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Miscellaneous - 69 OAKES DRIVE 4/30/2018 (3)
— 69 Oakes Drive 107 .A / 0143 k _ jjnn(( UPC 14081 Oft tC4�5A-2 W _ M+►mTurr+�.a» M 1) } �� N h ( '. ( Ill��P V ��ra P., .. ., ...y.. '.''.�1 *f..'d f/ / � �,-,� i r= ",_� - 'r � �_:� �_ �, � � f North Andover Board of Asses ors Public Access Page 1 of 1 paRYy Tow im of lgcwth Anclower 'ryo ?ikOa'd of Assesso:rs A Property Return to the Horne page click on logo Record Card Parcel ID: 210/107.A-0143-0000.0 Community: North Andover New Search SKETCH PHOTO Click on Sketch to Enlarge Sales No Picture icture Summary Residence Detached Structure Condo Commercial Comparable Sales Location: 69 OAKES DRIVE Owner Name: CAREY,MICHAEL CAREY,KRISTEN Owner Address: 69 OAKES DRIVE City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood:6-6 Land Area: 1.77 acres Use Code: 101 -SNGL-FAM-RES Total Finished Area: 1795 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 474,700 452,500 Building Value: 237,700 238,900 Land Value: 237,000 213,600 Market Land Value: 237,000 Chapter Land Value: LATESTSALE Sale Price: 440,000 Sale Date: 08/11/2003 Arms Length Sale Code: Y-YES-VALID Grantor: LEE,CHARN SUN Cert Doc: Book: 08137 Page: 0330 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=991561 7/18/2007, 69 OAKES DRIVE JS-2004-0865 Proiect Detail Report Printed On:Fri Oct 22,2004 Project Name: GIS#: 7451 Project No: JS-2004-0865 Owner of Record LEE, CHARN SUN&CHIYOKO 01 ,ioRrN A Map: 107.A Date Submitted: Mar-08-2004 69 OAKES DRIVE F?# °� Block — 0143-- Status _ Open -_ NORTH ANDOVER, MA 01845 Lot: Work Category: Work Location: 69 OAKES DRIVE Zoning: Proposed Use: _ District: land Use:_ 101 Proposed Use Detail _ Subdivision Description Septic Project Comments: �. of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG BHJ-2004-0048 9/24/04-IV.U69 Oakes Drive-Local Bylaw Waiver request:Allow reduction in offset distance between leach bed and wetlands from 100 feet required to 53 feet. H/o tore house down and put in new one. Property has wetlands. Same era when developers filled in wetlands. There is now a ditch that drains the wetlands. Cons has a 25 foot no cut and 50 foot no build. CB makes a motion to allow request. TT 2nd. All in favor. Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Plan Review BHP-2004-1155 NEEDS REVIEW JS-2004-0865 Rev. I Plan Review BHP-2004-0658 Oct-12-2004 DENIED JS-2004-0865 New Soil Testing-Repair BHP-2004-0327 Mar-08-2004 Open JS-2004-0865 Soil Testing f GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. Page 1 of 1 pORTi4 q Q �,,,_ED X61 I`IO i If - 6 OL O o .,,H. �A[OCMIC .wKM`y °RATED 0 �y �SSACH IS�� PUBLIC HEALTH DEPARTMENT Community Development Division C2R2IFIC.32� OE COM-1'.GI.A��E As of: October 8, 2008 This is to cert that the indviduaCsu6surface disposal system received a SA TIS EA CTO RIY IWS(PE CTIOW of the: FullSystem Repair of the Subsurface Sewage 1DisposaCSystem (By: James Xellett At: 69 Oa es Drive gWap 107.A; ftrcef143 North Andover, V3 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system will y function satisfactorily. Susan 2'. Sawyer Pu6lic Yfealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com t10RTIN O��t�cc °.9ti0 O T �q4 tot.CMwKw`y1' T SSgcHus���y PUBLIC HEALTH DEPARTMENT (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 69 Oakes Drive MAP: 107A LOT: 143 INSTALLER: Jim Kellett DESIGNER: New England Engineering Services PLAN DATE: 9/15/04 revised 7/2/08 BOH APPROVAL DATE ON PLAN: 7/25/08 INSPECTIONS I� o7 TANK INSPECTION: p DATE OF BED BOTTOM INS ECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/11/08 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ® Bottom of tank hole has 6" stone base 20 0 4110 ® Weep hole plugged ® 2600 gallon Clean Solutions tank has been installed H-10 loading construction ❑ Watertightness of tank has—been achieved by testing 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 t4ORT14 O COCw[ lww:w v 'ligSSACNUS���� PUBLIC HEALTH DEPARTMENT (ommunity Development Division ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (circle one: gas baffle or effluent filter) ❑ inch cover to within 6" of final grade installed over one access port, must be to grade and over outlet of tank if effluent filter is present ® Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base ® Weep hole plugged ❑ Combo Tank installed. Size: ® 1000-gallon Pump Chamber installed H-10 loading Monolithic construction) ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ❑ Drain hole in pressure line ❑ inch cover at final grade installed over pump access port ® Water tightness of tank has been achieved by testing Hydraulic cement around inlet & outlet Comments: SOIL ABSORPTION SYSTEM (General) 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandoveram Inspection Form June 2008 i F NORTH q Q At_EO 169b�Oo t0 O co—c" 79 40gAT•O 0P Cl SSACHUS� PUBLIC HEALTH DEPARTMENT Community Development Division ❑ Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Quick 4 ® Number of chambers per row: 11 ® Number of rows (trenches): 5 Comments: CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement w/blower ❑ Rated for exterior if placed outside ® Alarm signal located inside Comments: SYSTEM ELEVATIONS 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 t%ORTty O� 't.-20 `t0 16 O TED � 4q O•pA cx.iiiwiwrtw`�� �s�SSAc Hus���y PUBLIC HEALTH DEPARTMENT Community Development Division INVERT IN FIELD PLAN INVERT ELEV. Benchmark 100 Building Sewer OUT 98.35 97.80 Septic Tank IN 98.04 97.50 Septic Tank OUT 97.74 97.25 Pump Chamber IN 97.72 97.20 Pump Chamber OUT 98.02 97.45 Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT 99.77 99.76 Lateral 2 TOP Lateral 2 INVERT 99.27 99.76 Lateral 3 INVERT 99.77 99.76 Lateral 4 INVERT 99.78 99.76 Lateral 5 INVERT 99.77 99.76 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com Inspection Form June 2008 i `1ORTfi Ot�,LID #6 q•r� OL H ti O &A IWKM y1 T �.� .40 DR47ED P'PP�.(� SSACHUS� PUBLIC HEALTH DEPARTMENT (ommunity Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ❑ Property line 10 10 -- ❑ Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib.to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains(Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 /11111f/e � AS-BUILT CHECKLIST r� LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES &LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D-BOX ORIGINAL STAMP& SIGNATURE "ter IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARRO W ✓� LOCATION &ELEVATIONS OF BENCHMARK USED �� 3/ NORTH q �6 O R , ?, �� ey" O� Coc.nC IWKM 1 � ' ��SSAC HUs���y PUBLIC HEALTH DEPARTMENT Community Development Division CE T.1 FICAr2 OF CO5VI<1'.GIA.rVCE As of: Octo 6er 8, 2008 This is to cert that the individuaCsu6surface disposaf system received a SA7IS FACYIo 1 T 1XS(EC r0Y of the: Full System W?Pair o the �p f Subsurface Sewage 1Disposa[System By James Kellett At: 69 Oakes Drive Wap 10T.A; Parce[143 North Andover, JKA 01845 The Issuance of this certificate shah not 6e construed as a guarantee that the system wiff -function sat actori . .� .� f y S an �2:Sawyer ft 6fic.Meath Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com CTOWN OF NORTH ANDOVER TH Office of COMMUNITY DEVELOPMENT AND SERVICES 0*'O '+°n HEALTH DEPARTMENT r . 400 OSGOOD STREET c �--- NORTH AN SR;;I--ASSACHUSETTS 01845 SSACHWU 978.688.9540–Phone Susan Y. Sawyer,REHS/RS 978.688.8476–FAX Public Health Director SEP 2 2 2008 E-MAIL: healthdeptCa�townofnorthandover.com WEBSITE:http://"v.townofnorthandover.com TOWN OF NORTH ANDOVER TOWN OF NORTH ANDO ERALTH D--MTIVF_NT SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( } constructed; (' repaired; by s (Print Name) located at &kes b-i w, tal- (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated ,� D� and last Revised on r7h Id 9 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. Bed inspection date:!�Iz!L& Engin epresentative ature) An&-ehntNarne Final inspection date: V12 ngin Representative(S ature)�1 And-Print Name �— Installer: G:v`% (Signature) Date: 3d (I And-Print Name Engineer: ff (Signature) Date:4 a And-Print N e �d Map-Block-Lot �aR�h Commonwealth of Massachusetts 107.A-0143- 3=Oy�t,.tp ,a fetiQai ----------------------- ,� Board of Health Permit BHP-2008-0177 • North Andover ----------------------- • P. FEE y��•- -••' a` P.I. $250.00 �S�i�wU�E1 F.I. ----------------------- Disposal Works Construction Permit Permission is hereby granted James-Kellett ----------------------------------------------------------------------------------------------------- to(Repair)an Individual Sewage Disposal System. at No 69 OAKES DRIVE -------------------------------------------- --------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. -BHP-2008-- 017- --- Dated __August 28,2008----- ------------ ----- - Issued On: Sep-02-2008 Board of Health ru" Applig tion foSe tic Disposal S stem P. o TODAY'S DATE pConstruction Permit — TOWN OF41 , ----- * ORTH ANDOVER � 5000- e air_ ° , MA 01845 _ m onent S�cNug� P Important: Application is hereby made for a permit to: When filling out �=ep struct a new on-site sewage disposal system* forms on the computer, use air 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 �� K (, q 0AT� 1-. L Y , U : I Address or Lot# NoAtk A.njaVOZ City/Town 2.- TYPE OF SEPTIC SYSTEM*: Pump ❑ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** ❑ Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. Pressure Distribution S.A.S. (No D-Bax) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present) S.A.S. 2. Owner Information Name Address(if different from above) N a i l Ar,4yr, to Cityrrown State Zip Code Telephone Number 3. Installer Information Name Name of Company u�6 S� dress Y%YS1 tl� M (5 Citylljown State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information Se 11% Name Name of Company Address /V . A,�o�,,. A City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page 1 of 2 %f 'a.D f A lication for Se tic Disposal S stem ot . ,..�o as - a a v "3r °',P � '�`' °� � Construction Permit - TOWN OF TODAY'S DATE , MA 01845 $ 250.00-Full Repair ORTH ANDOVER $125.00 -Component 9SS�cHuSEt PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: Residential 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 ndover, and not to place the system in operation until a Certificate of Compliance has been i sued by this Board of Health. N2�1 Date Appli fon Approve7BBoard of Health Representative) r1ry 7i N e Date 'Application Disapproved for the following reasons: For Office Use Only: / 1. Fee Attached. Yes_v No 2. Project Manager Obligation Form Attached. Yes✓ No � V 3. Pump System. Ifso,Attach copy ofElectrical Permit Yes No 4. Foundation As-Built. (new construction ronly): Yes _ (Same scale as approved plan) 5. Floor Plans?(new construction only): es 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: (e 'i o NxEe� -t'(z' (Address of septic system) For plans by �I\ •�.t � (Engineer) Relative to the application of Q\\��� (Installer's name) And dated /0 — Y ngina ate Dated S� �� ' 0 b, ---7 (, o ay s ate With revisions dated ` - 2 "- d d (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 companL. 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&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 ofHealth 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: �7 Z(loday's Date) ame—Print) a igne Date... ...... TOWN OF NORTH ANDOVER 0 % PERMIT FOR WIRING ,ssAcHUS ........... ......... ............11......... This certifies that ........ .. ................................ has permission to perfoni :;-. ................I......................... wiring in the bu ding of .. .... ....... ............ . "ILI ............... .North Andover,Mass. at.... .. ...................................................... ................................ Lie.No( i�2. ELECTRICAL INSPECTOR Check # o -4o n 01 Commonwealth of Massachusetts official Use pe only Department of Fire Services Permit No. Cf Occupancy and Fee Checked 90 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: AtoDU Sf Q8, �Oog City or Town of: NORTH ANDOVER To the InspecYor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 6 DAt-E6 Doe/k Owner or Tenant (2s/ gl S .140a.," Telephone No. Owner's Address CAM 2 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 1 �uJ¢ Utility Authorization No. 15 Z a.9J - Existing Service 10 0 Aihps 120 /A40 olts Overhead® Undgrd❑ No.of Meters New%-rvi- Overhead Undgrd❑ No.of Meters / Tl�% j0J1Qr1?l�' 6 .A0 0 401e r /A/612t�ClSu' chusetts official use only it. ¢, Lcd I' Permit No. v�ervices o� lesion o thefollowing table m be waived b the Ins ector o Wires. i Occupancy and Fee CheckedO�_ 1 0.of Total � � •- �. .� Transformers KVA Idle)Fans Generators KVA IN o.of Emergency Lighting Battery Units Date... ; FIRE ALARMS No.of Zones No.of DetectiTn an f NORr„ Initiatin Devices TOWN OF NORTH ANDOVER No.of Alerting Devices f a o.of Self-Contained • . PERMIT FOR WIRING . Detection/AlertingDevices . � Municipal Other ❑ I ,SSAGNU Local Connection ❑ SecuritySystems:* No.of Devices or Equivalent t rtifies that 1-z-w.. t'� _ Data Wiring: No.of Devices or E uivalent .:...:......... ............. .................... .............................. a ecommunications irmg Ms permission to perform -;`' a �s - No.of Devices or Equivalent j wiring in the buildin of..:.t� :;?-�ti.-- , g ............. �desired,oras required by the Inspector of Wires. at cipal policy.) :'. cri . North An dover,Mass. .:.:: C Rule 10,and upon completion. Fee..r�..�1.:.......... Lic.No6�`.! J �Z ormance of electrical work may issue unless , „ . verage or its substantial equivalent. The P� ........ ... l ELECTRICAL irrsPa g e to the permit issuing office. l Check !1 el) 0 plication is true and complete. jug a, LIC.NO.:�/�. No.o Detection an LIC.NO.: Bus.Tel.No.! id.) Address: Fi4e . t VV CQLOd e I MA, 01960 Alt.Tel.No.:'179- /f *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ (� (L--J ��C.Qi✓� a-���- `tom-�-- �� l � w�� �� �� DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, July 18, 2007 2:50 PM To: Osgood Ben (E-mail) Subject: 69 Oakes Drive-owner- Michael and Kristen Carey Importance: High Hi Ben I am following up on some aging files.... For 69 Oakes Drive, the plan has expired. If requested, the BOH would consider a one year extension after the fact if you want to install it by October 2007. Please let us know. Thanks. Aosf R¢gweds, P414*04ea D000,0 414iO Health Department Assistant Town of North Andover i Osgood Street Buil ] t L Building 20,Suite 2-36 � o North Andover,MA 01845 1 9978.688.9540-Phone l A 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 0,5 S L s Zyv � rte- ✓ca' � a 4r,- sc> r p� a-� d ✓ iso -P L'> v > Z Z Clp I ti NEw 1ENGLAND lENGINEEfUNG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 del: (978) 686-1768 • Fax: (978) 327-6138 June 9,2008 www.neengineeringinc.com NEES Proj #1523 Ms.Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover,MA 01845 RE%EIVED Re: 69 Oakes Drive No.Andover Local Health Bylaw Variance Request JUN ® 2008 Title 5 Variance Request TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Dear Ms. Sawyer, The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following variance: Local Health Bulaw Variance Request Reduction in offset distance between the leach area and a wetland from 100 feet required to 53 feet. Title 5 Variance Request Allow septic tanks to be designed with inverts located below the Estimated seasonal high ground water elevation.Title 5 Section 15.227(5) If you have any comments or questions please do not hesitate to contact this office. Sincerely, i) C G j B&fj" C.Osgood;Jr.P.E. President II NEW BUSINESS A. 69 Oakes Drive—Request for variances from Ben Osgood of New England Engineering: L (a) NA section 5.02—to reduce the offset distance between the leach area and a wetland from 100 feet to 53 feet. (b) NA section 5.02—to reduce the offset distance between the pump chamber and a wetlands from 75 feet to 48 feet (c) NA section 7.05—to allow the use of test pits conducted more than 2 years from plan submission date. 2. Title 5 Variance—section 15.227(5)—to allow septic tank to be designed with inverts located below the estimated seasonal high ground water elevation. The reason for this is that the plumbing is under groundwater. Not subject to this requirement previously. They can specify tar coated tanks. They can add requirement that tanks be vacuum tested to be sure that there are no leaks. Discussion ensued. The water may not come up to the soil models,but he has to follow the standard. Motion Mr.Fixler made a motion to accept the variance request in item 2.for the Title 5 Variance. Motion was seconded by Dr.MacMillan. All were in favor. Page 1 of 3 P DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, June 09, 2008 1:52 PM To: Sawyer, Susan Subject: FW: 69 Oakes Drive-Wants to be on 6/26/08 BOH Meeting - not submitted for review yet Hi Susan, Can you respond to Kim about this? I already told her not until the July meeting to request the variance. We have not received the plan yet for review. If you want to okay it before reviewed by Mill River, please let me know. Thanks, Pam From: Kimberly Brown [mailto:kbrown@neengineeringinc.com] Sent: Monday, June 09, 2008 1:47 PM To: DelleChiaie, Pamela Subject: 69 Oakes Drive - Wants to be on 6/26/08 BOH Meeting - not submitted for review yet Its 69 oakes drive no Andover, Michael Carey is the homeowner. Kimberly Brown Office Manager New England Engineering Services, Inc. 1600 Osgood Street Suite 2-64 North Andover, MA 01845 978-686-1768 www.neengineeringinc.com From: DelleChiaie, Pamela [mai Ito:pdellech@townofnorthandover.com] Sent: Monday, June 09, 2008 1:41 PM To: Kimberly Brown Subject: **JUNK** RE:=20 What is the address? From: Kimberly Brown [ma iIto:kbrown@neengineeringinc.com] Sent: Monday, June 09, 2008 1:38 PM To: DelleChiaie, Pamela Subject: RE: Pam, I just talked to ben is there anyway we can get on for June 26? He cant be there for the July 24th hearing. Kim 6/9/2008 � Page 2 of 3 41 Kimberly Brown Office Manager New England Engineering Services, Inc. 1600 Osgood Street Suite 2-64 North Andover, MA 01845 978-686-1768 www.neengineeringinc.com From: DelleChiaie, Pamela [ma iIto:pdellech@townofnorthandover.com] Sent: Monday, June 09, 2008 1:09 PM To: Kimberly Brown Subject: RE: Probably July 24th. From: Kimberly Brown [mailto:kbrown@neengineeringinc.com] Sent: Monday, June 09, 2008 12:55 PM To: DelleChiaie, Pamela Subject: Hi Pam, Im going to be submitting a septic with a title 5 variance I have to notify the direct abutters, can you tell me what hearing I'll be on. I'll bring it by tomorrow Kim Kimberly Brown Office Manager New England Engineering Services, Inc. 1600 Osgood Street Suite 2-64 North Andover MA 01845 978-686-1768 www.neengineeringinc.com No virus found in this outgoing message. Checked by AVG. Version: 7.5.524/Virus Database:270.1.0/1492-Release Date: 6/9/2008 10:29 AM 6/9/2008 CD TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BIJI[A)INC 20; SUITE 2-36 NORTH ANDOVER.,MASSACHUSETTS 01845 97 8.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476-.FAX Public Health Director E-MAIL:liealtbdei)tki.i.%towjiofnorthaiid.ovei-.coiii WEBSITE:htl:p:.,",!Nk,-ww,towtiofnorth-,iiidover.coiTi SEPTIC PLAN SUBMITTAL FORM Date of Submission: 19 e q, Zoo 8 Site Location: &'Its b(AA-e- AkAovtr_ Engineer: a PE 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? Yes No Telephone#: Fax#: 19-372 4139 E-mail: hos podco e9 e eft/-a Irc. e619 Homeowner RECEIVED Name: JUN 10 0 2008 -I-TOWN�Ur NQVT11 V OFFICE USE ONLY HEALTH 0C-;PARTM5NT When the submission is complete (including check): ➢ Date stamp plans and letter > Complete and attach Receipt > Copy File; Forward to Consultant > Enter on Log Sheet and Database Page 1 of 1 I DelleChiaie, Pamela From: DelleChi..ie, Pamela Sent: Tuesday,•:ione 10, 2008 11:09 AM To: Daniel Ottenheimer(info@millriverconsulting.com); Marianne Peters (Marianne Peters); Randy Burley (rburley@millriverconsulting.com); Rowe Isaac (irowe@millriverconsulting.com) Subject: 69 Oakes Drive Hi, I am sending this plan review in the mail today. It was initially reviewed in 2004, but now asking for pre- treatment system. This is through New England Engineering. They asked to be on our next meeting for a Local Upgrade Request(June 26th). If the plan is reviewed before that time, I can keep them on the meeting. If not, I will have to take them off. Please keep me abreast of the review status on this one once you start. Thanks. Pam From: noreply@yourcopier.com [ma i Ito:noreply@you rcopier.com] Sent: Tuesday, June 10, 2008 11:59 AM To: DelleChiaie, Pamela Subject: Message from KMBT_600 6/10/2008 Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, June 16, 2008 3:41 PM To: Osgood Ben (bosgood@neengineeringinc.com); Kimberly J. Brown (KBrown@NEengineeringinc.com) Subject: 69 Oakes Drive- Plan Disapproval From: noreply@yourcopier.com [mai Ito:noreply@you rcopier.com] Sent: Monday, June 16, 2008 4:40 PM To: DelleChiaie, Pamela Subject: Message from KMBT_600 6/16/2008 q►ORTH.LY ��sswuass�� Health Department .lune 16, 2008 Mr. Benjamin Osgood, Jr., RE. 9600 Osgood St. Building 20, Suite 2-64 North Andover, !MA 01845 Re: Onsite Wastewater Disposal Plan for 69 Oakes Dr., (Map 107A, (Lot 143 Dear Mr. Osgood: The proposed wastewater system design plan for the above site dated September 15, 2004, revised through ,lune 2, 2008 and received :in our office June 10, 2008 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{NA) regulation that has not met by this design follows each item for your convenience, if applicable. 0-/The plan states it:is "Prepared for Michael Carey" please indicate if he is the record owner and applicant; if not please supply such information NA 8.02k The erosion control deader and text point to the wetland line on the northerly side �f the property; please correct Construction notes 8 and 11 refer to a distribution box; as no distribution box is proposed, (please edit as not to cause confusion V4� As a "local bylaw variance" its being requested, please cite the proper section of the bylaw-240 (4) tea!Please show distances from the property line and dwelling to all tanks -NA 8.03(a-c) t T in the buoyancy calculations using the soil cover proposed it appears that the finish grades above the pump chamber and septic tank are 99.45 and 1100.08 respectively; if so, please edit the site plan to extend the 100 contour over the ,septic tank C ,7. Also in the buoyancy calculations the bottom of the septic tank is said to be 93.474; using the invert elevations the bottom of the tank calculates to be 92.50; 1 please clarify (/$. Please include the brand and model of effluent filter and that the manhole cover to be to grade 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 246 E-Mail:heatthdept@townofoorthandover.com North Andover,MA 01846 Phone:878.688.9540 Fax:978.688.8476 1� 9. .Please indicate the name of the person who marked out the resource area and when that was done, also indicate if the wetland line has been confirmed with the Conservation Commission 10.As North Andover regulations require deep hole testing to be conducted with in two years of the plan submission (NA 7.03) please either perform.new test Doles j or request a variance 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. Since r y, Susan Y_ Sawyer, !REHSIRS Public Health Director cc: Owner File 9600 Osgood Street HEALTH DEPARTMENT � Page 22 of 2 Building 20,SuEte 2-36 E-Mail:healthdept@townofnorthandover.com North Andover,MA 101845 Phone:978.688.9540 Fax:978.588:8476 NEw ENG ENGIN]EERI NG SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768 • Fax: (978) 327-6138 www.neengineeringinc.com June 17,2008 Susan Sawyer North Andover Board of Health ' 1600 Osgood Street North Andover,MA 01845 JUN I TOWN;v;:.h,'j-'RT H Nt IDOVER Re:69 Oakes Drive,North Andover HEALTN gEPARTUIEM�' Septic system design Dear Susan: Enclosed are 5 copies of revised plans for the above referenced septic system design.Changes have been made to address comments in your letter dated June 16,2008.The changes/comments are as follows: 1. Name and address of record owner is depicted in the title block on both sheets. 2. Mislabeled"erosion control"leader has been corrected. 3. Construction notes#8
