HomeMy WebLinkAboutMiscellaneous - 35 MARIAN DRIVE 4/30/2018_ � --z
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North Andover Board of Assessors Public Access
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Town of North Andover
Btoard of,°Assessors.
Parcel ID: 210/107.C-0043-0000.0
SKETCH
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Page 1 of 1,
Property
Record Card
Community: North Andover
PHOTO
Location: 35 MARIAN DRIVE
Owner Name: GROVER TRS, JOHN A & JOAN M
GROVER REALTY TRUST
Owner Address: 35 MARIAN DRIVE
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 6 - 6 Land Area: 1.01 acres
Use Code: 101 - SNGL-FAM-RES Total Finished Area: 1868 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 395,200 424,500
Building Value: 186,500 193,600
Land Value: 208,700 230,900
Market Land Value: 208,700
Chapter Land Value:
LATESTSALE
Sale Price: 1 Sale Date: 08/22/2001
Arms Length Sale Code: F-NO-CONVNIENT Grantor: GROVER, JOHN M
Cert Doc: Book: 06326 Page: 0214
http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=1182189 2/25/2008
SUMMARY OF
INVERTS
SEWER ® FDTN.
PRE-EXIST.
SEPTIC TANK IN
100.07
SEPTIC TANK OUT
99.83
PUMP TANK IN
99.79
DIST. BOX IN
103.20
DIST. BOX OUT
103.01
INV. IN CHAM.
102.90
BOTT. CHAM.
102.61
BUILDING TIES
BLDG. CORNER A I B C
SEPTIC TANK OUT 41.3 37.0 -
PUMP TANK OUT 48.7 33.6 -
DIST. BOX - 88.6 62.9
NNS 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 CERTIFY THE. LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED
COMPONENT COVERS ETC., SHOWN ON THIS AS -BUILT SUBSTANTIALLY
AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK
OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET. "
VLADIMIR NEMCHENOK
DATE
REOEMI/ D
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
MARIAN
AS BUILT PLAN
OF
SUBSURFACE DISPOSAL SYSTEM
LOCATED IN
NORTH ANDOVER,
AS PREPARED FOR
JOHN GROVER
DATE: 11-4-11
SCALE: 1"=40'
MASS. /35 MARIAN DRIVE
i
TM: - 107C
TL: 43
I 7!%iii
0 20 40 80
(MERRIMACK ENGINEERWG SERVICES
86 PARK STREET
ANDOVER, MASSACHUSETTS 01810
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE OF
COMPLIANCE
As of: 11/17/2011
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete Repair and Construction of an
On -Site Sewage Disposal System
By: James Kellett
At:
35 Marian Drive
Map 107C Lot 43
North Andover, MA 01845
The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily.
Michele Grant
Public Health Agent
FitE COPY
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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PUBLIC HEALTH DEPARTMENT
Community Development Division
TOWN Or, N004 AhIDOAR
HEALTH DEPARTMENT
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION
The undersigned hereby certify that
�the
eSSewage Disposal System ( ) constructed; ( ) repaired;
By: A I
(Print Name)
Located at:
Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
?2- 1 -Z-- I I and last revised on -('� - , with a design flow of
eA `[y gallons per day. The materials used were in conformance with those specified on the
approved plan; the system was installed in accordance with the provisions of 310. CMR 15.000, Title 5 and local
regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on
the As -built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date: 100E
And - Print Name
Final Construction Inspection Date:
�31 LL �LkF 171ti3�
And - Print Name
(Signature)
Enginer: k/&GCLL NCM(44101t- (Signature)
Engineer Representative (Signature)
Engineer Representative (Signature)
// —/7— //
An -1 rint Name
Date: 4111 /%20��
V C�M GLI-tiy��
And - Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com
North Andover Health Department
(ommunity Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 35 Marian Dr MAP: 107 C LOT: 43
INSTALLER: Jim Kellett
DESIGNER: Merrimack E
PLAN DATE: 8-12-11 1l�ll I
BOH APPROVAL DATE ON PLAN: 10-6-11
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION: a1;6111
DATE OF FINAL CONSTRUCTION INSPECTION: 10-31-11
DATE OF FINAL GRADE INSPECTION: 1a,p-jjl
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: At the time of this inspection, the laundry had not yet been
connected.
SEPTIC TANK
® Building sewer in continuous grade, on
compacted firm base
❑ Cleanouts per plan N/A
S Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading
® Monolithic tank construction
® Water tightness of tank has been achieved by
Visual testing
Comments:
PUMP CHAMBER
Comments:
CONTROL PANEL
Comments:
DISTRIBUTION -BOX
® Inlet tee installed, centered under access port
® Outlet tee installed, centered under access port
(effluent filter)
❑ inch cover to within 6" of final grade
installed over one access port
® Hydraulic cement around inlet & outlet
Bottom of tank hole has 6" stone base
Weep hole plugged
® 1000 gallon Pump Chamber installed
® H-10 loading
® Monolithic tank construction
® Inlet tee installed, centered under access port
® Pump(s) installed on stable base
® Alarm float working
® Pump On/Off floats working
® Separate on/off floats
® Drain hole in pressure line
❑ cover at final grade installed over pump
access port
® Water tightness of tank has been achieved by
visual testing
® Hydraulic cement around inlet & outlet
® Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
® Location of control panel: basement
® Alarm signal located inside: basement
® Installed on stable stone base
® H-20 D -Box
❑ Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
❑ Speed levelers provided (not required)
Comments: Two compartment d -box; tee not needed
SOIL ABSORPTION SYSTEM (General)
® Bottom of SAS excavated down to C soil layer,
as provided on plan
® Size of SAS excavated as per plan
® 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: No inspection port at time of inspection
SOIL ABSORPTION SYSTEM (Gravel -less Chambers)
® Brand and Model of Chamber: Standard Quick
4 Infiltrator Chambers LP
® Number of chambers per row: 4
® Number of rows (trenches): 11
Comments: Total Chambers = 44
SYSTEM ELEVATIONS
AS -BLT INVERT
ELEV
DESIGN INVERT
ELEV
Building Sewer OUT
100.45 6' off fnd
100.6
Septic Tank IN
100.07
100.10
Septic Tank OUT
99.90
99.85
Pump Chamber IN
99.86
99.80
Pump Chamber OUT
n/a
n/a
Distribution Box IN
103.78
103.20
Distribution Box OUT
103.06
103.03
Lateral 1 INVERT
102.99
102.98
Lateral 2 INVERT
102.99
102.98
Lateral 3 INVERT
102.98
102.98
Lateral 4 INVERT
102.98
102.98
-lelleChiaie, Pamela
From: Randy Burley[rburley@millriverconsulting.com]
Sent: Wednesday, November 02, 2011 8:43 AM
To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela;
Sawyer, Susan
Subject: 35 Marian Dr. final inspection
Attachments: Construction Inspection Form 11-1-11.doc
The job was mostly done.
The inspection port was not yet installed and Jim Kellett had not yet tied the laundry plumbing into the main plumbing.
Other than those items, it was fine.
Randy Burley
Project Manager
Mill River Consulting
6 Sargent Street
Gloucester, MA 01930
Ph 978-282-0014
Fx 978-282-1318
www.millriverconsultinfz.com
rburley@millriverconsulting.com
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: hftl)://www.sec.state.ma.us/l)re/preidx.htm.
Please consider the environment before printing this email.
{ DelleChiaie, Pamela
From: Sawyer, Susan
Sent: Monday, October 24, 20114:04 PM
To: DelleChiaie, Pamela
Cc: Grant, Michele
Subject: RE: Final Grade Inspection Request - 85 Ogunquit (Peter Breen)
Jim Kellett will pr bably need his BOB tomorrow afterno at 35 Marian, so en one of us goes there we can swing out
I think there was that housing insp. too, but I don't know what time....
I have a tentative appointment set with Melanie from Royal Crest on Wed at 10 am,
From: DelleChiaie, Pamela
Sent: Monday, October 24, 20114:01 PM
To: Sawyer, Susan
Subject: Final Grade Inspection Request - 85 Ogunquit (Peter Breen)
Hi Susan,
Peter Breen just called to ask for a Final Grade Inspection at 85 0gunquit. I advised him that we need the final
certification form that he and the engineer sign, as well as the AsBuilt plan from the engineer. Neve Morin is
the Engineer. Can you schedule a final grade for this site? Thank you.
