HomeMy WebLinkAboutMiscellaneous - 238 REA STREET 4/30/2018,..
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Lot & Street o4� Map/Parcel
CONSTRUCTION APPROVAL
Has plan review fee been paid YES NO Permit# /OK3
Plan Approval: Date: Iql1(/ 9� Approved by:---"
Designer::w�Fg.%L) _ Plan Date:_. XOAa81
Conditions:
Water Supply: (::own Well
Well Permit: Driller:
Well Tests:`, ;Chemical
Bacteria I
Bacteria II
Plumbing Sign -Off:
Comments:
Form "U" Approval
Date Issued
Conditions:
Final Approval:
Date Approved
Date Approved
Date Approved
Wiring Sign -off:
Approval to Issu+
By:
All Permits Paid?
Well Construction Approval?
Septic System Construction Approval?
Certification?
Other?
Any Variance Needed?
FINAL BOARD OF
DATE: /
APPROVED 6Y:
,TH APPROVAL:
YES NO
E
NO
-----YES---___.._----��p--
P
NO
-W
NO
YES
NO
YES
- ,
C
It
SEPTIC SYSTEM INSTALLATION
CONDITIONS:
Is the installer licensed?
Type of Construction: REPAI
New Construction: Certified Plot Plan Review YES
Floor Plan Review YES NO
Conditions of Approval from Form U YES NO
Issuance of DWC permit:
DWC Permit Paid?
DWC Permit #
Begin Inspection:
Excavation Inspection:
Needed:
YES NO
YE NO
Installer:
YES NO
Passed: r Za a By:
Construction Inspection:
Needed:
As Built Plan Satisfactory:
YES:
Approval of Backfill: Date: By:
Final Grading Approval: Date: By: �--
Final Construction Approval: Date:
Certificate of Compliance: Approval: Date:_ �� 7Z,_-6
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
12/27/00
This is to certify that
the individual subsurface disposal system
constructed ( ) or repaired (X )
by
John Soucy
at
238 Rea Street
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
Division of Public Works Phone 978- 685-0950
384 Osgood Street Fax 978-688-9573 o o -
North Andover, MA 01845 -
[JU�00
TO: Sandy Starr, Health Director
From: James Rand, Jr., Director of Engineering
CC: J. William Hmurciak, PE, Director DPW, Tim Willett, Staff Engineer
Dates November 29, 2000
Re: 238 Rae Street
An inspection of the grading at this site found it UNACCEPTABLE. The grading encroaches into the
right of way this is not permitted. The resulting grade is steep, unstable (not loamed and seeded) and
interferes with the proper function of the roadway. No permits were ever issued to allow any of this
work in the right of way and the entire illegal fill must be removed. A contractor who is registered with
this Division must perform this work at once.
I believe that Town and State regulations require that all grading must be performed on the owner's
property and not on land of others. Please remember that an unregistered contractor did this work
without permits. If I can be of any additional assistance, please call.
C:/Memos/Starr/Memo Starr 01
0 Page 1
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( ) constructed;
( ) repaired;
by
located at
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit # , dated , with an approved design
flow of gallons per day. The materials used were in conformance with those
specified on the 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. 7
Bed inspection date:
Final inspection date:
Installer:
Design E
Date: j 1- 3:82-00
Date: I Z / -7 / v -v
[Click here and type address]
imfle_ftmstyi
To: Robert Masys, RAM Eng. Fax: 3 -72-- W r-3
From: Susan Ford, Health Insp. Date: 12/19/2000
Re: 238 Rea Street Pages: 2
CC:
❑ Urgent X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
Regarding 238 Rea Street, North Andover. Please see the attached As -Built
check -of), ist Those items not checked are missing items from the
�9
documents submitted yesterday. Please re -submit once the additions have
been "made. Thank you.
Z3� }tea- sf
AS -BUILT CIILCKLIST
LOT NUMBER, STREET NAME
i/ ASSESSORS MAP & PARCEL NUMBER
tl� LOT LINES & LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
TIES TO LOT LINES & DWELLING, WELLS
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
V NORTH ARROW
LOCATION & ELEVATIONS OF BENCHMARK USED
a. FROM SEPTIC TANK
b. FROM LEACH AREA
V
LOCATIONS OF DEEP HOLES & PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
_
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE
]/
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D -BOX
ORIGINAL STAMP & SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
V NORTH ARROW
LOCATION & ELEVATIONS OF BENCHMARK USED
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SEPTIC SYSTEM
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DEC 2 7 I ,1 AS DRAWN FOR
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DEED BOOK PAGE A��_` (�
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PLAN
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LOT .� ;�. f IAVERHILL. MA
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Division of Public tt wks Phone 978. 685.0950
384 Osgood Street Fax 978.688-9573"
Nodh Ando", MA 07845
The Sandy Starr, Health Administrator
From: James Rand, Jr., Director of Engird
CC: J. William Hmtmciak, PE, Director r Willett, Staff Engineer
Daft December 27, 2000
am 238 Rae Street
I recently M411spectsd the grading of 238 Rea Street and found it safisfactory for the regLfimn eras of
the DPW only. I made no inlerpretation of grades in regards for Board of Health requiremerft. The
DPW is satisfied with the grading as it now ebsts and only nates that final stabilization must wait for
the spring It is impossible to establish grass at this time of the year,
CJMernowStarr/Memo %ff 02
9 Page 1
SEPTIC PLAN SUBMITTAL FORM
LOCATION: 193 8 ��i� J6.% -
NEW PLANS:
YES
REVISED PLANS: YES
SITE EVALUATION FORMS INCLUDED
a
DATE: %% g/f?
