HomeMy WebLinkAboutMiscellaneous - 865 JOHNSON STREET 4/30/2018 (3)0
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TOWN OF NORTH ANDOVER
RECENE® Community & Economic Development
HEALTH DEPARTMENT R,
2 2017 120 Main Street
oRNpRTHANDOVER NORTH ANDOVER, MASSACHUSETTS 01845
��TH DEPARTMENT 978.688.9540 —Phone
978.688.9542— FAX
E-MAIL: healthdept@northandoverma.gov
WEBSITE: hq://www.northandoverma.gov
SEPTIC PLAN SUBMITTAL
FORM
/02. 0® Y6
Date of Submission: T ILI
Site Location: To1I)S01) 511 /_02/—
Engineer: �u t / e�/ir'• /� .1'i'�/�'1G:.G� e7C,�,
New Plans? Yes $275/Plan Check # (includes I" submission and one re-
review only)
Revised Plans?Yes-k$125/Plan Check #
Site Evaluation Forms Included? Yes No
Local Upgrade Form Included? Yes No
Telephone #: 5-08 -868 -30?8
E-mail: �,�" 7�« l'e S C L, �e,/`� >�an • /') �.
Homeowner
Name:
OFFICE USE ONLY
When the slibm4ssion is complete (including check):
➢ Date stamp plans and letter
➢ Complete and attach Receipt
➢ Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
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Town of North Andover
� '•�:, :e .• HEALTH DEPARTMENT
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CHECK #: 78 43 DATE:
k LOCATION: 865Zc 4/)so/� 1A
H/ O NAME: &5co"
CONTRACTOR NAME: / Q, c t 6
Type
of Permit or License: (Check box)
$
❑
Animal
$
❑
Body Art Establishment
$
❑
Body Art Practitioner
$
❑
Dumpster
$
❑
Food Service - Type:
$
❑
Funeral Directors
$
❑
Massage Establishment
$
❑
Massage Practice
$
❑
Offal (Septic) Hauler
$
❑
Recreational Camp
$
❑
Sun tanning
$
❑
Swimming Pool
$
❑
Tobacco
$
❑
Trash/Solid Waste Hauler
$
❑
Well Construction
$
SEPTIC Sustems:
❑
Septic - Soil Testing
$
❑
Septic - Design Approval
$
❑
Septic Disposal Works Construction (DWC)
$
❑
Septic Disposal Works Installers (DWI)
$
❑
Title 5 Inspector
$
❑
Title 5 Report
$
Other: (Indicate)
HealtTAgent Initials
White - Applicant Yellow - Health Pink - Treasurer
�3
Bill Dufresne
Merrimack Engineering Services, Inc.
•66 Park Street • 907 Ocean Blvd.
-Andover, MA 01810 • Hampton, NH 03842
•(978) 475-3555 Ext. 20 • Cell: (978) 502-6206
Fax: (978) 475-1448
Email: brdufresne@comcast.net
LETTER OF TRANSMITTAL.
RECEIVE®
JUL
Tom 60AR
TO: NA Board of Health
DATE: 7-12-17
DATE
RE: 865 Johnson Street
DESCRIPTION
2
Revised 6-6-
17
WE ARE SENDING YOU: (x) PRINTS ( ) PLANS ( ) SPECIFICATIONS ( )COPY OF LETTER
COPIES
DATE
NO.
DESCRIPTION
2
Revised 6-6-
17
Lots IA, 1B, 2A & 2B Subsurface Sewage Disposal System Plans
THESE ARE TRANSMITTED as checked below
(x ) FOR APPROVAL ( ) FOR YOUR USE ( ) AS REQUESTED
( ) FOR REVIEW AND COMMENT ( ) APPROVED AS SUBNHTTED ( ) RESUBMITTED
sTUB:
The plans were modified ONLY to reflect the different lot numbers which were assigned to the (4) proposed lots during the
Planning Board ANR process. Lots were previously numbered 1-4, now are numbered 1A, 1B, 2A & 2B.
North Andover Health Department
Community and Economic Development Division
September 29, 2016
Vladimir Nemchenok
Merrimack Engineering Services
66 Park Street
Andover, MA 01810
Re: 865 Johnson Street - Lot 2 (Map 107A, Lot 28)
Dear Mr. Nemchenok:
The proposed wastewater system design plan for the above site dated September 10, 2016 and
received on September 16, 2016 has been reviewed. ` Unfortunately, the plan cannot be approved
until'the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or
North Andover regulation that is not met by this design follows each item where applicable.
1. On sheet 1 of 2, a benchmark was not depicted within 50-75' of the proposed facility
(3 10 CMR 220(4)(q).
2. The location and elevation of the foundation drain was not depicted on the design plan
(NA 3.2).
3. The survey statement by the designer was not depicted on the design plan (NA 3.2).
4. Specify all system components shall be marked magnetic marking tape (3 10 CMR
15.221(12)).
5. On sheet 2 of 2, test pits 2A and 2B indicate the C horizon as a loamy sand (LS) but the
Board of Health representative's field notes (see attached) have this horizon noted as a
sandy loam (SL). Also modify DEP Form. I I as needed.
6. On sheet 2 of 2, the bottom of the trench in the scaled profile is sloping.
7. Indicate whether or not the new property lines have been approved by the Planning
Board. If so, please submit a copy of the subdivision plan for reference.
Page 1 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any
questions you may have. We look forward to working with you to obtain a wastewater treatment
and dispersal system which will be in compliance with all regulations and assure protection of
public health and the environment of North Andover.
