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Miscellaneous - 506 SALEM STREET 4/30/2018 (2)
506 Salem Street i/ r North Andover Board of Assessors Public Access Page 1 of 1 pOR1y Town Qf No Andkivei 32°F_,`o eryO� OcNawd Oft A.sse_ssors, h � �4�Tnet+u Property Return to the Home page click on logo Record Card Parcel ID:210/038.0-0322-0000.0 Community:North Andover SKETCH PHOTO New Search Sales Click on Sketch to Enlarge Click on Photo to Enlarge Summary t/ ll ' Residence Detached StrUcture 4 Condo Commercial M ; Comparable Sales 506 D SALEM STREET Location: 506 SALEM STREET Owner Name: BACA,JEFFREY L MARIA R BACA Owner Address: 506 SALEM STREET City:NORTH ANDOVER State:MA ZIP:01845 Neighborhood:5-5 Land Area: 1.72 acres Use Code:101 -SNGL-FAM-RES Total Finished Area:2340 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 552,300 576,500 Building Value: 349,500 363,000 Land Value: 202,800 213,500 Market Land Value:202,800 Chapter Land Value: LATEST SALE Sale Price:359,900 Sale Date:02/29/2000 Arms Length Sale Code:Y-YES-VALID Grantor:PETERSON FARMS Cert Doc: Book:05689 Page:0287 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=1175867 4/22/2008 � 1 • t + 1, Lot & Street Map/Parcel F CONSTRUCTION APPROVAL j.j.Has plan review fee been paid: YES NO Permit# Plan Approval: Date: Approved by: Designer: q5 ern Lrv►j '50f Ut_V_Plan Date: Conditions: J. f l I j/�9u 13D 01V Water Suppl Town. __ _.-_--- _. WeII_. Well Permit: --Driller:.......... - Well Tests: Chemical ��-ate-Approved Bacteria I Date-Approved Bacteria II Date Approve Plumbing Sign-Off Wiring Sign-Off: Comments: - Form"U" Approval: Approval to-Issue: YES NO Date Issued By: - I/ G Conditions: L�On �K�S. . Final Approval: All Permits Paid? YES NO Well Construction Approval? - ._S �____ __N0_ Septic System Construction Approval? YES) NO Certification? '7 NO Other ;'� YES y NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: 1rro APPRO VED(BY: �� SEPTIC SYSTEM INSTALLATION Is the installer licensed? NO Type of Construction: REPAIR New Construction: - ._Certified Plot Plan Review yE NO -Floor Plan Review -YES NO = Conditions of Approval from Form U S NO _Issuance of DWC permit: - S NO _.DWC Permit Paid? — S NO . ---DWC-Permit# L _ Installer: -.-_--- _ -BegimInspection:_ YES NO _. _Excavation Inspection: -Needed: Passed:. /a q By. - -Construction Inspection: Needed` /VE, jo o13 As_BuiltPlanatis actcry: as-6 / _t-o Approval of Backfill: Date: ABy: v-J-Final Grading Approval: Date: By: w Final Construction Approval: Date By: Certificate of Compliance: Approval: Date: Commonwealth of Massachusetts RECEIVED City/Town of System Pumping Record C 4 2013 Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location:�/Righ onto�bdfsbuildihg, Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/ I Left/Right rear of building, Under deck Addressib a� City/Town State Zip Code 2. System Owner. Name Address(if different from location) Cityrrown State6p'S—Rgi Telephone Number t B. Pumping Record 1. Date of Pumping �2. Qu i Pumped: Date p Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No, " 5. Condition of,Syst{em'�� 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: GLS. Lowell Waste Water Sign a ct Haule Date t5form4.doc•06103 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of RECEIVE® System Pumping Record ` Form 4 APR 2 3 2008 LayFWkj-96dA%h4heENT OWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health.Other forms information must be substantially the same as that provided here. Before using this form,check Withyour 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 Important: When filling out 1. System ocationL � forms on the � C � -�jse computer,use only the tab key Address to move your fid—- cursor-do not Cityn.own State Zip Code use the return key. 2. System Owner: " Name ter, Address(if different from location) City/Town State Z Code Telephone Number B. Pumping Record r �� 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes [l-Pdo If yes,was it cleaned? ❑ Yes ❑ No 5. Condition opf�System: V l © 6. SystePum�ppd^By: tv � ® � Name Vehicle License Number Company 7. Location whey tents were dis : Signature of Hirulerf Date t5form4.doc-06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of APR -4 2012 System Pumping Record TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Form 4 DEP has provided this form'for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Locatio . Left1 i front of house Left/Right rear of house, Left/right side of house, Left/ Right side of bui , Left/Rig"t-fron of building, Left/Right rear of building, Under deck Address �7 ZA- City/Town (.� State a/ Zip Code 2. System Owner: Name Address(if different from location) City/Town Stat T-2- ode ( -W u_7 Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: Eli Cesspool(s) Q eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 0-N'o-- If yes,was it cleaned? ❑ Yes ❑ No 5. ConditionofSystem: V 0 V\- 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location-her contents were disposed: G.L,S.Q Lowell Waste Water 11/1- .a- A. signAtufe I HaulerU Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 MORTp I 3253 Of �w �1h0 F 9 Town of North Andover r`�,'• HEALTH DEPARTMENT ,SSACNUSE4 CHECK#: v1 'O3 DAT l LOCATION: H/O NAME: CONTRACTOR NA E: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ 0: Septic Disposal Works Construction(DWC) $ ' ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ y Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Commonwealth of Massachusetts Map-Block-Lot co° 038.0-0322 w Board of Health permit No y s North Andover BHP-2008-0047 P.I. FEE �ss�cwu'�Et F.I. $125.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted Todd-Bate-son ----- ---------------------------------------------------------------------------------------------- to(Repair-2"section of pipe)an Individual Sewage Disposal System. at No 506 SALEM STREET ---------------------------------------------------------------------------------------------------------------------------------------------------------- - d Apr-da22,_2008 ass own on the application for Disposal Works Construction Permit No. BHP-2008- 04 axe, � ___________ ----------------------------------------------------------------- Issued On: Apr-22-2008 Board of Health NCRty Map-Block-Lot Commonwealth of Massachusetts � ,•` '� o° 038.0-0322- - - Board of Health - _ North Andover Certificate of Compliance �ssACIN4U t� THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair-2" section of pipe) by Todd Bateson --------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at No 6 A ----50-----SLEM--------------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. BHP-2008-004 Dated April 22,2008 ----------------------------------------------------------------- Printed On:Apr-22-2008 Board of Health c. Of NORTH 1h .r' 3253 0 oc e o w • Town of North Andover HEALTH DEPARTMENT s.ACMus CHECK#: c. rA a DATE: / �J_� e, LOCATION: �`�� � / , H/O NAME: . CONTRACTOR NAI : 7e of za4 Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ G ❑ Body Art Practitioner $ ❑ Dumpster $ 4 ❑ Food Service-Type: $ " ❑ Funeral Directors $ 1' ❑ Massage Establishment $ ;. ❑ Massage Practice $ F ❑ Offal(Septic)Hauler $------------------ f ❑ Recreational Camp $ ❑ Sun tanning $ f44 1' ❑ Swimming PoolPA $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ e` ❑ Well Construction $ SEPTICS stems: tf ❑ Septic-Soil Testing $ �Zptic tic-Design Approval $ /,V6,Disposal Works Construction(DWC) $ /,V 6 4L ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ` ❑ Title 5 Report ,, ❑ Other.(Indicate) $ Health Agent Initis i4 White-Applicant' Yellow-Health. Pink-Treasurer] °RTHppiicat!on for Septic Disposal System ': ��at °- -�•'r°�°� pConstruction Permit - TOWN OF TODAY'S DATE ORTH ANDOVER, MA 01845 $ 250.00—Full Repair +0q�n°'`���°' $125.00 -Component 9SS^CHUg�t Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer, use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key I I to move your CKRepair or replace an existing system component—What? cursor-do not use the return key. A. Facility Information Address or Lot# lyd Q City/Town 2.-;TYPE OF SEPTIC SYSTEM*: Pump ❑ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** ❑ Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present) S.A.S. 2. Owner Information /1,11, t,-A Q R c-A Name Address(if different from above) Cityrrown State Zip Code S'S— 8"3 8J8_' Telephone Number 3. Installer Information /d9 _ �►- -�75�•� A' Name Name of Company /41 Addr� City/Town State Zip Code K Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 . oRTHq A fication for Se tic Disposal System t 1► O ,�°..:,_ ..`•.'. o TODAY'S DATE *Construction Permit - TOWN OF ORTH ANDOVER, MA 01845 $250.00-Full Repair " °*• 'r` $125.00 -Component �9SSwCHUS t� PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: esidential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described disposal system in accordance with the provisions of Title 5 of the on-site sewage p y Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover nd not to place the system in operation until a Certificate of Compliance has been issue this Board of Health. Name Date Application Approved By: (Board of Health Representative) Name Date Application Disapproved 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 copy ofElectrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: 54 • r' (Address of septic system) For plans by j Relative to the application of I a� �/�5�,,.