DESIGN ENGINEER: 11—�/7
DATE TO CONSULTANT: % ?O
$125.00/Plan
$ 60.00/Plan
YES NO
*If you want your plans expedited, please submit four plans and included a stamped
envelope with the correct amount of postage to mail plans to Port Engineering.
When the submission is all in place, route to the Health Secretary.
Con inion wealth of Massachusetts
assachusetts
System Pumping Record
System Owner
System Location
Date of Pumping: C--) — c -- Quantity Pumped: �� gallons
Cesspool: No I'7 Yes L_l Septic Tank: No Yeses
System Pumped by: Varedeff 5'rI&f6lida License #
Contents transferrred to : Greater Lawrence Sanitary District
Date:
Inspector-
y•
Towyn of North Andover
Office of the Health Department
Community Development and Services Division
William J. Scott, Division Director
27 Charles Street
North Andover, Massachusetts 01845
Sandra Starr
Health Director
November 30, 2000
John Soucy
Soucy Sewer Service
P.O. Box 4158
Andover, MA 01810
Dear John:
Telephone (978) 688-9540
Fax (978) 688-9542
The North Andover Health Department has received a memo from the Town Director of
Engineering, James Rand, with regards to the septic repair you have been conducting at
238 Rea Street. Please see the attached copy of the memo. This grading was the topic of
my discussion with you when you were in the office the other day. You indicated that
you were planning to remove some fill to meet the plan requirements, however, it appears
that the DPW requires a third party to do this work. As this grading is on the Town
owned right of way, they are requiring that "a contractor who is registered" with them
perform the work.
I suggest that you contact Mr. Rand immediately to address this situation prior to
correcting this problem. Jim Rand can be reached at the North Andover DPW (978) 685-
0950. Thank you for your cooperation in this matter.
Sincerely
Susan Ford, R.S.
Health Inspector
Cc: Sandra Starr, Health Director
Robert Masys, RAM Engineering
James Rand, Director of Engineering
Present Owner of 238 Rea Street
. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
Division of Public Works Phone 978- 685-0950
384 Osgood Street Fax 978-688-9573
North Andover, MA 01845
TO: Sandy Starr, Health Administrator
FmnK James Rand, Jr., Director of Engineering
CC: J. William Hmurciak, PE, Director DPW, Tim Willett, Staff Engineer
Date: November 29, 2000
Ree 238 Rae Street
An inspection of the grading at this site found it UNACCEPTABLE. The grading encroaches into the
right of way this is not permitted. The resulting grade is steep, unstable (not loamed and seeded) and
interferes with the proper function of the roadway. No permits were ever issued to allow any of this
worts in the right of way and the entire illegal fill must be removed. A contractor who is registered with
this Division must perform this work at once.
I believe that Town and State regulations require that all grading must be performed on the owner's
property and not on land of others. Please remember that an unregistered contractor did this work
without permits. If 1 can be of any additional assistance, please call.
C:/Memos/Stan Memo Starr 01
0 Page 1
lfiu
Q'N
TO: Sandy Starr, Health Administrator
FmnK James Rand, Jr., Director of Engineering
CC: J. William Hmurciak, PE, Director DPW, Tim Willett, Staff Engineer
Date: November 29, 2000
Ree 238 Rae Street
An inspection of the grading at this site found it UNACCEPTABLE. The grading encroaches into the
right of way this is not permitted. The resulting grade is steep, unstable (not loamed and seeded) and
interferes with the proper function of the roadway. No permits were ever issued to allow any of this
worts in the right of way and the entire illegal fill must be removed. A contractor who is registered with
this Division must perform this work at once.
I believe that Town and State regulations require that all grading must be performed on the owner's
property and not on land of others. Please remember that an unregistered contractor did this work
without permits. If 1 can be of any additional assistance, please call.
C:/Memos/Stan Memo Starr 01
0 Page 1
R.A.M. ENGINEERING
ROBERT A. MASYS, P.E.
��rj- 160 MAIN STREET
HAVERHILL, MA 01830
TEL: 978-372-0449
FAX: 978-372-7183
October 28, 1999
Sandra Starr, R.S.
Health Administrator
Town of North Andover
27 Charles Street
North Andover, MA 01845
RE: 238 Rea Street, North Andover - Jensen
Dear Ms. Starr,
Attached, please find copies of the revised plan for the above site. We
have added spot elevations delinating the swale along the front of the property.