Sincerely,
Brian J. LaGrasse, CEHT
Director of Public Health
CC: Carol Resca
File
I
North Andover Health Department, 1600 Osgood Street, Suite 2035, Page 2 of 2
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
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TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01845
SEPTIC PLAN SUBMITTAL
FORM
978.688.9540 — Phone
978.688.8476— FAX
E-MAIL: healthdept@northandoverma.gov
WEBSITE: b-q://www.northandovenna.gov
RECEIVED
SEP i 6,,w
Date of Submission: �
TOWN OF NORTH ANDOVER
Site Location://-}(��"� ?. HEALTH DEPARTMENT
Engineer: &�6 1, (�W f�
New Plans? Yes �/ $275 n Check #(includes 1s` submission and one re-
review only) Z x
Revised Plans?Yes $125/Plan Check # /
Site Evaluation Forms Included? Yes 1/ No
Local Upgrade Form Included? to Yes No
Telephone #: /��
E-mail: AA11
Homeowner
Name: CAM, '5,61,
OFFICE USE ONLY
When the sub ssion is complete (including check):
➢ Date stamp plans and letter
➢ — Complete and attach Receipt
➢ ✓Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
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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.
A. Site Information
Owner Name ,
Street
D 045.
Zip Code
t,onraci verson pr airrerenr rrom uwner)
B. Test Res u its
Observation Hole #
Depth of Perc
Start Pre -Soak
End Pre -Soak
Time at 12"
Time at 9"
Time at 6"
Time (9"-6")
Rate (Min./Inch)
Comments:
By:
Numoer
-L + i H
Date Time
7t
Gr lb
Test Passed:
Test Failed: ❑ .
k2mi
Date � Time
Test Passed:
Test Failed: ❑
t5form 1 2.doc- 06/03 Perc Test • Page 1 of 1
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01845
Susan Y. Sawyer, RENS, RS 978.688.9540 - Phone
Public Health Director 978.688.8476 -FAX
www.townofnorthandover
APPLICATION FOR SOIL TESTS.
DATE: 0-4-1 A MAP & PARCEL:
LOCATION OF SOIL TESTS:
AUG 06 2014
NJRTH ANDOVER
TH DEPARTfAENT
OWNER:-IG"jt,Contact #: 508 -- 8 g - -SO-78 ,
APPLICANT: 'Ai - t eF Contact #:
ADDRESS:
ENGINEER:�T i.���� i%� �a C 11 �r�l'LI-Z Contact
CERTIFIED SOIL EVALUATOR: T?4L t_ j2(„ eg c}g
Intended Use of Land Residential Subdivisio Single Family Home Commercial NOW -• 1G
Is This: Repair Testin v eveloped Lot Testing:_Se�Upgrade for Addition: .1_) 2 !J�6
.1
In the Lake Cochichewick Watershed? Yes o(1QI}/ f I of 3A
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM j/ 1 `
➢ Proof of land ownership (Tax bill, or letter from owner permitting test)
➢ 8.5" x 11 " Plot plan & Location of Testing (please indicate test nit sites on the plan)
➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal. area. Fee of $360.00 per lot for repairs or upgrades.
GENERAL INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans.
➢ At least two deep holes and two percolation tests are required for each septic system disposal area.
➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
➢ Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board of Health
showing the location of all tests (including aborted tests).
➢ Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval Date: t1'
Signature of Conservation Agent: je�
As, cc�
Date back to Health Department: (stamp in).
��- rO.fry
L_ C�'Z r -o lr�� � �' i S � �►'
rove
North Andover MIMAP May 12, 2014
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Rail Line
Interstates Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83,
I Meters Data Sources: The data for this map ores produced by Merrimack
SR NORTH Valley Planning Commission (MVPC) using data provided by the Tovm of
Roads Of� `t ee A1,o North Andover. Additional data provided by the Executive Office of
is i Easements j de y 0 Environmental AffairslMassGIS. The information depicted on this map is
.ttL for planning purposes only. It may not be adequate for legal boundary
0MVPC Boundary _ O definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER
0 Municipal Boundary - MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING
Trails >w THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY
rK i „ ; OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT
❑ Parcels rf o9 �' * ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
Hydrographic Features �{9 po+�r�u .P"�q0 THIS INFORMATION
Streams SSwCHU`�E
".Wetlands
Exempt Lands 1" = 233 ft "�`
Blackburn, Lisa
From: Isaac Rowe <irowe@millriverconsulting.com>
Sent: Friday, September 19, 2014 8:03 AM
To: Blackburn, Lisa; Sawyer, Susan
Cc: 'Pam Lally'; 'Isaac Rowe'
Subject: RE: 865 Johnson St.
Attachments: 865 Johnson Street - Soil testing results 9-18-14.PDF
Susan,
Attached are the soil testing results for the above referenced property. We did a total of (5) lots. Generally good soil
except some pockets of excessive rock. There is relatively a high groundwater table throughout the site so all systems
will be raised above grade.
I allowed (2) deep holes and (2) perc tests per system area because they were across the proposed system location.
Trenches will be proposed. If leach beds are proposed instead then we should probably require additional test pits
before or during construction. The soil was consistent and I am not worried about lack of soil depth in the areas we
tested.
Please let me know if you have any questions.
Thanks,
Isaac M. Rowe, R.S.
Project Manager
Mill River Consulting
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
Fax: 978-282-1318
irowe @millriverconsultina.com
www.millriverconsulting.com
From: Blackburn, Lisa[maiIto: LBlackburn(c)townofnorthandover.com]
Sent: Wednesday, August 27, 2014 3:26 PM
To: Dan Ottenheimer; Isaac Rowe; Pam Lally
Cc: Sawyer, Susan
Subject: 865 Johnson St.
Good Afternoon,
Please contact Bill Dufresne to set up soil testing for 865 Johnson St. Thank you.
Lisa Blackburn
Health Department
Town of North Andover
1600 Osgood Street, Suite 2035
North Andover, MA 01845
Phone 978-688-9540
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