� � r) (Installer's name) And dated gin Dated ate 1�—�(—O� o ay s ate With revisions dated 4st revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor,project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company. a. Bottom of Bed—Generally, this is the first (VS 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: healthdel2tQtownofnorthandover 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 ins ection. With a pump system,m, all electrical work must be 'ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for dental of the system and/or revocation or suspension of my license to operate in the Town of j 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 of Health 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: -J (Today's Date) (Name—P rint) (Name—Signed) TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: February 18, 2000 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Dean Chongris at 506 Salem Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will 4, nction satisfactorily. Board of Health Inspector r j t ,AORTH 1 �1 Town Of North Andover ~�� Community Development & Services William J. Scott 27 Charles Street Director North Andover, Massachusetts 01845 (978)688-9531 +Or° t'yg9 �,SSACMUSe1 Fax 978-688-9542 May 3, 2000 Board of Appeals (978)688-9541 Dear Homeowner, This letter is in regards to the septic system located on your property known as Lot D Salem Building Department Street. Although the Health Department has already signed off on this rope rtywe feel it is (978)688-9545 important to inform you of any potential problems we may observe. Conservation It was recently noticed that there has been construction done over the top of, and/or near, the Department major components of your system. These observations have raised concerns by the Health (978)688-9530 Department. Specifically, a long paved impervious walk area has been installed from the house to the street. In addition, it appears that excavation into the cover material of the Health system must have occurred. The exact locations of the work area and walk installation in Department relation to the septic field, distribution box and the septic tank is not known, however, this (978)688-9540 department is concerned for the integrity of your.septic system. Public Health We sincerely hope that all the components of this system remain accessible and undamaged Nurse and that the increased impervious surface does not have any impact on the system function. (978)688-9543 If you do not have a septic system as-built for your property, a copy of the in-ground location of your system can be obtained at this office. Please feel free to contact this office Planning with any questions regarding the protection of your system. Although these systems are Department underground and out of sight, for the sake of longevity, we feel that it is in your best interest (978)688-9535 that we share this information with you. Sincerely, Sandra Starr Health Director 105 CMR: DEPARTMENT OF PUBLIC HEALTH 410.852: Time for Hearin _- The hearing shall be commenced not later than 30 days after the datS the order served. Provided, however, the hearing shall be commenced no later than: (1) 14 days after an order was served pursuant to 105 CMR 410.830(A)and 410.8308 and the petitioner refuses to begin remedial activity as required pending the outcome of " :.._� r. the hearing; or (2) .14 days after request for a hearing was received in instances where the petitioner alleges that an inspector or other personnel of the board of health has - (a) failed to inspect upon request any premises; or `_ .. (b) failed to issue an inspection report on an inspection as required by 105 CMR 410.000; or - (c) failed to find violations of the law where such violations are claimed to exist or to certify that such violations may endanger or materially impair the health or safety, and well-being of the occupant(s); or (d) failed to issue an order as required by 105 CMR 4.10.830. ; ` 410.853: Hearing Procedures At the hearing the petitioner and other affected parties shall be given an opportunity to be heard, to present witnesses or documentary evidence, and to show why an order should be modified or withdrawn, or why a dwelling should not be condemned. vacated or demolished or why an action or failure to as by an inspector or other personnel of the board of health should be reconsidered,rescinded or ordered. Failure to hold a hearing within the time period specified herein shall not affect the validity of any order. 410.854: Final Decision After Hearing: Failure to Comply with Final Order (A) The board of health shall sustain,modify, or withdraw the order and shall inform the petitioner in writing of its decision within not more than seven days after the conclusion of 1 the hearing. If the board of health sustains or modifies the order, it shall be carried out within the time period alloted in-the original order or in the modification. (B) If a written petition for a hearing is not filed with the board of health within 'the appropriate time provided for in 105 CMR 410.850, or if after a hearing the order has been sustained in whole or part,each day's failure to comply with the order as issued or modified shall constitute an additional offense. 410.855: Official Hearing Record Every notice, order, or other record prepared by the board of health in connection with the hearing shall be entered as a matter of public record in the office of the clerk of the city or town, or in the officeof the board of health. 410.860: Ameal of Final Decisions Any person aggrieved by the final decision of the board of health with respect to any order issued under the provisions of 105 CMR 410.000 may seek relief therefrom in any court of competent jurisdiction, as provided by the laws of this Commonwealth. 410.900: Penalties for Interference with Inspections Any owner, occupant, or other person who refuses, impeded, inhibits, interferes with, restricts or obstructs entry and free access to every part of the structure,operation or premises where inspection authorized by this code is sought after a search warrant has been obtained and presented in accordance with 105 CMR 400.100(C), shall be fined upon conviction not less than ten nor more than $500.00. 4/22/94 105 CMR - 1639 f , Lot D Salem Street 01-05-00 3:50 PM Mrs. Maria Baca Extremely upset. Why didn't the inspector go to her house? She must have her system inspected. She doesn't know what is going on with the contractor and the Health Office — she doesn't care! She must get into that house. She will go to the Eagle Tribune —the contractor said nothing can be done. She needs to be in the home, doesn't know what the problem is — her parents are with her— her husband was in the military for over 20 years — he fought of this country — she doesn't know what's going on. Her husband will run for Selectmen. She is at work call her please 739-0232. 01-05-0 4:12 PM Mrs. Maria Baca just called again — in tears —she is at work — she will not go home until you call her. PLEASE. As soon as you return. Call 739-0232. i \\ ` TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD 10, OCT 2 4 2005 DATE: TOWN OF NORTH ANDOVER HEALTH DEPARTMENT SYSTEM OWNER &ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: 8 QUANTITY PUMPED IGALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: AS-BUILT CHECKLIST LOT NUMBER, STREET NAND r/ ASSESSORS MAP & PARCEL MTMBER LOT LINES & LOCATION OF DWELLINGS LOCATION & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS t/ ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES W/IN 150' OF SYSTEM LOCATION OF WATER,-GAS, ELECTRIC LIES, CABLE t/r DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX STAINg & SIGNATURE IMPERVIOUS AREAS -'DRIVEWAYS, ETC. NORTH ARROW FINAL CONTOURS L/ LOCATION & ELEVATION OF BENCIEvIARK USED V LOCUS PLAN Professional Land Surveyors&Civil Engineers ESSEX SURVEY SERVICE 1958- 1986 OSBORN PALMER 1911 - 1970 BRADFORD&WEED 1885- 1972 February 14, 2000 Ms. Sandra Starr, R.S., Y.H.O. Health Director Town of North Andover Office of Community Development and Services 27 Charles Street North Andover, Massachusetts 01845 RE: F 11074 Lot D Salem Street North Andover, MA Dear Ms. Starr: Accompanying this letter are four (4) prints of the As-Built Septic System Plan together with an endorsed Application Form for the referenced lot. Please note that the final grading is in compliance with Title 5 with respect to the constructed leaching trenches. We have noted on the Application and on the As-Built Plan that if the easterly reserve area is ever utilized, a break- out wall will likely be necessary. If you recall we put a simi- lar condition on Lot C. Any questions may be directed to the undersigned or Clayton A. Morin, P.E. , -�VeU truly yours, _ i James H. MacDowell JHM/tlm FEB 7 2nn'"? - �� Enclosures cc: only] letter Pelich Joseph P � YJ 104 LOWELL STREET PEABODY, MASS. 01960 TELEPHONE: 978-531-8121 TELECOPIER: 978-531-5920 E-MAIL: elsai@prodigy.net 280bTM 18M2 awn 100(DAd1q&1q Professional Land Surveyors&Civil Engineers ESSEX SURVEY SERVICE 1958- 1986 OSBORN PALMER 1911 - 1970 BRADFORD&WEED 1885-1972 May 17, 1999 Ms. Sandra Starr, R.S. Health Administrator Town of North Andover 27 Charles Street North Andover, Massachusetts 01845 RE: F 11074 Lot D Salem Street North Andover, MA Dear Ms. Starr: Please note that the Septic System Plan has been revised to indi- cate the proposed dwelling as having three bedrooms throughout. Three (3) copies of the Plan accompany this letter for final action by the Department. Any questions may be directed to Clayton A. Morin, P.E. or the undersigned. .