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Miscellaneous - 602 BOXFORD STREET 4/30/2018 (2)
❑ ❑ $T. - 0 � � 0 •y9N D s PUBLIC HEALTH DEPARTMENT Town of North Andover Community and Economic Development Division CERTIFICATE OF COMPLIANCE As of: 9/12/16 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Construction of an On-Site Sewage Disposal System By: Jesse Warren At: 602 Boxford Street (lot 10) Map 105C Lot 22 North Andover, MA 01845 tT "uance of this ate sh1l not be construed as a guarantee that the system will function satisfactorily. ichele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com I . sv,•cT���� � • RECEIVED APR l 2016 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT PUBLIC HEALTH DEPARTMENT (ommunity Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(constructed;( )repaired; By: TLJ EXCcuc n, qA8 -beue-loQAAw.4 Cock . /- (Print Name) Located at: (o aj- l3/yf.j (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated d 7 �-;� and last revised on /3�/.S with a design flow of V!V6 gallons per day. The materials used were in conformance with those specified on the approved plan;the system was installed in accordance with the provisions of 310.CMR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan.All work is accurately represented on the As-built which has been submitted to the Board of Health. "ZV Bottom of Bed Inspection Date: , 'i i E gine Representative(Signature) 'P /Y2< �� And-Print Name Final C nstruction spection Date ZA- 6 -Z-,e Engineer presentative(Signature) And-Print Name Installer: (Signature) Date: L] 2� - 16 rTcss� T W a«e+1 And-Print Name Engine (Signature) Date: y`�c�7�l6 t9/4 i i-!P c jI et-s r7.,7 And-Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.northandoverma.gov • 5w.�tLED 6y6 • • �K. •P�RAi'EflA�� North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 602 Boxford St— Lot 10 MAP: 105C LOT: 22 INSTALLER: Jesse Warren DESIGNER: Philip Christiansen PLAN DATE: 3/27/15 BOH APPROVAL DATE ON PLAN: 6/10/15 INSPECTIONS TANK INSPECTION: 4/21/16 DATE OF BED BOTTOM INSPECTION: 4/21/16 DATE OF FINAL CONSTRUCTION INSPECTION: 4/28/16 DATE OF FINAL GRADE INSPECTION: �I►�li (� OLD TANK ABANDONMENT: 03/30/2016 SITE CONDITIONS N/A Contractor reports any changes to design plan N/A Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A 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/) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet& outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or>0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: 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 N/A 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 N/A Retaining wall (boulder/concrete/timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: High Capactiy Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 10 ® Number of rows (trenches): 2 Comments: Total Chambers = 20 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 = 122.80 HR = 5.43 HI = 128.23 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 4.39 123.49 123.48 Septic Tank IN 4.57 123.31 123.24 Septic Tank OUT 4.80 123.08 122.99 Distribution Box IN 4.98 122.90 122.84 Distribution Box OUT 5.16 122.72 122.67 Lateral 1 TOP 5.24 Lateral 1 INVERT 122.64 122.62 Lateral 2 TOP 5.24 Lateral 2 INVERT 122.64 122.62 Top of Chamber Bottom of Bed/Chamber 121.64 121.66 CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck,on footings, etc 5 10 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib.to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot.Area ® Reservoirs 400 400 ® Drains(wat. supply/trib.) 50 100 ® Drains(intercept g.w.) 25 50 ® Drains(Other)Foundation 10(5) 20(10) ® Drywells 20 25 'Suction line 222(2) 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 I BOARD OF HEALTH 400 OSGOOD STREET NORTH ANDOVER,MA 01845 TELEPHONE#(978)688-9540 APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V Name Phpne Address Contractor hired for work: Name �c�cr�f r C J ti Phone Address ,L) unnt/01 Nt,y �►.y IS. Date for scheduled abandonment Mc, .L— 2s t l The septic system at the above address has been abandoned according to Title V specifications. 1 Signature of Contractor Method of septic tank abandonment(check one). (L,)femoval ( ) sandfill (/rush ( ) other Name of Offal Hauler This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE-BELOW FOR HEALTH r P S �I�E ONLY._ 10-A 01o n �ecting Agent ate Town of North Andover — Septic System - AS-BUILT CHECKLIST 1) All changes to the design plan have been reflected and noted on the as-built plan 2) _/As-built plan has a suitable scale; 0 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 5) 'V 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 g 7) `� Setback dist nces are shown on the as-built plan from system components to: Subsurface,interceptor&foundation drains Catch basins Property lines Dwellings or other structures Private water supply or irrigation wells r&,J LA�o 0mP NcP —7-Watercourses or wetlands 8) Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system 9) cation of water,gas,electric lines,cable,control panel (if applicable) 10) , Location 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) Location&Elevation of Benchmark used 16 _ ) STATEMENT ON PLAN (NA 5.3) a. "I 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 breakout elevations,if applicable,have been met." Signature of Designer Date b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating the wall- was,or was not,constructed in accordance with the intended design and any manufacturer'sspecifications." Signature o ' esigner Date O ����X11( � r 6.,c � � Ti� =- ck�" Revised 3 35 zi BUILDING PERMIT OF tLEo�ORTy TOWN OF NORTH ANDOVER o A APPLICATION FOR PLAN EXAMINATION Q CocnKnewKK v' Permit No#: Date Received �! A�Rareu r4" cy �SsacHusEc Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION _ 1 1 Print PROPERTY OWNER L� 0 ' Print 100 Year Structure yes gno MAP 06- PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ' 'New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: jIdDemolition ❑ Other ;su-rq,F,7 C�,W- e: i ®AIgO-plai v,WRIER g°tWater hetlil®i t�c DESCRIPTION OF W RK TO BE PERFORMED: l Identification- Please Type or Print Clearly - OWNER: Name: j L. "ClrAc-s u-c- Phone: 976- Address: 76-Address: 10 �'R' ('= "WY Y � :�° � ^��1mvkrs � Contractor Name: Phone: � 'r �` ,, Email: _ _&AT* ;b& ( CA.tti tAT7 Address: -, it C(CCIS 'ITLe kS MA. 61187116 Supervisor's Construction License:_ ® 61 Ez l'�)04 Exp. Date: ►$ \� Home Improvement License: Exp. Date: 1s ARCH ITECT/ENGINEER « -` t1J1,oAil'r�5r'I�C�I Phone: i Address:_\915 MW04 fh MA GlI&I'l Reg. No. ;L"1'7(&S FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ COZO y Check No.: Receipt No.: -i NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund P ns Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. x Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on SignaturePU COMMENTS C'iO4`1PL HEALTH Reviewed on � 69 Signature COMMENTS r G in' �- Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes e Planning Board Decision: Comments Conservation Decision: Comments WaterSewer Connection/Sin Da r Drivewav Permit DPW Town Engineer: Signature: Located 384 sgo d Street FIRE DEP,4R<TMENT Te-m, m.ste�ro`n Located at 124 Main 5t�eet� � sit . u. , Fire Departmen sig a uret /fie W. ,icy• d's ,i,l-� ` �i* �. I.