate 550 gallons per day. ,-'I9. lease provide a legend for the site plan. 0. Please clarify the notations related to the septic tank detail. Notes 2 & 3 provide specifications for the septic system installer to meet which may not be feasible. Please review these standards with a concrete septic tank manufacturing facility, and should you wish to maintain these standards, specify the brand and model tank to be purchased. Additionally, Note 5 is not clear to the reader and should be clarified. Additionally, while not a reason for disapproval, you may wish to consider the following: A. The building sewer slope from the house to the septic tank appears to be severe. You may wish to modify this as raw sewage flow through pipes at steep slopes can sometimes lead to 9deckerational difficulties. e septic tank is located in the vicinity of the house where owners may wish to construct a or other structure. You may wish to modify the location of the septic tank. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, g,\� � a �) -r, G' san Y. Sawyer, REHS/ Public Health Director cc: Owner File Town of North Andover Health Department Date: Location (Indicate Address, if Residential, or Name of Business) Check #: Tuve of Permit or License: (Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service - Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal (Septic) Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash (solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER: (Indicate) St3 fie'af hAgent Initials White - Applicant Yellow - Health Pink - Treasurer CHRISTIANSEN & SERGI, ING. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160aUMMFKSay 4, ,k}Q SRHILL, MASSACHUSETTS 01830 6318 Mr. Susan Sawyer North Andover Health Agent 400 Osgood St. North Andover, MA 01845 RE: SSDS Application Lot 9 Windkist Patricia Lambert Dear Mrs Sawyer: (978) 373-0310 FAX: (978) 372.3960 MAY 2 5 2005 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Find attached a revised plan for the above referenced system, which includes the results for the additional test pits you requested. I believe this meets the additional information you wanted for this design. Please do not hesitate to call if you have any additional question. 1 1y1 AD LETTER OF TRANSMITTAL North Andover Health Department 400 Osgood Street North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax healthdept(i ,townofnorthandover.com - E-mail www.townofnorthandover.com - Website Page / of �t 1� TO: DATE: U COMPANY: FROM: Pamela DelleChiaie, Health Dept. Assistant Phone: l / `�' cam/ RE: ,� > Fax: / "2, �J / SIGNED: We are sending you: RCoo Letter OPlans OOther ill in below) Thes e transmitted as checked below: Approved as Noted OAs Requested OAs Required OResubmit copies for approval OFor approval OFor Review and comment OFor Your Use OSubmit copies for dist. REMARKS: COPY TO: COPY TO: SIGNED: COPY TO: %AORTH O� .1""D 16 , O A� eyy � cxniC- wrtw . M */ PUBLIC HEALTH DEPARTMENT Community Development Division June 4, 2008 Robert Rivard 9 Fairway Drive Andover, MA 01810 Re: Lot 9 Windkist Road, Map 109, lot 54 Dear Mr. Rivard, This letter is in response to your request for an extension to the septic design plan for the above noted property. On May 22, 2008 the Board of Health made the following decision in this matter: The Board granted a one-year extension, from May 31, 2008, to the plan approval for Lot 9 Windkist Road, Map 109 Lot 54. T his is the maximum extension allowed by the MA Department of Environmental Regulations regarding subsurface disposal systems. During this time, a licensed septic system installer must obtain a permit and complete this work. Failure to do so will result in the expiration of this final revision plan dated May 24, 2005. In addition, it is your responsibility to protect the site. Prior to installation, if the site conditions in the area of the proposed septic system are found to be altered in a manner detrimental to the system, the plan will become invalid. Thank you for your effort to provide a properly functioning septic system for your dwelling. ZSincereyer, REHS/R Public Health Director Cc: Phil Christiansen, Professional Engineer 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com pORTH '6V tiO + b• O A� � A `, O -Q_ COC.1cm PUBLIC HEALTH DEPARTMENT Community Development Division May 15, 2008 Robert Rivard 9 Fairway Drive Andover, MA 01810 Re: Lot 9 Windkist Farm Road, Map 109, Lot 54, North Andover MA Dear Mr. Rivard, This letter is in response to your request for an extension to the septic design plan. You have been placed on the agenda for the May 22, 2008 Board of Health meeting do discuss your request. The maximum extension allowed by the MA Dept. of Environmental Regulations regarding subsurface disposal systems is a one time, one year extension. The meeting is scheduled for Thursday, May 22, 2008, Town Hall, Selectmen's meeting room, 2°d Floor, 120 Main Street, North Andover at 7:00 p.m. If you have any questions, feel free to call the Health Office. /ee yer, REHS/RS lth Director 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com North Andover Health Department 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 — Fax healthdept(CDtownofnorthandover.com - E-mail www.townofnorthandover.com - Website Letter of Transmittal Page Z_ of ur T0: DATE: COMPANY: FROM: Pamela DelleChiaie, Health Department Assistant Phone: RE: Fax: ' are sending you. A&py of Letter �� O Plans O Other (fill in be 1 3We These are transmitted as checked below: COPY TO: SIGNED: ' ➢ L74pvvedasNoW ➢ LyJQs/leiqu ww ➢ Okr*provar ➢ OlorRem wvandair rm# ➢ OIPemk* qpv a✓ qpa sfiar ➢ L7AsRb9d1sd ➢ arvr rowi&e ➢ Osu6r it qpwa &t. A REMARKS: COPY TO: COPY TO: SIGNED: ' COPY TO: TRANSMISSION VERIFICATION REPORT TIME 05/1912006 12:06 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 05119 11:37 FAX NO./NAME 819784471470 DURATION 00:01:23 PAGE(S) 05 RESULT OK MODE STANDARD ECM • TOWN OF NORTH ANDOVER Of MORTF� Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 'SswCHUS�t Susan Y. Sawyer 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX May 31, 2005 _ +� :r Patricia Lambert 115 Windkist Road North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for Lot 9 Windkist Farm Road, Map 109, Lot 54. North Andover, Massachusetts Dear Ms. Lambert, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted by Phil Christiansen on your behalf. This plan dated August 25, 2000 was last revised May 24, 2005 and received at this office on May 25, 2005. The design has been approved for use in the construction of a new 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. This approval is subject to the following conditions: 1. The issuance of the disposal works construction permit is contingent upon the receipt of a foundation as -built of the dwelling. The as -built must be in a scale of I" = 20` and a set of floor plans for the proposed home. 2. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)). 3. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. 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. Sincerely, Su n Sawyer, REHS/RS lic Health Director cc: Phil Christiansen, P.E. North Andover Board of Assessors Public Access Page 1 of 1 http://csc-ma.us/NandoverPubAcc/j sp/SaveSearch.j sp 5/19/2006 North Andover Board of Assessors Public Access Parcel ID: 210/109.0-0054-0000.0 SKETCH No Sketch Available Community: North Andover PHOTO No Picture Available Location:L-9 WINDKIST FARM ROAD Owner NamCess: LAMBERT, PATRICIA A C/O RIVARD, ROBERT & ROSEANN Owner Add 115 WINDKIST FARM ROAD City: NORTH ANDOVER State: MA ZIP: 018 5 Neighborhood: 8 - 8 a: .53 acres Use Code: 130 - RES -DEV -LAND Total Finished Area: 0 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 198,100 183,600 Building Value: 0 0 Land Value: 198,1.00 183,600 Market Land Value: 198,100 Mapter Land Value: LATEST SALE Sale Price: 449,900 Sale Date: 09/12/2005 krms Length Sale Code: O-NO-PHYS-CHNG Grantor: LAMBERT, PATRICIA Cert Doc: Book: 9761 Page: 225 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=81013 8 Page 1 of 1 5/19/2006 North Andover Board of Assessors Public Access Parcel ID: 210/109.0-0055-0000.0 MW"Nm No Sketch Available Community: North Andover PHOTO N o Picture Available Location: WINDKIST FARM ROAD Owner Name: MCNEE, DAVID Owner Address: 136 ANDOVER STREET City: WILMINGTON State: MA ZIP: 01887 Neighborhood: 8 - 8 Land_Ar_ea: 1.29 -a ---c res Use Code: 130 -RES-DEV-LA I3-`-` Total Finished Area: 0 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 197,000 182,500 Building Value: 0 0 Land Value: 197,000 182,500 v4arket Land Value: 197,000 �hapter Land Value: LATEST SALE Sale Price: 305,000 Sale Date: 05/29/2003 Arms Length Sale Code: B -NO- Grantor: LAMBERT, PATRICIA INTRACORP A. Cert Doc: Book: 7854 Page: 205 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3 &Linkld=810139 Page 1 of 1 5/19/2006 Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, June 04, 2008 2:33 PM To: 'rrob1970@aol.com' Subject: FW: Lot 9 Windkist Farm Road - Board of Health Decision - 5.22.08 Attached is the decision of the Board of Health to allow your one year extension on the septic plan. Pamela From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Wednesday, June 04, 2008 3:04 PM To: DelleChiaie, Pamela Subject: Lot 9 Windkist Farm Road - Board of Health Decision - 5.22.08 6/4/2008 Vwn of North Andover Health Department Date: �� 4 Location: (Indicate Address, if Residential, or Name of usiness) cs, 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: ❑ Sep/,tic - Soil Testing $ a—Septic - Design Approval $ � ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrasWSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER: (Indicate) CP Z Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer TOWN OF NORTH ANDOVER of NORTI Office of COMMUNITY DEVELOPMENT AND SERVICES Z- HEALTH DEPARTMENT ~ ` 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �'SSACMus t� 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476— FAX Public Health Director E-MAIL: healthdeptp_townofnorthandover.com WEBSITE: hqp://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date Site Engi New Plans? Yes �5/Plan Check # (includes 1St submission and one re- review only) Revised Plans? Yes $75/Plan Check # Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes No Telephone #: L'j 7fC �5' Z- Fax