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Miscellaneous - 2005 SALEM STREET 4/30/2018 (2)
• S�TTLEb1�c J, O N.K.+R�4a ��•.. ��a�►ren �r4` IFILEICOPY PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 7/3/2013 This is to certify that the individual subsurface disposal system has been installed in accordance with the provisions of Title 5 of the State Environmental Code: Construction of an On -Site Sewage Disposal System By: Tom Sawyer At: 2005 Salem Street Map 108A Lot 2, sub lot 1 T11th Andover, MA 01845 ice of thise - ificates rot be construed as a guarantee that the system will function satisfactorily. Michele' Grant Public Health Agen 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com 9 wi SUMMARY OF INVERTS SEWER ® FDTN. 147,69 SEPTIC TANK IN 147:39 SEPTIC TANK OUT 147.02 DIST. BOX IN 141.07 DIST. BOX OUT 140.88 INV. IN CHAMBER 140.82 BOTT., CHAMBER 140.52 RECEIVED JUN 26 2013 TOWN OF NORTH ANDOVER "EALTH DEPARTMENT BUILDING Z BLDG. CORNER A B C I D I NO 0 THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK OUT 1.3.9 36.0 A WARRANtY OF THE SUBSURFACE DISPOSAL DIST. BOX 47.7 65.8 "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS -BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. — — — — SYSTEM. IT IS A RECORD OF THE LOCATION AND ELEVATION OF THE EXISTING SYSTEM COMPONENTS. SIGNATURE OF DESIGNER 'D,(TE 0 OODD P11 v�F 00 4. LO T 1 CD (129,181 S. F.) co T-4 DWE1-L�c.oNsm�coN UNDO7.F.551.26 , 1500 GAL. SEPTIC TANK EACH FIELD W INFILTRATOR CHAMBERS NSPECTIM PORT T-2 rt \u . 0�1 I �11 I 1PRIVATr DRIVE AS BUILT PLAN OF nA OF A OF VLADIMM L'N NEMCHENOK SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS. /2005 SALEM STREET AS PREPARED FOR GEORGE HASELTINE TM: 108A DATE: 6-22-13 TL: 2 SCALE: 1"=40' 0 20 40 so MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 SUMMARY OF SEWER ® FDTN. . SEPTIC TANK IN SEPTIC TANK OUT DIST. BOX IN DIST. BOX OUT INV. IN CHAMBER BOTT. CHAMBER RECEIVED TVERTS 147:69 147.39 147:02 141..07 140.88 140.82 140.52 JUN 26 2013 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 11 q BUILDING TIES BLDG. CORNER A B I C DomTHIS PLAN & CERTIFICATION IS NOT SEPTIC TANK OUT 1.3.9 36.01------ A WARRANTY OF THE SUBSURFACE DISPOSAL DIST. BOX 47.7 65.8 _ - SYSTEM. IT IS A RECORD OF THE LOCATION AND ELEVATION OF THE EXISTING SYSTEM COMPONENTS. "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS -BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. AS BUILT PLAN OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS. /2005 SALEM STREET AS PREPARED FOR GEORGE HASELTINE TM: 108A DATE: 6-22-13 TL: 2 SCALE: 1"=40' 0 20 40 80 MEBRIMACK ENGINEERING SERVICES 86 PARK STREET ANDOVER, MASSACHUSETTS 01810 NORrp Oe if�ao .a qp0 IL ip- A r i ��SS�ICHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( 'constructed; ( ) repaired; LM Located *�FO (Print Name) Address) Was installed in conformance with the North Andover Board of Health approved plan, originally dated 3 and last revised on one- , with a design flow of gallons per day. The materials used were in conformance with those specified on thel approved plan; the system was installed in accordance with the provisions of 310. CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: (,P-- 12 _ 117 1 l , o F l'LZ 456 And - Print Name Final Construction Inspection Date: -� And - Print Name Installer: (Signature) Enginer:1WtU4'/W'(Signature) Engineer Represen ative (Signature) Engineer Represe ative (Signature) Date: And - Print Name Date: 4-12 944 And - Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com V North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 2005 Salem Street MAP: 108A LOT: 2, sub lot 1 INSTALLER: Tom Sawyer DESIGNER: Nemchenok, Merrimack Engineering Services PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: 5/24/13 DATE OF BED BOTTOM INSPECTION: 5/24/13 DATE OF FINAL CONSTRUCTION INSPECTION: 6/19/13 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS Comments: SEPTIC T 1 AN ® Contractor reports any changes to design plan N/A Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port i ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: DISTRIBUTION -BOX ® Installed on stable stone base ® H-20 D -Box ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ® 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 ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per, plan Comments: SOIL ABSORPTION SYSTEM (Gravel -less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Low Profile Infiltrator Chambers ® Number of chambers per row: 10 ® Number of rows (trenches): 5 Comments: Total Chambers = 50 �.y BM = 143.49 HR= 7.04 HI = 150.53 SYSTEM ELEVATIONS ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Building Sewer OUT 2.50 147.68 143.25 Septic Tank IN 2.79 147.39 143.05 Septic Tank OUT 3.16 147.02 142.80 Distribution Box IN 9.08 141.10 141.00 Distribution Box OUT 9.28 140.90 140.83 Lateral 1 TOP 9.37 Lateral 1 INVERT 140.81 140.78 Lateral 2 TOP 9.35 Lateral 2 INVERT 140.83 140.78 Lateral 3 TOP 9.30 Lateral 3 INVERT 14.88 140.78 Lateral 4 TOP 9.36 Lateral 4 INVERT 140.82 140.78 Lateral 5 TOP 9.34 Lateral 5 INVERT 140.84 140.78 Top of Chamber 141.20 141.17 Bottom of Bed/Chamber 