-Very truly yours, James H. MacDowell JHM/tlm ..,� Enclosures cc: Joseph Pelich Nt;7FN���,AP;D aCARD.O, recF.iI Y f 104 LOWELL STREET - PEABODY, MASS. 01960 TELEPHONE: 978-531-8121 TELECOPIER: 978-531-5920 E-MAIL: elsai@prodigy.net r Oct-19-99 09 : 11A North Andover Com- -Dev. 508 688 9542 P. 02 RESTRICTION The Restriction herein set forth shall apply and be appurtenant to the following described property located at S 0(Q S A LE m S T S F F T ,North Andover, Essex County, Massachusetts, being more particularly described as follows: A certain parcel of land located in North Andover, Essex County, Massachusetts. being shown as Lot D on a plan entitled, "Plan of Land in North Andover, prepared l jl for CY �jS QoNSTctkC71'O1y Said Lot containing 5 00Vsquare feet, more or less, according to said Plan. Being the same premises described in deed recorded with Essex North District G" Registry of Deeds in Book, /L C .,Page _. 1. Maximum Number of Bedrooms C4 At all times subsequent hereto, unless connected to an approved municipal sewer, the property described hereinabove shall be limited to use as a single family residence containing no more than three (3) bedrooms. This Restriction is being implemented due to the maximum capacity of the current septic system. 2. Enforceability ;.-,r;" � •r_1 These Restrictions may be enforced by the Town of North Andover, by action in equity in any Court of competent jurisdiction. Witness our hands and seal this O e 06-6-,'4, 4T4!e# Owners COMMONWEALTH OF MASSACHUSETTS Essex, ss Date: — The personally appeared the above named OWNER and acknowledged the foregoing to be their free act and deed, before me, ;1 u is ^ �20 Commission Expir " ! r ESSEX NORTH RF„�I OF DEAD 9 LAWRENCE, MASS.UU�e,�: , A TRUE COPY- ATTEST- APPLICATION FOR DISPOSAL WORDS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSEI"r LOCATION. <� � Lov *s> LICENSED INSTALLER: e Qh C\,xo,n f,r�s SIGNATURE: TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only 575.00 Fee Attached? Yes 1--�''"f No Foundation As-Built? Yes No Floor Plans? Yes No i' Approval ='" Date: ems'"" TOWN OF NORTH ANDOVER SENVAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned herebv certify that the Sewage Disposal System C)e) constructed,- repaired- by 629 A-) IJG,C C.S located at �- S►tet-i� was installed in conformance with the North Andover Board of Health approved plan. Svstem Desic_n.Pe.='t m dated with an approved design aow of gallons per day. The materials used were in conrorrnance wird those specified on the apps o'ved plan; the system was installed in accordance with the provisions of 310 Cti1 15.000, Title 5 and local re?ulations, and the final grading agrees substantially with the approved plan*All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: i o•_-Z L -1211 _.Engineer Represehmtive Final inspection date: 'L-- E-7-coo Eriaineer Represeq auve Installer: Lic.m: Date: �- � � 00 Design Engineer: 111. Date: Clayton A. o` Morin rn Sit b0v__O A U r i 309e19.1� e =--4i Vvi jl '1 o 1 S i erg t- CIVILnn C4 ilt 'rk .. .0i- -51P CA-ij') o,J 4 S +3.;i Li R Gir?6/_jk OJT ss�+`AE �E 1L " U �G� i_ CJS l k z �� Mzs`t (�C�Z-1t8 c�F �c-� v E ��t� ►S -'R� ' t3r ��_ FEB 17 ?rr Professional Land Surveyors £t Civil Engineers ESSEX SURVEY SERVICE 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD & WEED 1885 - 1972 PLOT PLAN OF LAND LOCATED IN MASS. k5 yv E/V6 �UOUU L; tU�z� M M N Vl LG;� 17 14/V PY 199' s I hereby certify to the ke,-i, dj; Building Inspector that I have examined the premises and the SCALE: �h�U� buildings are located on the ground as shown, and buildings �AL ��� STI��=t shown conformed to the dimensional DATE: DGT J� �� zoning laws of liiiZel MA REFERENCE: BK PG when constructed. This Plan has been prepared for Building permitting purposes only for the above party, '` `" and is not to be used for boundary measurements, r �� land conveyancying or mortgage loan inspections or R. plot plans. Christ Ra 3 �lao P 31317 sT0' 104 LOWELL STREET PEABODY, MASS. 01960 (978) 531-8121 FAX: (978) 531-5920 Dec-11-98 04: 17P Paul D. Turbide, PE/PLS 508-465-0313 P.01 TOWN OF NORTH ANDOVER/ BOARD OF HEALTH Facsimile Cover Sheet To: SANDRA STARR Company: NORTH ANDOVER BOH Phone: 978-688-9540 Fax: 978-688-9542 From: Carlton A. Brown Company: Port Engineering Associates, Inc. Phone: (978) 465-8694 Fax: (978) 465-0313 Date December 11, 1998 Pages Including This Cover Page: 7 Comments: Enclosed are the results of the soil evaluation and perc tests for. Lots A,B, C,and D,492 Salem Street We did two extra deep holes on Lot D(the result of some confusion between the soil evaluator and the owner on where the tests were to be done.) The owner said that he did not mind paying for the extra holes, and that he would talk to you about the extra money. If he has not yet approached you on this matter, would you please tell him that since the other lots went so fast,that we see no need for charging for the extra deep test pits. If he has already sent the money in for the two extra deep test pits on Lot D, then I would suggest sending that extra money back to him. Thanks, I Carlton Dec-11-98 04: 17P Paul D. Turbide, PE/PLS 508-465-0313 P.02 ,�• SOW 4-1 qb r •r,x r' ` i 03 i3o 1.1 i ! LA Nry i c as _ i 'r� I i i i I , f 1 , l Y� r • .x s, _ , Ali s Dec-11-98 04: 19P Paul D. Turbide, PE PLS 508-465-0313 P.04 � � h'ya tstRcti .�• ;ct' rpo JL �{ ., .. v. :S-F:• •.ate _ . Y t i N { , 1 i t V Ay t ._ INN --- ;..:. ... _. .t t Dec-11-98 04: 19P Paul D. Turbide, PE/PLS 508-465-0313 P.05 maw . • - ,aw� ,t;r�H 27.`.yt7,•{(-'h •. �1� N;Y+2h}�?rti�.y .. I I - - �.. ... t33 %T� I lisp IV I ( I I _ ._ TI I" I • I_ _. __ . .._ i I r I Dec-11-98 04:20P Paul D. Turbide, PE PLS 508-465-0313 P.06 'tL-- � � -�C::_:.._._`+�A�¢�►'� ria/ .r-P a � I I 01 t I V t 0 {►± (N i0 i v I I I I - - n ." w". � �► ', "fir r� a 1 - r I r: z t 4 � 'r `1! 4 i R �■i �i � � ram. rUS ,. wl L 2-1 t�1 1 F%i R� r. fry 1 Town of North Andover Ot NORTH OFFICE OF ,.�"" o COMMUNITY DEVELOPMENT AND SERVICES A 30 School Street : 10 North Andover Massachusetts 01845 9S t WII..LIAM J. SCOTT sAcHuse Director " NOVICE OF DECISION _ �-- TOWN OF NORTH ANDOVER/ o Any appeal shall be filled BOARD OF HEA i y oc-;,_� imrr7 within (20) days after the date of filling this Notice " 8 f999 in the Office of the Town Clerk. M C-0 Date January 7, 19gq Date of Hearing January 5, 1999 Petition of Cyrus Construction Corporation Premises affected 492 Salem Street (Lot D) Referring to the above petition for a special permit from the requirements of the North Andover Zoning bylaw Section 7.22 and 10.3 so as to allow obtain a street frontage exception of 12-30 feet in the R-3 District which requires minimum frontage of 125.0 feet. After a public hearing given on the above date, the Planning Board voted to APPROVE the Frontage Exception - Special Permit based upon the following conditions: Signed CC: Director of Public Works Richard S.Rowen, Chairman Building Inspector Natural Resource/Land Use Planner Alison Lescarbeau, V. Chairman 'Health Sanitarian .; Assessors John Simons, Clerk Police Chief Fire Chief Richard Nardella Applicant Engineer Joseph V. Mahoney Towns Outside Consultant' File Planning Board Interested Parties CONSERVATION-(978)688 9530HEALTH-(978)688-9540 • PLANNING-(978)688-9535 *BUILDINGOFFICE-(978)688-9545 • *ZONING BOARD OF APPEALS-(978)688-9541 • *146 MAIN STREET 492 (Lot D) Salem Street Special Permit Approval- Frontage Exception Lot The Planning Board makes the following findings regarding the application of Cyrus Construction Company, P.O. 583,North Andover, MA 01845, dated December 4, 1998 requesting a Special Permit under Section 7.2.2 of the North Andover Bylaw for the creation of a Frontage Exception Lot D located at 492 Salem Street. FINDINGS OF FACT: Lot D conforms to all of the criteria set forth in Section 7.2.2 of North Andover Zoning Bylaw as follows: 1. The area of lot exceeds by three times the minimum area required for that Zoning District (25,000 SF) as the lot contains 75,006 SF. 2. The lot has a minimum continuous street frontage of not less than fifty(50) feet and a width of not less than fifty(50') feet'at any point between the street and the existing home. The lot contains 112.70' of frontage along Salem Street. 3. There are no other frontage exception lots contiguous to this lot. 4. The lot is located as not to block the possible future extension of a dead end street. 5. The creation of the lot will not adversely affect the neighborhood as the alternative to the creation of this lot is a four lot subdivision which would create a total of five new lots instead of four and would have a detrimental affect on the environment. 6. The creation of the lot is in harmony with the general purpose and intent of the Zoning Bylaw. 7. The granting of this special permit will not be detrimental to the town as the alternative to the creation if this lot is a four-lot subdivision. 