HomeMy WebLinkAboutMiscellaneous - 52 WELLINGTON WAY 4/30/2018 (2)I
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community and Economic Development Division
CERTIFICATE OF
COMPLIANCE
As of: July 11, 2017
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
New Construction of an
On -Site Sewage Disposal System
By: Robert L. Innis, RLI Corp
At: 52 Wellington Way
Map lOS.0 Lot 85
North Andover, MA 01845
The uance o t s certificate shall not be construed as a guarantee that the system will function satisfactorily.
Brian J La r sse, CEHT
Director of Public Health
120 Main St., North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web www.northandoverma.gov
A'
v
Town of North Andover -
sa �e ll
System - AS -BUILT CHF.ICKLIS7
1) / All changes to the design plan have been reflected and noted on the as -built plan
2) v As -built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans)
3) v Street Address, Assessor's Map and Lot Number
4) .Lot Lines and Location of Dwellings served by the system
7
5) Locations, Elevations and Dimensions of As -built system components, including reserve (if applicable)
6) " Ties to all tank openings, d -box, and leach area from dwelling or Permanent Structure
Setback distances are shown on the as -built plan from system components to:
`-� Subsurface, interceptor & foundation drains
rlCatch basins
ope-, lines
Dwellings or other structures
rivate water supply or irrigation wells
/_V Watercourses or wetlands
8) J Locations of W 1 , Drains, Wetland Resource Areas within 150 feet of system
9) Location of water, gas, electric lines, cable, control panel (if applicable)
10) ZLocation of Structures within 6 Inches of Finished Grade
11) Original Stamp & Signature
12) Location and holder of any easements which could impact the system
13) `�Impervious Areas; Driveways, etc
14) ' North Arrow
15) ZLocafion & Elevation of Benchmark used
16) STATEMENT ON PLAN (NA 5.3) C�_Vko S C {fi
�e -P� Y�'� `v �r�J n,l
5
a. 1 certify the locations, elevations, ties, cover material; exposed component covers etc.,
shown on this as -built substantially agree with the approved plan and have determined that the
break out elevations, if applicable, have been met. "
Signature of Designer
Date
b. "If a STUCTURAL WALL IS PRESENT W 4.9) a Letter or statement on the as -built indicating
the wall - wasor was not constructed in accordance with the intended design and any
manufacturer's specifications."
Signature of Designer
Date
As of: Tuesday, March 17, 2015
PUBLIC HEALTH DEPARTMENT
Community & Economic Development
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System (constructed; ( ) repaired;
By: Bob Innis
(Print Name)
Located at: 52 Wellington Way (Lot 2 Wellington Woods)
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
11/9/16 and last revised on 12/5/16 , with a design flow of
440 gallons per day. The materials used were in conformance with those specified on the
approved plan; the system was installed iniaccordancewith the provisions of 310. CMR 15.000, Title 5 and local
regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on
the As -built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date:
And — Print Name
Final Construction Inspection Date: 6/15/17
James Melvin, P.E.
And — Print Name
Insta
Engi
Engineer Representative (Signature)
Date: 7 - % 8 e % ?
Aid — Print Name
Date:.
Phil Christiansen, P.E.
And — Print Name
120 Main Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web http:/Iwww.northandoverma.gov
North Andover Health Department
Community and Economic Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 52 Wellington Way Lot 2 MAP: 105.0 LOT: 85
INSTALLER: Bob Innis
DESIGNER: Christiansen & Sergi, Inc
PLAN DATE: 11/9/2016, Rev 12/5/2016
BOH APPROVAL DATE ON PLAN: 12/9/2016
INSPECTIONS
TANK INSPECTION: 6/12/2017
DATE OF BED BOTTOM INSPECTION: 6/1/2017
DATE OF FINAL CONSTRUCTION INSPECTION: 6/20/17
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
Comments:
SEPTIC TANK
❑ Contractor reports any changes to design plan
❑ Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
❑ Building sewer in continuous grade, on
compacted firm base
❑ Cleanouts per plan
® Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading
® Monolithic tank construction
® Water tightness of tank has been achieved by
visual testing
® Inlet tee installed, centered under access port
® Outlet tee installed, centered under access port
(gas baffle)
❑ inch cover to within 6" of finish grade
installed over one access port
® Boots around inlet & outlet
Comments: 6/12/17 1" of stone under the area of the tank- told Bob to remove dirt
from under the stone and replace with 6" of stone. Brian and Michele will re-
inspect. The pipe coming out of the house is angled in the wrong direction. The
plan has it angled towards the tank. The plumber needs to redirect the pipe. — M.
