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Miscellaneous - 461 SUMMER STREET 4/30/2018 (2)
461 SUMMER STREET 24.0/107.A-0085-00000-0 a Q� �v A F F NorthAndoverBoardofAssessorsPublic Access Page 1 of 1 NORTH North Andover Board of Assessors Op . qH e t Ott 0 �l 9treo.�•"t5 9SSNCNUSEt roperty Record Card Click Seal To Retum Parcel ID:210/107.A-0085-0000.0 FY:2008 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e W-- .- , Search for Parcels Search for Sales r,. Summary Residence k, a Detached Structure Condo 461 SUMMER STREET ;J Commercial Location: 461 SUMMER STREET Owner Name: CRABB,FREDDIE G EILEEN E CRABB Owner Address: 461 SUMMER STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 1.11 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1926 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 509,400 542,300 Building Value: 299,900 310,600 Land Value: 209,500 231,700 Market Land Value: 209,500 Chapter Land Value: LATEST SALE Sale Price: 0 Sale Date: 12/31/1965 Arms Length Sale Code: N-NO-OTHER Grantor: Cert Doc: Book: 01017 Page: 0077 http://csc-ma.us/PROPAPP/display.do?linkld=1181774&town=NandoverPubAcc 8/26/2008 � pORT11 O �tLED �6q�rO O . 1,4 COMIC C"t MCWKII`y IEV ��SSAC HUS���y PUBLIC HEALTH DEPARTMENT (ommunity Development Division CER2I CA .. FIE 01F 0�44PGI- 1 As of: December 8, 2008 This is to cert that the individuaCsu6surface disposasystem received a SA2IS FAC7ORT INS(EC ION of the: FuffSystem repair of the Subsurface Sewaae 1DisposafSwtem By- James Keffett At: 461 Summer Street Map 10T.A; Parcef85 North Andover, 961,4 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system wiff function satisfactorily. 4SusZan TY. Sawyer (Pii6Cic Ifeath Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com pORfy �+�.: •'� of ��SSACNU'•i � / PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(Urconstructed;( )repaired; (Print Name) C -F Located at: `7 C� f u FIE- (Installation IE(Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 9//v y and last revised on 9�r�/o ,with a design flow of 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: Engineer Representative(Signature) And-Print Name Final Construction Inspection DatejoZ0 Gg -GOr . _,. Engineer Representative(Signature) And-Print Name Installer: (Signature) Date: ( And-Print Name EngWer: /AOature, Date: 0 q p66 700 And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 web http:/ nr�anda RECEIVED DEC 0 5 2008 TOWN OF NORTH ANDOV" I HEALTH DEPARTMF; ti DelleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Monday, December 01, 2008 9:13 AM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: 461 Summer Inspect Report attached Attachments: 461 Summer- Final Construction Inspection.doc Please find attached the Construction Inspection Report for 461 Summer Street. Marianne Peters Office Manager ph 800-377-3044 ph 978-282-0014 fx 978-282-0012 web:www.niilEverconsulting.com 1 AORTH i 0`,TLLD 16q�� 6 OG O 1D i ' eb D �gDR�TE D 9ITS ACHUS�� PUBLIC HEALTH DEPARTMENT (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 461 Summer Street MAP: 107A LOT: 85 INSTALLER: Jim Kellett DESIGNER: Clay Morin PLAN DATE: 7/19/08 BOH APPROVAL DATE ON PLAN: 10/29/08 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTI N: 1/20/08 DATE OF FINAL GRADE INSPECTION: ��p � 1 SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base and sleeved with ADS pipe ❑ Cleanouts per plan ❑ 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 by visual testing ® Inlet tee installed, centered under access port 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form lune 2008 NORTH O� st-eD 116 gti o 7 lb 0'# �SSACHUS�� PUBLIC HEALTH DEPARTMENT (ommunity Development Division ® Outlet tee installed, centered under access port j ® 20" cover to final grade installed over outlet of tank ® Hydraulic cement around inlet & outlet 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" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by visual testing ® Hydraulic cement around inlet & outlet Comments: Alarm and pump on separate circuits CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: Basement ❑ Rated for exterior if placed outside ® Alarm signal located inside Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 NQRrh Q��ttieo ,6 q1'O S ~, 6 ;L ! LA ey O COCKICKIWKK y1 �9SSACHUS���� PUBLIC HEALTH DEPARTMENT (ommunity Development Division DISTRIBUTION-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: Speed levelers required to achieve even distribution. Installer will cut out larger hole in speed levelers to allow effluent from pump chamber to drain properly. SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ( ] Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Block retaining wall not installed at time of final inspection. SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Infiltrator Chambers ❑ Number of chambers per row: 9 ❑ Number of rows (trenches): 4 Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.cam Inspection Form June 2008 + VkORTF4 t►.10 16q�0 6 OL O A 0 Lacoc.iwiwKw 1• A_ oP`y 7 RATED 0 &S US PUBLIC HEALTH DEPARTMENT (ommunity Development Division BM = 80.00 HR = 7.93 HI = 87.93 SYSTEM ELEVATIONS ROD ELEVATION AS-BUILT INVERT DESIGN INVERT ELEV. ELEV. Benchmark Building Sewer OUT 906 78.52 78.12 Septic Tank IN 925 78.33 77.80 Septic Tank OUT 954 78.04 77.55 Pump Chamber IN 957 78.01 77.50 Pump Chamber OUT 936 78.22 77.75 Distribution Box IN 356 84.02 83.93 Distribution Box OUT 375 83.83 83.76 Lateral 1 TOP 391 Lateral 1 INVERT 83.67 83.67 Lateral 2 TOP 391 Lateral 2 INVERT 83.67 83.67 Lateral 3 TOP 391 Lateral 3 INVERT 83.67 83.67 Lateral 4 TOP 391 Lateral 4 INVERT 83.67 83.67 Bed Bottom Elevation 394 82.99 83.00 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 VAORT14 06 ? '16 0 O O y� L Ty + yy T Col ey T C cx.aiwiw,cw 4A�RATE �C7 �SSACHUS�� PUBLIC HEALTH DEPARTMENT (ommunity Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory rY setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 11.5 22 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 (PER PLAN) ❑ 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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 k. of °"'" , . Commonwealth of Massachusetts Map-Block-Lot 107.A-0085- Q Board of Health PermrtNo n+ BHP-2008-0219 North Andover -----_---------------- `�.b. P.I. FEE �S , NuES F.I. $250.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted James-Kellett to(Repair)an Individual Sewage Disposal System. at No 461 SUMMER STREET ---------------------------------------------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2008-0219 Dated November 05 2008 ----------------------------------------------------------------- Issued On:Nov-05-2008 -------------------------------------- ---------------------- -- Board of Health ex-z RECEIVED NOV 1 8 2008 AN TOHEAOLTH DEPARTMOO LATER Date. VIC f- 1, HORTN TOWN OF NORTH ANDOVER Qf 1 PERMIT FOR PLUMBING ,SSCHUSfi� / This certifies that . . . 9�.07. . . .f�.H. . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . .5.47��Y`N �/c —( h plumbing in the buildings of . .C/104!'�?l�. . . . . . . . . . . . . . . . . . . . . . . at . . .1/0/,/. . ,SG , ..