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HomeMy WebLinkAboutMiscellaneous - 45 FOREST STREET 4/30/2018 45 FOREST STREET / 210/106.A-0071-0000.0 ` r -r - • North Andover Board of Assessors Public Access , Page 1 of 1 KVRYy '1f€'own or worth AU"jovCW Eton of Assessors F, T Property &snetnts� rty Return to the Home page click on logo Record Card '— Parcel ID:210/106.A-0071-0000.0 Community:North Andover SKETCH PHOTO New Search Click on Sketch to Enlarge Click on Photo to Enlarge Sales Summary Residence DetaclIed Structure Condo Commercial Comparable Sales 45 FOREST STREET Location: 45 FOREST STREET Owner Name: CHAPPELL,CHARLES M LONA I CHAPPELL Owner Address: 2 INDEPENDENCE ROAD City: ACTON State:MA ZIP:01720 Neighborhood: 6-6 Land Area: 0.71 acres Use Code: 101 -SNGL-FAM-RES Total Finished Area: 1638 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 387,000 360,600 Building Value: 163,800 164,000 Land Value: 223,200 196,600 Market Land Value:223,200 Chapter Land Value: LATESTSALE Sale Price: 0 Sale Date: 12/31/1957 Arms Length Sale Code: N-NO-OTHER Grantor: Cert Doc: Book:00881 Page: 0119 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=990828 7/9/2007 45 FOREST STREET ASSESSORS MAP 106A,PARCEL 71 31,300±S.F. 40 MIL IMPERVIOUS BARRIER TP3 TP2/PT1 7b' 1 ° N/F CO) \ a \ INSPECTION PORT(rYP.) y UMIT OF SAND A. P 39 DISTRIBUTION BOX IsooDAuoN / I SEPTIC TANK O 33' b � BENCHMARK:TOP M( ELEV.102N(ASSUME 3 r # e`w e w N/F COOKE w �ary � X. I Exisniw:'':. .. .WELL I � V. •DRIVEWAY•:':':•:':'. •----•• � SHEET SORE THIS IS TO CERTIFY THAT NEW ENGLAND ENGINEERING SERVICES,INC.HAS INSPECTED THE SUBSURFACE SEWAGE DISPOSAL SYSTEM INSTALLED AT 45 FOREST STREET,NORTH ANDOVER,MA.THE SYSTEM HAS BEEN CONSTRUCTED WITHIN ALLOWABLE ENGINEERING TOLERANCE OF 310 CMR 15.00,THE APPROVED DESIGN PLANS DATED 8-1-06,AND LOCAL REQUIREMENTS,EXCEPT AS-NOTED HEREIN. INVERT ELEVATIONS DESIGN ACTUAL FOUNDATION 101.00 101.00 TANK IN 100.80 100.82 TANK OUT 100.55 100.64 D-BOX IN 100.44 100.45 D-BOX OUT 100.27 100.27 A 100.17 100.14 B 100.17 100.13 C 100.17 100.14 TOP OF INFILTRATORS A 100.50 100.51 B 100.50 100.49 C 100.50 100.50 D 100.50 100.49 E 100.50 100.50 F 100.50 100.50 BOTTOM OF BED 99.50 99.42 IEAD FOUNDATION SYSTEM TIES 1 TO TANK IN 27.2' 2 TO TANK IN 13.5' 1 TO TANK OUT 35.0' 2 TO TANK OUT 16.4' 1 TO D-BOX 49.2' 2 TO D-BOX 28.1' 1 TOA 53.0' 1 TO D 96.5' 2 TOA 34.0' 2 TO D 74.2' 1 TOC 52.0' 1 TO F 96.1' 2 TO C 30.4' 2 TO F 72.7' INSPECTION PORT 1 TO X 84.0' 1 TOY 83.5' 2 TO X 62.0' 2 TOY 60.4' 20' 0 20' 40' 60' I��p 10 2 �o, ,.l AS-BUILT SEPTIC SYSTEM T0�'�N.oF'NCHF�RcuS 45 FOREST STREET NORTH ANDOVER,MA ASSESSORS MAP 106A,PARCEL 71 r' SCALE: V=20' JULY 27,2007 e NEW ENGLAND ENGINEERING SERVICES,INC. 050000,A cla a 1600 OSGOOD STREET Gla 46821 BUILDING 20,SUI'T'E 2-64 QI NORTH ANDOVER,MA 01845 �aIN 1 01 PH:(978)686-1768 FAX:(978)327-6138 PLAN"` 1234SAB-7-27-07 BR'.'W" ,rS.G.B. e7 B.C.O.Jr. NORTH q . 0 �1LED 16 /tI t O O C. R �SSAC HUS�� PUBLIC HEALTH DEPARTMENT Community Development Division CEI RI(FICA.A-) OF CO - J-rV"CE As of: ,7uly 28, 2009 This is to cert that the individuaCsu6surface d�.rposal system received a SATISFAC'rIORTINS(PEC770iYof the: *pair/fplacement of the complete ,Septic DisposalSystem By: James 2P1lett At: 45 Forest Street 911ap — 106..A , Farrel—T1 North Andover, JKA 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. S 'an �Y. Sawyer (Pu6licWealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER of r°oTM Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdeptRtownofnorthandover.com WEBSITE:hqp://www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( ) constructed; ( repaired; by ACTe fil (Print Name) Ade located at �S c rzs f A-ee,f AlD• Ade Uri[ (Installation Address) was installed in o ormance with the North Andover Board of Health approved plan, originally dated �� �� and last Revised on /��� ,with a design flow of &c3© 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. / Bed inspection date: 7 2 Engineer Repr//sentative(Signature) And-Print Name Final inspection date: S J 7 , 6 [-D2 Eng' eer Representative(Signature) A Orr"e— ` And- rint Name Installer: (Signature) Date: �m�� �►'cllct4L And-Print Name Engineer: (Signature) Date: 7 v7 OSGQOD,JR "'+ � CIVIL & And-Print N WU 45891 ASO RFGiSTER�� Q- �s/ORAL ENS'\ AS—BUILT CBE !