Grant
6/20/17 — Building sewer pipe was not bedded with compacted material.
Instructed licensed installer on proper procedure. He assured me he would do
so and I expect he will so I authorized backfill when completed.
Reminded installer of minimum of 9" cover and maximum of 3' cover over septic
tank.
ISTRIBUTION-BOX
❑ Installed on stable stone base
® H-20 D -Box
❑ Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
❑ Observed even distribution
❑ Speed levelers provided (not required)
® Schedule 40 PVC Pipe
Comments: 6/20/17 —.Flow exiting distribution box was not even, was about 3/4
to one arm. The licensed installer had no means available to correct this at the
time. He will acquire flow leveling device and install them and then call for a re-
inspection. Reminded installer of need for riser to bring cover of distribution box
close to final grade once that has been determined.
SOIL ABSORPTION SYSTEM (General)
® Bottom of SAS excavated down to C soil layer,
as provided on plan
® Size of SAS excavated as per plan
® Title 5 sand installed, if specified on plan
(on site)
® 40 Mil HDPE barrier installed
® Laterals installed
® Elevations of laterals and chambers installed as on
approved plan
® Retaining wall ( oulderq)
❑ Final cover as per plan
Comments: 6/1/2017 inspection by B. LaGrasse
6/20/17 - Reminded licensed installer of minimum 1' cover and maximum 3'
cover requirement. Also reviewed importance of not driving on leach trenches
during backfill so as to compact soil and prevent good air exchange.
FINAL GRADE
❑ Loamed
❑ Seeded
❑ Cover per plan
Comments:
DOCUMENTS NEEDED
❑ Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer
❑ As -Built Plan
BM = 144.77
HR = 0.76
HI = 145.53
SYSTEM ELEVATIONS
6/20/17 - Benchmarks on plan were no longer present. Licensed installer reports the
engineer established a new benchmark as a nut on a hydrant in the street. Hydrant was
labeled with elevation 144.77
KETCH PLAN
ROD
ELEVATION
AS -BLT INVERT
ELEV
DESIGN INVERT
ELEV
Benchmark
Building Sewer OUT
7.98
137.22
137.75
Septic Tank IN
8.71
136.49
137.08
Septic Tank OUT
9.20
136.00
136.83
Distribution Box IN
11.04
134.16
134.21
Distribution Box OUT
11.25
133.95
134.04
Lateral 1 Beg
12.41
132.79
132.74
Lateral 1 End
12.64
132.56
132.50
Lateral 2 Beg
13.09
132.11
131.99
Lateral 2 End
13.38
131.82
131.75
6/20/17 - Benchmarks on plan were no longer present. Licensed installer reports the
engineer established a new benchmark as a nut on a hydrant in the street. Hydrant was
labeled with elevation 144.77
KETCH PLAN
y4
CRITICAL SETBACK DISTANCES '
Mark those distances checked in the field against the design plan and regulatory
setback
Tank
Property line 10
Cellar wall 10
Inground pool 10
Slab foundation 10
Deck, on footings, etc 5
Waterline 10
Private drinking well 75
Irrigation well 75
Surface Water 25
Bordering Vegetated Wetland ,
Salt Marsh, Inland / Coastal Bank3
®
Wetlands bordering surface
150
water supply or trib. (in Watershed)
®
Trib. to surface water supply
®
Public well
®
Interim Wellhead Prot. Area
®
Reservoirs
®
Drains (wat. supply/trib.)
®
Drains (intercept g.w.)