 have been revised to eliminate references to distribution box. 4. Local Bylaw Variances requested now cite the section. Two additional Local Bylaw Variances have been added. 5. Dimensions from the septic tank and pump chamber to property lines and wetlands line have been added. 6. Buoyancy calculations have been reviewed and adjusted accordingly.Finish grade over the tanks has been correctly shown as 99.58. 7. See note#6. 8. Brand and model of effluent filter is labeled in the pretreatment tank detail. Cast iron covers to grade are specified over all openings of tank on the tank detail. 9. A label has been added depicting that the wetlands was delineated by New England Engineering Services.General note#12 has been added stating that an Order of Conditions must be issued prior to construction. 10.A Local Bylaw Variance has been added requesting to use prior test pit data. If you have any questions,or need additional information,please do not hesitate to contact this office. Sincerely, Benja�fin C.Osgood,Jr .E. President Lf NEw IENGLAm IEGINEEPJNG SERNICES9 INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 'lel: (978) 686-1768 • Fax: (978) 327-6138 www.neengineeringinc.com July 2,2008 NEES Proj #1523 Ms. Susan Sawyer North Andover Board of Health 1600 Osgood Street REICOE:IVED North Andover,MA 01845 JUL 0 2 2008 Re: 69 Oakes Drive No.Andover N OF NORTH Revised pians TOW ALLTH D PARTM�TER Dear Ms.Sawyer, Enclosed are revised plans for the above referenced property.These plans depict a new wetland line and a reconfigured septic system to accommodate that line. This plan will need approval of several local bylaw variances which are as follows: Local Health Bylaw Variance Request 1. Reduction in offset distance between the leach area and a wetland from 100 feet required to 51 feet. (NA 5.02 2. Reduction in offset distance between the septic tank and a wetland from 75 feet required to 58 feet. (NA 5.02) 3. Reduction in offset distance between the pump chamber and a wetland from 75 feet required to 53 feet. (NA 5.02) 4. Allow the use of test pits conducted more than 2 years from plan submission date. (NA 7.05) I will be at your next Board of Health meeting to discuss this matter. If you have any comments or questions please do not hesitate to contact this office. Sincerely, / la 1. Osgood .P.E. President i ads S � IZILI Page 2 of 2 Thank you. From: Dan Ottenheimer [mailto:info@millriverconsuIting.com] Sent: Wednesday, June 11, 2008 11:01 AM To: DelleChiaie, Pamela; 'Marianne Peters (Marianne Peters)'; rburley@millriverconsulting.com; irowe@millriverconsulting.com Subject: RE: 69 Oakes Drive We'll try get this done in time for the meeting. Dan Mill River consulting Daniel Ottenheimer, President Mill River Consulting, Inc. On-Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultin2.com dano@millriverconsultin2.com From: DelleChiaie, Pamela [mai Ito:pdel lech@townofnorthandover.com] Sent: Tuesday, June 10, 2008 11:09 AM To: info@millriverconsuIting.com; Marianne Peters (Marianne Peters); rburley@millriverconsulting.com; irowe millriverconsultin .com @ 9 Subject: 69 Oakes Drive Hi, I am sending this plan review in the mail today. It was initially reviewed in 2004, but now asking for pre- treatment system. This is through New England Engineering. They asked to be on our next meeting for a Local Upgrade Request(June 26th). If the plan is reviewed before that time, I can keep them on the meeting. If not, I will have to take them off. Please keep me abreast of the review status on this one once you start. Thanks. Pam From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Tuesday, June 10, 2008 11:59 AM To: DelleChiaie, Pamela Subject: Message from KMBT 600 7/22/2008 Page 1 of 2 C • f DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, July 18, 2008 10:34 AM To: 'Kimberly Brown' Cc: Sawyer, Susan; Grant, Michele Subject: RE: Hi Kim, Susan will be out until Tuesday. I don't know about a letter. Can the h/o wait until Tuesday for an answer? In any case,the property is on the agenda for the local variances, as the Board only voted on the Title 5 Variance (inverts below the eshgw). Let me know if you have any more questions. 8aSl Raga.-d8, P4y10140 AW.&OWwl¢ Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite 2-36 North Andover,MA 01845 2978.688.9540-Phone 978.688.8476-Fax http://w1,,%,.toi�,nof iorthandov,er.com healthdept@townofnorthandover.com From: Kimberly Brown [mai Ito:kbrown@ neeng ineeri ng inc.com] Sent: Friday, July 18, 2008 10:22 AM To: DelleChiaie, Pamela Subject: Hi Pam, Ben mentioned that the Board approved the Title 5 Variance for 69 Oakes Drive. He said that Sue is supposed to give us a letter so we can send the Form to the State. Did Susan mention anything to you that she's working on it?The homeowner keeps calling me its like she has nothing to do all day but call me. Can you check for me? Thanks, Kim Kimberly Brown Office Manager 7/18/2008 Page 1 of 2 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, July 21, 2008 2:32 PM To: Sawyer, Susan Subject: FW: 69 Oakes Drive Hi, This h/o called and left a message she is looking from some sort of letter from you? Her home number is: 978.687.0774. They are on the agenda again this Thursday the 24th 91 osf Ragam(S, Pa�aBa DaI�BaG�i�laia Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite 2-36 North Andover,MA o1845 5978.688.9540-Phone 978.688.8476-Fax http:/Jwww.townofnorthandover.com bealthdept@townofhorthandover.com From: DelleChiaie, Pamela Sent: Monday, June 16, 2008 11:00 AM To: Sawyer, Susan Subject: FW: 69 Oakes Drive Hi, Homeowner, Kristen Carey called this morning about being on the agenda. Their house is on the market, and they have a possible closing date of July 24th. I heard from someone that this house also has had a mold problem in the past. Her son has asthma, and a compromised immune system. She wants to get him out of the wooded, damp area as soon as she can. Ms. Carey is concerned about being able to get on the BOH meeting for June 26th. She has also called NEES, several times. I explained that I need to hear back from you after you have a chance to review the file. This was the one that had a local variance approved a few years ago. However, they also have a state variance that needs to be approved. Her number is: 978.423.5852, and e-mail is: kcareycpa@comcast.net. I think you may have the file in your office? If not, let me know, and I'll get it. Pam From: /o=North Andover/ou=First Administrative Group/cn=Recipients/cn=pdellech Sent: Wednesday, June 11, 2008 11:32 AM To: 'dano@millriverconsulting.com' Cc: Sawyer Susan (ssawyer@townofnorthandover.com) Subject: RE: 69 Oakes Drive 7/22/2008 pORTH OF�t`eD 'sq�'O �l O .. 04 COCNICMC WKY 1' ' A�RA7ED rpP,t SSACHUS��f PUBLIC HEALTH DEPARTMENT Community Development Division July 21, 2008 Michael Carey 69 Oakes Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 69 Oakes Drive, Map 107A,Parcel 143, North Andover, Massachusetts Dear Mr. Carey, In regards to the property listed above the following variance was approved at a regularly scheduled Board of Health meeting held on June 25, 2008. Title V Variance—section 15.227 (5) to allow septic tank to be designed with inverts located below the estimated seasonal high ground water elevation It is also understood that due to observations by the Conservation Commission wetland line changes will affect the specifics for additional local upgrades or local bylaw variances. These will be reviewed at a later date. The request to vary section .227 will remain constant regardless of the other items that may need addressing. 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. Sincerely, ASusan Sawyer, REHS/RS Public Health Director Cc: Ben Osgood Jr.,New England Engineering Services 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com � Page 1 of 1 d DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, July 22, 2008 11:58 AM To: 'kcareycpa@comcast.net' Cc: Osgood Ben (bosgood@neengineeringinc.com); Kimberly J. Brown (KBrown@NEengineeringinc.com); Sawyer, Susan Subject: 69 Oakes Drive -Title 5 Variance-Section 15.227 (5) Hello Ms. Carey, Here is the letter that you need for the State Title 5 Variance decision. I did not realize that we needed to issue a letter for this to go forward with the State approval,but as it came before the local Board of Health, one should be issued. I apologize for overlooking this. Please let us know if you need any additional information. Bas!Ragaod8, PauyaBa DaBI�aG�!!!a!a Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite 2-36 North Andover,MA o1845 9978.688.9540-Phone 1 978.688.8476-Fax http:J/www.townofnorthandover.com healthdept@townofnorthandover.com From: noreply@yourcopier.com [mailto:noreply@yourcopier.com] Sent: Tuesday, July 22, 2008 12:17 PM To: DelleChiaie, Pamela Subject: Message from KMBT_600 7/22/2008 p0 R T11 O� t►eo '. 'qti o? '.61 1° O Z. 4 �9SSAc Htly � PUBLIC HEALTH DEPARTMENT (ommunity Development Division I July 25, 2008 I Michael Carey 69 Oakes Drive North Andover, MA 01845 RE: Approval of Subsurface Sewage Disposal System Plan for 69 Oakes Drive, Map 107A, Parcel 143,North Andover, Massachusetts Dear Mr. Carey, In regards to the property listed above the following variances were approved at recent regularly scheduled Board of Health meetings: June 25, 2008. Title V Variance—section 15.227 (5)to allow septic tank to be designed with inverts located below the estimated seasonal high ground water elevation July 24, 2008 Local bylaw variances 1) Reduction in offset distance between the leach area and a wetlands from 100 feet required to 51 feet(NA 5.02) 2) Reduction in offset distance between the septic tank and a wetlands from 75 feet required to 58 feet. (NA 5.02) 3) Reduction in offset distance between the pump chamber and a wetlands from 75 feet required to 53 feet. (NA 5.02) 4) Allow the use of test pits conducted more than 2 years from plan submission date. (NA 7.05) With these variances and the following conditions the plan submitted by New England Engineering Services, Inc. on July 2, 2008, dated September 15. 2004, final revision date of July 2, 2008 has been approved. This plan is valid for two years from the date of this approval. The design has been approved for use in the construction of an onsite septic system for a 5- bedroom house (maximum 11-room). 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. In the event an imminent health problem 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com such as sewage backup int e dwelling is occurring, the North Amer Board of Health may reduce the time period for which this plan is valid. This approval is subject to the following conditions: 1. The Clean Solutions system shall be under an operation and maintenance agreement throughout its life.No Operation and Maintenance agreement shall be for less than one year. Prior to receiving a Certificate of Compliance a copy of a signed agreement must be submitted to the Health Office. All parts of the DEP approval must be adhered to. Please review the document entitled"Certification for General Use"attached for the owners' obligations. 