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Miscellaneous - 143 DUNCAN DRIVE 4/30/2018
_ 143 DUNCAN DRIVE 210/ 104.6-0184..0000.0 l I j! V T North Andover Board of Assessors Public Access Page 1 of 1 NORTH I�� 1'ti Andover Board of Assessors Ot st�ao.a'�q.0 SSACM,1`+e roperty Record Card Parcel ID :210/104.B-0184-0000.0 FY:2011 Community: North Andover SKETCH Click on Sketch to Enlarge Click on Photo to Enlarge 143 DUNCAN DRIVE Location: 143 DUNCAN DRIVE Owner Name: DURGIN,SCOTT A KIMBERLY S DURGIN Owner Address: 143 DUNCAN DRIVE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 1.08 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2128 sgft Total Value: 403,400 416,500 Building Value: 195,900 209,000 Land Value: 207,500 207,500 Market Land Value: 207,500 Chapter Land Value: LATEST SALE Sale Price: 254,000 Sale Date: 12/01/1994 Arms Length Sale Code: Y-YES-VALID Grantor: MC CARRIN JR,JOHN Cert Doc: Book: 04174 Page: 0105 http://csc-ma.us/PROPAPP/display.do?linkld=1707017&town=NandoverPubAcc 10/21/2011 Commonwealth of Massachusetts i _ City/Town of . System Pumping-Record Form 4 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.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house MP Right ear of eft/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address f C AJ City/Town State Zip Code 2. System Owner. Fri- Name' Address(if different from location) Cityrrown ' State Zip Code �u� VER Telephone Number B. Pumping J pcor f'�_ . 1. Date of PumpingDate 2. Q entity Pumped: Gallon 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? [ Yep ❑ No If yes, was it cleaned? Yes ElNo, 5. Condition of System: 6: System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: L S: Lowell Waste Water 15- Sig a it 119uIwU Date t5form4.doc•08103 System Pumping Record•Page 1 of 1 . Sc PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division Certi f cate of Compliance As of.• December 20, 2011 This is to cert that a SATISEACTORT INSPECTION Was completed for the: Rfpairafplacement o f an Existing On Site Wastewater 1Disposa(System (By: Todd Bateson at: 143 Duncan Drive Wap-104.B-'a rce f-0184 9Vorth Andover, 91" 01845 The issuance of this certificate shad not 6e construed as a guarantee that the On Site Sewage 1Disp-srdfSystem wiCCfunction satisfactorily. Su nl l�lauyer, Pu6fcYfeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com I PUBLIC HEALTH DEPARTMENT Town of North Andover (ommunity Development Division Ceni{'cate of Compliance As of.• December 20, 2011 This is to cert that a SATIS FACTO IRT EKS 1PEC2ION Was completed for the: . epair fpfacement o{an Existing On Site Wastewater DisposaCSystem ,By. Todd Bateson at: 143 Duncan Driiye 9Wap-104.B--mParce�-0184 Noi rtFi Andover, 91(9 01845 The Issuance of this certificate shaft not be construed as a guarantee that the On Site Sewage DzsposrdlSystem wifffunction satisfactorify. Susan'?lawyer, rl"46fic Yfealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division Certicate of Compliance As of.• lDecem6er 20, 2011 This is to certify that a SA`IIS ACTO TINSTECTIOX Was completedfor the: repair/1�eplacement of an Existing On Site Wastewater 1 MosalSstem Todd Bateson at: 143 (Duncan Drive 9Kap-104.B-Parcer,0184 9Nortfi Andover, ,AKA 01845 The Issuance of this certificate shaCnot be construed as a guarantee that the On Site Sewage Disp-s-0System wiCCfunction satisfactorify. �r uy , R / s Susan�Y a er Wbfic Yfeafth Director i i 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com •.S�;t�rtaa'x i PUBLIC HEALTH DEPARTMENT Town of North Andover (ommunity Development Division Certificate of Compliance As of.• December 20, 2011 This is to cert that a SA`IIS FACTO T INS1TECIIO5V Was completedfor the: epairafplacement of an Existing On Site Wastewater 1DisposalSystem (By: Todd Bateson at: 143 Duncan Dnive Map-104.B--<Parcef-0184 Xoi rth.Andover, WA 01845 The Issuance of this certificate shall not be construed as a guarantee that the On Site Sewage IDisposalSystem wiCCfunction satisfactorily. S�n�! a er �u6fic Zeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com PrOm Pam's desk ell- 4—) crl� r s 1 P�5 I �` � SF'�'fL�Dt�6 • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division Cert ' 'cate of m fiance As of.- December f December 20, 2011 This is to cert that a TISEACTORTIXSkcTrox Was completedfor the: eit e lacement o an Existing On Site ra o azo z -se tree e Disposes sy tem, 5`c+'L (By: ToddBateson at: 143 (Duncan Drive 9Nap-104.B-%Parcef-0184 JVorthAndover, JNA 01845 The is ance of this erti cate shall not be construed as a guarantee that the On Site Sewage posalS tem wiCCfunction satisfactorily. ,SadatlY Sa r, (Pu6Cic 9feaCth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com I FINAL GRADE /INSPECTION oDate,-, Address: - w L//GAMED? SEEDED? W/ COVER PER PLAN? Other: Driving Directions from 1600 Osgood St,North Andover, Massachusetts 01845 to 143 D... Page 1 of 2 Notes mapquest Michele- 143 Duncan Drive- Final Grade-Monday- Trip to: 12/12/2011 143 Duncan Dr North Andover, MA 01845-2232 7.63 miles ' I 15 minutes r,✓ t C� 1600 Osgood St North Andover, MA 01845-' / J J • 1. Start out going south on Osg<_/il/ ' `f 'j,C--C– C- z �- Rd. Continue to follow RT-125. 2.Turn left onto Massachusetts41 - Massachusetts Ave is 0.1 miles past Bt Essex Enrichment Center is on the con If you reach Fernview Ave you've gone y 3. Enter next roundabout and tal, 1 4. Stay straight to go onto Boxf, _ 5.Turn left onto Duncan Dr. Duncan Dr is 0.1 miles past Stonecleal y- - ] If you reach Brookview Dr you've gone ■ 6. 143 DUNCAN DR is on the ri If you reach the end of Duncan Dr you'v 143 Duncan Dr North Andover, MA 01845-11�jz http://www.mapquest.com/print?a=app.core.cb33bdefl3b790l d9aal 3640 12/12/2011 ---77 !I �v Driving Directions from 1600 Osgood St,North Andover, Massachusetts 01845 to 143 D... Page 1 of 2 Notes mapquest' Michele- 143 Duncan Drive-Final Grade-Monday- Trip to: 12/12/2011 143 Duncan Dr North Andover, MA 01845-2232 1 7.63 miles ' 15 minutes f 1600 Osgood St Miles Per Miles North Andover, MA 01845-1048 Section Driven • 1. Start out going south on Osgood St/RT-125 toward Orchard Hill Go 3.1 Mi 3.1 mi Rd. Continue to follow RT-125. 2.Turn left onto Massachusetts Ave. Go 0.5 Mi 3.7 mi Massachusetts Ave is 0.1 miles past Bay State Rd Essex Enrichment Center is on the corner If you reach Fernview Ave you've gone a little too far 3. Enter next roundabout and take the 2nd exit onto Salem St. Go 2.6 Mi 6.2 mi 1 4. Stay straight to go onto Boxford St. Go 1.1 Mi 7.3 mi 5.Turn left onto Duncan Dr. Go 0.3 Mi 7.6 mi Duncan Dr is 0.1 miles past Stonecleave Rd If you reach Brookview Dr you've gone about 0.4 miles too fat- 6. 143 ar6. 143 DUNCAN DR is on the right. 7.6 mi If you reach the end of Duncan Dr you've gone a little too far 143 Duncan Dr 7.6 mi 7.6 mi North Andover, MA 01845-2232 http://www.mapquest.com/print?a=app.core.cb33bdefl3b790ld9aal3640 12/12/2011 j ' I Driving Directions frdm 1600 Osgood St,North Andover, Massachusetts 01845 to 143 D... Page 2 of 2 Total Travel Estimate: 7.63 miles -about 15 minutes i Thurbw 213 r' `ry "" r t o t .•,r' •ice 1�G', Ck Methuen GeorgetoM, 110 •�. Byers bill.. Hill , 4HauaihdsE ; �. 3 'Willow Rd. Osy*ooel Hill w+llest Boxford �4 Q8- �� i Horth A over " 4 0 South Lawrence 4,--t b Bayus Hill `J ��j{ 6 �, yr � � 7 •,,a Two)Farm Hill (1, 125 133 sf •d Jobs Hill i Mills Hr # , 4oti4A 9 t 133 T Garonet Hill t - - High Plain > ,`� r Rd ►W3hean Rd i' Glay�it Hill y'� Boxford _ Andawer.