HomeMy WebLinkAboutMiscellaneous - 865 JOHNSON STREET 4/30/2018 (4):-.h
.Al
arm .
. • 4�,TtY.ted'��a.
TOWN OF NORTH ANDOVER
RECENED Community & Economic Development
2 2011 HEALTH DEPARTMENT
120 Main Street
.too oftwjHANOOVER NORTH ANDOVER, MASSACHUSETTS 01845
�{ p�PAREPIT 978.688.9540 - Phone
978.688.9542- FAX
E-MAIL: healthdept@northand6venna.gov
WEBSITE hqp://www.northandovernia.gov
SEPTIC PLAN SUBMITTAL
FORM
Date of Submission: -TU /Lj�2-
�-- /o
Site Location: `J 4XIISG/) 5 �C.ff --L'-'4
Engineer:
n New Plans? Yes $275/Plan Check # __ (includes 1" submission and one re-
review only)
Revised Plans?Yes--t$125/Plan Check # 7 JJ
Site Evaluation Forms Included? Yes No
Local Upgrade Form Included? Yes No
Telephone #: S08 - 8068 -30'? 3 "g"//", —
E-mail: �,c,/` . /�5�a. rD„ Kl-, ?& a 7eJ
Homeowner ra"-6
Name: / Xzsr—
OFFICE USE ONLY
When
is complete (including check):
ate stamp plans and letter
omplete and attach Receipt
opy File; Forward to Consultant
nter on Log Sheet and Database
•;e
Bill Dufresne
Merrimack Engineering Services, Inc.
•66 Park Street • 907 Ocean Blvd.
-Andover, MA .0 18 10 • Hampton, NH 03 842
•(978) 475-3555 Ext. 20 • Cell: (978) 502-6206
Fax: (978),475-1448
Email: brdufresne@comcast.net
LETTER of TRANSMITTAL
RECEIVED
JUL 12 '1011
TOWN OF NORTH AN00VIR
ff,iI.TH 60ARUO?
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 SUBMITTED ( ) RESUBMITTED
REMARKS
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 IA, 1B, 2A & 2B.
V u
2 P as W N u'C V y
-
yc
I zo�Fs a r O Q
te39
igq
L. I
75�iQ
Yp:aeg�€¢
r
Y
QNRi
D
��r
3 L�Yu+ LLLL 0.I
3 s
e
t�
y 1 . _ `g ��-��
tel•
,g I55 ♦
I
„C
I
e &0
C 6p Y� g b ... p�y -:. Q� 4g�d Z L y ! Y L t M Y
gp Lg�gg M/ p 4 �C 1, i Jii^�R g z %Q 8
Y� k 'F 'd � 6 g
e�A �' gl easel $
sea € g'a �� a
UP
—/1�
q' 98 W
' f O
2N y K O
N N
U c o w o
03f -na OF¢ 000 m
=E cmF'wUmO - C
O r 09= 'pmP ¢�-
_.
�e o=
U Z
cZ Ycoo �¢wooa
o
mma3EEmNp CCN a
4,
01 ■r♦• m° n mm c n --='We �Wrco:'Z_. u
i�
E �' E v E Ep ^pay m.ejoy3�N j
DUW S
i? c D m g G 0 W W Z LL C
13 El 1 E0 i ❑8. mE$vc U.w JxwW
SZ n -Gs a¢n�ZoOM Z
,..::
V ce
N w O iu-. O
O Q
Q W N a n S
o
N W N
m O O Z A H
N O Q N = .. T
W e = a W �• O O
t~!; ri m w .Ni 14 eek-'.. < z ... 126.
t =
o
_ ,Fa o
m 29k
m
Ln 8bT m
O �
m C .
aaa�a5.uosuyo[...._.. — cc o
14c),
2
Ab 90'GOT 72.94 O u'
z o
o Q
V
n
o �
W � N H
o .. N VY
W - O � Z m n w
o
.. n Z N ^ O p B �66t O
2 O N ce
F
c p •99'8SL H Q „' p o 4
Q _ z
0 o m
o p
Q
a � j
O M
F - 0
cc
W .
01
1 S
a
0
14 N d'
a 4
D
Q
2 366.46'u
O �l
LL
ZG� I O Qj
o = ro J i .i 7y
� Pf < O S! ir► O � �
O
O
N N
JF I C
O O
Q HC n
O p O U1 ��.ljI A:.. N
N U m U Q
G O E O
i C Q m m G K
LL £
~ 1 N J l7 Wrz
u cc
LL
m
O OC' C
J U Q
n O m P
„O„ m o °o ti
i u uo
N n
u
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 1 (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, indicate the holder of the 30' drainage easement (3 10 CMR 15.220(4)(b).
2. On sheet 1 of 2, a benchmark was not depicted within 50-75' of the proposed facility
(3 10 CMR 220(4)0.
3. The location and elevation of the foundation drain was not depicted on the design plan
(NA 3.2).
4. The survey statement by the designer was not depicted on the design plan (NA 3.2).
5. Specify all system components shall be marked magnetic marking tape (3 10 CMR
15.221(12)).
6. On sheet 2 of 2, the C 1 horizon in test pits 1 A and 1 B need to be indicated to be removed
based on the Board of Health representative's field notes (see attached) due to the
compaction level of the horizon.
