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HomeMy WebLinkAboutMiscellaneous - 980 FOREST STREET 4/30/2018LIN North Andover Board of Assessors Public Access 4 KORTy h b F i r F � ,�.BSNGWu��a Return to the Home page click on logo New Search Sales Summary Residence Detached Structure Condo Commercial Comparable Sales Parcel ID: 210/105.D-0079-0000.0 SKETCH Click on Sketch to Enlarge gluY%°�u�a"� Page 1 of 1 71 Property Record Card Community: North Andover PHOTO A. -!5_7X Location: 980 FOREST STREET Owner Name: DAVIES, DERRICK P Owner Address: 980 FOREST STREETS �f'✓� g6�6 City: NORTH ANDOVER State: MA ZIP: 01845 Veighborhood: 6 - 6 Land Area: 2.41 acres Jse Code: 101 - SNGL-FAM-RES Total Finished Area: 3088 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 628,100 666,600 Building Value: 408,700 424,500 Land Value: 219,400 242,100 Market Land Value: 219,400 �hapter Land Value: LATESTSALE Sale Price: 348,000 Sale Date: 12/06/2001 Arms Length Sale Code: Y -YES -VALID Grantor: STEPHEN HARDY Cert Doc: Book: 06528 Paas. ^'2Q http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=1180939 2/12/2008 North Andover Board of Assessors Public Access ,.aRTy of,Y�.o �.iry S /b I Return to the Home page click on logo New Search Sales Summary Residence Detached Structure Condo Commercial Comparable Sales Parcel ID: 210/105.D-0079-0000.0 SKETCH Click on Sketch to Enlarge Page 1 of 1 Property Record Card Community: North Andover PHOTO Click on Photo to Enlarge L-1 A Location: 980 FOREST STREET Owner Name: DAVIES, DERRICK P Owner Address: 980 FOREST STREET City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 6 - 6 Land Area: 2.41 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 3088 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 628,100 666,600 Building Value: 408,700 424,500 Land Value: 219,400 242,100 Market Land Value: 219,400 Chapter Land Value: LATESTSALE Sale Price: 348,000 Sale Date: 12/06/2001 Arms Length Sale Code: Y -YES -VALID Grantor: STEPHEN HARDY Cert Doc: Book: 06528 Page: 0238 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=1180939 3/12/2008 ,° .. � MAP PARCEL yL K -OT _ . ' �~ LSTREET- HAS PLAN \ NO PLAN APPROVAL: DATE . BY DESIGNER: PLAN DATE - CONDITIONS WATER SUPPLY: TOWN ^ WELL PERMIT C>BILLE �� WELL TESTS: CHEMICAL DAIE APPKUVEDC������ BAC3ERIA % DAlE A1"PRUVEDc�� ~ pF^ /er �'y/' �/ BACTERIA II DA[E APPROVED ' COMMENTS: FORM U APPROVAL: APPROVAL TO ISLiUE NO DATE ISSUED— (SI1171?3-- BY CONDITIONS: --- ------------ FINAL APPROVAL: _ ALL PERMITS PAID Y NO ^ Q WELL CONSTRUCTION APPROVAL ` YES NU SEPTIC SYSTEM CONSTRUCTION APPROVALQS ` NO OTHER YES NU ANY VARIANCE — �D ^ YES ` NO ^.~ ..�~_ OF HEALTH APPROVAL: DA FINAL BOARD rE:., tAORTH 6� 0 O ~ T !� lb `� Dq_ coc.uir�ewc• _ �• PUBLIC HEALTH DEPARTMENT Community Development Division C`E127I�'ICA�I"E OAF CO9I�LIA91rCC�E As of.- -1.4-ay f: May 19, 2009 This is to certify that the indvidual subsurface drsposa(system received a SAM ACTORTINS(PECTIONof the: �FuCCSystem Repair of the Subsurface Sewage DisposaCSystem By: John Soucy VA 980 Forest Street Wap 105.D; Parce[79 NorthAndover, 9V,4 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. Su.0n T Sawyer ./ (Public Wealth Director 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com voo l 0 p f i tss��ts PUBLIC HEALTH DEPARTMENT (ommunity Development Division TOWN OF NORTH ANDOVER ----"� SEPTIC DISPOSAL SYSTEM — INSTALLATIONCE TIFICATION RECEIVED The undersigned hereby certify that the Sewage Disposal System constructed; ( ) repaired; MAY 18 2009 By: G (Print Name) TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Located at: I �' 0) j%� !I i= � i (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan, originally dated and last revised on , 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: 1.1r n Engineer Representative (Signature) And — Print Name Final Construction Inspection Date: 64 C L� Engi eer Representative (Signature) �ngu■a.-: `.