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HomeMy WebLinkAboutMiscellaneous - 517 JOHNSON STREET 4/30/2018 (2) e l Cl ^1 y 1 ikNEW ENGLAND ENGINEERING SERVICES INC August 19, 2002 Sandra Starr, Administrator TOAMN oF� ---- North Andover Board of Health 60ARD OF HEALTH 27 Charles Street North Andover, MA 01845 FAU9 2002 Re: 517 Johnson Street, Septic system design Dear Sandra: Enclosed you will find the following documents pertaining to the above referenced property. 1. 5 sets of septic system design plans. 2. Application for approval. 3. Draft soil evaluator sheets. 4. Check to cover the fee for approval. If you have any questions or need additional information please do not hesitate to contact this office. Sincerely, � Be J C. Osgood, DJ EIT President TOWN OF NORTH ANDOV-R/ BOARD OF HEALTH AUGl M 60 BEECHWOOD DRIVE-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 SEPTIC PLAN SUBMITTAL FORM LOCATION: .571-7 cJo H osv, s�i 4EE i NEW PLANS: YES $160.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: g,�tt a�, DESIGN ENGINEER: DATE TO CONSULTANT: When the submission is all in place, route to the Health Secretary. NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@conversent.net September 6, 2002 Town of North Andover Office of the Health Department Community Development and Services Division - — 9 2032 27 Charles Street North Andover, MA 01845 --- RE: Subsurface Sewage Disposal System -_ - Plan Review, 1770.A/013 517 Johnson Street Assessors Map 98A, Lot 15 li Dear Members of the Board, Please be advised that Noonan& McDowell Inc. has reviewed thelan dated 8/14/02 P , by New England Engineering Services, Inc. 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: 1 Plan Soil Logs do not match Board of Health records. 2) Show or provide a note indicating location of water service. 3) Revise for a 96.94 water table. 4) Provide cross section of leaching facility NA 8.02w. 5) Provide a note on abandonment of old system. 6) Provide a note to replace outlet tee in septic tank and install gas baffle. 7) Provide an inlet tee in D-Box 232(3)a. Respectfully, John L. Noonan, P.L.S.-P.E. G:office/forms/tonarev/1770.A.013.doc Land Surveyors Civil Engineers Environmental Planners NOONAN &Mc DOWELL, INC. 25 Bridge Street, Suite 6, 'Billerica; MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netwacom Date �— 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, 17706/ 4�/ Assessors Map , Lot Dear Members of the Board, Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated r' by .�✓�v CNG G tet--it �rJ r/ xy 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: �� ���✓tm�T ��P S S S�6_�-per, of ` �?tr/t i-v G- �?�� G i�r yrs filer V/1�2 ,� Olt?T ZE- To �, G o v 7- Respectfully, 7) 7— Z 72 John L. Noonan,P.L.S.-P.E. GJ:o3 ice/forms/tonarev Land Surveyors Civil Engineers Environmental Planners CHECKLIST FOR NORTH ANDOVER N&M Job 1779A SEPTIC SYSTEM PLANS The following is a checklist that incorporates all Title 5 and local regulations for septic plans. Name of Applicant: Name of Designer: Plan Date: / 4 Z-Revision Date: Date of Review: G' Z r _ Property Address: -7 S'1 Map: Lot: i Jr-- BOH Reviewer: t-, 4—' Type of Plan(new or 4 grade Number of Bedrooms in Assessor's Records: gpd)Garbage Disposal Allowed: General Information: N.A.=North Andover Septic Regulations Other numbers refer to Title 5 OK Problem N/A Street number and map/lot-220(4)(u) t'- Maximum scale of 1 "=40'for plot plan-220(4) Maximum scale of 1 "=20'for profile and component details-220(4) Legal boundaries of the facility being served-220(4)(a) Names of abutters from recent tax map- NA 8.02j ^ Number of bedrooms,design calcs.,-NA 8.02i Name&address of record owner&applicant- NA 8.02k Name&address of designer-NA 8.021 Holder and location of all easements-220(4)(b) Date plan drawn&any revision date- NA 8.02m All dwellings and buildings,existing and proposed-220(4)(c) a� Location of all existing or proposed impervious areas-220(4)(d) . All distances on site plan-NA 8.03a-c Elevation of proposed driveway-NA 8.02t Location and elevation of foundation drain-NA 8.02y Location and dimensions of the system incl.te_ sery, ew const. -220(4)(e) J Limits of excavation of leach area on site plan-NA z Locus plan-220(4)(t) (Not to scale) North arrow-220(4)(g) Existing and proposed contours-220(4)(g) Z-� Locations and logs of deep holes-220(4)(h) !