140.08 140.05 CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback ' Suction line 222(2) Z 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ® Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- Waterline 10 10 101 ® Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland / Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ® Drains (Other) Foundation 10 (5) 20 (10) ❑ Drywells 20 25 ' Suction line 222(2) Z 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday, June 20, 2013 4:08 PM To: 'Isaac Rowe' Subject: RE: 2005 Salem St H sup�se�Xbe 2005�SaleKSO I"'r�i a_fe From: Isaac Rowe[ma i Ito: i rowe(&m i I I riverconsu lting.com] Sent: Thursday, June 20, 2013 3:58 PM To: 'Susan Sawyer(ssawyer(a)townofnorthandover.com)'; Blackburn, Lisa Cc: plallyamillriverconsulting.com; 'Dan Ottenheimer'; 'Isaac Rowe' Subject: 2005 Salem St Susan/Lisa, Attached is the final inspection report for the above referenced property. Everything looked good. Let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Map -Block -Lot • ' Commonwealth of Massachusetts BOARD OF HEALTH Permit No BHP -2013-0724 North Andover ----------------------- FEE P.I. $250.00 ---------------------- F.I. DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted William S4) Ter ------------------------------------------------------------------------------------- to (Construct) an Individual Sewage Disposal System. at No -2005----SALEM-------- STREET ------------------------------------------------------------------------------------------------------------- ------------------------- ------- as shown on the application for Disposal Works Construction Permit No. BHP -2013-072 Dated .--May 22,-2_ -------- ---------------------------------------------- ------------------ Issued On: May -22-2013 BOARD OF HEALTH ,�RTN Application for Septic Disposal System Of ,tea• ,��ti -Construction Permit — TOWN OF ORTH ANDOVER, MA 01845 � . f ?SsAcwu Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the retum',, key. Application_is hereby_made-for—"ermit.to: Construct a new on-site sewage disposal system* ❑ Repair or replace an existing on-site sewage disposal system* ❑ Repair or replace an existing system component – whit! A. Facility Information O .�P- ST . Address or Lot # der 2.- *TYPE OF SEPTIC SYSTEM*: Pump M Gravity (choose ot3e) ***If. mpystem, attach copy of electrical permit to application*** TODA S DATE $ 250.00 - Full Repair $125.00 - Component ❑ Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to Install this type of system. Ej Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (b -Box Present) S.A.S. Name Address (if different from above) Cily[Town State Telephone Number Installer Information Zip Code Nance ,4`X CQ JQ 6 415 / Name of Company Address �w9S TDA I -I- A fl ag y� zilyrfowii State Zip Code Name Telephone (dumber (Cell Phone #ifpossrble please) Name of Company Address CitylTown State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit - Page 1 of 2 AW I RTN Application for Septic Disposal System =Construction Permit - TOWN OF a, ORTH ANDOVER, MA 01545 +Ss,u�se` PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: {Residential Dwelling or FICommercial B. Agreement TODAY'S DATE $ 250.00 - Full Repair $125.00 - Component The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this oard of Health. Name Date [ Application Approved By: (Board of Health Representative) Name Application Disapproved for the following reasons: For Office Use Only: 1. Fee AttachedP Date Yes No 2. Project Manager Obligation Form AttacliedP Yes J. Purnp System? Ifso, Attach copyoMecnical Permit Yes 4 Foundation As-Biz&P (new coii structVon ronly): Yes {Sarne scale as approved plan) 5. Floor Plans? (new construction only): Yes No No No No Application for Disposal System Construction Permit - Page 2 of 2 ti SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the constriction for the septic system for the property at: ,zoo, lEm (Address of septic system) For plans by )re e % r / oLUc& ($ngureec) Relative to the application of ' (Installer's name) And dated -? / a n ate) Dated 6yZ7 b o ay s ate With revisions dated (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of .Health approved plans prior to performing any, work on a site. I must have the apRroved plans and the permit on site when any Rork is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor; project manager; or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection without completion of the items in accordance .with Title 5 and die Board of Health Regulations mai' result in a $50.00 fine being levied against me and/or my compam,_. a. Bottom of Bed – Generally, this is the first (1') inspection unless there is a retaining w -all, which shounld be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection – Engineer must fust do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdept@townofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical Rork mist be ready mid able to cause pump to work- and alum to function. c. Final Grade – Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As ehe imtaller, I understand that of* I mar perform 'the work (other Phan sihple ezeavafim) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others Unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, siar +cant 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. 