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Miscellaneous - 42 SPRING HILL ROAD 4/30/2018
E I o f a I North Andover Board of Assessors Public Access Page 1 of 1 I riar+ty 'Fovea o€No:Fth A*doves 1ikcwffd oTAssessors Property sntHus Record Card Return to the Home page click on logo Parcel ID:210/107.A-0233-0000.0 Community:North Andover SKETCH PHOTO New Search Click on Sketch to Enlarge Click on Photo to Enlarge Sales Summary :. Residence Detached Structure �j Condo a Commercial Comparable Sales 42 L-10 SPRING HILL ROAD Location: 42 SPRING HILL ROAD Owner Name: BENINCASA,JUSTIN D GRACE-MARIE BENINCASA Owner Address: 42 SPRING HILL ROAD City:NORTH ANDOVER State: MA ZIP:01845 Neighborhood: 7-7 Land Area: 1 acres Use Code: 101 -SNGL-FAM-RES Total Finished Area:3418 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 789,900 730,900 Building Value: 553,400 515,700 Land Value: 236,500 215,200 Market Land Value: 236,500 Chapter Land Value: LATEST SALE Sale Price: 411,000 Sale Date:05/14/1996 Arms Length Sale Code: Y-YES-VALID Grantor:FARESE,ROBERT Cert Doc: Book: 04502 Page: 0013 s i � 1 �C http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&LinkId=991649 12/3/2007 Commonwealth of Massachusetts RECIEGVF.'D City/Town of 12U13 System Pumping Record �� Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 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.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, e rear off houu Left/right side of house, Left/ Right side of building, Left/Right front of bul Ing, L—ie tTRigh rear of building, Under deck Address L� C-�- �a �m City/Town ` State Zip Code 2. System Owner. Name Address(if different from location) Cityrrown State Zip Code Telephone Number B. Pumping Record _ t � 1. Date of Pumping pate 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? Q--rep ❑ No If yes, was it cleaned? es ❑ No 5. Condition of Sem: /� 1 ,,�� ,r 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Lo en-w•�ere ntents were disposed: C... S. ° Lowell Waste Water (.3 SignAtufe I Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of RECEIVED System Pumping Record Y p 9 NN �� 2U1� Form 4 TOWN OF NORTH ANDOVER HEALTH DEPA T F DEP has provided this form'for use by local Boards of Health. Other forms m LIsed� t 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.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house/Right ear o""fFiouu , Left/right side of house, Left/ Right side of buildin , Left/Right front of building, Left/Right rear of building, Under deck 912 YID l�i Address City/Town State Zip Code 2. System Owner. n `7�✓1 t�tr'Gt Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping L 2. Quantity Pumped: d Date Gallons 3. Type of system: F-1Cesspool(s) ED/Septic Tank F-1Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes E�/No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: A 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: G.L S. Lowell Waste Water Sign toe I HaulerU Date t5fomt4.doc•06/03 System Pumping Record•Page 1 of 1 NORTF1 OL O t A 4 n 1! ro LA lb e T cm..c WwKM 1' 'Ss CHUs���y PUBLIC HEALTH DEPARTMENT Community Development Division CF 1XTI FI CA 2'E O F CogV D l-IAXCF As of: August 14, 2008 ,This is to cert that the individuaf subsurface disposafsystem received a SA77STAC`roRTjys�PEC 109V of the: Tuff Septic System Repair By: ,john Soucy At: 42 Spring y-CiCl&ad Wap 107.A; (Parce1233 North Andover, 31A 01845 The Issuance of this certificate shalf not be construed as -a guarantee that the system will function satisfactorily. V Susan 7 S wyer fu6licWealth Director Andover, 1600 Osgood Street,North ,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com t%ORTM Of�t<!C 16�4�0 6 OL O to f! f T O COC.HCttwKw 9• T �9SSAC HUs���y PUBLIC HEALTH DEPARTMENT Community Development Division (-VFR I FIC322 O F C09V41'I-I. hjr\l(�E As of: August 14, 2008 This is to cert that the individual subsurface disposal system received a SA rSTAC'oRT iNS(PEM0X of the: FullSeptic System Repair (By: ,john Soucy 42 ,Spring YRIT 2oad Map 10T..,A; (Parcef233 North Andover, AVIA 01845 The issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. Susan 7 Saber Tublic-7fealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com µORTy o'` ' •�OCL ♦ t, i �'$wCMtls�t� PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER RECEIVED SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby�Y v Ucertify that the Sewage Disposal System(6 constructed;( )repaired; AUG 14 2008 By: J6 6J(,Y TOWN N OF NORTH DEPARTMENT OER t�/ (Pr(i�nt Name) i l,� Located at: r� J e M6 P1 " - Me (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on � Z 2��a ,with a design flow of yyo 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: �l Za©g E gin rjRepresentative(Signature) And—Print Name Final Construction Inspection Date: J Wneeepresentative.