�N 1r , Town of North Andover NORTH Building Department 0 1-I1.ED F y„r;�t, 6�6 0 1600 Osgood Street Bldg 20, Suite 2035 s' - ��,,... Z. North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT °�A t ICK �1 RATED F'Pa,`�y SSAC HUSH DATE OWNER'S NAME &ADDRESS S Q L \Ao ly,�4_C -10 M 0M C, Md u 3Q,4f-4— 0188 7 LOCATION OF PROPERTY TO DEMOLISH 14 b � DESCRIPTION Wac;b_ . '' CONTRACTOR'S NAME &ADDRESS S ] c��SV DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: / I ? SEWER: b b pp / b TREE WARDEN 1U L)CYN-Aivecl 1 N � ow b ROO TOWN ENGINEER DEPT. OF CONSERVATION, ^l q� HEALTH DEPT. Y r)11', SEPTIC e� ELL S:t T� HISTORIC COMMISSION PLANNING GAS i ELECTRIC 000' �,(.t�( �6 G 3,a ' a,6 hA o� Cn,•�'. TELEPHONE Yoe TAXES n POLICE , --'� FIRE EXTERMINATOR ® LL i DUMPSTER-0 0_�FREETt, S®I%© A('PF DIG SAFE NUMBER BLDG. INSPECTOR Building Demolition Affidavit Q — PEST CONTROL SAGREEMEN n AGREEMENT NUMBER Dennis the Mennis Pest Pest Elimination Experts 30 Years 29 Locust Street No. 1555 Lynn, MA 01904 781-592-0023 a Fax 781-592-9513 Lic. #MA 18197 CUSTOMER 7] SERVICE LOCATION STREET (J �(� PERSON TO BE CONTACTED SERVICE PHONE CITY,STATE,and ZIP f� N�� �- — PHONE TYPE OF PROPERTY TOE SEf�VICED �eS; c��o�(a RENEWAL SERVICE TO BE PERFORMED DATES VIC BEGINS EXPIRATION DATE ❑ ❑ Monthly ❑ Quarterly ❑Other PESTS TO BE CONTROLLED: � c SPECIAL INSTRUCTIONS: vU®v �O TERMS AND CONDITIONS: _ SERVICE GUARANTEE: We agree to apply chemicals to control above-named pests in accordance with terms and conditions of this Service Agreement. All labor and materials will be furnished to provide the most efficient pest control and maximum safety required by federal,state and city regulations. SERVICE RENEWAL: This agreement shall be for an initial period of one year,and will renew itself annually unless either party cancels this agreement by giving thirty days written notice before any expiration date. ANNUAL e®..� AGREEMENT CHARGE Q; \C INITIAL SERVICE CHARGE �' COMPANYAUTHO ZeD AT RE ATE MONTHLY/QUARTERLY PAYMENTS Q CUSTOMER AUTHORIZED SIGNATURE DATE Reorder Product 0 7052 from-1-800-252-4011-o Copyright.CROWNMAX Town of North Andover NoRTk q Building Department �°+I.-f L.F D ;6yt �o 1600 Osgood Street Bldg 20, Suite 2035 i' h'' - s °c North Andover MA 01845 0 � Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT °�„ Coc4ILI iwicIt A °RAreo 11" SSACHUS� DATE MAVs OWNER'S NAME &ADDRESS S A L �a NsLc 10 m i oD\c CF`s Aa 344f-4— 01887 LOCATION OF PROPERTY TO DEMOLISH 0,0art P DESCRIPTION a �c3t --k-, Q'� CONTRACTOR'S NAME &ADDRESSLSA.1. lCmiDR10 SOX ��� �' ►� '�v `�"i 7� 1- DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: I SEWER: TREE WARDEN IU �(L°v+�ive(� 1 h �G,e fow TOWN ENGINEER 9� �1�GN£ I�C9 VW \ DEPT. OF CON, ERVATIO HEALTH DEPT. SEPTIC c ELL If�1; - T��lt{ y� HISTORIC COMMISSION PLANNING GAS ELECTRIC TELEPHONE TAXES POLICE FIRE EXTERMINATOR DUMPSTER—ON/OFF STREET DIG SAFE NUMBER BLDG. INSPECTOR Building Demolition Affidavit • , ' , Commonwealth of Massachusetts Map-Block-Lot 105.00022 BOARD OF HEALTH --" "" -No Permit- ermit ------------ North Andover BHP-2016-0084 FEE $350.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Jesse T. Warren ------ ---- ------------------------------------------------------------------------------------------- - to(Construct)an Individual Sewage Disposal System. at No 602 BOXFORD STREET --- ----------------------------------- as -------------"-_ -_as shown on the application for Disposal Works Construction Permit No. BHP-2016008, �Daated ,April 19 2016 -------------------------------------------- Issued On:Apr-19-2016 BOARD OF HEALTH ••� °� Application for Septic Disposal System " /5•" Z T D�€� v Construction Permit — TOWN OF NORTH ANDOVER, MA 01845 350.00-Full Repair $17 ent lmporYant: Application is hereby made for a permit to: When(filling out ❑Construct a new on-site sewage disposal system* forms on the computer,use ❑Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑Repair or replace an existing system component—What? cursor-do not use the return A. Facility Information _ key. 60 -1- Address 0tAddress or Lot# ua - Acf-ve/Z �I City/Town 2.-*TYPE OF SEPTIC SYSTEM*: ➢ ❑Pump ElZravity(choose one) ***If pump system,attach copy of electrical permit to application*** ➢ ❑Conventional System (pipe and stone system) ➢ Wnfiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system.) ➢ ❑Pressure Distribution S.A.S.(No D-Box) ➢ ❑Pressure Dosed(D-Box Present)S.A.S. ➢ ❑Does the system require an effluent filter? Yes No If yes,does plan specify make and model of filter? YES=(no further info.needed) NO=(installer must specify brand of filter before DWC issuance) What is the Make? 7-4/J Whatisthe Model? 2. Owner Information Name -5yi-l4- / Address(if different from above) ki I t% /yJ�- 0/68-1 City/Town State Zip Code Email address Telephone Number 3. Installer Information Jas -7' t/-* ► �n/ L657C4,,%, 'f c ("e Name j� Name of Company /08 Address��.2�� C City/Town State Zip Code 3'7.f 211 Telephone Number(Cell Phone#if possible please) 4. Designer Information 0 i I i►7 Name Name of Company Address, j G 4�W iN a, City/Town Sta a Zip Code �'7e. -37 3 — C3/® Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 5 • Application for Septic Disposal System Construction Permit - TOWN OF TODAY'S DATE $350.00-Full Repair NORTH ANDOVER, MA 01845 $175.00-Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: esidential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described 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. I understand that until a final Certificate of Compliance has been issued by this Board of Ith, the installed system is not approved. Name 100, Date tca i App ro a y: and f a h Representative l ' ( q, , 20� Name 0 V Date Application Disapproved for the following reasons: For Office Use Only: 1. Fee Attached? Yes No 2. ProjectMana Obligation Form Attached.? YesLZ No 3. Pump System? If so,Attac ofElectrical Permit Yes No Applicantreceived copy of "Electrical Inspection Notes for Septi stems" Yes No Handout? 4. Reviewed approval letter, all paperwork received.? Yes/ No Missing. 5. Foundation As-Built?(new construction only): Yes No (Same scale as approved plan) 6. Floor Plans?(new construction only) Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) For plans by 5 I 9 (Engineer) Relative to the application of �15� GAG r f ei- (Installer's name) And dated /2-:? l. c� Dated n a ate � � � (� Z�V ��3 !��— o ay s ate With revisions dated / (Last revised date) I understand the following obligations for management of this project: 1. As the installer,I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer,I must call for any and all inspections. If homeowner, contractor,project manager, or any other person not associated with my company schedules an inspection and the system is not ready,then item three shall be applicable. 