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Home My WebLink AboutMiscellaneous - 275 HAY MEADOW ROAD 4/30/2018 (2)69 0 rn ! 8 0 0 �� L �� ,� North Andover Board of Assessors Public Acces:j. 41 R)rAj 0 Return to the Home page click on logo New Search Sales Summary Residence Detached Structure Condo Commercial Comparable Sales ToWn Of WoFth 'Amdover 1181toard of Assessors Page I of 1 '87" Property Record Card A -A--.-- Location: 275 HAY MEADOW ROAD Owner Name: HAY MEADOW ROAD REALTY TRUST M J & T A VENATOR, TRS Owner Address: 275 HAY MEADOW ROAD City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 7 - 7 Land Area: 1.02 acres I Use Code: 101 - SNGL-FAM-RES Total Finished Area: 3496 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 659,100 687,800 Building Value: 434,200 451,100 Land Value: 224,900 236,700 Market Land Value: 224,900 Chapter Land Value: LATESTSALE Sale Price: I Sale Date: 05/12/1997 Arms Length Sale Code: F-NO-CONVNIENT Grantor: MARC VENATOR Cert Doc: Book:04750 Page:0310 http://csc-ma.usNandoverPubAcc/jsp/Homejsp?Page=3&Linkld=l 180276 5/12/2008 ON N/F NARDELLA THIS PLAN & CERTIFICATION IS NOT A WARRANTY OF THE SUBSURFACE DISPOSAL SYSTEM. IT IS A RECORD OF THE LOCATION AND ELEVATION OF THE EXISTING SYSTEM COMPONENTS. I HEREBY CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM HAS BEEN INSTALLED IN ACCORDANCE WITH THE PROVISIONS OF 310 CMR. 15.00 (TITLE 5) AND THE APPROVED DESIGNS PLANS. INSPEC71ON PORT t '%ow oeoo� "j, AS BUILT PLAN N /F SERANO VLAD"W9 L NEMCHENOK C -D 'V NoR3111184 All- Zz. N ST AL OF I SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS. /275 HAYMEADOW ROAD AS PREPARED FOR MARC VENATOR TM 104B DATE: TL 84 SCALE: 1"=40' 1 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 4 %-V, 0 PUBLIC HEALTH DEPARTMENT (ommunity Development Division C(FRTj(FjCA(7-(F O(F COWPLT t39VM %�, A-.# & .16-0 A -1-L As of-. Septemfier30, 2008 This i� to certify that the individua(su6surface disposafs)wtem receiveda S-Aq7STACT0RTIXS(PECq70Xqf the. Euff System Repair of the Subsu�(ace Sewage * osa[System Disp By: W e Re iffy 1k 2 75 Yfaymadm!Rgad Nap 104.B; Parre[84 WorthAndner, 9119 01845 The issuance of this certiftate shaff not 6e construed as a guarantee that the system Wiff function satisf"torf(y. Susaln T Saw <er TO& Wealth Director 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com SEP 2 4 2008 PUBLIC Aiktg DEPARUMT or (0MMUni1y,DeyP1qPMQ-nt DiViSIR, TOWN Or' F _ FH TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (,4 'constructed; ( ) repaired; By:- P re I - LIL- (Print Name) Located Address) W -A Was installed in conformance with the North Andover Board of Health approved plan, originally dated 01e� and last revised on 2-q -00 with a design flow of gallons per day. The materials used were in conformance with those specifled on the approved plan; the system was installed in accordance with the provisions of 3 10. CMR 15.000, Title 5 and local regulations,land the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: 1-5-ve t2j'U/ '21 4 yj!e� And - Print Name Final Construction Inspection Date: C1 - 10 -00 iA And - Print Name Installer: CkN-:t,\ aj!'k'a' (Signature) KI VLADIMIR L. Enginer: CAW/Mikiw. AF& �10. 39840 P T' 0 AL f2,2, I.. Engineer Representative (Signature) S,�a - 'L" Engineer Represettative (Signature) Date: Ct - \0 -0 r IV � And - Print Name Date: VY - /2 - 200Z ilukllwle hMC*A494-- And - Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com AS -BUILT CBECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS 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 ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITBIN 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 0 C'0 coc"Ic"t— Av a 0 —.F CHU PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 275 Haymeadow Road MAP: 104B LOT: 84 INSTALLER: F.P. Reiley DESIGNER: Merrimac PLAN DATE: 5/16/08 rev. 5/29/08 BOH APPROVAL DATE ON PLAN: June 14, 2008 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/11/08 DATE OF FINAL GRADE INSPECTION: C1111167 SITE CONDITIONS 1600 Osgood Street, North Andover, Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 Contractor reports any changes to design plan Existing septic tank properly abandoned Internal plumbing all to one building sewer Topography not appreciably altered Comments: SEPTIC TANK Building sewer in continuous grade, on compacted firm base F� Cleanouts per plan F� Bottom of tank hole has 6" stone base �q Weep hole plugged F-1 Clean Solutions tank has been installed F� Water tightness of tank has been achieved by testing Z Inlet tee installed, centered under access port 1600 Osgood Street, North Andover, Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 tkORT11 ,I a D 6 0 0 #6- C CM1 PUBLIC HEALTH DEPARTMENT (ommunity Development Division Z Outlet tee installed, centered under access port; gas baffle installed Z 24 inch cover to within 6" of final grade installed over one access port, must be to grade and over outlet of tank if effluent filter is present Z Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER F-1 Bottom of tank hole has 6" stone base Z Weep hole plugged F� Combo Tank installed. Size: Z 1 000 -gallon Pump Chamber Z Inlet tee installed, centered under access port Z Pump(s) installed on stable base Z Alarm float working Z Pump On/Off floats working Z Separate on/off floats Z Drain hole in pressure line Z 24 inch cover at final grade installed over pump access port Water tightness of tank has been achieved by testing Hydraulic cement around inlet & outlet Comments: DISTRIBUTION -BOX Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.