°. . . . . . . . . . . . . . . . . North Andover, Mass. Fee. . . . . . Lac. . . PL MBING INSPECT R Check # Z- 7923 N°RT„ Application for Septic Disposal System Of„t ■°+°qti� °t TODAY'S DATE onstruction Permit — TOWN OF 9C ORTH ANDOVER, MA 01845 $ 250.00—Full Re SSACNUg� Important: _Application is hereby made for a permit to: q`L� . When filling out forms on the ❑ C nstruct 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 use the return A. FacilityInformation key. 4(o i S U m rn&a_ Address or Lot# W r4 ArrJouelt, City/Town 2.-iTYPE OF SEPTIC SYSTEM*: Pump ❑ Gravity (choose one):`-' ***If pump system, attach copy of electrical permit to application*** ❑ /entional System (pipe and stone system) )rator 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 fSej C r �� Name 4 G 1 Yn Ad ress(if different from above) orA Araboef rA City/Town State Zip Code Telephone Number 3. Installer Information Name Name of Company +- 0 Address �,n=n Q�e Cityrr wn State Zip Code 1 `61 - 9 -�-- 1146 Telephone Number(Cell Phone#if possible please) a. Designer Information ClLo�j „v,, �-koe� Q 1- Sv rJeti �h. Siryle,t, Name Name of Company --) o �u<<�, Ct' Address City/Town State Zip Code otic t,1 J Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of I NOR'"9 Application for Septic Disposal System 'TORT i° ti0 TODAY'S DATE ° pConstruction Permit - TOWN OF 4 , MA 01845 $250.00-Full Repair ORTH ANDOVER $125.00 -Component 9 SACHUS 4 PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: Residential Dwelling or❑Commercial 9 B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and n t to place the system in operation until a Certificate of Compliance has be issued by t is oard of Health. // T oy Na Date Applic .Ion Approved : (Board of Health Representative) Nam Date lication Disapprove for the following reasons: For Office Use Only: L Fee Attached. Yes No 2. Project Manager Obligation Form Attached. Yes= No 3. Pump Ssr� tem? Ifso,Attach copy ofElectrical Permit Yes No 1,[ p8 � � 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) V / 5. Floor Plans?(new construction only): ;� Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) For plans by C(4. P e� (Engineer) ►,� Relative to the application of 1K G (Installer's name) And dated (Unglml aate) Dated f/Shy d o ay s ate With revisions dated 00 (Last 7evisJd 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 s inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection—Engineer must first do their inspection for elevations, ties, etc. As-built of verbal OK (or e-mail to: healthdept@townofnorthandover.com) from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible. 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board 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 gV12roved plans. No instructions by the homeowner,,general contractor, or any other persons shall absolve me of this obligation. i Undersigned Licensed Septic Installer: (Today's Date) i (Name—Frmt We4—_=gned) Commonwealth of Massachusetts Official Use Only Aim (A n2EMDepartment of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11—4 —OS City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4(,ol S u nlj M e S l(L=eei Owner or Tenant F(2v-A CXAbb Telephone No. Owner's Address M-C Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building .Yw Q 111 tJ oY Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �� 2� SQ�'ll� -��(oA4, 5u-)J"V,S rAy\� COAD YLOI VA0Q.I Completion of the followingtable may be waived by the Inspector of Wires. of No.of Recessed Luminaires No.of Ceil: TransSusp.(Paddle)Fans Total Trsformers KVA No.of Hot Tubs Generators KVA o.of Emergency Lighting Battery Units - FIRE ALARMS No.of Zones Da e....� No.o Detection and �•/ Initiating Devices E ttORTh No.of Alerting Devices 0� `F `WN OF NORTH/ VER No.of Self-Contained Detection/Alerting Devices _ ! PERMIT FOR/ IRINGLocal❑ Municipal ❑ Other Connection �� �,,r.o:•�`ry �;, 1. Security Systems-* SSACMUS� f { f No.of Devices or Equivalent Data Wiring: `` !7 f/ No.of Devices or Equivalent ilii This certifies that y; 1'T �' ' �Q . Telecommunications wiring: has .................................................... No.of Devices or Equivalent permission to perform wiring in the bll11d1I1�,Of f 'desired,or as required by the Inspector of Wires. (...� icipal policy.) at �'..c../""..: a •"':'w. s:••• North MEC Rule 10,and upon completion. Andover,Mas No ! %f wor may sue Fee ..:........... Lic. l 1 �verage or al subformance of cstant alequivalent.serrt The Ecrxtc� ItvsP �"= " ne to the permit-issuing office. Check # 1 ' application is true and complete. . : _ LIC.NO.: LIC NO.: (If applicable,enter exe Bus.Tel.No.: +�� Address. M 1.1 gfz xx t V Q v ..Alt.Tel.No - / *Per M.G.L c. 147,s.57-61.,s curity work requires Depart ent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ rj 37' SignaturTelephone No. J 9: No. RE COMMONWEALTH OF MASSACHUSETTS, J.U . 2 5 2008 Board of Health Ivo RT 4 AL4. TOWN r-", J�i ,CV APPLICATION FOP DISPOSAL SYSU 9[ CONSTRUCTS , -,i ;i rc: Application for a Permit to Construct( ) Repair( ) UpgradeAbandon( ) W-C-Implete System ❑Individual Components Location (Ql (� m E 'er ET Owner's Name R�U�D16 GR A8 Map/Parcel# 10Address 410` Lot# 8 ,5 , Telephone# CO e) (09 S- _ (`�q S� Installer's Name _T 1 UA Fa 11 e Designer's Name .CJ Address 7�L E S-t-IZ��-f Address 0 BAi Li- CT ' 40,VERA t AA7 Telephone# ''4 CJj j �5 J ��4 !Telephone# OV16 5 (a-(D984 Type of Building s 1-DE m-ri L Lot Size 4 3, '5D6 sq.ft. Dwelling-No.of Bedrooms. `f Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow(min.required) 414® gpd Calculated design flow Design flow provided y'15 _pd Plan: Date Z uLlf At Z006 Number of sheets a Revision Date Title p J D �uh�ur�'ae 5Bwry((S- ���; , ,L ;5 S-i"Ems, Description of Soil(s) YY1111�� Q Soil Evaluator Form No. Name of Soil Evaluator G reeA 5AK b Date of Evaluation 3LW 6 DESCRIPTION OF REPAIRS OR ALTERATIONS_1t oo G N kbty Mon D 11+r)t c 5-t a .�G. A a`(1'K , A 1 000 !2�#alorJ mono r- I►-1 atm-) �nnk . ��s-�J,bv.-4to,� 'b��A , a, aJTN kk S�-o n d�a � Ca u,t CIC Ir fir& �U e vnT�oto The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections • r10RTN Of tt�aD V°qti� x s 9SSACHus Health Department October 29, 2008 Fred Crabb 461 Summer Street North Andover, MA 01845 RE: Map 107A, Lot 85,461 Summer St,North Andover, MA Dear Mr. Morin, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Engineering and Surveying Services, Inc. dated July 19, 2008, last revised September 2, 2008. The design has been approved for use in the construction of a replacement onsite septic system. The time period for which this plan is valid is reduced to two years from the date of this approval. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring, the North Andover Board of Health may reduce the time period for which this plan is valid. The following local upgrades have been approved. 1) The use of only one deep hole in proposed disposal area 2) Less than 10 distance between the building sewer and the water line The following local variance was approved 1)- The use of a segmental wall in lieu of a poured concrete wall This approval is also subject to the following conditions: 1. There shall be a sleeve on the building sewer in areas that are less than 10 feet from the potable water supply line. 2. Please keep the attached DEP Form 9b for your records 3. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 4. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and 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 municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. 7Sincer- Sus an Y. Sawyer, REHS Public Health Director cc: ESS Clayton Morin, PE 70 Bailey Ct Haverhill, MA 01832 Atch: Form 9B—Local Upgrade Approval Form pORTN q p st�ao yea NO 3r ee,a •., ° OL O p - �9SSACMUS t� Health Department October 9, 2008 ESS Clayton Morin,PE 70 Bailey Ct Haverhill, MA 01832 RE: Map 107A, Lot 85, 461 Summer St,North Andover, MA Dear Mr. Morin, The revised proposed wastewater system design plan for the above site dated September 2, 2008 and received in this office on September 17, 2008 has been reviewed. The items listed on the original denial dated August 25, 2008 have been corrected except jitem#1. Unfortunately,the plan cannot be approved as submitted for the following reason. 1) The required setback distance between the building sewer and the existing water line has not been met in accordance with #10 CMR 15.222(2)This distance shall be ten feet or a Local Upgrade Request may be submitted. If such a request is submitted it must include the engineer's explanation as to the specific need for this LUA. The North Andover Board of Health did approve Local Upgrade Requests for the following items at their regular meeting held on September 18, 2008.: 1) The use of one test pit in the primary leaching area MADEP 310 CMR 15. 102(2) 2) The use of an interlocking block wall in lieu of a poured concrete wall(NA9.02) Please feel free to contact the health office with any questions you may have. We continue to look forward to working with you to obtain a replacement septic system that will be in compliance with all regulations and assure protection of public health and the environment of Andover. Since y, /G usan Y. Sawyer, RE H /RS Public Health Director cc: Owner,Freddie Crabb 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 f µORT/ N 3? e�' •e OOL H M p 9-,^CHUSEt Health Department August 25,2008 Mr. Clayton Morin,P.E. Engineering&Surveying Services 70 Bailey Ct. Haverhill,MA 01832 Re: Septic System Repair Plan for 461 Summer Street- Man 107A Lot 85 Dear Mr.Morin: The proposed wastewater system design plan for the above site dated July 19,2008 and received on July 25,2008 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. The required setback distance between the building sewer pipe and existing water line has not been meet in accordance with 310 CMR 15.222(2). 2. An effluent filter must be proposed in accordance with 310 CMR 15.231(10). Also,please provide the required maintenance schedule in accordance with 310 CMR 15.227(7). 3. Only one(1)deep observation hole is utilized in the primary soil absorption area. Please request a Local Upgrade Approval in accordance with 15.102(2). 4. The current design proposes an interlocking block wall. North Andover regulations require a poured concrete retaining wall(NA 9.02).Please revise the design accordingly or request a variance from the North Andover regulations. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, /usanawyer,REHS/RS Public Health Director cc: Owner File 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 a TOWN OF NORTH ANDOVER °f pORToo , Office of COMMUNITY DEVELOPMENT AND SERVICES ►°?•`,��` �° HEALTH DEPARTMENT . 1600 OSGOOD STREET;BUILDING 20;SUITE 2-36 * 1P NORTH ANDOVER,MASSACHUSETTS 01845 �'$s�Ckus`y 978.688.9540-Phone Susan Y.Sawyer,REHS/RS 978.688.8476–FAX Public Health Director E-MAIL:healthdept@townofnorthandover.com WEBSITE:b_q://www.to0 o E 1W D SEPTIC PLAN SUBMITTAL FORM JUL 2 5 2008 Date of Submission: SU\\1 a y �ZOCSE TOWN Ur ,,r.)R r E ANDOVER �— HEALTH DEPARTMENT Site Location: _y lQ Z)tAm m E R S-TF)E GT Engineer: Tb r3 New Plans? Yes V $225/Plan Check# Lia (includes 1'submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes >' No Local Upgrade Form Included? Yes No Telephone#: 1 55 io " b a 9�j Fax#: Q 7 F3 E-mail: SS- Grc� �� -�neo Homeowner Name: F 9 E D rn g C R AB OFFICE USE ONLY When the submis 'on is complete(including check): ➢ Date stamp plans and letter ➢ the and attach Receipt ➢ / Copy File;Forward to Consultant ➢ ::: Enter on Log Sheet and Database i j Commonwealth of Massachusetts rk City/Town of ug Local Upgrade Approval Form 913 DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important: When filling out 1. Facility Name and Address forms on the computer,use Freddie Crabb only the tab key Name to move your 461 Summer Street cursor-do not use the return Street Address key. North Andover MA 01845 City/Town State Zip Code rob 2. Owner Name and Address(if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd 5. System Designer: Clayton MorinName ® PE ❑ RS 70 Bailey Ct Haverhill MA 01832 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 461 Summer Street 9b•rev.7/06 Local Upgrade Approval• Page 1 of 2 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft. Percolation rate min./inch Depth to groundwater ft ® Relocation of water supply well (explain): Water line and building sewer located less than 10 feet 15.222(2) ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test List local variances granted not requiring DEP approval per 310 CMR 15.412(4): Local Reg. -The use of a segmental wall in lieu of a poured concrete wall. List variances granted requiring DEP approval: N. Andover BOH Approving Authority Susan Sawyer October 29, 2008 Print or Type Name and Title Signature Date 461 Summer Street 9b•rev.7/06 Local Upgrade Approval* Page 2 of 2 Commonwealth of Massachusetts Cityrrown of Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Wealth for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE. Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: forms on the computer,use FREDDIE CRABB only the tab key Name to move your 461 SUMMER STREET cursor-do not Street Address use the return key. NORTH ANDOVER MA 01845 CitylTown State Zip Code VQ 2. Owner Name and Address(if different from above): Name Street Address Citylrown State Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: SINGLE FAMILY HOME 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): LEACHING BED t5form9a•rev,7/06 Application for Local upgrade Approval*Page 1 of 4 Commonwealth of Massachusetts City/Town of Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: N/A gpd 475 Design flow of proposed upgraded system gpd gpd Design flow of facility: 440 gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: A 1,500 GALLON SEPTIC TANK, 1,000 GALLON PUMP CHAMBER, AND A 36 UNIT QUICK 4 INFILTRATOR BED SYSTEM IS PROPOSED. 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. Bio reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater tt t5fomt9a-rev.7/06 Application for Local Upgrade Approval*Page 2 of 4 Commonwealth of Massachusetts Cityrrown of Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well(explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: SITE CONSTRAINTS 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: COST t5formga►rev.7/06 Application for Local Upgrade Approval*Page 3 of 4 Commonwealth of Massach setts � u City/Town of Form 9A - Application for Local Upgrade Approval M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. a ore,usingh"s fowlm,check with your local Board of Health to determine the form they use. C. Explanation (continued) SEP 17 2008 3. A shared system is not feasible: TOYv"'C+ NORTH ANDOVER HEALTH DEPARTMENT N/A 4. Connection to a public sewer is not feasible: N/A 5, The Application for Local Upgrade Approval must be accompanied by all of the following(check the appropriate boxes): ® Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2).. ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." Fac'' Owne , ign ure Dat Print Name ESS . Name of Preparer Date 70 BAILEY CT HAVERHILL Preparer's address City/Town MA 01832 978 556 0284 State/ZIP Code Telephone t5form9a•rev.7/06 Application for Local Upgrade Approval*Page 4 of 4 Commonwealth of Massachusetts City/Town of JUL 2 5 (2008 s Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal MassDEP 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 �R�17�J1L C.RA��3 Owner Name LA lc\ t)urn m c a, 157M-t— Street Address Map/Lot NoTZ'T� Aru�y�1Z - IIV�Pr. O k Lk� City State Zip Code B. Site Information 1. (Check one) ❑ New Construction grade ❑ Repair 2. Published Soil Survey Available? 2'-Yes ❑ No If yes: 1181 , 15840 (!''�D� Year Published Publication Scale Soil Map Unit C A t�'t'©1.� �/E RV '�"��t`lY �►r�t ���DSI LoAw��I Soil Name •-J Soil Limitations 3. Surficial Geological Report Available? ❑ Yes dNo If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map A 506c[8 Above the 500-year flood boundary? [ReYes ❑ No Within the 100-year flood boundary? ❑ Yes 5?e*No Within the 500-year flood boundary? ❑ Yes [�No Within a velocity zone? El Yes �o 5. Wetland Area: National Wetland Inventory Map P F b 4f- 5o,.+in Cs Map Unit Name Wetlands Conservancy Program Map Map Unit Name t5form11.doc-rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 l Commonwealth of Massachusetts Cityrrown of lu Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal B. Site Information (Continued) 6. Current Water Resource Conditions(USGS): MonthNear Range: ❑ Above Normal ❑ Normal ❑ Below Normal 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole: a 6' Location (identify on plan): s>=c �1a►J 2. Land Use �ReS Abe-"Z-T%\n'_ L' . Vz tom) (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) GrRSS Vegetation Landform Position on Landscape(attach sheet) bo +t + 3. Distances from: Open Water Body fe a 1 Drainage Way �feet Possible Wet Area fee Property Linefeat Drinking Water Well feet E4 Other feet 4. Parent Material: ®A't'n11 5 � Unsuitable Materials Present: ❑ Yes [�o 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: q4 '( 4 'r . 1-1 ' 12'/ inches elevation t5form1l.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Moist Munsell Consistence Other Layer Y (Munsell) (USDA) Cobbles& Structure Moist Depth Color Percent Gravel (Moist) Stones 1a`3co" 3w 1DyS,L 30 1�1( 4 " Additional Notes: Rood S +o t5form11.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of _ s Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: Date Time Weather 1. Location aa.yy Ground Elevation at Surface of Hole: Location (identify on plan): 2. Land Use S i b s l_A w (e.g.,woodland,agricultural field,vacant lot,etc.) Surtace Stones Slope(%) �vt e Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet Drainage Way 0 Possible Wet Area f eeti- Property Line fe 8 Drinking Water Well feet Other feet 4. Parent Material: Lo P�Y-n�A 2)--A.Y) �1 Unsuitable Materials Present: ❑ Yes 2-No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes Lr ryO If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: L4 9, 79=01 inches elevation t5form11.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts Cityrrown of s Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Depth(In.) Soil Horizon/Soil Matrix:Color` (mottles) Soil Texture %by Volume Soil Soil Layer Moist(Munsell) Consistence Other y ( Depth Color Percent (USDA) Structure ravel Cobbles a (Moist) Stones a �13` �P \o�R3ja -►af3'I 0'4 5�I��4 1,1a" .15Y 711 Additional Notes: s t5forml I.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of -- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: (-k 1-!> ®8 10 1Od fAur- S�X'Nt to Date Tlme Weather 1. Location / Ground Elevation at Surface of Hole: �(�.55 Location (identify on plan): 2. Land Use 'Re5 'DxP-sm A �`— (e.g.,woodland,agri�`'Itural field,vacant lot,etc.) Surface Stones Slope(%) _S�rt_.'b 1 -firee S Vegetation Landform Position on Landscape(attach sheet) _ 3. Distances from: Open Water Body fee Drainage Way t� Possible Wet Area feet5 Property Line fee Drinking Water Well feet 91 Other feet .`�A rJ��f min,V \' 4. Parent Material: Unsuitable Materials Present: ❑ Yes 0 No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: Yes E] No If yes: —I all L Depth Weeping from Pit Depth Standing Water In Hole Estimated Depth to High Groundwater: = /l 77 L4 ,55 inches elevation t5form1l.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 �L\, Commonwealth of Massachusetts Cityfrown of Form 11 - Soil Suitability Assessment for,On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Munsell Consistence Other Layer Moist Y (Munsell) (USDA) Cobbles& Structure Depth Color Percent Gravel Stones (Moist) L)y 7-11 -con" a•5y 4 Additional Notes: t5form1l.doc-rev. 10/07 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole: �� Location (identify on plan): 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet Drainage Way feet r v. Possible Wet Area feet Property Line feet Drinking Water Well feet Other feet 4. Parent Material: � � l-0 Nc' -YY--_ Unsuitable Materials Present: ❑ Yes No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: arYes ❑ No If yes: Depth Weeping from Pit Depth Standing Water In Hole Estimated Depth to High Groundwater: oZq// -7 a>•C� 0 inches elevation t5form11.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Munsell Layer Moist Consistence Other Y (Munsell) (USDA) Structure Cobbles& Moist Depth olor Percent ravel Stones o_�.Zol it-941 �— o .5`f y (IF Additional Notes: VX!!� a loot t5form1l.doc•rev. 10/07 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/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 �,/ A. B. 4:0 t� Depth to soil redoximorphic features (mottles) inches inches EJ Groundwater B.Groundwater adjustment(USGS methodology) 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 a rp tion system? ?Yes ❑ No b. If yes,at what depth was it observed? Upper boundary: Inches Lower boundary: inches t5forml 1.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 _ Commonwealth of Massachusetts City/Town of b Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. Signature of SoAvaluator C Date V a Y16 s- r e-`� a�G Ty ed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam YkAA-) DY t3 i� � lei ti��r��► �4tioov�� Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and to the designer and the property owner with Percolation Test Form 12. t5forml1.