The natural flow for the rain runoff is along the gutterline of Rea Street in the
direction as shown. There would be no increase in flow, and the runoff would use
the same outlet as it currently uses. I hope that this addresses your concern, and
a permit can be issued to allow for the repair of the existing system. If I can be of
further assistance, please contact me.
cc: William Jensen
P. E.
238 Rea Street
Note to file
On November 14, 2000 the owner of the property abutting 238 Rea, Mr. Starnes, came to the Health
Department to discuss the septic repair ongoing at his neighbors. His concern was for the new slope being
constructed over the septic. He has a water drainage issue already and does not want to see it get worse.
S. Ford went to the site to view the complaint. Observed the backhoe operator working on the final grade.
In conversation with the operator, he said that he had been approached by Mr. Starnes as well and was
attempting to address the issue. However, I decided to call the engineer. The property line was not
prominently marked and I was not sure his location was appropriate. The plan does not show a swale at the
property line, even though grading is being done to the property line. SF called the engineer while on site
and delivered the message of concern. The engineer spoke with Kevin, the operator, and told him to
continue with the Swale construction.
SF told the engineer, Mr. Masys, that as the responsible certifying engineer, he must show on the as -built
that the system meets Title V regarding this issue. After returning to the office, SF informed S Starr of the
actions taken.
INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Yes
A. Bottom of Bed
1. Excavation to proper depth
2. With trenches, sides of excavation are beneath B horizon
3. Edge of excavation specified distance from foundation, etc.
Comments:
B. Retaining Wall
1. Wall height and width as s ified
2. Waterproofed
3. Wall minimum 10' to leaching fa " i
4. Wall meets specifications of plan
Comments:
C. Building Sewer
1. Pipe diameter minimum 4"
2. Schedule 40 pipe
3. Watertight joints
4. Inlet to tank cemented
5. Slope minimum 0.01 or 1/8" per foot minim
6. Pipe properly set on compact firm base
7. Pipe laid on continuous grade in straight line
8. Cleanouts precede all change in alignment and
9. Manholes at any 90° change
10. 10' minimum offset to water line
Comments:
D. Septic Tank
1. Level
2. 1,500 gal minimum
3. Gas baffle present on outlet
4. Manhole to grade
5. Manholes over center and each tee
6. 3-20" manholes
7. Inlet tee minimum 12" under invert
8. Outlet tee minimum 14" under invert
9. Outlet line cemented
10. Air space 3" above tees
11. 2" - 3" drop from inlet to outlet
12. Pipe set
13. Compact base with 6" of 1/4" crushed
stone under tank
14. Tank is watertight
Comments:
Z,,3
NO Initia
J
Yes NO
E. Pump Chamber '
1.
If separate fro r k, compact base with 6" of 3/4" stone underneath
2.
Minimum 2" pipes d -box if gravity system
3.
20" access manhole
4.
Tank level
5.
Watertight
6.
Tank size agrees with plan specifics ' n
7.
Manhole to grade
8.
Check valve and bleeder hole present
9.
Alarm in building on separate circuit
10.
Alarm functions
11.
Manual operating switch
12.
Pump delivers liquid to d -box
Comments:
F. Distribution Box
1.
D -box level
2.
Minimum 0.17(2") drop from inlet to outlet
3.
Minimum 6" sump
4.
Outlet pipes show equal distribution
-1L
5.
Compact base with 6" of stone beneath box
6.
Box is watertight
7.
All lines cemented with hydraulic cement
-�
8.
Schedule 40 pipe
Comments:
G. Soil Absorption system
�^
1.
All stone double -washed -'/4" - 1 ''/z"
-pea stone
Bucket test done?
2.
Minimum 2". of pea stone above distribution lines
3.
Minimum 6" stone beneath pipe
4.
Distribution lines capped or connected together
5.
Grading meets 3:1 slope
6.
Minimum of 9" of fill graded over system
7.
Toe of slope stops minimum 5' from edge of property; if not, then swale.
Comments:
H. Leach Trenches
1.
Minimum 2 trenches
2.
Length of trenches agree with plan. ( J length 100')
3.
Width of trenches agree with plan -Minim 2'; maximum - 4'.
4.
Vent present if <50 feet or specified
5.
Distance between trenches minimum 4' and max um of 6'
6.
Minimum distance between trenches 10'
7.
Pipe slope minimum 0.005 or 6" per 100'
8.
Depth of trenches below outlet invert minimum of 6".
1
Yes NO
9. Pipes set on stable base.
Comments:
1. Leach Field
1. Maximum length of field 100'
2. Pipe slope minimum 0.005 or 6" per 100'
3. Separation between pipe 6' maximum
4. Pipes connected at end
5. Separation between adjacent fields 10' minimum
6. Pipes set on stable base
7. Maximum 4' separation from edge of field to first line
8. Minimum two distribution lines
9. Maximum perc rate 20 mpi
Comments:
I Leaching Pits
1. Minimum inlet pipe 4"
2. Pits of concrete
3. Sidewall between 12" and 48"\cement
4. Access manholes on each pit
5. Pipes cemented with hydrauli
Comments:
K. Final Grade
1. Slope over soil absorption system minimum 0.02
2. All system components covered by at least 9" soil
3. Cover soil free of stones larger than 6"
4. Grading slopes away from dwelling
5. No areas over system that may pond
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BOARD OF HEALTH
NORTH ANDOVER, MA 01845
978-688-9540
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: 16-1-7-00- CURRENT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTAL R: �Gi�vur
SIGNATURE: TE PHONE#
CHECK ONE:
REPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT.
