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Miscellaneous - 209 BRIDGES LANE 4/30/2018
� o I I o� pO M m o m i o r r r Lot & Street CONSTRUCTION APPROVAL Has plan review fee been paid.. YES NO Permit# Plan Approval: Date:_2 111,716 Approved by: Designer: /U��f 10 s COip Plan Date: Conditions: Water Supply: Town Well Well Permit: �''� Driller: Well Tests: Chemical Date ��ved Bacteria I Date Approved Bacteria II Date Approved Plumbing Sign -Off: Comments: Form "U" Approval: Date Issued Conditions: Final Approval: Wiring Sign -off: Approval to Issue: YES NO By: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other? YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: CONDITIONS: Is the installer licensed? Type of Construction: New Construction: Issuance of DWC permit: DWC Permit Paid? CWC Permit # Begin Inspection: Excavation Inspection: Needed: SEPTIC SYSTEW INSTALLATION Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: By. Final Construction Approval: Certificate of Compliance: Date: By: Approval: Date: YES NO Certified Plot Plan Review NEW YES REPAIR Floor Plan Review YES NO NO Conditions of Approval from Form U YES NO YES NO YES NO Installer: YES NO Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: By. Final Construction Approval: Certificate of Compliance: Date: By: Approval: Date: North Andover Bo Assessors Public Access i r µORTp # i • r �,SSACmu Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial ' . I Page 1 of 1 1 111F`I�I III an roperty Record Card Parcel ID:210/104.D-0107-0000.0 FY:2008 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO No ictur Available I Location: 209 BRIDGES LANE Owner Name: CONTRADA, JOSEPH G COLLEEN S CONTRADA Owner Address: 209 BRIDGES LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 7 - 7 Land Area: 1.02 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3008 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 668,900 697,300 Building Value: 444,000 460,600 Land Value: 224,900 236,700 Market and Value: 224,900 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=1180669&towri=NandoverPubAcc 10/29/2008 FINAL GRADE IINNSP CTION Date: Address: Vs OAMED? EEDE D. ❑ COVERT PER PLAN? Other: a 1 ,A; 4. lob 0 . NORTH q O ti , �' O ca.ii�HewK• 1 'P �9SSgC HUs���y PUBLIC HEALTH DEPARTMENT (ommunity Development Division FILE COPY C�E127I�F'ICA7E OFCO�I<'LIA�VCE As o£ September 10, 2009 ,his is to cert that the individuaCsu6surface disposarystem received a S497SFACT0RTINSPEC 705Vof the: impair/ftfuement of an Oiz Site Sewage 04osaCSystem By• ,john 2: Shaw, III At: 209 Badges Gane Map -104.0; Parcel -107 North, X ndover, NA 01845 9ie Issuance of this certificate shaft not 6e construed as a guarantee that the system wilt function satisfactorily. T Sauy6,A0 Wealth Director 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8416 Web www.townofnorthandover.com Commonwealth of Massachusetts City/Town of Forth Andover ° Certificate of Compliance Form 3 M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. This is to Certify that the following work on an On -Site Sewage Disposal System Important: When filling out ❑ Construction of a new system forms on the ® Repair or replacement of an existing system computer, use ❑ Repair or replacement of an existing system component only the tab key to move your cursor - do not Has been done in accordance with Title 5 and the Disposal System Construction Permit (DSCP): use the return key. 4:1 DSCP Number DSCP Date (off Facility Owner 209 Bridges Lane I I (on I Street Address or Lot # Street North Andover MA 01845 City/Town State Zip Code Designer Information: BENJAMIN C OSGOOD JR. Name Name of Company /'�) �28-10-09 -bf6ature/Date Installer Information: u�ir.ai� sliiq!-✓� Name Sigrfature Name of Company 0///0/02 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 Autho ' Signatr Date t5form3.doc• 06/03 Certificate of Compliance • Page 1 of 1 J, PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 209 Bridges Lane INSTALLER: John Shaw DESIGNER: Ben Osgood PLAN DATE: 5/3/07 BOH APPROVAL DATE ON PLAN MAP: Not on plan 1/28/09 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 7/29/09 DATE OF FINAL GRADE INSPECTION: LOT: Not on plan SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: Installer received approval from BOH for relocation of septic tank. SEPTIC TANK ® 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 mono construction ® Water tightness of tank has been achieved by Visual testing 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 rl Al —2 77d' -b TOWN OF NORTH ANDOVER f r10RTH Office of COMMUNITY