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 L Commonwealth of Massachusetts City/Town of a Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: S P /e, t5form11.doc•rev.10/07 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 Page 1 of 2 r DelleChiaie, Pamela From: Sawyer,Susan Sent: Wed 11/19/2008 3:48 PM To: DelleChiaie, Pamela; Grant,Michele Cc: Subject: RE: 461 Summer Street-Final Construction Inspection Attachments: Ok Also, Dave Kindred's tank on Winter Street passed the water tightness test this afternoon. Ok to close up. I saw his partner, Gary, at the site and told him it was ok. Please make a note for the file. Thx S From: DelleChiaie, Pamela Sent: Wednesday, November 19, 2008 3:40 PM To: Sawyer, Susan; Grant, Michele Subject: FW: 461 Summer Street - Final Construction Inspection Pamela DelleChiaie From: Marianne Peters [mailto:mpeters@millriverconsulting.com] Sent: Wed 11/19/2008 3:18 PM To: DelleChiaie, Pamela Subject: RE: 461 Summer Street- Final Construction Inspection Pamela.... I'll take care of this now, but 1 wanted to suggest that you add randy and isaac to your email group for these things, because for example Dan and I are out for the next day or so at seminars...we wouldn't have gotten, but if you send to all, then someone would get the message and cover...can you advise Susan and Michele to be sure as well to send it to all 4 of us...? That way, someone will likely be in the office if/when you send. http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/RE:%20461... 11/19/2008 Page 2 of 2 1 Thanks! 0 . Marianne Peters Office Manager ph 800-377-3044 ph 978-282-0014 fx 978-282-0012 web:www.millriverconsulting corn From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Wednesday, November 19, 2008 2:43 PM To: mpeters@millriverconsulting.com; dano@millriverconsulting.com Subject: 461 Summer Street Final Construction Inspection Hi, Greg Saab, the engineer called re: a Final Const. insp. at 461 Summer Street. Jim Kellett is the installer. Jim still needs to finish the wall and the vent, but it is currently being worked on. Please call Jim at: 781.953.7146 to setup an agreeable time for an inspection. Thank you. P Pamela DelleChiaie http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/RE:°/`20461... 11/19/2008 Page 1 of 1 DelleChiaie Pamela From: DelleChiaie,Pamela Sent: Fri 11/7/2008 8:44 AM To: Sawyer,Susan; Grant, Michele Cc: Subject: 461 Summer Street-Deep Hole/Tank Attachments: Jim Kellet will be ready for a deep hole tank inspection today around lunchtime(1:00 p.m. or so). Please call him to let him know when one of you can go: 781.953.7146. He does not want to leave the hole open all w/e, so would like it today if possible. Pamela DelleChiaie 1 http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Sent%20Items/461... 11/7/2008 Page 1 of 5 DelleChiaie Pamela From: Sawyer,Susan Sent: Thu 10/30/200811:14 AM To: DelleChiaie, Pamela Cc: Subject: FW: 461 Summer Street Attachments: If I didn't send this already, pis note that you can go forward and print that approval letter for 461 Summer Street that I sent you. It is approved now. Thx S From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Wednesday, October 29, 2008 3:31 PM To: Sawyer, Susan Subject: Re: 461 Summer Street Susan We would like to amend the LUA and attach a letter to plan for sleeve. Thanks you Greg ----- Original Message ----- From: "Susan Sawyer" <ssawyer@townofnorthandover.com> To: ess-greg@comcast.net Sent: Wednesday, October 29, 2008 11:49:11 AM GMT -05:00 US/Canada Eastern Subject: RE: 461 Summer Street I have the approval letter all set. Just need the following items. http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/FW:%2046... 10/30/2008 Page 2 of 5 1) Do you wish to amend the LUA for you or do you want to resubmit"to reduce the distance between the building sewer and water to less than 10 feet' it in ewer is an acceptable idea. The plan does not reflect the building sewer. I can 2)The sleeve on the building s p p g attach the letter to the existing plan or you can resubmit the plan with the change. The approval is pending. Please respond to the above and then we will be all set. Thank you Susan Sawyer I From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Wednesday, October 22, 2008 3:27 PM To: Sawyer, Susan Cc: greg Subject: Re: 461 Summer Street Susan, For cost consideration on moving the water line and aesthetic reasons in the basement, a waiver for the building sewer and water line is needed. The existing water service and proposed building sewer are located in the mechanical room of the finished basement. If either of these are moved they would be outside of the mechanical room and protrude into the finished area of the cellar. If we may obtain a conditional approval with a sleeve on the building sewer or using 150 psi pressure pipe this would be a great relief to the Crabb family. Thank you for your consideration on this matter Regards Greg Saab ----- Original Message ----- http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/F W:%2046... 10/30/2008 Page 1 of 3 Sawyer, Susan From: Sawyer, Susan Sent: Wednesday, October 29, 2008 11:49 AM To: less-greg@comcast.net' Subject: RE: 461 Summer Street I have the approval letter all set. Just need the following items. 1) Do you wish to amend the LUA for you or do you want to resubmit" to reduce the distance between the building sewer and water to less than 10 feet" 2)The sleeve on the building sewer is an acceptable idea. The plan does not reflect the building sewer. I can attach the letter to the existing plan or you can resubmit the plan with the change. The approval is pending. Please respond to the above and then we will be all set. Thank you Susan Sawyer From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Wednesday, October 22, 2008 3:27 PM To: Sawyer, Susan Cc: greg Subject: Re: 461 Summer Street Susan, For cost consideration on moving the water line and aesthetic reasons in the basement, a waiver for the building sewer and water line is needed. The existing water service and proposed building sewer are located in the mechanical room of the finished basement. If either of these are moved they would be outside of the mechanical room and protrude into the finished area of the cellar. If we may obtain a conditional approval with a sleeve on the building sewer or using 150 psi pressure pipe this would be a great relief to the Crabb family. Thank you for your consideration on this matter Regards Greg Saab ----- Original Message ----- From: "Susan Sawyer" <ssawyer@townofnortha nd over.corn> To: ess-greg@comcast.net Sent: Monday, October 20, 2008 1:48:34 PM GMT -05:00 US/Canada Eastern Subject: RE: 461 Summer Street I received this email, but the board disagrees and so does DEP. We hold that it does apply. I believe the denial letter should have been on its way days ago. I will check with her as we have been very busy. Did your representative let you know how the meeting went and what is expected to move forward? Susan From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] 10/29/2008 Page 2 of 3 Sent: Friday, October 17, 2008 5:16 PM To: Sawyer, Susan Cc: greg Subject: Fwd: 461 Summer Street ----- Forwarded Message ----- From: ess-greg@comcast.net To: "Susan Sawyer" <ssawyer@townofnorthandover.com> Cc: "greg" <ess-greg@comcast.net> Sent: Tuesday, October 7, 2008 4:46:14 PM GMT-05:00 US/Canada Eastern Subject: Re: FW: 461 Summer Street Hi Susan, Not sure if you received this email. Pam