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Miscellaneous - 136 SAW MILL ROAD 4/30/2018 (2)
136 SAW MILL ROAD _ 210/104.6-0064-0000.0 • � k North Andover Board of Assessors Public Access Page 1 of 1 l NORTH North Andover Board of Assessors t 4T.0 `< roperty Record Card Click Seal To Return Parcel ID :210/104.B-0064-0000.0 FY:2009 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary Residence Detached Structure Condo 136 SAWMILL ROAD : Commercial Location: 136 SAW MILL ROAD Owner Name: FARAHMAND,ZARTOSHT&JOAN Owner Address: 136 SAW MILL ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 7-7 Land Area: 1.02 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2892 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 620,400 647,800 Building Value: 395,500 422,900 Land Value: 224,900 224,900 Market and Value: 224,900 Chapter Land Value: LATEST SALE Sale Price: 295,000 Sale Date: 07/31/1994 Arms Length Sale Code: Y-YES-VALID Grantor: GARVEY,DONALD Cert Doc: Book: 04098 Page: 0073 http://csc-ma.us/PROPAPP/display.do?linkld=1464170&town=NandoverPubAcc 6/15/2009 Residential Property Record Card PARCEL_ID:210/104.B-0064-0000.0 MAP:104.B BLOCK:0064 LOT:0000.0 PARCEL ADDRESSA36 SAW MILL ROAD FY:2009 PARCEL INFORMATION Use-Code: 101 Sale Price: 295,000 Book: 04098 Road Type: T Inspect Date: 05/28/2008 Tax Class: T Sale Date: 07/31/94 Page: 0073 Rd Condition: P Meas Date: 05/28/2008 Owner: Tot Fin Area: 2892 Sale Type: P Cert/Doc: Traffic: M Entrance: C FARAHMAND,ZARTOSHT&JOAN Tot Land Area: 1.02 Sale Valid: Y Water: Collect Id: RRC Address: Grantor: GARVEY,DONALD Sewer: Inspect Reas: C 136 SAW MILL ROAD NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 9 Main Fn Area: 1692 Attic: N NBHD CODE: 7 NBHD CLASS: 7 ZONE: R1 Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1200 Bsmt Area: 1692 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 575 1 P 101 S 43560 1.000 224,769 Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: 2 R 101 A 0 0.020 152 r Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 2892 DETACHED STRUCTURE INFORMATION ' Foundation: CN Bath Qual: T RCNLD: 394242 Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond%Good P/F/E/R Cost Class Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: SE S 8 12.00 2005 A A ///99 1,300 1 Heat Type: HW Ext Kitch: Year Built: 1987 Sound Value: Fuel Type: O Grade: GV Cost Bldg: 394,200 VALUATION INFORMATION Fireplace: 1 Bsmt Gar Cap:2 Condition: G Aft Str Vail: Current Total: 620,400 Bldg: 395,500 Land: 224,900 MktLnd: 224,900 Central AC: Y Bsmt Gar SF: Pct Complete: Aft Str Va12: Prior Total: 647,800 Bldg: 422,900 Land: 224,900 MktLnd: 224,900 Aft Gar SF: %Good P/F/E/R: /100/100/92 Porch Type Porch Area Porch Grade Factor P 32 W 200 SKETCH PHOTO w `� ' 10 200 Sq.R 10 2 FU/FMIB FM/B 1120 Sq.R 572 Sq.Ft 280 An 26 22 4 4 R 136 SAWMILL ROAD '•� Parcel ID:210/104.13-0064-0000.0 as of 6/15/09 Page 1 of 1 SUMMARY OF INVERTS BUILDING TIES SEWER ® FDTN. 98.15 BLDG. CORNER A B C OTE: THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 97.87 SEPTIC TANK OUT 33.8 25.3 A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 97.59 PUMP TANK OUT 44.5 35.8 SYSTEM. 1T 1S A RECORD OF THE LOCATION PUMP TANK IN 97.55 DIST. BOX 25.5 34.5 AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX IN 100.00 COMPONENTS. DIST. BOX OUT 99.79 INV. IN CRAM. __+ 99.67 BOTT. CRAM. 99.0 EDG Or WETLAND J'vFR:fiY (44,=B.F.) X10 * . . SAW MLL ROAD wx cma 1 f. i iYt..�. `'f s � N/F WILD jos ,jai<AM y ! ,•' R iii i ,'•' f 1 ni N/F ARIN OVir.L:L'did CLEANOUT f N 1,300 GAL SEM TANK D—BOX 2rt �W%4pFM M1RATOR 23'S �g 1,000 GAL N PUMP TAW -..a ow. "\ PORTvr 3p't m 1 oj i OF '�sS VLADiil P L.NEMCHEN o civi AS BUILT PLAN y OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./136 SAWMILL ROAD AS PREPARED FOR ZACH & JOANNE FARAHMAND TM: 104E DATE: 8-21-09 TL: 64 SCALE: 1"=40' 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 NORTII q ED 06� 0 Q (Q t+ ey [O[wCwlwKw 1 4 04 TED SSACHUS� PUBLIC HEALTH DEPARTMENT Community Development Division C R2I FIC.A2(F OE C0146J- J..j ANC'E As of: August 26, 2009 This is to cert that the individuafsu6surface disposal system received a SMISTACT0RT lYSTEC7 W of the: Complete ftair1Wfp&cewnt of the septic Oisposalsystem By. Mchael 4Wdy At.. 136 Sawmia'4�qad Map — 104B; Tarcel—64 North Andover, 9WA 01845 The Issuance of this certificate shad not 6e construed as a guarantee that the system wid function satisfactorify. fes. ,Susan Sawyer fu6Cu 9feafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 fax 918.688.8416 Web www.towoofnorthandover.com NORTH � 9 % ^ q SACHUSY PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( constructed;( )repaired; By: jz�E I (Print Name) Located at: X710 IeSA W H I ter/ (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated —7 ' ®-I and last revised on ���� O ,with a design flow 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. Bottom of Bed Inspection Date: u mg Engineer Representative(Signature) And—Print Name �,-,q Final Construction Inspection Date: dti i 0—Z Engineer Repres tative(Signature) And—Print Name Installer: (Signature) Date: IH OF Ss VLADIMIR L. �N �C���, ��\� \ _ NEMCHENOK fn And—Print Name C {L Enginer: �''�Signature) Date: - e - 1 JSTI � And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com