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Miscellaneous - 23 ASH STREET 4/30/2018 (2)
23 ASH STREET 210/106.D-0040-0000.0 II Id M 'ily 1 t , h, IN � UPC 14081 Na. 'Bf3 MAO419300.M r 1 { North Andover Board of Assessors Public Access Page 1 of 1 Parcel ID: 210/106.D-0040-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge No Picture Available Location: 23 ASH STREET Owner Name: MCLAUGHLIN, DENNIS L ADELINA MCLAUGHLIN Owner Address: 23 ASH STREET City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 5 - 5 Land Area: 1.01 acres Use Code: 101 - SNCL-FAM-RES Total Finished Area: 1638 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 345,600 322,200 Building Value: 163,500 153,600 Land Value: 182,100 168,600 Market Land Value: 182,100 Chapter Land Value: LATEST SALE Sale Price: 0 Sale Date: 12/31/1970 Arms Length Sale Code: N-NO-OTHER Grantor: Cert Doc: Book: 01185 Page: 0064 http://csc-ma.us/NandoverPubAcc/j sp/Home j sp?Page=3&Linkld=809192 11/2/2006 Residential PropertyRecordCard PARCEL_ID:210/106.D-0040-0000.0 MAP:106.D BLOCK:0040 LOT:0000.0 PARCEL ADDRESS:23 ASH STREET PARCEL INFORMATION Use-Code: 101 Sale Price: 0 Book: 01185 Road Type: T Inspect Date: 09/18/2003 Tax Class: T Sale Date: 12/31/1970 Page: 0064 Rd Condition: P Meas Date: Owner: Tot Fin Area: 1638 Sale Type: Cert/Doc: Traffic: M Entrance: MCLAUGHLIN,DENNIS L Tot Land Area: 1.01 Sale Valid: N Water: Collect Id: RRC ADELINA MCLAUGHLIN Grantor: Sewer: Inspect Reas: Address: 23 ASH STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LOW Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CP Tot Rooms: 6 Main Fn Area: 936 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R2 Story Height: 1.75 Bedrooms: 3 Up Fn Area: 702 Bsmt Area: 936 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 1 Add Fn Area: Fn Bsmt Area: 372 1 P 101 S 43560 1 182,080 Ext Wall: WS Half Baths: Unfin Area: Bsmt Grade: 2 R 101 A 0.01 47 Masonry Trim: Ext Bath Fix: Tot Fin Area: 1638 DETACHED STRUCTURE INFORMATION Foundation: CN Bath Qual: T RCNLD: 136081 Str Unit Msr-1 Msr-2 E-YR-Bit Grade Cond%Good P/F/E/R Cost Class Kitch Qual: T Eff Yr Built: 1975 Mkt Adj: 1.2 SE S 80 1988 A A W91 200 Heat Type: ER Ext Kitch: Year Built: 1965 Sound Value. Fuel Type: E Grade: A Cost Bldg: 163,300 VALUATION INFORMATION Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Val 1: Current Total: 345,600 Bldg: 163,500 Land: 182,100 MktLnd: 182,100 Central AC: N Bsmt Gar SF: Pct Complete: Aft Str Val2: Prior Total: 322,200 Bldg: 153,600 Land: 168,600 MktLnd: 168,600 Att Gar SF: %Good P/F/E/R: /100//82 Porch Tyne Porch Area Porch Grade Factor S 192 SKETCH PHOTO 16 12 192 Sq.R. 12 No Ricture 16 36 2Q16 192 I Sq.R. f ' table FBy9N 12 12 Avai 936 S .R. 1 16 26 26 Parcel ID:210/106.D-0040-0000.0 as of 11/2/06 Page 1 of 1 RECE Commonwealth of Massachusetts VQ N City/Town of NORTH ANDOVER PR 14 2U94 System Pumping Record TowN OFNQ R TM AN Form 4 HEALTM DEPgRTMENTBR M i 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 your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, use only the tab 23 ASH STREET key to move your Address cursor-do not NORTH ANDOVER MA 01845 use the return City/Town State Zip Code key. 2. System Owner: DAN GILL Name easn Address(if different from location) City/Town State Zi Code Y P Telephone Number B. Pumping Record 1. Date of Pumping 4/1/14 2. Quantity Pumped: 1500 p g tY p Date Gallons 3. Component: ❑ Cesspool(s) ® Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Observed condition of component pumped: GOOD CONDITION I. 6. System Pumped By: JAMES H CURRIER II H79 406 Name Vehicle License Number X SEPTIC & DRAIN Company 7. Location where contents were disposed: GLSD . - 4/1/14 Signature of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc•11/12 System Pumping Record•Page 1 of 1 i Commonwealth of Massachusetts -CE; ED Citya own of NO. ANDOsVl=rmx - �� APR - 6 2007 �t .syst - em Pumping Record Form 4 TOWN OF ;uGRT�i ANDOVER HEAT H.u2PARTUIENT DEP has provided this form for use by local Boards of Health. O er orms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: ferm5 vwn SFf computer,use 23 ASH ST. only the tab key Address to rave your 'No. ANDOVER 'MA 01'8445 cursor-do not cityfrown State Zip Code use the return key. 2. System Owner: DAN GILL Name Address(if different from Dation) A Citylrown State Zip Code Telephone Number i B. Pumping Record 1. Date of Pumping 3/2Date07 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) 0 Septic Tank ❑ Tight Tank Other(describe): � � '' �� 4. Effluent Tee Filter present? Yes ❑ No if yes,was it cleaned? ❑ Yes ;� No 5. Condition of System: n. System Pumped By: Ben iamin Shute H79 406 Name Vehicle License Number J's Septic& Drain Company 71 —.nex+ensa e,.eFt�r� nnn+ten+e...,is�o