$75.00 Fee Attached?
Foundation As -Built?
Administrative Use Only
Yes 111� No
Yes No
Floor Plans? Yes No
Approval Date:
Z�
0
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the property
at 2CAA S>!, relative to the application of
dated 16— 17 --o4v for plans by ��} �'Y1, �, and dated 7— 'a7Fq with
revisions dated ,Vp-
I understand and agree to the following obligations for management of this project:
1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor,
project manger, or any other person not associated with my company schedules an inspection
and the system is not ready then item two shall be applicable .
2. As the installer I am required to have the necessary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection, without completion
of the items in accordance with Title 5 and the Board of Health Regulations may result in a
$50.00 fine being levied against my company.
a) Bottom of Bed — generally first inspection unless there is a retaining wall which should be done first. Installer
must request the inspection but does not have to be present.
b) Final Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or verbal OK from
engineer must be submitted to BOH, after which installer calls for inspection time. Installer must be present
for this inspection. With pump system all electrical work must be ready and able to cause pump to work and
alarm to function.
c) Final Grade — Installer must request inspection when all grading is complete. Does not have to be on site.
%s
3. As the installer I understand that persons or companies not associated with my company may
not perform the work required by my company to complete the installation of the system
identified in the attached application for installation. I further understand that work by others
unlicensed to install septic systems in North Andover can constitute reasons for denial of the
system, and/or revocation or suspension of my license in the Town of North Andover plus
significant fines to all persons involved.
4. As the Installer I understand that I must be on site during the performance of the following
construction steps:
a) Determination that the proper elevation of the excavation has been reached
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff.
d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components,
5. As the installer I understand that I am solely responsible for the installation of the system as per
the approved plans. No instructions by the homeowner, general contractor, or any other persons
shall absolve me of this obligation.
Undersisna' Licensed SQptic Installer
Date: 10 —17 —co
Town of North Andover
NORTH
OFFICE OF
1 ,
o .�.o
h°` `e O L
COMMUNITY DEVELOPMENT AND SERVICES
3?
27 Charles Street
North Andover, Massachusetts 01845
SSAcwUSt
WILLIAM J. SCOTT
Director
(978) 688-9531
Fax (978) 688-9542
December 3, 1999
Robert Masys
R.A.M. Engineering
160 Main Street
Haverhill, MA 01830
RE: 238 Rea Street, North Andover
Dear Mr. Masys:
This is to inform you that the proposed plans dated October 28, 1999 for the repair of the
septic system located at 238 Rea Street, North Andover, have been
approved.
If you have any questions, feel free to contact the Health Department at 978-688-9540.
Sincerely,
Sandra Starr, R.S. -
Health Administrator
Cc: Wm. Jensen
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Nov -24-99 12:48P Paul D. Turbide, PE/PLS
November 24, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover, MA 01845
508-465-0313 P.02
RE: Title V third review for 238 Rea Street Upgrade
Dear Sandra,
1 find that the most recent design with revision date of 10-28-99 adequately addresses
the concerns outlined in my report dated October 14, 1999.
If you have any questions or comments please feel free to contact us.
Sincerely
Carlton A. Brown, PE/PLS
PORT
ENGINEERING
Civil Engineers &
Land Surveyors
One Harris Street
Newburyport, MA
01950
(978)465-8594
Town of North Andover, Massachusetts Form No. 2
Of , *Tot � BOARD OF HEALTH
'o y• q•0
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19
P
�•+++;���;,,"',���',+++�DESIGN APPROVAL FOR
�SSACHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant, �. ill .%�� �1 _� /♦ • ►
Site Location
Reference Plans and Specs
DESI
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
Fee
CHAIRMAN, BOARD OF HEALTH
Site System Permit No.MF -�
October 20, 1999
Robert Masys
R.A.M. Engineering
160 Main Street
Haverhill, MA 01830
RE: 238 Rea Street, North Andover
Dear Mr. Masys:
This is to inform you that the proposed plans for the repair of the septic system
located at 238 Rea Street, North Andover, have deficiencies which must be addressed
before plans can be approved. These deficiencies are as follows:
The plan shows a proposed swale on the Rea Street side of the system because the
proposed fill extends over into the Rea Street right-of-way. There are not enough
contours or spot elevations into Rea Street to determine whether a swale can be built or
whether such a swale would have an outlet. Please address.