Nov 18 09 11;54a 978-475-3102 p.3 r-s Cti ` Oc dm a�ZG i. •ti s N )MINI dMRd "1yD =colt am mm xm-a lMNi 9tt� �+ "AM N)8W AIN agm u + Y + 1 11"AISOL 1 .en•L I � '� 1 s SUMMARY OF INVERTS BUILDING TIES HorENO SEWER O FDTM. 98.15 BLDG. CORNER A B •� THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 97.87 SEPTIC TANK OUT 33.8 25.3C A WARRANTY OF THE SUBSURFACE OfSPOSAL SEPTIC TANK OUT 97.59 PUMP TANK OUT 44,5 35.8 SYSTEU. IT IS A RECORD OF THE LOCATION PUMP TANK IN 97.55 DIST. BOX 25.5 34.5r AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX IN 100.00 +t- COMPONENTS. DIST. BOX OUT 99.79 INV. IN CRAM. 1 99.67 BOTT, CHAM. 99.0 S J (YfY Mull 0.r MAL —lb Pam ul r-��•+--".i W— y rm ,FI ° is 1� f iX� ylr wsr a, "ww t Part i it k / V1J.DM.R k, jj Nt'1,iA�C fir, xlk- AS BUILT PLAN MAL OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER MASS./136 SAWMILL ROAD AS PREPARED FOR ZACH & JOANNE FARAHMAND TM: 104D DATE: 8-21-09 TL: 64 SCAU: 1"=40' 0 20 40 e0 MER MUCK ENGINEERING SERVICES 68 PARK STREET ANDOVER, MASSACHUSETTS 01810 Z'd ZOL£-9Lb-9L6 L179: L 60 9L AO a Q I s TOWN OF NORTH ANDOVER < NORTk Office of COMMUNITY DEVELOPMENT AND SERVICES ,r ° ` `A�°o. �• 64,�� ,,. `e so HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 �qss""°'Petah iCHUs Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: -MAP: LOT: �� INSTALLER: � Ilr7_�ry�/� DESIGNER: PLAN DATE: (' BOH APPROVAL DATE O AN: INSPECTIONS �, 0, TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: 051 SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK NA� ottom of tank hole has 6" stone base Wehole plugged l Gc)o 50 allon tank een ins a -10 loadin Monolithic construction ❑ Water tightness o (Visual or Vacuum Test or Water held for 24hrs) E] Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present OJA ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 { { Page 1 of 6 I 1 TOWN OF NORTH ANDOVER ° woRT#j Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT A 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 Wyss^no ACHUS Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX Comments: - PUMP CHAMBER tom of tank hole has 6" stone base Weep hole plugged ❑ Combo Tank installed. Size: VZ.� ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats I ❑ Drain hole in pressure line I ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comm s: 4 ©` a L VJ -t�^-cy p 110 n Wastewater System Documentation—Feb 2006 �/ Page 2 of 6 TOWN OF NORTH ANDOVER Q NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES3 17, r4 0 HEALTH DEPARTMENT0 . a . ; 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER MASSACHUSETTS 01845 ��S"„`° � SNCHUS� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476-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/ Bottom of SAS excavated down toil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 '/2” double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less 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: 112 01( 4 S Wastewater System Documentation—Feb 2006 Page 3 of 6 p ' TOWN OF NORTH ANDOVER HORTN Office of COMMUNITY DEVELOPMENT AND SERVICES °'" : I°9�°p HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �qs3ACc HuSE Susan Y:Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX 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: 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: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH ANDOVER oQ ,,oRT„q Office of COMMUNITY DEVELOPMENT AND SERVICES 3�4�':" "��°o� HEALTH DEPARTMENT A 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �qS"� 10 SRcH US� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ❑ Property line 10 10 -- ❑ Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains (Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Wastewater System Documentation—Feb 2006 Page 5 of 6 1 ' TOWN OF NORTH ANDOVER �oRTM Office of COMMUNITY DEVELOPMENT AND SERVICES 3�c`is .°°` 4. HEALTH DEPARTMENT A 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER'MASSACHUSETTS 01845 M9s "C S jy SAGHUSE Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT 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 Wastewater System Documentation—Feb 2006 Page 6 of 6 J �. ---' �� D .9 `� ? `� �' � � � � � �. � `Q � �- n � -� ^ � �� �-�j �� DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, August 14, 2009 1:49 PM To: Sawyer, Susan; Grant, Michele Subject: Septic- 136 Sawmill Road - Bottom of Bed Inspection Request for Monday, August 17th. Importance: High Hello, Mike Reilly was ready for a BB inspection today. No one at MR available, so I am passing the message on to both of you—whoever can go. I will leave the file on my table. Please call Mike on Monday at: 978.375.4811 to setup a time to go see the site on Monday. Thank you. O Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only-no response requested at this time From: Joan Farahmand [mailto:jmfarahmand@hotmail.com] Sent: Friday, August 07, 2009 7:31 AM To: DelleChiaie, Pamela Subject: RE: 136 Sawmill Road - Plan Review Status - Pending Hi Pamela, I will be in this morning. I will be s0000 glad when the septic saga and the entire move is over. The whole process is extremely stressful! I will see you later. Thanks again, Joan From: pdellech@townofnorthandover.com To: jmfarahmand@hotmail.com