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Miscellaneous - 415 BOXFORD STREET 4/30/2018 (2)
415 BOXFORD STREET t / 210/105.=QOo00.0 o v 4 i' IR hAP # LOT # _ -------- - PARCEL # STREET--PO i _ 5 ..___..._.. CONSTRUCTION APPROVAL HAS PLAN REVIEW FEE BEEN PAID? YE5 NO p PLAN APPROVAL: DATE lJ/`�/9 APP. BY_ _.__..__.._.... DESIGNER: dz4Q&b/3 PLAN DATE._�f__¢ CONDITIONS WATER SUPPLY: TOWN WELL WELL PERMIT DRILLER._... WELL TESTS: CHEMICAL DA1 E APPRUVED._ia BACTERIA I DA 1 E APPROVED 146�5/%- BACTERIA II DATE APPR0VEL) COMMENTS: FORM U APPROVAL: n APPROVAL TO ISSUE: YES NO i DATE ISSUED Q— BY CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID Y NO WELL CONSTRUCTION APPROVAL E NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER ES NO ANY VARIANCE NEEDED YES NU FINAL BOARD OF HEALTH APPROVAL: DATE:,((j��g/q ' BY.- Moll-, -[ENS=g4l,H Q�! IS THE INSTALLER LICENSED? + ES NO s - , ` -TYPE OF CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION• CERTIFIED PLOT 'PLAN `REVIEW YE�.� NO ' CONDITIONS OF:.APPROVAL YES NO t (FROM FORM U) ' ' .fir• .tit • .i ; .7.. � 1 - . `;ISSUANCE OF DWC PERMIT ` Y ' YES NO ' DWC PERMIT N0. � INSTALLER: ..os(5661%, BEGIN INSPECTION YES EXCAVATION ,INSPECTION: ; NEEDED: • 1. - • PASSED HY ", ' . ;CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY: APPROVAL TO BACKFILL: DATE: f � FINAL. GRADING APPROVAL: DATE DATE BY 16-AN) FINAL CONSTRUCTION APPROVAL: ; � �S�/�¢ RECEIVED NOV 19 J015 PUBLIC HEALTH DEPARTMENT TOWN OF NOR:p HANIXIVCR CommunitypevelopmenI t7tvtsron TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION ,The undersigned hereby certify that the Sewage Disposal System( )constructed;O repaired; By: Fe i e (Print Name) Located at: `a I S— r-Q-,tZ,� (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on_ �y /1 - t- ,with a design flow of gallons per day. The materials used were in conformance with those specified on the i 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:J/ f--1S T-� -2- ,�1 Engineer Representative(Signature) And-Print Name j Final Construction Inspection Date.a - / --tom _ Engineer Representative(Signature) /�7t'•�!t G<w -- C �Srr•:;��.�VEL_ And-Print Name n Installer: 4;�/ t� (Signature) Date. f� And-Print Name Engineer:. v evj 4 ignature) Date: 11-le- And !-!e- And-Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://Www.townoftiortitandover.com North Andover Board of Health Meeting Minutes Thursday—October 27, 2015 7:00 p.m. 120 Main Street,2"d Floor Selectmen's Meeting Room North Andover, MA 01845 Present:Thomas Trowbridge,Frank MacMillan,Larry Fixler,Edwin Pease,Susan Sawyer,Michele Grant, Lisa Hadge I. CALL TO ORDER The meeting was called to order at 7:04 pm. II. PLEDGE OF ALLEGIANCE III. PUBLIC HEARINGS IV. APPROVAL OF MINUTES A. Meeting minutes from September 24,2015 were presented for signature. Motion was made by Mr.Fixler to approve the minutes,the motion was seconded by Mr.Pease,all were in favor and the minutes were approved. V. OLD BUSINESS A. 700 Middleton Street—James Morin,representing owners of 700 Middleton Road requesting: 1. Local Upgrade Approval request to reduce the setback distance from the private well to the proposed leach field of 77 feet where 100 feet is required.(310 CMR 15.405(1)(g) 2. Local Upgrade Approval request is required to have only one test pit in the proposed leach field area where two are required.(3 10 CMR 15.405(1)(k) 3. Variance request from the NA BOH local of setback distances of wetlands to a SAS of 51 feet where 100 feet is required. Jim Morin approached the podium.Mr.Morin stated that he is a registered sanitarian in the state of Massachusetts.A discussion ensued regarding the proposed septic system at 700 Middleton Street and the requests before the Board.Dan Ottenheimer,Mill River Consultant,reminded the Board that this request was brought before them at a previous meeting.There is a nearby well and the concern was the proposed septic system being replaced within 100 feet of a well.A representative for Mr.Morin was at the previous meeting and he was not able to answer some of the Boards questions regarding the well so he was asked to do some homework and come back to a future Board meeting.Mr.Morin stated that they hired a lab to come into the property and obtain a water sample from the kitchen sink.The well water testing results have been forwarded to the Board and the well water testing came back clean.A discussion ensued regarding the well.Mr. Morin explained that no expansions or additions to the home are proposed.The homeowners are selling the property and retiring.The home is a four bedroom and will stay a four bedroom.Mr. Morin stated that he has filed with Conservation pertaining to the wetlands and offsets.He stated that Conservation has given their verbal approval and Mr.Morin can pick up the conditions at the next Conservation meeting.A discussion ensued regarding the soil testing at the site and the 2015 North Andover Board of Health Meeting Page 1 of 6 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan Jr., M.D.;Joseph p M P i Ed b McCarthy,Member; Edwin ease, ember Health De artment Staff:Susan Sawyer,Health Director; Debra y �' Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Hadge,Health Department Assistant ' proposed placement of the septic system.Dr.MacMillan asked Mr.Ottenheimer if he had any comments or concerns regarding the second request of having only one test pit.Mr. Ottenheimer stated that he did not see any concerns.Dr. Trowbridge asked Mr. Ottenheimer that since the Board now has a baseline test of the water and the up gradient,even though there are no guarantees,can the Board accept it? Mr.Ottenheimer stated it is subjective but if the well was not contaminated with the existing system there is very little risk of contamination with the new proposed system. Motion was made by Dr.MacMillan to approve the two local upgrade approval requests as listed in the agenda as well as the variance request as printed in the agenda.Motion was seconded by Mr. Pease.All were in favor and the motion was approved. VI. NEW BUSINESS A. 440 Boston Street—Douglas Smith,representing owners of 440 Boston Street,requesting: 1. Local upgrade approval for the requirement of a 4' separation between the bottom of the soil absorption and high groundwater with a reported perc rate of 3 min per inch. This results in a 1' reduction resulting in the bed bottom being 3' above high groundwater.