HomeMy WebLinkAboutMiscellaneous - 172 SUMMER STREET 4/30/2018 (2)4b
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DelleChiaie, Pamela
From:
amcbrearty@verizon.net
Sent:
Wednesday, August 17, 2005 2:44 PM
To:
DelleChiaie, Pamela
Cc:
info@millriverconsulting.com; LisaL@millriverconsulting.com
Subject:
172 Summer Street (lot 2) inspection
R-Fil
CONSTR INSR-172
(aka -Lot 2) S...
Hi Pamela,
Here is the inspection report - clean job. No vents on trench ends,.but
not specified in plan - don't know how we missed that one, but it is how
we approved it...
-andy
1
N
TOWN OF NORTH ANDOVER O e NORTH 1
Office of COMMUNITY DEVELOPMENT AND SERVICES F?
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 9ss�cHuget
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.8476 — FAX
SEPTIC SYSTEM
CONSTRUCTION NOTES
ADDRESS: 172 (aka -Lot 2) Summer Street MAP: 65 LOT: 91
INSTALLER: Steve Iacozzi 978.664.2126
DESIGNER: Christiansen & Sergi
PLAN DATE: 10/4/04 — Last revised: 2/8/05
BOH APPROVAL DATE ON PLAN: 2/10/05
DATE OF BED BOTTOM INSPECTION: 7/26/05 - Michele Grant
DATE OF FINAL CONSTRUCTION INSPECTION: 8/15/05
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE
.GRAVITY DISTRIBUTION
COMPONENT SUMMARY FROM PLAN
7GALLON TANK = 1,500
LOADING OF SEPTIC TANK = H-10
TYPE OF SAS = High Capacity Infiltrator Trenches
DIMENSIONS AND DETAILS OF SAS: 3 at 43.75 feet (7Chambers eachi
SITE CONDITIONS
Comments:
SEPTIC TANK
Comments:
❑x Existing septic tank properly abandoned
❑x Internal plumbing all to one building sewer
❑ Topography not appreciably altered
0 Bottom of tank hole has 6" stone base
❑ Weep hole plugged
E> 1,500 gallon tank has been installed (1-1-10) onolithic)
El Water tightness of tank has been achieved (Visual)
❑x Inlet tee installed, under access port
❑x Outlet tee (gas baffle or effluent filter) installed, under access port
❑ inch cover to within 6" of final grade installed over one access port, must
be over outlet of tank if effluent filter is present
0 Hydraulic cement around inlet & outlet
Page 1 of 3
a o
TOWN OF NORTH ANDOVER °E .NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES 3 .tt�•" , ti°L
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 ��ss�CH„s
Susan Y. Sawyer, REHS/RS 978.688.9540 - Phone
Public Health Director 978.688.8476 - FAX
D -BOX
El Installed on stable stone base
x❑ Hydraulic cement around inlet & outlets
❑x Observed even distribution
❑x Speed levelers provided
Comments:
None.
SOIL ABSORPTION SYSTEM
D
**
n
■
■
Bottom of SAS excavated down to C soil layer, as provided
on plan
Size of SAS excavated as per plan
Tide 5 sand installed, if specified on plan
laterals installed and ends connected to header (and
vented if impervious material above)
Gravel -less disposal systems: type, number and location as
per plan
Elevations of laterals installed as on approved plan
40 Mil HDPE barrier installed
Final cover as per plan
Comments:
**No vents called for on design plan. Trench length did not warrant requiring venting, but North
Andover requires them.
Page 2 of 3
1.
a
INVERT ON DESIGN
PLAN
TOWN OF NORTH o°f
ANDOVER
NORTH
stoma° ° ti
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
216.35
400 OSGOOD STREET
216.16
NORTH ANDOVER, MASSACHUSETTS Ol 845
�9SSACHU5 t�
Susan Y. Sawyer, REHS/RS
978.688.9540 — Phone
Public Health Director
978.688.8476 — FAX
SYSTEM ELEVATIONS
Benchmark: 211.82
Rod at Benchmark: 8.71
Height of Instrument: 220.53
Page 3 of 3
INVERT ON DESIGN
PLAN
INVERT
ELEVATION
Building Sewer OUT
216.36
216.35
Septic Tank IN
216.16
216.35
Septic Tank OUT
215.91
216.07
Distribution Box IN
215.77
215.77
D -Box OUT Manifold
215.62
215.62
Lateral 1 HIGH
216.03
216.04
Lateral 1 Inv
215.62
215.61
Lateral 2 HIGH
215.53
215.44
Lateral 2 LOW
215.12
215.01
Lateral 3 HIGH
215.03
215.01
Lateral 3 LOW
214.62
214.52
Page 3 of 3
NORTH
Town of North Andover
Office of the Health Department
Community Development and Services Division
400 OSGOOD STREET
North Andover, Massachusetts 01845 �s ""'°''��
Sweuust/
Susan Y. Sawyer, RENS/ RS
Public Health Director
978.688.9540 - Phone
978.688.8476 - Fax
CE�I�FIC�A�I�E OAF C090)rIANCE
As of:
September 7, 2005
This is to cert that
the. individual subsurface disposal system
Constructed(X�
by
Steve Iacozzi
At
172 (aka Got 2) Summer Street
x North Andover, 31A 01845
Yfas been installed in accordance with the provisions of Title V of the State Sanitary Code and
with the North Andover Board of Yfealth regulations.
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
r
J
Michele E. Grant '
1t 6lic Yfealth Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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AS -BUILT CHECKLIST
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
TIES TO LOT LINES & DWELLING, WELLS
a. FROM SEPTIC TANK
b. FROM LEACH AREA
V/ LOCATIONS OF DEEP HOLES & PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
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
V/ LOCATION & ELEVATIONS OF BENCHMARK USED
cyf
4119.1
Town of North Andover VWRTM
Office of the Health Department o? °`" °
Community Development and Services Division
400 Osgood Street
North Andover, Massachusetts 01845 CHU
Michele E. Grant 978.688.9540 - Phone
Public Health Inspector 978.688.9542 - Fax
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIAN
AUGUST 25, 2005 ,
Vis is to
the individtlal subsi
by
,y that
e disposal system
I (X)
Iacozzi
0
171
has been installed in ac 6rdance with the provisions of Titl�
North Andover Board f Health regulations.
The Issuance of certificate shall not be construed as a
satisfactorily. / I
Mich6NXI Grant
Public H lth Inspector
V of the State Sanitary Code and with the
that the system will function
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
VkA
Commonwec of Massachusetts
City/Town of
Certificate of Compliance
Form 3
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
This is to Certify that the following work on an On -Site Sewage ispo a ys e—
(Construction of a new system SEP - 7 2005
❑ Repair or replacement of an existing system
❑ Repair or replacement of an existing system componentTOWN OF IUORTH ANDOVER
HEALTH DEPARTMENT_
Has been done in accordance with Title 5 and the Disposal System Construction Permit (DSCP):
DSCP Number
raclity owner
S Lf Mm ekL s Tt?-a-7-
DSCP Date
Street Address or Lot #
City/Town State Zip Code
Designer Information:
Ki2tS I (�NS��
S' nature
Installer Information:
e 1G ZZ 1
Name f���N
Signature 0
CKC1S%1194CII 'f SLW6(� (NC
Name of Company
Date
%C6i apzd
Name of Company
Date
Use of this system is conditioned on compliance with the provisions set forth below:
The issuance of this certificate shall not be construed as a guarantee that the system will function as
designed.