rlinn.nnesa . _`.t_Lfuff YYii VfV Vtlf tt{sf ft3 YYIrtV 1.f f.3r.itfJVlt. GLSD ze,_4,A&CA 3/2/07 ignature Hauler Date t5form4.doc•06/03 System Pumping Record•Page t of t ED T%-E 0 1 q � ��4l �Qt 6 0 \ 0 y A it - o �e C.,.a[Ntw.cN ��SSACHUs���g PUBLIC HEALTH DEPARTMENT Community Development Division February'27, 2007 Current Resident 23 Ash Street North Andover MA 01 , 84S Re: 23 Ash Street Dear Homeowner, The Health Department has received a correspondence from F. P. Reilly and Sons in regards to the recent installation of the subsurface disposal system at the above-mentioned address. F.P. Reilly was the contractor who completed the installation. (See attached)Accompanying the document were a number of photographs depicting concerns noted by Mr. Reilly. The septic system was installed in 2006 and a final grade inspection was conducted. It was found that Reilly's work met the standards of Title V regulations; therefore it was issued a Certificate of Compliance at that time, indicating that it was installed per plan. The leaching area of this system is approximated twelve inches below the surface and is comprised of schedule 40 PVC piping, bedded in sand and stone. I The Health Department is aware of the home constntction that you are, or were, having done on your 3-bedroom(not to exceed 7-room)home. Unfortunately, it is clear by the deep ruts seen in the photos that heavy rubber tire equipment has been driven repeatedly over the yard and likely over the septic leaching area. This letter is to inform you of the potential harm that equipment such as this can have on the function of the septic system. The pipes can be crushed or displaced by the high pressure of these tires and ruts can create areas prone to ponding. This letter is out of concern and is not an order to have your system checked. You may wish to have it inspected on your own to determine if any of the building contractors have caused damage, as this � , information ultimately resolves F.P. Reilly from most function warrantees. We hope this is not the case however if any repay is necessary, a North Andover licensed septic installer must be hired. Please note that it is a violation for anyone to repair a septic system in North Andover without a license. Also note that the grading over a septic system is extremely 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com important and should not GAtered by anyone who does not underod the issue. Please feel free to contact the Health Office if you have any questions regarding this correspondence. Sincer ly, assn Sawyer,REHS/R Public Health Director Enclosure: F.P Reilly letter dated 1/18/07 Cc: F.P. Reilly Me i i I 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com �0 s Serving Andover and Vicinity Since 1947 January 18, 2007 North Andover Health Department RECEIVED 1600 Osgood Street Building 20; Suite 2-36 JAN 19 2007 North Andover,MA 01845 OF Attn: Sue Sawyer TOHEALTH DEPAR,10E�NTER _j Dear Sue, Upon traveling down Ash Street on 1/10/07,I noticed construction equipment had run over the Soil Absorption System and the Components related to said system at 23 Ash Street. I wanted to make the town aware of this situation so that any future problems that may arise at 23 Ash Street are not the responsibility of F. P. Reilly and Sons, Inc. I have enclosed pictures of the site at 23 Ash Street. If you have any questions please do not hesitate to call me at(978)475-1237. Sincerely, t. Michael W. R illy President 206 Andover Street • Suite 11 • Andover, Massachusetts 01810 Tel: 978-475-1237 Fax: 978-475-3102 e-mail: fpreillyandsonsCcomcast.net s � s ss All � a k i i a. F' t, 1 �7 i I n O O n w t Solmvt §'�,K tis; t e 1s r ii tN, s� .s v M I i r y I s t. a w w f t fag lowf 1/17/2007 1/17/2007 23 Ash Street 23 Ash Street 1 t1ORT11 04 �s 1ti O ° OL N A A �9n c«wiwws. SSACHUs���y PUBLIC HEALTH DEPARTMENT (ommunity Development Division CE�2I�'ICA2'E- OE COgV1�1'jGIA�1�CE As of: November 17, 2006 ,This is to certify that the inSividualsu6surface duposaf system received a SA7ISEACf0RTINS(PM0Nof the: Complete Septic System Replacement B • y Mike Reilly At: 23 Ash Street Noah Andover, gy,4 01845 'The Issuance o this certificate shad not 6e construed as a guarantee that the fg system wzff function satisfactorily. Susin T Sawyer, 'E9TS—, R5 TW 61i Ifealth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com I NORTH q 0 tttao ,6� O o 04 cft.cm a. 1 C ��SSACHUS PUBLIC HEALTH DEPARTMENT fommunity Development Division , I C�1�2IFICA�IE 0 F 00914 IANCE I i As of. November 17 2006 This is to cert that the individuaCsu6surface AposaCsystem received a SAMEACTORTIYsPECV0Nof the: Complete Septic System e lacement p p y p 1By. Mike Reilly At: 23 Ash Street North Andover, 31,3 01845 The Issuance of this certfiCcate shalt not 6e construed as a guarantee that the system wiff function satisfactorify. Susin . Sawyer, 4E.IfS, WS blw' Yfeafth Inspector I 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com � E pORTy 0 RECEIVED ?