Cyd
Pamela DelleChiaie
Departmental Assistant I Community Development I Health Department
Town of North Andover
1600 Osgood Street I Bldg 20 1 Suite 2-36
North Andover, MA o1845
2 Office - 978-688-9540
9 Fax - 978-688-8476
lml Email - pdellechiaieotownofnorthandover com
Website httn://www.townofnorthandover.com/Paees/index
"We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous
From: Isaac Rowe jmailto:irowe(a)millriverconsulting.com1
Sent: Friday, September 23, 2011 12:30 PM
To: Sawyer, Susan; 'Marianne Peters'; DelleChiaie, Pamela
Cc: 'Randy Burley'; 'Dan Ottenheimer'
Subject: RE: 85 Ogunquit
Susan,
Attached is the final inspection report for the above referenced property. Everything looked good.
Please let me know if you have any questions.
Thanks,
Isaac M. Rowe, R.S.
Project Manager
Mill River Consulting
6 Sargent Street
Gloftester, MA 01930-2719
11
' Phone: (978) 282-0014
Fax: (978) 282-1318
irowe(cDmiliriverconsulting.com
www.millriverconsulting.com
From: Sawyer, Susan[mailto:ssawyer(cbtownofnorthandover.com]
Sent: Thursday, September 22, 2011 12:45 PM
To: 'Marianne Peters'; DelleChiaie, Pamela
Cc: 'Randy Burley'; 'Isaac Rowe'
Subject: 85 Ogunquit
This message is a follow up to the call I made to Mill River earlier. The installer is hoping for an insp. on Friday.
Please call Mr. Breen to set up appointment for a final inspection..
Thank you
Susan
Final inspection
85 Ogunquit
Peter Breen
(978) 265-7580 cell
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: hfta://www.sec.state.ma.us/ore/l)reidx.htm.
Please consider the environment before printing this email.
AS -BUILT CHECKLISTr��
All changes to the design plan have been reflected on the as -built
Is of suitable scale; (one inch = 40 feet or fewer for plot plans and one inch = 20 or fewer for details of system
components)
V Lot number, Street Name, Assessors Map and Parcel Number
s� Lot Lines and Location of Dwellings served by th�re
ystem
Locations & Dimensions of system, includin a� i� licableg ( SPP )
►, Ties to dwelling or Permanent Structure & Wells
a. From Septic Tank
b. From Leach Area
i
Ties to Lot Lines from leach area
Locations of Deep Holes & Peres
Elevations of Disposal System
Top of Foundation Elevation
Locations of Wells, Drains, Watercourses within 150 feet of system
Location of water, gas, electric lines, cable
C/ Distances from Corners of House to Center of Tank & D -Box
Location of Structures within 6 Inches of Finished Grade
Original Stamp & Signature
Location and holder of any easements which could impact the system
Impervious Areas; Driveways, etc
North Arrow
Location & Elevations of Benchmark used
W STATEMENT ON PLAN (NA 5.3)
"I certify the locations, elevations, ties, cover material; exposed component covers etc. shown on this as -built
substantially agree with the approved plan and have determined that the break out elevations, if applicable, have
been met. "
Signature of Designer
Date
or, if a STUCTURAL WALL IS PRESENT (NA 4.9) Letter or statement on the as -built indicating the wall was,
or was not, constructed in accordance with the intended design and any manufacturer's specifications
Signature of Designer
Date
As of: Wednesday, April 27, 2011
~V WCommonwealth of Massachusetts Map -Block -Lot
BOARD OF HEALTH 107.00043
-----------------------
P.I.
North Andover Permit No
— BHP -2010-0753
PI ------
FEE
DISPOSAL VYORKS GONs,i„Ru-----___-_- $250.00__
Permission is hereby CONSTRUCTION PERMIT
granted James_ Kellett _
to (Repair -FULL SYSTEM) an Individual Sewage Disposal System.
at No 35 MARIAN DRIVE
------------------------- - - - as shown on the application for Disposal Works Construction Permit No. BHP -2010-075
ated October 21 2011
Issued On: Oct -21-2011 -- ------------
F I COPY ---------
-
------------------------------ � BOARD OF HEALTH------------------
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
VQ
AV 0, It
v-
Application for Septic Disposal Svstem
(Construction Permit -TOWN OF
�
I]
)JI
Application is hereby made for a permit to:
❑ Construct a new on-site sewage disposal system*
Repair or replace an existing on-site sewage disposal system*
❑ Repair or replace an existing system component — What?
A. Facility Information
Address or Lot #
V, AyVoure—
City/Town
n.
2.- *TYPE OF SEPTIC SYSTEM*:
/"Pump ❑ Gravity (choose one)
***If pump system, attach copy of electrical permit to application***
/o %2-- •'fn
TODAY'S DATE
$ 250.00 — Full Repair
$125.00 - Component
y� D
D
OCT 5 2U -M
TOWN OF NORTH ANDOVE
HEALTH DEPARTMENT
❑ Conventional System (pipe and stone system)
Infiltrator 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
�3okn Gr'aoer-
Name
SA im Ir
Address (if different from above)
City/Town
3. Installer Information
e'C7 ST -
Address
LL, 1vti f i
City own
State
Telephone Number
Name of Company
mA�
State
Zip Code
oi�yo
Zip Code
Telephone Number (Cell Phone # if possible please)
4. Designer Information
Tell, ds�aod
Name IName of Company
Address
City/Town
State
Zip Code
Telephone Number (Best # to Reach)
Application for Disposal System Construction Permit • Page 1 of 2
Application for Septic Disposal System
� `Xonstruction Permit —TOWN OF TODAY'S DATE
$ 250.00 - Full Repair
$125.00 - Component
PAGE 2 OF 2
A. Facility Information continued....
S. Type of Building: esidential 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
be issued by this oard of Health.
/,�,-,z-io
N e Date
Applica n Ap roved By: (Board of Health Representative) ! /
N� rZ-
a ' Date
Application Disapproved for the following reasons:
For Office Use Only:
1. Fee Attached. Yes1z No
2. Project Manager Obligation Form Attached. Yes/ No
3. Pump System? If s6, Attach copy ofElectrical Permit YesZ No
4. Foundation As -Built? (new construction ronly): YeNo
(Same scale as approved plan)
5. Floor Plans? (new construction only): Yes No
Application for Disposal System Construction Permit • Page 2 of 2
'P' V
SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction for the septic system for the property at:
(Address of septic system)
Relative to the application of (� yn J e�lPti"l
(Installer's name)
Dated (7 ' 12, — t.
o ay s ate
For plans by &6-6:3
(Engineer)
And dated 3 t I d O
rlgina ate
With revisions dated 1, _ 1g," / o
(Last revised date)
I understand the following obligations for management of this project:
1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to
performing any work on a site. I must have the approved plans and the permit on site when any work is
being done.
2. As the installer, I must call for any and all inspections. If homeowner, contractor, project manager, or any
other person not associated with my company schedules an inspection and the system is not ready, then
item three shall be applicable.
3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as
indicated below. I understand that requesting an inspection, without completion of the items in accordance
with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or
my company.
a. Bottom of Bed — Generally, this is the first (V5 inspection unless there is a retaining wall, which
should be done first. The installer must request the inspection but does not have to be present.
b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc.
As -built of verbal OK (or e-mail to: healthdel2t@townofnorthandover.com from the engineer must
be submitted to the Board of Health, after which installer calls for an inspection time. Installer must
be present for this inspection. With a pump system, all electrical work must be ready and able to
cause pump to work and alarm to function.
c. Final Grade — Installer must request inspection when all grading is complete. Installer does not
have to be on-site.
4. As the installer, I understand that only I may perform the work (other than simple excavation) and I am required
to complete the installation of the system identified in the attached application for installation. I further
understand that work done by others unlicensed to install septic systems in North Andover can constitute
reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of
North Andover, significant fines to all persons involved are also possible
5. As the installer, I understand that I must be on-site during the performance of the following construction
steps:
a. Determination that the proper elevation of the excavation has been reached.
b. Inspection of the sand and stone to be used.
c. Final inspection by Board of Health staff or consultant.
d. Installation of tank, D -Box, pipes, stone, vent, pump chamber, retaining wall and other
components.
6. As the installer, I understand that I am solely responsible for the installation of the system as per the
approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve
me of this obligation.
Undersigned Licensed Septic Installer:
ame —
le-12-/b(Today's ate)
- t e
Commonwealth of Massachiusetta
Department of F'i're Services
BOARD OF FIRE PREVENTION REGULATIONS
Permit No.
Occupancy and Fee Chmkcd
tov.1/071 (laaveblank)
EIVED
b 2010
fvviv Ur NURT ANDOVER
HEALTH DEP RTnnGkir
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), $27 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
City or Town of: NORTH ANDOVER To the Inspector of Wires:
By this application the undersigneigiyes notica of his or bar Intention to perform the electrical work described below. .
