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HomeMy WebLinkAboutMiscellaneous - 16 OGUNQUIT ROAD 4/30/2018 (2) � a Lot & Street �GU,V�y�r r"�� q ' IVIap/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: C i NO Permits ���� Plan Approval: Date: �� // /� Approved by - Designer: Designer: �y,� Plan Date: Conditions- Water Supply: Town Well. Well Permit: �— Driller: Well Tests: Chemical Date Approved Bacteria I Date-Approved Bacteria II Date Approved Plumbing,Sign-Off. Comments: Wiring Sign-Off: Form "U" Approval: Approval to-Issue: Date Issued NO Conditions: By' Final Approval: All Permits Paid? Well Construction Approval? YES NO Septic System Construction Approval? Certification? S', NO Other M�� NO NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: � b APPROVED Y: /� SEPTIC SYSTEM INSTALLATION r Is the installer licensed? NO Type of Construction: FAIR REP New Construction- -Certified Plot Plan Review NO --Floor Plan Review YES NO - -- Conditions of Approval from Form U YES NO _Issuance of DWC permit: - NO -DWC Permit Paid? — YES NO . —DWC Permit# O Installer: Begin-Inspection:- — YES NO _Excavation Inspection: --Needed: Passed: _ By: _Construction Inspection: Needed: As Built Plan Satisfactory: YES: r _ Approval of Backfill: Date: By: ' -Final Grading Approval: Date: By:_ Final Construction Approval: Date: / //� J By. Certificate of Compliance: Approval- Date: ��' FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT /' a /x �.A PHONE x ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION Cu U ' �1, f'" �r ���t� ... LOT NUMBER STREET --,4YSTREET NUMBER ■.■■■■■■..■■ V■■ ■■..r ■. r.....■■■■....■■■....■.......■■....■.......■■■ OFFICIAL USE ONLY RE MACNDATIONS OF TOWN AGENTS e. ,� 6` C07imfm DATE APPROVED i C SERVATION ADMINISTRATOR DATE REJECTED CONDAENI'S y�� �� �� ^, ell DATE APPROVED P R DATE REJECTED COMMENTS DATE APPROVED FOOD INSP OR- TH DATE REJECTED DATE APPROVED '- SE EC-TOR-HEALTH DATE REJECTED CONMfENTS 0 It- PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONUVIENTS RECEIVED BY BUILDING INSPECTOR DATE INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property ff KY at i p // A 0 Gvl)ePvr relative to the application of esf C�/div dated _for plans by 4 V:/ and dated with revisions dated I understand and agree to the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable . 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a)' Bottom of Bed—generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final Inspection—Engineer must first do their inspection for elevations,ties,etc. As-built or verbal OK from engineer must be submitted to BOE,after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site. 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank,D-box,pipes,stone,vent,pump chamber,retaining wall and other components. 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: p . f : Town of North Andover, Massachusetts Form No.2 • f 40*Tol BOARD OF HEALTH 9g O � • � s DESIGN APPROVAL FOR ss"C"°SE` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant `- �'� Test No. Site Location T �� G,C� .L�06 Q GUAVQU/T • Reference Plans and Specs._/1J-15UE P615�_ ENGINEER 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 OF HEALTH Fee Site System Permit No. /� Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH �a Y gORTh OL F A DISPOSAL WORKS CONSTRUCTION PERMIT ,SSACMus�� Applicant qM ADDRESS TELEP E Site Location � Permission is hereby granted to Construct (✓for Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN, BOARD OF HEALTH 1,x.0�2 Fee `�5 D.W.C. No. "� APPLICAT R D ION FOR ISPOSAL WORKS CONSTRUCTION PERMIT � L DATE: Q 60 U CURRENT INSTALLER'S LICENSE# LOCATION: w ! l l G 0 5L) C �y � G( LICENSED INSTALLER: e ' e-� �e e-,�►_- SIGNATURE: /' /�. l �t�c�. TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No Approval � PP '//./���'� Date: /� Q 5 IOL-Iyyy / �MF'M FROM P 2 " I JAN 2 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(constructed; ( )repaired; bv�nt�T CS 6 located at `6' i t� (� 6v was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# , dated , with an approved design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000,Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. C ,M Bed inspection date: ��'1 0 > Y►�l yV` ,,,� (0,1 o 10i) Eng eer Representative Final inspection date:—q4t 4P En&eer Representative IyvL, 1/0r ' Installer: PCT . (G-e-1-11 Lic.