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Miscellaneous - 495 Forest Street (2)
- - __ _— � aoJ��. � � — -- � Fnriaanla �, SQ3 4 t4. • n ��� �".,yV '.4 Lot & Street �d A fC C,5 i -ST, Map/Parcel 10413 7 CONSTRUCTION APPROVAL Has plan review fee been paid: OYES; NO Permit# Plan Approval: Date: X�7�Z Approved by: _ZdO2�� Designer:.,2j) j�j�,_ Plan Date:-1_/ _ Conditions: Water Supply: Town Well Well Permit: Driller: Well Tests: Chemical Date Approved Bacteria I Date Approved Bacteria II Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: Form "U" Approval: Approval to Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other? YES NO An Variance Needed? Any YES NO I FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: I i SEPTIC SYSTEM INSTALLATION CONDITIONS: i Is the installer licensed? YES NO Type of Construction: NEW REPAIR New Construction: Certified Plot Plan Review YES NO Floor Plan Review YES NO Conditions of Approval from Form U YES NO Issuance of DWC permit: YES NO DWC Permit Paid? YES NO DWC Permit# Installer: Begin Inspection: YES NO Excavation Inspection: Needed: Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: By: Final Construction Approval: Date:. By: Certificate of Compliance: Approval: Date: f . Ippolito, Mary From: Ippolito, Mary Sent: Friday, November 05, 2010 4:11 PM To: Cheney, Skip . Subject: RE: No building permit. Hi Skip, We have a file for 503 Forest Street. A permit was issued for a septic system to Paul Plisinski only.We don't have a building permit issued for a house. Mary From: Cheney, Skip Sent: Tuesday, November 02, 2010 10:44 AM To: Ippolito, Mary Subject: RE: No building permit A house number has been issued by the town,you might have it as 503 Forest Street . Its listed with MLS for $600,000.00 We dot use lot numbers only Map& Parcels numbers From: Ippolito; Mary Sent: Monday, November 01, 2010 3:27 PM To: Cheney, Skip Subject: RE: No building permit Hi Skip, I just went thru all the files for Forest St,, and I found nothing for 106.6-244. Can you give me any more information such as a date, or even a lot number. I'll have my senior worker come in on Wednesday and she'll have more time to go into the files for me. I can't imagine a new house being built without us issuing a permit. Mary From: Cheney, Skip Sent: Monday, November 01, 2010 2:01 PM To: Ippolito, Mary Subject: No building permit .Importance: High have a vacant lot on Forest Street with a,new,house on it. Can I have a copy of the building permit please. M: 106.6 P: 244 Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.see.state.ma.us/pre/preid3x.hntm. Please consider the environment before printing this email. I i 1 9 Ippolito, Mary From: Cheney, Skip Sent: Monday, November 01, 2010 2:01 PM To: Ippolito, Mary Subject: No building permit Importance: High I have a vacant lot on Forest Street with a new house on it.Can I have a copy of the building permit please. M: 106.13 P:244 Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp'//www.sec.state.ma.us/Pre/Preidx.htm. Please consider the environment before printing this email. c0 / 43 At .I / 4 Al Av ,� 4 GAY`" ox 1,34 ce, G� (JV, s r �I �;Ippolito, IMe From: Cheney, Skip " Sent: Tuesday, November 02,201010:44 AM To: Ippolito, Mary .� Subject: RE: No building permits A house number has been issued by the town,you might have it as 503 Forest Street. Its listed with MLS for $600,000.00x ' We dot use lot numbers only Map& Parcels numbers , From: Ippolito, Mary r Sent: Monday, November 01,2010 3:27 PM �r,t To: Cheney, Skip Subject: RE: No building permit Hi Skip, I just went thru all the files for Forest St., and I found nothing for 106.6-244. Can you give me any more information such as a date,or even a lot number. I'll have my senior worker come in on Wednesday and she'll have more time to go into the files for me. I can't imagine a new house being built without us issuing a permit. Mary From: Cheney, Skip Sent: Monday, November 01,2010 2:01 PM To: Ippolito, Mary Subject: No building permit Importance: High I have a vacant lot on Forest Street with a new house on it.Can I have a copy of the building permit please. M: 106.B P:244 Y � Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www sec state ma us/ore/preidx htm. Please consider the environment before printing this email. Torn of North ,Andover Office of the Health Department `6`° Community Development and Services Division « 00, 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 November 5, 2001 Professional Land Services, L.C. 61 Garrison Street Groveland, MA 01834 Re: 503 Forest Street Assessors Map 106B-Lot.07 F C Dear Engineer: Please address the concerns listed in the enclosed letter from our consulting engineer, and submit revised plans with the $60.00 fee. Ifou have an questions, lease do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director I ` p Cc: Homeowner1 s n s�4 i File 6-o5 Fors '1` Foxes AUo. A Vi dcA o t K*,1S SS/aem BOARD OF APPEALS 688-9541 BUILD NG 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 � NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nmAnetway.com Date: October 18, 2001 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/022A 503 Forest Street Assessors Map 106B Lot 07 Dear Members of the Board, Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated 10/01/O1, by Professional Land Services, L.C. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health`By-Laws"if the following is addressed: v1) Distribution box shall be set and tested without flow levelers. Special attend shall be given to first 2 ft. set level and provide a sufficient delta to ensure slope from D-Box to beginning of furthest leaching line. Show outlet invert of D-Box in profile. Show first 2 ft. level from D- Box and label as such, 232(3)(c) �4) Provide as–designed grades for sewer line from house to septic tank and septic tank to D-Box. 222(6) 5) Adjust contours at beginning of leaching field for 15 ft. to 116.26 break-out grade. 255(2) —6) Provide grades over leaching area to demonstrate 2% grade and revise profile accordingly. 220(4)(g) 7) Provide an up-elbow on profile at end of lines prior to connecting to vent. -8) The location of test pits does not agree with field sketch. 20 ft. + off stone wall for TP 1 &2 and location of TP 3 (220)(4)(h) Land Surveyors Civil Engineers Environmental Planners u9 V �) Basement floor minimum 1 ft. above groundwater elevation, estimated at 119.0 NA 5.04 .—TM)Show location of abandoned perc #2 NA 8.02n K 11)Label water service as either pressure or suction ,,-12)Provide class of leaching pipe in profile NA 10.01 Respectfully, John L. Noonan, P.L.S.-P.E. G:office/forms/tonarev 1770022a Land Surveyors Civil Engineers Environmental Planners 2 CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 2010-029 DATE: September 20, 2010 PROJECT TITLE: Innis Construction PROJECT LOCATION: 503 Forest Street, North Andover NAME OF BUILDING: 503 Forest Street, North Andover NATURE OF PROJECT: New House IN ACCORDANCE WITH SECTION 116.0 OF 780 CMR SEVENTH EDITION MASSACHUSETTS STATE BUILDING CODE, I, Richard J. Testa Jr. REGISTRATION NO. #37868 BEING A REGISTERED PROFESSIONAL ENGINEER HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT ARCHITECTURAL X STRUCTURAL MECHANICAL FIRE PROTECTION ELECTRICAL OTHER FOR THE ABOVE NAMED PROJECT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY THAT I PERFORMED THE NECESSARY PROFESSIONAL SERVICES AND WAS PRESENT ON THE CONSTRUCTION SITE TO DETERMINE THAT THE WORK IS PROCEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND MEETS THE REQUIREMENTS OF SECTION 780 CMR 116.0, 7th EDITION OF THE MASSACHUSETTS STATE BUILDING CODE. SEAL �P�tIAOFM,�S RICHARD J. GN p TESTA STRUC R' cn 9 No.' 8 9 F ado A L E� SIGNATURE c • i'it,��.r1��,;aa*p - frs ,. "�� � f-_i ��Nr k r copy q'-! ,,, ,.Y * .. ;! s,a�` . `,'' . . .A',�Fp A'` .r R,,c r•i' ,.. ,;F.. b°;k 'l- , ..t ` i - Y""t". �.}•qF .. �'"'Y•rye. "w � �y,".^ s. �. ° ,,. • ,• • li .46. ri PUBLIC�HEALTH DEPARTMENT Tom,of North Andover. . Community Development Division, •# - i&� ,� � `� 1' ;jam•e, � s j�y � '«3U r* xY i k reE 2IFICA h t�.. 4X (;f,0 IL� A-/ XCE' e: a t� _• ,,�. e.Alf .X December-S 2 010 r•t S. ,r•• r . ,. 4.. 3 < �t .° rihis'is•to cert that the indiviadlsu6surf ce-d pposaC-systerrm receiveda ,SA`17SF,AC`0 ;`Y�I�VS C7IOJ -0 the {. i We p emenft"ofan .rndt ."N-Site . _t_ . N SMe ite Sew osaCS stem- ilk _ &6e1tt T ,may/�w. i•t r^ �• 's$ar` �• ` •:} v .t ;•} .M1�f .C� .r.e .•a _`� 1 w�yl�', i f- •1r`?'* . "°+. ., � "T 1,#,` � ',. i'�'^' •8F /. ./ -. ."-,'-'k y ,i } � yest i tt � t, . ka9*#.cit 2 .Map-106.(B e1'arreC= 0244 210/106.B-0244:0000:0 r. a .r jr orthAndover,`.9 - 01845 ; �45&Issuance of this certY7cate Thad not 6e construed as a guarantee that`the system zviCCfunctionsatisfactoriCy: �rj�j'k"� t t r '"*n , � !" � q V=••rte ,. r .Sinn .S&tiyer, xfmq,S .. ..i tPuMw A aftFi17 ` : �1600POsgood Street,North'Andovei;Ma sachusetts01845 fh: Phone'918.688.9540 Fox 918.688.8476` Web twwwaownafnorthnndover.com e 'r"5M. i•.. ,.r `s serer.°^ y'i fir# f" tie* 3 `.a .,�♦ i R s}. r` FLED ' 'Mc®pfit/ ��"h. er f i�, y :.,lM7.fi+ r � , ♦ ¢ � gaa�.ca` 1� !yp, F.��r 1 • a * - �ya �� .s ,:+ ,.,�.�.. •. :'�,-Y ��,,,.� �� „* ,} , >� SATED: � a` -�,.s�`; �'} ",•�.� �k ..� '�. - r PUBLIC HEALTH'DEPARTMENT Town,of North3Andovers Community,Development Division �r ., rERRIlFIC. 2 ' $ �;Cp9l�l `IC et Decenb rrY r e °8201 : 0 . � � . i4; , • Via. 4 , .p♦ �".'��.ls'_1S t :��`:+^ • 'Y55ff` '#. >e!h� ,•- r ti. r `.F � w;''.,� This'is to cert that the indavzduafsu6suVf ce,dsposi �-yste'm.receaved t ` �" `' .SA`rISIFAC'701�`YrIJVS1�EC'�IIo�V of tFie '.i rf� CucemenQfan Iidual . ! s ' 4r ;•• ro +'•G' A '�4-�. .X�"r� 5e4+ Onite S Sewage'�osaCSystem+ y 6ett.- hinis- h 4'S' �, �. :�+ ,t •� .C^+" •�S�"'�. -'F a, 3 «fir els„- �. rt' ' rti777. f•' rF.'F, + � r � +�r � '«ter# ^fw r-.'f ! _ - ,�••�. � .s 5 � ;� �,,,,+., t� ». fit•„- � �,+ �`,� �.r �a, �a � d # _« � 1.Y � �' a .� � a2�� f fw.� 'ti._S.3 •s Af Y'. �� _.♦ _ ,,� 4�y'.•`�^ ,}e,I r�r ^�' ,�r• s,a� t .� y ; _ .� - �. X03 6erstS -I�W9 .a. IGOt�`2 . 4 map-106. �1'a�cel=�0244 210/1OKB= '�t - `•.Y,,�� . . l� :,IrM4 l�t�€ f,� t .. - 'tr �``! deer. ' _ ,a. '�""'� �. ..rr�i•• ! •. .. Mf LE COPY, ` �A�\• ' • ��* •dF.i,, "w4_l. ;ter r � ..�. - _ ,'.'•r''Y'^ `' _' n, PUBLIC HEALTH DEPARTMENT.;# �' ••r •F f - ice.♦b ii " •. i .v 'moi . e ' Town,of-No'rth-Andovera Community Development Division'' ;CE<f_2' TIC./��I'E OF�C.O�I } `IA�C� h T k S I • „d 1 y. 4 ✓` f• n .. *Sa �,�lr+ x`«' .f �•a','"x 3y, `; , ••r��.P � � 'y 4 ;5-.,r ..'.f. 4�fF •,' , .,. h! Asof. 4 XM,r ,n' e+L 1 December-S -�Vo" .0. , . ` 7hts is to cei tify that the indav" d' a' subsurface duposdC stem"received a S rllSlF,4C'7okyzksECZIOJV of ft&cem.pmto San .indt F h On Sewage OcsposaC,Systern,. R'..� L ..� _- 2' a.h. .yr ♦ •�. .{a ';r�i...r `,'1.�'}'F T4 '�.N1T':.�ti'rt..d N.":[', aA _ . r a rp yy.}� J03, T&rst;�t�eet =aGot'2 9wa 106.B ParceC=�t 0244 210/106.B=0244 0000.0 !70r, �, 1lloithAndover JI�1 1 018.45 e�Issuance of:tFiis cerCcate sFiaCCnot 6e construedas a'gierantee tFiatYthe system wiCCfunction satisfactoriCy c x r r xr a t s qi�.y"�'.'f r is M'.{,µa n� .r fi• , w« r .qT.-�••t " �, �o yyt' rzr .s �. r•^ Ire �. �.� `' �� . 'S ,4n. .Suw,►er, � ��5 4'u6&,VaCth Director a i :• �i.fir.' 3' rR++��.. ' � ' �` * ». ' x ti .� ..r•:. �.r ."'[ -'§`` , r ;: _`-' .r• ,. f �.• f` "•elf's. :9+ ,A Y, s 1600 Osgood Street,North Andover,Massachusetts 01845 ' Phone_978.688.9540 Fax 918 688.84761 Web www.fbwnofnorthandover.com • " � � s a '4 it t�✓"l'?y,. !, Y`��.+STM 'T; -� � . y... .,,'+ A,fit��i''� .4�, � +{,i i.;'^ f j^,� "�`• � "�M. ;, + 1p?..r e r 9copy e Yet �r,+ Y�r, a7y�r -"', •t. ,+�f a t Y J;w'.r � �, + fi� PUBLIC:HEALTH DEPARTMENT r •.i t.ro..i 1• Town Of_North-Andover. t community.Development Di_vision'' el Y.a>t .?•.f, t"Z" ' r +�� r 1 •g..to '� •rj1 "" {. , Yl `� 4+i�, R •Ap1� viae i ,\ Y,*:4 „'�.„ �+� ti ..L� f..i fe-`i' �* R�'�d'6}' Tht r.d0 , G11td`� I ? I, s• ,tCIC � CJl E .M i . ' /{ 4� -4 1-,•' a;� a(.3� � "dr !�a '•c}_. '�il 1►.J��Of. *� F” . .'�»t4 «-. iii • - fi • Td,tw''s ` . T�'e . ' r r December'8 .2,0,to This'ZS to'cert that the in vzdudis iuOf ce-disposal-system received a . ' r, � f r . f ^, fir, S1�`I7S�FAC17012`1'IJVSECZIo�V of_the., f`N h. •� • .A pCacement,of an In , -T c' al 4O'Ar""+4•r ��,?' Y" +_r. ,• -.'+' � ,r1 i wY`v*�� t n-;Site Selvage moo_saC,System S bi • { 'I.. Innis, �'£+ "� }.... '. �Y. k• {' „ -pY. bass '� d,,, 14�`''..�. ;{..�s..,.`�y+,. 0 NT� ����;r�r�P •t �'����� � .� a�41.-A/�/./ \//�//y._•• ° f' ,8 P a � � � Y////:.�-f.s7-r° � � , • est�l Xap=106 B Pareef,4 0244 . _ a 210/106:B 0244-0000:0 1 'I 4 F . ; . MoithAn_ d_ k .AVIA 01845 ' 42e'Zssuance of tFizs certcate sFiaCCnot de construedas a guazantee tFiat;tFie systemwzCCfunctaon sati factoriCy: •Z.•_.�.Sa°Wyer, { �Pu6Cle,) fth Director �`'Y -..� :..� •;+� " Ss+,».:w„r- �'' e-:.i ,....� .S',�r � �� ,„.a,�!+ . A r' S'r���: r.�,y.. j'.r.'J.• - .�, ' �h ,• ' '1600 Osgood Street,North'Andovei ,Massaihusetts 01845 �y Phone'978:688.9540 Fox 978.688.8476%42 78 688#.8476, Web www townofnorthandover.com , FINAL GRADE INSPECTION Date:_ j �Zy Ci , Address: _ LOAMED? — - -SEEDED? COVER PER PLAN? Other: North Andover Board of Assessors Public Access Page 1 of 2 NORTH North Andover Board of Assessors Ot t��w e 1�0 MATCHING PARCELS 9SS"CH°sit Click on a column title to sort data by that column Click Seal To.Return 148 items found,dis aying 1 to 50. First/Prev 1 1 2 1 3 Next/Last Fiscal Year Parcel ID StNo. Street Owner Name 2010 210/106.A-0156-0000.0 0 FOREST STREET KING,CLAIRE M, r 2010 210/106.A-0217-0000.0 OL-1 FOREST STREET J P A GAVELIS TRUST,MYKOLAS& Search for Parcels JANINA GAVELIS,TR 2010 210/106.A-0128-0000.0 0 FOREST STREET NEW ENGLAND POWER,PROPERTIES DEPT Search for Sales 2010 210/106.A-0211-0000.0 OL-5 FOREST STREET JANUSZ,AMY ELIZABETH, COMMONWEALTH OF 2010 210/105.D-0179-0000.0 OL-5 FOREST STREET MASSACHUSETTS,DEPT OF ENVIRONMENT MGMT 2010 210/106.A-0212-0000.0 OL-4 FOREST STREET JANUSZ,ROBERT SCOTT,OR TOWN OF NORTH ANDOVER 2010 210/105.A-0020-0000.0 0 FOREST STREET RILEY,ALBERT C,BARBARA A RILEY 2010 210/105.A-0019-0000.0 0 FOREST STREET MARTIN,THOMAS H,DIANNE M MARTIN 2010 210/105.D-0171-0000.0 OL-A1 FOREST STREET RABS,PAUL K, 2010 210/105.D-0022-0000.0 OL-6 FOREST STREET HARTIGAN,JAMES, 2010 210/105.D-0076-0000.0 OL-9 FOREST STREET ECHO GLEN FARM TRUST,JANE S WATSON,TR 2010 210/106.B-0244-0000.0 02 FOREST STREET PLISINSKI,PAUL J,MARGARET D PLISINSKI 2010 210/106.A-0127-0000.0 0 FOREST STREET NEW ENGLAND POWER,PROPERTIES DEPT 2010 210/105.A-0013-0000.0 0 FOREST STREET HOXHA,GEORGE,HOXHA,CHRISTINE L. 2010 210/106.B-0241-0000.0 OL-1B FOREST STREET LONG PASTURE DEVELOPMENT CORP, 2010 210/105.D-0067-0000.0 0 FOREST STREET FOSTER,CHARLES F,SUSAN E FOSTER 2010 210/105.D-0037-0000.0 0 FOREST STREET MERRILL,ELIZABETH A,PAUL A MERRILL 2010 210/106.A-0067-0000.0 1 FOREST STREET FALLON REALTY TRUST,BRYAN& CAROLYN R,B T&C R FALLON,TR 2010 210/106.A-0068-0000.0 15 FOREST STREET CASSELL,JAMES A.,CASSELL,SANDRA 2010 210/106.A-0069-0000.0 23 FOREST STREET CONFORTI KENT A. 2010 210/106.A-0070-0000.0 33 FOREST STREET 33 FOREST STREET NOMINEE TRUST, COLE,ROBERT&PRISCILLA TRUSTEE 2010 210/106.A-0071-0000.0 45 FOREST STREET CHAPPELL,CHARLES M,C/O KIMBERLY A GOC 2010 210/106.A-0168-0000.0 61 FOREST STREET COOKE,SCOTT P.