said the computer crashed. Regarding the building sewer 15.222(2) states the minimum distance between a building sewer, and a private water supply well or suction line shall be ten feet. The water line at 461 Summer Street is a Public water supply line under pressure. If you look at 15.211(1)[1] "Wherever sewer lines must cross water supply lines, both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure water tightness." Since the sewer and water lines do not cross a local upgrade is not required. Thank You Greg Saab -------------- Original message -------------- From: "Sawyer, Susan" <ssawyer@townofnorthandover.com> Greg, What is happening on this one? We have not heard from you on the request. Susan Sawyer From: Sawyer, Susan Sent: Friday, September 19, 2008 2:46 PM To: 'ess-greg@comcast.net' Subject: 461 Summer Street Hi Greg, Just so you know Claire Golden of the DEP says a water line is a water line. Public or private. Boards can however grant an LUA Anyway, your colleague must have told you the outcome of the meeting. The LUA for the distance from the building sewer to the water line request will be looked at by me. Please submit your reasoning and plan for this local upgrade. I will review it on merit and make a decision at that time. Remember the goal is to provide equal protection as a fully compliant system. Thank you, Susan Susan Sawyer Public Health Director 10/29/2008 Page 4 of 5 Thank You Greg Saab -------------- Original message -------------- From: "Sawyer, Susan" <ssawyer@townofnorthandover.com> Greg, What is happening on this one? We have not heard from you on the request. Susan Sawyer From: Sawyer, Susan Sent: Friday, September 19, 2008 2:46 PM To: 'ess-greg@comcast.net' Subject: 461 Summer Street Hi Greg, Just so you know Claire Golden of the DEP says a water line is a water line. Public or private. Boards can however grant an LUA Anyway, your colleague must have told you the outcome of the meeting. The LUA for the distance from the building sewer to the water line request will be looked at by me. Please submit your reasoning and plan for this local upgrade. I will review it on merit and make a decision at that time. Remember the goal is to provide equal protection as a fully compliant system. Thank you, Susan http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/F W:%2046... 10/30/2008 Page 1 of 5 DelleChiaie Pamela From: Sawyer,Susan Sent: Wed 10/29/2008 3:56 PM To: ess-greg@comcast.net Cc: DelleChiaie,Pamela Subject: RE:461 Summer Street Attachments: The approval letter will be ready in the AM and should go out tomorrow. Do you think they will put this in this year? Last permits can be pulled mid- Nov. S From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Wednesday, October 29, 2008 3:31 PM To: Sawyer, Susan Subject: Re: 461 Summer Street Susan We would like to amend the LUA and attach a letter to plan for sleeve. Thanks you Greg ----- Original Message ----- From: "Susan Sawyer" <ssawyer@townofnorthandover.com> To: ess-greg@comcast.net Sent: Wednesday, October 29, 2008 11:49:11 AM GMT -05:00 US/Canada Eastern Subject: RE: 461 Summer Street I have the approval letter all set. Just need the following items. 1) Do you wish to amend the LUA for you or do you want to resubmit"to reduce the distance between the http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/RE:%20461... 10/29/2008 Page 2 of 5 building sewer and water to less than 10 feet" 2)The sleeve on the building sewer is an acceptable idea. The plan does not reflect the building sewer. I can attach the letter to the existing plan or you can resubmit the plan with the change. The approval is pending. Please respond to the above and then we will be all set. Thank you Susan Sawyer From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Wednesday, October 22, 2008 3:27 PM To: Sawyer, Susan Cc: greg Subject: Re: 461 Summer Street Susan, For cost consideration on moving the water line and aesthetic reasons in the basement, a waiver for the building sewer and water line is needed. The existing water service and proposed building sewer are located in the mechanical room of the finished basement. If either of these are moved they would be outside of the mechanical room and protrude into the finished area of the cellar. If we may obtain a conditional approval with a sleeve on the building sewer or using 150 psi pressure pipe this would be a great relief to the Crabb family. Thank you for your consideration on this matter Regards Greg Saab ----- Original Message ----- From: "Susan Sawyer" <ssawyer@townofnorthand over.com> http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/RE:%20461... 10/29/2008 Page 3 of 5 To: ess-greg@comcast.net Sent: Monday, October 20, 2008 1:48:34 PM GMT -05:00 US/Canada Eastern Subject: RE: 461 Summer Street I received this email, but the board disagrees and so does DEP. We hold that it does apply. I believe the denial letter should have been on its way days ago. I will check with her as we have been very busy. Did your representative let you know how the meeting went and what is expected to move forward? Susan From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Friday, October 17, 2008 5:16 PM To: Sawyer, Susan Cc: greg Subject: Fwd: 461 Summer Street ----- Forwarded Message ----- From: ess-greg@comcast.net To: "Susan Sawyer" <ssawyer@townofnorthandover.com> .Cc: "greg" <ess-greg@comcast.net> Sent: Tuesday, October 7, 2008 4:46:14 PM GMT -05:00 US/Canada Eastern Subject: Re: FW: 461 Summer Street Hi Susan, Not sure if you received this email. Pam said the computer crashed. Regarding the building sewer 15.222(2) states the minimum distance between a building sewer, and a private water supply well or suction line shall be ten feet. The water line at 461 Summer Street is a Public water supply line under pressure. If you look at 15.211(1) [1] "Wherever sewer lines must cross water supply lines, both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure water tightness." Since the sewer and water lines do not cross a local upgrade is not required. Thank You http://exchange2003.town.north-andover.ma.us/exchange/Pdellechiaie/Inbox/RE:%20461... 10/29/2008 Page 4 of 5 Greg Saab -------------- Original message -------------- From: "Sawyer, Susan" <ssawyer@town ofno rtha nd over.com> Greg, What is happening on this one? We have not heard from you on the request. Susan Sawyer From: Sawyer, Susan Sent: Friday, September 19, 2008 2:46 PM To: 'ess-greg@comcast.net Subject: 461 Summer Street Hi Greg, Just so you know Claire Golden of the DEP says a water line is a water line. Public or private. Boards can however grant an LUA Anyway, your colleague must have told you the outcome of the meeting. The LUA for the distance from the building sewer to the water line request will be looked at by me. Please submit your reasoning and plan for this local upgrade. I will review it on merit and make a decision at that time. Remember the goal is to provide equal protection as a fully compliant system. Thank you, Susan Susan Sawyer Public Health Director http://exchange2003.town.north-andover.ma.us/exchange/Pdellechiaie/Inbox/RE:%20461... 