(3 10 CMR 15.405(h)) 2. Requesting a local upgrade approval for the requirement of a 12"separation between the inlet and outlet tees and high groundwater. A 10"separation is provided for the septic tank and a 5" separation is provided for the pump chamber. Rubber boots are provided on tank and pump penetrations.(3 10 CMR 15.4050)) Douglas Smith approached the podium.A discussion ensued regarding the proposed septic system at 440 Boston Street and the requests before the Board.Mr.Smith stated that the home does not have a full foundation but has a crawl space.He stated that the proposed system fits in well with the property and is esthetically a good situation.Mr. Smith described the layout of the property and surroundings.The driveway is about 250 feet with the house sitting sideways with no street anywhere near the system at all.He stated that the land has an unusual shape.Mr. Smith reviewed the property lines.Dr.Trowbridge asked Mr. Ottenheimer to review the inlet/outlet tees and groundwater. Mr.Ottenheimer explained that because of how the house is built they can't comply with the design standards and the code.Mr.Ottenheimer reviewed design standards and the risk of a tank sitting in the ground water table.He reviewed what the code says to prevent this risk.Mr. Ottenheimer stated that because Mr. Smith doesn't have the flexibility to change where the pipes come out of the house he can't raise up the tank to comply with the code.Dr.MacMillan asked if 12"to 10"is substantially different with regards to risk.Mr.Ottenheimer stated it was not.An explanation ensued regarding the limitations with the existing basement.Dr.MacMillan asked Mr. Ottenheimer if he had any reservations approving the two requests that were being requested.W. Ottenheimer stated that the Board has had questions regarding this local upgrade approval in the past to reduce the distance to the ground water. W.Ottenheimer reviewed what Title V addresses.This request has been granted before in the past,but there have also been times where it hasn't been granted.Dr.MacMillan asked if the property was in the Lake Cochichewick watershed.The property is not.A discussion ensued regarding the proposed system location.Mr.Ottenheimer reviewed the code with the Board. There are two options for full compliance under Title V and there is an additional option which is to request a reduction of the groundwater offset from 4'to 3'.This can be granted but the code does give two options for full compliance which would be preferred. A discussion ensued regarding the proposed septic system.Mr. Smith stated that not approving the requests before the Board could be a hardship to the current homeowners with their buyers.The homeowner asked to address the Board. She stated that she has lived there along with five other people for twenty eight years with no issues of flooding.The delay would possibly cause them to lose their buyers.Mr.Fixler asked Mr. Smith if he thought coming up with a larger system and asking for the local upgrade approval was better alternative to the two Title V options that Mr.Ottenheimer had mentioned for compliance.Ben Osgood Jr.,engineer for a couple of requests on the agenda,approached the podium.W.Osgood discussed his thoughts as a designer for justifications on the 1'reduction resulting in the bed bottom being 3' above high groundwater.A discussion ensued regarding Title g �' g g V and the local upgrade approval.Dr.MacMillan stated that what Mr. Smith requests,seems reasonable. Motion was made by Dr.MacMillan to approve the request,as listed in the agenda,for the requirement of a 4' separation between the bottom of the soil absorption and high groundwater with a reported perc rate of 3 min per inch. This results in a V reduction resulting in the bed bottom being 3' above high groundwater.Motion was seconded by Mr.Fixler.All were in favor and the motion was approved. 9 North Andover Board of Health Meeting Minutes Thursday—October 27, 2015 7:00 p.m. 120 Main Street,2°d Floor Selectmen's Meeting Room North Andover,MA 01845 Motion was made by Dr.MacMillan to approve the request as listed in the agenda for the requirement of a 12"separation between the inlet and outlet tees and high groundwater. A 10" separation is provided for the septic tank and a 5"separation is provided for the pump chamber. Motion was seconded Mr.Fixler.All were in favor and the motion was approved. B. 4t -Benjamin Osgood,Jr.,representing owners of 415 Winter Street,requesting: 1. o al upgrade approval to allow a reduction in the separation distance between the water table and bottom of leach stone in the leach field from 4 feet as required by Title 5 Section 15.212 to 3 feet. 2. Local variance for reduction in the offset distance between the edge of a leach field and a wetlands from 100 feet required to 55 feet. Ben Osgood Jr.approached the podium.Mr. Osgood gave information regarding the home's septic systems history. The system is a reconstruction of what was done about 10 years ago.The home is an older duplex.Mr.Osgood's firm was hired originally in 2001 to design a replacement system. The soil testing was done,permits pulled and the system was installed per the plans.He recently received a call from the owner looking for a designer and Mr.Osgood just happened to have been the designer back in 2001.Mr.Osgood gave his opinion on why the current 15 year old system failed.He stated that there had been home renovations and items i.e.paint was put down the drains that shouldn't have been.His opinion was that the system failed from abuse..Pumping records showed it was only pumped once or twice since it was last installed.The septic plans were done and he has gone before Conservation.He is asking for same waivers that were asked for originally.Mr.Osgood reviewed his requests for approval.Dr.MacMillan asked if they planned on just excavating the sight and reinstalling the system.Mr.Osgood stated that was the case.The regulation from the last installation is still the same as before.Mr. Osgood stated that if the system was not misused,the system probably would not have failed.A discussion ensued regarding maintaining a septic system,the lifespan of a septic system and the current proposed system and an addition of a wall.Mr.Osgood would like to dig down a foot or more until good clean sand is identified.It will be replaced by another type of sand.Ms.Grant asked Mr. Osgood if he planned on removing and replacing the current sand.Using less sand could mean a good savings to the home owner,added Ms.Grant.A discussion ensued regarding replacing the sand and the type of sand.Ms.Grant added that an out of season