8. There are no wetland resource areas located between the street and the buildable portion of the lot. Upon reaching the above findings, the Planning Board approves this Special Permit with the following conditions: Special Conditions: 1.) This decision must be filed with the North Essex Registry of Deeds. Include as a part of this decision are the following plans: a) Plan titled: Special Permit Plan for Frontage Lot Exception i Land located in North Andover Mass. Subdivision Plan of , Prepared by: Eastern Land Survey Associates, Christopher R. Mello PLS 104 Lowell Street, Peabody, MA 01960 Scale: 111=401 Date: December 3, 1998 Prepared for: Cyrus Construction b) The Town Planner must approve any changes made to these plans. Any changes deemed substantial by the Town Planner would require a Public Hearing and a modification by the Planning Board. 2) Lot D shall not be reduced in area below 75,000 SF. 3) The home on Lot D must be oriented towards Salem Street. 4) T he provisions of this conditional approval shall apply to and be binding upon the applicant, its employees and all successors and assigns in interest or control. 5) This permit shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced. Therefore the permit will lapse on 0 Cc. Conservation Administration Director of Public Works Health Administrator Building Inspector Police Chief Fire Chief Assessor Applicant Engineer File Lot D Salem Street -Frontage Exception Lot i Mar-22-99 04: 16P Paul D. Turbide, PE/PLS 508-465-0313 P.08 March 22, 1999 ` Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover,MA 01845 RE: Title V review for 429 Salem Street,Lot D Dear Sandra, Enclosed find the"Checklist for North Andover Septic System Plans"for the above- mentioned site. The following is a list of all the`Problem' areas and deficiencies Port Engineering has found. 1. The reserve area must be located 4' off the primary leaching system. NA 9.04 2. If the reserve area is used, either an impervious barrier must be installed to keep the fill required for the 3:1 slope from encroaching over the proposed driveway, or the driveway will have to be rebuilt after the system fill is installed. North Andover regulations require that impervious barriers be constructed of reinforced concrete, which must be designed by a professional engineer. At a minimum, this information should be stated on the plan. 3. The regulations state: "Trenches shall be used wherever possible." 310 CMR 15.240(6). Reasons why a leaching field was used instead of trenches should be given. 4. A note that the distribution lines of the field shall be connected with solid pipe should appear on the profile.NA 15.01. 5. A note that the slope of the pipes in the leaching field shall be 0.005 should appear on the profile. 310 CMR 15.251(9)(The system inverts were correctly designed using this slope). 6. The vent detail is for a monitoring well and should be redesigned as just a vent(i.e., no perforated pipe running vertically below the leaching field). (Note that a vent is not required for this design, however a vent may be advantageous to the proper working of the leaching field). 7. Note 7 states that: "Any change of conditions at the site shall be brought to the attention of the engineer...". The statement: "and the Board of Health" should be added after the word"engineer". PODT 8. In the distribution box detail, a 2"pipe is shown running in to and out of the dbox. iti This should be changed to a 4"pipe. ENGINEERING, Civil Engineers& Land Surveyors One Hurris Street Newburyport,MA 01950 (978)465-8593 Mar-22-99 04: 17P Paul D. Turbide, PE/PLS 508-465-0313 P.09 � l 9. The address of the owner and the address of the applicant must be shown. NA 8.02k 10. The elevation of the proposed driveway must be shown. NA 8.02t 11. The location and elevation of the foundation drain must be shown. NA 8.02y 12. The elevation of the perc test must be given. NA 8.02n 13. There is confusion on the numbering of the test pits. On the plan the test pits are numbered"D2","D3"and"134",when the separate test pit sheets have respectively 4D177, "D2", and"D3". (This numbering confusion also occurs in the"Deep Observation Holes"table on the upper right of sheet 2. The numbering on the "Deep Observation Hole Log"(located on the right hand side of sheet 2) for D2 and D3 is however correct.) 14. The determination of ESHW(shown as"groundwater el."in the"Deep Observation Holes"table in the upper right of sheet 2)is incorrect. D1 should have an ESHW at 191.88', D2 at 191.92' and D3 at 193.17'. The highest existing grade of the proposed system will therefore have an ESHW of 193.17'. 15. There is not 4' of separation between the bottom of the proposed field at elevation 196.75' and the ESHW of elevation 193.17' as determined in Item 14 of this report. (The system should be raised by 0.5 feet). 16. The pump chamber will be located within the ESHW, and therefore buoyancy calculations must be submitted. 310 CMR 15.221(8) 17. There must a manual operating switch in the pump system. NA 12.01 18. There must be a bleeder hole in the pump discharge pipe. NA 12.01 19. The high water alarm for the pump chamber must be located in the house. 231(9) If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown,PE/PLS Salem429d.dos 429D Salem Street P01?Tit I ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)46S-8594 �urnv 10ON16bi ha;) Professional Land Surveyors&Civil Engineers ESSEX SURVEY SERVICE 1958- 1986 OSBORN PALMER 1911 - 1970 BRADFORD&WEED 1885- 1972 May 5, 1999 Ms. Sandra Starr, R.S., Health Administrator Town of North Andover Office of Community Development and Services 27 Charles Street North Andover, Massachusetts 01845 RE: F 11074 Lot D 492 Salem Street North Andover, MA Dear Ms. Starr: Please accept the following responses to your letter of March 29, 1999, relative to the referenced lot: The reserve area is now located four (4) feet from the primary area (i.e. between the proposed trenches). A concrete retaining wall is now proposed which, together with the redesign, addresses the concern. Trenches are now proposed. A notation that the distribution lines be connected with solid pipe has been added to the plan. The slope of distribution lines has been added to the profile. The vent has been noted as a vent/monitoring well in the plan and profile views. Note 7 has been amended to include the Board of Health. Four (4) inch pipe is now specified on the distribution box detail. 104 LOWELL STREET PEABODY, MASS. 01960 IIS TELEPHONE: 978-531-8121 TELECOPIER: 978-531-5920 E-MAIL: elsai@prodigy.net • Ms. Sandra Starr Town of North Andover May 5, 1999 Page 2 The Owner/Applicant's name and address are now noted in the title block. The driveway elevations have been clarified by the addition of spot elevations. The location and elevation of the proposed foundation drain has been added to the plan. The elevation of the perc tests have been added to the plan. The matter of numbering of test pits and the determination of groundwater elevations has been resolved between the soil evalua- tor and the Town's consultant. The four groundwater separation relates to the previous comment; 4.08 feet of separation is proposed. Buoyancy calculations for the pump chamber have been added to Sheet 3 of the plan. The pump system has been modified to include the manual operating switch, the bleeder hole on the discharge pipe and the require- ment that the alarm be on a separate circuit and located in the - house. Accompanying this letter are three (3) copies of the Proposed Construction Plan, revised April 16, 1999. Any questions regard- ing to the responses may be directed to Clayton A. Morin, P.E., or the undersigned. The fee for the review will be forwarded by the Applicant. -ery_,truly yours, .t James H. MacDowell. JHM/tlm Enclosures cc: Cyrus Construction Corp. 2golwm In©d Llhnw 0� OQ�a40�3a ��Qo May-11-99 01 :39P Paul D. Turbide, PE/PLS 508-465-0313 P.05 May 11, 1999 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Title V second review for 429 Salem Street, Lot D Dear Sandra, I find that the concerns outlined in my report dated March 22, 1999 have been adequately addressed by the revised plans EXCEPT the following: In the plan view, the proposed building is shown as a"proposed 4 bedroom dwelling". However, in the"design criteria"the leaching system is designed for a 3 bedroom dwelling. NA 13.01 requires that systems must be designed for a minimum of 4 bedrooms"..unless a waiver by the Board of Health permitting a deed restriction limiting use to three bedrooms is granted for sites where the larger system cannot be installed." If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown, PE/PLS Salem429d.doc 429D Salem Street PODT iti ENGINEERING Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 Town of North Andover NORTH OFFICE OF 3�° "" do c COMMUNITY DEVELOPMENT AND SERVICES O A t r 27 Charles Street North Andover, Massachusetts 01845 X94°^,.,°•°"��5 WU,LIAM J. SCOTT '3-SAC HW- Director (978)688-9531 Fax (978)688-9542 May 12, 1999 Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, MA 01960 RE: 492 Salem Street, Lot D Dear Mr. Morin: This letter is to inform you that the proposed septic plan for Lot D Salem Street, North Andover is still disapproved for the following reason: • The plan view shows the proposed building as having 4 bedrooms. Under the design criteriathe leach area has been calculated for a 3 bedroom dwelling. Please address discrepancy and submit a new plan for review. Please do not hesitate to call the office at the number below if you have any questions. Sincerely, Sandra Starr,R.S. Health Administrator Cc: Cyrus Construction Wm Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i Town of North Andover of HoRTH 41 OFFICE OF ,�� y°,• •D o°c COMMUNITY DEVELOPMENT AND SERVICES ° . . 