E-mail: N OFFICE USE ONLY When the submis 'o is complete (including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢V Enter on Log Sheet and Database APR 1 2 2005 TOWN r+ 1 ri ANDOVER �c_A 1 JE Dr 1,'FMENT LETTER OF TRANSMITTAL North Andover Health Department 400 Osgood Street North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax healthdeut(a-),townofnorthandover.com - E-mail www.townofnorthandover.com - Website � pORT1♦ � 7� �Awr.e Pfd _.ty TO: DATE: � j Q COMPANY: FROM: Pamela DelleChiaie, Health Dept. Assistant G' ' Phone: RE: Fax: REMARKS, : v We are sendin ou: LXopyqfLetter e9'Elans--T��tlier din elow) COPY TO: SIGNED: COPY TO: These are transmitted as checked below: 8'For OApproved OResubmit approval as submitted copies for approval OFor your use OApproved as noted OSubmit copies for dist. OAs Required OReturned for Corrections OReturn corrected copies OFor review and comment REMARKS, : COPY TO: COPY TO: SIGNED: COPY TO: "" Town of North Andover, Massachusetts Form No -1 p►ORT(q BOARD OF HEALTH L vv APPLICATION FOR SITE TESTING/INSPECTION /q °R�reo �Qp�Ay .SS ACHUS� Applicant Site Location Engineer V✓��/ E Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee Test No. &9" S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Well Construction Permit $ Funeral Directors Permit $ I Massage Establishment License $ Massage Practice License $ i Suntanning Establishment $ Offal/Trash Hauler $ Other t 6386 Health Agent Vniite - Applicant Yellow - Dept. Pink - Treasurer Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File ❑ Please Recycle North Andover Board of Health Meeting Minutes Thursday June 19, 2003 7:00 p.m. Department of Public Works 384 Osgood Street North Andover, MA 01845 New— Meeting Minutes Approval — April and May 2003 Meeting minutes were verbally approved. Formatting problems prevented signature. forwarded to Cheryl Barczak for signature. Minutes will be 70 Oaks Drive - Order letter issued on June 10, 2003, regarding removal of garbage disposal to Thomas and Debra Ann Witt. Mr. LaGrasse has not had a response from the homeowners to date. Mr. LaGrasse has a tank inspection scheduled for Friday at 10:00 a.m. Once the tank passes inspection, Title V should change from Conditionally Passes to Passes. At issue remains the removal of the garbage disposal. Mr. LaGrasse will follow up and report at next scheduled meeting. `,Lot 9 Windkist Farm Road — request for extension of soil tests. To be presented by John Hargreaves. File was brought with the Lot information, however, Mr. Hargreaves was not present at the meeting to make a presentation. Note: Mr. Hargreaves called on Friday morning, June 20, 2003 and apologized for not being present. Mr. Hargreaves requested to present at the next scheduled meeting on July 17th. Lots 2 & 3 Forest Street Extension - presented by Hancock Engineering — (Charlie Ogden) request for an extension of deep observation holes .performed an additional two years. Mr. Markey states that if more testing is to be done, that the testing can affect the way the bed bottom accepts effluent. Therefore, it is not good to do UM testing. The testing should be allowed to have the extension if the sitehas not been altered. It was .:wommended that Ms. Starr do a visual inspection after which she would write a letter to the engineer. In MOM, it is Mr. Markey's recommendation that the testing be allowed the extension if there has been no Iteration. If there has been alteration on the site, Ms. Starr will write a letter saying that new testing be done. 32 Olympic Lane — Mr. Bernie Kavanaugh to present a request for a variance on his septic system. rii;�ter and paperwork presented at the meeting by Mr. Kavanaugh. A site plan was also presented at the � �fiing outlining the plans. Mr. Markey stated that a variance cannot be granted unless the septic tank is reparred. Mr. Markey suggested obtaining approval from us, and then getting state approval for a Title V R q[iancr Markey recommended obtaining a Title V inspection before anything else is pursued. Once the k V is complete, and results are received Ms. Starr will review the file from that point on. Johnson Street — Letter received June 18, 2003 requesting a hearing about the order letter received **er tie-in, Update presented by Brian LaGrasse, 64a1 lett was sent out in year of 2000. The septic system is not working. However, the cost is prohibitive at homeowners to tie into sewer. It was suggested that the Board of Health members could write a letter k Board of Selectman to waive the fee, and perhaps have the DPW dig a trench to enable the homeowners I Compliant. `fan' will prepare a letter for the chairperson to sign and present at the neat Board of Selectmen Aft - 2W3 North Andover Board ofHealth Meeting Minutes Page 1 of3 SOHMembers: Dr. Frank MacMillan, Cheryl Barczak, Jonathan Markey; BOH Staff Sandra Starr, Health Director, 'Hasse. Health Inspector, Debra Rillahan, Public Health Nurse, Pamela DelleChiaie, Secretary FORM 11 - SOIL EVALUATO ge lUo ivi Date: Z/__) 9 No. Commonwealth of Massachusetts s Norte �f� . Mass Soil 5uitabih _Ass essment for On-site Sewage Dis osal Date.