HomeMy WebLinkAboutMiscellaneous - 94 BOXFORD STREET 4/30/2018.v.
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North Andover Board of Ass-- -"--,�rs Public Access
Parcel ID: 210/104.D-0059-0000.0
SKETCH
Click on Sketch to Enlarge
Community: North Andover
PHOTO
No Picturle
Available
Location: 94 BOXFORD STREET
Owner Name: GOHEL, RAJENDRA J
ANITA GOHEL
Owner Address: 94 BOXFORD STREET
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 5 - 5 Land Area: 1.18 acres
Use Code: 101- SNGL-FAM-RES Total Finished Area: 2580 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 402,300 385,000
Building Value: 232,900 223,500
Land Value: 169,400 161,500
Market Land Value: 169,400
Chapter Land Value:
LATEST SALE
Sale Price: 340,000 Sale Date: 07/29/2001
Arms Length Sale Code: Y -YES -VALID Grantor: JOSEPH SAMUELSON
Cert Doc: Book: 06277 Page: 0267
Page 1 of 1
http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3 &Linkld=466968 7/5/2005
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Town of North Andover
Office of the Health Department
Community Development and Services Division
400 OSGOOD STREET
North Andover, Massachusetts 01845
Susan Y. Sawyer, REHS/RS
Public Health Director
978.688.9540 - Phone
978.688.8476 - Fax
fWRVq7jCA MF 0 q7 C09W (V r T 0 JVCE
As of:
August 26, 2005
This is to cert that
the individual subsurface disposal system
Repair ( )fuff System (f"
by
mKellett
At
94 ooVordStreet
NorthAndover, AKA 01845
Yfas 6een installed in accordance with the provisions of Title V of the State Sanitary Code and
with the 9Vorth Andover 0oard of Yfealth regulations.
'Fie Issuance of this certificate shall not 6e construed as a guarantee that the system will
function satisfactorily.
1t 6lic Y-fealth Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
M
C
------------- TO3VN-0F_ NDRTH_ANDADYERZSF--A-GE=IDISP-OSA=L-SYST-EM - - - -
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( )'constructed;
()) repaired;
by--Zr JA4 Kc
located at
was installed in conformance with the North Andover Board of Health'approved plan,
System Design Permit .# , plan dated , 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: J Z Z/ o 5- `1,
Engineer Representative
-
Final inspection date: -4/7, Y/0-3
-9c c C-) i-2.
Engineer Representative
Date: a ��
Date:
00
MR
Ee
X
Page 1 of 1
DelleChiaie, Pamela
From: Andy McBrearty[amcbrearty@millriverconsulting.com]
Sent: Thursday, August 25, 2005 3:44 PM
To: DelleChiaie, Pamela
Cc: Daniel Ottenheimer (E-mail); Lisa LeVasseur (E-mail); Sawyer, Susan; Grant, Michele
Subject: 94 Boxford & 1132 Salem Street - Final Const. Inspection
Hi All,
Here is the final for 94 Boxford and 1132 Salem. Both look good. Kellett used a single on/off float in
the pump chamber. Need to check with NEES for their OK. Pressure dosing is probably not that critical
for use of this float, but pressure distribution should have separate floats for on/off.
-andy
8/25/2005
C-0
OQ
NEW ENGLAND ENGINEERING SERVICES
INC
August 25, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 94 Boxford Street, North Andover, MA
Septic System As -Built Plan Submittal
Dear Ms. Sawyer,
AUG 2 5 2005
HE
TOtti
_, iVER
The following Septic As -Built plans for the above referenced property are being submitted for
approval.
Enclosed are the following:
1. (3) Copies of the Septic System As -Built Plan.
2. Copy of Designer's/Installer's Certification Form.
Please contact this office with any questions or concerns.
Sincerely,
Thomas Hector
Project Engineer
cc: Homeowner
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
TOWN OF NORTH ANDOVER t NORTF
Office of COMMUNITY DEVELOPMENT AND SERVICES a? �``° `'•�°��
HEALTH DEPARTMENT y
400 OSGOOD STREET "► ^,..
NORTH ANDOVER, MASSACHUSETTS 01845 ��Ss;;CHU <�
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
ADDRESS
INSTALLEI
DESIGNEF
PLAN DAT
BOH APPROVAL DATE ON PLAN:
SEPTIC SYSTEM CONSTRUCTION NOTES
MAP: LOT:
DATE OF BED BOTTOM INSPECTION: I f 1 �• �dr�S�
DATE OF FINAL CONSTRUCTION INSPECTION: oe
DATE OF FINAL GRADE INSPECTION: 2a,, U
SELECT SYSTEM TYPE
GRAVITY DISTRIBUTION
PRESSURE DISTRIBUTION
PRESSURE DOSING
HOLDING TANK
ADVANCED TREATMENT
OTHER
COMPONENT SUMMARY FROM PLAN
GALLON TANK =
LOADING OF SEPTIC TANK =
GALLON PUMP CHAMBER =
LOADING OF PUMP CHAMBER =
TYPE OF SAS =
DIMENSIONS AND DETAILS OF SAS:
SITE CONDITIONS
Comments:
46
ffnell'tr)
❑ Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
❑ Topography not appreciably altered
Page 1 of 4
0 0
TOWN OF NORTH ANDOVER of NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 'ss„CD t�
Susan Y. Sawyer, REHS/RS J�� 978.688.9540 — Phone
Public Health Director 0 978.688.9542 — FAX
SEPTIC TANK 1—t (4w
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon tank has been installed
(H-10 or H-20)
--7)rpiece)
❑ Water tightness of tank -he been ac ieved
Comments:
PUMP CHAMBER
Comments:
(Visual or Vacuum Test or Water held for 24hrs)
❑ Inlet tee installed, under access port
❑ Outlet tee (gas baffle or effluent filter) installed, under
access port
❑ inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
❑ Hydraulic cement around inlet & outlet
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon Pump Chamber installed
(H-10 or H-20) (monolithic or 2 piece)
❑ Inlet tee installed, under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off float working
❑ Drain hole in pressure line
❑ inch cover to within 6" of final grade installed over
one access port
❑ Watertightness of tank has been achieved
Visual or Vacuum Test or Water held for 24 hrs
❑ Hydraulic cement around inlet & outlet
Page 2 of 4
D -BOX
❑
Installed on stable stone base
0
Inlet tee (if pumped or >0.08'/foot)
TOWN OF NORTH ANDOVER
%ORTFf
Office of COMMUNITY DEVELOPMENT AND SERVICES
t
HEALTH DEPARTMENT
«�
p
400 OSGOOD STREET
• �, ._,;,;:�. `,f •
NORTH ANDOVER, MASSACHUSETTS 01845CM„s
❑