&COOKE,STEPHANIE, 2010 210/106.A-0006-0000.0 64 FOREST STREET GUNES,DOGAN,AGNES GUNES 2010 210/106.A-0169-0000.0 73 FOREST STREET WOLSTROMER,MATTHEW J,VIRGINIA E O'NEIL 2010 210/106.A-0170-0000.0 75 FOREST STREET DEVORE,ANDREW G.,DEVORE, MELLISA ILG 2010 210/106.A-0116-0000.0 86 FOREST STREET LEYDEN,WILLIAM M,JOAN E LEYDEN 2010 210/106.A-0171-0000.0 97 FOREST STREET BYERS,RICK&TERRI, 2010 210/106.A-0117-0000.0 98 FOREST STREET SALGUEIRO,JOYCE A, 2010 210/106.A-0172-0000.0 109 FOREST STREET MC KINNON,SCOTT J,LAURIE K MC http://csc-ma.us/PROPAPP/newSearch.do;j sessionid=FA28293 C6B 8B7D 1 E7B485280284... 12/9/2010 North Andover Board of Assessors Public Access Page 2 of 2 KINNON 2010 210/106.A-0135-0000.0 110 FOREST STREET DRISCOLL,JOHN M,NANCY M DRISCOLL 2010 210/106.A-0173-0000.0 121 FOREST STREET KAZMER,DAVID 0,NANCY M KAZMER 2010 210/106.A-0008-0000.0 122 FOREST STREET BATTERSBY,DENNIS G,SUSAN BATTERSBY 2010 210/106.A-0174-0000.0 129 FOREST STREET TRICKETT,PAUL A,ROBIN L TRICKETT 2010 210/106.A-0175-0000.0 137 FOREST STREET MOORE,ROBERT G,CYNTHIA A MOORE 2010 210/106.A-0178-0000.0 145 FOREST STREET ANDERSON,HEIDI, 2010 210/106.A-0190-0000.0 158 FOREST STREET TRIANO III,NICHOLAS P,JANE M OWENS TRIANO 2010 210/106.A-0179-0000.0 159 FOREST STREET GUISINGER,BRETT A.,GUISINGER, NANCY N. 2010 210/106.A-0180-0000.0 165 FOREST STREET O'NEILL,JOHN G,RITA M O'NEILL 2010 210/106.A-0176-0000.0 171 FOREST STREET BARRETT,MARIAN P,C/O ASHLEIGH C. JONES 2010 210/106.A-0073-0000.0 175 FOREST STREET WILKINS,LEON M,VON KUMMER, JUDITH 2010 210/106.A-0040-0000.0 183 FOREST STREET HOLLAND,DENNIS E,SUSAN T HOLLAND 2010 210/106.A-0075-0000.0 205 FOREST STREET TARBOX,WILLIAM C,GAIL R TARBOX 2010 210/106.A-0107-0000.0 206 FOREST STREET BEACH,DOUGLAS W,LORENE M BEACH 2010 210/106.A-0076-0000.0 215 FOREST STREET HATCH,STEPHEN M, 2010 210/106.A-0072-0000.0 216 FOREST STREET MARTYN,RORY J,CHRISTINE FRANCHI 2010 210/106.A-0074-0000.0 220 FOREST STREET DU SHANE,DAVID,ELLEN DU SHANE 2010 210/106.A-0077-0000.0 223 FOREST STREET CURRAN,CHRISTOPHER& BERNADETTE, 2010 210/106.A-0038-0000.0 230 FOREST STREET MILLER SR,JAMES J, 2010 210/106.A-0078-0000.0 231 FOREST STREET SAVARD,ROBERT J, 148 items found,displaying 1 to 50. [FirsOrevj 1 1 2 1 3 ext/Last I http://csc-ma.us/PROPAPP/newSearch.do;j sessionid=FA28293 C6B 8B7D 1 E7B485280284... 12/9/2010 LETTER OF TRANSMITTAL (!7Pennanoo NORTH ANDOVER BOARD OF HEALTH 1600 OSGOOD STREET PENNONIASSOCIATESINC. NORTH ANDOVER, MA 01845 CONSULTING ENGINEERS- Phone: 978-688-9540 FFa5ftm"-3 100 Burtt Road, Suite 120 FROM: BEN OSGOOD, JR TOWNOf-N9RT4,. _ .VER Andover, MA 01810 ' � Tel: 978-749-9929 - Fax: 978-749-9920 DATE 1 12-3-10 JOB NO. RLIC1001 ATTENTION I SUSAN SAWYER 93 Stiles Road,Suite 201 Salem, NH 03079 RE: I LOT 2 FOREST STREET WE ARE SENDING YOU. ❑ Attached ❑ Under se arate cover via the following items: ❑ Shop Drawings Prints ❑ Plans ❑ Samples ❑ Specifications Copy of Letter ❑ Change Order LIST OF ITEMS TRANSMITTED COPIES DATE NO: DESCRIPTION 1 12/3/10 Installation Certification 1 9/27/10 Septic System As-Built Plan 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 ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: 1Lj® If enclosures are not as noted,kindly noti us at once. TR 12/2004 pORtly Of'4"ao a1N , ,SSgCMUg�� 7AA �„��� 111 111 y �1yf�yPUBLIC HEALTH DEPARTMENT ppv�Nt QTmsj�V f�Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(X constructed;( )repaired; By: Ro a a( y1r� (Print Name) Located at:1,oT Z IV qh 7—�p 2 j Si f2e e 1 (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated lal / 10/ and last revised on ��%zo g ---------,with a design flow of JAS 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: 19 Z 0 rr1 n Engineer Representative(Signature) f?j- era C lJ Ov cX �2 And—Print Name Final Construction Inspection Date: 10 rq C Engineer Representa ve(Signature) I And—Print Name i Installer: ry .K1 (Signature) Date: he And—Print Name Enginer: (Signature) Date: 1,�2,— 3-- /0 '�Cn1 aN �n 0',&_00 J2 And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com i i L gORTh, •i ^i SS,CHUS� PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(X constructed;( )repaired; By: R0 a a L fhrI S (Print Name) Located at:/_e; 2 I/(/ — �—rj =�i S f 2 c i (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 14211 10/ and last revised on !Izy —,with a design flow of SSr� 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: e 2;� o Engineer Representative(Signature) r3�� CL y" C O� o�� �2 And—Print Name Final Construction Inspection Date: a t0 C ,� Engineer Represents ve(Signature) 2n1 Gr t H..� ! Oshy' n- And—Print Name Installer: _ (Signature) Date: /"2/? Aq And—Print Name Enginer: ' (Signature) Date: (7j�•,l u yr i n � 01 CrOo r� J 2 And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com Commonwealth of Massachusetts -- - - J City/Town of I System Pumping-Record 1 �'t ' `� 2014 , Form 4 Tovrnj f; s _ HEA _ DEP has provided this form for useby local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using.this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Le Right front of house, Left/Right rear of house, Left/right side of house, Left/ Right side of building, Le ig t ro ding, Left/Right rear of building, Under deck Address — -A- City/Town State Zip Code 2. System Owner. Name Address(d different from location) Cdy/Town state -)U- 41 Telephone Number B. Pumping Record 1. Date of Pumping Date 2. QuanfibfPuffiped. Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yep o If yes, was it cleaned? ❑ Yes ❑ Na 5. Condition of stem: 6. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc- Company ncCompany 7. Lo contents were disposed: CL,.LS. Lowell Waste Water ': A- �. .� Sign Haul Date t5form4.doe-06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts Map-Block-Lot r0',< r� � d�� 106.B0244503 ----------------------- Board of Health Permit No 4 a North Andover BHP-2010-0576 4 . ..Y P.I. FEE $�tbuF.I. $135.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Robert- -Innis Innis - --- ----------------------------------------------------------------------------------------------- to(Construct-503 FOREST STREET)an Individual Sewage Disposal System. at No FOREST STREET as shown on the application for Disposal Works Construction Permit No. BHP-2010-057 Dated May 17,2010 ------------------------ ----------------------------- Issued On:May-17-2010 r!Ef�%lth�r i Mit Map-Block-Lot ��; Commonwealth of Massachusetts p- 106.60244503 Board of Health ----------------------- North ------- ---------North Andover S �•'' ` CERTIFICATE OF COMPLIANCE ,Cb THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Construct-503 FOREST STRE by Robert L. Innis --------------------------------------------------------------------------------------------------------------------------------------------- Installer at No FOREST STREET - ------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. 13HP-2010-057 Dated May_17,-2010 ------------------------------------- Printed On:May-17-2010 Board of Health a - 'Of NORT q 1 T... i' 4 7 99 F - w 9 Town of North Andover HEALTH DEPARTMENT S�CMUSt CHECK#: DATE: LOCATION: H/O NAME: CONTRACTOR NAME: Type of Permit or License: (Check box) L. ❑ Animal $ Ll Body Art Establishment $ ❑ Body Art Practitioner $ E� ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ F ❑ Massage Establishment $ Gr ❑ Massage Practice $ ' ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ i ❑ Swimming Pool $ ❑ Tobacco $ 6 O TrashlSolid Waste Hauler $ f. ❑ Wel&onstruction $ SEPTIC Systems: i, ❑ Septic-Soil Testing $ ❑ Septi Design Approval $ eptic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ F ❑ Title 5 Inspector $ E ❑ Title 5 Report $ f' ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink- Treasurer pORT►, Application for Septic Disposal System ' �� /o Or ia��e re'7y� TODAY'S DATE Construction Permit - TOWN OF +4.'b+..o•* A 60.0 $1 —F ' '•�,� ORTH ANDOVER, MA 01845 $, ----- �gSACHU58t Important: Application is hereby made for a permit to: r��'� ;175, �p When filling out El Construct a new on-site sewage disposal system* forms on the computer,use ❑ Repair or replace an existing on-site sewage disposal system* TOWN OF NORTH ANDOVER only the tab.key HEALTH DEPARTMENT to move your ❑ Repair or replace an existing system component—What? cursor-do not use the return key. A. Facility Information Address or Lot# jF 1J,6 U Cio- Aa i I� City/Town 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump [Gravity(choose one) ***If pump system,attach copy of electrical permit to application*** 011conventional System(pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information Name Address(ifdifferentfrom above) ! �L eel City/To n State Zip Code foo Telephone Number 3. Installer Information Name Name of Company7 � Sro .Li Address Cityrrown State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information SP��' S7z �Z`l co NameName of Company / l Address q1-URv- , It City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 I ��� NaRTa, Application for Septic Disposal System d ,��•=`•r�.o`.`H°o` h =Construction Permit - TTODAY'S DATE OWN OF `•'°• r`r' ORTH ANDOVER, MA 01845 0.00�FuIlRe Sg, 14U5t PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: E]Residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 711 Name Date Applica ' A roved By: (Board of Health Representative) ; -7 Name Dat application Dis proved for the following reasons: For Office Use Only: / L Fee Attached? Yes No 2. Project Manager Obligation Form Attached. Yes No 3. Pump System? If so,Attach copX ofElectrical Permit Yes No i-/ 4. Foundation As-Built?(new construction ronly): es No (Same scale as approved plan) 5. Floor Plans?(new construction only): YesNo Application for Disposal System Construction Permit•Page 2 of 2 _r• SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: S- 3 (Address of septic system) For plans byl D (Engineer) Relative to the application of (Installer's name) And dated ngma ate Dated & —/�7 —l&) (I'oT's ate) With revisions dated (Last revised date) p I understand the following obligations for management of this project: 1. As the installer, I am obligated t g o obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor,project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company a. Bottom of Bed-Generally, this is the first (15) inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to,be present. b. Final Construction Inspection-Engineer must first do their inspection for elevations, ties, etc. As-built of verbal OK (or e-mail to: healthdel2t&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 simile excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover. significant fines to all persons involved are also possible 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board ofHealth staff or consultant. d Installation of tank, D-Box,pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer. I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) -f 6 ame- rint (Name- Signe AUG-09-2010' 14:00 From: To-19786702499 P.1/1 , Pitchervitic Sand& Gravel + 36 Brown Drive Greenville, NM 03048 603-878-0035 (fax) 603-878-0025 TO' RLI CORP JOB SOREST ST, N.ANDOVER Sieve Analysis TITLE V SAND Source Hubbardston Date 8/6/2010 SIEVE SCREEN CUNILATIVE CUMLATIVE TOTAL% 1%1E WGL WGT %RETAINED PASSING 3/8" 0 0.00 0.00 1010.0 #4 18.00 3.95 96.1 #8 34.00 7.46 92.5 #16 78.00 17.11 82,9 #30 166.00 36.40 63.6 #50 298,00 65.35 34.6 . #100 400.00 87.72 12,3 #200 440.00 96-49 3.51 PAN 456.00 100.00 0.0 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.255: continued (f) where a retaining wail to stabilize the slope is required and also is proposed as an impervious barrier,in addition to meeting the requirements in 310 CMR 15.255(2),it shall be constructed of suitable structural material and be designed by a Massachusetts Registered Professional Engineer. (3) Fill material for systems constructed in fill shall consist of select on-site or imported soil material. The fill shall be comprised of clean granular sand,be free from organic matter and deleterious substances, and shall not contain Remediation Waste as that term is defined in 310 CMR 40.0000. Mixtures and layers of different classes of soil shall not be used. The fill shall not contain any material larger than two inches.A sieve analysis,using a#4 sieve,shall be performed on a representative sample of the fill.Up to 45010 by weight of the fill sample may be retained on the#4 sieve. Sieve analyses also shall be performed on the fraction of the fill sample passing the #4 sieve, such analyses must demonstrate that the material meets each of the following specifications: SIEVE SIZE EFFECTIVE %THAT MUST , PARTICLE SIZE PASS SIEVE # 4 4.75 mm 100%- #50 0.30 mm 10%-100% #100 0.15 mm 0%- 20% #200 0.075 mm 0%- 5% A plot of the sieve analyses of the portion of the sample passing the#4 sieve shall fall on or between the lines on the following graph: PARTICLE SIZE DISTRIBUTION 100 #200 #100 #50 #4. Sieve Size 90 r 80 10, / 70 Z / 60 50 W40 � f 5- 30 f >i i l ' 20 9 / ' 10 0 Micron 60 200,1 600 2 6 10 mm 4/21/06 310 CMR-534 pO RTH 0 O o� 4 SSACHUS���� PUBLIC HEALTH DEPARTMENT Community Development Division June 4, 2008 Paul and Margaret Plisinski 17 Myric Drive Falmouth, MA 02540 Re: Subsurface disposal system plan 503 Forest Street Map 106B Lot 07 North Andover MA Dear Mr. and Mrs. Plisniski, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans dated Dec. 1, 2001, final revision date, June 1, 2008, have been approved for a five (5)bedroom, maximum eleven-room home. In accordance with local subsurface disposal regulations "Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". During this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. This approval includes the following variance Ill Pp g voted upon by the Board of Health as found on the plan "To allow deep hole testing that is greater than two years old" The motion by the board members included a caveat that The » fee or the dee hole observation will be ,f p $100 . 