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HomeMy WebLinkAboutMiscellaneous - 65 STANTON WAY 4/30/2018 (2) I f dMflol"titsEmil 4= hul r � °� E D PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF. COMPLIANCE As of: 10/28/2014 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Construction of an ®n-Site Sewage Disposal System By: Matthew Manning At: 65 Stanton Way Map 61 Lot 118 ��orth Andover, MA 01845 liche suance of thi c ificate shall not be construed as a guarantee that the system will function i gu y sat sfactorily. e Grant v Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com CF NOR71,4ti o - a SSAGt1U5E U PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER Ll- SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATIONEDThe undersigned hereby certify that the Sewage Disposal System(constructed;( )repaired; 14Bv: A I Cl.-��w /V tip,f n�rt� DJVER (Print Name) MENT Located at: 6y STA Ni a AI WA y OT/i6 -3 (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 1111q A&-3 and last revised on with�i/ �.! with 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 the Board of Health. Bottom of Bed Inspection Date: A zL ` a-,4�jj Engineer Repre tative(Signature) And-Print Name Final Construction Inspection Date: Engineer Representative(Signature) And-Print Name Installer:. (Signature) Date: 1 e-c✓ /"`Qan: n And-Prir 1 ame Engmer: (Signature) Date: And-Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com t North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES ADDRESS: 65 Stanton Way MAP: LOT: Lot 3 INSTALLER: Matthew Manning DESIGNER: Christiansen & Sergi Inc. PLAN DATE: 4/19/13 (revised 6/12/13) BOH APPROVAL DATE ON PLAN: 6/18/14 INSPECTIONS TANK INSPECTION: 10/2/14 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 10/10/14 DATE OF FINAL GRADE INSPECTION: 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 .s Comments: SEPTIC TANK X Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan X Bottom of tank hole has 6" stone base Z Weep hole plugged X 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 N/A 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) X Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed ifs specified on plan p 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: Standard High Capacity Quick 4 Infiltrator Chambers ® Number of chambers per row: 10 ® Number of rows (trenches): 2 i a Comments: Total Chambers = 20 Stake to stake width 14'x29' with overdig 27' x 50'; FINAL GRADE Loamed J Seeded [] Cover per plan Comments: DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by ngineer and installer As-Built Plan BM = 85.94 HR = 4.28 Hl = 90.22 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 3.62 86.25 85.00 Septic Tank IN 3.91 85.96 84.80 Septic Tank OUT 4.13 85.74 84.55 Distribution Box IN 7.06 82.81 82.75 Distribution Box OUT 7.27 82.60 82.58 Lateral 1 TOP 7.44 Lateral 1 INVERT 82.43 82.46 Lateral 2 TOP 7.41 Lateral 2 INVERT 82.46 82.46 Top of Chamber Bottom of Bed/Chamber 8.80 81.4+/- 81.50 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 8'+/- -- 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). s 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 Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Monday, October 13, 2014 10:01 AM To: Blackburn, Lisa; Sawyer, Susan Cc: 'Pam Lally'; 'Isaac Rowe' Subject: RE: 65 Stanton Lot 3 Attachments: 65 Stanton Way Lot 3 -final inspection form.doc Susan, Attached is the final inspection form for the above referenced property.As mentioned in my email on Friday everything looked good except the distance from the deck footings to the leach trench. Let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone:978-282-0014 ext.804 Fax: 978-282-1318 irowe(a)-millriverconsultina.com wvvw.millriverconsultin.g.com From: Blackburn, Lisa [mailto:LBlackburn(atownofnorthandover.com] Sent: Thursday, October 09, 2014 1:13 PM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Subject: FW: 65 Stanton Lot 3 Please contact Matthew Manning for final inspection of 65 Stanton Lot 3. Thanks. From: Grant, Michele Sent: Thursday, October 09, 2014 12:25 PM To: Blackburn, Lisa Subject: RE: 65 Stanton Lot 3 All Set. Please email Mill River From: Blackburn, Lisa Sent: Thursday, October 09, 2014 8:59 AM To: Grant, Michele; Sawyer, Susan Subject: 65 Stanton Lot 3 Dan O'Connell called and 65 Stanton Lot 3 is ready for Mill River. Please let me know what you have had the are you ready" talk with Matt Manning. i Grant, Michele From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Monday, September 29, 2014 2:17 PM To: Grant, Michele Cc: 'Isaac Rowe' Subject: Lot 3 Stanton Way Michele, I looked at the bottom of bed excavation and reviewed with Matt Manning his procedure for installing sand fill.The seasonal high groundwater table is actually above the bottom of bed excavation in most locations. I could see mottling on the side walls of the excavation. It would likely be close to impossible to get the bottom of the bed hole completely dry by pumping because that is the true groundwater table. I am comfortable with Matt's sequence of sand installation. He will rack out any smeared spots and bucket out as much groundwater as possible before installing the sand fill.There will be approximately 5'+of sand fill above the existing water level. Please let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 Fax: 978-282-1318 irowe cD,millriverconsulting.com www.miliriverconsulting.com I 1 Map-Block-Lot YcFna Commonwealth of Massachusetts _ BOARD OF HEALTH permit BHP 20101 4 --96 -- "� North Andover FEE P.I. 250.00 ------------------------ F.I. DISPOSAL WORKS CONSTRUCTION PERMIT Matthew Manning ------------------------------------------ Permission is hereby granted --_------_---------------------------------------------------------- to -- ----------------------------------------- to(Construct)an Individual Sewage Disposal System. at No 65 STANTON WAY -------------------------------- ------------------------------ ----------------------------- -- - -------------------------------------------------- 14 as shown on the application for Disposal Works Construction Permit No. BHP-2014-Ofs9 ""Date my 16;24, L-1 0� --- ------------BOARD OF HEALTH Issued On: Jul-17-2014 NoerN Application for Septic Disposal System 3o°� TODAY'S DATE aConstruction Permit — TOWN OF �, $250.00—Full Repair ORTH ANDOVER, MA 01845 SNCHUSE $125.00-Component Important: ApplicatioVjs hereby made fora 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 key the return A. Facility Information Y 40+ 34465 5lc-AA-6 n wa�y Address or Lot# City/Town 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump ravity(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 (;�--. 5�- Name 1671 Address(if different fro ove) /J(),r:k%.X /I � r �t l4 � 1 � `1 S City/Town State Zip Code Telephone Number 3. Installer Information Name Name of Company A`dd``ress City St Zi Code 1&3) 1- � Thdfie Number(Cell Phone#if possible please) 4. Desi ner Information Name Name of Company 160 45c.,m ne- S-� Address i.4C.ve C�\: t1 MA 6tS30 City/Town StateZip Code (4`743) 37.E— ®? iU Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page 1 of 2 '1 4 °RTS Application for Septic Disposal System 6 3 i °Et.<<e..'fib° 3� °� TODA 'S DATE . = 9Construction Permit — TOWN OF �•��'- ,`; ORTH ANDOVER, MA 01845 $250.00-Full Repair ,SSA us $125.00 -Component PAGE 2OF2 A. Facility Information continued.... 5. Type ofBuildinq: Kesidential 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 issued by this Board of Health. Na, Date Application A rov By: (Board of ealth Representative) 6 Name Date Ap iCation Disapprov for the following reasons: For Office Use Only: 1. Fee Attacbed? Yes No 2. Project Manager Obligation Form AttacbedP Yes No 3. Pump System? If so,Attach copy of Electrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit-Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: zlr5i 3 44 6 5 5 n W (Address of septic system) For plans by 1' 1 C h C Jt � Cl (Engineer) Relative to the application of A46t,4 LLQ A4e,4a n_,_— a (Installer's name) And dated � ` T / 3 ( riginXox e) Dated /" C -3 oday s ate) With revisions dated V (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 co=any. a. Bottom of Bed—Generally, this is the first (V5 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@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 of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box, pipes, stone, vent,pump chamber, retaining wall and other components. — 6. As the