Susan Y. Sawyer, REHS/RS
978.688.9540 — Phone
Public Health Director
978.688.9542 — FAX
D -BOX
❑
Installed on stable stone base
❑
Inlet tee (if pumped or >0.08'/foot)
❑
Hydraulic cement around inlet & outlets
❑
Observed even distribution
❑
Speed levelers provided (not required)
Comments:
SOIL ABSORPTION SYSTEM
❑
Bottom of SAS excavated down to soil layer, as
provided on plan
❑
Size of SAS excavated as per plan
❑
Title 5 sand installed, if specified on plan
❑
3/4-1 %" double washed stone installed
❑
1/8-1/2" (peastone) double washed stone installed
❑
laterals installed and ends connected to header (and
vented if impervious material above)
❑
Orifices @ 5 & 7 o'clock positions
❑
Gravelless disposal systems: type, number and
location as per plan
❑
Elevations of laterals installed as on approved plan
❑
40 Mil HDPE barrier installed
❑
Retaining wall (boulder / concrete / timber/ block)
❑
Final cover as per plan
Comments:
PRESSURE DISTRIBUTION
❑ inch manifold
❑ laterals installed with end sweeps
Comments:
size:
material:
❑ Squirt test ft in height
❑ Equal distribution to all laterals
❑ orifice size inch as per plan
Page 3 of 4
TOWN OF NORTH ANDOVER e NORTF
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 ��ss�C,,s<`'
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health Director 978.688.9542 — FAX
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel:
❑ Rated for exterior if placed outside
Comments:
SYSTEM ELEVATIONS
Benchmark:
Rod at Benchmark:
Height of Instrument:
INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN
D -Box OUT Manifold
Lateral 1 HIGH
Lateral 1 LOW
Lateral 2 HIGH
Lateral 2 LOW
Lateral 3 HIGH
Lateral 3 LOW
Lateral 4 HIGH
Lateral 4 LOW
Lateral 5 HIGH
Lateral 5 LOW
Page 4 of 4
MQ"TM Commonwealth of Massachusetts Map -Block -Lot
104.D- 0059
Board of Health
Permit No
• • _ 1--, _BHP -2005-0256
X North Andover --.--_
P.I. FEE
�sue.�ust�4 F.I. $250.00
---------
Disposal Works Construction Permit
Permission is hereby granted JAMES KELLETT
----------------------------------------------- ----------------- --------
to (Repair) an Individual Sewage Disposal System.
at No 94 BOXFORD STREETi � , ' l
------------------------------------------------ -- ----- ------------
as shown on the application for Disposal Works Construction Permit No. BHP -2005-025 Dated August 01, 2005_
------------------ ----- ---
---------------------------------- - - -------
Issued On: Aug -01-2005 Board of Health
�........................... ................ ...........................................
Y
r
Joe A
TOWN OF NORTH ANDOVER 0 NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES ,,So,*
HEALTH DEPARTMENT � p
400 OSGOOD STREET 41
NORTH ANDOVER, MASSACHUSETTS 01845 �,S•,,,,.�'`�
swcNus�
978.688.9540 — Phone
Susan Y. Sawyer, REHS/RS 978.688.9542 — FAX
Public Health Director healthdeptgtownofnorthandover.com - e-mail
www.townofnorthandover.com - website
TION FOR DISPOSAL WORKS CONSTRUCTI ,, N ERIVIIT c; n'
DATE:
AUG 0 1 2005
�—�— �% �
TORE LTH DEPAR M�
LOCATION: '7q ��rJ )C 1 5 j�22- o
LICENSED INSTALLER NAME: ^ tom. L- er-' _
PLEASE PRINT
SIGNATURE
4 CHECK ONE:
FULL SYSTEM REPAIR:
COMPONENT REPAIR (indicate what parts):
TELEPHONE#
($250)
($125)
* NEW CONSTRUCTION:
elk
* If NE1 CONSTRUCTION, please attach the Foundation As -Built Plan.
$250.00 or $125 Fee Attached?
Project Manager Obligation From Attached?
Foundation As -Built?
Floor Plans?
Approval of Health Al
Yes
Yes
Yes
No
No
No
No
Date: P O�
13 "v
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the
property at ely
ve to the application
of(�r.,, (('X& dated for plans by _
dated.�'�f' 3� with revisions dated �7" ��'
I understand the following obligations for management of this project:
and
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
manger, 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 Tile 5 and the Board of Health Regulations may
result in a $50.00 fine being levied against my company.
a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done
first. Installer must request the inspection but does not have to be present.
b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or
verbal OK from engineer must be submitted to Board of Health, after which installer calls for
inspection time. Installer must be present for this inspection. With 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. Does not have to be
on site.
4. As the installer I understand that only I may perform the work (other than simple excavation)
required to complete the installation of the system identified in the attached application for
installation. I further understand that work by others unlicensed to install septic systems in
North Andover can constitute reasons for denial of the system, and/or revocation or
suspension of my license to operate in the Town of North Andover; significant fines to all
persons involved are also possible.
5. As the Installer I understand that I must be on site during the performance of the following
construction. steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff or consultant.
d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other
components.
6. As the installer I understand that I am solely responsible for the installation of the system as
per the approved plans. No instructions by the homeowner, general contractor, or any other
persons shall absolve me of this obligation.
Undersigned Licensed Septic Installer
Date:
Disposal Works Construction Permit #
Q
DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Monday, August 22, 2005 9:36 AM
To: 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Subject: 94 Boxford Street - Final Construction Inspection
Hello,
Please schedule a Final for this site. Ben Osgood called to say it will be ready by 10:00 today. Please call Jim Kellett to
arrange a final date/time: 781.953.7146. Thank you.