Date: Thu, 6 Aug 2009 13:22:21 -0400 Subject: RE: 136 Sawmill Road - Plan Review Status - Pending Received the form. Gave to Susan. She will generate the approval letter, and you can get a copy of that when you come in to sign the Form A. Won't you be glad when this is over? O Pamela 1 Map-Block-Lot AORTH Commonwealth of Massachusetts 104.80064 o ----------------------- Board of Health Permit No 10 . BHP-2009-0646 North Andover FEE s a� P.I. .alt ��U�•�.. t $250.00 �ss� NSf� F.I. -- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Mike Reilly---- --------------------------------------------------------------------------------------- to(Repair-Complete System)an Individual Sewage Disposal System. atNo 136 SAWMILL-ROAD------------------------------------------------------------------------------------------------------------------ a OAD------------------------------------------------------------------------------------------------------------------ as shown on the application for Disposal Works Construction Permit No. BHP-2009-064 Dated._-August_I 0,2009----- i�( ---------------------- Issued On:Aug-10-2009 Board of Health p� "ORT" ' Application for Septic Disposal SystemYL ° 3?���� � p{ TODAY'S ATE . AConstruction Permit - TOWN OF ORTH_ ANDOVER MA 01845 $250.00—Full Repair} �1SSACHUS 4 -Component Important: Application is hereby made for a permit to: When filling out ❑ C nstruct a new on-site sewage disposal system* forms on the g p y computer,use Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component—What? cursor-do not use the return key. A. Facility Information L36 .SQwmt// leap. rob Address or Lot# Nair-�h "Dy&- ICI City/Town 2. TYPE OF SEPTIC SYSTEM*: (Pump El Gravity(choose one) ***If pump system,attach copy of electrical permit to application` ❑Conventional System(pipe and stone system) Infiltrator or Blodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S.(No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information Name ���/� � \GYM / �Q Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information AMR&I dei/%a rP Ped/i,! aV,0,)5 Name Name of Company &D 41 Address City/Town State Zip Code 7SI Terme hone Number(Cell Phone#'f possible please) a. Designer Information q?Y 37-5 -merornacX 9r)1fee_#qna Name Name of Company Address And oua XA- (718/y City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page 1 of 2 o, tORTN, Application for Septic Disposal System 01 v� �? •�,4. �• �o� TODA 'S DATE ° p Construction Permit — TOWN OF ° •'' ORTH ANDOVER MA 01845 $250.00—Full Repair �ss�c►rus�� � $125.00-Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: Residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. __- -- r O 7 0 `� _ Name --- - Date /tti Approv B : ( o rd of ealth Represent t e) e Date Application Disapproved for the following reasons: For Office Use Only: / L Fee Attached. Yes No 2. Project Manager Obligation Form Attached. Yest/ No 3. Pump System? Ifso,Attach copy ofElectrical Permit Yes-liz No 4. Foundation As Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only). Yes No Application for Disposal System Construction Permit•Page 2 of 2 ' 4 A SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed 'installer for the construction for the septic system for the property at: Jib .9wm,ll Rd. Varraw6r,-(Address of septic system) For plans by A_awe&1 (Engineer) Relative to the application of Al"k-nd e1 (Installer's name) And dated —7 �{ rigor ate Dated J6 9 o av s date With revisions dated (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 pdor to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer,I must call for any and all inspections. If homeowner,contractor,project manager,or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection without completion of the items in accordance with Tide 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 (V5 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: healthdel2t&townofnorthandover.com) from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible 5. As the installer,I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box, pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer.I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor,or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: 57 (Today's Date) MO)a&I u (Name— Print) (Name—Signed) _ ,,�., ../,..—ry�.���epr�,,�l.• �/prr�„ �,�y��,•Qe�--�•.-I,��,.• ,I�,.:� ,,w.n..,r,�•.-p.�—�IY.� �er�F��►- ,,,.u..,.,•.-,,,....�...y.�,�„ ''r��'p�",�'r�1c. O O O O O O O a�0°Oo4 00°O O O°O O°O°4 O°P°O q°a°a Opo°O q�00ap O°Ootr O°4 4 O°O°� 1p apo P°q \`ipabpppOQO°pop bp00000 pVM+"0040 000°0oaa Op000000 no°QOO°pOp00o000 P°pg000o00o p °q O OOaPOo pew qo 0�6�p°P opo0°06P°OOPv 'pe O°Oa0°oppeo0.°000�00 Doo°ti ti pr� pa06°000 apo o°OCOgapp w etl a°POapp A_tP0 OQOD 8 PO q' LL 00 000 0 00°Oa4°00°0°Q 0°0°0P°n OOAP°0 0°Oa1Mti n 00°0°0°O OOn 00 QOO°0 00 A'o 0 Op Poo°Op 11!00 OOp00°p Y1�w11110Q 00000°0 000°000 00 0 P�0 4 Q0e00°O°OMo 00006000 eMo p oC00°60 0 p°a��l'g00600Q00 0 v0e C e00000 p�q�0 A oOp00 y 40°q QDP4Dp 0°�0p°044D46 °1�e nOt 4OPOD°x7.000 Op7rp0Q Opa�e p4 OPp,w 00 xA err 00 Op 00 pp pQ tlp p0 Qp p 0 0 Op aaa gpLA o 0 4 a op11aD00R00Paprpo0P0004porog040P40ppeQgqt04OpQpepg0o0PD4poroQ000DODOp74atD06p0pp�p0q000p4poiQq9t000opo�o 0000D04 Vpi$COo0048P0 pogo p°0064a0a00°ponobgo OqO°o°arn QQAa P P44,QP,e« .