1. The fee noted above shall be paid to the Health Department prior to issuance of the Disposal Works Construction permit. 2. Prior to receiving a Disposal Works Construction permit, the applicant must provide complete floor plans of the new home. Including basement and attic. 3. Prior to receiving a Disposal Works Construction permit, the applicant must provide a foundation plan in 1"=30' scale to overlay on the septic plan. 4. 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)). 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com DelleChiaie, Pamela From: Osgood, Benjamin C. [BOsgood@Pennoni.com] Sent: =Forest 11, 2010 12:28 PM To: Cc: t, 'chele Subject: t Pam, Sue, and Michelle: I apologize for the confusion regarding this project as I did not know Bob had pulled a permit and was already installing the tank. Bob and I did speak about moving the tank for the following reasons: 1. The building sewer as currently designed is exiting the house in the garage area and not from the basement. 2. Turning the tank and moving it to the north will allow a straight run from the tank to the distribution box while still accommodating the use of the reserve area if it is ever required. / Bob has hire Pennoni Associates to perform all layout and construction inspection and certification for this project. Pennoni will be taking full responsibility for insuring that the design is installed as per the design plans. Pennoni did stake the location of the proposed system by instrument survey. I will send a 30 scale plan of the foundation as built this afternoon and I will give you a sketch showing the proposed location change for the tank. Ben From: DelleChiaie, Pamela [mailto:pdellech@townofnorthandover.com] Sent: Wednesday, August 11, 2010 11:26 AM To: Osgood, Benjamin C. Subject: 503 Forest Street From: Sawyer, Susan Sent: Wednesday, August 11, 2010 10:44 AM To: DelleChiaie, Pamela Cc: Grant, Michele Subject: forest Pam, Can you give me Bob Innis's cell#. It is on the application. I will call and tell him that I have left 3 messages for Ben. I need to speak with Ben before having Michele go out on this tank insp. 1) Ben needs to acknowledge that he is taking full responsibility on the project now 2) He needs to provide us with a foundation as-built at 30 scale not 60 3) He'needs to approve the new location of the tank. I would prefer he draws it either on the approved plan or the as-built or gives us ties. If he doesn't approve of the location, Bob will need to move it I understand Bob is the builder/owner/installer, but I will let him know that he still can not change things without both our knowledge. 1 %10 R TFj I� O��t�eu 6gti0 0L 0 ° COCNI<ht WKN y7' �•9q0R�rEo Ss US PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: -�S'� MAP: LOT: INSTALLER: Ina i5 DESIGNER: or-x Q5 0z) PLAN DATE: � r I ; op BOH APPROVAL DATE ON PLAN: (�2` +oe INSPECTIONS TANK INSPECTION: Q' DATE OF BED BOTTOM INSPECTIN:� DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design Ian F-1Existingseptic tank properly abandonedpm /^�/�` �l ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered f 'b0,4�-5 Comments: SEPTIC TANK Building sewer in continuous grade, on compacted firm base 'W 6w# C',' �LS�j�� Cleanouts per plan Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed / loading © Monolithic tank construction ❑ Water tightnes of tank has been achieved by 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com spection For June 2008 � � 5owe c t►ORTil Qs 4t%.Q G 16 OL lb O COCMIC IWKK y1. 41004 Ar 9SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Watertightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 F pORTFi q ttLED ,6 O A-O Col.iuwewicw 7.9 A00 'rED SSACHUS� PUBLIC HEALTH DEPARTMENT fommunity Development Division DISTRIBUTION-BOX ❑ Installed on stable stone base ❑ H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTE (General) Bottom of SAS excavated down to 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: C:?p,Y �S"a Ct_ 3e.;, X SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 t%0RTfi O�tt ,ID 16 "6 O L O y 1 a"ry TA-O COC-CM-K y1 7 Areo �SSACHVs�t PUBLIC HEALTH DEPARTMENT Community Development Division BM = HR = HI = SYSTEM ELEVATIONS ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump ChamberOUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 w ' NORTH Z. O � t A ADRATED SSACHUS� PUBLIC HEALTH DEPARTMENT (ommunity Development Division SKETCH PLAN i 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 %AORTty O�t $6�'1' F .6OOL O M LAK COCNIC lWKM`y7' °RArEo #I' ��SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division i CRITICAL SETBACK DISTANCES Mark those distances'checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- Waterline 10 10 101 ® 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) 2100 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 918.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 r I O ! „tea�••'•- a •�'�••' ILP REALTY TRUSTa1 j WETLANDS LOT 2 (00 m) i 2 /(p&yob Ar.*) (B Y ) k. ON , PROP. (Fg") LEACH ........a N / FIELD i 00 - - �.. o WE � N - �' TD J., SWEb1EY ..� 2 w X698, a a a .y S N % R�► t I OOu>NxiN OFMASSACHUSETTS �••' OM. OF ENVIIIRMITAL .TjyB�s"�e ZONING TABLE — RI DISTRICT MANAGEMDiT N REQUIRED EXISTING l W-� OFFRONT SETBACK 30' 494.8' EtyV� OF SIDE SETABCK_ 30' 78.7'/169.8' 01TAL REAR SETBACK 30' 2E ZN QI' MAXAGDW J. GRAPHIC 3 J GRAPHIC SCALE GENERALNOTES: ! � rimesI NO.45099 y 1. PROPERTY UNE TAKEN FROM "PLAN OF LANDO LOCATED IN NORTH i N '°9 a,, ., ANDOVER. MASSACHUSETTS, FOR PAUL & MARGARET PLISINSKI. BY s °fEss>fl` PROFESSIONAL LAND SERVICES, L.C.. DATED 8-24-01. REV. 9-17-01 1 inch - 80 & 2. WETLANDS BY OTHERS. P �— _� PENNONI ASSOCIATES INC. CERTIFIED PLOT PLAN PREPARED FOR AUG. 3, 2010 /Pejfj1®j�j 100 Burtt Road,Suite 120 93 Stiles Road,Suite 201 R.L.I. CORPORATION it \`� Andover,MAO 1810 Salem,NH 03079 ASSESSORS MAP 1068 LOT 244 475 BOSTON ROAD PENNON!ASSOGA'ItT[NC. (P)97&749-9929 (p)603-226-1950 Y (f)97&749.9920 ,,, ,p,,,,,o„L�,,, (f)603-226-32M NORTH ANDOVER, MA ENAPON)ASSOCAM[Ns BILLERICA, MA 01821 PL-1 4t 8 t 5. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector.p 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 may have. Sincerel , r/S san Y. Sawyer, REHS/ S Public Health Director Encl: list of licensed septic-system installers Cc: William Holt, PLS 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com TOWN OF NORTH ANDOVERrcRTa Oft..eo q,k Office of COMMUNITY DEVELOPMENT AND SERVICES o:•'.4 ° ','•ooh HEALTH DEPARTMENT 1600 OSGOOD STREET;BUILDING 20; SUITE 2-36 ": • �'• NORTH ANDOVER,MASSACHUSETTS 01845 CHUg 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdept@townofnorthandover.com WEBSITE:hq://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: _ - _Q JUN 4 2006 Site Location: E Z'7- �'T-(L� �" 4+ +r�i E;� r.M.��vDr�v �r k, �f�E�PAp�TtV1ENT Engineer: l f0+,e c,41LVji7 L L o f <rvi C e t LL New Plans? Yes $225/Plan Check# (includes I"submission and one re- review only) Revised Plans?Yes �< $75/Plan Check# CGw.)'6j7_ w i� Site Evaluation Forms Included? Yes No ')< Local Upgrade Form Included? Yes No Telephone#: 373- qq, '-O Fax#: q-3 _ y r 9 a E-mail: M4 CI `12Ay L-- @- U t2 i ,,7i--y>v s N - 1;'L.5 L C @ AOL- Com Homeowner Name: OFFICE USE ONLY i When the submission is complete(including check): ➢ �,/r /Date stamp plans and letter K- Complete and attach Receipt 1i 14 Copy Fide;Forward.to Consultant Enter on Log Shea and Database ' NORTH Q��TLBD 6-_7�O OL - 0 COCMIC MMK.1 �SSAC HUS�� PUBLIC HEALTH DEPARTMENT Community Development Division Professional Land Surveyors William Holt, R.S.,PLS 1148 Main Street Haverhill, MA 01830 RE: Septic System Design, Lot 2, 503 Forest Street,North Andover,Map 106B, Lot 07 The proposed revised septic system design plan for the above site dated February 6, 2008 and received on February 20, 2008 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design is described below in each item. As background information;this septic plan for this property was first approved on December 27 2001. The file indicates thereafter that the property's owners were in litigation that was recently settled that prohibited them from installing the approved septic system. During the passage of time, the Health Department approved a 2-year extension for construction in May of 2003 until 2005. A letter was sent to your client's attorney in April of 2005 indicating that if allowed to expire this plan could be resubmitted for review, but additional extension time could not be granted. The letter also indicated that additional soil testing may be required and any new regulations would apply. In June of 2006 a conversation was held with Mr. Plisinski regarding a revised plan. The Health Department received this revised plan on February 20, 2008. Please address the following: 1)Insufficient and expired deep hole information. 310 CMR 15.102 requires 2 dee holes in the q P primary area and 2 in the reserve area of a new septic system plan. In addition, local North Andover regulations require deep hole information to expire in 2 years. Soil tests were conducted in 2001. For these reasons additional soil testing is required within the active and reserve areas and shown on the septic plan. If the tests vary from the previous conditions, the plan should be adjusted to comply with the regulations. The application and fee schedule forth additional soil tests may be found on our website. http://www.townofnorthandover-com/Pages/NAndoverNU Health/permitsandregss. These tests can be conducted at any time of the year. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.towoofnorthandover.com s 2)Plan shows gas baffle and effluent filter specs. Please remove unnecessary specifications and if a filter there is also no cover to grade to allow access to effluent filter. Effluent Tee Filter requirements 310 CMR 227(7)"outlet cover to grade". Please show manhole cover to grade. -0� Also show the outlet tees on the tank specification positioned under the access holes. /1J, N 3)Profile note indicates access manhole. 310 15.228(1)"...septic tanks shall have a minimum of cover of nine inches. Systems buried greater than nine inches below grade must be equipped with risers on all tank top openings and the distribution box." Iv (4)Owner address showed at 505 Forest as well as the abutter information showing John Rayner, owner of 505 Forest St. Please make correction as needed. Please note that the septic tank specification is not for a monolithic tank. The Town of North Andover requires that all tanks that are 2-piece be water tested for integrity when installed. A second revised plan must be submitted with the requested information and appropriate fees. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerel , usan Y. Sawyer, REHS&�— Public Health Director cc; Owner, Paul Plisinski File i 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.6889540 Fax 978.688.8476 Web www.townofnorthandover.com • i TRA'HSMISSIO11 VERIFIC""TION REPORT TIME 03/12!2028 10:32 NAME HEALTH FAX 9726888476 TEL 9786888476 SER. # 000B4J128962 DATE DIME 03/12 10: 31 FA ; f lO.:"HAME 89783734198 j D"URATIi=i[A OF%FSB:59 PAGE f i 03 RESULT OK MODE STANDARD EC,M North Andover iie lth Qepartmgnt14ORTH � O �gL66 fb N 1600 Osgood Street Letter Transmittal Building 20, Suite 2-36 _ North Andover, MA 01845 *r � � � � e^ yyV T O�A LOCNKMI w ti' T p 40 ^ Phone ^ . 978.6$$.95 Pn e of wreo '(g '4 97$.6$$o8476 — Fox 9 � .� �sac�u��. healthOz t0towndnortbandover.com- E-mail www,tow.nof northandoyer.com-Website TO: COMPANY: , FROM: Pamela DelleChiaie,Health Department Assistant Phone: . tL RtJV. q r Fox: We are seftdi'14 YOU: a Copy of Letter t lanS 0 Other(fill iar below) Then are transmitted as checked below: ?� ®AwIPl� � �fvil�ev�wareormram�rtt in ®.tdslP*and ➢ ,(7& m' mWor St. REMARKS: I COPY TO: i r a. North Andover Health DepartmenNORT H q 1600 Osgood Street �o`�t`to 0 Letter of Transmittal � - ° Building 20, Suite 2-36 2 0 North Andover, MA 01845 y �* 978.688.9540 - Phone page of 978.688.8476 — Fax SSACHUS���y healthdepta-townofnorthandover.com- E-mail www.townofnorthandover.com-Website T0: � /f DATE: COMPANY: FROM: Pamela DelleChiaie,Health Department Assistant Phone: Fax: ; We ore sendin ou: O 6 of Letter &A10ns OOther fill in below 9Y PY � ) � These are transmitted as checked below: ➢ L7*pweada Ab*d ➢ 0,& ➢ OIPmue3rrii apiesfor ➢ D*RapeoW ➢ li'evaewand� ➢ L7*RbgE&W ➢ Olorrow&e ➢ L7&Ak* aviRsfor4fif REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: MAY-15-2008 01 :09 AN P. 02 TOWN OF NORTH ANDOVER Office of COMMUNITV DEVELOPMPNT AND SERVICES 6 HEALTH DEPARTMENT 9 1600 OSGOODSTREET; BIJILDING 20; SUM,M6 j, f NORTH ANDOVI"R., MASSACI 1USETTS 01845 C MWU Stllfln V.SAWyer,REHS/RS 978.688,0540-Phone Public Health Director 978,688.8476-FAX WEIBSI'TI.,htt Health Nowtiofinortham Lovvra ILI SEPTIC 1PLANSUBMITTAL FORM p7f- 7"'97 n Date of Submission:- 0 � MAY 15 2008 Site Looation 5—o zgr T— TOvvir!or- QRTH ANDOVER Engineer, q HEALT�16EPARTMENT �,I Lrj d 4. New Plans? Yes— $2125/Plan Check#—(includes I"submission and one re- review only) Revised Plans?Yes $75/Plan Check#— J)Z�v�c29) Site Evaluation Forms included? Yes_ No Local Upgrade Form Included? Yes No Telephone#: 3-73— 2!�'5`0 Fax#: C/ r 9 6 OCZ' Homeowner Name:— /.A)C QFFICE UE ONLY When the sub is complete(including check): Date stamp plans and letter Complete and attach Receipt Copy File, Forward to Consultant --Enter on Log Sheet and Database. MAY-15-2008 01 :08 Arg P.0 FAX COVER SHEET PROFESSIONAL LANs wRwEs,ix Engineering and Survey Services 1140 MAIN STREET HAVERHILL, MA 01832 978.373.9950 978.373 4190 SEND TO �^ From 1v 6,vo ovgmu 0 - ( 3— u 6) lce location ""`—�- '�_.� d'�.