7. On sheet 2 of 2, the bottom of the trench in the scaled profile is sloping.
8. 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
Page 2 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North. Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT 160
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01845
978.688.9540 — Phone
978.688.8476— FAX
E-MAIL: healthdept@northandoverma.gov
WEBSITE: bgp://www.northandoverma.gov
SEPTIC PLAN SUBMITTAL
FORM
R
Date of Submission: <- SSP 16 MiR
TOWN OF NORTH ANDOVER
Site Location: `
/� I f. t l� /. I HEALTH DEPARTMENT
�,� ,. l Gi
Engineer:
New Plans? Yes �/ $275 n Check #(includes 0 submission and one re-
review only)'
- Revised Plans?Yes $125/Plan Check #/
Site Evaluation Forms Included? Yes 1/ No
Local Upgrade Form Included? k)k Yes No
Telephone #: l�ij�L�r�� Fax #:
Homeowner
Name: 6A CL.' )We7` .
OFFICE USE ONLY
When the submission is complete (including check):
➢ Date stamp plans and letter
-------Complete and attach Receipt
➢ 1/ Copy File; Forward to Consultant
➢ LZ Enter on Log Sheet and Database
CO
O
m
m
c
w
0
T
O
CL
0
n
0
T
0
I
co
o_
cn
C.
o�
6
D
0
W
N
N
3
CD
0
0
m
m
CD
v
0
0
U)
m
d
0
CD
0
co
d)
Cn
A
0
D
O
-n
O
G)
0
CD
CD
mCD
D
m
m
fD
N
m
ni
CD
N
`I
mC
v
`p
O
O
a
O
CL
a
O
m
n
O m
z
v
0-
cy
v
v
=«
Q v
Q w
a
v
N 0
C
C �='
O
El
CD
2
j
o
�
NCD
n
m
o
O
�
v
❑
❑
3
m w
�
O
0
m -a
0)
z
O
v
s -
co
cD
O
z
O
N
z
v.
RW.
S 3
7 O
N ^.
m m
0 O
N (D
O
O
0
J O
OL
cr
0
c
CLm
•J
❑ ❑
((D ((D
U) CO)
❑ ❑
O O
W
Gn co
CO•
Dh Z
n 0
of 3
G)
CD
O
0
cn
ami
CD
_0
O
a
v
v
(D
rn
En
z \
0
v
v
C
rt
wil-
c n
m �«
0 (D
CD O 3
0. =3 -�
C/) m O
O
c
C
(D rh
� O
Z
cr �
cuJ 0 O
7
U)
c
.nom
N0
❑ ❑
z c
!D
Yi
-� ❑
m ;a
d
c � �
=r
m
CL
m
0
0
m
A
C
O
N
O
OD
m
w
m
CL
0
CD0
m
co
0
c
Q.
m
Cn A
UI �
c y m
a•
a). ro
m cu
O
❑ =_
0' 0
cn
CD
CD crc
Q- a
co
0
CD
0 ❑ v
� c(D
CD N Z N
o -
A,,D ❑
v
cD
Z
0
c
w
CD (CCD
O y
= v
fl
N
3
s ❑
41
3 CD
cn
c
CL
v o
0
3
_ ❑
Q
_
(Q W
G CD
m 0
2
O
N
I
v
0
m
0
O
O'a
-a m
m
CD
W
0
CL
l<
d
a
oil
SII
/'1
o
r
O
G
0
o
`°
Q
o'
1=
CD
N_
N
�
N
Q
o
p
in
CD
m
cr
X
cu
0
(D
<:
v
Q
m
'Z
CZD0-
a
�
CL 0.
Lna
00
�P
CO)
�
N
O
o
c
G
o
Q
W
.-.
m
P,0
Z
n
m
c
v
3
mM.
-h
_
N
0
:~
d
a
oil
SII
o
y
o
w
`°
Q
o'
1=
CD
N_
N
�
�
0
cn
3
Cb^
CL
�
a
_
a
�
v
Q
m
'Z
CZD0-
CL 0.
Lna
00
�P
CO)
�
N
:�„�iiuliillllllll�il
'���li�lllllllllll� IIIIIII���c I
O =0
O 3
CD
O �
�. O
N
C)
c S
�• C
�• (DD
N
(D
O
1
O
V+
D
♦
V/
c�
cD
v
0
0
w
0
co
v
m
(D
'6
a
N
(D
N
O
2
O
(D
Z
C
3
+5
(D
®
A
M
q
�J<j3
v
O
O
3.
O
Z
N
^O
O-
� X
®
�®
®
m O
O
t
O
N
�
s
a
O
x
o
n
oS
`. W
A)
V
0
W
�®
N
3
O
�
O
D
C
VD
o w
cr CD
O
O@
C
0r.r
Q'
7
ow
CA
c
� o
o
3a N
2. o
n
O
z
e�
v
m
(D
'6
a
N
(D
N
O
2
O
(D
Z
C
3
+5
(D
0
m
v
0
0
4l
0 0
O
m
CD
CD
41
m
3
v
m
CL
m
Q
v
ov
O
m m
C
CD a'
0
C
CL
a n.
cn
0
�
CD
�
0
s
W
v
v
m
0
3 <
(D
(O
.O-.
T p =
Q C _
C
CD
r '*
CD
CDW
0
CL
l<
z v
O
mCD m
w
CD
� a
v v o
o
CD
D
o N c N )
= v
CD_
v o
CD
:❑
v_
CD '0
co S N
w (D O CD +
C
a -.
p o
o 0
m
s,
o
CL m
0 0 M CL
_
CD �(D\ 0
? D d
W N m
a �
co
m CL m
m0 .0.. O z m mly �.