installer.I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: 613,0 (Today's Date) r // /�(;L+' &a Ac-1 (Name—Print) ( e—Signed) A44ac�-bTftj cfi a. CHRIST IAN EN & SRRGI INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET,HAVERHILL,MA 01830 tel:978-373-0310 www.esi-engr.com fax 978-372-3960 Soil Borrow Management Ik Title 5 sand at the Stanton Woods subdivision Date: May 7, 2014 ��,��``" � W _�s (Note: revisions and new items are in blue text) t 1. Sand that is intended to be used shall be stockpiled prior to sampling. Sand from each source location shall be placed in separate stockpiles for inspection and sampling. If during excavation the sand from a single source contains variations in color, consistency, or gradation a separate stockpile of each variant shall be made. A plan shall be prepared showing the locations of the stockpiles and the sources of the material. The project engineer (Christiansen & Sergi, Inc.) shall provide a base map to the site contractor/installer that the installer will update whenever sand is excavated, stockpiled, or moved. Copies of the updated plan shall be submitted to the Health Department within 48 hours of any new sand excavation, stockpiling, sampling, testing, or filling. 2. Prior to the sampling of sand from a stockpile an inspection shall be made by the Health Department or their designated representative to ensure the consistency of the stockpiled material and to ensure that the sample is a valid representative of the material in the stockpile. The Health Department may authorize a representative of the site contractor/installer, such as the project engineer(Christiansen & Sergi, Inc.)to inspect and approve the sampling. 3. Samples to be tested shall be clearly labeled as to the source of the material and the location of the stockpile. 4. On-site sand shall not be used as the "System Sand" for the Presby Enviro- septic systems to be constructed on Lots 1 and 4. 5. If necessary, stockpiled sand shall be screened prior to placement in the disposal area to ensure that no material larger than 2 inches is present. 6. If during the placement of sand in the disposal system it becomes necessary to use sand from two or more stockpiles an inspection shall be made by the design engineer, Health Agent, or Mill River Consulting prior to the placement of the sand from the second (or subsequent)stockpiles. j 1, 9 � a May 7,2014 7. A log book shall be kept by the site contractorfinstaller to document all activities relating to sand excavation, stockpiling, sampling, testing, and filling. Copies of all test results shall be kept in the log book. A copy of each new log entry shall be submitted to the Health Department within 48 hours of any new sand excavation, stockpiling, sampling, testing, or filling. 8. The Soil Borrow Management Plan will be incorporated into each DSCP issued for this project so it is acknowledged by the licensed installer as to the plan and procedures to be followed. 9. The site contractorfinstaller shall inform the Health Department which testing lab will be doing the testing prior to the sample being taken. 10. The Health Department will plan to take composite confirmatory samples at some or all of the onsite wastewater systems during installation. In addition to usual fees a regular"additional inspection fee" of$50 will be calculated per trip to the site; along with the ongoing soil sample charges. Outstanding payment shall be made prior to issuance of each Certificate of Compliance. 11. The installer is apprised that a Certificate of Compliance cannot be issued if a soil sample is taken at a particular onsite wastewater system until such time as the laboratory results confirm compliance with Title 5 fill specifications. Failure will result in removal of all sand in that particular system bed. i O Page 2 `I I s t STOCKPILE# STOCKPILE DATE(S) SOURCE LOT STOCKPILE LOT SEPTIC LOT 1 11/2013 Lot 168 Lot 168 Lot 168 2 412014 Lot 16-2 Lot 16-2 Lot 16 2 LOT 16-2 3 4 LOT 16-1 g y 2 L \ � � KEY IiW SOURCE OF MATERI �oNLr �csiT STOCKPILE LOCATIO FILL(SEPTIC SYSTEM)LOCATION \•.\ LOT 164 —..