• :, c� NOV 1 7 2006 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 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;(-1--repaired; By: (Print Name) i, Located at: 2 A--44 G rrZeC7— (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated I Z'' and last revised on ®� ,with a design flow of gallons per day. The materials used were in conformance with those specified on the i I 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: zf-2''7—0 T t-`� Engineer Representative(Signature) And-Print Name r Final Construction Inspection Date: ���('o Engineer Represen five(Signature) And-Print Name Installer: (Signature) Date: p= VLADIMIR L And-Print Name VCA/ � .N Enginer: CH N K�Q ature) Date: No.39840 ISTERG���``� J/'LAD/AuI S/nNAI EN And-Print Name I 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web h"p://www.townofnorthandover.com i 6tE' -f415 P�..a.l ecKlFlcA-rTal.l 15 0c7 f�.F�' �I�PI�I, R —f✓�clST 12 A Of 14E S%J6Suw-9*e-9 �lyo*l 4 Yk,TEH . 57 I s ,A E E cra oOF -r;4& Laonvo id `�0, � 0: �? - JAW E t.E VA11oJ OF 'TWE, f-- n I Nei -§Y5'ft?I-r p V5 • [q e-1 G e 03 e Cl L4 ' o i i a E I • i d.t' G 4 C _ L'eo,p I ,M iJ MBI / '�-`" Z _ + '�7Ta-EE T' 1 t AS , BUILT PLAN OF SUBSURFACE DISPOSAL SY STEM RECEIVED LOCATED IN AS PREPARED FOR �P��H°FMAssq NOV 1 7 2006 p� VLADIMIR OWN OF NORTH ANDOVER I"' , A �I�' L ` '� � �.6 NEMCHENOKNnA_ �, HEALTH DEPARTMENT o CIVIC+ DATE : '1'"� ! vAig SCALE. i z4 0 F G SS�ONAL EN MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 60 BARK STREET ANDOVER, MASSACHUSETTS 01810 or TEL (617) 475-3SS3, 373-5721 I I f FINAL GRADE INSPECTION �Dat � 1 Address: s sr LOAMED? SEEDED? COVER PER PLAN? Other: I, FINAL GRADE INSPECTION ,Date• 1 � Address: s sr. �LOAMED? SEEDED? COVER PER PLAN? Other: �J � r DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, November 02, 2006 2:44 PM To: Dufresne Bill (E-mail) Subject: 23 Ash Street Please send the final certification forms signed by you and Mike Reilly, as well as the Final As Built, so that we can issue a COC on this property. I received a call from a real estate agent today, and when I reviewed the file saw that these items were missing. Mike pulled the permit in fall of 2005, but did not actually start doing work until spring of this year. Please follow up with Mike on this. I already called him, so he is aware of it. Thanks. 8¢s!R¢gwVds, P1014044 D010140 04110 Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 1 TOWN OF NORTH ANDOVER C f NGRTk Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: MAP:_ LOT: C% INSTALLER: DESIGNER: PLAN DATE: /c,? . QJ-" I�YX BOH APPROVAL DATE ON PLAN: �' / �. � DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: I. l SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = LOADING OF SEPTIC TANK GALLON PUMP CHAMBER = r60 0 LOADING OF PUM CHAMBER = _ff TYPE OF SAS = �M j�v'(,�0_A_C e DIMENSIONS AND DETAILS OF SAS: � 3�� SITE CONDITIONS Existing septic tank properly abandoned ©' Internal plumbing all to one building sewer El not appreciably altered Comments: Page 1 of 4 0 TOWN OF NORTH ANDOVER f MORTN Office of COMMUNITY DEVELOPMENT AND SERVICES °°t`•° "°p HEALTH DEPARTMENT 400 OSGOOD STREET : NORTH ANDOVER, MASSACHUSETTS 01845 - s�cMusta''"°"'t� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK ® Bottom of tank hole has 6" stone base ❑ Weep hole plugged gallon ,* has een-installed (H-10 or - Yfionolithic P r 2 piece) J ❑ Water tigh essan s been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, under access port ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged ❑ gallon Pump C er m Iled (H-10 or H-20 (monolithic o 2 piece) ❑ Inlet tee installed; nde ess port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Watertightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Comments: Hydraulic cement around inlet & outlet Page 2 of 4 0 TOWN OF NORTH ANDOVER !NpRTI Office of COMMUNITY DEVELOPMENT AND SERVICES F p•`" "°p HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 s�cMuat Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Comments: Speed levelers.provided (not required) SOIL ABSORPTION ! SYSTEM (' ❑ Bottom of SAS excavated down to soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/concrete/timber/ block) ❑ Comments: Final cover as per plan PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ Comments: orifice size inch as per plan Page 3 of 4 0 TOWN OF NORTH ANDOVER f NOR,,, Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 s�cNust Susan Y. Sawyer,REHS/RS Y 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: i SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 7, - 41¢a. 