Approving Authority
Signature
Date
t5form3.doc• 06/03 Certificate of Compliance • Page 1 of 1
FINAL GRADE INSPECTION
Date:
Address:
/ e
V LOAMED?
SEEDED?
❑ COVER PER PLAN?
Other:
DelleChiaie, Pamela
Subject:
Location:
Start:
End:
Show Time As:
Recurrence:
Meeting Status:
Required Attendees:
Michele - Final Grade Inspection
Lot 2 - 172 Summer Street
Thu 8/25/2005 2:00 PM
Thu 8/25/2005 2:30 PM
Tentative
(none)
Not yet responded
Grant, Michele; Sawyer, Susan
Steve lacozzi - installer - 978.479.4407
0 0
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND
HEALTH DEPARTMENT �OOZ
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845
Susan Y. Sawyer, REHS/RS
Public Health Director
.SEPTIC SYSTEM
CONSTRUCTION NOTES
�nu,j'97R"FR32 76�
AUG 18 2005
TOIAiy Of NQ 7 H ANDOVR
ADDRESS: 172 (aka -Lot 2) Summer Street MAP: 65 LO qua T
HDEPF
.
INSTALLER: Steve Iacozzi 978.664.2126 r
DESIGNER: Christiansen & Sergi
PLAN DATE:_ 10/4/04 — Last revised: 2/8/05
BOH APPROVAL DATE ON PLAN: 2/10/05
DATE OF BED BOTTOM INSPECTION: 7/26/05 - Michele Grant
DATE OF FINAL CONSTRUCTION INSPECTION: 8/15/05
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE
GRAVITY DISTRIBUTION
COMPONENT SUMMARY FROM PLAN
;GALLON TANK = 1,500
LOADING OF SEPTIC TANK= H-10
TYPE OF SAS = High Capacity Infiltrator Trenches
DIMENSIONS AND DETAILS OF SAS: 3 at 43.75 feet (7Chambers each
SITE CONDITIONS
Comments:
SEPTIC TANK
Comments:
0 Existing septic tank properly abandoned
El Internal plumbing all to one building sewer
❑ Topography not appreciably altered
M' Bottom of tank hole has 6" stone base
❑ Weep hole plugged
E> 1,500 gallon tank has been installed (H-10) onolithic)
❑x Water tightness of tank has been achieved (Visual)
El Inlet tee installed, under access port
❑x Outlet tee (gas baffle or effluent filter) installed, under access port
❑ inch cover to within 6" of final grade installed over one access port, must
be over outlet of tank if effluent filter is present
0 Hydraulic cement around inlet & outlet
Page 1 of 3
TOWN OF NORTH ANDOVER aoRrN
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS Ol 845 �'�SS CHUs
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.8476 — FAX
D -BOX
❑x Installed on stable stone base
El Hydraulic cement around inlet & outlets
El Observed even distribution
❑x Speed levelers provided
Comments:
None.
SOIL ABSORPTION SYSTEM
70,
❑x
**
F
Bottom of SAS excavated down to C soil layer, as provided
on plan
Size of SAS excavated as per plan
Title 5 sand installed, if specified on plan
laterals installed and ends connected to header (and
vented if impervious material above)
Gravel -less disposal systems: type, number and location as
per plan
Elevations of laterals installed as on approved plan
40 Mil HDPE barrier installed
Final cover as per plan
Comments:
**No vents called for on design plan. Trench length did not warrant requiring venting, but North
Andover requires them.
Page 2 of 3
C)
TOWN OF NORTH ANDOVER NpRTN
Office of COMMUNITY DEVELOPMENT AND SERVICES a p```er°�°�
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 ��SS�CMUS t�
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.8476 — FAX
SYSTEM ELEVATIONS
Benchmark: 211.82
Rod at Benchmark: 8.71
Height of Instrument: 220.53
Page 3 of 3
INVERT ON DESIGN
PLAN
INVERT
ELEVATION
Building Sewer OUT
216.36
216.35
Septic Tank IN
216.16
216.35
Septic Tank OUT
215.91
216.07
Distribution Box IN
215.77.
215.77
D -Box OUT Manifold
215.62
215.62
Lateral 1 HIGH
216.03
216.04
Lateral 1 Inv
215.62
215.61
Lateral 2 HIGH
215.53
215.44
Lateral 2 LOW
215.12
215.01
Lateral 3 HIGH
215.03
215.01
Lateral 3 LOW
214.62
214.52
Page 3 of 3
DelleChiaie, Pamela
From: Sawyer, Susan
Sent: Friday, August 12, 2005 3:02 PM
To: DelleChiaie, Pamela
Subject: RE: 172 (aka -Lot 2) Summer Street - Septic DWC Construction Notes
For your records.
Call received from Dan O'Connell, engineer. As -built ok for insp. at 172 Summer
-----Original Message -----
From: DelleChiaie, Pamela
Sent: Thursday, August 11, 2005 4:11 PM
To: Sawyer, Susan; Grant, Michele
Subject: FW: 172 (aka -Lot 2) Summer Street - Septic DWC Construction Notes
Importance: High
Hi,
Steve lacozzi stopped by today, and said this is ready for a Final Const. Insp. I called C&S to follow-up. They have
not been out there yet. They will be doing up the As -Built tomorrow, so they may call next Monday for the inspection. I
told them to ask for one of you to let MR know to schedule a time to go out.
Thanks.
-----Original Message -----
From: DelleChiaie, Pamela
Sent: Thursday, August 04, 2005 11:54 AM
To: 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Cc: Grant, Michele; Sawyer, Susan
Subject: 172 (aka -Lot 2) Summer Street - Septic DWC Construction Notes
Importance: High
Hi,
The above is attached. This was done by Steve lacozzi - 978.479.4407. Note - I have not received a call for a Final
Const. Inspection yet.
<< File: CONSTRUCTION INSP.-172 (aka -Lot 2) Summer Street.doc >>
5W Rooaads,
Pa#yeBa A90144067,41alO
Health Department Assistant
Town of North Andover
400 Osgood Street
North Andover, MA 01845
978.688.9540 - Phone
978.688.8476 - Fax
http: / /www.townofnorthandover.com
healthdept@townofnorthandover.com
0 0
DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Thursday, August 11, 2005 4:11 PM
To: Sawyer, Susan; Grant, Michele
Subject: FW: 172 (aka -Lot 2) Summer Street - Septic DWC Construction Notes
Importance: High
Hi,
Steve lacozzi stopped by today, and said this is ready for a Final Const. Insp. I called C&S to follow-up. They have not
been out there yet. They will be doing up the As -Built tomorrow, so they may call next Monday for the inspection. I told
them to ask for one of you to let MR know to schedule a time to go out.
Thanks.
-----Original Message -----
From: DelleChiaie, Pamela
Sent: Thursday, August 04, 2005 11:54 AM
To: 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Cc: Grant, Michele; Sawyer, Susan
Subject: 172 (aka -Lot 2) Summer Street - Septic DWC Construction Notes
Importance: High
Hi,
The above is attached. This was done by Steve lacozzi - 978.479.4407. Note - I have not received a call for a Final
Const. Inspection yet.
CONSTRUCTION
[NSP. -172 (aka -Lo..,
$aglRegaodg,
^10104a D000.0elf14110
Health Department Assistant
Town of North Andover
400 Osgood Street
North Andover, MA o1845
978.688.9540 - Phone
978.688.8476 - Fax
http://www.townofnorthandover.com
healthdept@townofnorthandover.com
DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Thursday, August 04, 2005 11:54 AM
To: 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Cc: Grant, Michele; Sawyer, Susan
Subject: 172 (aka -Lot 2) Summer Street - Septic DWC Construction Notes
Importance: High
Hi,
The above is attached. This was done by Steve lacozzi - 978.479.4407. Note - I have not received a call for a Final
Const. Inspection yet.