(Signature) And—Print N V�- Install ignature) Date: v And Print Name Enginer: %&--/_(Signature) Date: 7-29-200? JL) J✓�r� And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://www.townofnorthandover.com f TOWN OF NORTH ANDOVER OF 10R7{H Office of COMMUNITY DEVELOPMENT AND SERVICES o? °0. HEALTH DEPARTMENT p 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �9SSAc US�{h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION 7 ADDRESS: �/7_1 /Z AP: LOT: INSTALLER: �c DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: 7, ;`4& , INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: off. SITE CONDITIONS . ❑Existing septic tank properly aba oned ❑Internal plumbing all to one building se ❑Topography not appreciably altered Comments: __--- SEPTIC TANK Z�% �r � ❑ Bottom of to k hole has 6" stone base ❑ Weep hole plu ed ❑ 1500 gallon tank as been installed H-10 loading Mo lithic construction ❑ Water tightness of to has been achieved (Visual or Vacuum Test r Water held for 24hrs) ❑ Inlet tee installed, centere under access port 1 K_ V,, r ❑ Outlet tee (gas baffle or efflu nt filter) installed, centered under access port D L" e�` / °� e- r ❑ 24" inch cover to within 6" of fina rade installed over one access port, must be over out/ of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 a TOWN OF NORTH ANDOVER pORT{{ Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT = - 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �igSS^C`HUSES�h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ mbo Tank installed. Size: ❑ 10 0 gallon Pump Chamber in 10 loading M nolithic construction) ❑ Inle tee installed, centered under access port ❑ Pum (s) installed on stable base ❑ Alarm oat working ❑ Pump /Off floats working ❑ Separate n/off floats ❑ Drain hole pressure line ❑ 24" inch cov r to within 6" of final grade installed over pump acces4ort ❑ Water tightness f tank has been achieved Visual testing F-1Hydrauliccement a and inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Typ of treatment device: ❑ Installe er manufacturers requirements ❑ All compon nts working in accordance with manufacture�s requirements Comments: Wastewater System Documentation—Feb 2006 Page 2 of 6 TOWN OF NORTH ANDOVER pORT11 Office of COMMUNITY DEVELOPMENT AND SERVICES 0 ^ HEALTH DEPARTMENT 1600 OSGOOD STREET•'Building 2-36 '►' o TP�{5 NORTH ANDOVER,MASSACHUSETTS 01845 .1 ,��AAC(,j}5�{ Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down topsoil layer, as E( provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: s home- &-L-.. 1v ' o�:°✓c Wastewater System Documentation—Feb 2006 Page 3 of 6 s TOWN OF NORTH ANDOVER ,►oRTH Office of COMMUNITY DEVELOPMENT AND SERVICES 3 �``' 6�k°� .HEALTH DEPARTMENT � �' __ p 1600 OSGOOD STREET; Building 2-36 " •" NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH ANDOVER aoR*++ Office of COMMUNITY DEVELOPMENT AND SERVICES 32�b.`: "° 0 HEALTH DEPARTMENT 1600 OSGOOD STREET:Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 ��SSACNUSft�y Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX 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 Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains(wat. supply/trib.) 50 100 ❑ Drains(intercept g.w.) 25 50 ❑ Drains(Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Wastewater System Documentation—Feb 2006 Page 5 of 6 TOWN OF NORTH ANDOVER F %JORTH Office of COMMUNITY DEVELOPMENT AND SERVICES a?00. HEALTH DEPARTMENT - A 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �9SS{CHl15E��h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Wastewater System Documentation—Feb 2006 Page 6 of 6 FINAL GRADE INS ECTION Date: �/ Address: �- LOAMED? a//SEEDED? ❑ COVER PER PLAN? Other: ' �����' AS-BUILT CHECKLIST LOT NUMBER, STREET NAME -� ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS _ LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING-RESER-b�E TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA ✓ LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE r/ DISTANCES FROM CORNERS OF HOUSE TO CENTER OF / TANK & D-BOX ✓ ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW V LOCATION & ELEVATIONS OF BENCHMARK USED Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants i August 11, 2008 North Andover Health Department—Susan Sawyer 1600 Osgood Street _. Building 20; Suite 2-36 :G1 RECEIVED North Andover, MA 01845 AU Zoos Re: 42 Spring Hill Road, North Andover Se tic As-Built Plan TOWNH ANDOVER p HERTMENT Ms. Sawyer; On behalf of the property owner, Justin Benincasa, of 42 Spring Hill Road, I am requesting a Certificate of Compliance for the recently completed septic system upgrade. I am enclosing: 1) Two (2) copies of the Septic As-Built Plan 2) A completed/signed Installation Certificate If you should have any questions please feel free to contact me. Very Truly s, J c Sullivan,P.E. 