Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 303 BERRY STREET 4/30/2018
303 BERRY STREET i /- 2101108.C-0063'00DO-D 1 1 LAI � s MAP # __— ------- LOT #_.._..__...._1._....__.._... ._....... PARCEL #.__._. _- STREET..._....._ �1.- _ CO.N,STRU.CT.,I Q.N.,..,.OPPROV.AL. HAS PLAN REVIEW FEE BEEN PAID? YES NO PLAN APPROVAL: DATE__...__ _ � APP. BY,,-O.-- DESIGNER: Y ...._._ .DESIGNER: A16-t> C---._ _ _--- PLAN DATE.--.._._..._7......._.__._............... CONDITIONS _—_-------- — _ ---—........_._..__.._....__._..---- - - -- - _.... WATER SUPPLY: TOWN WELL WELL PERMIT__��� __.. DRILLER,..__.-,.___ yl�•J WELL TESTS: CHEZ TICAL DA I E (11'PRUVEll BACTERIA I DML OPPRUVEI) Q ' BACTERIA II DA I E APPROVEll_._....._.___-._ COMME FORM U APPROVAL: APPROVAL TO ISSUE =S NO ryoe DATE ISSUED_ BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID YES No WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:. .., . By . ..... . SEPT z_Q..__5.Y_S CEM__�.�??.TA�.�,.R. . ..QN. IS THE INSTALLER LICENSED? YES NO TYPE OF CONSTRUCTION: NL EPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES O CONDITIONS OF APPROVAL ES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NU DWC PERMIT NO. ��44 INSTALLER:_ BEGIN INSPECTION YES NO: EXCAVATION . INSPECTION: NEEDED: PASSED BY- --- -- -- --._��_ -- ---- CONSTRUCTION INSPECTION: NEEDED:-_.._.____.__.____..__..__._.__._.........___.....__.___..___....__ .............. 5llail- _•11 ' �_ ` •� �'f AS BUILT PLAN SATISFACTORY: YES. APPROVAL TO BACKFILL: DATE: �� --BY-_.�.__...__.......... - - -- - INAL GRADING APPROVAL: DATE FINAL CONSTRUCTION APPROVAL: DATE:__-___._____ }° 1-2-30---21--)13 a 1 1 = �9pct Notice of Alternative Sewage I) sposal.System M.G.L. c. 21A, § 13 and 310 CMR 15.0287(10) This Notice to be recorded and/or filed for registration in the chain of title of the Property served by an.Alternative ewage Disposal System("Alternative System ),I NAME(S)OF OWNER OF PROPERTY SERVED BY T RN T`tVE SYSTEM: ADDRESS OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: c� � t TITLE REFERENCE FOR PROPERTY SERVED BY ALTERNATIVE SYSTEM[check and complete each that applies]: r V' 7Deed recorded with the (.�J� Registry of Deeds in Book 6Page 2�4 —Certificate of Title No. issued by the Land Registration Office of the _ Registry District Source of title other than by deed [If Alternative System Owner(s)is other than Property Owner(s),complete the following:] Alternative System Owner Nance: Alternative System Owner Address: — WHEREAS, Section 15.280 of Title 5 of the State Environmental Code("Approval of Alternative Systems"),provides for the Massachusetts Department of Environmental Protection(the "Department")to approve or certify, as appropriate,all proposals to construct,upgrade or replace on-site sewage disposal systems using alternative systems; WHEREAS,owners and/or operators of approved or certified alternative systems are subject to general conditions, as specified in Section 15.287 of Title 5 of the State Environmental Code,310 CMR 15.287,and may be subject to special conditions,as specified in the Department's approvals or certifications; such general and special conditions potentially including,without limitation,requirements relating to the use of trained operators,periodic inspections,maintenance,sampling,reporting and/or recordkeepmg; WHEREAS, Section 15.287(10)of Title 5 of the State Environmental Code,310 CMT: 15.287(l 0),requires that"prior to obtaining a Certificate of Compliance for installation of a new or upgraded system,the system owner shall record in the chain of title for the property served by the ,alternative s ste y m rn the Regis of Deeds and/or Land Registration grstratron Office,as applicable,a Notice disclosing Both the existence of the alternativA on-site system and the Department's approval of the system. The system owner shall also-provide-evidence of such recording to the local Approving Authority[J"and WHEREAS, the Property is served by an alternative sewage disposal system. , NOW,THEREFORE,Notice of an alternative sewage disposal system is hereby given for the . move-referenced Property, as follows: 1. Existence. An alternative system has been installed as a new or upgraded alternative sewage disposal system, on or adjacent to the Property, and serves the Property. The trade name and model number(s) of the alternative system are as follows: n Trade name of technology: avy {lzv, t�J���V - ) Manufacturer Name: Model number(s): 1KA16ZLIF L REU:�.�l�'E D i Page 1 of t C `u 302013 TOWN U1-NURTH ANDOVER HEALTH DEPARTMENT 2. Approval/Certification. On AV 2 2013 [date],the Department,pursuant to its authority under the section of Title 5 as specified below, approved or certified the technology used in the above- referenced alternative system, under MassDEP Transmittal Number>C22 [Transmittal Number of approval or certification]. [Check one of the following,as applicable:] Approved for remedial use under 310 CMR 15.284 ____Approved for piloting under 310 CMR 15.285 Provisionally approved under 310 CMR 15.286 Certified for general use under 310 CMR 15.288 A copy of the Department's Approval/Certification is available from the Department in person or on- line at the Department's website: http://www.mass.gov/dep . WITNESS the execution hereof under seat this /2- day of 0ypAlkl'L , 2013_,made by the above-named Alternative System Owner(s). [Alternative System Ow-nneer(s)l Print Name(s): COMMONWEALTH OF MASSACHUSETTS qLtrjqjt , ss On this 12 da of Nb ! 