(om Inspe(tion Form June 2008 + 1 0 - PUBLIC HEALTH DEPARTMENT (ommunity Development Division 0 Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan Z Size of SAS excavated as per plan Z Title 5 sand installed, if specified on plan Z 40 Mil HDPE barrier installed F-1 Laterals installed and ends connected to header (and vented if impervious material above) Z Elevations of laterals and chambers installed as on approved plan E] Retaining wall (boulder / concrete / timber/ block) Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel -less Chambers) Z Brand and Model of Chamber: Quick 4 Z Number of chambers per row: 15 Z Number of rows (trenches): 2 Comments: CONTROL PANEL Comments: Z Alarm & Pump are on separate circuits Z Alarm sounds when float is tripped Z Location of control panel: basement F] Rated for exterior if placed outside Z Alarm signal located inside 1600 Osgood Street, North Andoyer, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandoyer.(om Inspection Form June 2008 0 , 0 PUBLIC HEALTH DEPARTMENT (ommunity Development Division SYSTEM ELEVATIONS 1600 Osgood Street, North Andover, Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspecion Form June 2008 INVERT IN FIELD PLAN INVERT ELEV. Building Sewer OUT 97.81 98.1 Septic Tank IN 97.55 97.80 Septic Tank OUT 97.25 97.55 Pump Chamber IN 97.16 97.50 Pump Chamber OUT 96.88 Distribution Box IN 101.50 100.37 Distribution Box OUT 101.27 Lateral 1 TOP Lateral 1 INVERT 101.22 101.17 Lateral 2 TOP Lateral 2 INVERT 100.49 100.47 1600 Osgood Street, North Andover, Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspecion Form June 2008 %I 1401IRTH .1-0-20 16, - 6 0 0 to PUBLIC HEALTH DEPARTMENT (ommunity Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 3 10 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws 1600 Osgood Street, North Andover, Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 Tank SAS Sewer F� Property line 10 10 F1 Cellar wall 10 20 F-1 Inground pool 10 20 7 Slab foundation 10 10 F-1 Deck, on footings, etc 5 10 -- F1 Waterline 10 10 101 F1 Private drinking well 75 1002 50 n Irrigation well 75 100 F� Surface Water 25 50 Bordering Vegetated Wetland Salt Marsh, Inland / Coastal Bank3 75 100 F1 Wetlands bordering surface water supply or trib. (in Watershed) 150 150 F1 Trib. to surface water supply 325 325 F� Public well 400 400 n Interim Wellhead Prot. Area F-1 Reservoirs 400 400 F-1 Drains (wat. supply/trib.) 50 100 El Drains (intercept g.w.) 25 50 F� Drains (Other) Foundation 10(5) 20(10) R Drywells 20 25 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 3 10 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws 1600 Osgood Street, North Andover, Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 Commonwealth of Massachusetts Map -Block -Lot 0 104.B- 0084 - Board of Health ----------------------- Permit No North Andover BHP -2008-0167 -�.; ... .. P.J. ----------------------- ;M F.I. FEE $250.00 Disposal Works Construction Permit ----------------------- Permission is hereby granted -Mike_1�1;�jly to (Repair) an Individual Sewage Disposal System. at No 275HAYMEADOW ROAD ------------------------------------------------------------------------------------------- --------------------------- ---------------------- as shown on the application for Disposal Works Construction Permit No. i:" B iWLI �WIW "I",.,.Ddted July - 3% 2 008 A Issued On: Jul -30-2008 ------------- - --------------------------------------------------------------------- Eold[6-14nh PIL RT'. Application for Septic Disposal System TODAY'S DATE % Construction Permit —TOWN OF Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. RTH ANDOVER NU 01845 $ 250.00 — Full Repair 0 $125.00 - Component Application is hereby made for a permit to: 9 E] C nstruct a new on-site sewage disposal system* epair or replace an existing on-site sewage disposal system* El Repair or replace an existing system component - What? A. Facilitv Information Address or Lot & aah City/Town 2.-XYPE OF SEPTIC SYSTEW: 9Pump El Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** V[I C nventional System (pipe and stone system) infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system. 0 Pressure Distribution S.A.S. (No D -Box) (Attach Draft Mai ntenanceAgreement) E] Pressure Dosed (D -Box Present) S.A.S. 2. Owner Information , mam 116ad'--l—ty Name q P i I Address (if different from above) Ale0h)YRY City/Town 3. Installer Information MO: -_ - - U6?SD State Zip ode _6Z6 -,) 1,5- - 0, 3 4��_ Telephone Number ytc6ael gailly F P ge I A/a and 5pns � Me Name Name of Company dote Pndow 9'. Address AidoakfK MIR City/Town _§tate Zip Code (q-qg) q7S - 1p-3!7 Telephone Number (Cell Phone # ff possible please) 4. Desiciner Information Name Name of Company && Address "W'/ City/Town Slate ZIP C.Ode q 41-75' A.,� -fielephone - Number (Best# to Reach) Application for Disposal System Construction Permit - Page I of 2 IL Application for Septic Disposal System TODAY'S IJATE Construction Permit -TOWN OF $ 250.00 - Full Repair ORTH ANDOVER, NU 01845 $125.00 - Component PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Buildina: E�Residential Dwelling or FICommercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issuipd