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HomeMy WebLinkAboutMiscellaneous - 474 SALEM STREET 4/30/2018 -474 Salem Street �A V X W 1 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 6/27/00 This is to certify that the individual subsurface disposal system constructed (X) or repaired () by Ben Osgood, Jr. at 474 Salem Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector p $ '. :• -?���`"'•-.^�r'S' •- �••�: \-•'•C..}r- '` - ' -'::`::``i.:::.:•:r � V:. •-,raj• �\\fir:--� S TOWN OF ,NOItTH ANDOVER SERV.-,G17E DISPO,.Al- SYS` F,,1,, INISTALLA"rlOv CERTIFICATION 'The undersivn-ed here;v Certiiv that the Sewage Disposal System i. , Co:aSu -lc,t� X ( ) re^aired: bV located at e7, 2 — Lc?=Aa �i�rzc AA S7 . was installed in confc mance with the North Andover Board of Health acproved pian, Svstem Deslan Pe,- mit dated with an approved desi,-n [low ofSEO cailons per day The matcn.als used were in coniormarce �..ith those specified oh the app]roved' plan; the systern was installed in accordance the previsions of 3110 C,\%ff: 15 000, Title 5 and local regulations, and the final Qradir.z agrees substantially with the approved plan. Ail work is accurmeiv reoresented ;-tr the As-built :which has been submitted to the Board ez Health. Bed inspection date: — Enizineer Reores.; ;ztive I Final inspect:on date — Encireer Represen[atl e Instal,er: .c.T: Date: - Zx3c)0 j �j N OF Lesis7n Emt;eer: ss9c Date: ------ c C. r" TANGARD j y F�/STEL' t1�@ NAL ENG 'Q a zij NEW ENGLAND ENGII�NEERING SERVICES June 20, 2000 Sandra Starr, Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: Lot A Salem Street,North Andover, Septic system design Dear Sandra: Enclosed is an as built plan and engineers certification for Lot A Salem Street. If you have any questions or need additional information please do not hesitate to contact this office. Sincerely, C' 0 Benja> C. Osgoo V.,EFT President fol 2 2 60 BEECHWOOD DRIVE-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 i Cryrw Consimchon Corporahon P.O. Box 583 North Andover,MA 01845 DATE ( JOB NO (978)688-4080 ATTENTION TO RE: WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION J All THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return--corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. AS-BUILT CHECKLIST LOT NUMBER, STREET NAME V ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS 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 DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP & SIGNATURE 1/ IMPERVIOUS AREAS - DRIVEWAYS, ETC. y NORTH ARROW (/ LOCATION& ELEVATIONS OF BENCHMARK USED INSPECTION CHECKLIST FOR SEPTIC SYSTEMS J- Yes NO (Initials A. Bottom of Bed 16D 1. Excavation to proper depth 2. With trenches,sides of excavation are beneath B horizon _ 3. Edge of excavation specified distance from foundation,etc. Comments: B. Retaining Wall 1. Wall height and width as specified 2. Waterproofed v 3. Wall minimum 10'to leaching facility 4. Wall meets specifications of plan Comments: C. Building Sewer 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 3. Watertight joints 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8"per foot minimum 6. Pipe properly set on compact firm base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90°change 10. 10'minimum offset to water line Comments: �,,►�� � ��� r C2 all D. Septic Tank 1. Level 2. 1,500 gal minimum 3. Gas baffle present on outlet ✓ 4. Manhole to grade 5. Manholes over center and each tee ✓ 6. 3-20"manholes t� 7. Inlet tee minimum 12"under invert +� 8. Outlet tee minimum 14"under invert 9. Outlet line cemented 10. Air space 3"above tees 11. 2"-3"drop from inlet to outlet 12. Pipe set 13. Compact base with 6"of 1/4"crushed stone under tank ./ 14. Tank is watertight Comments: i Yes NO E. Pump Chamber 1. If separate from tank,compact base th 6"of/4"stone underneath 2. Minimum 2"pipe to d-box if gravity stem 3. 20"access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch 12. Pump delivers liquid to d-box Comments: 13 �0 F. Distribution Box 1. D-box level 2. Minimum 0.1T'(2")drop from inlet to outlet 3. Minimum 6"sump 4. Outlet pipes show equal distribution 5. Compact base with 6"of stone beneath box 6. Box is watertight ✓ 7. All lines cemented with hydraulic cement 8. Schedule 40 pipe Comments: G. Soil Absorption system 1. All stone double-washed-'/."