The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 26 LONG PASTURE ROAD 4/30/2018i 4h i 4 Town of North Andover f pCRTM (� 10 Office of the Health Department Community Development and Services Division 27 Charles Street bgyho r�`�� North Andover, Massachusetts 01845 Sandra Starr Public Health Director TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 05/01/03 This is to certify that the individual subsurface disposal system constructed (X) or repaired 0 M LeoVirnelli at #26 (Lot #2) Long Pasture Road Telephone (978) 688-9540 Fax (978) 688-9542 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. �zL � Bri J. LaGrasse North Andover Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System Q?) constructed; ( ) repaired; by located at 'V/o/— '4 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. Bed inspection date: Final inspection date: Installej Design Engineer Representative V_ fA leer Representative t .� Date: Date: 7 aa_L.. K e _ K w.. i V V�41y. AS -BUILT CBECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER V LOT LINES & LOCATION OF DWELLINGS v LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS r/ 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. NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initials A. Bottom of Bed 1. Excavation to proper depth 2. With trenches, sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation, etc. Comments: C-_ B. Retaining Wall 1. Wall height and width as specified 2. Waterproofed 3. Wall minimum 10' to leaching facility 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 minimum 6. Pipe properly set on compact firm base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90° change 10. 10' minimum offset to water line Comments: D. Septic Tank 1. Level ate. (L 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: Yes NO E. Pump Chamber 1. If separate from tank, compact base with 6" of 1/4" stone underneath 2. Minimum 2" pipe to d -box if gravity system 3. 20" access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch 12. Pump delivers liquid to d -box Comments: F. Distribution Box 1. D -box level 2. Minimum 0.1 T' (2") drop from inlet to outlet 3. Minimum 6" sump 4. Outlet pipes show equal distribution 5. Compact base with 6" of stone beneath box 6. Box is watertight 7. All lines cemented with hydraulic cement 8. Schedule 40 pipe Comments: G. Soil Absorption system 1. All stone double -washed - 3/." - 1 '/2" - 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. (Max. length 100') 3. Width of trenches agree with plan - Minimum 2'; maximum - 4'. 4. Vent present if <50 feet or specified 5. Distance between trenches minimum 4' and maximum of 6' 6. Minimum distance between trenches 10' 7. Pipe slope minimum 0.005 or 6" per 100' 8. Depth of trenches below outlet invert minimum of 6". Yes NO 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6" per 100' 3. Separation between pipe 6' maximum 4. Pipes connected at end 5. Separation between adjacent fields 10' minimum 6. Pipes set on stable base 7. Maximum 4' separation from edge of field to first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: I Leaching Pits 11. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between 12" and 48" wide 4. Access manholes on each pit 5. Pipes cemented with hydraulic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 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 NORTIi Ottt�•° �"• tiO 3? a! .. • o IL F P SSACHUSE Applicant Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 3 DISPOSAL WORKS CONSTRUCTION PERMIT I/ - NAME NAME ADDRESS TELEPHONE Site Location Permission is hereby granted to Construct ( or Repair () an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. J/j,�2 -- Fee s.^ M .k�A A ) _ CHAIRMAN, BOARD OF HEALTH D.W.C. No. --------------- BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 3 D CURRENT INSTALLER'S LICENSE# LOCATION: LICENSED INSTALLER: SIGNATURE: CHECK ONE: TELEPHONE# 7ffdv2 REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. $75.00 Fee Attached? Foundation As -Built? Floor Plans? Approval Administrative Use Only Yes No Yes i/ No Yes i/ No Date: �� INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at of o2 lora !