Please be advised that all plan resubmittals require a $60.00 fee. If you have any
questions, feel free to contact the Health Department at 978-688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: Wm. Jensen
File
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
WILLIAM J. SCOTT
Director
(978)688-9531
October 20, 1999
Robert Masys
R.A.M. Engineering
160 Main Street
Haverhill, MA 01830
27 Charles Street
North Andover, Massachusetts 01845
RE: 238 Rea Street, North Andover
Dear Mr. Masys:
. This is to inform you that the proposed plans for the repair of the septic system
located at 238 Rea Street, North Andover, have deficiencies which must be addressed
before plans can be approved. These deficiencies are as follows:
Fax (978) 688-9542
The plan shows a proposed swale on the Rea Street side of the system because the
proposed fill extends over into the Rea Street right-of-way. There are not enough
contours or spot elevations into Rea Street to determine whether a Swale can be built or
whether such a swale would have an outlet. Please address.
Please be advised that all plan resubmittals require a $60.00 fee. If you have any
questions, feel free to contact the Health Department at 978-688-9540.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: Wm. Jensen
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Oct -14-99 07:55A Paul D. Turbide, PE/PLS 508-465-0313 P.02
October 14, 1999
I
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover, MA 01845
RE: Title V second review for 238 Rea Street Upgrade
Dear Sandra,
Enclosed find the "Checklist for North Andover Septic System Plans' for the above-
mentioned site. The following is a list of all the `Problem' areas and deficiencies Port
Engineering has found_
❑ The plan shows a proposed swale on the Rea Street side of the system because the
proposed fill extends over into the Rea Street right-of-way. There are not enough
contours or spot elevations into Rea Street to determine whether a swale can be built
or whether such a swale would have an outlet.
If you have any questions or comments please feel free to contact us.
Sincerely ?
Carlton A. Brown, PE/PLS
PONT
INGINEIRIE
Civil Engineers &
Land Surveyors
One Harris Street
Newburyport, MA
01950
(978)465-8594
R.A.M. ENGINEERING
ROBERT A. MASYS, P.E.
160 MAIN STREET
HAVERHILL, MA 01830
TEL: 978-372-0449
FAX: 978-372-7183
September 21, 1999
Sandra Starr, R.S.
Health Administrator
Town of North Andover
27 Charles Street
North Andover, MA 01845
RE : Sep is Desi n for 238 Rea Street, North Andover - Jensen
Dear Ms. t
Attached, please find copies of the revised plan addressing the changes
that you requested. Those revisions are as follows:
1. Map and lot number has been added.
2. Abutters names have been added.
3. The system has been moved to allow for the slope on the west, and the
driveway is being moved also.
4. The slopes have been adjusted to allow for runoff along the roadway.
5. Limits of construction have been added.
6. A note concerning the 5 'replacement has been added.
7. Locus plan has been added.
8. Elevations have been adjusted.
9. The change has been done.
10. Note has been added to the plan.
11. Leach bed has been expanded to 900 sq. ft.
12. Lines have been connected with solid PVC pipe.
13. Due to the elevations, and size of the area, it was felt that the site would be
best served by installing the proposed leach field.
If you should have any other concerns, please contact me.
LOCATION:
NEW PLANS:
SEPTIC PLAN SUBMITTAL FORM
'4r S�_ ,
YES
$125.00/Plan
REVISED PLANS: ,---YES $60.00/ Plan L'
SITE EVALUATION FORMS INCLUDED: YES NO
DATE:
DESIGN ENGINEER:�r
DATE TO CONSULTANT:
When the submission is all in place, route to the Health Secretary.
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
WILLIAM J. SCOTT
Director
(978) 688-9531
August 6, 1999
Robert Masys
R.A.M. Engineering
Haverhill, MA 01830
RE: 238 Rea Street
Dear Mr. Masys:
27 Charles Street
North Andover, Massachusetts 01845
This letter is to inform you that the proposed plans for the proposed system upgrade of 238 Rea
Street have been disapproved for the following reasons. Please be aware that revision submittals must be
accompanied by a $60.00 fee.
1. Assessor's map and lot number missing. (3 10 CMR 220(4)(u)).
2. Abutters names missing. (NA 8.02j)
3. Fill on the driveway side and along the westerly boundary line does not meet the required slope.
(3 10 CMR 255(2)).
4. Toe of the slope must either stop 5' off lot line or a Swale must be installed. (310 CMR 255(2)).
5.. Limits of excavation missing from site plan. (NA 8.02z)
6. The 5' removal and replacement if in fill not shown. (310 CMR 255(5)).
7. Locus plan missing. (3 10 CMR 220(4)(t)).
8. ESHW should be 0.1 feet higher than shown. (Top of pit 2 is at elevation 95.8. ESHW is 75"
down, thus ESGW is 89.55')
9. Note that ALL pipe must be Sch 40 PVC. Please change. (NA 10.01)
10. D'box must have 6" stone base. (3 10 CMR 221(2)).
11. Leach bed designed for less than the minimum 900 SF. (NA 9.01(1)).
12. Distribution lines must be connected with solid PVC pipe, Sch 40. (NA 15.01).
13. Trenches are to be used whenever possible, please justify use of field. (310 CMR 15.240(6)).
Please call the office at 978-688-9540 if you have any questions
Sincerely,
a� v
Sandra Starr, R.S.