permit can be pulled in emergency situations if time runs out. Motion was made by Mr.Fixler to approve both requests as listed in the agendas; it was seconded by Mr.Pease: -to allow a reduction in the separation distance between the water table and bottom of leach stone in the leach field from 4 feet as required by Title 5 Section 15.212 to 3 feet. 2015 North Andover Board of Health Meeting Page 3 of 6 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Hadge,Health Department Assistant ' -reduction in the offset distance between the edge of a leach field and a wetlands from 100 feet required to 55 feet as written on the agenda. Chairman called for discussion.Ms. Grant had an additional item for discussion. She requested the board consider adding a requirement to test the sand to ensure compliance with Title V standards and if it does not pass,it will be replaced by C-33 sand. Larry Fixler offered the amendment to include the following; that the original sand that is in the ground below the system,is to be tested. If it doesn't pass as Title V sand,the sand will be completely removed and replaced with C-33 sand.Motion was seconded by Mr.Pease.There was a unanimous vote by the board for the amendment.The chair returned to the amendment to the motion.Frank MacMillan made the motion to approve the amended motion and Mr.Pease seconded the motion. All were in favor and the complete motion below was approved. -to allow a reduction in the separation distance between the water table and bottom of leach stone in the leach field from 4 feet as required by Title 5 Section 15.212 to 3 feet. -reduction in the offset distance between the edge of a leach field and a wetlands from 100 feet required to 55 feet as written on the agenda. -that the original sand that is in the ground below the system,is to be tested. If it doesn't pass as Title V sand,the sand will be completely removed and replaced with C-33 sand. C. 415 Boxford Street—Benjamin Osgood Jr.,representing owners of 415 Boxford Street,requesting: 1. Local upgrade approval to allow a leach field to be designed in an area with only one test pit in lieu of 2 as required by Title 5 sections 15.405(k). Mr.Osgood gave history of the property located at 415 Boxford Street.The reason for the failure was that the owner installed a water softener and the back flush went into the septic system.The water softener can cause a failure by the salts going into the tank and then the solids going out into the system.The homeowner is sold a product and does not know it could fail their septic.A discussion ensued regarding installation of water softeners.It was noted that no permits are needed to install water softeners.Ms. Grant compared it to a garbage grinder. She stated that no garbage grinder is safe for a septic system and yet,the manufacturer and sales person markets it as safe for septic systems. She also stated that homeowners may not be educated on the dos and don'ts of a septic system.The new plan will include a location for a drywell for the back flush of the water softener. Mr.Osgood discussed the proposed septic system and what was being requested by the Board.It is the same as the plan for the system currently in the ground.The designer feels that this system was properly designed and the local upgrade approval given by the board of health a decade ago was appropriate and they are still the best application for the property today.Mr.Ottenheimer did not see a problem with the local upgrade approval being requested. Motion was made by Dr.MacMillan to approve the local upgrade approval as listed in the agenda to allow a leach field to be designed in an area with only one test pit in lieu of 2 as required by Title 5 sections 15.405(k).Motion was seconded Mr.Pease.All were in favor and the motion was approved. D. Town of North Andover Dumpster Regulations—To amend section 2.2 of the local regulation: to modify the annual expiration date for a permit to maintain a trash or refuse dumpster from the calendar year to the last day of February in order to be aligned with the food permits.To amend section 2.4 to ! exclude certain parties from this regulation.The amendment will take effect immediately. Motion made by Dr.MacMillan to amend the dumpster regulation by way of addition and deletion as stated in the agenda.The motion was seconded by Mr.Pease.All were in favor and motion was passed. E. Town of North Andover Regulation Concerning the Hauling and Disposal of Solid Waste—Susan Sawyer described the need to modify the regulation to eliminate conflicting phrases regarding distinction between hauling waste and traversing the town roads.This regulation oversees the movement of the trash trucks that go to Wheelabrator,TBI and Covanta solid waste facilities. Authority to set truck routes was given to the Town's Board of Health as North Andover is the host community to multiple facilities.The board felt it necessary to exercise that right.The regulation has been modified on occasion to attempt to make it more understandable and workable to the N.Andover Police Department and the Health Department. The NAPD does the enforcement on these vehicles for the Health Department.Larry Fixler commented on the process that was done to identify sections or phrases of the current regulation that North Andover Board of Health a th Meeting Minutes Thursday—October 27,2015 7:00 p.m. 120 Main Street,2°d Floor Selectmen's Meeting Room North Andover,MA 01845 conflict with other sections or phrases.The corrections proposed are all in line with the intent of the regulation as first approved.Health staff and Larry Fixler spent a number of hours going line by line to find inconsistencies.It is the intention to reduce the conflicts that arose last year.Nothing of substance or of the original intent has been changed.We also took out sections that were basically outdated and not relevant on how the regulation is applied and corrected process inconsistencies.This is a change in process.We fully expect that other items may come up from time to time that may need addressing.At that time the Board can take action on those items.It did not meet the timeline to be sent prior to the trash truck applications,but everyone who should be aware and will have to comply with the changes to be fair to all.The process is ongoing and these changes are needed to be in place for this renewal period.Larry Fixler noted that the office will notify the public via local newspaper and for the Ed Pease presents that he has reviewed and marked up the document