y this oard of Health. IV I —) Name J Date Appli ' Approved 7By�: �ard of Health Representative) / - e -bate p ppli pprq plicattion Disapproved /rthefollowing reasons: For Office Use Only: 1. FeeAttached? Yes No 2. Project Manager ObEgation Form Attached? Yes No 3. Pump Sys P Ifso, Attach cop ofElecuical Yes I/ No 4. Foundation As-Budt? (new construction ronly). YXes"� No (Same scaZe as qpprovedpJ�aq) 5. Hoor Plans? (new construction only): Ye No Application for Disposal System Construction Permit - Page 2 of 2 As the Norr . �2176 ) (Addrc's� oc se Relative to the Dated J, I understar SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS A-ridmer licensed installer for the constrLiction for the sepric sysre.m for the property iat: -C �yst(�110 ollof MIL6 ?,I J q, I (-J111" L�:fle) -And datcd IN'Jih rcvlsion�; daled the follo,%ing obligations for management of this project: I. As �#e installer., I am obligated to obtairi all permits and Board of He.&h approved plans MI-Qr to perl�rming aj-.iv work- on a site. .1 must have rhe approved plans aqdA-_he permit onsite when, ny work is 2. As the installer-, I must call for. anyandall iLlispections. If liome(-mner, coatt-octor, prolect manog-er.' Orally othe c person nor associated w1rh iny company schedWes an Jns?ectioaand ene systern is not ready, then item three shall be applicable. 3. As rke installer, I am requi-ced to have the necessary work completed prior tot lie applicable Inspections as inclicatedbelov%,. I andev5raridthgt reque.-t ng all Inspecilon. xx'ghow conlplttLon of 1 lie, ite.1-ps in �Iccord-'Lnce ,i Bottom of Bed — Ge.ierally ' this Is tbe first (1") InspectiOn unless there is a retallaing wall, wldcli Ins 14 K ;hould be done first. taller must request the iispecti)ii but doe-, riot havc to be present. I Final. Construckon Inspection — 1*-'�n incer intist.first do their Inspection for elevations, tic,;, etc- As-builr of verbal OK ( (:)r e-mail to.- hc�ifthdc -)t fr(- m the en —21) '9111eer I-nust be submitted to the Board of 1-tealth, after wh�'ch Illstalter for. an Inspection time. Installer must be present for this inspection. '*,,X,itb -,i purnp system, all electric.il work must be ready and able to cause pump to xork and ala-rin to functi(A.I. d Final Grade — Insuallierin List request Inspection N -v -hen all gradflig, Is complete. Insmiler does nor have to be on-site. 4. As tlIe 11,1st-Aer, I understand thatonly.1 rnav perform atri requlired to cc mplete the installation of the system identifiedin theartached applicarlort for jjisr&ation. I further 5. As tl Le installer, I understand that I must beo n- site during the perFon-riance oftlie follmving construction step�: 6. Determination that the proper elevation of the excavation has been reached. I �. Inspection of the sand and stone to be used. a Final inspection by Board of Health rtaff or consultant. Installation of tank, D -Box, pipes, stone, vent, pump chamber, retaining ivall and other components. 6. As tile installer-] understand thatlam solelvre"nonsible. for theinstalL.flon ofulic si-sternLs ner the Licensed Sel-.)6c Installer: AIM Z -d ZOLO-SLV-SZ6 dC0:Z0 20 6Z Inr Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 19 - L— APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 Aj WT IN INK OR TYPE ALL XFORMA TIOA9 Date: .. Ic (PLEASE PRI 'Town of- NORTH ANDOVER 301" . res: City or To the Inspe Wi By this application the undersigned gives notice of his or her intention to perform.the electrical work described below. Location (Street & Number) L f Telephone Nol-�- Owner or Tenant Owner's Address , ";;-/7M&- - 44 +h - huildin nermit? Yes 9 --.**'No (Check Appropriate. Box) Is this pernut in CO unc on - I b Purpose of Building -S -/A /I f 5 �L-11 Utility Authorization No. Existing Service,2a? Amps Volts Overhead Undgrdzl— Amps volts Overhead UndgrdE:l VIC" -O�A I'll Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Recessed Luminaires No. of Luminaire outlets No. of Luminaires No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers I MCI KW Heaters No. Hydromassage Bathtubs Completion of the No. of Cefl.-Susp- (Paddle) Fans No. of Hot Tubs --7—Ab Swimming Pool No. of Off Burners No. of Gas Burners of Air Cond. Totals: I I Space/Area Heating KW No. of Meters No. of Meters table may be waived by the Inspector of Wires. lGenerators arnd I Rattery Un.' Appliances KW Sig is Ballasts o. of Motors Total HP KVA KVA IFIERE-ALARMS INa. of Zones - o. oi metection anu Initiating Devices o. of Alerting Devices o. of Self -Contained etection/Alertina —Devices Municipal [] Other ocal F� Connection ecuri Systems:* t No. of Devices or E nivalen lata Wiring: No. of Devices or E—nuivalent Attach additional detail if desired, or as requiredby the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) ce with MEC Rule 10, and upon completion. Work to Start: Inspections to be requested in accordan the owner, no permit for the performance of electrical work may issue unless INSURANCE COVERAGE: Unless waived by the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coveragS,>4n force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE . EC�-SOND 11 OTHER [] (Specify:) I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete. LIC. NO.: FIRM NAME: Signature LIC. NO.: ,C.;2 Licensee: Bus. Tel. No.:IZe�M�'S (If applicabie-,-enrt—er "exempt " in the license number line.) Alt. Tel. No.: Address: CV -:5Ch1:X-,Z- requires