Alegi Rlegw-Ads,
AAyileBu DleBBleedlWo
Health Department Assistant
Town of North Andover
400 Osgood Street
North Andover, MA 01845
978.688.9540 - Phone
978.688.8476 - Fax
http://www.townofnorthandover.com
healthdept@townofnorthandover.com
94 Boxford Street - Final Cons.iction Inspection �J �'`�
DelleChiaie, Pamela
From:
Sawyer, Susan
Sent:
Monday, August 22, 2005 4:14 PM
To:
Andy McBrearty; DelleChiaie, Pamela
Cc:
Daniel Ottenheimer (E-mail); Grant, Michele
Subject: RE: 94 Boxford Street - Final Construction Inspection
Michele definitely did this while Pam was away that is why you haven't seen it yet.
Page 1 of 2
Jim was asked to have a truck load of sand ready for inspection and he gave her some attitude. He called around
10-11 and Michele went out in the afternoon. He couldn't even see it as good service. Says that every town
inspects the same day when they are called. I guess he is peterbed about paying the extra $50 for a reinsp, or
maybe it ws because we made him dig up the D -box at the last site. As far as we are concerned it is all business
with him.
Please note that on the plan( if Jim shows it to you) the added trench is hard to see as it wasn't connected. It was
changed after the last BOH meeting.
Thanks
Susan
-----Original Message -----
From: Andy McBrearty[mailto:amcbrearty@millriverconsulting.com]
Sent: Monday, August 22, 2005 12:50 PM
To: DelleChiaie, Pamela
Cc: Daniel Ottenheimer (E-mail); Lisa LeVasseur (E-mail); Sawyer, Susan; Grant, Michele
Subject: Re: 94 Boxford Street - Final Construction Inspection
Hi Pamela,
Scheduled for 8:30 tomorrow morning. Do you have the Bottom of Bed to send to us
(me)? I don't seem to have it.
thanks,
-andy
DelleChiaie, Pamela wrote:
Hello,
Please schedule a Final for this site. Ben Osgood called to say it will be ready by
10:00 today. Please call Jim Kellett to arrange a final date/time: 781.953.7146. Thank
you.
8¢8!R¢0u4s,
PatiU¢l�A D¢BB¢L�llisri¢
Health Department Assistant
Town of North Andover
400 Osgood Street
North Andover, MA o1845
978.688.9540 - Phone
8/22/2005
cr�OWN OF NORTH ANDOVER 0 t NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES o o '"UD
:.•,r • o
HEALTH DEPARTMENT 41
400 OSGOOD STREET '
NORTH ANDOVER, MASSACHUSETTS 01845SACMUb
Susan Y. Sawyer, REHS/RS
Public .Health Director
August 2, 2005
Rajendra & Anita Gohel
94 Boxford Street
North Andover, MA 01845
978.688.9540 — Phone
978.688.9542 — FAX
RE: Septic System Design, 94 Boxford Street, North Andover, Mau 104 D, Lot 59
Dear Mr. & Mrs. Gohel:
The North Andover Board of Health has completed the review of the septic system design plan
for the above referenced property, submitted on your behalf by New England Engineering
Services, Inc. dated June 30, 2005, last revision date of August 1, 2005.
The design has been approved for use in the construction of an upgrade onsite septic system for a
four (4) bedroom, total nine -room home. This approval is generally valid for three years from
the date of the approval and 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. 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 approval 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.
2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic
system installer or other representative to ensure that all other state and municipal
requirements are met. These may include review by the Conservation 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
3. The plan does not call for the installation of a septic tank effluent filter but one is
recommended. Please be advised that only certain brands of filters are permitted for use in
Massachusetts and eats required to follow certain approval c\--Cria. Your designer or
installer should work with you, to assure a licensed brand is selected for use if you choose to
install one.
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
may have.
Sincerel
Su Y
,.�Y. Sawyer, REHS/R
Public Health Director
Encl: list of licensed septic system installers
Cc: New England Engineering Services, Inc.
File
0 o
NEW ENGLAND ENGINEERING SERVICES
INC
August 2, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
C , D
�� a- w'
Re: 94 Boxford Street, North Andover, MA AUG o 22005
Septic System Design Plan Re -Submittal G C_�F -CJs-,�
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Dear Ms. Sawyer,
This office is submitting changes to the septic design plan for the aforementioned property. The
system design has been modified to accommodate a four bedroom design. The design change is
in response to your fax to New England Engineering Services, Inc. on July 25, 2005.
The following plans are being submitted for approval.
1. (3) Copies of the Septic System Design Plans.
Please contact this office with any questions or concerns.
Sincerely,
Thomas Hector
Project Engineer
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
NEW ENGLAND ENGINEERING SERVICES
INC
July 27, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, NIA 01845
Re: 94 Boxford Street, North Andover, MA
Septic System Design Plan Re -Submittal
Dear Ms. Sawyer,
RECEIVED
��00'
, �, ?
JUL 2 7 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
This office is submitting changes to the septic design plan for the aforementioned property. The
changes are as follows, per your conversation with Benjamin C. Osgood, Jr., P.E., on Tuesday,
July 26, 2005:
• Number of bedrooms designed for: 3.
• No reduction in water table offset (design for four feet).
• Consequently, no Local Upgrade Approval is required.
l�nclosed are the following:
1. (3) Copies of the Septic. System Design Plans.
2. (1) Copy of the Form 1 I Soil Evaluator Sheets.
We still require a Local Bylaw Variance to allow a septic system be designed to serve three
bedrooins in lieu of 4 bedrooms. We anticipate being on the Board's neat meeting agenda on
Thursday, July 28, 2005. A Local Upgrade Approval is not required as part of this re -design
submittal. We hereby request the Application. for Local Upgrade Approval (Form 9A), submitted
with the original plan on June 30, 2005, be disregarded.
Please contact this oftice with any questions or concerns.
Sincerely,
f
Thomas Hector
Project Engineer
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
i
�•'-5
-
Date: GAL 1�0.S
Commonwealth of Massachusetts
/v0PA�AJer , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
eh roan.. _.... . Sr.
Performed By:..8...�...- ..-�-...........Q..S�o.4 ..�. � ..-.........�.......-.. Date:
Witnessed By: .Da�A.1.el....0i+enhetVwe.r---..... A,�.I1..... k4v-je..�.av�5ui�i� .......................... .......................