�� Performed By: Witnessed By: 4G ...... fa . �...... . DWMT-T Name. Cold r �.�m,s Ams. an jay lu rhf' LA=uo� Address a yV i 17d kts 5,r Lot, . �ost � 7e�ephore j�/o Rnd��u, �1/l9 ew Construction Repair Office Review Yes - ' Published Soil Survey Available: No ❑ d L j ; /S �c�G Soil Map Unit lCf �j 1 Publication Scale t.. .. ........................ Year Published ~•�----•����� Drainage Class V�/elf Gl�'GU%a.. Soil Limitations .......................................... Surficial Geologic Report Available: No E Yes El Year Published Publication Scale ........................... Geologic Material (Map Unit) �.......................................................................... .............. Landform........................................................... Flood Insurance Rate Map: :J � Above 500 year flood boundary No i- JYes /❑ Within 500 year flood boundary No !�J Yes Within 100 year flood boundary No es ❑ Wetland Area: .. ............ Mama unit) ................................................. National Wetland Inventory P P ....... ............... Wetlands Conservancy Program Map (map unit) ...................................................... Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Bele'.v Normal ❑ Other References Reviewed: DEP APPROVED FOKM • 1:107/95 FORM 11 - SOIL EVALUATOR FORM Location Address or Lot No. 1�rZELI/�l. 9 On-site Review Z`f•�l � Time: 1. � % 30 Weather Deep Hole Number :..1 ..:. Date: ../ :L><..... :... . Location (identify on site plan) Land Use Pq7.0V()C.0 Slope (%) e -IS Surface Stones 1Y1A ✓7.: cO 6 Vegetation .. G2,$.. 3 ..... ....... Landform. ....:.iDf2..L1 Al V( :::............ _..:::... c c J . �Z • .Z'y Position on- landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line . feet Drinking Water Well feet Other DEEP OBSERVATION HOLE _OG' Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % o_-7 Aro E=SL M*S31WC1 )c M,A34-S M3P 5 `f ('/_7- - 1� - (�� �-► VrsL Z,S�r��`� �,syKs/a 11141�ss, Fvt.r (LfsS.S lo"w G�c.��rc. I�CPf�J •5 �v r...i7'3r3 �.S W / it A Parent Material (geologic) I t -L DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: _ Z4" Estimated Seasonal High Ground Water: DEP --- iiUEP APPROVED FORM - 12/07/95 FORMM 11 - SOIL EVALUATOR FORM Location Address or Lot 1Jo. PIZf, Lt'Vl ' C-0 F 9 On-site Review Deep Hole Number ..--Z-... Date:...., Location (identify on site plan) Land Use t�W-�JI1v�,IC Slope (%) _T Vegetation . V.YLft`S,j.. Landform � �%'� �''� - Position on- landscape (sketch on the back) Distances from: Open Water Body feet. Possible Wet Area feet Drinking Water Well feet Time:. /U� S Weather PML4Z'`f �'``O�`J`� Surface Stones 1R4AJ'1 c-0r315L&Sr F -f -i J 5 L7tlW,45� elec! �ZS$ Drainage way Property Line Other feet feet DEEP OBSERVATION HOLE _OG' Depth from Surface (inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) I Soil Mottling Other ?�o (Structure, Stories. Boulders, Consistency,Grave p --7 % — t7 Li V FS L 1 C `(rct+'I % i nil �4SS 1 �c2 VrSL 215`1S�¢ 5�1(nf3 nlr4-SS, ,5�1►25 iv°w 6C . {M3P 7wu Cars. l3 f�W tr1 a ARFA Parent Material (geologic) DepthmSedrock: Depth to Groundwater: Standing Water in the Hole: 'Keeping from Pit Face: pi Estimated Seasonal High Ground Water: iiDEP APPROVED FORM - 12107/95 FORM 11 - SOIL EVALUATOR FORM 2 of 3 Location Address or Lot No. Prl,6c',lyl, L -or On-site Review II ' ZS Weather Deep Hole Number) Date:..:..¢(.��L Time:. /�� Location (identify on site plan) Land Use Slope (%) - i �'_ Surface Stones Vegetation - Landform ...:. ley? +2M .... e Position on- landscape (sketch, on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area _ .. feet Property Line feet Drinking Water Well ...:..:. feet Other DEEP OBSERVATION HOLE _OG* Depth from Soil Horizon Surface (Inches) Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravejo ►v�tKsl� � Sro(� G �2 cap 5 "4o 43 Laltt,� �tUw 3D�r . MINIMUM Ur' t nvLw nv- 1Wlf,Lb • �• • •—• ---- - - Parent Material (geologic( .r ( C.t_ DepthmBedrock: Z ci Depth to Groundwater: Standing Water in the Hole: 10 N '5 Weeping from Pit Face: _ Estimated Seasonal High Ground Water: 30" iiDEP APPROVED FORM - 1210719S FORM 11 - SOIL EVALUATOR FORA Page Z'or 3 Location Address or Lot NOR �,�/✓1��IS� �Gt/yr� . UG On-site Review Deep Hole Number tip 7 6� Date: 7/�Time: Weather Location (identify on site plan) Land Use ...y 043 Slope (%) cf—X Surface Stones Vegetation wY�-SS Landform .. �y..�+^1��!�. Cleo. .v7Z,S Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other DEP APPROVED F0RI.1 - 11!07/95 DEEP OBSERVATION HOLE _OG` Soil Iexture Soil Color (USDA) I (Munsell) Soil Mottling Other (Structure, Stones, Bounders, Consistency. % Deoth from Surface (Inches) I Soil Horizon IVA .e. C S -y ` Ind. r MSED 015FL i1 ti+ / DepthtoBedrock: Parent Material- (geologic) V �Z Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: n Estimated Seasonal High Ground Water:_ DEP APPROVED F0RI.1 - 11!07/95 . FORM 11 - SOIL LVALL.-IXTOR F0101 Pa-(! 3 of 3 Location Address or Lot No. termination Method Used' ►ah W i,1 Deoth observed standing in observation hole Deo -in weeping from side of observation hole c%eoth to soil mottles inches -'�' ..... feet +;round water adjustment .......