Location (Street & Number)
Owner or Tenant , k
Telephone No.
Owner's Address
.. ' • Vex n No 0 (Check Appropriate Box)
9 J 0 j
Date I ........... .."......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Da,,d (-he.
This certifies that .....................................
.................................................
has permission to perform
,�
.. . —...............
wiring in the building � /�/Li/'7
.............
at.......
tA� ....... , North Andover Mass.
Fee�--39 .......... Lic. No. ..,0�........ .
(`�� ELECrR iN CTOR
Check # UX
'.tion No.
❑ No. of Meters
❑ No. of Meters
M oA�' �s t�GineS�
waived the ter ctor o Whet.o
ite
oa
ransformers KVA
enerators KVA
= o. STEmercency U011813
sittery Units
° IRB ALARMS
No. of Zones
o. Of ec on as
Initiatio Devices
o. of Alerting Device!
{y a a e • on alae
,flasLiin.tAiammm Devices
Local ❑ sn a pa ❑ Odter
Connection
Secur ems:
No. of evicea or Equivalent
Data Wiring:
No. of Devic er E aivalent
TciczoMMVnl9xU923 WSrss '
No. of Devices or E aivant
�jred or as ropired by Lha I-pector of Want.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested In accordance with MBC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ -OTHER ❑ (Specify:)
1 certify, mnderlhoLwboandpenalfiesof arjury, that the bt/ormdon an this gpptfcadon is true acid eoxWda
FIRM NAME; pv: d Mee�taw' n.r LIC. NO.: A 1 1 a
utensee: Sf�ML Slpxture � rt LIC. NO.;
(/(applicable, a ter "exe►n ' to Lha licence nwmber ffJne.j o Sus. Teo No., f
Address: Mit. tyx °bR . Ppio,bc4Y MA- Ol q Alt. TeL No.: 1
*Per M.G.L c. 147, s. 57-61, se unity work requires artment of Public Safety "S" License: Lie. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signsture below, I hereby waive this requirement. 1 am the (check one) ❑ owner 171 owner's Ammt.
Sinen/ elpnt Telephone No, PERMIT FEE: t
<-_4
Health Department
April 11, 2008
Mr. Benjamin C. Osgood, Jr., P.E.
1600 Osgood Street
Building 20, Suite 2-64
North Andover, MA 01845
Re: Septic System Repair Plan for 35 Marian Drive - Map 107C, Lot 43
Dear Mr. Osgood:
The proposed wastewater system design plan for the above site dated March 11, 2008 and
received on April 1, 2008 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 (NA) regulation that has not met by this design follows each item for your convenience.
. Please clearly indicate the name and address of the record owner (NA 8.02j)
V/ Please depict the location of the water line which serves the dwelling and also confirm
the water line meets the required setback distances (15.220(4)(m))
'lease indicate if the system is to be located in a nitrogen sensitive area or not (214 &
215)
,4!Please indicate whether there are any public wells within 400 feet of the system (211)
"s leaching trenches are the preferred type of soil absorption system, please use this
configuration or provide and explanation as to why a design utilizing trenches was not
Chosen (15.240(6))
6jPlease specify protection for the system vent from precipitation and animal entry
(15.241(1)(b)) %Ut-5
7. The National Resource Conservation Service lists the weight of a sandy loam to be 100
lb./cu. ft. While this still gives you a calculated downward force of 980 lbs., we highly
recommend using a heavier tank or a tank with a "wing" cast around the base for ballast
V,8. While your float calculations are in order, we would recommend lowering the pump off
and pump on floats 6 inches to give more "flow equalization" room between the pump on
float and the alarm (i.e. if the pump is about to come on and there was a sudden inflow of
water from laundry, showers, dishwasher, etc. the alarm would have a high probability of
//coming on)
t9. Please provide the elevations for the top and bottom of the bier
1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1
Building 20; Suite 2-36 E -Mail: healthdept@townofnorthandover.com
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
Irl°0. Invert information provided in the septic tank detail do not agree with the inverts
provided in the system profile; please revise
,'1,Please provide a draft maintenance agreement and deed notice for the Clean Solutions
and pressure distribution systems to be used on this site
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,
X
"
' Sawyer, REHS/R
Public Health Director
cc: Owner
File
1600 Osgood Street HEALTH DEPARTMENT Page 2 of 2
Building 20; Suite 2-36 E -Mail: healthdept@townofnorthandover.com
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
N:Ew IENGLA-ND IENGINEEMNG SERVICES, INC.
1600 Osgood Street
Building 20 Suite 2-64
North Andover, MA 01845
Teel: (978) 686-1768 • Fax: (978) 327-6138
www.neengineeringinc.com
Susan Sawyer
North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Re: 35 Marian Drive, North Andover
Septic system design
Dear Susan:
April 15, 2008
R��VD
APR 18 2008
v„ )RTH ANDOVER
HEA
LTH DE=PARTMENT'
Enclosed are 5 copies of revised plans for the above referenced septic system design. Changes have been
made to address comments in your E-mail dated April 11, 2008. The changes/comments are as follows:
1. Name and address of record owner is depicted in the title block on both sheets.
2. Pressure water service location has been added to plan.
3. General note #13 has been added stating that the site is not located within a nitrogen sensitive area.
4. General note #6 has edited to indicate there are to public wells less than 400 feet from the system.
5. Leach trenches were not designed as they would take up a far larger footprint, and result in removal of
several large trees as well as add significant cost for construction..
6. There is no vent specified on this plan because it is a pressure distribution design.
7. It the preference of the designer to leave the design of the tank as it is. The 110 Lb/ Cu. Ft. value used in
the calculations is a reasonable value in our opinion. In addition the weight of the tank used on the plan
is underestimated by the manufacturer. The actual weight of the tank is closer to 21,000 lbs.
8. It is the preference of this designer to leave the alarm float as it is designed. In over twenty years of
experience installing and designing systems the potential problem identified has never occurred. It is my
opinion that if there is an alarm triggered because the pump can not handle a sudden plug flow that may
be an indication that the system may be malfunctioning and may need maintenance. Raising the float as
recommended may cause a problem to go unnoticed for a longer period of time.
9. Top and bottom elevations of impervious barrier elevations have been added to the plan.
10. Septic tank inverts have been revised on the detail.
11. Draft maintenance agreement and deed notice have been enclosed.
If you have any questions, or need additional information, please do not hesitate to contact this office.
Sincerely,
Benjamin C. Osgood,rl
E.
President
U
r
PUBLIC HEALTH DEPARTMENT
Community Development Division
April 23, 2008
John and Joan Grover
35 Marian Drive
North Andover, MA 01845
RE: Subsurface Sewage Disposal System Plan for 35 Marian Drive Map 107C lot 43 North
Andover, Massachusetts
Dear Mr. and Mrs. Grover,
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 New England Engineering
Services, Inc. dated March 11, 2008, last revised April 16, 2008. The design has been approved
for use. in the construction of a replacement onsite septic system. This plan is generally good for
3 -years from the date of approval. The time period for which this plan is valid is reduced to two
years from the date of a septic system inspection that did not meet the acceptable criteria in the
state regulations.
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.
The following local upgrades have been approved.
1. The reduction of 12 -inch separation between inlet and outlet tees and high ground water.
2. The use of a sieve analysis as a substitute for a percolation test.
This approval is also subject to the following conditions:
1. Please keep the attached DEP Form 9b for your records
2. 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 (3 10 CMR 15.020(1)).
3. 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
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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.
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
might have.
Sincere
Susan Y. Sawyer, REHS7
Public Health Director
cc: Ben Osgood, Jr., P.E.
File
Enc: DEP Form 9b
List of North Andover Septic System Installers
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
Irrportarrt:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
V
Commonwealth of Massachusetts
Cityrrown of North Andover
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 local Board of Health and a signed copy provided
to the system owner.