1.oc8
1« I qT UOV,4rck 5tfela 4A,tip, G664
r Aaaess aid rr tt
ew Construction ❑ Repair �' q78 683 - 5dgf
Office Review
Published Soil Survey Available: No ❑ Yes
Year Published ... la-s_I.... Publication Scale I r Soil Map Unit n'f _.±:.__
Drainage Class Soil Soil Limitations 1l!....fZa�}.ct-.11M-�............. . _..._..-._.....__ ___._.�
Surficial Geologic Report Available: No W Yes ❑
Year Published _,. ..... Publication Scale
GeologicMaterial (Map Unit)........................................................................................ _ .........
Landform....................................................................................._--•- ......._..._......_......-._...._...-....-..._.._.-....._.:._... _ _ _ _ _
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes Ar
Within 500 year flood boundary No El Yes ❑
Within 100 year flood boundary No ❑Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit),)/j•--
................................... _ ..............-- -
Wetlands Conservancy Program Map (map unit) .......... �.7.�"............................_-.._.-_........-....-_._.._-__
-Current Water Resource Conditions (USGS): MonthG4Y:,OZ�J
Range :Above Normal Normal ❑ Belts i Normal ❑
Other References Reviewed:
DEP APPROVED FORM - 12/07195
SOIL EVALUATOR FORM 11
Page 2 of 3
Location Address or Lot No. _1q f ?oxrorover
On-site Review
o
Deep Hole Number Tf .1..:.:: Date:,-. f B of Time:.::..U00 Weather
Location (identify n sit .plan)
. .............................
Land Use :: ,S.t:::........ ;a
Land R11-1:...... Slope (%) •.3.. e... Surface Stones v..'"::.:. -:.:.,:..:....:..: .:::.....:..:.: .:::...
..::......:
Vegetation:.Gnat.SS..:.,...:.:..:.,:::.:....:....:.....:....::...::...:A.:«...:.:::._::::::..
Landform d orm .
Position on landscape (sketch on the back) -........
Distances from:
Open Water Body feet Drainage way..3a?...:,.. feet
Possible:WeT1 Area feet Property Line feet -
'Drinking Water Well %! feet Other ....w.�._.v. w µ
Parent Material (geologic) �$�'4eM t:► �� DepthtoBedrock: r
.Death to Groundwater: 'Standing Water in the Hole: Weeping from Pit Face:
Estimated Seasonal High Ground Water: 3�0II
DEP APPROVED FORM - 12107/95
DEEP OBSERVATION HOLE LOG*
Depth from
Surface (Inches)
Soil Horizon
Soil Texture
(US.((Munsell
Soil Color
Soil
Mottling
other
(Structure, Stones. Boulders, Consistency, 46
Gravel
Alr, t1/a1'i
e.5
--
--
I OYR21
S'Y
,'6
518.
10YR.
•
- •
-
CD.�MI�NDN
0!p CS{�AV
Parent Material (geologic) �$�'4eM t:► �� DepthtoBedrock: r
.Death to Groundwater: 'Standing Water in the Hole: Weeping from Pit Face:
Estimated Seasonal High Ground Water: 3�0II
DEP APPROVED FORM - 12107/95
. o 0
. =.i r.. FORM I1 =SOIL EVALUATOR FORM v
Page 2 of 3
Location Address or Lot No. D �o rd �- o � ale f-
On-site Review
Deep Hole Number 8 0
:.w.v:.:o� Oate .H.,...��:n.:. Time:.o�,r....
�.. Weather ✓� .::........ :
/'QUI::,:,
Location (identify n side plan) .: �..., ..
Land Use f..
.� eKt4::. .. Slope (%) ..p2.�a.. Surface Stones '—
r, may,....::... .:: .,.:...,.:,::.�.,..:.:.....:.:.
Vegetationv:.:.5::::..:..:.....:....::...:.:...._::.... ��:�::N .:.:.v._.:.:...:.:....: H..:.....::.:....�...- N.w._.
Landform'.Arid:..::.....::::..::.,...:..:. r.:. n:k.:.:....,:........,._:.:._ .. M:... ..
Position on landscape (sketch on the back) •.[Jk:::....�S a .. �< :.,::. v:.,,., .,.,,.,.,.,., *:.
Distances from: M j
Open Water Body 44-205.., feet Drainage way._X_)0_., feet
Possible:Wet Area 1P feet Property Line ; .. feet
Drinking Water Well ?M feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soni Horizon Soil Texture Soil ColorSot! . , Ot:.n:r
Surface.(Inches) . (USDA) _ (Munseln Mottling (Structure, Stones, Boulders, Consistency, °6
Graven
VOW e 5 015
-0 -2-RD
} t STD DISPOOSTC A
Parent Material (geologic) ja`DeP toBe&ock: R9
Depth to Groundwater:'Standing Water in the Hole: Weeping from Pit Face.: "'—
Estimated Seasonal High Ground Water:
DEP APPROVED FORM - 12/07/95
� o
FOR.'Vi 11 SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot into. q4'So o4 AID AN
On-site Review
Deep Hole Number,:::: Date:..... Time:.:: Weather �:J�►lay.:..V...,,
I
Location (identify on site plan)
nn
Land Use .1.ZI:. ai,�`E'� :::::.::..:....::. Slope M ... :::..P.... Surface Stones
Vegetation :.CT.S,S..::::...,. ..............k........:..
Landform . !' �! .:.::.:....... ... ...
::.v.:..:...::.,.�:.....:..:::::...
Position on landscape (sketch on the back)
Distances from:
Open Water Body z Aqq.- feet Drainage way.. 3.09_ feet
Possible:Wq Area: -3,09....., feet Property Line____ :....., feet
6rinking Water Well ZAP— feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munselt) Mottling (Structure, Stones, Boulders, Consistency, 96
Gravel)
_0 ;
5-13 P:
5 L IoYR�a 3VM '
3 Qs/8 t
r f •]`{� lo�� )5% f,�?Y111"et
3� �s Cd �- 5 asY to "
. _
MINIMUM OF 2 HULLS REQUIRFED AT EVERY PK0Ufi6S
Parent Material (geologic) 7�G1���Ct AIA : I r DepthtoSedrock:
Dench to Groundwater: 'Standing Water in the Hole: Weeping from Pit Face:
X1611
Estimated Seasonal High Ground Water-
DEP
aterDEP APPROVED FORM - 12/07/95
I
a a
FORM 11 - SOIL LVALUATOR FORM
Page 3 of 3
Location Address or Lot No. f )36&&rJ �, kor4ly., r
Determination for Seasonal High. Water Table
Method Used:
Depth observed standing in observation hole .................:. inches
❑ Depth weeping from side of observa ion hole .................. inches
Depth, to soil mottles -10 inches(36" TP1 Tei)
❑ Ground water adjustment ................... feet
Index Well Number .................. Reading Date ................... Index well level
Adjustment factor
Adjusted ground water level
Depth 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? yes
If not, what is the depth of naturally occurring pervious material?