2. Prior to obtaining a Certificate of Compliance for installation of a new or upgraded system, the system owner shall record in the chain of title for the property served by the alternative system in the Registry of Deeds or Land Registration Office, as applicable, a Notice disclosing both the existence of the alternative on-site system and the Department's approval of the system. The system owner shall also provide evidence of such recording to the local Approving Authority. (15.287; 10) 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. 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 or imply compliance with any of the aforementioned requirement. 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. Since y, usan Sawyer, REHS/R Public Health Director Cc: Ben Osgood Jr.,New England Engineering Services Enclosure: Septic Installer List 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Town of North Andover"Llcensed Septic System Installers (DL ,osal Works Installer's) (Please note that the septic installer is licensed only-- not the company) Five or more installations within the last Name 18 months #of Affiliated Company Phone# 1 jAmor,Robert 0 R.T.Amor 978-887-5468 2 1 Bateson,Todd ro 20 Bateson Enterprises, Inc. 978-475-1474 3 lBeaulieu,Serge R. 0 Roadway Excavators 603.893.9189 4 lBreen,Peter 0 Peter Breen Excavating, Inc. 978-682-7774 5 lBriscoe,Daniel R. 1 Daniel R. Briscoe i 978-372-2200 • 6 jBusby,Philip A.Jr. 0 1 Busby Construction Co., Inc. 603-362-6015 7 1 Carr,John 0 Ramey Construction 978-633-6791 8 jColosi,Philip A. 0 Colosi Construction LLC 978-777-5679 9 lCoyle,Kevin 0 Kevin Coyle 603-944-8501 10 Currier,James H. 1 James H. Currier Construction Co, Inc978-774-6685 11 Daigle, Robert K. 1 Robert K. Daigle,Jr. 978-887-3703 12 DeLucia,Rocci Jr. 0 Frank DeLucia&Son, Inc. j 978-686-8200 13 DiVincenzo,John L. 2 Andover Septic/J&S Dev.Corp. 978-372-7471 14 lGiard,Daniel 0 Daniel A.Giard Septic Service 978-686-7653 15 lHall, Bill,Inc. 0 Bill Hall, Inc. 978-689-3711 16 1 Hartigan,James 0 James Hartigan 978-766-0087 17 Hoehn,Bruce 0 Bruce Hoehn 978-372-8274 18 Hutton,Arthur 0 Hutton's General Construction, Inc. 978-685-2667 19 Innis,Robert L. 0 R.L.I.Corp. 978-663-6006 20 Jablonski,Chad 0 Jablonski&Sons 978-360-9358 21 Kellett,James 3 Kellett Excavating 781.953.7146 es P 22 Marsh,Steve 0 The..Westchester Co. 978-742-9778 23 Maynard, Dave 0 Maynard Construction 978-375-7228 24 Murray,David 1 Ranger Development Corp.! 978-360-8506 25 jOsgood, Ben 1 New England Engineering 978-686-1768 26 Pearce,Warren 0 Pearce Construction 978-664-5264 27 Petrosino,Angelo 0 Angelo Petrosino 978-664-2030 28 lQuinlan,Timothy 0 Quinlan&Rand Builders 978-457-0528 29 lReilly,Mike 0 F.P. Reilly&Sons 978-475-1237 30 ISawyer,William T. 1 Arco Excavators, Inc. 603-642-8910 31 jShaw,JohnIII 0 Wildwood Excavation, Inc. 978-474-8088 32 ISoucy,John J. 8 Soucy's Sewer Service 800.541.9379 33 ISullivain,Jack 0 Jack Sullivan 978-352-7871 34 Isurianello,Joseph 0 Ralph Surianello, Inc. 617-799-3900 35 ITodd,Charles R. 0 Charles R.Todd Contractor, Inc. 978-667-4270 36 Waelty,Craig(Skip) 0 Craig Waelty I 978-664-2126 37 Watson,Joseph 0 JW Watson,Jr. Inc. 978-475-8581 38 Zaher,Charles 0 Charles Zaher 978-804-7786 39 Zaloga,Dave 0 Dave Zaloga 603-765-9296 Total Installations 1/1/07 7/7/08 39 Note: The Septic Installer Exam is held in January.March.May.July and September of each year. You must call the Health Department to sign up for the exam at 978.688.9540. The testing fee is$25. Last Updated:7/7/08 Last Updated: 7/7/2008 _ Page I of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, July 30, 2008 10:49 AM To: 'kcareycpa@comcast.net' Cc: Osgood Ben (bosgood@neengineeringinc.com); Kimberly J. Brown (KBrown@NEengineeringinc.com) Subject: FW: 69 Oakes Drive - Plan Approval and Variances Hello Ms. Carey, Here is the letter from the Health Dept. re: your septic system. Let me know if you have any questions. I will mail the hard copy of the letter separately. We finally got through the process! Take care, Pamela 910gf Rarafdsl PayraBa Dolftlolfiaia Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Suite 2-36 North Andover,MA o1845 9978.688.9540-Phone 978.688.8476-Fax http://Hryvw.townofnorthandover.com healthdept@townofnorthandover.com From: noreply@yourcopier.com [mai Ito:noreply@you rcopier.com] Sent: Wednesday, July 30, 2008 11:22 AM To: DelleChiaie, Pamela Subject: 69 Oakes Drive - Plan Approval and Variances 7/30/2008 MassDEP Trans No. X223552 - 69 Oakes Dr,N Andover Page 1 of 2 �1 /o=North Andover/ou=First Administrative Group/cn=Recipients/cn=pdellech From: Sawyer, Susan Sent: Monday, August 25, 2008 1:36 PM To: DelleChiaie, Pamela Subject: FW: MassDEP Trans No. X223552 -69 Oakes Dr, N Andover FYI from DEP 69 Oakes has received its presumptive approval for their variance, so when Jim Kellet comes in, we should be all set, except maybe an electrical permit.... S From: Golden, Claire (DEP) [ma ilto:Claire.Golden@state.ma.us] Sent: Monday, August 25, 2008 11:43 AM To: Sawyer, Susan Subject: RE: MassDEP Trans No. X223552 - 69 Oakes Dr, N Andover Yes you can! From: Sawyer, Susan [mailto:ssawyer@townofnorthandover.com] Sent: Monday, August 25, 2008 11:01 AM To: Golden, Claire (DEP) Subject: RE: MassDEP Trans No. X223552 - 69 Oakes Dr, N Andover Great on 69 Oakes. An installer wants to move forward, so I guess I can issue that permit now? Thx S This issue with the cemetery just won't die.....haha...just had to say that. It is Monday. Humor is hard to find. From: Golden, Claire (DEP) [mailto:Claire.Golden@state.ma.us] Sent: Monday, August 25, 2008 10:52 AM To: Sawyer, Susan Subject: MassDEP Trans No. X223552 - 69 Oakes Dr, N Andover Hi Susan, Just to let you know that MassDEP is considering this one presumptively approved. Claire PS - I'm still working on the cemetery issue. 8/25/2008 1111109-F-Aw-1A f Rug 26 08 07: 41a wane 603-926-9325 p. 2 WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC 27 KENSINGTON ROAD HAMPTON FALLS,NH 03844 Telephone: (866) 926-9053 Fax: (508) 693-2224 SALES AGREEMENT DATE: August 26,2008 BUYER: SITE: Jim Kellett 69 Oaks Drive Kellett Excavating, Inc. North Andover,MA 01845 Phone: (781) 953-7146 Fax: (781) 595-3330 SELLER: HOMEOWNER.- Wastewater OMEOWNER:Wastewater Alternatives of New England,LLC Irina and Chris Horn 27 Kensington Road 69 Oaks Drive Hampton Falls,NH 03844 North Andover,MA 01845 Wastewater Alternatives of New England, LLC(WANE)agrees to supply a Model 250 ST4 CLEAN SOLUTION tm Sewage Treatment System to the buyer installed at the above site in accordance with the attached specifications. The buyer is responsible for retaining the licensed designer, obtaining the approved plan and all necessary permits,and hiring a qualified installer.This sale is subject to two important conditions: 1.A Maintenance Contract must be signed by the existing property owner[s]. Should the above property be sold,the Maintenance Contract must be transferred to the new property owner[s]. 2.Failure to perform this maintenance could result in failure of the Clean Solution System and will void WANE'S warranty. In this event it will be the owner's responsibility to repair any system malfunctions. WANE will provide and install as shown in the accompanying sketch and specifications: 1. A three compartment 2,600gal tank with an acting integral septic tank,Biocon tank, and settling tank 2. 30 cu ft of plastic media 3. A 3.0 scfm compressor 4. All necessary internal components 5. A pressure-sensor alarm 6. The price does not include the septic tank,excavation, dispersal field,or connections from the house to THE CLEAN SOLUTION or to the dispersal field_ THE CLEAN SOLUTI ON'rm An Alternative Septic System , Rug 26 09 07: 41a Wane 603-926-9325 p. 3 WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC I MEMO 27 KENSINGTON ROAD HAMPTON FALLS,NH 03844 Telephone: (866)926-9053 Fax: (508)693-2224 Placement of the compressor will be mutually determined by the owner and WANE. Two 115-volt outlets capable of supplying 1 amp [about the equivalent of an 80 watt light bulb] continuously with separate circuits will be required near the compressor and alarm.Should an external housing be required to protect the compressor and alarm panel, it will be supplied by others or contracted through WANE separate from this agreement. Should a drive-on installation be required,the additional costs for H-20 tanks and steel manhole covers will be billed at direct costs. WARRANTY FOR A PERIOD OF 5 YEARS,WANE WILL WARRANT THE SYSTEM AND REPAIR ANY MALFUNCTIONS OF THE CLEAN SOLUTION,INCLUDING PARTS AND LABOR,AT NO COST TO YOU.YOUR RESPONSIBILITY DURING THIS PERIOD IS TO PERFORM THE REQUIRED MAINTENANCE AND TO NOTIFY WANE OF ANY FAILURE.FAILURE TO PERFORM EITHER OF THESE ITEMS WILL VOID THIS WARRANTY AND RESULT IN YOU BEING BILLED FOR REPAIR COSTS.THIS WARRANTY DOES NOT COVER DAMAGE CAUSED BY UNREASONABLE USE OR ACTS OF GOD. THIS LIMITED WARRANTY IS IN LIEU OF ALL OTHER EXPRESS WARRANTIES,ANY IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE,MERCHANTABILITY OR OTHERWISE,APPLICABLE TO THE SEWAGE TREATMENT SYSTEM SHALL BE LIMITED IN DURATION TO ONE YEAR. WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC SHALL NOT BE LIABLE FOR ANY DIRECT OR INDIRECT,SPECIAL,INCIDENTAL,OR CONSEQUENTIAL DAMAGES.NOR,SHALL WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC'S LIABILITY UNDER THIS WARRANTY EXCEED THE PRICE PAID BY THE BUYER. THIS LIMITED WARRANTY SHALL APPLY ONLY TO SERVICES AND MATERIAL PROVIDED BY WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC. PERFORMANCE SPECIFICATIONS The system is warranted to discharge clean water to the dispersal field below 30 ppm BOD5,30 ppm TSS, assuming the strength and flow of the wastewater is consistent with the system's specific design parameters. THE CLEAN SOLUTIONTM An Alternative Septic System Aug 26 08 07: 41a wane 603-926-9325 p. 4 WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC 27 KENSINGTON ROAD HAMPTON FALLS,NH 03844 Telephone: (866)926-9053 Fax: (508)693-2224 PAYMENT The agreed upon price detailed in this agreement is the following: WANE equipment/services $6,500.00 o 5/o ME Sales Tax $325.00 Total $6,825.00 Payment is requested as follows: $3,412.50 upon signing this agreement $3,412.50 upon installation of system Ownership will transfer to the buyer upon final payment. THIS PRICE IS VALID FOR 60 DAYS FROM THE DATE OF THIS DOCUMENT. DELIVERY WANE will be prepared to install the system within three days scheduling notice after you have chosen an installer and returned a signed copy of this agreement along with the initial payment.In order to coordinate with the installer it is important that WANE is notified of the installer's name and telephone number. RIGHTS TO DATA AND ACCESS TO THE SYSTEM WANE reserves the right of reasonable access to collect data,modify,maintain and repair The Clean Solution and its subsystems.WANE will retain all data collected and the rights to it. TRADE SECRETS The Clean Solution is the result of the expenditure of much effort and money.The design of the components and operational cycle are the intellectual property of WANE and may not be revealed without written permission. ACCEPTED: ( BUYER: SELLER: Wastewater Alternatives of New England,LLC �y a �',�f �o,� � Wesley Brighton,President Date: z7�✓� Date: THE CLEAN SOLUTIONTM An Alternative Septic System Augmmm- Ayr-lit 26 08 07: 41a wane 603-926-9325 p. 5 _ WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC P.O.Box 34 Menemsha,MA 02552 Telephone: (866)926-9053 Fax: (508)693-2224 MAINTENANCE CONTRACT Date: August 26, 2008 HOME OWNER: Irma and Chris Horn 69 Oaks Drive North Andover,MA 01845 SELLER: Wastewater Alternatives of New England, LLC. 27 Kensington Road Hampton Falls,NH 03844 TERMS OF CONTRACT This Maintenance Contract is in place to ensure the performance and longevity of the Clean Solution System at the above site. Should the above property be sold,this contract MUST be transferred to the new property owner[s]. A valid Maintenance Contract, including two inspections per year,is required by the State of Massachusetts throughout the life of your alternative septic system. This contract is valid for a period of one year and includes two inspections to be performed in accordance with WANE'S operational and technology checklist. This contract will expire after one year of the date signed. A renewal form will be sent upon the expiration of the Maintenance Contract. Failure to perform the required maintenance instructed by a WANE certified septic inspector could result in premature failure of the dispersal field and will void WANE'S warranty.In this event,it will be the property owner's responsibility to repair the field. At the time of inspection,a tank-pumping schedule will be determined by a WANE certified septic inspector. Failure to pump the system when the inspector deems it necessary will void the company warranty.Tank pumping is not included in the price of WANE'S regular inspections and must be arranged by the owner with.a tank pumping service of choice. Other required maintenance beyond the terms of WANE'S warranty will be billed at additional cost to WANE'S regular inspections. THE CLEAN SOLUTIONTM An Alternative Septic System Z-041101-01,11� Rug 26 08 07: 42a wane 603-926-9325 p. 6 -Ago& WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC P.O. Box 34 Menemsha,MA 02552 Telephone: (866)926-9053 Fax: (508)693-2224 WARRANTY FOR A PERIOD OF 5 YEARS,WANE WILL WARRANT THE SYSTEM AND REPAIR ANY MALFUNCTION,INCLUDING PARTS AND LABOR, AT NO COST TO YOU. YOUR RESPONSIBILITY DURING THIS PERIOD IS TO CONTINUE THE REQUIRED INSPECTIONS AND TO NOTIFY WANE OF ANY FAILURE.FAILURE TO PERFORM EITHER OF THESE ITEMS WILL VOID THIS WARRANTY AND RESULT IN YOU BEING RESPONSIBLE FOR REPAIR COSTS. THIS WARRANTY DOES NOT COVER DAMAGE CAUSED BY UNREASONABLE USE OR ACTS OF GOD. THIS LIMITED WARRANTY IS IN LIEU OF ALL OTHER EXPRESS WARRANTIES. ANY IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE,MERCHANTABILITY OR OTHERWISE, APPLICABLE TO THE SEWAGE TREATMENT SYSTEM SHALL BE LIMITED IN DURATION TO ONE YEAR. WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC SHALL NOT BE LIABLE FOR ANY DIRECT OR INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES. NOR, SHALL WASTEWATER ALTERNATIVE'S LIABILITY UNDER THIS WARRANTY EXCEED THE PRICE PAID BY THE BUYER. THIS LIMITED WARRANTY SHALL APPLY ONLY TO SERVICES AND MATERIAL PROVIDED BY WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC. PERFORMANCE SPECIFICATIONS The system is warranted to discharge clean water to the dispersal field below 30 m BODS 30 P pp ppm TSS, assuming the strength and flow of the wastewater is consistent with the system's specific design parameters. PAYMENT The agreed upon price for the WANE equipment and services detailed in this agreement is$175.00 per visit. This price includes servicing of the drip irrigation system as well as the Clean Solution.This fee will be billed to you after the inspection of your system. A report of your inspection will be included in your bill. THE CLEAN SOLUTIONTM An Alternative Septic System I:f'��LI:3�, • Rug 26 08 07: 42a wane 603-926-9325 p. 7 WASTEWATER ALTERNATIVES OF NEW ENGLAND,LLC P.O. Box 34 Menemsha,MA 02552 Telephone: (866)926-9053 Fax: (508)693-2224 RIGHTS TO DATA AND ACCESS TO THE SYSTEM WANE reserves the right of reasonable access to collect data,modify,maintain and repair the Clean Solution and its subsystems. WANE will retain all data collected d and the rights to it. TRADE SECRETS The Clean Solution is the result of the expenditure of much effort and money.The design of the components and operational cycle are the intellectual property of WANE and may not be revealed without written permission. ACCEPTED: PROPERTY OWNER: SELLER: Wastewater Alternatives of New England, LLC ,,,// Wesley Brighton, President DATE: DATE: THE CLEAN SOLUTIONTM An Alternative Septic System 'hu'g' 26 08 07: 42a wane 603-926-9325 P. 8 THE CLEAN 5OLUTIONTA ALTERNATIVE SEPTIC 5Y5TEM: MODEL 2505T4 Each 5y5tern greater than the 4 bedroom models must be reviewed individually by a Wastewater Alternatrve5, LLC Engineer Designed for 4 Bedrooms Control Panell and Alarm I Air Compre55or(5) air Finl5h Grade from House to Dispersal Field 500 I G00..Gallon Gallon, Septic Tank 5ettliQ9 .�ump Tank 450 Gallon Blocon Note; Tank is only available in Note: 5ettling Tank can be New Hampshire, Southern Maine Uses Phoenix 3-Compartment 2600 Used as Pump Chamber if and Northern Massachusetts Gallon Tank (1501 x G'G'W x GPM) Local Board Approves NOTES: I.) 5eptic and settling tanks Must be pumped every 2-L years. 2 2,) Tanks are not suitable for under driveways unless designed with M-20 tanks. 3.) Risers are plastic. Height will be specified by installer to suit. Concrete n5cr5 can be provided if preferred. All risers Must be level to firi5h grade. 4.) Compressor plugs into regular outlets, but requires its own circuit. Compressor is weather-proof, but should be housed in ejara6395, basements, or specifically-designed outdoor compartments. The maximum distance it can be from the system is 100 ft. Model 10000 requires at least six Q 5L-88 (5-5CFM)compressors. Control panel and alarm must be located near compressor and accessible by 0*M operator. 5.) Primary septic tank to be sized based on State regulation. G.) If there is a separate pump chamber, it must be sized based on 5tate and Local Regulations and It Must be vented separately. 7.) Media in Bio-con tank 15 plastic and free-flowing(installed by Wastewater Alternatives). 8.) The Clean 5olution system is a gravity flow system not requiring a sump pump, therefore no alarms are present. However, if the site plan calls for a sump pump,the specifications of the alarm will depend On the designer and in5taller. 5.) When utihzinc3 the Clean Solutions Denitrification unit,a Zabel Filter(or Equivalent)is required on the outlet tee of the septic tank. WASTEWATER ALTERNATIVES Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 LL1 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems I .LCEIVED A. Installation FEB 3 2009 Important: Mr. Chris Horn When filling out Owner forms on the TOWN or r,uRTM ANDOVER computer,use 69 Oakes Drive HEALTH DEPARTMENT only the tab key Facility Street Address to move your North Andover 01845 cursor-do not City Zip use the return key. Mailing address of owner, if different: Street Address/PO Box: City State Zip - ext. Telephone Number B. Authorized Service Provider WasteWater Alternatives of New England, LLC. O&M Firm 27 Kensington Road Street Address Hampton Falls NH 03844 City State Zip (603) 926-9053 ext. Telephone Number Scott Kraihanzel 12580 Certified Operator Name Certification Number C. Facility/System Information The Clean Solution DEP ID Manufacturer ID Model Number Installation Date Start of Operation Approval Type: ❑ General ❑ Provisional ❑ Piloting ® Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 11/2/2008 NA Inspection Date Previous Inspection Date NA Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc•rev. 11-07-05 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems RECEIVED E. Field Testing FEB 3 2009 Field Inspection: TOWN of iaORI H ANDOVER HEALTH DEPARTMENT Color: ❑ gray ❑ brown ® clear ❑ turbid i ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ® no ❑ some pH 6 to 9 SU DO 2 or grea erg/L Turbidity 40 or less TU Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD ❑ CBOD ❑ TSS ❑ YN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: None Notes and Comments: The system appears to be working properly. The pressure dose field also appears to be working properly. Reviewed operation and maintenance with homeowners t5aiom.doc-rev.11-07-05 Page 2 of 3 • Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 _ DEP Approved Inspection and O&M Form for Title IWA Treatment and Disposal Systems FEB 3 Zoos i H. Certification 'TOWN �dvR HEAL 1 H Ur-PAR t MENT certify: I have inspected the sewage treatment and disposal systema e a ress above,e, e conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 11/2/2008 0peratdFSigp4ture Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31•t of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6t Floor Boston, MA 02108 t5aiom.doc•rev. 11-07-05 Page 3 of 3 L1Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems A. Installation 1 Important:When Irina and Chris Horn filling out forms on the computer, Owner -�� r? use only the tab 69 Oaks Drive b key to move your Facility Street Address 7 41NN OF NORTH ANptayER cursor-do not North Andover 01845 HEALTH DEPART use the return key. city Zip Mailing address of owner, if different: Street Address/PO Box: aaun J/`� City State Zip ( ) - ext. Telephone Number B. Authorized Service Provider Scott Kraihanzel O&M Firm — --- - 5 Susan Carsley Way Street Address Sandwich MA 02563 City State Zip (508)681 -8323 ext. Telephone Number Scott Kraihanzel 12580 Certified Operator Name Certification Number C. Facility/System Information _ Clean Solution DEP ID Manufacturer ID Model Number Installation Date Start of Operation Approval Type: ❑ General ❑ Provisional ❑ Piloting ® Remedial Seasonal Residence—used less than 6 mo./year: ❑ Yes ® No D. Operating Information 10/11/2009 4/25/2009 Inspection Date Previous Inspection Date 2 +/ Sludge Depth(to be checked yearly) Pumping Recommended El Yes ® No t5aiom.doc-rev.11-07-05 Page 1 of 3 I i 1 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑ turbid ❑ Other(specify): Odor: M musty ❑ earthy ❑ moldy El offensive ❑ turbid Effluent Solids: ❑ no F1 some pH 6.8 s to s U DO 2.2 mq/L Turbidity 14 NTU 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sam led: ❑ pH ❑ BOD CBOD p ❑ El TSS ❑TN ❑ Other(list below) i Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection &during this inspection: Notes and Comments: System is operating as designed t5aiom.doc-rev. 11-07-05 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. 