CONSTRUCTION
[NSP. -172 (aka -Lo...
8080ROW."s,
p4#10.0.1 D04000041u O
Health Department Assistant
Town of North Andover
400 Osgood Street
North Andover, MA o1845
978.688.9540 - Phone
978.688.8476 - Fax
http://www.townofnor-thandover.com
healthdept@townofnorthandover.com
TOWN OF NORTH ANDOVERNORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 ''�Ss�TED
CHjS
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.8476 — FAX
SEPTIC SYSTEM
CONSTRUCTION NOTES
ADDRESS: 172 (aka -Lot 2) Summer Street MAP: 65 LOT: 91
INSTALLER: Steve Iacozzi 978.664.2126 p ,
DESIGNER: Christiansen & Sergi�u�"�`'�
PLAN DATE: 10/4/04 — Last revised: 2/8/05
BOH APPROVAL DATE ON PLAN: 2/10/05
DATE OF BED BOTTOM INSPECTION: 7/26/05 - Michele Grant
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE
GRAVITY DISTRIBUTION
PRESSURE DISTRIBUTION
PRESSURE DOSING
HOLDING TANK
ADVANCED TREATMENT
OTHER
COMPONENT SUMMARY FROM PLAN
.GALLON TANK = 1,500
LOADING OF SEPTIC TANK = 550
GALLON PUMP CHAMBER --
LOADING OF PUMP CHAMBER = -
TYPE OF SAS = Trenches
DIMENSIONS AND DETAILS OF SAS: 3 at 43.75 feet
SITE CONDITIONS
Comments:
❑ Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
❑ Topography not appreciably altered
Page 1 of 4
O
0TOWN OF
NORTH ANDOVER
,►oRTH
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
#. . p
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845
"ss„CN„S S�
Susan Y. Sawyer, REHS/RS
978.688.9540 — Phone
Public Health Director
978.688.8476 — FAX
SEPTIC TANK
Comments:
PUMP CHAMBER — N/a
Comments:
Fj Bottom of tank hole has 6" stone base
❑ Weep hole plugged
1,500 gallon tank has been installed
(H-10 or H-20)(Monolithic or 2 -piece)
❑ Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
❑ Inlet tee installed, under access port
❑ Outlet tee (gas baffle or effluent filter) installed, under access port
❑ inch cover to within 6" of final grade installed over one
access port, must be over outlet of tank if effluent filter is
present
❑ Hydraulic cement around inlet & outlet
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon Pump Chamber installed
(H-10 or H-20) (monolithic or 2 piece)
❑ Inlet tee installed, under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off float working
❑ Drain hole in pressure line
❑ inch cover to within 6" of final grade installed over one
access port
❑ Water tightness of tank has been achieved
Visual or Vacuum Test or Water held for 24 hrs
❑ Hydraulic cement around inlet & outlet
Page 2 of 4
0
0TOWN OF NORTH
ANDOVER
NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES a ``us�
? e�;d
HEALTH DEPARTMENT
N �
9
400 OSGOOD STREET
NORTH ANDOVER; MASSACHUSETTS 01845
�''Ss�CHU
Susan Y. Sawyer, REHS/RS
978.688.9540 — Phone
Public Health Director
978.688.8476 — FAX
D -BOX
❑ Installed on stable stone base
❑ Inlet tee (if pumped or >0.08'/foot)
❑ Hydraulic cement around inlet & outlets
❑ Observed even distribution
❑ Speed levelers provided (not required)
Comments:
None.
SOIL ABSORPTION SYSTEM
L
■
Bottom of SAS excavated down to C soil layer, as provided
on plan
Size of SAS excavated as per plan
Title 5 sand installed, if specified on plan
3/4-11/2" double washed stone installed
1/8-1/2" (Peastone) double washed stone installed
laterals installed and ends connected to header (and
vented if impervious material above)
Orifices @ 5 & 7 o'clock positions
Gravel -less disposal systems: type, number and location as
per plan
Elevations of laterals installed as on approved plan
40 Mil HDPE barrier installed
Retaining wall (boulder / concrete / timber/ block)
Final cover as per plan
Comments:
One load of sand on-site — some fines, but looks okay. Sieve analysis is provided to
inspector.
PRESSURE DISTRIBUTION
❑ inch manifold
❑ laterals installed with end sweeps
size:
material:
❑ Squirt test ft in height
❑ Equal distribution to all laterals
❑ orifice size inch as per plan
Comments:
Page 3 of 4
0 TOWN OF NORTH ANDOVER O NORTH
Office -of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET►",c:,:, r +"
NORTH ANDOVER, MASSACHUSETTS 01845CHU <�
Susan Y. Sawyer, REHS/RS
Public Health Director
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel:
❑ Rated for exterior if placed outside
Comments:
SYSTEM ELEVATIONS
Benchmark:
Rod at Benchmark:
Height of Instrument:
978.688.9540 — Phone
978.688.8476 — FAX
INVERT ON DESIGN ELEV TOP OF INVERT
PLAN PIPE ELEVATION
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN
D -Box OUT Manifold
Lateral 1 HIGH
Lateral 1 LOW
Lateral 2 HIGH
Lateral 2 LOW
Lateral 3 HIGH
Lateral 3 LOW
Lateral 4 HIGH
Lateral 4 LOW
Lateral 5 HIGH
Lateral 5 LOW
Page 4 of 4
TOWN OF NORTH ANDOVER NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES �?
HEALTH DEPARTMENT
400 OSGOOD STREET' ' ,• ,r +�
NORTH ANDOVER, MASSACHUSETTS 01845 "Ss;;CHU
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
SEPTIC SYSTEM CONSTRUCTION NOTES
ADDRESS: SAP:_ LOT:
INSTALLER:
DESIGNER:
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
DATE OF BED BOTTOM INSPECTION: dt 2Ztq&E
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE
GRAVITY DISTRIBUTION
PRESSURE DISTRIBUTION
PRESSURE DOSING
HOLDING TANK
ADVANCED TREATMENT
OTHER
COMPONENT SUMMARY FROM PLAN
GALLON TANK = 5 �'
LOADING OF SEPTIC TANK
GALLON PUMP CHAMBER = —
LOADING OF PUMP CHAMBER =
TYPE OF SAS
DIMENSIONS AND DETAILS OF SAS:
SITE CONDITIONS
Comments:
❑ Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
❑ Topography not appreciably altered
Page 1 of 4
}
Q--- �0
TOWN OF NORTH ANDOVER NORTh
z Office of COMMUNITY DEVELOPMENT AND SERVICES a O`'t
F' 9
HEALTH DEPARTMENT.40-0.
y -
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 �'9S' a<
SwCHUg
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
SEPTIC TANK
Bottom of tank hole has 6" stone base
❑/ Weep hole plugged
/5v0gallon tank has_beeojDs
talled
(H-10 or H-20)Co"an
onolithi or 2 piece)
❑ Water tightness has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
❑ Inlet tee installed, under access port
❑ Outlet tee (gas baffle or effluent filter) installed, under
access port
❑ inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
❑ Hydraulic cement around inlet & outlet
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon Pump Chamber installed
(H-10 or H-20) (monolithic or 2 piece)
[Inlet tee installed, under access port
Elump(s) installed on stable base
❑ Alarm Boat working
❑ Pump &n Gff',float working
El Drain hole in pressure line
❑ inch cover to wlt in 6" of final grade installed over
one access port
❑ Water tightness of tank h been achieved
Visual or Vacuum Tes r Water held for 24 hrs
❑ Hydraulic cement around inlet & tlet
Comments:
Page 2 of 4
Q
TOWN OF N QORTH ANDOVER ct MOR7H �
Office of COMMUNITY DEVELOPMENT AND SERVICES �� ��`,"` ."