Certification
(date) I have passed the soil evaluator examination
1 certify that on Ndy• lg4s
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
Commonwealth of Massachusetts
City/Town of
Percolation Test
Form 12
�M
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
ILS
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
Anita Gohel
Owner Name
94 Boxford Street
Street Address or Lot #
North Andover
City/Town
Contact Person (if different from Owner)
B. Test Results
MA
01845
State Zip Code
978-683-5244
Telephone Number
Date Time
Test Passed: ® Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
Benjamin C. Osgood, Jr.
Test Performed By:
Daniel Ottenheimer
Witnessed By:
Comments:
t5form12.doc• 06/03 Perc Test • Page 1 of 1
6/8/05 4:13
Date Time
Observation Hole #
PT1
42"/13"
Depth of Perc
Start Pre -Soak
4:13
End Pre -Soak
4:30
Time at 12"
4:30
Time at 9"
4:58
Time at 6"
5:31
Time (9"-6")
33 min.
11 min/inch
Rate (Min./Inch)
Date Time
Test Passed: ® Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
Benjamin C. Osgood, Jr.
Test Performed By:
Daniel Ottenheimer
Witnessed By:
Comments:
t5form12.doc• 06/03 Perc Test • Page 1 of 1
• 0 O
Commonwealth of Massachusetts
City/Town of No(* Andoycr
w Form 9A - Application for Local Upgrade Approval
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 your
local Board of Health to determine the form they use.
Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming
septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR
5.404(1), is not feasible.
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
remm
310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the
appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource
Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before
commencement of construction.
System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full
compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410
through 15.417.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of
a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved
capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000.
A. Facility Information
1. Facility Name and Address:
Anita Gohel
Name
94 Boxford Street
Street Address
North Andover MA
City/Town State
2. Owner Name and Address (if different from above):
Name
City/Town
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Describe Facility:
Sinole Familv Dwel
5. Type of Existing System:
❑ Privy ❑ Cesspool(s)
Street Address
State
Telephone Number
❑ Commercial ❑ School
® Conventional
01845
Zip Code
❑ Other (describe below):
Form 9A Application For Local Upgrade Approval -94 Boxford St, North Application for Local Upgrade Approval, Page 1 of 4
Andover • rev. 5/02
0 0
Commonwealth of Massachusetts
City/Town of Nor+o Andour
Form 9A — Application for Local Upgrade Approval
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 your
local Board of Health to determine the form they use.
A. Facility Information (continued)
6. Type of soil absorption system (trenches, chambers, leach field, pits, etc):
Leach Field
7. Design Flow per 310 CMR 15.203:
Design flow of existing system:
Design flow of proposed upgraded system
Design flow of facility:
B. Proposed Upgrade of System
1. Proposed upgrade is (check one):
;cZ04
gpd
330
gpd
330
gpd
❑ Voluntary ❑ Required by order, letter, etc. (attach copy)
® Required following inspection pursuant to 310 CMR 15.301: 5/6/05date of inspection
2. Describe the proposed upgrade to the system:
Replacement of leaching facility and components.
3. Local Upgrade Approval is requested for (check all that apply):
❑ Reduction in setback(s) — describe reductions:
❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. % reduction
® Reduction in separation between the SAS and high groundwater:
Separation reduction
Percolation rate min./inch
Depth to groundwater ft
Form 9A Application For Local Upgrade Approval -94 Boxford St, North Application for Local Upgrade Approval, Page 2 of 4
Andover • rev. 5/02
O O
Commonwealth of Massachusetts
City/Town of Rlor4h Andover
Form 9A - Application for Local Upgrade Approval
�M
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 your
local Board of Health to determine the form they use.
B. Proposed Upgrade of System (continued)
❑ Relocation of water supply well (explain):
n/a
❑ Other requirements of 310 CMR 15.000 that cannot be met — describe and specify sections of the
Code:
n/a
If the proposed upgrade involves a reduction in the required separation between the bottom of the soil
absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the
high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1). The soil evaluator must be a member
or agent of the local approving authority.
High groundwater evaluation determined by:
Evaluator's Name (type or print) Signature Date of evaluation
C. Explanation
Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be
completed)
1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
Site conditions allow limited area for location of upgraded system.
2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible:
Alternative systems are cost prohiitive.
Form 9A Application For Local Upgrade Approval -94 Boxford St, North Application for Local Upgrade Approval* Page 3 of 4
Andover • rev. 5/02
'• O O
Commonwealth of Massachusetts
City/Town of MOH -0 ArldUv'et,'-
Form 9A - Application for Local Upgrade Approval
7M
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 your
local Board of Health to determine the form they use.
C. Explanation (continued)
3. A shared system is not feasible:
No
4. Connection to a public sewer is not feasible:
No
5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the
appropriate boxes):
® Application for Disposal System Construction Permit
® Complete plans and specifications
® Site evaluation forms
❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines.
Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2).
❑ Other (List):
D. Certification
"I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my
knowledge and belief, are true, accurate, and complete. I am aware that there may be significant
consequences for submitting false information, including, but not limited to, penalties or fine and/or
imprisonment for deliberate violations."
--J� 4u= 6/30/05
Facility Owner's S atu a Date
Thomas Hector (agent)
Print Name
Thomas Hector 6/30/05
Name of Preparer
60 Beechwood Drive
Preparer's address
MA 01845
State/ZIP Code
Form 9A Application For Local Upgrade Approval -94 Boxford St, North
Andover • rev. 5/02
Date
North Andover
City/Town
(978) 686-1768
Telephone
Application for Local Upgrade Approval* Page 4 of 4
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
tab
rehun
0
Commonwealth of Massachusetts
City/Town of NO(4h Aodoa-
Local Upgrade Approval
Form 913
0
DEP has provided this form for use by local Boards of Health if they choose to do so.