10/11/2009 Operator SigwAhrrie Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date Provisional Use—by March 31 t of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5 Floor Boston, MA 02108 t5aiom.doc-rev.11-07-05 Page 3 of 3 Massachusetts Department of Environmental Protection L1 Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems A. Installation RECEIVED - Important:When ! Irina and Chris Horn filling out forms Owner on the computer, use only the tab 69 Oaks Drive key to move your Facility Street Address cursor-do not North Andover HEALTH DEPARTMENT use the return 0184.5 key. city Zip r� Mailing address of owner, if different: reon T\/7� Street AddresslPO Box: city State Zlp - ext Telephone Number — I B. Authorized Service Provider Scott Kraihanzel &M Firm — - --- - - ------ 5 Susan Carsley Way Street Address Sandwich MA 02563 City State Zip (508)681 -8323 ext. Telephone Number Scott Kraihanzel 12580 Certified Operator Name Certification Number C. Facility/System Information __ _ Clean Solution DEP ID Manufacturer ID — Model Number Installation Date Start of Operation -- — Approval Type: ❑ General ❑ Provisional ❑ Piloting ® Remedial Seasonal Residence-used less than 6 mo./year: ❑ Yes ® No D. O Operating p g Information 4/25/2009 _ 11/3!2008 Inspection Date Previous Inspection Date -- — Sludge Depth(to be checked yearly) Pumping Recommended ❑ Yes ® No t5aiom.doc-rev.11-07-05 Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems I E. Field Testing Field Inspection: Color: ❑ gray ❑ brown ® clear ❑turbid ❑ Other(specify): Odor: ® musty ❑ earthy ❑ moldy ❑ offensive ❑ turbid Effluent Solids: ❑ no ❑ some pH 7.0 SU DO 2.1 mg/L Turbidity 10 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken: ❑ Influent ❑ Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: gpd Parameters sampled: ❑ pH ❑ BOD❑ CBOD ❑ TSS ❑TN ❑ Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection&during this inspection: Notes and Comments: System is operating as designed. i t5aiom.doc•rev.11-07-05 Page 2 of 3 ti. Massachusetts Department of Environmental Protection 1�LlBureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 IIA Treatment and Disposal Systems I H. Certification certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. C _ _ 4/25/2009 l Operator Signature Date r System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31st of each year for the previous calendar year Piloting Use-within 45 days of inspection date t Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 5 Floor Boston, MA 02108 I I I I t5aiom.doc.rev.11-07-05 Page 3 of 3 4 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 li DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Wastewater Alternatives of New England, LLC 27 Kensington Road Hampton Falls,NH 03844 Trade name of technology and model numbers: The Clean Solution alternative treatment system Models: 250, 250 PT, 250ST3, 250ST4, 600, 1000, 1750, 2500, 3100 and 10000 (hereinafter the "System"). Schematic drawings illustrating the models and an Inspection Checklist are attached and are part of this Certification. I Transmittal Number: W057448 Date of Issuance: October 11, 2007 Renewal Date: October 11, 2012 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 for General Use to: Wastewater Alternatives of New England, LLC, 27 Kensington Road, Hampton Falls, NH 03844 (hereinafter "the Company"), certifying the System described herein for General Use in the Commonwealth of Massachusetts. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. October 11, 2007 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep Zia Printed on Recycled Paper 11 The Clean Solution,Certification for General Use 0 Page 2 of 6 I. Purpose 1. The purpose of this Certification is to allow the use of the System in Massachusetts on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the installation and use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or will be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by DEP if DEP approval is required by 310 CMR 15.000. This certification does not allow the use of the System on facilities for nitrogen reduction in a Department designated nitrogen sensitive or limited area as defined in 310 CMR 15.214 and 15.215. 4. The System is approved for use at facilities with a maximum design flow of less than 10,000 gallons per day. II. Design Standards 1. The System is a submerged media attached growth biological treatment unit designed to treat sanitary wastewater. The effluent from a Title 5 septic tank or from the System's integral septic tank, flows into the BioCon unit. The BioCon unit contains plastic media providing the surface contact area for bacterial growth and wastewater treatment. The wastewater is continuously recirculated over the plastic media. A compressor provides the air for continuous mixing of the contents in the BioCon unit and to prevent clogging. Effluent from the BioCon unit flows by gravity into the settling compartment, and pump tank if applicable. Sludge is settled, and the treated effluent is then pumped to the soil absorption field (SAS) for final disposal. Sludge settled in the System requires periodic removal. 2. The Company shall conduct an intended use review of the System prior to the sale of any non-residential unit, or any System with a design flow of 3,000 GPD or greater, to ensure that the proposed use of the System is consistent with the unit's capabilities. 3. Models 250, 250PT, 600 and 2000 shall be installed between a septic tank and the effluent disposal system, constructed in accordance with 310 CMR 15.100 - 15.279, subject to the provisions of this Approval. 4. Models 250ST3 and 250ST4 include an integral septic tank. A separate septic tank is not required. 5. Access shall be provided to all tanks in the System in accordance with 310 CMR 15.228 (2). Septic tanks and Systems with integrated septic tanks, BioCon tanks and settling compartments shall have at least three manholes with readily removable impermeable covers of durable material provided at finished grade. Multi-compartment tanks shall have a manhole over each compartment with a The Clean Solution,Certification for General Use Page 3 of 6 minimum opening of 20 inches. Access ports, manhole covers and cleanouts shall be installed and maintained at finished grade to allow for maintenance of the System. 6. Control panel(s) including alarms and controls shall be mounted in a location accessible to the System operator. III. General Conditions 1. All provisions of 310 CMR 15.000 are applicable to the use of this System, the owner, and the Company, except those, which specifically have been varied by the terms of this Certification. 2. Any required operation and maintenance, monitoring and testing shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory. It shall be a violation of this Certification to falsify any data collected pursuant to an approved testing plan,to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department or the local approving authority may require the owner of the System to cease operation of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare and the environment. 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer system. Accordingly, no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 6. Desi and installation and use of the System shall be in strict conformance with � y t the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is certified only in connection with the discharge of sanitary wastewater. Any non-sanitary wastewater generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed of. 2. The System owner shall have the Company or its designee conduct an intended use review for any proposed non-residential System, or System with a design now of 3,000 gpd or greater to ensure that the proposed use of the System is consistent with the unit's capabilities. 1 The Clean Solution,Certification for General Use r Page 4 of 6 3. Operation and Maintenance agreement: a. Throughout its life,the System shall be under an operation and maintenance (O&M) agreement.No O&M agreement shall be for less than one year. b. No System shall be used until an O&M agreement is submitted to the local approving authority which: i Provides for the contracting of a person or firm trained by the Company as provided in Section V (5) and competent in providing services consistent with the System's specifications, with the operation and maintenance requirements specified by the Company and the designer and with any specified by the Department; ii Contains procedures for notification to the Department and to the local approving authority within five days of a System known failure, malfunction or alarm event and for corrective measures to be taken immediately; j iii Provides the name of an operator, which must be a Massachusetts certified operator as required by 257 CMR 2.00 of an appropriate grade that will operate and monitor the System. For residential Systems the operator must operate, maintain and inspect the System annually in accordance with the Department's policy dated January 1, 2006 and anytime there is an alarm event. The Department's Inspection and Sampling policy can be viewed on the internet at http://mass. ov/dep/water/laws/policies.htm#t5pols. iv For all other Systems 2,000 GPD or greater, and non-residential Systems, the operator must inspect, field test and maintain the System at least every three months and anytime there is an alarm event. 4. The System owner shall at all times have the System properly operated and maintained in accordance with this Certification,the designer's operation and maintenance requirements and the Company's approved procedures. The System owner shall notify the local approving authority, in writing, within seven days of a change in the operator. 5. The System owner shall provide a copy of this Certification, prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof, to the proposed new owner. 6. The System owner shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 7. By September 30th of each year, the System owner shall submit to the Department and the local approving authority an O&M and technology checklist, completed The Clean Solution,Certification for General Use Page 5 of 6 by the System operator for each inspection performed during the previous 12 months. V. Conditions Applicable to the Company 1. By January 31St of each year, the Company shall submit to the Department a report signed by a corporate officer, general partner or Company owner that contains information on the System for the previous calendar year. The report shall state: the number of units of the System sold for use in Massachusetts during the previous year; the address of each installed System, the owner's name and address,the type of use (e.g. residential, commercial, school, institutional)and the design flow; and for all systems installed since the first issuance of Certification for the System, all known failures, malfunctions, and corrective actions taken and the address of each such event. 2. The Company shall notify the Director of the Wastewater Management Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall develop and submit to the Department within 60 days of the effective date of this Certification: minimum installation requirements; an operating manual, including information on substances that should not be discharged to the System; a maintenance checklist; and a recommended schedule for maintenance of the System consistent with the Department's requirements essential to consistent successful performance of the installed Systems. 4. The Company shall make available, in printed and electronic format, the referenced procedures and protocol in paragraphs 3 directly above to owners, operators, designers and installers of the System. 5. The Company shall institute and maintain a program of designer and operator training and continuing education, as approved by the Department. The Company shall maintain and annually update, and make available the list of qualified operators by January 31St and make the list known to local approving authorities, the Department and to users of the technology. 6. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 7. The Company shall include copies of this Certification and the procedures described in Section V (3) with each System that is sold. In any contract executed by the Company for distribution or resale of the System, the Company shall require the distributor or reseller to provide each purchaser of the System with copies of this Certification and the procedures described in Sections V (3). f � \ The Clean Solution,Certirca ion for General Use Page 6 of 6 8. The Company or its designee shall conduct an intended use review of the System prior to the sale of any nonresidential unit or any System over 3000 gpd to ensure that the proposed use of the System is consistent with the unit's capabilities. 