27 Charles Street North Andover,Massachusetts 01845 WILLIAM J. SCOTT SSACHUS Director (978)688-9531 tQ78)688-9542 July 12, 1999 160 Mr. James MacDowell Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, MA 01960 Re: Lot D Salem Street No. Andover, MA 01845 Dear Mr. MacDowell: - As referenced in the North Andover Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, Section 13.01, "All soil absorption systems designed to serve a single dwelling shall be designed to serve a minimum of four (4) bedrooms unless a waiver by the Board of Health permitting a deed restriction limiting use to three bedrooms is granted for sites where the large system cannot be installed." The waiver for three-(3) bedrooms will be voted on by the Board at its next meeting. Before final approval can be given, proof that the restriction has been filed with the deed must be submitted to the Health Office. The plan, when it is finally approved, will be for a house with a maximum of seven(7) rooms. Please call the office at 688-9540 if you have any questions. Sincerely, Sandra Starr,R.S. Health Administrator cc: J. Pelich File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 01 Town of North Andover NORTH OFFICE OF O� y`• n .OT COMMUNITY DEVELOPMENT AND SERVICES A . . 27 Charles Street "� a North Andover, Massachusetts 01845 WILLIAM J. SCOTT �SSaCHU Director (978)688-9531 Fax(978)688-9542 July 12, 1999 Mr. James MacDowell Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, MA 01960 Re: Lot D Salem Street No. Andover, MA 01845 Dear Mr. MacDowell: As referenced in the North Andover Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, Section 13.01, "All soil absorption systems designed to serve a single dwelling shall be designed to serve a minimum of four (4) bedrooms unless a waiver by the Board of Health permitting a deed restriction limiting use to three bedrooms is granted for sites where the large system cannot be installed." The waiver for three (3) bedrooms will be voted on by the Board at its next meeting. Before final approval can be given, proof that the restriction has been filed with the deed must be submitted to the Health Office. The plan, when it is finally approved, will be for a house with a maximum of seven(7) rooms. Please call the office at 688-9540 if you have any questions. Sincerely, Sandra Starr,R.S. Health Administrator cc: J. Pelich File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 I SEPTIC PLAN SUBMITTAL FORM LOCATION: 'L� —� �� e^ �,e� (�a tiN v� O F 4C) NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan i SITE EVALUATION FORMS INCLUDED: YES NO DATE: DESIGN ENGINEER: Yv�o c/J -7 4=4 v S'1J�V 4� DATE TO CONSULTANT: *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. : Town of North Andover, Massachusetts Form No.2 eORTq BOARD OF HEALTH O•Sty• ,•'�.yO \J —19 D �� • ' DESIGN APPROVAL FOR ssACHUSE< SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No. Site Location D PYReference Plans and Specs. 044vaAz • NGINEER —DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed • in accordance with regulations of Board of Health. CFWfRMAN,BOARD OF HEALTH Fee 21S Site System Permit No.�/G/ PERCOLATION TEST DATA PROPERTY ADDRESS SALEM ST., NORTH ANDOVER MA. PERFORMED by ALEXANDER PARKER NAME OWNER MR. + MRS. DEMIRDJIAN WITNESSED by MR. CARLTON BROWN MAP 38 LOT 2 DATE 12/10/98 LOCATION IN OPEN FIELD TIME 11:30 PERK# P-D2 LOCATION IN AREA NEXT TIME 15:30 PERK# P-D4 NORTH EAST OF GARAGE TO THE SEPERATE GARAGE OBSERVATION HOLE TP-D2 OBSERVATION HOLE TP-D4 DEPTH of SHELF 45" DEPTH of SHELF 37" DEPTH of HOLE 19" DEPTH of HOLE 18" START PRE-SOAK 11:48 START PRE-SOAK 13:25 END PRE-SOAK 12:03 END PRE-SOAK 13:40 TIME at 12" 12:03 TIME at 12" 13:40 TIME at 9" 12;25 TIME at 9" 13:59 TIME at 6" 13:14 TIME at 6" 14:28 TIME 9"to 6" 49 MIN TIME 9"to 6" 29 MIN RATE 17 MPI RATE 10 MPI SITE PASSED PASSED SITE PASSED PASSED COMMENTS COMMENTS CONDITIONS AT SITE OWNER DID NOT WISH 4 HOUR SOAK at this TIME OWNER WISHES to TRY PERK in DRIER TIME OWNER WISHES to THINK ABOUT IT CREDIT FOR HOURS WILL BE GIVEN TO OWNER or TIME TAKEN OFF INVOICE at this TIME(CUSTOMERS CHOICE) DEEP OBSERVATION HOLE LOG for TEST PIT # TP-Dl DATE 12/10/98 TIME AM WEATHER SUNNY, 30 F ADDRESS and LOCATION SALEM ST., NORTH ANDOVER MA. LAND USE SLOPE LANDFORM VEGETATION SURFACE STONE UNDEVELOPED 0-1% OUTWASH PLAIN VARIOUS NONE DISTANCES from in FEET: BRI-NKING WELL OPEN WATER POSS. WET AREA DRAIN WAY PROP. LINE 1001+ 2001+ 1001+ 501+ 301+ DEPT$ HORIZON TEXTURE COLOR MOTTLES STRUCTURE, STONE, ETC. 0-14 Ap FINE SANDY 10YR 3/2 AT 11" 7.5YR 6/8 FRIABLE, GP.PSWLP.R, WEAK, LOAM 2.5Y 8/1 MOIST 14-76 Cl FINE/MEDIUM 2.5Y 7/4 AS ABOVE LOOSE, SINGLE GRAIN, SAND STRUCTURELESS, MOIST 76-118 C2 LOAMY SAND 2.5Y 5/3 AS ABOVE FIRM, PLATY, MODERATE, WET 118-128 C3 SILT LOAM 2.5Y 4/1 AS ABOVE VERY FIRM, MASSIVE, STRONG,, SATURATED NO REFUSAL PARENT MATERIALGLACIAL OUTWASH DEPTH BEDROCK 128"+ STAND WATER AT 39" WEEPING AT 39" ESTIMATED SEASONAL HIGH GROUNDWATER AT 11" SKETCH PROVIDED YES FLAGGING YES THIS TEST HOLE WAS DIRECTLY INFLUENCED BY A DRAINAGE SWALE. NOT TO BE USED IN THE FINAL DESIGN. DEEP OBSERVATION HOLE LOG for TEST PIT # TP-Da DATE 12/10/98 TIME AM WEATHER SUNNY, 30 F ADDRESS and LOCATION SALEM ST., NORTH ANDOVER MA. LAND USE SLOPE LANDFORM VEGETATION SURFACE STONE UNDEVELOPED 0-1% OUTWASH PLAIN VARIOUS NONE DISTANCES from in FEET: INKING WELL OPEN WATER POSS. WET AREA DRAIN WAY PROP. LINE 1001+ 2001+ 1001+ 501+ 301+ DEPTH HORIZON TEXTURE COLOR MOTTLES STRUCTURE, STONE, ETC. 0-13 Ap FINE SANDY 10YR 3/2 AT 13" 7.5YR 6/8 FRIABLE, GRANULAR, WEAK, LOAM 2.5Y 8/1 MOIST 13-15 Bw FINE SANDY 10YR 5/6 AS ABOVE FRIABLE, GRANULAR, WEAK, LOAM MOIST 15-44 C1 FINE/MEDIUM 2.5Y 7/4 AS ABOVE LOOSE, SINGLE GRAIN, SAND STRUCTURELESS, MOIST 44-81 C2 FINE SAND 2.5Y 6/6 AS ABOVE LOOSE, SINGLE GRAIN, STRUCTURELESS, MOIST 81-120 C3 LOAMY SAND 10YR 6/4 AS ABOVE FRIABLE, GRANULAR, WEAK, MOIST NO REFUSAL PARENT MATERIALGLACIAL OUTWASH DEPTH BEDROCK 120"+ STAND WATER AT 73" WEEPING AT 73" ESTIMATED SEASONAL HIGH GROUNDWATER AT 13" SKETCH PROVIDED YES FLAGGING YES THIS TEST HOLE WAS DIRECTLY INFLUENCED BY A DRAINAGE SWALE. NOT TO BE USED IN THE FINAL DESIGN. DEEP OBSERVATION HOLE LOG for TEST PIT # TP-D3 DATE 12/10/98 TIME AM WEATHER SUNNY, 30 F ADDRESS and LOCATION SALEM ST., NORTH ANDOVER MA. LAND USE SLOPE LANDFORM VEGETATION SURFACE STONE UNDEVELOPED 0-1% OUTWASH PLAIN VARIOUS NONE DISTANCES from in FEET: DR-INKING WELL OPEN WATER POSE. WET AREA DRAIN WAY PROP. LINE 1001+ 2001+ 1001+ 501+ 30'+ DEPTH HORIZON TEXTURE COLOR MOTTLES STRUCTURE, STONE, ETC. 0-7 Ap FINE SANDY 10YR 3/2 NONE SEEN FRIABLE, GRANULAR, WEAK, LOAM MOIST 7-14 Bw FINE SANDY 10YR 5/6 NONE SEEN FRIABLE, GRANULAR, WEAK, LOAM MOIST 14-58 C1 FINE/MEDIUM 2.5Y 7/4 AT 22" 7.5YR 6/8 LOOSE, SINGLE GRAIN, SAND 2.5Y 8/1 STRUCTURELESS, MOIST 58-120 C2 LOAMY SAND 10YR 6/4 AS ABOVE FRIABLE, GRANULAR, WEAK, MOIST NO REFUSAL PARENT MATERIALGLACIAL OUTWASH DEPTH BEDROCK 120"+ STAND WATER AT 89" WEEPING AT 89" ESTIMATED SEASONAL HIGH GROUNDWATER AT 22" SKETCH PROVIDED YES FLAGGING YES I t • \ DEEP OBSERVATION HOLE LOG for TEST PIT # TP-Dl DATE 12/10/98 TIME AM WEATHER SUNNY, 30 F ADDRESS and LOCATION SALEM ST., NORTH ANDOVER MA. LAND USE SLOPE LANDFORM VEGETATION SURFACE STONE UNDEVELOPED 0-1% OUTWASH PLAIN VARIOUS NONE DISTANCES from in FEET: INKING WELL OPEN WATER POSS. WET AREA DRAIN WAY PROP. LINE 1001+ 2001+ 1001+ 501+ 30'+ DEPTH HORIZON TEXTURE COLOR MOTTLES STRUCTURE, STONE, ETC. 0-14 Ap FINE SANDY 10YR 3/2 AT ill, 7.5YR 6/8 FRIABLE, GMNULP.R, WEAK, LOAM 2.5Y 8/1 MOIST 14-76 Cl FINE/MEDIUM 2.5Y 7/4 AS ABOVE LOOSE, SINGLE GRAIN, SAND STRUCTURELESS, MOIST 76-118 C2 LOAMY SAND 2.5Y 5/3 AS ABOVE FIRM, PLATY, MODERATE, WET 118-128 C3 SILT LOAM 2.5Y 4/1 AS ABOVE I1ERY FIRM, MASSIVE, STRONG, SATURATED NO REFUSAL PARENT MATERIALGLACIAL OUTWASH DEPTH BEDROCK 128"+ STAND WATER AT 39" WEEPING AT 39" ESTIMATED SEASONAL HIGH GROUNDWATER AT 11" SKETCH PROVIDED YES FLAGGING YES THIS TEST HOLE WAS DIRECTLY INFLUENCED BY A DRAINAGE SWALE. NOT TO BE USED IN THE FINAL DESIGN. Town of North Andover E HoaTN OFFICE OF 3a o�` +0 COMMUNITY DEVELOPMENT AND SERVICES A 27 Charles Street .