/,/CKLISTe ✓ LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES &LOCATION OF DWELLINGS r✓ LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE,,,,� TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION —� LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE v' DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP& SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. 1 NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED 0 TOWN OF NORTH ANDOVER f pORTh 7 Office of COMMUNITY DEVELOPMENT AND SERVICES o? HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 �''Ss';CHuset�' Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: iz� AP: LOT: INSTALLER: DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 TOWN OF NORTH ANDOVERof NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES o ,..o HEALTH DEPARTMENT 4 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 #•o , ,F NORTH ANDOVER, MASSACHUSETTS 0 184 �'ss,cHos<<`' Susan Y. Sawyer, RENS/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 ❑ Combo Tank installed. Size: ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic 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 ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Watertightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: Wastewater System Documentation—Feb 2006 Page 2 of 6 v TOWN OF NORTH ANDOVER HORTq Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss�c►►use��' 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 to (',soil layer, as 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: Wastewater System Documentation—Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER f NORTb Office of COMMUNITY DEVELOPMENT AND SERVICES 3:�'`�� ��°AL HEALTH DEPARTMENT 49 1600 OSGOOD STREET; BUILDING 20• SUITE 2-36 :+" NORTH ANDOVER, MASSACHUSETTS 01845 CHU 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 !pORTN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT * i 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 •�,,o�A*.o'�,��� NORTH ANDOVER, MASSACHUSETTS 01845 'ss�cHUge� 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 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Wastewater System Documentation—Feb 2006 Page 5 of 6 r TOWN OF NORTH ANDOVER °t NoerN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p 1600 OSGOOD STREET• BUILDING 20• SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 �''Ss'„CM„St`' 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 { i FINAL GRADE INSPECT ON Date: Address: I3 LOAMED? ❑ SEEDED? ❑ COVER PER PLAN? Other: t i7iil , ell { �� it---__ ____..- --- -- - -------- -- - --- i 14Tr low,7 Z/-, 1 1 Map-Block-Lot ` onwea Comm of Massachusetts 106.A-0071 - /NOnrN ---------------- — No ';.,"'° '`�•"°o� Board of Health Permit * BHP-2007 0236 i North Andover FEE $250.00 F ____________________ O •,;.' . • P.I. �_..