��''�� NAVERHILL Fax numbi f�hone number 979,373.9950 I �1 UrD�►t ❑ Reply ASAP Rteaste comment please review [X] For your lnfamwdOn Total pages,including cover, z_ COMMENTS l _ OL I April 6, 2008 Paul Plisinski 17 Myrick Drive Falmouth, Ma. 02540 Town of North Andover Public Health Department Director Susan Y. Sawyer RE: 1. BOH letter dated 4-4-08, based on Town Counsel's advice 2. NA Public Health Dept. letter undated, received March 18, 2008 Subject: Variance/Waiver - Septic System Design, Lot 2, 503 Forest Street, N. Andover Dear Ms Sawyer, This letter is in response to your reference 1 letter. You stated that approval of the subject septic system would require a waiver/variance from the Board of Health, or conduct additional deep hole (DH) tests. We feel strongly that under the circumstance related to the Long Pasture subdivision and our lot 2 that additional deep hole tests are unnecessary. Therefore I request that you place us on the next, April 17, 2008, Board of Health meeting agenda to discuss a waiver. I appreciate your use of email to insure that I would have time, however short, to make the April 7h closing date for this request. Yours Very Truly, Paul I Plisinski i Town of North Andover g1ORTh� Office of the Health.Department Community Development and Services Division 00 e 0- 27 Charles Street 'ls.9s w •o �� North Andover, Massachusetts 01845 Sandra Starr !:-, rvL / 40 Health Director P January 8, 2002 Bill Holt Professional Land Services 61 Garrison Street Groveland, MA 01834 Re: 503/505 Forest Street Dear Bill: This is to notify you that the plans dated 11/26/01 for the proposed home at 503/505 Forest Street have been approved for a dwelling with a maximum of 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 cc: Plisinski file SS/smc BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 f MORTh q � r s t • i q • e TOWN OF NORTH ANDOVER ^`1 4 U HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER. MASSACHUSETTS 01845 Sandra Starr.R.S.. C.H.O. Telephone(978)688-9540 Public Health Dircctor FAX(978)688-9542 June 4, 2003 Mr. Paul Plisinski 505 Forest Street North Andover, MA 01845 Dear Mr. Plisinski, At the May 22, 2003 Board of Health meeting, it was voted by the Board to allow Mr. And Mrs. Paul Plisinski of 505 Forest Street a two-year extension for septic construction due to ongoing litigation regarding a neighboring subdivision. A motion was made by Cheryl Barczak to approve the extension, and seconded by Mr. Markey. All Board members were in favor. Sincerely Brian LaGrasse Health Inspector /pd TOWN OF NORTH ANDOVER NORrM Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1p 400 OSGOOD STREET . : NORTH ANDOVER, MASSACHUSETTS 01845 "ssACM „s Susan Y. Sawyer,REHS/RS 978.688.9.540-Phone Public Health Director 978.688.9542-FAX healthdept@townofnortliandover coin www.townoffiorthandover.com David Lurie Lurie&Krupp,LLP One McKinley Square Boston,MA 02109 April 6,2005 Dear Mr.Lurie, The North Andover Health Department-has-received your letter of March 23,2005 regarding the subsurface disposal(SDS)plan for Lo 2 505 Forest,Street.:The_:SDS plan for this property was approved on December 27, 2001. At the May 22, 003"Board of Health meeting,the members voted to allow your clients,Mr. and Mrs.Paul Plisinsld,a two-year extension for septic construction due to ongoing litigation. With this extension,this plan was approved for a total of four years,and it is interpreted that final construction was expected by December 27, 2005. Your recent request is for an additional two-year extension for the same reason. The Massachusetts Department of Environmental Protection(MA DEP)regulations 310 CMR 15.020(3)states the following;"The local approving authority or the Department may issue a written one year extension to the Disposal System Construction Permit required by 310 CMR 15.020(1)upon written request of the permittee,filed before the expiration date,and documented showing of facts preventing the completion of the approved system within the time frame of the original permit.Only one extension shall be granted."The North Andover local regulations sections 3.03 and 3.05 have similar language. As I have indicated,the North Andover Board of Health granted a two-year extension for construction,which already exceeds the time provided by the MA DEP and the N. Andover Regulations. A second extension is not allowed.Therefore,the SDS 1 or the construction plan, o of it unfortunately cannot be extended further. If allowed to expire,this plan can be resubmitted with updated information for review.Please be advised that the percolation tests are good in perpetuity,however deep hole tests are good for only two years in N. Andover,therefore the deep hole tests may require additional excavation depending on the site conditions.Also,if any other local or state regulations have changed since the original approval,the plan may have to be updated to fully comply with current standards.Please consult your design engineer for further details. Once approved,the plan will have a two-year approval time for construction with a possible one-year extension. I have attached the related documents for your review. If you have any additional questions,please do not hesitate to contact me. 2Sincerelyer,REHS/RS Public Health Director Cc:Paul Phsinsld,Property owner Attachments: DEP 310.CMR 15.020 North Andover Reg. 3.03 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15,020: Disposal System Construction Permits (1) No person shall construct, upgrade, or expand a system without a Disposal System Construction Permit which has been issued by the approving authority after the soil evaluation set forth in 310 CMR 15.100 through 15.107 has been completed. In the event it is discovered during installation of the system that site conditions differ from those contained in the soil evaluation and/or the approved design plans, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal System Construction Permit. Except for subdivisions entitled to M.G.L. c. 111, § 127P protection,M.G.L. c. 40B comprehensive permit land, and large systems with approved plans and disposal system construction permits issued by March 31, 1995 all as set forth in 310 CMR 15.005 (transition rules) or pursuant to a variance issued by the Department in accordance with 310 CMR 15.415, a Disposal System Construction Permit shall not authorize increased design flow which would bring the total design flow to 10,000 gpd or greater but less than 15,000 gpd. Disposal System Construction Permits shall be in a form approved by the Department. (2) All systems for which a Disposal System Construction Permit has been issued shall be completed, and the Certificate of Compliance shall be obtained, within three years of issuance of the permit. Unless an extension pursuant to 310 CMR 15.020(3) is issued, the permit, and any variances or local upgrade approvals from 310 CMR 15.000 allowed therewith, shall expire if the work by it authorized is not completed within the three-year period. (3) The local approving authority or the Department may issue a written one year extension to the Disposal System Construction Permit required by 310 CMR 15.020(1) upon written request of the permittee, filed before the expiration date, and documented showing of facts preventing the completion of the approved system within the time frame of the original permit. Only one extension shall be granted. 15.021: Certificates of Compliance (1) No person shall discharge sewage to a new, upgraded or expanded system without first obtaining a Certificate of Compliance from the approving authority in accordance with 310 CMR 15.021(2)through (6). Certificates of Compliance shall be in a form approved by the Department. The approving authority shall provide the owner or operator a copy of the r 3.03 Design Review Approval Permit: Plans of the proposed subsurface sewage disposal facility must be approved by the Board of Health and a Plan Review Fee paid prior to Design Review approval and prior to an application for building construction (Form U) being submitted to the Board of Health. Approval of the plans shall expire two years from the date approved, unless construction of the individual subsurface sewage disposal system has begun prior to the expiration date. Such approval shall be invalid if conditions different than those set forth in the application or on the planes are found. 3.04 Building or Plumbing Permits: No building permit, foundation permit, special building permit or plumbing permit shall be issued until a Sewer Entrance Permit or Board of Health approval has first been obtained, unless the Board of Health determines that the proposed design flow or existing sewage disposal system is adequate for the dwelling, including any proposed new construction, alteration of or an addition to an existing dwelling, and a system inspection shows that any existing septic system is functioning as designed. Any alteration of the footprint of an existing dwelling, other than that caused by open decks, or increase in design flow shall require an investigation into the condition and capacity of the existing septic system. 3.05 Disposal - Works Construction Permit: No person shall engage in the construction, alteration, installation or repair of any individual disposal system without first obtaining a Disposal Works Construction Permit from the Board of Health. Such permits shall be valid for 2 years and construction shall begin within the 2-year period or the permit shall expire along with all approvals and variances. The North Andover Board of Health may issue a one-year extension to the Disposal Works Construction permit upon the written request of the original applicant. if such request is filed for Board of Health adjudication prior to the expiration date. Documentation showing facts as to why completion of the approved system was prevented within the time frame of the permit shall be submitted with the letter of request. Only one, one-year extension shall be granted. If during construction it is discovered that site conditions differ from those stated on the approved plans, the installer shall cease work and notify the Board of Health. If conditions are. significantly different from those on the approved plan, the Disposal Works Construction Permit and the design approval shall become void. Installation of septic systems shall take place between March 1 st and December 1 st, weather permitting, with all systems completed b December 1st of each year. All applications for septic installations in any given year shall be made prior to November 15th of that year. II Page 11 DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, June 22, 2006 12:12 PM To: DelleChiaie, Pamela Subject: 505?? Forest Susan, Paul Plisinski just missed your call. It is regarding a septic system at (he did not know which#) Forest Street. Please call him at 508.548.1917. Thank you. Pam I called him back just now. He thinks it is 505, Bill Holt PLS is the Engineer. They will be submitting revised plans in a month or so. When they come in only charge him a revision $$. Please flag this for me to review. This is an old one coming back in with a new date. It got held up in Con Com, lawsuit w/ the gas line etc. for a couple of years. It should not need a review by Mill River. Susan Sawyer, R.S. Public Health Director office 978 688-9540 fax 978 688-8476 bit` F6• � // ORA t«.a[iewnc«`'' �9SSgcHus���y PUBLIC HEALTH DEPARTMENT Community Development Division Professional Land Surveyors William Holt, R,S.,PLS 1148 Main Street Haverhill, MA 01830 RE: Septic System Design, Lot 2, 503 Forest Street,North Andover, Map 106B,Lot 07 The proposed revised septic system design plan for the above site dated February 6, 2008 and received on February 20, 2008 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design is described below in each item. As background information;this septic plan for this property was first approved on December 27, 2001. The file indicates thereafter that the property's owners were in litigation that was recently settled that prohibited them from installing the approved septic system. During the passage of time, the Health Department approved a 2-year extension for construction in May of 2003 until 2005. A letter was sent to your client's attorney in April of 2005 indicating that if allowed to expire this plan could be resubmitted for review, but additional extension time could not be granted. The letter also indicated that additional soil testing may be required and any new regulations would apply. In June of 2006 a conversation was held with Mr. Plisinski regarding a revised plan. The Health Department received this revised plan on February 20, 2008. Please address the following: 1)Insufficient and expired deep hole information. 310 CMR 15.102 requires 2 deep holes in the primary area and 2 in the reserve area of a new septic system plan. In addition, local North Andover regulations require deep hole information to expire in 2 years. Soil tests were conducted in 2001. For these reasons additional soil testing is required within the active and reserve areas and shown on the septic plan. If the tests vary from the previous conditions, the plan should be adjusted to comply with the regulations. The application and fee schedule for the additional soil tests may be found on our website. http://www.townofnorthandover.com/PagesNAndoverNIA Health/permitsandregs. These tests can be conducted at any time of the year. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com • 1 �r • • �,� to i � r . . ) ,I: i i') e. ..l ' � F I ' . .+ _ !r1 :� ��. . � I P ,0 � ! 'yf rl,)r ... �. ) �i 1��. r 1 ��) � l .I .. � .. _ t -t � I � .4 �)t) 1)f t� `I'... . . [ .-iI' �' f ) 1 - a ,, �•, .r' r 'l�A ) (. j?! r,, .:� r, I ., r,l r .,� r�".Li ,r1 i"'1. � , I ,. .r r .''" t I / ,r 1 it s 1 , f. i Irl,+ .i r � . "` ,,•i - •. !rr IrI .e l'r � t �! '_ _r - f,�)' �r.T� I ;i) ' � •' r .�) rr r.1, Ir) iA I � � - i 2)Plan shows gas baffle and effluent filter specs. Please remove unnecessary specifications and if a filter there is also no cover to grade to allow access to effluent filter. Effluent Tee Filter requirements 310 CMR 227 (7)"outlet cover to grade". Please show manhole cover to grade. Also show the outlet tees on the tank specification positioned under the access holes. 3)Profile note indicates access manhole. 31015.228 (1)"...septic tanks shall have a minimum of cover of nine inches. Systems buried greater than nine inches below grade must be equipped with risers on all tank top openings and the distribution box." (4) Owner address showed at 505 Forest as well as the abutter information showing John Rayner, owner of 505 Forest St. Please make correction as needed. Please note that the septic tank specification is not for a monolithic tank. The Town of North Andover requires that all tanks that are 2-piece be water tested for integrity when installed. A second revised plan must be submitted with the requested information and appropriate fees. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Susan Y. Sawyer,REHS/RS Public Health Director cc: Owner, Paul Plisinski File I I i i i 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com to March 21, 2008 Paul Plisinski 17 Myrick Drive Falmouth, Ma. 02540 Town of North Andover Public Health Department Director— Susan Y. Sawyer RE: NA Public Health Dept. letter undated, received March 18, 2008 Subject: Septic System Design, Lot 2, 503 Forest Street, N. Andover Dear Ms Sawyer, I must assume that you have failed to approve the subject septic system design because you are not aware of the content of Town's settlement agreement with us. I also noticed that you did not send a copy of your letter to Town counsel. The settlement agreement binds the North Andover Board of Health (BOH)to a re-review and approval of the Sanitary Disposal System Design Plan that previously expired due to the pendency of litigation with the Town. A copy of this plan was included in the settlement agreement as Exhibit G. By definition, a re-review means the BOH shall review the data previously submitted to the Board which resulted in the original approval. The BOH does not have an option to require new data. The BOH must review the data on file and provide a letter of approval. If the BOH fails to provide the subject approval, the BOH is in breach of the settlement agreement. In item number 1 of your letter you refer to a local North Andover regulation which requires deep hole information to expire in 2 years. It is important to note that this regulation is a Local regulation; a regulation that is within the authority of the Board to waive. Since Town counsel had months to review the settlement agreement prior to the Town signing it, it is clear that a waiver was intended. i Regarding items 2 thru 4 of your letter: As I stated before, a copy of the septic system design plan was included in the settlement PY as was a agreement co of the Notice of Intent OI . The NA g Conservation Commission made changes to the NOI during the 15 months the settlement negotiations were in progress. The BOH made no request to modify or change the septic system design plan during this negotiating period even though the plan was on file and included in the settlement agreement. We are under no obligation to make the requested changes as the BOH had ample time to request these changes during the negotiating process. We will consider accepting the editorial changes, items 2, 3, and 4 of your letter if conditioned in the BOH approval letter. Upon receipt of the approval letter from the BOH we will incorporate these changes. Regarding the background information you provided, settlement agreement paragraph 5, Controlling Provisions, addresses those issues. The settlement agreement is the single controlling document regarding all required Town approvals. I suggest that you discuss the BOH approval of the subject septic system with Town counsel and request that he provide you copies of the settlement agreement paragraphs which pertain to the BOH approval. It is unfortunate, if the BOH was not informed of the commitment made by the Town on behalf of the BOH. Again I suggest you discuss the required BOH approval with Town counsel. Yours Very Truly, Paul J. Plisinski AGREEMENT AND RELEASE 1. Obligations of the Parties a. -Approval of the`-Plisinski Driveway by the North Andover . Conservation Coin Mission. The North Andover Conservation Commission will approve the Plisinskis' proposed driveway as shown on a plan entitled "505.Forest-Street, North Andover, Mass. Lot t"signed by Michael J. Cuneo, P.E. dated August 24, 20-01, revised October 10, 2001, March 12, 2002, and July 26, 2006, and a plan entitled "505 ForestStreet, North Andover, Mass. Driveway Detail signed by Michael J. Cuneo, P.E. dated September 24, 2001, revised September 17, 2001, March 12, 2002, which plans were previously approved by the Massachusetts Department of Environmental Protection and which have been modified to show the following mitigation measures. See Exhibit E. _attached hereto. As part of its approval, the Conservation Commission will require the Plisinskis to install the following mitigation measures discussed on March 29, 2006: a post and rail fence tracking the 50' no-build boundary of the wetland area, extending from the proposed driveway to the property line on the other side of the property; and a line of shrubs at the rear of the property. These measures will be approximately as shown on a colored referenced plan and as discussed at the above meeting, except that the fence will not extend to Forest Street as shown on that plan. The Plisinskis will be required to put wetlands signs along the shrubs and to replace the wetlands flags that previously were in place at the property. b. Filing of Notice of Intent by the Plisinskis. The Plisinskis will file a new Notice-of Intent with the Conservation Commission but will not be required to re- delin'eate the wetlands on`theproperty. The Plisinskiswill essentially-resubmit the' 'same' applicaii'on-backage that was the subject oftheir`previous Notice of Intent applie'ation;: .x. - modified by DEP Superceding Order of conditions and revised per the above mitigation measures. See Exhibit E attached hereto: The Conservation Commission will waive the filing fee for the new Notice of Intent. The Conservation Commission will require a bond as per its usual and customary practice to secure compliance with provisions of the approval of the driveway, which will be returned/refunded upon the Commission's reasonable determination that the provisions have been complied with. If the terms and conditions of the Conservation Commission's approval are not acceptable to the Plisinskis, then the Plisinskis shall so notify the Town within ten (10) days of receipt of such approval, which shall render this agreement null and void, and the Conservation CommissiorY'may rescindAhe approval of the driveway and any order of-conditions related thereto. C. Approvals by the North Andover Zoning Board of Appeals and Board of Health.. The Conservation Commission's Chairman and/or Conservation Officer will support the Plisinskis' requests a to the North Andover Zoning Board for deletion of q ( ) g Item #5 of Petition 024-98 that the driveway cross the lot formerly owned by the Plisinskis, see Exhibit F attached hereto; and (b) to the North Andover Board of Health fora re-review and approval of the Sanitary Disposal System Design Plan that previously expired due`to the-pendency-of this matter. See Exhibit G. This settlement is expressly v SETTLEMENT AGREEMENT AND RELEASE This Settlement Agreement and Release ("Agreement") is entered into by and between Paul and Margaret Plisinski (the "Plisinskis") and the Town of North Andover, Town of North Andover Planning Board, and Town of North Andover Conservation Commission (together the "Town"). RECEIVED MAR 2'8 2008 RECITALS TOWN OF rd.PRTH ANDOVER HEALTH DEPARTMENT WHEREAS, on February 22, 2002, the Plisinskis filed a certiorari action seeKing equitable relief from the Town and various members of the North Andover Conservation Commission in Essex Superior Court, Civil Action No. 2002-00351; WHEREAS, on June 13, 2002, the Plisinskis filed a second action against the Town, the North Andover Planning Board, the North Andover'Conservation Commission; Stephen and Lisa Crowley, Crowley Construction and General Contracting, inc.; William and Cnndrn Nign, inrlivirliially and as trustees of Sandybill Realty Trust; b_•, ___•�_ Litha Flynn; and Long Pasture Development Corporation in Essex Superior Court, Civil Action No. 2002-01128; WHEREAS, the Plisinskis and the Town deny any and all liability to each other; and WHEREAS, the Plisinskis and the Town desire to settle their disputes; NOW, THEREFORE, in consideration of the foregoing recitals, and the mutual promises and agreements contained herein, and for other good valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Plisinskis and the Town agree as follows: conditioned upon the Plies -'s' receipt of these approvals by the Zoning Board of Appeals and Board of Health. If such approvals are not received, or if the Plisinskis do not fulfill their obligations under this agreement, then the approval by the Conservation. Commission shall be null and void, and the Conservation Commission, the Zoning € Board, and the Board of-Health,may rescind any newly=is sued:approvals of the driveway and any;oxder,of conditionsbr.permits;related thereto.,This Agreement will be null.and_., void unless all',above-r.eferenced;approvals by the.Conservation Commission, Board of Health;and Zoning Board.ofthe Plisinskis driveway are;obtained no later than twelve (12) months after execution of this agreement. d. Payment by the Plisinskis. The Plisinskis shall pay the Town Five Thousand ($5,000) Dollars upon issuance of the aforementioned approvals by the Conservation Commission, Zoning Board, and Board of Health. Such money shall be held in escrow by the Town pending the expiration of any period for filing of appeals from such approval, or the final denial of any appeals of such approvals, whichever is later. The Plisinskis shall pay the Town an additional Twenty-Five Thousand_($25,00.0) Dollars upon closing of a sale of the property to a third party with a fully-permitted driveway. In order to secure such payment, the Plisinskis will provide the Town with a first position mortgage on the property and a related promissory note consistent with the, terms of this settlement. The Plisinskis will execute contemporaneously with payment of the aforementioned $5,000 a mortgage ("Mortgage") and a promissory note ("Promissory Note") in the forms attached hereto as Exhibits A and B, respectively. The Town may record the Mortgage upon issuance of the approvals, provided, however, that in the event that any appeal of the approvals is successful, the Town, within five (5) business days of receipt of written notice of-same from the Plisinskis,;shall execute and record a discharge of the,Mortgage..No,interest:will.accrue on the.$25,000 until the later,of(a),fifteen..(15) months after all Town approvals for.the;propertyare;granted,or.(b),three,.(3) months after. final.denial of any appeal;.of any.such-approvals, at which time simple interest shall begin to accrue at aii.annual 6%rate. In the event the property Js sold to a third party.and.the . $25,000 is paid to the Town before final denial of any,such appeal, the Town shall hold the $25,000 'in escrow pending final denial of any such appeal. Upon the expiration of any period for filing of appeals from any Town approval, or upon final denial of any such i later, the monies aid b the Plisinskis and held in escrow may be appeals, which ever s Y pP P Y released to the Town. If any such appeals are successful, the Town shall return to the Plisinskis the monies paid by them and held in escrow plus interest earned. e,.. , „Approval by.DEP. The Plisinskis shall.arrange for(a) removal from the . DEP Consent Settlement for the Long Pasture Development of Conditions 35 and 36 requiring a construction of a berm along the border between Long Pasture and the Plisinskis' property, effective upon the expiration of any period for filing of appeals from any Town approval of the Plisinskis' driveway or upon final denial of any such appeals, whichever is later, or (b) a statement by DEP in the Certificate of Compliance for the Long Pasture development to the effect that the driveway to be constructed on the Plisinskis' property is acceptable in lieu of Conditions 35 and 36. The Plisinskis shall request such removal or statement in the Certificate of Compliance within ten (10) days of receipt of the last of the above-referenced approvals by.the Conservation Commission, , i' Board of Health, and Zoning Board, effective upon the expira on o-Any period for filing % of appeals from any Town approval of the Plisinskis' driveway or upon final denial of any such appeals, whichever is later. 2. Stipulations of Dismissal The parties will execute contemporaneously with this Settlement Agreement Stipulations of Dismissal with Prejudice in the forms attached hereto as Exhibits C and D,respectively. The Stipulations of Dismissal, waiving all costs and rights of appeal, will be filed with the court promptly upon the expiration of any last period for filing of appeals from any-Town approval of the Plisinskis' driveway, or upon last final denial of any such appeals, which ever is later. The Town will hold Exhibits C and D, as executed, in escrow pending filing with the court. 3. General Release and Discharl4e Except for the obligations of each party under this Agreement, the Plisinskis on behalf.of, and for themselves, their past, present, and future agents, representatives, insurers, re-insurers, administrators, executors, predecessors; successors and all their issue, heirs and assigns, hereby release the Town, its officers, directors, employees, agents, insurers, attorneys or any one of them of and from all debts, demands, rights, actions, causes of action, suits, controversies, accounts, covenants, contracts, agreements, damages, costs, loss of service, expenses, dues, sums, sums of money, bonds, payment of attorneys' fees, litigation expenses and costs, arbitration expenses and costs, indemnities, exonerations, promises, doings, omissions, extents, executions and any and all claims, demands and liabilities whatsoever of every name and nature, both in law and equity, known or unknown, which the Plisinskis now have or may have from the beginning of the world to this date against the Town, its officers, directors, employees, agents, insurers, attorneys or any one of them, that were or could have been asserted in the civil actions entitled Plisinski v. Town of North Andover, Essex Superior Court, Civil Action No. 2002-00351 and 2002-01128, and any claim arising out of the prosecution or defense of those actions, including without limitation claims relating to the'development of a driveway on their property, and excepting only their obligations to comply with the specific terms of this Agreement. This release is effective upon the expiration of any last period for filing of appeals from any Town approval of the Plisinskis' driveway, or upon last final denial of any such appeals, which ever is later, or upon sale of the property to a third party where the Plisinskis did not retain any interest in the property'sufficient-to confer standing on them to continue to defend any such appeals. 