DEVELOPMENT AND SERVICES pr HEALTH DEPARTMENT p 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 ''"SsaC;;,;s�t{� Susan Y. Sawyer, REHS/RS 978.688.9540 —Phone Public Health Director 978.688.8476 — FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATIO b ADDRESS: 16 �00 MAP' SOT: INSTALLER: DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: ) P16 �► INSPECTIONS TANK INSPECTION: �,<s�uss.e DATE OF BED BOTTOM INSPECTION: MY, DATE OF FINAL CONSTRUCTION INSPECTION: 'j. -- DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ��� '' �L/�lox ' Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK `1�- ❑ 1 3 ❑ 3V- 3 El Bottom of tank hole has 6" stone base Weep hole plugged 1500 gallon tank has- H-101oading Monolithic construction Water tightness o an e�d (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, centered under access port Outlet tee (gas baffle or effluent filter) installed, centered under access port 24" 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 Wastewater System Documentation — Feb 2006 Page 1 of 6 NORTH Os ', _Ro I -7•I 3? ' O ��'1f- .. 1F 6 6 L P e� ° *�9_ COC.00 �WKN , PUBLIC HEALTH DEPARTMENT Community Development Division ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 20" inch cover to final grade installed over all three access ports Hydraulic cement around inlet & outlet Comments: Effluent filter was not proposed on design plan, only a gas baffle. DISTRIBUTION -BOX ® Installed on stable stone base ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan N/A 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: Inspection ports are provided for each row of chambers SOIL ABSORPTION SYSTEM (Gravel -less Chambers) ® Brand and Model of Chamber: Infiltrator Chamber Standard Quick 4 ® Number of chambers per row: 7 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 PUBLIC HEALTH DEPARTMENT Community Development Division ® Number of rows (trenches): 6 Comments: 42 chambers total BM = 101.63 HR= 0.54 HI = 102.17 SYSTEM ELEVATIONS 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form lune 2008 ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark 101.63 Building Sewer OUT 2.84 98.98 98.10 Septic Tank IN 4.17 97.70 97.60 Septic Tank OUT 4.44 97.38 97.35 Distribution Box IN 4.56 97.26 97.19 Distribution Box OUT 4.74 97.08 97.02 Lateral 1 TOP 4.89 Lateral 1 INVERT 96.93 96.92 Lateral 2 TOP 4.90 Lateral 2 INVERT 96.92 96.92 Lateral 3 TOP 4.89 Lateral 3 INVERT 96.93 96.92 Lateral 4 TOP 4.88 Lateral 4 INVERT 96.94 96.92 Lateral 5 TOP 4.88 Lateral 5 INVERT 96.94 96.92 Lateral 6 TOP 4.88 Lateral 6 INVERT 96.94 96.92 Top of Chamber 4.88 97.29 97.25 BED BOTTOM ELEV. 96.29 96.25 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form lune 2008 PUBLIC HEALTH DEPARTMENT (ommunity Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 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 Bank' 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) Z Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 August 28, 2009 Susan Y. Sawyer - Health Director Town of North Andover 1600 Osgood Street Building 20 Suite 2-36 North Andover, MA 01845 Dear Ms. Sawyer, RECEIVED AUG 12009 drzw TOWN OF NORTH ANDovER HEALTH DEPARTMENT As you know, we recently had our septic system replaced by Wildwood Excavation of Andover. Throughout the process, including its completion, as is required by 310 CMR 15.021(2), the Approving Authority (North Andover Health Department) inspected and approved the work performed. That project, after final inspection by your department, was completed on August 4, 2009. On that day, John Shaw, owner of Andover Excavation was paid the agreed-upon amount of $19,500. Since that time, I have been infonned by you that a Certificate of Compliance (COC) has not been issued by your department because Mr. Shaw has not signed the required forms in your department verifying that the work has, in fact, been done. You have further infonned me that the COC will not be issued until Mr. Shaw does complete the required forms, and that your department would contact Mr. Shaw to request that he provide his signature on said form as required by 310 CMR 15.021(3) ..... "Within 30 days of the final inspection of the system and prior to the issuance of a Certificate of Compliance, the Disposal System Installer and the Designer shall certify in writing on a form approved by the Department that the system has been constructed in compliance with 310 CMR 15.000, the approved designn plans and all local requirements, and that any changes to the design plans have been reflected on as -built plans which