`Os4e_ relative to the application of dated 9' 8 0 6 for plans by r! _4 and dated with revisions dated b D I uriders6add the following obligations for manager6ent 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 Tile 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade — Installer must request inspection when all grading is complete. Does not have to be on site. 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. Undersigned Licen d e t' Installer Date: '140 Disposal Works Construction Permit # NORTH A 3g Ott" - 4 t;" �lq eN.�Teo �tP �(5 SSACHUSE Fax 978-688-9542 Board of Appeals (978) 688-9541 Building Department (978) 688-9545 Conservation Department (978) 688-9530 Health Department (978) 688-9540 Public Health Nurse (978) 688-9543 Planning Department (978) 688-9535 Town Of North Andover Community Development & Services 27 Charles Street North Andover, Massachusetts 01845 September 6, 2000 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Re: Lot 2 Long Pasture Dear Sir: William J. Scott Director (978) 688-9531 This is to inform you that the revised septic system plans dated 08/8/00 for the site referenced above has been approved for new construction for a maximum of 13 rooms. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director SS/smc cc: Crowley Construction File Mar -09-00 12:07 North Andover Com. Dev. 508 68$ 9542 P.02 SEPTIC PLAN SUBMITTAL FO RNI LOCATION: 4X 44 4 K. Xiruxt- NEW PLANS: YES $1 _5.00/Plan REVISED PLANS: � $ 60.00/Plan ,,/- SITE EVALUATION FORMS INCLUDED: YES Cm DATE: DESIGNi ENGINEER: D ATE ,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. When the submission is all in place, route to the Health Secretary. SEPTIC PLAN SUBMITTAL FORM LOCATION:_ r-� NEW PLANS: YES REVISED PLANS: YES KI -& /? C= SITE EVALUATION FORMS INCLUDED DATE: 3/1 c,?) DESIGN ENGINEER: DATE TO CONSULTANT: $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. .. Town of North Andover, Massachusetts Form No. 2 O� NOoT►1, BOARD OF HEALTH is •_�. _••... p o � w P ,r,>,all DESIGN APPROVAL FOR SSACHUSE4 SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No Site Location /- Reference Plans and Specs. ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN, BOARD OF HEA ► Fee /157;1�� Site System Permit No. Town of North Andover, Massachusetts Form No. 2 f pORTq BOARD OF HEALTH 3: , _..._., oL 19 F w '•b- DESIGN APPROVAL FOR 'ri1 •+r.o '"� as^CHUSOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �J�CC/�, �-� Test No. Site Location Lt7T U�'V SCJ,(�,1 Reference Plans and Specs. �� ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. vU i Fee CHAIRMAN, BOARD OF HEALTH Site System Permit No. Jun -23-00 08:32A Paul D. Turbide, PE/PLS PoiFT [NGINURING, Civil Engineers & Land Surveyors One Harris Street Newburyport, MA 01950 (978)465-8594 June 22, 2000 Sandra Stag 978-465-0313 P.02 North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Soil testing on Lot 2 Long Pasture Road Dear Sandra, Section 7.05 of the "Town of North Andover Minimum Requirements for the Subsurface Disposal of Sanitary Sewage" states "The results of the Deep Observation Holes shall expire two years from the date conducted unless the Board of Health or its agent determines that the existing soil logs are sufficiently comprehensive so as to not require additional testing, and the site had not been altered. Retesting of expired results shall require a new testing pursuant to the current fee schedule." The Town has design plans prepared by Christiansen and Sergi of a proposed septic system for Lot 2 Long Pasture Road. These plans rely on a soil evaluation performed using the standards of the current Title 5, but were performed more than two years ago. I find that the soil logs are sufficiently comprehensive so