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NOSUR�� t �IDRTI-I �fJDDvER, MA.
OWdED 6Y
IJORTl� ERfJ ASSOCI�. ES JAMES CASSELL
1.5 FOREsr sr
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TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
12/09/99
This is to certify that
the individual subsurface disposal system
constructed O or repaired (X)
by
Ben Osgood, Jr.
at
15 Forest Street
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations as described in the Design
Approval Site System Permit# 1077 dated 7/1/99.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
12/09/99
This is to certify that
the individual subsurface disposal system
constructed () or repaired (X)
by
Ben Osgood, Jr.
at
15 Forest Street
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations as described in the Design
Approval Site System Permit# 1077 dated 7/1/99.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
AS-BUILT CHECKLIST
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATION & DEMENSIONS OF SYSTEM,
INCLUDING RESERVE
✓ TIES TO LOT LINES & DWELLING, WELLS
a. FROM SEPTIC TANK
b. FROM LEACH AREA
LOCATIONS OF DEEP HOLES & PERC
TESTS
r/ ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
�— W/IN 150' OF SYSTEM
o� LOCATION OF WATER,-GAS, ELECTRIC LINES, CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D-BOX
STAMP & SIGNATURE
llvTERVIOUS,AREAS - DRIVEWAYS, ETC.
NORTH ARROW
FINAL CONTOURS
LOCATION &
ELEVATION OF BES CFI✓IARK USED
J LOCUS PLAN
. C
• 4
TOWN OF NOR?H ANDOVER SEW, GE DISPOSAL SYSTEI,C
I\,STALLA'I'ION CERTIFICATIOi
The unce:swned here: v ceri-v that the Sewafie Disposal Syster:l i ec�su,.0:tod;
(K) re^aired.
located az
was installed in conic.-mance with the N, ,)-th An-over Board of Heaith acprovea plan,
Svstem Desit7n Pe,-,rut dated j Q witty ar. 2pproved desi12n
flow or 4YO gailens per day The matef�,'ais use- were in contormar.c: .viih those
specified oft the approved plan; the system was installed in accordance ,pith the previsions
of?1G CNIR t 5 ON, Title 5 and local regulations, and the final Qradm',g agrees
substantially with the approved plan. ,til work s accurateiv represented or, the As-built
which has been submitted to the Board e Health.
157
Bed inspection 'date 11q? _-- —_-- -
Ert2ineer Rc:�r�s� :ative
Final inspect:cn -ate .-_L z/ ' 191 _
E-nmr.ee. Represe^tat e --
Installer: C..- :c T: Date:
Ceslizir, nQineer: Date. Z
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NEW ENGLAND ENGINEERING SERVICES
INC
December 7, 1999
Sandra Starr,Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 15 Forest Street septic system installation
Dear Sandra:
Enclosed is the as built plan and the engineers certification for 15 Forest Street. When the
certificate of compliance is issued would you kindly fax a copy to this office at
978-685-1099.
If you have any questions or need additional information please do not hesitate to contact
this office.
Sincerely,
Benjafhm C. Osgood, Jr., EIT
President
60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
Address of property: 15 FOREST STREET,NORTH ANDOVER
Owner's name: JEFFREY&KAREN PEARL
Date of Inspection: MARCH 25, 1995
PART A-CHECKLIST
Check if the following have been done.
Y Pumping information was requested of owner, occupant and the Board of Health.
Y None of the system components have been pumped for at least two weeks and the
system has been receiving normal flow rates during that period. Large volumes of water
have not been introduced into the system recently or as part of this inspection.
Y As-built plans have been obtained and examined. Note if they are not available.
Y The facility or dwelling was inspected for signs of sewage back-up.
Y The site was inspected for signs of breakout.
Y All system components, excluding the SAS,have been located on the site.
Y The septic tank manholes were uncovered, opened and the interior of the septic
tank was inspected for condition of baffles or tees,material of construction, dimensions,
depth of liquid, depth of sludge and depth of scum.
Y_The size and location of the SAS on the site has been determined based on existing
information or approximated by non-intrusive methods.
Y The facility owner(and occupants if different from owner)were provided with
information on the proper maintenance of SSDS.
Depth to Groundwater: Groundwater not encountered.
Method of Determination of Groundwater Depth: Test pits conducted by C.T.Assoc.in 1989
(Data on file at the North Andover BOH)recorded no groundwater at depths of ten feet(10)
beneath grade.No other evidence indicates that this information is inaccurate.In fact,surface
water/seasonal pond located approx. 1/4 mile from site estimated to be well below 10' of existing
grade; Building site sits on the top of a rise-the high point of this subdivision.
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2.
SUBSURFACE DISPOSAL SYSTEM INSPECTION FORM
PART B- SYSTEM INFORMATION
FLOW CONDITIONS
3 Number of bedrooms
3 Number of current residents
Garbage-g q-kr ff/N)j
Y Laundry connected to system(Y/N)
N Seasonal Use(Y/N)
If residential, calculated flow: 3 Bedrooms x 110 gal/day/bedroom=330 gal/day
Water meter readings if available: N/A
Last date of occupancy: Presently Occupied
GENERAL INFORMATION
Pumping records and source of information: Statement from owner-Pumped four(4)weeks
ago and two(2)years before that.
Y .System pumped as part of inspection? (Y/N) Volume Pumped:Approx. 1,000 gal.
Reason for pumping:M.P.H. Public&Environmental Health policy.
Type of system:
Y Septic tank,D-box, soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared System (Attach previous inspection records, if any.)
Other:
0
3.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B- SYSTEM INFORMATION(Cont'd.)
Approximate age of all components; Date installed; source of information:According to
records provided by the Real Estate Agent and a statement by the owner,the house was built in
1991.
N Sewage odors detected when arriving at site? (Y/N)
SEPTIC TANK : See attached As-Built Plan and Cross Section of the Septic Tank for the following
data-
-Location
-Dimensions
-Depth below grade:
- Sludge Depth:
-Distance from top of sludge to bottom of tee or baffle:
- Scum thickness:
-Distance from top of scum to top of outlet tee or baffle:
-Distance from bottom of scum to bottom of outlet tee or baffle:
Material of construction: x_concrete; metal; FRP; other(explain)
Comments: (Recommendations for repairs; condition of inlet/outlet tees or baffles; depth
of liquid in relation to outlet invert; structural integrity; evidence of leaking, etc.)-
Because the house had a previous offer which may have caused the transfer of title prior to the
March 31 implementation date of the revised Title 5,the tank was completely pumped about four
weeks ago. Just the same,the tank was pumped again to thoroughly observe its condition.No defects
were observed and the tank appeared to properly operating at the time of inspection.
DISTRIBUTION BOX
-location: See attached Site Plan
o°° Depth of liquid level above outlet invert.
Comments: (Note if distribution is equal, evidence of solids carryover, evidence of
leaking, recommendations for repairs, etc.)-The inlet pipe in the D-Box appeared to be cocked
slightly upward and a recessed area running across the yard from the septic tank to the D-box
indicates a possible settling of this pipe.Also,the unsigned As-Built Plan on file at the BOH shows
three(3)leaching pits.In reality,only one line was observed exiting the D-bog apparently feeding a
single pit.None-the-less,the absence of effluent build-up in the tank or D-bog indicates to me that
the system does not fail to protect public health.
CROSS SECTION OF THE SEPTIC TANK @
A/_ _\Ir_
_SIL .JIL -AIL sIL sIL -AIL -AIL- -AIL
�\i11/L \11L/L �\1L1/L \iLL/L \LLL/L �\W/L �\LLL/L \ill/L �\1lL/L \1LL/L �\,Ll/L \LL[/L �\1Ll/L �\1LI/L
Depth Below Grade �fo'
TET
O O
0 oYeida. ••
OUTI FT
Bottom of Scum t
Bottom o e
Top of Sludge t
Bottom of Tee Z
Depth to Sludge �3
LENGTH 0 x WIDTH S2 ' x DEPTH -5-. 5r- *0' : SIZE 400 gal.