9. The Company shall comply with 310 CMR 15.000 and all the Department policies and guidance that apply and as they may be amended from time to time. 10. If the Company wishes to continue this Certification after its expiration date,the Company shall apply for and obtain a renewal of this Certification. The Company shall submit a renewal application at least 180 days before the expiration date of this Certification,unless written permission for a later date has been granted in writing by the Department. This Certification shall continue in force until the Department has acted on the renewal application. VI. Reporting 1. All notices and documents required to be submitted to the Department by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of any annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification and/or the System against the owner or operator of the System and/or the Company. General Appvl_Clean_Solution_W057448 n NEW ENGLAND ENGINEERING SERVICES INC September 16, 2004 RECEIVED Susan Sawyer SEP 16 2004 North Andover Board of Health 27 Charles Street TOWN OF NORTH ANDOVER North Andover, MA 01845 HEALTH DEPARTMENT Re: 69 Oakes Drive, North Andover Septic System Design Dear Susan, The following plans and enclosures for the above referenced property are being submitted for approval. 1. (5) Copies of the Septic System Design Plans. 2. (1) Copy of the Form 11 Soil Evaluator Sheets. 3. (1) Copy of the Form 12 Percolation Test Sheet 4. (1) Check for payment of the Town approval fee. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Steven E. Pouliot Project Manager 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 Town of North Andover `J HEALTH DEPARTMENT 27 Charles Street -- North Andover,MA 01845 RECEIVE 978.688.9540 healthdept&ownofnorthandover.com SEP 16 7004 TOWN Of NURTH ANDOVER HEALTH DEPARTMENT SEPTIC PLAN SUBMITTAL FORM DATE OF SUBMISSION: - ( la — 0 SITE LOCATION: R ©q Kp-S P/2 i vjF_ ENGINEER.- &r -&Ayt> NEW PLANS; YES `� $225.00/Plan ✓ Check#: g � (Includes 1 4 'i and one Re-Review Only) REVISED PLANS: YES $75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: ES NO LOCAL UPGRADE FORM INCLUDED: YES NO Telephone#: q 16 -&43(o -- 17 66 Fax#: q 79 - &O5 -1699 E-mail: hl fG�Si�h1 Ct @ AAL . C 4 fM HOMEOWNER NAME: M I C AAR-L ; K IZ I S EFA1 611,e C i OFFICE USE ONLY When the submission is complete including check): D 'stamp p p lans and letter 2. Complete and attach Receipt 3. Cony 'file, Forward to Consultant 4. Enter on Log Sheet and Database ,.c. q12-3/' c/ J NEW ENGLAND ENGINEERING SERVICES lk INC September 17, 2004 [NPTHDEPAPTMFNW NED Susan Sawyer North Andover Board of Health TH ANOOVER 27 Charles Street North Andover, MA 01845 Re: 49 ®aloes Drive,North Andover,MA. Local Bylaw Waiver Request Dear Susan, The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following variances: Local Bylaw Waivers Required 1. Allow reduction in offset distance between leach bed and wetlands from 100 feet required to 53 feet. If you have any comments or questions please do not hesitate to contact this office. Sincerely, C Steven B. Pouliot Project Manager 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 09/17/2004 U9:JH J I ftd--'Aby'J Nr- r-NUA ICr-MMIO] )VL. i MAL- ua 'V s �� r' New Englund FAX TRANSMITTAL ik Engineering Services,Inc. 60 Beechwood Drive,No.Andover,MA 01845 www.newenglandengineermg.net Phone: 978.686.1768 Fam 979.685.1099 Date . Sept tuber 17,2004 Fax V 974P- 666- 9s Yz Please Deliver To: Susan Sana i CompwW Name/ North Andover Bowd of Health ` Address: TOWN OF H From: Steven E.Pouliot RE ; 100 Ralmigb Tavern Lane,North Andover 69 Oakes Drry Ko Andover t Den Susan, I i Attached please find a request for addition to*c upcoming Board of Health boating agenda to discuss I Local Bylaw Waiver requests for the above referenced properties. Thw&XS I I Urgent Reply Requested Reply TAY x Reply at You Own Convenience No Reply Necessary 3 Total pages,We"ag Cover Sheet. (!f all panes aw nor rme#ved,plea"notify ourfirm as seas no poaai64.) I7y/1//'L17b4 WJ:-1d y/libtl51177`J NL LNUINttKIM 5Vt, rwk= uc NEW ENGLAND ENGINEERING SERVICES INC i September 17,2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover,MA 01845 Re:69 Oakes Drive,North Andover,MA Local Bylaw Waiver Request I Dear Susan, The purpose of this letter is to request that the above referenced property be included in the upcoming Board of Health meeting agenda to discuss the following variances: Local Bylaw Waivers Required 1. Allow reduction in offset distance between,leach bed and wetlands from 100 feet j required to 53 feet. If you have any comments or questions please do not hesitate to contact this office. i Sincerely, Steven E.Pouliot Project Manager I i I i i OD BESCHWOOD ORIVE-NORTH ANDOVER.MA 01M-(970)6M4 T".(asa)359.704•FAX(970)88'51099 r� TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES 3?•`° °�� HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 'SS�cMust� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX September 30,2004 Benjamin Osgood,P.E. New England Engineering Services,Inc. 60 Beechwood Drive. North Andover,MA 01845 Re: 69 Oakes Drive,Map 107A,Lot 143 Dear Mr.Osgood: The proposed septic system design plans for the above site dated September 15,2004 and received on September 16, 2004 has been reviewed. Unfortunately, it 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. No waterline is shown on plan.-220(4)(m) . 2. Please provide a detail for the distribution box,as none is shown on plan. 3. Please specify the finish grade over the septic tank and pump chamber. It appears that there is not sufficient cover over pump chamber using existing grade. -228(1) 4. A retaining wall is required if the slope of 3:1 cannot be obtained. See the document issued by the Massachusetts Department of Environmental Protection titled"GUIDELINES FOR DESIGN AND INSTALLATION OF IMPERVIOUS BARRIERS AND SLOPE STABILIZATION FOR TITLE 5 SYSTEMS"for more information. P le_zs- Additionally,you might wish to consider placing the electric junction box outside of the pump chamber to prevent corrosive gases from entering box. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sin .er an Y. Sawyer,REHS/RS 'ublic Health Director cc: Owner File 1 TOWN OF NORTH ANDOVER Of NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES of•`i°�•�'�''�°°� HEALTH DEPARTMENT 27 CHARLES STREET ' NORTH ANDOVER, MASSACHUSETTS 01845 �a Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX October 8,2004 Benjamin Osgood,P.E. New England Engineering Services,Inc. 60 Beechwood Drive North Andover, MA 01845 Re: 69 Oakes Drive,Map 107A,Lot 143 Dear Mr.Osgood: The proposed septic system design plans for the above site dated September 15,2004 and received on September 16, 2004 has been reviewed. Unfortunately,it 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. No waterline is shown on plan.-220(4)(m) 2. Please provide a detail for the distribution box,as none is shown on plan. 3. Please specify confirmation of wetland delineation on the south side of the property. 4. Please specify the finish grade over the septic tank and pump chamber. It appears that there is not sufficient cover over pump chamber using existing grade.-228(1) 5. A retaining wall is required if the slope of 3:1 cannot be obtained. See the document issued by the Massachusetts Department of Environmental Protection titled"GUIDELINES FOR DESIGN AND INSTALLATION OF IMPERVIOUS BARRIERS AND SLOPE STABILIZATION FOR TITLE 5 SYSTEMS"for more information. Please review slopes without a wall and revise to 3:1 as needed. Additionally,you might wish to consider placing the electric junction box outside of the pump chamber to prevent corrosive gases from entering box. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincere , S an Y. Sawyer,REHS/ ublic Health Director cc: Owner File NEW ENGLAND ENGINEERING SERVICES INC October 21, 2004 RECEIVED Susan Sawyer North Andover Board of Health OCT 2 1 2004 27 Charles Street North Andover, MA 01845 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Re: 69 Oakes Drive, North Andover Revised Septic System Design Dear Susan, The following plans and enclosures for the above referenced property are being resubmitted for approval. 1. (3) Copies of the Revised Septic System Design Plans. Please note that the plans have been revised to address comments from your letter dated October 8, 2004. If you have any additional comments or questions please do not hesitate to contact this office. Sincerely, Steven E. Pouliot Project Manager 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)686-1768-(888)359-7645-FAX(978)685-1099 r TOWN OF NORTH ANDOVER N°RTb Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORIJ i ANDOVER, MASSACHUSETTS 01845 'SSACNUstt Susan Y. Sawyer 978.688.9540—Phone Public Health Director , 978.688.9542—FAX October 25, 2004 Michael Carey 69 Oakes Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 69 Oakes Drive, Map 107A, Parcel 143, North Andover, Massachusetts Dear Mr. Carey, 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 New England Engineering Services dated September 15, 2004, last revised October 15, 2004. The design has been approved for use in the construction of an onsite septic system. This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. The time period for which this plan is valid is reduced to two years from the date of a septic system inspection that did not meet the acceptable criteria in the state regulations. In the event an imminent health problem such as sewage backup into the dwelling is occurring, the North Andover Board of Health may reduce the time period for which this plan is valid. This plan received the approval of a variance to the local subsurface regulations from the North Andover Board of Health at their meeting on September 23, 2004. The variance approved was a reduction in the offset distance between the leach area and a wetland from 100 feet to 53 feet. This approval is for an existing 5-bedroom (or total of 11 rooms) house is 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 (310 CMR 15.020(1)). 2. his 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"' ,stem 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. Sincerely, S Y. Sawyer, REHS S Public Health Director cc: New England Engineering Services file a J BOARD OF HEALTH NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: �NDy MAP&PARCEL: 10-7-A l Q( L LOCATION OF SOIL TESTS: Lq DaSces (`�yP OWNER:_/Vl Cp TEL.NO.: ADDRESS:- 6q Qakes 17rtv ENGINEER:Ak( _HQI.J F'„ ,.,Qef'&'vAq o f TEL.NO.: q20— 6 961—(?6 H t CERTIFIED SOIL EVALUATOR: Intended use of land: Residential Subdivision Single Family Home Commercial Is This: -- Repair testing _ Undeveloped lot testing Upgrade for addition In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests) 2. Plot plan 3. Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing t location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval: �e nai- 60f, 4o ^� Date Received: due tc (xt�ci M Check Amount: Check Date: SIS. ��ScJ A�So°o6.58 - L-4.3 7* t, o 758 7i; crate .�(. A 2/.9)Caaae i Ca 8"k�rter Lure ;� ►,�3 ! 1,1di Cain ;r QPM 15"`I; 10 r A►$r� �� /2.C�?f?rczrri Lc' e, +•,meg �; � - - _ �► 74,944 A7, a _ Rn crnproved dr�role ` _._ , '••, be cons" acted a aside drrx� ' e'+ ,• o X17 ,� •, . .. 575 Z �. 53-7054/2113 6474 NEW ENGLAND ENGINEERING SERVICES, INC. 687807675 60 BEECHWOOD DRIVE PH, 978-686-1768 NORTH ANDOVER, MA 01845 DATE 6't PAY TO THE �� ^' W ORDER OF __:7T__'N-N /�/�J✓�� 0� � q 7/il✓t'� �j ut��✓�2 U' S l V h G� / DOLLARS L'J Banknorth 370 Main Street ° Massachusetts Worcester,MA 01608 MEMONP _ ell, 442 L L370545,: 887807675n' 6LI ?Ll 4/ DEW, eChiaie, Pamela From: Dan Ottenheimer[info@ millriverconsulting.com] Sent: Thursday, March 11, 2004 3:08 PM To: 'Pamela Dellechiaie'; 'Susan Sawyer' Subject: RE: 69 Oakes Drive Soil Test App. H] Daniel Ottenheimer (info@millr... Pam and Sue, I will not schedule this soil test until I hear otherwise from you or Conservation Commission folks. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@ millriverconsulting.com -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Wednesday, March 10, 2004 11:02 AM To: Daniel Ottenheimer(E-mail) Cc: Sawyer, Susan Subject: FW: 69 Oakes Drive Soil Test App. Hi Dan, Would you review Alison's concerns please? The application went out in the mail this week. You should getting it today if not already. Let us know how to proceed once you look it over. Thank you. Pam -----Original Message----- From: Sawyer, Susan Sent: Wednesday, March 10, 2004 10:59 AM To: DelleChiaie, Pamela Subject: RE: 69 Oakes Drive Soil Test App. Did you forward this to Dan already. If not, would you please? I didn't want to send it twice. Susan -----Original Message---- From: McKay, Alison Sent: Tuesday, March 09, 2004 3:59 PM To: Neeseng@aol.com Cc: DelleChiaie, Pamela; Lagrasse, Brian; Sawyer, Susan Subject: 69 Oakes Drive Soil Test App. 1 C/ �J Hi Eden, I went out to 69 Oakes this morning to review the Soil Test App. you submitted to the BOH. The soil test area shown on the plan submitted appears to be closer to the isolated wetland than I am comfortable with. The grade surrounding the area also drops off significantly toward the isolated area. In as such, I would like to see staked haybales placed between the isolated area and the soil test area, with as little vegetative disturbance as possible because of the fact that the area is sensitive (i.e. estimated habitat, buffer zone to IVW). Please feel free to call me to discuss this further and to discuss a time frame, as I am also concerned with saturated soil conditions, especially in this area. As we know, Mr. Talbot's property next door appears to have a high groundwater table and continous dewatering was necessary. Following discussion with you, I will procede accordingly with the application. In the meantime, I can not sign off on it. Thanks. On an internal note, could my BOH colleagues (or Ben) advise me on standard soil test procedures (e.i. average depths and size of test areas, time period in which work is done and completed, filling back test areas, stabilization/clean-up methods, etc.) Alison 2 1 f � DefieChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Thursday, March 11, 2004 3:08 PM To: 'Pamela Dellechiaie; 'Susan Sawyer' Subject: RE: 69 Oakes Drive Soil Test App. Lai Daniel Ottenheimer (info@millr... Pam and Sue, I will not schedule this soil test until I hear otherwise from you or Conservation Commission folks. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsulting.com ----Original Message----- From: Pamela DelleChiaie[mailto:pdellechiaie@townofnorthandover.com] Sent: Wednesday, March 10, 2004 11:02 AM To: Daniel Ottenheimer(E-mail) Cc: Sawyer, Susan Subject: FW: 69 Oakes Drive Soil Test App. Hi Dan, Would you review Alison's concerns please? The application went out in the mail this week. You should getting it today if not already. Let us know how to proceed once you look it over. Thank you. Pam -----Original Message----- From: Sawyer, Susan Sent: Wednesday, March 10, 2004 10:59 AM To: DelleChiaie, Pamela Subject: RE: 69 Oakes Drive Soil Test App. Did you forward this to Dan already. If not, would you please? I didn't want to send it twice. Susan -----Original Message----- From: McKay, Alison Sent: Tuesday, March 09, 2004 3:59 PM To: Neeseng@aol.com Cc: DelleChiaie, Pamela; Lagrasse, Brian; Sawyer, Susan Subject: 69 Oakes Drive Soil Test App. 1 Hi 4en, I went out to 69 Oakes this morning to review the Soil Test App. you submitted to the BOH. The soil test area shown on the plan submitted appears to be closer to the isolated wetland than I am comfortable with. The grade surrounding the area also drops off significantly toward the isolated area. In as such, I would like to see staked haybales placed between the isolated area and the soil test area, with as little vegetative disturbance as possible because of the fact that the area is sensitive (i.e. estimated habitat, buffer zone to IVW). Please feel free to call me to discuss this further and to discuss a time frame, as I am also concerned with saturated soil conditions, especially in this area. As we know, Mr. Talbot's property next door appears to have a high groundwater table and continous dewatering was necessary. Following discussion with you, I will procede accordingly with the application. In the meantime, I can not sign off on it. Thanks. On an internal note, could my BOH colleagues(or Ben)advise me on standard soil test procedures (e.i. average depths and size of test areas, time period in which work is done and completed, filling back test areas, stabilization/clean-up methods, etc.) Alison 2 1 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Thursday, April 15, 2004 3:14 PM To: Susan Sawyer; Brian LaGrasse; 'Pamela Dellechiaie' Subject: schedule Once again the wet weather d�s-iri-for•the-p lation test at 545 Winter Street this morning. It also caused NEES to cancel the soil test at 69 Oakes Drive.._I ill let you know when they are re-scheduled. We have arranged soil testing for 193 Lacy Street with Mill Stone Engineering for Thursday May 6th at 10:00 am. Dan Daniel Ottenheimer,President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriv_erconsultina.com info _ millriverconsulting.com 4/15/2004 FORM .H SOIL EVALUATOR FORAM . Page 1 of 3 No. c ,� Date: Commonwealth of Massachusetts 1�or �, . �claP Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: ...&Aa�x�.....C....... Date: i. Witnessed By: .... . .4e.atir.... .r�.a� - ........................:................. _......� .......................................__.........1......... L&I �( /q iQakejS �C.�t? o �w Aicswx I Care� y 1V ac tV1 Y�C�or t t`f�t s� Add=,.l (001 �Kes cglki^C- . '�°°`` �� New construction ❑ Repair �PJ3) 608-7 - 07 7 / Office Review Published Soil Survey Available: No ❑ Yes Year Published J.q.BI. Publication Scale 1.):k00�....-.... Soil Map Unit Drainage Class .1?Wc-.1.1..... Soil Limitations ..../-10J&.(- Ir.....RA4.i. ................ -_............._.r. . Surficial Geologic Report Available: No Yes ❑ Year Published �.v.,s Publication Scale Geologic Material (Map Unit) ................................................................:......................... ........................._............. Landform ................_........................................................................................................................................................._............ . Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No El Yes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) ...................................................................._._.................. _ .... Wetlands Conservancy Program Map(map unit) ......................_...... Current Water Resource Conditions(USGS): Month Av�.�, {- Range.:Above NormalNormal ❑Belcw Normal F1 Other References Reviewed: DEP APPROVED FORTr-12/07/95 FORM 11 : SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. _U Ci nCk.V'ZI � On-site Review Deep Hole Number Tp :: Date:.-:; :v7.f�� 6q Time: Weather .. ...:...: .. Location (identify on siteplan) a - . ..:.....:.. .......... Land Use ..:.C�. .t..: �1_.. j Slope (%) Surface Stones /4�cs .. ... .: . .. Vegetation .1 0,041'.,c1:....:.:....: r..,.::... . :::.., Landform Position on landscape F/G-f c, Distances from: Open Water Body 5'00. feet Drainage way. V00... feet Possible Wet Area . 7 feet Property Line -o .l.-...... feet _ Drinking Water Well >15�0'. . feet. Other ..-:7-11-11'... w Y. DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders,Consistency, % Gravel b—1Z A Sir AA//= 12 — -5 -Z' . U 16>>;Rs/e. MIF 32 —C64 C t 5 . L' 5 y `°1'2 t2� �.2 5 , L rs S�lOGl3 -1.5 112 411, ,M�F loyo ebbs• Med clis� tAahy 5\4 meci . dist 1 t � Parent Material(geologic) C�taTtcr� •�� DepthtoBedrock: Depth to Groundwater: StandingWater in the Hole: tt` —Ark—__��� Weeping from Pit Face:_IyBn� Estimated Seasonal High Ground Water:- a�11 DEP APPROVED FORD!• 12/07/95 , FORM li : SOIL EVALUATOR hORNI Page 2 of 3 Location Address or Lot No. Ori-site Review Deep Hole Number Dater..:: :.�.��J U`I Time:.: ...:...: .. Weather Location (identify on site plan) ;.,. P Rt : ......_...:.:xk.. . Land Use Slope (%) : .":. . Surface Stones �` .... : . .. :011 Vegetation ,POJec ..v:..:....:... Landform Position on landscape F/af Tolon Distances from: Open Water Body apo feet Drainage way. ..goo feet Possible Wet Area .��.:. feet Property Line .'.... .. feet Drinking Water Well>J5t7 . feet Other DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders,Consistency, % Gravel) 4- A 5�- 1U yC��h MlF L 10yR5�� M/F 2,u' 1 V Q, C_ ` 5 �1�I �2"1 a b AI J 75 y\?- M S_\' U11 VA0,J" . ",A cA - C1�5+o Parent Material(geologic) ����,i QA T�� DepthtoBedrock: _ Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: ,�Verl� Estimated Seasonal High Ground Water: it __ DEP APPROVED Pont• 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. On-site Review Deep Hole Number 1V 3, i Oate:..:: � 3 �U�-( Time::.....:...:. .. ., ��-� Weather Location (identify,on Site plan) ';. v ...:.k.:.. Land UseSlope (%) Surface Stones :01. ... .: . .. Vegetation ., Landform . lrt,n Position on landscape Flat Tqp6 ...:. ..:. .:...: .:::.. Distances from: Open Water Body .500 , feet Drainage way.4100. feet Possible Wet Area 39 . feet Property Line . .�....... feet Drinking Water Well >45'd. feet. DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) MIF 51g q -�v L loy R 3C) 75yv m.ec� C t 5L 5y �l2 �►5� ✓u/F /t3�/Q �alObjesr C, S.L GS�Ioi�� S y t A4/F 1p% v510$ -4 r`eCl l Parent Material(geologic)_,_hf 6Z�;oil`7,1 11 DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: O►to _ Estimated Seasonal High Ground Water: DEP APPROVED FORM- 12/07/95 FORM 11 - SOIL.LVALUATOR FORM Page 3 of 3 Location Address or Lot No. -. A4a,le,r Determination for Seasonal High Water Table Method Used: {� Depth observed standing in observation hole................... inches El Depth' weeping from side of observation hole:.................. inches DepTh.,to soil mottlesv:;v..�.� ., inches 1pa a 0 Ground -water adjustment ................... feet IP3 3. index Well Number .................. Reading Date ................... Index well level ................... Adjustment factor ................... Adjusted ground water level ........................................................ . Death of Naturally Occurring Pervious Material. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? es if not, what is the depth of naturally.occurring pervious material? -- Certification certify that on (date) I have passed the soil evaluator.examination approved by the Department of Environmental Protection and that the above analysis was performed by.me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date �� o . . . g DEP APPROVED FORM-12/67195 's Commonwealth of Massachusetts City/Town of Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms the computer,use only the tab key Owner Name to move your 6-9 QaKe. � fL' cursor-do not Street Address or Lot# use the return RR key. lJoay� Ay)Aa,1c,,(' City/Town State Zip Code S to 8, - o Contact Person(if different from Owner) Te)ephon6 Number B. Test Results 7 10 Lo q ? IY a 737 Dae I Time Date Time Observation Hole# Depth of Perc Start Pre-Soak 'W37 End Pre-Soak `J S -7,,5,) Time at 12" 9 r 5 8 -7;5-a Time at 9" R I qQ Time at 6" 9 I Time(9"-6") Rate(Min./Inch) D A%n`/�..r�G� Test Passed: ❑ Test Passed: Test Failed: Test Failed: ❑ Test Performed {t 'h ieso Witnessed By: Comments: t5form 1 2.doc-06/03 Perc Test-Page 1 of 1