� Locations and logs of percolation tests-220(4)(i) Date(s)of soil testing-220(4)(h)&(i) rte' Existing grade elevation of each deep hole-220(4)(h) Elevation of percolation tests-N.A. 8.02n �^ Name of approving authority representative-220(4)(h)&(i) Name of soil evaluator-220(4)0) Soil logs and perc test logs match BOH records cations of water mes,drains,and subsurface utilities-220(4)(m) sery an g w.elevation in the vicinity of the system-220(4)(n) Complete profile of the system to scale-220(4)(o),NA 8.02c Cross section of leaching facility-NA 8.02w (Not to scale) �^ Location of benchmark(s)within 50-75 feet of facility-220(4)(q) Note listing all variance requests with proper citations-220(4)(p) 30 Local upgrade approval request form submitted-403(l) ✓' Original R.S./P.E. stamp,signature&date-220(1)&(2) — _ If P.E.,discipline specified within stamp. MGL C._112 s. 81M sfc.supplies(Win 400'),pub.wells(w/in 250'),pvt. wells(Win 150')-220(4)( Location of watercourses,wetlands,wells,etc. Win 150'of system-NA 8.02r Z_ Wetland disclaimer-NA 8.02s _ RLS plan reference&certification required(prop line setbacks)-220(3) Use approvals/standards checked for I/A system-DEP docs., 2 p Perc rate>30 MPI-not allowed for new,LUA for upgrade-245(1)&('3) �- Perc rate>60 MPI-must use modified tight tank or UA technology-245(4) Proposed system qualifies as"shared"system-002(definitions) Flow is over 2,000 gpd-No R.S.allowed-220(1) Design flow was set in accordance with code-203 Existing system location and note on proper abandonment-354 Leaching facility at least 1' above Base Flood elevation—NA 9.05 All piping Sch 40 minimum—NA 10.01 A Basement floor minimum 1' above groundwater elevation—NA 5.04 Foundation drain present with elevation—NA 8.02y On-site Soil and Groundwater Review OK Problem N/A L� Proper deep observation hole logs on plan-220(4)(h) •� All deep holes and peres shown,including aborted tests—NA 8.02n Soil evaluation forms submitted within 60 days of field work-018(2) d Proper percolation test log-220(4)(i) G� Ample deep observation holes in primary disposal area(minimum 2)- 102(2) Ample deep observation holes in secondary disposal area(minimum 2)- 102(2) Ample perc testing(one in each disposal area,3 in prim.>2,000 gpd)- 104(4) Deep hole testing conducted within two years—NA 7.05 Hole Identification Numbers: ground elevation el. C� acceptable soil el. Leach facilitv invert el. i ground water el. refusal el. bottom of leach facility el. �^ thickness of acceptable soil .� before&after soil R&R l separation to groundwater separation to refusal l soil class i perc rate i loading rate septic tank below g.w.table (yes or no) pump tank below g.w.table (yes or no) 11 in fill -255(l) Setback Distances(Given in feet) 15.21 1 YES NO Is the lot in the Lake Cochiewick Watershed? NA 6.00&5.02 OK Problem N/A Septic Tank Leach Facility 1� Property line 10 10 Cellar wall 10 20 2 3 Inground pool 10 20 Slab foundation 10 10 Deck,on footings,etc. 5 10 ` Waterline 10 10 Private drinking well 75 100 Irrigation well 75 100 �— Wetlands 75 100 y� Public well 400 400 Wetlands bordering surface 150 150 water Supply or trib. (in Watershed) Trib.To Surface Water supply 325 325 Reservoirs 400 400 Tributaries to reservoirs 200 200 Drains(wat.supply/trib.) 50 100 (✓ Drains(intercept g.w.) 25 50 Foundation drains 10 20 Drains(Other) 5 10 Drywells 20 25 / Downhill slope 15'to 3:1 slope w/o barrier Building Sewer OK Problem N/A —==, Grease trap required Io certain uses(check 230 for details) Pipe diameter lie (4"minimum)-222(1) Pipe schoule listed-222(3) Pi t iron or Sch 40 PVC–NA 11.02 atertiglit joints specified-222(3)&(4) Pipe laid on compact,fin base-222(5) Pipe laid on continuous grade in ght line-222(7)@ Cleanouts precede all chan in alignment and grade-222(8) Cleanout provided ev 00 feet-222(8) �. Manhole at any egree alignment change-22 I ert elev n at building: I ve evation at septic tank: Length of run: Slope: (minimum of 0.01 -0.02 desired)-222(6) 10'offset to private well or suction line-222(2) 3 4 Septic Tank OK Problem N/A Tank is accessible-228(3) No structures above tank—(228(3) ank can accommodate both primary&reserve—NA 9.04 200%of flow(required&provided given. 1500 min.)