for numerous grammatical errors and formatting errors.It is just clean up stuff,not sustentative.He noted the use of capitals;missing periods etc.Larry pointed out that Ed's capacity was not as a legal advisor for this review.These are editorial comments and Dr. Trowbridge proposed that he would be able to review and approve the final draft,but the vote can be taken now and signed at the November meeting. The final revised document will be distributed as soon as it can be signed.The final approved,but unsigned document will be distributed prior to signing to assist the applicants.Ms. Sawyer noted that these changes do not affect any permit holder or applicant to appeal any decisions made by the staff reviewing the applications. Motion made from Dr.MacMillan moved to accept the changes as presented and the Board will designate to the chairman final approval of any grammatical corrections that he deems are necessary.Larry Fixler seconded. All were in favor and the motion was passed. VII. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. 2016 BOH Agenda—Due to renovations of Town Hall,the 2016 BOH agenda was presented with the meeting days to be held on the fourth Tuesday instead of Thursday for 2016.The Superintendent's room at 566 Main Street was suggested.The Superintendent's room is about the same size of the Selectmen's room and is wired for recording with NA CAM. Parking is convenient.There was no opposition in changing the meeting from a Thursday to a Tuesday by members present.Dr. Trowbridge asked if there was anything written anywhere in the Town Charter or By-Laws stating that the Board is to meet on a Thursday.The Health Department staff will look into whether or not it is written anywhere that the day must be the 4t'Thursday.A vote will be held off until the next BOH meeting if there is a need to address. VIII. CORRESPONDENCE/NEWSLETTERS Mrs. Sawyer gave feedback on the recent flu clinic held at North Andover High School.Over 530 vaccinations were given.The next flu clinic will be held on November 5,2015 from 2-3pm at the Senior Center.Everyone is welcomed. There is no charge,but please bring your medical cards. 2015 North Andover Board of Health Meeting Page 5 of 6 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Hadge,Health Department Assistant Ms.Rillahan,Public Health Nurse,has also been signing up people for pneumonia clinics and has been doing homebound who need flu shots.Please call the Public Health Nurse if you need a flu shot and are homebound. Merrimack College Give Back Program will be coming up on November 7th.There are over 100 volunteer students coming to clean up around the lake and Ms. Sawyer also coordinated with the NA Housing Authority to have 40 student volunteers to help beautify their community rooms and surrounding grounds. The new Fire Station's"open house"will be on the morning of November 7th. Mrs. Sawyer stated that it is time for permit renewals.The reminder letters are set to be mailed out at the end of the week.When establishments receive their new permits,they will also receive a letter to let them know that their food and/or dumpster permits will run through the end of February 2017.Permits will then run from March 1St through February 28tb of each year after. IX. ADJOURNMENT MOTION made by Dr.MacMillan to adjourn the meeting.Mr.Fixler seconded the motion and all were in favor.The meeting was adjourned at 8:53 pm. Prepared by: Lisa Hadge, Health Dept.Assistant Reviewed by: All Board of Health Members&Susan Sawyer,Health Director Signed by: i Larry ler, Clerk of the Boar Date Signed � 5�T'fT.'ED''y�6` • J • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 11/19/15 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: Peter Breen At: 415 Boxford Street Map 105C Lot 10 . North Andover, MA 01845 The Issuance of this cicate shall not be construed as a guarantee that the system will function satisfactorily. i / J ��hh �l ache e Grant 1't U Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Town of North Andover — Septic System - AS-BUILT CHECKLIST 1) V All changes to the design plan have been reflected and noted on the as-built plan 2) ,/As-built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans) 3) Street Address,Assessor's Map and Lot Number 4) `/ Lot Lines and Location of Dwellings served by the system 5) Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable) 6) Ties to all tank openings,d-box,and leach area from dwelling or Permanent Structure Setback distances are shown on the as-built plan from system components to: Subsurface,interceptor&foundation drains Catch basins Property lines –1�� -5 ��V Dwellings or other structures � ✓Private water supply or irrigation wells (M S ` —VWatercourses or wetlands "1 8) /Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system 9) ✓ Location of water;gas,electric lines,cable,control panel (if applicable) 10) Location of Structures within 6 Inches of Finished Grade 11) Original Stamp&Signature 12) Location and holder of any easements which could impact the system 13) y Impervious Areas,Driveways,etc 14) North Arrow 15) " Location&Elevation of Benchmark used 16) J STATEMENT ON PLAN (NA 5.3) a. "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 b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating the wall- was,or was not,constructed in accordance with the intended design and an_y manufacturer's specifications." Signature of Designer Date $ Sn Revised 3/17/15 t #� 4r•7 a, t 'e't t n' H • x = y .tom; ria.,, sl• R''�r~ 'CV`a y 'r 1 'A t ry' 1� i., r• x,. � r / '��. r•�;.�t. � ^'.r � 1•� `��w"` tq# � d"fes �� \ ••or -:.✓*a`. „ # t Polo � t � � � � � rX" �� •4 �'� % � t tit` �� 1�'S��r� `1�" ,, � �"'�� l .rl/,.• • 54 Yi SR• .Tr"�P�r�-L'� �n s #,w� r �� �'#4r#tea/ •. �#t/k•� i'Jti+�i,r � ♦j r Z�•ra�'� 1 X� i1"aQ�p t� �' a. f ;_r# •�� lea a f��t�+;'f T' y, ,�,,,,. � t Tr f - '' �. a�t�. r- .