Department of Public Safety "S" License: Lie. No. *Per M.G.L c. 147, s. 57-61, security work OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) D owner . El owner's agent. Owner/Agent Telephone No. [�P�ERHI�TFEE�-$ Signature Page I of 3 DelleChiaie, Pamela From: Sawyer, Susan Sent: Friday, May 16, 2008 1:31 PM To: DelleChiaie, Pamela Subject: FW: 275 Hay Meadow Title V update If Bill sends in plans for 275 Hay Meadow, can you put one copy in my box to look at? Thx S From: Lois. McGinness@salemfive.com [mailto: Lois. McGinness@salemflve.com] Sent: Friday, May 16, 2008 12:11 PM To: Sawyer, Susan Subject: RE: 275 Hay Meadow Title V update Thank you for the information. We are thinking about putting a pool in next year. I would love to look at the plans when they are ready. I am sorry, I do not have any information on the owners whereabouts. Maybe Susan Rochwarg can help you with that. Thank You Lois McGinness Assistant Vice President Retail Banking tel: 978-975-8026 fax: 978-975-4238 From: Sawyer, Susan [mailto:ssawyer@townofnorthandover.com] Sent: Thursday, May 15, 2008 3:18 PM To: McGinness, Lois Subject: RE: 275 Hay Meadow Title V update Hi Lois, The soil testing was conducted on May 8, 2008. 1 still don't have the title V inspection report, but I guess we can surmise it failed. Now we wait for the engineer to submit septic plans for review. The Health Department has up to 45 days to approve a plan, although 2 -3 weeks is usual. If any variances to the code are needed, the engineer will request to go before the Board of Health to request a variance. (they meet 1 X / month) I see that there is a stream in the front yard; if the engineer finds the new system is within 100 feet then he will apply to the conservation department. If not, you are all set there. As you can see these things take time. I expect the engineer will get the plan in next week. Then we go from there. Once there is an approved plan, an accurate estimate can be gotten from various septic installers. Are they putting $$ in escrow? Since you are committed, you should probably come and look at the plans when they come in. Is there a 5/16/2008 Page 2 of 3 pool or are you looking to put one in? Are you thinking of adding rooms in the near or distant future? Now is the time to ask the questions. Once it is built it usually not easy to move or add rooms onto the system. I will let you know when the plan comes in. Last question. It is an odd one. Do you know where the homeowners are moving? Will they be leaving the state? And working elsewhere? This is a tax question only. Susan From: Lois. McGin ness@salemfive.com [ma ilto: Lois. McG inness@sa lemfive.com] Sent: Wednesday, May 14, 2008 2:54 PM To: Sawyer, Susan Subject: FW: 275 Hay Meadow Title V update Here is the information we have on the septic. They stated in the marketing material that they were installing a new septic. Does replacing the leaching field qualify at a new septic? Thank You Lois McGinness Assistant Vice President Retail Banking tel: 978-975-8026 fax: 978-975-4238 From: Susan Rochwarg [ma i Ito: homes@susa nsells.com] Sent: Tuesday, May 13, 2008 1:10 PM To: McGinness, Lois Subject: FW: 275 Hay Meadow Title V update The test holes were in the back yard so it can be reasonable to assume the new system (leach bed) will be there. I will keep you posted. Ready, Willing, Able, Susan Rochwarg SHAN SELU 4 Rcal Etatv Tcam 978.470.2048 WWW.SUM-Sekoom J4, '&�e r"r 67 From: Eric Frahlich [maiIto:efrahIich@andoverhomes.com] 5/16/2008 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, May 21, 2008 9:57 AM To: Daniel Oftenheimer (E-mail); Marianne Peters (E-mail); Randy Burley (E-mail); Rowe Isaac (E-mail) Subject: FW: 275 Haymeadow Road ----- Original Message ----- From: noreply@yourcopier.com [ma i Ito: noreply@yourcopier.com] Sent: Wednesday, May 21, 2008 10:41 AM To: DelleChiaie, Pamela Subject: 275 Haymeadow Road CaN I& SKMBT600080521 09410.pdf Hi, This is a new plan submission for 275 Haymeadow Road that I will be mailing out today. There is a request from the homeowner: They received an offer on their house on 5/11/08. The buyers want to close on June 16th, but need a septic approval by June 9th. If it is at all possible to complete this plan review as expediently as possible, the h/o would appreciate it. It was explained to the h/o about the 45 day review period, but usually sooner, and no guarantee of an approved plan the first time around. H/o is aware of this. However, if possible, would like to get it completed asap. Call if any questions. Thanks, Pam Page 3 of 3 Sent: Tuesday, May 13, 2008 12:45 PM To: homes@susansells.com Cc: Mary -Ellen Tillotson; Susan Pappalardo; Lillian Montalto Subject: 275 Hay Meadow Title V update Susan Regarding the title V inspection, here is what I have been able to f ind out. The Seller has not yet received the formal report from the inspector, Soucy. Based on the information provided by Soucy to Seller the leeching f ield needs replacing; the rest (tank, etc) is f ine. The engineer working on the plan is Bill buf resne with Merrimack Engineering. He has already done the test holes (last Thursday) and is in process of doing the plan. As you know, once the plan is drawn it is then subject to Town of North Andover approval. Call with questions Thanks Eric P. Frahlich Managing Director Lillian Montalto Signature Properties 978-475-1400 ext 108 efrahlich@andoverhomes.com 