� o ffmkpqud�) 12000m `t ,P4e Hall 114 ©2011 MapQuest - Portions©2011 NAVTkq,lntennap i ©2011 MapQuest,Inc.Use of directions and maps is subject to the MapQuest Terms of Use.We make no guarantee of the accuracy of their content,road conditions or route usability.You assume all risk of use.View Terms of Use I http://www.mapquest.com/print?a=app.core.cb33bdefl3b7901d9aa13640 12/12/2011 S�TTMD j North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS:/YJ? / � MAP: 10LI LOT: t�U INSTALLER: ��/ sZ / DESIGNER. / PLAN DATE: �A 7l d BOH APPROVAL DATE ON PLAN: I V !&f/( INSPECTIONS TANK INSPECTION: © � ATE OF BED BOTTOM INSPECTION: f fll4s) DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑� Bottom of tank hole has 6" stone base © Wole plugged ❑ gallon tank has been installed / loading [J� Monolithic tank construction ❑ Water tightness of tank has been achieved by testing ❑ Inlet tee installed, centered under access port i Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ loading ❑ Mono ' hic tank construction ❑ Inlet tee ' stalled, centered under access port ❑ Pump(s) ii talled on stable base ❑ Alarm float rking ❑ Pump On/Off f is working ❑ Separate on/off fl is ❑ Drain hole in pressu line ❑ cover at final gr a installed over pump access port ❑ Watertightness of tank has en achieved by testing ❑ Hydraulic cement around inlet & tlet Comments: CONTROLPANEL ❑ Alarm & P p are on separate circuits ❑ Alarm sound hen float is tripped ❑ Location of con I panel: basement ❑ Alarm signal locate nside: basement Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base ❑ H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTE (General ) Bottom of SAS excavated down to C soil layer, as provided on plan 4 Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ❑ Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = i BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber a SKETCH PLAN 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 10' ® 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 DelleChiaie, Pamela From: Isaac Rowe [irowe@millriverconsulting.com] Sent: Thursday, November 17, 2011 9:27 AM To: 'Susan Sawyer(ssawyer@townofnorthandover.com)' Cc: DelleChiaie, Pamela Subject: FW: Septic- 143 Duncan Drive- Final Const. Inspection Request Attachments: 143 Duncan Drive-Construction Inspection Form 11-16-11.doc Susan, I just received a call from Todd Bateson.He added the cleanout per plan with an irrigation cover to grade over the cleanout.This should be reflected on Bill's as-built plan. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester,MA 01930-2719 Phone: (978)282-0014 Fax: (978)282-1318 irowe@millriverconsulting.com www.miUriverconsulting.com -----Original Message----- From: Isaac Rowe Lmailto:irowe@millriverconsulting coml Sent:Thursday,November 17,20119:00 AM To: 'DelleChiaie,Pamela';'Daniel Ottenheimer';'Peters,Marianne'; 'Randy Burley' Cc: 'Sawyer,Susan' Subject:RE:Septic-143 Duncan Drive-Final Const.Inspection Request Susan, Attached is the inspection form for the above referenced property. As noted in the form,Todd did not install the cleanout per plan.He said it was ok because he provided a 24" access to grade over the inlet of the tank.The owner is proposing a patio in the location of the building sewer bend. Todd said,if there was a back up the line would be snaked from the tank inlet. In reality this would probably work out well but I told him it was proposed on the plan and it would be the BOH's final call.In my opinion this option is sufficient but he should certainly not be in the habit of making design changes without consulting your office. Let me know if you would like to talk further about this. I will be completing the 2009 Salem St inspection form today as well. Thanks, Isaac M.Rowe,R.S. Project Manager 1 4 Mill River Consulting 6 SargenCStreet Gloucester,MA 01930-2719 Phone: (978)282-0014 Fax: (978)282-1318 irowe@miHriverconsulting.co www.miHriverconsulting.com I ---- Original Message----- From:DelleChiaie,Pamelajmailto:pdellech@townofnorthandover.coml Sent:Wednesday,November 16,20119:20 AM To: 'Daniel Ottenheimer'; 'Isaac Rowe';Peters,Marianne; 'Randy Burley' Subject:Septic-143 Duncan Drive-Final Const. Inspection Request Hello, Please schedule the FC Inspection with Todd Bateson at 978-815-2703. Thank you. Best Regards, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street Bldg 201 Suite 2-36 North Andover,MA 01845 N Office-978-688-9540 9 Fax-978-688-8476 9 Email-pdellechiaie@townofnorthandover.com ; Website http://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous If you are happy with the customer service you have received from town departments,please let us know...feel free to complete the general Comment Form(link below): http://www.townofnorthandover.com/Pages/NAndoverMA WebDocs/contact -----Original Message----- From:Bill Dufresne Lmailto:wrdufresne@comcast.netl Sent:Tuesday,November 15,20114:00 PM To:DelleChiaie,Pamela Subject: Pam Todd Bateson is also ready for a final inspection at 143 Duncan Drive Sent from my Bill's i phone Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 • S Tres? North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 143 Duncan Drive MAP: 104B LOT: 184 INSTALLER: Todd Bateson DESIGNER: Vladimir Nemchenok PLAN DATE: 8/17/11 BOH APPROVAL DATE ON PLAN: 10/6/11 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 11/16/11 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS N/A Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch covers to finish grade installed over inlet and outlet access port ® Hydraulic cement around inlet & outlet Comments: Cleanout was not installed per plan. Installer provided 24" manhole cover over inlet to finish grade instead. Proposed patio in location of building sewer bend. DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: I SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan j ® Size of SAS excavated as per plan ® Title 5 sand installed ifs specified on plan p ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers - Low Profile ® Number of chambers per row: 10 ® Number of rows (trenches): 4 Comments: Total Chambers = 40 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 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot.Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws I BM = 100.00 HR = 1.88 HI = 101.88 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark 1.88 100.00 Building Sewer OUT 4.56 96.97 97.17 Septic Tank IN 4.86 96.67 96.80 Septic Tank OUT 5.05 96.48 96.55 Distribution Box IN 5.48 96.05 96.10 Distribution Box OUT 5.64 95.89 95.93 Lateral 1 TOP 5.69 Lateral 1 INVERT 95.84 95.88 Lateral 2 TOP 5.70 Lateral 2 INVERT 95.83 95.88 Lateral 3 TOP 5.67 Lateral 3 INVERT 95.86 95.88 Lateral 4 TOP 5.68 Lateral 4 INVERT 95.85 95.88 Top of Chamber 5.66 96.22 96.27 Bottom of Bed/Chamber 95.55 95.60 •". �� Commonwealth of Massachusetts Map-Block-Lot 108.00139 BOARD OF HEALTH Perm-------- • Permit No North Andover BHP-2011-0810 PA. FEE F.I. $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Todd B- -ateson - - - ----------------------------------------------------------------------------------------- to(Repair-FULL SYSTEM)an Individual Sewage Disposal System. at No 143 Duncan Drive „� -----------------------------------------------------------------------------------------------=- --------- ------------------------------ as shown on the application for Disposal Works Construction Permit No. BHVz2DJJr4Wj Dated October 20,2011 FILE COPY-,,, ----- --- ---------- Issued On: Oct-20-2011 BOARD OF HEALTH • e'�” °' s Commonwealth of Massachusetts Map-Block-Lot • 108.00139 BOARD OF HEALTH ----------------------- North Andover CERTIFICATE OF COMPLIANCE THIS IS TO CERTIFY That the Individual Sewage Disposal System (Repair-FULL SYSTEM) by Todd Bateson Installer at No I 4_3 Duncan Drive has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP-2011-081 Dated October-2-0,20-11 I ---------------------------------- --- - ---------------------- Printed On: Oct-21-2011 BOARD OF HEALTH J e � o Y� . n Town of North Andover HEALTH DEPARTMENT UCNUSt CHECK#: �1�/ / DATE: LOCATION: H/O NAME: CONTRACTOR NAME: �Vj 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 $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Sep c-Design Approval $ Septic Disposal Works Construction(DWC) ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer y r pORTM Application for Septic Disposal System �t.•�•• •�ko TODAY'S DATE AConstruction Permit=TOWN O ORTH .AND OVER, MA 01845 250.00- o Repair • -=- • ' $725.00-Component ,SSACMIg" Important: Application is hereby made for a permit to: When filing out ❑Construct a new on-site sewage disposal system* forms on the computer,use Errepair or replace an existing on-site sewage disposal system* —" —� only the tab key RECEIVED to move your ❑Repair or replace an existing system component—What? cursor-do not use the return A. Facility Information ��� 8 i key. /-93 ha, '� TOWN n0rF ' Address or Lot# HEALTH DEPARTMEN i Cityfrown ., v C CZ 2.-*TYPE OF SEPTIC SYSTEM*: E]Pump [3-Gravity(choose one) ***If pump system,attach copy of electrical permit to application*** ❑Conventional System(pipe and stone system) nfiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑Pressure Distribution S.A.S.(No D-Box)(Attach Draft Maintenance Agreement) ❑Pressure Dosed(D-Box Present)S.A.S. 2. Owner information Name ^ , 1'43 J �✓GrrN Address(if different from above) CWTown State Zip Code INN 183 — 5�a � Telephone Number 3. Installer Information Name Name of Com NTERPRISE%INC. M 01ru--(14 111 ARGILLA ROAD -A dress ANDAV E y MA v r /'tel R City/T�own State Zip Code ' qy�r s�ia--a�yd3 J Telephone Number(Cell Phone#if pow1ble please) 4. _®esipner Information Name Name of CompanyT Address cityfrown State Zip Code Telephone Number(Best#to Reach) Appticatloo for Disposal System Construction Permit•Page) of 2 e SEPTIC SYSTEM.INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for'the construction for:the septic system for the property at I (Address of septic system) For plans by (Engineer) Relative to theapplication of (Installer's name) And dated g'-1 '7—/) ngina date). Dated 10-13 -11 With revisions dated o s ate (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,.Immustcall.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. 3.4 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 comlileiion:of the items in.accordance with Title 5 and the Board of Health Regulations may. esultin a$50`00 fine'being.levied against me and/or my company a. Bottom of Bed Generally,this is the.,first(14)inspection unless.,there is a retaining wall,which should be doficlrst: The'installer must request the inspection but does not have to be present. . b. Final:Construction Inspection—Engine must first do their inspection for elevation b. etc. As-built of verbal OK(or e-mail_to:.healtl delittownofnorthandover.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,inspect16n. With a pump system;all electrical work must be ready and able to cause,pump to work and;alarm'.to function.. c. FinalTGrade Installermust 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 perforin the work(other than:rimple excavation)and I=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 sePnc systems in North Andover can constitute reasons for denial of the system and/W'revocation or suspension of-rimy 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 l must be on-site during the performance.of the foklowing construction steps: a. Detemvnatron that.the proper elevation of the excavation has been reached A Inspection ofthe'sand and stone'to be used. c. Final inspection by Board ofHealth staffor consultant. d. Installation..oftank,D-Box,pipes,stone, vent,prvnp 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 anyroved Wans. No instructions by the homeowner general contractor or any other Persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) e� 1 Tame-Frin 1 + t AS-BUILT CHECKLIST All changes to the design plan have been reflected on the as-built ' Is of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system / components) v Lot number,Street Name,Assessors Map and Parcel Number ✓ Lot Lines and Location of Dwellings served by the system Locations&Dimensions of system,including reserve(if applicable) Ties to dwelling or Permanent Structure&Wells a.From Septic Tank b.From Leach Area Ties to Lot Lines from leach area .✓ Locations of Deep Holes&Peres c/ Elevations of Disposal System ✓ Top of Foundation Elevation Locations of Wells,Drains,Watercourses within 150 feet of system Location of water,gas,electric lines,cable Distances from Corners of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade Original Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways,etc North Arrow +� Location&Elevations of Benchmark used LZ STATEMENT ON PLAN(NA 5.3) "I cert the locations, elevations, ties, cover material; exposed component covers etc. shown on this as-built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met." Signature of Designer Date or, if a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement on the as-built indicating the wall was, or was not, constructed in accordance with the intended design and any manufacturer's specifications Signature of Designer Date As of:Wednesday,April 27,2011 i i pORfp i rt •i "i �1SSACMU 0 or_ zoll PUBLIC HEALTH DEPARTMENT TOWN OF NORTH ANDOVER Community Development Division HEALTH DEPARTMENT TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; By: �vPy 1w ��) (Print Name) }• Located at: I /u o'_�_AIJ (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on with a design flow of gallons per day. The materials used were in conformance with those specified on the r 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: Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: (�u o Engineer Representative(Signature) And—Print Name Installer: Signature) Date: And Y".r,//' t Name Enginer: /n4b/&11 49,V /C�/✓ (Signature) Date: 17% 4 A/Wil I KktW5,'410ee-, And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web h"p://www.townofnorthandover.com SUMMARY OF INVERTS BUILDING TIES SEWER ® FDTN. 96.97 BLDG. CORNER A I B C * THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 96.66 SEPTIC TANK OUT 40.0 46.8 A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 96.48 DIST. BOX 85.0 84.5 SYSTEM. IT IS A RECORD OF THE LOCATION DIST. BOX IN 96.05 AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX OUT 95.88 COMPONENTS. INV. IN CHAM. 95.83 BOTT. CHAM. 95.57 "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS-BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. SIGNATURE