HomeMy WebLinkAboutMiscellaneous - 2370 TURNPIKE STREET 4/30/2018 (2)•S�
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Grant, Michele
From:
Willett, Tim
Sent:
Tuesday, January 17, 2006 8:56 AM
To:
Grant, Michele
Cc:
Hmurciak, Bill
Subject:
RE: 2370 Turnpike
Hi Michele,
As far as I know, the DiGrazia sewer issue is still a big question at this time in terms of whether the town will allow him to
connect, and what the fees would be. Such questions are ultimately decided by the selectmen because some buildings
are in Middleton. Also, the Route 114 Sewer line for the Oakridge property is still not ready, therefore no one can connect
now.
I expect the Route 114 Sewer to become active soon (next few weeks or so), since some of the condos in Oakridge are
almost ready for occupancy. However, I sill need an as -built drawing of the sewer, test reports, and a visual inspection
must be conducted.
-----Original Message -----
From: Grant, Michele
Sent: Tuesday, January 10, 2006 1:10 PM
To: Willett, Tim
Cc: Sawyer, Susan
Subject: 2370 Turnpike
Good Morning Tim,
We've recieved an application from Property Owner, Joseph DiGrazia to install a sewer line extention at
station 255+50 at the intersection of Sharpners Pond Road. We've also recieved a food application from Steve
Fiore wanting to open "The Country Store" Before signing off on this application, 1 was hoping for a little more
information. As a rule, we would require a passing Title V, but if this is a connection that will be completed in the
near future we sometimes make exeptions, as you know.
1. Has there been a financial committment associated with this hookup and what is the fee for something like this?
2. Is this something that can be done in the next 6 to 12 months, or what's the best and worst case senerio?
Any Information would helpful.
Many Thanks
Michele E. Grant
North Andover Health Inspector
NOMID LLC 01/06/2006
2350 TURNPIKE STREET
NO. ANDOVER , MA. 01845
phone: 978 725 - 9527 fax: 978.725 - 9529
I Eric DiGrazia , as owner of 2370 Turnpike Street,
North Andover, Ma. 01845.
Am making a commitment to connect to the sewer
system. I will follow all state and local laws in this
process .
I am enclosing a copy of my application for a permit to
access the state highway . the application was sent to all
the concerned parties , on December 23rd 2005.
Thank You.
Eric DiGrazia
978 725-9527
781405-5017
NOMID LLC 01/06/2006
2350 TURNPIKE STREET
NO. ANDOVER , MA. 01845
phone: 978 725 - 9527 fax: 978 725 - 9529
I Eric DiGrazia , as owner of 2370 Turnpike Street ,
North Andover, Ma. 01845.
Am making a commitment to connect to the sewer
system. I will follow all state and local laws in this
process .
I am enclosing a copy of my application for a permit to
access the state highway. the application was sent to all
the concerned parties , on December 23"d 2005.
Thank You.
Eric DiGrazia
978 725-9527
781405-5017
V/
TOWN OF NORTH ANDOVER NoRrH
Office of CONUMUNITY DEVELOPMENT AND SERV [CES o cf�, .a �1+
a o
HEAUH DEPARTMENT p
.�
400 OSGOOD STREET • "�, r
NORTH ANDOVER, MASSACHUSETTS 01845 'SSA USEt
Susan Y. Sawyer, REIIS/RS
Public Ilealth Director
March 7, 2006
Steven Fiore, Owner
2370 Turnpike Street
North Andover, MA
Re: The Country Store/ Andover Flower Farm
Dear Mr. Fiore,
978.688.9540 — Phone
978.688.9542 - FAX
hcaltlide t;(i-to",not'not7handos,cr.com
vsti«s.IownofnorthaMover. coin
This correspondence is to inform you that the North Andover Health Department has received all the information
requested in regard to your plan for a new food establishment. The plan has been approved with the comments in
blue and reel noted below. A copy of this approval will be forwarded to the Building Department. Be advised, if
any substantial changes in the plans occur during construction you are expected to advise the Health Department.
E-12(5) Type of sanitizer is listed as none. The applicant must choose one, of three apes that are approved,
chlorine, quaternary ammonia or iodine. Test strips must he available. Complete section (Also noted that E-18
(54) shows chlorine use) OK
E-12 (9) Please note no HACCP plan is needed for this establishment. No action needed OK
E-13 (A) Finish Schedule Information provided is incomplete. Revise and complete as needed OK
I.e. Plaster is not a washable surface used in food establishments and the only floor information notes
concrete in the bathroom
E -13(B) 2,3 Please note that no screen doors and no window screens are noted. It is assumed that the building is
air conditioned to provide ventilation. In food establishments, doors may not be left open at any time without a
screen door. (No Action needed on this item.)OK
E-14 (10) Indicates a dumpster being used. Please be sure to apply for a dumpster permit i f you have not alreatdy
done so. (13) Dumpster location described as gravel area. Town of North Andover regulations require a stable
non porous surface such as concrete pad under the dumpster. Please revise. OK
E-16 (29) Water supply is listed as private. Please provide information regarding well ivater. Water must meet
certain regulations to he used for commercial food establishments. OK
E-16 (F) Sewage disposal system must meet requirements as described in letter to the building owner dated
February 5, 2006. OK
E-16 (41) Location of linen listed as "none". Please note this includes clean rags for sanitizing fod surfaces,
aprons etc. Please revise if not accurate. OK
E-18(64) states bathroom doors are not self-closing. Please make doors self-closing or request relief in writing as
to ►wlny this cannot be accomplished. OK
The plan shows no location for back stock of food, beer, wine etc. Please show a food storage room capable of
meeting the needs of your establishment. In the cruse of storage; the Health Department believes that the
establishment will not have Enough storage space for food and non-food items. This has been communicated to
the applicant, but the applicant requests relic'to this requirement, as he slates that there wiU he no back .stock
of the usual items. ,,although this appears unrealistic, the Health Department ,will not require it at this time. If
future inspections identify filod items stored improperly, the applicant will be cited for the violation and
:inlutions jvill be required (Sonne proper storage requirements erre listed Belong
l) Food items may not be stored directly on the floor. ,Must be elevated at least 6 inches
2) Food must be protected and kept separate from contaminants such as chemical storage
3) Rack stock r f fiwd items must not clutter the aisle and create un environment that will prohibit the
proper daily cleaning { j'the floors.
1) Cases of itc'ins shall he placed on wheels whenever possible to assist in floor maintenance
f
Once basic construction is complete and the equipment is in place, please contact the Health Office for a
construction inspection to verify that you have built it to plan. At that time we will sign off the building permit.
The final health inspection should be requested approximately 24-48 hours prior to opening the establishment. At
the final inspection, it is expected that the premises will be ready for business. Also, please make sure that all
Health permit fees are paid as well as the Common Victualer's permit at the Town Clerk's office.
