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HomeMy WebLinkAboutMiscellaneous - 57 LONG PASTURE ROAD 4/30/2018 (3) Y {� I 1 i { . 1 147 19 f V_ C 1 � 1 i i D • SETTLED j�c • • TED Ate` PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division RV(FicA�I'E O F 0 11nGI.,gXC2 i As of. November. 14, 2008 7Fiis is to cenify that the individuaCsu6surface dzsposaCsystem received a SA`IISTACT0RMS1TEMOW of the Instaffation of an Inarividual On Site Sewage Usposa[System �y: Ayan Greenwich At: 57.G®n pasture gZqada a :dot 5 Wap 106.A~Parcel-0216 210/106.A-0216-0000.0 xorth,Andover, JKA 01845 The Issuance of this certificate sFiaC(not be construed as a guarantee that tFie system wiCCfunction satisfactorily. Susan 7 Sawyer, ROOM I'i - --�Pu6Cu�[eaCtFi-Director----------------------------- - ---- ---- ----- - ----- ---- ---- ------_ ------ ---- --- 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER G��►OR-rh� Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 14pe 4M OSGOOD STREET NORTH ,kNDOVER, MASSACHUSETTS 01845 �Js;CH s``� 978.688.9540-.Phone Susan Y.Sawyer, REHS/RS 978.688.8476-FAX Public Health Director E-MAIL: healthdeptiL!townofnorthandover.com WEBSITE: http:;.'www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed; ( ) repaired; by (Print Name) located at 7 I- (Insta ation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated D:Z;�a-7 and last Revised on rwith a design flow of - gallons.per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to Pp the Board of Health. Bed inspection date: Engineer Representative(Signature) And-Print Name Final inspection date: Lj Enginee Representative(Signature) And-Print Name ,•. P, . :. Q, ... Installer: (Signature) Date: �2 /0 And- Print Name Engineer: (Signature) —Date:— RECEIVED And-Prii t Name NOV 14 2008 TOWN OF i>uRTH ANIWI..'ER HEALTH DEPART iviENT i i pORTH ~. Q `'(t`.E D 16- 2 O A O COCMI<�WKK y' �J,9 p°RATED SSAC HUSH PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 57 Long Pasture Road MAP: 106A LOT: 216 INSTALLER: Ryan Greenwich DESIGNER: Philip Christiansen PLAN DATE: 11/18/96 Rev. 10/27/08 BOH APPROVAL DATE ON PLAN: 10/27/08 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 11/19/08 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ® Internal plumbing all to one building sewer E] Topography not appreciably altered Comments: New system, no tank abandoned SEPTIC TANK ® 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 2-piece construction ❑ Water tightness of tank has been achieved by testing 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 1008 I E NORTH O� c1`eO 6,90 6 OL O O COCMKMIWKM y1' QADRATE D ,9SSACHUS�� PUBLIC HEALTH DEPARTMENT (ommunity Development Division ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ❑ inch cover to within 6" of final grade installed over one access port, must be to grade and over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: Needs hydraulic cement DISTRIBUTION-BOX ® installed on stable stone base ❑ Inlet tee (if pumped or>0.08'/foot) ❑ Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: Baffle wall in d-box, needs hydraulic cement SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ❑ Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/block) ❑ Final cover as per plan Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com Inspection Form June 2008 pORTH O�ttteo r6�tiO �? 6t'11_ ..1. 