#: Date: Design Engineer: Q,�� .YV"%- 'r1i1Date: 1 Z Zg 00 NORT" 0 0 over ass., �/� 'D O ° lover, M �f� COC MIC W7 K � '7 A°Rgreo PPS\ 5 '9S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic -IMUIDING INSPECTOR THIS CERTIFIES THAT :.......................�s ......... �1.. Y�. r� .... ......dj!� Founda............. ....................... .............. tion has permission to erect........../.......................... buildings on�.. .... l`...... . .. . .......... ........... Rough- to be occupied as lyr I.. 464..141a 41/1-60.0 1` s�!v AW&44pev. Chimney ... .... .... provided that the person accepting this permit shall in every respect conform to the terms the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M g40A P >14 )f /a ys� PLUMBING INSPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. ° PERMIT EXPIRES IN 6 MONTHS1 UNLESS1CONSTRUCTI N T ECTRIC T ✓� ♦ ou / .... . ........... .... ................................ BUILDING INSPECTOR !> ` •0� O� l Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 4xk?�Z— No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. m ASSAD�H�SE s 'Record +� Y ' ,�z, ,� <,j1v.1�, r;,;. �•ir.Q'1,;�'�;,• ,�,,,,;�,�1..., , {:�;;� �:''�'` OCT — 92008 D�P.hai provided jhli loan for �'so a, ;oval 6oarca o��` , D© iucrr,l{lod (o the local BOarc cr noa�(n r :; o'tSys;am�p_.� or c�nor e:ppr:Ovf_ng e�cr'),( ...,••„ . A. Facility Inforr��tlon � r 74 JILelu G ti,( 000(lQl `�KJ� UM CI[Y/Torm '�• Nuel '�,., i• ,'r. ,l'.e,.. __7..............pm bcaUpn) (S TCopnone 1� 8� p,umPIng Record ` � •{.V•fit;.�,�, •.r,.%(„ .,J�i•, I,q�, ,. .. 3. r y 90( 6 r P y3(9m, .. �a99p001( : :.. 9 ep(1C Tenn •,. �•, � ...;,.,, � 'S^t Tens r Effj m Tee Rio(P rmn(? r� Y09 0 �'.,. ya9, n'89 1' laanev r7 — ` :•...r�' ,rrT:r'S:l;'oj!" I�'1llilr` Yes �:C.oridlpon'PGSy;` ,i. •� ': --------------- h'G ' ', ,:+;,.:.,.).•.',�.�;��'%' ung zw';;:;', ' ' ;''�'.,ti , _., , c�,r``''.,'.�'/�}�. ) �f. ��',� •(,', ,(�j'.;fi'¢��:� V hl ' can on where corllonl�'ware d( - ;� .,�,�',�. ••,,. .1,,�� :iii,,. Y ,- •mess.gov/daF,�wslsr/epprovalsJf6(orms•nlvrvinspacl ?:5.;,y;,r �,f'•:.'rb�,t.ti:(t,iyt��,�y�.�•.•S�y,�;�,i•�` !•�r', ., , o ,., ';Y• ',lil:'i i�:41'J�li!.v"Y;r•1�:.J'"r'•. �c�wty W JY97'BN•1 PlJMPINU iY51'6M OWNQRestiTITY M% _... . .......... ._..._ ....... . PUMN@C t5-ot .. oo I�"' ' 5vuuc rvKb ON 3r Ame: XVVrlrr� rr�/ CnlbKt,ll;!vt, , OOOb �N01'J'IUN YVU. f'U Cu'yhk POT'3.: . L aACKNt tc,Q K uN • �4LrDC�RJ�YpY�X,......orneR'�xPtr,�IN � Q � Uh Vt�N I'J r Xxbv 11 • y TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 1/16/01 This is to certify that the individual subsurface disposal system constructed (X ) or repaired () by Peter Breen at Lot 11 A(16) Ogunquit Road 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. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Gam- Board of Health Inspector AS-BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP &PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS F LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE ✓ TIES TO LOT LINES & DWELLING, WELLS L�--a. FROM SEPTIC TANK ✓b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM t� LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW LOCATION& ELEVATIONS OF BENCHMARK USED INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initials. A. Bottom of Bed 1. Excavation to proper depth 2. With trenches,sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation,etc. , Comments: B. Retaining Wall 1. Wall height and widthecified 2. Waterproofed 3. Wall minimum 10'to leachin facility 4. Wall meets specifications of pi Comments: C. Building Sewer 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 3. Watertight joints 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8"per foot minimum 6. Pipe properly set on compact firm base ,�- 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90°change 10. 10' minimum offset to water line Comments: D. Septic Tank 1. Level ��- / // 7/L 2. 1,500 gal minimum 3. Gas baffle present on outlet 4. Manhole to grade 5. Manholes over center and each tee 6. 