FAM . ovation
of ch ng Pit
- x ----------------
-------------
-----------------
6p,
Septic
-7t
S7i2,
���� Back of Dwelling
AS-Built Plan for 3 bedroom
15 Forest Street DWelling
North Andover
Based on an inspection conducted on 3125195
by Peter M. Mirandi, R.S.
4.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B- SYSTEM CONDITION(Cont'd.)
SOIL ABSORPTION SYSTEM(SAS) *See Site Plan for location if possible. Excavation
not required,but may be approximated by non-intrusive methods. Determined type:
-Leaching pits&number: Most probably,a single leaching pit.
-Leaching chambers&number
-Leaching galleries&number
-Leaching trenches &number
-Leaching field& dimensions
Comments: (Note condition of soil, signs of hydraulic failure, level of ponding, condition
of vegetation,recommendations for maintenance or repairs, etc.)-No signs of any type of
failure were evident at the time of inspection.
CESSPOOLS *See Site Plan for:N/A
-Location
-Dimensions
-Number&configuration
-Depth from the top of liquid to the inlet invert
-Depth of scum layer
-Depth of solids layer
-Materials of construction
-Indication of groundwater
Cesspools must be pumped as part of inspection. Was inflow noted? (Y/N)
Comments: (Note condition of soil, signs of hydraulic failure, level of ponding, condition
of vegetation,recommendations for maintenance or repair, etc.):
PRIVY *See Site Plan for location, materials of construction, dimensions, depth of
solids.
Comments: N/A
5.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C-FAILURE CRITERIA
Indicate yes, no or not determined(Y,N,ND). Describe basis of determination in all
instances. If"not determined", explain why.)
_L_Backup of sewage into the facility or dwelling?
N Discharge or ponding of effluent to the surface of the ground or surface waters?
N Static liquid level in the distribution box above outlet invert?
N Liquid depth in cesspool <6"below invert, or available volume<1/2 day flow?
N Required pumping 4 times or more within the last year?Number of times
pumped?_0
N Septic tank is metal, cracked, structurally unsound, substantial infiltration or
exfiltration,tank failure imminent?
Is any portion of the SAS, cesspool or privy:
N Below the high groundwater elevation?
N Within 50 feet of a surface water?
N Within 100 feet of a surface water supply or tributary to a surface water supply?
N TWithin a Zone I of a public well.
N Within 50 feet of a bordering vegetated wetland or salt marsh? (Cesspools and
privies
only, not the SAS.)
N Within 50 feet of a private well?
N Less than 100 feet, but greater than 50 feet from a private water supply well with no
acceptable water quality analyses?If the well has been analyzed to be acceptable, attach
a copy of the well analyses for coliform bacteria, volatile organic compounds, ammonia
nitrogen and nitrate nitrogen.
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6.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART D- CERTIFICATION
Certification Statement
I certify that I have personally inspected the sewage disposal system at this address and
that the information reported is true, accurate and complete as of the time of inspection.
I The inspection was performed and any recommendations regarding upgrade,
maintenance and repair are consistent with my training and experience in the proper
function and maintenance of on-site sewage disposal systems.
Check one:
x I have not found any information which indicates that the system fails to adequately
protect public health or the environment defined in 310 CMR 15.303 Any failure
criteria not evaluated are as stated in PART C - FAILURE CRITERIA.
I have determined that the system fails to protect public health and the environment
as defined in 310 CMR 15.303. The basis for this determination is provided in PART C-
FAILURE CRITERIA.
March 25, 1995
Peter M. Mirandi,R.S.,M.P.H. Date
M.P.H. Public&Environmental Health
30 Washington Street
Danvers,MA 01923
508/774-3001
Original to system owner;
Copies to: Buyer; Board of Health
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Form No. 3
Town of North Andover, Massachusetts j
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BOARD OF HEALTH
40RTM,
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DISPOSAL WORKS CONSTRUCTION PERMIT
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Applicant
€ NAME AD R SS TELEPHONE
EfE t _ Site Location
IN t
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rJ, 7 Permission is hereby granted to Construct ( ) or RepairKS .
) an Individual Soil Absorption
itta� �
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�. Sewage Disposal System as shown on the Design Approval No._,/���
CHAIRMAN, BOARD OF HEALTH
3a r 1 Y� gat +
Y%ill
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Fee D.W.C. No.
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J T & C CONSTRUCTION CO., INC.
14 Appleton Street
North Andover, MA 01845
Phone (978) 686-4082 Fax (978) 688-0489
PROPOSED CONSTRUCTION SCHEDULE
Septic System Installation/Mr. James Cassell Owner
15 Forest Street North Andover, MA
DATE DESCRIPTION OF WORK
10/3 To 10/9/99 Excavate for Concrete Retaining Wall
Pour Concrete Footings and Wall
10/10 To 10/17 Install Septic System
10/17 To 10/24 Install Landscape Retaining Wall
Loam and Seed to Stabilize
��? 3 01999
0
Town of North Andover of NORTH
�`0
OFFICE OF � ,°`` a`e��0
COMMUNITY DEVELOPMENT AND SERVICES ° . p
27 Charles Street
WILLIAM J.SCOTT North Andover,Massachusetts 01845 �gsSA�'HusE��y
Director
(978)688-9531 Fax(978)688-9542
August 27, 1999
Ben Osgood, Jr.
New England Engineering
33 Walker Road, Suite 23
North Andover, MA 01845
Re: 15 Forest Street
Dear Ben:
This is to confirm that on August 26, 1999, at their regularly scheduled meeting the North
Andover Board of Health considered variances requested for the repair of a septic system
at 15 Forest Street. The following variances were granted by a vote of the Board.
Local Upgrade Approvals:
1. Reduction in the offset distance from the edge of the leach field to the property line
from the 10 feet required by the Title 5 Section 15.211(1)to 7 feet.
2. Allow the reduction in the offset distance between the bottom of the leach bed and the
water table from the 5 feet required by the Title 5 section 15.212 to 4 feet.
Local Variances:
1. Reduction in the offset distance between the edge of the leach field and the wetlands
from 100 feet required to 70 feet.
2. Reduction in the leach field size,from the minimum 900 square feet required to 600
square feet.
3. Allow the use of a poly barrier in lieu of a buried concrete wall for slope reduction.
With the granting of these variances, the septic plan dated August 13, 1999 is approved.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Please feel free to call the Health Department at 978-688-9540 if you have any questions
concerning this action.
Sincerely,
Sandra Starr, R.S.
Health Administrator
cc: James Cassell
File
,ug-17-99 03:08P Paul D_ Turbide, PE/PLS 508-465-0313 P.02
August 17, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover,MA 01845
RE: Title V fourth review for-15 Forest Street(Map 106a Lot 68)
Dear Sandra,
I find that the plans with revision date of 8/13/99 adequately address the concerns
outlined in my report dated August 11, 1999.
If you have any Questions or comments please feel free to contact me.
Sincerely
Carlton A. Brown,PE/PLS
Forest 15d.doc
PORT
ENGINEERING
Civil Engineers&
Land Surveyors
One Harris Street
Newburypert;NIA
01950
(9;8)465-8S94
NEW ENGLAND ENGINEERING SERVICES
INC
August 13, 1999
Sandra Starr,Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 15 Forest Street,North Andover, Septic system design
5.