0 O m m
0
0
m
T
0
_
(D
N
0
lm
o,
r
c
Or
n
m
p
o
Q
m
O
O
0
Q.
0
o
p
V)
m
i
'
c
A
Z
;W
tD
(D
rt
O
C�C
G
=
0
N
c
o
c
m
Q.
Ri
��4f'-fir
glilllllllllllllllllll�»'��
a;, illldl n",
Liilllllllllll�lllll
p ,� o
o
:O
�
-� o
CDc
O
�■ O
Cl) 3
A+� W
W C)
c
U)
CD
rh
O
1
O
r+
CD
CA
CD
_a
N
O
Or
0
m
o
Q
m
0
Ri
��4f'-fir
glilllllllllllllllllll�»'��
a;, illldl n",
Liilllllllllll�lllll
p ,� o
o
:O
�
-� o
CDc
O
�■ O
Cl) 3
A+� W
W C)
c
U)
CD
rh
O
1
O
r+
CD
CA
CD
_a
N
O
C'7
O
CD
p ,� o
0 c
O
V/
at
r W
S1
Cr :r
y
y
(D
N
PF
O
O
V+
Sm
to
N•
O
cn
0)
o_
�*
t�
> •
or, S
a.
O
A
w
y 3
t
CD o
v
0
0
CL
O
x
30
®
0
o�
�
S
ID
D
V
A
r-
0 n
C m
C
17
9
N
c
CO
0
3H N
S= o
0
Cl)
O
S
0
C'7
O
CD
p ,� o
0 c
O
V/
at
r W
S1
Cr :r
y
y
(D
N
PF
O
O
V+
Sm
to
N•
O
cn
0)
U)
0
m
m
o�
0
3
0
tp
0 O
n
0)
O
co
m
w v ID
CD
�v
N o o
N �N
N N Of
O O
U', N v
w •< 1= <D
CL m O
O
OZ rt = y
N (a
O
0 (
d (D
c 2 rt
(D °
CD 0
a 0
c (D
m'
(O
C
CD
z
cr
CD
Q
17� CD
x
cn
rt
S
N
N
N
O
Q
co
CD
CD
Q.
r =r
m (Q
S
cr c°
O
� rt
S
Q m
v �
N
O
n p o
S
Vii (D
a
CD
C
O
0
Q
co
a
a
3
03
03
3
CL
X
z
c
3
Q
3
CL
X
N
�
G)
o
o
v
v
Q
CL
O
O
fND
v
(D
m
cr
CO)o
CL
(D
v
m
(o
m
c'
o
x
v,
3
3
CD
O
m
O
CD
(a
C
a
o
`z
o'
cr
m
CD
0
o
..
o
m
0
0
3
(p
CD
O
fD
o
v
n
:3
O
m
v
MILh
to
Q
C
CL
A)
(D
I
m
c�
0
p ; O
�o33
o
C
0. O
-h
Cl) VI
i N
ert y
y
� O
U)
m
N
cD
C
IN
O
Y/
r+
CD
ffi^ll
�i
(D
c
N
^N
W
cn
0
m
D<i
m
0
3
-n
O
N
a
0
n
O
d
CD
CD
N
O
CD
0
m O �.
rt_
3 c ti
7
CL
(D
a v
o m ❑
75L
=rc v
o m c
2 c
CID Cr
=r a a
o
c
a �
CD
cD ❑
-n
A
d
W
n
(D
v
�
v
z
7
K
O
�
A
co
m
❑
(D
A
CoZ
O
G
o
0
o
�
�.
ca
O
m
N
F
Z
rr
tD
(D (D
0
C
c
�
m
N
M
�,
r
v�CID
CO)
geTv
(D
O
O
m
:3m
N
r.
`w
civ
CD
v
r
�
N
�•
CD
m
o
rt
m
v_
CL
�N
(D
(D
3
CID
1
3
a
N
0
(D
4
(n
(D
0—
N
r_
N
Q
v
CL
0
mv
0
W,
CL
0
a ❑
y
s
<
N
D,
a
CO)
m
0
��s
Y
7
W
2
Ir
O
(D
A
d
W
v
v
v
v
(D
O
7
K
�
N
�
A
co
�
N
(D
C
CoZ
O
G
o
0
o
�
�.
ca
O
e�
z
N
F
�
rr
tD
(D (D
C
v
�
m
�
O
N
y'
CO)
geTv
(D
-113
o
v
O
m
:3m
=
r.
CD
r
�
N
�•
CD
m
o
rt
�
CL
�N
(D
O
0
O -0 y.
(D ai =
m
N
N
O .m
a
iX
r
v
Q
C
N
(D
N
v
m
O
(D
N
,R
CD
r-
0
n
v
0
CL
(D
0
7
t�
d
n o o
v
v
v
3
O
(D
O
V_I
:
�
A
co
�
O
(D
C
CoZ
O
G
o
0
o
C
`
�.
ca
CID
e�
z
F
Q
rr
tD
(D (D
C
v
�
m
O
N
y'
CO)
geTv
m
m
..
r.
CD
N
�•
(D
rt
�
0
O -0 y.
(D ai =
m
N
N
O .m
a
iX
r
v
Q
C
N
(D
N
v
m
O
(D
N
,R
CD
r-
0
n
v
0
CL
(D
0
7
t�
o
n o o
v
p
-�
3
O
(D
O
V_I
:
�
A
rF
O
<
CoZ
O
=
o
0
o
C
`
�.
ca
O
ic
e�
z
F
�
N
rr
tD
C
C
O
�
O
N
h
N
Cl)
CD
v
�•
(D
�
�N
(D
O
1
V+
N
0
(D
4
(n
(D
N
(Q
N
Q
v
CID
O
CL
y
O
CO)
��s
Y
O
Ir
a
0
v
Z
0
fD
<A
A-
v
CD
-0
O
CD
N
O
0
CD
Z
c
6
CD
In
O
0
o
O
30.