OF DESIGNER DATE 8 .. LO (4 .730 S.F.) VENT NJSP. PORT T7 —BOX. 29 LEACH FIELD ie W/40 QUICK 4 LP. INFILTRATION CHAMBERS d! CLEANOUT 150D CAL SEPTIC TANK f � 3 f A f 1 Al �i •BM E r '- i I A i d i E d 1 E � d d d 3 It 15%w OF d E d d DUNCAN DRIVE VLADIMIR L tiG NEMCHENOK m v IL AS BUILT PLANss�°�a��"° OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./143 DUNCAN DRIVE AS PREPARED FOR SCOTT DURGIN TM: 104E DATE: 12-2-11 TL: 184 SCALE: I"=40' 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 143 Duncan Drive JS-2012-000180 Proiect Detail Report Printed On:Fri Oct 21,2011 Project Name: GIS#: 8151 Project No: ;JS-2012-000180 Owner of Record DURGIN, SCOTT A A''+� Map: 108.0 Date Submitted: Oct-18_2011 143 DUNCAN DRIVE Block: 0139 Status: Open NORTH ANDOVER,MA 01845 Lot: Work Category: Work Location: 143 Duncan Drive Zoning: Proposed Use: District: land Use: 132 Proposed Use Detail Subdivision - -- — ---------1 -- --- Description Septic System Comments: of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2011-000046 Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: DWC-System Repair BHP-2011-0810 Oct-20-2011 SIGNED OFF JS-2012-000180 Septic System GeoTMS®2011 Des Lauriers Municipal Solutions,Inc. Page 1 of 1 r North Andover Health Department Community Development Division October 19, 2011 (REVISED CORRESPONDENCE) Scott Durgin 143 Duncan Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 143 Duncan Drive, Map 104B, lot 184, North Andover, Massachusetts Dear Mr. Durgin, 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, Inc. dated August 17, 2011, last revised September 13, 2011. The design has been approved for use in the construction of a replacement onsite septic system. This plan is good for 3-years from the date of approval. 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. The following local upgrades have been approved. 1. The vertical offset from SAS to the estimated water table from 5 feet to 4 feet 2. The use of only one deep hole in the area of the leaching system. This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 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)). i Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 October 19, 2011 143 Duncan Drive,North Andover 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, Susan Y. Sa er, RE /RS Public Health Directo cc: Vladimir Nemchenok, P.E. file Attach:Form 9b I Page 2 of 2 � North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 v Commonwealth of Massachusetts z City/Town of North Andover a e Local Upgrade Approval Form 913 j 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 Scott Durgin key to move your Name cursor-do not use the return 143 Duncan Drive key. Street Address 1 North Andover MA 01845 raa City/Town State Zip Code 2. Owner Name and Address(if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 440 4. Design flow per 310 CMR 15.203: gpd gpd 5. System Designer: Vladimir Nemchenok ® PE ❑ RS Name 66 Park ST Andover 01810 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: I ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction I 143 Duncan Drive form9b10 6 11.doc•rev.7/06 Local Upgrade Approval* Page 1 of 2 i . Commonwealth of Massachusetts City/Town of North Andover a Local Upgrade Approval Form 9B 6� M B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction 1 ft. Percolation rate <2min./inch Depth to groundwater 4 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): List variances granted requiring DEP approval: I North Andover Board of Health Approving Authority Susan Sawyer, Health Director / 10/6/11 Print or Type Name and Title / ig ature Date if 143 Duncan Drive form9b10 6 11.doc•rev.7/06 Local Upgrade Approval, Page 2 of 2 DelleChiaie, Pamela From: Gaffney, Heidi Sent: Monday, October 03, 2011 1:37 PM To: Sawyer, Susan Cc: DelleChiaie, Pamela Subject: 143 Duncan Drive 143 Duncan Drive is all set, I measured and they are over 100'from the wetlands including grading. Heidi Gaffney Conservation Field Inspector North Andover Conservation Commission ph: 978-688-9530 fax: 978-688-9542 Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hfto://www.sec.state.ma.us/ore/preidx.htm. Please consider the environment before printing this email. 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, October 19, 2011 12:24 PM To: 'Scott Durgin' Cc: Bill Dufresne (wrdufresne@comcast.net); Sawyer, Susan Subject: Emailing: 143 Duncan Drive-Septic Approval Letter-REVISED-10.19.11.pdf Attachments: 143 Duncan Drive-Septic Approval Letter-REVISED-10.19.11.pdf Importance: High To: Scott Durgin 143 Duncan Drive Hello Scott, Attached is a revised letter regarding your septic approval,along with the 9b form. I apologize for the missing information the first time around. The original has been sent via regular mail. Please call the office with any questions. Thank you,and have a great afternoon. :) Best Regards, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street Bldg 201 Suite 2-36 North Andover,MA 01845 N Office-978-688-9540 9 Fax-978-688-8476 9 Email- pdellechiaie@townofnorthandover.com ; Website http://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous The message is ready to be sent with the following file or link attachments: 143 Duncan Drive-Septic Approval Letter-REVISED-10.19.11.pdf Note:To protect against computer viruses,e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 4 � 5�'CC�b 76yc North Andover Health Department Community Development Division October 6, 2011 Scott Durgin 143 Duncan Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 143 Duncan Drive, Map 104B, lot 184, North Andover, Massachusetts Dear Mr. Durgin, 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, Inc. dated August 17, 2411, last revised September 13, 2011. The design has been approved for use in the construction of a replacement onsite septic system. This plan is good for 3-years from the date of approval. 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. The following local upgrades have been approved. 1. The vertical offset from SAS to the estimated water table from 5 feet to 4 feet 2. The use of only one deep hole in the area of the leaching system. This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 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)). North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 1 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 i 143 Duncan Drive October 6, 2011 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. Sincere , S/ an Y. h er, 1�.1RS Public ealtirector cc: Vladimir Nemchenok, P.E. file Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 North Andover Health Department (ommunity Development Division October 6, 2011 Scott Durgin 143 Duncan Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 143 Duncan Drive, Map 104B, lot 184, North Andover, Massachusetts Dear Mr. Durgin, 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, Inc. dated August 17, 2011, last revised September 13, 2011. The design has been approved for use in the construction of a replacement onsite septic system. This plan is good for 3-years from the date of approval. 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. The following local upgrades have been approved. 