�Q .P.'VI : ti is SYSTEMS(NC - 1 if..•tN IUtu 1•[n..........daar' This is to Certify that: Aficloacl Reiil)• F.P.RciIIY&Sons,Ina has sn6sfactoriltr completed the required training program for the installation t This INFtl.TRATOR leaching ehariftr system for-on-site wastewater disposal app / person is Certified to install the INFiLTRAToe chamber system as set forth by the �< I tdassachusetts MP approval letter for INFILTRATOR dminfield chambers. All other t r,i,i.n of 310 CRM 15.00 of Title 5 will apply.This guidclincs as sea forth by the Imcsi Certificate was scaled and issued SIM003. Certification:MA0958 _;( i�✓jam Lee Vcrbridgc • s - Atlantic Regional Manager _ PT r G i I Cutler-Hammer 60-AMP Weatherproof AC Pullouts 47 �lr��F if To 5 t� L 4 DPU222R--64Amp Non-Fused Pullout. BR241_60NAR=60Arhp Non-Automatic Circuit Breaker. Designed as disconnects for light duty air conditioning and heat pump applications. We stock a wide range of Cutler-Hammer products.We stock products not available on this webpage. Back To Main Order Quote Products Back To Cutler-Hammer nELECTRICAL I%JSUPPLIES �,u a fti � = A p d+ ESLj s11ST rOOL9 http://www.munroelectric.com/catalog/cutlerhammer/acpullout.html 5/25/2007 armnonwea o )V/as.4acjjatrda[j6 Official Usc OTly Permit No. 1Ja�artimanf o�J`ira Jervicad 5F y 1114 BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [ 11/991 blank) APPLICATION FOR PERMIT T4 PERFORM. ELECTRICAL WORK All work to be periormcd in accordance with the Mass3chusctts Electrical Codc,(i lEC),527 C1.11Z 12 0 (PLC.ISCPRINT IN INK ORTYPE:ILLINFOI?m17IOiV) Date: City or Towle of: fir, ,��J� �� (iz To Ils0e11cj1cctCrj!c3/j sseo lYilLLay this application tJie undersigned gives notice vl'his or her intention to perform work described below. Location (Street & Number) !ti/ Owner or Tenant �a G.�dC ,� >-�►� N c Telephone o.q1 -9.1�-�, Otivner's Address _ �`��, S �.,��, ti � ��, c� Is this permii in conjultctioti with.-a buildinb permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing ScrviccAmps I Volts Overhead ❑ Undgrd ❑ No.of ilIeters Ne:: Service Atatps / Volts Overhead❑ Undord ❑ No.of i4Ieters: Date.... .......................... I o table pray be naived by i/rc bisbrrto{•of lVires. L10.of I•otal of AORT" Transformers KVA a? ,�� - �o� TOWN OF NORTH ANDOVER Generators h'VA PERMIT FOR WIRING j t o.o tnergency to ttnlg * �! " • BatteryUnits a °� S"• FIRE ALAILIIS No.of Zones �SSAcrtusEt No.of Detection and Initiatine Devices This certifies that .................. ...... ! IN O.o.of Alertiue Devices has permission to perform .....: z - No.of Self-Contained ..........�.........�................................... DetectiottlAlertino Devices �"� tf, rP. Local ❑ tConrne cion 11 Other wiring in the building of..................:.r........1..... E Security Systems: J ,North Andover,Mass. No.of Devices or Equivalent Data►,tiriva: Fee. o�.a.��..... Lic.N �.*.! .l t` '...... '� `1`::r� .:j1�!� ..w.......... No.of Devices or Equivalent LECTRICALINSPECTOR Telecommunications tiYirtng: Check # ,f i`lo•or Devices or Equivalent 9 4 6desired•or as required by the Inspector of Wires. 1` �rmance of electrical work may issue unless tTe�licerisee`provies proof of TiaTiTiTyiiltjlYsttilitrlirsrnpta'bietcrtitr"covera�7e or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ET BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work.' (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with NIEC Rule 10,and upon completion. I certify, under the pants and penalli s of perjury,that the irtfornration ort this application is true attd complete: FlILM NAME: Buddy Electric Inc LIC.NO.: 12017-.A Licensee: Vincent B. Lamders JR Sianatur LIC.NCY.• 23684 E (!f applicable,enter "eY,nrpt"in the license number line) . Bus.Tei.i\o.,575--4-4-55• Address:- 24 Colgate T)-r N-Andover_, Ma 01849 AIL Tel.No.: OWNER'S INSURATNCE WAIVER: I am awrare that the Licensee does not have the liability insurance coverage normally required by law. By rtiy signature below,I hereby waive this requirement. I atn the(check otic) ❑ owner ❑ o*,vncr•s at_,ent. Owner/Agent Signature Telephone No. PFRJf1T 1j'EL; S TOWN OF NORTH ANDOVER F NORTH Q 1titlo r°'F'ry Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20• SUITE 2-36 ". . • �+ NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL: healthdepi@townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM J Date of Submission: ? I o 9 JUL 1 5 200 G (/��,! 7&'/` Site Location:_ 12j(p %sFi cJ ]�I�;� �� TOwN OF 4.AND VER HEALTH DEPARTMENT Engineer: kIazt4 New Plans? Yes $225/Plan Check# ��7�71 (includes I'submission and one re- review-only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes vl" No Local Upgrade Form Included? Yes No V � Telephone#: 2$�`-t?'S^ �J 5:19�5' Fax#: E-mail: A2 Homeowner Name: I-� �vN� �IF 1�1s�D OFFICE USE ONLY When the sub ' sion is complete(including check): ➢ Date stamp plans and letter ➢ 51/_Complete and attach Receipt �— __Copy File, Forward to Consultant Enter on Log Sheet and Database well Location: I mo" A W 1-t I V • ' Onner's Nnm ��PiI� IF'iat, Map/Parccl: 5 Addre_ 114 Ut1e�E.t.• �7. Installer. � Td�:q?�d�1 Nnr muL_,gepdr Date: •� Wetland: ..