�-
o -
3x
ux
000
=o
m
CL
x
R.
30
0
o
0 az
CD CD n
N
O)
N
W
3
e�
V '
�
CO•
co N
r
C
Q
0
0
o@
C
V7
SE
(DD W
H y
co)
no
9
T.
0.
w ..
3
C)
0
S
(D
z
v
CD
-0
O
CD
N
O
0
CD
Z
c
6
CD
In
O
O
m ❑ Q �, Q
�. L
� w
CD
O m m
CD
tJl
A
W
N
v
r
m
O
p
O
N
o
o
_
ca
0
w
7
O
o
0
CD
�
m
w
0
C
//1A
w
to
cc)o
a,
_
_
m
a
m
m
c
rr
0
CD
m
O
❑
m
o
m
v
m
<D
m
m
-i
v
s
o
m W
m
m
co
❑
o
<
Q
c
m
�d
w
m
w
g `�
C/)m
_
G
co
G)
m
_0
�
o Q
�
v CD
CL
C:
0
!D
�
00)
c
z
C
_
o
m
Ca
4
Q
-�
m
`°
0
=
a
0
�
m cn
cn T
m
C
o
;+,
c
CD
ami
0-
❑
o
m
�
m ❑ Q �, Q
�. L
� w
CD
O m m
CD
L
1
O ;:w O
Soo
1 0
X
O
�. O
CO)+
� y
c
POL
N
N
3
O
O
CA
(D
CCO)
02
_v
y
O
A)
r ❑
r
m
O
p
CL
o
_
0
0 Ep
z
v
0
w
to
cc)o
_
_
m
O
m
m
-i
v
s
m
❑
m
w
�d
w
C/)m
G
q�
m
m
o Q
v CD
CD
3
c
o
m
ar'
n
O
T
o
m cn
cn T
C
a' O
s
fD yw.
0-
❑
m r
m
�
CL
O
CD
.t n
D
�
v m
a
o
.o
fQ
s
tD
3 O
CD
\ n
d
m
v
�F
N n
Z
W
O
N
m
O
(D
L
1
O ;:w O
Soo
1 0
X
O
�. O
CO)+
� y
c
POL
N
N
3
O
O
CA
(D
CCO)
02
_v
y
O
A)
0
(31
0
00
CL
Q
0
RL
Z
O
fD
p/
0
CD
m
O
rn
CD
d
O
7
2
O
fD
Z
c
cr
CD
i
a
n
O
CA
X
n
C
(D
CL
I
CA
O
VI
a.
N
(D
N
CD
O
1
O
CA
(D
_v
VI•
O
o
�
a
rn
0
� 0
CD 2.
O
3 a
O -
CD
-o
v
0
S
;a
0
CL
0
x
O
3
o
o0
V
-n
-u -0
e0►
V
3
N
N
�
�
o
�C
0
nc
em
°
0
rr000
c to
N
00
0
O
3 T).
0
0
.r
C
0
0
CD
m
O
rn
CD
d
O
7
2
O
fD
Z
c
cr
CD
i
a
n
O
CA
X
n
C
(D
CL
I
CA
O
VI
a.
N
(D
N
CD
O
1
O
CA
(D
_v
VI•
O
0
m
d
0
0
q
N
a
O
fD
0
0)
O
OD
immiu
CT D (D
p
N O N =r
-s Z Q
U)tD
.-► N 0
C
3 N ,O N
<< (D
CL me 0
D
❑ - o O.
=rz CD
0 rt y
O O tp
_« :3 '0 ic
0 0)
a c rr
v o
CD
CD ai
0
a 0
� m
(O
(D
'p z
0
CA
cr
CL
X
N_•
0
N'
O
crz
Q
r =r
0 o
c
3
o
c
Q m
D)
S o
N CD
Q
0
S
O
CL
X
m
Z.
c
c
C
CD
oc
u
D0 0D0D
s =
N H N N
�00'1pua�M
( N U'.,-IIa D
❑❑
ElCD
G)
m
0
O
0v
Q
O
7
=rO
S
N
Q
p
O
(D
Q
CD
O
=
(NSD
v
�
z
CD
Q
N
X
O
C-1.
3
3
3
O
O
U1
Q
N
co
C
n
O
cn
O
cr
CD
CD
c
M
@
:2
0
CD
a
S
O
N
Q
O
0
(p
fD
O
0
m
O
v
O
0
CD
D0 0D0D
s =
N H N N
�00'1pua�M
( N U'.,-IIa D
0
m
m
c
w
0
0
�n
CL
0
n
m
0
E; z
m
a.
N
03
7
CD
0)a
O N
CL 3
m
CD
o =r
v
O O
� n
0
CD�\
C1C Vi
G• 0
00.