1. The vertical offset from SAS to the estimated water table from 5 feet to 4 feet 2. The use of only one deep hole in the area of the leaching system. This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 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)). North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 1 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 ^ M 143 Duncan Drive October 6, 2011 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. Sincere , S an e*ealr er, RE RS Publicirector cc: Vladimir Nemchenok, P.E. file North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 2 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 A • North Andover Health Department Community Development Division October 6, 2011 Scott Durgin 143 Duncan Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 143 Duncan Drive, Map 104B, lot 184, North Andover, Massachusetts Dear Mr. Durgin, 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, Inc. dated August 17, 2011, last revised September 13, 2011. The design has been approved for use in the construction of a replacement onsite septic system. This plan is good for 3-years from the date of approval. 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. The following local upgrades have been approved. 1. The vertical offset from SAS to the estimated water table from 5 feet to 4 feet 2. The use of only one deep hole in the area of the leaching system. This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 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)). Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 143 Duncan Drive October 6, 2011 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. Sincere , S an eealtrhDirector er, RES Public cc: Vladimir Nemchenok, P.E. file Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, September 30, 2011 3:50 PM To: 'Bill Dufresne (wrdufresne@comcast.net)' Cc: Sawyer, Susan; Gaffney, Heidi; 'durginpark@comcast.net' Subject: FW: Septic- 143 Duncan Drive- Plan Disapproval Letter-9/12/2011 Attachments: 20110930085015073.pdf Importance: High Hi Bill, just to follow-up again on 143 Duncan Drive-To address Item#3 on the disapproval letter-before someone is hired to delineate any wetland lines,Heidi from Conservation is going to walk the property on Monday to confirm whether the SAS is within any wetland jurisdiction. Please call the office if you have any questions. Thank you. Vent Regav4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 2 Fax-978-688-8476 El Email-pdellechiaie(@townofnorthandover.com Website http://www.towmofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous From: DelleChiaie, Pamela Sent: Friday, September 30, 20119:16 AM To: Sawyer, Susan; Gaffney, Heidi Subject: FW: Septic - 143 Duncan Drive - Plan Disapproval Letter- 9/12/2011 Importance: High From: DelleChiaie, Pamela Sent: Friday, September 30, 20119:14 AM To: Bill Dufresne (wrdufresneC&comcast.net) Cc: 'durginpark@comcast.net' Subject: Septic - 143 Duncan Drive - Plan Disapproval Letter- 9/12/2011 Importance: High Hi Bill, I apologize....this plan was disapproved on the 12`h,and I neglected to email it to you. I misinterpreted a note that Susan had in the file about waiting to approve the final plan until Heidi concurs with the wetland line,and this disapproval did not necessarily need to wait on that. I received a call from Scott Durgin,the homeowner this morning asking about the plan review status. Do you know if Heidi is all set with the wetland/SAS issue? Scott Durgin told me today that he walked the line with Heidi,and everything seemed to be all set. However,It was noted upon plan review that the sketch plan that was provided with the test pit application indicated that there may be a BVW within 100-150' of the SAS, and it should be shown to clearly get a distance from the proposed SAS. Evidently,the original sketch showed the proposed test pit location beyond the previously abandoned SAS. Please call me if you have any questions. Seat Regaada, i DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, September 30, 2011 9:16 AM To: Sawyer, Susan; Gaffney, Heidi Subject: FW: Septic- 143 Duncan Drive- Plan Disapproval Letter-9/12/2011 Attachments: 20110930085015073.pdf Importance: High From: DelleChiaie, Pamela Sent: Friday, September 30, 20119:14 AM To: Bill Dufresne (wrdufresne(dcomcast.net) Cc: 'durginpark@comcast.net' Subject: Septic - 143 Duncan Drive - Plan Disapproval Letter- 9/12/2011 Importance: High Hi Bill, I apologize....this plan was disapproved on the 12th,and I neglected to email it to you. I misinterpreted a note that Susan had in the file about waiting to approve the final plan until Heidi concurs with the wetland line,and this disapproval did not necessarily need to wait on that. I received a call from Scott Durgin,the homeowner this morning asking about the plan review status. Do you know if Heidi is all set with the wetland/SAS issue? Scott Durgin told me today that he walked the line with Heidi, and everything seemed to be all set. However,It was noted upon plan review that the sketch plan that was provided with the test pit application indicated that there may be a BVW within 100-150'of the SAS, and it should be shown to clearly get a distance from the proposed SAS. Evidently,the original sketch showed the proposed test pit location beyond the previously abandoned SAS. Please call me if you have any questions. Veae,Rega*4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 Fax-978-688-8476 D Email-pdellechiaie(@townofnorthandover.com '2� Website httl?://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet.'�Anonymous If you are happy with the customer service you have received from town departments,please let us know...feel free to complete the general Comment Form (link below): http://www.townofnorthandover.com/Pages/`NAndoverMA WebDocs/contact ♦ SF C FLED • • x North Andover Health Department (ommunity Development Division September 12,2011 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover,MA 01810 Re:Subsurface Semee Disposal System Plan for 143 Duncan Drive.Map 104B.Lot 184 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated August 17, 2011 and received on August 30, 2011 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. Please add the scale bar in the plan view(310 CMR 15.220(4)). 2. The BOH representative notes indicated the testing date was August 10, 2011. Please revise the soil logs. 3. Please show all wetlands within 150' of the proposed system (NA 3.2). 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. y Sa er, RE /RS Public Health Direct r cc: Scott Durgin File Page 1 of 1 North Andover Health Department, 1600 Osgood Street,Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 '\ Commonwealth of Massachusetts Citylrown of North Andover Form 9A - Application for Local Upgrade Approval M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. 