Dear Sandra:
Please accept this letter as a request to have the above referenced plan considered for
approval at the Board of Health meeting on August 26, 1999. Specifically, the board
needs to approve the following.
LOCAL UPGRADE APPROVALS:
1. Reduction in the offset distance from the edge of the leach field to the property line
from the 10 feet required by Title 5 Section 15.211(1)to 7 feet.
2. Allow the reduction in the offset distance between the bottom of the leach bed and the
water table from the 5 feet required by Title 5 section 15.212 to 4 feet.
LOCAL VARIANCES:
1. Reduction in the offset distance between the edge of the leach field and the wetlands
from 100 feet required to 70 feet.
2. Reduction in the leach field size from 900 square feet required to 600 square feet.
3. Allow the use of a poly barrier in lieu of a buried concrete wall for slope reduction.
As you know this plan is a redesign and all of above have been approved previously
Y
except for the offset to water table.
TOWN OF NORTH ANDOVER/
BOARD OF HEALTH
AUG 13 1999
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)886-1 - M.359 7645 4 (978 685-1099
AL,
If you have any questions or need additional information please do not hesitate to contact
this office.
Sincerely,
1
Benjamin C. Osgood, Jr.,EIT
President
NEW ENGLAND ENGINEERING SERVICES
INC
August 13, 1999
Sandra Starr, Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover,MA 01845
Re: 15 Forest Street,North Andover, Septic system design
Dear Sandra:
Enclosed you will find five copies of a revised septic system design for the above
referenced property. These plans are being submitted to address the two comments in
your letter dated August 11, 1999. Each of the comments has been addressed as follows.
1. A detail of how the poly barrier will be connected to the retaining wall has been
added to the plans. The detail specifies that the poly barrier shall be applied to the
fresh bituminous waterproofing with a 24" overlap.
2. The system is the same distance from the property line as the previous plan. A
hearing was held for this variance at a previous meeting.
If you have any questions or need additional information please do not hesitate to contact
this office.
Sincerely,
Benjam n C. Osgood, Jr.,EIT
President
P.S. Please note that our new address is 60 Beechwood Drive,North Andover.
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
Aug-`11-99 01 :01P Paul D. Turbide, PE/PLS 508-465-0313 P.02
I
August 11, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St_
North Andover, MA 01845
RE: Title V third review for 15 Forest Street(Map 106a Lot 68)
Dear Sandra,
Enclosed find the"Checklist for North Andover Septic System Plans" for the above-
mentioned site. The following is a list of all the `Problem' areas and deficiencies Port
Engineering has found. (Note that this design plan with revision date of 8/6/99 is
different than the design plan with revision date of 5/20/99. The fast system and
pressure distribution system has been eliminated. The new design is for a conventional
leaching trench system with conventional septic tank, pump chamber system and dbox.)
o The leaching bed will be closer to the property tine than the setback requirement
allows. Thus the abutter must be notified by certified letter as per 310 CMR
15.405(2). (I missed this the first time.)
o Note 14 on sheet one states that a Professional Land Surveyor shall stake the
southern lot line. This should be made a condition of approval.
o There will be an impervious barrier completely encircling the leaching bed. The
southern part will be a concrete retaining wall. The rest will be a poly barrier.
There should be a detail showing how the poly barrier will be tied into the concrete
retaining wall to make sure it is a waterproof seal.
If you have any questions or comments please feel free to contact me.
Sincerely
Carlton A. Brown, PE/PLS
Forest 15c.doc
$
ter .
PORT
ENGINEERING
Civil Engineers&
Land Surveyors
One Harris Street
Newburyport.MA
01950
(978)465-8594
Town of North Andoverf NORTH
OFFICE OF 3�0 o ti0
COMMUNITY DEVELOPMENT AND SERVICES
27 Charles Street �,' X;
North Andover,Massachusetts 01845 4�TEO
WILLIAM J. SCOTT SSgCHUS
Director
(978)688-9531 Fax (978)688-9542
August 11, 1999
RE: 15 Forest Street
Ben Osgood,Jr.
New England Engineering
33 Walker Road
North Andover, MA 01845
Dear Mr. Osgood:
This letter is to inform you that the proposed septic plans for the repair of the system at
15 Forest Street have been disapproved for the following reasons:
1. Please submit detailed plans showing how the poly barrier is being proposed to be tied into
the concrete retaining wall. It is important that this be a waterproof seal.
2. Leaching area less than 10' from property line. Abutters must be notified and a hearing held
if setback less than on previous design. (3 10 CMR 15.405(2)).
If you have any questions, feel free to call the Health Department at 688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: James Cassell
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover o� NORTN
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES VA
M 27 Charles Street
North Andover, Massachusetts 01845 Q°4iFD �5
WILLIAM J. SCOTT 9SSACHUSE�
Director
(978)688-9531 Fax(978)688-9542
July 1, 1999
Ben Osgood, Jr.
New England Engineering
33 Walker Road, Suite 23
No. Andover, MA 01845
Re: 15 Forest Street
No, Andover, MA 01845
Dear Ben:
This is to inform you that the proposed septic system repair plans for the site referenced
above have been approved.
If you have any questions, please do not hesitate to call the Board of Health Office at 978-
688-9540.
Sincerely,
1aA2J
Sandra Starr, R.S.
Health Administrator
SS/smc
cc: James Cassell
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Town of North Andover NORTh
OFFICE OF ,.?o` t e O •° °c
COMMUNITY DEVELOPMENT AND SERVICES F°
A
27 Charles Street
North Andover, Massachusetts 01845
WILLIAM J. SCOTT SSACHUSE
Director
(978)688-9531 Fax (978)688-9542
June 25, 1999
Ben Osgood, Jr.
New England Engineering
33 Walker Road, Suite 23
North Andover, MA 01845
Re: 15 Forest Street
Dear Ben:
This is to confirm you that on June 24, 1999, at their regularly scheduled meeting the
North Andover Board of Health held a hearing to consider variances requested for the
repair of a septic system at 15 Forest Street,No. Andover, MA. The following variances
were granted by a vote of the Board.
1. Reduction in distance of leach field to property line from 10 ft. to 7 ft.
2. Reduction in distance from leach field to wetlands from 100 ft. to 70 ft.
3. Reduction in leach field size 900sq. ft to 600 sq. ft.
4. Use of poly barrier in lieu of concrete wall.
The following variances were requested but not granted:
1. Reduction from edge of leach field to well from 100 ft. to 53 ft.
Please feel free to call the Health Department at 978-688-9540 if you have any questions
concerning this action.
Sincerely,
Sandra Starr, R.S.
Health Administrator
cc: James Cassell
File
OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
' ----------------
23 Forest Street
North Andover, MA 01845
(978) 794-4319
June 24, 1999
Benjamin C. Osgood, Jr., EIT
President
New England Engineering Services Inc.
33 Walker Road, Suite 23
North Andover, MA 01845
Dear Mr. Osgood:
Ci,,nk you for the notice regarding a public hearing before the Board of Health today at 7:00 PM.
The request of Mr. James Cassel for a "local upgrade approval" to allow the installation of a
septic system 7' from our property line (as opposed to the Title 5 requirement of 10') should be
quickly approved. We understand the proposed construction to include a retaining wall and have
no objection to the plan. On the contrary, Mr. Cassel and his family have a real health issue with
their current septic problems and their request should be expedited in any way possible.
We may not be able to stay at the hearing tonight, therefore this letter of support for the plan.
We will try to get a copy to the Board of Health, but would appreciate it if you would make sure
they have received it at the hearing.