�9 North Andover, Massachusetts 01845 �9SSgCeHUS��ty WILLIAM J. SCOTT Director (978)688-9531 Fax (978)688-9542 March 29, 1999 Eastern Land Survey Associates, Inc. 104 Lowell] Street Peabody, MA 01960 RE: 492 Salem Street�L6f Dear Mr. Morin: This letter is to inform you that the proposed septic plan for Lot D Salem Street, North Andover has been disapproved for the following reasons: • The reserve area is less than 4'from the primary leaching area (NA 9.04) e if the reserve area 1.5 used, either an impervious barrier will need to be installed beside the driveway, or the driveway will need to be rebuilt. North Andover regulations require impervious barriers to be poured concrete, designed by a professional engineer. Please add notes to this effect. • Trenches shall be used whenever possible. Please Justify use of field. (310 CMR 15.240(6)) • Distributnon�Lmes of field shall be corrected with solid pipe-profile. (NA 15.01) • Distribution lines missing slope specification . (310 CMR 115.251(9)) a Vent detail is for a monitoring well,not just a vent. • Note 7-"Any change of conditions...." Please add"and the Board of Health". a In d-box detail pipe is not specified as 4". • Addresses of owner and applicant are missing. (NA 8.02k) • Driveway elevation missing. (NA 8.02t) • Location and elevation of foundation drain missing. (NA 8.02y) a Elevation of perc test missing. (NA 8.02n) • There is confusion on the numbering of test pits. Please review and rectify. • Determination of the groundwater elevation in Deep Observation Holes is incorrect. Please review and rectify. e Less than:4 feet of separation between bottom of system and groundwater. (310 CMR 15.212 a&b) o Buoyancy calculations are required for pump chamber. (.310 CR 15 21(8)) • Manual operating switch in pump system missing. (NA 12.01) • Bleeder hole missing in discharge pipe. (NA 12.01) • Alarm must be on separate circuit and located in the house. (310 CMR 231(9)) BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i J Please do not hesitate to call the office at the number below if you have any questions. Sincerely, ✓t--A Sandra Starr,R.S. Health Administrator Cc: Cyrus Construction Wm Scott File men To 9 over �, 4 , ;...: . ��� � �.; No. 4/47 === F _ _= _= 11 oh o LAK ,4? dover, Mass., 0 991 ° 11 E R^TE v nPR� BOARD OF HEALTH Food/Kitchen PERMIT T Septic System �a A#& V BUILDING INSPECTOR THIS CERTIFIES THAT . ...... . ePO�.... .... ............... .��......�........................................... ....... Foundation M G has permission to erect-.... buildings on .�0�.D..��.®�.�.....S.�1...�6.�......��'.... Rough��C�. P ��� /a�1� /lf�'�� F1 h► t0 be occupied as.....�..I.N :�.!�r... A1.I .... �.1./.�. ... ...... .....� ..�.�......�. .... Chimney provided that the person acc ing this permit shall in every respect con to the terms of the application on file in Final P P this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final X13 a PEIWU U'__;�_:PJR 1_"S U\1 6 NI ONJJ-_l S N or P ELECTRICAL INSP CTOR or C,I00 ESS ug / ....... ..... .... ............ BUILDING. . . INSPECTOR Service Final Cko,1.t1c:1acy .�"E 1111,1.t` R011(_l.rai to GAS INSPECTOR ^----- Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. iVi FACPAWIA SIGNED FORM4.. 1��� ;..- 1` Town of North Andover N a Ir OFFICE OF 3a o,t, .o /'��°oL COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street North Andover, Massachusetts 01845 X94°•,r ° °"icy WILLIAM J. SCOTT SSACHUS� Director (978)688-9531 Fax (978)688-9542 February 1, 2000 Jim MacDowell Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, MA 01960 Re: Lots C & D Salem Street,North Andover Dear Jim: Thanks for returning my call so promptly. Just wanted to summarize our conversation since I will be going on vacation in a week and want to make sure that my staff will be aware of what we discussed if I'm not here and they have to finish this project. As I understand it, your survey crew will be out on Lot D later this week, on Thursday or Friday to shoot the grades. You will then check the grading to make sure that the retaining wall on the original design is not needed and the grading complies fully with Title 5. If you find that breakout cannot be achieved with the existing grading and the wall is in fact needed, you will notify your client and will give us a call to let us know the situation. If the grading meets Title 5, then the Health Department can expect the as- built for Lot D sometime next week. It's at that point that we can do our final grade inspection. The grades on Lot C have already been checked in the field but have not been worked up. You said there might be a problem with breakout at the garage wall because of the grading but that you wouldn't know until you looked at the figures. If this is the case, please design a wall and submit the plan to us for our consultant's review and approval. They're pretty fast with their reviews so there shouldn't bemuch of a delay. Once it's approved, it can be built, checked and inspected and the final grade can be done and we'll be done. At any rate you don't expect the as-built for Lot C to be ready until the week of the 14th. If I've misunderstood any of this, please let me know since my staff will be acting on it. Thanks for your help. Sincerely, /L J all Sandra Starr,R.S., C.H.O. Health Director Cc: W. Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 14 Town of North Andovero� NORoTM ,ti OFFICE OF �� y�` o COMMUNITY DEVELOPMENT AND SERVICES ° . p 27 Charles Street ► North Andover, Massachusetts 01845 ''�sSgCHU WILLIAM J. SCOTT North Director (978)688-9531 Fax(978)688-9542 i I July 29, 1999 James MacDowell Eastern Land Survey Associates, Inc. 104 Lowell Street Peabody, MA 01960 Re: Lot D Salem Street North Andover, MA Dear Mr. MacDowell: This is to notify you that at their regularly scheduled meeting on July 22, 1999, the North Andover Board of Health voted to grant a waiver to Section 13.01 of the North Andover Minimum Requirements for the Subsurface Disposal of Sanitary Sewage to allow the design of a septic system for a maximum of three bedrooms. With this variance,the proposed septic plan dated 4/17/99 has been approved. Please inform your client that before a disposal works construction permit can be issued, evidence of a deed restriction limiting the dwelling to three (3)bedrooms having been filed must be submitted to the Health Department. If you have any questions, feel free to call the office at 978-666-9540. Sincerely, Sandra Starr,R. S. Health Administrator Cc: J. Pelich File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 7R�%�,,LD + Cyrus Construction Corporation Post Office Box 583 North Andover,Massachusetts 01845 Office (978)688-4080 Trailer(978)683-3605 Fax (978)683-2913 Date: 11/23/98 To: Sandy Starr From: Joseph Pelich Pages:_3 Regarding: enclosure Cgrms Condrudion Corporation P.O.Box 583 North Andover,Ma 01845 (508) 688-4080 11/23/98 To: Town Of North Andover-Board Of Health From: Joseph Pelich Attention: Sandy Starr g Re ardin percolation tests Regarding: Dear Mrs. Starr I have reviewed the"Minimum requirements for the subsurface disposal of sanitary sewage,revised June 1997," and wish to put to writing questions and comments. We have submitted the appropriate items needed to perform percolation tests prior to November 20, 1998. I believe we complied with all the Town Of North Andover, "Section 2.00 Process To Obtain A Site System Permit". The following has been done/submitted,a fee check has been submitted.A scaled site plan map has been submitted.A permission to test letter from the owner of record is on file with both the Board of Health and Planning Board. I spoke with you the week of the Y"regarding doing the"perk"tests. I was rightfully informed that Conservation had to approve prior to the percolation tests being performed. I explained the distance away from the wetlands was in excess of 200-300 feet,and you pointed out the sections in the rules and regulations that required that particular action. You stated I needed a"sign off'from Conservation. I contacted the North Andover Conservation Department and spoke with Mr. Howard. I explained the j topography and the distance away from the wet land area. Mr. Howard said he would approve percolation testing and inform you of such. All needed lot corners have been staked. All desired testing areas are staked. I submitted prior to November 20, 1998. I called the Town consultant,Port Engineering,for scheduling and was unable to reach Carlton Brown.I did speak with someone in the office who said he was booked for the week. This morning I spoke with Mr. Brown and requested we make arraignments for testing,he said I would have to contact you directly to get permission.I asked Mr. Brown under what type of conditions he would test,he stated he could test if there is no frost in the ground. We had a general discussion about the weather and ground conditions and we both agreed the weather was unseasonably warm and was projected to be that way for at least the next week. I respectfully request an extension of the time limit for soils testing so I may complete such this year. My rational for the request is as follows. Firstly,I submitted all appropriate items needed prior to the"cut off' date of November 20`". Second, I spoke directly to the Town consultant, Carlton Brown, and he stated that we could perforin the percolation tests within the guidelines of Title 5. I Giving consideration to only"Home Rule"as recognized by the State Of Massachusetts. I believe accordingly that section 2.00 subsection 2.01 of the Town Of North Andover Health Department rules and regulations give me the right to test. The section states"Soil testing shall be performed from March I" through November 20`h unless soil conditions,such as extreme wetness or drought,preclude testing. This determination shall be at the discretion of the Town Health Agent/Soil evaluator"(pg7). Mr.Brown is the soil evaluator. Clearly he is the one performing the tests. We have weather conditions that allow extension of testing. Mr. Brown agreed to perform testing(with your permission). The words"such as",in my opinion, allow for determination in the opposite direction, extension of testing. Section 7.00 states"soil testing shall take place between March I"and November 20`h weather pennitting. Again, according to Mr. Brown the r,.onditinns are apprc -lute Or test ng. F�r p., Again,I respectfully request an extension. Time is of the essence so I humbly request a decision be made today. I may be reached at 683-3605 or paged at 444-7370.Enjoy the Holidays. Sincerely, /VIM Joseph Pelich-President Cyrus Construction Corporation Carus Consftchon Corporafion l Town of Nor , th Andover, MassachusettsForm No.3 BOARD OF HEALTH P 2 9 19 x'41CHU 00 E� DISPOSAL WORKS CONSTRUCTION PERMIT Applicant NAME ADDRESS r� TELEPHONE Site Location Permission is hereby granted to Construct ( or Repair ( ) an Individual Soil Absorption _ Sewage Disposal System as shown on the Design Approval S.S. No. OS 7 _ CHAIRMAN,BOARD OF HEALTH Fee D.W.C. No. 3 10/26/1999 09:49 5035362672 CVRUS CONSTRUCTION C PAGE 01 9 ?