� �::�::-:: ���. CELA PAR A �• _ �� \:\ _ STANTON`NAY m LOT 16 \ f w '� PARCEL LOT 16-5 Y w\ SOIL BORROW PLAN .1 LOT 16-7 / FOR LOT 16-8 STANTON WOODS IN ` 1 ' NORTH ANDOVER, MASS. O LOT 31 ��� SCALE:1"=80' DATE:MAY 7,2014 REV; LOT 16-6 i� d .ted Qll North Andover Health Department Community Development Division May 31, 2013 Philip Christiansen, P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill, MA 01830 Re: Subsurface Sewage Disposal System Plan for Lot 16-3 Saracusa Way (Map 61, Lot 16-3) Dear Mr. Christiansen, The proposed wastewater system design plan for the above site dated April 19, 2013 and received on May 3, 2013 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. Please reference the Lake Cochichewick watershed in the notes on sheet 2 (NA 3.2). 2. The plans were not stamped by the designer (3 10 CMR 15.220(2)). 3. Please demonstrate that a conventional system in compliance with 310 CMR 15.000 can be built on the site in order to use the Infiltrator Chamber system according to Section 1(3) of the DEP General Use approval letter. An outline and brief description of a conventional system on the site plan is sufficient. 4. Please indicate the holder of both the sewer and drainage easements located on the lot (3 10 CMR 15.220(4)(c)). 5. Please depict the percolation tests on the site plan(3 10 CMR 15.220(4)(i)). 6. Please add a note to the plan to indicate that a riser to within 6 inches of finish grade is required above the distribution box if greater than 9 inches below grade. 7. Please indicate the model/brands of the septic tank and distribution box (NA 3.2). 8. Please clearly show the extent of the proposed slab foundation on the site plan. 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 7 9. In the profile and cross section view,the limits of removal of the topsoil and subsoil need to be extended based on the soil logs for TP-24 and TP-27. 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. Sincer , usan Y. awye , REHS/RS Public Health Director cc: Green & Company 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 CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS CS1 160 SUMMER STREET,HAVERHILL,MA 01830 tel:978-373-0310 www.csi-engr.com fax 978-372-3960 June 12, 2013 Ms. Susan Sawyer Public Health Director North Andover Health Dept. JUN 3 2013 1600 Osgood Street, Suite 2035 TOWN of NOf 1W ANDCVER North Andover, MA 01845 Hr;Ar.TH pEP�.R�TIENT Re: Subsurface Sewage Disposal System Plan for Lot 16-3 Saracusa Way (Map 61, Lot 16-3) Dear Ms. Sawyer: We have revised the plan to address your 5/31/2013 comments. To facilitate the review of this information we have reproduced your comments, and our responses follow each comment in blue italics. Please reference the Lake Cochichewick watershed in the notes on sheet 2 (NA 3.2). (Note 16 on Sheet 2 has been revised accordingly.) �2. The plans were not stamped by the designer(310 CMR 15.220(2)). (The paper copies of the revised plans are stamped and signed by the designer) 3. Please demonstrate that a conventional system in compliance with 310 CMR 15.000 can be built on the site in order to use the Infiltrator Chamber system according to Section 1(3)of the DEP General Use approval letter. An outline and brief description of a conventional system on the site plan is sufficient. (The proof plan and associated calculations have been added to Sheet 1.) Please indicate the holder of both the sewer and drainage easements located on the lot(310 CMR 15.220(4)(c)). (General Note 18 has been added to Sheet 1 to include this information.) L/,5. Please depict the percolation tests on the site plan(310 CMR 15.220(4)(i)). (The Perc Test location has been added to the Site Plan on Sheet 1.) �6. Please add a note to the plan to indicate that a riser to within 6 inches of finish grade is required above the distribution box if greater than 9 inches below grade. (Note 5 has been added to the Distribution Box Detail on Sheet 2 to include this requirement.) 7. Please indicate the model/brands of the septic tank and distribution box(NA 3.2). (The t/ manufacturer and model numbers of the septic tank and distribution box have been added to the details on Sheet 2.) 1/8. Please clearly show the extent of the proposed slab foundation on the site plan. (The area of the proposed slab foundation has been hatched on the site plan.) 9.; In the profile and cross section view, the limits of removal of the topsoil and subsoil need to be extended based on the soil logs for TP-24 and TP-27. (The profile and cross-section have been revised accordingly.) I trust that this response and the revisions made to the plan fully address all of your comments. Please i contact me if you have any questions. 