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I 4 t k it �.k�i J a'J t. >a1 I`I xt r7 P stilt t'gai� "�i v lots; two t�+kt� j •� + p".31 0 � � t _ �� 1 ...;:i l a J -� _ { f �, i �� I �h � - r 3�"t a it: t a����_aki Y t�,�r°:i.3.rt a1t[t •�' ,(a';r�a ,fiM�tI l �,`�f"•..'t:f''x�t !ats� � aµ�a l��� z - - f{ kg s aw. 1' �. away T .4 a i � i r a I ray Q ASVFW,q f } a*• s T yyt r krt 4 }fjt ip' `r 'faa ;rt •� 9s.t.' H, f✓ °< 1�t 'r. k !'.. r F f F p ,1�t• P>P� d ..vivo, k any AAyy j. �, rel T t1r > y 7 �a of,y5tgt ky ° "�� 1�.. I, i '#.r s 1 i t A ��+'k •v 1 .' 11 —t i P yg ��jf �# i4+'ttk, k At C _ "6 ^ Tdwn.of.*Ort -Andoer Q� Health Department Date: Location: (Indicate Address, if Residential,or Name of Business) Check#: Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ` ❑ S�ep/tic'�-Design Approval $ ®/septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrasIVSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER(Indicate) Health Agent Initials ria 4� White-Applicant Yellow-Health Pink-Treasurer C b TOWN OF NORTH ANDOVER a NosTH t Office of COMMUNITY DEVELOPMENT AND SERVICESF: `to:•��o�w HEALTH DEPARTMENT p 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 •,Uo s�CHU Susan Y.Sawyer,REHS/RS 978.688.9540—Phone978.688.9542—FAX Public Health Director healthdept@towiiofnorthandover.com-e-mail www.townofnorthandover.com-website APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: fs LOCATION: �)z HOMEOWNER NAME: LICENSED INSTALLER NAME: PLEASE PRINT SIGNATURE: TELEPHONE# CHECK ONE: FULL SYSTEM REPAIR: ($250) COMPONENT REPAIR(indicate what parts): ($125) * NEW CONSTRUCTION: * If NEW CONSTRUCTION, please attach the Foundation As-Built Plan. $250.00 or$125 Fee Attached? Yes No Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes No Floor Plans? Ye No Approval of Health Agen S_ INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at relative to the application n , of dated for plans by and dated S� with revisions dated I understand the following obligations for management of this project: I. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a$50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As-built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site. 4. As the installer I understand that only I may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the Installer I understand that I must be on site during the performance of the following construction.steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Lice sed Septic Installer Date: c' I Disposal Works Constructi ermit# � �MW0FPEKX3 WA7Y l b RD OFFMPREVIN1II011VR�lIgT11AMSSZ7O JZ,OI9 P "'dt No. — • OCCUPOcr&Fen Chedwd — AP'PUCATlONFOR PERMITTO PERFORMFLECMCAL WO ALL WORK To BE PERFORMED BV AL'.CORDANa WITH THE MASSAMSM M-W MXAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL IN D Town of North Andover To for of Wires: The undersigned applies for a permit to perforin the electrical work described below. Location(Street At Number) Owner or Tenant Owner's Address E Is this permit in conjunction with a building permit: Yea No ❑ (Check ApPmWide Box) Purpose of Building S/�/G'L,.� �� j,�y Utility Authorization No. Existing Service �s Amps `volta Overhead Underground C1 No.of Meters New Service Amps dolts Over M U wd C3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _ S.�i�l!C f✓y�YIA D i¢LA,c� �� v� Na of UBhtins on" No.of Hot TWO No.of Itw�ons� ToW No.of UahtinB R ma S ft Pool' Above Tow around Gomm KVA KVA No.of Receptseis Outlets Na of oil nursers No.otEmeraeocy Uafttina Berry Units No.of Switch Outlets No.doss Boroers No.of Ramp No.of Air Cond. Tool FIRE ALARMS Lon No.of 7mm Na d DisposalsNod Hat Tatal Toral No.ofDetection uW No.of DishwahersSpm Ara Hestina Ton KW rnidginB Duca NNo o.Of Swaft Device ined No.of Dryers t DevicesDeteeti00/800aft DevicesKw No.of water Heuer KW No.d d Loan .. Connections 0 Olhar�� SIVA No.Hydro MasssBe ds Tubs Na d!ff2 T 3 OTHER• fw®rtaeCbre�P=01DtberacP0W*dMmrd�QoMML" IlrtteaamrtLieliyh1araePt�i�0rltr Qnft— a I�suhrrilledvaidp> ds'abhffion Y14 G..d" � Qib�h�r�lirle l� larl��tlte WwklDSont mo iiep,cdonDaleRegxsbd , E*edVAVd&C"WC*$ FBtM�NANffi��—dpetjity. •,•• Rrai Gy/,LL C/�GG_ LimeNa 0 ikaneI% O o S RdnsTdNn U/�toC� �^••�';��"'". AtvSt,Ianawaiethtdieljaeree eAtT�lNa arclifttetmys�etseonQtispanYappia�v�ataiil �orrdsarhl�rridegiivalmtas (Please check one) Owner a 31811 orS" Telephone No. PER Wr FEE �� f 10RT1�� TOWN OF NORTH ANDOVER HEALTH DEPARTMENT p 400 Osgood Street NORTH ANDOVER, MASSACHUSETTS 01845 SACIN Susan Y. Sawyer Public Health Director (978)688-9540-Phone (978)688-8476-Fax FAX Bill Dufresne From: Pamela To: MERRIMACK ENGINEERING 66 PARK STREET Andover, MA 01810 978-475-1448 Pages: Fax: 978475-3555 Date: / � / � D Phone: �J Septic Plan Response CC: Re: ❑ Urgent x For Review ❑Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Attached is the response from the Health Agent regarding Septic Plans for the following property: . A copy has also been mailed to the homeowner. Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File Homeowner TOWN OF NORTH ANDOVER t�10RTN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT y '° 400 OSGOOD STREET "°• • Mr NORTH ANDOVER, MASSACHUSETTS 01845 'SS,�Hug� Susan Y. Sawyer 978.688.9540—Phone Public Health Director 978.688.9542—FAX March 17,2005 Adelina McLaughlin 23 Ash Street North Andover,MA 01845 RE: Subsurface Sewage Disposal System Plan for 23 Ash St.,Map 106D,Parcel 40,N,Andover,MA Dear Ms.McLaughlin, 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 January 2,2005(Last Rev. March 2,2005). The design has been approved for use in the construction of a replacement onsite septic system. Generally approvals are valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work,and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. The time period for which this plan is valid is reduced to two years from the date of a septic system inspection which did not meet the acceptable criteria in the state regulations.In the event an imminent healthroblem such as sewage p g backup into the dwelling is occurring,the time period for which this plan is valid may be reduced by the North Andover Board of Health. 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 applicantand/or the applicant's septic system designer,septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission,Zoning Board,Planning Board, Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely Y Sawyer,REHS/RS Public Health Director I i encl: List of licensed septic system installers cc: Merrimack Engineering Services Page 1 of 1 Dellechiaie, Pamela From: Lisa LaVasseur[lisal@millriverconsulting.com] Sent: Thursday, November 18, 2004 4:24 PM To: Susan Sawyer; amcbrearty@millriverconsulting.com; 'Pamela Dellechiaie' Subject: soil testing Good Day, I have scheduled soil tests for the following locations: 108.C/62 Berry Street December 1, 8:30 CGC Associates \ 23 Ash Street December 2, 10:00 Merrimack Engineering Please call if you have any questions. Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com 11/18/2004 J Town of N- or'sh Andover Health Department Date: D Location: (Indicate Address, if Residential,or Name of Business) Check#• !]Me of Permit or License:(Circle) ➢ Animal $ i t ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: 9.—Stpt'c-Soil Testing ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trasit/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) 1.� ✓ 24 `/�7 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer i E NORTH 1 TOWN OF NORTH ANDOVER Community Development & Services Division , HEALTH DEPARTMENT 4V 400 OSGOOD STREET SACHUS NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540-Ph, e Public Health Director 978.688.9542- ax V i FAX , DanielOttenheimer From: Pamela To: Mill River Consulting Pages: 978.282.0012 Pa g Fax: 1.800.377.3044 or Date: Phone: �/ a 978.282.0014 Request for Soil Testing or CC: Re: . Septic Plan Review ❑ Urgent x For Review ❑Please Comment ❑ Please Reply ❑ Please Recycle • Comments: � �� Septic Plan Review Soil Test - OTHER Address: Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File BOARD OF HEALTh NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS J DATE: MAP&PARCEL: 1.0/,,-, I7 Z40 [NOV�'`�i ' _1 LOCATION OF SOIL TESTS: OWNER: A be w ►J Q I--I r LA 11 4 J I-kEL.NO.: ZO 670 ADDRESS: Z�2j S ENGINEER: I✓VIt-I"Ar,- 1/-- 06 . TEL.NO.: 415; CERTIFIED SOIL EVALUATOR: 1271 1-A, L2tJ 17-:�rJ -70G Intended use of land: Kesidential Subdivision g e Family Ho Commercial Is This: / Repair testing Undeveloped lot testing Upgrade for addition / In the Lake Cochichewick Watershed? Yes No I 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$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 up rg ades. GENERAL INFORMATION 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. Please Do Not Write Below This Line N.A.Conservation Commission Approval: Date Received: Check Amount: Check Date: I i I ` MGAGE INSPECTION Appleton Land Surveying, Inc. SORVEm•t]1RNEEm-ea CM MW Unrawc[W HOeoepaHe» ♦ J MORTGAGOR ADDRESS OF PRINCIPAL BUILDING /7 NOTE: THIS MORMAM INSPECTION was pimped specifically for mortgage purposes and b not to�y to rafted ups, as a survey. AA accepts sli na reapaanbnTily for eanogea resulting from ,r saidldn6anee by arnyane other than the said mortgagee and its Q' assigns in aom»oean with ib proposed mortgage O Tfimmformation dnto said mortgagor. Nbm hee rtgage hupection b the mmkmke property of A.LS.L. Unauthorized use, reproduction or modification of this material b strictly prohNted, and may be subject to legal action unless prior written consent from A.LS.I. is obtained. CERWICATION TO: .0 ` C .