(D N
0�
0 N
� 3
3
-l6
o m
3
N 6
3
(D
0-
0 O
s
0
CL
0)
l<
ca
O
=r
N
Q
,0..
lD
O
CD
0..
co
co
3
cG
m
CL
z
m
m
0
R
m
co
y
o v
a
d 0
0
0•
w m
CDa,nim (D
0 0
o a• .c
Q
—0'
C)
a w C1
CD
a �'
CL 0 3
a�IDc
n
0 o
11 CJI
o�
CL 0
(D0 V N
— O O
—�, =3 <
Q
w=rcn a•
_A M N
0CDIDM
LL (n o
m m
� ca
o?cu 3
CD
c r- M M
co ;:; O- a
=- co a- <
O0 `< -+•
U7O
CD `< m 3
v CO 00 7
_. a v
CD ch
N
a O
:E0
0 ..: o
a
(n CD
m
0 v
v
CD Q 0
CL
o
�• � w
CD
N 5 0
c
O X
::r N Gn
Q � O
0• N O
m Q. 0
c� c
v CD
=3 7 0
n o
O (D
3
-no o
0 �0
O
� � C
O (D
c rt
_. O
Cl) i
i y
r— y
Cr
_. c
y
D
N
N
0
1
0
v
�O
0
OD
0
00
E'
E
v
o.
t
N
In
O
113
cn
O
CD
cr
D
N
�D
N
N
<D
O
CD
(o
�D
v
N
O
N
su
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
ILEI
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
0 lbw
Zip Code
(if different from Owner)
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)
Test Performed By:
Witnessed By:
Comments:
Date Time Date Time
FP- 1A
. p►� eJe
t 2
1. 12.11501
v. A
L#Mr_�'
Test Passed:
Test Failed: ❑
4t '
1UP
I
Test Passed:
Test Failed: ❑
t5form12.doc- 06/03 Perc Test - Page 1 of 1
TOWN OF NORTH ANDOVER •g, '•
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.Iom RECEIVED
APPLICATIiON FOR SOIL TESTS. AUG D 6 2014
DATE: MAP & PARCEL:�/� 11014-40F NORTH ANDOVER
HEALTH DEPARTMENT
LOCATION OF SOIL TESTS: % �p
OWNER: (�I .i% �p�l � '11ti� ( Contact #: 1 508 -- 8 (,, S
APPLICANT: �7A —t eF FICO, Contact #:
ADDRESS:
ENGINEER:" Contact #: ( % � , -75� _X
CERTIFIED SOIL EVALUATOR: T?iL L-
Intended Use of LandResidential SubdD Single Family Home Commercial �c
Is This: Repair Testin • v eveloped Lot Testing:�Upgrade for Addition: ) 2 1J6
I
In the Lake Cochichewick Watershed? Yes
-apmY- Iv{ 3-A
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership (Tax bill, or letter from owner permitting test)
➢ 8.5" x 11 "Plot plan & Location of Testing (please indicate test 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
W
N.A. Conservation Commission
Signature of Conservation Agent:
Date back to Health Department: (stamp in):
J
rs I, --)!:, cv-f'� ( k. 0 �— // , 0
r_0 .f1'L
aOSr� d ! Vn " j' -Q. A / OD
r -p
�. .
��
rove
North Andover MIMAP May 12, 2014
098B=0079.107A-0067038.0-0060
107.A-014 -407.' 0146--
098X-0080 :.
#128 #816 #826!
107.A-0027
107.4-0026
107.0-0014 #41
107.4-0141
107.A-0060 #826 r,�.\ 127
.�
107.A-0140 :_: "�I&
107.•-0025
107.A-0061 #843 `: #850.
107.0-000
#180 107.A-0063 ` j (ee 107.A-0045
07.0-0002 107.A-0062 #861 Y _, #858 V
107.A-0064 k
#164 #204 107.A-0044 6l,
#IgoJ �a
107.0=0087
140 #152 j 1. 107.A-0024-
I _ #12 I
107.0-0088 r' #866
#200 i O #24
107.A-0088
07.C -0090q" 107.A-0046
` f #38
ifl7.A0028#1651
/107.A-008
107.0-0003 4800
#153 107.0-0070 #50#143
107.0-0080 .= ` �% iQ7.A-0092 +
10,7.A-0086 #62
107.A_0157 /J#889
1.07.C-010.4 „
107.C-0103` �� 107.A-0089
#910 -....
107:c=0091��: ti\ #801 #65
107.--1-0156 `r 107.A-0056
i07.C-01.01 41"
1072-0692
#06 t #923
1�{1
#79 107.4-0090 '
107.C -0100x2 '•107.A-0093 ? �'
107.0-0093 #016
J #112 107.A-0055
#91 ?� #100 b.,... #940
107.0-0094 f' 107.A-0174
107.0-0099 �, is ''';_ 107.4-0091
#124
::.I;. -. , , • -- , I, 107.A-0008 '.
_ #103 107.0-0091:..:_ : #960
107.0-0042 107.4-0172
:: .: v;::' -':• 107.0-0098 '.
#939 =
:'`io7 C 000�J
107A-6.11'
i07.c-0097 107.0-0096 107.a-0171
#827 #963 #960 -
t_..(.
Rail Line
Interstates Horizontal Datum: MA Stateplane Coordinate System, Datum NAO83,
- I Meters Data Sources: The data for this map was produced by Merrimack
SR NORTN Valley Planning Commission (MVPC) using data provided by the Town of
Roadspf .tt`i o s q1O North Andover. Additional data provided by the Executive Office of
i Easements 3? y� a O Environmental AffairslMassGIS. The information depicted on this map is
C) MVPC Bounds L for planning purposes only. It may not be adequate for legal boundary
ry .O - fa definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER
(] Municipal BoundaryMAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING
- Trails # * THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY
'F s OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT
❑ Parcels '� o9q �• 4 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
r Hydrographic Features 4j o>'xee ���y THIS INFORMATION
Streams gS$ACHt95Et
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(o)millriverconsultina.com
www.millriverconsulting.com
From: Blackburn, Lisa[mailto:LBlackburn(obtownofnorthandover 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
Wfy
Doom? I 1 17,
A
Alf
K No
1wo 11 "11 clw
ni
ply,
y } c J i81111,114
'>rfsz.:3'�"""xTkiJ�,�
r
�.