20 Y 13i l Jbefore me,the undersigned.notary public,personally o appeared -Thlv fi-A--g �et2L �_ (name of document signer),proved to me through satisfactory 3 evidence of identification,whi h�7DjZ i vr�e5 L 1CCr%6r_ ,to be the person v;hose name is _ M signed on the preceding or attached document, and acknowledged to me that(h (she)signet' it Z Z voluntarily for its stated purpose. ffi 3 a <.a official signature and seal of notary) N ; 'a o m a- ------------------------------------------------------------ -------------------------- ----------------------------------� k N nr [Complete the following Property Owner(s)Consent if Alternative System Owner(s)is other than the Property Mq*n p Owner(s):l w e Z N CONSENTED TO: IF [Property Owner(s)] Print Name(s): Date: COMMONWEALTH OF MASSACHUSETTS ss On this day of :20 ,before me,the undersigned notary public,personally appeared (name of document signer),proved to me through satisfactory evidence of identification,which were ,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that(he) (she)signed it voluntarily for its stated purpose. Upon recording,return to: (official signature and seal of notary) [Name and address of Property Owner(s)] Page 2 of 2 RECEIPT Printed: December 30, 2013 @ 11:59:5 Essex North Registry M. Paul Iannuccillo Register Trans#: 29527 Oper:LRRECKM THOMAS PERRY ----------------------------------- Book: 13743 Page: 221 Inst#: 36365 Ctl#: 88 Rec:12-30-2013 @ 11:59:54a NAND 303 BERRY ST DOC DESCRIPTION TRANS AMT --- ----------- --------- NOTICE Surcharge CPA $20.00 20.00 I 50.00 recording fee 50.00 5.00 TECH FEE 5.00 Total fees: 75.00 a *** Total charges: 75.00 CASH PMT PAYMENT -CASH 75.00 i II • S�STLED'j�� • • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 12/3/13 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of an On-Site Sewage Disposal System By: William Sawyer At: 303 Berry Street Map 108C Lot 0063 North Andover, MA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Thomas Trowbridge, DDS, MD BOH Chairman 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Nov 13 13 01:50p Jack Sullivan 978-352-7871 p.2 �Mow�h D?�!:w �. •gyp` F � I a i RECEIV fipV 13 2013 PUBLIC HEALTH DEPARTMENT (ommunilr DevelopmentDivisiors TOWN OF NUKIH ANDOVER _.. . HEALTH.DEP.ARTMEN TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal SystemAconstructed;( )repaired; By: Tdrh ��' &�&�7/�3 (Print Na Located at: 30 ;& �� (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated -2?• �3 $-13•l3 and last revised on ,with a design flow of yygallons 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.A] ork is accurately represented on the As-built which has been submitted to the Board of Health. i Bottom of Bed Inspection Date: karEngin r Re esentati ignalure) �.T And—Print Name Final Construction Inspection Date: Aepr IV40oEngiignature) And—Print Dame Installer: (Signature) Date: t i And—Print Name Enginer: (Signature) Date: . • jow,G� rat And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web hitp://www.townofnorthandover.com i I 1 I 5 6 • North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 303 Berry St. MAP: 108.0 LOT: 0063 INSTALLER: William Sawyer DESIGNER: Sullivan Engineering 9 9 PLAN DATE: 7/22/13 BOH APPROVAL DATE ON PLAN: 8/14/13 INSPECTIONS TANK INSPECTION: 10/30/13 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 11/4/13 DATE OF FINAL GRADE INSPECTION: bOI\JC— SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned *® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: (2) building sewer lines — existing building sewer line and new building sewer line from addition per plan addendum. SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan X Bottom of tank hole has 6" stone base X Weep hole plugged ® 1500 gallon tank has been installed H-20 loading X Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle) ® 24" inch cover to within 6" of finish grade installed over inlet and outlet N/A Hydraulic cement around inlet & outlet Comments: House to tank 11'6" —tank has changed, neoprene boots in tank Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: left stakes 27'.9"L x 8.6"W right stakes 27'.6"x8'.4" depth 5 ft. 1 inch SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers Low Profile ® Number of chambers per row: 7 ® Number of rows (trenches): 6 Comments: Total Chambers = 42 FINAL GRADE Loamed Seeded Cover per plan i Comments: i DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer As-Built Plan BM = 100.00 HR = 2.18 HI = 102.18 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark 2.18 100.00 Building Sewer OUT New 3.82 98.01 97.96 Septic Tank IN 4.70 97.13 97.16 Septic Tank OUT 4.97 96.86 96.91 Distribution Box IN 6.29 95.54 95.53 Distribution Box OUT 6.43 95.40 95.36 Lateral 1 TOP 6.63 Lateral 1 INVERT 95.20 95.21 Lateral 2 TOP 6.63 Lateral 2 INVERT 95.20 95.21 Lateral 3 TOP 6.63 Lateral 3 INVERT 95.20 95.21 Lateral 4 TOP 6.61 Lateral 4 INVERT 95.22 95.21 Lateral 5 TOP 6.62 Lateral 5 INVERT 95.21 95.21 Lateral 6 TOP 6.61 Lateral 6 INVERT 95.22 95.21 Top of Chamber 95.6 Bottom of Bed/Chamber 7.28 94.90 94.93 CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib.to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 I 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 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants November 12, 2013 RECEIVED Town of North Andover Health Dept. Nuel .i 4 1013 c/o Susan Sawyer TOWN OF NOR i H ANDOVER 1600 Osgood Street, Suite 2035 HEALTH DEPARTMENT North Andover, MA 01845 Re: Septic As-Built Plan 303 Berry Street, North Andover Ms. Sawyer; Enclosed are two (2) copies of the Septic As-Built plan for the above referenced property. The homeowner will be providing you a co of the recorded Deed Notice for the infiltrator units per Title 5 p gY copy requirements. If you should have any questions or comments please feel free to contact me. Very Trul , our Ja Su an, PE 22 Mount Vernon Road Boxford,Massachusetts 01921 (978)352-7871-Phone 978 352-7871 -Fax �tsrren} 6 • Commonwealth of Massachusetts Map-Block-Lot • 108.00063 BOARD OF HEALTH - -- • Permitmit No North Andover BHP-2013-0999 ----------------------- FEE $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Arco-Excavators Inc. to(Repair)an Individual Sewage Disposal System.atNo 303 BERRY STREET f