3. As the installer,I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a$50.00 fine being levied against me and/or my company. a. Bottom of Bed—Generally, this is the first(1')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: healthdept(a,townofnorthandover.com) from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work other than 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 ofthe sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank,D-Box,pipes, stone, vent,pump chamber,retaining wall and other components. 6. As the installer,I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor.or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) �_t 51-z (-01 (Name—Print) - ame— tgne A. • 5�STLED 7646 • • COPY North Andover Health Department Community and Economic Development Division June 10, 2015 Messina Development Corp 277 Washington Street Groveland, MA 01834 Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 10 (Map 105C,Lot 22) To Whom It May Concern: The proposed wastewater system design plan for the above site dated March 27,2015 with a final revision date June 3,2015 received on June 4, 2015 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 Quick 4 High Capactiy Infiltrator Chamber system. This design plan is valid for 3-years from the date of approval. 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. 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)). 2. 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 Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035 North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 602 Boxford Street—Lot 10 June 10, 2015 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. Si cerely, A W91 6� Michele Grant Health Inspector Encl. Installers list cc: Philip Christiansen,P.E. File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 i I Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday,June 04, 2015 1:55 PM To: Dan Ottenheimer;Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 602 Boxford St. Lot 10 Attachments: 201506041408.pdf;602 Boxford St. Lot 10 revised.pdf Revised plans for 602 Boxford St. lot 10. -----Original Message----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent:Thursday,June 04, 2015 2:08 PM To: Blackburn, Lisa Subject: Message from"ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date:06.04.2015 14:08:09(-0400) Queries to: noreply@townofnorthandover.com i 1 I CHRISTIANSEN & SERG/, INC PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET,HAVERHILL.MA 01830 tel:978-373-0310 mvw.csi-encr.corn fax 978-372-3960 ICS'IllJune 4,2015 RECEIVED Michele Grant JUN 0 4 2015 Health Inspector TOWN OF NORTH ANDOVER North Andover Board of Health HEALTH DEPARTMENT 1600 Osgood Street, Suite 2035 North Andover, MA 01845 RE: Subsurface Sewage Disposal System for 602 Boxford Street—Lot 10 (Map 105C, Lot 22) Dear Ms. Grant: We are in receipt of your letter of May 19,2015 for the above referenced Plan and offer the following comments. The location of the house has been changed,in addition, for ease of reference, your comments are printed in blue italics, 1. Until the nett•address is provided by the Assessor soffice please indicate the address cis "602 Botsford Street-Lot 10". This same numbering s;};stern should be itsed fir all proposed lots iii the subdivision. The Title of the Plan has been revised. 2. It appear-s that the esistiiid duelling and garage are proposed to be removed. Ifso, this should be clearly indicated on the design plana. A note has been added that the existing garage will be razed. The house and shed were already noted as to be razed. 3. The design plan and the DSCP do not indicate the sal7ie sduare•footage.for the lot. Also, the Zoning table indicates a ii7bihatm lot area that is greater than the lot area shoit•ti on [lie "Propein;Plan". The area of the lot is 80,600 s£ Plan has been revised.. This lot is a pre-existing lot,It was never incorporated to the remaining acreage identified as Map 105C,Lot 22. See attached deed Book 5407 page 48 and plan#6386). 4. A north arrow is required ort the design plan (310 01R 15.220(4)(a)). The north arrow has been added to the plan 5. The fuuulation drain location and elcvatiota are not shoirii on the design plan (iVrl 3.2). The foundation drain and elevation have been added to the plan 6. The design plan indicates an appn•oXiniate 100'it,etland htr(fer-one. Explain the reason for deliietiug rm approxi.rnate buffer gone oii the design plan. A wetland was identified on the site and located by survey April 2015. The approximate 100' buffer is noted to ensure reviewer that all work will be done outside the 100'buffer to a bordering vegetated wetland. 7. The proposed soil absorption srsterri is not within the test pit,arca of TP 104. It appears the proposed soil absorption sa%stem could be shifted in order to incorporate TP IOA. The system design has been changed to incorporate the location of TP 10A,. 8. The e_risting septic si�•stena location and proper abandonin.ent erre not indicated on the design plait (310 C:AIR 15.354 and 11:=1 3.2). The approximate location of the existing system and proper abandonment are noted on the plan. 9. At least one access port aboi,e the septic tank shall be accessible within 6"of finish garde (310 CRIR 15.228.(2)). An access port has been added to the design plan. 10. The soil evaluation form for TP l0B is inissing the observed water- depth on the test pit infolmation sheet and the reeloxirnorphic depth on the log sheet. The soil ei,aluation.finin for TP IOC indicates incorrect obser ii ed water depth on the test pit i.nforntation sheet and is inissing the,redoxiatorphic depth on the log sheet. The soil evaluation sheets for Tp 10B have been revised, (See attached) 11. Since the Ii1filtrator Chainber system is proposed cis an alternative soil absorption system the "Standard Conditions for Alternatim Soil Absorption Systems titiih General Use Celificvtion and/or Approved for Remedial U.se" will apply. Please provide the following cis required by the approval conditions Section 11(18): c) certr'fication by the Designer that the design confornis to the Approval, arty Coinpan't,Design Guiclance, and 310 CAIR 15.000; and The certification has been added to the plan. Should you have any additional comments or questions on my reponses,please do not hesitate to call. Si4istiansen l Enc. i4 0 PG 47 BK 5407 40 2 William Gorton, .y 0 of North Andover, Essex County, Massachusetts U) 2 _ _ _ .. r in consideration of less than One Hundred Dollars ($100. 00) �4 ° grants to Joyce Anne Bradshaw, Trustee. of the Gorton Family Trust �y oro under.Declaration of Trust dated Api-1 j Lo,'1719 to be recorded IMM herewith at North District:, Essex Registry of Deeds -44 n o of 624 Boxford Street, North Aridover, Massachusetts, 01845 ao with quitclaim.coveaanta H That certain parcel of land, -with. any buildings thereon, situated on: the :northerly -side-of Boxford Street Norti� Andover, Massachusetts, being shown as.. Lot 3A on' a:phan of land entitled .. . ,_ __ A-_ _ °Plof LandBxf , , p� repaed for. A William Gorton° which plan is recorded `at .North' Disarlct` Essex Registry _of`Deeds ae'R An`Io. 13:352: Nal parcel is--more_.partiCUlarly.,bounded and .described as T followsc Southerl b Boxford Street 229 04 feet, " APR 22'519p°:30_ Westerly, by And now_or formerly of Hopping, 168.04 feet; Southerly, - again'-by said land of Hopping; :in courses of 178:90 m o feet; 99 65: feet 109 97 feet; '58 :40 feet and 107 78 feet; v, a Westerly by ,l and :now or formerly of Donovan, 259 68 feet, m k Southerly, Southwesterly and _Westerly, again by_ said land Z ti Donovan, ln .courses of 69..07 feet, 13 .28, f60t; 10:-91 feet; ao-. 