>t 1 _•„Zone n Solt Symbol SoIl Mwel� S.H pus W0VA*4 Deep-Obsemadqu Hole Logs Elm-ation Dc d Soil Hbrtioa Son Two'M SDQ Color Sou htotd ln:• %GMV4 Stoner,etci "T f 0~ GA S L Irv,9 03 44 U '�,L , 2,may Sl ►2�,Q�x GL`s V�r��S�t - �. Fv1 i td- patsal l►tute�{ti!- �.r. DeP�!a��i_.,_ tiY�'lo tae$ix W 7,��rsg v " 00 tow �_ �C fra�allt Fag VN r X122 y. 2�5 �i -• wet �,5 Paula!Mats�Ba! �L-1 Depth a ae1�.._6tullot�llaterla�a Sda,�2 tilleepla=haat lk FaaESRC1Ye �'� batt: percoia4on TcW Observation Hale Depth of Pere1' Stat Prn;oil► - o�. • t Time at 1,Z* r Tinge at 9" 'O. Time at 6" 1 Time . •RALC MiallAcb.=..�..:.:_:�.�.�..�..__. • Performed DelleChiaie, Pamela From: Isaac Rowe[irowe@millriverconsulting.com] Sent: Thursday, July 23, 2009 9:28 AM To: DelleChiaie, Pamela; 'Daniel Ottenheimer'; 'Marianne Peters'; 'Randy Burley' Cc: Sawyer, Susan Subject: RE: Septic- 136 Saw Mill Road- Plan Review Attachments: 136 Saw Mill Road Disapproval Letter 7-23-09.doc Susan, Please find attached the plan review letter for the above referenced property. Just another round of the usual comments we have for all of his plans. Please let me know if you have any questions. We are moving today so you can contact me on my cell phone 978-836- 6412 after noon today. Thank you, Isaac Isaac M.Rowe,R.S. Project Manager Mill River Consulting 2 Blackbukn Center 1 Gloucest4r, MA 01930-2268 Phone:(978)282-0014 Fax:(978)282-0012 irowea,millriverconsultin.g.com www.millriverconsulting.com From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Wednesday, July 22, 2009 10:44 AM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Marianne Peters; 'Randy Burley' Cc: Sawyer, Susan Subject: Septic - 136 Saw Mill Road - Plan Review Hello, Just checking on the status of this plan review. Bill Dufresne hand delivered it last Wed. afternoon. It was prepared and mailed out to Mill River last Thursday. Have you received it yet? The homeowner,Joan Farahmand came to the office this morning to find out the status of this review. I explained the process to her. We only received it last week, allowed up to 45 days, etc., but hopefully will be sooner than that. The property is for sale, and is closing on August 28th. Homeowner is concerned that the review get done and installed before that time. I only told her that I would make you all aware of the closing date, and stated that it looked like there was enough time, but several factors are involved, such as re-reviews, if necessary, any variance requests,timeline of installer, etc. In any case,this is my notification. No promises to the homeowner, but wanted you to be aware. Thank you. "C& LJee& Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes.- If otes.If copied to BOH Members-Reference Copy Only-no response requested at this time 2 DelleChiaie, Pamela From: Joan Farahmand Omfarahmand@hotmail.com] Sent: Wednesday, July 29, 2009 12:10 PM To: DelleChiaie, Pamela Subject: RE: Septic- 136 Saw Mill Road - Plan Review- Disapproval Hi Pamela, I spoke with Bill and he will make the required changes to the plan and resubmit. Thanks for all of your help. Regards, Joan Farahmand From: pdellech@townofnorthandover.com To: brdufresne@comcast.net CC: jmfarahmand@hotmail.com; ssawyer@townofnorthandover.com Date: Wed, 29 Jul 2009 11:55:36 -0400 Subject: FW: Septic - 136 Saw Mill Road - Plan Review - Disapproval Hi Bill, Attached is the plan review letter for your review. This homeowner is closing on the property August 28th, so your soonest response to the changes requested is appreciated. Thank you. ;Dame& De Z6&41 6 Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail ham://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only-no response requested at this time From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Wednesday,July 29, 2009 12:43 PM To: DelleChiaie, Pamela Subject: Septic- 136 Saw Mill Road - Plan Review - Disapproval Windows LiveT`" Hotmail@: Search, add, and share the web's latest sports videos. Check it out. 1 l f f NORTp O`tt Sao ,°��•O MO ��SS�ICMUS t� Health Department July 29, 2009 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Subsurface Sewage Disposal System Plan for 136 Saw Mill Road, Map 104B, Lot 64 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated July 7, 2009 and received on July 15, 2009 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. There is one test pit in the proposed soil absorption system area. A Local Upgrade Approval for only having one test pit in the soil absorption system area must be requested (3 10 CMR 15.405(1)(k)). 2. Please indicate the correct soil testing date as 6-30-09. A date of 6-3-09 is indicated under"Deep Test Results". 3. Please depict the location of the percolation test on the site plan(3 10 CMR 15.220(4)(i)). 4. It appears that the slope of the building sewer is 0.017, which does not meet the requirement stated on the plan"S =0.02 (Min)". Please revise the elevations to meet the slope of 0.02 or revise the requirement that is indicated on the plan. 5. In the detail of the pump chamber on sheet 2 of 2 above the septic tank detail, it appears that the bottom tank elevation should be approximately 92.07' instead of 91.82'. The pump chamber detail (to the left) indicates a 52"height from the inlet invert to the bottom of the tank and the inlet invert is proposed at 96.40'. Please revise or explain the discrepancy. 