Some items needed to receive the permit to operate are:
1) The establishment will be clean of all construction materials
2) The handsink and bathroom will be stocked with a wall mounted paper towel and soap dispenser
3) The ladies room will have a covered trash can for feminine personal item disposal
4) Bathroom must have "employee must wash hands before returning to work" signage
5) Handsinks should be labeled "hand wash only"
6) There must be test strips for the Chlorine sanitizer on site
7) Directions on mixing the sanitizer should be posted.
8) The three -bay should be labeled "wash, rinse, sanitize"
9) Gloves must be on site. Please note that the state does not recommend the use of latex gloves due to some
person's sensitivity to latex that may cause them illness.
10) You must obtain copies of the state and federal food codes and keep them on premises
11) At minimum, employees should be trained on the sick policy and sanitation basics.
The Health Department looks forward to working with you towards a common goal of providing safe food to the
citizens that live and work in the Town of North Andover. Due to the circumstance with the on-site septic system
and the well water this approval is for a convenience/retail store only. As such, there will be no substantial
preparation of food allowed. Tasks such as breakdown of bulk packages, repackaging and proper labeling of items
such as candy and muffins are allowed. The Department of Environmental Protection requires a permit for food
service establishments serviced by on site wells. Your property's well would not meet the requirements in regards
to Zone protection and would not be eligible for such a permit. You may contact DEP for more information if you
wish to pursue this further, however it is our understanding that the owner is working towards providing town
water as soon as possible, in addition to the town sewer.
Although a passing Title V inspection was submitted, this does not allow food preparation either. To do this a
1,000 -gallon grease trap would have to be added to the septic system or the sewer connection would have to be
completed. A letter sent by Meridian Associates, Inc. on behalf of the property owner, Mr. DiGrazia, indicated a
timetable in which the sewer connection would be complete. The owner has agreed with this timetable. This
timetable of sewer connection within the next 24 months may be shortened if at any time the Health Department
finds a serious public health concern. Please notify the Health Office once town water and sewer connections are
provided. Any future change to the type of food permit issued must be approved by the Health Department.
Please contact the Health Office if you have any questions regarding this correspondence.
Sincerel ,
Sµ Sawy=REHS/2RS,
Public Health Director
Cc: Nomid LLC, 2350 Turnpike Street
JPAW'tVPHMT
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Website hosted and developed by LogicalSolutions.net
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15
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U.S. Gallons Per Minute
TOWN OF ANDOVER, MASSACHUSETTS
JACK PETKUS, P.E.
DIRECTOR
DATE:
NAME:
ADDRESS:
TELEPHONE:
PROBLEM DESCRIPTION
DEPARTMENT OF PUBLIC WORKS
WATER TREATMENT PLANT
397 LOWELL STREET 01810-4416
TELEPHONE
RECEIVED
FEB 15 2006(978)
TOWN,,.;r
sample information
2/8/2006
date & time:
2/8/2006
M. Petrosino
location:
2370 Turnpike St. N.A.
sampler:
MP
2370 Turnpike St.
sample type:
grab
sample ID:#
2370 - w
North Andover, MA
received by:
AC
978-420-8444
Test for total coliform (TC -MF 100 mis)
t3RCT'N Irl >> ><>><
...
A
TEST RESULT
Total Coliform - well 0/100 mis
COMMENTS:
CHEMIST OR ENVIRONMENTAL ANALYST
\^(J
Printed on 100% Recycled Paper with 30% Post Consumer Waste.
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 5,32o
Owner's Name: vu 03-,-10Jtf
Owner's Address: �,� �,eAZ�: ra
Date of Inspection:a 2.k- O (,
Name of Inspector: (please print)
Company Name: (�\A�nv�n�•`�—
Mailing Address:
�czr-w,n� (NWo !-m4y
Telephone Number: _ 03 $qS- 63oS
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000 The system:
/Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date:
The system inspectors submit a copy of thi tion report to the Approving Authority (Board of Health or
DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving
authority.
Notes and Comments L : r. \e. AS -�o Co r"
4-<.) 4Z e. :-4o se'14trN
Ste- v.r1-cT At, ?CvZe`�l \-ffts V,01., !SaA
C`t.-1p,CA �rv, �-v
****This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Page 2 of I 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: `11'?o
Owner: N -C C a
Date of Inspection:a, 2$-06
Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D
A. Svstem Passes:
II have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist Any failure criteria not evaluated are indicated below.
Comments:
n6 �r v, \-e,tee..
B. System Conditionally Passes:
One or more system components as described in the "Conditional Pass" section need to be replaced or
repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass.
Answer yes, no or not determined (Y,N,ND) in the for the following statements. If "not determined" please
explain.
The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally
unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available_
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if (with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
ND explain:
AtUeISL
Page 3 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 1.3-)0 i nno:`41.
Owner:
Date of Inspection:
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing topro t public health, safety or the environment.
1. Systemwill pa unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the
system is not fun 'oning in a manner which will protect public health, safety and the environment:
Cesspool or privy i3 within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the
system is functioning in a manner that protects the public health, safety and environment:
_ The system hasa tic=to
and soil absorption system (SAS) and the SAS is within 100 feet of a
surface water supply or to a surface water supply.
_ The system has a septic and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank an AS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SA d the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to Zktennine distance
"This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
Page 4 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: rl300
Owner: (fie rA�� ; ri
Date of Inspection:
A System Failure Criteria applicable to all systems:
You must indicate "yes' or "no" to each of the following for all inspections:
Yes N
Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
Static liquid level in the distribution boa above outlet invert due to an overloaded or clogged SAS or
cesspool
Liquid depth in cesspool is less than 6" below invert or available volume is less than % day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped
Any portion of the SAS, cesspool or privy is below high ground water elevation.
Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
Any portion of a cesspool or privy is within a Zone 1 of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.]
(Yes Tl�o The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a lasystem the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd.
You must indicate either ]a%
" or "no" to each of the following:
(The following criteria apply t large systems in addition to the criteria above)
yes no
the system is within 400 feet f a surface drinking water supply
the system is within 200 feet of a butary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped
Zone lI of a public water supply well
If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered
"yes" in Section D above the large system has failed. The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
Page 5 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: WSTU ,
tl. R.dW,r�r
Owner:
Date of Inspecti :
Check if the following have been done. You must indicate "yes" or "no" as to each of the following:
Yds No
Pumping information was provided by the owner, occupant, or Board of Health
Were any of the system components pumped out in the previous two weeks
Has the tel r ce`ivSed normal flowsin'the pre our s two week peAod�� S� V S �L,
Have large volumes of water been introduced to the system recently or as part of this inspection
i11 Were as built plans of the system obtained and examined? (If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up
Was the site inspected for signs of break out
Were all system component -s, excluding the SAS, located on site '
0-A O'L +"vei��orC G "ta � An� W/!S :.ns? 'Vtd1 (f •�P�' M:rrt'r _ Were @c septic tank manholes uncovered, opened, and the interior U the tank inspected for �tte condition
of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum
j_ Was the facility owner (and occupants if different from owner) provided with information on the proper
maintenance of subsurface sewage disposal systems
The size and location of the Soil Absorption System (SAS) on the site has been determined based on:
IYdS
no
_ Existing information. For example, a plan at the Board of Health.
