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Home My WebLink AboutMiscellaneous - 95 Granville Laney �Ila, e /If 7LPIVW"14 4 T^ Eq- North Andover Board of Assessors Public Access f NOoTM1 • i + � �SSwCHUs¢t Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 MM roperty Record Card Parcel ID :210/106.C-0054-0000.0 FY:2010 Community: North Andover SKETCH No Sketch Available PHOTO Click on Photo to Enlarge CJI 85 GRANALE LANE Location: 85 GRANVILLE LANE Owner Name: 855 REALTY C/O KEEGAN, LEE ANN & SEAN P. Owner Address: 85 GRANVILLE LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 6 - 6 Land Area: 1.09 acres Use Code: 130 -RES -DEV -LAND Total Finished Area: 0 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 207,600 188,500 Building Value: 0 0 Land Value: 207,600 188,500 Market Land Value: 207,600 Chapter Land Value: I http://csc-ma.us/PROPAPP/display.do?linkId=1519167&town=NandoverPubAcc 12/8/2010 s r xr. PUBLIC;=HEALTH DEPARTMENT n Town of.North Andover Community Development Division'' r; CE�2I FICA2E OT C0MPGI -1--L C'E .As=�of: , �• Novenmber 3,0,.:2009 miis is to`cert that the indi�l uafsu6surface'disposaCsystem receiveda S, VSEACYII YPEMONof the: - , �*ement, of an I�viduaf r : On-Site Sewage osafs stem + s.y . Cfia&ls Beshata .,1 `' . • - - ry f! 85 I an i ' Lane, F e 9Wap-106. C ParceC—�0054 210/106.C-0054-0000.0 ` ti J Xorth Andover,1A 018.45 } 7Fie Issuance of thisceitificote shaffnot 6e construed•as a gudrantee that tfiie system wifffunction satdfactorify. • r rasa T- Sawyer, W /U Tu , Cu �leaCtFi rector 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476, Web wwKi.townofnorthnndover.com starer„ ��tSSACNt15� i PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (X) constructed; ( ) repaired; By: Charles Beshara (Print NAme) Locatedat: 85 Granville Lane (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan, originally dated Sept. 3, 2009 and last revised on Sept. 21, 2009 , with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310. CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: 1 1-18 — 0 9 William S. MacLeod And — Print Name Final Construction Inspection Date: 11— 3 0 — 0 9 William S. MacLeod And — Print Name (Signature) Engineer Representative (Signature) IN-IM:;A`=�Engineer Representative (Signature) Date: Charles Beshara And — Print Name Date: O 9 O William S. MacLeod And — Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com NORTq PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 85 Granville Lane MAP: 106C LOT: 54 INSTALLER: Charles Beshara DESIGNER: William MacLeod PLAN DATE: 9/3/09 BOH APPROVAL DATE ON PLAN: 9/25/09 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 12/1/09 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS Contractor reports any changes to design plan N/A Existing septic tank properly abandoned N/A Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: House is still being built and internal plumbing has not been installed yet. SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan ® 1500 gallon tank has been installed H-10 loading mono construction ® Watertightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandoverarn Inspection Form June 2008 T n eb T PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 85 Granville Lane MAP: 106C LOT: 54 INSTALLER: Charles Beshara DESIGNER: William MacLeod PLAN DATE: 9/3/09 BOH APPROVAL DATE ON PLAN: 9/25/09 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 12/1/09 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS Contractor reports any changes to design plan N/A Existing septic tank properly abandoned N/A Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: House is still being built and internal plumbing has not been installed yet. SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan ® 1500 gallon tank has been installed H-10 loading mono construction ® Watertightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandoverarn Inspection Form June 2008 +r V►ORTH 0 -fLED 06 q �� OL O AI �_ CO[NIC MlWKN � 1' PUBLIC HEALTH DEPARTMENT Community Development Division ® Outlet tee installed, centered under access port (gas baffle) ® 24" inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION -BOX ® Installed on stable stone base ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) Comments: ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan N/A 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 NORTH �6 0 O F- 170 Y•M OHO COMIC h•WKIt _ 1' T/ PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS BM = 123.88 HR = 2.28 HI = 126.16 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark 123.88 Building Sewer OUT 2.55 123.26 123.03 Septic Tank IN 2.98 122.83 122.83 Septic Tank OUT 3.20 122.61 122.58 Distribution Box IN 3.26 122.55 122.54 Distribution Box OUT 3.41 122.40 122.37 Trench 4 TOP 3.60/3.84 In / End In Trench 4 INVERT 122.21 /121.97 122.21 Trench 3 TOP 3.60/3.83 Trench 3 INVERT 122.21 / 121.97 122.21 Trench 2 TOP 6.62/6.83 Trench 2 INVERT 119.19 /118.98 119.21 Trench 1 TOP 6.62/6.82 Trench 1 INVERT 119.19 / 118.99 119.21 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 Q '(,tLED 167 �O 0 � � TAA--� COCM CMCwKN y1' T PUBLIC HEALTH DEPARTMENT Community Development Division CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Farm June 2008 Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 1 ® Bordering Vegetated Wetland , Salt Marsh, Inland / Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other) Foundation 10 (5) 20 (10) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Farm June 2008 Nov.17.2009 10:52 AM f Pifchervalle Sand & Gravel 36 Brown Drive Greenville. NH 03048 Source Wilton SIEVE SCREEN SIZE WGT. 3/8" 0 N4 #8 #16 930 #11)0 #100 #200 fi PAN GROSS 3739 Sieve Analysis CONCRETE SAND PAGE. if 1 603-878-0035 (fax) 603-878-0025 Date 11113/2009 CUMLATIVE CUMLATIVE TOTAL % C-33 WGT. %, RETAINED PASSING SPEC 0.00 0.00 100.0 100 1447 387 96.1 95--100 35 64 953 90.5 45--80 80.58 21.55 78.4 16331 4368 56.3 27061 72—U 276 10 30 340.48 91.06 8.9 2--1U 365.34 9771 2.29 0--3 373 90 '100.00 00 Customer: TARGET CONSTRUCTION Job: 85 GRANDVILLE.RD. N ANUOVI It MA ih lir ll� FAX# 603-890-9171 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.255: continued •• 80 T Ar RM 11 LLJ 50 Q W40 U iL 30 20 Me 0. Micron (f) where a retaining wall to stabilize the slope is required and also is proposed as an impervious barrier, in addition to meeting the requirements in 310 CMR 15.255(2), it shall be constructed of suitable structural material and be designed by a Massachusetts Registered Professional Engineer. (3) Fill material for systems constructed in fill shall consist of select on-site or imported soil material. The fill shall be comprised of clean granular sand, be free from organic matter and deleterious substances, and shall not contain Remediation Waste as that term is defined in 310 CMR 40.0000. Mixtures and layers of different classes of soil shall not be used. The fill shall not contain any material larger than two inches. A sieve analysis, using a #4 sieve, shall be performed on a representative sample of the fill. Up to 45% by weight of the fill sample may be retained on the #4 sieve. Sieve analyses also shall be performed on the fraction of the fill sample passing the #4 sieve, such analyses must demonstrate that the material meets each of the following specifications: SIEVE SIZE EFFECTIVE % THAT MUST PARTICLE SIZE PASS SIEVE # 4 4.75 mm 100% #50 0.30 mm 10%_100% #100 0.15 mm 0%- 20% #200 0.075 mm 0%- 5% A plot of the sieve analyses of the portion of the sample passing the #4 sieve shall fall on or between the lines on the following graph: PARTICLE SIZE DISTRIBUTION #200 #100 #50 *4 GUAVA GI7P 60 200 600 2 6 10 mm 4/21/06 310 CMR - 534 � nmilli ■mn � Bill 11111 millillimmomilislilli i a � 60 200 600 2 6 10 mm 4/21/06 310 CMR - 534 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 16 d Harp Iccuarl• TYPE OF IMPROVEMENT PROPOSED USE CCT. �aor H . S cer RA ert adr�ne:7 Resid Non- Residential Neildi One family Acd%s 73 Ch3cker3n RcSad earth-Adover, M :' Addition I wo or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other :el Y r; FIOdplan Welar�ds tr t'd3stt�ct _ , Wae'he P°i 'A PET _, UhbUKIPTION OF WORK TO BE PERFORMED: Build a single family home Identification Please Type or Print Clearly) OWNER: Name: QSr, Renl f -j, Qmnrrra .H grhniuPnrJPr., Truhone: 978 685 5000 Address: 73 Chickering Road North Andover, MA 01845 _ CCT. �aor H . S cer RA ert adr�ne:7 8 .6'85. 