••. .. . . Index well .level r inches inches 'Ole index Well Number ............ Adiustment actor .... ..... Reading Date ....... I......... Adjusted around water ievel Depth o= Naturally Occurrino pervious Material Does at least four feet of naturally occurring pervious material exist in all area: observed throughout the area proposed for the soil absorption system? 'J If not., what is the depth of naturally occurring pervious material? /% (date! I have passed the soil evaluator examiriGLIL 1 certin ,hat on �I _p,. e �, r the Department of Snvironmentai ,,,,,tion and �n�rttise above x ao a ns appr� �e.. by was performed by me consi0s1 t with the repuirec training, expert' ` 7. described in 310 C Date Sg i nature or DEPAPPROVED FORA - 1=!07195 FORM 12 - PERCOLATION TEST Location Address or Loi No. iCe9✓ /i/i ejk'.s / COMMONWEALTH OF MASSACHUSETTS °r �.IILAde< Massachusetts 4 B -2 7 li n Percolation Test* Date:.... //%4 Time:. Observation Hole # Depth of Perc d Start Pre-soak 3 End Pre-soak Time at 12" / Time at 9" Time at 6" Time (9"-6") Rate Min./Inch * Minimum of 1 percolation test must be perfor� i ied in both t1he primary area AND reserve area. Site Passed Site Failed ❑ .....................................................................................................................................__......_......._. Performed By: All/ -- Witnessed By: Comments: DEP APPROVED FORM - 12107/95 Received Mar -09-00 12:13 from 508 688 9542 i G page 2 Mar -09-00 12:07 North Andover Com_ Dev. 508 688 9542 p.O2 LOCATIOti NYE W P LAN S SEPTIC PLAN SUBMITTAL FORM 7- S12.5.00/Plan REVISED PL.kNS: YES S 60-00/PI.-in SITE EVALUATION FORMS [INCLUDED: t O DATE: DESIGiv ENGINELR: DATE TO COIvSULT.4.NT: *if you want your plans expedited, please submit three pians and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. FMN4 11 - SOIL EVALUATOR FORM Page :-of 3 Location Address or Lot iJo. % d)IW is t Oc� On-site Review D a�d0 Time: // %�a Weather Deep Hole Number a © o� Date: Location (identify on site plan) - Land Use ..��.�'% Slope (%) f-/ Surface Stones Vegetation Y-�a-s-5 Landform JJ y-,,`►w� �e'+^ c % v ' pi z , Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way_ feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE _OG� I Depth from Surface (Inches) Soil Horizon Soil TextureL(Munsell) IUSDAI il Color Soil Mottling Other (Structure, Stones, Boulders, Consistency. °•o io y� J j hjsT�c7- t ni t t t L Depthtof3edrock :V Parent Material- (geologic) / ! Depth to Groundwater: Standing Water in the Hole: lz Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORM . 12107/95 Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH 16 h � APPLICATION FOR SITE TESTING/INSPECTION °RATED PPR,`�5 , SSACHUSE f Applican Site Location Engineer l! E ADDRE !•�/f Test/Inspection Date and Time A — /s -CC// ,/ /may CHAIRMAN, BOARD OF HEALTH FeeW'5-'� Test No. &,'7 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. a TOWN' OF NORTH ANDOVER �Ic BOARD OF HEALTH Location //f)— Permit /5—Permit # ex�� % o02 Food Service $ Retail Food $ Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing $ Design Approval Permit $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ _ Suntanning Establishment $ _ Offal/Trash Hauler $ Other $ GuU Health Agent Vdhite - Applicant Yellow - Dept. Pink - Treasurer f fj10RTF1 TOWN OF NORTH ANDOVER 3� <;''" :,'"O0 Community Development & Services Division HEALTH DEPARTMENT 400 OSGOOD STREET '�1S''•'° <<' SAC14USE NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, RENS/RS 978.688.9540 - Phone Public Health Director 978.688.9542 - Fax FAX DanielOttenheimer From: Pamela To: Mill River Consulting Fax: 978.282.0012 Pages: 1.800.377.3044 or Date: Phone: 978.282.0014 Request for Soil Testing or CC: Re: Septic Plan Review ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Septic Plan Review Soil Test OTHER Address: Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File TRANSMISSION VERIFICATION REPORT TIME 03108/2005 14:25 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 03108 14:20 FAX NO./NAME 819782820012 DURATION 00:02:02 PAGE{S} 07 RESULT OK MODE STANDARD ECM In O'l 12:49p DATE:�qll 6 .NORTH ANDOVER 9786889542 BOARD OF HEALTH NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS MAP & PARCEL: /d51 Gyr— 6 f LOCATION OF SOIL TESTS: (S-77 ieAZAd OWNER: p/7 %� lG/ /� L z�dl S::%2 7' TEL. NN- ADDRESS: p.2 ENGINEER: TEL. NO.: CERTIFIED SOIL EVALUATOR: P C2�JO/�� �� �� `� • �" �� Intended use of land: Residential Subdivision (Single F�amiI HoHoot\ Commercial Is This: Repair testing Undeveloped lot testing f/ 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 5200.00 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 BOR 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. N.A. Conservation Com ission Approval: ` .S a6 e- 3 Date Received: l%-1 Check Amount: /5� /heck Date: �� /10 03 12:49p NORTH ANDOVER 9786889542 p.2 - BOARD OF HEALTH--SOr-- Tc;�J '�'1 OF `r� I ;_• Li, NORTH ANDOVER, MASS. 01845 ��a 978-688-9540 APPLICATION FOR SOIL TESTS MAY 2003 y DATE: b MAP & PARCEL: LOCATION OF SOIL TESTS: //,5 IV111L S77- F/- Z,0 24 -I OWNER: P/i%/0 fG/A L Z2djZ��12 7— TEL. NO.: ADDRESS: iAI 4 t 57- r 2 a7-•- l' . �//7ENGINEER:215 