Health Administrator
Cc: File
Wm. Jensen
Fax(978)688-9542
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Jul -29-99 12:28P Paul D. Tuvbida, PE/PLS
PORT
ENGINEERING
Civil Engineers &
Land Surveyors
One. Harris Street
Newburyport. MA
01950
(978) 465-8594
July 29, 1999
Sandra Starr
North Andover Board of Health Administrator
Office of Community Development and Services
30 School St.
North Andover, MA 01845
RE: Title V review for 238 Rea Street Upgrade
Dear Sandra,
508-465-0313 P.02
Enclosed find the "Checklist for North Andover Septic System Plans" for the above-
mentioned site. The following is a list of all the `Problem' areas and deficiencies Port
Engineering has found.
❑ Assessor's map and lot number not listed. 310 CMR 220(4)(u)
o Abutters not listed. NA 8.02j
o Fill on the driveway side and along the westerly boundary line does not meet the
required 15'-3:1 slope (fill will encroach over driveway and lot line) 310 CMR
255(2)
o Toe of slope must either stop 5' off lot line or a swale must be installed. 310 CMR
255(2)
❑ Limits of excavation must be shown on plan NA 8.02z
❑ 5' removal and replacement if in fill not shown 310 CMR 255(5)
❑ Locus plan not shown 310 CMR 220(4)(t)
❑ ESHW should be 0.1 feet higher than shown in the design (Top of pit 2 is elevation
95.8. ESHW is 75" down. Thus ESHW is 89.55')
o No wetland disclaimer NA 8.02s
❑ Design states that the perforated pipe can be either "pvc or fiber pipe" This should
be changed to "Sch 40 PVC pipe"_ NA 10.01
❑ Dbox must have 6" stone base 310 CMR 221(2)
❑ The minimum size field is 900 SF (design shows only 810 SF) MA 9.01(1)
❑ Distribution lines must be connected with solid PVC pipe. NA 15.01
If you have any questions or comments please feel free to contact us.
Sincerely
Carlton A. Brown, PE/PLS
Town of North Andover, Massachusetts Form No. 1
OZNORTH BOARD OF HEALTH {%�� (�J///� 19 L
ST LED O A iy4
I A
LQAo°°EwaP."� APPLICATION FOR SITE TESTING/INSPECTION
Applicant L�ry-\ "1'
Site Location C7Z3 A !`•e-«- A.)G
Engineer
Test/Inspection Date and Time /, v v
r7, CHAIRMN, BOARD OF HEALTH
Fee l' Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts
BOARD OF HEALTH
E. ,
o
APPLICATION FOR SITE TESTING/INSPECTION
Form No. 1
19
Applicant
NAME ADDRESS TELEPHONE
Site Location
Engineer '
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time ' _ '�'r' �,�J % �'r J I
CHAIRMAN, BOARD OF HEALTH
Fee Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
t
FORNI 11 - SOIL VALUATOR FORM
_. Page 1
No ....................................... Date........ � 1
.
Commonwealth of Massachusetts
Massachusetts
(---
Location Address or21300 \� w owrcr'a Name, ` 0, K11—
l.or / Address. and
Telephone / 2 `� '�{ ,_ ���
N o yr /�^, a� 4e (L Ntk
cvl-8- 6vi Z 3
New Construction ❑ Repair M
Office Review
Published Soil Survey Available: No ❑ Yes ❑
Year Published .. Publication Scale .................. Soil Map Unit ...................
DrainageClass Soil Limitations..........................................................................................................................
Surficial Geologic Report Available: No ❑ Yes ❑
Year Published .. Publication Scale ..................
GeologicMaterial (Map Unit) ....................................................................................................................................
Landform..........................................................................................................................
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes ❑
Within 500 year flood boundary No ❑ Yes ❑
Within 100 year flood boundary No ❑ Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit).................................................................................................................
Wetlands Conservancy Program Map (map unit)..................................................................................................
Current Water Resource Conditions (USGS): Month ..................
Range : Above Normal ❑ Normal ❑ Below Normal ❑
Other References Reviewed: -_
� `L 2 7 1999
FORM II - SOIL EVALUATOR FORM
l� 'f�)N `1 � Page 2
On-site Review -r m,a� ;A NA
Deep Hole Number .` ..\.. Date:. Z 1 Time:.Weather.eJ.!`�'�.......v��!.
Location (identify on site plan) ........e.fi.........�i
..�u ti.... �ti..!..-...;....................................................
...........
LandUse ...........IIJ................
ft
Slope M a. ... '��... Surface Stones....................................................................................
.........K.4................�.3 `�...`�?. ........................
Vegetation ...... ?". �-u-`a.7..... ......:\.. .�' .�.... C/..n�......e cJ�.S�...4...
Landform..................
...... .... ......... ..... ........ ...... .............. .............................. ........ ........................................................................... I..........
Positionon landscape (sketch on
the back)......................................................................................................................................................