5.0 Acd%s 73 Ch3cker3n RcSad earth-Adover, M :' .. r�sor°s oas#r�#poi bene Ma#e T ARCHITECT/ENGINEER G.J. Bruno Phone: 978 683 1153 Address: 24 Berkeley Road North Andover, MA Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund SI nwner onafiuresf Aeureofntracfior Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales rivate (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Sianatu COMMENTS t!12.axq=A.6dzzft.. 1-2- C=.6% k ---- Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: COMMENTS ti TOWN OF NORTH ANDOVER f NORTy Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS Public Health Director SEPTIC PLAN SUBMITTAL FORM 978.688.9540 — Phone 978.688.8476— FAX E-MAIL: healthdept@townofnorthandover.com WEBSITE: http://www.townofnorthandover.com Date of Submission: Site Location: RECEIV SEP 0 S 2009 ap &. D4 TOW OF NORT47NUUVER HEALTH DEPARTMENT Engineer:fi�n4,r& Cp ��r�a�zs�d�3/� 1/�r� , ✓� New Plans? Yesy $225/Plan Check # (includes Ist submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes No Telephone #: T7? Fax #: q� f-� ,Tfi� E-mail: �U� C D (h Homeowner Ozoie6.R ��Name: /T Sf Yk cirwaew OFFICE USE ONLY When the submissj'�n is complete (including check): )0.� Date stamp plans and letter ➢ Complete and attach Receipt ➢ �/ Copy File; Forward to Consultant ➢ ✓ Enter on Log Sheet and Database ,►ORTH Of tc�ao .a 1ti �9SSACMUS t� Health Department September 17, 2009 William MacLeod, P.E. Andover Consultants, Inc. 1 East River Place Methuen, MA 01844 Re: Subsurface Sewage Disposal System Plan for 85 Granville Lane, Map 106C, Lot 54 Dear Mr. MacLeod: The proposed wastewater system design plan for the above site dated September 3, 2009 and received on September 8, 2009 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. A. The title block references Granville Road. Please reflect the correct street name. /Z Please indicate the holder of the easement that is depicted on the northwestern portion of the lot (3 10 CMR 15.220(4)(b)). � Please indicate the proposed material for the driveway (3 10 CMR 15.220(4)(d)). ✓ 4• Please specify all system components shall be marked magnetic marking tape (3 10 CMR 15.221(12)). .-'5. Please indicate that the building sewer joints shall be water tight (3 10 CMR 15.222(3)). 1/6. Please indicate that the building sewer pipe shall be laid on a compacted firm base and on a continuous grade in a straight line (3 10 CMR 15.222(5 and 7)). 7. Please indicate that the inlet tee of the septic tank shall extend 10" below the flow line / (3 10 CMR 15.227(6)). f/ 8. Please provide a note that the septic tank shall be water tight (3 10 CMR 15.221(1)). f 9. It is unclear whether a H-10 or H-20 septic tank is proposed (310 CMR 15.226(3). 10. Please provide a note that all the outlets of the distribution box shall be at the same elevation (310 CMR 15.232(3)(b)). 11. Please provide a note that the distribution box shall be water tight (3 10 CMR 15.232(3)(b)). 12. Please specify that the distribution box shall be set on a compact crushed stone base (3 10 / CMR 15.221(2)). 13. The soil logs depicted on the design plan do not match the soil logs provided by the Board of Health representative. Copies of the Board of Health notes are attached. 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20; Suite 2-36 E -Mail: healthdept@townofnorthandover.com North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Please provide the elevation of the percolation tests (NA 8.02). 15. The proposed stone above and below the leaching laterals shall be double washed (3 10 CMR 15.247(1 and 2)). 16. The excavation of the bottom of the leach trenches shall extend 6" into the natural soil (NA 9.02). 17. All piping is required to be Schedule 40 PVC (NA 10.01). 18. The required spacing between trenches in fill is 10' (NA 14.01). 19. It appears that the slope from the distribution box to Trench 5 is less than 1.0%. We believe it is good engineering practice to have a minimum of 1.0% to convey the effluent from the distribution box to the leach trenches. 