4. Indemnification by the Plisinskis The Plisinskis shall defend, indemnify and hold harmless the Town, from and against any and all claims, demands, fees, expenses, costs,,liabilities,judgments and damages, incurred by'cir assertedagainst the Town concerning the relocation of the:.'. f Plisinskis"approved'driveway'as the`result of any claim' s brought"by the persons who bought Lot 1 formerly owned by the Plisinskis. 5. Controlling Provisions a. This Agreement contains the entire agreement and understanding between the Plisinskis and the Town concerning the subject matter of this Agreement and supersedes and replaces all prior or contemporaneous negotiations, representations, proposed agreements and agreements, written or oral, with respect to such subject matter none of which prior or contemporaneous matters shall be binding upon the Plisinskis and the Town. There have been no inducements or representations upon which.this Agreement has been entered into except as set forth in this Agreement. b. The Plisinskis and the Town are executing this Agreement as part of the settlement of claims that are contested and denied, and nothing herein, nor any consideration received therefore, shall be used or construed as an admission by any party of any liability or any wrongdoing of any kind whatsoever. C. This Agreement shall be construed as if the parties jointly prepared it and any uncertainty or ambiguity shall not be interpreted against any one party. d. If any term or provision of this Agreement is held by a court of competent jurisdiction to be invalid, illegal or contrary to public policy, such term or provision shall be modified to the extent necessary to be valid and enforceable and shall be enforced as modified,and the remaining provisions of this Agreement shall not be affected thereby. e. This Agreement may be executed in counterparts which, when taken together, constitute the entire agreement between the parties hereto, and each counterpart shall bind the party executing it. f. Each party acknowledges that it has had the opportunity to be represented b counsel of its choice in negotiating and concluding this Agreement, and that each has Y g g g entered in this Agreement as a free and voluntary act. g. This Agreement and any disputes arising hereunder shall be governed by and construed and enforced in accordance with the laws of the Commonwealth of Massachusetts, without regard to principles of conflicts of law. All disputes arising hereunder shall be resolved in the Superior Court of the Commonwealth of achusetts, county of Essex, which shall have exclusive jurisdiction, and the parties consent to personal /jurisdiction of the Massachusetts courts. h. The parties agree to execute any further documentation necessary to carry out the teinis of this settlement agreement: IN WITNESS WHEREOF the parties have executed this Agreement on the date(s) indicated below. Paul Plisinski Date Mar�gar to Plisinski Date THE TOWN F NOR NDOVER w By: G Title: Jilu -� NORTH ANDOVER N ERVATION COMMISSION By: 7 42e� Title: NORTH ANDOVER PL IN BOARD B Y� ate Title: URBELIS&FIELDSTEEL,LLP 155 FEDERAL STREET BOSTON,MASSACHUSETTS 02110-1727 Andover THOMAS J.URBELIS Telephone 617-338-2200 Telephone 978-475-4552 e-mail tju@uf-law.com Telecopier 617-338-0122 March 25,2008 RECEIVED Board of Health 2008 North Andover Town Hall MAR 2 8 1600 Osgood Street North Andover, MA 01845 T HEALTH bE f=R AR ME T RE: PLISINSKI V.NORTH ANDOVER Dear Board Members: Enclosed is a copy of the April,2007 Settlement and Release. there ocument on he last m The Board of Health is not a signatory to the d of Health to tapprove aganitary disposal system is nothing Paragraph 1(c)which requires the Bo design plan. In fact,the paragraph has a provision as to the consequences if the Board of Health does not approve such a plan. Please call if you have any questions. Very truly yours, Thomas J. rbelis TJU:kmp Enclosure cc: Susan Sawyer (w/enc) NORTF� O�.t�EO 6gti • O c O cxwiwrc« 4� ��SSAC HUS���� PUBLIC HEALTH DEPARTMENT Community Development Division April 4, 2008 i Paul Plisinski 17 Myrick Drive Falmouth, MA 02540 Re: Proposed septic system for 503 Forest Street,North Andover Dear Mr. Plisinski, Thank you,for your patience for the response to your correspondence of March 21, 2008. I have received a communication from Attorney Thomas Urbelis, which I have attached for your convenience. After reviewing all documents, I believe that I am up to speed on this issue. Whether you agree with the interpretation or not, please know that your statement is correct that the expiration of a deep hole soils test is a local requirement and as such it is"within the authority of the Board to waive". Had your engineer known your desire to request such a waiver, they should have done so along with the application for plan review. Additionally, all variance requests have to be placed on the actual plan as well. All requests for variances must be submitted in writing to the Board of Health and then discussed at a regularly scheduled BOH monthly meeting. At that time you may make your formal request to the board members. The decision to grant the variance to this local regulation will be the decision of the board, as Health Staff does not have this power. The next Board meeting is April 17, 2007. The agenda for the meeting closes on April 7 , A simple e lett r stating your request is needed to get you on the agenda. Plans showing the corrections to the other items, along with the specific citing of the variance requested, should be submitted to the Health Office as well. Alternately, if you choose to do additional testing, rather than attempt to get the variance, the procedure mentioned still stands as in the disapproval letter. Thank you. Sincere , S an Sawyer, RE .� HSIR4� Public Health Director Cc: William Holt, PLS Thomas Urbelis, Town Atty. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com � •J �•- i r .t -`..- .v�. 1 j r` �j1'(l t I .I I • ,t)•il ji;il / J'�� E�. (. 1 I� �. � r' , r: •J•tE,, t .'r'i rt .. i rr 9 r.• .. �� �I ✓ ii .7i�I.�)r . :1. . Sf(?✓ rr , �i ��il � • ' itt'.ill `� r'-J I ?i l.:r. I L.,I Et,- bt,f} .✓',•�J r,t r� /.E� � tf J _ { r ' I �i ,1: I' 'r' �� I r I.J.t J� � {�� 9. �J � ,{ � {' .. r r: t.� � i{1 '♦ '� .�i�. 1' . � .. - . J t � ( r•, +, �. t u� r ,.. t l: , . t r� rt - .. . .. `7J4�1 { 9 . /�?+! .. / � . 11 . li, r_ ' r If E• . ��i :f ' ? I ' �lr { ., ��? 'lrt f L I � + r .r I is t `.'I. �i. 'i7 t?"�r, 1� X11 � .•J J•' . f 1 .'. i � , 11 I.�I J � .I I , ., '} � r � •tl I 1. I I � f' t-t ! I. .! ' I � t r ' '. 1, r" f !' s� r i rj � � t r I 1t'' �r. ,{ .{ � ,. � � . . _� —-—__- __r- -—`..�- - April 6, 2008 Paul Plisinski 17 Myrick Drive Falmouth, Ma. 02540 Town of North Andover Public Health Department Director— Susan Y. Sawyer RE: 1. BOH letter dated 4-4-08, based on Town Counsel's advice 2. NA Public Health Dept. letter undated, received March 18, 2008 Subject: Variance/Waiver- Septic System Design, Lot 2, 503 Forest Street,N. Andover Dear Ms Sawyer, This letter is in response to your reference 1 letter. You stated that approval of the subject septic system would require a waiver/variance from the Board of Health, or conduct additional deep hole (DH)tests. We feel strongly that under the circumstance related to the Long Pasture subdivision and our lot 2 that additional deep hole tests are unnecessary. Therefore I request that you place us on the next, April 17, 2008, Board of Health meeting agenda to discuss a waiver. I appreciate your use of email to insure that I would have time, however short,to make the April 7"' closing date for this request. Yours Very Truly, Paul J. Plisinski i VORT� lip— 0 US eoe.e a ewrcw PUBLIC HEALTH DEPARTMENT Community Development Division April 4, 2008 Paul Plisinski 17 Myrick Drive Falmouth, MA 02540 Re: Proposed septic system for 503 Forest Street,North Andover Dear Mr. Plisinski, Thank you.for your patience for the response to your correspondence of March 21, 2008. I have received a communication from Attorney Thomas Urbelis, which I have attached for your convenience. After reviewingall documents, I believe that atIamu p to speed on this issue. Whether you agree with the interpretation or not, please know that your statement is correct that the expiration of a deep hole soils test is a local requirement and as such it is"within the authority of the.Board to waive". Had your engineer known your desire to request such a waiver, they should have done so along with the application for plan review.. Additionally, all variance requests have to be placed on the actual plan as well. All requests for variances must be submitted in writing to the Board of Health and then discussed at a regularly scheduled BOH monthly meeting. At that time you may make your formal request to the board members. The decision to grant the variance to this local regulation will be the decision of the board, as Health Staff does not have this power. The next Board meeting is April 17, 2007. The agenda for the meeting closes on April 7th. A simple letter stating your request is needed to get you on the agenda. Plans showing the corrections to the other items, along with the specific citing of the variance requested, should be submitted to the Health Office as well. Alternately, if you choose to do additional testing, rather than attempt to get the variance, the procedure mentioned still stands as in the disapproval letter. Thank you. Sincere, Susan Sawyer, REH /k Public Health Director Cc: William Holt, PLS Thomas Urbelis, Town Atty. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone, 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Paul J. Plisinski RECEIVED 17 Myrick Drive Falmouth, Ma. 02540 FEB 2 Q 2.008 508-548-1917 VE TOWN OF N.��0 PAR�ANDO T R January 30, 2008 Town of North Andover Board of Health Public Health Director Susan Y. Sawyer, REHS/RS Reference: Settlement Agreement—Plisinski vs NA Dear Susan, In accordance o dance wrth the referenced agreement I am requesting our engineer, Welham Holt, of Professional Land Services L.C. to submit our approved plans for re-review. Paragraph Ic.(b) of the referenced agreement states"The Conservation Commission Chairman and/or Conservation Officer will support the Plisinskis' request to the North Andover Board of Health for a re-review and approval of the Sanitary Disposal System Design Plan that previously expired due to the pendency of this matter." You may or may not remember that I discussed this matter with the BOH in September 2006. We were asked to some how high light this re-review from the norm. I trust this letter will serve that purpose. Finally, since this is our first re-review, in accordance with the Permit Fee Schedule, no additional fee is required. Very Truly Yours, Paul J. Plisinski f < t � r SETTLEMENT AGREEMENT AND RELEASE This Settlement Agreement and Release ("Agreement") is entered into by and between Paul and Margaret Plisinski (the "Plisinskis") and the Town of North Andover, Town of North Andover Planning Board, and Town of North Andov D Commission (together the "Town"). MAR 2 8 2008 RECITALS OHEAL�TH DEPARTM NTTHANDOVER WHEREAS, on February 22, 2002, the Plisinskis filed a certiorari action seeking equitable relief from the Town and various members of the North Andover Conservation Commission in Essex Superior Court, Civil Action No. 2002-00351; WHEREAS, on June 13, 2002, the Plisinskis filed a second action against the Town, the North Andover Planning Board, the North Andover'Conservation Commission; Stephen and Lisa Crowley, Crowley Construction and General Contracting, Tnc, William and -----.a Nigro, inrliviclnally and as trustees of Sandybill Realty Trust; b_•, _�......__ Litha Flynn; and Long Pasture Development Corporation in Essex Superior Court, Civil Action No. 2002-01128; WHEREAS, the Plisinskis and the Town deny any and all liability to each other; and WHEREAS, the Plisinskis and the Town desire to settle their disputes; NOW, THEREFORE, in consideration of the foregoing recitals, and the mutual promises and agreements contained herein, and for other good valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Plisinskis and the Town agree as follows: y 1 � y 1 AGREEMENT AND RELEASE 1. Obligations of the Parties a. Approval of the Plisinski Driveway by the North Andover Conservation Commission. The North Andover Conservation Commission will 4' approve the Plisinskis` roposed driveway as shown'on a plan'entitled "505 Forest`Street, North Andover,Mass.1ot2" signed by Michael J. Cuneo, P.E. dated August 24; 2001; revised October 10, 2001, March 12, 2002, and July 26, 2006, and a plan entitled "505 Forest Street,North Andover, Mass. Driveway Detail" signed by Michael J. Cuneo, P.E. dated September 24, 2001, revised September 17, 2001, March 12, 2002, which plans were previously approved by the Massachusetts Department of Environmental Protection and which have been modified to show the following mitigation measures. See Exhibit E. attached hereto. As part of its approval, the Conservation Commission will require the Plisinskis to install the following mitigation measures discussed on March 29, 2006: a post and rail fence tracking the 50'-no. -build boundary of the wetland area, extending from the proposed'driveway to the property line ori the other side of the property; and a line of shrubs at the rear of the property. These measures will be approximately as shown on a colored referenced plan and as discussed at the above meeting, except that the fence will not extend to Forest Street as shown on that plan. The Plisinskis will be required to put wetlands signs along the shrubs and to replace the wetlands flags that previously were in place at the property. b. Filing of Notice of Intent by the Plisinskis. The Plisinskis will file a new Notice of Intent with the Conservation Commission but will not be required to're`- delineate the wetlands'on the property. The Plisinskis will essenti-ally'resubmitthe same ' annhcation package that was the subiect of their previous Notice of Intent application, modified by DEP Superceding Order of conditions and revised per the above mitigation measures. See Exhibit E'attached hereto. The Conservation Commission will waive the filing fee for the new Notice of Intent. The Conservation Commission will require a bond as per its usual and customary practice to secure compliance with provisions of the approval of the driveway, which will be returned/refunded upon the Commission's reasonable determination that the provisions have been complied with. If the terms and conditions of the Conservation Commission's approval are not acceptable to the Plisinskis, then the Plisinskis shall so notify the Town within ten (10) days of receipt of such approval, which shall render this agreement null and void, and the Conservation Commission may rescind the approval of the driveway and any order of conditions related thereto. C. Approvals by the North Andover Zoning Board of Appeals and Board of Health. The Conservation Commission's Chairman and/or Conservation Officer will support the Plisinskis' requests (a) to the North Andover Zoning Board for deletion of Item #5 of Petition 024-98 that the driveway cross the lot formerly owned by the Plisinskis, see Exhibit F attached hereto; and (b)to the North Andover Board of Health for a re-review and approval of the Sanitary Disposal System Design Plan that previously expired due to the pendency of this matter. See Exhibit G. This settlement is expressly conditioned upon the Plisinskis' receipt of these approvals by the Zoning Board of Appeals and Board of Health. If such approvals are not received, or if the Plisinskis do not fulfill their obligations under this agreement, then the approval by the Conservation Commission shall be null and void, and the Conservation Commission, the Zoning Board, and the.