-220(4)(f)&223)(1)(a) 2-3" drop from inlet to outlet-227(5) Minimum of 4'liquid depth-2 (� 3"air space above t es(minimum)-227(4) 99,air space_Aborre flow line(minimum)-227(4) e are not to be replaced by baffles-227(1) Tees extend 6"above flow line-227(1) Inlet tee extends 10"below flow line(minimum)-227(6) Outlet tee extends 14" below flow line(more for deeper tanks)-227(6) Gas baffle installed on outlet-227(4) �— Access manhole cover above center of tank&each tee(except 2 compart)228(2) 3-20"manholes-228(2) 1 childproof,24"riser/manhole Win 6"of final grade if<1000gpd-228(2) and outlet tees on center line-227(1) Soil compaction below tank specified(if soil is non-native)-221(2) 6"of<=3/4"stone beneath tank specified- 11(2)&22 8(1) If> 1,000 gpd AND not a single.f na�'�dwell.must be 2 tks or 2 comp.-223(1)(b) If plan specifies disposal n6st be 2 tanks in series or 2 compart.tank-223(1)(c) Buoyancy calcs_r-e wired if tank at or below water table-221(8) Tank is watertight-221 (1) cover over tank(minimum)-228(1) H- 10 loading(min.)-H-20 if traffic-226(3) Top of tank<=36"below grade-221(7) All pumping to tank(if applies)in accordance with-229 Tank is set to keep old system in service during install if possible Distribution Box(Check here if not present: ) OK Problem N/A Inlet elevation: v� Outlet elevation: 0.17'drop from inlet to outlet(minimum)-232(3)(b) 6" sump(minimum)-232(3)(e) All outlets at same elevation-232(3)(b) Outlet pipes laid level for first 2 ft.-232(3)(c) 1G Pipe Sch 40-NA 10.01 r/ Number of outlets: Number of laterals: r Size of outlets: Inlet baffle/tee min. 1"over outlet invert for all d-boxes-232(3)(a), Soil compaction below distribution box specified(if soil is non-native)-221(2) 6" of stone beneath distribution box specified-221(2) _Lc Box is watertight-221 (1) —rc Top of box<=36"below grade-221(7) �—� Buoyancy calculations required if box is at or below water table-221(8) Pump Chamber(Check here if not present: ) OK Problem N/A Volume specified: 220(4)(r) Pump on elevation- 220(4)(r) Pump off elevation: 220(4)(r) Alarm on elevation: 220(4)(r) _ Number of cycles per day-220(4)(r)(also 254(1)(d)if gravity from d-box) Minimum 2"delivery line to d-box if gravity-254(1)(c) 4 • 5 tom—, Pressure dosed l.f.if flow>=2,000 gpd-254(1)(a)&254(2)(a) �^ Cycles per day is consistent with chamber volume-23 1 Volume calculations include flowback volume-2') 1(2) 24 hour storage capacit above pump on elevation-231(2) C____ Number of pumps:_ 2 if system serves>2 dwelling units-231(6) Capacity of pump(s)- gpm @ 'TDH-220(4)(r) Pump can pass 1 1/4"solids(minimum)-231(7) G^ Pump controls specified-220(4)(r) Alarm equipment specified-231(2) Alarm is in building and powered on separate circuit from pump-2') 1(9) Pump sequence correct(off-lead on-lag on-alan-n on)-231(8) Pump performance curves included-220(4)(r) Manual operating switch-NA 12.01 y Check valve,bleeder hole-NA 12.01 1 childproof,24"riser/manhole to final grade-2'31(5), Soil compaction beneath pump chamber specified(if soil is non-native)-221(2) 6"of<=3/4"stone beneath chmbr. specified-221(2)&228(1), Buoyancy calculations if chamber is at or below water table-221(8)@ 9"of cover over chamber(minimum)-228(1) H- 10 loading(min.)-H-20 if traffic-226(')), Chamber is watertight-221 (1) Top of chamber<=36"below grade-221(7) Leaching Facility(general-complete for all designs) OK Problem N/A 50%larger if garbage disposal-240(4) y Trenches to be used whenever possible-240(6) No vehicle or imperv.area above U.unless unavoidable-240(7);NA 13.02 Vented if under impervious cover-241 (1) Vented through same pipes as distribution system-241 (1)(a) _�— Vent protected from precipitation/animal entry-241 (1)(b) Vent is placed beyond traffic or impervious area-24 1 (1)(c) f All lines connected to vent if bed or trenches-241(1)(d) 9"cover over peastone'-240(9) C� Reserve area provided(new construction)-248(1) Reserve 4'from primary leach area—NA 9.04 y, 4'(5'if perc rate<=2 MPI)separation to g.w.-212(a)&(b) 4'(down to 2'with variance or UA-upgrades only)of natural soil under 11 GW separation is adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005-251(9) Require 5'removal and replacement if in fill-255(5) Top of leach facility<=36" below grade-221(7). Final grade over U.minimum 0.02 ft/ft-240(10) Surface&subsurface drainage away from 11.-240(1 1)&245(5) Minimum design flow 440 gpd without deed restriction—NA 13.01 3:1 slope where grading required-255(2) 1C Toe of fill slope stops 5'from property line or Swale installed-255(2) Impermeable barrier if<3:1 slope or< 15 feet to—3:1slope-255(2) Impermeable barrier/retaining wall poured concrete—NA 9.02 Retaining wall stamped by P.E.