The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided
to the system owner. The system owner shall provide a copy of the Local Upgrade Approval to the
appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource
Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before
commencement of construction.
A. Facility Information
1. Facility Name and Address
Anita Gohel
Name
94 Boxford Street
Street Address
North Andover MA
City/Town State
2. Owner Name and Address (if different from above):
Name
City/Town
Street Address
State
Zip Code Telephone Number
3. Type of Facility (check all that apply):
® Residential ❑ Institutional ❑ Commercial ❑ School
4. Design flow per 310 CMR 15.203:
5. System Designer:
60 Beechwood Drive
Address
01845
Zip Code
330
gpd
Benjamin C. Osgood, Jr., P.E. ® PE
Name
North Andover MA 01845
City/Town State, ZIP
B. Approval
1. Local Upgrade Approval is granted for:
❑ Reduction in setback(s) — specify:
❑ Reduction in SAS area of up to 25%:
SAS size, sq. ft. % reduction
❑ RS
Form 96 Local Upgrade Approval -94 Boxford St, North Andover • rev. Local Upgrade Approval* Page 1 of 2
5/02
C O
Commonwealth of Massachusetts
City/Town of Nor* {end wc1l'
Local Upgrade Approval
Form 913
B. Approval (continued)
® Reduction in separation between the SAS and high groundwater:
Separation reduction ft
Percolation rate
Depth to groundwater
❑ Relocation of water supply well (explain):
min./inch
ft.
List local variances granted not requiring DEP approval per 310 CMR 15.412(4):
Allow a design based on 3 bedrooms I lieu of 4 bedrooms required by the North Andover Health
Bylaw. Approval of this plan requires that a deed restriction limiting the dwelling to 3 bedrooms be
recorded at the Registry of Deeds.
List variances granted requiring DEP approval:
Approving Authority
Print or Type Name and Title Signature Date
Form 96 Local Upgrade Approval -94 Boxford St, North Andover • rev. Local Upgrade Approval* Page 2 of 2
5/02
0 TOWN OF NORTH ANDOVER 0
Office of COMMUNITY DEVELOPMENT AND SERVICES
NOR71�
O R
HEALTH DEPARTMENT '
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 'SSwcNugt�
Susan Y. Sawyer, REHS/RS
Public Health Director
July 21, 2005
Benjamin Osgood, PE
New England Engineering Services
60 Beechwood Drive
North Andover, MA 01845
RE: 94 Boxford Street, North Andover, MA, Map 104D, Parcel 59
Dear Mr. Osgood,
978.688.9540 — Phone
978.688.9542 — FAX
The proposed septic system design plans for the above site dated June 30, 2005 and received on July 1, 2005 has
been reviewed. Unfortunately, the plans cannot be approved as submitted. The following items are in need of
attention prior to approval, with the section of Title 5 (3 10 CMR 15.000) noted:
1. The note on abandonment of existing septic tank should be more specific on the procedure. As stated
in 310 CMR 15.345(3)(c): "The tank shall be excavated and removed from the site, or the bottom of
the tank ruptured after being pumped of its content so as to prevent retainage of water and the tank be
completely filled with clean sand."
2. The maximum depth of fill over the distribution box (36") should be specified on the plan.
3. The design includes a Local Upgrade Approval request to reduce the separation from the bottom of the
soil absorption system to the estimated seasonal high ground water from the required 4' to 3'. Several
sections of Title 5 do not allow this request to be granted including 310 CMR 15.401 and 404(1) which
indicate that whenever feasible a design should maintain full compliance with the standards in the
regulations. While the concern stated in the Local Upgrade Approval application regarding site
conditions limiting the location of upgraded system has legitimacy, it cannot displace the regulatory
requirement to maintain full compliance with the code whenever feasible.
4. This review has determined that the home is a four (4) -bedroom system, and the septic plan must be
designed accordingly.
Please feel free to contact the office with any questions you may have. We look forward to working with you to
obtain a replacement septic system which will be in compliance with all regulations and assure protection of public
health and the environment of North Andover.
•a
Sincerel
/
Susan Y. Sawyer, REHS/RS
Public Health Director
cc: Homeowner: Rajendra & Anita Gohel
File
DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Tuesday, July 19, 2005 3:54 PM
To: 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Cc: Osgood Ben (E-mail)
Subject: Septic Plan Follow-up
Importance: High
Hello all,
Just want to be sure our records are up to date..
My log book indicates that the following new plans were submitted for review, and I just wanted to have an estimated done
date for each:
6/28/05 240 Farnum Street E&S - 21 days
6/28/-82-Raddo Lane NEES - 21 days
7/1/0 94 Boxford Stream NEES - 18 days
I know, I know, we have the 45 days:), but customers still get impatient..... also, our next Board meeting is on July 28th -
next Thursday, and Ben was hoping to get feedback before then, as he is requesting an LUA and Local Bylaw Variance on
94 Boxford Street.
Thank you for your assistance.:)
510sl Rvaflds,
PayyaBa DaBI�aG�lilal¢
Health Department Assistant
Town of North Andover
400 Osgood Street
North Andover, MA o1845
978.688.9540 - Phone
978.688.8476 - Fax
http://www:townofnorthandover.com
healthdept@townofnorthandover.com
-NEW ENGLAND ENGINEERING SERVICES
INC
June 30, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 94 Boxford Street, North Andover, MA
Local Upgrade Approval Request &
Local Bylaw Variance Request
Dear Ms. Sawyer,
RECEIVED
JUL - 12005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
The purpose of this letter is to request that the above referenced property be included in the July
28, 2005 Board of Health meeting agenda to discuss the following local upgrade approval and
local bylaw variance requests:
Local Upgrade Approval Required
1. Reduction in separation distance between the ESHGW and the bottom of leach bed from
4 feet required by Title 5, Section 15.212(A) to 3 feet.
Local Bylaw Variance Required
1. Allow a septic system be designed to serve three bedrooms in lieu of 4 bedroom
minimum required by North Andover Health Bylaw.
If you have any questions or comments, please do not hesitate to contact this office.
Sincerely,
A( --
Thomas Hector
Project Engineer
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
0 0
NEW ENGLAND ENGINEERING SERVICES
INC
June 30, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 94 Boxford Street, North Andover, MA
Septic System Design Plan Submittal
Dear Ms. Sawyer,
RECEIVED
JUL - 12005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
The following plans and enclosures for the above referenced property are being submitted for
approval.