HEALTH DEPARTMENT p
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01.845
Susan Y. Sawyer, REHS/RS S"C"us¢
Public Health Director 978.688.9540 — Phone
978.688.9542 — FAX
D -BOX
❑ Installed on stable stone base
❑ Inlet tee (if pumped or >0.08'/foot)
❑ Hydraulic cement around inlet & outlets
❑ Observed even distribution
❑
Comments: Speed levelers provided (not required)
SOIL ABSORPTION SYSTEM
Bottom of SAS excavated down tosoil layer, as
provided on plan
Size of SAS excavated as per plan
Title 5 sand installed, if specified on plan"
❑ 3/4-1 %" double washed stone installed
❑ 1/8-1/2" (peastone) double washed stone installed
❑ laterals installed and ends connected to header (and
vented if impervious material above)
❑ Orifices @ 5 & 7 o'clock positions
❑ Gravelless disposal systems: type, number and
location as per plan
❑ Elevations of laterals installed as on approved plan
❑ 40 Mil HDPE barrier installed
❑ Retaining wall (boulder / concrete / timber/ block)
❑
Comments: Final cover as per plan
PRESSURE DIST. BUTION �- ��4 . Lam( , s'• s �'`
❑ inch manifold �o `" s P
❑ laterals installed with end sweeps
size:
material:
❑ Squirt to ft in height
❑ Equal distribute o all laterals
❑ orifice size inch as p�plan
Comments:
Page 3 of 4
TOWN OF NORTH ANDOVER � N�R7M
(-)-
Office of COMMUNITY DEVELOPMENT AND SERVICES 3?Cet�`ee �61tiooL
HEALTH DEPARTMENT
400 OSGOOD STREET : ^ W.
NORTH ANDOVER, MASSACHUSETTS 01845 �'S' 4r..0
Susan Y. Sawyer, .REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
CONTROL PANEL
❑ i�� rm & Pump are on separate circuits
❑ Alar sounds when float is tripped
❑ Locatio of control panel:
❑ Rated for a erior if placed outside
Comments:
SYSTEM ELEVATIONS
Benchmark:
Rod at Benchmark:
Height of Instrument:
INVERT ON DESIGN PLAN EL -EV @ TOP OF PIPE INVERT ELEVATION
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN
D -Box OUT Manifold
Lateral 1 HIGH
Lateral 1 LOW
Lateral 2 HIGH
Lateral 2 LOW
Lateral 3 HIGH
Lateral 3 LOW
Lateral 4 HIGH
Lateral 4 LOW
Lateral 5 HIGH
Lateral 5 LOW
Page 4 of 4
0 ' 0
SIEVE ANALYSIS 7/26/05
OF SEPTIC SAND
KINGSTON MATERIALS
A Division of Torromeo Industries, Inc., P.O. Box 2308, Methuen, MA 01844 978-686-5634
Kingston Plant at 18 Dorre Road, Kingston, NH Methuen Plant at 33 Old Ferry Road, Methuen, MA
SIEVE SIZE
WEIGHT
INDIVIDUAL
PERCENT
RETAINED
CUMULATIVE
PERCENT
RETAINED
TOTAL%
PASSING
PROJECT
SPEC.
3/8"
0
0
0
100
100
TO
100
#4
10.5
1
1
99
95
TO
100
#8
75.3
11
12
88
80
TO
100
#16
160.9
23
35
65
50
TO
85
#30
197.7
28
63
37
25
TO
60
#50
151.4
22
85
15
10
TO
30
#100
70
10
95
5
2
TO
10
#200
25.1
4
99
1
0
TO
5
PAN
10.3
1
TOTALS
701.2
100
2.9
2.1 TO
3.1
SIEVE ANALYSIS OF SAND -0 TOTAL % PASSING
-�-MIN. DEVIATION
-�E-MAX. DEVIATION
120
100 co
�--
Q
80
60
40-
20
1 2 3 4 5 6 7 8
SIEVE SIZES
SEPTIC SAND DEL TO:
LOT#2 SUMMER STREET
N. ANDOVER. MA
Town of North Andover
Health Department Date:
Location:
(Indicate Address, if Residential, or Name of Business)..
Check #:
Type of Permit or License: (Circle)
➢ Animal
$
➢ Dumpster
$
➢ Food Service - Type:
$
➢ Funeral Directors
$
➢ Massage Establishment
$
➢ Massage Practice
$
➢ Offal (Septic) Hauler
$
➢ Recreational Camp
$
➢ SEPTIC PERMITS:
❑ Septic - Soil Testing
$
❑ Septic- Design Approval
$
3. Septic Disposal Works Construction (DWC) $
❑ Septic Disposal Works Installers (DWI)
$
➢ Sun tanning
$
➢ Swimming Pool
$
➢ Tobacco
$
➢ TrasIVSolid Waste Hauler
$
➢ Well Construction
$
➢ OTHER: (Indicate)'
Health Agent Initials
White -Applicant Yellow - Health Pink - Treasurer
Disposal Works Construction Permit
Permission is hereby granted _ST-EPHEN-1-ACOZZI
to (Construct) an Individual Sewage Disposal System.
at No 172 SUMMER STREET LOT2
as shown on the application for Disposal Works Construction PermitNo. BHP -2005-020 Dated June 24, 2005
-------------------
Issued On: Jun -24-2005
-0-Firlof- Eeait -----
--------------------
Commonwealth of Massachusetts
Board of Health
North Andover
Certificate of Compliance
CWUS
THIS IS TO CERTIFY, That the individual Sewage Dispos stem (Construct)
by STEPHEN IACOZZI
EN 'ACO ZI
liance
os stem (Cons ct)
at No 172 SUMMER STREET Lo
has been installed in accordanc the provisions of TITLE 5 of the State Environmental Code as described in the
spo Co t 95
application for Dispos r s Construction Pennit No. BHP -2005-020 Dated June 24 2005
Printed On: Jun -24-2005
------------
--------------~`^^^~~~~^~^
Commonwealth of Massachusetts Map -Block -Lot
0
Board of Health
Permit No
North Andover BHP -2005-0201
Disposal Works Construction Permit
Permission is hereby granted _ST-EPHEN-1-ACOZZI
to (Construct) an Individual Sewage Disposal System.
at No 172 SUMMER STREET LOT2
as shown on the application for Disposal Works Construction PermitNo. BHP -2005-020 Dated June 24, 2005
-------------------
Issued On: Jun -24-2005
-0-Firlof- Eeait -----
--------------------
Commonwealth of Massachusetts
Board of Health
North Andover
Certificate of Compliance
CWUS
THIS IS TO CERTIFY, That the individual Sewage Dispos stem (Construct)
by STEPHEN IACOZZI
EN 'ACO ZI
liance
os stem (Cons ct)
at No 172 SUMMER STREET Lo
has been installed in accordanc the provisions of TITLE 5 of the State Environmental Code as described in the
spo Co t 95
application for Dispos r s Construction Pennit No. BHP -2005-020 Dated June 24 2005
Printed On: Jun -24-2005
------------
--------------~`^^^~~~~^~^
� V
TOWN OF NORTH ANDOVER0
00erM
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT h . A
49
400 OSGOOD STREET
NORTHANDOVER, MASSACHUSETTS 01845 �s•,,.o �'�
sACMU$t
978.688.9540 — Phone
Susan Y. Sawyer, REHS/RS 978.688.9542 — FAX
Public Health Director healthdept n@townofnorthandover com - e-mail
www.townofnorthandover.com - website
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE:_ C7
LOCATION: % o� Lo
LICENSED INSTALLER NAME: 5l2Q
PLEASE PRINT
SIGNATURE:kjk---t� TELEPHONE# 9'7F9? l J1f07
4 CHECK ONE:
FULL SYSTEM REPAIR:
($250)
COMPONENT REPAIR (indicate what parts): ($125)
NEW CONSTRUCTION: �� O
* If NECONSTRUCTION lease attach the Foundation
p As -Built Plan.