as not to require additional testing, however the site may have been altered. On June 22, 2000 I met at the site with Gene Willis, soil evaluator for Christiansen and Sergi. He had prepared deep tests (and I observed as agent of the Board of Health) in the area of the proposed leaching bed to determine whether the site had been altered. As outlined below, I find that the receiving layer for the proposed leaching bed (the C horizon shown on the design plans) has not been altered, and therefore that the existing soil logs shown on the design plans are adequate for the design even though they are more than two years old. Christiansen and Sergi staked the proposed trench leaching bed on the ground with beanpoles. Test pits were dug at each end of the proposed leaching bed. As shown on the enclosed field notes, we found between 90 and 94 inches of fill over the A horizon. A 12 -inch layer of A horizon (topsoil) was found beneath this fill. A layer of B -horizon (subsoil) was found beneath the A horizon. The C -horizon was found undisturbed. The excavator dug as deep as it could, to 170 inches and did not find refusal and thus we observed the C -horizon to be at least 58 inches thick. We observed standing water at 156" and weep at 148". In conclusion, I find that the receiving layer for the proposed leaching bed (the C horizon shown on the design plans) has not been altered, and therefore that the existing soil logs shown on the design plans are adequate for the design even though they are more than two years old. Jun -23-00 08:32A Paul D_ Turbide, PE/PLS 978-465-0313 P.03 (Note that the approved design plans with latest revision date of 4/7/00 may have to be changed to reflect the fill that has been placed on site, and to show that this fill must be removed (as well as the A horizon and B horizon) under the system and for 5' in all directions. Also, the engineer should verify the elevations of the existing top of fill (now a lawn) in relation to the proposed elevations of the leaching bed component. I assume that the ,elevation of the existing lawn as it presently exists in the area of the proposed leaching bed is the desired elevation after the system is installed, and therefore the engineer will have to check to make sure that there is more than one but less than three feet of cover over the proposed leaching bed.) If you have any questions or comments please feel free to contact me. Sincerely , ,-� 2/L^ Carlton A'Brown, PE/PLS Longpasturelot2c. doc Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES WILLIAM J. SCOTT Director (978)688-9531 May 18, 2000 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 27 Charles Street North Andover, Massachusetts 01845 Re: Lot 2 Long Pasture Rd Dear Mr. Christiansen: Fax (978) 688-9542 This is to inform you that the revised plans dated 4/7/00 for the proposed septic system at the above site have addressed all the previous deficiencies except for the fact that the deep hole tests are older than two years. Since the site has been graded and altered, additional soil tests must be done on the site before the plans can be approved. Please submit an application for soil tests and the required fee of $275 so that these tests may be done and the project advanced. Do not hesitate to can the office at 978-688- 9540 if you have any questions. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: Long Pasture Dev. Corp File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 . HEALTH 688-9540 PLANNING 688-9535 Apr -12-00 01:08P Paul D. Tuvbide, PE/PLS PORT ENGINEERING Civil Engineers & Land Surveyors One Harris Street Newburyport, MA 01950 (978)465-8S94 April 12, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 978-465-0313 P.03 RE: Title V second review for Lot 2 Long Pasture Road Dear Sandra, I find that my concerns outlined in the March 9, 2000 report have been adequately addressed, and have a comment on the age of the deep hole tests. The deep hole tests are older than two years. As