-255(2)(b) `fes Top of retaining wall>=top of peastone elevation-255(2)(f) 10'offset from edge of leach facility to edge of ret.wall-255(2)(g) Perc test(s)done in most restrictive layer- 104(2) ✓- Perc test 4'below leaching elevation—NA 7.06 - Design flow listed and required/provided leach area given-220(4)(f) �^ Leach pipes SCH40 PVC—NA 10.01 `r Leach pipes minimum 4"diameter except for dosed system—NA 14.04 �^ Leach lines capped,vented,or connected together-251(9) Pressure dosing guidance followed if pressure distribution-254(2)(c), Pressure dosing required over 2,000 gpd or with I/A remedial use-231(1) 5 6 Leaching Trenches(Check here if not present: ) OK Problem N/A Number of trenches: Minimum of 2 trenches-NA 2)` Depth of trenches(m 2'): -247(l) Width of trenc - 2'min.,4'max.): -251 (1)(b) Length o enches(100'max.): -25 1 (1)(a) Tre ehes are vented(when>50')-251 (11) renches follow contour lines-251(2) Trench spacing 3 times effective width or depth mum-251 (1)(d) In fill or reserve between trenches, 10' -NA 14.01& 14.03 Available leach area given(Min. s.f.)-NA 9.01(2) Bottom=L W x# — s.f. Sidewall=L x D x#—x2= s.£ Effective leac ea given Loa ' g factor: ective area=total area s.f. x LTAR = g/day ective area is>=design flow of facility being served 2"of 1/8"- 1/2"2x washed peastone.-247(2) Trench depth of 3/4"to 1 1/2"double washed stone-247(1) Leach Fields(Check here if not present: ) OK Problem N/A �— Number of fields: (need dosing chamber if> 1,231 (1)) v Length(100'max.): -252(2)(b) Width: Total area:L x W = s.f. Minimum 900 square feet-NA 9.01(1) ✓' Distribution lines connected with solid pipe—NA 15.01 Effective leach area given Loading factor: Effective area=total area s.f x LTAR = g/dav Effective area is>=design flow of facility being served Minimum of two distribution lines-252(2)(a) 6line separation(max.)-252(2)(d) 4'maximum separation from edge of field to line-252(2)(e) 10'minimum separation between adjacent leach fields-252(2)(f) Between 6"and 12"of 3/4- 1 1/2" stone beneath field_-252(2)(g)&247(2) 2"of 1/8"-1/2"2x washed peastone.-247(2) Final Grading OK Problem N/A =� Slope over leach area minimum of 0.02 feettfoot—240(10) Grading shall divert drainage away from leach area—240(l 1) Grading slopes away from dwelling 5/24/01 f./office/forms/tonackltr.doc 6 FORM 11 SOIL EVALUATOR F01ni Page 2 of 3 � GA -`I Location Address or Lot 1 0. 5l� �1-,4 Ct S ,l r On-site Review Deep Hole Number /. Date..:.` / Time:.:�jrr y�� Weather 19le -7z ' Location (identify on site plan) Land Use Q f Slope M . .!�-7 ' Surface Stones Vegetation �'e'4 -57 Landform Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way. : .. feet Possible Wet Area feet Property Line ... .... feet Drinking Water Well . feet Other .. . LOG* DEEP OBSERVATION HOL E 0 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) mottljng (Structure, Stones, Boulders, Consistency. Gravel) i ire Parent Material (geologic) _ DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 2� r� Estimated Seasonal High Ground Water:_ ki UEP APPROVED F0"1• 12/07/95 FORM 11 SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. �/ G 1 lAax( 111; �� ��, �!��` "'All On-site Review ff , —7 Deep Hole Number Date:.4 � 2— Time..l� .M Weather Location (identify on site plan) PPr' t+�,•. .. - r�. Land Use .: - Slope (%) Surface Stones Vegetation ............ .. Landform Position on landscape (sketch on the back) jt/14_ Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line .: __..... feet Drinking Water Well .. feet Other .. :,:.,:.. DEEP OBSERVATION HOLE LOG' I Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, Gravel) 6,- o y s 7 MINIMUM Ol' 2 HOLES REQUIRED AT-EVERY PROPOSED DISPOSAL AREA Parent Material (geologic) DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: /&7. Weeping from Pit Face: Estimated Seasonal High Ground Water: - ki DEP APPROVED FOM • 11/07/95 SEPTIC PLAN SUBMITTAL FORM LOCATION: �/'7 NEW PLANS: YES $160.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: �- DESIGN ENGINEER:� ?,,-j G-L-AAJP CAACHN (,- DATE TO CONSULTANT: When the submission is all in place, route to the Health Secretary. NEW ENGLAND ENGINEERING SERVICES lk INC September 11, 2002 Sandra Starr,Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 517 Johnson Street,North Andover, Septic system design Dear Sandra: Enclosed are revised septic system design plans for the above reference property. The following changes have been made. 1. The water service location has been added to the plans. 2. Leach system cross sections have been added to the plans. 