as shown on the application for Disposal Works Construction Permit No. BHP-2013-099 Dated October 28,2013 -- ----- --------------------------- Issued On:Oct-28-2013 BOARD OF HEALTH a ' °f °oTH,ti Application for Septic Disposal System TODAY'S DATE _ pConstruction Permit - TOWN OF 4L ,° ` ` ORTH ANDOVER MA 01845 $250.00—Full Repair $125.00-Component s�cHuse Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component—What? cursor-do not key the return A. Facility Information Y AddQress or Lot# 3O-S Pr" SJ City/Town _ 4 jP l 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump ER Gravity(choose one) ***If pu p system,attach copy of electrical permit to application*** ❑ Conventional System (pipe and stone system) Onfiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information T ��rr1 Name Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information iAwLam sawqer Name Name of Company qc 6 i�Er Address City/Town 1, State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Ile/ Addre City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 I i rf • gORt7f Application for Septic Disposal System TODAY'S DATE Xonstruction Permit - TOWN OF ORTH ANDOVERMA 01845 $ 250.00-Full Repair , *S"�ACMU5�4 $125.00-Component PAGE 2 OF 2 A. Facility Information continued.... 5. Type of BuildingAResidential Dwelling or❑Commercial 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 issued by this Board'of Health. Name Date Application Approved By: (Board of Health Representative) Name Date Application Disapproved for the following reasons: For Office Use Only: Z Fee Attached.? Yes No 2. Project Manager Obligation Form Attached? Yes No 3. Pump Svstem? If so,Attach copy ofElectrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 Sawyer, Susan From: Jack Sullivan <jacksull53@comcast.net> Sent: Monday, October 28, 2013 12:17 PM To: Sawyer, Susan Cc: Grant, Michele;Arco (arcoex@comcast.net) Subject: Re: 303 Berry Street, NA -Additonal building sewer to Septic Tank Attachments: 303Berry_NewSewerLine.pdf Susan & others, The owner of 303 Berry Street is looking to run the sewer service from the recently constructed addition on the OUTSIDE of the foundation to the proposed septic system. Originally the sewer service for the addition was going to be tied into the existing building sewer...but due to a finished basement this would be problematic. Attached is a red line portion of the plan showing how the proposed sewer line from addition will run to the proposed septic tank. Invert elevations are shown, pipe type, length, slope are shown. I also turned the proposed septic tank 90 degrees to better receive the 2 building sewers now coming into the tank. I will reflect these changes on the as-built plan as well. ALL other aspects of the approved septic plan have not changed. Jack Sullivan 978-352-7871 Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 Sawyer, Susan From: Jack Sullivan <jacksull53@comcast.net> Sent: Thursday, October 31, 2013 9:00 AM To: Sawyer, Susan Cc: Grant, Michele;Arco (arcoex@comcast.net) Subject: Re: 303 Berry Street, NA Hi Susan + Michelle, On my design plan I had left 6" of spacing between infiltrator units which was not needed (I leave 6" of spacing when I design drainage fields). I corrected this when I laid the field out for Arco. I know someone just did the bottom of bed inspection and Tom called saying you may have a question on the spacing. Hope that explains the difference. Since this site is so tight with setbacks to the well, wetlands, and property line the elimination of the 6" spacing between units helped out. I will reflect this change on the As—Built plan. Thanks. Jack Sullivan 978-352-7871 From: "Jack Sullivan" <jacksul153CD-comcast.net> To: "Susan Sawyer" <ssawyer townofnorthandover.com> Cc: "Michele Grant" <mgrant townofnorthandover.com>, "Arco (arcoex(D__comcast.net)" <a rcoex(W-com cast.net> Sent: Monday, October 28, 2013 12:17:20 PM Subject: Re: 303 Berry Street, NA -Additonal building sewer to Septic Tank Susan & others, The owner of 303 Berry Street is looking to run the sewer service from the recently constructed addition on the OUTSIDE of the foundation to the proposed septic system. Originally the sewer service for the addition was going to be tied into the existing building sewer...but due to a finished basement this would be problematic. Attached is a red line portion of the plan showing how the proposed sewer line from addition will run to the proposed septic tank. Invert elevations are shown, pipe type, length, slope are shown. I also turned the proposed septic tank 90 degrees to better receive the 2 building sewers now coming into the tank. I will reflect these changes on the as-built plan as well. ALL other aspects of the approved septic plan have not changed. Jack Sullivan 978-352-7871 i Pro Deck / NEATION BY WPI Grossed Extension Prop. SILT SOCK ` 15, 2013 �� B , 76' — — ——_.� � � / 12" DIAME R (TYP) 100 o 4 6' ( .6' IL W6'e _J ro ,�eck W Re Approxir �. * n) Service CP � 18.0 s � N 0 � 39' / 8e Steps To o Rem (9h) ad PROP. 1 o ved / ADDION EX. 1 1/2 STO A17 /o TOF=10.0:0' WOOD FRA R y 94 \ 7 BS=492.3' 6. STRUC7IIREE i 3ARRIER PROP. FOUNDATIONCO (METE _� 18_0_' jr 15.75' TO CT TO IN ` / 24' � 8) = 91.75' DRYWELL 3 18" 9/� Aread F SYSTEM 102.7 98 / 4' 20 J C_ RSO _ Wolkw 8 / Prop pp 32. 