8. 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. u: lans. No iisuctions by the homeowner. eeneral contractor. or any, other persons shall absolve me of this obligation_ Undersigned Licensed Septic Installer: 7N,—me –Fruit) (N ame –Signe (Today's Date) TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES e; •` ` `° °°� HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 "..� NORTH ANDOVER, MASSACHUSETTS 0] 845 �7SS��HUS 4� 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476— FAX Public Health Director E-MAIL: healthdeptna..townofnorthandover.com WEBSITE: httv://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: -17.., Site Location: fldn2C �? �- ! -r Engineer: 6 U 11rW40V- intiLl I,4�G New Plans? YesAZ$225/Plan Check (includes 1" submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? 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Z - O v� E El O O ° N '�- U) CO) �. tB a `- U) c6 c L 3 o z 6a U) tu 0 } ;+ ° (D O U) >+ Q n ca ® Cl o N W r- 0 � U) O CL U) � � co � � � � 4)_ � � 0 L. 0 � CD E � � d � � Q g � � § 0 ._ � �2CO) < —_ V�O o cn 2 0 . r o \ 0 § t�, L- uo 0LL LL E - ou- k/§ 'a x - c @ M §2w $■0 ¥cn Gat � x mob/ � 6 CU Q� m C).- a C- 2: X77 �5/ §775 ±f cd §&0 a)/% ) kf2 Ea)>1C) §E /a >-0 2 E a) $/o EcL=o �(D @ ƒ /\k / © �Co -0 _ k CU - k>w) cRG@ §kms/ CU L) :3 E 22 ca a) 3222 cc -2S t2k� -$275 / E a \ � � $ 2 i � \ '0 2 : \ § 0 � k � � k� )= &J- %a�g cc cc \ k kCN 0 kLL E/ [ E a% k$ CO k \\ cc \ \ > o� 0a @ Cn CL e Z5 \ k e a) a j§}�� �\ -@��% co=3 co o d 7 2 \ E a o & m 5 ® = a ƒ = o o e i E (n z z \ / E a Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer, use George Haseltine only the tab key Owner Name to move your 2005 Salem Street cursor - ao not Street Address or Lot # use the return key. North Andover MA 01845 ��� City/Town State Zip Code �►1fI I I (603) 785-8768 Contact Person (if different from Owner) Telephone Number B. Test Results t5form12.doc• 06/03 Perc Test • Page 1 of 1 7-8-11 10 am 7-8-11 10 am Date Time Date Time P-1 P-2 Observation Hole # 56" 50 Depth of Pere 10:45 10:42 Start Pre -Soak 11:00 10:57 End Pre -Soak 11:00 10:57 Time at 12" 11:43 11:24 Time at 9" 12:35 12:06 Time at 6" 52 42 Time (9"-6") 18 14 Rate (Min./Inch) Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ William Dufresne Test Performed By: Isaac Rowe Mill River IARI----- A o... t5form12.doc• 06/03 Perc Test • Page 1 of 1 j DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Monday, April 02, 2012 8:29 AM To: Isaac Rowe; 'Randy Burley'; Sawyer, Susan; Grant, Michele; DelleChiaie, Pamela; 'Marianne Peters' Subject: Two Plan Reviews Attached - 2001 & 2005 Salem Street Attachments: Plan Disapproval 2005 Salem Street.doc; Plan Disapproval 2001 Salem Street.doc Attached please find the two plan review letters for these proposed new construction sites. While no major deficiencies were identified there are some matters which need to be adjusted and clarified before we would recommend approval of the design plans. Let me know if any questions. Dan >01 -n, 0 rl< I nive consultin g Civil Engineering it Cnvitantri,entsl iR rmirliq AAunitip.,*d Eesviranmrnsi I H#_allJti Conbialtin Daniel Ottenheimer, President Mill River Consulting, Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 fax: 978-282-1318 www.millriverconsultina.com dano agmillriverconsulting�com Member: Yankee Onsite Wastewater Association, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, Gloucester Rotary Club, New England Water Environment Association, Cape Ann Referral Group Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: httq://www.sec.state.ma.us/ore/l)reidx.htm. Please consider the environment before printing this email. North Andover Health Department Community Development Division April 2, 2012 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Subsurface Sewage Disposal System Plan for 2005 Salem Street, Map 108A, Lot 2, Sub Lot 1 Dear Mr. Nemchenok: The proposed wastewater system design plan for the above site dated February 17, 2012 and received on March 14, 2012 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. The well at 2005 is less than 200 feet to lot 2's proposed SAS location. Please provide the location of the abutting property wells and wastewater systems to confirm adequate setbacks distances have been met - 310CMR15.211 ,,,-2. Please depict the limits of excavation on the site plan, including the 5' overdig - NA 8.02z Please provide the location of benchmarks within 50'-75' of the proposed wastewater system. It is understood that this is proposed new construction and true benchmarks might have not yet been set, but please provide at the least elevations of existing fixed elevations such as the drill hole identified on the site plan - 310CMRI5.220(4)(q) -,-'4. Please provide a riser over the distribution box to within 6" of final grade - 310CMR15.221(13), 228(1), 232(3) Please label the trenches on the site plan as they are to be constructed at different (V elevations and need to be made clear for the