-- 1 '/z" -pea stone �- Bucket test done? 2. Minimum 27of pea stone above distribution lines s t✓/ P_a- 3. Minimum 6"stone beneath pipe 4. Distribution lines capped or connected together / 5. Grading meets 3:1 slope 6. Minimum of 9"of fill graded over system 7. Toe of slope stops minimum 5' from edge of property; if not,then swale. Comments: H. Leach Trenches 1. Minimum 2 trenches 2. Length of trenches agree with plan. (Max. length 100') �- 3. Width of trenches agree with plan-Minimum 2';maximum-4'. _ 4. Vent present if<50 feet or specified ✓ 5. Distance between trenches minimum 4' and maximum of 6'. 6. Minimum distance between trenches 10' 7. Pipe slope minimum 0.005 or 6"per 100' 8. Depth of trenches below outlet invert minimum of 6". P Yes NO 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2. Pipe slope min 0.005 or 6"per 100' ' 3. Separation betwee ie 6'maximum 4. Pipes connected at ea�da'idlnt 5. Separation between fields 10' minimum 6. Pipes set on stable base 7. Maximum 4' separation from dge of field to first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: J. Leaching Pits 1. Minimum in t pipe 4" 2. Pits of concrete 3. Sidewall between 1 "and 48"wide 4. Access manholes on ea it 5. Pipes cemented with hydra ' cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9"soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond : Town of North Andover, Massachusetts Form No.3 • f 40RT#1 BOARD OF HEALTH q DISPOSAL WORKS CONSTRUCTION PERMIT SgACHUSEt : Applicant �J , NAME DRES TELEPHONE Site Location �3 Permission is hereby granted to Construct ( �epair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMA ARD OF HEALTH Fee D.W.C. No. J f APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PE-RMIT DATE: ��I l! (�7� Cti-RRENT INSTALLER'S LICENSER LOCATION:LICENSEDINSTALLER: SIGNATURE: TELEPHONEm CHECK Ove: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION A.S-BUILT. Administrative Use Only 575.00 Fee Attached? Yes No Foundation As-Built? Yes INC Floor Plans? Yes No Approval Date: -sze zz_� PpR � 9 . INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at L)S7, (e m 5-4 relative to the application of C,4tZv s dated 1 n c a> for plans by N e:.a 4,AoX�and dated c, with revisions dated 00 I understand and agree to the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable . 2. 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 my company. a) Bottom of Bed—generally first inspection unless there is a retaining wall which should be done first. Installer ' must request the inspection but does not have to be present. b) Final Inspection—Engineer must first do their inspection for elevations,ties,etc. As-built or verbal OK from engineer must be submitted to BOH,after which installer calls for inspection time. Installer must be present for this inspection. With 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. Does not have to be on site. b; 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work 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 in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank,D-box,pipes,stone,vent,pump chamber,retaining wall and other components. 5. 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 Date: 11117100 Professional Land Surveyors&Civil Engineers ESSEX SURVEY SERVICE 1958- 1986 OSBORN PALMER 1911 - 1970 BRADFORD&WEED 1885- 1972 November 9, 1998 Mr. Sandy Starr, Agent Town of North Andover Board of Health Town Hall North Andover, Massachusetts 01845 RE: F 11074 492 Salem Street North Andover, MA Dear Ms. Starr: Accompanying this letter is an Application, check and plot plan for soil testing at 492 Salem Street (Map 38 Lot 2) North And- over, Mass. Please arrange the test date with our soil evaluator, Mary Godwin, directly. She may be reached at (978)282-3138. Thank you for your anticipated cooperation in this matter. Very truly yours, " —James H. MacDowell JHM/tlm "" Enclosures cc: Joseph Pelich Mary Godwin 104 LOWELL STREET PEABODY, MASS. 01960 TELEPHONE: 978-531-8121 TELECOPIER: 978-531-5920 E-MAIL: elsai@prodigy.net I Town of North Andover 01 NORTH 1 OFFICE OF 3� `t. a o e.ti0 L COMMUNITY DEVELOPMENT AND SERVICES ° . p 27 Charles Street :0 North Andover, Massachusetts 01845 'Is..... ..