5/16/2008 Th 4L Health Department May 27, 2008 Steven Eriksen, R.S. Merrimack Engineering Services 66 Park Street Andover, MA 0 18 10 Re: Subsurface Sewage Disposal System Plan for 275 Hay Meadow Rd., Map 10413, Lot 84 Dear Mr. Eriksen: The proposed wastewater system design plan for the above site dated May 16, 2008 and received on May 21, 2008 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 3 10 CMR 15.000, or North Andover regulation that is not met by this design follows each item. Please submit LUA for the following items. The Health office is in support of this approval. a. There is only one test pit in the proposed soil absorption system area. It is understood that additional test pits were attempted but were not successful due to the presence of the existing wastewater system, however, the presence of only one test pit would require a Local Upgrade Approval for only having one test pit in the soil absorption system area - 102(2) b. The percolation test appears not to be in the soil absorption area, again we understand much of the existing system will need to be removed and as stated above the soils seem consistent. Please include this in your Local Upgrade Approval request -104(4) ,�2. Please provide all distances to the tanks from the dwelling and the property lines ,N.A8.03(a-c) D -Box noted with marking tape. Please specify magnetic marking tape is to be over all system components — 221(12) L"I<Upon revised submission please provide at least one set of design plans with an original 1stamp and signature — 220(2) 5. - Please include the drainback volume in the pump calculations - 231 . Please provide a pump performance curve and calculations to describe if the pump t'x- specified will be adequate — 220(4) 1600 Osgood Street HEALTH DEPARTMENT Page I of 1 Building 20; Suite 2-36 E -Mail: healthdept@townofnorthandover.com North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 i,,'�Please clarify the reference to a "Geo -Membrane" indicated in the detail for the end section at a depth of 95.8, but not appearing to be elsewhere on the design plan. How is membrane to be constructed, to what depth and height. It does not appear to be Idep cted on the site plan. (See below). PI 8. PI se indicate that removal of soil horizons A & B shall extend at least 6" into the table soil of the C horizon. (NA 9.02) 9. P, ase specify the outlet elevation to be used in the pump chamber to assure both equate storage capacity and adequate separation from the ground water table. The design plan indicates a new opening is to be cored in the tank by the contractor but no imension is provided for this new hole. n 10.Please larify that the distribution box is to have risers installed to within 6" of finished e —232,221,228 e ase h . E ave manhole access cover to final grade over pump. 15.2315 Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely S s Y. Sawyer,'REHS/�� Public Health Director cc: Owner File LETTER OF TRANSMITTAL BRI Dufresne Merrimack Engineering Services, Inc. -66 Park Street - 907 Ocean Blvd. RECEIVED sAndover, MA 01810 - Hampton, NH 03842 JUN 0 3 2008 -(978) 475-3555 Ext. 20 - Cell: (978) 502-6206 Fax: (978) 475-1448 Email: brdufresne@comcast.net TOWN OF NORTH ANDOVER HEALTH DEPARTMENT TO: Board of Health DATE: 5-30-08 Susan Sawyer RE: 275 Hay Meadow Road NO. DESCRIPTION 3 Revised 5- 29-08 WE ARE SENDING YOU: ( )PRINTS (x )PLANS SPECIFICATIONS )COPY OF LETTER COPIES DATE NO. DESCRIPTION 3 Revised 5- 29-08 Revised septic plans 1 Pump performance curve 1 5-30-08 L.U.A. Forms THESE ARE TRANSMITTED as checked below (x )FOR APPROVAL ) FOR YOUR USE AS REQUESTED ( ) FOR REVIEW AND COMMENT APPROVED AS SUBMITTED RESUBMITTED REMARKS Plans revised per your review letter dated 5-27-08. The performance curves were submitted with the original submission, a second copy is included herewith. All items have either been addressed or are already shown on the plans. Please approve as re -submitted Thank you Page I of I DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, June 04, 2008 1:39 PM To: Dufresne Bill (brdufresne@comcast.net) Cc: I marcvenl@aol.com'; Sawyer, Susan Subject: 275 Haymeadow Road - Plan Review go With regard to the revised plans dated 5/29/08, and received at this office on 6/3/08, we have the following questions: On items 8 and 9 noted in the plan disapproval letter dated 5/27/08, would you please clarify where they are located on the plan? 8. Please indicate that removal ofsoil horizons A & B shall extend at least 6 " into the suitable soil of the C horizon. (NA 9.02) 9. Please specify the outlet elevation to be used in the pump chamber to assure both adequate storage capacity and adequate separationftom the ground water table. The design plan indicates a new opening is to be cored in the tank by the contractor but no dimension is providedfor this new hole. Once we receive the confirmation, we can move forward on a final plan approval. Thank you for your assistance. 8ost Ropazds, A~04 A9001004M.010 Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA o1845 2978.688.9540 - Phone A 978.688-8476 - Fax btt,p.