J _ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance
is unacceptable) [3 10 CMR 15.302(3)(b)]
Page 6 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: a3?0
Owner:
Date of Inspection: '),U -0 (o
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms (design): Number of bedrooms (actual):
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms):
Number of current residents:
Does residence have a garbage grinder (yes or no):
Is laundry on a separate sewage system (yes or no): _ [if yes separate inspection required]
Laundry system inspected (yes or no): _
Seasonal use: (yes or no):
Water meter readings, if available (last 2 years usage (gpd)):
Sump pump (yes or no): _
Last date of occupancy:
COMMERCIALANDUSTRIAL
Type of establishment: C_r� cr vw,j.A_tA
Design flow (based on 310 CMR 15.203): _gpd
Basis of design flow (seats/persons/sgft,etc.). S �,
Grease trap present (yes or no): (Na
Industrial waste holding tank present (yes or no):(� o
Non -sanitary waste discharged to the Title 5 system (yes or no): <10
Water meter readings, if available: A I N `
Last date of occupancy/use: v..Atr
OTHER (describe):
GENERAL INFORMATION
Pumping Records
Source of information:
Was system pumped as part of the idspection (yes or no):
If yes, volume pumped: 1pod gallons -- How was quantity pumped determined?
Reason for pumping: nCL16
TYPE OF SYSTEM
✓ Septic tank, distribution box, soil absorption system
Single cesspool
_ Overflow cesspool
_ Privy
_ Shared system (yes or no) (if yes, attach previous inspection records, if any)
_ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be
obtained from system owner)
Tight tank _ Attach a copy of the DEP approval
_ Other (describe):
Approximate age of all components, date installed (if known) and source of information:
Were sewage odors detected when arriving at the site (yes or no): Jlo
Page 7 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: PWO — r ft -
n, P " Avu
Owner: ORAsgll ;,P*
Date of Inspection:
BUILDING SEWER (locate on site plan)
i
Depth below grade:
Materials of construction: ,/ cast iron _40 PVC _other (explain): _
Distance from private water supply well or suction line: 4- 10&-
Comments
ouComments (on condition of joints, venting, evidence of leakage, etc.):
Aa6.t-
SEPTIC TANK: _ (locate on site plan)
Depth below grade: 0�
Material of construction: p, concrete _metal _fiberglass _polyethylene
—other(explain) _ 2`se r- 0,
If tank tank is metal list age: _ Is age confirmed by a Certificate of Compliance (yes or no): _ (attach a copy of
certificate)
Dimensions: $`iL 4- S/?-
Sludge depth: )
Distance from top of sludge to bottom of outlet tee or bale: 30
Scum thickness: I'
Distance from top of scum to top of outlet tee or baffle: y "
Distance from bottom of scum to bottom of outlet tee or baffle: isi—
How were dimensions determined: N -S jf, , \a��aQj
Comments (on pumping recommendations, inlet ancrouflet tee or bale condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage, etc.):
GREASE TRAP: _(locate on site plan)
Depth below e: _
Material of con ction: _concrete _metal _fiberglass _polyethylene _other
(explain):
Dimensions:
Scum thickness:
Distance from top of scu to top of outlet tee or baffle:
Distance from bottom of s to bottom of outlet tee or baffle:
Date of last pumping:
Comments (on pumping recomme dations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence leakage, etc.):
Page 8 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: `�131v
rl. Pr.n
Owner:
Date of Inspection:
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below ade:
Material of cons ction: concrete metal fiberglass _polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallorWday
Alarm present (yes or no):
Alarm level: Alarm in working order (yes or no):
Date of last pumping:
Comments (condition of alarm and float switches, etc.):
DISTRIBUTION BOX: (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: M- % , u t V
Continents (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of
leakage into or out of box, etc.): `` AA
C sc.l o.., D-�a�. twt,`g CoA .
PUMP CHAMBER: (locate on site plan)
Pumps in working order (ye r no):
Alarms in working order (yes no):
Comments (note condition of pu p chamber, condition of pumps and appurtenances, etc.):
Page 9 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: x3-)0
Cl, A.n�cu-tr
Owner:
Date of Inspe ion: 2;aic-ob
SOIL ABSORPTION SYSTEM (SAS): /(locate on site plan, excavation not required)
if SAS not located explain why:
Type
leaching pits, number: _
leaching chambers, number:
leaching galleries, number:
leaching trenches, number, length:'
leaching fields, number, dimensions: a►O 4AeA)
overflow cesspool, number:
sP
innovative/alternative system Type/name of technology:
Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,
etc.):
CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan)
Number a�n onfiguration:Depth — of ' uid to inlet invert:
Depth of solids la r:
Depth of scum laye
Dimensions of cessp 1:
Materials of construction:
Indication of groundwater inflow (yes or no):
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
PRIVY: (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments (note con tion of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include tie t041�_at.least.two.permanent references
locat ells within 100'
vc.f.y —
le .301 --
a° D
✓CN Pc� `�
�Y' I
rks or benchmarks
G
—PT
A Fa 0= 5'(-)'6.,
c f�
D, '7'�''
t:J+pQ� las'-ter_ A
FILE# //
x370 7,-
rnp'ke-
5* A). 4ndo"C(- /YA,
v
z�s
DEPTH OF GROUNDWATER
�J.ett
Depth to groundwater:_feet
method of determination or approximation: p-,
(revised 8/15/95) 9
Page 10 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: Q')0
Owner:
Date of Inspee ion:
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
S
Page 11 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: -)O t,,
,(1 • q v
Owner:
Date ofInspe ion: 'a,2;k--0(0.
SITE EXAM
Slope o-3% C c'tni{r ;r, CeV- o�
Surface water ,
Check cellar nt�
Shallow wells
Estimated depth to ground water c< fw,. "V W
Please indicate (check) all methods used to determine the high ground water elevation:
<) Obtained from system design plans on record - If checked, date of design plan reviewed:
Observed site (abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health -explain: Rm,/ S
Checked with local excavators, installers- (attach documentation)
Accessed USGS database -explain:
You must describe how you established the high ground water elev tion: � � AA
Use. o� r�on;4tC \� cyz\ o.., S�J1R. o �vi4-J1 w+ rA /1
��- -C- -
02/06/2006 13:41 19787259529 FLAME LAMINATING
MERIDIAN ASSOCIATES, INC.