6 O L O 10 1140 O C-1111..WKK y1` ��SSACHUS���� PUBLIC HEALTH DEPARTMENT Community Development Division SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand;and Model of Chamber: Infiltrator Chambers Z Number of chambers per row: 9 ® Number of rows (trenches): 6 Comments: SYSTEM ELEVATIONS AS-BLT INVERT ELEV. DESIGN INVERT ELEV. Benchmark 151.72 Building Sewer OUT 153.07 153.10 Septic Tank IN 152.88 152.90 Septic Tank OUT 152.73 152.65 Distribution Box IN 152.63 152.54 Distribution Box OUT 152.47 152.37 Lateral 1 INVERT 152.44 152.3 Lateral INVERT 152.44 152.37 Lateral 3 INVERT 152.44 152.37 Lateral 4 INVERT 152.44 152.37 Lateral 5 INVERT 152.44 152.37 Lateral 6 INVERT 152.44 152.37 BED BOTTOM ELEV. 151.62 151.70 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 NORTH r6,, 6 OL O r" COCMCMI WKk 7' �l reo 0a`y(y �SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib.to surface water supply 325 325 ® Public well . 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains(wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 918.688.8476 Web www.townofnorthandover.com Inspection Form lune 2008 ' TOWN OF NORTH ANDOVER NORT11 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 ", . :' NORTH ANDOVER,MASSACHUSETTS 01845 "Ss';CM„5 t� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION IN_ F__ORMATION--� �4DDRESS: , � o 14� V. AP: LOT: INSTALLER: -- — f DESIGNER - y ° � PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS - otrt�d TANK INSPECTION; DADATE OF BED BOTTOM_INSPECTION: TE OFTINAL CONSTRUCTSPECTION: LL DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK Bottom of tank hole has 6" stone base ❑ Weep hole plugged Fj 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 TOWN OF NORTH ANDOVERN1 1� 6' r Office of COMMUNITY DEVELOPMENT AND SERVICES �� ^ho�� HEALTH DEPARTMENT 1.600 OSGOOD STREET; Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 "Ss';CH„5 t� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX Comments: f PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged Combo Tank installed. Size: ❑ 1000 gallon Pump Chamber installed H-10 loading onolithic construction) ❑ I let tee installed, centered under access port ❑ P mp,(s) installed on stable base ❑ m Ala float working ❑ Pum " On/Off floats working ❑ Sepa to on/off floats ❑ Drain h le in pressure line ❑ 24" inch over to within 6" of final grade installed over pump ac c ss port ❑ Water tight ess of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: i ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working.in accordance with manufacturer's requirements Comments: i I Wastewater System Documentation—Feb 2006 Page 2 of 6 I TOWN OF NORTH ANDOVER t NORTH, r Office of COMMUNITY DEVELOPMENT AND SERVICES o? HEALTH DEPARTMENT 1.600 OSGOOD STREET; Building 2-36 *", . • r NORTH ANDOVER,MASSACHUSETTS 01845 C Stt Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM I% Bottom of SAS excavated down to soil layer, as provided on plan [Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 :Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less disposal systems: type, number and location as per plan . ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Wastewater System Documentation—Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES o:e'y.� HEALTH DEPARTMENT 41 1600 OSGOOD STREET; Building 2-36 ", .� NORTH ANDOVER,MASSACHUSETTS 01845 �cHu CHU s� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits Alarm sounds when float is tripped Location of control panel:. ❑ Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH ANDOVER °t ►ORTh `✓ Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 CM„5 Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ❑ Property line 10 10 -- ❑ Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10 10' F-1Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well . 400 400 ❑ Interim Wellhead Prot.Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains(intercept g.w.) 25 50 ❑ Drains (Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Wastewater System Documentation—Feb 2006 Page 5 of 6 i TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES o?