4Veours,n e i,hristi n North Andover Health Department Community Development Division June 18, 2013 Green& Company 11 Lafayette Road North Hampton,NH 03862 RE. Re: Subsurface Sewage Disposal System Plan for Lot 16-3 Saracusa Way Salem (Map 61,Lot 16-3) Dear Property Owner, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by the Christiansen& Sergi, Inc. dated April 19, 2013,received on May 3, 2013 and revised June 12, 2013. The design has been approved for use in the new construction of a 4-bedroom, on-site septic system. This plan is good 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. 1. Prior to the issuance of the Disposal Works Installers Permit,the applicant must submit a foundation as-built at the same scale as the approved plan. 2. Prior to the issuance of the Disposal Works Installer's Permit,the applicant must submit the floor plans of the home showing no greater than four bedrooms or a total of nine rooms. 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)). Pagel of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 a `:a r Lot 16-3 Saracusa Way June 18, 2013 4. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board,Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. 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 might have. Sincerel , S san Sawy , �REH ublic Health erec cc: Phil Christiansen, PE file encl: Licensed Installers list Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 r 4 X North Andover Health Department (ommunity Development Division November 4, 2014 New Homeowner 65 Stanton Way North Andover, MA 01845 Re: Your new home and your 4-bedroom septic system Dear Resident, Congratulations on your move to North Andover and on your new home. The North Andover Health Department has overseen the design approvals and installation of the septic system on your property and believes that it is important that you understand the details of the system that services your home. Enclosed is information on how to care for your septic system and notification of restrictions in case you intend on finishing additional spaces,which are currently designated as "unfinished space", in your home. The house plans that were submitted prior to construction of your home show multiple unfinished areas, but this system can only serve a 4-bedroom home(maximum 9-room). A home with this sized system, which as defined by the MA Department of Protection regulations 310 CMR 15.000,will have a maximum of a 9 rooms in total (not including bathrooms; laundry rooms etc). According to our file, your home is currently at eight(8) rooms; therefore only one additional room could be finished for use. This assumes you did not finish more than the plans originally identified. If you have gone over the approved number, a violation to MA DEP code may already exist. The multiple unfinished areas in your home are allowed by state code and are not counted until finished. The inclusion of this amount of square footage, as unfinished space,was discussed with your builder. The Green Co. chose to inform homeowners upon purchase,that if you plan on finishing any of the areas for living space, above the 9-rooms,the expansion of the septic system and the compliance with the code will be done by the new homeowner. No building permits,to finish additional rooms, will be supported unless compliance is achieved. 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 65 Stanton Way November 4, 2014 If at any time you do plan to inhabit any of these multiple unfinished areas,please contact our office and we will be happy to discuss the options with you. As the homeowner, we want you to be fully informed on how disposal systems work. The document provided will help you care for your system. You can also access numerous guides to assist you on the MA DEP website, http://www.mass.gov/eea/agencies/massde-/that will help you maintain your system in good working order, so it will protect you and the environment for many years to come. Finally, it is important to note that this septic system is not designed for use with