have been submitted to the Approving Authority by the Designer prior to the issuance of a Certificate of Compliance. " At your suggestion, I have also personally contacted Mr. Shaw to request that he sign the required document. And, as I have reported to you by telephone, on Thursday, August 28, Mr. Shaw infonned me - in a recorded voice mail message - that he refuses to comply. His stated reason for the refusal was that the project required more sand than he estimated based on the engineer's design plan for the system, and that until an additional $3475 was paid to him, he would not make it possible for us to receive the COC. (Although you asked that in this letter I not go into any "business details" between Mr. Shaw and myself, I believe - because it is the essence of Mr. Shaw's refusal to comply with 310 CMR 15.021(3) - that it is important to note that there was never any agreement between Mr. Shaw and myself for any additional monies to be paid) In view of Mr. Shaw's refusal, I would request that you, as Health Director, demand that Mr. Shaw, as a licensed installer for the Town of North Andover, comply with the above-mentioned 310 CMR 15.021(3). Should he still refuse to comply, I would refer again to 310 CMR 15.021(2) that states: "the Approving Authority shall make sufficient inspections of the system in accordance with 310 CMR 15.021(2) to determine that the work has been completed in compliance with the requirements of 310 CMR 15.000, the Disposal System Construction Permit, the approved design plans, and any local requirements. " To wit, the North Andover Health Department knows, by virtue of its several inspections, that the project was conducted and completed consistent with both state and local requirements; e.g. your department's order that the tank originally put in place by Mr. Shaw be removed and replaced with a different tank. Accordingly, I would respectfully request that even in the absence of the required signature required of the system installer by 310 CMR 15.021(3), that the Certificate of Compliance be issued by the North Andover health Department forthwith. Thank you. Sincerely, Joseph G. 209 Bridges Lane North Andover, MA 01845 978-794-3562 cc: David Ferris — Massachusetts Dept of Environmental Protection cc: Dr. Thomas Trowbridge — Chainnan, North Andover Board of Health DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, August 05, 2009 4:08 PM To: Ben Osgood Jr. (bosgood@pennoni.com) Subject: Septic - 209 Bridges Lane - As Built and Certification form needed Attachments: image001.gif; image002.gif Hi Ben, Final Grade done today. We need the Final As Built and Certification form signed by you and John Shaw to issue the COC. Please let me know when we can expect to receive the information. Thank you. Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20; Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax pdellechiaie@townofnorthandover.com - E-mail http://www.townofnorthandover.com - Website Notes: If copied to BOH Members - Reference Copy Only - no response requested at this time DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, July 15, 2009 11:42 AM To: Grant, Michele Subject: Septic - 209 Bridges Lane Notes from Michele's inspection Mon. - 7/13/09 for 209 Bridges Lane: According to plan, there needs to be a monolithic tank, and installer, John Shaw was using two piece tank. Shea was at the site, and agreed to take out two-piece and deliver a monolithic. There is a pipe out of the house — 8 feet off of the plan. Tank — Joh's fault. There will be another hole 8 feet to other side. Need to put at a 90 degree angle to the d -box. These things need to be changed on the As Built. Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20; Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax pdellechiaie@townofnorthandover.com - E-mail http://www.townofnorthandover.com - Website Notes: Ifcopled to BOH Members - Reference Copy Only - no response requested at this time Tracking: DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, July 28, 2009 10:21 AM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Marianne Peters; 'Randy Burley' Cc: Ben Osgood Jr. (bosgood@pennoni.com); Sawyer, Susan Subject: 209 Bridges Lane - Final Construction Request Hello, Ben Osgood called to say this property is ready for a F.C. inspection. Please call John Shaw to arrange an inspection at: 978-815-7411. Please ask John for a copy of his infiltrator certification, and have him fax it to us. Thank you. Please make note of Michele's notations at the Bottom of Bed Inspection: Notes from Michele's inspection Mon. - 7/13/09 for 209 Bridges Lane: According to plan, there needs to be a monolithic tank, and installer, John Shaw was using two piece tank. Shea was at the site, and agreed to take out two-piece and deliver a monolithic. There is a pipe out of the house — 8 feet off of the plan. There will be another hole 8 feet to other side. Need to put at a 90 degree angle to the d -box. These things need to be changed on the As Built. Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20; Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax pdellechiaie@townofnorthandover.com - E-mail http://www.townofnorthandover.com - Website Notes: If copled to BOH Members -Reference Copy Only -no response requested at this time Tracking: DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, July 15, 2009 11:46 AM To: Grant, Michele Subject: FW: Septic - 209 Bridges Lane - Revised note. From: DelleChiaie, Pamela Sent: Wednesday, July 15, 2009 11:42 AM To: Grant, Michele Subject: Septic - 209 Bridges Lane Notes from Michele's inspection Mon. - 7/13/09 for 209 Bridges Lane: According to plan, there needs to be a monolithic tank, and installer, John Shaw was using two piece tank. Shea was at the site, and agreed to take out two-piece and deliver a monolithic. There is a pipe out of the house — 8 feet off of the plan. There will be another hole 8 feet to other side. Need to put at a 90 degree angle to the d -box. These things need to be changed on the As Built. Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20; Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 - Fax pdeUechiaie@townofnorthandover.com - E-mail http://www.townofnorthandover.com - Website Notes: If copied to BOH Memhers - Reference Copy Only - no response requested at this time Tracking: Commonwealth Of MaSSaCiIUSettS Map -Block -Lot 104.D0107 �. Board of Health----------------------- },. Permit No 4 North Andover ----------------------- 0 BHP-Zoos-ossl ✓"g�'`a P.I. acFEE s�ncauT� F.I. $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted John- T _ Shaw, III ' to (Repair) an Individual Sewage Disposal System. at No 209 BRIDGES LANE --------------------------------------------------------------------- -------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP -2009-063 Dated July 06, 2009 ----------------- ------------------------------ - ------ - - ---------------------- Issued On: Jul -06-2009 1LE eallh CF pORTH Application f=r Septic Disposal System Rao a qb Construction Permit —TOWN OF '•e.`,: ORTH ANDOVER, MA 01845 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key v l� sewn Application is hereby made for a permit 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 — What? A. Facility Info rmati n C-)< Address or Lot # City/Town 2.- *TYPE OF SEPTIC SYSTEM*: ❑ Pump B Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** TODAY'S DATE $ 250.00 — Full Repair $125.00 - Component ❑ Conventional System (pipe and stone system) 2 Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D -Box Present) S.A.S. 2. Owner Information Name Address (if different from above) City/Town 3. Installer Information Name State Telephone Number Zip Code r✓077d Name of Company .4, ' 3 /—/ Address '-'0'' ' - City/Town <21 glo State Zip Code 9 0 5s o -2411/ Telephone Number (Cell Phone # if possible please) 4. Designer Information Name ° Name of Comparfy Address City/Town State Zip Code relephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 OF pORTN Application for Septic Disposal System Z a6Stao is q4•� �Xonstruction Permit -TOWN OF -:�ORTH ANDOVER, MA 01845 PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: ]Residential Dwelling or ❑Commercial 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 Board of Health. Name Date Application troved By: (B tl of Health Representative) "7 N am Disapproved for the following reasons: For Office Use Only: 1, Fee Attached. Yes No 2. Project Manager Obligation Form Attached. Yes No 3. Pump Ssy tem? If so. Attach copy ofElectrical Permit Yes _4I No 4. Foundation As -Built. (new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans? (new construction only): Yes No Application for Disposal System Construction Permit - Page 2 of 2 SEPTIC SYSTEM ITISTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic syst m) // For plans by Relative to the application of (� L -� ✓ ✓��-� Ua c��Df C' a [/Lr1 i p ru (Installer's name) And dated Dated O? �, 'D 2 o ay s date With revisions dated I understand the following obligations for management of this project: (Engineer) ngina ate (Last revised date) 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 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'Tide 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company. a. Bottom of Bed — Generally, this is the first (1 s inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdel2tQtownofnorthandovgr.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 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. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation) 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, 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. Undersigned Licensed Septic Installer: (Today's Date) 7 ame — Frintame — Signe INFILTRATOR° - systems inc. This is to certify that Q m has satisfactorily completed the required training program for the installation of the INFILTRATOR® leaching chamber system for on-site wastewater disposal applications. This person is certified to install the INFILT, ATOR chamber system as set forth by the rules of the �'���� �'�i-�'� Department of Health. STATE This certification expires on��'`r Installer Signature Infiltrator Representative Signature Corporate Office P.O. Box 768 6 Business Park Road • Old Saybrook, CT 06475 (860) 577-7000 • Fax(860)577-7001 www.infiltratorsystems.com r� � NORTH q O �t�ao 46 t o' 0 t �~ OAC. coc.niHewaw 1• PUBLIC HEALTH DEPARTMENT Community Development Division January 28, 2009 Joseph Contrada 209 Bridges Lane North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 209 Bridges Lane, North Andover, MA Dear Mr. Contrada, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans submitted by T New., dated May 3 2007 final revision date of November 14, 2009, have been approved for a five (5) bedroom, maximum eleven -room home. In accordance with local subsurface disposal regulations "Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". 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 includes a Board of Health waiver to utilize test pit information greater than two years old. 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. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 web www.townofnorthandover.com 1 �t 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 may have. Sin erely, d' :ZSIRS Susan Sawyer, Public Health Director Encl: list of licensed septic system installers Cc: New England Engineering Services 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Health Department November 6, 2008 Benjamin C. Osgood, Jr. P.E. New England Engineering Services, Inc. 1600 Osgood Street Building 20, Suite 2-64 North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 209 Bridges Lane, Map 104D, Lot 107 Dear Mr. Osgood: The proposed wastewater system design plan for the above site dated May 3, 2007 and received on October 16, 2008 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. Please state the local variance request on the design plan ((3 10 CMR 15.220(4)). 2. The cover letter is requesting a Local Upgrade Approval and does not specify the section of the regulation. However, a variance from North Andover Regulations section 7.05 must be requested not a Local Upgrade Approval from Title 5, 310 CMR 15.000. 3. Please show all the legal boundaries of the property (3 10 CMR 15.220(4)(a)). 4. Please provide a north arrow (3 10 CMR 15.224(4)(g)). 5. The bottom of the Infiltrator Chambers are shown as 96.25' and the detail shows the chambers to be 12" in height. Please explain how the breakout elevation was calculated to be 97.48' instead of 97.25' (top of chambers). 6. Please clearly show the breakout elevation is met with an existing spot grade or proposed finish grade (310 CMR 15.255(2)). 7. Please indicate that the finish grade over the leaching facility shall a minimum slope of 0.02 feet per foot. (3 10 CMR 15.240(10)). 8. Please confirm if an impervious barrier is being proposed. If so, please indicate this on the site plan. Construction Note # 15 describes the specifications of an impervious barrier to be used but it is not shown on the site plan. 9. Please indicate the correct width of the proposed leaching facility. The site plan states a 20' width and the cross section states a 19.5' width. 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20; Suite 2-36 E -Mail: healthdept@townofnorthandover.com North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 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. :Sincer y, Susan Y. Sawyer, REHS/RS Public Health Director cc: Joseph Contrata File SEPTIC PLAN SUBMITTAL FORM NEw IENGLAND IENGINEEPUNG SERVICES, INC. VT11 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 TIM: (978) 686-1768 • Fax: (978) 327-6138 www.neengineeringinc.com Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Re: 209 Bridges Lane, North Andover Septic system design Dear Susan: Enclosed are 5 copies of revised plans for the above made to address comments in your letter dated Noi December 24, 2008 ced septic system design. Changes have been 6, 2008. The changes/comments are as follows: 1. Local bylaw variance q/show een a ed to the plan below the design data. 2. A letter requesting a IoWria ce shall be submitted with the revised plans. 3. All legal boundaries arA n the plan. 4. A north arrow has been'e plan.5. The breakout and infiltrahave been revised. A breakout elevation of 97.25 is correct. 6. Finish grade lines, as wesed and existing spot grades have been added for clarity. 7. Proposed spot grades haded to the plan view, and a 2% slope aver the system has been depicted in the Infiltrator End Detail. 8. Construction note referring to the impervious barrier has been removed. 9. The width of the infiltrator bed in the plan view has been correctly dimensioned as 19.5'. If you have any questions, or need additional information, please do not hesitate to contact this office. Sincerely, Aam'C. Osgood, Jr., P; President 1 1 TOWN OF NORTH ANDOVER t&ORTh Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH.DEPARTMENT I600 OSGOOD STREET; BUILDING 20; SUIT 2-36 *% NORT:I l: ANDOVER. MASSACHUSETTS 01845 �Ss4c,,,��� 978.688.9540 — .Phone Susan Y. Sawyer, R1 HS/RS 978.688.8476 - FAX Public Health Director E-MAIL: liealthdel)t utownofnorthandover.con2 WEBSITE: htl:p:'hkww.towiiof.northandover.coixi SEPTIC PLAN SUBMITTAL FORM Date of Submission: Site Location: Engineer: New Plans? Yes_ review only) Revised Plans?Yes 1014A I $225/Plan Check # $75/Plan Check # (includes Is' submission and one re - Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes No Telephone #: no it �%�(p 8' Fax #: �'10138 E-mail: GS4womwi, I/pt( -C644, Homeowner Name: OFFICE USE ONLY When the subm' sion is complete (including check): RE���� ➢ Date stamp plans and letter ➢ Complete and attach Receipt w 16 200$ ➢ / Copy File; Forward to Consultant TOWN OF NORTH ANDOVERT ➢ Enter on Log Sheet and Database HEALTH DEPAF' NEw IENGLND ENGIN EIERI NG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768 • Fax: (978) 327-6138 www.neengineeringinc.com December 24, 2008 Susan Sawyer North Andover Board of Health 1600 Osgood Street CHETALTH North Andover, MA 01845 a3 Re: 209 Bridges Lane Variance request Dear Susan: In your letter dated November 6, 2007 regarding the above referenced property you state that a variance to section 7.05 is required in order to allow the test pits recorded on June 5, 2001 to be used. My interpretation of the bylaw is that we can be allowed to use the test pits if the Board of Health or its agent agrees that the soil logs are sufficiently detailed and the site has not been altered. I do not believe a variance is required, just your concurrence. However, in the event you disagree I am requesting a Variance to section 7.05 of the local regulations to allow test pits which are more than two years old to be used in the design of the system for 209 Bridges Lane. If you have any questions or require any additional information please do not hesitate to contact this office. Sincerely, Qr. Benj; in C. Osgood, P.E. President NEw 1ENGLAND IENGINEEMNG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01843 Teel: (978) 686-1768 • Fax: (978) 327-6138 www.neengineeringinc.com Ms. Susan Sawyer North Andover Board of Health 1600 Osgood Street No. Andover, MA 01845 Re: 209 Bridges Lane No. Andover Local Bylaw Variance Request Dear Ms. Sawyer, September 15, 2008 Project # 498 OCT 16 2008 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following Local upgrade approval request: Local Upgrade Approvals Required: 1. Allow the use of soil testing data which was gathered more than two years ago. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjamin C. Os:h, Jr. P.E. President NEw IENGL�ND IENGINEE]JNG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 1'e1: (978) 686-1768 0 Fax: (978) 327-6138 www.neengineeringinc.com Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover, NIA 01845 Re: 209 Bridges Lane, North Andover Dear Susan: April 19, 2007 APR 2 3 2007 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT This letter is being written to request that the above referenced property be included on the next board of health agenda. The purpose of the meeting is to request that soil testing done by this office in 2001 be allowed to be used in the preparation of a new design plan. The site is an existing residential property and the system failed a title 5 inspection in 2001. Since the performance of soil testing at the site in 2001 there has been no disturbance of the area where the soil testing was done and no reason to expect that the results of the soil testing would render different results. In addition, the homeowner does not the money to pay to have additional testing done. If you have any questions, or need additional information, please do not hesitate to contact this office. Sincerely, 9Benjamin C. Osgoo ejr., P.E. President No. / -r -Z— I RM 11 - SOIL EVALUATOR FORM Page I of 3 Tu— HEALTH DEPAtMVIENT Commonwealth of Massachusetts Massachusetts Soil SuitahjW Assessment ' for-0-n-site..Sewage Disposal Performed By: ........ . ... ............ Date: WitnessedBy: ............ .. :7�� .. ..... . ............ I ..... .................................... . ..... .... I ........... ............. .. .. ... . L=xtion Addrcu or OWMI's Nam. La I Aftess, sind Tcleph= I -1Y 2C qew Construction E] Repair /V Uffice Review Published Soil Survey Available: No El Yes 91 Year Published / .................. Publication Scale Soil Map Unit .el'A4 4 -- Drainage Class . ................... Soil Limitations .. .... ......... .... .................... ... ....... Surficial Geologic Report Available: No Q Yes ❑ Year Published Publication Scale Geologic Material (Map Unit) ........................... ... I ............................... ...... ................................. Landform............................................................................. ................... I ............................................................. ........... Flood Insurance Rate Map:, Above 500 year flood boundary No E]Yes Within 500 year flood boundary No 11 Yes 0 Within 100 year flood boundary No ❑ Yes 7 Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month A;41 Range :Above Normal E]Normal ZBelcw Normal ❑ Other References Reviewed: W . - DEP APPROVED FORM - 12/07195 y.r n r , FORM 11 - SOIL EVALUATOR H oini Page 2of3 Location Address or Lot No. 2r On-site Review ��Al Deep Hole Number / Date:.' Time:.. _ Weathe�� Location (identify on site plan) "� L' Land Use Slope (%) . 2— Surface Stones . Vegetation �/1��55:.:...: . Landform �'`��' ..�1 Position on landscape (sketch on the back) Distances from: Ig Open Water Body � feet Drainage way feet Possible Wet Area feet Property Line ..:........ feet Drinking Water Well 7� . feet Other :.....:..::. DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) 0 �u J L5 c�- �,,��`� MINIMUM OF 2 HOLES REUUIHt:U A I tvERY PROPOSED DISPC5SAL AREA Parent Material (geologic) �GG _®�� DepthtoBedrock: - Depth to Groundwater: Standing Water in the Hole: — Weeping from Pit Face: r� Estimated Seasonal High Ground Water: DEP APPROVED.FORh'I • 12/07/95 I FORM 11 - SOIL EVALUATOR ICOR,N1 Page 2 of 3 Location Address or Lot No. o09' i�t� �i NO llk ._ �21 On-site Review Deep Hole Number Date:Time:. S_ Weathe� Location (identify on site plan) i Surface Stones Land UseLG Slope (%) .... Vegetation Landform Position on landscape (sketch on the back)���� Distances from: o Open Water Body /2�� feet Drainage way.. ... feet Possible Wet Area .��© feet Property Line ..:;ZO... feet Drinking Water Well ?/�0. feet Other ....:...... DEEP OBSERVATION HOLE LOG' Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) C*00 ` MINIMUM UI- Z HULtb HtUUIhtU A I tV to r rnvry a Cv wlorv� --- Parent Material (geologic) ��� DepthtoBedrock: 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 LVALUATOR FORM Page 3 of 3 Location Address or Lot No. Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole ................... inches ❑ Depth weeping from side of observation hole ............... inches RL Depth to soil mottles ........ inches ❑ Ground water adjustment .................. feetZ_ Index Well Number .................. Reading Date .................. Index well level ................. Adjustment factor Adjusted ground water level ....................................................... Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in a I 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 / s (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above. analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. C Signature Date AEP APPROVED FORM • 12/07/95 ,i Sawyer, Susan From: Sawyer, Susan Sent: Tuesday, April 10, 20071:32 PM To: DelleChiaie, Pamela Subject: 209 Bridges I called Ben, Told him that I suggest that they do a confirming soils test and submit the plans as new. I wish I could remember this one, it has my name on it. S ---Original Message From: DelleChiaie, Pamela Send Wednesday, April 04, 2007 3:38 PM To: Sawyer, Susan Subject Questions from Ben Osgood Importance: High Hi Susan, Ben called. He did a design plan 3-4 years ago for 209 Bridges Lane. The owner was going to sell, but then took his house off the market. Do they need to do new plans, or can the previous ones be used? Also, for 1312 Salem Street, there was a note in the file about wanting the Final Grades on the As Built plan. Ben states that they don't usually do this, as a survey crew must go out, and it is an extra $300 for the homeowner. Does he really need to do this? Please call him back at 978.686.1768. Best Regards, Pamela DelleChiaie Health Department Assistant Town. of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA oi845 W978.688.954o - Phone A 978.688.8476 - Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com NEW ENGLAND ENGINEERING SERVICES lk . INC September 12, 2001 Sandra Starr, Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 209 Bridges Lane, North Andover, Septic system design Dear Sandra: Enclosed are revised plans, additional review fee, and application for approval for the above referenced property. The following changes have been made. 1. The year of the plan was corrected. 2. The tank sizing has been revised to reflect a 5 bedroom house. 3. The wetland note has been revised to indicate 150 feet. 4. The building sewer slope has been indicated on the plans. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgood, r., EIT President wNb N RTH , NDOv'ER% RQARD OF F EAE H d ESEP-12 2001 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 I SEPTIC PLAN SUBMITTAL FORM LOCATION: NEW PLANS: REVISED PLANS: Oq �� d/ YES 1bU $1-2"O/Plan ✓ $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: 9', L l 0 ( DESIGN ENGINEER: N �w ✓�, �� �,� �; r r..2C/L1 7 p' S DATE TO CONSULTANT: 0 Q *If you want your plans expedited, please submit three plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. TOW N OF NORTH ANDOVER a 1* NoxrH HEALTH DEPARTMENT I it 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Sandra Starr Telephone (978) 688-9540 Public Health Director FAX (978) 688-9542 September 17, 2001 Joseph Contrata 209 Bridges Lane North Andover, MA 01845 Re: septic plan approval Dear Mr. Contrata: This letter comes as a confirmation that the proposed septic system plans dated 9/11/01 for the repair of the system at 209 Bridges Lane, North Andover have been approved. Accompanying this letter is a completed Design Approval Form #1162. Please do not hesitate to call me at 978-688-9540 should you have any questions. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: B. Osgood, Jr. File BOARD OF HEALTH W,FaT;� ,���� NORTH ANDOVER, MA 01845APD=MAY HEALTH 978-688-9540' r APPLICATION FOR SOIL TESTS '. _ z. DATE: r,"� ► t i a ' MAP & PARCEL: LOCATION OF SOIL TESTS: �20 r --f 16 AJ. {i el i7 OWNER::J�2 j:- a r f ca CX> TEL. NO.: '7 5 1A, � ADDRESS:; ENGINEER: New England Engineering Services TEL. NO.: 978-686-1768 CERTIFIED SOIL EVALUATOR: Beni amin C. Osgood, Jr. and Richard C. Tangard Intended Use of Land: Residential Subdivision Is This: Sin leFamily Hon Commercial Repair Testing: x Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No )(/ THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of $275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $75.00 per lot for repairs or upgrades. GENERAL INFORMATION I. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1 "-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. TOWN OF NORTH.ANDUVEI BOARD OF HEALTH Please Do Not Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: fm— ? 0 a b9b 'oN Ol1b0yOyye � O 57 � Hd3SOf p3/ i� �t ? 0 a b9b 'oN Ol1b0yOyye � O 57 � Hd3SOf p3/ II�- �t V N. j I I� 'I ? 0 a b9b 'oN Ol1b0yOyye � s yy ob�sbM� � Hd3SOf p3/ 30 TO: NORTH ANDOVER, MASS--- -� %ZL, 19'S' BOARD OF HEALTH DESIGN ENGINEER Re: Soil Absorption Sewage FROM: System Inspection This is to certify that I have inspected the construction of the said disposal system at /.Ib(" -6.5 l/i?fV t North Andover, Mass, SITE LOCATION The grades and construction are as specified in my plans and specifications dated. �.s W •�H �J i h N4 q � r � W � � 4 3� Zo a USWto � i� �d W b Z ? O �C07Q D � W 0 o� o,. � �.s at i h r oa V �� I J i h N4 q � 3� Zo a USWto � i� �o b Z ? O �C07Q e o• 3 0 � v at i h r oa V �� I v1l q � 3� Zo a vc � i� 4i Z ? O o e o• at i h r oa V �� I r wX E Z 1 1 I C)L. 0 1 � '�` eti• I I ( I h r wX E Z 1 1 I 1 � _- t /Gp• V- It W L .ti 1 �Q v