•t xr j l l+ �Y�•� f• : M ��; V. i V �ylj6 A��� i!I✓�}4+ '� +,}` *� ~'� •,� l�3C��lt'Y#t°i t J�� a C Y fIl"' i � to ILTV North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 415 Boxford St. MAP: 105C LOT: 10 INSTALLER: Peter Breen DESIGNER: Ben Osgood Jr. PLAN DATE: 9/24/15, rev 10/19/15 BOH APPROVAL DATE ON PLAN: 10/28/15 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM I'NSPECTION:11/12/15 DATE OF FINAL CONSTRUCTION INSPECTION: 11/16/15 DATE OF FINAL GRADE INSPECTION:11/18/15 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: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ 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 ❑ Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: 11/16/15 - Existing tank being re-used, could not examine. Needs riser to grade over effluent filter PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 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 ❑ Watertightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: 11/16/15 - Existing tank being re-used, could not examine. Needs riser to grade over pump. 2 of 3 floats not connected to tether, need to be re- mounted. Alarm float tested and found to operate the alarm on panel. Pipe exiting tank had penetration sealed with cement CONTROL PANEL ' ❑ Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.087foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe I i Comments: 11/16/15 —When pump operates, small amount of effluent comes out top of box. Box needs risers to within 6" of finished grade. SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X 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: 56Lx20W with overdig. 7'9" depth, 93"deep. NOTE: a sieve analysis was performed on this sight. Sand was NOT found to be T-5 sand. All sand was' [removed and replaced by C-33 sand, SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: 11 ❑ Number of rows (trenches): 3 Comments: Total Chambers = 33 FINAL GRADE X Loamed X Seeded X Cover per plan Comments: DOCUMENTS NEEDED [D/ Certification of Installation Form submitted By engineer and signed and dated by ngineer and installer As-Built Plan BM = 100.00 HR = 2.01 HI = 102.01 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Distribution Box IN 4.53 97.31 97.19 Distribution Box OUT 4.60 97.08 97.02 Lateral 1 TOP 4.84 97.17 97.25 Lateral 1 INVERT 4.84 96.84 96.92 Lateral 2 TOP 4.88 97.13 97.25 Lateral 2 INVERT 4.84 96.84 96.92 Lateral 3 TOP 4.80 97.21 97.25 Lateral 3 INVERT 4.80 96.88 96.92 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 10' ® Private drinking well 75 1002 50 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). ® 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(1.0) ® Drywells 20 25 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 BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber SKETCH PLAN i 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 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank' 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 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). s 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 Grant, Michele From: Benjamin Osgood <bosgoodpe@gmail.com> Sent: Tuesday, November 17, 2015 9:12 AM To: Dan Ottenheimer Cc: Grant, Michele Subject: Re:415 Boxford Street Good Morning Dan, In regards to items 1, 2, and 3 1 pointed these out to Peter at my inspection and he said he would have it done for Monday. Apparently he did not. I had previously spoken to Peter about the floats and told him that they should match the original design for the depth of pumping and depth to alarm. I instructed him to set the floats as follows: Off Float @ 9" above the bottom of the pump chamber On Float at 15" above the bottom of the pump chamber Alarm Float @ 17" above the bottom of the pump chamber These elevations are consistent with the original design in terms of providing 4 doses per day based upon design P g flow and at least a 1 day emergency storage above the alarm float. If you need any additional information give me a call on my cell at 978-435-1324 or feel free to email. ben On Tue,Nov 17, 2015 at 7:23 AM, Dan Ottenheimer<danogmillriverconsulting com>wrote: Michele, inspection completed at this address yesterday afternoon. A few items will need to be examined at a subsequent inspection. I will get a formal report out to you shortly. I Ben, the item#4 involves you so I am including you on this email. Items outstanding: 1. Septic tank needs riser to finished grade over effluent filter 2. Pump tank needs riser to finished grade over pump 3. Distribution box needs risers to within 6" of finished grade. Also needs to have pump run to demonstrate the box and riser setup does not leak effluent as it currently does out of the top of the box i 4. Floats inside pump tank are the existing ones which are being re-used. Problem is that two of the three floats have come undone from the original mounting mechanism and are simply floating untethered in the effluent. This is obviously not acceptable and a new float attachment configuration will need to be developed and implemented. Title 5 requires the designer to specify the float settings at each location so we will need something in writing (schematic preferred but not required)to describe the float settings that are desired to be implemented. The installer was instructed that the remaining wire with a metal band holding the float to the pump mast was to be removed, and the floats will need to be secured to a separate float mast. He was unsure about this concept, and specifically how to attach floats to a mast, so it might be prudent for the designer to provide verbal or schematic guidance to the installer in this instance. 5. Once floats are re-established,the pump needs to be run to assure proper operation. I did confirm the alarm is properly functioning. Dan Mill Khat consulting Civd 0ginev,; r,V + Erivirorcrtvnla ! FltanSaZtmez 1:'iytt7i#i(`iwl (nttt%�taniCtySt 1{CJt',Fi s`;Ar.};rf9rn Daniel Ottenheimer, President Mill River Consulting,Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.millriverconsulting.co danogmillriverconsulting com Member: Massachusetts Association of Onsite Wastewater Professionals, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, New England Water Environment Association 2 Grant, Michele From: Kfoury, Eric Sent: Monday, November 09, ' To: Grant, Michele Subject: RE: Seive Analysis Great. Thanks. Regards, • ` - U Eric Kfoury C o Director,Community and Economic Development LI Town of North Andover � \ 1600 Osgood Street—Suite 2035 U North Andover,MA 01845 Phone 978.688.9533 Fax 978.688.9542 Email ekfoury@townofnorthandover.com Web www.TownofNorthAndover.com .f P i From: Grant, Michele Sent: Monday, November 09, 2015 9:36 AM - -To: Kfoury, Eric Subject: FW: Seive Analysis There's a company out of Stoneham that will pull the sand themselves, for the installer and the Engineer. I spoke with the engineer and he will handle it. With that being said, I'll follow the chain of custody through them. Thx Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.com Web www.TownofNorthAndover.com 1 i • �� n� ' , Commonwealth of Massachusetts Map-Block-Lot u ;) ,.. 