Civil f:ngineers. Land Surveyors, Landscapo Arrhiteen
January 27, 2006
North Andover hoard of Health
Town Offices
120 Main Street
North Andover, MA 01845
Ile: 2370 '.Turnpike Sheet
Neth Andover, Massachusetts
Dear Members of the Board of Health;
I and writing to you on behalf of Nomid Realty Trust, the owner of the site referenced
above, to inform, you, that Meridian Associates, Inc. has been contracted by No.m...id
Realty Trust to design a sewer connection froth, tb:e subject Sate to the existing sewer at
the i.11tersectioXn of Turnpike Street and Silarplyers Po11d Road. Our design period lfor a
project of this size is 30 to 60 days, it is our understanding that Nornid Realty Trust
plans to insta.11, the sewer connection within the next 24 trn.otiths:
Sincerely,
MERIDIAN ASS-, CJATFS, INC,
C1 L
Charles.:. MVear, III, P,I-:,
Senior. Project Manager
C17,WljmdlF;1-140451W01t171IetterslNA 110H.doc
Beverly
Orlando
PAGE 02102
Westborough
1 S2 Conant Street 3505 Lake Lyndn Drive, Suite 203 69 N1111t street, Suite 302
Reverly, MA 01915-1659 Orloindo, F1,32817 Westborough, MA 01S81=1227
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P
Grant, Michele
To: Willett, Tim
Subject: 2370 Turnpike
Good Morning Tim,
We've recieved an application from Property Owner, Joseph DiGrazia to install a sewer line extention at station
255+50 at the intersection of Sharpners Pond Road. We've also recieved a food application from Steve Fiore wanting to
open "The Country Store' Before signing off on this application, I was hoping for a little more information. As a rule, we
would require a passing Title V, but if this is a connection that will be completed in the near future we sometimes make
exeptions, as you know.
1. Has there been a financial committment associated with this hookup and what is the fee for something like this?
2. Is this something that can be done in the next 6 to 12 months, or what's the best and worst case senerio?
Any Information would helpful.
Many Thanks
Michele E. Grant
North Andover Health Inspector
M
EXISITNG 4" CLDI
FORCEMAIN
41
NZ\
� XPi
PROPOSED CAP END
OF SEWER STUB
xoo / NOW OR FORMERLY
ANTHONY F. PACILLO, IN &
/ STEPHANIE M. DEANGELIS
\ DEED BOOK 5240, PAGE 40
CONNECT- PROPOSED
4" CLDI FORCE MAIN
TO EXISTING 4" CLDI
NO TE:
THE PURPOSE OF THIS PLAN IS TO
CONNECTION FROM NOMID REALTY
FORCEMAIN IN RTE 114.
DEPICT THE FORCEMAIN
TRUST TO EXISTING
PORTIONS OF PROPOSED UTILITY INFORMATION AND
MASSACHUSETTS HIGHWAY STATIONING WERE COMPILED
FROM PLANS ENTITLED: "GRADING & UTILITIES PLAN",
PREPARED BY MHF DESIGN CONSULTANTS, INC., DATED
JUNE 18, 2002, REV. 12/30104., 'FINISH/GRADING AND
UTILITIES INSTALLATION" BY GZA GEOENVIRONMENTAL, INC.,
DATED 4-1-2005, REV. 6-7-2005., 'PROPOSED SITE
DEVELOPMENT THE MEADOWS", BY GZA GEOEN VIRONMEN TA L,
INC., FIGURES NO. 4 & 5, DATED 05/01/03.
DWG. No. 4045SEWER_PFM_SKETCHI
M E R I D I A N SKETCH PLAN OF LAND
L DCA TED IN
ASSOCIATES, INC.
0. ANDOVER, MASSACHUSETTS 152 CONANT STREET 69 MILK STREET, SUITE 302 PREPARED FOR
BEVERLY, MASSACHUSETTS 01915 WESTBOROUGH, MASSACHUSETTS 01581 FLAME LAMINATING
TELEPHONE: (978) 299-0447 TELEPHONE: (508) 871-7030
SCALE: 1 "=60'
WWW.MERIDIANASSOC.COM
DA TE: DECEMBER 12 2005
Copyright ® by Meridian Associates, Inc. All rights reserved.
WE
MERIDIAN ASSOCIATES, INC.
Civil Engineers, Land Surveyors, Landscape Architects
VIA: U.S. MAIL
December 23, 2005
Mr. J. William Hmurciak, P.E.
Director of DPW
384 Osgood Street
North Andover, Massachusetts 01845
Re: 2350 Turnpike Street
North Andover, Massachusetts'
Dear Mr. Hmurciak:
Attached please find an Application for a Permit to Access State Highway for the
purpose of installing a sewer main across Turnpike Road (Route 114). We have also
attached a sketch plan depicting the proposed sewer main for filing with Massachusetts
Highway Department.
The proposed sewer line will potentially service industrial buildings located on
Turnpike Street. The proposed sewer line will potentially service industrial buildings
located on Sharpners Pond Road and Turnpike Road.
If everything appears in order please sign this application and forward to Massachusetts
Highway Department at 519 Appleton Street, Arlington, Massachusetts 01274.
If you have any questions or comments please do not hesitate to call.
Sincerely,
MERIDIA_ N ASSOCIATES, INC.
Charles E.,Near, III, !$.
Seni
To be completed by the. Applicant. See reverse for instructions:
1. Town/City North Andover
2- State Highway route numbers and/or name Route 114
3 _ Description of property and/or facility for which access is sought (attach additional sheets i£necessary).
Sewer extension to Sharpners Pond Road.
4_ Description of work to be performed within State Mghwray Layout (attach additional sheets if necessary)_
Instal 1 a ion of -a sewer line extension at -,fati nn 255+90 at the i ntPr.ar-t-i nn
of Sharpners Pond Road
5_ Dig Safe number. .t A
6. Applicant Information 7- Property Owner,
Name William Hmurciak, Director Name Jose h DiGrazia, Trustee
Department bf Public Works Nomid 'gust, c/o F1ame'Laminating
Mailing Address. 384 Osgood Street ^ Mailing Address 2350 Turnpike Street
North Andover, MA 01845 North Andover, .MA 01845
Telephone Number 978-685-0950
Signature
print signature
Date
Telephone Number 978-725-9527
Signature. t.
Print signature cJd a tea zip
E
Date I
Rctu n completed application to.Distnct Highway Director Cor your Town/City. Refer to rtvcrse side for appropriate addiess
1. Application number
5.
2. Date received
6.
3. Fee amount
_ _ 7.
4. MEPA required
E-EOEA Cert.
T _ g.
EIR-EOEA Cert.
_ 9.
_.�
Clthcr - EOEA C< -.rt.
9 10
Section 61 finding _
Mass Historic actiou
Plans returned.
Revision submitted
Application complete
Penult issuul
Pcrmil dt-nied
02106/2006 13:41 19787259529 FLAME LAMINATING PAGE 01/02
Noraid Realty Trust
2350 Turnpike Street
N. Andover dover , Ma . 01845
pit: 978 725-9527 fax 978 725-9529
e -From:
# of pages including cover.
x,76 7 S 9.507 `%
4� E lJ 7& '�Q :5 -5-0/ 7
N
-4
-j- eF,7, - C,
i
I
BOARD OF APPEALS 688-9541 BUILDING 63
f
i
I
BOARD OF APPEALS 688-9541 BUILDING 63
TO �DAT�E
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TOWN OF NORTH ANDOVER 4� NORTH
Office of,COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT * .
400 OSGOOD STREET * z
NORTH ANDOVER, MASSACHUSETTS 01845 'SS�cHuaet
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
healthdept c(r�,townofnorthandover.com
www.townofnorthandover.com
Joseph DiGrazia,Trustee
2350 Turnpike Street
North Andover, MA 01845
Re: Andover Flower Farm/ Convenience Store 2370 Turnpike Street
February 5, 2006
Dear Mr. DeGrazia,
This correspondence is in response to the application by Steve Fiore, of the Andover Flower Farm Convenience
Store, for a new establishment permit at your property, 2370 Turnpike Street. The application has been reviewed
for compliance to the food codes and a letter detailing minor deficiencies is being provided to the applicant. It is
expected that the application will be approved once all corrections have been submitted.
This approval, however, relies heavily on the issue of the on site septic system. The Health Office has received your
documentation in regard to your intention to hook into sewer, including your application to the state highway
department and your letter of intent to hook-up as soon as possible. The Health Department has also spoken to the
N. Andover Water and Sewer Department to determine the proper course in this case.
It is clear that there is intention to tie many of your properties near Rte 114 and Sharpners Pond Road into the
municipal sewer as soon as it becomes available. It is also apparent that this could possibly take years, but with due
diligence it could be as little as six months away. For these reasons, the following decisions have been made.
1) 310 CMR 15.301(5) (see attached excerpt of regulation)
Prior to approval to move forward, a Title V inspection must be done on the on-site subsurface
disposal system at 2370 Turnpike Street
a. The Title V inspection must be done by a State and Local licensed Title V system Inspector.
b. The Title V report must be submitted to the Health Department
Once the Title V inspection report has been submitted and reviewed it will be determined if any further action will
be needed at this time. In addition, the following time line is being requested:
1) The design for the sewer connection will be complete within 60 days
2) The installation shall be completed by December 31, 2006, with the option of a six-month extension
that may be requested if unforeseen circumstances are to occur in this project, Any request for
extension shall be made in writing prior to December 31, 2006 to the Health Department
3) If the sewer connection plan is not feasible, the owner will pursue bringing the septic system into
compliance with the state and local laws. Up to and including and including a complete repair
If these recommendations are acceptable, please submit a letter in writing with these amended details.
It has also been noticed that this property is on a private well of which the Health Department has no information.
Please submit any information regarding the well that you may have. As this is a food establishment, it is expected
that this water will be used for many purposes. The private water supply must meet minimum guidelines for
drinking water. Please submit the results of a well water test, completed at a certified laboratory, which at
minimum tests for bacteria and all primary contaminants. Any other action recommended will be determined by
the results of the tests.
Please contact the Health Office if you have any questions regarding this correspondence. Thank you in advance
for your cooperations in ties inatter.
Sincerely
Su Sawyer, REHS/RH
" Public Health Director
Cc: Steve Fiore
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
15.301: continued
r
• and upgrade, if necessary. In a nominee trust situation, whoever has authority to add a
new beneficiary is responsible for the inspection. An inspection conducted up to three
years before the time of transfer may be used if the inspection report is accompanied by
system pumping records demonstrating that the system has been pumped at least once a
year during that time.
(4) Exclusions. Inspection of a system is not required at the time of transfer of title of the
facility served by the system in the following circumstances:
(a) a certificate of compliance for the system has been issued by the approving authority
within two years prior to the time of transfer; or
(b) the owner of the facility or the person acquiring title has signed an enforceable
agreement with the approving authority to upgrade the system or to connect the facility
to a sanitary sewer or a shared system within the next two years following the transfer of
title, provided that such agreement has been disclosed to and is binding on the subsequent
owner(s); or
(c) the facility is subject to a comprehensive local plan of on-site septic system
inspection approved in writing by the Department and administered by a local or regional
governmental entity, and the system has been inspected at the most recent time required
by the plan. A comprehensive local plan may prioritize systems to be inspected on the
basis of proximity to water resources, soil or geological conditions, age or size of systems,
history of performance, frequency of pumping or other routine maintenance activity, or
other relevant factors, and may establish different schedules and frequency of inspection
on the basis of such criteria, provided that all systems are inspected at least once every
seven years by a System Inspector approved by the Department.
(5) A system shall be inspected upon any change in use or expansion of use of the facility
served, for which change or expansion a building permit or occupancy permit from the local
building inspector is required. Unless the system is a cesspool, failing as set forth in 310
CMR 15.303 and 15.304(1), or a significant threat to public health, safety and the
environment as set forth in 310 CMR 15.304(2), upgrade of the system is not required if the
system was designed to accept design flows resulting from the change in use or expansion of
use. Upgrades to accept increases in actual or design flow to any cesspool or to any other
system above the existing approved capacity shall be in accordance with 310 CMR 15.352.
Whenever an addition to an existing structure which changes the footprint of a building with
no increase in design flow is proposed, the system inspection shall be an assessment to
determine the location of all system components, including the reserve area, in order to ensure
that the proposed construction will not be placed upon any of the system components. If
official. records are available to make a determination regarding location of system
components, an inspection is not required for footprint changes.
(6) Facilities where the total design flow generated on the facility equals or exceeds 10,000
gallons per day at full.build out, shall be inspected by the last day of the calendar year
pursuant to the following schedule in accordance with the provisions of 310 CMR 15.006 and
the applicable provisions of 310 CMR 15.300 through 15.354 or 314 CMR 5.00 and 6.00.
Such systems shall be reinspected during the fifth calendar year following the applicable year
of initial inspection listed below and then during every fifth calendar year thereafter. An
inspection of a system conducted within 30 months prior to the last day of the applicable year
of initial inspection may be used as the initial inspection, provided that a System Inspection
Form approved by the Department is submitted to the Department within 30 days of the
inspection.
Year of initial Basin in which system is located
_inspection
1997 Charles, Housatonic, Hudson (Hoosic), North Coastal, Ten Mile
1998 Blackstone, Chicopee, Connecticut, Nashua
1999 Boston Harbor (Neponset), Cape Cod, French 8t Quinebaug,
Merrimack, Narragansett Bay/Mt. Hope Bay, Parker
2000 Buzzards Bay, Deerfield, Ipswich, Islands Millers, Shawsheen
2001 Concord (Sudbury, Assabet, Concord), South Coastal, Farmington,
Taunton, Westfield
12/27/96 310 CMR - 546
• 1 I
TOWN Of NORTH ANDOVER. MASS/1CHUS:TTS
orrrcr. or,
1•
CONSERVATION COMMISSIONko
"'"'•,�ti° TELEPHONE 683-7105
".
• . •� dew � ,,,
�r
3A�/IU�•t'
• x ,
.. .�
•
• •
,33"1,,11
.... ..