� � S Cyrus Constmt tion Corporation Post Office 583 North Andover,Massachusetts 01845 Phone(978)683-3605 Fax(978)683-2913 Date: 10/26/99 To:Sue Ford From:Joe Pelich for EPM construction,Dean Chongris Regarding: Septic Sand Pages:2 Mrs. Starr requested we provide evidence that the sand is acceptable.Please let this fax serve as documentation that we will be using Torremeo Industries to supply us.I had Mr.Torremeo fax a recent sieve analysis of the product he will be shipping on'Thursday. If you wish we will provide a physical sample for your review and acceptance,or someone could inspect the sand on site,delivery is scheduled for Thursday at 9:30. Thank you Joe Peiich �� I 10/26/1999 09:49 5085362672 CYRUS CONSTRUCTION C PAGE 02 lviztsie9 TUE 14:63 FAX 978 6658721 TORROIlEO INDUSTRIES _ 001 KINGSTON READY-MIX CONCRETE KINGSTON MATERIALS A I)Msion of Torromeo Industries, Inc. P.O. 3vx 509, 18 Dolle Road, Kingston, NH owe 1-80"3643849 - Samples Supplied by Ktrngston Matsrlais, 18 Dome Road, Kingston, NH 03848- SIEVE PERCENT PERCENT TOTAL% i PROJECT f SIZE WEIGHT RETAINED I RETAINED PASSING ASTM C33 SPEC, 318" 0.00 _ 0 0 104 100 to 100 94 .._... ._ .__._. 21.60 �_- 4 --- a 96 95 to 100 1 Ne _ ._. ' ,_ 64.10 �. _�.. 10 14 r~ �as 80... to 1001. 816 109.90 1a 32 Be 50 to 85 + #30 ~103.40 17 49 51 25 to 60 _ #50 _ 190.70 31 80 20 10 to 30 #100 106.30 17 97 3 2 to 10 #200 —� _ 14.60 _ 2 100 0 0 to 5 PAN 2,30 0 'TOTALS: I 612A0 f 100 F.M. : 2.75: f 2.1 to 3.1 { SIEVE ANALYSIS OF SAND -W Yab� ►Q '+00 ,� Min.0400CM Cb ~~` ~�� �► Mlsuc,�evitatlon AO �- a so 0 40 20 N , 3W Iva a8 #14 030 050 5100 PAN SIjvg SIZE f 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION:.` (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, free from organic matter and deleterious substances. 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 perf6nned on a representative sample of the fill. Up to 45% by weight of the fill sample may be retained on the 44 sieve. Sieve analyses also shall be performed on the fraction of the fill sample passing the 94 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% # 50 030 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 #200 #100 #50 #4 Sieve Size 100 - 90 80 70 Z co 60co t - / UJ 50 Z 40 0 IL 30 1 20 of oe 00 10 1 .0 1 Micron 60 200 600 2 6 10 mm 12/27/96 310 CMR - 539 Town of North Andover Of t NORTN OFFICE OF 3a t<' ", �°� COMMUNITY DEVELOPMENT AND SERVICES ° . 27 Charles Street North Andover, Massachusetts 01845 �,9 °A •° °"'�<5 WILLIAM J. SCOTT SSACHUS� Director (978)688-9531 Fax(978)688-9542 Cyrus Construction Corp. Joe Pelich P. 0. Box 583 North Andover,MA 01845 January 10,2000 Dear Mr. Pelich, This correspondence is in regards to the property, known as Lot D Salem Street, North Andover. As we approach the completion of the septic system installation I felt it necessary to review the final steps of the process. I believe that this communication will benefit all parties involved. Typically, this correspondence is directed to the Design Engineer, however, it is clear that you would like to be the lead person in this matter, therefore, I am sending this to you. Prior to the Health Department recommending the issuance of a Certificate of Occupancy the following tasks must be completed and the listed paperwork must be submitted. 1) The installer should request an inspection of the final grade of the system 2) The engineer should submit an As-Built plan of the septic system 3) The As-built plan must show the resolution of the engineer's decision to eliminate the structural break-out wall 4) The installer and engineer must sign an original Installation Certification Form and submit it to the Health department See below for additional descriptions 1) On January 6, 2000, Health Department personnel and the installer conducted the final inspection of the pump system. This approval allows the septic installer to proceed with the final grading of the site. When the looming and grading is complete please have the installer,Dean Chongris, contact the Health Department to request a final grading inspection so that we may perform the inspection in a timely manner. Note: Please be careful to not allow any heavy, rubber tire equipment on this system, as it may damage the underground components and future functioning of the septic system(appropriate size track machines only). i BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 2) As required by the Title V regulations, a final As-Built, drawn up by the Design Engineer, must be submitted to the Health Department. Please see the attached sheet titled,As-Built Checklist. To be considered complete,the final As-Built must contain the items listed. Since your engineering firm,Eastern Land Survey Associates, does not have extensive experience in the Town of North Andover's procedures, it may be helpful to forward this list to them. 3) In regards to the"final contours". It is especially important that this item is shown on the As-Built due to the changes in the field during the installation of the septic system. As you should recall, on November 30, 1999,I conducted the final D-box inspection on Lot D. At that time I noticed that the proposed wall which is shown on the approved plan had not been installed. Per the requirements of the plan"notes"(see attached), I contacted the engineer from your phone and spoke to him about this error. The engineer told me that alteration to the planned location and elevation of the driveway could be made so that the structural wall would not be necessary. Under his direction the installer would be able to achieve conformance with the requirements of section 15.255 3-6 (see attached Title V regulation excerpt and#13 of notes). I stated that this would be acceptable only if the required slope could be achieved. The importance of this requirement is that if the breakout slope does not meet the requirements set by the state, the effluent from the septic system could leak out on the side of the yard and end up running down the driveway. Therefore, if it is determined by the engineer that the slope does not conform to State Title V, the structural wall, as shown on the approved plans, must be constructed on this lot. 4) The installation certification form, received upon issuance of the Disposal Works Construction-Permit, must be signed and dated by both the installer and the engineer and submitted to the Health department. This form indicates that the system was constructed as per the approved plan. Thank you for your anticipated cooperation in this matter. If you have any questions regarding any of the above procedures please do not hesitate to call the Health department at the phone number listed below. Sincere OY, us an Ford Health Inspector I Cc: Eastern Land Survey Associates, Clayton Morin,P.E. Bill Scott,No. Andover CD&S Director TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersianed hereby cer-LL`v that the Sewage Disposal System ( ) constructed; ( ) repaired, by 1 located at was installed in conformance with the North Andover Board of Health approved plan, System Desim .Permit dated with an approved design flow of gallons per day. The materials used were in conformance with those v specined on the approved plan; the system was installed in accordance with the provisions of 310 QAR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approyed plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Engineer Representative Final inspection date: Engineer Representative Installer: L1c.m: Date: Design Engineer: Date: OF 6 INTO THE PARENT MATERIAL THE 80170M .OF THE LEACH BED EXCAVATION SHALL BE LEVEL. NOTES 4 I. SAFETY MEASURES, DAY—TODAY CONTROL OF THE WORK AND CONSTRUCTION 'METHODS SHALL BE THE RESPONSIBILITY THE CONTRACTOR. ' 6. 2. PROPOSED BUILDING FOUNDATION CONFIGURATION AND LOCATION 7 ON THE LOT AS SHOWN HEREON SHALL BE VERIFIED AS TO CONFORMANCE WITH- FINAL ARCHITECTURAL PLANS AND ZONING BY—LAWS PRIOR TO ANY CONSTRUCTION. I UNLESS SPECIFIED OTHERWISE HEREON. SYSTEM CONSTRUCTION -SHALL CONFORM TO TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND LOCAL BOARD-OF HEALTH REQUIREMENTS. 4. ANY INTENDED REVISION OF PROPOSED ELEVATIONS AND / OR ` HORIZONTAL LOCATIONS AS SHOWN HEREON SHALL BE APPROVED BY 8 THE ENGINEER AND THE LOCAL BOARD OF HEALTH PRIOR TO ` IMPLEMENTATHON. , V" 1 5. THIS PLAN IS FOR DESIGN AND CONSTRUCTION OF THE SEPTIC SYSTEM ONLY. 6. ALL WORK ON LINM GRADES AND DETAILS SHOWN IS TO BE DONE BY A LICENSED 'DISPOSAL WORKS INSTALLER', THE CONTRACTOR SHALL NOTIFY THE PROPER INSPECTORS AND ALLOW SUCH TIME AS IS REQUIRED FOR INSPECTIONS. 7. ANY CHANGE OF CONDITIONS AT THE SITE SHALL.BE BROUGHT TO THE ATTENTION OF THE ENGINEER AND THE LOCAL BOARD OF HEALTH PRIOR TO PERFORMING THE RELATED WOR0� K. p 8.. NO WELL, IS TO BE LOCATED WITHIN 100 FEET OF THE LEACHING FACILITY, NOR SHALL THE FACILITY BE LOCATED WITHIN 100 FT OF ANY WELL: AT: 9. THE SEPTIC TANK SHALL BE. INSPECTED ANNUALLY AND PUMPED AS REQUIRED. DA 10. WATER SAVER. TOILETS AND SHOWER HEADS SHOULD BE USED WITH DW THE SYSTEM. ` 11. THIS SYSTEM HAS BEEN DESIGNED FROM DATA REVIEWED AND 10, ACKNOWLEDGED BY THE LOCAL BOARD .OF HEALTH. 