Sincerely,
Edward C. Martin
Siegli e Martin
/CC: North Andover Board of Health
Jun-17-99 10: 11A Paul D. Turbide, PE/PLS 508-465-0313 P.06
June 17, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St,
North Andover, MA 01845
RE: Title V second review for 15 Forest Street(Map 106a Lot 68)
Dear Sandra,
I find that the areas of concern outlined in my report dated June 2, 1999 have been
adequately addressed by the revised design plans. (A revision date should be added to
the new plans to differentiate them from the old plans.)
If you have any questions or comments please feel free to contact me.
Sincerely
Carlton A. Brown, PE/PLS
Forestl5b.doc
ENGINEEGiNG
Civil Engineers&
Land Surveyors
One Harris Street
Newburyport,MA
01950
(978)465-8594
NEW ENGLAND ENGINEERING SERVICES
INC
June 10, 1999
Gayton Osgood, Chairman
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 15 Forest Street revised septic system design
Dear Mr. Chairman:
Please accept this letter as a request for the Board of Health to hold a public hearing at
their June 24, 1999 meeting. The purpose of the hearing will be for the Board to consider
the following Local Upgrade Approval requests and Local Bylaw requests for the above
referenced property.
Local Upgrade Requests:
1. Allow the reduction in the offset distance between the edge of the leach field and the
property line from the 10 feet required by Title 5 section 15.211(1)to 7 feet.
Local Bylaw Variances Required:
1. Reduce the offset from the edge of the leach field to the wetlands from 100 feet
required to 70 feet.
2. Reduce the leach field size from 900 sq. ft. required to 600 sq. ft.
3. Allow the use of a poly. barrier in lieu of a buried concrete wall for slope reduction.
4. Allow a reduction in the offset distance between the edge of the leach field and the
irrigation well from the 100 feet required to 53 feet.
The local upgrade request requires that the abutter on the side of the reduced offset be
notified. A copy of the certified notice that has been sent today is enclosed.
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
If you have any questions regarding any of the new information please do not hesitate to
contact this office.
Sincerely,
6-7
Benjamin C. Osgood, Jr.,EIT
President
NEW ENGLAND ENGINEERING SERVICES
INC
June 10, 1999
Sandra Starr, Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 15 Forest Street revised septic system design
Dear Sandra:
Enclosed are the following documents regarding the application for approval of the septic
system repair for the above referenced property.
1. 5 copies of revised design plans.
2. Check to cover the fee.
These revised plans address all of the comments in your letter dated June 2, 1999.
I have notified the abutter on the side of the lot where we are requesting a lot line offset
variance that the Board of Health will hold a public hearing on Thursday June 24b. A
copy of that notice is enclosed as well as a formal request for a hearing.
If you have any questions regarding any of the new information please do not hesitate to
contact this office.
Sincerely,
Benjami�i C. Osgood, IT
President
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
NEW ENGLAND ENGINEERING SERVICES
INC
June 10, 1999
Edward and Sieglinde Martin
23 Forest Street
North Andover, MA 01845
Re: 15 Forest Street Board of Health public hearing
Dear Mr. And Mrs. Sieglinde:
Please accept this letter as a notice of a public hearing scheduled with the North Andover Board
of Health for Thursday June 24, 1999 at 7:00 PM in the Town Hall Library on the lower level of
town hall.
This public hearing will be for the purpose of discussing the request of Mr. James Cassel for a
local upgrade approval to allow the installation of a septic system 7' from the property line that
abuts your property. Title.5 requires an offset of 10 feet.
If you have questions concerning this request you may contact the North Andover Board of
Health between 8:00 AM and 4:00 PM at 978-688-9540 or this office at 978-686-1768
Sincerely,
Benjamin C. Osgood, Jr., EIT
President
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)6&5-1099
Town of North Andover E NORTH ,
OFFICE OF 3�o�`" ""41
COMMUNITY DEVELOPMENT AND SERVICES ° . p
27 Charles Street :,0 '
North Andover, Massachusetts 01845 �9ssACHus��ty
V4 LIAM J. SCOTT
Director
(978)688-9531 Fax (978)688-9542
June 2, 1999
RE: 15 Forest Street
Ben Osgood,Jr.
New England Engineering
33 Walker Road
North Andover, MA 01845
Dear Mr. Osgood:
This letter is to inform you that the proposed septic plans for the repair of the system at
15 Forest Street have been disapproved for the following reasons:
1. FAST septic tank missing 6" stone base. (3 10 CMR 15.221(2)).
2. Plan view and Section A-A disagree with Leach pipe layout plan view and lateral spacing.
3. System profile has error on bottom of bed elevation.
Please submit a letter requesting variances and an appearance before the Board of Health
for the meeting of June 24, 1999. In accordance with regulations, also submit a copy of the letter
sent to notify abutters for this meeting. If you have any questions, feel free to call the Health
Department at 688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: James Cassell
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Jun-02-99 09:50A Paul D. Turbide, PE/PLS 508-465-0313 P.02
June 2, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St_
North Andover, MA 01845
RE: Title V review for 15 Forest Street(Map 106a Lot 68)
Dear Sandra,
Enclosed find the"Checklist for North Andover Septic System Plans" for the above-
mentioned site. The following is a list of all the `Problem' areas and deficiencies Port
Engineering has found.
❑ A 6-inch stone base must be under the FAST Septic tank. 310 CMR 15.221(2).
❑ The Plan and Section A-A on Sheet 1 show the two laterals for the leaching field.
By scaling off the plan and section, it appears that the intent is to have 5 feet
between laterals, with 2.5 feet between the laterals and the edge of the leaching
field. If this is true,then the"Leach Pipe Layout Plan View" on Sheet 2 is incorrect
in showing the laterals as being 8 feet apart and only one foot from the edge of the
field.
❑ The pump chamber buoyancy calculations show only a 300-pound difference
between the buoyancy force and the weight of the chamber and overburden.
However the calculations are for only one foot of soil over the tank where the
grading shown on the plan would place about three feet of soil over the tank.
Therefore, if the grading and pump chamber are placed according to plan,there
should be an adequate factor of safety in the buoyancy calculations.
o The"System Profile" has a drafting error for bottom of bed elevation of 99.28 . All
the other bottom of bed elevations have the correct elevation of 99.5'.
❑ If the well is in fact only for irrigation, then only a waiver from the North Andover
regulation is required(as outlined in the "Local Variances Required" note on Sheet
1).
❑ One of the impervious barriers is proposed to be a 20-mil poly barrier. Written
policy of the DEP entitled"Guidance on Maximum Feasible Compliance"addresses
this issue: "Appropriate synthetic materials may be allowed, provided that the
w-%ORT applicant demonstrates to the local approving authority that the material is
IFME impervious, is designed to be buried without the integrity of the material being
affected, adequate provisions have been made to ensure its support and to prevent
ENGINEERING puncture during installation". If these provisions are met,then the impervious
barrier should be adequate.
❑ Other local upgrade approvals and local variance requests are also noted. In my
Civil Engineers& professional opinion the requests seem reasonable for the conditions of the tot.
Land Surveyors
One Harris Street If you have any questions or comments please feel free to contact me.
NeHburyport,MA
01950
(978)465-8594 Sincerely
Carlton A. Brown, PE/PLS
Forest i 5.doc
NEW ENGLAND ENGINEERING SERVICES
INC
May 26, 1999
Sandra Starr,Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 15 Forest Street,North Andover
Dear Sandra:
Enclosed are the following documents regarding the application for approval of the septic
system repair for the above referenced property.
1. 5 copies of design plans.
2. 2 copies of soil data sheets.
3. 2 copies of request for local upgrade.
4. 2 copies of pressure dosing calculations with a letter from pine street consulting
regarding the pressure dose design.
5. Check to cover the fee.
If you have any questions or need additional information please do not hesitate to contact
this office.