®
Drains (Other) Foundation
®
Drywells
SAS
10
20
20
10
10
10
1002
100
50
75
100
150
150
325
325
400
400
400
50
25
10 (5)
20
400
100
50
20 (10)
25
Sewer
101
50
1 Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02).
3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA
wetland bylaws
12/9/2016 Town of North Andover Mail - RE: 52 Wellington Lot 2
NOR s Ati z OVER
Lisa Hadge <Ihadge@northandoverma.gov>
Massachusts a
RE: 52 Wellington Lot 2
1 message
Isaac Rowe <irowe@millriverconsulting.com> Tue, Dec 6, 2016 at 11:45 AM
To: Lisa Hadge <Ihadge@northandoverma.gov>, Pam Lally<plally@millriverconsulting.com>
Cc: Brian LaGrasse <blagrasse@northandoverma.gov>, Michele Grant <mgrant@northandoverma.gov>, Isaac Rowe
<irowe@millriverconsulting.com>
Brian/Lisa,
I reviewed the revised plan for the above referenced property. The designer has proposed a boulder retaining wall to
meet the 3:1 grading requirements. I would recommend approval.
Let me know if you have any questions.
Thanks,
Isaac Rowe
Project Manager
mlZ'.L RIVER COINISUL"i=lNG
(.c��iit �gkt%'Stittxd`fae @:a��it fl�k"h'C�C»�,�IiCli4
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
www.millriverconsulting.com
From: Lisa Hadge [ma iIto: Ihadge@northandoverma.gov]
Sent: Tuesday, December 06, 2016 9:09 AM
To: Isaac Rowe; Pam Lally
Cc: Brian LaGrasse; Michele Grant
Subject: 52 Wellington Lot 2
https:Hmai l.google.com/mail/u/0/?ui=2&ik=46857787dO&view=pt&q=52%2OWellington°/a2Oway&qs=true&search=query&th=l 58d506b8c5cc955&siml=... 1/2
12/5/2016 Town of North Andover Mail - RE: 52 Wellington Way lot 2
NOR R.
••Massachu 1,4;.�
Lisa Hadge <Ihadge@northandoverma.gov>
�
RE: 52 Wellington Way lot 2
1 message
Isaac Rowe <irowe@millriverconsulting.com> Mon, Dec 5, 2016 at 10:22 AM
To: Lisa Hadge <Ihadge@northandoverma.gov>, Pam Lally<plally@millriverconsulting.com>
Cc: Michele Grant <mgrant@northandoverma.gov>, Brian LaGrasse <blagrasse@northandoverma.gov>, Isaac Rowe
<irowe@millriverconsulting.com>
Brian,
I reviewed the revised plan but still did not feel the designer met the 3:1 sloping requirements of Title 5. 1 confirmed
this with DEP and then spoke with the designer. He will be revising the plan again to add a boulder wall in order to
comply with the 3:1 sloping requirements.
The other two comments on the review letter were satisfied..
I would expect you will receive the revised plan this week.
Let me know if you have any questions.
Thanks,
Isaac Rowe
Project Manager
iER
�LL �dti E ONSULTING
Ov:itwe" sotljilokl� for 1-1. Uld
r Y tiai;�f>�tYY I%5Y7.
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0.014 ext.804
www.millriverconsulting.com
https://mail.google.com/mail/ca/u/0/?ui=2&ik=46857787dO&view=pt&search=inbox&th=158cf9496165283c&sim1=158cf9496165283c 1/2
- 1
CHRISTIANSEN & SERGI, INC
�::, _ PROFESSIONAL ENGINEERS AND LAND SURVEYORS
:i 160 SUMMER STREET, HAVERHILL, MA 01830
,c. - — tel: 978-373-0310 www.csi-engr.com fax 978-372-3960
i
November 29, 2016
Mr. Brian LaGrasse CEHT
Director of Public Health
North Andover Health Department RECEIVED
120 Main Street
North Andover MA 01845 NOV 3 0 101 b ,
TOWN OF NORTH ANDOVER
Re: (Lot 2) 52 Wellington Way HEALTH DEPARTMENT
�i
Dear Mr. LaGrasse: 1
J
Thank you for your review letter of November 23, 2016. We have made the following chap ges to the
plan as a result of your comments:
1. A foundation drain has been added to the rear of the house i
2. The feature you referred.to is a deck and I have moved the septic tank location4to ensure
compliance with local regulations.