12. THE ISSUANCE OF:A CONSTRUCTION PERMIT AND/OR...A CERTIFICATE OF COMPLIANCE SHALL NOT IMPLY' AS_A GUARANTEE THAT THE. SUBSURFACE SEWAGE-DISPOSAL :SYSTEM WALL :FUNCTION SA71S- FACTORILY. �. 13. CONSTRUCTION OF LEACHING FACILITIEB IN cLEm GRANULAR SAND:.CLEAN GRANULAR.SAND. SHALL-BE AS DEFINED IN THE _ 0� STATE ENVIRONMENTAL CODE,,. TITLE'5 REGULATION :15.255(3x. t. :. =_ FILL .SHALL Et.-GRADED AND .PLACE IN ACCORDANCE WITH THE REQUIREMENTS OF 15.255 (3) -► (6) Z f,:. J AS-BUILT CHECKLIST LOT MUMMER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATION & DEMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAMS, WATERCOURSES WAIN' 150' OF SYSTEM LOCATION OF WATER,-GAS, ELECTRIC LNES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TAINK & D-BOX STAlvfP & SIGNATURE NPERVIOUS AREAS -'DRIVEWAYS, ETC. NORTH ARROW FINAL CONTOURS LOCATION & ELEVATION OF BENCI�i USED LOCUS PLAN to t—NIK: utN.AkI Ul LN IRUNNtEN1AL PRUTEC"11UN 1:.=5:: continued (5) Two or more chambers or galleries connected in series shall constitute a chamber or gallery system. The application of 310 CNIR 15.2530)(c) (pits separation distances) shall be applied to adjacent chamber or gallery systems as a unit rather than to the individually connected chambers or galleries. (6) Inlets to chamber and gallery systems installed in trench configuration shall be provided at intervals not to exceed 20 feet. Chamber or gallery systems in bed configuradon shall be provided with at least one inlet for every 40-foot square section. 15.254: Dosing (1) Gravity Distribution. (a) Dosing systems employing gravity distribution to the soil absorption system shall be restricted to systems designed to accept less than 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) Distribution lines to the soil absorption system shall have a minimum diameter of two inches and shall otherwise be in conformance with the provisions of 310 CMR 15.251 (Trenches). (d) Septic tank effluent shall be dosed to the soil absorption system based on the system design flow in accordance with the following frequency: Soil Type Dosing Frequency Sands, Loamy Sands 4 Doses Per Day K Sandy Loam, Loams 1 Dose Per Day Silt Loam I Dose Per Day Clays, Silty Clay Loams 1 Dose Per Day (2) Pressure Distribution. (a) Pressure distribution of septic tank/recirculating sand filter effluent to the soil �M1w absorption system shall be required for all system d,:signs in excess of 2,000 gpd. j (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) The pressure distribution system shall be designed in accordance with the procedures set forth in Department guidance. (d) Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in strict accordance with the manufacturer's specifications.In no instance shall inspection be-performed less frequently than once every three months. The results of such inspections shall be submitted to the approving authority. 15.255: Construction in Fill (1) Any system where fill is required to replace topsoil,subsoil,peat or other unsuitable or impervious soil layer above the requisite four feet of naturally occurring pervious material shall be considered as a system constructed in fill. Any system constructed in fill which extends either wholly or partially above natural grade for the purpose of complying with 310 CMR 15.212 (depth to groundwater) is a mounded system. Alf soil absorption systems constructed in fill shall be sized using the soil type of the etdalying nawrally pervious material. (2) The -finished side slopes of a mounded system shall not be steeper than 3:1 (horizontal:verdcal)._A minimum 15 foot horiizonud separation distance shall be provided between the soil absorption area and the adjacent side slope as measured from the edge of the top of the two inch layer of Hifi to 'i inch washed stone aggregate cover. The toe of the slope shall be a minimum of five feet from any adjacent property line; or a Swale or other drainage system directing runoff away from the adjacent property shall be,installed. Adjustments to the above side slopes may be allowed if a suitable impervious barrier(such as a vertical concrete retaining wall constructed in accordance with 310 CMR 15.255(2)) is -- installed to mitigate potential sewage bmakouL 3124/95 (Effective 3/31/95) 310 CMR - 530 i CMR DEPARTMENT OF ENVIRONMENTAL PkOTECTIO\ _. . .c mnued (a) The retaintnc wall shall be constructed of reinforced concrete. shall'ha%e no weep holes. and shall be waterproof i b i The retaining wall shall be designed by a Registered Professional Engineer, who shall certify that the above condition is met by the submitted design. (c) The upgradient side of the retaining wall shall be waterproofed. (d) Construction of the retaining wall shall be supervised by the design engineer. (e) An as-,built plan shall be prepared and certified by the design engineer that the wall has been constructed in accordance with his approved design plan. (f) The elevation of the top of the retaining wall shall be no lower than the "breakout" elevation,which is the elevation of the top of the two inch layer of'A inch to 'h inch washed stone aggregate cover. (g) The distance from the wall to the edge of the leaching area should be at least ten feet. _ (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, free from organic matter and deleterious substances. Mixtures and lavers of different classes of soil shall not be used. The 511 shall not contain any material larger than two inches A sieve analysis,using a 04 sieve,shall be performed on a representative sample of the fill.Up to 45%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 94 sieve, such analyses must demonstrate that the material meets each of the t following specifications: SIEVE SIZE EFFECTIVE %THAT MUST PARTICLE SIZE PASS SIEVE =n # 4 4.75 mm 100% At 50 0.30 mm 10%- 100% COO 0.15 mm 0%_ 2001.6 #:00 0.075 mm 0°io- 5°io A plot of the sieve analyses of the portion of the sample passing the 04 sieve shall fall on or between the lines on the following graph: PARTICLE SIZE DISTRIBUTION #200 Coo #SC K Sieve Sze 9C 1 I gJ70 I I Ili ll !II� ! I I ! II ' '' ' j► I ; i I I ; � llllli 1 i IjII , � ► III II ' i ► I Z � II � IIII � 'I IIII !� ! I I IfIIII ! r` 30 ! I 20 l i 1_4 I i i i ! I I I I 1 1 i i ,A I I ✓ , m MKron 6o 200 600 2 6 10 mm 1:/1!95 (Effective 11/3/95)-corrected 310 CNN-531 Lot D Salem Street 4:15 —left message at D. Chongris office to return call to set apt to inspect tank and pump 4:20—Dean returned call to BOH, set up inspection for 8:OOAM, Thursday 1/6/00 While speaking with D. Chongris 4:20—Bill Scott called I Pelich, stated that the water and electricity is on and that the tank will be filled with water for the 8 AM inspection I �LN Commonwealth of Massachusetts OCT 3 0 2001 City/Town of System Pumping Record TOWN HEALT NORTH P,. h'ETH DEFARl e. � d Form 4 DEP has provided this form for use by local Boards of Health.Other forms may be used, but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. Systefn Location: forms on the computer,useu2%s only the tab key Address to move your cursor-do not City/Town Ste Zip Code use the return key. 2. System Owner: Name rain Address(if different from location) Cityrrown State Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): " 4. Effluent Tfer present? ❑ Yes Leo If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: I 6. Syste PumRed By: Name Vehicle License Number Company 7. Locatio erP concepts disposed: PIZ."�-C Signatuy(offaulf Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 &\ Commonwealth of Massachusetts - � City/Town of a W° System Pumping Record , Form 4 TOWN OF NORTH ANDOVeR °�M SV0 HEALTH C)EPA T DEP has provided this form for use by local Boards of Health. Other forms m , 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 Locati : Left ront of ho ight front of house, left side of house, right side of house, Left rear of house, righ rear of house, left side of building, right rear of building, under deck. �jo City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes o'f If yes, was it cleaned? ❑ Yes ❑ No 5. Conditlorl ofSystem- 6. ystem:6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Loc iGp where contents were disposed: G.L.S.D. ow Waste Signat a er Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts RECEIVED w City/Town of a w° System Pumping Record NU 12,20Z �M r0y`e Form 4 TOWN OF NORTH ANDOVER, HEALTH DEPARTMENT' DEP has provided this form for use by local Boards of Health. Other formu7Tr5T5TasM=, T Ire information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left side of house, Right side of house Le�5ght �rearof Right front of house, Left rear of house, Right rear of house. Left rear of building. building. Address st City/Town State Zip Code 2. System Owner- CA Name Address(if different from location) City/Town State ip Code Telephone Number B. Pumping Record 1. Date of Pumping r °L q� V- Septic Quantity Pumped: Date Gallons 3. Type of system: ElCesspool(s) Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: d 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Loca ere contents were disposed: L Lowell Waste Water qgqbtue of Haul r Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 F.