10/29/2008 Page 1 of 4 DelleChiaie Pamela From: Sawyer,Susan Sent: Thu 10/23/2008 3:23 PM To: DelleChiaie,Pamela Cc: Subject: FW:461 Summer Street Attachments: Here we are From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Wednesday, October 22, 2008 3:27 PM To: Sawyer, Susan Cc: greg Subject: Re: 461 Summer Street Susan, For cost consideration on moving the water line and aesthetic reasons in the basement, a waiver for the building sewer and water line is needed. The existing water service and proposed building sewer are located in the mechanical room of the finished basement. If either of these are moved they would be outside of the mechanical room and protrude into the finished area of the cellar. If we may obtain a conditional approval with a sleeve on the building sewer or using 150 psi pressure pipe this would be a great relief to the Crabb family. Thank you for your consideration on this matter Regards Greg Saab ----- Original Message ----- From: "Susan Sawyer" <ssawyer@townofnorthandover.com> To: ess-greg@comcast.net Sent: Monday, October 20, 2008 1:48:34 PM GMT -05:00 US/Canada Eastern Subject: RE: 461 Summer Street .o http://exchange2003.town.north-andover.ma.us/exchange/pdellechlaie/Inbox/F'W./02046... 10/23/2008 Page 1 of 3 y DelleChiaie Pamela From: Sawyer,Susan Sent: Mon 10/20/2008 1:48 PM To: DelleChiaie,Pamela Cc: Subject: FW: 461 Summer Street Attachments: Pretty sure we sent a second denial letter. Can you check to see if it went out yet or is it buried in a pile somewhere? Thanks Susan From: ess-greg@comcast.net [mailto:ess-greg@comcast.net] Sent: Friday, October 17, 2008 5:16 PM To: Sawyer, Susan Cc: greg Subject: Fwd: 461 Summer Street ----- Forwarded Message ----- From: ess-greg@comcast.net To: "Susan Sawyer" <ssawyer@townofnorthandover.com> Cc: "greg" <ess-greg@comcast.net> Sent: Tuesday, October 7, 2008 4:46:14 PM GMT -05:00 US/Canada Eastern Subject: Re: FW: 461 Summer Street Hi Susan, Not sure if you received this email. Pam said the computer crashed. Regarding the building sewer 15.222(2) states the minimum distance between a building sewer, and a private water supply well or suction line shall be ten feet. The water line at 461 Summer Street is a Public water supply line under pressure. If you look at 15.211(1) [1] "Wherever sewer lines must cross water supply lines, both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure water tightness." Since the sewer and water lines do not cross a local upgrade is not required. http://exchange2003.town.north-andover.ma.us/exchange/pdellechiaie/Inbox/F W:%2046... 10/20/2008 Page 2 of 3 Thank You Greg Saab -------------- Original message -------------- From: "Sawyer, Susan" <ssawye r@townofnortha nd over.com> Greg, What is happening on this one? We have not heard from you on the request. Susan Sawyer From: Sawyer, Susan Sent: Friday, September 19, 2008 2:46 PM To: 'ess-greg@comcast.net Subject: 461 Summer Street Hi Greg, Just so you know Claire Golden of the DEP says a water line is a water line. Public or private. Boards can however grant an LUA Anyway, your colleague must have told you the outcome of the meeting. The LUA for the distance from the building sewer to the water line request will be looked at by me. Please submit your reasoning and plan for this local upgrade. I will review it on merit and make a decision at that time. Remember the goal is to provide equal protection as a fully compliant system. Thank you, Susan http://exchange2003.town.north-andover.ma.us/exchange/Pdellechiaie/Inbox/F W:%2046... 10/20/2008 .'' �.�� � �z. C ! h � Page 1 of 1 Sawyer, Susan From: Sawyer, Susan Sent: Friday, September 19, 2008 2:46 PM To: less-g reg@comcast.net' Subject: 461 Summer Street Hi Greg, Just so you know Claire Golden of the DEP says a water line is a water line. Public or private. Boards can however grant an LUA Anyway, your colleague must have told you the outcome of the meeting. The LUA for the distance from the building sewer to the water line request will be looked at by me. Please submit your reasoning and plan for this local upgrade. I will review it on merit and make a decision at that time. Remember the goal is to provide equal protection as a fully compliant system. Thank you, Susan Susan Sawyer Public Health Director office-978 688-9540 1600 Osgood Street Bldg. 20, unit 2-36 North Andover, MA 01845 9/19/2008 Page 1 of 1 DelleChiaie, Pamela From: ess-greg@comcast.net Sent: Friday, September 05, 2008 5:24 PM To: DelleChiaie, Pamela; DelleChiaie, Pamela Cc: greg Subject: [BULK]461 Summer Street Importance: Low Susan Sawyer, The reason for this e-mail is to request a public hearing for 461 Summer Street. Due to cost of a poured concrete retaining wall we are proposing a interlocking block.wall. (NA9.02) We are also requesting a local upgrade approval for one deep hole in the primary soil absorption system. 15.102(2) Greg Saab 9/8/2008 I rage i or i DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, August 26, 2008 3:15 PM To: 'greg@comcast.net' Subject: FW: 461 Summer Street- North Andover -Plan Disapproval Greg, If we get the variance request before 9/8/08, it can go on the September 18th agenda. If not, it will.need to wait until October 23rd. Please advise. Thank you. Pamela From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Tuesday, August 26, 2008 4:05 PM To: DelleChiaie, Pamela Subject: 461 Summer Street- North Andover - Plan Disapproval 8/26/2008 5 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES •`rj_ HEALTH DEPARTMENT 1600 OSGOOD STREET;BUILDING 20;SUITE 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 Susan X.Sawyer,RENS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdepL&townofnorthandover.eom www.townofnorthandover.com APPLICATION FOR SOIL TESTS DATE: MAP&PARCEL: LOCATION OF SOIL TESTS: �G t_ _ ► > v� � �a�" OWNER: F f-!A-� BL ee A (C 17g contact# `j'7 ` Go 9�; _ APPLICANT: t S�p `r Contact#: 9 '78 J�t� `"' v2 z`f ADDRESS: -'7 G pa.t i'C w C_r H I "A O l32 ENGINEER:C l a,tA ►h a/ <<^ Contact#: q 73- CERTIFIED SOIL EVALUATOR: t'e® Q-tb Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This:Repair Tesdug z Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORINT Proof of land ownership(Tax bill,or letter Brom owner permitting test) 95"x ll"Plot gkg&Loca—dm of xestuig( tndkAwe AW,g l Ag on the Plat,) Fee of S4QW per lot for g=construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$36Q.00 per Tot for reoglr�or uuarades. 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 requite at least two deep holes and at least one percolation test,at the discretion of the BOH representative. A 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.Conservadon ConvWssion Date: Signature of Conservadon Agent: Date back to Health Department: in): ,R4141,1rc +...py Gvr i 7 Tom. alp �n CHRMa• J G, �G St1et Scale: Data of Plan: i_i3J l a— ,.y,.; ..:.. I. 1 Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, June 04, 2008 2:43 PM To: Daniel Ottenheimer(info@millriverconsulting.com); Marianne Peters(Marianne Peters); Randy Burley (rburley@millriverconsulting.com); Rowe Isaac (irowe@millriverconsulting.com) Subject: FW: 461 Summer Street-Soil Test Application Hi Dan, Comments from Conservation - 100 feet to wetlands from front corners of the house per Jennifer Hughes, new Conservation Director. Pam From: DelleChiaie, Pamela Sent: Monday, June 02, 2008 4:33 PM To: Daniel Ottenheimer(info@milIriverconsulting.com); Marianne Peters (Marianne Peters); Randy Burley (rburley@millriverconsulting.com); Rowe Isaac (irowe@millriverconsulting.com) Cc: Hughes, Jennifer Subject: 461 Summer Street- Soil Test Application From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Monday, June 02, 2008 5:14 PM To: DelleChiaie, Pamela Subject: Message from KMBT_600 6/4/2008 Commonwealth of Massachusetts City/Town of Percolation Test Form 12 f 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 the i g computer,use only the tab key Owner Name to move your L)i(Q\ SLI'YY1`m t✓ STS!