3-20"manholes 7. Inlet tee minimum 12"under invert 8. Outlet tee minimum 14"under invert 9. Outlet line cemented 10. Air space 3"above tees 11. 2"-3"drop from inlet to outlet �- 12. Pipe set 13. Compact base with 6"of 1/4"crushed stone under tank ✓ 14. Tank is watertight Comments: / 2 Yes NO E. Pump Chamber 1. If separate from tank,compact b9se with 6"of stone underneath 2. Minimum 2"pipe to d-box if gravity system 3. 20"access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch 12. Pump delivers liquid to d-box Comments: F. Distribution Box 1. D-box level 2. Minimum 0.1 T'(2")drop from inlet to outlet 3. Minimum 6"sump 4. Outlet pipes show equal distribution i 5. Compact base with 6"of stone beneath box c. 6. Box is watertight 7. All lines cemented with hydraulic cement ✓/ 8. Schedule 40 pipe ✓ Comments: G. Soil Absorption system 1. All stone double-washed-'/P- 1 '/�" l -pea stone Bucket test done? 2. Minimum 2".of pea stone above distribution lines 3. Minimum 6"stone beneath pipe ✓ 4. Distribution lines capped or connected together 5. Grading meets 3:1 slope 6. Minimum of 9"of fill graded over system 7. Toe of slope stops minimum 5'from edge of property; if not,then Swale. Comments: H. Leach Trenches 1. Minimum 2 trenches 2 -� 2. Length of trenches agree with plan. (Max.length 100') ✓ 3. Width of trenches agree with plan-Minimum 2';maximum-4'. 4. Vent present if<50 feet or specified ✓ 5. Distance between trenches minimum 4'and maximum of 6' 6. Minimum distance between trenches 10' 7. Pipe slope minimum 0.005 or 6"per 100' 8. Depth of trenches below outlet invert minimum of 6". y i Yes NO 9. Pipes set on stable base. Comments: 1. Leach Field I. Maximum len of field 100' 2. Pipe slope minim >Q.005 or 6"per 100' ' 3. Separation between pipe 6'maximum 4. Pipes connected at end 5. Separation between adjacent fiel 0'minimum 6. Pipes set on stable base 7. Maximum 4'separation from edge of field first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: J. Leaching Pits 1. Minimum inlet pip " 2. Pits of concrete 3. Sidewall between I2"and 48"w' 4. Access manholes on each pit 5. Pipes cemented with hydraulic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9"soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond Dec 28 00 02: 21p Thomas Neve Rssociates 978-887-3480 p. 2 HUM P.2 "OWN OF NORTH ANDOVER SEWAGE DISPOSAL,SYSTEM LNSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(c-)`constructed; ( )repaired; by I r 1 & Iocated at �� 'was installed in conformance with the North Allover Board of Health approved plan, Systcm Design Permit# ,dated ,with an approved design flow of gallons per day. The materials usad were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health, .Bed inspection date: Engineer Representative final inspection date: 11 f 1 m oo tngmecr Representative Installer: PCT Lic.#; d��Date: ✓ o Design Engineer: `-\ Date- 12 Z� 00 i JAN " 5 Jul -19-99 08:30A Paul D. Turbide, PE/PLS 508-465-0313 P.02 July 19, 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 Lot 11 A Ogunquit Road Dear Sandra, I find that the revised design plans dated May 12, 1999 adequately address the concerns outlined in my report dated May 11, 1999. If you have any questions or comments please feel free to contact me, Sincerely Carlton A. Brown, PE/PLS Ogunquit Lot I Ia2.doc Lot I 1 A Ogunquit Road 0 DT RI ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburyporl,MA . 07950 (978)465-8594 a: r i THO Elol.NEVE ASS CIATINC. July 2, 1999 Sandra Starr Health Administrator 27 Charles Street North Andover, MA 01845 Re: Lots 11A & 12C Ogunquit Road Dear Sandy: We are in receipt of your disapproval'of Lots 11A & 12C Ogunquit Road dated May 12, 1999. Please find enclosed 3 prints of the revised plans as well as additional information for your review regarding the above-referenced lots. The following revisions have been made to both Lots 11A& 12C: 1. Assessors map and parcel numbers have been added to the plans. Please note that the parcel numbers are specified as "portions of since the Assessors Office has not yet revised their maps to show the division of the lots as shown on the approved subdivision plans. Also, the lots have not yet been assigned street numbers. 