02 J� O�SR 4"/1 Fini� 0 d Gr — 4a 9 6' EX. 100 FOOT WELL C .nc. PROTECTION RADIUS (95x67) 2 T ` eptic vG�vRE96 S�Ft �Or1 Prop. 18" Wide x 4" Deep Grassed Swale "\ � 97x67 LIMIT OF 5 FOOT OVERDIG (TIP) o o FILL MATERIAL TO MEET " 0 15.255(3) SPECIFICATION IN SECTION /� 15.255(3) OF TITLE 5 CODE 9 OF INFIL TRA TOR UNI TS (42 UN/7S TOTAL) ,.. LUS STANDARD LP o 1g�FFER INSPECTION PORT TO WITHIN 3n OF FINISHED GRADE LEVATIONS AND TIES SHOWN ON THIS fUAL SURVEY MADE ON THE GROUND. EX. SEPTIC TANK TO BE PUMPED OF CONTENTS AND DECOMMISSIONED IN ACCORDANCE WITH TITLE 5 REGULATIONS DATE APPROXIMATE LOCATION OF EX. SEPTIC LEACHING PITS (3 TOTAL). CONTRACTOR TO REMOVE ANY ENCOUNTERED PITS TO THE LIMIT OF THE 5 FOOT OVERDIG AND FILL VOID WITH TITLE 5 SAND • S�gTi:ED l� • EMCOPY IMF- North Andover Health Department Community Development Division August 5, 2013 John Sullivan, P.E. 22 Mount Vernon Road Boxford, MA 01921 Re: Subsurface Sewage Disposal System Plan for 303 Berry Street(Map 38, Lot 34) Dear Mr. Sullivan: The proposed wastewater system design plan for the above site dated July 22, 2013 and received on July 25, 2013 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item where applicable. 1. A scaled profile of the system is required (NA 3.2). On Sheet 1 of 2, please depict the location of the percolation test (3 10 CMR 15.220(4)(i)). ✓ 3. On Sheet 1 of 2, please depict the location of the water line (3 10 CMR 15.220(4)(m)). On Sheet 2 of 2, please depict the required depths of the inlet and outlet tees in the septic V--5'. / tank(3 10 CMR 15.227(6)). It appears an effluent filter is being proposed according to note#18 under General Notes. Please indicate the DEP approved brand and model. A manhole cover to finish grade will Iso be required above the outlet with an effluent filter(3 10 CMR 15.227(7)). tom. It appears the bottom of the septic tank elevation(92.58) is below the ESHWT of 90.93. Tlease provide buoyancy calculations (3 10 CMR 15.221(8)). ease provide a note that the septic tank shall be watertight (310 CMR 15.221(1)). Please provide a note that the outlet pipes of the distribution box shall be laid level for the first 2 feet(3 10 CMR 15.232(3)(c)). 9. There should be a minimum of 9 inches of cover material above the top of the distribution box. There appears to be approximately 5 inches based on a proposed spot elevation of 96.7 and a top of distribution box elevation of 96.28. If the distribution box will have a greater than 9 inches of cover material please provide a riser in accordance with(3 10 CMR 15.232(3)(f)). Page 1 of 3 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01.845 Phone: 978.688.9540 Fax: 978.688.8476 i I 10. A percolation rate of 16 mins/inch should be used for the design calculations instead of 15 mins/inch. The percolation test had a recorded time of 46 minutes for the water level to drop from 9 inches to 6 inches. A copy of the Board of Health representative's field notes are included for reference. Based on aercolation rate of 16 mins/inch the loading g rate should be 0.53gpd/ f instead of 0.56 gpd/sf. Please modify the design plan �cxordingly. On Sheet 1 of 2,the proposed grading is within 5 feet of the property line therefore a swale should be proposed (310 CMR 15.255(2)). +� 12. On Sheet 1 of 2, the proposed grading between the 98 and 100 contour is not a 3:1 slope. .,,__�3. On Sheet 2 of 2,please indicate the depth and layers of removal below the proposed leach field. 14. Please reference the appropriate document that specifies the allowance of crushed stone between the Infiltrator Chambers. 15. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use"will apply. Please provide the following as required by the approval conditions Section II(18): - proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; - certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and - a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: 1. has been provided a copy of the Title 5 IIA technology Approval, the Owner's Manual, and the Operation and Maintenance Manual, and the Owner agrees to comply with all terms and conditions; 2. for Systems installed under a Remedial Use Approval, the owner agrees to fulfill his responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; 3. for Systems installed under a Remedial Use Approval, the owner agrees to fulfill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); 4. if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and 5. whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Page 2 of 3 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 16. A deed notice will need to be recorded prior to construction in accordance with Section tom-- IV of"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use". 17. In accordance with Section II(7) of"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use", please provide a best feasible upgrade plan. 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. Zs�a , Ser HS/RS Public Health Director ' I Page 3 of 3 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 ��__►._�.�_!3 . .303 . . _ �j-� �' , � .� �� m�a o- a --- -- - lot-- 3 4. --- 1 1 i /I \�1 4 -J TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION ©� 57 S/ ' Pnnt: PROPERTY OWNER �d ���21 /1 rinfi 109 Year®Id Structure yes no �P �- Historic,Distnct yes _ no MAPINO: 108 PARCEL: ZONINGIDISTRICT: Machine Shop Village yes, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family � ddition ❑Two or more family El Industrial 11Alteration No. of units: El Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DiSeptic. oWell ❑ Floodplain 9 Wetlands ❑ Watershed,Qistnct E Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) rb � � OWNER: Name: Phone:f/j'z.I'6 e Address: CONTRACTOR Name: Phone: Address: _ Supervisor's�Const'ruction License: Exp: Date: Home Imp_rovement.Liaense Exp; Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund I's 4gent/Owrier Signature of contractor Ian El Stamped Plans ElPlans Submitted ❑ Plans Waived F1 Certified Plot P Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE-DISPOSAL Public Sewer ❑ Tannin Swimmin Pools ❑ g/MassageBodyArt ❑. . g Well ❑ Tobacco Sales ❑ ❑ Food Packaging/Sales ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on f` l Signature COMMENTS HEALTH Reviewed on Signature .ten COMMENTS :5),/S�y tjiZ Ly✓ Z�: t) 0 _ Cr"�l lL� � [�-�' !