20. Please provide the elevations of the ground water table below each trench so we may confirm the required separation is met with this design. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Since; san Y. S er, RE /RS Public Health Direc or cc: 855 Realty Trust c/o George Schruender file i x Q*L andover consultants 1 East River Place inc. Methuen, Massachusetts 01844 Tel. (978) 687-3828 Fax (978) 686-5100 September 22, 2009a�C�v� Primo /% Susan Y. Sawyer, REHS/RS Public Health Director Health Department Town of North Andover 1600 Osgood Street Building 20 — Suite 2-36 North Andover, MA 01845 SEP 2 3 2009 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT RE: Subsurface Sewage Disposal System - 85 Granville Lane - Map 106C, Lot 54 Dear Ms Sawyer, We have reviewed your comment letter dated September 17, 2009 and have made the appropriate revisions to the plans and details. The following are our responses to your comments. 1. The title block references Granville Road. Please reflect the correct street name. a. The title block has been corrected. 2. Please indicate the holder of the easement that is depicted on the northwest portion of the lot (3 10 CMR 15.220(4)(b)). a. The holder of the easement has been added to the plan. 3. Please indicate the proposed material for the driveway (310 CMR 15.220(4)(d)). a. The driveway has been re -labeled to reflect the proposed material. 4. Please specify all system components shall be marked magnetic marking tape (310 CMR 15.221 (12)). a. A note has been added to the plan. 5. Please indicate that the building sewer joints shall be watertight( 310 CMR 15.222(3)). a. A note has been added to the plan. 6. Please indicate that the building sewer pipe shall be laid on a compacted firm base and on a continuous grade in a straight line (3 10 CMR 15.222(5 and 7)). a. A note has been added to the plan. Civil Engineers • Land Surveyors • Land Planners 7. Please indicate that the inlet tee of the septic tank shall extend 10" below the flow line (3 10 CMR 15.227 (6)). a. A note has been added to the plan and the dimension has been added to the septic tank detail. 8. Please provide a note that the septic tank shall be watertight (310 CMR 15.221(1)). a. A note has been added to the plan. 9. It is unclear whether a H-10 or H-20 septic tank is proposed (310 CMR 15.226(3)). a. A note has been added to the septic tank detail. 10. Please provide a note that all the outlets of the distribution box shall be at the same elevation (3 10 CMR 15.232(3)(b)). a. A note has been added to the plan. 11. Please provide a note that the distribution box shall be watertight (3 10 CMR 15.232(3)(b)). a. A note has been added to the .plan. 12. Please specify that the distribution box shall be set on a compacted crushed stone base (3 10 CMR 15.221(2)). a. A note has been added to the plan. 13. The soil logs depicted on the design plan do not match the soil logs provided by the Board of Health representative. Copies of the Board of Health notes area attached. a. The soil logs- provided by our Soil Evaluator, Norse Environmental, were inconsistent with the soil logs provided by the Health Department representative. The depth to groundwater in each test pit was consistent, however, and no revisions to the design.were generated by the inconsistencies. The soil logs have been revised to match the Health Department representative's notes. A copy of the soil logs produced by Norse Environmental is attached. - - 14. Please provide the elevation of the percolation tests (NA 8.02). a. The elevations have been added to the plan. 15. The proposed stone above and below the leaching laterals shall be double washed (3 10 CMR 15.247(1 and2). a. The trench details have been revised to specify double washed crushed stone. 16.. The excavation of the bottom of the leach trenches shall extend 6" into the natural soil (NA 9.02). a. A note within the profile specifies that all soil within 5 feet of the leaching pipes shall be removed. The note has been amended to include this provision. 