site contractor Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 ~� 6. Please specify the removal of the more restrictive B soil horizon and replacement with appropriate sand fill or perform a percolation test in the B soil horizon, as it is more restrictive than the C soil horizon where the percolation tests were performed, 310CMR15.104(2) Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, l i �usan Y. Sa. er, RE S Public Health Direc or cc: File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 North Andover Health Department Community Development Division May 2, 2012 George Hazeltine 66 Gilcrest Road Londonderry, NA03053 RE: Subsurface Sewage Disposal System Plan for 2005 Salem Street Map 108A lot 2 subdivision lot 1. North Andover, Massachusetts Dear Property Owner, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Merrimack Engineering Services, dated March 26, 2012. The design has been approved for use in the construction of a new onsite septic system for a four bedroom design at 440 gallons per day. This plan is good for three (3) years from the date of approval. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. This approval is also subject to the following conditions: 1. Prior to the issuance of the building permit, the potable well reports must be submitted. 2. Prior to the issuance of the Disposal Works Installers Permit, the applicant must submit a foundation as -built at the same scale as the approved plan. 3. Prior to the issuance of the Disposal Works Installer's Permit, the applicant must submit the floor plans of the home showing no greater than four bedrooms or a total of nine rooms. Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 ' 2005 Salem Street May 2, 2012 4. 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)). 5. 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, A. u Y. Saw�;yer, REHS Public Health Director cc: Vladimir Nemchenok, Merrimack Engineering file Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 140R7'1 54UU • Town of North Andover s r • �•o _ �`� 1 ��:. w mii TTT A TTAefTT►TT ,SSACNR`'tt CHECK #: a LOCATION: H/O NAME: CONTRACTOR N v� 'H ANDOVER ,OPMENT AND SERVICES ARTMENT JILDING 20; SUITE 2-36 ;SACHUSETTS 01845 NZ Hu Type of Permit or License: (Check box) 0 Animal $ ❑ Body Art Establishment $ _� ❑ Body Art Practitioner 3 ❑ Dumpster $ ❑ Food Service - Type: $ - ❑ Funeral Directors $ F ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: eptic - Soil Testing $ , ❑ Septic - Design Approval ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other: (Indicate) $ , �7 ) Agent Initials White - Applicant Yellow - Health Pink - Treasurer 978.688.9540 - Phone 978.688.8476 - FAX healthdepta,townofno www.townofnorthand & PARCEL: 100 A- Contact #: .com TOWN OF NORTH ANI)JVER ---7HF,ALrH DEPARTMENT Contact #: 1?,7� Lph4r✓or,)Velug'V , DD ' Contact #: M V Family Home Commercial Upgrade for AMR' n:[--] z- No FORM permitting test) vers the minimum two deep holes and Iee of $360.00 per lot for repairs or upgrades. 'ORMATION inspections. igineers can design septic plans. ,quired for each septic system disposal area. percolation test, at the discretion of the BOH thin two weeks of testing. 1 1"-100') shall be submitted to the Board of Health be submitted. Below This Line N l r QO RD' • � f - 'Cf �'i � 4S r � , • D ` l � 'k 1 �y b '. - k",yty t 5. 4..' S- i? ) 11 `l ¢; .! 6/'� c 5 V t J� � • p{ , t r � '£4 'T � '�yd Z F �i 3 rsri` '� v+'', '��' ��,Gw3 j7' \�rl rS S � l'�+' a .. d • •+� ,Tk O }' � -� �, r✓n � t 'p yN ,L -`tr 2't� izk f- c y 1 •�� b r� ; �'` of `"�� � \ �y i4 `fM1 �,� ty- �c-k�• , a r�* � ti. — � �' [^^---rr,,3dss" t 7�^ • k � rl�' I (fir \ � Sr` kS/ �}r i !� �I 'V k 1 CO oOD 4 . X ) < M ;u z O 1-0 �. Ul/ / X .s O O 41-;lam `d Al. Z tCIO __..._ � � -• v vi �- ori -o -{ � o `� \ m �� m X' m>D x rn z ^� C-) zr0 SOD m9: m0X 0= -Tl Mi-� � r -I p rri Z i i DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, June 14, 2011 1:29 PM To: 'Daniel Ot�enhelmeF-'Isaae4F ewer- eters, Marianne; 'Randy Burley' Cc: er, Susan Subject: <,,-�-._Sew7ptti1c - 2009 Salem Street -Conservation Co menu Received -see below Importance:igh -- Follow Up Flag: Follow up Flag Status: Flagged Here are the comments from Heidi Gaffney in Conservation: `Test Pits Only. ... access to sites by driveway only. " Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 d Office - 978-688-9540 Ili Fax - 978-688-8476 lal Email - ndellechiaieotownofnorthandover com -16 Website httl2://www.townofnorthandover com/Pages/index "We can never see the path of our life if we. are too busyfocusing on the pebbles under our feet "--Anonymous From: Isaac Rowe[mailto:irowe@millriverconsulting.com] Sent: Tuesday, June 14, 2011 12:21 PM To: DelleChiaie, Pamela Subject: RE: 2009 Salem Street - soil testing Has Bill been notified that this is tentative? If not, he should be ASAP because I am sure he has a contractor already scheduled for tomorrow morning. A determination from the Town (to schedule or not) should be made probably by 3pm at the latest. I have no problem calling Bill if you need me to. Let me know, thanks. Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucwster, MA 01930-2719 Phone: (978) 282-0014 Fax: (978) 282-1318 iroweCa)-millriverconsulting.com www.millriverconsuIting.com From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Tuesday, June 14, 201111:58 AM To: 'Isaac Rowe' Subject: RE: 2009 Salem Street - soil testing Please mark as tentative on your schedule until I receive the comments back from Conservation. Thanks. fiat Ref a14, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 °Y Office - 978-688-9540 Fax - 978-688-8476 Email - pdellechiaiePtownofnorthandover.com Website httD://www.townofnorthandoNer.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet "--Anonymous From: Isaac Rowe[mailto:irowe@millriverconsulting.com] Sent: Tuesday, June 14, 201111:54 AM To: DelleChiaie, Pamela Subject: RE: 2009 Salem Street - soil testing Is there any site plan or sketch that can be emailed over? Did Marianne let you know about this being scheduled? It was on my calendar so I assumed NA was notified. Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloueseester, MA 01930-2719 Phone: (978) 282-0014 Fax: (978) 282-1318 irowe(cb.millriverconsulting.com www.millriverconsulting.com From: DelleChiaie, Pamela[mailto:pdellech@townofnorthandover.com] Sent: Tuesday, June 14, 201111:43 AM To: 'Daniel Ottenheimer'; 'Isaac Rowe; Peters, Marianne; 'Randy Burley' Cc: 'Bill Dufresne (wrdufresne@comcast.net)' Subject: FW: 2009 Salem Street - soil testing Importance: High Hello Isaac, Just waiting until Conservation can view the site. Will let you know when I receive the feedback. Thank you. Scat Ref =4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 9 Office - 978-688-9540 R Fax - 978-688-8476 Il Email - pdellechiaie@townofnorthandover.com -16 Website http•//www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Ano !yMous From: Gaffney, Heidi Sent: Tuesday, June 14, 2011 11:40 AM To: DelleChiaie, Pamela Cc: Hughes, Jennifer Subject: RE: 2009 Salem Street - soil testing will go today... Heidi Gaffney Conservation Field Inspector Town of North Andover 1600 Osgood Street North Andover, MA 01845 978-688-9530 plione 978-688-9542 fax From: DelleChiaie, Pamela Sent: Tuesday, June 14, 201111:39 AM To: Hughes, Jennifer; Gaffney, Heidi Subject: FW: 2009 Salem Street - soil testing Hi, Any updates on this one yet? Consultant was asking, as he is going to seethe soil evaluator tomorrow. This one is a large area, so if you have not gotten to it yet, don't worry about it. Refa*4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover I 1600 nsgood Street I Bldg 20 1 Suite 2-36 North Andover, MA o1845 2 Office - 978-688-9540 Fax - 978-688-8476 Email - pdellechiaie(@townofnorthandover.com Website http:/Zwww.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "—Anonyntous From: Isaac Rowe [mailto:irowe@millriverconsulting.com] Sent: Tuesday, June 14, 201111:25 AM To: DelleChiaie, Pamela Cc: 'Susan Sawyer (ssawyer@townofnorthandover.com)' Subject: 2009 Salem Street - soil testing Pam, Do you have the soil testing application for the above referenced property? I am testing with Bill Dufresne tomorrow and did not see the application in our emails. It is for new construction. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street 0 4 0, it Susan Y. Sawyer, REAS, RS Public Health Director APPLICATION FOR SOIL TESTS DATE: (!� 7i'' 11 978.688.9540 - Phone 978.688.8476 - FAX I www.townofn MAP & PARCEL: LOCATION OF SOIL TESTS: Z Q/) .com JON 4011 TOWN OF NORTH ANDOVER 7,1,F7,AL i FI DEPARTIVIEZNT OWNER: 6n U 124 C VD!�_ Contact #: APPLICANT: Chi �^ _-J Contact #: �i ���%(� ADDRESS ENGINEER: �� � sL�� F� )6 —Contact #:(I 7AS T2 5;155e�- CERTIFIED SOIL EVALUATOR:�j���l-IF{'(,��� Intended Use of Lan esidenti� Subdivisio Single Family Home Commercial Is This; Repair Testing. Undeveloped Lot Testing�Upgrade for Additi n:F7 In the Lake Cochichewick Watershed? Yes No - THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5"x H"Plot plan & Location of Testing (please indicate test nit sites on the elan) ➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perforin deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH repres6ntative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: f°J Signature of Conservation Agent: 4 -, Js 04 y 0 cc' et Date back to Health iP in): Department: P stain � 1 �-e._S � .• y TOWN OF NORTH ANDOVER ,,uerk Office of COMMUNITY DEVELOPMENT AND SERVICES Ora Sao a �y0 6_, ' ','• �n HEALTH DEPARTMENT F? 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 �QSS^CHUS Sig Susan Y. Sawyer, REAS, RS Public Health Director APPLICATION FOR SOIL TESTS DATE: (!� 7i'' 11 978.688.9540 - Phone 978.688.8476 - FAX I www.townofn MAP & PARCEL: LOCATION OF SOIL TESTS: Z Q/) .com JON 4011 TOWN OF NORTH ANDOVER 7,1,F7,AL i FI DEPARTIVIEZNT OWNER: 6n U 124 C VD!�_ Contact #: APPLICANT: Chi �^ _-J Contact #: �i ���%(� ADDRESS ENGINEER: �� � sL�� F� )6 —Contact #:(I 7AS T2 5;155e�- CERTIFIED SOIL EVALUATOR:�j���l-IF{'(,��� Intended Use of Lan esidenti� Subdivisio Single Family Home Commercial Is This; Repair Testing. Undeveloped Lot Testing�Upgrade for Additi n:F7 In the Lake Cochichewick Watershed? Yes No - THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5"x H"Plot plan & Location of Testing (please indicate test nit sites on the elan) ➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perforin deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH repres6ntative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: f°J Signature of Conservation Agent: 4 -, Js 04 y 0 cc' et Date back to Health iP in): Department: P stain � 1 �-e._S � .