$250.00 or $125 Fee Attached? Yes No
Project Manager Obligation From Attached? Yes No
Foundation As -Built? Yes No
Floor Plans? Yes No
Approval of Health AgentDate: Z d 5
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the
property at U, Yl�q relative to the application
— Cozzi
ofL' dated �� 0=� for pl s by �—� and
dated with revisions dated
I understand the following obligations for management of this project:
1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior
to performing any work on a site. I must have the approved plans and the permit on site
when any work is being done.
2. As the installer I must call for any and 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 three shall be applicable.
3. As the -installer I am required to have the necessary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection, without
completion of the items in accordance with Tile 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 Board of Health, 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.
4. As the installer I understand that only I may perform the work (other than simple excavation)
required 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 to operate in the Town of North Andover; significant fines to all
persons involved are also possible.
5. As the Installer I understand that I must be on site during the performance of the following
construction. steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff or consultant.
d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other
components.
6. As the installer I understand that I am solely responsible for the installation of the system as
per the approved plans. No instructions by the homeowner, general contractor, or any other
persons shall absolve me of this obligation.
Undersign d cense S ptic Installer
Date: o
Disposal Works Construction Permit #
CHRISTIANSEN & SEQI,, INC. Q
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830-6318 (978) 373-0310 FAX: (978) 372.3960
February 9, 2005.
Ms. Susan Sawyer
Public Health Director RECEIVED
North Andover Health Dept.
400 Osgood St. FEB 0 9 2005
North Andover Ma. 01845
TOWN OF NORTH ANDOVER
RE: Lots 2, Summer Street, North Andover, MA—HALM °rP,�TMENT
Dear Ms. Sawyer,
Per our phone conversation, please find attached three copies of the revised designs
dated February 8, 2005. As was explained in our letter to you dated January 3, 2005 the
change reflecst the moving of the reserve areas from the south side of the primary areas
to the north side iri order to avoid the 100' buffer to a newly discovered BVW on an
abutter to the south's 1'of. Should you have any questions please feel free to contact me
P. Willis, P.E.
Via hand delivery 2/9/05
Enc.
cc. North Andover, Realty Corp.>fiie #97066
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT PHONE 2 �8 �d3 6 G
LOCATION: Assessor's Map Number PARCEL �( l
I �Z
U� SUBDIVISION 5o /)AST LOT (S)
/� STREET 7� : Vle Aa St' ST. NUMBER I�c�
********************* *****OFFICIAL USE ONLY*******
R M D S OF t0V#0 GENTS:
CONS0tVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTSJT(Aa'[ M
TOWN POAN DATE"APPROVED L
DATE REJECTED
COMMENTS
FOOD INP TOR -HEALTH DATE APPROVED
X DATE REJECTED
TH / DATE APPROVED t?
DATE REJECTED
COMMENTS d2 f 5 l3 �� or,�.._ — �/ f ✓'bc�
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9\97 jm
-COOR
)TOWN OF NORTH ANDOVER °t 1,10 ,
Offic^i of COMMUNITY DEVELOPMENT AND SERVICESa
h �
HEALTH DEPARTMENT
400 OSGOOD STREET ` "*°.��a+ •�' r
NORTH ANDOVER, MASSACHUSETTS 01845 9ssACHU
Susan Y. Sawyer, REHS/RS
Public Health Director
November 15, 2004
Philip Christiansen
Christiansen & Sergi
160 Summer Street
Haverhill, MA 01830
RE: Lots l & 2, Summer Street, North Andover, MA
Dear Mr. Christiansen,
978.688.9540 — Phone
978.688.9542 — FAX
The proposed septic system design plans for the above sites dated October 4, 2004 and received on October 21, 2004
has been reviewed. Unfortunately, they cannot be approved until the following items are corrected. Each item is
followed by the specific section in Title 5: 310 CMR 15.000, or North Andover regulation which is not met by this
design.
1. Please indicate the presence or absence of public water supplies and wetland resource areas within
regulatory setbacks (3 10 CMR 15.220 and NA 8.02)
2. For all piping, please specify watertight joints, piping to be laid on continuous grade in straight line, and to
be placed on a compacted, firm base (3 10 CMR 15.222)
3. Please specify the appropriate stone size beneath the tank and distribution box (3 10 CMR 15.221 & 228)
4. Please indicate the appropriate standards for distribution boxes: all outlets to be at the same elevation and
pipes to be laid level for first 2' (3 10 CMR 15.232)
5. Please indicate that removal of soil horizons A & B shall extend at least 6" into the suitable soil of the C
horizon. (NA 9.02)
6. . Please provide the location and elevation of the foundation drain. If there is no drain, please make a
statement to that effect on the plan. (NA 8.02y)
7. For Lot 2, please indicate the name of the person who delineated the wetland resource area, the date this
was performed, and whether this has been accepted by the North Andover Conservation Commission.
8. For Lot 1, please attempt to refrain from using gravel -less chambers which need to be cut in half. Previous
discussions with the manufacturer you specified have indicated their concern with maintaining appropriate
operational standards for their product when cut.
Please feel free to contact the office with any questions you may have. We look forward to working with you to
obtain a septic system which will be in compliance with all regulations and assure protection of public health and the
environment of North Andover.
Sincerely,,*) 1
r'
7 +Su Y. Sawyer, REHS/RS
Public Health Director ,
cc: Owner
File
L="
i,Z
Town of North Andover
Office of the Health Department
Community Development and Services Division
400 Osgood Street
North Andover, Massachusetts 01845
Michele E. Grant 978.688.9540 - Phone
Public Health Inspector 978.688.9542 - Fax
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIAN
AUGUST 25,200
This is certify that
the i ividual bsurface disposal system
constructed (X)
R;
/ \ by
Iacozzi
at
171 Summer
has been installed in accordance with the provisions of Title V of the Stat 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.
/1
MictrW.E. Grant
Public Health Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEAL TH 688-9540 PLANNING 688-9535
a o �
TOWN OF NORTH ANDOVER pf NpRTN ,
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET '' -=—• �•
NORTH ANDOVER MASSACHUSETTS 01845 'SS{CNtls��
Susan Y. Sawyer, RENS/RS 978.688.9540 — Phone
Public .Health Director 978.688.9542 — FAX
February 10, 2005
North Andover Realty Corp.
459 East Broadway � (J
Haverhill, MA 01830
RE: Subsurface Sewage Disposal System Plan for Lot 2 Summer Street, Map 65 lot 91, Map 38 Lot 42
North Andover, MA 01845
Dear Landowner,
The North Andover Board of Health has completed the review of the septic system design plans for the above
referenced property submitted on your behalf by Christianson and Sergi dated October 4, 2004, last revised on
February 8, 2005.