3. A note has been added indicating that a tee shall be installed on the inlet pipe for the distribution box. 4. The existing septic system location has been shown on the plans. 5. Note 12 indicates that new tees and a gas baffle shall be installed on the existing tank. If you have any questions regarding the information submitted, please do not hesitate to contact this office. Sincerely, '6 C - -11, PL Benja�C. Osgood, .,EIT President 60 BEECHWOOD DRIVE-NORTH ANDOVER, MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 : Town of North Andover, Massachusetts Form No.2 f NORTq BOARD OF HEALTH o � w 9 ��°-"-��-•.-- ' DESIGN APPROVAL FOR • ;1 b�+ro'A�� Ss,CHSOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant—Z 3C�.�� Test No. Site Location_ T17 J��zfl�nnu Reference Plans and Specs./ Z�� • ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. AIRMAN,BOARD OF HEALTH Fee /G Site System Permit No. / Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH AORT)l L F p 0: :�"�+ DISPOSAL WORKS CONSTRUCTION PERMIT ,SSACHUSEt Applicant AME ADDRESS TELEPHONE JAZ�Y'� Site Location Permission is hereby granted to Construct ( ) or Repair (1-<an Individual S it Absorption Sewage Disposal System as shown on the Design Approval S.S. No. J/ �� CHAIRMAN,BOARD OF HEALTH Fee ' '��6 D.W.C. No../A 772, BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: �� (�-�!�`� CURRENT INSTALLER'S LICENSE# LOCATION: SH LICENSED INST �Cc SIGNATURE: TELEP ONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only 160.00 Fee Attached? Yes v No Project Manager Ob. Yes % No Foundation As-Built? Yes No Floor Plans? Yes No Approval i Da 7 te. ��� INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at !j 7 relative to the application Of Sa a�Vated aJ : �O� for plans by F and dated 2� with revisions dated 'J7: 65— 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 toerformin p g 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 manger, or any other person not associated with my company schedules an inspection and the system is not readythen item three ee shall be applicable. 3. As the installer I am required to have the necessary work completed prior to th P p e a licable inspections as indicated below. I understand that requesting pp eq estmg an inspection, without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a$50.00 fine being levied against my company. a) Bottom of Bed-generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection —Engineer must first do their inspection for elevations, ties, etc. As-built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade Installer must request inspection when all grading is complete. Does not have to be on site. 4. As the installer I understand that only I may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license 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 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. Undersign icensed Septic taller Date: Dispo Works Construct' n Permit `� Town of North Andover ofµCR*h Office of the Health Department ' ' Community Development and Services Division * 27 Charles street North Andover,Massachusetts 01845ACHMU � Sandra Starr Telephone(978)688-9540 Public Health Director Fax(978)688-9542 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 17/23/02 This is to certify that the individual subsurface disposal system constructed () or repaired (X) by John Soucy at 517 Johnson Street has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. a rian J.LaGrasse Board of Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 1 tEALTH 688-9540 PLANNING 688-9535 ' F TOWN OF, NORTH ANDOVER SMVAGIf DISPOSALS ystam ` i\STALi..l"rION CL• RTZFICATION The undersivned here:v ceniiv that the Sewage Disposal Systern is ) cor.sinuctcd-, 00 repaiml.: _ by located at- ,,571-7 :,.Jvl�N-,OAI wee r -----_ was installed in chntc-mance with the \irth Andover Board of He ith approved plan.. Svsten Design Pe.