17. All piping is required to be Schedule 40 PVC (NA 10.01). a. All the applicable details have been revised to specify Schedule 40 .pipe. 18. The required spacing between trenches in fill is 10' (NA 14.01). a. The trenches have been redesigned and relocated to comply with this requirement. 19. It appears that the slope from the distribution box to Trench 5 is less than 1.0%. We believe it is good engineering practice to have a minimum of 1.0% to convey the effluent from the distribution box to the leaching trenches. a. The piping has been adjusted to be at a minimum 1.0% slope. 20. Please provide the elevations of the groundwater table below each trench so we may confirm the required separation is met with this design. a. The groundwater elevations have been added to the profile. A set of revised plans and the soil logs provided by Norse Environmental are attached. Please feel free to contact us at any time to discuss the project. Thank you. Sincerely, ANDOVER CONSULTANTS, INC. Patrick L. Bower, P.E. Project Engineer � �10RT11 q i' Q .(q6aD 3? 9t'1f- .. y 6 0 O 1� L y ey yy/ CO[.I( IWKM PUBLIC HEALTH DEPARTMENT fommunity Development Division September 25, 2009 855 Realty Trust c/o George Schruender 73 Chickering Road North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for Lot 6 (#85)Granville Lane, North Andover, MA Map 106C, Lot 54 Dear Mr. Schruender, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property. These plans dated November September 3, 2009, final revision date of September 21, 2009, have been approved for a four (4) bedroom, maximum nine -room home. In accordance with local subsurface disposal regulations "Acceptable plans and any variances shall expire two years from the date approved unless construction on the lot has begun". During this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. This approval is subject to the following conditions: 1. Prior to issuance of a disposal works construction permit, a foundation as -built must be submitted to the Health Department. The scale of the as -built must bel"=20'. 2. Prior to issuance of a disposal works construction permit, a complete floor plan of the house must be submitted to the Health Department. 3. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)). 4. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 fax 918.688.8416 Web www.townofnorthandover.com municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. ��an Y. Sa r, REH /RS Public Healt Director Encl: list of licensed septic system installers Cc: William MacLeod, Andover Consultants Inc. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web vww.townofnorthandover.com JUL-27-2009 03:30 PM NORSE.ENVIRONMENTAL 9786497582 P. 2 TOWN OF NORTH ANDOVER Office *(COMMUNITY DEVELOPMENT AND SERVICE„S HEALTH DEPARTMENT 1600 (IWOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVEIL MASSACHUS0113 01945 $MR V. Sawyer, RZHS. IRS Public Half Director 978.688.9540 • phone In11.610.8476 • FAX www.lownofhotthondover.com ECEIVED JUL 2 7 2009 TOWN OF NORTH ANDOVER — HEALTH DEPARTMENT APPLICATION EOR SOIL TESTS_ DAT13• -- �i-7-O� MAP & PARCEL: LOCA7'farl vPSOIL 'iB8'I8 _ t�.S' G�iU V/L OWNER: 8,�'S 404-!74 7 es r npi'1.lennrr:� Geo, S��u�..d�r(.ont��►� 97j�- G�S�S'iaoa. ntilaltSss: 73 �IvulNt:rK; /��rc%v� r �'aJnsr✓/�ith7,� a>nla�i �: _ 4�� G� -- �'Zcf' CLItTlllED Solt. EIVAIMA'rOle: sttyeY1 r, -r., ��n SE 615 M Inumad Use or i,and: Itosidcntiat Subdivision ltingle Namily Home Coaunercial Is This: RgmIr Tas ft. Oadowcbped W TesakV AL dJpg»da fns Addition: In the (.a1:o Coifthemok Wat,arnhed? Yep NU THE FOLLOWfi+fC MUST RIC INCLUDRD WfTR THIS FORM Y Proof of land ownerabip ('rax bili, or latter f}om owner pormillln4 test) i B� S��„P�tdrtn dSLaa�ine o/'Tisd�,../n/��. �fed/omd �eitdleR �R di�nisal Nee o[S per tot fbr gr w cauefnreUon. 