16 67 feet;41 59 feet; .61 00 feet,•` 20.'19. feet; `'20.53 'feet, and 250 00 feet, ` Se Northwesterly by land`of various owners `in three courses, ! o`.. 380 OVfeet 377;56 feet,'-and 198 02 feet, Northeasterly by ;'land :now or formerly of -Brookvlew Country Homes, 1016 61 feet; Southeasterly by'-Lot 2A-on said plan, 372.49.=feet; Easterly, again by said Lot 2A, 262.64 feet. Be all measurements more or less and all as shown on said Plan 13352. said parcel contains 22.19 acres. w Bks 54.0 7 PG 48 PARCEL II certain parcel of land with all the buildings thereon, on the northerly side of Boxford Street, North Andover, Massachusetts, Shown, as Lot :4. on--plan _of land entitled ."Plan-of Land ..in North Andover, Mass, surveyed for William & Anne Gorton", which plan" is recorded at North District Essex Registry of Deeds as Plan No. 6386 Said Lot 4 is more particularly bounded and described as follows: - Southerly by Boxford ._Street, 200 00 feet_, Westerly _by Lot"2 on- said`Plan'; 478:91 feet; Northeasterly by- land now: or formerly,of= Giragosian, 235.51 feet; and Easterly-by=Lot 5 on said,--Plan 331--.95-_feet.- - - - Containing 80, 600 square feet of land, according to said Plan. - = For title see -deed of-=the Town of North Andover, dated=July-1= -- - -- 1947, recorded at said Registry, of Deeds,- Boole 699;_ Page 360. See also Land Court Case No 36814 :andDecreee _ of_Confirmatz.on of Title' recorded in said Registry'°of Deeds ` Book' 1217, Page-478. Executed._as..a sealed.--instrument �thi _�_20�th ,-----day, of__ .Apri-1,- 1999. COWONMZITX OF IdASSACIZUSETTS Essex,s5 - Andover; Apri-1 20, 1999 Then personally appeared the above named William Gorton and acknowledged the foregoing instrument to be* his free act and deed, Before me, sep '.J rom ly --N ary Public- comm: expires : Aug. 17, 2001 0 a BE% 5407 PG 47 40 Pb 540 2 04 William Gorton, �4j o of North Andover, Essex County, Massachusetts cn 0 _ in consideration of less than One Hundred Dollars ($100.00) 44 _P ai grants to Joyce Anne Bradshaw, Trustee of the Gorton Family Trust �Y 0 N under Declaration of Trust dated aPri( Lo; Ijg9 to be recorded o herewith at North District Essex Registry of Deeds ,4 M_o. of 624 Boxford Street, North Andover, Massachusetts, 01845 00 ac with qui tclaim:covenan is Epp PARCEL-1 - That certain arcel of. land, with an p, y buildings thereon, situated on the northerly.. side of Boxford Street,=_North Andover-- _.a�.-.. -Massachusetts, --beingshotan as_.Lot 3A . - plan =of_land�enttled_ N !'Plan.. of Land, Boxford. Street, North Andover, _ MApre P are_d, for a William Gorton" . which plan is recorded at North'-District Essex i Registry`of Deeds as Plan" 13352. N . Said parcel is moreparticularly bounded and described as ro follows: Southerly, :by Boxford Street 22M4 feet; _ APR 22'199A,1,9:80 4j Westerly, by land now or formerly of Hopping, 168.04 feet; v Southerly, again by-said land of Hopping; in courses:of 178.90 m o feet; 99.65 feet; 109 97-feety'-58:`40:-feet and 10.7:78 feet; N w Westerly by land now or formerly of Donovan1., 2591 . 68 feet, x southerl Southwesterl and Westerl a' ' hib said, land_- of Z Donovan, in courses of 69:07 feet; 13.28, feet; 10.91 feet; 16 67 .feet; 41.59 feet; 61.00 -feet;- 20:19 feet; '20.53` feet, and 250".`_00 feet; F4 Northwesterly -by land of various owners in three courses; -380.06*_ feet; '377 56 feet, ''and`�298 02-feet; �.. Northeasterly -by land now .or formerly of Brookview Country Homes, 0i6.62 feet; Southe Eastheasterly by Lot 2A on said plan, 3.72.49 feet; ly; again by said Lot 2A, 262.64 feet. Be all measurements more or less and all as shown on said Plan 13352. _ I Said parcel contains 22.19 acres. i I KP Ik6 Lf BK 5407 PG 48 CEPARC:ELII )certain parcel of land with all the buildings thereon, on the northerly side of Boxford Street, North Andover, Massachusetts, shown as Lot 4 on plan of land entitled "Plan -of Land in .North Andover, Mass, surveyed for William & Anne Gorton", which plan is recorded at North District Essex Registry of Deeds as Plan No. 6386. Said Lot 4 is more particularly bounded and described as follows: Southerly,by, Boxford::Street, -20.0 00_ feet.;.__:- . Westerly by Lot 2 orf sgci Plari, 478.91 "feet; Northeasterly by land riow or formerly..of Giragosian, 235.51 feet; and.: Easterly-by -Lot 5 on -said Plan, 331.95 feet. Containing 80,600 square feet of larid, according to said Plan. _For -tit-le see 'deed of the Town of North Andover,- dated-July-4, — = 1947, recorded.'at said Registry of Deeds; Book--699; Page 360. -See also Land Court No 36814 .and Decree of Confi.rmationVof Title recorded iii said Registry of Deeds; Book 121.7, Page 478. Executed.as .a sealed_instrument..thig_._.20th -. ...-day-of . April, -19.99. AAA 71 COMMONIMUN OF MASSACHUSETTS Essex,ss - Andover, April 20, 1999 Then personally appeared the above named William Gorton and acknowledged the foregoing instrument to be his free act and deeds Before me, se .p Srom ly -No ary Public comm. expires: Aug. 17, 2001 w OW • SwTT�D'l�' FALCOPY -Ej North Andover Health Department Community Development Division May 19, 2015 Philip Christiansen, P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill,MA 01830 Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 10 (Map 105C,Lot 22) Dear Mr. Christiansen, The proposed wastewater system design plan for the above site dated March 27,2015 and received on May 14,2015 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. 1. Until the new address is provided by the Assessor's office please indicate the address as "602 Boxford Street—Lot 10". This same numbering system should be used for all proposed lots in the subdivision. 2. It appears that the existing dwelling and garage are proposed to be removed. If so,this should be clearly indicated on the design plan. 3. The design plan and the DSCP do not indicate the same square footage for the lot. Also, the Zoning table indicates a minimum lot area that is greater than the lot area shown on the"Property Plan". 4. A north arrow is required on the design plan(3 10 CMR 15.220(4)(g)). 5. The foundation drain location and elevation are not shown on the design plan(NA 3.2). 6. The design plan indicates an approximate 100' wetland buffer zone. Explain the reason opting an approxima e-ffer zone on the des' pi 7. The proposed soil absorption system is not within the test pit area of TP 10A. It appears the proposed soil absorption system could be shifted in order to incorporate TP 10A. Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 8. The existing septic system location and proper abandonment are not indicated on the design plan(3 10 CMR 15.354 and NA 3.2). 