Distances from:
Open Water Body ...N .......
feet Drainage way...(.". i.... feet
Possible Wet Area . NJ...:.....
feet Property Line ....3.0-- ..... feet
Drinking Water Well .494.........
feet Other .........................................
D P -OBSERVATION HOLE LOG
Depth from Surface
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
Other
(Structure, Stones, Boulders,
Consistency, % Gravel)
p
L
SX0
�
y� 3
74
78
51g
Parent Material (geologic).....V 1 ...................................................... Depth to Bedrock: ... /-0.3 ............
Depth to Groundwater: Standing Water in the Hole: f\t.-6 .. Weeping from Pit Face:.....(...
r�
Estimated Seasonal High Ground Water:....
w FORM II - SOIL EVALUATOR FORM
Page 2
Oji -site Review �"'�" " N ' A -
Deep Hole Number . Z. Date: I lZ..l (� Time:..VA.3q.. Weather S"4�.r?.�...�..............
Location (icLentity on site plan) �.............................................................................................
Land Use ................................ Slope (°io) 0...".3 Surface Stones ................. f Q ...................................................
Vegetation ...:............... 1..........-...'P�e3....c1..^1......��� 6( e—. $ "
Landform............... ....................... ..................................................... ...............................................................................................
Positionon landscape (sketch on the back)......................................................................................................................................................
Distances from:
Open Water Body ..... .`..... feet Drainage way ...t . .... feet
Possible Wet Area ...... feet Property Line ....3.0..... feet
Drinking Water Well N..�...... feet Other .........................................
s"70
10--"A
Parent Material (geologic) ..... U .uxv.............................................. I........... Depth to Bedrock: ..... ll,� .........
Depth to Groundwater: Standing Water in the Hole:..... Weeping from Pit Face: /U, ...... ,
�t r
Estimated Seasonal High Ground Water:.....
Depth from Sui face
(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
Other
(Structure, Stones, Boulders,
Consistency, % Gravel)
-L
U
s
S—
33c,d
L
ztst
r•
s"70
10--"A
Parent Material (geologic) ..... U .uxv.............................................. I........... Depth to Bedrock: ..... ll,� .........
Depth to Groundwater: Standing Water in the Hole:..... Weeping from Pit Face: /U, ...... ,
�t r
Estimated Seasonal High Ground Water:.....
rORNI 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
, Massachusetts
Percolation Test
v
��... .....�...
Date: � Time:
Observation Hole #
vr
Depth of Perc
Start Pre-soak
; I
End Pre-soak
Time at 12"
Time at 9"
Time at 6"
Time (9"-6")
Rate Min./Inch
Vow^ -
J
Site Passed 9 Site Failed ❑
Performed By:
Witnessed By:
Comments: .... .. ............ ............ .........................................................................................................................
FORM 11 - SOU, EVALUATOR FORM
Page 3
C.
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing .in observation hole ................... inches
❑ Depth weeping from side of observation hole ................... inches
Depth to soil mottlesT. ..'.1t' inches
❑ Ground water adjustment .............. feet
Index Well Number ............. Reading Date ................. Index well level ..................
Adjustment factor ............... Adjusted ground water level ........................................................
Depth of Naturally Occurring_ Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system?_
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on/ date) I have passed the examination approved by the
Department of Environmental Protection and that the above analysis was
performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017. A /i
Signature
Date ��
,
D
n TEE
L, r-� TEE.
7
X38
LOCATION
E011--" VVI T NE_ES.
ECOL�,TION TEST=
TIME OF _QCr. .: _ lT( (r.i 1 e 2 s TI(iL: Es Cir'
_ _ O 1/
T IME T E
CVE=NIG'-_ ; 0121K
^ _ -.
Tfi-viE � 1 ,-.=T._I
D ,'v S` , ,'
I;ME I
T iiNIE
SEPTIC PLAN SUBMITTAL FORM
LOCATION: I'm , S�- x/"JrM Am'fidor AA
NEW PLANS:
rMi
REVISED PLANS: YES
$125.00/Plan
$ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: YES NO
DATE: % / .,�7 / 9 9
DESIGN ENGINEER: r r, V1 q , c �% t�/� pa S y -S
DATE TO CONSULTANT:
*If you want your plans expedited, please submit three plans and included a
stamped envelope with the correct amount of postage to mail plans to Port
Engineering. - �, ot—
When the submission is all in place, route to the Health Secretary. i, i
''JUL 2 7 1999 ,
No.
COMMONWEALTH OF MASSACHUSETTS
Board of Health, .4 MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct () Repair Q¢ Upgrade () Abandon () - 0 Complete System )lindvidual Components
Location 2-3<;& E _e.
Owner's Name'W Ikk%Ayv,
I CM -3610
Map/Parcel/
Address
Lot#
Telephone# . C'1 _71 _ (o 9 7 _ Q,L.iF3
Installer's Name
Designer's Name 10
rn—A %- qS
Address
Address
Telephone#
Telephone# C1 —% .8 . 3 7 Z.
0 a 4
Type of Building: �CE.S Lot Size 2S sq. ft.