a garbage grinder. Installation of a garbage grinder will cause damage to your septic system and will void any guarantees for its proper service by the septic installer from the date you install the grinder. We hope you are enjoying your new home in North Andover. The Health Department staff members are here to answer your questions on septic systems or any other Public Health related subject. Feel free to contact us. Sincerel $0s�aa'i r, H Public Health Director Encl. "Caring for your Septic System: A Reference Guide for Homeowners" Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Caring for your Septic System I MassDEP Page 1 of 2 r The Official Website of the Executive Office of Energy and Environmental Affairs I g Energy and Environmental Affairs fi EEA Home > Agencies > MassDEP > Water Resources > Wastewater&Septic> Caring for Septic System:Reference Guide for Homeowner Caring for your Septic System: A Reference Guide for Homeowners Caring for Your Septic System _. .. (Conventional Septic System,Innovative/Alternative(IIA)System,or Cesspool) a' Water Resources The accumulated solids in the bottom of the septic tank should be pumped out every three years to prolong the life of your system.Septic systems must be maintained regularly to stay working. Neglect or abuse of your system can cause it to fail.Failing systems can cause a serious health threat to your family and neighbors, W degrade the environment,especially lakes,streams and groundwater, - reduce the value of your property, y F^ • be very expensive to repair, A to Z Quick Links and,put thousand of water supply users at risk if you live in a public water supply watershed and fail to maintain your Watet Resoufces Index, P• system. Be alert to these warning signs of a failing system: sewage surfacing over the drainfield(especially after storms), sewage back-ups in the house, lush,green growth over the drainfield, slow draining toilets or drains, sewage odors. InSpsUon fpamp aun]acds` Inlet:s:!nga - 3y�,}.f;� x-a e r -r,.�,,may, ortm:treated enters t[am hwse �� to&distd6ttatdbotian "�'� �`--"�^•= bcx and drain field ..,.+ rw Vyzs;evrater pp �Stodge Tips to Avoid Trouble DO have your tank pumped out and system inspected every 3 to 5 years by a licensed septic contractor(listed in the yellow pages). DO keep a record of pumping,inspections,and other maintenance.Use the back page of this brochure to record maintenance dates. DO practice water conservation.Repair dripping faucets and leaking toilets,run washing machines and dishwashers only when full,avoid long showers,and use water-saving features in faucets,shower heads and toilets. DO learn the location of your septic system and drainfield.Keep a sketch of it handy for service visits.If your system has a flow diversion valve,learn its location,and tum it once a year.Flow diverters can add many years to the life of your system. DO divert roof drains and surface water from driveways and hillsides away from the septic system.Keep sump pumps and house footing drains away from the septic system as well. DO take leftover hazardous household chemicals to your approved hazardous waste collection center for disposal.Use bleach,disinfectants,and drain and toilet bowl cleaners sparingly and in accordance with product labels. DON'T allow anyone to drive or park over any part of the system.The area over the drainfield should be left undisturbed with only a mowed grass cover.Roots from nearby trees or shrubs may clog and damage your drain lines. http://www.mass.gov/eea/agencies/massdep/water/wastewater/caring-for-septic-system-ref... 11/4/2014 Caring for your Septic System I MassDEP Page 2 of 2 DON'T make or allow repairs to your septic system without obtaining the required health department permit.Use professional licensed contractors when needed. DON'T use commercial septic tank additives.These products usually do not help and some may hurt your system in the long run. DON'T use your toilet as a trash can by dumping nondegradables down your toilet or drains.Also,don't poison your septic system and the groundwater by pouring harmful chemicals down the drain.They can kill the beneficial bacteria that treat your wastewater.Keep the following materials out of your system: NONDEGRADABLE& grease,disposable diapers,plastics,etc. POISONS: gasoline,oil,paint,paint thinner,pesticides,antifreeze,etc. Septic System Explained Septic systems are individual wastewater treatment systems(conventional septic systems,innovative/alternative(I/A) systems,or cesspools)that use the soil to treat small wastewater flows,usually from individual homes.They are typically used in rural or large lot settings where centralized wastewater treatment is impractical. There are many types of septic systems in use today.While all systems are individually designed for each site,most systems are based on the same principles. A Conventional Septic System A conventional septic system consists of a septic tank,a distribution box and a drainfield,all connected by pipes,called conveyance lines. Your septic system treats your household wastewater by temporarily holding it in the septic tank where heavy solids and lighter scum are allowed to separate from the wastewater.This separation process is known as primary treatment.The solids stored in the tank are decomposed by bacteria and later removed,along with the lighter scum,by a professional septic tank pumper. After partially treated wastewater leaves the tank,it flows into a distribution box,which separates this flow evenly into a network of drainfield trenches.Drainage holes at the bottom of each line allow the wastewater to drain into gravel trenches for temporary storage.This effluent then slowly seeps into the subsurface soil where it is further treated and purified (secondary treatment).A properly functioning septic system does not pollute the groundwater. For More Information I For more information about maintenance or inspection of your septic system,contact your local board of health. Did you find the information you were looking for on this page?' O Yes O No Send Feedback ®2014 Commonwealth of Massachusetts. - EEA Site Policies Contact EEA About EEA Mass.GovO is a registered service mark of the Commonwealth of Massachusetts. httn://www.mass.gov/eea/agencies/massden/water/wastewater/carinii-for-septic-system-ref... 11/4/2014 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540-Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:.healthdeptna.townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: S /3 /=3 Site Location: Lot 16-3 Saraeusa Way Engineer:Christiansen & Sergi, Inc. . New Plans? Yes XX $225/Plan Check# 3 X90 (includes 1St submission and one re- review.only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes No XX Local Upgrade Form Included? Yes No XX Telephone#:978-373-0310 Fax#:978-372-3960 E-mail:-phil@csi-engr.com Homeowner Name:G.M.Z. Realty Trust Applicant: Green & Company, 11 Lafayette Rd, No Hampton, NH 03862 800-429-8615 OFFICE USE ONLY When the submission is complete(including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ED ➢ Copy File; Forward to Consultant MAY 0 3 2013 ➢ Enter on Log Sheet and Database TOWN OF NORTH ANDOVER HEALTH DEPARTMENT No. THE COMMONWEALTH OF MASSACHUSETTS FEE t ROAD® OF HEALTH APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (-� Repair ( ) Upgrade ( ) Abandon ( ) - YComplete System ❑Individual Components ,ScWCkcusAyU�-t9 GREFO COM PA&J 6 l - l - Location Owner's t 02-b/7 0 H 03 Map/Parcel# Addr ss Lot# Telephone# e h r r sh0ins�n Installer's Name Designer's Name i40 Smrne� St , ytt v���l AN Q1k�3�; Address Address 73 -z03 /D Telephone# Telephone# Type of Building: 61 12&e `" i LY Lot Size 9360r Sq.feet Dwelling—No.of Bedrooms V Garbage Grinder 4/1q Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) LOD gpd Calculated design flow gpd Design flow provided / gpd Plan: Date flh 9/Z0 Q Number of sheets v� Revision Date Titles r S� iyrl��S i�yt,� lot !6-3 Sam use WAIL1 N 214 Description of Soil(s) Soil Evaluator Form No.Qj2 Name of Soil Evaluator e c 4vd' Date of Evaluation t a I is 107 DESCRIPTION OF REPAIRS OR ALTERATIONS � � 7It gllo The undersign e in d11 above described Individual Sewage Disposal System in actor ante Ki f�Fo-fision�'�of TITLE 5 and furt r g n a e system in operation until a Certificate of Compliance has been is ed bf iF69A&Wealth. Signed Date -SAIF IH I v " Inspe ions TOWN OF NORTH ANIJ vT R FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 I APPROVED � �����v�® BOA D OF HEALTH p � I JUN � � 2013 _Sr GE1LLC ASSESSORS REFERENCE: W0,0F NIORTF-MROR s`\ MAP 61,LOT 76.3 �'E% ,n.RrsERrowa �`TTt-W-TH DW RTMENT HAVERHILL T ZONING DISTRICT:R2 n' C LOCUs e t\ NAA ^ n °...a°.