1 2. Abutters names have been added to the plans. The following information/comments are in response to your comments regarding each individual lot. Lot 1 The finish grading required to meet the breakout requirement at the front of the lot does encroach onto the front right corner of Lot 10A. Please be aware that the approved grading for the new roadway at the front of Lots 10A and 11A, as shown on the plan, achieves the breakout requirement. Therefore, before construction even begins on Lot 11A the roadway sideslopes will be constructed and no grading will be required on Lot 10A. Lot 12C: The minimum setback distances shown in 310 CMR 15.211 are for septic tanks and soil absorption systems. The definition of soil absorption system, 310 CMR 15.002, does not include • ENGINEERS LAND SURVEYORS LAND USE PLANNERS 447 Old Boston Road U.S. Route#1 (978)887-8586 Topsfield, MA 01983 FAX(978)887-3480 Ms. Sandra Starr Page 2 July 2, 1999 the distribution box or distribution lines. Therefore, we believe the distribution box and distribution lines are not required to be 10 feet off the property line. Based on the groundwater elevations determined in test pits 97-1, 97-2 and 99-2 there does not appear to be a groundwater gradient in this area, it is more of an established water elevation. If a gradient was present groundwater elevations down slope of pit 99-2 would have to be lower than those established in pit 99-2 and that is not the case. The exact opposite has occurred, the existing grade at pit 97-1 is 2.5 feet lower than that at pit 99-2 yet the groundwater elevation is approximately the same, it is actually a little higher. I do not anticipate that moving up slope approximately 10 feet, approximately 0.7 feet in elevation,will raise the water table 0.5 feet. Therefore, I believe that the chosen design groundwater elevation is correct for this design and no revisions to the elevations on the plan are required. Title 5 does not address detention ponds as an individual structure but they do discuss several types of open, surface or subsurface drainage systems. The detention pond would classify as an open drainage system requiring only a 10 foot offset as it does not intercept groundwater. Under the Stormwater Management Policies prepared by the state, the guidelines suggest a 50 foot setback from a detention basin and a septic system leach field (see attached). This guidance was used for the design of the subdivision drainage as well as the lot developments around these structures. Since the pond is downgradient from the proposed leach trenches and the 100 year flood elevation of the pond is 4.3 feet lower than the bottom of the proposed trenches I see no adverse impacts that this pond may have on the leaching facility or vice versa. The pond cannot be relocated further from the proposed system as the proposed finish grading for the pond is up to the 25 foot no cut zone associated with the wetlands on the property. I hope this additional information answers your concerns. If you have any further questions please do not hesitate to call. Sincerely, THOMAS E. NEVE ASSOCIATES, INC. John M. Morin, PE Executive Vice President JMM/kmm Enclosures cc: Peter Breen #550 Breenl 1A-12C.wps Stormwater Management Volume Two: Stormwater Technical Handbook March 1997 I L � _ Prepared by.- MA y:MA Department of Environmental Protection CZM MA Office of Coastal Zone Management [Extended] Detention Basins Maintenance Detention basins should be inspected at least once per year to ensure that the basins are operating as intended. Inspections conducted at intervals during and after the storm will help to determine if the basin is meeting the expected detention times. The outlet structure should be inspected for evidence of clogging or outflow release velocities that are greater than design flow.Potential problems that should be checked include: subsidence, erosion, cracking or tree growth on the embankment; damage to the emergency spillway;sediment accumulation around the outlet;inadequacy of the inlet/outlet channel erosion control measures;changes in the condi- tion of the pilot channel; and erosion within the basin and banks. Any necessary repairs should be made immediately.During inspections,changes to the detention basin or the contributing watershed should be noted, as these may affect basin performance. The upper-stage,side slopes,embankment,and emergency spillway should be mowed at least twice per year. Trash and debris should also be removed at this time. Sediment should be removed from the basin as necessary, and at least once every 5 years. Providing for an on-site sediment disposal area will reduce the overall sediment removal costs. Summary: Guidelines for [Extended] Detention Basins Site Criteria • For each acre-foot of storage in a detention basin, four acres of drain age area are recommended. The contributing drainage area to any individual detention basin should be at least 20 acres if a permanent pool or wetland is part of the design. • Soils, depth to bedrock and depth to water table at the proposed location of the detention basin must be investigated. Site conditions must be suited to the siting of the detention basin: -- Poorly drained soils may result in standing water. -- Bedrock close to surface may prevent excavation. • The following minimum setback requirements should apply to detention basin installations: -- Distance from a septic system leach field- 50 feet. -- Distance from a septic system tank- 25 feet. -- Distance from a private well - 50 feet -- Distance from the property line-10 feet. Stormwater Management (Volume Two) &A-7 Town of North Andover , NORTH OFFICE OF 3?0` e.1oL COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street ♦ p9 � � North Andover, Massachusetts 01845 s WILLIAM J. SCOTT SACHus Director (978)688-9531 Fax(978)688-9542 May 12, 1999 Neve Associates 447 Old Boston Road Topsfield, MA 01983 RE: Lots 11A and 12C Ogunquit Road Dear Mr. Morin: This letter is to inform you that the proposed septic plan for Lots 11A and 12C Ogunquit Road, North Andover have been disapproved for the following reasons: • Street numbers and Assessors Map and Parcel are missing. (310 CMR 15.220(4)(u)). • Names of abutters are missing from plan. (NA 8.02) For Lot 11A: • The fill required for breakout slope of leaching area extends onto the northwesterly abutting lot. (The breakout elevation required is 1277.) This needs to be addressed through an easement or other instrument. For Lot 12C: • The d-box and distribution lines from same encroach into the 10 foot lot line setback. (310 CMR 15.211) • Holding the groundwater gradient of 57" below the surface requires raising the leaching area by 0.5' to comply with the 4' above groundwater. • The detention pond is located within 100' of the system and may cause problems in the future. Please attempt to locate the pond at least 100' from the septic system. Please do not hesitate to call the Health Department at the number below if you have any questions. Sincerely, Sandra Starr,RS. Health Administrator Cc: P. Breen H. Griffin B.Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 May-11-99 01 :40P Paul D. Turbide, PE/PLS 508-465-0313 P_06 I May 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 review for Lot I IA Ogunquit Road 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. ❑ Street number and Assessor's Map and Lot Number must be shown 310 CMR 15.220(4)(u). ❑ Names of abutters must shown on plan. NA 8.02j o Fill required for the slope of the leaching bed spills over onto the northwesterly lot (Lot l0A?). The breakout elevation required is 127.7'. This would require fill to be placed on Lot l0A from Ogunquit Road to a point just north of Test Pit 10-1. There should be some sort of easement to allow this fill to be placed over the property line. If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown,PE/PLS Ogunquit Lot l Ia.doc f j' Lot I IA Ogunquit Road PODFU ENGfNEERING Civil Engineers& Land Surveyorx One Harris Street Newburyport,MA 01950 (978)465.8594 THO NEVE k°" 2 9 1999 ASS CIAT INC. April 26, 1999 Sandy Starr Board of Health 27 Charles Street North Andover, MA 01845 Re: Lots 11A& 12C Ogunquit Road Dear Sandy: Please find enclosed 3 copies of the revised sanitary disposal system designs for Lots 11A and 12C Ogunquit Road. Also, please find enclosed soil evaluator forms for the additional test pits that were performed on these lots on April 20, 1999. Test Pit 99-1 has been added to Lot 11A. The plan has been revised according to the estimated seasonal high water table established in Pit 99-1. This resulted in raising the system approximately 1 foot. Top of foundation elevation and grading have been revised accordingly. Test Pit 99-2 has been added to Lot 12C. No revisions are required to the plan since the established seasonal high water table in Pit 99-2 is lower than the groundwater elevation used for the design. If you have any questions please do not hesitate to call. Sincerely, THOMAS E. NEVE ASSOCIATES, INC. 12" , m. o- John M. Morin, PE Executive Vice President JMM/kmm Enclosures cc: Peter Breen #684 NABH1 la&12c.wps • ENGINEERS LAND SURVEYORS • LAND USE PLANNERS 447 Old Boston Road U.S. Route#1 Topsfield, MA 01983 (978)887-8586 FAX(978)887-3480 SEPTIC PLAN SUBMITTAL FORM LOCATION: NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: �� NO DATE: )-L,?, YZ?2 DESIGN ENGINEER: Il/e'U-e- elSS 0 G I cc l S ?Y7 F5.—9 6 DATE TO CONSULTANT: *If you want your plans expedited, please submit four 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. t\� �\ \f, � \ 4 � � '•✓'l v '�,, i� _j \�\{ `�r�.�2��r+��'s='<�At^�}[Ift � ,,s;r .y.1'bl•••• _ \K_ .:�. !J. � y ) - \ \:J _ � �. �J_ \�:~ Y� L"4. � Yhy i�'�; }'_�4s.'{ fa�f!`��i�t �)`" jS tz :+ a rr 1 M 11.1', e }yfF #:fl� ��a,-, { y �,,• CCC � � � � �F� � � �\ V � •�/�'� \ --t�1 KfEd ��.'h �. 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Andover, MA Telephone# (978) 687-7774 i I New ConstructionX❑ Repair Office Review Published Soil Survey Available: No Yes Year Published 1981 Publication Scale V= 1320' Soil Map Unit CrC(Charlton) Drainage Class well drained Soil Limitations moderate (slope,large stones) Surficial Geologic Report Available: No P�-] Yes Year Published Publication Scale Geologic Material(Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes X Within 500 year flood boundary No X Yes Within 100 year flood boundary No X 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 Below Normal Other References Reviewed: DEP APPROVED FORM-12/07/95 soilevlsam FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. Lot 11A- Ogunquit Road On - Site Review Deep Hole Number 95-11-1 Date 8/18/95 Time AM Weather Location(identify on site plan) Land Use Slope(%) 6.0 Surface Stones Some Vegetation Wooded Landform Position on landscape(sketch on the back) See Plan Attached Distances from: Open Water Body N/A feet Drainage way 210 feet Possible Wet Area 130 feet Property Line 20 feet Drinking Water Well N/A 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) 0 - 611 A None 6 - 36" Bw None Very Bldry 36 - 50" C1 F.S.L. 2.5Y6/4 40" 50 - 96" C2 Gr.S.L. 10YR5/8 ------------- *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Depth to Bedrock: Norte Depth to Groundwater: Standing Water in the Hole: None Weeping from Pit Face: None Estimated Seasonal High Ground Water: 40" DEP APPROVED FORM-12/07/95 soilevlsam FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. Lot 11A- Ogunquit Road Determination for Seasonal High Water Table Method Used: Depth observed standing in observation hole inches aDepth weeping from side of observation hole inches Depth to soil mottles 40 inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/94 1 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-�i., � �Date //Z 7_/9 9 DEP APPROVED FORM-12/07/95 soilevlsam I i FORM 12 -PERCOLATION TEST Location Address or Lot No. Lot 11A- Ogunquit Road COMMONWEALTH OF MASSACHUSETTS North Andover, Massachusetts Percolation Test* Date: 8/18/95 & 9/4/86 Time: AM Observation Hole# P11-1-A (8/18/95) TP 22 (9/4/86) Depth of Perc 56 - 68" 52 - 6811 Start Pre-soak 11:09 10:49 End Pre-soak 11:24 11:04 Time at 12" 11:24 11:04 Time at 9" 11:35 11:17 Time at 6" 11:48 11:38 Time (9"-6") 13 21 Rate Min./Inch 5 7 *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed 17X Site Failed F7 Performed By: Steven D'Urso Witnessed By: Sandy Starr(P1 1-1-A) /Mike Graff (TP22) Comments: DEP APPROVED FORM-12/07/95 Perctest.SAM FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 No. Date: 4/26/99 Commonwealth of Massachusetts North Andover, Massachusetts Soil Suitabilitv Assessment for On-site Sewage Disposal Performed By: Thomas E. Neve Date: April 20, 1999 Witnessed By: Sandy Starr Location Address or Owner's Name peter&Kerry Breen Lot# 11A Ogunquit Road Address