A. Facility Information
1. Facility Name and Address
John and Joan Grover
Name
35 Marian Drive
Street Address
North Andover MA
City/Town State
2. Owner Name and Address (if different from above):
Name
City/Town
Street Address
State
Zip Code Telephone Number
3. Type of Facility (check all that apply):
® Residential ❑ Institutional ❑ Commercial ❑ School
4. Design flow per 310 CMR 15.203:
5. System Designer.
1600 Osgood Street
Address
B. Approval
440
01845
Zip Code
gpd
Ben Osgood, Jr. ®PE ❑ RS
Name
North Andover MA 01845
City/Town State, ZIP
1. Local Upgrade Approval is granted for
❑ Reduction in setback(s) — specify:
❑ Reduction in SAS area of up to 25%:
SAS size, sq. ft. % reduction
35 Marian Drive form9b • rev. 7/06 Local Upgrade Approval* Page 1 of 2
y
Commonwealth of Massachusetts
City/Town of North Andover
Local Upgrade Approval
Form 9B
B. Approval (continued)
❑ Reduction in separation between the SAS and high groundwater:
Separation reduction ft
Percolation rate minAnch
Depth to groundwater
❑ 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
® Use of a sieve analysis as a substitute for a pert test
List local variances granted not requiring DEP approval per 310 CMR 15.412(4):
List variances granted requiring DEP approval:
North Andover Board of Health
Approving Authority
Susan Sawyer, Health Director
Print or Type Name and Title f
35 Marian Drive form9b • rev. 7106
4/23/08
Date
Local Upgrade Approval* Page 2 of 2
.f
V
Town of North Andover Licensed Septic System Installers (Disposal Works Installer's)
(Please note that the septic installer is licensed only -- not the company)
Renewed
Five or more
installations
within the last
Name :' ` year
# of
Company `
R.T. Amor
Phone
978-948-3341
1 x Amor, Robert 0
—2-7
x
Bateson, Todd
16
jBateson Enterprises, Inc.
978-475-1474
3
1 x
Beaulieu, Serge R.
0
Roadway Excavators
603.893.9189
4
x
Breen, Peter
2
Peter Breen Excavating, Inc.
978-687-7774
5
—6-7
( x
Busby, Philip A. Jr.
0
Busby Construction Co., Inc.
603-362-4650
x
Carr, John
0
Ramey Construction
978-683-6791
7
x
Colosi, Philip A.
0
Colosi Construction LLC
978-777-5679
8
x
Coyle, Kevin
1
Kevin Coyle 1
978-479.2818
9
x
Currier, James H.
0
James H. Currier Construction Co, Inc978-774-6685
10
x
DeLucia, Rocci Jr.
0
Frank DeLucia & Son, Inc. F
978-686-8200
11
x
Divincenzo, John L.
2
Andover Septic/J&S Dev. Corp.
978-521-5251
12
x
Giard, Daniel
0
Daniel A. Giard Septic Service
978-686-7653
13
x
Hall, Bill, Inc.
0
Bill Hall, Inc.
978-689-3711
14
x
Hartigan, James
0
James Hartigan
978-766-0087
15
x
Hayes, John
0
J.B.H. Compact Equip. . Co
978-686-5229
16
x
Hoehn, Bruce
1
Bruce Hoehn
978-372-8274
17
x
Hutton, Arthur
0
Hutton's General Construction, Inc.
978-685-2627
18
x
Innis, Robert L.
0
R.L.I. Corp.
978-663-6006
19
x
Kellett, James
5
Kellett Excavating
781.953.7146
20
x
Marsh, Steve
0
The Westchester Co.
978-742-9778
21
x
Maynard, Dave
0
Maynard Construction
603-228-4436
22
New
Murray, David
1
Ranger Development Corp.
978-3754997-
23
x
Osgood, Ben
2
New England Engineering
978-686-1768
24
x
Pearce, Warren
0
Pearce Construction
978-664-5264
25
x
Petrosino, Angelo
0
Angelo Petrosino
978-664-2030
26
x
Quinlan, Timothy
0
Quinlan & Rand Builders
978-682-1570
27
x
Reilly, Mike
4
F.P. Reilly & Sons
978-475-1237
28
x
Sawyer, William T.
0
Arco Excavators, Inc.
603-642-8910
29
j x
Shaw, John III
0
Wildwood Excavation, Inc.
978-474-8088
30
x
Slombo, Robert
0
Robert Slombo
603-659-6962
31
x
Soucy, John J.
6
Soucy's Sewer Service
978-470-1400
32
New
Sullivan, Jack
0
Jack Sullivan'
978-352-7871
33
L x
Surianello, Joseph
0 IRalph
Surianello, Inc.
617-799-3900
34
! x
Todd, Charles R.
2 lCharles
R. Todd Contractor, Inc.
978-667-7853
35
x
Waelty, Craig(Skip)
1
Craig Waelty
978-664-2126
36
x
Watson, Joseph
3
JW Watson, Jr. Inc.
978-475-3262
37
x
Whyman, Jon
1
J. Whyman Construction
781-334-2323
38
j New
lZaloga, Dave
0
Dave Zaloga i
603-765-9296
Note:
The Septic
Installer Exam is held in January, March, May,
July and September of each year.
You must call the Health Department to sign
up for the exam at 978.688.9540.
The testing fee is $25.
1
Last Updated: 2/9/2007
T'n lrnov
DAI �Chiaie, Pamela
From: DelleChiaie, Pamela
Sent: Wednesday, May 28, 2008 1:20 PM
To: Osgood Ben (bosgood@neengineeringinc.com); Kimberly J. Brown
(KBrown@NEengineeringinc.com)
Subject: FW: 35 Marian Drive - Plan Approval
Hi Kim,
I got your e-mail. This was sent to you back in April. Susan was able to approve the LUA's. The original was mailed to
the h/o. Call if any questions.
Pam
From: DelleChiaie, Pamela
Sent: Thursday, April 24, 2008 3:59 PM
To: Osgood Ben (E-mail); Kimberly ]. Brown (E-mail)
Subject: FW: 35 Marian Drive - Plan Approval
-----Original Message -----
From: noreply@yourcopier.com [mailto:noreoly@vourcooier.com]
Sent: Thursday, April 24, 2008 4:55 PM
To: DelleChiaie, Pamela
Subject: 35 Marian Drive - Plan Approval
MURN
SKMBT_600080424
15550.pdf (248 ...
Page 1 of 1
v
P�
DelleChiaie, Pamela
From: Kimberly Brown [kbrown@neengineeringinc.com]
Sent: Wednesday, .May 28, 2008 12:50 PM
To: DelleChiaie, Pamela
Subject: 35 Marian Drive
Pam,
Can you tell me the status on 35 Marion Drive No. Andover. Ben revised the plans and resent them on
April 15th. He seemed to think it was supposed to be heard at the last meeting but wasn't.
Thanks,
Kim
Kimberly Brown
Office Manager
New England Engineering Services, Inc.
1600 Osgood Street Suite 2-64
North Andover, MA 01845
978-686-1768
www.neengineeringinc.com
No virus found in this outgoing message.
Checked by AVG.
Version: 7.5.524 / Virus Database: 269.24.1/1470 - Release Date: 5/28/2008 7:20 AM
5/28/2008
0-
DelleChiaie, Pamela
From:
DelleChiaie, Pamela
Sent:
Tuesday, September 14, 2010 10:24 AM
To:
'Osgood, Benjamin C.'
Cc:
Sawyer, Susan
Subject:
FW: 35 Marian Drive - Need New Plan for Review
Hi Ben,
received your plans on my desk this morning, but there was no submission cover sheet and no Forms 11 and
12 for the soils. Will you please scan these forms and e-mail them to me? Once I receive these additional
forms I can send them on to Mill River. Thanks Ben.
From: Sawyer, Susan
Sent: Friday, September 10, 2010 11:57 AM
To: DelleChiaie, Pamela; Osgood, Benjamin C.
Cc: Grant, Michele
Subject: RE: 35 Marian Drive - Need New Plan for Review
I actually didn't tell the homeowner that Ben would get us the plans. They will bring what they have and pay the fee
hopefully today, but I don't know. If we don't get all three we will ask you for more I guess. So I would wait to print
more.
Susan
From: DelleChiaie, Pamela
Sent: Friday, September 10, 2010 11:51 AM
To: Osgood, Benjamin C.
Cc: Sawyer, Susan; Grant, Michele
Subject: 35 Marian Drive - Need New Plan for Review
Hi Ben,
The homeowner for 35 Marian Drive gave his plan to Jim Kellett thinking Jim was supposed to submit it to us,
or do whatever was needed to get the ball rolling. Needless to say, we never did get the plan to be reviewed.
We need to have three copies submitted to the office for review. We will try to accommodate the
homeowners request for expedience under the circumstances, so if you could get us the copies today or
Monday, that would be great. Thank you.
&Ae Re9a44,
Pamela DelleChiaie
Departmental Assistant I Community Development I Health Department
Town of North Andover
1600 Osgood Street I Bldg 201 Suite 2-36
North Andover, MA o1845
2 Office - 978-688-9540
0 Fax -978-688-8476
lZ Email - pdellechiaieotownofnorthandover.com
'iWebsite b=://www.townofnorthandover.com/Pages/index
"We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous
From: Osgood, Benjamin C. [mailto:BOsgood@Pennoni.com]
Sent: Monday, August 09, 2010 12:32 PM
To: DelleChiaie, Pamela
Subject: Re: 35 Marian Drive
J♦
Pam
I forgot to send it. You will have it tomorrow
Ben
From: DelleChiaie, Pamela<pdellech@townofnorthandover.com>
To: Osgood, Benjamin C.