//)��A-_Nv.to�A,noffiorthandoN,er.com healthdept@townofnorthandover.com 6/4/2008 '.omcag Webmaji - Email Message b,ttp://joaileenteaconicast.net/wme/v/wrW4848232300053899000039.., From: brdufresne(Mcomcast. net To: "DelleChisie, Pamela" <pdellech@townoftiorthandover,00m> Subject- Re, 275 Haymeadow Road - Plan Review Date: Thursday, June 05, 2008 1:32:13 PM Pam, With regard to item #8, the depth of excavation is noted in the Deep Test Results. With regard to item #9, the storage capacity has nothing to do with the elevation of the force main. The gravity inlet and the pump on and off levels are what affect the storage capacity of the chamber and the calculations are on the plan. Likewise the depth of the force main is not required to be above the E.S.W.T. In most cases the pump chamber is within the water table, that is why pumping is required to begin with. Title 5 requires the force main to be beneath frost elevation which is most often within the E.S.W.T. If the force main was to be above the E.S.W.T. then this would very often contradict the requirement to be below frost depth. No specific elevation is specified because the depth of the force main is variable based on the depth the tank is installed at, the site grading, and whether the contractor installs the force main to drain back to the chamber or to be below the frost line. These requirements are all specified on the plan. Hope this information is helpful and will allow a permit to be issued, I am curious as to the confusion regarding these issues when this information has been represented the same way on many plans previously reviewed and approved by your office. Thanks, LOM of 3 6/5/2008 1:32 PM Tq-.. . " 0 P PUBLIC HEALTH DEPARTMENT (ommunity Development Division June 14, 2008 Marc Venator 275 Hay Meadow Road North Andover, MA 0 1845 RE: Septic System Design, 275 Hay Meadow, North Andover, Map 104B, Lot 84 Dear Mr. Venator, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Merrimack Engineering Services, dated May 16, 2008, last revised May 29, 2008. This plan has been approved. The approval includes a Local Upgrade Approval for the request to have only one test pit within the area of the proposed system. Please keep a copy of the attached document for your records. This plan is valid for two years from the date of this approval. The design has been approved for use in the construction of an onsite septic system for a 4 - bedroom house (maximum 9 -room). During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring, the North Andover Board of Health may reduce the time period. for which this plan is valid. This approval is subject to the following conditions: I . If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit. 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe or imply compliance with any of the aforementioned requirement. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web w ww.tow nof north andover.corn Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincerel S san Y. Sawye . REH /RS Public Health Director Encl: list of licensed septic system installers Cc: Merrimack Engineering Services 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com M5'\-, Commonwealth of Massachusetts 9�� NKMXM� City/Town of Local Upgrade. Approval 'Form 913 DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the.loc al Board of Health and a signed copy provided to the system owner. Zip Code 3. Type of Facility (check all that apply): Residential E] Institutional 4. Design flow per 310 CIVIR,15.203: 5 Svstem Desirin,-rm MA State Street Address State Telephone Number El Commercial 440 gpd Steven Eriksen Name 66 Park Street Andover Address City/Town B. Approval 1. Local Upgrade Approval is granted for: [-] Reduction in setback(s) – specify: E] Reduction in SAS area of up to 25%: 01845 Zip Code F-1 School — El PE MA01810 State, ZIP SAS size, sq. ft. % reduction 0-11M 275 Hay Meadow Road form 9b - rev. 7/06 Local Upgrade Approval* Page I of 2 A. Facility Information Important: When filling out 1 . Facility Name and Address forms on the Name computer, use Marc Venator only the tab key Name to move your 275 Hay Meadow Road cursor - do not use the return Street Address key. North Andover Zip Code 3. Type of Facility (check all that apply): Residential E] Institutional 4. Design flow per 310 CIVIR,15.203: 5 Svstem Desirin,-rm MA State Street Address State Telephone Number El Commercial 440 gpd Steven Eriksen Name 66 Park Street Andover Address City/Town B. Approval 1. Local Upgrade Approval is granted for: [-] Reduction in setback(s) – specify: E] Reduction in SAS area of up to 25%: 01845 Zip Code F-1 School — El PE MA01810 State, ZIP SAS size, sq. ft. % reduction 0-11M 275 Hay Meadow Road form 9b - rev. 7/06 Local Upgrade Approval* Page I of 2 City/Town 2. Owner Name and Address (if different from above): Name Cityrrown Zip Code 3. Type of Facility (check all that apply): Residential E] Institutional 4. Design flow per 310 CIVIR,15.203: 5 Svstem Desirin,-rm MA State Street Address State Telephone Number El Commercial 440 gpd Steven Eriksen Name 66 Park Street Andover Address City/Town B. Approval 1. Local Upgrade Approval is granted for: [-] Reduction in setback(s) – specify: E] Reduction in SAS area of up to 25%: 01845 Zip Code F-1 School — El PE MA01810 State, ZIP SAS size, sq. ft. % reduction 0-11M 275 Hay Meadow Road form 9b - rev. 7/06 Local Upgrade Approval* Page I of 2 .r �L Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B B. Approval (continued) El Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate min./inch Depth to groundwater El Relocation of water supply well (explain): Reduction of 12 -inch separation between inlet and outlet tees and