9. At least one access port above the septic tank shall be accessible within 6"of finish grade (310 CMR 15.228(2)). 10. The soil evaluation form for TP l OB is missing the observed water depth on the test pit information sheet and the redoximorphic depth on the log sheet. The soil evaluation form for TP l OC indicates incorrect observed water depth on the test pit information sheet and is missing the redoximorphic depth on the log sheet. 11. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use"will apply. Please provide the following as required by the approval conditions Section II(18): c) certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and 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. incerely, Michele Grant Health Inspector cc: Messina Development Corp File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover,MA 0l 845 Phone: 978.688.9540 Fax: 978.688.8476 � M I'll" I l'1" 1)1, N Ill.I J I, I F N I A\Xl 1.'I. 1t 1 _kt,_141 DF-J, F 201- f f 6 17 RECEIVED SEPTIC PLAN SUBMITTAL FORM MAY 14 2015 iom OF NORTH ANDOVER Date of Submission: H. LTH DEPARTMENT SiteLocation: Engineer: S 1-2 6tm S.(?T 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 Local Upgrade Form Included? N Aes No Telephone#: 7& -3 73 -43 I0 Fax#: E-mail: ct�c�- ce M Homeowner Name: 6-, -devd, OFFICE USE ONLY When the sub is's ion is complete(including check): > - Date stamp plans and letter > the and attach Receipt > Copy File; Forward to Consultant > z Enter on Log Sheet and Database *CHRISTIANSEN & SERGI, INC PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET, HAVERHILL, MA 01830 Owner's Certification for 602 Boston Street Lot 10 I,Robert Messina,the owner of record of 602 Boston Street Lot 10,hereby certify to the following: 1. I have been provided a copy of the Title 5 Innovative Alternative Technology Approval for General use dated 2/19/2015 ,the Owner's Manual with maintenance, and I agree to comply with all terms and conditions; 2. The design does not provide for the use of garbage grinders. This restriction is understood and accepted; 3. Whether or not covered by warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the North Andover Board of Health (NABOH),if the Department or the NABOH determines the system to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Acknowledged: Robert Messina Messina Development Corp. Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Gorton Family Trust Owner Name 602 Boxford Street Map 105C Lot 22-10 Street Address Map/Lot# North Andover MA 01845 City State Zip Code B. Site Information 1. (Check one) ® New Construction ❑ Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If yes: NRCS 421 B&C Source Soil Map Unit CANTON LARGE STONES Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published/Source Publication Scale Map Unit Geologic/Parent Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No Within the 500-year flood boundary? ❑ Yes ❑ No Within a velocity zone? ❑ Yes ❑ No 5. Wetland Area: Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions(USGS): Month/Year Range: ❑ Above Normal ❑ Normal ❑ Below Normal 7. Other references reviewed: tp lot 10A-13-rev.3113 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 1 of 8 <C\l Commonwealth of Massachusetts City/Town of North Andover a - 6 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: 10A 3/19/2015 SUNNY, 38 DEG Date Time Weather 1. Location Ground Elevation at Surface of Hole: 121.50 Location (identify on plan): 2. Land Use LAWN NO 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) GRASS OUTWASH PLAIN MIDDLE Vegetation landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100 feet feet feet Property Line >50 Drinking Water Well >1fee00 Otherfeet feet 4. Parent Material: ALLUVIAL Unsuitable Materials Present: El Yes No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: 9T Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation tp lot 10A-B rev•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 4:\, Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 10A Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist Munsell USDA Structure Consistence Other Y (Munsell) (USDA) Cobbles 8 Moist Depth Color Percent Gravel Stones (Moist) 0-9 A 10YR2/2 SL 9-25 BW 10YR 4/6 SL 25-58 C1 2.5Y5/4 CS 58-88 C2 2.5Y6/4 FS REFUSAL Additional Notes: tp lot 1 OA-B-rev.3113 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 10B 3/19/2015 SUNNY 38 Date Time Weather 1. Location Ground Elevation at Surface of Hole: 122 Location (identify on plan): 2. Land Use LAWN NO 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) GRASS OUTWASH PLAIN MIDDLE Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100 feet feet feet Property Line >50 Drinking Water Well ee00 Otherfeet feet 4. Parent Material: ALLUVIAL Unsuitable Materials Present: El Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ® Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 64" 116.66 inches elevation tp lot 10A-B rev•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8 I Commonwealth of Massachusetts City/Town of North Andover - _ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 10B j Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) La�er Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles 8 (Moist) Stones 0-9 A 10YR212 SL 9-23 BW 1 10YR4/6 SL 23-42 C1 2.5Y5/4 CS 42-64 C2 2.5Y5/4 FS 64-97 C3 10YR5/6 LS weeping @ 97" REFUSAL , J Additional Notes: I I tp lot 10A-B rev.doc•rev.3113 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: 10C 3/19/2015 SUNNY, 38 DEG Date Time Weather 1. Location Ground Elevation at Surface of Hole: 121.80 Location (identify on plan): 2. Land Use LAWN NO 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) GRASS OUTWASH PLAIN MIDDLE Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet>100 Drainage Way feet>100 Possible Wet Area >100 feet Property Line feett -- Drinking Water Well feet - Other feet 4. Parent Material: ALLUVIAL Unsuitable Materials Present: El Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: 97 Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: ----- - -- - - inches elevation tp lot 10C-rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ,r~ C. On-Site Review (continued) Deep Observation Hole Number: 10C Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles 8 (Moist) Stones 0-9 A 10YR2/2 SL 9-22 BW 10YR 4/6 SL 22-35 C1 2.5Y5/4 CS 35-58 C2 2.5Y6/4 FS 58-95 C3 10YR5/6 LS REFUSAL Additional Notes: tp lot 10C•rev.3113 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. B. 64" inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? E Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 91, LowerLower boundary: 9ches tp lot 10A-B rev•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accorda;ne with 310 CMR 15.100 through 15.107. 