7US otrittt5 the minimurn Iww deep holes and two lferoolotion tests requirW for each disposal area_ Fes org” Per lee for rewire 2r pgres, GRNML INF'OW"TION Only Ccrdfiat 9oll Nvriunttns may pcdbm deep holt Inapoctlons. D Only Mass. Xagislored SenloWane and ProReeWW Wlpinam out design septic plamt. At lent two deep toles wW two p reolation trots ore required rur each septic syrtam disptwi arse. i+ Rupaim requins et Iasi two deep holes rtod at lmust sate paurtldkm WIL at the dieort IW of the 11011 nepr+leenWtivc. Cull paymurt will be required lits all additional IWA within two works al'iening. D Within 45 daya Vrtoating, a ncalotl plan (no wnallorthan V'400') $hell be submitted to The Dowd * calth showing the location *fall tet<ts (Including aborted tats. > Within 60 flays of feetlali Boll evaittatiou forme shall be eubmlftL Pkase Doat WHb Below Il'hts Line q N.A. C-OffWW11M C 0ftV l 2km Apprvvd Dere: ( / Sllpoiekm fVCeAwA aft I Owe hack to llro/rh /)efwn n rte; (Mmia r W. `� QPC YYu�'l �/l� IlZ�/I��JIX�Lf JUL-27-2009 03:31 PM NORSE•ENVIRONMENTAL 9786497582 P. 4 w6' N5 ,,n 15-� .11 CL U e &S �0 6 gz JUL-27-2009 03;31 PM NORSE.ENVIRONMENTAL 9786497582 0 o tl� •.. V � C c C �C9 0 a� Q6 CD Wc�= o ��Lw Ore-' OPE FFA O a c U. N �' o Zoo W~U u u 2 Z Z .I� o�° CL g1m4�� W o a g > m' icna 0 co z c� IMMCO AQ v yam �W W mto C Q a vs r cv a " m gun - C3 ... o � o hw->S• � ° 91 chU) � o J a o z � F 4 qw o Qca C) Lu a Z mer cmIL a UHV� H tea° a P. 3 as a JUL-27-2009 03:30 PM NORSE,ENVIRONMENTAL 9786497582 P. I NORSE EIN IR.ONMENTAL SERVICES INC 92 MIDDLESEX RD UNIT 4 TYNGSBORO, MA 01879 PHONE: 978-649-9932 FAX: 978-649-7382 FACSIMILE TRA.VStM"I;'TA-L SHEET TO: 1 1 FT.OI� corgA-y: Date F!•a NTMEBEa TOTAL NO. OF PACr8S IN=- UDING 1-07BR: 9r) 1+ PHOA ALTMSER SE1v�JF.R'S RNCE Nt,'luIDE'� PW: 73.7 Gf`l ^tj t to- �t,. �4._ YOUR MF -ER NC1�ER: URGENT ❑ FOR Ft;�—IzW ❑ PLEASE CO1GV=—'-NTr ❑ PLEASE REPLY ❑ PLE'ASE' RECYC .E 1 M��'p� c'nJ/ NORSE ENVIRONMENTAL SERVICES, INC. 92 Middlesex Road, Unit 4 ,• Tyngsboro, MA 01879 TEL. (978) 649-9932 • FAX (978) 649-7582 An &LE-j Website: www.norseenvironmental.com /fTO �'f , t 40 0 I -O( C� 1- �ta I (0Oo Q d j Ste- MCI,) 0' svi* 3f, N oOL\� . W a 91-t Ar- WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via ❑ Shop drawings ❑ Copy of letter COPIES I DATE LETTER1 OF TRANSMITTAL DATE �-( / -0 JOB NO ATTENTION RE f o � ❑ Prints ❑ Plans ❑ Samples ❑ Change order ❑ NO. 1 DESCRIPTION ❑ Specific �ti "%T, l S UU UT 1Q\A THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distrubution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: 0 0 0 0 0 LO 0 0 U of Ti 4t J Lo O U M V n 2 UN r.� u CT) 0 C T_ i2 Lu �� c" F a > C4) i< W w un o W s a � — L > aaiz c �� N f^ 0 -2 = cc CU T Q rn m CLL U O r/ O L O O 0 OE Z t z cu 0 z z � U o El® co O V' El® m L 2 U 0 N L.. 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DEP has provided this foram 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. When filling out Important: A. Site Information forms on the computer, use 855 Realty Trust only the tab key Owner Name to move your 85 Granville Lane Lot 6 cursor - not use the return Street Address or Lot # key. No. Andover MA 01845 CitylTown State Zip Code Steven Eriksen (978) 649-9932 Contact Person (it different from Owner) Telephone Number B. Test Results t5forrn12.doc• 06103 Perc Test - Page 1 of 1 8/4/09 8/4/09 Date Time Date Time Observation Hole # P1 P2 Depth of Perc 48" 40" Start Pre -Soak 9:35 10:23 End Pre -Soak 9:50 10:38 Time at 12" 9:50 10:38 Time at 9" 10.25 10:54 Time at 6" 11:15 11:09 Time (9"-6") 50 Min 17 Min Rate (Min./Inch) 16 min/in 6 min/in Test Passed: ® Test Passed: Steven Eriksen Test Failed: ElTest Failed: ❑ Test Performed By: Issac Row Witnessed By; Comments: t5forrn12.doc• 06103 Perc Test - Page 1 of 1 4 Z w u4 m rn � N O ( 124 122 120 118 Au Ww" u to J \ I / I + OA TF44 S53'43'15°W + 150.00 553'43'15" !! / --- -120- - F� 3.85 7,99 1. oR*y Commonwealth of Massachusetts Map- 106. O054Lot ?�� .,L.s • � ---- ------- ----------------- Board of Health Permit No North Andover BHP -2009-0703 P.I. FEE :.. Cm F.I.----------- $250.00-- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Charles -Beshara - -------------------------------------------------------------------------------------------------- to (Cos��) an Individual Sewage Disposal System. at No GRANVILLE LANE ----------------------------------------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP -2009-070 ted . -November 10,-2009 B 20 0 j J � -CQDV i_------------- ----- ---------- Issued On: Nov -10-2009 Board of Health - ------ -------------- Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return kkey. '�V Application for Septic Disposal System Construction Permit - TOWN OF ORTH ANDOVER, MA 01845 Application is hereby made fora permit to: Construct a new on-site sewage disposal system* ❑ Repair or replace an existing on-site sewage disposal system* ❑ Repair or replace an existing system component — What? A. Facility Information Address or Lot # City/Town OCT 3 0 2009 TOWN OF NOR -t,14 x r r fc=K HEALTH [)EF; 2.