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. A. Facility Information Important: When filling out 1. Facility Name and Address: forms on the computer,use Scott Durgin Residence only the tab key Name to move your 143 Duncan Drive cursor-do not Street Address use the return key. North Andover MA 01845 City/Town State Zip Code 49 re6 2. Owner Name and Address(if different from above): SAME I IAVE Name Street Address City/Town State (978)683-4623 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 LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 1 of 4 i Commonwealth of Massachusetts +' City/Town of North 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: unknown gpd Design flow of proposed upgraded system 440 gpd Design flow of facility: 440 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 1.0 ft. Percolation rate 2 min./inch Depth to groundwater 4.0 ft. LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 2 of 4 Commonwealth of Massachusetts r City/Town of North Andover u Form 9A - Application for Local Upgrade Approval a 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: Randy Burley 8-9-11 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: Full compliance would result in a higher mound, a pump, and would cause grading issues and unreasonable financial hardship. i 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: NA LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 9A - Application for Local Upgrade Approval M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: NA 4. Connection to a public sewer is not feasible: None Available 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 "l, 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 fo_deliberate violations." 8-22-11 Facility er's Signature Date .1cott Durgin Q� Print Name Bill Dufresne/Merrimack Engineering 8-19-11 Name of Preparer Date 66 Park Street Andover Preparer's address Cityrrown MA/01810 (978)475-3555 State/ZIP Code Telephone LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 4 of 4 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810-TEL(978)475-3555,373-5721 •FAX(978)475-1448-E-MAIL:merreng@aol.com 8 FANEUIL HALL MARKETPLACE-THIRD FLOOR• BOSTON,MASSACHUSETTS 02109•TEL(617)973-6462• FAX(617)973-6406 October 3, 2011 Susan Sawyer Public Health Director RECEIVE 9 1600 Osgood Street �x Building 20, Suite 2-36 '° va4 North Andover,MA 01845 6 RE: 143 Duncan Drive Dear Ms. Sawyer, We are in receipt of your review letter dated 9-12-11 for the above referenced site. We have addressed items 1 and 2 of your letter. Item 3 has been addressed by the Conservation Agent, as is noted on the plan,no wetlands exist within 100 ft of the system. The owner is anxious to install the system prior to the end of the season, with that in mind, we respectfully request that you review the plans as soon as possible so that the owner can proceed with construction. Yours truly, 6 (0_�' William Dufresne Merrimack Engineering Services 4 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES Z. : ' HEALTH DEPARTMENT 1600 OSGOOD STREET-;.,BUILDING 20; SUITE 2-36 -w=• r NORTH TTS 01845 �'s;CHAS Susan V.Sawyer,REHS,RSr� 978.688.9540—Phone Public Health Director JUL 2 9 2011 978.688.8476—FAX healtllde t c,townofnorthandover.com TOWN OF NORTH ANDOVER www.townofilorthandover.com HEALTH DEPARTMENT APPLICATION FOR SOIL TESTS DATE: 7 -3 I MAP&PARCEL: C L Z LOCATION OF SOIL TESTS: OWNER: GContact#: APPLICANT: /A"E Contact#: ADDRESS: by 6i 0�C4 N ENGINEER: �"� {'L- � i�.l�1 �`r r n &ontact#: CERTIFIED SOIL EVALUATOR: (`17, 5o2-- c Intended Use of Land: Residential Subdivision Ingle Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing Upgrade fo"ddition:[� In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x Il"Plot plan&Location of Testing(please indicate test nit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approv 1 Date: Signature of Conservation Agent. /DC7 we-+l Q lj� Cil l C) f i'1 d Date hack to Health Department:(stamp in): (Lo) 0,cV` CQ-- reps � IAI �9T AIW �r j� tiN +�(� 14,ti N � _ w /�'•JC1 1t =��1 "tib -off' . 74-3-X i o 7Ty f OE NOR r 1M , 554 Town of North Andover s� HEALTH DEPARTMENT ,sS�CNU`+E4 CHECK#: � ATE: LOCATION: H/O NAME: CONTRACTOR NAME: ,B.�ruyLe 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 $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC stems: Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer TOWN OF NORTH ANDOVER pf p�OwTa fM Office of COMMUNITY DEVELOPMENT AND SERVICES �?•` •°p HEALTH DEPARTMENT , _ . 1600 OSGOOD STREET• BUILDING 20; SUITE 2-36 NORTH TTS 01845 �'ss'gCHUs Susan Y.Sawyer,REHS,RS 978.688.9540—Phone Public Health Director JUL2 9 ,�0 i 1 978.688.8476—FAX healthdept@townofnorthandover.com TOWN OF NORTH ANDOVER www.townofnorthandover.com HEALTH DEPARTMENT APPLICATION FOR SOIL TESTS r DATE: 7•-1,3 1 h MAP&PARCEL: , C L / IPA: _ LOCATION OF SOIL TESTS: OWNER:�l G"-1 i_' �TC¢j Contact#: 70) APPLICANT: E Contact#: ADDRESS: yy�� / ENGINEER: "EYLI-i LJAL� 00 61 L_GC�i N &ontact#:_lT-70 CERTIFIED SOIL EVALUATOR: j1 � ' L Intended Use of Land: Residential Subdivision ingleFam�1e Commercial Is This: Repair Testing: Undeveloped Lot Testing Upgrade for ddition:0 In the Lake Cochichewick Watershed? YesNo THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test nit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent. Date back to Health Department: (stamp in): c• R �ac��q _ r�.n/l{/(/�//` f f�&* �/ /�(:•fit/ ' � . N 1 f\/ 'DR 1ve S�TTIZD ,)Cb b� p•�aY t, North Andover Health Depa Community Development Divi S September 12, 2011 w z' Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Subsurface Sewage Disuosal System Plan for 143 Duncan Drive May 104B Lot 184 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated August 17, 2011 and received on August 30, 2011 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. Please add the scale bar in the plan view(310 CMR 15.220(4)). 2. The BOH representative notes indicated the testing date was August 10, 2011. Please revise the soil logs. 3. Please show all wetlands within 150' of the proposed system (NA 3.2). 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. Sincerely S san Y. Sa er, RE /RS Public Health Direct r cc: Scott Durgin File Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 �`7 2 vim' 1PIZ � vV • S� LED l • North Andover Health Department Community Development Division September 12, 2011 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover,MA 01810 Re: Subsurface Sewage Disposal System Plan for 143 Duncan Drive May 104B Lot 184 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated August 17, 2011 and received on August 30,2011 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. Please add the scale bar in the plan view(310 CMR 15.220(4)). 2. The BOH representative notes indicated the testing date was August 10, 2011. Please revise the soil logs. 3. Please show all wetlands within 150' of the proposed system (NA 3.2). 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. Sincerely S san Y. Sa er, RE /RS Public Health Direct r cc: Scott Durgin File Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 • S�TTLED j • • North Andover Health Department Community Development Division September 12, 2011 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Subsurface Sewage Disposal System Plan for 143 Duncan Drive,May 104B Lot 184 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated August 17,2011 and received on August 30, 2011 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. Please add the scale bar in the plan view(310 CMR 15.220(4)). 2. The BOH representative notes indicated the testing date was August 10, 2011. Please revise the soil logs. 3. Please show all wetlands within 150' of the proposed system(NA 3.2). 