• y SE? PLAN BY CLINTON/'GOODWIN, SURVEYOR, DATED JULY 1975 FOR PROPERTY LINES OF THIS SITE. TOPOGRAPHY FROM AN 11 ACTUAL FIELD SURVEY; DATUM BASE U.S.G.S M.S.L. (N.G. VD.). WETLANDS FlELD DELINEATED BY WEST ENVIRONMENTAL CO. IN 2004, 122 MAST RD. -SUITE #6 LEE, NH, 03824 FIELD SURVEYED BY MERRIMACK ENGINEERING SERVICES INC. THIS S17E IS NOT LOCATED IN THE ESTABLISHED 100 YEAR FLOOD PLAIN PER FEMA COMMUNITY PANEL #250098 0012 C DATED JUNE 2, 1993. INSTALLATION PLANS FOR UNDERGROUND GAS, ELECTRICITY, TELEPHONE, AND CABLE TELEVISION UTILITIES SHALL BE PREPARED BY THE APPROPRIATE UTILITY COMPANY AND SUBMITTED TO THE NORTH ANDOVER DEPARTMENT OF PUBLIC WORKS PRIOR TO INSTALLATION. TOTAL PARCEL AREA=441,261 S.F. =10.129 AC. RIGHT-OF-WAY AREA=36,661 S.F. =0.842 AC. TOTAL LOT AREA =404,600 S.F. =9.288 AC. DEEDS FROM THE OWNER OF THE SUBDIVISION SHALL RESERVE THE FEE IN ALL STREETS OR WAYS SHOWN ON THE SUBDIWSIDN PLAN, SUCH FEE TO BE RETAINED BY THE DEVELOPER UNTIL CONVEYED TO THE TOWN. NO SOILS ARE INTENDED TO BE EXPORTED FROM SITE APPROXIMATELY 2000 YDS OF SOILS SHALL BE IMPORTED AND USED FOR BACKFILL AROUND 7HE PROPOSED DWELLINGS, THE .SEPTIC SYSTEMS AND FOR THE DRIVEWAY SUBGRADE TOWN OF NORTH ANDOVER HEALTH D; --PA I M'ElvT PRELIMINARY SUBDIVISION PLAN IN NORfrrj ANDO WR, A. PREPARED FOR GEORGE HA'S-EL TINE 66 GILCREAST ROAD LONDONDERRY, NH. 03053 DA TE. APRIL 7, '2011 REV.: MA Y 11, 2011, SCALE. 17-40' Q' 20' 40' 80' 120' MERRIMACK ENGINEERING SER VICES 66 PARD STREET ; ANDOVER 11IASSAGHUSE17TS 01810 PHO NE. (978) 475- 3555 ' FAX: (9 78) 475-1448 EMAIL: MERREIITG0_A'0MXOM t.7a - O t US.38 X 12 f �# r �c 41 102. £ , _ - 1Q2. 4k 7 Q ,y ( x 4.') Y ` 1 dam+ D : P 3 t l \ y Z j O `r1 ic's , t x ILS1 r,, !� Cb !� / Q� _.t.:t=' =1�-+r ::r-�':n1 {`,� n i Il�:i.Ci'7 z, • , r`' �'} /V M1a.. 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Z.55 �7c iz3.33 �� t \ dry *y`r Q UI X 12 01Fq C Iv ! !rr 1.59'i i 11 .7z Z l! f 12� .,100.22 1•'"''1'&.3 f3 '� q 2•g 1 , '>,' iz1.9t x 120.83 BENCHMARK BOTTOM WEST CORNER L OF STEP ELEVATON 127.94 Sly` 1 _" •.y �•�N33-9c•1 i r: i3R�63 `- / ;ss.2:Y7 X \ ` x A _x 15'. 1 i ' �` \\ \ \•� a(�-1 .. // V�� %� - �", -Y '} J j x: i45I22 't C }` �?'\•\ //� / \ /d�}Fa.,�."4i Y.. 3. 144.13 as q ma, �"• } _'7 3�!- �. M -gut s _� r �. + #` 4 t le . .[ J "l/ •� ' /' c3„+ •C - / 1:.,6.3? C i s J ._ .7f +- 15...6:3 J t r a ty s rt r r �x �j�n x / 4X 14 �� 1 t l i 1203 i. ;} r >G / t,e�� 23.55 a'L N n t r: he �t / tftTi 3 6 s tY / r' -1 C'1 + / fit\ tj r `ems Is r f - 0.1 op WELL -•- t i _{ °i 49-6.52 � 1 j � PROP. r Jt;7:. i 12' WIDE 12' i i �> I� BIT. CONC. �.. � :� �► DRIVEWAY "i (TYP.) �rt T. z_%a� . Il- -R40 - ' 7,.C� / � , ` \ ��.�_. 5, - L EMIR- Il /jig 2PT1 r r: Ot PROP.y SOIL -AB. SORPTION St,� Y 135.97t_ �y f r _ _ 3 i'144E 11 x 145.5 .F. / - i47.2n ir. 146.. F •�- 1 11, J! I 1 SALEM WOODS LAN WAS ISION, AND NORTH ANDOVER, MA W " RULES AND DEVELOPER: DEEDS. 20Q9 SALEM . STREET REALTY TRUST HE TECHNICAL66 GILCREST ROAD-LONDONDERRY, NH 03053. 'S OF THE k- OWNER: 37 AND MAPPING. " 2009 SALEM STREET REALTY TRUST 66 GILCREST ROAD-LONDONDERRY, NH 03053 SCALE: AS NOTED 0 1 2 DATE: JULY 13, 2011 R.L. S. MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER MASSACHUSETTS 01810 SHEET 1 OF 6 DelleChiaie, Pamela From: Isaac Rowe [irowe@millriverconsulting.com] Sent: Thursday, June 16, 2011 12:10 PM To: 'Susan Sawyer(ssawyer@townofnorthandover.com)' Cc: DelleChiaie, Pamela; 'Dan Ottenheimer'; 'Randy Burley'; 'Marianne Peters' / Subject: 2009 Salem Street Attachments: 2009 Salem Street - Soil Logs 6-15-11.pdf Susan, Attached are the soil logs for the above referenced property. This was for new construction for 2 lots. As indicated in my notes Bill will survey locate the test pits and reschedule to conduct the perc tests. The soil was nice glacial till with some pockets of ledge but overall very deep well drained soil. Please let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street 1 DelleChiaie, Pamela From: Isaac Rowe [irowe@millriverconsulting.com] Sent: Monday, July 11, 2011 11:01 AM To: 'Susan Sawyer(ssawyer@townofnorthandover.com); DelleChiaie, Pamela; 'Dan Ottenheimer; 'Marianne Peters'; 'Randy Burley' Subject: 2009 Salem Street Attachments: 2009 Salem Street - Perc Tests 7-8-11.pdf Susan, Attached are the perc test results for the above referenced property. Please let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street A' ifr �� I21-1__ 20cn S,Iem,s�, P,& _CI ee 4 ?-T -- its ,A Z -1 �_J_O_ P Ig TOWN OF NORTH ANDOVER ;N Office of COMMUNITY DEVELOPMENT AND SERVICES 19EALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; S1092,736 ° NORTH ANDO'V'ER; MASSACHUSETTS 01845 Susan Y. Smyer, RCHS/RS 978.68.8.9540 — Phone. Public Health Director 978488.8476—FAX �d dot(a)towiio8toiibatidover.coni www.townofttorthandovencom 'E74/ell anti/or Pump Application. (Please print) DAT ir: LOCATION t D.riiI We; ot• install a Pump:.'C�e�j � ( ) (S, Licensed Well Cou#actor Nante:-and. Company i.. I . h(. t;onract nione.rlurnlsers: /_?w . 