105.00010 BOARD OF HEALTH ----------------------- North --- ----------------North Andov C FI O AOM `IAN \ IS T Cs�E TIF Y, h th di ' ua e'age Z is sal ysfem (Re ir) b Pe r e In er at o` OXF RE ha be i tal d in a or n e wit the pro ision of Ef th Sat Env' o to Cod described . the ap ation fo tsposal Wor Co structio Pe it No. B--------HP-2------------015-08 ed ber--- -- ----- ---- ----15 \V1 - - ---- ----------------------------------------------------------------- Printed On: Oct-29-2015 BOARD OF HEALTH • s' "`' ' . Commonwealth of Massachusetts Map-Block-Lot 105.00010 ----------------------- BOARD OF HEALTH Permit No North Andover BHP-2015-0893 FEE $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Peter Breen - - - --------------------------------------------------------------------------------------------- to(Repair)an Individual Sewage Disposal System. at No BOXFORD STREET -415--------------------------------------------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2015-089 Dated October 29,2015 ---------------QFHEALTH ------------------------------ --------------- COD ------------- Issued On:Oct-29-2015 •_ Application for Septic Disposal System TODAY'S DATE Construction Permit - TOWN OF $250.00—Full Repair NORTH ANDOVER, MA 01845 $125.00-Component 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 E] Repair or replace an existing system component—What? cursor-do not use the return A. Facility Information _ key. Address or Lot# --- f ria ISICity/Town 2.-*TYPF OF SEPTIC SYSTEM*: 0 Pump ❑Gravity(choose one) ***If pump system, attach copy of electrical permit to application*** ➢ ❑ Conventional System (pipe and stone system) ➢ Q"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) ➢ ❑ Pressure Dosed(D-Box Present)S.A.S. ➢ ❑ Does the system require an effluent filter? Yes No If yes, does plan specify make and model of filter? YES =(no further info. needed) NO=(installer must specify brand of filter before DWC issuance) What is the Make? What is the Model. 2. Owner Information Name `-I l Address(if different from above) u�_ C, City/Town State Zip Code Email address Telephone Number 3. Installer Information Name Name of Company 7 ? o 6t) Y-164090 Address City/Town State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information Name i \ Name of Company C7 r ( vi� 5 Address 5 (1- L �'✓ City/Town State Zi Co Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Pae 1 of 2 PP P Y 9 • Application for Septic Disposal System (qq TODAYE Construction Permit - TOWN OF ull Repair NORTH ANDOVER, MA 01845 $250.00-Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: ["Residential 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. I understand that until a final Certificate of Compliance has been issued by this Board of Health, the installed system is not approved. Name Date r 0 p�,'c do Approved ( oard of Health Representative) „^^ ame Date Application Disapproved for the following reasons: For Office Use Only: 1. Fee Attached? Yes V No 2. Pro 1'ect Mana er Obligation Form Attache . g g d Yes-L/- No 3. Pump steS m. Ifso,Attach copy ofElectrical Permit Yes o/ No � Applicant received copy of "Electrical Inspection Notes for Septic Systems” Yes No Handout? 4. Reviewed approval letter, allPaP erworkreceived? Yes W No MlsSing:' 5. Foundation As-Built?(new construction only): Yes No (Same scale as approved plan) 6. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: r (Address of septic system) For plans byl�-^t _ (Engineer) Relative to the application of (Installer's name) And dated x1 ate Dated lAq l" o y s-date-T- With revisions dated (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 plansrp for 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: healthdept�c@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 ler the approved plans. No instructions by the homeowner_general contractor,or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) (Na e—Print) (Name—Signed) ID North Andover Health Department (ommunity and Economic Development Division October 28,2015 f Rico Isidore&Karri Orem 415 Boxford Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 415 Boxford Street(Map 105C,Lot 10) Dear Mr.Isidore and Ms. Orem: The proposed wastewater system design plan for the above site dated September 24,2015 with a final revision date of October 19,2015 and received on October 28, 2015 has been approved. i The design plan has been approved for use in the construction of a new on-site septic system for a 4-bedroom(max 9-room)home utilizing a Quick 4 Standard Infiltrator Chamber system. This design plan approval is valid until October 28,2017. 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. At a regularly scheduled meeting of the Board of Health,this plan received the following approvals by the members. Local Upgrade Approval: • To reduce the requirement of soil test pits in the area of the proposed leaching facility I from 2 test1? its to 1 test it p 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 415 Boxford Street October 28, 2015 This approval is also subject to the following conditions: 1. 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)) 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board,Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe 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. c rely, Michele Grant Health Inspector Encl. Installers list I cc: Ben Osgood, Jr.,P.E. File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 01845 Phone: 978.688.9540 Fax:978.688.8476 CERTIFICATION I Rico Isidoro and Karri Isidoro as property owners of 415 Boxford Street,North Andover hereby certify to the following: I. I have been provided a copy of the Title 5 UA technology Approval, the Owner's Manual, and the Operation and Maintenance Manual, and agree to comply with all terms and conditions. 2. I understand the Systems is being installed under a Remedial Use Approval and agree to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval of the UA technology. 3. I agree to fulfill my responsibility to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5) 4. I understand that the design does not provide for the use of garbage grinders,the restriction is understood and accepted. 5. Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the Local Approving Authority (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. Signed this 20th day of October, 2015 Rico Isidoro Karri Isidoro RECEIVED OCT 2 8 2015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT • S�T�D j� • North Andover Health Department (ommunity and Economic Development Division October 26,2015 Benjamin Osgood,P.E. 157 Bluff Street Salem,NH 03079 Re: 415 Boxford Street(Map 105C,Lot 10) Dear Mr. Osgood: The proposed wastewater system design plan for the above site dated September 24, 2015,revised on October 14, 2015 and received on October 15,2015 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. The abutter listed as"Town of North Andover"appears to be incorrect based on the Assessor's information. A copy of the Assessor's field card and map are enclosed for reference(NA 3.2). 2. The site plan does not appear to be to scale. A 10',20', 30' or 40' scale do not match the site plan view. Although not a reason for disapproval,you may wish to inform the owner that the existing driveway appears to be beyond the 30' access and utility easement location. Please feel free to contact the office or Mill River Consulting at 978-282-0014 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. cerely, Michele Grant Health Inspector cc: Rico Isidoro&Karri Orem File Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Abutter to Abutter( ) Building Dept. (X ) Conservation (X ) Zoning (X ) Town of North Andover ( 310y, � Abutters Listing REQUIREMENT. MGL 40A,Section 11 states in part"Parties in Interest as used in this chapter sha7 mean the petitioner, abutters,owners of land drecLy opposileon any puMc or private way,and abutters to abutters wflhin Wee hundred(300)feet of the property Fne of the petitioner as they appear on the most recent app`_cabe tax list,not%ithstandng that the land of any such mover is located In another city or town,the p!ann ng board of the cc"ty or town,and the planning board of every atulfng city or tatin." SubMa Property: MAP PARCEL Name Address 105.C 10 Karri Orem 415 Boxford Street,North Andover,MA 09845 Abutters Pronerties Man Parcel Name Address 105.0 9 Elsie Pouliot 501 Boxford Street,North Andover,MA 01845 105.0 11 Matthew Lynch 379 Boxford Street,North Andover,MA 01845 105.0 13 Tim Tyson P.O.Box 92,North Billerica,MA 01862 105.0 34 John Comeau 45 Pedey Road,Derry,NH 03038 105.0 35 Laurie Kirby 10 Stonecleave Road,North Andover,MA 01845 105.0 36 Joseph Tower 26 Stonecleave Road,North Andover,MA 01845 105.0 39 Brett Belongia 380 Boxford Street,North Andover,MA 01845 105.0 45 Country Road Realty Trust 31 Stonecleave Road,North Andover,MA 01845 105.10 46 Andrea Lee 11 Stonecleave Road,North Andover,MA 01845 105.0 47 John Halloran 434 Boxford Street,North Andover,MA 01845 105.0 49 Robert Pouliot 465 Boxford Street,North Andover,MA 01845 105.0 51 Paul Driscoll 353 Boxford Street,North Andover,MA 01845 105.0 52 Kevin Driscoll 200 Chickering Road,91088,North Andover.MA 01845 105.0 54 Keith Lanzillo 439 Boxford Street,North Andover,MA 01845 105.10 55 Thomas Venti 425 Boxford Street,North Andover,MA 01845 105.0 56 Todd Gibbs 405 Boxford Street,North Andover,MA 01845 105.0 57&77 Town of North Andover 120 Main Street,Noeth Andover,MA 01845 105.0 80 Michelle Piuliot 525 Boxford Street,North Andover,MA 01845 This certifies that the flames appearing on the records of the ,assessors offl9p as of Certified by: ate E �.�- I Benjamin c. Osgood, Jr. P E. 157 Bluff Street OCT Salem,NH 03079 TOWN OF NORTH ANDOVER Tel: 978-435-1324 " HEALTH DEPARTNIENT October 14,2015 Michelle Grant,Health Inspector North Andover Board of Health Building 20 Unit 2035 1600 Osgood Street North Andover,MA 01845 Re: 415 Boxford Street,North Andover Dear Michelle: Enclosed are revised plans with the following changes to address the comments in your October 13,2015 denial letter. i 1. The sheet numbering has been revised to sheet 1 of 1. 2. The unknown abutter has been revised to Town of North Andover. 3. A local approval note has been added to the plan. 4. The Form 9A is enclosed. 5. The driveway easement has been added to the plan. 6. An additional designers certification has been added to the plan. 7. A signed statement from the owner will be submitted under separate cover prior to the BOH meeting. If you have any questions you may contact me at 978-435-1324. Sincerely, Benjamin C. Osgood,Jr.,PE T � Commonwealth of Massachusetts ---- - City/Town of a a Form 9A — Application for Local Upgrade Approval 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. 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 Important: When filling out 1. Facility Name and Address: forms on the computer,use _ rt�,l� it,r=nit only the tab key Name to move your 4 15- f X FV (Lj—&CeF i cursor-do not Street Address use the return A' key. /V .> R� City/Town State Zip Code 2. Owner Name and Address(if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): C Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): H A"A a 04 L-Ef+e'k F:=J Ei_r) t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 1 of 4 Commonwealth of Massachusetts ---- - Cityrrown of 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: Y 9Pd Design flow of proposed upgraded system gpd Design flow of facility: O 9Pd 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: date of inspection 2. Describe the proposed upgrade to the system: .✓ -"9 c4- N t— -:TA- r-t L-'7 ZA- o✓t LCA C f7 S y S i YAI 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 ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater t5formga.doc•rev.7/06 Application for Local Upgrade Approval*Page 2 of 4 i Commonwealth of Massachusetts City/Town of 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: �o c� v 1= a 26F Q'j c�44#Z )5" 41ID6-(A) 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: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation 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: 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: A.1 A t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 3 of 4 1, Commonwealth of Massachusetts City/Town of 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: ,,V/v9- c 4. Connection to a public sewer is not feasible: Ty 0 i -" 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 p® Complete plans andspe specifications p Site evaluation forms D/v Ft p ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof o e p oo that affected abutters have been notified pursuant to 310 CMR 15.405(2). 4.)Ipq ❑ 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." Fa/cility Owner's Signature Date �4,1^✓i O(ze--/1 Print Name 0,-At,Q,,..