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone — 978352-7871 -Fax Page I of 1 DelleChiaie, Pamela From: jacksu1153@comcast.net Sent: Wednesday, June 04, 2008 2:54 PM To: Sawyer, Susan Cc: DelleChiaie, Pamela; Grant, Michele Subject: RE:42 Spring Hill Road Susan, I went out to the site yesterday to take a measurement on the water level in the tank around 3:30 and I followed up today at 2:30 and found the water level to be the same. I will look to place a note on the As-Built plan reflecting that the tank was tested and found to be watertight. Stay dry!! Jack Sullivan Sullivan Engineering Group,LLC 22 Mount Vernon Road Boxford, MA 01921 978-352-7871 Phone+Fax -------------- Original message-------------- From: "Sawyer, Susan" <ssawyer@townofnorthandover.com> Great thanks From:jacksull53@comcast.net[mailto:jacksu1153@comcast.net] Sent: Monday,June 02, 2008 5:25 PM To: Sawyer, Susan Subject: re: 42 Spring Hill Road Hi Susan, The homeower is o.k.with not using water for a 24 hour period to allow John Soucy to check the watertightness of the existing septic tank. John told me he would cap the inlet side and then fill the tank and let sit for a 24 hour period to see if the tank is indeed watertight. He will coordinate with your office and myself to witness this process. I will provide a notation on the As-Built plan as to the results of the test. Jack Sullivan Sullivan Engineering Group, LLC 22 Mount Vernon Road Boxford,MA 01921 978-352-7871 Phone+Fax 6/4/2008 ,ao �k Commonwealth of Massachusetts Map-Block-Lot 107_A-0233- o p Board of Health Pern,itNo a _ . North Andover BHP-2008-0105 -------------_____---- P.I. FEE „a• q's �ss ACWUStt F.I. $250.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted John_SOUCY-------------_------ ---- ----- -- to(Repair)an Individual Sewage Disposal System. at No 42 SPRING HILL ROAD as shown on the application for Disposal Works Construction Permit No. BHP-2008-010 Dated May 29,-2008 Issued On:May-29-2008 Board'of} ea �.- -` \ NORTH 0� �o ,,•6O t Town of North Andover HEALTH DEPARTMENT ,SSACH�St� CHECK#: DATE: LOCATION: C1', H/O NAME: CONTRACTOR NAME: Type of Permit or License Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ 0--d . CEJ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials, White-Applicant Yellow-Health Pink-Treasurer °RTS Application for Septic Disposal System 6� a q 3�e�<°4.0 • 'N�° ' TOD L S DATE �C6nstruction Permit - TOWN OF $ 250.00—Full Repair ORTH ANDOVER, MA 01845 $125.00 -Component CLAUS Important: Application is Mreby made fora permit to: When filling out ❑ struct a new on-site sewage disposal system* forms on the computer, use dRepair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component-What? cursor-do not use the return A. Facility Information key. Ill Address or Lot# Cityrrown ©C 2.-*TYPE O SEPTIC SYSTEM*: ❑ Pump So Gravity (choose one) ***If pump system,attach copy of electrical permit to application*** ❑ 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 Name Address(if different from ab e) City/Town State Zip Code Telephone Number 3. Installer Information XA Q q CL.1 k4 C V16 aV Name Name of Company AdZs ce V, City/Town I Stat Zip Code Telephone Num r(Cell Phone#if possible please) 4. Desi ner Information Name Name of Company tUGPrY] ,Q,�/t0,� � 440 Address Lo a �C, a City/Town tate Zip Code elephone Ndrnber(Best#to Reach) Application for Disposal System Construction Permit-Page,1 of 2 OF"OR7"'9 Application for Septic Disposal System t�..n± .� __ 5 4, 6 ar 3�e',,_ ..¢.'•°poc ' TODAY' DA Construction Permit - TOWN OF TE , MA 01845 $250.00— o Repair ORTH ANDOVER � $125.00 -Component �ss•'1CNUSE� PAGE 2OF2 A. Facility Informationcontinued.... 5. Type of Building: OKeidential 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 AAdover, and not to place the system in operation until a Certificate of Compliance has been "s ued by this and of Health. -71 la Nam Date Applica ' Approved By: bard of Health Representative) . �_ /z N e Date Application Disapproved for the following reasons: For Office Use Only: Z Fee Attached. Yes No 2. Project Manager Obligation Form Attached. Yes No 3. Pump System? Ifso,Attach copv ofElecttical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit°Page 2 of 2 i 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 syste ) For plans by �Vl Vim^ &— , (Engine ) Relative to the application of O f p C (Installer's name) And dated � 68 (Ungfial date) Dated o ay s ate With revisions dated "y 111A (Last revi(ed 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 (15) 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: healthdeptQtownofnorthandover.