Dwelling - No. of Bedrooms 4 Garbage grinder ( )
Other - Type of Building No.of persons Showers( ), Cafeteria( )
Other Fixtures /1n
Design Flow(min. req ired) (r,00gpd, Calculated design flow Qf1 Design flow provided�gpd
Plan: Date L ci e4 Number of sheets I Revision Date
Title "PIZA e c r_ d Sz-,O- i ( _ S w s4 P nit /C e dlA in— Co !L t t7 f . ct 2 nr s e—A
Description of Soil(s) SC t✓ 5� a
Soil Evaluator Form No. Name of Soil Evaluato
of Evaluation 7
DESCRIPTION OF REPAIRS O ALTERATIONS Ree /a Cc ke"t nic, e, 1c) Cv
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE
5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date
Inspections
DEP APPROVED FORM 5/96
No.
COMMONWEALTH OF MASSACHUSETTS
Board of Health, �,✓r/1°1L MA.
CERTIFICATE OF COMPLIANCE
Description of Work: X Individual Component(s) ❑ Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired 'A*, Upgraded ( ), Abandoned ( )
by:
Fee
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application No. dated . Approved Design Flow _ (gpd)
Installe
Designer: Inspector Date
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
DEP APPROVED FORM 5/96
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--
BOARD OF HEALTH TEL. 688-9540
NORTH ANDOVER, MASS. 01845 roWTo7Fn:o�ra�
DATE: /0-A-3 - W-11
LOCATION OF SOIL TESTS: _
Assessor's map & parcel number:
... WV ntHLIH
OCT 2 31998
OWNER: �/'�y'I.%PrI , WM -. L- i'fkPC-TEL. NO.: 97J�- � 0 'A-L'Y-3
ADDRESS:.,�-30' - - "-if) &/0,
ENGINEER: TEL. NO.: 3 0 y9
CERTIFIED SOIL EVALUATOR: K90'6PK- iViGtSy�
Intended use of land: residential subdivision, single family home, commercial
Repair testing Undeveloped lot testing
N. A. Conservation Commission Approval:
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of 275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of $75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
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.
BOARD OF HEALTH
NORTH ANDOVER, MASS. 01845
SOIL TEST;
DATE: %D' AR -
LOCATION OF SOIL TESTS:
Assessor's map & parcel number:
TEL. 688-9540
3 OCT 2 3 1998
OWNER: J-f'Y9S-Pt?, NO.: 97da -A-tzY3
ADDRESS:,�-3,? &I /L%
R6 C' k761 VI-PP+r?"sn V
ENGINEER: TEL. NO.: 3 %-� —o LiY-52
CERTIFIED SOIL EVALUATOR:
M0S-Ys
Intended use of Ian t-O�ntial subdivision, single mil ome
Repair testing Undevelqlo�22stind
N. A. Conservation Commission Approval:
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plot plan
3. Fee of $275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of $75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
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.
System Uwwier
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sysitom Pumping Hapad
System LOcilliod
lysis ut t'uttiping: a CecQuailtiiy Pumped: /�Utdlotlg
Cesspoto: No v es Ll Septit; Tank: No IJ Yeg
Sysleiti Pufftlfed by: rife s -I , � Lleeifg�
Cbtfteift� ittiifsl`ettFird ltf : tiEFuet�i: t..�yiirt#Ft�Ci�l �h�lt�ixi�,pi�lrlat
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Date
TOWN OF NORTH ANDOVER
1 Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
'P`,Sewer Connection Fee
$ -
*Ier Connection Fee
$
TO:AL
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Div. Public Works
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TO:
FROM:
NORTH ANDOVER, MASS
BOARD OF HEALTH
DESIGN ENGINEER
.3 19 7-5-
Re:
s
Re: Soil Absorption Sewage
System Inspection
This is to certify that I have inspected the construction of the said disposal system at
L o 7` ,3A R E A .5 % North Andover, Mass.
SITE LOCATION
The grades and construction are as specified in my plans and spetic�ns dated
of AS
19
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TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
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SYSTEM OWNER & ADDRESS SYSTEM LOCATION
(example: left front of house)
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.� ',``iF .T��„.1�4' '7. ��.y.•'(er'4 S.rf)+$'. c ;a 'S.',w�.,' ... ,.. w ., ...r. ... .r r n
7f fn �l f . �t. * Y: J. • 'Y,,, r.' h r7`• '•rig ' ...c....
DATE OF PUMPING: — % S 0 QUANTITY PUMPED ] GALLONS
t ti f CESSPOOL: NO YES SEPTIC TANK: NO YES
�` j y. �, • ;'��t'''f NATURE OF SERVICE: —ROUTINE ROUTINE EMERGENCY _
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tSEtVtATIONS: ,'
f' s 7's' ; j ' `GOOD 'CONDITION FULL TO COVER
i HEAVY GREASE- -
.?; -BAFFLES IN PLACE
' ROOTS LEACHFIELD RUNBACK
. - r EXCESSIVE SOLIDS FLOODED
'r SOLIDS CARRYOVER OTHER (EXPLAIN)
SrXSTEM PUMPED BY:
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