3 We have in the past used 2:1 slopes and the plans were approved by the North Andover Board
of Health.
We have added a description of fill placement to ensure the slope will be stable. It should be
recognized that the vertical fill is only about 4 feet high. The notes I have added about the fill to
be used and the method of placement of the fill is in line good engineering practice.
From GUIDELINES FOR DESIGN AND INSTALLATION OF IMPERVIOUS BARRIERS AND SLOPE
STABILIZATION FOR TITLE 5 SYSTEMS the following phrases are important.
For a system constructed in fill, 310 CMR 15.255 requires slope stabilization........, when the sideslopes to
a soil absorption system are steeper than 3:1 (horizontal: vertical). Section 310 CMR 15.211(1)[4]
requires slope stabilization when systems are located in an area adjacent to a naturally occurring
downhill slope steeper than 3:1. When a naturally occurring downhill slope adjacent to a system is
steeper than 3:1, Title 5 requires stabilization in accordance with accepted engineering practice.
Slope stabilization at 2:1 does not require a retaining wall. It is my considered opinion as a Professional
Engineer that the slope as shown and constructed as described will be stable.
North Andover Health Department
Community and Economic Development Division
November 23, 2016
Philip Christiansen, P.E.
Christiansen and Sergi, Inc.
160 Summer Street
Haverhill, MA 01830
Re: (Lot 2) 52 Wellington Way (Map 105C, Lot 85)
Dear Mr. Christiansen,
The proposed wastewater system design plan for the above site dated November 14, 2016 and
received on November 14, 2016 has been reviewed. Unfortunately, the plan cannot be approved
until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or
North Andover regulation that is not met by this design follows each item where applicable.
1. The foundation drain is not indicated on the design plan (NA 3.2).
2. On sheet 1 of 2 in the site plan view, indicate the feature being proposed northeast of the
septic tank. If it is a deck please make sure it meets the local setback requirements.
3. Explain how the proposed 2:1 side slope meets the requirements of 310 CMR 15.255 and
the impervious barrier guidelines specifically figure 1.
Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any
questions you may have. We look forward to working with you to obtain a wastewater treatment
and dispersal system which will be in compliance with all regulations and assure protection of
public health and the environment of North Andover.
Sincerely, J
G
riase, CEHT
Director of Public Health
cc: Messina Development Company
File
Page 1 of 1
North Andover Health Department, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
LFII '
• SS.
TOWN OF NORTH ANDOVER
Offiq-e of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01845
SEPTIC__P_LAN S_UBMIT_T_AL
FORM
Date of Submission: 11011q�w
Site Location VV e I 1 I nyV
041
Engineer: 0 -
New Plans? Yes! $275/Plan Check #
review only)
Revised Plans?Yes $125/Plan Check #
Site Evaluation Forms Included?
Local Upgrade Form Included?