6. According to the buoyancy calculations for the pump chamber and the detail information, the groundwater table appears to be approximately at elevation 95.25'. Please indicate the outlet elevation of the pump chamber will be 12"above the groundwater table or request a Local Upgrade Approval (310 CMR 15.227(5)). 7. Please provide buoyancy calculations for the septic tank(310 CMR 15.221(8)). 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 2-36 E-Mail: healthdept@townofnorthandover.com North Andover,MA 01845 Phone:978.688.9540 Fax:978.688.8476 8. In the detail of the pump chamber on sheet 2 of 2 above the septic tank detail,the manhole cover is proposed to be within 6" of finish grade. Please indicate that the cover will be at finish grade (3 10 CMR 15.231(5)). 9. On sheet 2 of 2, in the Graphic Profile there is a note for a Local Upgrade Request for the separation between the ESHWT and the bottom of the leaching facility. It appears that request is not needed,please confirm this. 10. On sheet 2 of 2,the plan view of the pump chamber appears to indicate elevations instead of distances for the length and width of the pump chamber proposed. Please depict the accurate length and width of the proposed pump chamber. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincel'eTy, f S san Y. Sa er, REHS/R Public Health Director cc: Zach&Joan Farahmand File MERRIMACK ENGINEERING SERVICES, INC. ` PROFESSIONAL ENGINEERS LAND SURVEYORS PLANNERS 66 PARK STREET• ANDOVER,MA 01810• (978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL Info@merrimackengineering.com July 31, 2009 �E'VSZLI usan SawyerPublic Health Director �1600 Osgood Street Building 20, Suite 2-36 RNorth Andover, MA 01845 RE: 136 Sawmill Road Dear Ms. Sawyer, We are in receipt of your review letter dated 7-29-09 for the above referenced site. We have revised the plan with regard to items 1,2,3,4,7,8,9,&10 of your letter. With regards to item#5,the reviewer accidentally read the outlet distance rather than the inlet distance from the pump chamber detail and therefore is incorrect. There is no discrepancy and the plan is correct. Lastly, with regard to item#6,the reviewer references a groundwater elevation of 95.25'. We are not certain where the value was derived from but it would be incorrect to interpolate a higher ground water elevation because the natural ground elevation is likely lower in the area of the pump tank as the site has been significantly filled. Additionally, section 15.227(5)pertains to septic tanks and not dosing tanks although we believe the inlet is more than 1.0 ft. above the seasonal high water table. Section 15.231 pertains to pump and dosing tanks and we found no regulation which requires the pump tank outlet to be 1.0 ft. above the seasonal high water table, in fact, 15.231 specifically requires the tank to be water tight because many times pump tanks are well within the water table. Enclosed are 3 copies of the revised plan. We feel that your concerns have been adequately addressed and the plan, as re-submitted, complies with Title S and the NA Board of Health Regulations and we respectfully request that the revised plans be approved. Susan Sawyer(page 2) We appreciate your prompt attention to this matter as the property is under contract for sale and our clients are very anxious to proceed with construction and the sale of their property. �Very truly yours, William Dufresne Merrimack Engineering services MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, August 06, 2009 12:06 PM To: 'Joan Farahmand' Subject: FW: 136 Sawmill Road - Plan Review Status- Pending Attachments: image001.gif; image002.gif Please follow-up with Bill on this so that he submits the Form asap. Thank you. Pamela From: DelleChiaie, Pamela Sent:Thursday, August 06, 2009 12:05 PM To: Bill Dufresne (brdufresne@comcast.net) Subject: 136 Sawmill Road - Plan Review Status - Pending Hi Bill, Susan reviewed your revised plan. It looks okay, but the Form A for the Local Upgrade is missing. Will you please submit the Form A via fax to: 978.688.8476 ASAP so that we can get this going for the homeowner? Thank you. &"& Ve& Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes: If copied to BOH Memhers-Reference Copy Only-no response requested at this time 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, August 06, 2009 2:51 PM To: 'Joan Farahmand' Cc: Bill Dufresne (brdufresne@comcast.net) Subject: FW: I.R. -Septic- 136 Sawmill Road -Septic Plan Approval; Form A& Form B Attachments: SKMBT_60009080614270.pdf Attached is your plan approval along with Forms A& B. I have your folder here at the office for you to sign off on the Form A, and then you can take your original copies with you. The scanned copy is for your reference. See you later on. Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only-no response requested at this time From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Thursday, August 06, 2009 3:28 PM To: DelleChiaie, Pamela Subject: I.R. - Septic - 136 Sawmill Road - Septic Plan Approval; Form A&Form B 1 Commonwealth of Massachusetts City/Town of Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. RECEIVED A. Facility Information Important: AUG 11 2009 When filling out 1. Facility Name and Address: forms on the Zach &Joan Farahmand Residence TOWN OF NORTH ANLjOVER computer,use only the tab key Name to move your 136 Sawmill Road cursor-do not Street Address use the return key. Andover MA 01845 City/Town State Zip Code 4 2. Owner Name and Address(if different from above): Zach &Joan Farahmand 136 Sawmill Road " Name Street Address North Andover MA Cityrrown State 01845 (978) 975-3609 Zip Code Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: 4 BDRM. House 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Field t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 1 of 4 i Commonwealth of Massachusetts City/Town of Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: 600 gpd Design flow of proposed upgraded system 440 gpd 440 Design flow of facility: gpd gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): ® voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Total replacement, see plan 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater ft t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 2 of 4 Commonwealth of Massachusetts CityrFown of Andover Form 9A - Application for Local Upgrade Approval i DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 3 of 4 I Commonwealth of Massachusetts City/Town of Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: 4. Connection to a public sewer is not feasible: 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ❑ Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." 8-6-09 Facility Owner's Signature Date Joan &Zach Farahmand Print Name Bill Dufresne/Merrimack Engineering 8-6-09 Name of Preparer Date 66 Park Street Andover Preparer's address Citylrown MA/01810 (978)475-3555 State/ZIP Code Telephone t5form9a.doc-rev.7/06 Application for Local Upgrade Approval*Page 4 of 4 i Commonwealth of Massachusetts y City/Town of r o 0y Local Upgrade Approval Form 913 M DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important:When filling out forms 1. Facility Name and Address on the computer, use only the tab Zac&Joan Farhmand key to move your Name cursor-do not 136 Sawmill Road use the return key. Street Address North Andover MA 01845 Q City/Town State Zip Code 2. Owner Name and Address (if different from above): Name Street Address Cityrrown State Zip Code Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd 5. System Designer: Vladimar Nemchenok Name ® PE ❑ RS Andover MA 01810 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %-reduction 136 Sawmill Rd 96 8.6.09•rev.7/06 Local Upgrade Approval*Page 1 of 2 dr ' Commonwealth of Massachusetts City/Town of Local Upgrade Approval y Form 9B B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater ft. ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test List local variances granted not requiring DEP approval per 310 CMR 15.412(4): Only one test pit within SAS List variances granted requiring DEP approval: North Andover Health Department Approving Authority Susan Sawyer, Health Director August 6, 2009 Print or Type Name and Title � nature Date 136 Sawmill Rd 9B 8.6.09•rev.7/06 Local Upgrade Approval* Page 2 of 2 tt NORT1i l.�► etc'` ` �° O0 O A yy r� T °RAC -V10yT FFILEICOPY SAC Htis���y PUBLIC HEALTH DEPARTMENT (ommunity Development Division August 6, 2009 Zach and Joan Farahmand 136 Sawmill Road North Andover, MA 01845 RE: Septic System Design, 136 Sawmill Road,North Andover May 104B Lot 64 Dear Mr. and Mrs. Farahmand, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Merrimack Engineering Services, dated July 7, 2009, last revised July 29,2009, received August 5, 2009. This plan has been approved. The approval includes a Local Upgrade Approval for the request to have only one test pit within the area of the proposed system. Please keep a copy of the attached document for your records. This plan is valid for two years from the date of this approval. The design has been approved for use in the construction of an onsite septic system for a 4- bedroom house (maximum 9-room). During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. This approval is subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit. 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe or imply compliance with any of the aforementioned requirement. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ! v Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincerel , an Y. Sa er, E /R Public Health Direc or Encl: list of licensed septic system installers Cc: Merrimack Engineering Services 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Sawyer, Susan From: Zack Farahmand [zack@axiomcapitalgroup.com] Sent: Wednesday, August 26, 2009 11:10 AM To: Sawyer, Susan Subject: 136 Saw Mill Road Dear Ms. Sawyer, You have my permission to release the Certificate of Compliance to our broker, Mary Beth Cosgrove. Regards, Zartosht(Zack) Farahmand Zack Farahmand Managing Director Axiom Capital Group, Inc. 21 Custom House St., Ste. 910 Boston, MA 02110 Phone 617-720-1444 Fax 617-720-2261 Cell 617-680-7305 R4 �, AUG 2 TOH p 1 Gloucest4r, MA 01930-2268 Phone:(978)282-0014 Fax:(978)282-0012 iroweCaD-millriverconsultin.g.com www.millriverconsulting.com From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Wednesday, July 22, 2009 10:44 AM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Marianne Peters; 'Randy Burley' Cc: Sawyer, Susan Subject: Septic- 136 Saw Mill Road - Plan Review Hello, Just