__-- ,ssACNUSE4 F.I. —_�-- Disposal Works Construction Permit Permission is hereby granted James Kellett to(Repair)an Individual Sewage Disposal System. atNo 45.FOREST ORESTET----------------------------------------- 7u Ai1 09 2007 lication for Disposal Works Construction PermitNo. BHP-2007-023- ate d. as shown on the app - UD° z--------------------- ssued On:Jul-09-2007 --- --—-----` -`— _ __ H°RTM Application for-Septic Disposal System 7 9 0 •1�-� TODAY'S E . AConstruction Permit - TOWN OF ORTH ANDOVER MA 01845 .00—Full Re a' �,ss^CN�S t $125. -Component Important: ApalicationAs hereby made fora permit to: When filling out forms on the ❑Ponstruct a new on-site sewage disposal system computer, use Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component—What? cursor-do not key the return A. Facility Information Y q( 1-0 t 5f Address or Lot# &tdv City/Town 2.- *TYPE O SEPTIC SYSTEM*: ❑ Pump Z Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** ❑ C nventional System (pipe and stone system) nfiltrator 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 ✓ a a l Name Addre s(if dif feregt from above) City own State Zip Code Telephone Number 3. Installer Information //ff c°L/I �/¢' NaV Name of Company Adjtess /ell Cit own State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information A4-T-,e75 , Fig'' d� Name Name of Company 1661) Address City/Town Soto Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 Application for Septic Disposal System _ f NOR7f{� O 41�ao �° h 3? •` '' " •°�°c ° ; -Construction Permit - TOWN OF TODAY'S DATA ORTH ANDOVER MA 01845 $ 250.00—Full Repair CHUS $125.00 -Component SS� 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 dover, and not to place the system in operation until a Certificate of Compliance has bee is ed by this Bo apdqF ealt /IP/'o 7FNa Date cati Ao : (Board of Health Representative) 9 Date Application Disapproved for the following reasons: For Office Use Only: / 1. Fee Attached? Yes t' No 2. Project Manager Obligation Form Attached. Yes v No 3. Pump S sy tem? Ifso,Attach copy ofElcctrical Permit Yes No 4. Foundation As-Built. new construction ronl : Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Y 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: (Address of septic system) For plans by �I (Engineer) Relative to the application of (Installer's name) And dated 04,V / (� angina ate Dated —7 / 1/6 -7 (today's ate 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 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 (1'� 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: healthdeptgtownofnorthandover.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: �f d7 (Today's D e) l/ (Name sint) Signed) DelleChiaie, Pamela Subject: Septic-45 Forest Street-Needs Jim Kellett signature and see insp. ports. Start Date: Wednesday, June 03, 2009 Due Date: Friday, June 05, 2009 Status: Not Started Percent Complete: 0% Total Work: 0 hours Actual Work: 0 hours Owner: DelleChiaie, Pamela Categories: SEPTIC-FOLLOW-UP 6/5/09–Received call from Mr. Chappell at 10:35 a.m. - told him that Jim Kellett needs to sign off on the Certification form. Sent Jim an e-mail about this on 6/3/09.—p.d. 6/3/09 -Tom Chappell,h/o–978.807.8208 called looking for COC. Viewing the file–JK needs to sign cert. form. Susan did not see insp. Ports at Final Grade. Not seeded at time of FG insp. On 9/18/07. JK states there has been landscaper at the property since he did his work. JK will come to the office to sign form. E-mail: Tom.Chappellegnemoves.com. 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, July 24, 2007 3:52 PM To: Dan Obrzut(E-mail); Daniel Ottenheimer(E-mail); Marianne Peters (E-mail) Subject: 45 Forest Street Hello, This one is all set for a Final Construction Inspection. Please contact Jim Kellett to arrange at 781.953.7146. Thank you. 8a8l Ragwd8, Paft.044 D000010 1 ai¢ Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite 2-36 North Andover,MA 01845 ' 978.688.9540-Phone A 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, July 29, 2009 92:20 PM To: 'tom.chappelle@nemoves.com' Cc: 'jim.kellettexcavating@comeast.net Subject: Septic-45 Forest Street-Septic As Built; COC; Certification Attachments: Message from KMBT 600; Message from KMBT 600; Message from KMBT_600 Hi Tom, Jim Kellett came into the office yesterday to sign off on your septic certification form. I believe this is what you will need for your closing. I think the copies will be sufficient for those purposes, but check with your real estate agent. If you need the original,let me know, and I will hold it for you to pick up. Best regards, Pamela DelleChiaie Health Department Assistant TOWN OF NORTH ANDOVER Health Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax pdellechiaie@townofnorthandover.eorn-E-mail http://www.townofnorthandover.com-Website Notes: If copied to BOH Members-Reference Copy Only--no response requested at this time 1 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Friday, October 20, 2006 1:08 PM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: 45 Forest Street The plan review for 45 Forest Street is attached. There are two outstanding issues which should be resolved before you issue the letter. 1. The design uses a field instead of trenches. A letter will be forthcoming from New England Engineering Services which explains why trenches are not being used. 2. There is a variance request to design based on 3 bedrooms. That should be issued by the Board before the approval letter goes out. Dan Daniel Ottenheimer, President Mill River Consulting,Inc. On-Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com dano@millriverconsulting.com 10/20/2006 TOWN OF NORTH ANDOVER E NORT1, Office of COMMUNITY DEVELOPMENT AND SERVICES �r•`�+_ op HEALTH DEPARTMENT 400 OSGOOD STREET s o• .mss:'... ,. + NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540—Phone978.688.8476—FAX Public Health Director E-MAIL:healthdept@t_ownofnorthandover.com WEBSITE:hn://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: Site Location: Engineer: �� Q S / . .�. Lj 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__L,,::�j� No Larc,/�����q 4,u> tla ragte Local Upgrade Form Included? Yes t/ lid Telephone#: Q& —/77&9 Fax#:_ E-mail: Homeowner Name: OFFICE USE ONLY When the submi sion is complete(including check): EHEALTH ED ➢ , Date stamp plans and letter Complete and attach Receipt 2006 Copy File; Forward to Consultant RTMENOF NORTH T ➢ Enter on Log Sheet and Database 1 y NEW ENGLAND ENGINEERING SERVICES, INC. 1600 Osgood Street Bldg 20 Suite 2-64 Nordi Andover,MA 01845 Tel: 978-686-1768 Fax: 978-327-6138 August 2, 2006 Project# 1234 Mrs. Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover,MA 01845FTOWNOF Re: 45 Forest Street, North Andover, MA �66� Septic System Design TH_ANDOVERPARTMENT Dear Mrs. Sawyer, The following plans and enclosures for the above referenced property are being submitted for approval. 1. (5) Copies of the Septic System Design Plans. 2. (2) Copies of the Form 11 Soil Evaluator Sheets. 3. (2) Copies of the Form 12 Percolation Test. 4. (1) Copy of the Septic Plan Submittal Form. 5. Check for Plan review fee. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjar ?n C. Osgood J` . P.E. President NEw ENGLAND ENGINE]EMNG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 "Ilei: (978) 686-1768 • Fax: (978) 327-6138 August 2, 2006 Project# 1234 Ms. Sue Sawyer North Andover Board of Health --- 1600 Osgood Street RECA I' North Andover, MA 01845 Re: 45 Forest Street,North Andover,MA OCT 17 2406 Local Health Bylaw Variance Request TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Dear Ms. Sawyer, The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following variance: Local Health Bylaw Variance Request Allow a septic system be designed to serve three bedrooms in lieu of four bedroom minimum required by local North Andover Health By-Law. If you have any comments or questions please do not hesitate to contact this office. Sincerely, �Benjami'n C. Osgood, Jr. P.E. President �/ Commonwealth of Massachusetts REr."'