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 ofHealth 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: G (Today's Date) �� ame—Print) ame igne Z�x-,-34, J �/Li-✓S l f c=-SS Page 1 of 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, June 03, 2008 7:46 AM To: jacksu1153@comcast.net Cc: DelleChiaie, Pamela; Grant, Michele Subject: RE: 42 Spring Hill Road Great thanks From: jacksu1153@comcast.net [mailto:jacksu1153@comcast.net] Sent: Monday, June 02, 2008 5:25 PM To: Sawyer, Susan Subject: re: 42 Spring Hill Road Hi Susan, The homeower is o.k. with not using water for a 24 hour period to allow John Soucy to check the watertightness of the existing septic tank. John told me he would cap the inlet side and then fill the tank and let sit for a 24 hour period to see if the tank is indeed watertight. He will coordinate with your office and myself to witness this process. I will provide a notation on the As-Built plan as to the results of the test. Jack Sullivan Sullivan Engineering Group, LLC 22 Mount Vernon Road Boxford, MA 01921 978-352-7871 Phone +Fax 6/3/2008 r <...,• � k,O1fTp 06K�saa *q'tQ, I. W. d O y F 1 Health Department April 16, 2008 Mr. Jack Sullivan, P.E. Sullivan Engineering Group,LLC 22 Mount Vernon Rd. Boxford, MA 01921 Re: Septic System Re air Plan for 42 Slaring Hill Road -May 107A Lot 233 Dear Mr. Sullivan: The proposed wastewater system design plan for the above site dated March 28, 2008 and received by this office on March 31, 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. 1. Please provide the names of abutters (NA 8.02j) 2. Please provide a complete scale profile of the system (NA 8.02k) 3. If true please state there are no public wells or reservoirs within 400 ft. of the system (1.5.211) 4. If true please state there are no private wells with in 100 ft. of the system(15.211) 5. As it is the intention to re-use the existing septic tank; please depict on the septic tank detail the dimensions required by Title 5; i.e. the outlet baffle extending 14"into the liquid level, having 48" of liquid in the tank,etc. Also,please specify the method to be used by the contractor to determine if the tank is watertight 6. Please depict the necessary manhole cover to grade required over the effluent filter located in the primary tank(15.221 & 15.228(2)) 7. Please state that if the material below the distribution box in non-native, it is to be compacted(15.221(2)) 8. Please adjust the groundwater elevation; while TP-1 had mottles at 67"below grade,the grade at that TP was 99.8. A spot grade on the plan indicates that the existing grade 4' off the southwesterly portion of the leach bed is 101.49. Assuming the water table follows the contours, this would raise the system about 1.7'. Please either shift the leaching bed northeast so the test pits are in the middle of the leaching area, raise the bed,or schedule more soil testing to confirm the water table(15.220 (4)(n)) 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 2-36 E-Mail:healthdept@townofnorthandover.com North Andover,MA 01845 Phone:978.688.9640 Fax:978.688.8476 9. Please depict where the "102"finished grade contour would be located 10. As leaching trenches are the preferred system please provide and explanation as to why a design utilizing trenches was not chosen(15.240(6)) 11. On sheet 2, in the"Typical Cross Section Contactor Field...," it is stated the filter fabric � is recommended not required, while in that same detail the filter fabric is shown with no such notation; also the filter fabric is shown in the"System Profile"with no notation. Please clarify this discrepancy 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. �$%nce�ely, Susan Y. Sawyer, RE S/RS 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 01846 Phone:978.688.9540 Fax:978.688.8476 Sullivan Engineering GLLC g g r�ou p� Civil Engineers&Land Development Consultants May 2, 2008 North Andover Health Department—Susan Sawyer 1600 Osgood Street Building 20; Suite 2-36 RECEIVED North Andover, MA 01845 MAY 0 6 2008 Re: Revised Septic Plans— 42 Spring Hill Road Map 107A Lot 233 rc�� NORTH ANDOVER Ms. Sawyer; Enclosed are four(4)revised septic plans based on comments in your letter dated April 16, 2008 for 42 Spring Hill Road,North Andover. Specifically,the following revisions have been made (numbering corresponds to numbering used in 4/16/08 letter); 1) Abutters names have been added to the plan 2) A complete scale profile of system has been added on Sheet 2 3) Note#14 on Sheet 1 states that there are no public wells/reservoirs within 400 feet of system. 4) Note#11 on Sheet 1 states that there are no private wells within 100 feet of system. 5) The prdposed inlet/outlet tees have been dimensioned on the existing 1500 gallon concrete septic tank to remain. The 48"liquid level has been added to the detail as well. A note has been added to vacuum test the existing tank to insure water tightness. 6) The manhole cover over the effluent filter of the septic tank is shown to finish grade. 7) A note (note#4)has been added to the d-box detail on Sheet 2 stating that non-native material needs to be compacted below the d-box. 8) The proposed leaching area has been slightly relocated northeasterly to be centered on the deep soil testholes. 