✓ cursor-do not use the return Street Address or Lot# key. 1v����t �1��1J�1�1Z Vett t 'rs-- City/Town State Zip Code r a.4 1 CQ- 0;)-r Contact Perso different from Owner) Telephone Number B. Test Results �Q 113 08 22,-1W\ c.2 V3j 06 l( z,3-4 AvK- Date Time Date Time Observation Hole# , 1 Depth of Perc E, Start Pre-Soak 10 A 5 4 End Pre-Soak Time at 12" Time at 9" 16 �a 0 Time at 6" aoil Time 9"-6" 5 Y1 Rate(Min./Inch) P� 6'm Test Passed: Test Passed: si~k W Test Failed: ❑ Test Failed: ❑ Test Performed y: '-R-D �q Witnessed By: Comments: t5form12.docc 06/03 Perc Test•Page 1 of 1 rage i of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, June 02, 2008 4:33 PM To: Daniel Ottenheimer(info@millriverconsulting.com); Marianne Peters (Marianne Peters); Randy Burley (rburley@millriverconsulting.com); Rowe Isaac (irowe@millriverconsulting.com) Cc: Hughes, Jennifer Subject: 461 Summer Street-Soil Test Application From: noreply@yourcopier.com [mai Ito:noreply@you rcopier.com] Sent: Monday, June 02, 2008 5:14 PM To: DelleChiaie, Pamela Subject: Message from KMBT 600 6/2/2008 ' Lot 17, St. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at _Lot 170 Farnlaam S*. 0 I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 29o. I will install a con- crete septic tank of 1000 gal, in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 180 lineal (&quape) feet of. effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia. ) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone .1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE S' ature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE Signature o Inspecting 0 ficer Percolation Test 5 mine Soils Sandy clay Garbage Grinder N BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. t lda� GjAL.�i4A)1 AN4' J,- DA TE 0 2. ADDRESS LOT NO. f 7 TEL. 3. NO. OF BEDROOMS �~ DEN YES NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTES-eQ-TIONN /v A 10. s DGE c.- 1,1A J 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE Dec. 27, 1965 NAME OF APPLICANT George Farr LOCATION Lot L#17.4 Farnham St. Address of lot no. BUILDING: Dwellin x Other SYSTEM: New Repair GENERAL DESCRIPTION OF LAND High SUBSOIL: Clay GravelSand Y-CIaY PERCOLATION TEST 5 minutes per inch. - - - - - - - - - - - - - - - - - MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK 1000 gallon capacity. LEACH FIELD 180 lineal feet of drain pipe. William J riscoll , Nngineer Board of HValth odza .r. Al ELS "/_v 4. lq/ f X i S 7-IN b T1I� �b Zo7 t 45' q-�� s ►�. ��-�- fJ PZ 33 R, l� �fi-�wnexsr+`aun.uw.��v.Derr:::,ma.u.o.arfr.:w.va.ruw.s:+w.�r►w�wsxa�+rrra....•--^•• -m n�su� ..•••._mei+wrraaurrrssaerw.r+n�rasa•.ru..awuti+..��r+eww:.aa....w..+.urr�am,.,..„w•w....o.s. IL FLAG 3 WETLANDS DELINEATED t SEPTIC SYSTEM AS—BUILT BY OTHERS o M• 1L d` 0 I . ' J LOCATION: 461 SUMMER STREET FLAG 6/ FL FLAG 4 NORTH ANDOVER, MA FLAG 7C) DATE: 12-1-08 L.L' SCALE: 1" = 20' 'yFo LL / A TO D = 31.1 (D= DBOX) A TO C = 31.3' (C = SEPTIC TANK) A TO E = 26.6' (E = PUMP TANK) ° BTOC = 21.8' BTOD = 47.0' N \F GA TTI 5 o POOL ti B TO E = 29.1' INVERT FOUNDATION = 78.55 o ��j• INVERT TANK IN 78.30' INVERT TANK OUT = 78.05' n p INVERT PUMP TANK IN = 77.99' �� INVERT PUMP TANK OUT = 78.25' 0 INVERT D—BOX IN = 83.98' PORCH DECK . ' INVERT D�-BOX OUT = 83.81' INVERT LINE BEGIN = 83.70' INVERT LINE END = 83.70' U 0 GARAGE I CERTIFY THAT THE WORK ON AN ON—SITE SEWAGE NO. 461 DISPOSAL SYSTEM HAS BEEN DONE IN ACCORDANCE NO FOUNDATIONNCHMARK BOTTOM � WITH TITLE 5. DRAINS OF SIDING=80.00 A. 100BUFFER ZONE A TP#1=80.79' o WALK DEC 0 5 2008 1.500f TOP WALL ® HIGH POINT 84' 2 P N GArA 3 0 �! ��L E � F Tf i ANDOV R INTERLOCKING BLOCK RETAINING WALL C TOV'd�i< HEALTH p�; i tTMENT PROFES ION LEN INEER w 0 36' E a F 2� 2. 4 GkroWANK o DATE: /L D PUMP 11 o—Box I 40 mll SAND ENGINEERING N �' EERING & SURVEYING �f HDPE gA " RR/ER .� J• . 77.06, SERVICES IP FND. 79.50 - T 70 BAILEY COURT GReW0 scabs: HAVERHILL, MA. 01832 0 10 20 IG M E SUM 978-556-0284 (IN FW) 1 Ina►-20 e. FLAG 3 WETLANDS DELINEATED SEPTIC SYSTEM AS-BUILT BY OTHERSct c Co L-L1 F FLAG 4 J LOCATION: 461 SUMMER STREET FLAG 6/ NORTH ANDOVER, MA FLAG 7 C) DATE: 12-1-08 L.LSCALE: 1" = 20' I S'yFo � ° / A TO D = 31.1' (D= DBOX) z A TO C 31.3' (C = SEPTIC TANK) A TO E = 26.6' (E = PUMP TANK) ° BTOC = 21.8' N \F GA T TI S p00L B TO ED = 29.10 ° INVERT FOUNDATION = 78.55' o (��j INVERT TANK IN = 78.30' INVERT TANK OUT = 78.05' ° p INVERT PUMP TANK IN = 77.99' 0 �./ INVERT PUMP TANK OUT = 78.25' INVERT D—BOX IN = 83.98' ° PORCH DECK INVERT D—BOX OUT = 83.81' INVERT LINE BEGIN = 83.70' INVERT LINE END = 83.70' oo GARAGE � . I CERTIFY THAT THE WORK ON AN ON—SITE SEWAGE NO. 461 DISPOSAL SYSTEM HAS BEEN DONE IN ACCORDANCE NO FOUNSA77ON BENCHMARK BOTTOM / WITH TITLE 5. ot OF SIDING=80.00 A. 100' BUFFER ZONE A � � ';:� a ECEIVE® TP#1 X80.79, WALX o ' DEC 0 5 2008 h � .500 ?- -�� f. � .z;�•': TOP WALL ® HIGH POINT 84' P h 1OTANK� 3 0 --- o TO'JUiv i F;,, a;;Ty AN�70V INTERLOCKING BLOCK RETAINING WALL N C PROFES ION L E (NEER NEALi"H DEPARTMENT N 0 3s' E oc N 2 OroWANK 6�' n o DATE: D PUMP 0-BOX 1 OB • P/ 5' SAND 40 m/l HDPE egRR/ER ENGINEERING & SURVEYING ' 77.06' SERVICES lP FND. 79.50' 70 BAILEY COURT GRAPMC SCALESTREET .. HAVERHILL MA. 01832 ,o ,0 _SUMMER978-556-0284 , 1 hdh-20 R WETLANDS DELINEATED FLAG 3 SEPTIC SYSTEM AS-BUILT BY OTHERS - -- �,i�-. � J LOCATION: 461 SUMMER STREET FLAG 6y FLAG 5 FLAG 4 NORTH ANDOVER, MA FLAG 7 ' ' DATE: 12-1-08 SCALE: 1" = 20' / A TO D = 31.1 (D= DBOX) A TO C = 31.3' (C = SEPTIC TANK) A TO E = 26.6' (E PUMP TANK) B TO C = 21.8' 8TOD = 47.0' N \F GA T TI S o POOL B TO E = 29.1' INVERT FOUNDATION = 78.55 o J��� INVERT TANK IN = 78.30' Q� INVERT TANK OUT = 78.05' a p INVERT PUMP TANK IN = 77.99' INVERT PUMP TANK OUT = 78.25' INVERT D—BOX IN = 83.98 DECK INVERT D—BOX OUT = 83.81' a PORCH INVERT LINE BEGIN = 83.70' INVERT LINE END = 83.70' 00 GARAGE 1 CERTIFY THAT THE WORK ON AN ON—SITE SEWAGE NO. 461 DISPOSAL SYSTEM HAS BEEN DONE IN ACCORDANCE NO FOUNDATION B NCHMApK BOTTOM WITH TITLE 5. DRAINS gQ.00 OF SIDING= \- 100' BUFFER A :' RECEIVE® ZONE'` TP#•I_80.79' ° E wALK ';Ts DEC 0 5 20W 1. ^ 1.5001 s 2 !� GALLON 7x ° TOP WALL ® FIIGH POINT 84' p N TANK �� A` T05a.' 1 u� Nip i r9 AND VER INTERLOCKING BLOCK RETAINING WALL C j PROFE SION L Ell IN2EER HEALTH DEPARTME IT 36' E LoprANK 4 GA' © ° DATE: 'D PUMP 11 ()-BOX I OB . Pl 5' SAND ct1� ENGINEERING & SURVEYING 40 rn!l HDPE BARRIER ! 7-7•06SERVICES IP FND. 79.50. 70 BAILEY COURT M0GRAPM scM ET HAVERHILL, MA. 01832 10 20 40SO M E R- s TRE (I+�>' -- - _ 978 -556-0284 1 2 R