�'§tiF 1L i i,tsk"j
is 3`,� i C{"s `*4 fl#z'
r �r �t >v sof 1. '.�" '�h����� ,,��,t,'jz� f � � � yy�• r� p �9 ti, � Y J,.
ff
.�. �.+ s
a , #
$ k
�, xa- , .': � t > . -�,r rt yro ` ,�Y rr t �.�•�frs h
icy
ez , ..
I------
..
�Lf
..., ,.
4 'jcs
iE
9
i I
I
•
e 4. rl 11 i I
S.... t[
J _
�}
I
I
.. � •ry^7I (fit
i.�.� { (-4� lt.i _/lam,
Ir
�
0 1J
i
k 1
— '' �{—�KsS �r aJ•i tw tea#W i ;5—G. ji"v R��}.� ^� yr
. _.!ti,..`..,s_�,. Na. .w. ,•w .>.:.W..N'i.:. '-�� '3`r"J1idn.a"�. ffiSi�Fl-iaaRirtwN.ELwi •-�• . �.ri.. A \�st�
.� [_ .. y r r r Ir• .� •.' r-.. ., v v .. . - _ _. ... _ - 57 ati P`AL
5 ... ,,t ��8" (,.x 227.07
Z2t 0�' •228!9
,zzzA 23100 >-:-2z`3i', 0' C)f'?\If3A(; •s;.5r; k
x 221.1,, 2.49 \, 1
EASEMENT -
x +, 1 76 • � 51?inM �.25 r /� i'�� 22004 _ . ` , Jf � �+_ .� \, ._ 7
221.341 X 225.03 \ >: 227.3:
J �
2.20.47 x :22.47 ! \ r: 27".98 \>,
x 1 111 \ T \
>' 218.79 � 2.3r?; 7I
225.49 �. r: A 1.18 ` W4
AREA=;58Q S.F. �� 1 30
r�
219.94x ' / x 22166`` =1.0004 `AC.
?19.0 1 �_ CBIS 32,670 S.F. `�
r ° ` In
} ^'-----21 3 >: 218.19 � `>'' x 2235 crf 1 r
I1A,7 A �, \ °� Y 271,78 � a 1 r,
218.54 --2..5 `� ` �.. \ �`�• \ \ \ i.:.S ks L
v
!28 x•222.82`\2^6.13t:�. '
IA
!'2t ,d � ` � .. � 219\.\'•4 '� .•,� ` ..._ -� \ � \ \ I 23U..
2A ` lU
21969 �A 220.94 3A 1 l �1{�
Leh
r `"3;..07 x 218.83 / -' 219.64 221.10 �*. \ "1 '31 91>S. .0 1249
tc `62.03 214.912 1.74
4A \ \ Ix 223.15\ Y�,
Y.
X 1, , 2.33 LOT 2 5A
\ k 219.63 \ ` \ j ,,.n x 3.i9.o,
x 2 \ }, 19.4
4 .221.42
\ 2,3.16 `\ F CL
AREA=43,879 S.F\ 1987 \2J•
f T ` t 1 ,,a. , 41
t =1.0073 AC. 22.0 \\J 2z .: \ , 229.4;7
CBA=" T,; 94 S.� x221.,6 , (! x 22.22 \
° t
IOA =75/ 9A ! � \ 27.8 ?F
121 1 2i9.Q6`r 219.13 - 9A :.U.2.
{ 1 219.09 i
,220- - X 220.aJ I I \ 227..3.
\ w 211.39 V\'� 217. 1 22226. e
�j:.215.37 - �7c'2^'0,16�
u,.o7 r 2zs.
216. � I ,� ` no 4i 7A x /ub.�
� I
217-0 i / 21.47 'v. x 222.55 ,ti.2'.
222.08 Ix-
\\
/ 2�� O r -•._. x z}r�II43 � x z,sd z19. 2t.J7 h�. � ) 'r, x 2zt.1i To.so
222.59
/ / �.. �... x•2,.,7 65 /
vTz223 J?10 1X2zz.03 / x;4.70>f r.t�
x 2.08.19 j -� \ J , i ` 2 tV ��
222.08 7 220.94 \ / I / P(2497
220.94 x -22.0, 4.5;. \ t f ! ,� 226.97
Q ' _11 22J.b4 x 221.,3 X 222.78 ! 4.;'
,2 �j 1 !1 ( , x219.$ ' 1 .22 79 \1,06 Q
x \x C x219 x221.10 / t
208.1; Y. 210.79 x 219.64 \
12 j
\ \ \ , .222. , - \ / Z Q 22r .1, ,X '224.
LOT \ x 222 3 0 - xt ---- J\ `/ G`za.
AREA=43 560 •S.F.
* v LOT
x/z3�7�.�
`\
ARF -A=4%,6 S.F. 3.06 AREA=42,183 S.F. ; /n1..7fi�
`C�A \38,53 . -\ 1 =0.9f$.3, AC.