9) The proposed "102" contour has been added to the plan. 10)Although leaching trenches are the preferred option, in this case for a system upgrade with a wetland resource area to the rear yard&many mature trees,the cultec units allow a smaller footprint while offering equivalent dispersal of effluent. 11)The cross-section of the contactor field has been clarified showing that filter fabric is required for the installation. If you have any questions or need further clarification please feel free to contact me. Very Truly Y urs, Jack Sullivan,P.E. 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone 978352-7871 -Fax DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, March 31, 2008 10:13 AM To: Daniel Ottenheimer(E-mail); Marianne Peters (E-mail); Randy Burley (E-mail) Cc: Sawyer, Susan Subject: 42 Spring Hill Road - Plan Review Sending this new plan review in the mail today. The 45 day mark is May 15th. As the benchmark time of review is 2-3 weeks out, we hope to have a review back by the week of April 14th or April 21 St. Thank you. $lost Ragaads, Payi004100I M¢G041141¢ Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite 2-36 North Andover,MA o1845 2978.688.9540-Phone A 998.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 1 ' • O .�f4•D '".�G. I L ' ,►�D9w tir M DgAT�D�•f�y.� I ,SS^CHU`''EC Health Department April 16, 2008 Mr. Jack Sullivan, P.E. Sullivan Engineering Group, LLC 22 Mount Vernon Rd. Boxford, NIA 01921 Re: Septic System Repair Plan for 42 Spring Hill Road-Map 107A Lot 233 Dear Mr. Sullivan: The proposed wastewater system design plan for the above site dated March 28, 2008 and received by this office on March 31, 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. 'A! Please provide the names of abutters (NA 8.02j) t_.*.'IPlease provide a complete scale profile of the system (NA 8.02k) 0,.,-If true please state there are no public wells or reservoirs within 400 ft. of the system 15.211) If true please state there are no private wells with in 100 ft. of the system(15.211) I/� As it is the intention to re-use the existing septic tank; please depict on the septic tank detail the dimensions required by Title 5; i.e. the outlet baffle extending 14" into the liquid level,having 48" of liquid in the tank, etc. Also,please specify the method to be used by the contractor to determine if the tank is,watertight Please depict the necessary manhole cover to grade required over the effluent filter located in the primary tank(15.221 & 15.228(2)) Please state that if the material below the distribution box in non-native, it is to be compacted(15.221(2)) "8. ,Please adjust the groundwater elevation; while TP-1 had mottles at 67"below grade,the (/grade at that TP was 99.8. A spot grade on the plan indicates that the existing grade 4' off the southwesterly portion of the leach bed is 101.49. Assuming the water table follows the contours,this would raise the system about 1.7'. Please either shift the leaching bed northeast so the test pits are in the middle of the leaching area, raise the bed, or schedule more soil testing to confirm the water table (15.220 (4)(n)) 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 L�9 Please depict where the "102" finished grade contour would be located leaching trenches are the preferred system please provide and explanation as to why a design utilizing trenches was not chosen (15.240(6)) 11. On sheet 2, in the"Typical Cross Section Contactor Field...," it is stated the filter fabric his &ommended not required, while in that same detail the filter fabric is shown with no such notation; also the filter fabric is shown in the "System Profile"with no notation. Please clarify this discrepancy 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. line Iely, Susan Y. Sawyer, REWS/RS Public Health Director cc: Owner File i 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 Commonwealth of Massachusetts C ity/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. 67" B. 72" inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes ® No ❑ b. If yes, at what depth was it observed? Upper boundary: 49 Lower boundary: 98 inches inches F. Certification I certify that I have passed t oil evaluator examination*approved by the Department of Environmental Protection and that the abov Z 13?83 analysis was pe r b onsistent with the required training, expertise and experience described in 310 CMR 15.017. Signature of oil Yvvwor Date John D. Sullivan III, P.E._ October 1995 Typed or Printed Name of Soil Evaluator "Date of Soil Evaluator Exam Randy Burley Consultant for the Town of North Andover Name of Board of Health Witness Board of Health DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 6 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �.-- T A �$ Note: This form must be submitted to the appr- ' OF WL 146.25 , S47'73'05'E . Use this sheet for field diagrams: EXISTING WETLAND FLAGS SY OTHERS LOT AREA 43,566 S.F f an Fo EX. 7,500 GALLON 1 ER SCPTIC TANK B0FF P -1 EX. TRE'ELI L �` SOIL 11+ ! AESORP77ON DECK AREA #42 SPRING HILL ROAD NORTH A/V0O1,,,7 ,SPA DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 7 of 7 Commonwealth of Massachusetts City/Town of Percolation Test Form 12 M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Impotent: A. Site Information When filling out forms on the computer,use Justin Benincasa only the tab key Owner Name to move your 42 Spring Hill Road cursor-do not Street Address or Lot# use the return key. North Andover MA 01845 City(rown State Zip Code 978-686-7915 Contact Person(if different from Owner) Telephone Number B. Test Res u its 12/12/07 10:00 a.m. Date Time Date Time Observation Hole# PT-1 Depth of Perc 48"-64" Start Pre-Soak 9:57 End Pre-Soak 10:12 Time at 12" 10:12 Time at 9" 10:42 Time at 6" 11:17 Time(9"-6") 35 Min Rate (Min./Inch) 12 MPI Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ John D. Sullivan III, P.E. SE2378 Test Performed By: Randy Burley-Mill River Consultants Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters [mpeters@millriverconsulting.com] Sent: Friday, January 04, 2008 9:12 AM To: 'Daniel Ottenheimer'; dobrzut@miliriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Eval -42 Spring Hill Lane Soil Results for 42 Spring Hill Lane attached. Not sure if I'd sent this before the holidays, so I'm sending now...if I've already sent, disregard...thanks. MARIANNE PETERS OFFICE MANAGER MILL RIVER CONSULTING 2 BLACKBURN CENTER GLOUCESTER, MA 01 930 978-282-0014 PH 978-282-0012 FX WWW.MILLRIVERCONSULTING.COM, 1/4/2008 i r• h Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants I March 30, 2008 North Andover Health Department—Susan Sawyer RECEIVED ED 1600 Osgood Street Building 20; Suite 2-36 MAR 3 12008 North Andover, MA 01845 `TOWN OF NOF TH ANDOVER HEALTH DEP RTMENT Re: Septic Upgrade Plan—42 Spring Hill Road Ms. Sawyer; Enclosed is a package for a septic upgrade at 42 Spring Hill Road,North Andover consisting of the following: 1) Three (3) sets of plans 2) A completed Septic Plan submittal form 3) A check for$225.00 Soil Evaluator forms were previously submitted to the Health Department. If you have any questions please feel free to contact me. Very Trul Yo s ac ul i E. 22 Mount Vernon Road — Boxford Massachusetts 01921 978 352-7871-Phone — 978352-7871 -Fax I TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES F y° HEALTH DEPARTMENT 1600 OSGOOD STREET;BUILDING 20; SUITE 2-36 `'^.�; -• NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone Susan Y. Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdent(a)townofnorthandover.com WEBSITE:hit ://w ww.townofnorthandove c SEPTIC PLAN SUBMITTAL FORM RECEIVED 0 9/ MAR S 12008 Date of Submission: TOWN OF NORTH ANDOVER Site Location: / J 1 /�tHEALTH DEPARTMENT Engineer: /V V i New Plans? Yes /� $225/Plan Check# ��� (includes 1st submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes ✓ 4 /�vjfL y s467r) To � No Local Upgrade Form Included? Yes No Telephone#: q, -3Y2_7871 Fax#: �j?' 02-- 78 I E-mail: � <' 1 Lr3f �F'F Aln Homeowner J�Ilj Name: OFFICE USE ONLY When the sub mis ion is complete(including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants To: Susan Sawyer—Dir. of Public Health From: Jack Sullivan, P.E. RECEIVE® Date: December 21, 2007 DEC 3 12007 Subject: 42 Spring Hill Road,North Andover TOWN OF NORTH ANDOVER Soil Testing Locations+ Soil Evaluator Forms HEALTH DEPARTMENT Susan; j Enclosed are the following items pertaining to soil testing which took place on 12/12/2007 at 42 Spring Hill Road; 1) A Plot Plan at 1"=40' showing the two (2)deep testhole locations and the percolation test location 2) Completed Soil Evaluator forms I will be designing the system upgrade over the winter. If you have any questions please feel free to contact me. 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone — 978352-7871 -Fax Commonwealth of Massachusetts C ity/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information 1. Facility Information Justin Benincasa Owner Name 42 Spring Hill Road Map/Lot: Map 107A Parcel 233 Street Address North Andover _MA 01845 Cityrrown State Zip Code B. Site Information 1. (Check one) New Construction ❑ Upgrade ® Repair ❑ 2. Published Soil Survey available? Yes ❑ No ® If yes: Year Published Publication Scale Soil Map Unit Soil Name Soil limitations 3. Surficial Geological Report available? Yes ❑ No ® If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes ® No ❑ Within the 100 year flood boundary? Yes ❑ No Within the 500 year flood boundary? Yes ❑ No ® Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 1 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 6. Current Water Resource Conditions (USGS) 10/2007 Range: Above Normal ❑ Normal ® Below Normal ❑ MonthNear 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole Number: 1 12/12/07 10:00 a.m. 40 degrees/overcast Date Time Weather 1. Location Ground