TEL. NO.: CERTIFIED SOIL EVALUATOR: P, 61wzoO/y� Intended use of land: Residential Subdivision t\ ingle Family Home Commercial Is This: Repair testing Undeveloped lot testing 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 5200.00 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 F'- 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. Please Do Not Write Below This Line N.A. Conservation Com ission Approval: Date Received: '� �a� Check Amount: /` Check Date: �020� i 0 ,LF'8zz == 11373 dVDIM L7oy-/ d01 8 'W'8 y -4 ���y �O�`F \qy0 LOCUS MAP NOT TO SCALE 4044 IM r i P Y_ d y LOCUS - ? North Andover Board of Health Meeting Minutes Thursday June 19, 2003 7:00 p.m. Department of Public Works 384 Osgood Street North Andover, MA 01845 New= Meeting Minutes Approval — April and May 2003 Meering minutes were verbally approved. Formatting problems prevented signature. forwarded to Cheryl Barczak for signature. Minutes will be 70 Oaks Drive - Order letter issued on June 10, 2003, regarding removal of garbage disposal to Thomas and Debra Ann Witt. Mr. LaGrasse has not had a response from the homeowners to date. Mr. LaGrasse has a tank inspection scheduled for Friday at 10:00 a.m. Once the tank passes inspection, Title V should change from Conditionally Passes to Passes. At issue remains the removal of the garbage disposal. Mr. LaGrasse will follow up and report at next scheduled meeting. Let 9 Windkist Farm Road — request for extension of soil tests. To be presented by John Hargreaves. File was brought with the Lot information, however, Mr. Hargreaves was not present at the meeting to make a presentation. Note: Mr. Hargreaves called on Friday morning, June 20, 2003 and apologized for not being present. Mr. Hargreaves requested to present at the next scheduled meeting on July 17th. Dots 2 & 3 Forest Street Extension - presented by Hancock Engineering — (Charlie Ogden) request for an extension of deep observation holes performed an additional two years. Mr. Markey states that if more testing is to be done, that the testing can affect the way the bed bottom accepts effluent. Therefore, it is not good to do more testing. The testing should be allowed to have the extension if the site has not been altered. It was mmmmended that Ms. Starr do a visual inspection after which she would write a letter to the engineer. In essence, it is Mr. Markey's recommendation that the testing be allowed the extension if there has been no alteration. If there has been alteration on the site, Ms. Starr will write a letter saying that new testing be done. 32 Olympic Lane — Mr. Bernie Kavanaugh to present a request for a variance on his septic system. ;,.Fetter and paperwork presented at the meeting by Mr. Kavanaugh. A site plan was also presented at the ung outlining the plans. Mr. Markey stated that a variance cannot be granted unless the septic tank is N -Mg repaired. Mr. Markey suggested obtaining approval from us, and then getting state approval for a Title V r. Markey recommended obtaining a Title V inspection before anything else is pursued. Once the de V is complete, and results are received Ms. Starr will review the file from that point on. 8 Johnson Street — Letter received June 18, 2003 requesting a hearing about the order letter received : rawer tie-in. Update presented by Brian LaGrasse. Viral letter was sent out in year of 2000. The septic system is not working. However, the cost is prohibitive r the homeowners to tie into sewer. It was suggested that the Board of Health members could write a letter the Board of Selectman to waive the fee, and perhaps have the DPW dig a trench to enable the homeowners be compliant. Ste' will prepare a letter for the chairperson to sign and present at the next Board of Selectmen 19, 2003 North Andover Board ofHealth Meeting Minutes Page 1 of 3 1P BOHA.fembers: Dr. Frank MacMillan, Cheryl Barczak, Jonathan Markey; BOH Staff Sandra Starr, Health Director, LaGrasse, Health Inspector, Debra Rillahan, Public Health Nurse, Pamela DelleChiaie, Secretary North Andover Board of Health Meeting Minutes Thursday — July 17, 2003 7:00 p.m. DPW 384 OSGOOD STREET North Andover, MA 01845 New Business Re -organization vote — John Markey was voted in as Chairman, and Cheryl Barczak as Vice Chairman, Clerk. Motion made and seconded by Mr. Markey and Ms. Barczak, respectively. Meeting Minutes Approval — The Board of Health Meeting Minutes of June 19, 2003 were approved and signed by Ms. Barczak. 