Sincerely,
[TOWN OF NORTH 4PlDOVER/
BOARD OF HEALTH
Benjamin C. Osgood,Jr.,EIT 9
President w MAY 2 7 1999
P
d
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
4 'S
/
P l* ne
En�•irc�nme;nt�al
StreetConsulting Assessi„ent
I echnol.o y
105 Pine Street Florence, Massachusetts 01062 413-584-7637 Erltic non
May 12, 1999
Ben Osgood Jr.
New England Engineering
33 Walker Rd.
Suite 22
North Andover, MA 01845
RE: 15 Forest Street North Andover, MA
Dear Ben,
Attached are my recommendations for the pressure distribution system for the Forest Street
project. I have developed a lateral layout and orifice spacing for the bed size you have indicated
on the plans (sheet 1 of 2, file #264). The manifold and force main diameters are 2" and should
drain back to the pump chamber and the laterals should be level. A single 0.25"orifice should be
placed in the manifold. Note the orifice indicated in the end caps at the end of each lateral.
These could be replaced with an elbow and a capped riser for flushing out the laterals. If you
consider them necessary, place an orifice somewhere in the lower portion of the elbow. Also note
orifice along the laterals are placed slightly offset from vertical. While I do not consider this
design practice essential it seems to be a suitable method for eliminating orifice blockage.
The pump size is indicated, and should meet the minimum discharge of 46.5 GPM against 11.3
feet of head. If you find a pump that is significantly different, please provide me with the
specifications and I can rerun the friction losses. An oversized pump will produce more pressure
head at the distal end. An undersized pump is not desirable. A small throttle valve can resolve
any issues about an oversized pump. Calculations based on your system criteria indicate less than
5%difference in orifice discharge over the entire system.
I have reviewed the bed layout shown in sheet 1. 1 think that a reduction in the bed area to 6' by
60' will get you to the same treatment results, provided the basal loading area remains the same.
The benefit of this change is a reduction in the height of the retaining wall and associated costs
for materials. The pressure distribution design would not change significantly by reducing the
lateral spacing to 4 feet on center, (ie. use a 4 foot manifold versus an 8 foot manifold).
I can make any modification to the lateral layout enclosed if you want me to. If you have any
questions or would like digital copy of the lateral layout(in Autocad 14)give me a call.
'Sincerely,
//V
Eric Winkler, Ph.D
CPSS, RS
Encl
15 Forest Street Pressure Design
N.Andover,MA
v tt
Yy KrkNn 9�J�V+� � REP"isCuf4ns�/ A� qa
Fill in the shaded areas,revise as needed IF FIRROF-PRF
S ESCAPE
DESIGN FLOW(in gallons/day)? 440
Elevation of the PUMP OFF SWITCH,in feet? 92.95
Elevation of the upper LATERAL,in feet? 100
DELIVERY PIPE distance,from pump to manifold,in feet? 27
DELIVERY PIPE diameter,in inches(if not 2"-use 2"min)? 2
Design DISTAL PRESSURE,in feet(if not 2.5)?(hd) 2.5
IS MANIFOLD CENTER-FED&SYMETRICAL(yes or no)? yes YES
How many orifices in the MANIFOLD? 2
MANIFOLD ORIFICE diameter,in inches(if not 5/16") 0.25 0.25
MANIFOLD DIAMETER(if not 2"-use 2"min)? 2 2
TOTAL LENGTH OF MANIFOLD 8
Does MANIFOLD drain to FIELD after dose(yes or no)? yes
How many LATERALS? 4
Pumping chamber weep hole size(usually.25'7 0.25 USE 0 IF FORCE MAIN DOES NOT DRAIN
PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP TO 50 ORIFICES PER LATERAL
Your HIGHEST elevation lateral MUST be LATERAL 1:
(first orifice from lateral 1/2 of orifice spacing) Lateral 1: Lateral 2: Lateral 3: Lateral 4:
Length of each LATERAL,in feet) 29 29 29 29
Diameter of each LATERAL,in inches(1.5"min)? 1.5 1.5 1.5 1.5
Elevation of each LATERAL,in feet? 100 100 100 100
Number of ORIFICES per lateral 9 9 9 9
Distance from Manifold to closest Orifice,in feet 3 3 3 3
ORIFICE SPACING,in feet 3.25 3.25 3.25 3.25
Diameter of ORIFICES,in inches?(D) 0.25 0.25 0.25 0.25
Square feet of leachfield per laterals(can ignore) 150 150 150 150
Maximum number of orifices in any one lateral 9
Minimum lateral diameter 1.5
FRICTION CALCULATIONS(using Hazen Williams friction ft=Ld((3.55Qm/Ch(Dd^2.63)))^1.85)
PRESSURE CALCULATIONS(using orifice dischage equation Q=11.79 D^2 hd^.5
Lateral t: Lateral 2: Lateral 3: Lateral 4:
LATERAL DISCHAGE(first approximation) 10.49 10.49 10.49 10.49 ,
MANIFOLD ORIFICE DISCHARGE 2.33
TOTAL SYSTEM DISCHAGE(first approximation) 44.27
TOTAL DISCHARGE PER LATERAL 10.51 10.51 10.51 10.51
DISCHARGE PER SQUARE FOOT OF LEACHFIELD 0.07004867 0.07004867 0.0700487 0.0700487
ORIFICE MAXIMUM DISCHARGE BY LATERAL 1.17 1.17 1.17 1.17
ORIFICE MINIMUM DISCHARGE BY LATERAL 1.17 1.17 1.17 1.17
ORIFICE%DIFFERENCE DISCHARGE within LATERAL 0.5% 0.5% 0.5% 0.5% 0.0% 0.0% 0.01% 0.0% 0.0%
MAXIMUM DISCHARGE LATERAL 10.51
MINIMUM DISCHARGE LATERAL 10.51
MAXIMUM DISCHARGE PER SQUARE FOOT 0.07
MINIMUM DISCHARGE PER SQUARE FOOT 0.07
%DIFFERENCE DISCHARGE for SYSTEM by orifice 0.5%as percent of maximum orifice in system
•DIFFERENCE DISCHARGE for SYSTEM by laterals 0.0%as percent of maximum lateral in system
%DIFFERENCE DISCHARGE for SYSTEM by square feet 0.0%as percent of maximum square foot in system
WEEP HOLE DISCHARGE(usually a 1/4"weep hole) 2.10 weep hole 0.25 inch
VOID VOLUME IN DELIVERY PIPE 4.41
VOID VOLUME IN MANIFOLD 1.31
VOID VOLUME IN EACH LATERAL 2.66 2.66 2.66 2.66 0.00 0.00 0.00 0.00 0.00
TOTAL LATERAL VOID VOLUME 10.65
MINIMUM DOSE MUST INCLUDE MANIFOLD BECAUSE MANIFOLD DRAINS TO FIELD
MINIMUM DOSE VOLUME(based on void volume) 59.77 to 119.54 MIN
ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW
(weep hole,usually 1/4",not counted for dose,effluent is repumped during process and not counted for friction,except as fitting headloss)
TOTAL HEAD LOSS IN EACH LATERAL 0.13 0.13 0.13 0.13
MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM 0.13
MANIFOLD HEADLOSS(center-fed unless manifold design) 0.08
DELIVERY PIPE HEADLOSS 1.01 w/delivery 2 inch diameter
FITTING LOSS(headloss'.15) 0.38 add extra head If fittings are more than absolute minimum
DISTAL PRESSURE HEAD 2.50
STATIC HEAD(OFF-SWITCH TO HIGH LATERAL/MANIFOLD) 7.05
HEADLOSS PUMP TO WEEPHOLE(assume 3'run) 0.12
PUMP MUST BE ABLE TO PASS SOLIDS AT 46.46 G.P.M 11.27 FEET OF HEAD GPM=all laterals phis manifold offices phis weep hole
or head's sum of static head and headloss shown
After OTIS(network losses=1.21'distal head) 46.46 G.P.M. 13.96 FEET OF HEAD head is slack head,delivery losses and network losses
Pine Street Consulting
105 Pint Street
Flortntq MA 01062 5/12/99 Page I
15 Forest Street Pressure Design
N.Andover,MA
Oita