Sent: Mon Aug 09 12:03:47 2010
Subject: 35 Marian Drive
Hi Ben,
Jim Kellett contacted me this morning about an approved plan for 35 Marian Drive. I don't recall anything for
that. Please let me know if you are going to be submitting something. He was under the impression that it
had been submitted a while ago, and was all set and ready for construction. Thanks.
MW Rq444,
Pamela DelleChiaie
Administrative Assistant I Community Development I Health Department
Town of North Andover
1600 Osgood Street I Bldg 20 1 Suite 2-36
North Andover, MA o1845
ph: 978-688-9540
fax: 978-688-8476
"We can never see the path of our life if we are too busy focusing on the pebbles under our feet "--Anonymous
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: hftt)://www.sec.state.ma.us/pre/preidx.htm.
Please consider the environment before printing this email.
OF X10 R T/� qti
m
v- FILE COPY
r �5
SSAcH0-
North Andover Health Department
(ommunity Development Division
September 27, 2010
Benjamin Osgood, P.E.
P.O. Box 71
Amesbury, MA 01913
Re: 35 Marian Drive (Mal) 107C, Lot 43) — Septic Plan Design Review
Dear Mr. Osgood:
The proposed wastewater system design plan for the above site dated June 14, 2010 and received
on September 14, 2010 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.
1. On sheet 1 of 2 Construction Note #3, the unsuitable removal of soil does not have to
extend 6" into the C layer.
2. Please provide a statement identifying whether the property is within or not within the
Lake Cochichwick watershed (NA 3.2).
3. Please provide the elevation/location statement as described in section 3.2 of the North
Andover Board of Health regulations.
4. A Local Upgrade Approval for only having one test pit in the soil absorption system area
must be requested. Please submit the Form 9A and note the Local Upgrade Approval
request on the design plan (3 10 CMR 15.405(1) (k)).
5. Please clearly depict on the plan that the distribution box shall be H-20 loading (NA 3.2).
6. An effluent filter is required prior to the pump chamber (3 10 CMR 15.23 1 (10)).
7. Please indicate on the plan that an access manhole cover shall be installed to finish grade
above the effluent filter and annual maintenance is required (3 10 CMR 15.227(7)).
8. Please indicate an inlet tee or a 2" x 4" increaser is proposed for the force main as it
enters the distribution box to reduce the velocity of the effluent.
9. The bottom of the impervious barrier should be above the ESHWT to prevent
impounding of the treated effluent; 6" to 12" is recommended.
10. It appears the sieve analysis was conducted on the Cd layer. If the Cd layer was
determined to be compacted and a Class II soil then the loading rate of 0.15 gpd/sf should
be used in accordance with the DEP Alternative Percolation Testing guidance document.
Page 1 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
v
10 35 Marian Drive Septic Plan Review — Disapproval September 27, 2010
Although not a reason for disapproval, it is recommended to use a 24" access manhole cover
instead of the proposed 20" access manhole cover above the pump in the pump chamber.
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
Y.
Public Health Director
cc: Grover Realty Trust: John & Joan Grover, Trustees
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
`j
o� N0R7y qti FILE COP)�
O'
IF IF
SSA c
North Andover Health Department
Community Development Division
October 25, 2010
John and Joan Grover
35 Marian Drive
North Andover, MA 01845
RE: Subsurface Sewage Disposal System Plan for 35 Marian Drive, Map 107C, lot 43,
North Andover, Massachusetts
Dear Mr. and Mrs. Grover,
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 New England Engineering
Services, Inc., dated June 14, 2010, last revised October 18, 2010. The design has been approved
for use in the construction of a replacement onsite septic system. 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. 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.
The following local upgrades have been approved.
1. The reduction of 12 -inch separation between inlet and outlet tees and high ground water
to 4 -inches.
2. The use of a sieve analysis as a substitute for a percolation test.
This approval is also subject to the following conditions:
1. Please keep the attached DEP Form 9b for your records
2. 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 (3 10 CMR 15.020(1)).
Page 1 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
♦1.
01
Septic Plan Approval 35 Marian Drive October 25, 2010
3. 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.
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
might have.
Sincerely; "
S an Y. Sawyer HS/RS
Public Health Director
cc: Ben Osgood, Jr., P.E.
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
North Andover Health Department
(ommunity Development Division
September 13, 2011
Vladimir Nemchenok
Merrimack Engineering Services
66 Park Street
Andover, MA 01810
Re: Subsurface Sewage Disposal System Plan for 35 Marian Drive, Mau 107C, Lot 43
Dear Mr. Nemchenok:
The proposed wastewater system design plan for the above site dated August 12, 2011 and received on August 30,
2011 has been reviewed. Unfominately, 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.
1. T-1, T-2 and P-1 are not shown on the site plan. Please indicate the location of the test pits and the
percolation test (3 10 CMR 15.220(4)(h,i)).
2. The BOH representative notes indicated the testing date was August 10, 2011. Please revise the soil logs.
3. Please indicate that magnetic marking tape shall be used above the leaching facility (3 10 CMR 15.221(12)).
4. A riser to within 6 inches of finish grade is required above the distribution box if greater than 9 inches
below grade (3 10 CMR 15.232(3)(f)).
5. The toe of the slope appears to be within 5' of the property. A swale is required to direct runoff away from
the adjacent property. (3 10 CMR 15.255(2)).
6. The make and model of the effluent pump is not indicated. Please provide this information.
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,
Susan Y. Saw r, REHS/RS
Public Health Director /
cc: Homeowner - John Grover
File
Page 1 of 1
North Andover Health D gartnient, 1600 Osgood Street, Building 20, Smile. 2-36,.
North Andover, MA 01845 Phone: 978.688.9540 Pax: 978.688.8476
MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL (978)475-3555,373-5721 • FAX (978) 475-1448 • E-MAIL: merreng@aol,com
wt 1 8 FANEUIL HALL MARKETPLACE -THIRD FLOOR • BOSTON, MASSACHUSETTS 02109 • TEL (617) 973-6462 • FAX (617) 973-6406
September 19, 2011
Susan Sawyer
Public Health Director
1600 Osgood Street
Building 20, Suite 2-36
North Andover, MA 01845
RE: 35 Marian Drive
Dear Ms. Sawyer,
�Stp 30. x011
TOWN ON NORTH AN�vER
We are in receipt of your review letter dated September 13, 2011 for the above referenced
site.
Enclosed are 3 copies of the revised plans.
We revised the plans with regards to items 1, 2, 4 and 5 of your letter.
With regard to items 3 and 6, that information is already on the plan and was missed by
the reviewer.
We feel the revised plans have met all your concerns and respectfully request that the
revised plans be approved as submitted.
Yours ly,
William Dufresne~
Merrimack Engineering Services
North Andover Health Department
fommunity Development Division
October 6, 2011
John and Joan Grover
35 Marian Drive
North Andover, MA 01845
RE: Subsurface Sewage Disposal System Plan for 35 Marian Drive, Map 107C, lot 43, North
Andover, Massachusetts
Dear Mr. and Mrs. Grover,
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,
Inc. dated August 12, 2011, last revised September 13, 2011. The design has been approved for
use in the construction of a replacement onsite septic system. 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. 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.
The following local upgrades have been approved.
1. The vertical offset from SAS to the estimated water table from 4 feet to 3 feet
2. Vertical offset from inlet and out let tees to estimated water table from 1 foot to .3 feet.
This approval is also subject to the following conditions:
1. Please keep the attached DEP Form 9b for your records
2. 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
Page 1 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
Permit is void, installation shall stop, and the applicant shall reapply for a new
Disposal Systems Construction Permit (3 10 CMR 15.020(1)).
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.
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
might have.
Susan Y. er, RE S/RS
Public H�lth Direc or
cc: Vladimir Nemchenok, P.E.
file
North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, Page 2 of 2
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
DelleChiaie, Pamela
Froma DelleChiaie, Pamela
Sent: Wednesday, October 19, 2011 12:34 PM
To: 'jgrover@comcast. net'
Cc: Bill Dufresne (wrdufresne@comcast.net); Sawyer, Susan
Subject: 35 Marian Drive - Septic Approval - REVISED - 10. 19.11
Attachments: 35 Marian Drive -Septic Approval-REVISED-10.19.11.pdf
To: John Grover
Re: 35 Marian Drive
Hello,
Attached is a revised letter regarding the septic plan approval for 35 Marian Drive. The originl letter has been sent via
regular mail. This correspondence includes the 9b form. I apologize for the missing information the first time around.