1. (3) Copies of the Septic System Design Plans.
2. (2) Copies of the Form 11 Soil Evaluator Sheets.
3. (2) Copies of the Form 12 -Percolation Test Sheets.
4. (2) Copies Form 9A -Request for Local Upgrade Approval.
5. (1) Copy of Form 913-1-ocal Upgrade Approval.
6. (2) Letter to Town requesting to be heard at the next Board of Health meeting.
7. (2) Letter of clarification for use of Infiltrator Chamber Systems.
8. (2) DEP Modified Certification for General Use for Infiltrator Chamber Systems.
9. (1) Copy of Septic Submittal Form.
10. Check for the Town approval fees.
Please contact this office with any questions or concerns.
Sincerely,
iw—a-L—
Thomas Hector
Project Engineer
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
June 2, 2005
Infiltrator Systems Inc. (ISI) has been working to clarify some of the installation
details with regard to mounds in fill in accordance with the Massachusetts Title 5. The
MA regulations, Title 5, require that the 15 foot breakout elevation to grade be measured
from the top edge of the SAS. For the Infiltrator mound system, the Massachusetts
Department of Environmental Protection agrees that the top edge of the SAS would be
the bottom outside edge of the chamber unit as shown in the attached drawing.
Additionally, since only bottom area is credited in all bed systems, the fill around the
upper portion of the chamber can be either naturally occurring pervious material or Title
5 fill. See the enclosed drawing for all details on the mound system.
The aforementioned drawing should be considered an addendum to ISI's Massachusetts
Design and Installation Manual dated May 2003. If you have any questions, please
contact your local Infiltrator Systems representative.
We thank you for your partnership with our company and look forward to working with
you in the future with your onsite wastewater treatment needs.
Regards,
�'p a(
Jim Healy
District Manager
Infiltrator Systems, Inc.
(866) 511-6066
cc: Steve Corr, MA DEP
99192
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SIEVE ANALYSIS 8/18/05
OF SEPTIC SAND
KINGSTON MATERIALS
A Division of Torromeo Industries, Inc., P.O. Box 2308, Methuen, MA 01844 978-686-5634
Kingston Plant at 18 Dorre Road, Kingston, NH Methuen Plant at 33 Old Ferry Road, Methuen, MA
SIEVE SIZE
WEIGHT
INDIVIDUAL
PERCENT
RETAINED
CUMULATIVE
PERCENT
RETAINED
TOTAL%
PASSING
PROJECT
SPEC.
3/8"
0
0
0
100
100
TO
100
#4
10.5
1
1
99
95
TO
100
#8
75.3
11
12
88
80
TO
100
#16
160.9
23
35
65
50
TO
85
#30
197.7
28
63
37
25
TO
60
#50
151.4
22
85
15
10
TO
30
#100
70
10
95
5
2
TO
10
#200
25.1
4
99
1
0
TO
5
PAN
10.3
1
TOTALS
701.2
100
2.9
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SIEVE ANALYSIS OF SAND " 4 TOTAL % PASSING
-C}-MIN. DEVIATION
120 -MAX. DEVIATION
100
`o 80
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40
0 20`-�
1 2 3 4 5 6 7 8
SIEVE SIZES
SEPTIC SAND DEL TO:
94 BOXFORD STREET
N. ANDOVER. MA
DATE:
LOCATION OF SOIL TESTS:
BOARD OF HEALTH
NORTH ANDOVER, MASS. 01845
978-688-9540
APPLICATION FOR SOIL TESTS
MAP & PARCEL:
104 p
RECEIVED
MAY 18 2005
wN OF NORTH ANDOVER
HEALTH DEPARTME=NT
OWNER: Mt11A �Tott l_ TEL. NO.: C1 78 -6-8 3 ` 5-2 Y t%
ADDRESS: 1?(4 1'�OXFCM SI
ENGINEER: MeW b✓"'�-W(TLHQWL'' - TEL. NO.: C) 7 1706
CERTMD SOIL EVALUATOR: 09WOD. )VI K itFetL
Intended use of land: Residential Subdivision Ingle Family Home Commerciale
Is This:
Repair testing X Undeveloped lot testing
In the Lake Cochichewick Watershed? Yes
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
Upgrade for addition
No
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 =airs or up�or
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 the
`location of all tests (including aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not WdieZelQw This Li
N.A. Conservation Commission Approval: V-ZV
Date Received: Check Amount: Check Date:
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0 0 Page 1 of 1
DelleChiaie, Pamela
From: Lisa LeVasseur [lisal@millriverconsulting.com]
Sent: Thursday, May 26, 2005 11:39 AM
To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela;
dano@millriverconsulting.com
Subject: Many soil tests
Soil tests have been scheduled for the following places, dates, and times
June 7:
43 Candlestick Road
9:00
June 8:
94 Boxford Street AND 1312 Salem Street
Starting at 9:00
June 16:
1503 Osgood Street
9:00
June 21:
Lot 14 Laconia Circle
9:00
Lisa LeVasseur
Mill River Consulting
Your Complete Source for Onsite Wastewater Management
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.milIriverconsulting.com
7/5/2005
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Town of North Andover
Office of the Health Department
Community Development and Services Division
William J. Scott, Division Director
27 Charles Street
Sandra Starr North Andover, Massachusetts 01845
Health Director
February 26, 2001
Joseph Samuelman
94 Boxford Street
North Andover, MA 01845
Re: House Addition
Dear Mr. Samuelman,
Telephone (978) 688-9540
Fax (978) 688-9542
The Health Department has received your response, to our letter sent to your engineer, regarding
the addition to your home. Thank you for detailing your revised proposal so succinctly. It was
very helpful. In regards to your request for feedback, please refer to the letter sent to you by
Sandra Starr, the Health Director.
The final statement, beginning on the second page is as follows, "You and your client should
also be aware that the size of the existing leach area under current conditions is sufficient to
handle only 270 gpd (gallons per day)." This means that the septic system is undersized for the
existing eight -room home in regards to the current regulations. At present size the septic system
capacity should be 440 gpd. The Health Department does not seek out homes that do not comply
with the regulations, however to approve an addition of any kind to this home would be allowing
improvements to a home that is in non-compliance.