3/19/2015 gnature aluator Date hilip Christiansen #378 11/1994 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam Isaac Rowe North Andover Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and to the designer and the property owner with Percolation Test Form 12. tp lot 10A-B rev.rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 G M 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. Important: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 St LOT 10 use the return Street Address or Lot# key. North Andover MA 01845 r� CitylTown State Zip Code Philip Christiansen 978.373.0310 Contact Person(if different from Owner) Telephone Number B. Test Results 3/19/2015 10;20 3/19/2015 10;40 Date Time Date Time Observation Hole# 10a 10B Depth of Perc 9+19=28' 9+19=28' Start Pre-Soak 10;20 10;40 End Pre-Soak 10:35 10:55 Time at 12" 10:35 10:55 Time at 9" 10;40 11:02 Time at 6" 10:45 11:13 Time(9"-6") 5 MIN 11 MIN Rate(Min./Inch) <2 min/inch 4 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 Executive Office of Energy&Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 021081,517-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR GENERAL USE Pursuant to Title 5,310 CMR 15.000 Name and Address of Applicant: Infiltrator Systems,Inc. P.O.Box 768 6 Business Park Road Old Saybrook,CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8- inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber(8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber(8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber,Equalizer 24 chamber,Quick4 Equalizer 24 chamber,Equalizer 36 chamber,Quick4 Equalizer 36 chamber,Quick4 Equalizer 24 LP(Low Profile)chamber(6 inch invert),and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert)(hereinafter the"System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19,2015 Authority for Issuance Pursuant to Title 5 of the State Environmental Code,310 CMR 15.000,the Department of Environmental Protection hereby issues this Certification to: Infiltrator Systems, Inc., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter"the Company"), for General Use of the System described herein.The sale,design, installation,and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. - (OJ44" February 19,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources This Information is available In alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 677-2925751.TTY#MassRelay Service 9.6001139.2370 MassDEP Websife:Y~.mass.povldep Printed on Recycled Paper Infiltrator Chamber,Infiltrator Inc. Page 2 of 6 Approval for General Use—February 19,2015 I. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 Quick4 Equalizer 24 LP(6-inch invert) 16 x 48 x 8 6Z Quick4 Equalizer 24 LP 2-inch invert16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 Quick4 Standard HD 34 x 48 x 12 8 Quick4 Plus Standard(5.3-inch invert) 34 x 48 x 12 5.3 Quick4 Plus Standard 8-inch invert34 x 48 x 12 8 Quick4 Plus Standard LP(3.3-inch invert) 34 x 48 x 8 3.3 Quick4 Plus Standard LP 8-inch invert34 x 48 x 8 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.254 High Capacity Chamber 34 x 75 x 16 11 High Capacity H-201 Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5 Quick4 Phis High Capacity(8-inch invert) 34 x 48 x 14 8 Quick4 Plus High Capacity(13-inch invert) 34 x 48 x 14 135 1 This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements, 2 Includes Infiltrator MultiporJm invert adapter attached to the side of the end cap. s Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 4 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. Infiltrator Chamber,Infiltrator Inc. Page 3 of 6 Approval for General Use—February 19,2015 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. 4. For new construction or upgrades,the applicant can size the System in a trench configuration,using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching' Leachings Area Area SF/LF SF/LF Equalizer 24 3.76 N/A Quick4 Equalizer 24 3.90 N/A Quick4 Equalizer 24 LP 6-inch invert) 3.90 N/A Quick4 Equalizer 24 LP(2-inch invert) 2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard 5.3-inch invert6.20 N/A Quick4 Plus Standard 8-inch invert6.96 N/A Quick4 Plus Standard LP(3.3-inch invert) 5.65 N/A Quick4 Plus Standard LP(8-inch invert) 6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A High Capacity H-20 Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity(8-inch invert) 6.96 N/A Quick4 Plus High Capacity(13-inch invert) 7.93 N/A '.Effective April 21,2006,310 CMR 15.251(1)(6)maximum trench width is 3 feet. '.Effective leaching area is equal to 1.67(bottom width+(2x invert height))for Systems 3 feet or less in width. g.Effective leaching area is equal to 1.0(3+(2x invert Height))for Systems with a width greater than 3 feet. 9.The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3,or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. Infiltrator Chamber,Infiltrator Inc. Page 4 of 6 Approval for General Use—February 19,2015 6. For new construction or an upgrade,the applicant can size the System in bed or field configuration,using the effective leaching areas presented in Table 3. Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching10 Area SF/LF Equalizer 24 2.09 Quick4 Equalizer 24 2,23 Quick4 Equalizer 24 LP 6-inch invert 2.23 Quick4 Equalizer 24 LP 2-inch invert2.23 Equalizer 36 3.06 Quick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 Quick4 Standard HD 4.73 Quick4 Plus Standard 5.3-inch invert) 4.73 Quick4 Plus Standard(8-inch invert) 4.73 Quick4 Plus Standard LP 3.3-inch invert4.73 Quick4 Plus Standard LP(8-inch invert 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 High Capacity H-20 Chamber` 4.73 Quick4 High Capacity 4.73 Quick4 High Capacity HD 4.73 Quick4 Plus High Capacity(8-inch invert) 4.73 Quick4 Plus High Capacity(13-inch invert) 4.73 io Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288,additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. II. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval,the System shall comply with the"Standard Conditions for Alternative SAS with General Use Certification and/or Approved for Remedial Use"(the Infiltrator Chamber,Infiltrator Inc. Page 5 of 6 Approval for General Use—February 19,2015 'Standard Conditions'),except where stated otherwise in these Special Conditions. 2. New Construction This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow,for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction,as provided in Paragraph 6 in section II Design and Installation Requirements of the Standard Conditions. 3. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility meets the siting requirements for upgrades,as provided in Paraer, aph 7 in section II Design and Installation Requirements of the Standard Conditions 4. The System shall be exempt from the minimum inlet spacing requirements of 310 CMR15.253. 