Please call the office with any questions. Thank you, and have a great afternoon.:)
eat Rvaft a,
Pamela DelleChiaie
Departmental Assistant I Community Development I Health Department
Town of North Andover
1600 Osgood Street I Bldg 20 1 Suite 2-36
North Andover, MA 01845
2 Office - 978-688-9540
( Fax - 978-688-8476
Email - ndellechiaie@townofnorthandover.com
�l Website hUp://www.townofnorthandover.com/Panes/index
"We can never see the path of our life if we are too busy focusing on the pebbles under our feet. "--Anonymous
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North Andover Health Department
(ommunity Development Division
October 19, 2011 (REVISED CORRESPONDENCE)
John and Joan Grover
35 Marian Drive
North Andover, MA 01845
RE: Subsurface Sewage Disposal System Plan for 35 Marian Drive Map 107C lot 43 North
Andover, Massachusetts
Dear Mr. and Mrs. Grover,
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,
Inc. dated August 12, 2011, last revised September 13, 2011. The design has been approved for
use in the construction of a replacement onsite septic system. 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. 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.
The following local upgrades have been approved.
1. The vertical offset from SAS to the estimated water table from 4 feet to 3 feet
2. Vertical offset from inlet and out let tees to estimated water table from 1 foot to .3 feet.
This approval is also subject to the following conditions:
1. Please keep the attached DEP Form 9b for your records
2. 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 (3 10 CMR 15.020(1)).
Page 1 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
ti
r October 19, 2011
35 Marian Drive, North Andover
3. 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.
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
might have.
2a er, RJ/RS
1 Direct
cc: Vladimir Nemchenok, P.E.
file
Attach: Form 9b
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
Commonwealth of Massachusetts
City/Town of North Andover
a o Local Upgrade Approval
Form 913
M
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 local Board of Health and a signed copy provided
to the system owner.
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Design flow per 310 CMR 15.203:
5. System Designer
MA
State
Street Address
State
Telephone Number
❑ Commercial
440
gpd
Vladimir Nemchenok
Name
66 Park ST Andover
Address
City/Town
B. Approval
1. Local Upgrade Approval is granted for:
❑ Reduction in setback(s) — specify:
❑ Reduction in SAS area of up to 25%:
01845
Zip Code
❑ School
01810
State, ZIP
SAS size, sq. ft. % reduction
35 Marian Drive form9b10 6 11.doc • rev. 7/06 Local Upgrade Approval* Page 1 of 2
A. Facility Information
Important: When
filling out forms
1. Facility Name and Address
on the computer,
use only the tab
John and Joan Grover
key to move your
Name
cursor - do not
35 Marian Drive
use the return
key.
Street Address
North Andover
r�
City/Town
return
2. Owner Name and Address (if different from above):
Name
City/Town
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Design flow per 310 CMR 15.203:
5. System Designer
MA
State
Street Address
State
Telephone Number
❑ Commercial
440
gpd
Vladimir Nemchenok
Name
66 Park ST Andover
Address
City/Town
B. Approval
1. Local Upgrade Approval is granted for:
❑ Reduction in setback(s) — specify:
❑ Reduction in SAS area of up to 25%:
01845
Zip Code
❑ School
01810
State, ZIP
SAS size, sq. ft. % reduction
35 Marian Drive form9b10 6 11.doc • rev. 7/06 Local Upgrade Approval* Page 1 of 2
> Commonwealth of Massachusetts
= W
City/Town of North Andover
a a Local Upgrade Approval
Form 913
%IM SvOy`OW
B. Approval (continued)
❑ Reduction in separation between the SAS and high groundwater:
Separation reduction
Percolation rate
Depth to groundwater
❑ Relocation of water supply well (explain):
4
ft.
20
min./inch
3
ft.
® Reduction of 12 -inch separation between inlet and outlet tees and high groundwater
❑ Use of only one deep hole in proposed disposal area
❑ Use of a sieve analysis as a substitute for a perc test
List local variances granted not requiring DEP approval per 310 CMR 15.412(4):
List variances granted requiring DEP approval:
North Andover Board of Health
Approving Authority
Susan Sawyer, Health Director 10/6/11
Print or Type Name and Title ;ignature Date
35 Marian Drive form9b10 6 11.doc • rev. 7/06 Local Upgrade Approval* Page 2 of 2
.,A
TOWN OF NORTH ANDOVER
NORT"
Office of COMMUNITY DEVELOPMENT AND SERVICES
°E
HEALTH DEPARTMENT
1600 OSGOOD STREET; BUILDING 20; SUITE 2-36
• ,r
NORTH ANDOVER, MASSACHUSETTS 01845
�'Ss;04
978.688.9540
- Phone
Susan Y. Sawyer, RENS/RS
Public Health Director
SEPTIC PLAN SUBMITTAL FORM
Date of Submission: IH I 1
978.688.8476— FAX
E-MAIL: healthdept@townofnorthandover.com
WEBSITE: hU://www.townofnorthandover.com
Site Location: ?2-r7 �-jam; IU &Q 211 � j E
Engineer: Q CC21 � C e i2 �,�
New Plans? Yes �$225/Plan Check # (D _(includes 1St submission and one re-
review only)
Revised Plans?Yes , $75/Plan Check
/#
Site Evaluation Forms Included? Yes/ No
Local Upgrade Form Included? Yes V" No
Telephone #:MZ) G} �'�j �e- ' �j Fax #: ("!I
E-mail: 14 V P I FrL.L!.%)E(Qe Q—HeA 2nWET-
Nameowner OHO wwarz.,
OFFICE USE ONLY
When the subm ssion is complete (including check):
➢ Date stamp plans and letter
)0' Complete and attach Receipt
➢ ✓ Copy File; Forward to Consultant
➢ t/ Enter on Log Sheet and Database
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Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key -
Q
VLO
Commonwealth of Massachusetts
City/Town of -
Percolation Test
Form 12
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.
A. Site Information
Owner Name (,� �L
'1 * ' J �'4 0
Street Addr ss or Lot'#
go oledo
City/Town State Zip Code
— 0AI% M V) '5;0
Contact Person (if different from Owner) Telephone Nuffiber
B. Test Results
Date Time
Observation Hole # r I
Depth of Perc
1�1I
Start Pre -Soak
End Pre -Soak
Time at 12"
Time at 9" o
Time at 6" Z 0 7i
Time (9"-6") EA'
Iii I I,�
Rate (Min./Inch)
Test Passed: 2/
_ _ Test Failed: ❑
Test Performed
By:
Comments:
Date Time
Test Passed: ❑
Test Failed: ❑
t5forml2.doc- 06/03 Perc Test - Page 1 of 1
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
VQ
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 CMR
15.404(1), is not feasible.
System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full
compliance, with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 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 CMR 15.000.
A. Facility Information
1. Facility Name and Address:
John & Joan Grover Residence
Name
35 Marian Drive
Street Address
North Andover
City/Town
2. Owner Name and Address (if different from above):
SAME
Name
Citylrown
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Describe Facility:
4 Bedroom House
5. Type of Existing System:
MA
State
Street Address
State
(978) 685-0661
Telephone Number
❑ Commercial ❑ School
01845
Zip Code
❑ Privy ❑ Cesspool(s) ® Conventional R. Other (describe below):
6. Type of soil absorption system (trenches, chambers, leach field, pits, etc):
Unknown
LUA FORM t5form9a.doc • rev. 7/06 Application for Local Upgrade Approval* Page 1 of 4
Commonwealth of Massachusetts
City/Town of North Andover
a 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):
Unknown
gpd
440
gpd
440
gpd
® voluntary ❑ Required by order, letter, etc. (attach copy)
❑ Required following inspection pursuant to 310 CMR 15.301:
2. Describe the proposed upgrade to the system:
Total Replacement (see plan)
3. Local Upgrade Approval is requested for (check all that apply):
❑ Reduction in setback(s) — describe reductions:
❑ Reduction in SAS area of up to 25%:
date of inspection
SAS size, sq. ft. % reduction
® Reduction in separation between the SAS and high groundwater:
Separation reduction
Percolation rate
Depth to groundwater
1.0
ft.