per North Andover Regulation 7.05, these tests may be used if the Local Board first determines that the site has not been altered. I understand that a grassy lawn now exists in the leaching bed area. My opinion would be that if the C horizon is untouched, then the old tests could be relied upon (Thus the A horizon and B horizon could be altered without impacting the C horizon.). Christiansen and Sergi should have existing elevations of the ground as they existed just after testing, and should have ground elevations as they exist now (after the grassy lawn was installed). With this information they may be able to make a statement about whether the C horizon was altered by the lawn construction. if this is not possible, then perhaps new test pits will have to be dug. If you have any questions or comments please feel free to contact us. Sincerely,.., Carlton A. Brown, PE/PLS APR 12 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts Ol 845 WILLIAM J. SCOTT Director (978)688-9531 March 10, 2000 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Re: Lot 2 Long Pasture Rd Dear Mr. Christiansen: O 009 Fax(978)688-9542 This is to inform you that the plans for the proposed septic system at the above site dated 12/18/97 have deficiencies that must be addressed before the plans can be approved. These deficiencies are as follows: • 6 inches of 1/4" stone under septic tank and d -box not specified (3 10 CMR 15.221(2)) • Names of abutters of Lots 1 and 3 are missing. (NA 8.02j) • Deep hole tests are older than two years. BOH must determine whether site has been altered. (NA 7.05) • Fill required for the system goes over the lot line and on to Lot 1. In addition there should be a proposed 100 contour added to the fill around the leaching bed. Please be advised that all revision submittals require a $60.00 fee. Do not hesitate to call the office at 978-688-9540 if you have any questions. . Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: Long Pasture Dev. Corp File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Mar -09-00 01:05P Paul D_ Turbide, PE/PLS PORT ENGINEERING Civil Engineeru & Land Surveyors One Harris Street Newburyporl, NLA 01950 (978)465-8594 March 9, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01.945 RE: Title V review for Lot 2 Long Pasture Road Dear Sandra, 978-465-0313 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. ' 0 6 inches of 114" stone must be under the septic tank and dbox. 310 CMR 22](2) ❑ Names of abutters (owners of Lot 1 and Lot 3) must be shown. NA 8.02J ❑ Deep hole tests are older than two years. Local Board must determine whether site has been altered. NA 7.05 a Fill required for the system goes over the lot line and onto Lot 1. (Also, there should be a proposed "100" contour that should be added to the fill around the leaching bed.) Some solutions might be to add a slope easement, or to determine whether the grading plan for the subdivision called for substantial fill to be placed for road construction and lot development in which fill over the lot line was always planned. If you have any questions or comments please feel free to contact us. Sincerely Carlton A. Brown, PE/PLS Town. of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES WILLIAM J. SCOTT Director June 2, 1997 Ms. Robin M. Barclay Abruzese, Consilvio & Barclay 92 High Street Medford, MA 02155 Dear Ms. Barclay 30 School Street North Andover, Massachusetts 01845 This letter is in reference to your letter of April 17`h regarding the Long Pasture Subdivision. S ,e I understand your concerns regarding your water supply. My understanding from conversations and correspondence with Sandra Starr and Ken Mahoney is that your well is possibly a shallow dug well close to the roadway. Your concerns are not the only concerns regarding the subdivision. The method of approval through the courts has caused concern for notification of all those abutting the property. Unfortunately this is a method that was employed