<<5 WILLIAM J. SCOTT SACHU Director (978)688-9531 Fax(978)688-9542 March 29, 1999 Eastern Land Survey Associates, Inc. 104 L e-%a,ell Street Peabody, MA 01960 RE: 492 Salmi Street;1L-ot Aa Dear Mr. Morin: This letter is to inform you that the proposed septic plan for Lot A Salem Street, North Andover has been disapproved for the following reasons: • The reserve area is less than 4' from the primary leaching area (NA 9.04) 14 Distance from reser:>e area to property line is incorrectly stated as 2'. In addition there is less than 15' so 3:1 slope and 15' cannot be achieved. Please rectify. S Fill is shown running right to the street sure of Salem Street. The rebalatiors require that the toe of fill stop at least 5' from a property line or a Swale must be installed. (310 CMR 15255(2)) • Trenches shall be used whenever possible. Please justify use of field. (310 CMR 15.240(6)) • Distribution lines of field shall be connected with solid pipe-profile. (NA 15.01) a Distribution lines miss-i—slope specific:tion . (310 CMR 115.251(9)) • Vent detail is for a monitoring well,not just a vent. o Note 7- "Any Change of conditions...." Please add"and the Board of Health". • In d-box detail pipe is not specified at 4". Addresses of owner and applirart are missing. (NA 8.02k) • Driveway elevation missing: (NA 8.02t) 0 Location and elevation of fog,4—tion drain misSi^g. (NA 8.02y) • Limit of topsoil and subsoil excavation missing. (NA 8.02z) * Elevation Of rrc test missing. (NA 8 .0�7r.) • Benchmarks within 75' of the proposed septic system are missing. (310 CMR 15.??0(4)(q1N) • Distance between foundation and tank missing on site plan. (NA 8.03a-c) BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 '4 Please do not hesitate to call the office at the number below if you have any questions. Sincerely, Sandra Starr, R.S. Health Administrator Cc: Cyrus Construction W. Scott File Town of North Andover, Massachusetts Form No.s o� pCRTII BOARD OF HEALTH •_�. 19 t ' °'b•��=� DESIGN APPROVAL FOR 'ss^CHUSE`� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant Test No. • pp , -� Site Location • Reference Plans and Specs. ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed f in accordance with regulations of Board of Health. CHAIRMAr ,W DOFHEALTH { Fee S Site System Permit No. fc '` ►t a Town of North Andover, Massachusetts Form No.s ►t O'•"00fT►j c BOARD OF HEALTH DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM tp Applicant Test No. Site Location Reference Plans and Specs. ENGINEER DESIG DATE �k Permission is granted for an individual soil absorption sewage disposal system to be installed • in accordance with regulations of Board of Health. s CHAIRMAN,BOARD OF HEALTH �R T1T1} Fee Site System Permit No. {fF I SEPTIC PLAN SUBMITTAL FORM LOCATION: 'Lc,-r 1A 5> '7YR-L-L' NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: L8 DESIGN ENGINEER: � �� `R�� �s-�6a �-�'�� �v vc 3 DATE TO CONSULTANT: 611 /99 *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. Aboqwm 18M2 �21TV(Dv I�JnAbloi� haa Professional Land Surveyors&Civil Engineers ESSEX SURVEY SERVICE 1958- 1986 OSBORN PALMER 1911 - 1970 BRADFORD&WEED 1885- 1972 TOWN OF N577t Aril 21 1999 SC'ARD OF RSH 0 APR 2 � 9 Ms. Sandra Starr, R.S., Health . Administrator Office of Community Development and Services 27 Charles Street North Andover, Massachusetts 01845 RE: F 11074 Lot A 492 Salem Street North Andover, MA Dear Ms. Starr: Please accept the following responses to your letter of March 29, 1999, relative to the referenced lot. The reserve area is now located four (4) feet from the primary area (i.e., between the proposed trenches). The distance to the property line from the reserve area has been corrected; a breakout wall of reinforced concrete construction is now proposed instead of the slope. The breakout wall is proposed to be five (5) feet from the line of Salem Street. Trenches are now proposed. A notation that the distribution lines be connected with solid j pipe has been added to the Plan. The slope of distribution lines has been added to the profile. The vent has been noted as a vent/monitoring well in the plan and profile views. Note 7 has been amended to include the Board of Health. 