20
min./inch
3.0
ft
LUA FORM t5form9a.doc • rev. 7/06 Application for Local Upgrade Approval* Page 2 of 4
_CN Commonwealth of Massachusetts
City/Town of North Andover
a 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
❑ Use of only one deep hole in proposed disposal area
❑ Use of a sieve analysis as a substitute for a perc test
❑ Other requirements of 310 CMR 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 CMR 15.405(1)(h)(1). The soil evaluator must be a
member or agent of the local approving authority.
High groundwater evaluation determined by:
Randy Burley
Evaluator's Name (type or print)
C. Explanation
Signature
8-9-11
Date of evaluation
Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be
completed)
1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
High water table, full compliance would result in an exceptionally high mounded system causing
unreasonable financial hardship and make the marketability of the property much more difficult.
2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible:
N.A.
LUA FORM t5form9a.doc • rev. 7/06 Application for Local Upgrade Approval* Page 3 of 4
Commonwealth of Massachusetts
' City/Town of North Andover
Form 9A - Application for Local Upgrade Approval
SV,yt 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:
N.A.
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):
❑ Application for Disposal System Construction Permit
® Complete plans and specifications
® Site evaluation forms
❑ 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 CMR 15.405(2).
❑ Other (List):
D. Certification
"I, 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."
IJ4 a, 8-15-11
Fa06 ty Owner's Signature Date
John Grover
Print Name
Bill Dufresne/Merrimack Engineering
Name of Preparer
66 Park Street
Preparers address
MA / 01810
State/ZIP Code
8-15-11
Date
Andover
Cityrrown
(978) 475-3555
Telephone
LUA FORM t5form9a.doc • rev. 7/06 Application for Local Upgrade Approval* Page 4 of 4
TOWN OF NORTH ANDOVER tkORT*4
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT � K
1600 OSGOOI) STREET'; BU1I.,IHNG, 20; SLI:I f 2-36
NO.RTI-I: ANDOVER, MASSACHUSETTS 01.84.5
978,688.9540 — Phone
Susan Y. Sawyer, .REHS/.RS 978.688.8476— FAX
Public Health Director E-MAIL: healthdeirt(rvtowiiofnortliandoves.crnii
SEPTIC PLAN SUBMITTAL FORM
Date of Submission:
a►
Site Location: &T mmtw Do to
Engineer:
New Plans? Yes_�$225/Plan Check #
review only)
Revised Plans?Yes $75/Plan Check #
Site Evaluation Forms Included? Yes ✓• No
Local Upgrade Form Included? Yes No
(includes lst submission and one re -
Telephone #: I I IAA iM Fax #:
E-mail: bo_qq'�)Qtdmal Vic -Cow-
Homeowner
Name:
OFFICE USE ONLY
When the submission is complete (including check):
➢ Date stamp plans and letter
➢ 41 Complete and attach Receipt
➢ Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
r:.
1600 Osgood Street
Building 20 Suite 2-64
North Andover, MA 01845
Tel: (978) 686-1768 • Fax: (978) 327-6138
www.neengineeringinc.com
NEw ENGLANDENGINEERING SERVICES, INC.
Ms. Susan Sawyer
North Andover Board of Health
1600 Osgood Street
North Andover, MA 01845
Re: 35 Marian Drive North Andover, MA
Local Upgrade Approval Request
Dear Ms. Sawyer,
March 31, 2008
Project # 1497
The purpose of this letter is to request that the above referenced property be included in
the upcoming Board of Health meeting agenda- to -discuss the- following Local upgrade
approval request:
Local Upgrade Approvals Required:
1. Allow the use of a sieve analysis to determine loading rate in lieu of performing a
percolation test. Title 5, section 15.405(1).
2. Reduction in offset distance between the estimated seasonal high groundwater and
the septic tank invert from 12" required by Title 5, Section 15.227(5) to 4".
If you have any comments or questions please do not hesitate to contact this office.
Sincerely,
J
amin (0s1g�o"fJ/,Jr-
. P.E.
President
Soil and Plant Nutrient Testing Lab
West Experiment Station
a Uriiversity of Massachusetts
Amherst, MA 01003
413.545.2311
http://www.umass.edu/pisoils/soiltest
TEXTURAL ANALYSIS RESULTS
Customer Name: New England Engineering Services
1600 Osgood Street, Suite 2-64
N. Andover, MA 01845
Sample ID: 75202-2
Customer Designation
USDA SIZE FRACTIONS
35 Marian Drive N. Andover
Main Fractions
Size (mm)
Percent
Sand
0.05-2.0
63.3
Silt
0.002-0.05
29.0
Clay
< 0.002
7.8
Total
< 2.0
100.0
Sand Fractions Size (mm) Percent
Very Coarse
1.0-2.0
6.5
Coarse
0.5-1.0
8.9
Medium
0.25-0.5
14.5
Fine
0.10-0.25
21.0
Very Fine
0.05-0.10
12.3
0.05
#270
63.3
Silt Fractions Size '(mm) Percent
Coarse 0.02-0.05 12.0
Medium 0.005-0.02 12.1
Fine 0.002-0.005 4.9
29.0
USDA Textural Class = fine sandy loam
Gravel Content = 11.20
COMMENTS:
03/04/08
PERCENT OF WHOLE SAMPLE PASSING
Size (mm) Sieve # %
0
2.00
1.00
#10
88,8
0-50
#18
#35
83.1
75.1
0.25
#60
62.2
0.10
#140
43.6
0.05
#270
32.6
0.02
0.005
20 um
22.0
0.002
5 um
11.2
2 um
6.9
J^
Commonwealth of Massachusetts
City/Town of No. Andover
0
Form 9A - Application for Local Upgrade Approval
Oc�,M 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 CMR
15.404(1), is not feasible.
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
tab
System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full
compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 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 CMR 15.000.
A. Facility Information
1. Facility Name and Address:
John & Joan Grover
Name
35 Marian Drive
Street Address
No. Andover
City/Town
2. Owner Name and Address (if different from above):
Same as Above
Name
City/Town
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Describe Facility:
Sinale Familv Dwellin
5. Type of Existing System:
❑ Privy ❑ Cesspool(s)
MA 01845
State Zip Code
Street Address
State
Telephone Number
❑ Commercial
® Conventional
❑ School
❑ Other (describe below):
6. Type of soil absorption system (trenches, chambers, leach field, pits, etc):
Leach Field
Form 9A Application for Local Upgrade Approval revised.doc • rev. Application for Local Upgrade Approval• Page 1 of 4
7/06
VI
Commonwealth of Massachusetts
City/Town of No. Andover
N o 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:
440
gpd
440
gpd
440
gpd
B. Proposed Upgrade of System
1. Proposed upgrade is (check one):
❑ Voluntary ❑ Required by order, letter, etc. (attach copy)
® Required following inspection pursuant to 310 CMR 15.301: Unknown
date of inspection
2. Describe the proposed upgrade to the system:
Replace leach field and system components
3. Local Upgrade Approval is requested for (check all that apply):
❑ Reduction in setback(s) — describe reductions:
❑ Reduction in SAS area of up to 25%: SAS size, sq. ft.
❑ Reduction in separation between the SAS and high groundwater:
Separation reduction
Percolation rate
Depth to groundwater
Form 9A Application for Local Upgrade Approval revised.doc • rev.
7/06
ft.
min./inch
ft.
% reduction
Application for Local Upgrade Approval, Page 2 of 4
f
o Commonwealth of Massachusetts
City/Town of No. Andover
H o Form 9A — Application for Local Upgrade Approval
a
^M e •" 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
❑ Use of only one deep hole in proposed disposal area
® Use of a sieve analysis as a substitute for a perc test
❑ Other requirements of 310 CMR 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 CMR 15.405(1)(h)(1). The soil evaluator must be a
member or agent of the local approving authority.
High groundwater evaluation determined by:
Randy Burley
Evaluator's Name (type or print)
C. Explanation
Signature
2/28/08
Date of evaluation
Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be
completed)
1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
No other location on the lot
2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible:
A clean solutions 250ST4 pretreatment unit is being used to reduce seperation distance bewteen the
ESHGW and the bottom of a leach bed from 4 feet required to 2 feet.
Form 9A Application for Local Upgrade Approval revised.doc • rev. Application for Local Upgrade Approval• Page 3 of 4
7/06
Commonwealth of Massachusetts
,, F
City/Town of No. 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.
C. Explanation (continued)
3. A shared system is not feasible:
No other adiacent is available
4. Connection to a public sewer is not feasible:
Public sewer is not available in the area.
5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the
appropriate boxes):
❑ Application for Disposal System Construction Permit
❑ Complete plans and specifications
❑ Site evaluation forms
❑ 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 CMR 15.405(2).
❑ Other (List):
D. Certification
"I, 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."