��i'�ao` ti°off HEALTH DEPARTMENT 1600 OSGOOD STREET;Building 2-36 *", . • NORTH ANDOVER,MASSACHUSETTS 01845CH„5 Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW f I Wastewater System Documentation—Feb 2006 Page 6 of 6 1 i� ,�onrM Commonwealth of Massachusetts Map-Block-Lot 10----0216- ` Board of Health Permit No o •" BHP-2008-0217 s� North Andover ----------------------- ° P.I. FEE «r.:. TIR 250.00 cwusEtF.I. ----------------------- I Disposal Works Construction Permit Permission is hereby granted Ryan Greenwich - - ------------------------------------------- ----------------------------------------- to(Construct)an Individual Sewage Disposal System. atNo 57 LONG PASTURE ROAD------------------------------------------------------------------------------ ---- ---------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2008-0217 Dated—October 31,2008--- ------------------ k -------[�------v-- -;:-�--------------------- Issued On:Oct-31-2008 Board of Health V Gf,N 'A. 7 H 9ti Application for Septic Disposal System �� z3 A Construction Permit - TOWN OF TODAY'S DATE °4'• ''� ORTH ANDOVER MA 01845 $250.00—Full Repair 9SSACMUS�� $125.00 -Component Important: Applicatign is hereby made for a permit to: When filling out RSZConstruct 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 to move your ❑ Repair or replace an existing system component-What? cursor-do not use the return key. A. Facility Informa ion 40----h ltr,�_7 ("'r 5) LXPJ6,- PtS7VALF- 9DA10 01W_ =V Address or Lot# City/Town V6f_-"H Ar%)Jt;'Q 2.- TYPE OF SEPTIC SYSTEM*: ❑ Pump X 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 {oW AQ-� G��'62 Name qo 9 {� � Add ss(if different from above) Kip iQ&-t City/Town State Zip Code Telephone Number 3. Installer Information Name Name of Company 3 FAAV14 L./A� r�r� Address City/Town State Zip Code 57F-3(oo,oc Telephone Number(Cell Phone#if possible please) 4. Designer Information P66la-L-/1' 6- C-415thEA( Name Name of Company 40 Sy�n1�lZ Sfi Address 4 V1 IL-4- A44, 61930 City/Town State Zip Code R7g37 - 0,3/6 Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page 1 of 2 l ,.: c�;� o ,egtio Application for Septic Disposal System �'O ? 3 0r,bf,,r `pConstruction Permit - TOWN OF TODAYDATE ORTH ANDOVER, MA 01845 $250.00—Full Repair �'•q,... �y� 9ss^n+us�< $125.00 -Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building:CKResidential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been i ued by this oard of Health. !0 2 3 s� NarneV Date I Applicatio proved By: (Bo d of Health Representative) Name// Date /A4ation Disapproved for the following reasons: For Office Use Only: 1. Fee Attached. Yes No 2. Project Manager Obligation Form Attached. Yes No 3. Pump System? Ifso,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 •' h SEPTIC,SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: 5-7 LPAI& PA-s-fUAe- �Upf,® (Address of septic system) For plans by n � (Engineer) Relative to the application of Xy� ��/Lld l&14 �p �/ (Installer's name) And dated !V bV f s /,g P/6 ngma ate Dated �& 'Zi� Ucy �, o ay s ate With revisions dated (Last revised ate) 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 (15) inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection—Engineer must first do their inspection for elevations, ties, etc. As-built of verbal OK(or e-mail to: healthdeptQtownofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than 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 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 a1212ror ved plans. No instructions by the homeowner,general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today' Date) CU/2 3 b Tame—I rant a —Signed) NORTH O�4SLED 16 4 O b D