-Board_of Health may rescind,any,newly-is.sued.approvals of the driveway and any order of conditions or,permits related thereto This Agreement will be null and.,,. p _. .:, s: void unless.all above referenced approvals,by the.Conservation Comrmssion, Board of Health, and Zoning Board of the Plisinskis.,driveway are obtained no later than twelve , (12).months after.execution of this agreement d. Payment by the Plisinskis. The Plisinskis shall pay the Town Five Thousand ($5,000) Dollars upon issuance of the aforementioned approvals by the Conservation Commission, Zoning Board, and Board of Health. Such money shall be held in escrow by the Town pending the expiration of any period for filing of appeals from such approval, or the final denial of any appeals of such approvals, whichever is later.. The Plisinskis shall pay the Town an additional Twenty-Five Thousand ($25,000) Dollars upon closing of a sale of the property to a third party with a fully-permitted driveway. In order to secure such payment, the Plisinskis will provide the Town with a f first position mortgage on the property and a related promissory note consistent with the terms of this settlement. The Plisinskis will execute contemporaneously with payment of the aforementioned $5,000 a mortgage ("Mortgage") and a promissory note ("Promissory Note") in the forms attached hereto as Exhibits A and B, respectively. The Town may record the Mortgage upon issuance of the approvals, provided, however, that in the event that any appeal of the approvals is successful, the Town; within five (5) business days of receipt of written notice..of same from the Plisinskis, shall execute and record a discharge 0 f the-Mortgage No interest will accrue on the $25,000,until.the later of(a) fifteen,(15) , months:.after all Town approvals for the property are granted or(bl three (3) months after final.denial.of any.appeal of any such,approvals, at which-time.simple;interest shalt begin. to accrue at an annual 6%rate. In the event the property-is soldao a third-party and the $25,000 is paid to the Town before final denial of any such appeal, the Town-shall hold', the $25,000 in escrow pending final denial of any such appeal. Upon the expiration of any period for filing of appeals from any Town approval, or upon final denial of any such appeals, which ever is later, the monies paid by the Plisinskis and held in escrow may be released to the Town. If any such appeals are successful, the Town shall return to the Plisinskis the monies paid by them and held in escrow plus interest earned. e. Approval by DEP. The Plisinskis shall arrange for (a) removal from the DEP Consent Settlement for the Long Pasture Development of Conditions 35 and 36 requiring a construction of a berm along the border between Long Pasture and thee' Plisinskis' property, effective upon the expiration of any period for filing of appeals from any Town approval of the Plisinskis' driveway or upon final denial of any such appeals, whichever is later, or (b) a statement by DEP in the Certificate of Compliance for the Long Pasture development to the effect that the driveway to be constructed on the Plisinskis' property is acceptable in lieu of Conditions 35 and 36. The Plisinskis shall request such removal or statement in the Certificate of Compliance within ten (10) days of receipt of the last of the above-referenced approvals by the Conservation Commission, ,v % S Board of Health, and Zoning Board, effective upon the expiration of any period for filing of appeals from any Town approval of the Plisinskis' driveway or upon final denial of any such appeals, whichever is later. 2.-, Stipulations of Dismissal - ,The parties will execute contemporaneously with this Settlement Agreement Stipulations of Dismissal with Prejudice in the forms attached hereto as Exhibits C and D,respectively. The Stipulations of.Dismissal, waiving all costs and rights of appeal, will be filed with the court promptly upon the expiration of any last period for filing of appeals from any Town approval of the Plisinskis' driveway, or upon last final denial.of.. E ..- i •. any such appeals, which ever is later. The Town will hold Exhibits C and D, as executed, . in escrow pending filing with the court. 3. General Release and DischarlZe Except for the obligations of each party under this Agreement, the Plisinskis on behalf of; and-for themselves, their past,,.present, and future agents,. . representatives,,insurers,.re-insurers, administrators, executors,predecessors,_successors and all their issue, heirs and assigns, hereby release the Town, its officers, directors, employees, agents, insurers, attorneys or any one of them of and from all debts, demands, rights, actions, causes of suits controversies, accounts covenants contracts agreements, damages, costs, loss of service, expenses, dues, sums, sums of money, bonds,pay_ment,of attorneys'_.fees; litigation expenses and costs, arbitration expenses and costs, indemnities, exonerations, promises, doings, omissions, extents, executions and any and all claims, demands and liabilities whatsoever of every name and nature, both in law and equity, known or unknown, which the Plisinskis now have or may have from the beginning of the world to this date against the Town, its officers, directors, employees, I agents, insurers, attorneys or any one of them, that were or could have been asserted in the civil actions entitled Plisinski v. Town of North Andover, Essex Superior Court, Civil Action No. 2002-00351 and 2002-01128, and any claim arising out of the prosecution or defense of those actions, including without limitation claims-relating`to=the=development' of a drivewa -on their 'property, and exce`ting only their-obli 'ations'to com Y.. with the Y p � Y g pY specific terms of this Agreement. This release is effective upon'the expiration of any last period for filing of appeals from any Town approval of the Plisinskis' driveway, or upon last final denial of any such appeals, which ever is later, or upon sale of the property to a third party where the Plisinskis did not retain any interest in the property sufficient to confer standing on them to continue to defend any such appeals. 4. Indemnification by the Plisinskis The Plisinskis shall defend, indemnify and hold harmless the Town, from and against any and all claims, demands, fees, expenses, costs, liabilities,judgrrients and damages, inc e,rPo 1w or asserted against the Town concerning the reloeatiori--of the Plisinskis' approved driveway as the'result`ofany claims brought by the'"persons'wlio bought Lot 1 formerly owned by the Plisinskis. 5. ControllinjZ Provisions a. This Agreement contains the entire agreement and understanding between the Plisinskis and the Town concerning the subject matter of this Agreement and supe rsedes'and=replaces all prior or contemporaneous'negotiations;representations, proposed agreements and agreements, written or oral, with respect to such subject matter none of which prior or contemporaneous matters shall be binding upon the Plisinskis and I r r a the Town. There have been no inducements or representations upon which this Agreement has been entered into except as set forth in this Agreement. b. The Plisinskis and the Town are executing this Agreement as part of the �e. settlement of claims that are contested and denied, and nothing herein, nor any consideration received therefore, shall be used or construed as an admission by any party of any liability or any wrongdoing of any kind whatsoever. C. This Agreement shall be construed as if the parties jointly prepared it and any uncertainty or ambiguity shall not be interpreted against any one party. d. If any term or provision of this Agreement is held by a court of competent jurisdiction to be invalid, illegal or contrary to public policy, such term or provision shall be modified to the extent necessary to be valid and enforceable and shall be enforced as modified, and the remaining provisions of this Agreement shall not be affected thereby. e. This Agreement may be executed in counterparts which, when taken together, constitute the entire agreement-between the parties hereto, and-each-counterpart shall bind the parry executing it. f. Each party acknowledges that it has had the opportunity to be represented by counsel of its choice in negotiating and concluding this Agreement, and that each has entered in this Agreement as a free and voluntary act. g. This Agreement and any disputes arising hereunder shall be governed by . and construed and enforced in accordance with the laws of the Commonwealth of Massachusetts, without regard to principles of conflicts of law. All disputes arising hereunder shall be resolved in the Superior Court of the Commonwealth of y? ,,chusN_,tts, county of Essex, which shall have exclusive jurisdiction, and the parties consent to personal jurisdiction of the Massachusetts courts. h. The parties agree to execute any further documentation necessary to carry out the teens of this settlement agreement. IN WITNESS WHEREOF the parties have executed this Agreement on the date(s) indicated below. Paul Plisinski Date Margaref Plisinski Date THE TOWN F NOR ANDOVER _ . i ... By: de Title: NORTH ANDOVER - NERVATION COMMISSION By: IU07 ate Title: i �. �1 1��Gn NORTH ANDOVER PL IN BOARD f �" ,rte ate Title: URBELIS & FIELDSTEEL, LLP 155 FEDERAL STREET _ BOSTON, MASSACHUSETTS 02110-1727 1 5'd TIF_ ® P B 8 5 3 2 6 1 5 9,304 00 .41 " MAR 25 08 1 6 7 0 MAILED Fl2r'M BOSTON MA. 0 2 1 1 0 North Andover Healt.n Department - 1.600 Osgood Street N..Andover, MA 011845 :Y 111 .1 fill Jill 111111111111 ill 1l!jj,jjii l Pi:4I1f1lllflllj l.,111.11111i11i : s t Mazda 2W15 civs Fay ss. Io-W-t o Nvnlh Arho-6a ��4CFtZTG?S1; DiTWO,of ttie E awd srf l ik-- I)m$ms.8awwr. MAR 4,Y 2005 A�3clreci ii ll�r.€erre.4,')1*-Ic�t�:r from �l ofFzea;th t.c�zt:r�;w,a twoc extension."A TOW 7 T%ef::s's£�,'#t's ii"y7t'3Ct)Y3`c. iVii;f4h di-C�s.+c b iF igazeE?`ct is vir."C4.i4i3 icK ii. ,ii#iC,ii;t�?3i 4�Xtlrit�chi' H AL7'W'yU rH ASVD c4t:€ tteii sc�issi stt ;tr:na;zt€.:=me? ; i �vicei�i P£ H DEPART M OVER tic�� r. ..ems a; ..�_ to asatr ;IV d we am& c><=cnlh;� � f. u ENT �;�pE��tx��r�s:.rk4t�zs asx�+.�..�s��c5l,+�as �xml le. {m-d'v.G vEe rolucm dial i;tu IS.ft&xl i:{paiw dw-ir.Pwe 1W13 cilanii'mi of our-Netltit F4iszM rkA6—US r+I'i4NW&Vlf,itx.thnt gVii::t a A:-1trF eey f rvi;�f_ €e is the ?,e:€s,is_ tgasti w.ask sc,r}•crus i :=d tuA~a Aing_ Tml- Lurie I rupp,lUP inv?t?:Kink—f Sgtir*r Ease*tom:eta 621.9 WethAtta:hmr-m Its4 ct.00 Bomdotficakidit�"'�4tCci c'r°st'. 7+%StiiEM`f. I L ANDOVER N fft-ALT U W P ARTMFUN 27 CF§:AR€.SsSTR€.'3 ✓wDka Starr,F.§..C.H.u. "64*om f9178k {r ie tf 3':Diromar FAX(M. )6n-454' Jmc 4,20w! RECEIVE® Mr.Pad Kilamki MAR 2S 2005 54?3 F;xest Street NIA 41.144. TOWN Or NOR'ri ANDOVER HEALTH DEPARTMENT ;tt Vac N13-22;2*l'-Wxlyd Of Fk6th ttMt B&it xis W)Wd b;dw,BMW to ago%M—,..And � tf i'tFsi .s.crf 1 t1i uresrt 5ttz ec .tit-y xc c�. ion fcx6c�iY17StFF1LFTt2f3 3 t4 of P�ins MwAkm a rthbo;iv%s sk=isi m. 1-,Rwq vw w. &by Edi :o 3W*--e€!re cv—siom and v=r=d�d bry MY_ovbax.?eftc` rt,saessr��were u-k&vfCw, Brian LaCawow 14,--atth b s�-k-wr i i i I i i i URBELIS&FIELDSTEEL,LLP 155 FEDERAL STREET BOSTON,MASSACHUSETTS 02110-1727 THOMAS J.URBELIS Telephone 617-338-2200 Andover e-mail tju@uf-law.com Telecopier 617-338-0122 Telephone 978-475-4552 RECEIVED March 25, 2008 MAR 2 8 2008 Board of Health TOWN OF NORTH ANDOVER North Andover Town Hall HEALTH DEPARTMENT 1.600 Osgood. Street North Andover, MA 01845 RE: PLISINSKI V.NORTH ANDOVER Dear Board Members: Enclosed is a copy of the April, 2007 Settlement and Release. The Board of Health is not a signatory to the document on the last page. In my opinion,there is nothing in Paragraph 1(c)which requires the Board of Health to approve a sanitary disposal system design plan. In fact,the paragraph has a provision as to the consequences if the Board of Health does not approve such a plan. Please call if you have any questions. Very truly yours, s TJiJ:kmp Thomas J. Orbelis Enclosure cc: Susan Sawyer(w/enc) i nl •u -r 1 _ tl t I I CJ -• O 111 I J (i) �... Ut 111 .l. (l.. tV _ _ II.I <C U1 11.1 U_JIT I Z Z Z U 1 ll.l �� 1 LI 1.1 l l IJ Ij_ I11. I- 1- i- i- u) I -- `;VIS IN=_. .. •----��" ��_ . � r ��-�.�. -' Q -OL-, - f �¢ iLON I I NH HE ;;-11 tvI . I I i\,-;.c: .A I T IME v Ni 1= I . J AUG-06-01 08 :38 AM PROFESSIONAL LAND 978 373 4196 P. 01 �A7i; ~ a � CEF �OLI ION t=S - l =G I►GiLi ��--=71-' OF ;C 5.T.- _d 71ME OF I IMiE A i 7.24' TIME P.I S- I • � ilhic .-^%` E' C r.✓ 1AJ . ' C .,SNI .` s'�.li•,}; t ilVi= S i R i,= I _ i�fi►i� I i L' _ AL f � I C . �.r"� Do �01 IPXO FA c�< Cj U, IL 1 a V. a •...r ... — 1— `< Vj I— (J 111 • O III I _ �(• f (/1 i•I - ��- I— vJ III t_� C) 7 O 11. �— 11J U.1 LIJ UJ —J lJ.l tll I11 (� 2 Z Z � Uj lIJ �•� ll.l 111 lIJ I— FORM 11 - SOIL EVALUATOR FORIGI Page 1 No. . .:. . ....... Date / t e .... 6 Commoftealth of Massachusetts = f v2Ti� /�/+�iJGvF2 N , Massachusetts Soil Suitability.Assessment for On-site Sewage I3is osal Performed By: ...........W.ILG/qM.. ........... ................:.:......... Witnessed By: ToHn1 N✓n1 A10 ..._......................................................_........... ................................................................................ .............. ............................. ........................................... �v7 2 X03 01LjSr Sr MAQ6A/2ET PL/sIMSK La I �Tck0—r 5'ao, /co&,g S/ c/ III !Dlel3 - [.� T b - IV. ANDO��� , /�9>'9 Tgx MRP: ZA 4- New Constructipn Repair ❑ Office Review' Published Soil:Survey Available: No ❑ Yes. 9' Year Published .... . $� Publication Scale ..._�S Soil Map Unit Ov C /� C�tiTO^� ..... . ... Drainage Class V'10 Soil Limitations 5A Np y .STR AT V 01. Surficial Geologic Report Available: No © Yes ❑ I Year Published ..- Publication Scale -" Geologic Material (Map Urlit) ....... ................ . .. Landform ......................:.f /L.V Flood Insurance Rate'Ma ' Above 500 yeas flood boundary No 11 Yes Withiri 500 year flood boundary. No Yes ❑ Withiri 100 year flood boundary No ® Yes ❑ Wetland Area: National Wetland,Inventory Map (map unit) .................... ................................ ........ .. Wetlands Conservancy Program Map (map unit)...........— Current Water Resource Conditions (USGS): Month _0_5-101 01 Range : Above Normal ❑ Normal Below Normal ❑ Other References Reviewed: (l s.rr.S. QvA(� FEMA SGS Sd/c..S Foptm 11 - SOIL .page 2 bn-site :,keviev -- -. beep(Hate Number al Time: e h n y /0 AM Location Cid%ittity 1oa site p( '( : �-'- ........._.__.. W ather :S an :.._. _.__..__. ...- _-... Land Use _ 1�c/�o p Ll� a f z - Srope (961` Surface Stones _yEs ... . ...- __.� -Vegetation .— ?� �C S Q.oS MAQL�i S _............. Londiorm - - Q -.....-.........................._.......... ....... ................ ......... ' Pbsttlon-on landscape (sketch oti the back) _-"-' --'- Uista6ces from: , Open Water Body feeto0 Drainage way. 7 / feet Possible V1Tet Area ....7/rw feet Property Line 730_ Leet Drinking'Watef We(( .. f..d feet lather DeA from Satiate' SoA Horii - Onchesl Sod Texture SoaColor ! Soa Mo a (aSb UUN (Mrmsefq (Structure.Stones,BoidCers, Cor*tmcy, % Gravery 3 Z F: L /oya ¢% 3z - /a3G S. GoA.ti a s y S� z•sy 612. Parent Materia( (geo(ogicl - - -TALL ..................... - - Depth to Bedrock: nth to Groundwater- Standing 9 Water in the Hole:".—VIE Weeping from Pit Face: NOV f Estimated Seasona( High Ground Water: �5 r, Pokk 11 SOIL :pe 2 t . • 1 i •i t . - ! • f bn-sitee : eviev Beep Pole Number'A - Time: /D AM Location f+dentify loa site-p(aril - �_ . ._ Laxid Use - _.4..A .0000 - `S(bpe Surface Stone - ..j..- Vegetation•` • t , . txndform - _._....-.._.._................. .......... Posf66n nn landscape (sketch oti'the back) ....... __.......:................ ' - iarti0es tom: OPen Water Body /OV .,... feet Drainage way. 7 %0feet Possible Valet Area .._ /00 feet Property Line 730. fe Drinking Wate{ Welt ..7L.00 eet er et ' f lith ..Dep. "M Swface 1 Sod ti0(64- { (troches) ' (TwI a SO4 C k, Soa lAo Otfw ( xae tStfucture,Stones.BouiQers, O ;_ Consistency. %Graven . A- /b y�L 3� - /oy ¢% ` 30 .- 1 • . /6Z G s s F z-IY erIz. k l � - 1 C 1 , + • ' 1 Parent Material (geologic! _.._.._.._........._._. .-........ Depth to Bedrock: /6 Z De th to Groundwater: Standing Water in the Hole:"NE Weeping•�--_�� p 9 from Pit Face: No'V E Estimated Seasonal High Ground Water: 34 rr y j - 1�(�Ritii II - SOII.EVA �p a pie 2 - bn-srte view ; -- - 6tep j iofe Number•: • � .- Location : • . : . ._: Weatie( :S !identify toe site p(an( Land use slope m)' _...._.. ....... ..:. ... ...:- ... �o fir- 1_-¢--�surface. Stones Vegetadon .___- •�i��G 5�....Q p KS MAO L=dlorm -__. f/M L r�!. _..._.._._..__ . :. - — ` Posftign nn landscape (sketch oti'the back) —' . ..... .. ._.............. .. - Distances from: Open Water Body 7_00 feet ` brainage way. 7100feet Possible W1 t Area .._2/00 feet Property Line 7$D. feet Drinking-(Kate{ Well .. l..�� feet ether . oeP. sSucisoe' Solt VWociSO4 TSoa(vsbvre Sod COtOf N f+rkmsetq MOS Other tStrwtwe.Stones,8o Wers. ,h _ :� Co�siste�cy. 9G Gravep 14 /0 2 ¢�` YA z•sy 6Iz J SANo Parent Material(geologic) T .........._.-------•......._..._.-.._........ Depth to Bedrock: .c16 ftth to Groundwater Standin g Water in the Hole:/ 'YI Wee i P ng trom Pit Face: Movie ................ Estimated Seasonal High Ground Water: ._¢• �' • Page 3 I Determination for Sea' sonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth Weeping from side of observation hole inches [� Depth to soil mottles inches 3 — ?if ❑ Ground water adjustment feet Index Well Number ..........:........ Reading Date Index well level _ . . Adjustment factor ................. Adjusted ground water level Depth of Naturally Occurring Pervious Material. Does:at least four feet of naturally occurring pervious material exist in all arr*eas r. observed throughout the area proposed for the soil absorption system? / .5 It not; what is the depth of naturally occurring 'pgrvious material? Certification: 1 certify that on 941L 97 .(date), I have passed`the examination appjo.ved by the Department of:Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature 9 / 7 C-1Si Date I • - FORM 12 - PERCOLATION TEST. COMMONWEALTH OF MASSACHOSETTS /V AnN00VC_/L Massachusetts 03 Fon-t--57— 5:7- Percolation :TPercolation Test Date: . ......7..�3� /.d Time: .� .AM...... Observation Hole # / -3 Depth of Perc I Start Pre-soak ,9,. U0 O' 00 End Pre-soak � S , aU 1500 t Time at 12" Time at 9" 3,. ov 3 00 Time at 6" �f ! .'oo g(D : o Time W-6") Rate Min./Inch 2 Site Passed ® Site Failed ❑ Performed By: 1z0G42i 61RASso P L.. .s Witnessed By: f2, RQO T'd L o Comments: ............. _ FORM 11 SOIL EVALUATOR r0jz.%j Noe 2 of 3 Location Address or Lot No. 0 V�'o c—, On-site Review Deep Hole Number r 2Date:. Time: Weather 1 Va Location (identify on site plan) Land Use 4, Slope M Surface Stones e: Landform Vegetation 0 Landform �: e FORA1 11 - SOIL EVALUATOR FOR]\ Page 2 of G � Location Address or Lot iJo. On-site Review Deep Hole Number " Date: �"°`'�° I Time: -` Weather r e Location (identify on site plan) e Land Use ° a Slope (%) Surface Stones Vegetation Landform %a 't.. Wit- F �:�t..�s fF �; -e, Position on landscape (sketch on the back) ' Y " Distances from: Open Water Body;?;/c9 0 feet Drainage way feet Possible Wet Area >'0c7 feet Property Line feet < Drinking Water Well 7/01 feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic) + ' , -ry L 4— DepthtoBedrock: > °� Z— Depth to Groundwater: Standing Water in the Hole: ,/V a _ Weeping from Pit Face: Estimated Seasonal High Ground Water: _ DEP APPROVED FORM-12/07/95 i FORM I I - SOIL EVALUATOR rojI .Nj . fags 2 of 3 . , & , r Location Address or Lot leo. 5 ''` ' ' .� µ f 7- On-site Review AI Deep Hole Number Date:., F'7 f e" Time: ' �'' Weather e,'. t_ n,,.?0 Location (identify on site plan) .,. .v.. Land Use s '°'a _ Slope 1%) Surface Stones 'Ya Vegetations { iTi .tp: r'xp Landform ee ,,-v Position on landscape (sketch'on the back) . .:.f' 4. 0 Distances from: Open Water Body f_ Leet Drainage way �� ` feet Possible Wet Ares .." rho feet Property Line .. :`' feet •Drinking Water Well feet Other _............,....: DEEP OBSERVATION HOLE LOG" Depth from Soil Horizon Sol Texture Sol Color SoI Other Surface(Inches) (USDA) !Munsell) Mott !, (Structure,Stones,powders.Consistency, % J' Graven t t'.: t t T NIV,JF HOLES r Parent Material(geologic) Depth to Groundwater• Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Winer: DEP APPRolt'ID FORM.1112107ns I JFORM 12 - PERCOLATION TEST Zo Location Address or Lot No. �50 S 'awc .r5, ,f ~ COMMONWEALTH OF MASSACHUSETTS /7 -,' P a V 4, - , Massachusetts Percolation Test` Date: .... _-` / :,� t ra Time:, Observation Hole # t Depth of Perc . a -- �- Start Pre-soak End Pre-soak _ Time at 12" ( p 0 Time at„,9' � � !� � Time at 6"- rp VIi Time (9"-6") Rate Min./Inch - = Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ailed ................................................................. Performed By: ; S 5.42 I Witnessed By: L 4— � A AIA • � � Comments: . ..::.: :._. III DEP APPROVED FORM-12/07/9S un-15-01 O3 : O5P P. 01 North Andover Health Dept, 27 Charles Street North Andover, MA 41845 Tel. 978-688-9540 Fax 978-688-9542 facsimile tr"rniettal To: N&M Fax: 978-671-9565 From: Sandy Starr Date: 6/15/2001 Re: Soil test Pages: 3 CC: l0ick here and type name] ❑ Urgent M For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Sand Hope you can read this. The watershed be coming in the mail. Call me if problems. Y fy � i Jun-15-01 03 :05P P .02 150AKD OF k1 AL 1 ti NORTH ANDOVER, MA 01845 ` -7 ��/ Q ZZ 978-688-9540 2 4 2001 APPLICATION FOR SOIL TESTS ,DA'T'E: 3 O MAP* PARCEL: /0 17 - LOCATION OF SOIL TESTS: ui - OWNER:� ,� /,Lis�n'S rbc TET... NO.: 7- .2uY L_ ADDRESS: .S'D S Lo2X ST" S T , Al. /,�.� y�r.z& . o/ tf4Z' " F..NGINEER: Amp k L�lL>fS ��, TEL. NO.: q-7 S -37.1 - '519 sa CERTIFIED SOIL EVALUATOR: Rv6er-4 rR r-assa._-_ Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 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 far repairs or updes. GENERAL. INFORMATION ✓1. Only Certified Soil Evaluators may perform deep hole inspections. --2. _Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. -1. 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 I"-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. Please Do Not Write Below This Line N.A. Conservation Commission Approval. [.� ^► ��-( �`r,., : .. Date Received: Check Amount: Check Date. -- _ _...AFR Ze !'r- I Jun-15-01 03:06P P . 03 T 7 Z W +VF- OLD) Pry t i wF.esk�rc 84 WF-85 , 1 Sot L- � TSTajo \ I EDGE OF BORDERING VEGETATED WETLAND (Typ.) �� North Andover Health Dept. • 27 Charles Street North Andover,MA 01845 Tel. 978-688-9540 Fax 978-688-9542 facsimile -1 mi al To: N&M Fax: 978-671-9565 From: Sandy Starr Date: 6/15/2001 Re: Soil test Pages: 3 CC: [Click here and type name] ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Hope you can read this. The watershed will be coming in the mail. Call me if problems. Sandy n M a� f �. F ._. _' +dam-,•w.....w�a�..�a�.v , i - .. - f �O w -C6 OLD ,P �P Qy :. / � ,� WF Co- CID w y . -,..'• N a f WF-=82 �. Trf WF-86END 0 fro' v �- Y. .: .. So l L T-t-g-T. N� 243 .5 S F. L G C . SETTS _ 5 l5. Ac . rv:w _ . N / 1.- C71 P A S T U, F? RE'AI:. TY TFR U �1 1 ( EDGE OF BORDERING ! i VEGETATED W tTLANDT Gia t Yp•) NOTES: The purpose-..of .`this BOARD OF HEALTH - NORTH ANDOVER, MA 01845 978-688-9540 APR 2 4 2001 APPLICATION FOR SOIL TESTS DATE,: 3 Q / MAP &PARCEL: �,LO,CATION OF SOIL TESTS: R cc r OWNER: �,r����J, /�.Crs i�S TEL. NO.: ADDRESS: ,coRi-Sr ST ,� . I /�r�o�o�/er /17� , o/844S ENGINEER: 100445 oN A, LANo .4 i-v1GjrS I--'. TEL. NO.: 9-7$ —37 3 - 9 15-6 CERTIFIED SOIL EVALUATOR: M• L 4 Rib er-4 C r e%5 S a Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot.plan & Location of Testing 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 up rg ades. GENERAL INFORMATION ✓� Only Certified Soil Evaluators may perform deep hole inspections. --2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. -*'I. At least two deep holes and two per 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. 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. Please Do Not Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: .r DelkChiaie, Pamela From: Randy Burley[rburley@millriverconsulting.com] Sent: Monday, September 13, 2010 7:53 AM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 503 Forest St., Construction Inspection Attachments: Construction Insp 503 Forest St.doc Dear All; Bob Innis met me onsite this morning to perform this final inspection. According to Bob, Ben Osgood is doing the As Built plan and he had already been there. My only issue with this job is that because the house is under construction there is no water and therefore no water in the new septic tank sowater-tightness of the septic tank could not be verified. Other than that and the fact that the septic tank location and elevation changed the system was installed per plan. Randy Burley Project Manager Mill River Consulting 6 Sargent Street Gloucester,MA 01930 Ph 978-282-0014 Fx 978-282-1318 www.millriverconsulting.com rburleynmillriverconsulting com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 OOR*r 0� t6E0 6 g1/O0 FO- 1 O coc�wM pq u ewK. " �9SSAC HUS���� PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 503 Forest St MAP: 106 B LOT: 7 INSTALLER: RLI Corp. (Robert Innis) DESIGNER: Professional Land Services, Inc. PLAN DATE: 10/1/01 rev. thru 6/1/08 BOH APPROVAL DATE ON PLAN: 6/4/08 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/10/10 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan S. Tank moved ❑ Existing septic tank properly abandoned N/A ® Internal plumbing all to one building sewer Z Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan N/A ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed ® Monolithic tank construction 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 tAORTFf q 0 �tIED,Ib� ti 6 O L 0 '< .p CO[MK I...AT OR 1` T �9SSAC HUs��gy PUBLIC HEALTH DEPARTMENT Community Development Division ❑ Water tightness of tank has been achieved by testing ® Inlet tee installed, centered under accessp ort ® Outlet tee installed, centered under access port -gas bafflel ❑ inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: No water in tank or house on 9/10/10 (house under construction) need to verify water tightness of septic tank. DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.08'/foot) Slope okay, 2- compartment d-box Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to 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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 i l pORTFf q . O �tLEO 6• tiO OL O Z. , a 1� [O[NI[MIWKN Arm 0 �91 SAC PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS AS-BLT INVERT ELEV DESIGN INVERT ELEV Building Sewer OUT 120.26 Septic Tank IN 118.73 116.75 Septic Tank OUT 118.44 116.50 Distribution Box IN 116.11 116.02 Distribution Box OUT 115.95 118.85 Lateral 1 INV BEGIN 115.85 115.80 Lateral 1 INV END 115.52 115.50 Lateral 2 INV BEGIN 115.83 115.80 Lateral 2 INV END 115.53 115.50 Lateral 3 INV BEGIN 115.84 115.80 Lateral 3 INV END 115.54 115.50 Lateral 4 INV BEGIN 115.85 115.80 Lateral 4 INV END 115.53 115.50 Bottom of Bed 1 115.01 115.00 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townafnorthandover.com Inspection Form lune 1008 I tAORTH `� 320 tt�to '6'9.yO0 FO- ti CO[NI(NI WKN rAD Of �9SSACHUSCl PUBLIC HEALTH DEPARTMENT (ommunity Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10 10' ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh,Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib.to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains(intercept g.w.) 25 50 ❑ Drains(Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 I