FRICTION CALCULATIONS j.1i19 Hazen Me-friction ft=Ld((3.550m/Ch(Dd^2.63)))-1S5)
PRESSURE CALCULATIONS(using orifice dischage equation 0=11.79 042 hdk.5
NOTE:Orifices and pipe segments am measured from*the end(distal)of lateral (-using orifice discharge formula,with additional
Lateral 1: Lateral 2: Lateral 3: Lateral 4
DISTAL ORIFICE DISCHARGE.(G 1.17 1.17 1.17 1.17 0.00 0.00
In segment FRICTION,in feet- obo 0.00 0.00 0.00
2nd ORIFICEPISCHARGE 1.17 1.17 1.17 1.17
total LATERAL FLOW at this orifice 2,33 2.33 2.33 2.33
2nd segment FRICTION 0.00 0.00 OM 0.00
3,d ORIFICE DISCHARGE 1.17 1.17 117 1.17
total LATERAL FLOW at this orifice 3.50 3.50 150 3,50
3,d segment FRICTION 0.00 0.00 0.00 0.00
4TH ORIFICE DISCHARGE 1.17 1.17 1.17 1.17
total LATERAL FLOW at this orifice 4.66 4.66 4.66 4.66
4th segment FRICTION 0.01 0.01 0.01 0.01
5TH ORIFICE DISCHARGE 1.17 1.17 1.17 1.17
total LATERAL FLOW al this orifice 5.63 5.83 5.83 5.83
Sit,segment FRICTION 0.01 0.01 0.01 0.01
6TH ORIFICE DISCHARGE 1.17 1.17 1.17 1.17
total LATERAL FLOW at this orifice 7.00 7.00 7.00 7.00
6th segment FRICTION 0.02 0.02 0.02 0,02
7TH ORIFICE DISCHARGE 1.17 1.17 1.17 1.17
total LATERAL FLOW at this orifice 8.17 8.17 8.17 8.17
Tin segment FRICTION OM 0.02 0.02 0,02
8TH ORIFICE DISCHARGE 1,17 1.17 1.17 1.17
total LATERAL FLOW at this orifice 9.34 9.34 9.34 9,34
8th segment FRICTION 0.03 0.03 0.03 0.03
9TH ORIFICE DISCHARGE 1A7 1.17 1.17 1.17
total LATERAL FLOW at this orifice 10.51 10.51 10.51 10,51
9th segment FRICTION 0,03 0.03 0.03 OM
Pine street Consulting
105 Pine street
Florence,M 01062 5/12/99 Page 1
Town of North Andover cE NORTiy
OFFICE OF �? gEt, 16`6�O L
COMMUNITY DEVELOPMENT AND SERVICES p
27 Charles Street *
North Andover,Massachusetts 01845 �9SsgcEHus��ty
WILLIAM J. SCOTT
Director
(978)688-9531 Fax (978)688-9542
February 22, 1MCI
Ben Osgood,Jr
New England Engineering
33 Walker Road, Suite 23
North Andover,MA 01845
Dear NIr Osgood:
Please find the current form being used for the application for soil tests in the North
Andover Board of Health. Please use this form in all future applications for soil testing. Note
that before any scheduling is done for the actual testing,there must be a signed approval on the
form from the Conservation Commission. Once this has been received, a date for soil tests will
be scheduled with the Health Department.
In addition,the plan you submitted to the Health Department shows a proposed addition
to the existing dwelling. Is this being proposed now? If the soil tests are for the purpose of
adding an addition,it is considered new construction and conditions are altered. Please contact
me for a discussion about this issue.
Sincerely,
Sandra Starr,R.S.
Health Administrator
cc: J. Cassell
File
At
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
NEW ENGLAND ENGINEERING SERVICES
INC
P�TC;U1IN Off' N �7��r f
I BOARD''` ='..ALTH
FEB 2 2 1999
February 19, 1999
Sandra Starr,Administrator
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
Re; Soil testing 15 Forest Street
Dear Sandra:
Enclosed is an application for soil testing at 15 Forest Street in North Andover. Additional
documentation enclosed includes a copy of the plot plan with proposed test pit locations, a copy of
the contract for design as proof that the owner has given permission to have testing done, and a
check to cover the fee.
I understand that soil testing season does not open until March 1,however I would appreciate you
having the schedule process started so testing could be done as soon after March 1 as weather
permits. The owner is having problems with the system and is going to have a backup if something
is not done soon.
Thank you for your anticipated cooperation in this matter. If you have any questions,please do not
hesitate to contact this office.
Sincerely,
6.21 c D
J
Benjamin C. Os oo Jr.> EIT
g
President
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
NEW ENGLAND ENGINEERING SERVICES i
INC
CONTRACT COPY
PROPOSAL FOR
SEPTIC SYSTEM DESIGN
i
James Cassell February 17, 1999 i
15 Forest Street
North Andover, MA 01845
i '
Dear Mr. Cassell:
The following is a proposal to complete a septic system design;;and permitting for the
design, at your property located at 15 Forest Street, North Andover, MA.
A breakdown of the price is as follows:
1. Deep hole soil testing $
2. Percolation testing
I Design Plans and Specifications _
4. Site Survey
5. Backhoe for soil testing
6. Board of Health fee
7. Delineate Wetlands
8. Conservation Commission submittal
Total Price
Any fees due to the North Andover Board of Health other than those listed above are not
included. These fees may be fees for a variance request to the Town, advertising fees,
certified mail fees, or fees for a submittal to the state DEP
Included in this contract is a submittal to the conservation commission for any work that
will take place between 50 feet and 100 feet from a wetlands. Attendance at one meeting,
the advertising fee, and filling out the paperwork for a determination of applicability are
all included.
The fees above include testing for the new system in both the front and side yards. Plans
will be produced for the most appropriate location.
33 WALKER ROAD-SUITE 23-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099
r
PAGE 2
PAYMENT TERMS:
1• on signing contract.
2. Pon approval of the design plans by the Board of Health
3. ny a I conal charges are due upon
g p invoicing.
NOTE: Unpaid balances subject to a 1.5 % service charge per month plus all costs of
collection including reasonable attorneys fees.
PROJECT SCHEDULE:
Commencement of work will be upon receipt of the initial deposit. Final plans will be
completed and submitted to the Town within two weeks of completion of on site soil
testing. Soil testing will be done in the first week of March, weather permitting. All plans
produced will be given to you for review and comment prior to release to contractors or
the town.
Kindly advise if further information or clarification is required. Thank you for the
opportunity to present this proposal to you. If acceptable, please indicate by signing
below and returning the deposit and a copy of this letter in the envelope provided.
I
Sincerely,
Benjamin C. Osgood ,Jr�
President
This proposal is acceptable as written:
James Cassell: Date:
SEPTIC PLAN SUBMITTAL FORM
LOCATION:
NEW PLANS: YES $125.00/Plan
REVISED PLANS: YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES NO
DATE: 1?19 9
DESIGN ENGINEER: /j�,t��i9y�/�,t/ �' �f �2 i2tc 4sz t)
DATE TO CONSULTANT: X�19�
*If you want your plans expedited, please submit three plans and included a
stamped envelope with the correct amount ofosta a to mail 1
P g pans to Port.