104 LOWELL STREET PEABODY, MASS. 01960 TELEPHONE: 978-531-8121 TELECOPIER: 978-531-5920 E-MAIL: elsai@prodigy.net Ms. Sandra Starr Town of North Andover April 21, 1999 Page 2 Four (4) inch pipe is now specified on the distribution box detail. The Owner/Applicant's name and address are now noted in the title block. The driveway elevations have been clarified by the addition of spot elevations. The location and elevation of the proposed foundation drain has been added to the Plan. The limits of topsoil and subsoil (noted as A and B horizons) are shown on the Plan both vertically and horizontally. The elevation of the perc tests have been added to the Plan. A benchmark with 75 feet of the proposed septic system has been added to the Plan. The distance between the foundation wall and the septic tank is - noted on the revised Plan. Accompanying this letter are three (3) copies of the Proposed Construction Plan, revised April 16, 1999. Any questions regard- ing to the responses may be directed to Clayton A. Morin, P.E. or the undersigned. Very truly yours, amAb I. /7oCea-tv �T7� James H. MacDowell JHM/tlm Enclosures cc: Cyrus Construction Bn�40� �n©d �OQ�O�/ 0�3�30Q�n�03a B�(3o May-11-99 01 :39P Paul D. Turbide, PE/PLS 508-465-0313 P_02 May 11, 1999 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 WL REQ Title V second review for=4-29-S-alem!itreet,;Lot A-1 Dear Sandra, I find that the concerns outlined in my report dated March 22, 1999 have been adequately addressed by the revised plans. If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown, PE/PLS Salem429a2.doc , 429A Salem Street PORT ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburvport,MA 01950 (978)465-8594 Town of North Andover Of t HORT)l , OFFICE OF 3� �' °'ego 4. COMMUNITY DEVELOPMENT AND SERVICES ° . p 27 Charles Street y North Andover, Massachusetts 01845 "° WILLIAM J. SCOTT 9'3 CHuSE� Director (978)688-9531 Fax (978) 688-9542 May 12,1999 Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, NIA 01960 RE: 492 Salem Street, Lots A, B, and C Dear Mr. Morin: This letter is to inform you that the proposed septic plans, dated 4/16/99 for Lots A, B and C at 492 Salem Street, North Andover have been approved. Please call the Health Department at the number below if you have any questions. Sincerely, Sandra Starr, R.S. Health Administrator Cc: Cyrus Construction File e BCARD OF APPEALS 633-9541 BUILDING 683-9545 CONSERVATION 683-9530 HEALTH 683-9540 PLANNING 688-9535 May-27-99 12 : 45P North Andover Com. Dev . 508 688 9542 P - 01 SEPTIC PLAN SUBMITTAL FORM LOCATION: L NEW PLANS: YLS $125.00/1"lan_-� REVISED PLANS: YES $ 60.00/Plan SITE- EVALUATION FORMS INCLUDED: YES NO ?2s�E v to', _y .5,a 7 g/Vt 1tD DATE: Z IZ �o --- -- DESIGN ENGINEER: �?�w._r r�ULpN _E�v t� _c (2(/V - DATE TO CONSULTANT: *If you want your plans expedited, please submit three plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. c:<fii 5 �livv I'. FEB 6 :q Feb-22-00 02:37P Paul .D. Tuvbide, PE/PLS 978-465-0313 P.02 February 22, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Title V third review for 429 Salem Street, Lot A(Revision date of Feb_ 16, 2000) Dear Sandra, I find that the plans adequately address the regulations except for the following: The proposed dwelling will have a garage-under with a garage floor elevation of 202.5'. Therefore the stone retaining wall shown on the plan running along the side of the paved driveway until it hits the foundation must be an impervious barrier(at the corner of the foundation the required grade is 204', yet the garage floor will be 202.5'). If you have any questions or comments please feel free to contact me. Sincerely j Carlton A. Brown, PE/PLS Salem429a3.doc 429A Salem Street PODT ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newhuryport,MA 01950 (978)465-8594 Town of North Andover E NORTp OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street North Andover, Massachusetts 01845 SS CH WILLIAM J. SCOTT Director (978)688-9531 Fax(978)688-9542 February 28, 2000 New England Engineering Services, Inc. 60 Beechwood Drive North Andover, MA 01845 RE: 492 Salem Street, Lot A Dear Mr. Osgood: This letter is to inform you that the proposed septic plan for Lot A Salem Street, North Andover has a technical deficiency that needs to be addressed before an approval can be issued. The deficiency is as follows: • The proposed dwelling will have a garage-under with a floor elevation of 202.5'. Since the required grade at the corner of the foundation is 204', the stone retaining wall beside the driveway must be an impervious barrier. Please do not hesitate to call the office at 978-688-9540 if you have any questions. Sincerely, Sandra Starr,R.S., C.H.O. Health Director Cc: Cyrus Construction W. Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 NEW ENGLAND ENGINEERING SERVICES INC March 13, 2000 Sandra Starr, Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: Lot A Salem Street,North Andover, Septic system design Dear Sandra: Enclosed you will find five copies of a revised septic system design for the above referenced property. These plans are being submitted for approval. The following changes have been made to address your comments. 1. The wall along the driveway has been changed to a concrete wall. 2. The actual foundation location has been added to the plans. This necessitated moving the leach trenches towards the street. If you have any questions or need additional information please do not hesitate to contact this office. Sincerely, Benja C. Osgood, r.,EIT I President FF F I' MARI4 ;r � F 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 Town of North Andover , AORTH OFFICE OF 3� �° COMMUNITY DEVELOPMENT AND SERVICES A • . 27 Charles Street North Andover, Massachusetts 01845 '°A,• ° �y WILLIAM J. SCOTT 9SSgCHus�t Director (978)688-9531 Fax (978)688-9542 March 13, 2000 Joseph Pelitch Cyrus Construction Corporation P.O. Box 583 No. Andover, MA 01845 Dear Joe: Enclosed is a check for $130.00. You submitted revised plans for Lots A& B Salem Street and instead of submitting $60.00 each for revised-plans you submitted $125.00 each. We are returning the overpayment. If you have any questions please feel free to call the office. Sincerely, Susan Contarino Health Secretary BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 I I TOWN OF NORTH ANDOVER 120 MAIN STREET P.O. BOX 124 NORTH ANDOVER,MA 01845 2161353 REFERENCE- TE - - AMOUNT 011100 1 / 11 /00 13f) 00; RFFUP•1D OVERPAYMENT 01 _l VENDOR NO. CHECK NO. CHECK DATE 006412 135821 3/09/00 TOTAL AMOUNT PAID $***** � 130. J0 PLEASE DETACH AND RETAIN FOR YOUR RECORDS TOWN OF�����ANDOVER BOSTON SAFE DEPOSIT AND TRUST Cp d 5 123 or NO oTH 120 MAIN STREET BOSTON,MA 02108, s"110, r •., oo i p P.O.BOX 1240 NORTH ANDOVER,MA 01845 Lr 135 8_ 21t ii U CHECK DATE r UMBER s _. r VOID AFTER 90 DAYS $Acwustt 135821 3/09/00 1 j ******130 DOLLARS' AND 00 CLNTS PELITCN JOSEPH , NORTW ANDOVER. MAI 01345 u' L3582LII' 1:0LLOO L234ll: 11'061,1L081l, Sul I I I May-27-99 12 : 45P Nor-th Andover Com. Dev . 508 688 9542 P. 01 SEPTIC PLAN SUBMITTAL FORM LOCATION:�.oT NL-W PLANS: YES $125.00/11 REVISED PLANS: ES S 60.00/Plan SITE EVALUATION FORMS INCLUDED: � NO DATE: t4l 6,L, DESIGN ENGINEER: Ak DATE TO COI -SLrL.TANT: *If you want your plans expedited, please submit three plans and included a stamped en-,,elope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. r - - - MAR' ! 