Elevation at Surface of Hole_99.8' (Assumed Datum) Location (Identify on Plan ) See Sheet 7 of 7 2. Land Use: Residential Few 2-5 (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Grass Outwash Plain Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body>200_ Drainage Way >200 Possible Wet Area >125 feet feet feet Property Line 25 Drinking Water Well >200 Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock[] 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit_ Depth Standing Water in Hole Estimated Depth to High Groundwater: 67" (Mottles) Elevation = 94.22' DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 2 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: 1 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0-17 FILL FILL 17-24 A 10 YR 3/3 n/a SL FINE 24-39 B 2.5 Y 7/6 n/a SL FINE 39-95 C 2.5 Y 6/3 67" 5 YR 5/6 30 SL FIRM IN- CLASS 2 PLACE SOIL Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ,rte C. On-Site Review (Cont.) Deep Observation Hole Number: _2 12/12/07 10:00 a.m. 40 degrees/overcast Date Time Weather 1. Location Ground Elevation at Surface of Hole 100.2 (Assumed Datum) Location (Identify on Plan ) See sketch plan on sheet 7 2. Land Use: Grassed Few _2-5 (e.g.woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) Grass Outwash Plain vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body_>200_ Drainage Way_>200_ Possible Wet Area _125_ feet feet feet Property Line 60_ Drinking Water Well >200 Other feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil[] Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 72" 94.20 inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 4 of 7 Commonwealth of Massachusetts C ity/Town of a Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: 2 Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Structure Consistence Other Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 0-25 FILL FILL 25-29 A 10 YR 3/3 n/a SL FINE 29-49 B 2.5 Y 7/6 n/a SL FINE 49-98 C 2.5 Y 6/3 72" 5 YR 5/6 30 SL FIRM IN- CLASS 2 SOIL PLACE Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal Page 5 of 7 NORTH O�,�s�tO bgti O O'94[OCNIC N♦wK�`y7' ��Sspc Hus���y PUBLIC HEALTH DEPARTMENT Community Development Division May 7,2008 Justin Benincasa 42 Spring Hill Road North Andover,MA 01845 Re:42 Spring Hill Road,map 107A Lot 23,North Andover,Subsurface Disposal System Dear Homeowner, The North Andover Board of Health has completed review of the onsite wastewater treatment and dispersal system design plans for the above referenced property submitted on your behalf by Sullivan Engineering Group, dated March 28,2008, last revised May 2,2008 and received by this office on May 6,2008. The design has been approved for use in the construction of a replacement onsite wastewater system for a 4-bedroom(maximum 9-room home) This plan is valid for two years from the date of the approval letter. 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(BOH)may reduce the time period for which this plan is valid. This approval is 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 designer,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 onsite wastewater treatment and dispersal system for your property is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerel san Sawye ,REHS/R Public Health Director Cc: Jack Sullivan,PE 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER N°RTN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET;BUILDING 20; SUITE 2-36 Z =� NORTH ANDOVER,MASSACHUSETTS 01845 A.. IVED Susan Y. Sawyer,RENS,RS 978.688.9540-Phone Public Health Director 978.688.8476-FAX 6 2��7 healthde t townofno andoj m www.townofnorthando er.com TOWN OF NORTH ANDOVER HEALTH DEPARTMENT APPLICATI N�1 FOR SOIL TESTS /H E DATE: 1 1 ,2 0 l MAP&PARCEL: MAP 107A ��!``,�E 2 33 LOCATION OF'SOIL TESTS: 441 or 900V (S'(E ��' & OWNER: Joy)V\) 15FY 10C'AQ Contact#: / ) "X- 79(Y (Y - APPLICANT: ./4r AY W VAX _Contact#: ADDRESS: Yz ✓Y�I jG !`�1 d-- 90 vV � Jy, I Z 07 EAGINEERContact#: 0 l CERTIFIED SOIL EVALUATOR: J� "y'" ✓l�-.Z,J 2 Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: /r Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No +� THE FOLLOV%TJXG MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot nlan aha Location of Testing_►(ukase indicate test Crit 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 upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolatiou test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Witte 45 days of testing,a scaled plan(no smallcer tlm 1"-100')shall be sabmiued 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.- Date gentDate back to Health Department.