to settle a court action. I have included a chronology to update you on the sequence that lead to the approval. Currently what we are able to do to provide you with is an assurance that the staff of the department is continually monitoring the development to insure compliance with the attached conditions. As an example, recently the developer requested releases of lots as indicated in the attached memorandum. This request has been denied by this office until such time as the developer meets the requirements of constructing the drainage improvements to protect of -site abutters. I have enclosed the conditions that were eventually approved by the Planning Board thorough the courts so you may confirm that we are monitoring the project. If you have any question please contact Donna Mae D'Agata and she will set up a meeting at your convenience to address your issues. Sincei Willia cc: Michael Howard, Conservation Administrator Sandra Starr, Heafth Administrator-', .. rnu�Fv��.:•rrr,N �sp,�53n uF.A?.TF? �fl$.4�.t(; ?L.A'�NTNr: �uv..os�S . Town of North Andover t NORTH OFFICE OF 3a ° "`o 6 COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street North Andover, Massachusetts 01845�q to WILLIAM J. SCOTT Director February 13, 1997 Christiansen & Sergi 160 Summer Street Haverhill, MA 01830 Re: Lot #2 Long Pasture Dear Phil: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Leaching area insufficient or calculations incorrect. Design parameters state two (2) trenches; site plan appears to show three (3). 2. Scale of site plan not stated. (3 10 CMR 15.220(4)) 3. Benchmark within 75 feet of system missing. (3 10 CMR 15.220(q)) 4. Perc elevations, depths of peres missing. (N.A. 6.02J) 5. No wetlands disclaimer. (N.A. 6.020) 6. Waterline missing. (3 10 CMR 15.220(m)) 7. No foundation drain. (N.A. 6.02v) 8. No manhole to grade on tank. (can be 6 inches below) (310 CMR 15.228(21)) 9. Statement: First 2 feet of pipe from D -box to be laid level missing. (310 CMR 15.232(c)) 10. D -box invert outlet not quite two inches below inlet. (310 CMR 15.232(3)(b)) 11. Map and parcel missing. (N.A. 6.02a) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp cc: Long Pasture Dev. Corp. William Scott, Director, P&CD File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT DATE 0-/%%/ 97 FEE: PERMIT $ DATE RECEIVED g,11, 9 7 APPLICANT _1D,I,r; ?n5rvPC bEU• (SC,ieP MAP PARCEL ADDRESS 613,843 L�• b��IF.D ojgzl LOT ##_ 2 STREET # ENG. �/� G�f/.0/5T/�4�U5e.C� STREET ,�6, a ENGINEER'S ADD. /GO :50~IeS4 7 PLAN DATE ////l pt I REV. DATE CONDITIONS OF APPROVAL APPROVED REASONS FOR DISAPPROVAL: DISAPPROVED / • .LL%4�/�/tiG %�•�G f� //lJ� U/= /= /C/��v T G,e G> s�-C G� fJG 6� 7'/GyP�.�. a 7G'/�LC Gam ,%E ��.�y iUDr sT r�Q C3/0cN'C ,S.zz049 \ 7,:f' D/= SYST�� 111651A -)6 �1 vim. NU i(./ '7/�S CSA-//12�'�. I(� , �• Cs� •�oz �� Z . ZI-W725e 1-1/-551IU6. (13/D CM -,f i`�-7_zo(,r-q)) 7 Na -19�04b 147-lec) -D- 44Mv, Cu. P, 6 , o a v) TO �'.0 Ab,! s ,o �) i /=3 /V CG' % 646r" 3 Fto�vJ (a /a GMS /s;'� (ea) Zle-5r O -1-3/1o(es rU 3 e_/10 4_&v4e�L. (-�/o cMk /s. a3g_6cjj %D �- �o �C /aV V c� r�Oc;'o r civ / rc 02 !� c NE5 � Lou. ,a/�. io crvr 1� : A3A 0)C0l 13i c -c.. 5 c it REVIEW CON.`PINUED SHEET o2 OF I/o��l Z9 `57 ! o 5 ysT,l CHRISTIANSEN &. SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508) 373-0310 FAX: (508) 372.3960 TO: Ms. Sandra Starr Board of Health North Andover .� qqq RE: Septic System Design Plans s Date: — Attached are plans for Qom' This design is L/ a new submittal a revision with the following changes PLAN REVIEW CHECKLIST ADDRESS Lr o'Z ZV&7-7AZi17Z4e,4-' ENGINEER d`�%er 7-1,44)5-66 GENERAL / 3 COPES !/ STAMP t--- LOCUS 4--- NORTH ARROW G/ SCALE— CONT04L 1--' PROFILE L--' SECTION BENCHMARK SOIL & FRCS ELEVATIONS WETS. DISCLAIMER W6b-fS & W WATERSHED?_& DRIVEWAY Elev) WATER LINE FDN DRAIN SCH40 L --TESTS CURRENT?De=�-oic SOIL EVAL ,r,>A) 0 SEPTIC TANK MIN 150OG 1--' .17 INVERT DROP&"' GARB. GRINDERjo (2 comps +200) 10' TO FDN '-� MANHOLE ELEV GW t/ ## COMPS. GB D -BOX SIZE ## LINES FIRST 2' LEVEL STATEMENT INLET - OUTLET )64.33 = -16- ( 2" OR .17 FT) TEE REQ' D? /IL LEACHING MIN 440 GPD?