•
,
Pursuant
to the of the Wetlanus irotection Act,
,authority
• r�
Massachusetts
General Laws Chapter 131, Section 40, as amended,
and the Town of
North Andover's Wetland Protection By Law, the
?,
North Andover
Conservation Commission will hol,:1 a°Public Hearing
1
•- on Ammi„ ;t-. 28,
1.985 at 8:00 P.M. at the Town Building
Meeting Rooms
120 Main Street, North Andover, t'A on the Notice
of Intent of
Forbes Realty Trust ,:o alter 14nd at
Lots 20, 21
22 Forest Street for purposes of
constructi-n three single family dwellings and as.so•ci-ated structures
Plans are
available at the Conservation Coli,mission Office,
Town Building,
120 Main Street North 'Andover, MA, on'Tuesday
from 12:00 noon
to 2:00 p.m. and by appointment.
4`
By: G. Vicens
'*
Chairman, NACC
xt I
--- -run once in the
N.A. Citizen on Av.�ust 2.2. 1955
Copies sent to:
Planning Board /
Board of Health
Public Works
•�.
Highway DepL
p
Applicant
Engineer
DEQE
�c
II
..
x
r
,3
Board of Health
North AndnvgrzHaae.
0� DATE
e�nst
SEPTIC STSTEM
INSTALLATICK CHECK LIST
2'370
`
'To
AVATICN Og YAJL
OK
N� AX 40D
QED.
1.
a. Wet1aan s 00) PRY
b. Drains Put cc— SwM
c.. Well
2.
Water Line Location
3.
No PVC Pipe
M 4.
Septic Tank-
a. Tees -_Length & To Clean Out Cowers
b. Cement Pipe to Tank - On Both Sides of Tank
5.
Distribution Box
a. Covers do Box - No Cracks
b. All Lines Flo;afng Equal Amounts
c. No Back Flow
6.
Leach Field or Trench
a. Dimensions
NW
b. Stone Depth
Ends
W�
c. Capped
N
d. Clean Double Washed Stone
o'
7.
Leach Pits
a o
a. Dimensions
V) o
b. Stone Depth
c. Splash Pads
d. Tees
o �\
e. Cement Pipe to Pit - Both Sides
f. Clean Double Washed Stone
8.
No Garbage Disposal
9.
Flnal Grading Inspection
10.
Barricading Covered System
11 75
ll.
As Built Submitted
a. Lot Locations
b. Dimensions of System
c. Location with Regard✓to Perc Test
d. Elevation
Water Table
4
107 Forest St.,
Middleton, MA 01949
(508) 774-2772
y ��
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PROPERTY OWNER'S NAME:
PROPERTY ADDRESS: ;23-70 74;1, /A, sl -
ADDRESS
l -
ADDRESS OF OWNER:
(if different)
DATE OF INSPECTION:
NAME OF INSPECTOR: 7'-)e6'-3 G, r! u SCvii , /L
• THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY •
FILE# 112
�1
FILE#. -11Z 95 A
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Property Address: 2-370 !u�"P" =f ' yy � Address of Owner:
Date of Inspection: Nov. 2 "/ 5785— (If different)
Name of Inspector: Dcc,,j G; /.k;con,S '
Company Name, Address and Telephone Number: Currier Septic & Drain Service, Inc.
107 Forest Street, Middleton, MA 01949
(508) 774-2772
u
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and
experience in the proper function and maintenance of on-site sewage disposal systems. The system:
Passes
Conditionally Passes
Needs Further Evaluation By the Local Approving Authority
Fails
Inspector's Signature:/A�_ Date:/'fes 61
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of
completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector
and the system owner shall submit the report to the appropriate regional office of the Department of Environmental
Protection.
The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority.
INSPECTION SUMMARY:
Check A, B, C, or D:
A) SYSTEM PASSES:
_ I have not found any information which indicates that the system violates any of the failure criteria as defined in
310 CMR 15.303. Any failure criteria not evaluated are indicated below.
B) SYSTEM CONDITIONALLY PASSES:
One or more system components need to be replaced or repaired. The system, upon completion of the
replacement or repair, passes inspection.
Indicate yes, no, or not determined (Y, N, or ND). Describe basis of dtermination in all instances. If "not determined",
explain why not
The septic tank is metal, cracked structurally unsound, shows substantial infiltration or exfiltration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a
conforming septic tank as approved by the Board of Health.
(revised 8/15/95)
FILE# // 245 ,-9
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (coNTiNuFA)
B) SYSTEM CONDITIONALLY PASSES (continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or
obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection
if (with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four times a year due to broken or obstructed pipe(s). The
system will pass inspection if (with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
C) FURTHER EVALUATION IS REOUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is
failing to protect the public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A
MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
y" Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE)
DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND
SAFETY AND THE ENVIRONMENT:
L The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply
or tributary to a surface water supply.
�i The system has a septic tank and soil absorption system and is within a Zone I of a public water supply
well.
The system has a septic tank and soil absorption system and is within 50 feet of a private water supply
well.
The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more
from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic
compounds indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm.
D) SYSTEM FAILS:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR
15.303. The basis for this determination is identified below. The Board of Health should be contacted to
determine what will be necessary to correct the failure.
jLJ Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool.
(revised 8/15/95) 2
FILE# 1"-9-5W
SUBSURFACE
" -9-
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
D) SYSTEM FAILS (continued)
L% Static liquid level in the distribution box above oulet invert due to an overloaded or clogged SAS or
cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.
A) Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
�1 Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply...
Any portion of a cesspool or privy is within a Zone 1 of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
NAny portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply
well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach
copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and
nitrate nitrogen.
E) LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped
Zone II of a public water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater
treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for
further information.
(revised 8/15/95) 3
FILE#
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Check if the Xurnping
ollowing have been done:
information was requested of the owner, occupant, and Board of Health
None of the system components have been pumped for, at least two weeks and the system has been receiving
normal flow rates during that period. Large volumes of water have not been introduced into the system
recently or as part of this inspection.
✓ As built plans have been obtained and examined. Note if they. are not available with N/A.
_L/'The facility or dwelling was inspected for signs of sewage back-up.
jThe system does not receive non -sanitary or industrial waste flow.
j/ The site was inspected for signs of breakout.
L/AII system components, excluding the Soil Absorption System, have been located on the site.
(/ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for
condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of
scum.
ZThe size and location of the Soil Absorption System on the site has been determined based on existing
/information or approximated by non -intrusive methods.
The facility owner (and occupants, if different from owner) were provided with information on the proper
maintenance of SubSurface Disposal System.