41A// C 1VELLS (to be conipteted at time of pua:p test) Typc.of well: —� Diameter of well: fn 0 y�I Depth of bedrock:_q 1 Use: 1�or�t?Sfj'C sizeofeasing:_ __ (U l Depth of casing into bedrock: 5oal been tested? Yes i o "qo.( ) Date of test. el?v Depth of welt: I Water-benring rock: D- / 2' 5-2-5-0 / Depikofwatti: IT6 _ Delivers:GPNI for.. M/w (liow long) Drnwilosvit:- 2 feetafter Intn:ping:� ftt)prs at:_ jt�� ^GPM Date of Complet om PUMPS (To be filled in before Instaltntion) Name & size of Putup: Size of ank:_ c3 J5 p,-, An Pipe used in +vett: Cast Iron Sleeve used to protect pipe? Iles Date: late venter analysis report,submitted to health Department: Plumbing uatu a ofWetl Co or Type: Pump delivers;_ In CPM Gltivsiiiized Plastic. No_)(-1'ypc:of We]I seAl:_AWt Wiring Inspector C:1Docutnetits ariZl.Settlilgs\p AdeliechWy Doumei►tS=MMFRCIAL ppl ication;doe. Ahplication.Awell. N ashoba Anall LLC Tel: 978-391-4428 Fax: 978-391-4643 LabNumber: 127880 31 A 'Willow Road, Ayer MA 01432 p://w Na,hobaAnalytical-com Use this number with all correspondence CEt Client: Skillings and Sons, Inc.710)E' ReportDate: 4/26/2012 9 Columbia DriveAmherst, NH 03031 TOWN of SNT uvA'LTHRTME Certificate of Analysis 22135-Haseltine, George, 2005 Salem Street, N. Andover, MA 01845 Parameter Method Result MCL MRL Date of Analysis Analyst - At Wellhead Sampled. 4/19/2092 2:30:00 PM by John Gove Total Coliform Bacteria, /100ML MF-SM9222B 0 0/Absent 0 4/20/2012 1:00:00 PM M-MA1118 Arsenic, Total, MG/L SM 3113B 0.001 0.01 0.001 4/23/2012 M-MA1118 Calcium, MG/L EPA 200.7 28.9 ivot Spec 1 4/23/2012 M-MA1118 Copper, MG/L EPA 200.7 ND 1.3 0.01 4/23/2012 M-MA1118 Iron, MG/L EPA 200.7 0.29 0.3 0.01 4/23/2012 M-MA1118 Lead, MG/L SM 31138 ND 0.015 0.001 4/23/2012 M-MA1118 Magnesium, MG/L EPA 200.7 5.8 Not Spec 1 4/23/2012 M-MA1118 Manganese, MG/L EPA 2007 0.035 0.05 0.005 4/23/2012 M-MA1118 Potassium, MG/L EPA 200.7 ND Not Spec 1 4/23/2012 M-MA1118 Sodium, MG/L EPA 200.7 10.9 See Note 1 4/23/2012 M-MA1118 Alkalinity, MG/L SM 2320B 117 Not Spec 1 4/20/2012 M-MA1118 Ammonia, MG/L SM 4500-NH3-D ND Not Spec 0.1 4/20/2012 M-M.A1118 Chloride, MG/L EPA 300.0 2.3 250 1 4/20/2012 M-MAl 118 Chlorine, Free Residual, MG/L SM 4500 -CL -G ND Not Spec 0.02 4/20/2012 M-MA1118 Color Apparent, CU SM 2120B 5 15 1 4/20/2012 M-MA1118 Conductivity, UMHOS/CM SM 2510B 260 Not Spec 1 4/20/2012 M-MA1118 Fluoride, MG/L EPA 300.0 0.4 4 0.1 4/20/2012 M-MA1118 Hardness, Total, MG/L . SM 2340B 96 Not Spec 2 4/23/2012 M-MA1118 Nitrate as N, MG/L EPA 300.0 ND 10 0.05 4/20/2012 M-MA1118 Nitrite as N, MG/L EPA 300.0 ND 1 0.01 4/20/2012 M-MA1118 Odor, TON SM 2150B 0 3 0 4/20/2012 DLK pH, PH AT 25C SM 4500 -H -B 7.8 6.5-8.5 NA 4/20/2012 M-MA1118 Sediment, pos/neg ---------- NEG ------ NEG 4/20/2012 DLK Sulfate, MG/L EPA 300.0 8.1 250 1 4/20/2012 M-MA1118 Total Dissolved Solids, MG/L SM 2540C 150 500 1 4/24/2012 M-MA1118 Turbidity, NTU EPA 180.1 1.1 Not Spec 0.1 4/20/2012 M-MA1118 MCL=!Maximum Contaminant Level (EPA Limit), MRL = Minimum Reporting Level Sodium Guidelines- Mass 20, EPA 250, # = Result Exceeds Limit or Guideline / ND = None Detected (<MRL), ' = Background Bacteria Noted/ Massachusetts Certified David L. Knowlton Laboratory #MA1118 Laboratory Director Page 1 of 1 Na,h,ba Analytical, LLC Tel: 978-391-4428 Fax: 978-391-4643 LabNumber. 137811 31A Willow Road, Ayer MA 01432 Website: http://www.NashobaAnalytical.com Use this number with all correspondence Client: George Haseltine ReportDate: 7/2/2013 66 Gilcreast Road Londonderry, NH 03053 Certificate of Analysis 2005 Salem Street, North Andover MA Parameter Method Result MCL MRL Date of Analysis Analyst - Kitchen Sink Sampled. 6272013 8.15.00 AM by Lab Staff Total Coliform Bacteria, /100ml ENZ. SUB. SM9223 Absent Absent Absent 6/27/2013 10:00:00 AM M-MA1118 Arsenic, Total, MG/L SM 3113B 0.003 0.01 0.001 6/28/2013 M-MA1118 Calcium, MG/L EPA 200.7 28.5 Not Spec 1 7/2/2013 M-MA1118 Copper, MG/L EPA 200.7 ND 1.3 0.01 7/2/2013 M-MAI118 Iron, MG/L EPA 200.7 0.07 0.3 0.01 7/2/2013 M-MA1118 Lead, MG/L SM 3113B ND 0.015 0.001 6/28/2013 M-MA1118 Magnesium, MG/L EPA 200.7 5.7 Not Spec 1 7/2/2013 M-MA1118 Manganese, MG/L EPA 200.7 0.039 0.05 0.005 7/2/2013 M-MA1118 Potassium, MG/L EPA 200.7 ND Not Spec 1 7/2/2013 M-MA1118 Sodium, MG/L EPA 200.7 8.2 See Note 1 7/2/2013 M-MA1118 Alkalinity, MG/L SM 2320B 105 Not Spec 1 6/27/2013 M-MA1118 Ammonia, MG/L SM 4500-NH3-D ND Not Spec 0.1 6/27/2013 M-MA1118 Chloride, MG/L EPA 300.0 2.2 250 1 6/27/2013 M-MA1118 Chlorine, Free Residual, MG/L SM 4500 -CL -G ND Not Spec 0.02 6/27/2013 M-MA1118 Color Apparent, CU SM 21208 0 15 1 6/27/2013 M-MAI118 Conductivity, UMHOS/CM SM 2510B 251 Not Spec 1 6/27/2013 M-MAI118 Fluoride, MG/L EPA 300.0 0.2 4 0.1 6/27/2013 M-MA1118 Hardness, Total, MG/L SM 2340B 95 Not Spec 2 7/2/2013 M-MA1118 Nitrate as N, MG/L EPA 300.0 ND 10 0.05 6/27/2013 M-MA1118 Nitrite as N, MG/L EPA 300.0 ND 1 0.01 6/27/2013 M-MA1118 Odor, TON SM 2150B 0 3 0 6/27/2013 DLK pH, PH AT 25C SM 4500 -H -B 7.4 6.5-8.5 NA 6/27/2013 M-MA1118 Sediment, pos/neg - NEG NEG 6/27/2013 DLK Sulfate, MG/L EPA 300.0 11.8 250 1 6/27/2013 M-MA1118 Total Dissolved Solids, MG/L SM 2540C 142 500 1 7/2/2013 M-MA1118 Turbidity, NTU EPA 180.1 0.76 Not Spec 0.1 6/27/2013 M-MA1118 MCL=Maximum Contaminant Level (EPA Limit), MRL = Minimum Reporting Level Sodium Guidelines- Mass 20, EPA 250, # = Result Exceeds Limit or Guideline ND = None Detected (<MRL), " = Background Bacteria Noted Massachusetts Certified David L. Knowlton Laboratory #MA1118 Laboratory Director Page 1 of 1 J I ,�Ile �X,' EXIST t ' CONC. i� ``� � SND. N 34� O� o 16-50 TF— 151.26 N I CURRENT ZONING: RESIDENTIAL, R-2 0 MIN. LOT AREA: 43,560 S.F. RECEIVED d MIN. LOT FRONTAGE: 150 FT. ' APR `L 9 2013 � SETBACKS: U FRONT. 