=d0-7':_ , dated: :with an sccrovred desion [low of `a:lons per day The mater:a:s;used were in conform=,--, :vlih those specined on the approved- plan; the system was inti led in' accordarae ,Nish the provisions of 3101 CNIR 15.000, Title 5 and local rw.ilations, and the final 2radip agrees substantially %Kith the approved plan. :til :Corr ;s accuratery represented :)r, the A-s-b ilt :which has been submitted to the Board e;Health. ��ti• Beet inspection date- �O as /v (o2?i ���� RICHARD yG Engineer Rcprest alive s C. Final inspection dater: TA4-GARD /7/Z �Fki1STEN��O e-4 rl Engi eer Repre5e:U :- e w'G� m Z — L_;C. Date: /�92,47. _ 1/-7-0�• Date- 1/7-da i-►�T�lle1L 7-. ---- 7 INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initials A. Bottom of Bed 1. Excavation to proper depth 2. With trenches,sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation,etc. ✓ Comments: I B. Retaining Wall 1. Wall height and width as specifi 2. Waterproofed 3. Wall minimum 10'to leaching facility 4. Wall meets specifications of plan Comments: C. Building Sewer 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 3. Watertight joints 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8"per foot minimum 6. Pipe properly set on compact firm base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90°change 10. 10'minimum offset to water line Comments: D. Septic Tank 1. Level 2. 1,500 gal minimums 3. Gas baffle present on outlet 4. Manhole to grade 5. Manholes over center and each tee 6. 3-20"manholes 7. Inlet tee minimum 12"under invert 8. Outlet tee minimum 14"under invert 9. Outlet line cemented 10. Air space 3"above tees 11. 2"-3"drop from inlet to outlet 12. Pipe set 13. Compact base with 6"of 3/d'crushed stone under tank 14. Tank is watertight Comments: i I � Yes NO E. Pump Chamber 1. If separate from tank,compact base with 6"of stone underneath 2. Minimum 2"pipe to d-box if gravity system 3. 20"access manhole �- 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch 12. Pump delivers liquid to d-box Comments: i � F. Distribution Box 1. D-box level �/ V 2. Minimum 0.IT'(2")drop from inlet to outlet 3. Minimum 6"sump 4. Outlet pipes show equal distribution 5. Compact base with 6"of stone beneath box IJ 6. Box is watertight 7. All lines cemented with hydraulic cement 8. Schedule 40 pipe Comments: G. Soil Absorption system 1. All stone double-washed-3/."- 1 %2" -pea stone Bucket test done? 2. Minimum 2"of pea stone above distribution lines 3. Minimum 6"stone beneath pipe 4. Distribution lines capped or connected together 5. Grading meets 3:1 slope 6. Minimum of 9"of fill graded over system 7. Toe of slope stops minimum 5'from edge of property; if not,thenrA Com` nts: H. Leach Trenches 1. Minimum 2 trenches 2. Length of trenches agree with plan. (Max.length 100') 3. Width of trenches agree with plan-Minimum 2';maximum-4'. 4. Vent present if<50 feet or specified 5. Distance between trenches minimum 4'and maximum of 6' 6. Minimum distance between trenches 10' 7. Pipe slope minimum 0.005 or 6"per 100' 8. Depth of trenches below outlet invert minimum of 6". Yes NO 9. Pipes set on stable base. Comments: I I. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6"per 100' 3. Separation between pipe 6'maximum 4. Pipes connected at end 5. Separation between adjacent fields 10'minimum 6. Pipes set on stable base 7. Maximum 4'separation from edge of field to first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: I Leaching Pits 1. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between 12"and 48"wide 4. Access manholes on each pit 5. Pipes cemented with hydraulic cement Comments: ' K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9"soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond AS-BUILT CHECKLIST LOT NUMBER, STREET NAME _ ASSESSORS MAP & PARCEL NUMBER ' LOT LINES &LOCATION OF DWELLINGS _ LOCATIONS &DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM J , TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP& SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW LOCATION &ELEVATIONS OF BENCHMARK USED BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: 719 /70 0 Z MAP &PARCEL:AVA o l� LOCATION OF SOIL TESTS: Req OWNER: Ro6ec-roe 4. R�SSeII �e51 N TEL. NO.: 4�ft-dg8-53yy ADDRESS: F/7 TbHNSo,-v 5—irem ENGINEER: New 6cQ,4.cd 6&6,V Ove('..06 I;OQTEL. NO.: 686-17C8 CERTIFIED SOIL EVALUATOR: R,CH-4(-6 C. -r q,v6,4rd Intended Use of Land: Residential Subdivision Single Family Ho 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$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$200.00 per lot for repairs or upgades. (If time is not critical, fee for repairs is$75.00) GENERAL.INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan(no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: heck Date: /q. 1 23' 150 107a „ — , ti 8,4 196 2 1o8a ti. oJ. 151 IlIaa 2 } \.- \ ' �1 I Oaa tib .