Fac y Owner's Signature
Benjamin C. Osgood Jr. P.E. (Agent for Owner)
Print Name
New England Engineering Services, Inc.
V 2 ILd8
Date
3/11/08
Date
1600 Osgood Streeet No. Andover, MA
Preparer's address City/Town
01845 X978)686-1768
State/ZIP Code
Form 9A Application for Local Upgrade Approval revised.doc • rev.
7/06
Telephone
Application for Local Upgrade Approval• Page 4 of 4
Soil and Plant Nutrient Testing Lab
West Experiment Station 03/04/08
s University of Massachusetts
Amherst, MA O1003
413.545.2311
http://www.umass.edu/pisoiIs/soiltest
TEXTURAL ANALYSIS RESULTS
Customer
Name: New England Engineering
Services
1600
Osgood Street, Suite 2-64
N. Andover, MA 01845
Sample ID: 75202-2
Customer
Designation:
35 Marian Drive N. Andover
USDA SIZE FRACTIONS
PERCENT OF
WHOLE SAMPLE
PASSING
Main Fractions
Size (mm)
Percent
Size (mm)
Sieve #
Sand
0.05-2.0
63.3
Silt
0.002-0.05
29.0
Clay
< 0.002
7.8
Total
< 2.0
100.0
Sand Fractions
Size (mm)
Percent
2.00
1.00
#10
88.8
Ve
ry Coarse
1.0-2.0
6.5
0..50
#18
#35
83.1
75.1
Coarse
Medium
0.5-1.0
0.25-0.5
8.9
0.25
#60
Fine
0.10-0.25
14.5
21.0
62.2
Very Fine
0.05-0.10
12.3
0.10
#140
43.6
63.3
0.05
#270
32.6
Silt Fractions
Size (mm)
Percent
0.02
0.005
20 um
5 um
22.0
11.2
0.002
2 um
6.9
Coarse
0.02-0.05
12.0
Medium
0.005-0.02
12.1
Fine
0.002-0.005
4.9
29.0
USDA Textural Class = fine sandy loam
Gravel Content = 11.2%
COMMENTS:
rf y
TOWN OF NORTH ANDOVER of NOR.„
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET• B ILDING 20; SUITE 2-36
NORTH TTS 01845 �'SSAC„US t`g
Susan Y. Sawyer, RENS, RS
Public Health Director
JUL I 4011
TOWN OF NOWtH ANQOVIR
APPLICATION FOR SOIL TESTS
.688.9540 - Phone
.688.8476 - FAX
town ofn orthan dover.com
DATE: . %-- Iii — i I MAP & PARCEL: 1 '017
G'/ -'t -
LOCATION OF SOIL TESTS:: �12- =& 0 Oz I ue
J.)
OWNER: �0 6-Vi2 O, 9eig- Contact#: 6213
APPLICANT:_ G� Contact #:
ADDRESS:
ENGINEER: Hffld kj&e; 6-) QaAJCj Contact #: K--1 ?P3, q '75 -3592�
CERTIFIED SOIL EVALUATOR: )WL(c_Phn,
Intended Use of Land: Residential Subdivision Single Family Home) Commercial
Is This: Repair Testing: Undeveloped Lot Testing= Upgrade for dition:❑
In the Lake Cochichewick Watershed? Yes No
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership (Tax bill, or letter from owner permitting test)
➢ 8. S" x 11 " Plot plan & Location of Testing (please indicate test nit sites on the plan)
➢ 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 un2rades.
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 1"-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 Commission Approval Date:
Signature of Conservation Agent. �� • 1' r �
Date back to Health Department: (stamp in):
103. `
F
'OLA
ILY
ST
BENCHMARK; SPIKE IN TREE
ELEV. 107.66 (ASSUMED DATUM)
WATTS -
REGULATOR
MARIAN DRIVE
I CERTIFY THE LOCATIONS, ELEVATIONS, AND TIES SHOWN ON THIS PUN RESULT FROM AN ACTUAL SUM
THE GROUND.
�� w
De1leChiaie, Pamela
From: Randy Burley[rburley@millriverconsulting.com]
Sent: Wednesday, August 10, 20113:17 PM
To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela;
Sawyer, Susan
Subject: 35 Marian Dr.
Attachments: 35 Marian Dr Soils 8 10 11.PDF
I have attached the soil results from today.
We had a favorable official perc rate of 20 min./in.
I say favorable because it changes the loading rate from the sieve rate they had of 0.15 gpd/s.f. to 0.53 gpd/ s.f.
Still a high water table but a much better loading rate to work with.
Randy Burley
Project Manager
Mill River Consulting
6 Sargent Street
Gloucester, MA 01930
Ph 978-282-0014
Fx 978-282-1318
www.millriverconsulting.com
rburleyna,millriverconsultin .com
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.
p ,
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TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
APPL I CATION FOR SOIL TESTS / �J j� �/
DATE: OG �� Q MAP& PARCEL: ! D7e /we] -73
LOCATION OF SOIL TESTS:i��
OWNER:
Tohn &otmt
Contact#
APPLICANT: —�
?"t"
Contact#.
ADDRESS:
�JQQ "te-1
ENGINEER:.;
1�Q/il//1 nod
/ G • Contact #. 47d0�-I rjda
CERTIFIED SOIL E\
Intended Use of Land:
IsThis: Repair Testi
In the Lake Cochichewick Watershed? Yes
No
THE FOLLOWING MUST BE INCLUDED WITH THISFORM
➢ Proof of land ownership (Ta( bill, or letter from owner permitting test)
➢ 8.5_x 11 -Plot plan & Location of Testing (please indicate test pit siteson theplan)
➢ Fee of $425.00 per lot for nedv construction. This coversthe minimum two deep holes and
two percolation tests required for each disposal area. Feeof $360.00 per lot for repairsor upgrades.
GENERAL I NFORM AT I ON
➢ Only CertifiedSoiIEvaluatorsmay 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 requi red for al I additional testswithi n two weeks of testi ng.
Withi n 45 days of testi ng, a scat ed pl an (no smd I er than 1=100) shd I be submitted to the Board of Health
showi ng the I ocati on of al I tests (i nd udi ng aborted tests).
➢ Within 60 days of testing soil evaluation for ms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval Date:
Signature of Conservation Agent:
Date back to Health Department: (starnp in):
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Hillside Acres
Lot # 16.
(" APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
l'. +�`x HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
L.at` 16, Hillside Acres . I will install this system in ac-
cordance with all the laws of the Commonwealth of Massachusetts and regulations of
the Board of Health of the Town of North Andover.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. I will install a con-
crete septic tank of 1000 gal. in size. A manhole (s) permitting easy cleaning
will be provided with .removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 200 lineal (zipn=) feet of effective absorption area.
The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar
material to a height of 2 inches above the crown of the pipe. The joints of these
pipes will be protected from clogging and before filling the trench, 2 inches of
gravel or stone 1/8" to 1/41' (dia.) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, two lines of tile will be
installed. A minimum of 6 feet will be maintained between the center lines of the
disposal field trenches and the average depth of trench shall not exceed 36 inches.
No part of the installation will be less than 100 feet from any private water supply,
25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line.
I further agree not to cover any portion of this installation until approved by the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the permit. Plot Plans must be submitted with application.
DATE//
d.__11
d.-
SlgAa`�ff Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE_ _ ZI - �--" G
Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Percolation Test 8 Min, Soil: Clay
Garbage Grindert1
eLULZ'
r
Signature 16
Inspecting Officer
I
or
IQ BOARD OF HEALTH
W TOWN OF NORTH ANDOVER, MASS.
4 S'0
f
9i
-�'of4... t+►
I
1Ak,o is, :t 119
WR�.�i .40w-
IV
L70
1. NAME �y 4'- //" -r. e . DATE a X( -11-'e
2. ADDRESS G+ 4 curl, fes¢ f f . LOT NO. '&/G TEL.
3. NO. OF BEDROOMS ¢ DEN YES NO Lwoo
4. GARBAGE GRINDER YES NO
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSIONS OF LOT
$. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
e" .
.N
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE Nov. 26, 1966
NAME OF APPLICANT I. J. Segadelli, Inc.
LOCATION Lot #16, Hillside Acres
Address of lot no.
BUILDING:
Dwelling x Other
SYSTEM: New x Repair
GENERAL DESCRIPTION OF LAND High
SUBSOIL: Clay x GravelN� Sand
PERCOLATION TEST 8
minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONC ETE SEPTIC TANK 1000 gallon capacity.
LEACH FIELD 200 lineal feet of drain pipe.
William J. r scoll, Engi eer
Board of Hea h
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