°a�,r mx o ' Po BOXFORD 3 ,�1 I zap emt REARYARD•a°Fr, N,G✓ U I�� \ \ y"{i \ e..r l,wa w"Eu m•i °re.c E_� NORTH ANDOVER I LOT 1e6-3 LEACHING AREA DETAIL 1. •a °' - �°wrs of RSelw,` c°n,an stuE.+•za At �: 4.� - I I R �� \\ OCUS MAP\ lI e„e�°aaeeeewas C-1•""--- .--i- ---__.� l�\L0T 16-2 s°e Horse zea ,t' anE 1 1 1'•• a ELEVATIONS ,I l 31CEATEE—TAna..e --- ti nOR OEO RI—IG ew NeIA -ET nICM Ua PROFILE(TRENCH 1) LOT 16 IY r „� °•� raa �mv.l A _ I FoaAemewwaF rncRRs+E>wo ESE,of rnEw AiFnOR.»`�` M-1 'r- e_yg. f? 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FaL MATER,A,.Fo„G,s,E„°cp,,,TR,.GrmwHlLs"".L�NSIBT GF SEtEcr oN�ITE OR wPGRim so,L THE FRL w.TERIAI sNul BE cOMPR6E0OF fiEAll GRANULAR SANp,FREE FROMORGAwC CE ETERIOUs suesMATE.— TAN...MIXNREBANOIAVERs OF OIFFE�NiuAssEs aF sols SHALL GATE OF TESTS:DECEMBER 18.M7 DATE OF TESTS:DECEMBER 18,2007 DATE OF TESTS:TEST PIT U AI201P,PERC 7114=10A SIEVE ANN 1,USdc SOILEVALUATOR,THOMASHECTOR SOIL EVALUATOR THOMAS HECTOR SOIL EVALUATOR B.OSGOOO OH A PEETRESENTAFYE SANKE O�FlIi UP O4%By—W OF THE WITNESS:RANDY BURLEY,MRL RIVER CONSULTING WITNESS RANDY BURLEY.MILL RIVER CONSULTING WITNESS:I.ROWE.MILL RIVER CONSULTING MI'I^NON IN wsISIM SIM slx.«Aw�LvsES Musr pElgNsrRAiEiw,irIEMATERML— SOIL CUS91 EACN6 MEF0.LomIOF TIE FILL EXAPUE p sFEClfNwipNS: ESIBI Test PR 023 Test Pit 024 Test PR 027 F LEACWNG AREA RE.— Sn SF SIEVE 512EP_ SEE Surlaca ENV.83.0 SUHaOe Ekv.81.3 SURaFe Ekv.799 EFFEcinE LEAc�«wc AREA 2 AS vu 0-1Y A 1Tf= SL 0-24' A t0YR32 SL 0-ta' A 10YRL3 SL Nk«uPAaiv auNMER 12-30' B 1OYRS16 LS 24-58' 8 t0YR4 i LS 18-45 BB, tOYR&8 LS AaSmm ow-s% 30-103' C 23Y&4 I'MS SE-1IT C 25Y 614 FMS 45-12T C 2.5Y SS LS OE—Water. 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PERFORATEDPIPE PVC FIFE GLUED TO ODUPLNG OQ FITTED THROUGH �S-®r iREIICN°F TUF-TRE SEAL aBOTFOMEVTO BR EFFLUENT" LETO LLIAO RORIND O O O A rOF(B—) TEE PUNVEw 11.5' 16- """ EFFLUENT MONITORING WELL —'— '. NOT tO scuE TOP VFW FORTMULTIPORT END CAP TO SCALE IT T 9ECBONNEW � It.O.G 1� O AO TI6)rgA OUnEi BE—.VIEW SIDE NEW L PIPE SF R _L. INFILTRATOR SYSTEMS UM TDP v1Ew -A z• r Y R QUICK4 HIGH CAPACITY CHAMBER SPECIFICATIONS: BIDE VIEW ES Agus«ECErnrrvB covE soPE OF 211 ER rqT TO SCALE DISTRIBUTION BOX T s.ToxcUEacRoovE mwr sEusO wR«eurnERESN. USE SHEA CONCRETE PRODUCTS 6 jyMd.TO- I} UTLET Kn OISTRIBlff10N BOX. TOR<TYPI 3G MAX 1500 GALLON SEPTIC TANK REM NO.eEpBH DE USE NO CONCRETElSTRODULTS . M-.0 _�SG REM NO.TK-M150o STANDARD , ppNs �,,,p„a,A,� SEPTIC SYSTEM DESIGN SHEET 20F2 NOTES: TIOHT-0°GN�w FICTURER IUTIw,wO FCR PROFEssIONu ENGNEER LOT 16-3 SARACUSA WAY wnreROG«rr«RouG«NANUFACTUREAs�sas-�"TmNAIowARRANTY. 2. OSESETLEVELANDrR°ET°°RAoe°NnLLBVEi+sr� ..� - - - d °ARSEPARATroN NORTH ANDOVER,MASS. .N,TNEGRa„owmlAslxlNulBTa,EBAsels wNE.e APnN:1NT� oTNEmnsEAOEOUATE o G.M.Z.REALTY TRUST GREEN 8 COMPANY MdA,oNGaEROFNINEINGNEB. BET,L1«G.T«EBEPTIDTANNSN.LLN.rEA E PROV10EDdPLnGEOF°«E1pINL SAFFFIE, NEDI,TIETINYERT�.AYBE TYPICAL CROSS SECTION NORTNa oYER�M`�aB CDNB R o� rtO.0.; TE1SON ;EOo°L wD BT�H eLDAa G ONO OST” E°°°°T° QUICK-4 HIGH CAPACITY INFILTRATOR TRENCHES TEU; E°�""—N e�2B s PE. eOx LBTO«AVE CREM1TERTWw SmOIES OFcovER IF TNF asiaeurgx ApT TO SC"E BE IS �'PROFESBIONALENGINEERSBLANDSURVEY. ORI CHR/ ° ST/ANSEN 8 SERGI,/NC. ST.«AYERwIi—B'www 20.0' \ \ 16-2 f \ EASEMENT \ �\ EXISTING FND. BUFFER \\ 8�\ EL.=95.6' I \ LOT 16-3 \ N N 183.9' p. 1 STANTON WAY EASEMENT b� I 113.8' N OF Mgss �o MICHAEL tim 16-4 SERGI v No.33191 IgNQ SURA I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN FOUNDATION AS-BUILT (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER CONSTRUCTED. RESTRICTIONS SUCH AS COVENANTS,WETLANDS.EASEMENTS, ORDERS OF CONDITIONS,ETC.)THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED PERMISSION OF CHRISTIANSEN CLIENT: GREEN & COMPANY &SERGEINC.FURTHERMORE TT WITH THE HIS DRAWING IS THE COPYRIGHTED THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES LOCATION: NORTH ANDOVER,MA. NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. DATE:6/25/14 SCALE: 1"=100' PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX.978-372-3960 DWG.NO.: 12007.001.012