�'� -0 Za ' 333 '33Z 331 } 197 p. 152 % / 330 ,� ,b ( 154 35 t , I 111 / / \ a 4 i \f\ �/153 �� Z14 AC .67 ac. .7a X46, .,3 x. 21 1 t�, �` ``�' 131' ��R4' ai u LOT 1 \ ROAD V--�--T?3 ;� 1271, - 1 \ •/ AN�1351 �7J j, 121 �85.c 14 311 31 3291 \b 1�55 122 u6 x 4 >C a / l 3 313 y . 323 312 156 2 I 120 3.28 AC 1. 378 titif/ 310 123 I.oT z �� to, • loa p 119 4 I 'y 7 �/ 157 9a 124 3 6A25 IT? 34 �, 20 \,�" 158 s' ,f � 118 V\ay �� 8a 125 / 1. :6!rae 1f D 5!0 .. 117 108 7a 126 ba 1 33 ry r.104j � 7.A 127 p �% 255 159 B 128 ko 32 t,>< 5a *- n�s. � os i 143 n ,la 129 256 3a 130 spa s � 2a 131 .zsy2 a a 132 14 _ a 25 133 J 26 ry05 i� 48 1 260 24 247 261 3 �r. ^� ,as g 27 2 5 18 121 Lr!�� �.�'�j� 1a3 262 259 �� 6 1 14 / Jt 1. S'9 15!' 263 7 250 3 V2JVO- SEE PLAT NO. 98 f ` - Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH �OFAZ�ED °16 gti00L yC i 1 R 2Z Y7 O is T APPLICATION FOR SITE TESTING/INSPECTION QDRATED �SSACHU$ Applicant '16 °�� �LJf�yrCwL`i. NAME ADDRESS TELEPHONE Site Location, r Enginee /� ® l `5 NAME ADDRESS TELEPHONE Test/Inspection Date and Time �.., CHAIRMAN,BOARD OF HEALTH Fee 7_� Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. FORM 11 - SOIL EVALUATOR MOPP, Page 2 of 3 r Location Address or Lot No. On-site Review Deep Hole Number Date:.'04/10 2- Time:.1�.. Weather Location (identify on site plan) / .......•.:. - �.. Land Use k/ Slope (%) Surface Stones Vegetation Landform . Position on landscape (sketch on the back( . Distances from: Open Water Body . feet Drainage way. :.... feet Possible Wet Area feet Property Line ... .......... feet Drinking Water Well feet Other .._:,::.:.....:.:::..:......::::. DEEP OBSERVATION HOLE LOT i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, %c Gravel) Z G I S 7-0 }r- 1 2, Y o � ! . S, �2 �-z / I 11' VERY PROTOSEDDISPOSAMI: ' Parent Material (geologic) DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: l / Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORA!• 12107195 FORM 11 SOIL EVALUATOR FOR'�1 Page 2 of 3 Location Address or Lot No. On-site Review Deep Hole Number /. Date:.: /� Time:..`7rr. Weather 14 �1e Location (identify on site plan) lZ:.. .. T:::.:.:. Land Use , Slope M Surface Stones Vegetation Landform Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way :. .. feet Possible Wet Area feet Property Line ... _. .... feet Drinking Water Well .:. 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, So Gravel) �L iZ/7 I �E rI i i Z, S �A/Z- Fiel�q MINIMUM OT-2-HOLES REOURED AT EVERY PROPOSED DISPOSAL AREA 9 Parent Material (geologic) _ DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: © � Weeping from Pit Face:_ r/ Estimated Seasonal High Ground Water:__ --.-- DEP APPROVED FORM• 11/07/95 NEW ENGLAND ENGINEERING SERVICES INC lk C- 0 R-H A, OCT 12002 September 27, 2002 Sandra Starr,Administrator North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 517 Johnson Street Dear Sandra: Enclosed are the final soil sheets for the above referenced property. If you have any questions or need additional information please do not hesitate to contact this office. Sincerely, Be4w C. Osgoiin,EIT President 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 FORM 11 SOIL EVALUATOR FORM Page I of 3 No. l It- 2 Date: Commonwealth of Massachusetts IVO. Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Date: ,�110 Performed By: ..........C .......... WitnessedBy: ........... ............. .................................. ... ........ ..... . - Location Address or WIX4 b V v7. (>wtzr,s Name. Lot I TeleAddress,and phone I IV- New construction El Repair Office Review Published Soil Survey Available: No El Yes 11461............ it Year Published ....... Publication Scale Soil Map Un . ............ Drainage Class �OP ... Soil Limitations 111451 . 74 Fe�.......... Surficial Geologic Report Available: No [K Yes 0 Year Published Publication Scale GeologicMaterial (Map Unit) ....................................................................................................................... ........ ........... Landform .... ................. .............. Flood Insurance Rate Map: Above 500 year flood boundary No EJ Yes K Within 500 year flood boundary No 0Yes 0 Within 100 year flood boundary No 0Yes 0 Wetland Area: ..................................... National Wetland Inventory Map (map un-it) ............................. ...................... Wetlands Conservancy Program Map (map unit) .............................................................................. ...... Current Water Resource Conditions (USGS): Month4 Range :Above Normal ❑Normal ElBelcwNormal Other References Reviewed: DEP APPROVED FORM-12/07/95 A FORM 11 - SOIL EVALUATOR FOIZN1 Page 2of3 Location Address or Lot No. V'-o v A N On-site Review J G Deep Hole Number ..:[... :.:. Date:.:. e/�� Time::. ./'. Weatheow—�� Location (identif on site plan) Land Use ......