^-t,5 c� �17 Gz-(� ✓r..V ,�/Z�/ i3 Zoning Board of Appeals: Variance, petition No: Zoning Decision/receipt submitted- yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Si nature a Date Driveway Permit DPW Todv! Engineer: Signature: Located 384 Osgood Street FIRE ®EPARTf�II'NT - Temp Dumpster on site yes no Located at'924 MainStreet-. Fire Departhie"�t-signature/date COMMENTS i O - • S��TCEb"j6a6 • • North Andover Health Department Community Development Division August 15, 2013 Tom Perry 303 Berry Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 303 Berry Street, Map 106D, Lot 49 Dear Mr. Perry: The proposed wastewater system design plan for the above site dated July 22, 2013 with a final revision dated August 13, 2013, received on August 14, 2013 has been approved. The design has been approved for use in the construction of a new upgraded onsite septic system, designed for a 4-bedroom (maximum 9- room) home. This plan is good for 3-years from the date of approval. 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 or the plan approval will be voided. This approval is also subject to the following conditions: 1. The owner will record the required Deed Notice prior to Construction. Additionally, the owner will provide written certification to the Board of Health to comply with Section Il (18) for alternative systems. 2. Prior to the issuance of the Disposal Works Installers Permit, the applicant must submit a foundation as-built at the same scale as the approved plan. The overlay will ensure the new foundation and new system meet the minimum distance requirements. 3. 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 t (310 CMR 15.020(1)). Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 303 Berry Street August 15, 2013 4. 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 and/or imply compliance with any of the aforementioned requirements. 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. Sinc• ly, san Y. , REHS/RS Public Igealth irector i Encl. N Andover Installer's list cc: Jack Sullivan, PE File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 A Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants August 14, 2013 Town of North Andover Health Dept. c/o Susan Sawyer `` F C r-5 1600 Osgood Street, Suite 2035 U t-d_� .... North Andover, MA 01845 AUG 14 2013 Re: Revised Septic Plans TOWN OF NORTH ANDOVER 303 Berry Street HEALTH DEPARTMENT Ms. Sawyer; Enclosed are three (3) sets of the revised Septic Plans for the above referenced property The following changes/revisions were made based on the review letter; 1) A scaled profile of the system has been added to Sheet 2 2) Percolation testing area has been added to Sheetl 3) The location of the water line from the well to the house is shown on Sheet 1 4) Depths of the inlet/outlet tees are shown on Sheet 2. 5) There is no proposed septic effluent filter for the existing septic tank. The note has been removed from the plan regarding the effluent filter. 6) The bottom of the Septic Tank elevation(92.58')is ABOVE the seasonal groundwater table (90.93')....no buoyance calculation required. 7) The proposed septic tank has been noted to be `Watertight"on Sheet 2 8) On the system profile on Sheet 2 the first 2 feet out of Dbox noted to be level 9) A note has been added to the plan on Sheet 1 requiring the finished grade over the D-box to be at Elevation 97.04' which is the required 9 inches. 10 AP ercolation rate of 15 MPI was used 11)A swale is shown along the property line since the proposed grading is within 5 feet 12) The 2:1 slope is only in areas with the HDPE barrier is being used. With a HDPE barrier you can grade out at 2:1 beyond the barrier 13) The depth and layers of the Horizon A and Horizon B removal for the system installation has been labeled on Sheet 2. 14)The area between the infiltrators has been changed to Title 5 sand instead of crushed stone 15) I contacted Infiltrator Systems, Inc and at this time there is no required training for DESIGN of systems. Installers are still required to be certified. 16)The owner will record the required Deed Notice prior to Construction. Additionally,the owner will provide written certification to the Board of Health to comply with Section II(18) for alternative systems. i 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone 978.352-7871 -Fax 17)A best feasible upgrade plan showing a conventional system design has been shown on Sheet 1. The calculations in sizing the conventional system are shown on Sheet 2. If you should ha e any questions or comments please feel free to contact me. Very Truly Yo , Jack Sulli I 22 Mount Vernon Road Boxford,Massachusetts 01921 (978)352-7871-Phone 978352-7871 -Fax I Blackburn, Lisa From: Sawyer, Susan Sent: Wednesday,August 14, 2013 10:10 AM To: tperry@shawmut.com Cc: Elizabeth (eperry131@verizon.net);Jack Sullivan; Blackburn, Lisa; Grant, Michele Subject: RE: 303 Berry St - Septic review Hi Tom, Jack and I just spoke. I believe we are on the same page as far as the review. He is working on those changes. I will be ready with the approval letter so it will be ready to go, as soon as he submits the changes and I can check over them. The approval letter will be sent to you and the building dept and we will be able to sign the Form u at that time. For expedience, the letter will be sent via email. Thank you Susan From: Sawyer, Susan Sent: Friday, August 09, 2013 11:44 AM To: 'Jack Sullivan' Cc: Elizabeth (eperry131(cbverizon.net); 'tperry@shawmut.com' Subject: RE: 303 Berry St - Septic review http://www.mass.gov/eea/docs/dep/water/wastewater/o-thru-v/stdconda.pdf Jack, I was wrong, my reviewer has found a newer document from DEP dated June 6, 2013 that requires the items listed in the review. I had not heard of these changes. So the related few items on the review stand as written. As for the perc rate; I wouldn't generally round down, however I would do so in this specific case as it is such a slight amount above, but would require a large increase. I appreciate