high groundwater Use of only one deep hole in proposed disposal area EJ Use of a sieve analysis as a substitute for a perc test List local variances granted not requiring DEP approval per 310 CIVIR 15.412(4): List variances granted requiring DEP approval: '7 N. Andover Health Dept. Approving Authority Susan Sawyer, Health Dir June 14, 2008 Print or Type Name and Title SAnature Date 275 Hay Meadow Road form 9b - rev. 7/06 Local Upgrade Approval* Page 2 of 2 Page I of I DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, June 17, 2008 3:31 PIVI To: DelleChiaie, Pamela Subject: RE: 275 Haymeadow Plan Review Attached Yep, I sent you 2 form 9b's instead. All set now though. S From: DelleChlaie, Pamela Sent: Monday, June 16, 2008 5:51 PM To: Sawyer, Susan Subject: FW: 275 Haymeadow Plan Review Attached Hi Susan, Revised plan came in on June 3rd. You left me a post it saying your letter re: revised plan was sent e- mail. I could not find it in my e-mail. I left the folder on your desk to follow-up. Thanks, Pam From: Dan Ottenheimer [mai Ito: info@ m il Iriverconsu Iting.com] Sent: Wednesday, May 28, 2008 3:56 PM To: Grant, Michele; Marianne Peters; DelleChiaie, Pamela; Randy Burley; Sawyer, Susan Subject: 275 Haymeadow Plan Review Attached Tried to be as swift as we could with this one. Dan >Mill Xwer,..,- consulting'-] Daniel Ottenheimer, President Mill River Consulting, Inc. On -Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com d,aqQ@m�ilriverconsultin2.com 6/25/2008 4. Describe Facility: Bedroom House 5. Type of Existing System: Privy [] Cesspool(s) Z Conventional E] Other (describe below): 6. Type of soil absorptiom system (trenches, chambers, leach field, pits, etc): Field t5form9a.doc - rev. 7/06 Application for Local Upgrade Approval* Page 1 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CIVIR 15.404(l), is not feasible. System upgrades that cannot be performed in accordance with 310 CIVIR 15.404 and 15.405, or in full compliance with the requirements of 310 CIVIR 15.000, require a variance pursuant to 310 CIVIR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CIVIR 15.000. A. Facility Information Important: When filling out 1 . Facility Name and Address: forms on the use Marc Venator Residence computer, only the tab key Name to move your 275 Hay Meadow Road cursor - do not use the return Street Address Ma 01845 key. North Andover Cityrrown State Zip Code vQ 2. Owner Name and Address (if different from above): Marc Venator 275 Hay Meadow Road Name Street Address North Andover Ma Cityf'rown StAtp 01845 (978) 683-8088 Zip Code Telephone Number 3. Type of Facility (check all that apply): Z Residential Institutional F� Commercial [j School 4. Describe Facility: Bedroom House 5. Type of Existing System: Privy [] Cesspool(s) Z Conventional E] Other (describe below): 6. Type of soil absorptiom system (trenches, chambers, leach field, pits, etc): Field t5form9a.doc - rev. 7/06 Application for Local Upgrade Approval* Page 1 of 4 Commonwealth of Massachusetts Cityrrown of North Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: B. Proposed Upgrade of System 1. Proposed upgrade is (check one): D -Mf gpd 440 gpd 440 gpd Z Voluntary El Required by order, letter, etc. (attach copy) E] Required following inspection pursuant to 310 CMR 15.301 date of inspection 2. Describe the proposed upgrade to the system: New 1500 gal. septic tank, gravity flow to a 1000 gal. pump tank with a 0.4 h.p. simplex pump to (2) trenches with Infiltrator Chambers 60 ft. long x 3 ft. wide x 1.0 ft. deep 3. Local Upgrade Approval is requested for (check all that apply): E] Reduction in setback(s) — describe reductions: n Reduction in SAS area of up to 25%: SAS size, sq. ft. % reduction n Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate Depth to groundwater ft. min./inch ft. t5formga.doc - rev. 7/06 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts CityrTown of North Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) Relocation of water supply well (explain): Reduction of 12 -inch separation between inlet and outlet tees and high groundwater Z Use of only one deep hole in proposed disposal area n Use of a sieve analysis as a substitute for a perc test R Other requirements of 310 CIVIR 15.000 that cannot be met — describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CIVIR 15.405(l)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Evaluator's Name (type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CIVIR 15.404(l), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CIVIR 15.000 is not feasible: Site conditions prohibited doing test pits in the necessary areas. 