(revised 8/15/95)
4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
FLOW CONDITIONS
Uesign tow: gallons
Number of bedrooms:
Number of current residents:
Garbage grinder (yes or no):
Laundry connected to system (yes or no
Seasonal use (yes or no):
Water meter readings, if a If36 e:
FILE# //:2 -
Last date of occupancy:
COMMERCIAL/INDUSTRIAL:
Type of establishment: -of�',��Q n/` �';�r,�i// •�,�srl�S� S/�C-�
Design flow: gallons/da
Grease trap present: (yes or&-%
Industrial Waste Holding Tank -present: (yes o'no K)D
Non -sanitary waste discharged to the Titl 5 system: (yes o��0
Water meter readings, if avialble: �i4
Last date of occupancy: 1Tr]2�,S,2rt— Cra4 S(,,op ►s Using i4e 1'�,-sr c) z 0
OTHER: (Describe)
6�
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECON ,D.S and sou
System pumped as part of inspection-: (yes or ) .Ua
If yes, volume pumped:.:,._gallons
Reason for pumping: iUe .thy/ APL"e �ff�
TYf SYSTEM
Septic tank/distribution box/soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Other (explain)
� •f i vj �j'GD �SkR/'�
APPROXIMATE AGE of all components, date ins[led(if known) and source of information: /01 lcPct�s O�a�
/fT��r� �1" %3('GCcJ7hQ
<4c,^L-c Grl 1o11�9'6'6-
Sewage odors detected when arriving at the site: (yes or io LO
(revised 8/15/95) 5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
SEPTIC TANK::>
(locate on site p fan
Depth below grade: 42 4 tt
Material of construction: /concrete _Metal _FRP other(explain)
I1'eccS CQ' rt -� u/a� T,,
Dimensions: /a',
Sludge depth: </'
Distance from top of sludge to bottom of outlet tee or baffle: /G
Scum thickness: { / It
Distance from top of scum to top of outlet tee or baffler_
Distance from bottom of scum to bottom of outlet tee or baffle: ! 9"
FILE# //..?- 95-lJ
4110 ;r14116 -A a_� 3711
.
Depth Below Outlet.lnvert: /57//
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert,
structural integrity, evidence of leakage,etc.) /an ; r ,„ ,i�� 4 VV4et"- 2I ,S4G�P , T-,%� ccc� auf- -
Jam'. �S f k /
-ti _1 Zh�`�k.Z�" Leve/ o✓)
'.._�,� -, i::.� � �i � �: o�..� �. f-'G..ik i< tet,,.. _ ... _..;� ?lr•i
GREASE TRAP: IVO-•..
(locate on site pan)
Depth below grade:
Material of construction: —concrete `Metal _FRP_other(explain)
Dimensions:
Ba Depth`9elow Outlet Invert:
Scum thickness:
Distance from top of scum to top, of outlet tee orbad
Distance from bottom of scum to bottom o uttbi tee or baffle:.
Comments:
(recommendation f9r_pumping, condition of inlet and outlet tees or baffles, depth of liquid, level in relation to outlet invert,
structural integrity; evidence of leakage, etc.)
(revised 8/15/95) 6
FILE#
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
TIGHT OR HOLDING TANK: /V0
(locate on site plan)
Depth below grade:
Material of construction: concrete metal FRP other(explain)
Dimensions: 1<w.
Capacity: gallons
Design flow: gallons/day
Alarm level: ,
Comments
(condition of inlet -tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX: YeS
(locate on site plan)
Depth below grade:
Depth of liquid level above outlet invert:
Dimensions of D -Box: /6x id DepthofSump: 7 °I /
XIS IkT 4iJ/F�IC���'ONC f'O A'r4P�C.
Comments:
(note if level and distribution is equal, evidence of solids carrvover. evidence of leakane intn nr ni it of My ate �
PUMP CHAMBER: /Vo
(locate on site plan]
Depth below grade:
Pumps in working order:(yes or no)
Comments
(note conditions of pump`-Chaer, condition of pumps and appurtenances, etc.)
(revised 8/15/95) 7
FILE# 11.2 i'5-4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
SOIL ABSORPTION SYSTEM (SAS): es
(locate on site plan, if possible excava ion not required, but may be approximately by non -intrusive methods) It
Depth to bottom of SAS: P''(Stone or Pit),4p,,,,
If not determined to be present, explain:
4<i—ed 'iV _aFo c 4.51..J4 , 17 -(30X fx) L/enf �t/7lz
Type: /,nes Set 5�.�, r� isi a o7G �'SC�'4'cGcj";
leaching pits, number:
leaching chambers, number:
leaching galleries, number:
leaching trenches, number, length:
leaching fields, number, dimensions: l F, .Zox 3U'
Comments (note condition off soil, tsigns of hydraulic failure, level ofPofn\di_ng, condition of vegetation, etc.)
t`�;} t-+ rl of 4�--e T' i tom' en Gi. +� Ale G R Ot �r�X �% A -)o ?a,d ! l�tn
A�--/rcl-
CESSPOOLS:
(locate on site p an)
Depth below grade:
Number and configuration:
Depth -top of liquid to inlet invert:
Depth of solids layer:
Depth of scum -layer:
Dimensions of ces pbolz,
Materials of construction: "b
Indication of groundwater:
inflow (cesspool must be pu as parrrbf anApE
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition
PRIVY: IVC)
(locate on site plan)
Materials of construction:
Depth of solids:
Comments: (note condition of soil,
(revised 8/15/95)
, etc.)
mensions:
failure, level of poi'l 4g, condition of vegetation, etc.)
8
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
SKETCH OF SEWAGE DISPOSAL SYSTEM:
inclu af?ells
to.at_least._two_permanent references I
locat within 100'
30 �.
4-o C) /35'+��- R
A%Jd
IDI
or benchmarks
FILE# 11,7- �� ;4'
02370 Trnpikj
Sf N, Andover-A/a,
14(-
,9 3 70
4f-
Q
DEPTH OF GROUNDWATER I i
Depth to groundwater: +a,-- feet
method of determination or approximation_ E;_ [ t;.� ,q„��y �Z' A6 ,ue 7qL j--t-yE of 4-
iIn rA r✓0r)
(revised 8/15/95) 9
Eastern Tank Co.
Turnpike Street
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
;astern Tank Co., Turnpike St. 0 I will install this system in ac-
cordance with all the laws of the Commonwealth of Massachusetts and regulations of
the Board of Health of the Town of North Andover.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. I will install a con-
crete -:septic tank of 2000 Gal: in size. A manhole (s) permitting easy cleaning
will be provided with removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 400 lineal,.(= ice) feet of effective absorption area.
The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar
material to a height of 2 inches above the crown of the pipe. The joints of these
pipes will be protected from clogging and before filling the trench, 2 inches of
gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, two lines of tile will be
installed. A minimum of 6 feet will be maintained between the center lines of the
disposal field trenches and the average depth of trench shall not exceed 36 inches.
No part of the installation will be less than 100 feet from any private water supply,
25 feet from any stream, 20 feet from any dwelling or 10 feetfrom any property line.
I further agree not to cover any portion of this installation until approved by the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the permit. Plot Plans must be submitted with application.
BED* 2000, Sq. Ft.' Absorbtion Area. (Plans attached)
DATE
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE -
aaad
nature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as describe .
DATE
1072
Signature of I specting Office
Percolation Test 5 min. Soil: Sandy -Clay..
Garbage Grinder No
. a.