The design has been approved for use in the construction of an onsite septic system for a residential home of 5 -
bedrooms (total of 11 rooms maximum). This approval is valid for two years from the date of this letter and during
this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of
Compliance must be endorsed by the installer, designer and the Town of North Andover.
This approval is subject to the following conditions:
1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil
evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and
the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)).
2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer
or other representative to ensure that all other state and municipal requirements are met. These may
include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector,
Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit
shall not construe and/or imply compliance with any of the aforementioned requirements.
Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health
Department may be reached at 978-688-9540 with any questions you might have.
Sincerely,
Y. Sawyer, REHS/RS
Public Health Director
encl: List of licensed septic system installers
cc: Christiansen & Sergi
file
CHRISTIANSEN & SE�GI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830-6318 (978) 373-0310 FAX: (978) 372.3960
January 3, 2005
Ms. Susan Sawyer
Public Health Director
North Andover Health Dept. �f
400 Osgood St. 0 005
North Andover Ma. 01845o IF --R
l�
RE; Lot 2, Summer Street, North Andover, MA
Dear Ms. Sawyer,
Since our submission of a septic design for the above lot, it has come to our attention
that a previously unknown wetland exists on an abutting lot to the south. Locating this
BVW on the plan places the last infiltrator series for the reserve area within 100' of the
BVW.
We are in the process of filing a Notice of Intent with Conservation for work within
the 100' buffer to a BVW. We propose to relocate the reserve area infiltrators such that
they are to the north of the active system as opposed to the south. This moves the entire
proposed SSDS 100' from the BVW.
The test pits are shown as points on the approved SSDS plan where in fact they are
trenches covering areas much larger than indicated by the test pit symbols. The leaching
area is bracketed with test pits to the north and east that indicate a minimum of 4' of
pervious material.
A sketch of our proposed revision is attached for review. We will submit revised
drawings for the lots septic system after an order of conditions is issued from
Conservation. Should you have any comments or questions please feel free to contact me.
P. Willis
Enc.
cc. North Andover Realty Corp., file #97066
}'
JpA o 1 1005
\
hV.
\ -�
TP�---214--
TP
IP 04-8
AREA = 130,660 S.F.
`
Q
WETLANDS D EU, NE41 IN BECEMBER 2003 BY
BASBANE ASSOCIA DUXBi)R.j' MA. AND
SHOWN ON AN ANR PLAN FILED WITH
PROPOSED 150 GALLbN - - -
NORTH ANDOVER CO SERVATION CaMN1SSlON
5 -BEDROOM SEP
n ANK
DATED I/28/01 AN REVISED 7/23^
TP HOUSE
D -60X
TP rP w-6 $ \ \
>P 6\ TOP FND.
= 222.5 10 f ' UM1T OF BUFFLTLA
\
\ GAR. FLR.
\ \ = 214.5
t
a -T _
100'
ZONE FROM BORDERI
VEGETATED WEND:
\
PERC 01-3
25'
kFskYE_A-AFA-
r
OF REMOVAL 11
- -✓- \
LIMIT
CIC
OF TOPSOIL AND 1
X10, \ ,
SUBSOIL• 5' AROUND` 1
LEACHING TRENCHES 1
\
LIMITS
1 18' PIKE r N POOL 5
223.95' 24" PLN£ M1
/
',p`
NIF & \
JAMES & LISA\ \
AREA OF DISTURBANCE WITHIN
/
B NCHMARK.•
D LL HOLE IN
KRAMER
BUFFER ZONE = 3160 S.F.
0
S ONE WALL
f V. = 211.82
\ \
/
(N VD 1929 DATUM)
r AL
`
1
/
EDGE OF WETLANDS TAKEN
FROM SITE PLAN FOR /30
I
SPRING HILL ROAD PREPARED
BY SCOTT GILES
I
C
WETLAND
I /
i I
�`
5 -BEDROOM
' FIO USE
TOP FND.
= 222.5
GAR. FL R.
= 214.5
PTI TANK
216
D BOX
10
STP 04-5
PERC 04-3
25'-RESERV
Jam\
24" PINE N
AREA OF DISTURBANCE WITHIN -
BUFFER ZONE = 3160 S. F.
LANDS TAKEN
.AN FOR #30
)AD PREPARED
'T GILES
I A ir—ri A s 1 r%
TPI 04-3
DATED 4/28/04 ANIS RE
TP TP 04-6
0
0
- 0 --212-
6
LIMIT OF REMOVA
> OF TOPSOIL AND
SUBSOIL: 5' AROI
LEACHING TRENCh
18" PINE
B
NCHMA RK:
D
LI
HOLE /N
S
NE
WALL
EL
V.
= 211.82
(N
VD
1929 DATUM)
-00
1
N/F
JAMES & LISA
KRAMER
i
i
-00
1
N/F
JAMES & LISA
KRAMER
CHRISTIANSEN & SE9GI9 INC.
'PROFESSIONAL ENGINEERS-AND-LAND-SURVEYORS---_--------_._w� -- ------------_______�__
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830-6318 (978) 373-0310 FAX: (978) 372-3960
December 1, 2004
Ms. Susan Sawyer
Public Health Director
North Andover Health Dept. RECEIV
400 Osgood St. ED
North Andover Ma. 01845
' DEC 0 12004
RE: Lots 1& 2,,Summer Street, North Andover, MA TOWNaF
\/ HEAITH DEprH ��NDOV
ARTMENTER
Dear Ms. Sawyer,
We are in receipt of your letter dated November 15, 2004 in regards to the above
reference project. Below are your comments in italics followed by our response to each
item in bold font.
„/t. Please indicate the presence or absence of public water supplies and wetland
resource areas within regulatory setbacks (310 CMR 15.220). 310 CMR 15.220
(W) does not require the absence be noted, only the presence if there is any.
NA 8.02 (s) the words "or water courses" has been added to note #11.
FOr all piping, please sped watertight joints, piping to be laid on continuous
grade in straight line, and to be placed on a compacted, firm base (310 CMR
15.222). Joints are specified in note 6, grade and line are shown on plan and
profile, note "to be placed on a compacted, firm base" has been added.
Please sped the appropriate stone size beneath the tank and distribution box
(310 CMR 15.221& 228). 310 CMR 15.221(2) specifies "six inch stone base"&
15.228(1) specifies "six inches of crushed stone". Our plans show this.
Please indicate the appropriate standards for distribution boxes: all outlets to be
at the same elevation and pipes to be laid level for first 2' (310 CAM 15.232).
Note specifying manufacturer or approved equal and "pipes to be laid level
for first 2' " have been added at D -box detail.
lease indicate that removal of soil horizons A & B shall extend at least 6" into
the suitable soil of the C horizon. (NA 9.02). An addition to note 3 requiring
this has been made.
L,,,6: Please provide the location and elevation of the foundation drain. If there is no
drain, please make a statement to that effect on the plan. (NA 8.02y). Foundation
drain locations and inverts are already shown on the plans.
7. -For Lot 2, please indicate the name of the person who delineated the wetland
resource area, the date this was performed, and whether this has been accepted
by the North Andover Conservation Commission. The requested information
has been added but it is unclear where this requirement is indicated in the
regulations for SSDS designs.
,8`�'For Lot 1, please attempt to refrain from using gravel -less chambers which need
to be cut in half. Previous discussions with the manufacturer you specified have
indicated their concern with maintaining appropriate operational standards for
their product when cut. The number of infiltrators has been increased to
include only whole units.
G
Please find attached five copies of the revised designs dated November 19, 2004.