coc.iuNlN.1CN 1 79�DAATED SSACHUS� PUBLIC HEALTH DEPARTMENT Community,Development Division May 18, 2009 Howard and Marguerite Cooper 409 Park Street North Reading, MA RE: Subsurface Sewage Disposal System Plan for lot 5 (57) Long Pasture Road, map 106A, Parcel 216,North Andover, MA Dear Mr. and Mrs. Cooper, The North Andover Board of Health has approved the subsurface disposal plan that Christiansen and Sergi Prof. Engineers submitted, last revised plan dated May 14, 2009. This plan has been reviewed and approved for a five-bedroom home,maximum eleven-room home. This approval is dependent on the installer obtaining from our office a copy of the stamped approved plans. There is no additional fee for this resubmitted plan;and the current installation permit remains in effect, however subsequent on site inspections are subject to a fifty-dollar inspection fee which must be paid in full prior to any new inspections. All other conditions listed in the original approval remain as written. The Health Department has received the floor plans of the home,the foundation as-built and a new plan has been approved. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. 1 Syan S . Sawyer,RENS/R — Public Health Director Cc: Christiansen and Sergi Prof Engineers and Land Surveyors g g y 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com pORTy O�.C.swao 06'9+y� � o O.p4 CDC.tic''. 6c■,A. Ts D �4sS�1CHU`r���y PUBLIC HEALTH DEPARTMENT Community Development Division May 4,2009 via:E-mail pchristiansen@christiansenser ig com Philip Christiansen, Prof. Engineer Christiansen and Sergi Prof. Engineers and Land Surveyors 160 Summer Street Haverhill, MA 01830 RE: Request for additional flow to new Subsurface Sewage Disposal System for Lot 5(57)Long Pasture Road,may 106A,Parcel 216,North Andover,MA Dear Mr. Christiansen, The North Andover Board of Health received your plan for the approval for additional flow to the ongoing subsurface disposal system at the above property on April 22,2009. Unfortunately, the plans cannot be approved as submitted. The following items are in need of attention prior to approval,with the section of Title 5 (3 10 CMR 15.000) or North Andover Regulations(NA) noted. 1. 310 CMR 15.229 Pumping septic,tic tanks P • The pump discharge is not connected to the discharge pipe rather it is directly connected to the side of the outlet end of the tank. A grinder pump is specified on the plan and the septic tank is not multi-compartment or two tanks in series are required. 2. Note found on the plan for"ballast may be required",but no buoyancy calculations noted within the area having an average of 24 to 36 inch estimated high ground water. Section 15.229 also states that"all other uses of sewage pumps prior to the septic tank without the prior written approval of the Department are prohibited."Therefore,if a variance procedure is considered,rather than compliance with the code,and is approved by the local authority,the request for a variance would still be required to be approved by the MA DEP. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8416 Web www.townofnorthandover.com Re: 57 Long Pasture Road May 4,2009 The plan was previously approved for a maximum 11-room home. Please note,if this request is eventually approved, with the addition of this room,the leach area will be at maximum capacity. No further room number increase will be approved without full compliance to 310 CMR 15.00. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincerely, Susan Y. Sawyer,REHS/RS �/li Public Health Director Cc: Property Owners: Howard and Marguerite Cooper—409 Park Street,North Reading,MA 01864-via Facsimile-978.664.1529 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES Fs•':r- �•'•o`� HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 �'Ss;;C,;,,;�`' 978.688.9540-Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdept@townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM RECEIVED , Date of Submission: �` O APR 2 2 2009 Site Location: �� � �� d¢�/ TO N OF NORTH A Engineer: 91-1HEALTH DEPARTMENT R ENT New Plans? Yes 5/Plan Check#' — (includes I"submission and one re- review only) Revised Plans?Yes $7 Check# Site Evaluation Form ncluded? Yes No Local Upgrade Form Included? Yes No Telephone#: E-mail: Homeowner Name: In� OFFICE USE ONLY When the submit'on is complete (including check): ➢ Date stamp plans and letter ➢ 4,11W Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database 1 DelleChiaie, Pamela Subject: SEPTIC-57 Long Pasture- Inspection Status Start Date: Wednesday, April 22, 2009 Due Date: Friday, September 25, 2009 Status: In Progress Percent Complete: 75% Total Work: 0 hours Actual Work: 0 hours Owner: DelleChiaie, Pamela y /21/09 @ 1:30 p.m.—Margurite Cooper brought in 2 AsBuilf Plans for your review. File in your inbox, 9/11/09 @2:00 p.m. —Appt. made with Ryan Greenwich to do the grinder pump inspection for next Thursday, 9/17/09. Homeowner is not in a rush. No drywall is even put up yet. Ryan—978.360.0212' 4/22/09 @ 1:30 p.m. - Homeowner, Marguerite Cooper came to the office today to drop offplans. Susan will �eview.—N/G ------------ From: Sawyer,Susan Sent: Wednesday,April 22, 200912:54 PM To: DelleChiaie, Pamela Subject: RE:SEPTIC-57 Long Pasture- FINAL GRADE INSPECTION NEEDED Pam, I made this call, but no response,can you add a task to put it in writing Please Thx From: DelleChiaie, Pamela Sent: Friday, April 17, 2009 11:29 AM To: Sawyer, Susan; Grant, Michele Subject: Task Status Report: SEPTIC - 57 Long Pasture - FINAL GRADE INSPECTION NEEDED This is a reminder for Susan. Michele—just FYI if Ryan or homeowner calls, etc. : ) -----Original Task----- Subject: SEPTIC - 57 Long Pasture - FINAL GRADE INSPECTION NEEDED Priority: Normal Start date: Thu 4/9/2009 Due date: Tue 4/21/2009 Status: Not Started Complete: 0% Actual work: 0 hours Requested by: DelleChiaie, Pamela 1 -4/16/09–Susan went by the property–pipe from house to tank is not bedded properly. No sign off on �hurs- inal Grade. Susan will call Ryan.—p.d. Note–charge for next inspection i From: Sawyer,Susan Sent: Thursday,April 09,2009 12:35 PM To: DelleChiaie, Pamela Cc: Grant, Michele Subject:. 57 Long Pasture Ryan called he is ready for a final grade inspection. Says it's not too muddy up there, but whomever goes should wear boots if it is anything like last year! Told him we would try to get it done in a few days or week. He needs to do his part and sign the forms etc. Susan /9/09 - Marguerite Cooper came in. 978.375.1863. Had question about ejector pump in garage hooked into (sink. Per Susan- Sink in garage not authorized. We can only do Final Grade inspection. Cooper–Husband has a paving business. They currently reside in North Reading; << Message: 57 Long Pasture >> RE: SEPTIC-57 Long Pasture-... 2 pORT#1 •6 qti �° � cecwICH1 WKK � �9SSAC HUS���� PUBLIC HEALTH DEPARTMENT fommunity;Development Division October 27, 2008 Howard and Marguerite Cooper. 