- *TYPE OF SEPTIC SYSTEM*: ❑ Pump X Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D -Box Present) S.A.S. 2. Owner Information Name 3 C4 ie /<e ¢ /-US A Address (if different from above) City/Town State Zip Code Telephone Number 3. Installer Information ` Name Name of Company Address SN'! , ta?<f o 3�' �t�c /111 City/Town tate Zip Code Telephone Number (Cell Phone # if possible please) 4. Designer Informationee(( - dlo, 1 j7( ®� l �✓ / fiiu sem%, /e 0 'o �aq c Name Name of Company Address &egv��, /"I, , City/Town State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 r i Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return kkey. '�V Application for Septic Disposal System Construction Permit - TOWN OF ORTH ANDOVER, MA 01845 Application is hereby made fora permit to: Construct a new on-site sewage disposal system* ❑ Repair or replace an existing on-site sewage disposal system* ❑ Repair or replace an existing system component — What? A. Facility Information Address or Lot # City/Town OCT 3 0 2009 TOWN OF NOR -t,14 x r r fc=K HEALTH [)EF; 2.- *TYPE OF SEPTIC SYSTEM*: ❑ Pump X Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D -Box Present) S.A.S. 2. Owner Information Name 3 C4 ie /<e ¢ /-US A Address (if different from above) City/Town State Zip Code Telephone Number 3. Installer Information ` Name Name of Company Address SN'! , ta?<f o 3�' �t�c /111 City/Town tate Zip Code Telephone Number (Cell Phone # if possible please) 4. Designer Informationee(( - dlo, 1 j7( ®� l �✓ / fiiu sem%, /e 0 'o �aq c Name Name of Company Address &egv��, /"I, , City/Town State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 { y MORTq Application for Septic Disposal System OF raw y 1'i' aAConstruction Permit — TOWN OF PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: Residential Dwelling or ❑Commercial B. Agreement Id TODAY'S DATE $ 250.00 - Full Repair $125.00 - Component The undersigned agrees to ensure the construction and maintenance of the afore -described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued bythiq Board of Health. // 1 OG�6rr- Name Date Applicatio proved By: ( and of Health Representative) Z/cati — Dat onD approved f r the following reasons: f For Office Use Only: 1. Fee Attached. 2. Project Manager Obligation Form Attached? 3. Pump S sy tem? Ifso, Attach coRy ofElectrical Permit 4. Foundation As -Built? (hew construction ronly): (Same scale as approved plan) 5. Floor Plans? (hew construction only): Yes L."/ No Yes l No Yes No " Yes No Yes No Application for Disposal System Construction Permit ` Page 2 of 2 e SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS A-1 As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) For plans by (Engineer) Relative to the application of 2 /3` -) i fALt / (Installer's name) And dated C? �p ngina ate Dated ��a A % % ms's ate With revisions dated (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor, project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company a. Bottom of Bed — Generally, this is the first (1'� inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built of verbal OK (or e-mail to: healthdept@townofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade - Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation) and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover significant fines to all persons involved are also possible. 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board ofHealth staff or consultant. d. Installation of tank, D -Box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer, I understand that I am solely responsible for the installation of the system as per the appr�plans No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: 43 (Name — mint