978.688.9540 — Phone
978.688.8476— FAX
E-MAIL: healthdeptwnorthandovenna.gov
WEBSITE: littp://wivlv.tioi-tliandovenna.gov
RECEIVED
NOV 7 4 `1016
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
4 110x)
(includes 1St submission and one re-
Yesy/ No
Yes No I �/
Telephone #: q7F "373--b 3 /,6 Fax #:
E-mail:
Homeowner
nn
Name:LI1�-
OFFICE USE ONLY
When the submission is complete (including check):
➢ ✓ Date stamp plans and letter
➢ L-"' Complete and attach Receipt
➢ Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
r
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
hUl d OF MOICT14 4J J z9rJ &-`7k
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Yermtt to t.:onstruct N Kepair � 1 upgraae k tioanuon k ) -,PS4,k VI11IJ1CLC JybM111 U 1nurv1VUH1 w111IJV11Gllw
..S2 iN&ZL / lV G 7Z)/.J W,,4 ` 1
Location
o 5C - s--
Map/Parcel #
Lot #
Installer's Name
Address
Telephone #
MES -S' /�.18 D&I' l , L AJC
Owner's Name
2 7 7 W4S N / tiGT0 r✓ 5" i- 6 IQ j I &-ZA--U)
Address
7r ED F&
Telephone #
F' /roc—
Designer's Name
Address �
Telephone #
Type of Building: WOnD FMIIIc E
Dwelling — No. of Bedrooms
Other — Type of Building No. of persons
Other fixtures
Lot Size -2- S feet
Garbage Grinder ( )9.J
Showers ( ), Cafeteria ( )
Design Flow ( 'n. required) gpd Calculated design flow gpd Design flow provided ()gpd
Plan: Date /% Number of sheets_ Revision Date
Ti tl P s v A XJ S2 11 r 06 Td �j t.U�l
Description of Soil(s) t'
Soil Evaluator Form No` Name of Soil Evaluator P 6N /41 T712WS e of Evaluation 1-13 --2-et it
DESCRIPTION OF REPAIRS OR ALTERATIONS E) , C-dV �) &-7-, Z— 7-7-2-0/6
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed
Inspections
Date
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
�3
Commonwealth of Massachusetts
City/Town of North Andover
w Percolation Test
Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
--- Importunl:When
filling out forms A. Site Information
on the computer,
use only the tab Gordon Family Trust
key to move your Owner Name
cursor - do not 602 Boxford Street LOT 4 (Wellington Way Lot 2)
use the return Street Address or Lot #
key.
North Andover MA 01845
r� City/Town State Zip Code
Philip Christiansen 978.373.0310
Contact Person (if different from Owner) Telephone Number
i
B. Test Results
Witnessed By:
Comments:
t5form12.doc• 06/03 Perc Test • Page 1 of 1
1/13/2015
11:20
1/13/2015
11:53
Date
Time
Date
Time
Observation Hole #
4-A
4-B
Depth of Perc
28"
34"
Start Pre -Soak
11:20
11:53
End Pre -Soak
11:35
12:08
Time at 12"
11:35
12:08
Time at 9"
11:40
12:11
Time at 6"
11:48
12:14
Time (9"-6")
8 MIN
3 MIN
Rate (Min./Inch)
3 MIN/INCH
<2 MIN/INCH
Test Passed:
®
Test Passed:
Test Failed:
❑
Test Failed:
❑
Philip Christiansen
Test Performed By:
Isaac Rowe
Witnessed By:
Comments:
t5form12.doc• 06/03 Perc Test • Page 1 of 1
Commonwealth of Massachusetts
City/Town of North Andover
W Percolation Test
Form 12
SV•
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
mpo an : en
A. Site Information
-------------
filling out forms
Depth of Perc
45+17=62
on the computer,
9:28
End Pre -Soak
use only the tab
Messina Development
9:45
key to move your
Owner Name
Time at 6"
cursor - do not
52 Wellington Way
18 min
use the return
key.
Street Address or Lot #
Test Passed: ® Test Passed: ❑
North Andover
MA 01$5
ry
Test Performed By:
City/Town
State Zip Code
Philip Christiansen
978-373-0310
Comments:
Contact Person (if different from Owner)
Telephone Number
B. Test Results
-7/7In A4 In n.nn _.v
t5form 12.doc• 06/03 Perc Test • Page 1 of 1
�v•� .•. vPIG IIIIIG
Observation Hole #
1
Depth of Perc
45+17=62
Start Pre -Soak
9:28
End Pre -Soak
9:45
Time at 12"
9:45
Time at 9"
9:59
Time at 6"
10:17
Time (9"-6")
18 min
Rate (Min./Inch)
6 min/inch
Test Passed: ® Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
Daniel O'Connell
Test Performed By:
Isaac Rowe
Witnessed By:
Comments:
t5form 12.doc• 06/03 Perc Test • Page 1 of 1
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TOWN OF NORTH ANDOVER LE"'
Office of COMMUNITY DEVELOPMENT AND SERVICES �.