4 Mar-22-00 09:40A Paul D. Tuvbide, PE/PLS 978-465-0313 P.02 March 22, 2000 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover,MA 01845 RE: Title V fourth review for 429 Salem Street, Lot A (revision date of March 13, 2000) Dear Sandra, I find that the concerns outlined in my report dated February 22, 2000 have been adequately addressed by the revised plans. If you have any questions or comments please feel free to contact me. i Sincerely 2 Carlton A. Brown, PE/PLS Salem429a4.doc 429A Salem Street POIDT iti E�GINEEGING Civil Engineers X Lund Surveyors One Harris Street Newburypurt,NIA r 01950 (978)465.8594 a�yy MFggR 21 '^ Town of North Andover NCR, OFFICE OF dao;`•�•� °,�°0 COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street :^a North Andover, Massachusetts 01845 �9SsgcHus���y WILLIAM J. SCOTT Director (978)688-9531 Fax (978)688-9542 March 30, 2000 Mr. Ben Osgood, Jr. New England Engineering 60 Beechwood Drive North Andover,MA 01845 Re: 492A Salem Street, No. Andover Dear Ben: This is to inform you that the revised septic system plan dated 3/14/00 for the site referenced above has been approved for maximum eleven(11) rooms. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr,R.S., C.H.O. Health Director \ SS/smc cc: Cyrus Construction File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 FROM. R.C. TANGARLi PHON.- 1.10. Richard C. Tangard 33 Pillings Pond Road ' Lynhf<;eld, MA 01940 781334-5049 ' June 3, 2000 Sar dra Starr,Administrator North/indover Board of Health North Andouer, MA 01845 Subject: Retaining `,Nall, n 492 Salem Street, North Andover Subsurface Sewage Disposal Syster.,i Dear Ms Starr: Please be advised that the retaining wall at subject propertyhas been properly constructed in accordance:with plans dated February 2, 2000, revised March 13, 2000, except that the wall,is at a higher elevation and at an additie,nal length than initially designed. Final wall elevations, dimensions and location will be shown on the As-built Plan at the time of submittal. Kindly advise if you need additional information or clarification. cerely, .� icllard C. Tangard, PF. cc: New England Engineering Services €? JUN - 5 J � 1 NEW ENGLAND ENGINEERING SERVICES INC June 7, 2000 Sandra Starr,Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: Lot A Salem Street,North Andover, septic design Dear Sandra: Enclosed is the sieve analysis for the sand being used at Lot A Salem Street,North Andover. If you have any questions or need additional information please do not hesitate to contact this office. Sincerely, L/' Benj i C. Osgood, JVIT President k BE�la� p a'1, r2 � , a , FF 60 BEECHWOOD DRIVE—NORTH ANDOVER,MA 01845—(978)686-1768—(888)359-7645—FAX(978)685-1099 KINGSTON READY-MIX CONCRETE Smith pit KINGSTON MATERIALS 4/12/00 A Division of Torromeo Industries, Inc. P.O. Box 508, 18 Dorre Road, Kingston, NH 03848 1-800-235-8649 - Samples Supplied by Kingston Materials, 18 Dorre Road, Kingston, NH 03848 - I INDIVIDUAL CUMULATIVE . SIEVE . PERCENT. PERCENT TOTAL% _ PROJECTS SIZE__., VVEiGMT RETAINED _: RETAINED , . :;PASSING ASTM:;C33 3/8" 0.00 0 0 100 100 to 100 #4 21.60 4 4 96 . 95 to 100 #6 64.10 10 14 86 80 to 100 #16 109.90 18 32 68 50 to 85 #30 103.40 17 49 51 25 to 60 050 190.70 31 80 20 10 to 30 #100 106.30 17 97 3 2 to 10 0200 14.60 2 100 0 0 to 5 PAN 2.30 0 TOTALS: 612.90 100 i SIEVE ANALYSIS OF SAND 120 -- Total%Passing i 100 -A- On. Deviation _ -9- Max. Deviation N 80 m r cv a 60 .A. 40 F0 \ A 20 ` 0 W 04 98 #16 #30 050 9100 PAN SIEVE SIZES --- ----- JUN - g TOO In SHIUSMNI OHNOUH01 TZLH99 8L6 XVd SO:VT QHAi 00/TE/50 BOARD OF HEALTH ( 2TEL:?688-9540 NORTH ANDOVER, MASS. 01845. ______j APPLICATION FOR SOIL DATE: Nnvembpr 6, 1998 LOCATION OF SOIL TESTS: 492 Salem Street Assessor's map & parcel number:__Map 38 Parcel 2 OWNER: Michael J. Demirdjian TEL. NO.: ADDRESS: 492 Salem Street North Andover, MA 01845 ENGINEER: Clayton A. Morin TEL. NO.: (978)531-8121 CERTIFIED SOIL EVALUATOR: mary Godwin (978)282-3138 Intended use of land: residential subdivision, sinWItesti ercial Repair testing Undevex \o N. A. Conservation Commission Approval: THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of$275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $75.00 per lot for repairs or upgrades. GENERAL INFORMATION I. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. 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). 7. Within 60 days of testing soil evaluation forms shall be submitted. Opt.Cy PE 64 qsz rn L-eaz Lai 6 r OLO +t ►�° T. G os GCG.T �► z, ^v 6IV Vol ago lot fs .� N oly d' . u � _ . ,k .,�,<< ,,< ,- Form No. 1 Town of North Andover, Massachusetts BOARD OF HEALTH NORTH 19 Q� ,SLED 16 'VO yds 46 �L + G/INSPECTION APPLICATION FOR SITE TESTIN �, Q�AATEO pPP.