12 & 3 Forest Street Extension - presented by Hancock Engineering (Charlie Ogden) Scott Roth was present to represent Mr. Ogden. It was discussed that no presentation was needed, as at the last meeting, Ms. Starr agreed to walk the lot to be sure the soil has not been disturbed. Ms. Starr will walk the lot within the next two weeks. She will send a letter to Hancock Engineering on her findings. try and Lot 9 Windkist Farm Road — request for extension of soil tests. To be presented by John Hargreaves. Mr. Hargreaves was not present at the meeting, and no further action was taken at this time. Old Business Updates on 383 Abbott Street — review of Order Letter dated June 20, 2003, and updates as well as related correspondence, presented by Brian LaGrasse. Attorney Wilbur Hyatt reports that Mr. Averka has made very dramatic progress. Mr. Averka has opted to tear his house down. A copy of a proposal from Kidder Building & Wrecking, Inc. out of Plaistow NH was presented for the Board's review. The proposal was for a sum of $7,950.00 and was signed by Mr. Averka on July 16, 2003. Mrs. Averka is also a client of Mr. Hyatt's. Mrs. Averka has a geriatric nurse, Frances Belanger. Attorney Hyatt asked nurse if she thought the house is unsafe, and requested that the nurse prepare a letter for distribution at the meeting. Mrs. Averka was out of the house for a short time, but was completely disoriented, and it was felt that she had to move back into the house. The letter states that: '7 am a Registered Nurse and have worked in geriatrics for 33 years. lain writing this letter on behalf of Mrs. Faye Averka. I feel it would be in her (Mrs. Averka 's) best interest to live in the house she is presently residing in at 383 Abbott Street, North Andover, while a new home is being constructed on the property. At this point, if she is allowed to stay where she is, construction of her new home could start immediately, and expedite her move into a more appropriate setting. Time would not be wasted looking for an interim abode. It is a documented fact that the elderly do not thrive well when they are moved too often from one place to another. A few more weeks in her present home will not harm her. She could preserve some of her money that she needs to live on, and most important, cause her far less emotional trauma. Your granting this variance would be a very kind and sensible thing to do. " Sincerely, Frances Belanger. Mr. Kimmick, a real estate developer, has gone with Mr. Averka to modular home companies to see what type Of modular home they could get. Mr. Averka is obtaining signatures for the necessary permits. Mr. LaGrasse signed off on permit this evening. Attorney Hyatt does not believe there is any imminent danger to the Averka's or other residents. Attorney Hyatt hopes to have the demolition complete and the modular home up by the end of the summer. It takes planning and research to get the best possible prices and contractors for the job. Mr. Markey asked about the sewer tie-in. Mr. Averka spoke with Mr. Dave Maynard, contractor but he is July 17, 2003 North Andover Board of Health Meeting - Agenda Board afHealthMembers: Cheryl Barczak; Jonathan Markey; Board ofHealth Staff Sandra Starr, Health Director, Brian LaGrasse, Health Inspector, Deb Rillahan, Public Health Nurse; Pamela DelleChiaie, BOH Secretary Page 1 of 4 T W 'tk3 Q L— 80-d Ci£O-99b-8L6 Sld/3d `aP�q.4n1 '0 Lnvd dLZ=EO 00-01-LnC Town of North Andover, Massachusetts Form No. 1 NORTH w BOARD OF HEALTH b q i•v0 h 6 0� 19 :6 APPLICATION FOR SITE TESTING/INSPECTION Applicant NAME ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time Fee CHAIRMAN, BOARD OF HEALTH Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Sent by:6 Jun -U5 -00 14:4__ £rot 9 -18Z7? -Z9607508 633 9542 iecei� MY -12-00 14:17 -" 508 688 9542 worth Andover Cam' O@v May -12-00 14.08 - BOARD OF HE MA 01345 NORTH ANDOVER, 978-688-9540 AppLICATTON FOR SOIL TESTS DATE: G 48 M.V LOCATION Of SOIL TESTS: •� OWNER. TEL NO.: �� ADDRESS: t S�G+ L,. c �- F Se,�y _ TEL. NO.: �IC,1;vEER: _� 11 CERTIFIED SOIL EvALi;ATOR: _ (� ►� M S intended Use of; Land: Residential Subdivision ,�,;,gle Family Home Commercial Is Tb is-. Undeveloped lot testing: Repair Testing. In the take Cochichewick Watershed? Yes No TFIE FOLLOWING MUST 13E INCLUDED WITH THIS FORM i. proof of land owners` ip (Tac bill, of letter from owner permitting test) 2. plat plan & Location of Testing 3. Fee of S2?5.00 per lot for �w construction. This covers the rninimum two deep holes and Iwo percolation tests required for each disposal area Fee of 7 aper Iot Tor r* air ��r GENF.�a INFORMATION . 1. Only Certified Soil Evaluators may perform deep hole inspections. Z. 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. a. Repairs require at least two deep holes and at leust one percolation test, at the discretion of the BOH representative, s. Full payrnem will be required for all additional tests Within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than I"-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. Please Do Not Write Below This Line N.A Conservation Commission Approval: F Date Received: Check Amount: Check Date: cage Sent by:6 Jun-yS-yy 14:4 trop, 978;72:.960.508 688 9542 12-00 14:17 11 _ leCei� May- 50s 688 95a.z may -12-00 14'08 North Andover Gam• O@v' BOARD OF HEALTH NORTH ANDOVER, MA 01845 9'18-688-9540 APPLICATION FOR SOiL TESTS DATE: LOCATION OF 501L TESTS: TEL. NO., OWNER- ~ ADDRESS: (,.S �e>MTEL. NO.: CERTIFIED SOIL EVALUATOR: Itrnended Use of Land: Residential Subdivision �,;,gle Family Home Commercial Is Tbis: Undeveloped lot testing: Repair Testing: �-- In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS 'FORM I • proof of land owners` ip (Taxbill, or letter from owner permitting test) 2. Plot pian & Location of Testing 3. Fee of $2? -5-A Per lot for tn.w, construction. This covers the minimum two deep holes and tw'o percolation tests required for eac;in disposal area- Fee of "r�.00 ger tot Tot r- air or pP G_EYE A i . INFORMATION 1. Only Certified Soil Evaluators tnay perform deep hole inspections. 