Engineering. R 4N OF INO RTIH
When the submission is all in place, route to the Health Secretary.
AI
May-27-99 12 : 45P North Andover Com. Dev . 508 688 9542 P . 01
SEPTIC PLAN SUBMITTAL FORM
LOCATION: 5-
N-EW PLANS: YES $125-00/Plan--
REVISED
125.00/Plan__ _REVISED PLANS: YES S 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES NO
DATE: 27 {c
DESIGN ENGINEER: l�e.;^ t `c..`� th� ',►1�s2.i_�-S_'��5,:;_�r� .i•��
DATE TO CONSULTANT:
*If you want your plans expedited, please submit three plans and included a
stamped envelope with the correct amount of postage to mail plans to Port
Engineering.
When the submission is all in place, route to the Health Secretary.
MBOF NORTH ANDOVER/OARD OF HEALTH
MAY 2 7 1999
May-27-99- 12 : 45P North Andover Com. Dev . 508 688 9542 P _ O1
SEPTIC PLAN SUBMITTAL FORM
LOCATION: 16-
NEW
5NF.W PLANS: YES $125.00/Plan
REVISED PLANS: YES $SITE EVALUATION EVALUATION FORMS INCLUDED: YES
DATE: f, t t
DESIGN ENGINEER: �u�__ ����•,.� =moi S�
DATE TO CONSULTANT:
*If you want your plans expedited, please submit three plans and included a
stamped envelope with the correct amount of postage to mail plans to Port
Engineering.
When the submission is all in place, route to the Health Secretary.
VA
Town of North Andover, Massachusetts Form No.s
NORTh BOARD OF HEALTH
0•� �■o ,�'Ly0
o �
°'b`=-�• "r' DESIGN APPROVAL FOR
ss"C"USE< SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant Test No.
J
Site Location 16--
f
• Reference Plans and Specs. ,
• ENGINEER f V DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD UF HEALTH
Fee '_ Site System Permit No. 1 f�
Town of North Andover, Massachusetts Form No.i
NORTh BOARD OF HEALTH
o �
a
°==::.:'t• DESIGN APPROVAL FOR
SSACHU `` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant _ Test No.
Site Location
Reference Plans and Specs.
ENGINEER DE GN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
CHAIRMAN,BOARD OF HEALTH
Fee Site System Permit No. Z2i
Town of North Andover, Massachusetts Form No. 1
NQRTM' BOARD OF HEALTH
3�Qy<s``� .616"oL e �a 19
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fT ^m APPLICATION FOR SITE TESTING/INSPECTION
ADRATE D Pl"' "9
SSACHUS�
Applicant
NAME ADDRESS TELEPHONE
Site Location ! ��, �� �1
Engineer
NAME ADDRESS TELEPHONE
Test/I nspection Date and Time
CHAIR AN;BOARD OF HEALTH
Fee i Test No. -z _3
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
t
BOARD OF HEALTH TEL. 688-9540
NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE: /
LOCATION OF SOILTESTS:
Assessor's map & parcel number: /o,:� Al
OWNER: Jarn--S C4 sS-// TEL. NO.: c' — 7j
ADDRESS: ;Ez) 6-6 T S-7-
ENGINEER:
TENGINEER: J�. � ;. ZeR)6TEL. NO.: 646 —/7,�-d-)
CERTIFIED SOIL EVALUATOR: ��ic ��� �/�iyG���/-Ee;L) Os606e; j<
Intended use of land: residential subdivision, single family home, commercial
Repair testing Undeveloped lot testing
4-
N. A. Conservation Commission Approval: ��!
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 6
L 1`
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of$275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of$75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic
plans.
3. At least two deep holes and two percolation tests are required for each septic system
disposal area.
4. Repairs require at least two deep holes and at least one percolation test, at the
discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of testing.
6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to
the Board of Health showing the location of all tests (including aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
DATE: w
LOCATION:
CN G I NC=F -
BOH Wl T NESS.
PE°COL;,TION TEST r
BOTTOM DEPTH Or °LRC TEST- _3
1
TIME OF SOAK: le mirutes Icnc)
TIME AT 12" � y
S �l
TIME AT S" f
TIME
CVE;,NIGHT S0-^ K
TIiE STf'-RTED
NT
D,� �Y S OAK:
T;yl E r"\T 12
T1ME AT
DATE.-
LOCATION.
ATE:LOCA i ION.
1
ENGINEE=
�.
BOH VVI T NESS. J _
PERCOLATION TEST „
( � l I 1
S0 i 0 N I DEPTH Or PLEER C TEST: l l
TIME OF SOAK: J ��__ (A% s� Ie� minutes Icnc)
e �
r
TIME AT 2"
Ti1v1E AT
g
TIME
CV'` .NIGHT 50l!"K
TliviE -QT/-".RT--D
NES T e2s� 1-:'
Ti 1 fv1 E ,,'T 12
TMEr,T
AT
FORM 11 - SOII. EVALUATOR FORM
Page I of 3
"o
No. �i?s �/, z 3 Date: �
Commonwealth of Massachusetts
Massachusetts
Soil Suitability Assessment foDisposal
Performed By: � Qs�_ck'
:........... Date: 3)z1,F
Witnessed By:
.............T.rr ....... .... . _. __............................... ......
L ation Address or 116— Owners Narm, Ccc SS zF �—
Address.and 'Cs✓ S
l a N "V /r/ /j t Teleplwrc/
New construction ❑ Repair `I?�'^ � �� 8'70
Office Review
Published Soil Survey Available: No ❑ Yes QT
9��................ Publication Scale / ;�S8-yG. Soil Map Unit 1�N
Year Published / ^
Drainage Class prod'`.V fe/ 6ycll. Soil Limitations - i
�coo ❑
Surficial Geologic Report Available: No ® Yes
Year Published Publication Scale
Geologic Material (Map Unit) ...... _...................................... _ ...... ..........................
.....................................
...........
Landform .. ..._.. .
.................................................................................
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes
Within 500 year flood boundary No ❑Yes ❑
Within 100 year flood boundary No El Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit) .............-.......
... ... ............................... .....
Wetlands Conservancy Program Map (map unit
Current Water Resource Conditions (USGS): Month
Range :Above Normal Normal ❑Belc,.v Normal ❑
Other References Reviewed:
DEP APPROVED FORM-12/07/95
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3,
h;
Location Address or Lot No. S%• AAA
On-site Review
Deep Hole Number Date: 317— �'jq Time: I.oe Weather y
Location (identify on site plan) t"20 nT... `��t
Land Use �4-JA ,.... Slope (%) 4�GJ Surface Stones /VL�.,ti'�
Vegetation rpIss
Landform !'l ;A
Position on landscape (sketch on the back)
Distances from: _
Open Water Body feet Drainage way feet
Possible Wet Area 9O feet Property Line l J feet
Drinking Water Well .'>/00 feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, %
Grave0 '_,U 5;c• I0yg 31 — r"4A -C, !`nq blc
/v _2 y., ✓b✓ S�
10 ,g 6!e
S 7 7S iz
rncq D,sr.