_i V L City/Town of No. k7dode, , W Percolation Test OCT 1 , 006 Form 12 TOWN OF Ny.\j 0 HEALTH DEPARTIVIENI' �M Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer,use Charles Chappell only the tab key Owner Name to move your 45 Forest Street cursor-do not Street Address or Lot# use the return key. No. Andover MA 01845 City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results 7/24/06 9:00 Date Time Date Time Observation Hole# PT1 Depth of Perc 30'718" Start Pre-Soak 9:14 End Pre-Soak 9:29 Time at 12" 9:29 Time at 9" 10:00 Time at 6" 10:49 Time (9"-6") 49 Minutes Rate (Min./Inch) 20 Min/Inch Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Benjamin C. Osgood, Jr. Test Performed By: Randy Burley, Mill River Consulting Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 � 10RT1 O`4 .. D y1�O Health Department October 20, 2006 Charles Chappell 45 Forest Street North Andover, MA 01845 RE: Wastewater System Plan for 45 Forest Street, Map 106A, Lot 71 Dear Mr. Chappell, 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 New England Engineering Services dated August 1, 2006 and received by this office on October 17, 2006. The design has been approved for use in the construction of a replacement onsite wastewater system. This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. The time period for which this plan is valid is reduced to two years from the date of an inspection of the current wastewater system which did not meet the acceptable criteria in the state regulations. The time period for which this plan is valid may be reduced by the North Andover Board of Health in the event an imminent health problem such as sewage backup into the dwelling is occurring. 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. 1600 Osgood Street HEALTH DEPARTMENT Building 20;Suite 2-36 E-Mail: healthdept@townofnorthandover.com Page 1 of 1 North Andover,MA 01845 Phone:978.688.9540 Fax:978.688.8476 4 3. The plan does not call for installation of a primary(septic) tank effluent filter but one is recommended. Please be advised that only certain brands of filters are permitted for use in Massachusetts and each is required to follow certain approval criteria. Your designer or installer should work with you to assure a licensed brand is selected for use, if you choose to install one. 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. ySincerawyer, REHS/RS Public Health Director encl: List of licensed installers cc: New England Engineering Services file f TOWN OF NORTH ANDOVER fµOR711 Office of COMMUNITY DEVELOPMENT AND SERVICES err HEALTH DEPARTMENT A 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 SACNU Susan Y.Sawyer,RENS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept@townofnorthandover.com www.townofnorthandover.com APPLICATION FOR SOIL TESTS DATE: C&Lp M`AP&PARCEL: LOCATION OF SOIL TESTS:_ ��� For�Sf c/T. , AU OWNER: �' p A"I to [. Contact#: APPLICANT: Contact#: ADDRESS: ENGINEER: PG• Contact#:qJ00 WplD —1 ILL? CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision W�Q'le Family Home Commercial Is This: Repair Testing:_Undeveloped Lot Testing: Upgrade for Addition: In the Lake'Cochichewick Watershed? Yes No ✓f THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test pit 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 percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approv ate: Signature of Conservation Agent: ` Date back to Health Department: (stamp in): Wf l cAvW 15 aPKA 0 4-tGcv' (Co' C(wa-- f ------------------------------------ NEW ENGLAND ENGINEERING SERVICES 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845 INC (978)686-1768-(888)359-7645-Fax(978)685-1099 JOB NUMBER _- DATE INSPECTOR--__ .