5. The System shall have a minimum of one inspection port through the top of one of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. When the System is installed in trench configuration,then the system shall comply with these requirements: a) Length(each trench) 100 feet maximum(3 10 CMR 15.251(1)(a)); b) Width(each trench)2 feet minimum to 3 feet maximum(3 10 CMR 15.251(1)(b)). -Chambers greater than 3 feet wide,when specifically approved,are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be two times the effective width or depth of each trench,whichever is greater,or where the area between trenches is designated as reserve area,three times the effective width or depth of each trench,whichever is greater(310 CMR 15.25l(1)(d)); d) The effective leaching area shall be calculated using the bottom area and a maximum of two feet(per side)of side wall area for each trench(3 10 CMR 15.251(1)(e)); e) Trenches shall be situated,where possible,with their long dimension perpendicular to the slope of the natural soil.Where possible they shall follow the contour lines(3 10 CMR 15.251(2)); f) Trenches constructed at different elevations shall be designed to prevent effluent from the higher trench(es)flowing into the lower trench(es)(3 10 CMR 15.251(3)); g) The area between trenches may be designated as system reserve area only where the separation distance between the excavation sidewalls of the primary trenches is at least three times the effective width or depth of each trench, whichever is greater(3 10 CMR 15.251(4))-Chambers greater than 3 feet Infiltrator Chamber,Infiltrator Inc. Page 6 of 6 Approval for General Use—February 19,2015 wide,when specifically approved,shall be separated by three times the actual width and are subject to other Special Conditions and limitations;and h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15.241 (310 CMR 15.251(11)). 7. When installed in trench configuration,approved Alternative Chambers greater than 3 feet wide: a) shall be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber,or where the area between trenches is designated as reserve area,three times the actual width of the chamber;and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective leaching area. 8. When installed in a bed or field configuration,the System may be installed without distribution piping,but must comply with the following requirements in 310 CMR 15.252: a) the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or field(3 10 CMR 15.252(1)); b) the maximum length of chambers in series shall be 100 feet(3 10 CMR 15.252(2)(b)); c) separation distance between adjacent bedstfields shall be ten feet(3 10 CMR 15.252(2)(£));and d) the effective leaching area shall include only the bottom area,not the sidewalls(310 CMR 15.252(2)(i)). 9. For Systems constructed in fill and installed,the System shall be installed as specified in 310 CMR 15.255 Construction in Fill,except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 10. The System is exempt from 310 CMR 15.287,specifically items: (5)requiring written notification of alternative system prior to property transfer,(6)need for a certified operator,(9)need for an operation and maintenance contract with an operator and(10)deed notice requirement. TOWN OF NORTH ANDOVER .yam Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET;SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,REHS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept(&townofnorthandover.com www.townofnoi-thandover.com APPLICATION FOR SOIL TESTS DATE: March 3, 2015 MAP&PARCEL: 105C.22 LOCATION OF SOIL TESTS: 602 Boxford Street oWNER: Gorton Family Trust Contact#: APPLICANT:Messina Development Contact#: q79 " 'F ll - 310 ADDRESS: 277 Washington Street, Groveland, MA 01834 ENGINEER: Christianen & Sergi, Inc. Contact#: 978-373-0310 CERTIFIED SOIL EVALUATOR: Philip G. Christiansen Intended Use of Land: Residential Subdivision Sin le Family Hom Commercial Is This: Repair Testing: Undeveloped Lot Testing-4 Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No XX THE FOLLOWING MUST BE INCLUDED WITH THIS FORM iH 1� ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) LTOII� ➢ 8.5"x 11"Plat plan&Location of Testing(please indicate test pit sites on the plan) " ➢ 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$360.00 per lot for repairs or unerades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approv l Date: 3 `t Signature of Conservation Agent: - � Date back to Health Department:(stamp in): - 1 11:6)Cj `1 J os /� eel a a _ 100 / �� ®� 100 / I ` Ni.p, ._ 100' / 100 ------- ZZL — --VZL-- —Qu--———— y > I N I i i Joyce A.Bradshaw,Trustee,Gorton Family Trust 624 Boxford Street _- N64 Andover,MA 01845 (978)857-3374 -_ November 24,2014 -- Christiansen&Sergi,Inc. 160 S immer:Street Haverhill,Ma 01830-6318 I,Joyce k Bradshaw; Trustee; Gorton Family Trust do hereby grant permission r to Christiansen & Sergi,_Inc. to access#6pe'rfy on Boxford Street-forany-Wetlands or- any other filings necessary: Please do not hesitate -to contact me with any questions. Thank you: , G t Sir%erely, .. , Joyce A.(Gorton).Bradshaw z b O i\J w • � F o, cr _. 1 -j 0 -- C)c1l 9- LLIOOZE i ���¢c r DZ A=CT] US 'LOOK ;til Ld I"=200' CIE n z 4zF ZZ >�F)pL�Q E 05OJ - - aza �m z d� o y� LOT INFORMATION CHART LOT AREA RIONfAOE CBA X C$A (S.F.) (FT.) (S.F.) 0cc• 4'7� 2A 87,310 17.5.00 87.310 100 } 3A 966.495 229.04 >87,120 100 H - z � V O I W a p W� > in > U w U °L 6f x 7A p o x 3 Z qua) L0� W 87310 S.F. o J / C_B.A00 A100% (� N F C•ORTON `^ � ill i N 3 E 17a 90 �il , N NA HOPPING Dov �L Marchionda � & Associates. L-P. `n 229.04' 175.00' IDo.00' S79'20'4O"E 504.04• -� Engineering and Planning Consultants 62 Montvale Avenue (PUBLIC— 1436 ESSEX COUNTY LAYOUT) Suite I Stoneham, M,4 02180 TEL: (781) 438-6121 FAX: (731) 438-9654 Email: engill eering©marchlonda com website rww.merchionds.com DATE: 10/271/96 80 d0 0 80 160 240 PLAN OF LAND M. &-P.. NO. 609-01 SCALE, 1°=80' SHEET I OF 1 Residential Property Record Card PARCEL ID:210/105.C-0022-0000.0 MAP:105.0 BLOCK:0022 LOT:0000.0 PARCEL ADDRESS:602 BOXFORD STREET FY:2014 PARCEL INFORMATIONUse-Cod®: 101__Sale Price: 1 Book: Road Type:_ T Inspect Date: 03121/2010. Tax Class:T Sale bate: 04/21/09 Page: 0043 Rd Condition: P Meas Date: 03/21/2010 Owner: Tot in Area: 783 Sate Tempe: Cert/Doc Traffic: M _ Entrance: C GORTON FAMILY TRUST Tot Land Area: 22.19 Sale Valid: A Water: Collect Id: RRC JOYCE ANNE BRADSHAW,TRUSTEE Grantor: WILLIAM GROTON Sewer: Inspect Reas._ C Address: 602 BOXFORD STREET Exempt-B/L% 1 Resid-B/L% 100/100 Comm-B/LP/e Indust-B/L% 1 Open Sp-B/L% I NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: RN Tot Rooms: 5 Main Fn Area: 783 Attic: ; NBHD CODE: 5 NBHD CLASS: 5 ZONE: R1 Story Heighf"1AOBedrooms: 2�Up Fn Area: Bsmt Area:775 Se =Ty a code Method Sq-Ft Acres Influ-Y/N Value Class� Roof: G Ful!Baths: 1 Ac3d'Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1.000 195,305 Ex-f W511:- WS--H@fyBaths: Ofifin Area: Bsmt Grade: PF 2 R 101 A 0 21.190 161,044 Masonry Tiim: ExtBath Fix: 0 Tot Fin Area: 783 __._.� DETACHED STRUCTURE INFORMATION ' Foundation: CN—Bath Qual: T RCNLD: 59818 - - Str Unit Msr-1 Msr-2 E-YR-BIt Grade Cond%oGood P1F/E/R Cost Class_] _ Kitcl Quaff: T Eff Yr Built: 1970 Mkt Ad': 'G1 - -a--- -- HeafType�` ST'�Ext Kitch: Year Built: 1948 Sound Value: S 518 0.00 1960 FA FA 50/1/50 8`,100 Fuel-Type: O Grade: F Cost Bldg: 59 800 VALUATION INFORMATION Fireplace: O--Bsmt Gar Cap: Condition: A —xft'sfr-vaf17 Current Total: 424,200 Bldg: 67,900 Land: 356,300 MktLnd: 356,300 Central AC: N Bsmt Gar SF: Pct Complete: Att Str Va12: Prior Total: 424,200 Bldg: 67,900 Land: 356,300 MktLnd: 356,300 AttGar SF: %Good P/F!E/R: /1001700/68 Porch Type Porch Area Porch Grade Factor E 28 SKETCH PHOTO 7 2 4.2 5¢F� `. f 1 I -1 FWR �i, 77554F1 - 25 25. 