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. Sincerely S san Y. Sa er, RE /RS Public Health Direct r cc: Scott Durgin File Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 DelleChiaie, Pamela From: Isaac Rowe[irowe@millriverconsulting.com] Sent: Monday, September 12, 20116:01 PM To: 'Susan Sawyer(ssawyer@townofnorthandover.com)' Cc: DelleChiaie, Pamela; 'Dan Ottenheimer'; 'Randy Burley'; 'Marianne Peters'; irowe@millriverconsulting.com Subject: 143 Duncan Drive- Disapproval Letter 9-12-11 Attachments: 143 Duncan Drive- Disapproval Letter 9-12-11.doc Susan, Please find attached the disapproval letter for the above referenced property. Minor edits except the location of the wetland. According to Heidi's comment and the sketch plan that was provided with test pit application, there may be a BVW within 100-150' of the SAS. This should be shown to clearly get a distance from the proposed SAS. Bill showed the proposed test pit location beyond the previously abandoned SAS. Heidi Gaffney- "No wetalnds within 100 feet ofporposed test pits. Ifseptic location is moved further back, wetlands will need to be reassessed." If there have been 2 failed SAS since the house was built in 1982 1 am guessing the BOH would be reluctant to grant the ESHWT reduction. Do you know the cause the previous 2 failures? Please let me know if you have any questions. Thank you, Isaac M. Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 1 1 DelleChiaie, Pamela From: Isaac Rowe [irowe@millriverconsulting.com] Sent: Monday, August 15, 2011 3:05 PM To: 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan; Grant, Michele Cc: 'Randy Burley'; wrdufresne@comcast.net Subject: RE: soil eval: 143 Duncan (8/10 @ 9:30); 35 Marian (8/10 immediately following Duncan); 93 Cricket(8/16 @ 9:30)all scheduled Soil testing for 93 Cricket Lane has been rescheduled by Bill Dufrense for Wednesday Aug 17th due to potential rain tomorrow. Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 1 '. Vo 'Glouceste - 'Gloucester, MA 01930-2719 Phone:(978)282-0014 Fax:(978)282-1318 iroweCcb-millriverconsulting.com www.millriverconsulting.com From: Marianne Peters ImaiIto:mpeters@milIriverconsulting.com] Sent: Friday, August 05, 2011 10:41 AM To: 'DelleChiaie, Pamela'; 'Sawyer, Susan'; mgrant@townofnorthandover.com Cc: 'Randy Burley'; 'Isaac Rowe'; wrdufresne@comcast.net Subject: soil eval: 143 Duncan (8/10 @ 9:30); 35 Marian (8/10 immediately following Duncan); 93 Cricket(8/16 @ 9:30) all scheduled Soil testing scheduled for 143 Duncan, 35 Marian scheduled for 8/10 @ 9:30 with Bill Dufrense (Randy) 93 Cricket Lane is scheduled for 8/16 @ 9:30 (Isaac) consulting Civil EnRiChP.rink * Envirunmeatnl Pr.inating ntunkApal Environmental llenlin Consulting Marianne Peters Office Manager 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 Fax: 978-282-1318 www.miliriverconsulting.com mpeters(@,millriverconsultin3z.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 h ' LtielleChiaie, Pamela From: Randy Burley[rburley@millriverconsulting.com] Sent: Wednesday, August 10, 2011 3:19 PM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 143 Duncan Dr. Attachments: 143 Duncan Dr Soils.PDF i I have attached the soil results from today. We did multiple test pits but found two old leaching systems. One hole was in natural soil and Bill and I agreed he would design off that and request a LUA for only one valid hole. There was a high water table and a fast perc rate. Randy Burley Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930 Ph 978-282-0014 Fx 978-282-1318 www.millriverconsulting.com rburleykmillriverconsulting_com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/nre/preidx.htm. Please consider the environment before printing this email. 1 R.G �J" yr /oyR1�l /Y�sr�C"r, 1V• wG�� V-1 OCL w 1"7 w t r 1t� 11 II I M + 71.x4 Z 'A .,ma xa3 of NOR7.,� 5 5 r O 3a ..• of � n Town of North Andover HEALTH DEPARTMENT ,SS�CHU`+t� CHECK#: DATE: PJ LOCATION: H/O NAME: CONTRACTOR NAME: r 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 $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ c-Design Approval ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer TOWN OF NORTH ANDOVER Me�rti Office of COMMUNITY DEVELOPMENT AND SERVICES o?•,{. °°� HEALTH DEPARTMENT 1. 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 ��- CHU3 978.688.9540—Phone Susan Y.Sawyer,REHS/BS 978.688.8476—FAX Public Health Director E-MAIL:healthdept@townofnorthandover.com WEBSITE:htt :// SEPTIC PLAN SUBMITTAL FORM , Ci Date of Submission: --�(P�- TOWN OP NORTH ANDOVER HEALTH DEPARTMENT Site Location: A 4 v/ RAO is PM' Engineer: New Plans? Yes_v/--$225/Plan Check# (includes 1St submission and one re- review only) Revised Plans?Yes $75/Plan Check# / Site Evaluation Forms Included? Yes V/ No Local Upgrade Form Included? Yes No Telephone#: 147 -776 Fax E-mail: CiTm7 Homeowner (J� � Name: G OFFICE USE ONLY When the submt ion is complete(including check): ➢ Date stamp plans and letter ➢ �—Complete and attach Receipt ➢ —�—Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database • • > > <�x Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Owner Name d �1 �L� P2 12t ij 9. d 1-77l r Street Address Map/Lot# City ' State Zip Code B. Site Information /� 1. (Check one) ❑ New Construction De/upgradeElRepair ' 1 2. Published Soil Survey Available? Yes ❑ No If yes: Year Published Publication Scale Soil Map Unit Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes No If yes: Year Published Publication Scale Map unit LL" &;WP- t Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? Yes ❑ No Within the 100-year flood boundary? [I Yes + No Within the 500-year flood boundary? ❑ Yes No Within a velocity zone? ❑ Yes �No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions (USGS): Mon n/Yeair Range: E] Above Normal ❑ Normal Below Normal 7. Other references reviewed: t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: - 6-1-11 1'/'9 ` —/4�jP — e Date Time Weather 1. Location Ground Elevation at Surface of Hole: ` Location (identify on plan): r 2. Land Use1-1r���1 (e.g.,wo dland,agricultural field,vacant'lot,etc) Surface Stones Slope(%) Vegetation Landform t Pogifion on Landscape(attactrsheet) 3. Distances from: Open Water Body fee t � Drainage Way feet Possible Wet Area fee .��. Property Line feet 4_ Drinking Water Well 7feeW Other feet 4. Parent Material: �' Unsuitable Materials Present: Y/Y es ❑ No If Yes: ❑ Disturbed Soil Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes Vo If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t5form11.doc-rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments I Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist Munsell (USDA) Structure Consistence Other y (Munsell) Depth Color Percent ) Gravel Cobbles& (Moist) Stones A ri U., Additional Notes: t5form1l.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of r. Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches 1 R inches VDepth to soil redoximorphic features (mottles) A. B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil 7Ybi6tion system? es ❑ No � t r b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: inches t5form11.doc•rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 1 Signe of Soil ECaluator Date JJ I LWIA Ce Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam _ j �► f Q.