2. Only Ntass. 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 strialler than I'-100') shall be submitted to the Board of Heikh showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do blot W rite Below This Line N.A. Conservation Con=ission Approval. Date Received: Check Amount: Check Date: Fa9e _ Jul -10-00 03:25P Paul D. Turbide, PE/PLS 978-465-0313 P.05 July 10, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Lot 9 Windkist Farm Road deep observation tests Dear Sandra, NA 7.05 states that "The results of the Deep Observation Holes shall expire two years from the date conducted unless the Board of Health or its agent determines that the existing soil logs are sufficiently comprehensive so as to not require additional testing, and the site has not been altered." The Deep Observation Holes for locus are more than two years old, and therefore it must be determined if the site has been altered. Today I met at the site with Gene Willis, Soil Evaluator. He had the operator of an excavator dig a test pit (which was officially logged by him and me) which revealed original soil horizons and showed no alteration of the site in that area. Also, the remains of the filled in hole for old Test Pit TP4, and for old Perk P4-1 and P4-2 were observed, again showing that the site has not been altered, even in the A horizon. It is therefore my professional opinion that the site has not been altered and therefore the original Deep Observation Pits have not expired. If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown, PE/PLS Windkist9.doc PORTit it ENGINEERING Civil Engineers & Lund Surveyors One Harris Street Newburypert, MA 01950 (978)465-8594 Patricia A. Lambert Attorney at Law 94 Winter Street Haverhill, Massachusetts 01830 Telephone: [978] 469-9920 Fax: [978] 469-9921 June 5, 2000 To Whom It May Concern: Please be advised that Coleman MacDonough and/or Phil Christiansen have my permission to enter onto lots 9 and 10 in Windkist Farms, North Andover and are authorized to act as my agents in connection with obtaining septic permits for those lots. Page 1 of 1 DelleChiaie, Pamela From: Sandra Starr [sstarr@townofnorthandover.com] Sent: Wednesday, May 28, 2003 1:27 PM To: Pamela DelleChiaie Subject: Re: Lots 9 & 10 Windkist Farm Road - #115 all set Does he own Lot 9? If he asks for an extension at the next Board meeting, they could extend them - unless Pat Lambert's letter asked for an extension on Lot 9 too. If both lots were mentioned then both were extended. If only Lot 10 was mentioned, then only Lot 10 was extended. Can you please check minutes and her letter, find out status and call Hargreaves, please? Thanks. ----- Original Message ----- From: Pamela DelleChiaie To: Sandra Starr Cc: Pamela DelleChiaie; Brian LaGrasse Sent: Wednesday, May 28, 2003 11:15 AM Subject: Lots 9 & 10 Windkist Farm Road - #115 all set John Hargreaves would like to know if soils will be extended for Lot 9 y were for Lo 115). Please call him at 978-462-7766. 5/28/2003 , r cru --- - - ce i� M -Y-12-00 1:17 Dam . 5-08 May - 2_00 14:.08 N,,th Andover Com - BOARD OF HEALT14 NORTH ANDOVEX NIA 01345. 4'1S.688-9540 APPJCAT10— DR5911LMESMTS D TE.44 MAP & ?ARCEL: A. LOCATION OF SC -11L TESTS' TEL. NO.: apniZESS' JAj- CERTIFIED SOII, F -VALUATOR: � � -- . .. la 1=arruly Home. Commercial IMendcd-ilaeafLand' Residential subdivision S is This: Repair Testing. �..^.�_ I'ndeveloned lot testing-- In circ -Laky Cochichewicic Watershed' Yes TRE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. pmef of land owners` ip (Tac bill, or letter from owner permitting test) 2. Piot plan & Loodon_ofTesting 3- Fee of r,;75.00 per lot (of g constrt�ion. This covers the minimum two deep holes and two percolation tests required ror each deposal area- Fee of 7'x.00 ger rot Ivc r- ai Ear u GEN FORMATIO 1. ci ay Certified Soil Evaluators they perform.deeg }tole inspections. 1 only ltitass. Registered Sanitarians and Profmional Engincers can design.sentie plans 3. At least two deep holes and two percolation tests are required for each septic system disposal area. a. Repairs require at least two sleep holes and at least one percolation test„ at the discretion of the 80H representative. 5. Full payment will be requited 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 submiaed to the Board of Health showing the location of all tests (including aborted tests). . 7- within 60 days of testing soil cvaluation forms sW be submitted. Please Do plot Write Below This Line N.A_ Congervation Commission Approval: Dare Dived: Check Arttctum: Check Date: Patricia A. Lambert Attorney at Law 94 Winter Street Haverhill, Massachusetts 01830 Telephone: [978] 469-9920 Fax: [978] 469-9921 June 5, 2000 To Whom It May Concern: Please be advised that Coleman MacDonough and/or Phil Christiansen have my permission to enter onto lots 9 and 10 in Windkist Farms, North Andover and are authorized to act as my agents in connection with obtaining septic permits for those lots.