4 602 BOXFORD STREET Parcel ID:210/105.0-0022-0000.0 as of 5/29/14 Page 1 of 1 v ' 0 5407 PG 47 .co -W Cc � r. z William Gorton, o of North Andover, Essex County, Massachusetts U) 2 •o . in consideration of less than One Hundred Dollars ($100 .00) w M grants to Joyce Anne Bradshaw, Trustee of the Gorton Family Trust X under Declaration of Trust dated aPrij L , MI to be recorded m0 � 0 herewith at North District Essex Registry of Deeds •w M o of 624 Boxford Street, North Andover, Massachusetts, 01645 N 0 o with quitclaim covenants PARCEL _I H •• ,4 That certain parcel of land, with any buildings thereon, Q) situated on the northerly side of Boxford Street, North Andover, � a Massachusetts, being shown as Lot 3A on a plan of land entitled M U" Plan of Land, Boxford Street, North Andover, MA, prepared for W William Gorton" which plan is recorded at North District Essex u� Registry of Deeds as Plan No. 13352 . U1 o Said parcel is more particularly bounded and described as follows: Ac Southerly, by Boxford Street, 229.04 feet; APR 212'99 A65:34 4J Westerly, by land now or formerly of Hopping, 168.04 feet; ani Southerly, again by said land of Hopping, in courses of 178.90 w a feet; 99.65 feet; 109.97 feet; 58.40 feet and 107. 78 feet; u, � Westerly by land now or formerly of Donovan, 259.68 feet; x w Southerly, Southwesterly and Westerly, again by said land of o Donovan, in courses of 69.07 feet; 13 .28 feet; 10.91 feet; 's 0 IQ i. 16.67 feet; 41.59 feet; 61.00 feet; 20.19 feet; 20.53 feet, 0� and 250.00 feet; Northwesterly by land of various owners in three courses, a 0 380.00 feet; 377.56 feet; and 198.02 feet; Northeasterly by land now or formerly of Brookview Country Homes, 1016 .62 feet; Southeasterly by Lot 2A on said plan, 372.49 feet; Easterly, again by said Lot 2A, 262 .64 feet. Be all measurements more or less and all as shown on said Plan 13352. Said parcel contains 22 .19 acres. i BK BK 540 7 PG 48 PARCEL II That certain parcel of land with all the buildings thereon, on the northerly side of Boxford Street, North Andover; Massachusetts, shown as Lot 4 on plan of land entitled "Plan of Land in North Andover, Mass, surveyed for William & Anne Gorton", which plan is recorded at North District Essex Registry of Deeds as Plan No. 6386 . Said Lot 4 is more particularly bounded and described as follows: Southerly by Boxford Street, 200.00 feet; Westerly by Lot 2 on said Plan, 478.91 feet; Northeasterly by land now or formerly of Giragosian, 235.51 feet; and Easterly by Lot 5 on said Plan, 331.95 feet. Containing 80, 600 square feet of land, according to said Plan. For title see deed of the Town of North Andover, dated July 1, 1947, recorded at said Registry of Deeds, Book 699, Page 360. See also Land Court Case No. 36814 and Decree of Confirmation of Title recorded in said Registry of Deeds, Book 1217, Page 478. Executed as a sealed instrument thig 20th day of April , 1999 . Ad COMMONWEALTH OF MASSACHUSETTS Essex, ss Andover, April 20, 1999 Then personally appeared the above named William Gorton and acknowledged the foregoing instrument to be his free act and deed, Before me, sep S, rom ly N ary Public comm. expires: Aug. 17, 2001 , y 1.0 IlTr -fill 4.1 , k ! f ! � I ., ijAdog m , 7 h! ` - - T TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 0 Susan Y.Sawyer,REBS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdeptctowirofnorthandover.com (N 111 tiww.townofnorthandovef.co m APPLICATION FOR SOIL TESTS DATE: 11/2412014 MAP&PARCEL: 105C.22 - -' LOCATION OF SOIL TESTS: 602 Boxford St, NA Lot -7 2014 OWNER: Gorton Family Trust Contact#: �0 -WA ra Q—`R APPLICANT:Messina Development Contact#:978-837-9568 ADDRESS: 277 Washington St, Groveland, MA 01834 ENGINEER: Christiansen &-Sergi, Inc Contact 978-373-0310 CERTIFIED SOIL EVALUATOR: Philip Christiansen Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: X Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"z 11"Plot plan&Location of Testing(please indicate test nit sites on the plan) ➢ 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 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: 1 l Signature of Conservation Agent: Date back to Health Department: (stamp in): �� Q� s ,W. { r. — _. _ — — — — — 1 : _ , , fif . lI _ s F , I I s ! _--------------- -- _—---- Q # � y^ -'- ' Z I I � I _ I t I I l t 1 Y i I ItuJIL ✓i C I s — — --' — --- ; ——— — — 1 I S + i ��3 i �'� ���! -' � � �� �' .f1�( •WSJ• �"t- �'�� �''�l 1 T n-; -61 I i 'i TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET;SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y.Sawyer,REAS,RS 978.688.9540-Phone Public Health Director 978.688.8476-FAX healtbdept(,7'�.townofnorthandover.com www.townofhoithandover.com rib � APPLICATION FOR SOIL TESTS `' DATE: 11/24/2014 MAP&PARCEL: 1 O5C.22 LOCATION OF SOIL TESTS: 602 Boxford St, NA Lot OWNER. Gorton Family Trust Contact#: APPLICANT:Messina Development Contact#:978-837-95 0 ADDRESS: 277 Washington St, Groveland, MA 01834 ENGINEER: Christiansen &-Sergi,-Inc - contact#: 978-373-0310 CERTIFIED SOIL EVALUATOR: Philip Christiansen /" Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: X Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No ^ 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 pit sites on the plan) ➢ 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 uusrades. 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 lie submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: � I I Signature of Conservation Agent: 6 — Date back to Health Department: (stamp in): 6� �7 1 I . � 3 iA Ply 4 , Tf A 41 JJ ' J ; : Al a a 3r4 1. - � t , I 3 t I 1 1 ___44 ............ N HiQ GTO,,�N__ w �Y O5I®ORTH ANDY✓ EI.E/ {li, MASS.Locus. g U� O `V MAP 1048 MAP 1046 LOT 184 LOT 183 nn v' J L DURGIN SCANLON BOXFORD SIREET MAP 104B 1 1046 LOT 188 LGDT 18& Nf nv7 BOVk.. BINRNS MM 1040 1 i MAP LOT 157 LOCUS AP ntr SARAH GAGNON; i NOT TO SCALE MAP 104BgMAP 1 654 LOT 4 j �ICK LAT 188 - TOWN OF NORTH LEGEND M¢G , ••. �I � ANDOVER I EIR 53 ' MAP 1040 ❑ GRANITE BOUND TO BE SET LOT 180 OPEN SPACE B O 4 `: ,� my BABBITT a GRANITE SOUND FOUND 10'13RAINA � EASEMENT i A IRON PIPE FOUND �'"� ,•\ +t a,� �F! 5 �P•�7 A DRILL HOLE SET i s O IRON ROD FOUND O DRILL HOLE FOUND � ;-�� X550 •, � Z , O�� MAP 1050 LOT 42 ,i' LOT 2 REF.PIAN 0 STORM WATER II ' O IRON ROD TO BE SET M �q s&L HOMES LLC SYSTEM DONOVAN -' EASEMENT, '{ MAP 1050 LOT 78 RD REFERENCE DEED I 1 HANssF1u ILOT 1 REF.PLAN 0 0000 STONE WALL 53d 'S&L HOMES LLO #56.Z i 1, MAP 1650 LOT 43 LOT i REF.PLAN 1 ; \ , OpEN SPACE A N/F NOW OR FORMERLY OF nil CHARLOTTE DONOVAN HOPPING ` PARCELAIS ALSO 8 ASSESSORS REFERENCE {{ q A J / CONSTRUCTION& T-F.' TOTAL FRONTAGE GRADING EwsnNG OWING STREET EASEMENT OO DRAIN MANHOLE CONSTRUCTION KEY MAP GRADING GRADING I� CATCH BASIN AND DRAINAGE PIPE J FLARED END 8 RIP-RAP OUTLET 200 0 200 400 FT OO SEWER MANHOLE SCALE.-V-200' SEWER PIPE .i 1 �10IC I4V`n0AhM