- 9, ,`V `"7� I !J1414iLiV �i11,1> m�/1 Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 • Commonwealth of Massachusetts City/Town of = Percolation Test Form 12 ' M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out j� forms to the :. PT r� `�' LI W I computer,use �" 3 �� only the tab key Owner Name to move your 1415 y"V6 cursor-do not - ' use the return Street AF�d�d[((I�,es_s1Loa�r Lot#y key. I City/Town State Zi_P. o/de tif�l `- 444 . Contact Person(if different from Owner) Telephone Number B. Test Results i r I Date Time Date Time Observation Hole# Depth of Perc 1:2 e Start Pre-Soak l End Pre-Soak Time at 12" Time at 9" Time at 6" Time(9"-6") Rate(Min./Inch) Test Passed: Q Test Passed: ❑ p 2 { 7 Test Failed: ❑ Test Failed: ❑ Test Performed By: U � ml Witnessed By, Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) 0c. DATE OF PUMPING:5 � QUANTITY PUMPED (S7(� GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: 14 2001 CONTENTS TRANSFERRED TO: 1 r LIIZ All • � F2 0c.<T� T IX7• . o L�� 7- G JAI I?L •�4 !�L•�4 , N t • s(q 1 i - E p�r�l C4�tii -DR ivy i R f c r i i' Commonwealth of Massachusetts RECEIVED City/Town of System Pumping Record FEB 0 6 2008 a' Form 4 TOWN OF NORTH ANDOVER \\\� HEALTH DEPARTMENT 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. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out1. System forms on the (J ~� C computer,use only the tab key Address (� / to move your I - l ,3 cursor-do not Cityrrown State Zip Code use the return key. 2 System Owner: - Name Address(if different from location) Citylrown State Tip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: r�o c .Mc-A 6. System umped By: Name Vehicle License Numb Company 7. Location ere contents wer disposed: SignaWofXau�& Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 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.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: ���_ C/`� forms on the kdus'p computer,use only the tab key Address C)r, 4 to move your ��� /J' - cursor-do not Cityfrown State Zip Code use the return key. 2. System Owner: Name ISI Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of PumpingDate � 1 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes E—t4o If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pum Ay: I5�r Name � /) V License Numt�er Company 7. Location wher contents were di ed: KW' Signature"8)4 Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 TOWN OF SYSTEM PUMPING ]RECORD DATE. G 0 C T 1 4 2005 TOWN ur NORTH ANDD jER HEALTH DEPARTMENT SYSTEM OWNER& ADDRESS SYSTEM LOCATION 0 / (example:left front of house) ^� v - V V t 3 � Dr DATE OF PUMPING. L QUANTITY PUMPED : 1 GALLONS CESSPOOL: NO �S 'TIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste TOWN OF SYSTEM PUMPING RECORD DATE: NOV 2 6 SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example:left front of house) b �-J- �'vl' ( i DATE OF PUMPING: QUANTITY PUMPED : GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED To: G.L.S.D Lowell Waste TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: 00- SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) 113 DuA CCAS DATE OF PUMPING: QUANTITY PUMPED_ GALLONS CESSPOOL: NO YES S PTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: SOUL 7,� I COMMENTS: CONTENTS TRANSFERRED TO: i Commonwealth of Massachusetts • Massachusetts System Pumping Record System Owner System Location bo Date of Pumping: Quantity Pumped: b�_gallons Cesspool: No [� Yes [] Septic Tank: No [] Yes [� System Pumped by: 64&4dw License# Contents transferred to: Greater Lawrence Sanitary District Date: Inspector: JAN 2 0 4'nnn44tat4rt~ �114 tl�Nlti� ac��lt4Se11 1 massachasells sys a pmping Record SY�to�i1 1�vtter... Systettt t-ocatio►! Li 1 L4 Quantity Pumped: lgallons cpsspool: 111u Seelic Tank: 1yu IJ Yes &yatt~!t4 ��ul4ll��d uY ?if0ro4KP' f License# t!l41altt[t tl �tstblflal� lu POW ,—___�— lospectov FOR.11 A - SYSTEM PUNUIL\G RECORD pND°vER� j oARD NEp�TN Commott«ealttt of Massachusetts 21995 Massachusetts Systen FunIJAI Record stem ��'nerystem Location VN l A G ax, Qr Date of Pumping Quurttit%' Pumped: Cess ool: No t=1 Ye ❑ Senlir T t•- Yes . System Pumped by: License #: i Contents transferred to: Date Inspector it FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction , have been obtained. This does not relieve the applicant and/or landowner from compliance With any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: ',r� - n; `YPh ' one LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) 1/Street St. Number ************************Official Use Only************************ - .L RECO TIONS OF TOWN AGENTS: , � � � �.�f, (� �^- Date Approved Conservation Administrator Date Rejected r Comments (� U"u -f'i ` �1✓f �`�. �`, Date Approved own Planner �' Date Rejected Comments i Date Approved j. Food In,pector-Health Date Rejected `�--� Date Approved 7 -.1,,"gieptic Inspector Health; Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date - LoT 7 W 47 33 G S F, Z-OT s w 0 s�i,ST• . SNP, LA , O co � - I -n0 yo0 DvN�N (50' w19E} p(Z�V� S4�a�w wj a,J'Ti-i t b QtAtJ a�S P�c.t F�ca,�LY FaRZ"i1t E VE�Q.M��.lo,Ttow1 c�7.�.tiNC�QGQ�]1iL.E)J1EtJ«a �t1L.Y. a► Pt z i.j FAY r� f 1 1&-aEBYC"EMPY Ti+ATTi c Gua,o•va 5w-. , EgAN K C G r--L%N AS 4 AsSOC. ( Z9; QN Tws n qN/5 L6cAT/sr0 ow7k&r Gt?ovµ0 1-0 15 -7 AMD AS SHOW 4/ AND 7AAr IT tbas " CoNFoRHT07HE Zo,✓u✓8 t-AWS O� SIG: pa„C-�E: ' ' 1►�A,l 4�1.!'b"T'R��� .� /� � _ _ I and of Health d� r�G BEPTIC SZSTEK .forth An ver Haas. v �% ` G� ��E INS'TALLATIW CHECK LIST LOT di,sc4ii/ ' O _D DATE HIFHUPID ) AVATICH OK FAIL easnst L, -TV �Wr:,FE • �--- � �,��-1.,�►tits ��a� � . FAIL OK 1. Distance ` r� 24,(�t '�b a. wetlands � - b. Drains c. Well 2. Water Line Location i • 3- No PPC Pipe_ Septic Tank - a. _Tees -_Length & To Clean Out Covers. b. Cement Pipe to Tank -- On Both Sides of Tank 5. Distribution Box �- a. Covers & Box - No Cracks b. All Lines Flowing Equal- Amounts C. No Back Flow 6. Leach Field or Trench 1 a. Dimensions t b. Stone Depth c. Capped ids d. Clean Double Washed Stone` 7. Leach Pits ' g. Disuensi s b. Stone th C Sp Pads ' d. s e. went Pipe to Pit - Both Sides Clean Double Washed Stone 8. No Garbage Di spo sal ✓ '� i0 I�v 9. TKna1 Grading Inspection 10. Barricading Covered System R 11. As Built Submitted - - a. Lot Location - W b. Dimensions of System c. Location with Regard-to Perc Test ' d. Elevations Water Table ti fa r. WELL DATABASE re r' ADDRESS: AGE OF WELL: { WELL D LER: ? ` WELL PERMIT : WELL LOC TION: s' j o L _ WELL PERMIT DATE: 71 DEPJF ;WL: TYPE OF WELL: a . DRILLED b. DUGUNKNOWN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: HIGH MANGANESE: Y N HIGH IRON: Y N OTHER CONTAMINANTS: Y N TO: NORTH ANDOVER, MASS C;7 /-) 19 BOARD OF HEALTH FROM: DESIGN ENGINEER Re: Soil Absorption Sewage System Inspection This is to certify that I have inspected the construction of the said disposal system at v !'y r,•y� -DA, North Andover, Mass. SITE LOCATION The grades and construction are as specified in wAq plans and specifications dated OF Reg. Prof g" er%Reg. SariAt' an NO A-S R.(, i L.:T /4/'/ � O �J IJP`4 f i•` s`r��NAL SPN�� EA 2 l 1V&If SIS _l o� a D ItAvi N � I ♦ f ?1 _ s t� ate" f t tt(f4 yl f 4� S i p��! C►4t1/ DPI tvt t r - 11�1_r-s- Gd_S�/S/,L) Eo s_Al 41 Al DPI lvc L i N _ - u k \ �f d C L �E !1 i F t}F 1 y taE •�4 ,ac•aq �rG./ti�t� i�G• �G�•l� �• al �1.���a _ _�_ � N If ` t F /378 I p�r�t Cr41�/ DR tv ! i r F t • ��P �,�� � /fid �P•.�� �.�J!.��,T'�t�T L..�,��"y x ..�..� • "VA 7"/ R TS lo _ t • «c •a� J�t•�9 M � . s Ot C i 1 A���l Ct�t►til DPI 1Vt t d f r i