Should you have any questions please feel free to contact me
Enc.
cc. North Andover Realty Corp., file #97066
• ter. �^'9 F!^m
e.f. �� ED
Nd 'HE COMMONWEALTH OF MASSACHUSEYTS FEE
OCT 2 1 2004 BOARD OF HEALTH
1 fit% AJ OF AlORM t l AID -0 I/7
TOVO4 OF NORTH ANDOVER__
R DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct Repair ( ) Upgrade ( ) Aba` �lponents
North Andover Realty,
Lot A 6a m I &,,l Ste- 1459 East Broadway
rYj L° jion
Z Haverhill, MA 01830
Map(Paree vz'j 978-556-9834
Lot#-------retepnone
Installer's Name
Address
f esign e;'s Name f AA ®14
%lal� S>� rw ,ry1Pti. A 1�i1, �
/ V —3 73 _p 3/dress
ITelephone # I Telephone #
Type of Building: W60d t7V—
Dwelling —No. of Bedrooms
.Other — Type of Building No. of persons
.'Other fixtures
Design Flow (min.
Plan: Date ID
_7 - <,_ 1
Description of Soil(s) _
Soil Evaluator Form N
-5� gpd Calculated design flow
Number of sheets -
- . / .4- -1 r - .- .__ .
Name of Soil Evaluator
DESCRIPTION OF REPAIRS OR ALTERATIONS
Lot Size 130 60'Z) Sq. feet
Garbage Grinder (filD
Showers ( ), Cafeteria ( )
gpd Design flow providezl5� gpd
Revision Date
Date of E
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed
Inspections
Date
FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
-------------------------------------------------------------------- - - - - -- ---
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ❑ Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( )
by
at
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application No. dated Approved Design Flow (gpd)
Installer
Designer: Inspector Date
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage
disposal system at as described
in the application for Disposal System Construction Permit No. , dated
Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met.
Date
FORM 2 - DSCP
FORM 1255 (REV 5/96)
Board of Health
DEP APPROVED FORM 5/96
H&W HOBBSB WARRENTM PUBLISHERS - BOSTON
i
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
70t/,) OF N0A7TJ 4 A/[)d Ve,rZ. 1
APPLICATION FOR,DISPOSAL SYSTEM CONSTRUCTION_ PERMIT
Application for a Permit to Construct ,( Repair ( ) Upgrade ( ) Aba--' _ J ltponents
North Andover Realty
n l rrj�y/ Ste" 459 East Broadway
Locataon Haverhill, MA 01830lid q; 4,f �k
.0
ap P reel 978-556-9834
V Lot#�T��---�leI phone_.# i
Installer's Name Designer's Name y
las lir z. !� a/( /Z o x x
AddressJ ress
73 ^-Q'3/d6
f tJ
Telephone # Telephone #
Type of Building: wort Me— Lot Size 130, 60 Q Sq. feet
Dwelling —No. of Bedrooms a 11'A_dQM Garbage Grinder (/1)D
Other — Type of Building No. of persons Showers ( ), Cafeteria
Other fixtures _ i
Design Flow (min. required) % gpd Calculated design flow gpd Design flow providea� gpd
Plan: Date /D Number of sheets cam. Revision Date
Title seo,h- 4"I/G-✓2 lAt
I /
Description of Soil(s) /_ • ))&,Yld
Soil Evaluator Form No. W� Name of Soil Evaluator 6&XP WVIIIDate of Evaluation`s
DESCRIPTION OF -REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
r
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ❑ Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( )
by:
at
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application No. dated Approved Design Flow (gpd)
Installer
Designer: Inspector Date
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage
disposal system at as described
in the application for Disposal System Construction Permit No. dated
Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met.
Date Board of Health
FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV .5/96) H&W HOBBSB WARREN TM PUBLISHERS - BOSTON
_. _.....
FORM 11 - SOIL EVALUATOR FORM
.� .
-------page -1_o ..----_._
Date:
No.. /
Commonwealth of Massachusetts
assachusetts
���� ����� wa e Dis osal
Soil Suitability Assessment for On-site Se g p
..aS Date:
...........................
Performed B
..............................................
By :. ............... ..J /�
rn�� C � /t ...........................
✓
Witnessed By:
S� µ �y Dwmr's Name, North Andover Realty
�t an Address OF Su ni rnc- Address, and 459 East Broadway
to K ��� , f o� `d L re�ephonc X
��' L o� � Haverhill, MA 01830
./f4af &J-, Lof � / 978-556-9834
ew Construction $ Repair . ❑
Office Review
0
Published Soil Survey Available: No ❑ Yes J 1
�........ U Soil Ma Unit C ................
Year Published �� �............ Publication Scale ti ,' p
...... """ 'Soil Limitations
Drainage Class
...... �...i.c'... �t..........
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 f
Within 500 year flood boundary No Q1Y ❑
Within 100 year flood boundary No
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 ❑Bek -w Normal ❑
Other References Reviewed:
DEP APPROVED FORM - 12/07/95
OCT 2 1 i5u-4
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
On-site Review
Deep Sole Number:04=0'3 Date:3/26/04Time: Weather: CLDY-55
a
Location: (identity -on site plan)
Land Use Slope: 3-8o Surface Stones:
Vegetation:
Landform:
Position on landscape: (sketch on the back)
Distances from:
Open Water Body feet Drainage way feet
Possible Wet Area feet Property Line 40 feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
Depth
from
Surface
(inches)
Soil
Horizon
Soil
'Texture.
(USDA)
Soil
Color
(Munsell)
Soil
Mottles
Other
Structure
Etc.
0-7
Ap
F.S.L.
10YR .2/1
GRANULAR, FRIABLE
7-24
BW1
F.S.L.
10YR 5/6
MASSIVE FRIABLE
24-98
C1
GRAVELLY '2.5YR
LOAMY
SAND
.6/3
HIGH
5YR 6/8
FEW ROOTS TO 27"
15% GRAVEL
NO
REFUSAL
;LOW:
2.5Y 6/2
TO 24"
MINIMUM yr Z hUlir:5 Kt;QUiKEll AT EVERY PROPOSED DISPOSAL AREA
Parent Material: (geologic) SAND Depth To Bedrock:>98"
Depth to Groundwater:
Standing Water in the Hole: 66" Keeping from Pit Face: 52"
Estimated Seasonal High Ground Water: 24"
DEP APPROVED FORK! - 12/07/95
0
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
_ On-site Review
Deep Hole Number 04-04.'Date:3/26/04Time: Weather: CLDY-55
Location: (identity on site plan)
Land Use: WOODS Slope: 3-8 Surface Stones:
Vegetation:
Landform:
Position on landscape: (sketch on the back)
Distances from:
Open Water Body feet Drainage way
Possible Wet Area feet_ Property Line 15
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
feet
feet
Depth
from
Surface
(inches)
Soil
Horizon
Soil
Texture
{USDA)
Soil
Color
{Munsell)
Soil
Mottles 'Structure
Other
Etc.
0-4
Ap
10YR 2/1
4-26
BW1
F.S.L.