— -----.- --- -- --- PROJECTNAME SITE INSPECTION RECORD PROJECT LOCATION_ -- V ------ - ----_---- -- .JUL --G 20116 - --- TOWN OF N01 Tj.l i�•�(.; ,�z F I — - --- — - — E•r�xit"fF=C+El':�RlT�iL-'�T�SIGNED_ Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters [mpeters@millriverconsulting.com] Sent: Friday, July 07, 2006 10:42 AM To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: 45 Forest-Soil Eval-July 24th @9:00 Soil Eval for 45 Forest Street has been scheduled for Monday, July 24th @ 9:00 with Ben Osgood. Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 N 7/7/2006 Commonwealth of Massachusetts City/Town of NoRTW AAvDovb P, a Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the info fmation must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form hey I Ise A. Facility Information o '7 1. Facility Information L u s CH�PP `aV D� M Owner Name Z f-15Fo26sr $T Map/Lot L06A. 7 / Kz o M Street Address MA Zp rn �JQ State Zip Code �rn City/Town B. Site Information 1. (Check one) New Construction ❑ Upgrade ❑ Repair l. 2. Published Soil Survey available? Yes N No ❑ If yes: Yea Published P!blicaSBScale Soil Map unit I N ✓y STt>a�/ 6AIE&4.vl>Y C04-4 STEEP st.crc5, Ljec L_ Di?A,.vE I) 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 ig Within the 500 year flood boundary? Yes ❑ No Within a Velocity Zone? Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Name Map Uni Wetlands Conservancy Program Map kil Name Map Unit DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 1 of 7 Commonwealth of Massachusetts City/Town of No?,-ovf A4,)DoUE K Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 6. Current Water Resource Conditions (USGS) 1"A-4 000 Range: Above Normal © Normal ❑ Below Normal ❑ Month/Year 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole Number: T P1 '7 -Oq- q • Weather Date Time 1. Location Ground Elevation at Surface of Hole q r,? 7 Location (Identify on Plan1-1 FV_ YAQD R6SIDf_&v'7_tAL 2. Land Use: Surface Stones Slope(%) (e.g.woodland,agricultural field,vacant lot,etc.) �R mD2l'41Nc% �A�KS�oP�. �14 55 Landform Position on landscape(attach sheet) Vegetation 3. Distances from: Open Water Body 1200 Drainage Way 700* Possible Wet Area Zocn- feet feet feet Property Line Z Z Drinking Water Well Other feet feet 4. Parent Material: Pa c-A1170 N Tt L, Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s)❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No E If Yes: Depth Weeping from Pit Depth Standing Water in Hole ,c Estimated Depth to High Groundwater: '3Z iYi�OX q 6110 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal - Page 2 of 7 Commonwealth of Massachusetts CitylTown of 1101t-P# /MIND#VE F Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation Deep Observation Hole Number: T P I Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other Depth Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones 04o A to Yx � — l9 8w 10Y ` 6 5L MEow-j 6 D-sTwcc 1 _S (cl -100 oZ,s 32, S �y CanrcoN. Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 7 Commonwealth of Massachusetts City/Town of N vr%v4 A,vDcvE tZ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M C. On-Site Review (Cont.) Deep Observation Hole Number: TPA �-til-off �'�� �`'N �0• Date Time Weather 1. Location Ground Elevation at Surface of Hole AT Z I Location (Identify on Plan ) RMIC C&AI R YARI) R�St D NTA N 0 t 0 2. Land Use: F Surface Stones Slope (e.g.woodland,agricultural field,vacant lot,etc.) G RA S� /two 4�,R.tN C g AC sLo PE. Position on landscape(attach sheet) Vegetation Landform 3. Distances from: Open Water Body tZ(�)O Drainage Way ZOot Possible Wet Area ZOCJ' feet feet feet Property Line i�±_ Drinking Water Well 13 a Other feet feet 4. Parent Material: 1114gtI),-T10— Ti#–%..