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
J
1. NAME DATE
2. ADDRESS TEL
LOT NO . ,�"3 � S G •',� O
3. NO. OF BEDROOMS DEN YES NO
4. GARBAGE GRINDER YES NO
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSIONS OF LOT
8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
SOIL PROFILE & PERCOLATION TEST DATA
`lam !` Lot No
North Andover, Mass. Street No sem_
Loe/Subdiv. Pland Owner
Investigator
Observer/L
�% ��,/,•,v�/ SOIL PROFILE DATES
,o�4. Elev
lw' e Q� 2.Elev 3.Elev
0
1
-Benchmark-- _
Elevation -.
rnmro
1
2
3
4
5
6
7
8
9
10
Location
Datum
PERCO;,ATION TESTS
Ties Pittro s Test
3
4
5
6
_ 7
10
Pit Number
2
3..
4
start Saturation
-
-
So,ik-lliinutes
_
--Startes�- "
Drop of 31 '-Time
_
—
Drop of 6"-Time--
�-
3" drop
_
------
__
_Y,6ns.lst
Percolation.
_
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TOWN OF NORTH ANDOVER NORT„
Office of COMMUNITY DEVELOPMENT AND SERVICES o
HEALTH DEPARTMENT n
11
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01815
Susan Y. Saiv er, RENS/RS
Public Health Director
March 7, 2006
Steven Fiore, Owner
2370 Turnpike Street
North Andover, MA
Re: The Country Store/ Andover Flower Farm
Dear Mr. Fiore,
978.688.9540 — Phone
978.688.9542 — FAX
IIq'i411dct'ci-.tos�noElorthaudo��cr.com
Nsiy14--. tow nofno rt ha ndoN ,cr. com
This correspondence is to inform you that the North Andover Health Department has received all the information
requested in regard to your plan for a new food establishment. The plan has been approved with the comments in
blire and red noted below. A copy of this approval will be forwarded to the Building Department. Be advised, if
any substantial changes in the plans occur during construction you are expected to advise the Health Department.
E-12(5) Type of sanitizer is listed as none. The applicant mast choose one of'three types that are approved;
chlorine, quaternary ammonia or iodine. Test strips must he available. Complete section (Also noted that E- Is
(54) shows chlorine use) OK
E-12 (9) Please note no HACCP plan is needed for this establishment. No action needed OK
E-13 (A) Finish Schedule Information provided is incomplete. Revise and complete as needed OK
I.e. Plaster is not a washable surface used in food establishments and the only floor information notes
concrete in the bathroom
E -13(B) 2,3 Please note that no screen doors and no window screens are noted. It is assumed that the building is
air conditioned to provide ventilation. In food establishments, doors may not be left open at any time without a
screen door. (No Action needed on this item.)OK
E-14 (10) Indicates a dumpster being used. Please he sure to apply for a dumpster permit if porn have not already
done so. (13) Dumpster location described as gravel area. Town of North Andover regulations require a stable
non porous surface such as concrete pad under the dumpster. Please revise. OK
E-16 (29) Water supply is listed as private. Please provide information regarding ivell water. Water must meet
certain regulations to he used for commercial food establishments. OK
E-16 (F) Sewage disposal system must meet requirements as described in letter to the building owner dated
February 5, 2006. OK
E-16 (4 1) Location of linen listed as "none". Please note this includes clean rags.jor sanitizing food surfaces,
aprons etc. Please revise if not accurate. OK
E-18(64) states bathroom doors are not self-closing. Please make doors self-closing or request relief in writing as
to why this cannot he accomplisher!. OK
The plan shows no location for back stock of food, beer, wine etc. Please show a food storage room capable n_ f
meeting the needs of your establishment. In the case of storage; the Health Department believes that the
establishment will not have enough storage space for food and non-food items. This Inas bonen communicated to
the applicant, but the applicant requests relief to this requirement, as he .states that there will he no hack stock
of the usual items. Although this appears unrealistic, the Health Departinent will not require it at this time. If
fuflrre inspections idcrrtify food items stored iinproperIV, the applicant will he cited for the violation and
volutions will be required. (Sonne proper .storage requirements are lister! beton)
1) Food items mov not he stored directly on they floor. _!lust be elevated nit least 6 inches
2) Food must be protected and kept separate from contaminants such cis chemical storage
3) Bark stock of food ileins must not clatter the aisle and create an environment that ;rill prohibit the
proper dailt• cleaning Of the floors.
l) Cases of'items shall he placed on wheels whenever possible to assist in floor mairtenanre
Once basic construction is complete and the equipment is in place, please contact the Health Office for a
construction inspection to verify that you have built it to plan. At that time we will sign off the building permit.
The final health inspection should be requested approximately 24-48 hours prior to opening the establishment. At
the final inspection, it is expected that the premises will be ready for business. Also, please make sure that all
Health permit fees are paid as well as the Common Victualer's permit at the Town Clerk's office.
Some items needed to receive the permit to operate are:
1) The establishment will be clean of all construction materials
2) The handsink and bathroom will be stocked with a wall mounted paper towel and soap dispenser
3) The ladies room will have a covered trash can for feminine personal item disposal
4) Bathroom must have "employee must wash hands before returning to work" signage
5) Handsinks should be labeled "hand wash only"
6) There must be test strips for the Chlorine sanitizer on site
7) Directions on mixing the sanitizer should be posted.
8) The three -bay should be labeled "wash, rinse, sanitize"
9) Gloves must be on site. Please note that the state does not recommend the use of latex gloves due to some
person's sensitivity to latex that may cause them illness.
10) You must obtain copies of the state and federal food codes and keep them on premises
11) At minimum, employees should be trained on the sick policy and sanitation basics.
The Health Department looks forward to working with you towards a common goal of providing safe food to the
citizens that live and work in the Town of North Andover. Due to the circumstance with the on-site septic system
and the well water this approval is for a convenience/retail store only. As such, there will be no substantial
preparation of food allowed. Tasks such as breakdown of bulk packages, repackaging and proper labeling of items
such as candy and muffins are allowed. The Department of Environmental Protection requires a permit for food
service establishments serviced by on site wells. Your property's well would not meet the requirements in regards
to Zone protection and would not be eligible for such a permit. You may contact DEP for more information if you
wish to pursue this further, however it is our understanding that the owner is working towards providing town
water as soon as possible, in addition to the town sewer.
Although a passing Title V inspection was submitted, this does not allow food preparation either. To do this a
1,000 -gallon grease trap would have to be added to the septic system or the sewer connection would have to be
completed. A letter sent by Meridian Associates, Inc. on behalf of the property owner, Mr. DiGrazia, indicated a
timetable in which the sewer connection would be complete. The owner has agreed with this timetable. This
timetable of sewer connection within the next 24 months may be shortened if at any time the Health Department
finds a serious public health concern. Please notify the Health Office once town water and sewer connections are
provided. Any future change to the type of food permit issued must be approved by the Health Department.
Please contact the Health Office if you have any questions regarding this correspondence.
Sincerel ,
Sp Sawyer, REHS/RS
Public Health Director
Cc: Nomid LLC, 2350 Turnpike Street