��� P This mortgage hrepection was prepared In accadarnce h / with the Technical Standards for Mortgage loan in— `Q spectians as adopted by the Massachusetts Association at laud Survayow and Civti Enginem% hie. I STATE THAT IN W Plion oml. Opum the principal structure/s and accessory stnutuurs/s 1 Vtie �/ with the danensiond setback regrarement+ of the �Y zorwng ordinances, and that there are no enaoochments of as siloroomrrnernb either ray across, property Gnus except Notes: a i Dwelling is not located Within a Flood Hazed Zone ❑ Dwelling is located within Flood Hazard Zone -c- V •,� ❑ IMormotion Is ms fficiernt to determine Flood Hazard Hazed determined from FEMA Flood .v-. h :�♦ ��� rote map.st z60098 Qa.sCs G-mss 83 Deed Rafwwnce ok /Z pg. `S/ Srnls , 'Z + Cort. No. / Dab of Ineperiinn -T'8'`��— r •• Plan Rsfwwnce PL No. /O/7G / Dote of Plate T-2b 92 '� 0 0 HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 Nov 10 2004 4:01pm Last Transaction I Dig Timeg Identification D r i n Pages Result Nov 10 4:00pm Fax Sent 819782820012 1:29 3 Error 442* * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. I I I 0 0 HP Fax K1220xi Log for NORTH ANDOVER 9786889542 Nov 10 2004 3:59pm Last Transaction Date Time T�= Identification Duration PAes Result Nov 10 3:58pm Fax Sent 819782820012 0:58 2 Error 442* i * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. i I� i MORTGAGE INSPECTION Appleton Land Surveying, Inc. 4 SURVEYING • ENGINEERING 0 LAND PLANNING 04 E53EX s'rRE1�TT LAWRENCE. WSSACHUSM 0180 (soe)"0-4024 (SM)OW-74e. MORTGAGOR ' ADDRESS OF PRINCIPAL BUILDING /7 NOTE THIS MORTGAGE INSPECTION was prepared Z°'' �8 • specifically for mortgage purposes and is not to be relied upon as a survey. A.LS.I. accepts no responsibility for damages resulting from said reliance by anyone other than the said mortgagee and its Q� assigns in connection with its proposed mortgage financing to said mortgagor. The information on this mortgage Inspection is the / exclusive property of A.LS.L. Unauthorized use, reproduction or modification of this material is strictly prohibited, and may be subject to legal action unless prior written consent from A.LS.I. is obtained. CERTIFICATION TO: Q \' `� y/ P This mortgage inspection was prepared in accordance with the Technical Standards for Mortgage Loan In— spections as adopted by the Massachusetts Association of Land. Surueyom and Civil Engineers, Inc. .. I STATE THAT IN MY PROFESSIONAL OPINION �� 4 y� / the principal structure/s and accessory structure/s With the ts of the zoning ordinances,rasetback andthat there pare no encroachments of major improvements either way across property lines except as shown. Notes: 00 , y O ® Dwelling is not located within a Flood Hazard Zone �ti v 0 / G/ ❑ Dwelling is located within Flood Hazard Zone Q ¢ Z `t ��� ElInformation is insufficient to determine Flood Hazard Flood Hazard determined from F.E.MA Flood Insurra�nnce� rate map. J� Z.5oQ98 �pi.�tS Deed Reference: Bk, ?/Z9 Py. Scale:S/ i ��� �a • � # Cert. No. / Date of Inspection: - Plan Reference: PI, No. /U/7G Date of Plan: / . �. MERRIMACK 2 ENGINEERING SERVICE-INC. Engineers * Surveyors 9 Planners 66 Park Street ANDOVER, MASSACHUSETTS 01810 DATE JOB NO. ti (978) 475-3555 ATTENTION Fax (978) 475-1448 J RE: WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ti HEALTH DEPARTMENT THESE ARE TRANSMITTED as checked below: Et/or approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS A Li, �.�►�-� t- ��- Air:� � z � COPY TO 4/9 SIGNED: If enclosures are not as noted,kindly notify us at once. I Page 1 of 2 Dellechiaie, Pamela From: Sawyer, Susan Sent: Friday, February 11, 2005 7:49 AM To: Dellechiaie, Pamela Subject: RE: 23 Ash Street Soils thx -----Original Message----- From: Dellechiaie, Pamela Sent: Thursday, February 10, 2005 4:32 PM To: Sawyer, Susan Subject: FW: 23 Ash Street Soils Susan, FYI -----Original Message----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Thursday, February 10, 2005 2:47 PM To: pdellechiaie@townofnorthandover.com; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)' Subject: RE: 23 Ash Street Soils Pam, We're working on two plan reviews today and should have them to you by the end of the day tomorrow. Dan Daniel Ottenheimer, President Mill River Consulting 2/11/2005 �-� Page 1 of 1 Dellechiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Friday, February 11, 2005 11:30 AM To: amcbrearty@miliriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer Subject: 23 ash street Folks, Plan review letter for 23 Ash Street is attached. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.m.illriverconsultin2.com danQ@millriverconsulting.com I I l 2/15/2005 TOWN OF NORTH ANDOVER NORTH , Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ` y p 400 OSGOOD STREET 4"D NORTH ANDOVER, MASSACHUSETTS 01845 'S8 CHUSt� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX February 10, 2005 , Anthony Donato <� Merrimack Engineering Services 66 Park Street :� 9 Andover, MA 01810 Re: Septic Design for 23 Ash Street, Map 106D, Lot 40 Dear Mr. Donato: The proposed septic system design plan for the above site dated January 2, 2005, and received January 12, 2005 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. Each item is followed by the specific section in Title 5: 310 CMR 15.000, or North Andover regulation which is not met by this design. 1. Please include a note stating whether there are any surface water supplies within 400' of �thepoposed system (220(4)(k)) Pleaseprovide an original P.E. stamp and signature (220(1)&(2) 3. Itlis not-clear on this plan that the proposed grading will meet breakout and the 3:1 slope. )lease ihe proposed "94" contour is very near the breakout line, which should be at El. 94.9. 4. provide the inlet elevation for the Distribution Box. �V. 5. Please provide the pump performance curves and show that the pump can provide flow needed against calculated head(220(4)(r) 6. Soil log for TP-1 was changed to very gravelly Loamy Sand after the percolation test hole was dug in the area of TP-1. Please revise soil logs on plans appropriately. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the.environment of North Andover. Sincerely, �5 Susan Y. Sawyer, REHS/RSA Public Health ea th Director � (� cc: Owner File f1 TRANSMISSION VERIFICATION REPORT TIME 03/17/2005 15:59 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 I DATE DIME 03117 15:57 FAX NO./NAME 89784751448 PAGE(S) DURATION 0:01:00 RESULT OK MODE STANDARD ECM I I u f ,yORTFr TOWN OF NORTH ANDOVER HEALTH DEPARTMENT mn niJAD7 RC emnrrr Y � NORTH ANDOVER, MASSACHUSETTS 01845 i SACHUS (978)688-9540 -Phone Susan Y. Sawyer, REHS/RS (978)688-9542 -Fax Public Health Director FAX Bill Dufresne From: Pamela To: MERRIMACK ENGINEERING 66 PARK STREET Andover, MA 01810 978-475-1448 Pages: Fac 978-475-3555 Date: Phone: Septic Plan Response CC: Re: ❑ Urgent x For Review ❑ Please Comment ❑Please Reply ❑ Please Recycle I • Comments: Attached is the response from the Health Agent regarding Septic Plans for the following property: �V . A copy has also been mailed to the homeowner. Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File Homeowner TOWN OF NORTH ANDOVER t NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET , ._.�s_. . • NORTH ANDOVER, MASSACHUSETTS 01845 CHU Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX February 10, 2005 Anthony Donato Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Septic Design for 23 Ash Street, Map 106D, Lot 40 Dear Mr. Donato: The proposed septic system design plan for the above site dated January 2, 2005, and received January 12, 2005 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. Each item is followed by the specific section in Title 5: 310 CMR 15.000, or North Andover regulation which is not met by this design. /,,1: Please include a note stating whether there are any surface water supplies within 400' of the proposed system (220(4)(k)) ,/27. Please provide an original P.E. stamp and signature (220(1)&(2) 3. It is not clear on this plan that the proposed grading will meet breakout and the 3:1 slope. The proposed "94" contour is very near the breakout line, which should be at El. 94.9. Pleaserovide the inlet elevation for the Distribution B p o ox. I ,,s5. Please provide the pump performance curves and show that the pump can provide flow needed against calculated head (220(4)(r) V6. Soil log for TP-1 was changed to very gravelly Loamy Sand after the percolation test hole was dug in the area of TP-l. Please revise soil logs on plans appropriately. I Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Siny, 1 usan Y. Sawyer, REHS/R Public Health Director cc: Owner File I TRANSMISSION VERIFICATION REPORT TIME 02/18/2005 16:25 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 02118 16:15 FAX NO./NAME 89784751448 DURATION 00:00:55 PAGE{S} 02 RESULT OK MODE STANDARD ECM I i I Town of North Andov Health Department Date: Location: 9 (Indicate Address,if Residential,or Name of Business) Check#: /'e�� Type of Permit or License: (Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ .❑.-Sip ict -Design Approval ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) Health Agent Initials 644 White-Applicant Yellow-Health Pink-Treasurer •p � / 1 Town of North Andover `J] HEALTH DEPARTMENT 27 Charles Street _ North Andover, MA 01845 ' 978.688.9540 healthdenAa�tawnofnan%andover.com JAN 12 2005 SEPTIC PLAN SUBMITTAL FORIYI"� DATE OF SUBMISSION: L✓ –� SITE LOCATION: Zit AS,I� �T ENGINEER: 6I 0 t'i ' .