- Unsuitable Materials Present: Yes ❑ No K 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 EOox� 4`d.7 Estimated Depth to High Groundwater: 13o R nches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 4 of 7 Commonwealth of Massachusetts City/Town of No H ANDovt K ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: -r IOA Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Horizon/ Color-Moist (mottles) Texture % by volume Structure Consistence Other DepthLayer (Munsell) (USDA) (Moist)(In.) Depth Color Percent Gravel Cobbles &Stones 5�- �_ ZZ. 8 Y S �, to � � ld YR slg n ES PJfr- ZZ-87 C- 05Y sy Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 5 of 7 Commonwealth of Massachusetts City/Town of NOW04 A VDO V f-i2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �M C. On-Site Review (Cont.) Deep Observation Hole Number: TP3 7-Z y- o6 q; OC) Su4Ayy gd Date Time Weather 1. Location Ground Elevation at Surface of Hole Location (Identify on Plan ) IZtiA r YAR j) FAR K,6"T' 2. Land Use: 96SI O ,nA L_ N 0 (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Gf{A5S BA GK 54-0PA Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body IZOO Drainage Way Z-00"' Possible Wet Area 2 o O t feet feet feet Property Line 3 5' Drinking Water Well !SS Other feet feet 4. Parent Material: 7-1 L-4— Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes ❑ No 59 If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: *-C REX) 4f Z. -7,5- inches 7sinches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 4 of 7 Commonwealth of Massachusetts City/Town of Av o&W Ant Do v E R Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M Deep Observation Hole Number: T-P_?, Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Horizon/ Color-Moist (mottles) Texture %by Volume Structure Consistence Other Depth Layer (Munsell) (USDA) (Moist) (In.) Depth Color Percent Gravel Cobbles &Stones p- to A 10YRZ'Z SL 10-Z8 g w t o YR yl� S L t o YX 5/f ^601-1 C 6 as-r"r L 5 Z 5' � ZS�- Sy ly COAMVAJ Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal - Page 5 of 7 Commonwealth of Massachusetts City/Town of N o RTH A.,v p o v E tZ a Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �M D. Determination of High Groundwater Elevation TPI TP7- TP3 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. 3Z B. 3 5:0 8 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❑ t t Cl 100 Z ZZ Z 87 b. If yes, at what depth was it observed? Upper boundary:3 i$ Lower boundary:3 BY inches inches F. Certification I certify that I have passed the soil evaluator examination`approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. nature Soil Evaluator Date SiiL t•J G OS 6 oa Q Zr' Nov. t cf9 6 Typed or Printed Name of Soil Evaluator 'Date of Soil Evaluator Exam M►t,L Rtvfb 2 Co.uSvi 7 tA/6• RAti,fly 13vR1.EY Name of Board of Health Wit ess Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 6 of 7 Commonwealth of Massachusetts City/Town of Al ORTW A.VDo V EK a Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �M Use this sheet for field diagrams: See PLAN f> DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 7 of 7 i BOARD OF HEALTH �S o -'�'.. •; .�, TORN OF NORTH ANDOVER, MASS. Zoo l 1 I � k � P l � p h 1. NAMEC� . ATE 2. ADDRESS .�. :,' - "':`. 14.7. . LOr NO. Q . J.�! . TEL. . . . . . 3. N0. OF BEDROOMS .,3 . DEN YES j N0. 4. GARBAGE GRINDER - YES NO. `';� • 5. SHOW DIS IZIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIIZNSIOIk[S OF LOT $. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM! 10, SHOW LOCATION OF BROOKS O STREArz, DITCHES q LEDGE OUTCROPp ETC. ll. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NCITEs LOCAL REGULATIONS SHOULD BE READ CAREFULLY. IAr(j