_RC 1 /T7�� Slope (%) Surface Stones .�..... .. Vegetations :.. Landform . Position on landscape (sketch on the back) Distances from: Open Water Body ?` 0 feet Drainage way.. feet Possible Wet Area .. feet Property Line . ...... feet Drinking Water Well 715P feet Other :..::.:::: 77. DEEP OBSERVATION HOLE LOG` Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) Z— 71f 2- 3 A/. / U Parent Material (geologic) lii-7� —1—`LL DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: _ Estimated Seasonal High Ground Water: 11� hr -- 1 DEP APPROVED FORM. 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. -57 �w� On-site Review O Deep Hole Number 2 .::: Date:.. /.�� Time: .:.`_ WeatherW/'r Location (identify on�site r.plan) .. �' :::....,. Land Use :: o ��I. icfrlfL Slope (%) Surface Stones Vegetation Landform �-/�.00w rte.:.. Position on landscape (sketch on the back) " f'r .. Distances from: Open Water Body feet Drainage way: 7feet Possible Wet Area 7ov . feet Property Line .-5-0....... feet Drinking Water Well .715 . 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, % Gravef�Yz -3y o2- —r-MINIMOR Z5r 2 HOLES REQUIRED A] EVERY PROPOSED DISPOSAL AREA DepthtoBedrock: Parent Material (geologic) Depth to Groundwater: Standing Water in the Hole: L Weeping from Pit Face: / r Estimated Seasonal High Ground Water: DEP APPROVED FORM• 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. ✓'� C�Q��/�Y / '��, iCld �5�� Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole ........ ... inches [9Depth to soil mottles inches .. ::;z4 l/ El Ground water adjustment ................... feet - #-9-` 2D �� 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 al as observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on /9� (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis t was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature ��V� Date DEP APPROVED FORM-12/07/95 =0 1 i ONI UC. I C,r _ .� TEE rVIE .-2J.9" i 1 . , 38 0 V E N Il-:- „ T N I. g i �_ es 616 i �i e A y �Y { r .� ,�" k;� ` �v1p, •a,, L Y 3. � Y„ � fit::? `�. �-� .��a �Yi�,t §`3`- 517 JOHNSON STREET 098.A-0015 Complaint Detail Report Printed On:Tue Mar 07,2006 Complaint#: CT-2006-000025 Status: Follow-Up GIS#: 5219 Violator: 517 JOHNSON STREET It No#�� Address: 517 JOHNSON STREET Map: 098.A Address: : •'• °off Date Recvd.: Feb-28-2006 Time Recvd.: 11:23 AM Block: 0015 NORTH ANDOVER,MA 018 c Category: Dumpster Lot: Type: Residential + GeoTMS Module: Board of Health !District: Trade: ��"•+...+•'�� Recorded By: Pamela DelleChiaie Zoning: Structure: JS4CMUSE - - - - - - - - Description --— -- -- - — — — Complaint: A resident on Johnson Street came in regarding a neighbor's dumpster that trash is blowing out of. Complainant asked to remain anonymous. Based on information given,I am assuming the property address is#545. Evidently,this roll-off dumpster has been at the property since at least Christmas. Apparently the homeowner is doing some of his own work on the house. Debris such as cardboard,etc.,is constantly blowing onto the neighbors property,causing an unsightly nuisance. Can the Health Inspector take a drive by and speak to the property owner regarding having the dumpster taken away? Once address is confirmed,we can check building file records to see if any permits were taken out for any work and if a debris removal form was submitted. Please report information back to follow-up.--p.d. Comments: Callers Date Time Name Phone Best Time To Reach Recorded By Response Feb-28-2006 1.1:23 AM Anonymous Pamela DelleChiaie Actions Taken GeoTMS Module Status Date . Time Response Type Action Taken Comments Board of Health REFERRAL Mar-07-2006 2:28 PM Follow-Up by Health Ms.Grant went by and spoke to homeowner, Inspector Maureen. She confirmed that the address in question is 517,and not 545,as thought before. Ms.Grant told homeowner that not only that she is required to permit the dumpster,but also that theis dumpster needed to be emptied. Told her that before she gets another one,she needs to go to the Fire Department for a permit.-per Michele Grant's notes.--p.d. GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Page I of I