2. An alternative system approved pursuant to 310 CIVIR 15.283 to 15.288 is not feasible: N-1 t5fon,n9a.doc - rev. 7/06 Application for Local Upgrade Approval* Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover Application for Local Upgrade Approval Form 9A - DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: NA 4. Connection to a public sewer is not feasible: None available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): El Application for Disposal System Construction Permit 0 Complete plans and specifications 0 Site evaluation forms Fj A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CIVIR 15.405(2). El Other (List): D. Certification 1, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." Faciliq Ownere' ' ature Mark Venator Print Name Bill Dufresne/Merrimack Engineering Name of Preparer 66 Park Street Preparer's address Ma/01810 StateIZIP Code 5-30-08 Date 5-30-08 Date Andover City/Town (978) 475-3555 Telephone t5form9a.doc - rev. 7/06 Application for Local Upgrade Approval* Page 4 of 4 h ` TOWN OF NORTH ANDOVER !R! T Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 0 1845 Susan V. Sawyer, REHS/RS 978.688.9540 — Phone 978.688.8476— FAX Public Health Director E-MAIL: healthdept@townofnorthandover.cot-n WEBSITE: http://wwxv.townofnortliandover.com SEPTIC PLAN SUBMITTAL FORM ECEIVED R RECEIVED Date of Submission:_ 1�2-7,- 1 —(0 ,e MAY 2 12008 Site Locatiow A 6A L20 iJ TOWN OF NORTH ANDOVER LT P TMENT DEPART Engineer_H Ey&j WACAL j�� HEALTH New Plans? Yes Check # (includes I" submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? Yes No Local Upgrade Form Included? k)f>,. Yes No Telephone —Fax #: �2 E-mail: Homeowner Narne:_-, OFFICE USE ONLY clit-16%- %sqJ1 When the submission is complete (including check): )0' Date stamp plans and letter Complete and attach Receipt Copy File; Forward to Consultant Enter on Log Sheet and Database . v I # LE40-Series 4/10'hp 2"Solids-kandling T' Discharge Features: Heavy Gast iron construction -Vortex style impeller. made of corrosion resistant high te M-0erature po- lymer -.Oil filled, thermally protected motor Permanently lubricated bearings. * All stainless steel fasteners and rotor shaft * 10' power cord with quick -disconnect design'— standard (25 'cords also available) * Mercury -free float with series (Piggy- back) plug on automatic models Model LE41M 11 5V., 12a, Manual, (no switch) Model LE41A 11 5V., 12a, Automatic F r PERFOR�MCE CURVE 1550 RPM U.S. Gallons Per Minute CO- Certified Models Available C us LE50-Series 1/2.hp 2"Solids-Handling 2',01scharge Features: Heavy cast iron construction with 2 -vane semi-oben *'HYTRELO impeller Oil filled, thermally protected motor Permanently lubricated bearings A 11 stainless steel fasteners Stainless steel rotor shaft e 10' power c.0-rd,with quick -disconnect 'design — standard (25'cords als' 0 available) Mercury -free float with series (Piggy - Pack) plug on, automatic models HYTRELO is a registered trademark of DuPont Polymers Model LE51M 115V., 1.2a, Manual (no switch) .Model LE51A 115V., 12a, Automatic Model LE52M 208-23OV., 6.8a, Manual (no switch) Model LE52A 208-23OV., 6.8a, Automatic PERFORMANCE CURVE 1725 RPM t ,LE70-Series �1/4 hp 2" Solids -Handling 2" or 3" Flanged Discharge Features: Heavy cast iron construction, dK` 2 -vane cast firon impeller. Oil filled, thermally protected motor. All,stainless steel fasteners Stainless steel rotor shaft Single and 3-phase models 1 01 power cord with pick -disconnect, standard on single-phase, models, (25'cords also available) - '7,� Mercury -f ree float with series (Piggy- back) plug on automatic models Model LE71M 11 5,V., 12a, Manual (no switch) ModelLE71A 115V., 12a, Automatic Model LE72M 208-23OV., 6a, Manual (no switch) Model LE72A 208-23OV., 6a, Automatic Also available in 208-23OV. 3-pbase, 44048OV. 3-phase, and 575V. 3-phase. PERFORMANCE CURVE 1725 RPM U.S. Gallons Per Minute I MapiTamet 14A4 Lutaller. I Ttl.ff--AEIL-112� NewPML.Repidr Datv--_��It*-��Wcthmd jZLv&onejj — SOUSymbal S.Ua.L�L Deep. Obsuvittion Hole Logs Elm-Rdon . D�d Son R�r'izoio Son Tatat Soil bolor, Son blottlInt. % Grqvd. Stolle; A W I Ole -14!f e�e 10 a A06 wow JIM frM 14 F. do Date __EiO Vercallition Tests Oble Dept stlud Mme Mime Time Time -Ritte Oe—vritnessed Br. RECOJED TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES APR 2 2008 HEALTH DEPARTME NT NORTH ANDOVER 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 CONSERVATION COMMISSION NORTH ANDOVER, MASSACHUSETTS 01845 CH, Susan Y. Sawyer, REHS, RS 978.688.9540 Phone Public Hcalth Director 978.698.8476 FAX RECE'---'-- IVED www.townofinorthandover, APPLICATION FOR SOIL TESTS APR 2 8 2008 TOW�N ND(0)Ff:�ITH A, r)()VE AqO �F t4 R L J.P, HEALI'Pi DEPAWWf.-,1\JT" DATE: MAP& PARCEL: 167q D � , F --- I LOCATION OF SOIL TESTS: Z25 flQ, r:�,MM Contact 4: 6e*—%Fbe�O APPLICANT:- ' 6/A" e, Contact ff: 7, ADDRESS: W5 1--rAL<-�1U4&-2QLA-2 k�— ENGINEER. 11 aKft—�L I X0 Contact#:. �--j ?p,) 4t? r5� — CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision inglo'Family Ho -6 Commercial Is This: Repair Testing: Undeveloped Lot Testing:_ Upgrade for Addition:_ In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM > Proof of land ownership (Tax bi It, or letter from owner permitting test) > 8. 5" x 11 " Plot Plan &- Location of Tes#gg aka_se indicate test pit sites on th e &a) > Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee d* r lot for regairs or upgrades. GENERAL INFORMATION > Only Certified Soil Evaluators may perform deep hole inspections. > Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. > At least two deep holes and two percolation tests are required for each septic system disposal area. > Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. > Full payment will be required for all additional tests within two weeks of testing. > Within 45 days of testing, a scaled plan (no smaller than I"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). > Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line ................ N.A. Conservation Comm&sion Approval /0 Signature of Conservation Agent. Date back to Health Department: (stamp in): v �,1�� 13 N. f -% \-4A J�-A F4 )-Y;?