409 Park Street North Reading, MA 0 18 64 RE: Subsurface Sewage Disposal System Plan for lot 5 (57)Long Pasture Road, map 106A,Parcel 216,North Andover,MA Dear Mr. and Mrs. Cooper, The North Andover Board of Health plan appiroval for the lot listed above was made null and void due to the conditions identified post foundation installation. The foundation was installed one foot lower than the approved plan,which rendered the gravity subsurface disposal system impossible as planned. Christiansen and Sergi.Prof. Engineers submitted a revised plan dated October 27, 2008. This plan has been reviewed and approved for a five-bedroom home, maximum eleven-room home. All other conditions listed in the original approval remain as written. The Health Department has received the floor plans of the home, the foundation as-built and a new plan has been approved. Please note that a second problem regarding the location of the free standing garage is noted on the plan..Due to placing the.building within the area of the reserve system designated by the engineer,recalculations and adjustments have been made in that area. The plan specifically notes the minimum grade on this area; however as the septic installation and the site grading may be completed by separate parties it is incumbent of the owner to be sure that the area of the reserve system is not compromised. Your effort to provide a properly functioning,septic systemfor your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. 01 Sinc er S an Y. Sa r, REHS Public Health Director -�- --—-Cc Christiansen and-Sergi Pfdf.-Engineers and Land Surveyors 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com f MORT,4 ,e�ti0 ~? ea,a * s 09 ► 01 3'... i # �,SACNU`s�t� Health Department March 18, 2008 i Howard and Marguerite Cooper 409 Park Street North Reading, MA 01864 Re: Subsurface Sewage Disposal System List for Lot 5 (57)Long Pasture Road, Map 106A, Parcel 216,North Andover, MA 01845 Dear Mr. and Mrs. Cooper, This is the list that was generated by our reviewer that I mentioned to you yesterday. Most items are minor, but all are necessary: This list should be provided to the installer, so that he does not mistake the items missing as those not needed. Installer specific items are: #1, #3, #4,#5, #8, #12, #13, #14, #15 Thank you 1. Please indicate magnetic marking tape over all components (221) 2. Please provide the location and elevation of the foundation drain or note (NA 8.02Y) 3. -Please provide a note stating all pipe to be laid on a continuous grade in a straight line (222(7)) 4. Please specify one childproof riser to within six inches of final grade on the septic tank (221 & 228(2)) j 5. Please specify six inches of<=one and one half inch diameter crushed stone under septic tank and distribution box (221(2) & 228(1)) 6. Please add a note stating all outlets of the distribution box are to be at the same elevation (232(3)(b)) 7. Please add a note indicating all outlet pipes shall be laid level for the first two feet (232(3)(c)) 8. Please specify a riser to within six inches of the final grade for the distribution box (232(3), 221(13), 228(1)) 9. Deep hole testing for the primary disposal area was not conducted within two years. Further testing is required(NA 7.05) 10. Please provide a proper percolation test log on the plan or as an attachment(220(4)(1)) 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 2-36 E-Mail: healthdept@townofnorthandover.com North Andover,MA 01845 Phone:978.688.9540 Fax:978.688.8476 11. Please indicate why trenches were not able to be used in this design(240(6)) 12. Please clearly depict and specify excavation to extend six (6) inches into the natural soil (NA 9.02) 13. Please specify the final grade over the leach field at a minimum slope of 0.02 ft/ft (240(10)) 14. Please specify surface drainage away from leach field (240)(11) & (245)(3) 15. Please specify an inspection port in the SAS and depict in the appropriate locations (240(13)) 16. Please specify the ends of the distribution lines to be tied together with solid pipe (NA 15.01) Sincerely, 'Susan�S - S/RS Public Health Director I I 1600 Osgood Street HEALTH DEPARTMENT Page 2 of 2 Building 20;Suite 2-36 E-Mail: heaithdept@townofnorthandover.com North Andover,MA 01845 