^ C Name f F5reparer Date Preparers address City/Town State2lP Code TelephoneY3s f� z y t5form9a.doc•rev.7/06 Application for Local Upgrade Approval,Page 4 of 4 Benjamin c. Osgood, Jr. P E. 157 Bluff Street Salem,NH 03079 Tel: 978-435-1324 October 14,2015 Michelle Grant,Health Inspector ' North Andover Board of Health Building 20 Unit 2035 1600 Osgood Street North Andover,MA 01845 Re: 415 Boxford Street,North Andover Dear Michelle: Please accept this letter as a request to be placed on the next Board of Health agenda for consideration of the following Local Upgrade Approval request for the above referenced property. 1.Allow a leach field to be designed in an area with only one test pit in lieu of 2 as required by Title 5 Section15.405(k). A local Variance is also being requested as follows. If you have any questions you may contact me at 978-435-1324. Sincerely, Benjamin C. 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A;._ .- gala F'...._....._.. :alt.ii:•�i=�•-- a. yla.:a1U . ._._. iw 0 MVPC Ba ©Muidpal Boundary Het,,D Datum:MA S[M data a Coordrete System,Daaumy M,m -Rall Una Meters Data Saurves:The data for Nis m ap was produced by Merrimack Inaers[a[es NOATk Valley Planning Commissionbs WwIusing Oaaaprovided Of Ne of of O� •o,•,ti NOM Andover.Addldonaldala Tielmby Ne Ellcutive Ogism —$R � •'� • 00 Env'vomnenaal AtlalmlMassGIS.The Mormadon depicted on chis map is Reeds FG9 for plamm�g mer purposes orly.It may Trot be adequate tar legal boundary del dlan mgNmmy 1prelatlon.THE TOWN OF NORTH ANDOVER y,Essem.. MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Parmis 4 ♦ THE ACCURACY,COMPLETENESS,RELIABIUTY,OR SUITABILITY TrziS - +'i OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Y Hydrographic F-bres �;1ee •a ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Streams •�S••ne•e�'� THIS INFORMATION S�CMUg wedmKie E.empt+anal 1^=253 it ^•�• Hadge, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Thursday, October 22, 2015 4:39 PM To: Grant, Michele; Hadge, Lisa Cc: 'Pam Lally';Isaac Rowe Subject: RE:415 Boxford st Attachments: Assessors Info.pdf,415 Boxford Street - Disapproval Letter 10-22-15.doc Michele/Lisa, I reviewed the revised plan and unfortunately attached is another disapproval letter with a couple of edits.Also attached is the Assessor information that needs to be sent along with the letter. The abutter names appears to be incorrect but more importantly the site plan is not to scale. Let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 Fax:978-282-1318 irowe(a)millriverconsulting.com www.millriverconsulting.com From: Grant, Michele [mailto:MGrant(�)townofnorthandover.com] Sent: Friday, October 16, 2015 8:35 AM To: 'Isaac Rowe' Cc: 'Dan Ottenheimer'; 'Pam Lally' Subject: 415 Boxford st Hi Isaac, Just mailed 415 Boxford st. revision. Have a great weekend Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.com 1 Benjamin c. Osgood, Jr. P E. 157 Bluff Street Salem,NH 03079 Tel: 978-435-1324 October 14,2015 Michelle Grant,Health Inspector North Andover Board of Health Building 20 Unit 2035 1600 Osgood Street North Andover,MA 01845 Re: 415 Boxford Street,North Andover Dear Michelle: Please accept this letter as a request to be placed on the next Board of Health agenda for consideration of the following Local Upgrade Approval request for the above referenced property. 1.Allow a leach field to be designed in an area with only one test pit in lieu of 2 as required by Title 5 Section 15.405 (k). A local Variance is also being requested as follows. If you have any questions you may contact me at 978-435-1324. Sincerely, Benjamin C. Osgood,Jr.,PE � ��STLED Isyc North Andover Health Department (ommunity and Economic Development Division October 13, 2015 Benjamin Osgood, P.E. 157 Bluff Street Salem,NH 03079 Re: 415 Boxford Street (Map 105C,Lot 10) Dear Mr. Osgood: The proposed wastewater system design plan for the above site dated September 24, 2015 and received on October 7, 2015 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. The title block indicates sheet 1 of 2 which appears to be a typo. 2. The abutter listed as "unknown"needs to be added to the design plan. The Town of North Andover GIS department does have an abutter name for the property(NA 3.2). 3. A Local Upgrade Approval request is required for having only one test pit in the proposed disposal area(3 10 CMR 15.405(k)). 4. The Local Upgrade Approval request form 9A was not submitted. 5. Indicate all easements on the design plan (3 10 CMR 220(4)(b)). It appears the driveway access to the northeast is on the abutter's (N/F Gibbs)property. 6. 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 11(18): c) certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and 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 d) 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 51/A technology Approval, the Owner's Manual, and the Operation and Maintenance Manual, and the Owner agrees to comply with all terms and conditions; iii if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and iv 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. Please feel free to contact the office or Mill River Consulting at 978-282-0014 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. n 'erely, G � Michele Grant Health Inspector cc: Rico Isidoro &Karri Orem File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 l Hadge, Lisa From: Hadge, Lisa Sent: Wednesday, October 07, 2015 10:47 AM To: Dan Ottenheimer;Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 415 Boxford St. Attachments: 201510071103.pdf Good Morning, Please see attached septic plans for 415 Boxford Street. -----Original Message----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent:Wednesday, October 07, 2015 11:04 AM To: Hadge, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 10.07.2015 11:03:56(-0400) Queries to: noreply@townofnorthandover.com 1 '� TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ` HEALTH DEPARTMENT `APS rim P.'ps� 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:healthdeptAt`wnofnorthandover.com WEBSITE:htW://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission:10-6-15 Site Location:415 Boxford Street Engineer:Benjamin C. Osgood, jr., PE New Plans? Yes $225/Plan Check# (includes I"submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes NoX j Local Upgrade Form Included? Yes NoX Telephone#:978-435-1324 Fax#:N/A E-mail:Bosgoodpe@gmail.com Homeowner Name:Karri Orem OFFICE USE ONLY RECEIVED When the subm' sion is complete(including check): OCT 0 7 2015 ➢ Date stamp plans and letter L/ Complete and attach Receipt 70WN T NORTH ANDOVER HEALTH DEPARTMENT le ➢ ✓ Copy File; Forward to Consultant ' AL Va; ➢ V/ Enter on Log Sheet and Database