and 770 Boxford Street,N. Andover,MA Telephone# (978) 687-7774 New Construction ❑X Repair Office Review Published Soil Survey Available: No 71 Yes Year Published 1981 Publication Scale V= 1320' Soil Map Unit CrC(Charlton) Drainage Class well drained Soil Limitations moderate (slope,large stones) 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 X Within 500 year flood boundary No X Yes Within 100 year flood boundary No X 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 Below Normal Other References Reviewed: TVVVN OF NORTH At Q0VEF1/ RO�43iD OF'J" `'�i DEP APPROVED FORM-12/07/95 soilev2.sam � s i FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 I i Location Address or Lot No. Lot 11A- Ogunquit Road On - Site Review Deep Hole Number 99-1 Date 4/20/99 Time PM Weather 50 F,cloudy Location(identify on site plan) Land Use Slope(%) 6.0 Surface Stones Some Vegetation Wooded Landform Position on landscape(sketch on the back) See Plan Attached Distances from: Open Water Body N/A feet Drainage way 220 feet Possible Wet Area 180 feet Property Line 20 feet Drinking Water Well N/A 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) 0 - 811 A F.S.L. 10YR4/3 None Single Grained 8 - 18" Bw F.S.L. 10YR5/6 None Single Grained 18 - 108" C F.S.L. 2.5Y6/4 50" Massive 10YR5/8 15 - 20% Cobbles & & 2.5Y6/3 Stones (M3P) Obs. GW @ 96" 108" Cr *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) Glacial Till Depth to Bedrock: 108" Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 9611 Estimated Seasonal High Ground Water: 5011 DEP APPROVED FORM-12/07/95 soilev2.sam FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. Lot 11A- Ogunquit Road Determination for Seasonal High Water Table Method Used: 71 Depth observed standing in observation hole inches 71 Depth weeping from side of observation hole inches MDepth to soil mottles 50 inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not,what is the depth of naturally occurring pervious material? Certification I certify that on 11/95 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 Date 4/26/99 DEP APPROVED FORM-12/07/95 soilevlsam Commonwealth of Massachusetts City/Town of North Andover System Pumping Record OCT I GSM Sv,y`v Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Uther forms may a 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 within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important: _ - When filling out s tion: forms on the ` L computer, use T only the tab key �" d-- WS to move your ndover Ma 01845 cursor-do not City/Town State Zip Code use the return key. 2. System Owner: r� eL Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of PumpingDate r I 2. Quantity Pumped: Gale 3. Type of system: ❑ Cesspool(s) ❑ Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 1 6. System Pum ed By: _ , t Name Vehicle License Number Stewart's Septic Service Company 7. Location here contents were disposed: Stewa - Pre-tr at t la t, 20 So. Mill Bradford, Ma 01835 ign ture of Hau Dt) C Signature a Fa ility Dat (/ t5form4.doc•03/06 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts -Maw P qi City/Town of System Pumping Record DEC 10 1010 Form 4 TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health. Other forms may'le 4W,1�I 9*RTMENT information must be substantially the same as that provided here. Before using wim 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 within 14 days from the pumping date in accordance with 310 CMR 15.351, A. Facility Information Important: When filling out 1. System Location: forms on the D P computer,use nq only the tab key Address to move your North Andover ma 01886 cursor-do not CitylTown State Zip Code use the return key. 2. System Owner: - � m Name LfA ge::&j Address(if different from location) City(rown State Zip Code Telephone Number B. Pumping Record _ 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: Cesspool(s) Se tc Tank ❑ Ti ht Tank Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: Old 6. SysrnPumped Narhe Vehicle License Number Stewart Septic Service Company 7. Locati where contents were disposed: Stew r atment Plant 20 So. Mill St, Bradford Ma 01835 Signatu er Date Signature of Receiving Facility Date t5form 4.doc-03/06 System Pumping Record-Page 1 of 1