(stamp in): Sullivan Engineering Group, LLC Civil DevelopmentEn ineers&Land Consultants Engineers November 19, 2007 Town of North Andover Office of Community Development Health Department—Susan Sawyer 1600 Osgood Street; Bldg 20; Suite 2-36 N. Andover, MA 01845 Re: 42 Spring Hill Road—Application for Soil Tests Repair Susan; I am submitting the following items in order to obtain a soil testing date for a future septic repair at the above referenced property; 1) A completed Application for Soil Tests 2) A check for$360.00 3) A letter from the owner/applicant giving permission to perform soil tests. Please contact me at your convenience with a date/time for testing. If you need any additional information please feel free t contact me. Regards, Jack Sullivan, P.E. 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone — 978 352-7871 -Fax November 15,2007 Town of North Andover North Andover,MA 01845 RE: 42 Spring Hill Road Soil Testing To Whom It May Concern: I,Justin Benincasa,owner of 42 Spring Hill Road in North Andover,MA,grant permission for soil testing for septic purposes on my property. Sincrely, J 'n D.Benincasa I 1L EOGE OFL7LANDS 146.25' l S47'13'05,E / I EXIS77NG WETLAND FLAGS BY OTHERS LOT AREA 43,566 S.F.f EX. SOIL ppT ABSORPTION EX. 1,500 GALLON 1p0 FER ZONE AREA SEPTIC TANK BUf f PROPOSED SOIL TESTING LOCATIONS EX. 7REELI o (TH1 & TH2) M_ TH1 nit ' (Q � '..1 `• di 0� O t N h N � r DECK Ir` _ C #42 SPRING HILL ROAD NORTH ANDOVER MA vv 11✓17�D ASSESSOR INFORMATION: MAP 107A PARCEL 233 THIS PLOT PLAN IS INTENDED FOR THE PURPOSE OF SHOWING PROPOSED SOIL TESTING LOCATIONS FOR A FUTURE SEPTIC SYSTEM ONLY. PLOT PLAN OF LAND =37. 6'�- 112.24' X42 SPR/NG HILL ROAD " R=;54 .10 N4932'38"W NORTH ANDOVER, MASS. PREPARED BY: SPR/NG HILL ROAD JOHN D. SULLIVAN III, P.E. 22 MOUNT VERNON ROAD BOXFORD, MA 01921 (978) 352-7871 SCALE: 1"=40' DATE: 11 /19/07 Dec 03 07 11 : 24a Jack Sullivan 978-352-7871 P. 1 Sullivan Engineering Group, LLC Civil Engineer_5&Ladd Development Consultants FAX To: Pam DelleChiaie -- 60 0 From: Jack Sullivan Date: December 3,2007 Subject: Request for Soil Testing 42 Spring hill Road 1-1i Pam, Attached is the completed application for soil testing,copy of the check,and copy of the plot plan showing the proposed soil testing Iocations. "]'hank you. "Total 4 of pages(including cover.): 4 22 Mount Vcrnon Road Boxford, Massachusetts 01921 (978)352-7871-Phone 978 352-7871 -Fax i ~ Town of North Andover cF "Olot"qti Office of the Health Department Community Development and Services Division William J.Scott,Division Director 27 Charles Street 9SSACHUS�� Sandra Starr P ( )978 hone North Andover,Massachusetts 01845 Tele 688-9540 Health Director Fax(978)688-9542 April 13,2001 Justin Benincasa 42 Spring Hill Road North Andover,MA 01845 Re: Application for new deck and kitchen bump out Dear Mr.Benincasa: Your application for a new deck and a kitchen remodeling at 42 Spring Hill Road has been reviewed by the Health Department. The application was denied on April 13,2001 for the following reasons: I X Missing information 2. ❑ Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition Certified plot plan showing house,septic system and proposed project in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, - Reviewer Cc: Building Department James Testa File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 FORM - U - LOT RELEASE FORM 1 1-z,m OcL INSTRUCTIONS: This form is used to verify that allnecessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT �a,,.�s '1�5 h �i PHONE 7 b '00%l -3 0"3o 3 ASSESSORS MAP NUMBER 0-1 LOT NUMBER a 3 SUBDIVISION LOT NUMBER STREET �`��: ^►�� : �� R STREET NUMBER y OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS �/ DATE APPROVED CONSERVATION AI)MaMTRATOR DATE REJECTED CON yffiNTS DATE APPROVED TOWN PLANNER DATE REJECTED CONUVIER]TS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED -4L) DATE APPROVED / SEPTIC INSPECTOR-HEALTH COMMENTS PUBLIC WORDS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONM4EENTS RECEIVED BY BUILDING INSPECTOR DATE _ E ,ucOVED D APR 1 1 2001 BUILDING DEPT. 146.25` LOT 10 i I LOT 11 LOT 9got X42 + 437W 112.24 SPR-TNG HILL ROAD SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. . ❑ Demolition ❑ Other ❑ Specify i. s z Brief Description of Proposed Work: 'ReC.1ne+V T CLcY�-os � 13c�i•,p uu� e�y +ti ki�CV% w 'N'e O-eCSi SA, •s SCeeYN Ge.Ct, SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be {} � � ' Completed b rmit a licant nx 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total'Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 / Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �A�f S ��' S�✓� as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION -e S ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief `:S .A Print Name CIAO 01. Si ature of weer/A ent Date NO.OF STORIES { - ) SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DRAENSIONS OF GIRDERS HEIGHT OF FOUNDATION_: THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TONATURAL GAS LINE _ _ � . I 4.4 4 • 11 -r' 4 : r- _ i i - ; I i I � a-4-5—S:! , 74 I � I , i , I t I I I I � I � � I ------- tc r ... r : - I I- l i p 1978 i t I I -T 1 t f; 1.