checking on the status of this plan review. Bill Dufresne hand delivered it last Wed. afternoon. It was prepared and mailed out to Mill River last Thursday. Have you received it yet? The homeowner,Joan Farahmand came to the office this morning to find out the status of this review. I explained the process to her. We only received it last week, allowed up to 45 days, etc., but hopefully will be sooner than that. The property is for sale, and is closing on August 28th. Homeowner is concerned that the review get done and installed before that time. I only told her that I would make you all aware of the closing date, and stated that it looked like there was enough time, but several factors are involved, such as re-reviews, if necessary, any variance requests,timeline of installer, etc. In any case,this is my notification. No promises to the homeowner, but wanted you to be aware. Thank you. ;D"e& De& Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes.- If copied to BOH Members-Reference Copy Only-no response requested at this time 2 TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES � � i r et;r •.�. O HEALTH DEPARTMENT 4 p 1600 OSGOOD STREET; BUILDING 20• SUITE 2-36 xx NORTH ANDOVER, MASSACHUSETTS 01845 gcHus<�y Susan Y.Sawyer,RENS,RS 978.688.9540—Phone RECE d`4 Public Health Director 978.688.8476—FAX �i heal thde t town ofnortha idover. 17 2009 www.townofnorthandovei.com e- TOWN OF NORTH ANDOVER APPLICATION FOR SOIL TESTS HEALTH DEP.ARTMENT- vrrl DATE: C `(fid 0 `� MAP&PARCEL: J �_ LOCATION OF SOIL TESTS: i-7,2( OWNER:Z' � fr �� �.1,4."t`'lANWJ Contact#:_1`1]x) 17 5;— 17(„ eel APPLICANT:__ Contact#: ADDRESS: ENGINEER pZrt 1p•{ ,1G 1I LL -1 Contact#: ('`177-&hs— ?jC545'5 CERTIFIED SOIL EVALUATOR1'I.i./ Intended Use of Land: Residential Subdivision ngle Family a Commercial Is This:Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH TATS FORM Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 117 Plot Plan&Location of TestiRE(please indicate test nit sites on the plan) Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation.test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Ap vaHDale Signature of Conservation Agent. Date back to Health Department:(st mp a wed- o� i M SANE o� cel- T sevnc TAUK JN t� sr:Pt-rc '-AAJe- OUT - 15/.64 aoc r,v v. mD aso rA1✓, /:522 76 32000 u doo0 ,r.Dt, •. w _ �O.G ! �I��• �1.1ILT SussLfe�QcE -D�s�soc 5 rGk. --- \ �""�a..'`.-.--,Y • � Eye �,se4 �h ,y PLAN OF LAND °e r �o �° 1 n 3cioo LOCATION �fe/M/LL -o4D LOT S7 PREPARED FOR T.�ar✓�atD G<Ie✓Ey SCALE DATE Q�/G /D, 1967 YANKEE ENGINEERS Y¢oao�. � I10 JACKSON ST. t l✓IL�Y31 1964 6,t/ SC 'SP��- S�stsM METHUEN MA.01844JON" • '+ FLyA�A,� r� i�.` �� K A. Y� �O. BOX 519 - \ ��CIST-REO EP � t DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, June 17, 2009 3:14 PM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Marianne Peters; 'Randy Burley' Cc: Sawyer, Susan; Grant, Michele Subject: FW: Septic-Soil Test Application- 136 Sawmill Road Attachments: SKMBT_60009061710430.pdf Hello, Jennifer was able to respond back today. Comment: "There are wetlands on the Property." Please schedule the soil testing with Bill Dufresne. Thank you. PameQa Z)e&e&4a& Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.com-E-mail http://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only-no response requested at this time From: DelleChiaie, Pamela Sent: Wednesday, June 17, 2009 10:55 AM To: Hughes, Jennifer Cc: Wedge, Donna Subject: FW: Septic - Soil Test Application - 136 Sawmill Road Hi Jennifer, Attached is a Soil Test Application for review by Conservation. Please let me know when all set with you, and when all set, I will forward to our consultant to schedule testing with the engineer. Thank you. Pathe& V e& Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 1 DellOChiaie, Pamela �e From: Marianne Peter:;[mpeters@millriverconsulting.com] Sent: Friday, July 10, '.'009 10:32 AM To: DelleChiaie, Pan ila Subject: FW: 136 Saw Mil Road Attachments: Soil Testing Resu s 136 Saw Mill Road 6-30-09.pdf From: Isaac Rowe [mailto:irowe@miliriverconsulting.com] Sent:Tuesday, June 30, 2009 2:57 PM To: 'Daniel Ottenheimer'; 'Grant, Michele'; irowe@millriverconsulting.com; 'Marianne Peters'; 'Pamela Dellechiaie'; 'Randy Burley'; 'Susan Sawyer' Subject: 136 Saw Mill Road Susan, Please find attached the soil testing results for the above referenced property. There are wetlands close to the driveway coming off Saw Mill Road, hopefully Bill will show these on the design plan??? I assume Jennifer has already looked at the site. Please let me know if you have any questions. I also conducted the final inspection at 39 Granville Lane with Peter Breen. I will be sending that inspection report along shortly. Thank you, Isaac Isaac M.Rowe,R.S. Project Manager Mill River Consulting 2 Blackburn Center 1 l � --1 3�t 19 d? '- Xu z I /0VYR / ����uh. �•. i z� � sL z.SI t 1411 JCC N4 t� Cp2nc cuT n. T�-Bo�C cAl 64 32a.oa K 3r �5- au 1 L-r 30.00 b' �D.u^ ScJ SStJeFA[E _-Di51�5djr. �1G'�T�II. DoT X37 � PLAN O_F LAND i i r LOCATION 9,d 91A'11Z-1- ,E'o '.a L C7 37 PREPARED FOR �pt/�LD Gi,�✓may SCALE 40 DATE 24/G /B, 19,97 4 YANKEE ENGINEERS ' r 110 JACKSON ST. - TMi {''eoPc�tS at-�nt AIt ETH U EN, MA. 4 4 i N,c i �1 k�Lly ,3► , 1964 Y 1262 ) i a.►sT�v�/ JU. r 03�iCo� '