,7'-
79 Cz 1?F�.•5, �� �lr C:.,aM�•7 __
6/3
mcv, olsi
Parent Material(geologic) DepthtoBedrock:
���a
' Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: --
,�y'' -
Estimated Seasonal High Ground Water:—
DEP APPROVED FORTt• 12/07/95
FORM 11 - SOIL EVALUATOR FORM
Page 2of3
Location Address or Lot No. i /4NPa"CLQ
On-site Review
3l.Zl q� Time: /�k 00 Weather SUnn S�
Deep Hole Number /� Date: _ L
Location (identify on site plan) 2c' T_.- 'L7
Land Use ��"^ Slope (%) -VSurface Stones
Vegetation 6:m-cs
Landform C'fwas.. P1��
Position on landscape (sketch on the back)
Distances from:
Open Water Body /'20`' feet Drainage way 1,5-C feet
Possible Wet Area //vim feet Property Line 20 feet
Drinking Water Well feet Other —
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, %
Gravy,e
-3,
cS V6.4 e3
I ty'z S c
low , able
�y
y 7& 'Y9 /9 1 vcue i�,•�� 6�c .
Mecoeem
o S7.
X13
thele tom
qrs�
MINIMUM OF 2 HOLES REQUIRED AT EVERY PAZP7.
Parent Material(geologic) �/Jcildi6l�+� G(i� w'uSGt DepthtoBedrock:
Depth to Groundwater: Standing Water in the Hole: !3 Weeping from Pit Face: —
Estimated Seasonal High Ground Water:
DEP APPROVED F0101• 12/07/95
FORM 11 - SOIL EVALUATOR DORM
Page 2 of 3
Location Address or Lot No. /,:5 6/ICS/ ST, /L/. d-,Q 00a
Dn-site Review
Deep Hole Number Date: 3�a�4y Time: /�' �`� Weather
y
Location (identify on site plan)
Land Use Slope M ? Surface Stones e
Vegetations*ss
Landform /-/oi;.4 .._
Position on landscape (sketch on the back)
Distances from:
Open Water Body /5-41 feet Drainage way /sU feet
Possible Wet Area feet Property Line ;20 feet
Drinking Water Well .7 i00 feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, %
Gravel)
3/2
trccq c=c.rJ
�sy
m«
D.si
Ml LES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material (geologic) lei ! £/c w�s�, DepthtoBedrock:
Depth to Groundwater: Standing Water in the Hole:
.r ��� r Weeping from Pit Face: �z —
Estimated Seasonal High Ground Water:
ki
DEP APPROVED F0101-12/07/95
FORM II - SOIL LVALUATOR FORM
Page 3 of 3
Location Address or Lot No.
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole ... .. inches
❑ Depth weeping from side of observation hole .. inches -
, 7❑W Depth to soil mottles 'f` inches TPs 1, 2-
El
Ground water adjustment feet
Index Well Number _. . ........ Reading Date ................. Index well level ..................
Adjustment factor ...... Adjusted ground water level _........ .....................
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? d e.
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on 4V ftr (date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
Signature ADate
DEP APPROVED FORM-12/07/95
F i
Page 1 of 5
9A-APPLICATION FOR LOCAL UPGRADE APPROVAL
Commonwealth o Massachusetts
f i
North Andover, Massachusetts
Application for Local Upgrade Approval
Title 5, 310 CMR 15.000
DEP approved form required by 310 CMR 15.403(1)
To be submitted to Local Approving Authority/Board of Health: For the upgrade of a
failed or non-conforming system with a design flow of<10,000 gpd, where full
compliance, as defined in 310-CMR 15.404(1), is not feasible.
To be submitted to DEP: For the upgrade of a failed or non-conforming system with a
design flow of 10,000 up to 15,000 gpd and/or for upgrade of state of federal facility,
where full compliance, as defined in 310 CMF 15.404(1), is not feasible.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that
includes the addition of new design flow to a cesspool or privy or the addition of new
design flow above the existing approved capacity of a system constructed in accordance
with either the 1978 Code or 310 CMR 15/000.
1) Facility/System Owner:
Name: �-
Address: �t:�Ei 1 ,10 77-r ,�ti'n6, R
Phone#: 9,3 7c:
Address of facility: 5 r� -S nc �, fL , -1
2) Applicant (if different from above)
Name:
Address:
Phone#:
3) Type of Facility:
Residential Commercial School Institutional
(Specify) S.n�'_t- =:;g,,<y fto-,mac
ri
i
Page 2 of 5
4) Type of Existing System:
_privy cesspool(s) conventional system
other(describe)
Type of soil absorption system (trenches, chambers, pits, etc.) 1.
I
5) Design Flow Based on 310 CMR 15.203:
a) Design flow of existing system 7 gpd
Approved: ?yes Approval date:
no Why:
b) Design flow of proposed upgraded system IYO gpd Why
c) Design flow of facility yD d
6 Proposed upgrade of existing system is:
a) _Voluntary
required by order, letter, etc. (attach copy)
Required following inspection required by 31 CMR 15.301
(provide date inspection form was submitted to the approving authority)
(date)
b) Describe the propose-/d upgrade to the system:
�e P14 c e. 7'v Te,
c) Whio of the following are applicable to the proposed upgrade?
Reduction of setback(s) (list setbacks to be reduced with proposed setback
distances) Tc, Pv p y 1. f•n t 7Z' 7
Percolation rate of 30-60 minutes per inch(state actual perc rate)
Up to 25% reduction in subsurface disposal area design requirements (state
required & proposed size)
Relocation of water supply well (identify well, describe relocation)
Reduction of required separation between bottom of SAS & high
groundwater(specify proposed reduction& perc rate)
f
Page 3 of 5
Other requirements of 310 CMR 15.006 that cannot be mei(specify sections
of the code)
System upgrades that cannot be performed in accordance with 31 CMR 15.404 &
15.405, or in full compliance with the requirements of 310 CMR 15.000, require a
variance pursuant to 310 CMR 15.410-15.417.
7) 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 ground water elevation
pursuant to 310 CMR 15.405(1)(1)(1). The evaluator must be a member or agent
of the local approving authority:
Distance from soil absorption system to high groundwater feet
As determined by:
Evaluator's name:
Evaluator's Signature:
Date of evaluation:
8) Notice to Abutters:
No application for upgrade approval in which the setback from property lines or a
private water supply well is reduced shall be complete until the applicant has
notified all abutters whose property 9or well is affected by certified at least ten
days before the Board of Health meeting at which the upgrade approval will be on
the agenda. Such notice shall include the date, time and place where the upgrade
approval will be discussed.
If the department is the approving authority, then such notice to abutters must be
completed prior to the date of submission of the application to the department.
The notices to abutters shall include a copy of the completed application form and
shall reference the standards set forth in 310 CMR 15.402 through 15.405.
Page 4 of 5
List of affected abutters:
Abutter Name Date notified C44ts
Address 2,3 Gc,/L rs r
Abutter Name Date notified
Address
Abutter Name Date notified
Address
Abutter Name Date notified
Address
9) Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible
(each section must be completed):
a) An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
di.3/� O�fj,/ I S ht_'G� �'X[S 71✓l(I �t�c.iC CIHC.� (iU l' {�e(ys,.,,
b) An alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible.
•� t sS o�.� is G.t ai�/�'.?c.f/„c v�tf�.tt
v
c) A shared system is not feasible.
^ L /
— 'c a c�/GCC.. :7.v//'✓=7 is S✓t Lei
d) Connection to a sewer is not feasible.
NJ SC w Ort /9Pw 4.
10) An application for a disposal system construction permit, including all required
attachments (e.g. plans & specifications, site evaluation forms), must accompany
this application. Is the DSCP application attached?
yes no
Page 5 of 5
11) 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 knowing violations."
J'
Cosy v?S l c
Facili wner's Sign /r Date
Print Na e
9—r'� n-, S G�rY 2 `j S
Name of reparer Date
69 6 /T
Telephone No. & Address of Preparer
NOTE: Title 5, 310 CMR 15.403(4) requires the system owner or operator to submit
to the Department a copy of the local upgrade approval upon issuance by the Board of
Health and prior to commencement of construction.
1 •y I
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