- Ebb (h1 tilP� NEW PLANS: YES S225.00/Plan V"�" Check#: (Includes IAVEw and one Re-Review Only) REVISED PLANS: YES S 75.00/Plan Check#: f SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES '�'Q Telephone#: �1 (7 '�1��7 Fax E-mail: C-t4L"62,W-AA,-ezvLl HOMEOWNER NAME: ArL-I IA Be I acu Ga14 i✓1 tl OFFICE USE ONLY When the submission is complete(Including check): I. _4ZjDja�te stamp plans and letter 2. 7Co"Ide and attach Receipt 3. py File;Forward to Consultant 4. Enter on Log Sheet and Database ' f r14I&atdIOn: Owner's Namel: It p d Tel#: . Neer PL%L— .Repslr ✓' Date: Z-Z-a Wetlands__Zone I_Soil Symbol�Son Mane I 4 Soil Qus � Deep Observation Hole Logs Elevation Depth Soll Htlrimn Soil TeVure Soil Color Solt Mottlint. % Gray Stones,etc, IvYv& We— bw'%.Nv tAo. I S-3?i t�ti 31r I�` G. �, 1, 5 2.SY�13 �� 7L" I-><i�i�e'--F►��u�.e• Parent Material. LL Depth o Bank--g Water in the Hata W , �� �i r"..aft Faee�' lSBGWs I L•� I8.22�� � .. Lda►-r s i zv40 QJ �,L I a q V, 4 I ►u6- �r it.� L Parent)Katerial Dcpth to Bdnd�Shei[a=Waterin the Hola��Weepta=nota t!Jt Face — " �,,,_ES8C1Ys Date I Z-2-404 percolation Tests Observation Hole 6 f7-1 Depth of Pert 70�� Start PM-sod: 2 S Time at n& Z r Time at 9" t a Time at 6" r"1 Time(9"-6") N Rate Mlaftc6-- Performed B�; Ism Witnessed Br:_,� i i Staple oldejS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 1 Dellechiaie, Pamela From: Pam Dellechiaie [pdellechiaie@townofnorthandover.com] Sent: Thursday, February 10, 2005 9:46 AM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: FW: 23 Ash Street Soils Hi Dan, What is the status of the plan review for 23 Ash Street? I show that I sent it over on 1/12/05. Thanks. P -----Original Message----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Monday, December 20, 2004 9:01 AM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer Subject: 23 Ash Street Soils Attached are soils test results for 23 Ash Street. Dan Daniel Ottenheimer,President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com danoaa millriverconsulting.com 2/10/2005 Page 1 of 1 � I Dellechiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Monday, December 20, 2004 9:01 AM i To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer Subject: 23 Ash Street Soils Attached are soils test results for 23 Ash Street. Dan F I Daniel Ottenheimer,President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultin2.com dano@millriverconsultin2.com i i I i 12/21/2004 m.. A 4 l2 JL�aA . f , 04r, j,j►; A.r ick £.rocs! (3,k !"tt��� Ili 49 4c) j t� I a SII Y I r } NCAk U-b ? A WAR 213 It-A-, ;/4� ►�t�assw.� _ I � I I 10 YR 41,EV 15 ► 4A"'� 1 u Y2 zfL g4sw c4c Ir .�g oyo// 1rwsr�o itlo 5—t4ae 414' a VLvf. i a3 �ISu Ir:;--' N.JLW 144bdvLeL 12. so n.2c.�M�• 1�.NSE� ~ 64COCK £#i! 13-L, eP TIA 7'0 S lk F= s p.-<m rr • M a=3� %atr- C3 �" 1;41 �.. 1 ' )�s'A ? , I U I f ii g"ts` 3w11 -q SL TESyK 3/4 �h�ssw.1At. 1 !o YR 414 :lS �.�y 6�3 mlF . t Csf(•(p J � ��r � w '. 4Ar+\ I U�2 Zf L g�aWw Gtt,l7t. �ayri41An+tSr�a a � r �tvt wriR{ -734 I �S�Gw.Qj�3u iUo its•rte { rl o t,.rr,�', f I i Page 1 of 1 0 Dellechiaie, Pamela From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Wednesday, December 01, 2004 9:46 AM To: Susan Sawyer; amcbrearty@millriverconsulting.com; 'Pamela Dellechiaie' Subject: North Andover inspections Good morning, The following inspections are scheduled: Thursday, Dec. 2: 9:15 1101 Tumpike, Mass Electric 10: 0-'23 �ee After 80 et Monday, Dec 6 7:30 Forest Street, Lot C Tuesday, Dec 7 10:00 1132 Salem Street 1:00 1659 Osgood Street i Please call with any questions. Have a great day. Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com i i I� 12/7/2004 i i f I TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD SYSTEM OWNER &ADDRESS SYSTEM LOCATION } (example: left front of house) DATE OF PUMPING: '�� QUANTITY PUMPED �e-- GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE �MERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: 0 C- Commonwealth of Massachusetts RECEIVED p , Massachusetts OCT 19 2004 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT System PU DpIlIng Record System Owner System Location Date of Pumping: Lo` t is 0i Quantity Pumped: t©O d gallons I Cesspool: No [ Yes [] Septic Tank: No [] Yes [ System Pumped by: 64&d4W License# Contents transferred to: Greater Lawrence Sanitary District Date: (Q Inspector: TOWN OF �e,( SYSTEM PUMPING RECORD DATE: ' O 3 lyr-r 3 SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example:left front of house) C � i b use DATE OF PUMPING: _ "b QUANTITY PUMPED : f7 GALL NS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: