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HomeMy WebLinkAboutMiscellaneous - 225 OLD CART WAY 4/30/2018 (3) 225 Old Cart Way APPLICANT: GAUTHIER 1 (y kf P 1AJ t ► _4 s Lot & Streetz2_�:4 Map/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: '%YES NO Permit# Plan Approval: Date: Approved by: Designer: Plan Date: Conditions: Water Supply: Town Well Well Permit: Driller: Well Tests: Che i,cal Date Approved Bacterial Date Approved Bacteria II Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: Form "U" Approval: Approval to Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? aYS1__) NO Well Construction Approval? Y NO Septic System Construction Approval? . (1 E] NO Certification? YES NO Other? YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: a SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? Ca:, Type of Construction: EPA RI New Construction: Certified Plot Plan Review YES NO Floor Plan Review YES NO Conditions of Approval from Form U YES NO Issuance of DWC permit: Y" NO DWC Permit Paid? /� ES NO - DWC Permit# Installer: Begin Inspection: YES NO Excavation Inspection: Needed: Passed: By: rG Construction Inspection: Needed: (As Built Plan Satisf ctory: ES: Approval of Backfill: Date: 2�,h By: l Final Grading Approval: Date: ,6' c By: Final Construction Approval: Date: 4 By: Certificate of Compliance: Approval: Date: 1, MAP # �. # PARCEL '# (eTREET HAS PLAN REVIEW FEE BEEN PAID? YES NO PLAN APPROVAL: DATE APP. BY 4 DESIGNER= PLAN DATE CONDITIONS f,'r ' _ .. %.` =fp't� � �``r> WATER SURREY:' j, TOWN WELL WELL PERMIT DRILLER WELL TESTS: CHEMICAL DATE APPROVED BACTERIA I DATE APPROVED,_"_"__•___.__"_____" BACTERIA II DATE APPROVED. _ COMMENTS: FORM U APPROVALS APPROVAL TO ISSUE YES, NO DATE ISSUED BY_ � .------- CONDITIONS: FINAL APPROVALS ALL PERMITS PAID YES. NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO ..OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: BY: IS THE INSTALLER LICENSED? YE� NO - TYPE OF CONSTRUCTION: NEWS REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF..APPROVAL YES NO (FROM FORM U) •. ISSUANCE OF DWC PERMIT YES NO DWC PERMIT N0. rte, INSTALLER: BEGIN .INSPECTION NO I.EXCAVATION . INSRECTION: NEEDED: PASSED BY h CONSTRUCTION INSPECTIONS NEEDEDs AS BUILT PLAN SATISFACTORY: YES RDP BACKFILL: DATE: ' BY� !G//�.._ APPROVAL TO FINAL . GRADING APPROVAL: DATE BY FINAL CONSTRUCTION APPROVAL: DATE: _BY TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE j DATE OF COMPLIANCE 4/20/01 This is to certify that the individual subsurface disposal system constructed O or repaired (X). by Jeff Fiorentino ' at 225 Old Cart Way has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector i k�_:-. 7 �=�t.`�.:s••__; n � _ �may. �` .. O1n ' 2 TOW'.—N' Or NORrrH ANDOVER SE�VACYr DISPOSAI. S)i'S' 'E\-I I\STALLA-rioN CERTIFICATION 4 The unce-sismed here:v cerify that theewage Disposal System i�(! cocsutictcd, recalrzd: _ kDO)TI 0,v o F NC-VV 1 RE1�1C}j by I located at 2 2 5 OID was installed in conformance with the No-th Andover Board of Hea ith a-fprovea plan, Svsten Deslem Pe;:rit _ 1I3 , dated M?T n&,;Ey ,. :with an acuroved dess.-A flow or'M Pilons per day The mater a:s used were in conformarcz, .vith those specified on the app"roved plan; the system was installed in accordarc e .,,ith the previsions of 310 CNIR 1,5.000, Title 5 and local remilations, and the t5nal,Qradirg agrees substantially M"Ith the approved plan. .til :work is accurate:v reoresented ;)r. the As-wilt which has been submitted to the Board e"'i-iealth. Bed inspecticn date: X1130/04 ] L�_3�✓L _ Engineer R;-pre fn:stive Einar inspect:en cater -- Ensiree: Re�resz-aat::e InstaIIer: i-,�t�� — `ic.T: � cv Cesi(Tr� Engineer: �� °1 RICHA Cey C. " TANGARD �`''zii C_ �sS/ANAL E��'` AS-BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS v LOCATIONS &DIMENSIONS OF SYSTEM, J / INCLUDING RESERVE v TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM -r J LOCATION OF WATER, GAS, ELECTC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP & SIGNATURE i ►.`` IMPERVIOUS AREAS - DRIVEWAYS, ETC. L/ NORTH ARROW y LOCATION&ELEVATIONS OF BENCHMARK USED III Z2-5 �C1w INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initials A. Bottom of Bed 1. Excavation to proper depth 2. With trenches,sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation,etc. Comments: ti. B. Retaining Wa 1. Wall Neigh d width as specified 2. Waterproofe 3. Wall minimum 0'to leaching facility 4. Wall meets specs cations of plan Comments: C. Building Sewer 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 3. Watertight joints 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8"pe of minimum 6. Pipe properly set on compact firm base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90°change 10. 10' minimum offset to water line Comments: D. Septic Tank 1. Level 2. 1,500 gal minimum 3. Gas baffle present on outlet �( 4. Manhole to grade 5. Manholes over center and each tee , 6. 3-20"manholes 7. Inlet tee minimum 12"under invert 8. Outlet tee minimum 14"under invert 9. Outlet line cemented 10. Air space 3"above tees 11. 2"-3"drop from inlet to outlet 12. Pipe set 13. Compact base with 6"of 1/4"crushed stone under tank 14. Tank is watertight Comments: ti Yes NO E. Pump Chamber 1. If separate from tank,compact base with 6"of/<"stone underneath 2. Minimum 2"pipe to d-box if gravity system 3. 20"access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch 12. Pump delivers liquid to d-box Comments: F Distribution Box 1. D-box level - 2. Minimum 0.IT'(2")drop from inlet to outlet 3. Minimum 6"sump 4. Outlet pipes show equal distribution 5. Compact base with 6"of stone beneath box ✓ 6. Box is watertight 7. All lines cemented with hydraulic cement 8. Schedule 40 pipe t✓ Comments: G. Soil Absorption system 1. All stone double-washed-3/4"- 1 ''/z" ✓ -pea stone Bucket test done? 2. Minimum 2".of pea stone above distribution lines ✓ 3. Minimum 6"stone beneath pipe ✓ 4. Distribution lines capped or connected together ✓ 5. Grading meets 3:1 slope 6. Minimum of 9"of fill graded over system 7. Toe of slope stops minimum 5' from edge ofproperty, if not,then swale. Comments: H. Leach Trenches f 1. Minimum 2 trenches 2. Length of trenches agree with plan. (Max.length 100') 3. Width of trenches agree with plan-Minimum 2';maximum-4'. 4. Vent present if<50 feet or specified 5. Distance between trenches minimum 4' and maximum of 6' 6. Minimum distance between trenches 10' [� ,�- 7. Pipe slope minimum 0.005 or 6"per 100' 8. Depth of trenches below outlet invert minimum of 6 i Yes NO 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6"per 100' ' 3. Separation between pipe 6'maximum 4. Pipes connected at end 5. Separation between adjacent fields 10'minimum 6. Pipes set on stable base 7. Maximum 4'separation from edge of field to first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: I Leaching Pits 1. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between 12"and 48"wide 4. Access manholes on each pit 5. Pipes cemented with hydraulic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 t/ / 2. All system components covered by at least 9"soilv� 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling _G 5. No areas over system that may pond Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH Nor+rH / / _ ofsi�a° 'a1+0 L • � I A ' •49"°+�r.o 'PDISPOSAL WORKS CONSTRUCTION PERMIT ' 9SgACNUSEt . Applicant E wADMSS TELEPHONE 7 Site Location Permission is hereby granted to Construct ( ) or Repair ( an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. /lf CHAIRMAN, BOARD OF HEALTH, Fee4,L) D.W.C. No. ,� BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 1\`1 6 p CURRENT INSTALLER'S LICENSE# J1j.1ZC2 LOCATION• CAWS_ CAO CC_2T LICENSED INSTALLER: SIGNATU TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: i IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. I Administr eve Use Only $75.00 Fee Attached? Yes No Foundation As-Built? Yes No I Floor Plans? Yes No Approval o��/C.0/l�Z� Date: /� INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at PA relative to the application of dated 1!'/S L� 0 for plans by and datedA i 6 U with revisions dated I understand and agree to the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable . 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a) Bottom of Bed—generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final Inspection—Engineer must first do their inspection for elevations,ties,etc. As-built or verbal OK from engineer must be submitted to BOH, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site. �•i 3. As the installer I understand that personsor companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank,D-box,pipes,stone,vent,pump chamber,retaining wall and other components., 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. nde� igned Lice ed ptic Installer Date: lORTH TOWN OF NORTH ANDOVER BOARD OF HEALTH 27 CHARLES STREET r*� NORTH ANDOVER, MASSACHUSETTS 01845 SACNUS SANDRA STARR,R.S., C.H.O. Telephone(978)688-9540 Health Director FAX(978)688-9542 November 13, 2000 CEC Land Surveyors 7 Winter Street, Suite 3 Peabody, MA 01960 Re: 225 Old Cart Way Dear Sir: This is to not' you that the revised septic plans issued on 11/7/00 have been approved. �Y Y p P pP If you have any questions,please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director SS/smc cc: Searls File PLAN REVIEW CHECKLIST ADDRESS �) // aC,� Ci�/PT ENGINEER GENERAL 3 COPIES Li STAMP 4/ LOCUS NORTH ARROW/ SCALE CONTOURS Z -- PROFILE [/ SECTIONL BENCHMARKf SOIL & PERC INFO ELEVATIONS WETS. DISCLAIMER WELLS & WETLANDS WATERSHED?,,�o DRIVEWAY Z/ .(Eley) WATER LINE FDN DRAIN SCH40 �` TESTS CURRENT? SEPTIC TANK MIN 1500G. (/ . 17 INVERT DROP - GARB. GRINDER (+200% EDF) 25' TO CELLAR-L� MANHOLE TO GRADE ,,--- ELEV GW ' D-BOX SIZE # LINES 3 FIRST 2' LEVEL STATEMENT INLET gU. 9Z - OUTLET = n/7 (2" OR . 17 FT) TEE REQ'D? LEACHING RESERVE AREA C--" 4' FROM PRIMARY? L--' 100' TO WETLANDS c,--- 2% SLOPE 100' TO WELLS [/-- 35' TO FND & INTRCPTR DRAINS ,,--'41 TO S.H.GW 325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY MIN 12" COVER FILL? 425' if above natural elev; 10' f below) BREAKOUT MET? v' TRENCHES MIN 660 d X SLOPE >3 COVER. - VENT o gp (min . 005 or 6"/100' ) � � SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) (/� IS RESERVE BETWEEN TRENCHES? ' -"� IN FILL? L-- MUST BE 10' MIN. 4" PEA STONE?� BOT X LDNG r� + SIDE 2,� X LDNGTOT Glolol� (L x W x #) (G/ft2) (DxLx2x#) Nov-13-00 02 : 13P Paul 0. Turbide, PE/PLS 978-465-0313 P.02 November 9, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover,MA 01845 RE: Title V Review for 225 Old Cart Way(Lot 11)Revision Dear Sandra, I find that the design plan dated August 8,2000 adequately addresses the concerns outlined in my report dated September 28, 2000. If you have any questions or comments please feel free to contact us. ForPort neering Associates, Inc �1 Pau D. Turbide, PE/PLS PORT ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 \\server\p\nabh\2884\Old Cart Way 225 rev.doc i I a°pT� Town Of North Andover Community Development & Services William J. scoot 27 Charles Street Director North Andover, Massachusetts.01845 (978)688-9531 1 � �SSACHUSFt Fax 978-688-9542 October 13, 2000 Board of CEC Land Surveyors Appeals 7 Winter Street, Suite 3 (978)688-9541 Peabody, MA 01960 Building Re: 225 Old Cart Way Department (978) 688-9545 This is to inform you that the proposed plans for the site referenced above have Conservation been disapproved and have technical deficiencies as followed: Department (978)688-9530 1. No soil or percolation testing information has been provided which conforms to 310 CMR 15.220(4)(h)&(i). Health Department 2. Map and Lot number from North Andover Assessor not provided as required (978)688-9540 by 15 CMR 220(4)(u). Public Health 3. Names of abutters from recent tax map not provided as required by NA 8.02j. Nurse (978)688-9543 4. Distances not shown on plan as required by NA 8.03 a.-c. Planning 5. Cross section of proposed leaching facility does not provide elevations: (NA Department (978)688-9535 8.02w.) 6. Plans do not provide an original P.E. stamp and signature as required by 15 CMR 220 (1) & (2). 7. No reserve area provided in the proposal leaching facility as required by 15 CMR 248 (1). If you have any questions,please do not hesitate to call the Board of Health Office. Sincerely, �k Sandra Starr, R.S., C.H.O. Health Director cc: Searles file FORM ® U _ LOT RELEASE. FOM INSTRUCTIONS: This form is used to verify¢.hit al.-necessary approval/per:-iits from Boards and Departments having jurisdiction have been.obtained. This does not relieve the applicant and or landowner from compliance With any applicable,requisamen`.s. a a a a a am a a WE a a a a am a a Is a a NIS-0 ON a a a a In a in a a a a a mea on ham MEG 0 a am V.Now"a a am a a a am a am me MIME APPLICANT 41,dl�d i0/y' L/ S PHONE ASSESSORS MAP NUMBER LOTNUMBER < / SUBDIVISION IAT NUTN4BER STREETW1� STREET NL ANMER a a a a a a a 0 a C a m a m i a a a a •a a a a a a aa-argp m� V SE e a ■a a®a a 0 a�a m a a®aa a a a tl ■a a a a a a a a a a a a Y a a a Y a O�r HONLY h� (sL- O a a a a a a a a a a a 6 m a a a a a a a a a a a a a a a■m■a a a a a a a i a.........C a a a 0 a B tl©a a n a ■�a a�i a ■a m m m a m a n RECOI MF-NDATIONS OF TOWN AGENTS. I a a maaaa aaa9 aQBaf aaa,iaaa wawa a a•a,■■a!ma wawa®aa B0aai06a aaa Saaaaaa■aammaaaa aaam _ DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED CONIIv1ENi'S DATE APPROVED TOWN PLANNER DATE REJECTED CONMIENTS DATE APPROVED FOOD INSPECTOR�-HEAL-�TTH---- DATE REJECTED DATE APPROVED §F P11C 1 SP R-FMALM DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS D AY PERMIT J DATE APPROVED FIRE DEPAR N� DATE RETECTED CONATENNTS RECEIVED BY BUILDING INSPECTOR DATE Sep-28-00 12:44P Paul D. Turbide, PE/PLS 978-465-0313 P.02 September 28,2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School Street North Andover,MA 01845 RE: Title V review for 225 Old Cart Way Dear Sandra, Enclosed find our review of the"Checklist for North Andover Septic System Plans" for the septic system upgrade at the above-mentioned site. The following is a list of technical deficiencies that Port Engineering has found. ❑ No soil or percolation testing information has been provided which conforms to 310 CMR 15.220(4)(h)&(i). ❑ Map and Lot number from North Andover Assessor not provided as required by 15 CMR 220(4)(u). ❑ Names of abutters from recent tax map not provided as required by NA 8.02 j. o Distances not shown on plan as required by NA 8.03 a.-c. ❑ Cross section of proposed leaching facility does not provide elevations. (NA 8.02 W.) ❑ Plans do not provide an original P.E. stamp and signature as required by 15 CMR 220(1)& (2). o No reserve area provided in the proposed leaching facility as required by 15 CMR 248(l). If you have any questions or comments please feel free to contact me. Sinceaely PORT ENGINEERING Paul D. Turbide PE/PLS -� Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 Memer ANAMP2884TORNMA STREET 210.DOC September 13, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Lot 11 Old Cart Way Dear Sandra, I am forwarding to you the enclosed SDS plans and a permit application for Lot 11 on Old Cart Way. We received these items directly from CEC Land Surveyors, Inc. of Peabody earlier in the week, along with a check for$125.00 made payable to North Andover. The check was forwarded to your office separately. Our review of this project will not begin until we receive plans and soil logs directly from your office. If you have any questions or comments please feel free to contact us. For Port Engineering Associates, Inc Paul D.,Tw ide, PE/PLS PORT ENGINEERING 22 Civil Engineers& -- Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 \\server\p\nabh\2884\Granville l l 9rev.doc PORT ENGINEERING ASSOCIATES, INC. One Harris Street NEWBURYPORT, MASSACHUSETTS 01950 DATE (U18) 465.8594 — � TO SUBJECT _ _ _ Al1 ov 00, 00, 22 PLEASE REPLY NO REPLY NECESSARY SIGNED PRODUCT 1432�Inc,GmIm,Mm 01471.To Order PHONE TOLL FREE IaO-22S= 7 q7� SEPTIC PLAN SUBMITTAL FORM LOCATION: 42-S OLD CA (Z i w A Y NEW PLANS: YES $125.00/Plan REVISED PLANS: `YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: 110 -7 —2-000 DESIGN ENGINEER: C-C-"C' G vtv4►te-L c-i P f DATE TO CONSULTANT: *If you want your plans expedited, please submit three plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. Y' When the submission is all in place, route to the Health Secretary. FROH mmm AI'IE5 A ODAY, LAWRENCE 111A PHONE 1,10. . S78 SS7 VIM Sep. 01 2030 07-1SPH F1 SEPTIC PLAN SUBMITTAL FORM LOCATION: NEW PLANS: YI S - 9�125.U0/I'l��n I REVISED PIANS: YES S 60.01/111an SITE EVALUATION FORMS INCLUDED! YLS N(7 DESIGN ENGM'RR;__LfL_ tAn1(. cY���T���pS DATE TO *If you want your plans expedited, please submit three plains and included a stamped envelope with the correct amount of postage to mail plan% to Port �uKieir,�sriAr� _ .. f When the submission is all in place, route to the Health Secretary. 22 @ NORM„q Town Of North Andover Community Development a& Services William J.Scott Director 27 Charles Street (978)688-9531 North Andover, Massachusetts 01845 �9SSAcwuS nth Fax 978-688-9542 Civil Environmental Consultants 7 winter Street, Ste. 3 Board of Peabody,MA 01960 Appeals (978)688-9541 September 13, 2000 Building Dear Sirs, Department (978)688-9545 This correspondence is in regards to an application for septic plan review for Old Cart Way, North Andover. Please be advised that you committed an error in the application process. Conservation Our consultant,Port Engineering,has informed us that you directly submitted the application, Department plans and fees to them. This action was incorrect. (978)688-9530 As noted on the application,to expedite the process you were to submit plans and postage Health paid envelope,but that did not mean that you were to look up the address and mail it yourself Department to our consultant. Plans are only sent to Port after the Health Director has reviewed the (978)688-9540 application. Public Health I have instructed Port engineering to return all the documents to this office so that the Nurse application can be processed. After approval by this office,the plan will be reviewed and an (978)688-9543 approval or disapproval memo will be sent to the health office by our consultant. At that time you will be sent notification concerning the status of the plan. If a revision is necessary Planning you are to submit three plans to the Health Department office along with a fee of$60. This Department process will continue until the septic plan is found to conform to the State and local (978)688-9535 regulations. I hope this letter clears up any confusion you may have with the North Andover's septic installation process. Please note that at no time will you be communicating directly with Port Engineering on this matter. All questions,comments and correspondence are to be made with the Health Department. Thank you for your anticipated cooperation. Sincere , Susan Ford, S. Health Inspector Cc: Sandra Starr,Health Director File No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH TowN OF NoeT�-1 ANDoVf-sz APPLICATION FOR DISPOSAL S�Y�TEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade (,/) Abandon ( ) - ❑Complete System ❑Individual Components (21,D CART WAZ `900 S5A(Z 1-F.5 Location Owner's Name 0L-9 CART JAy Ma /Parcel# Address t 11 11Lot# Telephone# CBC- Installer's Name Designer's Name 1nrT'ER 5T-. `P VA 6.00 Address Address qZ8- 531 — 11 � 1 Telephone# Telephone# Type of Building: VW151.1_10(7 Lot Size1]t16D Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) o gpd Calculated design flow0 gpd Design flow providedgpd Plan: Date 6-4-00 Number of sheets I Revision Date Title 5USS u(RFAC5 DI >,Foe>Al• Sy5T gr LOT 1I OL12 CAP-T- way Description of Soil(s)_ • C;A tJR Soil Evaluator Form No. Name of Soil Evaluator P J 1C-6N 1✓ Date of Evaluation 4 1i V c7 DESCRIPTION OF REPAIRS OR ALTERATIONS Alop IL-1 uiJ Ty yvU55 1-i C.IZ sa b1.- 5 VILD .-5vlLD I WC S 0-5 The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the syste in operation until a Certificate of Compliance has been issued by the Board of Health. Signed e, Date 8— Zpl- OZ) Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 r I Town of North Andover o NORTH 14 OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street North Andover,Massachusetts 01845 Ssgc►+us�s�h WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 January 11,2000 Barry Zevin 67 Hampshire Street Cambridge,MA 02139-1555 Re: 225 Old Cart Way,North Andover Dear Mr.Zevin: This letter comes in response to your faxed request of January 10,2000 concerning the septic system requirements for an increase of flow to the dwelling at 225 Old Cart Way,North Andover. Because of the proposed addition to the existing dwelling an increase of flow would occur to the septic system requiring an enlargement of the system. Because the increase in the size of the system would be caused by new construction,the septic system must fully comply with Title 5 and meet all the requirements of a five bedroom home. The necessary process that must be carried out in North Andover to obtain an approved Title 5 septic system plan is as follows: • Massachusetts Registered Professional Engineer or Sanitarian should be hired to assess the site and the proposal. • If proceeding,an application for soil tests should be submitted to the North Andover Health Department. Soil testing season opens again on March 1,2000,weather permitting. • After soil testing,a plan is designed and submitted for review. • The North Andover Conservation Commission should be contacted at some point since there are wetlands on the site. • If and when the proposed septic plan is approved,the Health Department can approve the project from its standpoint. Please feel free to call the Health Department should you have any questions. Sincerely, Sandra Starr,R.S.,C.H.O. Health Administrator Post-it®Fax Note y 7671 Date f �o pages To_B� IZC7/ 5V11 ) From S. J.r?9r'G/P Co./Dept. Co. A) 19iVQ©Ug/L 66rq Phone#��7 5/c��—�Si�/ Phone# 97,F_4?d3_9�'y�s Cc: File Fax# Fax#978-to o - 6r7-1f9�-7ai� BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 01-10-2000 10:35AM FROM ZEVIN 617-492-7018 TO 19786889542 P.01 1 Barry Zevin, architect 67 Hampshire Street Cambridge MA 02139-1555 telephone(617)492-3921 fax(617)492-7018 09 January 2000 Health Department Town of North Andover, Massachusetts fax(978)688-9542 re: septic system requirements for finished basement at 225 Old Cart Way Ronald Searls, the owner of 225 Old Cart Way,'North Andover, has asked me to prepare plans for finishinghis basement which is currently used only for storage. Following are floor plans of the � Y Y g 8 existing first and second floors,.which will remain unchanged, and a plan showing the proposed arrangement of the basement which will add one bedroom a sitting and a bathroom to the g g room house. I would appreciate your guidance on what if any changes to the existing septic system will be required. Thanks for your help, N CD a: N v If9 Q� 00 DD w OD Ql BATH BEDROOM BEDROOM MASTER BEDROOM OD Iq Q I. BEDROOM I N v L BATH r-I lL1 Q Z_ W N t O LL. t Q l0 f'7 CD d� IS N 0 2 4 BFEET I I CD 225 Old Cart Way,North Andover,MA SECOND FLOOR PLAN ro CD D: N v DECK 0) 00 l0 W I Q� r-I DINING ROOM KITCHEN O F- BATH LAUNDRY O r-1 CD N I N Q1 LIVING ROOM STUDY FAMILY ROOM N l0 2 L11 N O LL Q 0 M CD m CD N0 t 4 SFEET 1 CD 1 CD m 225 Old Cart Way,North Andover,MA FIRST FLOOR PLAN v CD v � m cla J v � O OD Ou w OD N 0� BEDROOM SITTING ROOM O H D1E om° BATH CD1 N I FURNACE ROOM GARAGE N Q Q I N lD HALL STORAGE Z_ Z> W N t O LL L Q M 41 CD CD m CZI 0 2 4 BFEET CD e-I I 225 Old Cart Way,North Andover,MA PROPOSED BASEMENT PLAN Town of North Andover, Massachusetts Form No. 1 NORTH q BOARD OF HEALTH O �t IED '69a tiO ,`�/ / •/�V !/• l J�`�'\J\J OL .( O NAM, n * ' '� °R CO0X1CPWi4R '' APPLICATION FOR SITE TESTING/INSPECTION SSACHUSE Applicant ) ''o NAME ADDRESS gg TELEPHONE Site Location �� Engineer�1'�.� NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee—5 Test No. 7�� S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. e BOARD OF HEALTH TEL. 688-9540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS " �? DATE: 3 9 2000 LOCATION OF SOIL TESTS: Assessor's map & parcel number. f o7 f� Q � i i oJ6c`J c.. OWNER: TEL. NO.: ADDRESS:_ ! Z? DL Cd�rGT c c�o't"Y ENGINEER: "-,eTEL. NO.: e17s CERTIFIED SOIL EVALUATOR: Intend o and: ential subdivision, single family home, commercial Re it testi . Undeveloped lot testing N. A. Conservation Commission Approval: P'-MjAi�� THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of;275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$75.00 per lot for repairs or upgrades. GENERAL INFORMATION l 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. �VP4R OCA.TION IN=- l` Gam% '_ E 0, —N_ �,�,I =-�OL i ION G ��0Iv T, Oma . =_C ii. f. I I - IIL "' N _ ._ G ;v1L I i ;' T iNIE i _ ... • 1 . 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DATE : Av6usT- 81 14a5" SCALE:' ) "=: )q0' WA6C)KI lel HF 5L 15STATFF-!E�'' MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS: 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL. (6*) 175.3555, 373.5721