Also, please be aware that in review of your file the Title V inspection done in August of 2000
identified a dry well on your property in which a washing machine empties. This activity is
prohibited and is also non -conforming. Washing machines that empty into a dry well have been
determined not to protect the ground water supplies sufficiently. As this dry well was not in the
initial approved plan, it is unclear as to its origin.
As there has not been an actual application for a building permit, this letter is not a formal
denial, rather an opinion as to the information placed before this office. If you choose to move
forward and upgrade your septic system in the process, it would be prudent to formally apply to
the Building Department. This in turn initiates the process in which all departments become
BOARD OF APPEALS 688-9541 BUU DING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
involved so that there are fewer surprises to you the homeowners. At that time we would be
happy to address this in a more formal manner.
Sincere
S/an--
ord, R. S.
Health Inspector
P.S. For your future endeavors please note that "flow" in the case of a septic system design is
related to the number of habitable rooms rather than the addition of sinks, tubs or toilets. Water
usage would not increase with an additional toilet, only additional occupants of the home.
Cc: Sandra Starr, Health Director
file
February 11, 2001
Sandra Starr
Director of Health
Town of North Andover
27 Charles Street
N. Andover, MA 01845
Re: 94 Boxford Street
Your letter dated 11/22/00
Dear Ms Starr,
Thank you for responding to the proposed addition to my home. As per your request please find enclosed
the floor plan to my home as well as the proposed addition.
Please note the following:
1) There is a crawl space below the entire structure of the house. The height between the joists
and concrete floor varies between 6 inches and 4 feet. Hence both sets of stairs go from the
first to second floor.
2) Proposed addition will not result in any addition water consumption or sewage flow. There
will not be any sinks, tubs, or toilets added or disturbed during this construction.
3) The house is a dormered, expanded cape. The page titled "2"d floor Overlay" shows the
second floor on top of the first floor. The second floor would not be disrupted during this
proposed construction.
4) The proposed addition has changed in scope. Rather than adding a garage with a master
bedroom above it we would like to add a single story garage and create a great room out of an
office and entryway.
5) I did this floor plan myself. Please let me know if I need to clarify any aspect of it for you.
Thank you for your consideration. I would greatly appreciate your feedback.
;ince4 541-�L
rely,
oseph Samuelman
Town of forth Andover 0
Office of the Health Department
Community Development and Services Division
William J. Scott, Division Director
27 Charles Street
North Andover, Massachusetts 01845
Sandra Starr
Health Director
November 22, 2000
Robert Daley
Merrimack Engineering Services
66 Park Street
Andover, MA 01810
Re: 94 Boxford Street, North Andover
Dear Mr. Daley:
Telephone (978) 688-9540
Fax(978)688-9542
Enclosed please find your submittal package including check for the proposed building addition at
94 Boxford Street, North Andover. It is being returned to you as rejected for the following
regulatory reasons:
1. Under 310 CMR 15.100(1)(2) "After January 1, 1996, every location ... shall be field
evaluated for suitability for subsurface sewage disposal consistent with 310 CMR 15.000 by"
an approved Soil Evaluator.
2. Under 310 CMR 15.352 Increases in Design Flow to System, "Upgrades to accept increased
design flow shall be performed in full compliance with the requirements applicable to new
construction ... ".
3. Under 310 CMR 15.402(2): "Proposals for new construction or for increase in flow to an
existing system other than in full compliance with 310 CMR 15.100 through 15.293 must seek
and obtain a variance from the local approving authority and the Department...".
4. Under 310 CMR 15.403: "Local Upgrade approvals shall not be granted for upgrade
proposals which includes the addition of new design flows for the addition of new design
flows above the existing approved capacity of a system constructed in accordance with the
provisions of 310 CMR 15.000 or the 1978 Code."
In short, the above states that the lot MUST be tested and evaluated according to the current
Title 5 regulations; both the local Board of Health and the DEP must approve any significant
variances (like waiving site testing) for an increase in flow; and that systems with an increase in
flow must meet all current regulations for new construction. Also, please note that the distance
from a trench to a foundation such as you describe and the soil testing regulations are Title 5
requirements, not local Board of Health regulations. The reference to 15.220(4)(p) is confusing
since this refers to one of the criteria that must appear on any septic plan where a variance is being
sought. It is a list of the requested variances.
I30ARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 698-9543 PLANTIM G 688-9535
EO
N
You and your client should also be aware that the size of the existing leach area under current
conditions is sufficient to handle only 270 gpd flow. Therefore, in order to carry out this addition
the homeowner would be required. to completely upgrade the system. A third trench would not
be adequate for a four- bedroom dwelling. To further investigate the possibilities I would need a
full floor plan of all levels of the house. Please feel free to call with any questions you may have.
Sincerely,
Sandra Starr, R.S., C.H.O.
Director of Health
Cc: Homeowner
W. Scott
File
i MERRIMACK. ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS e LAND SURVEYORS • PLANNERS
66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL (978) 475-3555,373-5721 • FAX (978) 475-1448 • E-MAIL: merreng@aol.com
November 13, 2000
Ms. Sandra Starr, Health Agent
Town of North Andover Board of Health
27 Charles Street
North Andover, MA 01845
RE: Proposed Building Addition at #94 Boxford Street
Dear Sandy:
On behalf of the subject property owners, Joseph and Judy Samuelman, we have prepared a
plan which depicts an additional leaching trench to be constructed adjacent to the existing
leaching trenches which were constructed in 1993, as part of a complete system upgrade at
that time.
As shown on the plan, attached herewith, the proposed leaching trench is located less than
10 feet from the existing foundation wall. It should be noted that there is a "crawl space"
beneath the first floor. There is no basement nor is one proposed. The building addition
includes a 2 -car garage with a master bedroom above, contained within an approximate
24' x 24' footprint.
We are hereby requesting variances to the local Board of Health Regulations, per 220(4)(p)
as follows:
1. 5.02 distances: leaching trench to be 8' instead of 10' from crawl space foundation.
2. 7.05: use existing soil testing data from 1993 record results in lieu of retesting at the
new trench location.
Please review this plan at your earliest opportunity, and contact me with any questions or
comments you may have.
Very truly yours,
MERRIMACK ENGINEERING SERVICES
Obert C. Daley, P.E. .
Civil Engineer
cd
Enclosure
cc: Mr. Samuelman
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