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
76� �&e SS//f4 060- NORTH ANDOVER, MASSACHUSETTS 01845
978.688.9540—Phone
978.688.8476 — FAX
healthdept@iiorthandoverma.gov
www.northandoverma.gov RECEIVED
APPLICATION FOR SOIL TESTS
DATE: t0 /116
LOCATION OF SOIL TESTS:
Iffil
JUN 2 8 2016
MAP & PARCEL: ` C. — TOWN OF NORTH ANDOVER
-tiEALTH DEPARTMENT
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OWNER: Contact #: 7 3 1
APPLICANT: 6Contact #:
ADDRESS: a-?? WCC S kin iu S'J'1' -ro
ENGINEER: 6 ►r is h aml S- A lil Contact #: % 7Q 2 73 3 L 6
CERTIFIED SOIL EVALUATOR: P!'1 ; 1 "p C_ --'t V /S 12 a,,XS e i L
Intended Use of Land: Residential Subdivision mgle Family Ho Commercial a �K
Is This: Repair Testing: U developed Lot Testing: Upgrade for Addition:Qu
In the Lake Cochichewick Watershed? es No
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THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership (Tax bill, or letter from owner permitting test)
➢ 8.5"x 11" Plot Plan & Location of Testing (please indicate test nit sites on the Plan
➢ Fee of $585.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of4$ 40.00 per lot for repairs or upgrades.
GENERAL INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans.
➢ At least two deep holes and two percolation tests are required for each septic system disposal area.
➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
➢ Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health
showing the location of all tests (including aborted tests).
➢ Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval Date:
Signature of Conservation Agent.
Date back to Health Department: (stamp in):
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North Andover Health Department
Community and Economic Development Division
December 9, 2016
Messina Development Corp
277 Washington Street
Groveland, MA 01834
Re: Subsurface Sewage Disposal System Plan for (Lot 2) 52 Wellington Way (Map 105C,
Lot 85)
To Whom It May Concern:
The proposed wastewater system design plan for the above site dated November 9, 2016 with a
final revision date of December 5, 2016 and received on December 6, 2016 has been approved.
The design has been approved for use in the construction of a new on-site septic system for a 4 -
bedroom (max 9 -room) home utilizing a leach trench system. This design plan approval is valid
until December 9, 2019.
During this time, a licensed septic system installer must obtain a permit and complete this work,
and a Certificate of Compliance be endorsed by the installer, designer' and the Town of North
Andover.
This approval is also subject to the following conditions:
1. Prior to the issuance of the Disposal Works Construction Permit, the applicant must
submit a foundation as -built at the same scale as the approved plan
2. Prior to the issuance of the Disposal Works Construction Permit, the applicant must
submit the floor plans of the proposed dwelling showing no greater than 4 bedrooms
or a total of 9 rooms.
Page 1 of 2
North Andover Health Department, Town Hall, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542
52 Wellington Way December 9, 2016
3. If site conditions are found in the field to be different from those indicated on the
design plan and/or soil evaluation, the originally issued Disposal System Construction
Permit is void, installation shall stop, and the applicant shall reapply for a new
Disposal Systems Construction Permit (3 10 CMR 15.020(1)).
4. It is the responsibility of the applicant and/or the applicant's septic system designer,
septic system installer or other representative to ensure that all other state and
municipal requirements are met. These may include review by the Conservation
Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector
and/or Electrical Inspector. The issuance of a Disposal System Construction Permit
shall not construe and/or imply compliance with any of the aforementioned
requirements.
Please feel free to contact the office with any questions you may have. We look forward to
working with you to obtain a wastewater treatment and dispersal system which will be in
compliance with all regulations and assure protection of public health and the environment of
North Andover.
incerely,
Lq4--
chele Grant
Public Health Inspector
cc: Philip Christiansen, P.E.
File
North Andover Health Department, Town Hall, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540
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Fax: 978.688. 9542