1 =100 AC. x 223.72 ,,
�fA t`b \ \\ CBA=355 S.F;z2s.e9 CBA=352635�'.� I i iZ.9r�,//`
�'' \ X 215.96 \ c �2zz,. / =82° ` 2z1.4,. I
x307 a 82.3`\1 Y.
't`v....�,•��i \ 't � � l - 1.60
C 1
15A \- x 2�Q
21.0 r 0
\ Z2 20.05 Q O498
x Zoe. 7 \ 1 \ 7 ^105 zp- zT1.o9x� ,•�f '4. zv //j13.3 `
377.4Z�,R.81 �� h 220.99
21� 14 \ \\ x Q ~ V \ zzz.a,s . % 2z zo 7 / Q�
t,
A 2 t 9.96 ♦ _ / � ,4!
.2_
42 21949 x `L 220.06 �\ co.221.3b lr�
'-•820'/52 4 c> 20?.73' \ \', \ r 213.15 m 57�,Y 219.87 `� x 222.03 / - r� . (o A
'N - \ 2 220.59
206.65 12iu;.{ PJ 2,5.91\ O i� ..` �, 1\ OJ �V' C
• / .16. 4 \ �6 / 2l 4
1 /\ �j
\ > y19. ? \ 220,
6 �s/'i X 21 .78 .19.36 219.54. \415. 0 , 219.20 218-9
{,fA' /,
��.���..�..' 206A- 21, /v \\1 218.97'
78M 9� x217:5.1.._
.16 1 19.21 / �'' Y / , • �J
AI(_ 1 5'' 218.16 2,7.Y! ` &14.9'
87
J 2a7 z, s 0 O>
eLova log Y1s 7e 216.13 1.98
> 212.81
•Q U X43. x,3.07 ,4. r
\�7.93 210.�3j3. 212.8 �' b15.39 216 �\/
x.... B� 207.4) ->.�-t 2 20 , 4 % 15.6 .lb
= <
94 •.\� YT -n i09.9121(.I8 Jr> 3 ' x+4.58 1a ;�F#2a?9 �1 4) �j-
�q9i'io\�a 2�.92 is Crj O C/
207.53 v4 74 2143 X213831
41- 214.
1. 6•a
r /O, '07.29 217. Z ry. .1 x` 1617 �,l-� 914.3
))
S/%• •06, 207.91�� �, 214.18 2f3.3 3/
213 0 , \S .S[ YYY 212.9
l.7 0,01� t'_1•.Cri I , 5/ CQ
1'/, 7]. �•� foals ,,.67` o:1�i I� rJ E'
t�j ' iy 07.59 \tIn
20
zo .i9� �\ 212 ;9
>
1i ".", � ".:, �111-lrt
A, i!
3 ,y .. *rte .�'` 'tea �' �`Z 4a y.,�,��, .� roaY-Y �� .c.� .... ... .._. __ ._.. __..._.•.�
•nFi¢ FIyC � .y��t#J .� �3i'j �. � y: ",. `� h`�� S )7.� ri �`
i.
.., ti`6� ..-. ._�.-��--.�-�_.,�r_�.-.,-nr�.�..-r stein +ru r,.•rc _ - __.v _, _. ._.. ��.:..'-. ,"�' S
-
i1 1
C
,
Or
cvt
c
k ice)' �. . V� 4•%�
• E t Orli — - � :',�
I
._ _..- J I 'all.__..
I
- _]
N
r..-- --- - ...........
r�
IN)' i
F�j
Ni
,n
:
�'�A'�>",.^� �.+a"S+',:""'�1s.�i3 ` s'�„".-s""ik. � .�'� ', �" F� }'•-A.�+i``r re's .:. WC�$"r' h` �+:— :i.� t�z�,�`{�,..�"-� �.` *'�
L.':�, k w - -fit..• s. r - - _ ts:.xA�,.it.. �. _.r +',
-,- �—
_. _. ..v_ ., r ,. t r•*- ... ,.. v _` , _ \226.41_`, -x 221.07 '228 69 STOrtE WALL fi-;.P.1 \70' :2J
'ALL \ >: 22, OS 91 1.8.5 ��•
-- -- a
221.1 ?,„-2.49 221.fifk
2400--1 x 22s.3%�\ ; "�U' OR:�\1Ni{(i230`�/
'~�\ EASEIOFNT
220.04 ' \
StREAu -::1\25 - `
X?_f7.27 ` 221.3 , x. 225.03 \ x 227.37'6' >:I2_?.i!f 1\
. 1 \20.17 ' x 222.47 �\ S x 1.2,9.88
j L,Q T 1 .. ,
217.67 / x218:2]~ -x. •a\ \ ,2.�i21 1
1•
/ i x 216.18 225.49 4 2Y).17 7_ 3G
� _ 1 �
f� \\ AREA='42306S.F. 30 ``' -
219.84x x 11 ' 66 •..,` =1.000 --AC`
� % � .\ �
9. o \ rz CBA,= -32,+670 S. F. ca
4-,,A 1.e1 r
4 '3�_.w x 2ie.ls x 223:5\ x 224.76 1 �1 4
218.52 2,9.75` „'o i _ r� 'I t �9.1A In
,II 28 \ `' ..'. X222,82IA
8,12 r., 219.