10YR 4/6
ROOTS TO 26"
26-88
C1
GRAVELLY
LOAMY
SAND
2.5YR 5/4
HIGH
7.5YR
5/8
MASSIVE
NO
REFUSAL
LOW:
2..5Y 7/2
TO 24"
MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material: (geologic) OUTW,ASH SAND -Depth To Bedrock:>88"
Depth to Groundwater:
Standing Water in the Hole: 43" Weeping from Pit Face: 28"
Estimated Seasonal High Ground Water: 23"
DEP APPROVED FORM - 12/07/95
O
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
On-site Review
Deep Hole Number:04-05 Date:3/26/04Time: Weather: CLDY-55
Location: (identity on site plan)
Land Use: Slope: Surface Stones:
Vegetation:
Landform:
Position on landscape: (sketch on the back)
Distances from:
Open Water Body feet Drainage way feet
Possible Wet Area feet Property Line feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
Depth
from
Surface
(inches)
Soil
Horizon
Soil
Texture 'Color
(USDA)
Soil
(Munsell)
Soil
Mottles
Other
Structure
Etc.
0-6
Ap
F.S..L.
10YR 2/1
6-23
BW1
F.S.L.
10YR 5/6
23-102
C1
F.L..S.
5Y 6/3
HIGH
7.5YR
6/8
ROOTS TO 26"
15% GRAVEL
NO
REFUSAL
LOW:
5Y 7/3
TO 24"
1"11VI_Ll. l/l"1 vi c. nu"D nr,Vuj-r'r v -ft-i r vtl, Y YKUYUbED DISPOSAL AREA
Parent Material: (geologic) OUTWASH SAND Depth To Bedrock:>102"
Depth to Groundwater:
Standing mater in the Mole: 60" Weeping from Pit Face: 32"
Estimated Seasonal High Ground Water: 24"
DEP APPROVED FORM - 12/07/95
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
On-site Review
Deep Hole Number:04-06 Date:3/26/04Time: Weather: CLDY-55
Location: (identity on site plan)
Land Use: WOODS Slope: 0-3o Surface Stones: BOULDERS
Vegetation:
Landform:
Position on landscape: (sketch on the back)
Distances from:
Open Water Body feet Drainage way feet
Possible Wet Area feet Property Line feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
Depth
from
Surface
(inches)
Soil
Horizon
Soil
Texture
(USDA)
Soil
Color Imottles
(Munsell)
Soil (Other
Structure
Etc.
0-5 ;Ap
F.S..L.
10YR 2/1
GRANULAR FRIABLE
5-24
BW1
F.S.L.
10YR 5/6
MASSIVE FRIABLE
24-108
C1
GRAVELLY
FLS
2.5Y 6/2
HIGH
7.5YR
6/8
ROOTS TO 29"
15o GRAVEL
NO
REFUSAL
LOW:
2.5Y :8/3
TO 15"
1`711V11.°IUM VV Z HULL --j K1:SVUiKt;L) AT EVEKY PROPOSED DISPOSAL AREA
Parent Material: (geologic) OUTWASH SAND Depth To Bedrock:>108"
Depth to Groundwater:
Standing Water in the Hole: 92" Weeping from Pit :Face: 58"
Estimated Seasonal High Ground Water: 15"
DEP APPROVED FORM - 12/07/95
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
On-site Review
Deep Hole Number:04-07 Date:3/26/04Time Weather-. C'LDY-55
Location: (identity on site plan)
Land Use: Slope: Surface Stones:
Vegetation:
Landform:
position on landscape: (sketch on the back)
Distances from:
Open Water Body feet Drainage way feet
Possible Wet Area feet Property Line feet
Drinking dater Well feet Other
DEEP OBSERVATION HOLE LOO*
Depth
from
Surface
(inches)
Soil
Horizon
Soil
Texture
(USDA)
Soil
Color
(Munsell.)
Soil
Mottles
Other
Structure
Etc.
0-4
4-27
27-72
LEDGE '@
72'v NE
END OF
PIT
81" @
SE END
n1AIVIUM Ur L tfULLb rhVU1eEU AT tVtM PROPOSED DISPOSAL AREA
Parent Material: �geolog.lc) Depth To Bedrock:
Depth. to Groundwater:
Standing Water in the Hole: Weeping from Pit Face:
Estimated Seasonal _nigh Ground Water:
DEP APPROVED FORM - 12107%95
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
On-site Review
Deep Hole Number:04-08 Date:3/26/04Time: Weather: CLDY-55
Location: (identity on site plan)
Land Use: LAWN Slope: Surface Stones:
Vegetation:
Landform:
Position on landscape: (sketch on the back)
Distances from:
Open Water Body feet Drainage way feet
Possible Wet Area feet Property Line feet
Drinking Water Well feet Other
DEEP OHS''RVATION HOLE LOG*
Depth
from
Surface
(inches)
Soil
Horizon
Soil
Texture
(USDA)
Soil
Color
(Munsell)
Soil
Mottles
Other
Structure
Etc..
0-6
Ap
6-24
Bwl
24-62
C1
>9811
REFUSAL
LEDGE @
62" N
END OF
PIT
98" @
S END
MINIMUM UY Z HOLE6 REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material: (geologic) Depth To Bedrock:
Depth to Groundwater:
Standing Water in the Hole-- Weeping from Pit Face:
Estimated Seasonal. High Ground Water:
DEP APPROVED FORM - 12/07/95
FORM 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot: LOT 2 SUMMER ST- GILLEN
On-site Review
Deep Hole Number:04-433 Date:3/26/04Time:
Location: (identity on site plan)
Land Use: Slope: Surface Stones
Vegetation:
Landform:
Position on landscape: (sketch on the back)
Distances from:
Weather: CLDY-55
Open Water ,Body feet Drainage way
Possible Wet Area feet Property Line
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
feet
feet
Depth
from
Surface
( inches )
Soil
Horizon
Soil
Texture
(USDA)
Soil
Color
{Munsell)
Soil
Mottles
Other
Structure
Etc.
LEDGE @
60"
MINIMUM OF 2 ROLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material: {geologic} Depth To Bedrock:
Depth to Groundwater:
Standing Water in the mole: Weeping from Pit Face:
Estimated Seasonal High Ground Water:
DEP APPROVED FORI,i - 12/07/95
t ' O
-f FORIV`1 - SOIL LVALUATOR FORM
3 of 3 -
LOT LO /2_
Location Address or Lot No. cJ SO /�(0&
Mo hdnk't
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole .................. inches
❑ Depth weeping from side of observation hole ................. inches
Depth to soil mottles ..::.:- inches
❑ Ground water adjustment ................... feet
Index Well Number .................. Reading Date ................... Index well level ...................
1
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? _
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on ��1 `� (date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consi�ste�nt with the d r ing, expertise and experience
M
described in 310 CRi
Signature
DEP APPROVED FORM - 12/07/95
l0 U
FORM 12 — PERCOLATION TEST
Location Address or Lot No lot 2 SUMMER ST- GILLEN
COMMONWEALTH OF MASSACHUSETTS
NORTH ANDOVER, Massachusetts
Percolation Test*
Date: 7/26/04 6/15/04
Observation Hole #
04-04 04-04A* *
04-03A
Depth of Perc
22+15=37" not run
31+18=49
Start Pre-soak
10:05 because
9:18
End Pre-soak
10:21 standing
9:34
Time at 12"
10:21 water in
9:34
Time at 9"
10:32 hole 6/15
9:52
Time at 6"
11:14
10:23
Time 9"-6"
42 min
31 min
Rate Min./Inch
14 min/inch
11 min/inch
*Minimum of 1 percolation test must be performed in both the primary
area AND reserve area.
Site Passed N Site Failed ❑ 6/15 04-3A passed
**Perc 044A standing water in bottom hole 6/15
Performed By: Eugene Willis
Witnessed By: Andrew McBrearty, Daniel Ottenheimer
Comments: 7/26 Shallow depth of pert hole (<18") to avoid damp soil conditions at
high ESHWT.