your cooperation with these new rules that we have to comply with. Let's talk on Monday. I would like to move forward as soon as possible. Susan From: Jack Sullivan [mailto:jacksull530)comcast.net] Sent: Friday, August 09, 2013 12:05 AM To: Sawyer, Susan Subject: Re: 303 Berry St - Septic review Hi Susan, I received comments back on 303 Berry and the majority of the comments are fine...I am confused on ITems 15-17 stating that this an alternative system...I am proposing infiltrators which is allowed for I i general and remedial use...I dont believe this is an alternative system requiring the deed notice, training notice, etc...am I missing something?? Otherwise I can easily address all the other issues...the only other thing was the 16 MPI percolation...the 3 inch drop was in 46 minutes...which adjusts to 15.33 MPI...I rounded down to 15 MPI which is somewhat standard-it looks like the inspector rounded up to 16 MPI...I am not trying to split hairs but typically it would be round down to 15 MPI..thoughts? From: "Jack Sullivan" <jacksu1153(c-comcast.net> To: "Susan Sawyer" <ssawyer(a)_townofnorthandover.com> Sent: Tuesday, July 30, 2013 8:24:15 AM Subject: Re: Septic Design Engineers Great...thank Susan..enjoy the rest of your summer From: "Susan Sawyer" <ssawyer townofnorthandover.com> To: "Jack Sullivan" <iacksu1153(cDcomcast.net> Sent: Tuesday, July 30, 2013 7:59:59 AM Subject: RE: Septic Design Engineers Lisa must have gotten the same call.The updated list has been sent to be posted—and you are on it. From: Jack Sullivan [mailto:jacksu1153(cbcomcast.net] � Sent: Monday, July 29, 2013 3:18 PM To: Sawyer, Susan Subject: re: Septic Design Engineers Hi Susan, I just had a long term client call and ask if I could prepare a septic plan in North Andover...I said of course...he said I was not on the list of engineers the Town provided.....if I am not on the list could you please look to add my information below... Thankoull Y I Sullivan Engineering Group, LLC Jack Sullivan 22 Mount Vernon Road 2 i Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Monday, August 05, 2013 2:53 PM To: Blackburn, Lisa; 'Dan Ottenheimer'; 'Pam Lally' Cc: Sawyer, Susan; irowe@millriverconsulting.com Subject: RE: 303 Berry St. Attachments: 303 Berry St - Soil testing results 6-18-13.PDF; 303 Berry St- Disapproval letter 8-5-13.doc Susan/Lisa, Attached is the disapproval letter for the above referenced property. A number edits required. Most notably the newer standards for using Infiltrator Chambers. A few major points are: - Deed notice is required (Remedial sites only) - System owner acknowledgement - Best feasible upgrade plan We can discuss in more detail if needed. Let me know if you have any questions. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 1 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdept townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: July 24, 2013 Site Location: 303 Berry Street Engineer: Jack Sullivan New Plans? Yes X $225/Plan Check# (includes 1St submiss7RECIE. IVED re, review only) Revised Plans?Yes $75/Plan Check# 5 2013 Site Evaluation Forms Included? Yes X No TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Local Upgrade Form Included? Yes No X Telephone#:978-352-7871 Fax#:978-352-7871 E-mail:jacksu1153@comcast.net Homeowner Name;Tom Perry (Phone#:617)839-4710 OFFICE USE ONLY When the subission is complete(including check): ➢ ✓ Date stamp plans and letter ➢ Complete and attach Receipt ➢ ✓ Copy File;Forward to Consultant ➢ /Enter on Log Sheet and Database Commonwealth of I assachs City/Town of /Qr�iO� Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information ����IlfEp 1. Facility Information JUL 25 2013 Tom Perry Owner Name TOWN OF NORTH ANDOVER 303 Berry Street Map/Lot: Map 108C Lot 63 HEALTH DEPARTMENT Street Address North Andover MA 01845 City/Town State Zip Code B. Site Information 1. (Check one) New Construction ❑ Upgrade ® Repair ❑ 2. Published Soil Survey available? Yes ❑ No ® If yes: Year Published Publication Scale Soil Map Unit Soil Name Soil limitations 3. Surficial Geological Report available? Yes ❑ No ® If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes ® No ❑ Within the 100 year flood boundary? Yes ❑ No Within the 500 year flood boundary? Yes ❑ No ® Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 1 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M 6. Current Water Resource Conditions (USGS) Range: Above Normal ❑ Normal ❑ Below Normal ❑ MonthNear 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole Number: 1 June 18, 2013 10:00 am. 80 degrees/clear Date Time Weather 1. Location Ground Elevation at Surface of Hole_98.65 (Assumed Datum) Location (Identify on Plan ) See Sheet 7 of 7 2. Land Use: Residential Few 0-2 (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Grassed Hill Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body >200_ Drainage Way >200 Possible Wet Area 140 feet feet feet Property Line 25 Drinking Water Well 115 Other feet feet 4. Parent Material: Ablation Till Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil[] Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ® No ❑ If Yes: Depth Weeping from Pit_ Depth Standing Water in Hole - 93" Estimated Depth to High Groundwater: (Elev= 90.9') DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal-Page 2 of 7 Commonwealth of Massachusetts City/Town of . ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: 1 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0-7 A 10 YR 3/3 n/a SL FINE 7-34 Bw 10 YR 6/8 n/a SL FINE 34-102 Cd 2.5 Y 6/6 N/A LS 15 CLASS 2 SOIL Additional Notes Water Weeping at 93" DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 3 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: _2 June 18, 2013 10:00 Am. 80 degrees/clear Date Time Weather 1. Location Ground Elevation at Surface of Hole_97.6' (Assumed Datum) Location(Identify on Plan ) See sketch plan on sheet 7 2. Land Use: residential -grassed Few 0-2 (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Grassed Hill Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body_>200_ Drainage Way_>200_ Possible Wet Area 105 feet feet feet Property Line 15 Drinking Water Well 105 Other feet feet 4. Parent Material: Ablation Till Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole_80 inches Estimated Depth to High Groundwater: 80" 90.93 inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 4 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: 2 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Structure Consistence Other (In.) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones 0-6 A 10 YR 3/3 n/a SL FINE 6-37 Bw 10 YR 6/8 n/a SL FINE 37-106 C 2.5 Y 6/6 80" 35 LS 15 CLASS 2 SOIL Additional Notes Water Weeping at 80" DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal-Page 5 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M D. Determination of High Groundwater Elevation 1. Method used: ® Depth observed standing water in observation hole A. _ 80 inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. B. 80 inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes ® No❑ b. If yes, at what depth was it observed? Upper boundary: 37 Lower boundary: _106 inches inches F. CertificatioAp I certify that I havthK' aluator examination"approved by the Department of Environmental Protection and that the above analysis was perwith the required training, ex ertii ex;r' nce described in 310 CMR 15.017. Signature of SoilZioic uatDate !�� 23� . ullivan III, P.E._ October 1995 Typed or PrintedName of Soil Evaluator *Date of Soil Evaluator Exam Issac Rowe Consultant to Town of N.Andover BOH DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal* Page 6 of 7 Commonwealth of Massachusetts IWCityrrown of �j �/��' � O, UForm 11 - Soil Suits illtyAssessment for On-Site Sewage Disposal Name of Board of Health Witness Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 ik i Ex. Treellne ————— 11 Use this s AL _ � Ex. \ A16 `_ fx ed Grassed I BY WPI Area 113 � y------ _ Grossed ---�— 9 Z / ——— —x.60 IIIA !��\ Ex.(To R Deo _ C4 �9�ai. n) EX. GRAVEL DRIVEWAY _ 1/2 A17 / I �.� // R17o0 II STORY 94 75` / 3— 8" EM POde 20%/ I a/kya �2-4/ j EX. 100 FOOT WELL Ex. Conc. PROTECTION RADIUS W// ��'� Septic uC�NE 96- ' �e SSR ti0 2" I 'Do of i MOP V Lage7 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposa Commonwealth of MassachLisetts City/Town of Aft AW616Z Percolation Test a Form 12 M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. 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 the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer, use Tom Perry only the tab key Owner Name to move your 303 Berry Street cursor-do not Street Address or Lot# use the return key. North Andover MA 01845 City/Town State Zip Code ffi 617-8394710 Contact Person(if different from Owner) Telephone Number B. Test Results June 18, 10:00 a.m. 2013 Time Date Time Observation Hole# PT-1 Depth of Perc 48"-66" Start Pre-Soak 9:50 End Pre-Soak 10:05 Time at 12" 10:05 Time at 9" 10:32 Time at 6" 11:18 Time(9"-6") 46 Rate (Min./Inch) 15 MPI Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ John D. Sullivan III, P.E. Test Performed By: Issac Rowe, Consultant for Town of North Andover BOH Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 RECEIVED JUN 182013 TOWN OF NORTH AND HEALTH DEPARTMENT r 3 303 _w-S f t ?Pl l V / U ll o 3 "� '-- ---- 6 43-- 4?-- _ -------- � APPLICATION FOR SOIL TESTS DA rl.: June 6, 2013 MAP&PARCra : Tax Map 108C Lot 63 LOCATION OF SOILTESTS:STS: 303 Berry Street OWNER: Tom Perry Contact t1: 617-839-4710 1vPP►.ICAry l.:Same as Owner Contact#: ADDRESS: I::NGINL•;L'ER: John (Jack) Sullivan Contact 1/: 978-352-7871 CERTIFIED SOIL EVALUATOR: John (Jack) Sullivan, SE#2378 Intended Use of Land: Residential Subdivision Single 1'ami y ome Commercial Is This: Repair Testing:X Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM r Proof of land ownership(Tax bill,or letter from owner permitting test) r 8.5"x l l"Plot plan& Location of Testink(please indicate test nit sites on the Plan) y Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION Only Certified Soil Evaluators may perform deep hole inspections. r Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. At least two deep holes and two percolation tests arc required for each septic system disposal area. Repairs require at least two deep holes and at least one percolation test.at the discretion of the B01-1 representative. Full payment will be required for all additional tests within two weeks of testing. i Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to th showing the location ofall tests(including aborted tests). CINE/ ED Within 60 days of testing soil evaluation forms shall he submitted. Please Do Not Write Below This Line JUN 10 2013 'TOWN OF NORTH ANDOVER /� :'V.A. Conservation Commission Approval Date: 1EAETH DEPARTMENT Signature of Conservation Agent: ! L✓� �`...� i Date hack io lleahh Department: (stanrp in): In Ic N < < If C14 Xv, E 0 5 xj CC X0 I� C NK, Yy IiV Z Ce X c WW-A qo— sSC 4" 4a. WV< lot gn a—C) Zz E• ISM; 17� A 'r-f 02 41 N 4k. 0 w 7 X", Iff A '1;6p I ell 7 ,SEP 11 ow;, iw N't kTM O "il 'AN, 0 Io .2 Ol e- z r I E-1 M", MN 4, V. NP Nz- 10 qq tint ,+x vrV. 1 14, V I Ac V. Z., 151 no NX BOARD OF H1-A1,T11 Town of ;North Aildover ,Hass . q L t ;{ Da t e -3 1991 APPLICATION FOR WELL & I'UHP PER1.1IT Lcation .is hereby made for permit to drill a well (_) . Application is to install (_) //a pump systtem. n :i-on: Address_ /0 'S!k Lot it N Aly 6, OONovAN Address 303 ('�E,(2�1� S 1. rc1 . U$� (��/- gy%Scv Contractor . aw.