Phone:978.688.9540 Fax:978.688.8476 NORTF1 q ,6+ do 0 ~ fh 4 COCMICW WKa y1' DRwTED �SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division March 17, 2008 Howard and Marguerite Cooper 409 Park Street North Reading, MA 01864 RE: Subsurface Sewage Disposal System Plan for lot 5 (57) Long Pasture Road, map 106A, Parcel 216,North Andover, MA Dear Mr. and Mrs. Cooper, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans dated November 27, 2007, received February 1, 2008, have been approved for a five (5) bedroom, maximum eleven-room home. In accordance with local subsurface disposal regulations "Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". During this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. 1. Prior to receiving a building permit, the applicant must provide complete floor plans 1 p� of the new home. Including basements and attics. lc Prior to receiving a Disposal Works Construction permit,the applicant must provide a foundationlan in 1" =20' scale to overlay th p y on e septic plan. 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 Y Disposal System Construction Permit p 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com shall not construe and/or imply compliance with any of the aforementioned d requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincer Susan Y. Sawyer, HS/RS Public Health Director Encl: list of licensed septic system installers Cc: Christiansen and Sergi Prof. Engineers and Land Surveyors i i 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com I r TOWN OF NORTH ANDOVER of hoRTM Office of COMMUNITY DEVELOPMENT AND SERVICES o �O HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 `"°.�-r:• . �� NORTH ANDOVER,MASSACHUSETTS 01845 'ss;�,;o� 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director 71g'-MAjf-- Ithde townofnorthandover.com WEBSITE:htt :// .townofnorthandover.com SEPTIC PLAN SUBMITTAL FORMLTC)HvL' 4A'LTXDE FLS 0 1 2008 uK'i ii ANDOVEREHEALTH y�PARTMENT Date of Submission: " 1 08 Site Location: Jr L, GeV �7 Q IP� `J+-J , n Engineer: e �l j i"/Aw S rN S �G /- IvIENT New Plans? Yes_$225/Plan Check# (includes 1St submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes No L/ Local Upgrade Form In Yes No Telephone 7 7 F- 3 ax#: `7 c/.' E-mail: Homeowner Name: 1�6 i AO,— `E /4 q C Lj OFFICE USE ONLY When the submission is complete (including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ `� Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database TOWN OF NORTH ANDOVER , MORT1r, Office of COMMUNITY DEVELOPMENT AND SERVICES o:•' ' °9� HEALTH DEPARTMENT _ 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 #� NORTH ANDOVER,MASSACHUSETTS 01845 ;'f• �� R 0 07 Susan Y.Sawyer,RENS,RS 978.688.9540-Pone MA w�R Public Health Director 978.688.8476-FX aT healthde tc town northandover.com, www.townofnortha dovei:com APPLICATION FOR SOIL TESTS / DATE: J 'S -b-7 MAP&PARCEL: MPP 106 - A 4-0 T� � �b LOCATION OF SOIL TESTS: 5 7 L O N G Pf45TU R�5 IRI) OWNER: My'guev;k i 14oWald &oneA,-*- Contact#: q7p- 37.5- l V 3 APPLICANT: 5 Cc Wl e— Contact#: ADDRESS: y J PfW—K ST IND QEA D 11, , SAA 0/A6 ENGINEER: C N t STJ A KSE Q � SE 8,61 1&C Contact#: q 78 - 373 - 0 3 / 0 CERTIFIED SOIL EVALUATOR: H N7!0►.1`I C A pl3GN I E TT f Intended Use of Land: Residential SubdivisionSingle Family Home Commercial i Is This: Repair Testing: Undeveloped Lot Testing. Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No 11 THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bili,or letter from owner permitting test) ➢ &$"x H"Plot plan&Location of Testing(please indicate test vit sites on the elan) 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$360.00 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--1 showing the location of all tests(including aborted tests). RECEIVE.) ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line MAR 0 207 LLfFALT OF NOF a A!'DMI R r� '�" H - N.A. Conservation Commission Approval Date: � ~-•-` W Signature of Conservation Agent.• ;�������� Date back to Health Department.(stamp in): w-� _,,/S j:: I MR. &MRS HOWARD COOPER 409 PARK ST NO READING,MA 01864-2106 JANUARY 29, 2007 NORTH ANDOVER BOARD OF HEALTH 1600 OSGOOD ST,BLi 20, SUITE 2-36 NO. ANDOVER, MA 01945 WITH THIS LETTER,WE GIVE OUR PERMISSION FOR SOIL TESTING ON OUR LOT AT 57 LONG PASTURE ROAD. At 6�t, 3l;�7 Signed date 4 3/2/ 7 date I I 5MM ZZ r �l if t*4 ooIlk if � I j � �;I� i � i ��/Il j�' � I ' c I � �I� iii co ta � , ) � III ) � J)� ��/O) �i I (' i�l' I I w � ® Qij a 'll �� � � !/ � ; ' l i I ' I I ` I ilk I i i i I � I � .Ll'Idl 40 1-1up"ILY nuuuru 4aiu RCEL ID:2101106.A-0216-0000.0 MAP:106.A BLOCK:0218 LOT:0000.0 PARCEL ADDRESS:57 LONG PASTURE ROAD + PARCEL INFORMATION Use-Code; 430 Sale Price; .470,000 . Book: 7033 : Road Type; T ; . Inspect Date: 08/02/1999 ner: Tax Class, _f Sale Date: 08/28/2002 Page: 0310 Rd Condition: P Meas date: COOPER, HOWARD L S MARGUERITE J Tot Fin Area: 0 Sale Type: L u Cert/Doc i Traffic: M Entrance; Iress: Tot Land Area: 3.49 Sale Valid: Y Water: Collect Id: JBS 57 LONG PASTURE ROAD Grantor: CROWLEY,STEPHEN P� N Sewer. Inspect Real; NORTH ANDOVER MA 01845 Exem t-BIL% / Resid-B/L% 100/100 Comm-B/Le10 Indust-B/L% 0/0 Open S -B/L% 010 ' LAND INFORMATION NSHD CODE: 8 NSHD CLASS: 8 ZONE: R1 Sal Type Code_ Msth*d Sq-Ft Acres-_ lnflu Y/N Value Class- 1 P 130 S 43580 1 195,628 2 R 130 A 2.49 11,703 VALUATION INFORMATION Current Total: 207,300 Bldg: 0 Land: 207,300 MktLnd: 207,300 Prior Total: 192,800 Bldg: 0 Land: 192,800 MktLnd: 192,800 :ETCH PHOTO hL If . .. o— Picture i" 11 e T :el ID:210/106.A-0216-0000.0 as of 1/29/07 Page 1 of 1 Page 1 of 1 ` DelleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Friday, April 06, 2007 1:04 PM To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Results from 57 Long Pasture Road Attached please find the soil results from 57 Long Pasture Road performed on April 3rd Please call if you have any questions. Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.millriverconsulti ng.com i 9 3/17/2008 . It TT IT71 oe 41, IJ ON fix � � C21gOp �`� �.t'�$`+$�yv"�}�•�,'1}� oto .I�' �4 � a W3 .Lr. a -..—. _..._ �,.. - .^...s., '.r Y...._."_. ....�.. :. -+sas Fore+,' 3• '�J3!}i, w will-loo I oil ..... �....,.. n A.:w»_ia»...u.�:rr,.w...?p„A_:.. ^...,r.r.s�i..61..4•.Y..i:'X-. • .......».rFFMA:S1h,L"... .y •tYrds S _R 3:uf4^'3.xY� !.'eYlA."S t �^_-- �.y��,ny-T. •� •T✓..n.,^Y.S t^.�i iw. i 1 _r ## �Wit► _ _i. ..._ _ �- � �;+_.�- � _ H. , RP t x II v_ _J tz Oily Atj Vv I wk .> I . �1 j � 57' 240'+/- . i � 77' rn 99' �. T.O.F. EL=15 .0 p TO LONG PASTURE ROAD + LOT 5 420'f1 NE AUG 2 5 2008 TOVdi\'0r wOf TH ANDOVER HEALTH DEPARTMENT FOUNDA TION LOCA TION PLAN I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL WENT: COOPER APPLICABLE ZONING BY—LAWS IN EFFECT.WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT. THIS DRAWING SHALL NOT BE USED BY THE' CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,£XCEPT WITH THE WRITTEN PERMISSION Of CHRIST S£RGI INC. FURTHERMORE THIS DRAWIN TED PROPERTY OF CHRISTIANSEN & SER G ty. NORIZED USE LOCATION: NORTH ANDOVER,AIA. IS PROHIBITED.CHRIST11A £RGI TA ESPONSIBILl1Y FOR THE UNAUTHOR/ZE Of "A&A ANY INFOR- 2 J. SCALEN O 1--d0' DATE. 8020/08 2 SE I I ENGI CHRISTIANSEN (9)"SERGI PROLAND/ONAL SURVEYORS£R5 O ESS P� O 160 SUMMER ST. HAVERHILLMA. 01830 TEL. 978-373-0310 �HD SURV ©2008 BY CHRISTIANSEN do SERGI INC. DW 94080025 �. Me cyot 7 Zomig .t 77 RECEIVED AUG 2 5 2008 TOWNO ;vU •a:jOVER HEALTH DL, .;.,,EN i