68 y' 220.94 3A �)\ `1�/.��
t r \ \ ,. )"119.69 221.10 x � "� t \ , - 231 f � U /249 �
I F; 712.07 X 218.83 / �2'12.03\ 224.51 ?•( ' 1.74
x 223.15\
20. 1 \ } ` 4A k 123153 (i
u
�!,� N x 2 . \ 22x 219.01 1.42\ \ I ' -nt
?9.429.13 11A LOT /
I 9 11 i r. AREA=43,879 S.F. X te.e7 ! \ \ 1`(, �zv 39
=1.0073 AC. z22.o,j \ I I 5.7 ?7�,
X n �7 J \•t 2zf. '\ 2z6.i3
GaA- L9 S..F,t t x221.12 I J x 1,22.22 , I I \ 227.94
� 221.03/ry X 219.16 :X� ,GA 75/ / 6A i, J C , t \ �: v7.4 +'?d
16.00\� 220,93. ` zts.ob 212.13 21909 / / 1 �i `\ 27.2
�` , X220 --- X 220.43 f ', x. 2 43 2 ` 1 i
--218- - �,� �„ 25.83 o
\ •x ^117.34 217.. 1 �x2@•?i6.� 221.0% f 22t
�: 2)6.37216` (� �1 220.42 77` ! /4 //•226.tl
i
-214._ \ /N S 11.47 �- y f 1 x. 222.55
\ \ \ ,%'- r'�y kli 217.0 / j
�\ I 222.08
1212' \\ 2:G U
/ 21f�.43 X 21 . X13. 21.37221.12 20.80 ` I r l
J / j.• 222.59 ', I ►�`7
x zos_ � Y I \,\ � / /1 � ..� ._ •~1.'£21.,7 1. aziv r� 5.19 I
l x 217 7
\ f� ` z_'.2= X.P21.10 t x 722.e6 I 2222.:. t
x 206.10 I�� I � 22-05 ,/ 220.94 , \ 1 \ r 1�� P/2497
4 Q gv7.67 \ I 1 220.94 x 22 01 $s \ l 222.78 ! x ' ; �• /J f' 226.87
71111 _ '221.64 x 221..13
\ J
\rt 5
"22 79
x\ x 209.17 I J I .)2 9 X 22140 Jt,{
\ X 210:79 X 219.64
208:18
\\ \ \ 222.91• - '[ \ / 224. 4.o-
_ LOT 5, \ `X 2223 0 \zap, ,
AREA=43,560\S.F. �T LST ,24
va.2s =).0060 �/ C21 `s \ \
\ AREA=4 ,56d\ S:F. 5� AREA=42,183 S. F. ; ? Z i/ o G�
1 t'$A 38,530 P�6Y �,3 \ l =1. 000 AC, x223.72 }'ff j
=OA -68.35 AC. Lj Al 9 �{� t/
§8.46/a , � \ \ \ C8A-35, 55 .F:2269 ' k,� CBA =35p35r= �t/4 7 4
X 2U7 0._ I % \\ \\ 215.96 \�82, 1 % `'Z22 / 1.60 82D 22).41_.
�0 6Q' l \ x 22t.0. Op Fz34 34 //
� !� '�\ \ \ \ 10`7• --- �� zz1.a6z� �><a.2V �23._.' >
•,06.17 x 317 �6 ay7 2.81
-,- ^8.03 1J �. r \ (�%{ 2220, / 220.97
'` _ . -1. r1l .�y:� �, x 2164 \ \ x V \ Y \ f(
/� AII \ / 222.20 Q '\ O
07.97 `\ \ 4A - 219.86 a .2'..37`-; gip/ 2 (V
ss \,I-
3.15
\ \ \ X 21 .42 21449 X c 220.98 � Y (r t, ' (Q
`UP15031 -\ \ 1213.15 CI 1 f 21..87 x 222.03 -� r .O (0, /43
0\f 52 <�'' 7, !� p N �, \ / 1 W.4.9 �X 220.59ry/�
fJ co Y h
^u6.i1-. 215.94' � � % o� \ � t?)
217.97 ',6. 1 '�\� y / 2
\� ` 220_ 21..6
6-0 `�'++ ''\ \ 99.23.,, \� x 211.78 19.38 a' x 21820 .212.9
�\,i O \ 27.83• _ \ 7]- 21954 \L'is. 0 \ t7.
.-"-7g/`x/(7 \\ \ 218.97 - 2 5.30 \ -------
2oY Y ��- x217:54_
c\. tau \ �a -.x'� Jl�
,.�.,-` 217.9, A2 i. '218.,6 217.58 14._��S"� 3,- i8213/ \.i 10 It tt�N43� -216.16215.13�C��709. i EL. -2!)\9.10 J'
212.6, "CR ,-.214.50 ' �1 7 >\' ! L
11543, 212.87 3-07 .14. <- / (\ \ �..
\ 37-9n \ 15.39 2166 y' \y
210.33''-
5., 207.43yyyCCC\\\ .� 2 20 4 � � U.58 15.673 16 4 118.08 /,
09.91 211.18 �� �`1 9 x ur/24x;1 4j C?t
c F 3\\OJ °.91iu 21b.92 Jj�la (� 0) c',
207.53 2,7 43 , ry�0 2t 4. \ �o• Q� /rV �' O
� X974 /
2n. z r \ \ 1G 7
T�� 1229 \ ,tG.
S/�• 062 207-91 ~ � r.4I4 2,5.32 r6! 3� c ��'i \V'
2S, 1't•Gr X20. - <T .Se 12129
:gn0? Qee.15 8, _217.4 ,0.44 Q>
^07.59 1 � �� .h Z 0.6t / C7 C
��( rr; ji /'!. %� .8th, •�, / ys\
6,7_ 3' 'Y �,k3 ► ,. 11 �h �fs/�„Pl: 1`209