`�5 SSACHU5� _ TELEPHONE Applicant ADDRESS NAME g / Site Location � _' TELEPHONE Engineer NAME ^ ADDRESS Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH /9 Test No. Fee C.C. Date Plbg. Permit No.---- S.S. Permit No._—D D.W.C. No._— DEEP OBSERVATION HOLE LOG for TEST PIT # Tp-A1 DATE 12/11/98 TIME AM WEATHER CLOUDY, 38 F ADDRESS and LOCATION SALEM ST., NORTH ANDOVER MA. LAND USE SLOPE LANDFORM VEGETATION SURFACE STONE UNDEVELOPED 0-1% OUTWASH PLAIN VARIOUS NONE DISTANCES from in FEET: ORINKING WELL OPEN WATER POSS. WET AREA DRAIN WAY PROP. LINE 1001+ 2001+ 1001+ 501+ 30'+ DEPTH HORIZON TEXTURE COLOR MOTTLES STRUCTURE, STONE, ETC. 0-9 Ap FINE SANDY 10YR 3/2 NONE SEEN FRIABLE, GRANULAR, WEAK, LOAM MOIST 9-20 Bw FINE SANDY 10YR 5/6 NONE SEEN FRIABLE, GRANULAR, WEAK, LOAM MOIST 20-101 C1 FINE/MEDIUM 2.5Y 7/4 AT 84" 7.5YR 6/8 LOOSE, SINGLE GRAIN, SAND 2.51 8/1 STRl3CTIORFLESS, MOIST NO REFUSAL PARENT MATERIALGLACIAL OUTWASH DEPTH BEDROCK 101"+ STAND WATER ND WEEPING ND ESTIMATED SEASONAL HIGH GROUNDWATER AT 84" SKETCH PROVIDED YES FLAGGING YES DEEP OBSERVATION HOLE LOG for TEST PIT # TP-A2 DATE 12/11/98 TIME AM WEATHER CLOUDY, 38 F ADDRESS and LOCATION SALEM ST., NORTH ANDOVER MA. LAND USE SLOPE LANDFORM VEGETATION SURFACE STONE UNDEVELOPED 0-10 OUTWASH PLAIN VARIOUS NONE DISTANCES from in FEET: BRI-NKING WELL OPEN WATER FOSS. WET AREA DRAIN WAY PROP. LINE 1001+ 2001+ 1001+ 501+ 301+ DEPTH HORIZON TEXTURE COLOR MOTTLES STRUCTURE, STONE, ETC. 0-15 Ap FINE SANDY 10YR 3/2 NONE SEEN FRIABLE, GRANULAR, WEAK, LOAM MOIST 15-30 Bw FINE SANDY 10YR 5/6 NONE SEEN FRIABLE, GRANULAR, WEAK, LOAM MOIST 30-118 C1 FINE/MEDIUM 2.5Y 7/4 AT 56" 7.5YR 6/8 LOOSE, SINGLE GRAIN, SAND 2.5Y 8/1 STRUCTURELESS, MOIST NO REFUSAL PARENT MATERIALGLACIAL OUTWASH DEPTH BEDROCK 118"+ STAND WATER ND WEEPING ND ESTIMATED SEASONAL HIGH GROUNDWATER AT 56" SKETCH PROVIDED YES FLAGGING YES PERCOLATION TEST DATA PROPERTY ADDRESS SALEM ST., NORTH ANDOVER MA. PERFORMED by ALEXANDER PARKER NAME OWNER MR. + MRS. DEMIRDJIAN WITNESSED by MR. CARLTON BROWN MAP 38 LOT 2 DATE 12/11/98 LOCATION IN FRONT YARD TIME 10:30 PERK# P-Al LOCATION IN FRONT YARD TIME 10:50 PERK# P-A2 OFF FROM MAIN HOUSE OFF FROM MAIN HOUSE OBSERVATION HOLE TP-Al OBSERVATION HOLE TP-A2 DEPTH of SHELF 24" DEPTH of SHELF 37" DEPTH of HOLE 18" DEPTH of HOLE 18" START PRE-SOAK 10:41 START PRE-SOAK 10:55 END PRE-SOAK 10:56 END PRE-SOAK 11:10 TIME at 12" 10:56 TIME at 12" 11:10 TIME at 9" 11:13 TIME at 9" 11:18 TIME at 6" 11:36 TIME at 6" 11:30 TIME 9"to 6" 23 MIN. TIME 9"to 6" 12 MIN RATE 8 MPI RAZE 4 MPI SITE PASSED PASSED SITE PASSED PASSED COMMENTS COMMENTS CONDITIONS AT SITE OWNER DID NOT WISH 4 HOUR SOAK at this TIME OWNER WISHES to TRY PERK in DRIER TIME OWNER WISHES to THINK ABOUT IT CREDIT FOR HOURS WILL BE GIVEN TO OWNER or TIME TAKEN OFF INVOICE at this TIME(CUSTOMERS CHOICE) i SOIL EVALUATION for SOIL SUITABILITY 1 'RD OV/1A�®p� ON-SITE SEWAGE DISPOSAL �LTy �� OEr_3P9R Performed by ALEXANDER PARKER Location SALEM STREET, NORTH ANDOVER MA. 01810 Map 38 Lot 2 Witnessed by MR. CARLTON BROWN Date 12/10-12/11/98 Repair NO New_Construction YES Owner's Name MR. + MRS. DEMIRDGIAN Addresss SAME As ABOVE OFFICE REVIEW Published Soil Survey YES Year Published 1985 Published Scale 1:25,000 Drainage Class CLASS 1 SoIl Limits HIGH MOTTLES IN SOME TEST PITS Map Unit XX Landform OUTWASH PLAIN Geologic Report xx Year Published xx Scale xx Geologic Material Map xxx FLOOD INSURANCE RATE MAP-FLOOD BOUNDARY Above 500 Year YES Within 500 Year NO Within 100 Year NO Wetland Area NO National Wetland Map xx Wetlands Conservancy Map xx CURRENT WATER RESOURCES CONDITIONS(USGS)Month NOVEMBER RANGE NORMAL METHOD USED for DETERMINATION for SEASONAL HIGH WATER TABLE Depth Observed Standing Water in Hole INCHES FROM 39" TO 89" Depth Weeping in Hole INCHES FROM 39" TO 89" Depth of Mottles INCHES FROM 11" TO 89" G/W Adj x3t Index Well# xx Index Well Level xx Reading Date xx DOES AT LEAST FOUR FEET OF NATURALLY OCCURRING PERVIOUS MATERIALS EXIST IN ALL AREAS OBSERVED THROUGHTOUT THE AREA PROPOSED FOR SOIL