� RESERVE AREA t,-' 4' FROM PRIMARY?,, ----2a SLOPE------ 100' LOPE'S100' TO WETLANDS` -,---100' TO WELLS1"y 4' TO S.H.GW �-- (5'>2M/IN) 20' TO FND & INTRCPTR DRAINS i/-400' TO SURFACE H2O SUPP 7 4' PERM. SOIL BELOW FACIliITY MIN 12" COVER4-f FILL?x(15') BREAKOUT MET? TRENCHES MIN 440 gpd-�K SLOPE (min .005 or 6"/1001)�IDEWALL DIST. 3X EFF. W OR D (MIN 61) RESERVE BETWEEN TRENCHES?xk- IN FILL? 4-/ MUST BE 10' MIN. ---"4" PEA STONE?V//VENT? (>3' COVER; LINES >501) BOT / + SIDE�� X LDNG TOT7� (L x W x ##) (DxLx2x##) (9/ft2) Copyright 0 1996 by S.L. Starr Sent by:G May -18-00 08:57 from 97837239607508 688 9542 cage 2i 2 Received May -12-00 14:17 from 508 688 9542 � 6 F09V May -12-00 14:08 North Andover Com. Dev. SOB 688 9542 p.02 BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIIL TESTS DATE: & PARCEL: /Q G E 15 t LOCATION OF SOU. TESTS: p43 Ot1JNER: / cu,��.%,!_ r TEL_ NO.: ADDRESS: 1 ,�r�� J -C / 7�x ENGINEER: (�l1r!Sla..+.S�►. �'a r TEL.No'. -- CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Ingle family Home Commercial MAY 1 8 Is This: Repay Testing; In the Lake Cochichewick Watershed? undeveloped lot testing: Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of SZ75.00 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 reedits or untxz44a NERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Maas. 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 lean 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 smiler than 1"-100') shall be submitted to the Hoard of Health showing the location of all tests (including aborted tests). T Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount. Check Date: i Town of North Andover, Massachusetts Form No. 1 of NORTH q BOARD OF HEALTH 5" O lel (,D' __ � 1°9 APPLICATION FOR SITE \TESTING/INSPECTION DR. _cewnPPy S Applican Site Locz Engineer Test/Inspection Date and Time Fee CHAIRMAN, BOARD OF HEALTH Test No. ` S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH � BOARD OF HEALTH {q /j i CI .41 APPLICATION FOR SITE TESTING/INSPECTION \RATED PPP _'SCJ ' Applicant -�sc.� NAME ADDRESS TELEPHONE Site Location ---!e Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee 1-727, �� Test No. _sq-_ S.S. Permit No.-D.W.C. No. C.C. Date Plbg. Permit No. �,,�i,,r,r.. ,..... .. � , �.,�� .. _ �`�. :-� ad.�`i-S�E`.t�i� F T, 'i' r.r i o �, � I �l;I; .. �. ', 4 No. FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 Commonwealth of Massachusetts No 4V 19V&1/C-7�— , Massachusetts a vvoc.cment for On-site Se Date: // � ifto �L(a PerformedBy: ....... .......oG°^!^'................................................... Date: S�z3•% ^ iN...�ws.1� f..l'!air.K...A.!`'u....!>.:..f......K..! Witnessed By:......... ...... . ...................................... Dation Hadco or (�C7T WA/& 'P�4 STU�Zd �� 0--1 N— Addot. AM LWU G f�W STUKt GV i 343 LACN 1'op—tF4T s i izEX-f Teiephm I . 1`f o1z7V1 A,�o P.o . 3o�C Lew Construction Repair ❑ Office Review Yes Published Soil Survey Available: No f� Year Published l•9.t3. �..... Publication Scale / iS4 Soil Map Unit Drainage Class E X ctsS i v. -y....• Soil Limitations ................................................ IZAw� Yes ❑ Surficial Geologic: Report Available: No Year Published ::: Publication Scale Geologic Material (Map Unit) ............................................................................................... Landform Flood Insurance Rate Map: Above 500 year flood boundary No 7—]Yes - Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑ Yes Wetland Area: ..................... unit) National Wetland Inventory Map- (map ..........."'""""' ........ .................................... ........ .. ................. Ma ma Wetlands Conservancy Program p (map unit ........................................... .... Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Bele-/ Normal ❑ Other References Reviewed: DEP APPROVED FORM - 12107195 page -1 of J cation Address or Lot 110. 2 L � A �� On-site Review Time:. 3 � 10 Weather `2 ( -j Date:. ...:::...... oep Hole Number -•• ,:.:...:::: ,�w,�,,�•�,.. kation (identify on site plan) Slope .l°/oi D -3 Surface Stones f'f� and Use egetation andform ,•:.:. ,osition on landscape (sketch on the back) )istances from: Open Water Body feet Drairiage�way feet feet Property Line feet Possible Wet Area feet Other Drinking Water Well 0Ep OBSERVATION HOLE -OG' EF - other Soil color Soil Soil Horaon Soil Texture (Munsei) Mottling :Structure• Stones. Graveilrs. GonsistencV.:°,�o Depth from (USDA) Surface (Incrres) M C? 1�. C i (odlsJ� � UIr v ul v Y� o N L`i (1-1 DeP=Bedroclr 22 Parent Material (9e0109ic! sZ Weeping from Pit Face: 7 Depth to Groundwater. Standing Water in the Hole: I EsumateG Seasonal High Ground Water: DEP APPROVED Foltpt . 12107195 F ion Ad dress or Lot No. On-site Review �j Time:. 3 Weather (- Date:, 7 yep Hole Number .... ,cation (identify on site plant Slope (%l Surface Stones COMM, �(hGtrS and Use egetation andform,...,.." " osition on landscape (sketch on the baotcl :'- )istances from: Drainage way feet Open Water Body feet feet Property Line feet Possible Wet Area Other Drinking Water Well feet ' = Depth from Surface (Inches) V -- G ?RUrUSru Depth fiedrock' Parent Material (geologic) U Weeping from Pit Face: Depth to Groundwater. Standing water in the Hole: 0 estimated Seasonal High Ground Water. pgp AppROVED FORM - 12107/95 DEEP OBSERVATION HOLE BOG = I Soil Honzon Soil Texture (USDA) Soil Color (Munsell) Soil Mording Other Structure. Stones. Boulders, Consistency, Gravel) ►`' r2 �w of S ii 10�(�LS��j w4106 741C I . ?RUrUSru Depth fiedrock' Parent Material (geologic) U Weeping from Pit Face: Depth to Groundwater. Standing water in the Hole: 0 estimated Seasonal High Ground Water. pgp AppROVED FORM - 12107/95 FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. LOT LONG PP -S UK -t 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 mottles ... inches ❑ Groundwater adjustment ................... feet Index Well Number .................. Reading Date .................. Index well level .......:....... iAdjustment 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? yt5 If not, what is :the depth of naturally occurring pervious :material? " Certification I certify that on D (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis Was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date DEP APPROVED FORM - 12/07/95 9 FORM 12 - PERCOLATION TEST Location Address or Lot No. j, CDk)6 COMMONWEALTH OF MASSACHUSETTS Np)� A-AdoVe4,--- , Massachusetts Percolation Test* Date: ... x'1.1 &'/b'% Time:, Observation Hole # a0 67-- Depth of Perc, -n knaw-A um kno wyl Start'Pre-soak 03 End Pre-soak tl;lg Time.at 12" Time at 9" Time at 6" f1; 37 1 ; 3-D Time -(9"-6") Rate Min./inch Minimum of 1 aercoiation test must be performad in both the primary area AND reserve area. Site Passed Site Failed ❑ ..............................................................................................:.......................................__.....__........ Performed By: jok n you (/a k 611s Witnessed By: I�1► G _ �t�et Comments: DEP APPROVED FORM - 12/07/95 FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT OV't-A CC't � -- 4J PHONE ` 1 �� 'i 6�J ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET STREET NUMBER �........................................................ was ssirm.........■ OFFICIAL USE ONLY Issams RECOMMENDATIONS OF TOWN AGENTS (7-- J v )U 5 i e6 DATE APPROVED CONSERVATION ADMINLSTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED CON*& -NTS DATE APPROVED FOOD INS CTOR - HEALTHn � DATE REJECTED f SE C SPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER�CO INEC NS I " 3p -O/ DRIVEWAY �7 AO -p/ / DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONflV ENTS RECEIVED BY BUILDING INSPECTOR nATP (7-- J v )U 5 i e6