��As\ 2I /ti ress Ie1 . � N4t o3gaS Contractor Address L Tel . CONTRACTOR (To be completed at time of pump test ) w of Well Pet) Well used for 7 6,!22FS7--/ 0_ !ter of Well 1� Size of Casing i of Bed Rock Depth casing; into Bed Rock �O � ;eal Tested? Yes (_/YJ No ( ) Date of Testing 91 C � of (lel1 Well i:nded in Wha-t- Material ���,ppc,�• ' T i to Water r �� Z Delivers Gals . I'er tiro . for 4 hours ]own ?0- feet after pumping l' hours• Flt __� G1'H of Completion Signature l-Je4 oncractor INSTALLER (To be-- filled in before i >>sCaIl.ati_on ) & Name Pump �Z- i� I�ciinp "type Used Pump Delivers G GPM Size of 1'anlc — 2a S041 Material Used in Well : Cast Iron (X) Gnlv:lnized ( _) Plastic (_1 Pit (_) or Pitless Adapter (,') leeve used to protect pipe? Yes W) NO (_) 'T),pe or l,,ame Well Seal 6f �r�t��C4�Y�'r�4i��tiMi4�'tF41M�4�'rt4�4t44t4�4i44�'r�4ti4iYJr4YY�4 ' ti' �4irir5`r, - ;; 1, LMC r) .' :f)L;r,�:i) G �'tdrdrfir� �r Water analysis repor-t submitted to I�oard of health__ release given (D owner of record & Inclg- Insp — }Health Inspector 16 EAST MAIN STAELT,P.O, 130X 1153,GLOUCESTER, MASS.01830 ' TELEPHONE: (506)281.0222 PAX: (508)283.3374 Certificate of AnalY bis R. E. Pruett Co, Ino, PO Sox&V Report No,: 24693 Exeter, NH CM July 111 1691 AG: Water Analysis RjaAgmalm, Sampie3 Sdrvloe on July 11�i, of water,idergifled ae 3-6429, delivered by the United parcel , . TOW Coitfprm Bacterlaal Count 100 ml MP) 0� QuIdell4l� TwW ty (t+ M) , W, 0 Sediment1 1 Cdloq (App urI . ' ' - None detacted Odor <g 15 PH V . . „ , . . . : Nor* detected - eluo . , . . . . . 7.50 Nkmllnhy Content (CAC SO 1 lightly s ly Alkalne Hardr (CaCC�, m . . . . . , . . . 93.4 Moderate M®gr M Contentont rA tem . . . . . 2E.0 150 6lLl . Sodium C . . ' ' ' U onter�t ( ) 614 Rot urn Conte •) Z O Iron Conlat (m6/l� 9.0' Manawmft CarAc , , 0.13 0.3 uif®4e Cor>ter (rt /L) ; ' 0,15• 0.05 Chtwlf►ContsM(mWL 17 260 } 10,0 $PH& nd4nct (offftslom) • . . . , ► 200 260 ta TOW Cid Solids (rr*t) . . . , , . , , , 141 600 AYmm l Index i0 C1 8:8 Slightly Co A�nmrda Nitrogen Co G Y rraatva i � nteflt Nitrate Nttre6erl Content m(m L) . 40,02 0,1 g/-1 < tdttrftd Nftgen Content (IV,) . . . . 40.07 10 Gopr Gent m 1.O �). . :. . . . . . . 40.02 1,4 SN'' AnalYM performed in.Accordance with Standard Methods for the Examinetleh of Water & Wa8tiWaler, 17th Edition, 1989, "Guidelines are based on the raaomrhended lavalm of the US Environmental Protbatlon Ago6cy'g 310 CMR 22.op, "Drinking Winter pdQulatlone", i i 'hIB Ompla Was found to be free of pollutlonNndlcator bAgUria; however, non. tria wage detacted. If o staining. off-odors or off-flavors develop, chlorination and rvtestinq 14 recommended, The©leveled Man9Anes® level detacted cony be responsible for nuleance By: r• John Mwiall& dEa do LabQiractor tVff"3RA- �"1.-'SP1�'k511 1 nMrw}.•.t.o.� Vii.._ .,i .,.... . . .. - -- BOARD OF HEALTH c Town of North Andover ,11ass . ' Date 'ermiC r# IL 'Y APPLICATION FOR WELL & PUHP PERMIT permit to drill a well ( ) . Application is ade for p ,;.i�pp1`xcation . is hereby m — "hade to install (_) a pump system. . . Lot '.ocation : Address _ •� l oy,/y Address Tel . )w n e r �Zo ---- "i Address A / ...Tel . `dell Contractor l�t dKK� lo A d d r e s s—_______ ?ump Contractor r e l . 'aELL CONTRACTOR (To be completed at time of pump test ) Type of Well C( Well used for Size of Casi.ng !1 (� 7,p' • Diameter of Well , ,Depth of Bed Rock Depth casing; into Bed Rock '.Was Seal Tested? Yes (_) No (_) Date. of Testing Depth of G1e11 — _ Well Ended in What. Material Dep.rh to Water_ Delivrrs Gals . Per fain . for 4 hours hours. at: GPM Drawdown feet after pumping _— Date of' Completion — Signa -ure l•]eI� ntrac 'n'if iX:ti.'i.:C:C:C.• .. n .• .. .:"::.. •. �::i''ij,.v i%i�C�C i. .. .. .. .. .. .. .• .. .. .. .. .. .. .. . r PUMP INSTALLER (To b'e'- f-ilIed i.n• before instaJ.J.ation ) Pump Type Used Size & Name Pump -.-=-------- "--- --- GPM Sire of Tank Water Pump Delivers — Plastic , . pipe Material Used in Well : Cast Iron ( —) rn ) vanized (_) ( —) Well Pit (_) or Pitless •Ada{)ter (_) Was sleeve used to protect pipe? Yes (—) NO(—) 'rype or Name Well Seal__ Date S� t �nauzc.:.1.'�;ne�i.D� t��4�1r�r�`r,'e�t��,4�'��'e�4��C�`ei4�4�'�►'e�4t�C�'r�'t�4��tk�4�4�'t�'r�4t4�'t�'t�4,'r�4i4�4�4�'rti'ri'e,'rti'r�`t,`::';::•..,'c,r;ctir1.v,r,.,. . :: .r,. :" „ Date Water analysis . repor-t •submitted to Board of liealth Da _e .release given toowner of record & Bldg . Insp Ilealth Inspector ... .. ....k '' y,'; `. - �':iix�'� °i`."�;-�;,n 'k-r- s � 'r�•fiq .1�pr �4 � ' 1 �. i 1 1 FEE NUMLzRR �) l THE COMMONWEALTH OF MASSACHUSETTS $25-.D-Q--( 1 NORTH ANDOVER........................ ....... ...TOWN...... of •-•-•-•.......... This is to Certify that NAME QL1Xlg ..................................... ........................................ NAME Salem, N.H.03079 36 Pelham Road, .................................................... ................ ................................... ................................. ADDRESS IS HEREBY GRANTED A LICENSE Permit ..................••-•..............._..... ............. Well & ............................. For ...........-•-•-•-..-.._.-..-um ................... .......... -1 _.Rix.x __. xegt.......................... . ........................................................ ............... This license is granted in conformity with tl>e Statutes and ordinances mlatin� tl>crcto, and 19-91.- ..........Ilnless sooner suspended or revoked. C P,�pires..._.1JeCemb.er.-.31 0 •-------------- ... -__-- N ._. 19.9.1 ..May.._3.0.,......................... .-•-• ••.................. FORM 433 HOBBS & WARREN. INC. - 4 �1� _�r ,�J � fir. L1� ' .. �-y.•• ..a.?J....,....�ti_•.,y,.._.�s4..,._...^_..,�.__, .._-..�.._.... ....,e.. __. .,.._„ .: � __ __ __.._-_—_ ... gm 21904 = YOUNG BROS. PUMP CO., INC. 36 PELHAM RD. SALEM, NH 03079 54-113/114 .f a ` z PAY 19Y c TO THE 0°a ORDER OF 7 %•d: /t C /�"�6 O �Al {i a _ DOLLARS LAO I"I I 9 - X THIS CHECK IS DELIVERED FOR PAYMENT iE ACCOUNTS LISTED I�/(L• I^' t I 1160 2 i904u' i:0 L 140 L 13 Si: 00 1 2 3 9u■ -� T-