ABSORPTION SYSTEM? YES. IF NOT,WHAT IS THE DEPTH OF NATURALLY OCCURRING PERVIOUS MATERIAL? CERTIFICATION; I CERTIFY that on 8125198 I HAVE PASSED the SOIL EVALUATOR EXAMINATION APPROVED by the D.E.P and the ABOVE ANALYSIS was PERFORMED by ME CONSISTENT with the REQUIRED TRAINING,EXPERTISE and EXPERIENCE DESCRIBED in 310 CMR 15.017 Signature Date 12/16/98 24 KEYSTONE ROAD,GLOUCESTER,MA 01930 Phone 978-282-3138 Fax 978-281-2897 FORM U - LOT RELEASE FOR10 1a 4STRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve iance with any applicable or requirements. the applicant and/or landowner from compl *r * * *** * ***************APPLICANT FILLS OUT THIS ScEC T ION*********************** APPLICANT P {Zr sor PHONE LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION LOT (S)�— STREET l Z 1'q Lc"M �'-' � < spkm (tjQw) ST. NUMBER__ �-f (� * *** t***** ** ********* ** ****OFFICIAL USE ONLY*******************k k************** RECOMMENDATIONS OF TOWN AGENTS: DATE APPRED CONSERVATION ADMINISTRATOR DATE REJEO ED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS -_ ---------------------- FOOD INSPECTOR-HEALTH DATE APPROVED 7 DATE REJECTED SEP SPE -HEALTH DATE APPROVED DATE REJECTED COMMENTS n PUBLIC WORKS - SEWERIWA T E,R CONNECTIONS DRIVEWAY PERMIT _ /mac? FIRE DEPARTMENT K ' QQ ��'S t-E r� S'�,r 'Icy I 1'- /T f-, DATE RECEIVED BY BUILDING INSPECTOR Revised 9197 j'm F 7/ Town - of Q .. Nw �:• �•., Co Z_ LALJ lover, Mass., 14D J., -0i� COCMICHEWICI V %ADRATED P` C `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ,�,� 71,6 BUILDING INSPECTOR � R,.*r. THIS CERTIFIES THAT.. .......................... .. ... ................. ..................... ... ......... Foundation ' .... ............ ............ ................ ... ........ ...... has permission to erect..........i.................. ........ buildi s on y......... Rough Q to be occupied as...p 1 , q s�� VN��r' ��S �'V £ Chimney ��a4 ..... .............. .... ....................... .................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and.Construction of Buildings in the Town of North Andover. G E PLUMBING INWT VIOLATION of the Zoning or Building Regulations Voids this Permit. 10( 60 �— G anal�/Y m 3 s PERMIT EXPIRES IN 6 MONTHS ELECTR CAL O UNLESS CONSTRUCTIONS ARTS R �� �L ' 0 * .. /*&400n................................. ff.................................... erne BUILDING INSPECTOR Fir n Occupancy Per nit Required t0 Occupy Building GAS INSPECTOR u Z Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIR EPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FEE °Z a Street No. LESS FDA FEE ' - _ Smoke Det. , SEE REVERSE SIDEA I I bF � I� ooh , lw lu i �C DpOSED SUB SL/R FAGS SEWA la E blSPaS& cSY5 TEN1 Awo �iPD.oO,SFD Z 0 7- 6 R.4D/A/<5� ATE �- .. .. DL(l4JE�� /✓i c°cl,A � '� 7 EM /,t 1:�/A n/ Q /V°' v�. ZOCAT1016/ 54, .4' Al S 7 /1/c, G/;k b A G E Gle//vQ E,Q IBES/�4/ER a C70 SEPY cT BAr2BAUALL D , S co�m0a� 9 9 _ WE.STWAR b C/RcGE AZO. 1(76Aio-'WA147- K 76rZ. �X la a SlllSr�, 3Sh.al/atN Pir TYPE or BU/G614/67: .� ✓E//iniG • �--- _ h �AR AG E F yE�ELLQR W EST/MATE : 3 6-R SEPT/G TA/VK CAPE f �'` f/BSGLePT/ON EA ,2! S`F' .3 — 9SZf S °A7' 7-0 T A L --�— i EX'LL ®PEiQGOGAT/OAJ TESTS ` - 7DP ELE!/AT/DN F 20� X Ia 162- .Sr4T[/,eq rioAl AlIM M/it/ Mbit/ M/h� 9" ro to" D.eoP At IAI. �/J/N. M/N. iti//n/. V PE,PCOLAT/oN RATE x .►c o y _ ® TEST P/TSS / Z3 ¢ DATE /?cX?I TDP 5Z AT16A /o a • / - So/c T YPES s u h so AND WATER rAecE y LOCA 7 E._ E.S/�NERNaT S T c 7" Bo r7C.OA14UC TioN ,Sy.57`5/m ca/!1/ )' --t A/CT! o/y g /Y,. =10C, 7,9? F.v�7, TESTCED By JOSEXW T. 84RBAGALCOTE.sT. &�D BY /�GA1'c,j �,e/TF,e%4 cS'/-BEET •ter `.z"' �i a P,2ECA57- CONC,QETE SEEPAGE P17- 7Z::' JT7 s�8" W,45NED C�GCS!/ED STb -t �LbUBLE lff1SNE1> -AASNO sPCC•. PIPE O d . o O O o o a d 2'x 2'x 3" Co.vice&TE 4 0 33 0 0 0 SPGAsf/ PA Z) O O O O O • O O c7EEPAGE T - '�KT/o�! A-A GE P1 7- cSEGT/Ol! B-B SCALE c�CAGE -308,• ¢"�CASTSQocl, $ 005 SEEPA�aC ,4,�.EA COAL. Cp.UG2E-rE SEPT/C •TA Alk! - ,it Sdl ID ,itSdC/D P.UC•, SEALED To/yrs, S=.aos` �— SHALLOW 67EE,046E P/7- CD ri 36., Ir -71 SEEPA C7E PT �i20.c/L SCALE P/TPGA A! 4,vD v�ECT/0�/<S u6ET Z ��