30 FT. 22 � 22 j�� 20� 5.55' 31 lwm� 13 SIDE: 3000 FT. N REAR: 30 FT. i "I HEREBY CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN." i= L STEPHEN E. R.L.S 4/23/13 DATE PLAN OF LAND FOUNDATION LOCATION IN NORTH ANDOVER, MASSACHUSETTS DRAWN FOR GEORGE HASELTINE 2005 SALEM STREET NORTH ANDOVER, MA SCALE: 1"=20' DATE: APRIL 23, 2013 0 10 20 40 60 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER MASSACHUSETTS 01810 PHONE.- (978) 475-3555 FAX (978) 475-1448 EMAIL• MERRENG®AOL COM NZ m� Ln m 0 2(»S 5akry- St 32'-0' 0_On 26_0' '-4° 4'-B" 6'-2' r r r 6'-0' 10'-0' 6'-0" 22'-0' m FIR51 FLOOR PLAN Greensca e Property & Bldg. r o 3 o A O O - THE STERLING 60 OILCREAST ROAD a YV o _ i W i rn U) - 282B D.H. LONDONDERRY, N.H. 03053 TeL•(603) 425-2300 FAX:(603)425-7661 A �\ REF. I t===y 1 0 S L T = 12'-0"4'-7" q'-5" 3036 SLIDER T N m i T A AA � � J 1 s rp V mo m0 01 O Dr I w p Z A p m -uA o a❑ "11 An 42' �uA o U RAILINGUi A m3 O UP to i 2'-O" II 3'-9' 13T414R 9'-3' 13Tt114R p ¢'� 2'-0" 4-0" � II Ilfm '- o IIIT � Ilm� II 2'-4' 4'-0"L a 2-2B2B D.H. W 36' OPG. L 0 1113 3 III 3r I III 1 J III � I (l om a 2416 D.H. o III Iq _0n L I lr v III i ro_�r�,� E— W III I J, w 2626 3'-8' D.u. 2'-4" REARTH yA - 6'-0" 3'-8 9'-4" 4i_On mN A O T mOTO m N wA �O AWrm m ?0-M-- m -Zi rn rn I N (JI m 111--1 lP A OCA �mpm� yn nA nm C�00 A x I �= A �= a9p2 r�D O 7m0 99'0 a A O 70 � Y I r z -4 j J - O Q 2 n O m I n N O A m = N N rn ' rn I A 1 2828 D.H. 2528 D.N. 'n r r r 6'-0' 10'-0' 6'-0" 22'-0' m FIR51 FLOOR PLAN Greensca e Property & Bldg. r o 3 o A O O - THE STERLING 60 OILCREAST ROAD a YV o _ i W i rn U) - CRAFTSMAN STYLE LONDONDERRY, N.H. 03053 TeL•(603) 425-2300 FAX:(603)425-7661 A dN5 5wras 20-0' 12'-0" 14'_0• 0' >m O o m Z O C D Z p SECOND FLOOR PLAN Greenscape Property & Bldg. O" Yu 2524 D.H. - r p m o OB GILCREAST ROAD LONDONDERRY, N.H. 03053 THE STERLING III I \ I m I CRAFTSMAN STYLE Tel:(603) 425-2300 FAX:(603)425-7081 - 70 III D w IIIA 3 IIIA ��DD III w N 1- 1 2-2824 D.H. A N� III O � III o III III 2-2416 D.H. 4'-0' 2'-0' Lg" T- III � m I VIII A o I III mll I I _ nAi 9 I �— III a WWII! IIS 3111 _ I IIIA 1 2824 D.H. III O � IIS K III I Illn 1 5'-8' 2'-4' 6'_p" mlll 2'-B' 1 2416 D.H. 1.1 I Illm I III I y � 9 I III II w In DN g� 11 lr I 3Tt14R r &0" COMBO RAILING J - C II N I I `civ IIIA +� o 2-2824 D.H. Illm w 5'-10" I'-2' w 2-2824 D.H. II III II d I o� nl I � m o I lr N IIIm b III III III III 'Z G I o I I I I I I - 0' >m O o m Z O C D Z p SECOND FLOOR PLAN Greenscape Property & Bldg. O" Yu r p m o OB GILCREAST ROAD LONDONDERRY, N.H. 03053 THE STERLING O w - ; CRAFTSMAN STYLE Tel:(603) 425-2300 FAX:(603)425-7081 - 70 1 N c� 0 d i a U 0 00 n N r CURRENT ZONING: MIN. LOT AREA: 43,560 S.F. MIN. LOT FRONTAGE: 150 FT. \A bD .P TF=l 5 4v 4v, LEGEND EXIST. EXISTING CONC. CONCRETE FND. FOUNDATION A TF TOP FOUNDATION ELEVATION aVIN/F NOW OR FORMERLY RESIDENTIAL, R-2 SETBACKS: NOTE: SEE TOWN OF NORTH ANDOVER TAX. MAP 108A, LOT #2 FOR THIS SITE. SEE E. N.O. R. D. PLAN #769 AND DEED BOOK #1056 PAGE #72. RECEIVED APR Z 9 2013 FRONT. 30 FT.'TOWN OF NORTH ANDOVER I SIDE: 30 FT. HEALTH DEPARTMENT REAR: 30 FT. "I HEREBY CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN." STEPHE yj OF R. L. S. PLAN OF LAND FOUNDATION LOCATION IN NORTH ANDOVER, MASSACHUSETTS DRAWN FOR GEORGE HASELTINE 2005 SALEM STREET NORTH ANDOVER, MA SCALE: 1"=100' DATE: APRIL 23, 2013 MERRIMACK ENGINEERING SERVICES 66 PARK STREET 4123113 ANDOVER, MASSACHUSETTS 01810 DATEPHONE.• (978) 475-3555 FAX (978) 475-1448 EMAIL • MERRENG®AOL COM J (129,181 S.F.) rn 0 oma,' `O z � 70 J �Q is Ln EXIST. o `v O CEMENT ago CONC. I- Z >FND. _ —„f l k9 TF=l 5 4v 4v, LEGEND EXIST. EXISTING CONC. CONCRETE FND. FOUNDATION A TF TOP FOUNDATION ELEVATION aVIN/F NOW OR FORMERLY RESIDENTIAL, R-2 SETBACKS: NOTE: SEE TOWN OF NORTH ANDOVER TAX. MAP 108A, LOT #2 FOR THIS SITE. SEE E. N.O. R. D. PLAN #769 AND DEED BOOK #1056 PAGE #72. RECEIVED APR Z 9 2013 FRONT. 30 FT.'TOWN OF NORTH ANDOVER I SIDE: 30 FT. HEALTH DEPARTMENT REAR: 30 FT. "I HEREBY CERTIFY THAT THE FOUNDATION IS LOCATED ON THE LOT AS SHOWN." STEPHE yj OF R. L. S. PLAN OF LAND FOUNDATION LOCATION IN NORTH ANDOVER, MASSACHUSETTS DRAWN FOR GEORGE HASELTINE 2005 SALEM STREET NORTH ANDOVER, MA SCALE: 1"=100' DATE: APRIL 23, 2013 MERRIMACK ENGINEERING SERVICES 66 PARK STREET 4123113 ANDOVER, MASSACHUSETTS 01810 DATEPHONE.• (978) 475-3555 FAX (978) 475-1448 EMAIL • MERRENG®AOL COM