--- v taignature) llate: 4A And And — Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.coni 17�Vv�'G2�/ AS -BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER t✓� LOT LINES & LOCATION OF DWELLINGS �_ v LOCATIONS & DIMENSIONS OF SYSTEM TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA -` LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM ✓ TOP OF FDN ELEVATION ✓ LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS ELECTRIC LINES, ✓ DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D -BOX V ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW . vLOCATION & ELEVATIONS OF BENCHMARK USED TOWN Or NOF 4. H ANDOVER °f �° p*� , Office of COMMUNITY DEVELOPMENT AND SERVICES or •'�' - .�°°� HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER, MASSACHUSETTS 845 Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director Dq 978.688.8476 — FAX ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 9�D o� �=S�MAP: 105 P LOT: 74 INSTALLER: DESIGNER: PLAN DATE: iI1 y �� Y BOH APPROVAL DATE ON PLAN: -3/5; 1c:& INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTIO : DATE OF FINAL GRADE INSPECTION: �li�l� SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK El Bottom of tank hole has 6" stone base Weep hole plugged 1500 gallon tank has been installed E- H -10 loadingnoIithic cons ruc ro Water tightn as een achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, centered under access port Outlet tee (gas baffle or effluent filter) installed, centered under access port 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present El Hydraulic cement around inlet & outlet Wastewater System Documentation — Feb 2006 ` x2 bi Page 1 of 6 nl( TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES •'y`� HEALTH DEPARTMENT o? -'''°°� 9 1600 OSGOOD STREET; Building 2-36 `► ^,.:�'�' NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ ombo Tank installed. Size: [1000 gallon Pump Chamber installed H-1 0Aeadtrm �eee construction) ❑ alled, centered under access port ❑ Pump(s) insta�l ed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: C � � .r ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: Comments: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Wastewater System Documentation — Feb 2006 Page 2 of 6 TOWN Of NORTH ANDOVER Bottom of SAS excavated down to -layer, as Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 4 1% Size of SAS excavated as per plan 1600 OSGOOD STREET; Building 2-36 , ,r NORTH ANDOVER, MASSACHUSETTS 01845 �'ss';CHU t Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — 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/ Wastewater System Documentation — Feb 2006 Page 3 of 6 Bottom of SAS excavated down to -layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel -less 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: Wastewater System Documentation — Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER �10RTM p� Office of COMMUNITY DEVELOPMENT AND SERVICES 'y`�•� '' �° HEALTH DEPARTMENT o A 1600 OSGOOD STREET; Building 2-36 * ", . '. Y NORTH ANDOVER, MASSACHUSETTS 01845 ��IT .' .„s <� Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROL PANEL Comments: ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Wastewater System Documentation — Feb 2006 Page 4 of 6 ' TOWN OF NORTH ANDOVER NORTH f °•��O Lp Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT Fr0'y,�.o 1600 OSGOOD STREET; Building 2-36 10 NORTH ANDOVER, MASSACHUSETTS 01845 ACHUS Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX 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 Wastewater System Documentation — Feb 2006 Page 5 of 6 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 1001 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland / Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains (Other) Foundation 10 (5) 20 (10) ❑ Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws Wastewater System Documentation — Feb 2006 Page 5 of 6 TOWN OF NORTH ANDOVER °t NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX SYSTEM ELEVATIONS Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT 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 INVERT ON DESIGN PLAN FIELD INVERT ELEV. Wastewater System Documentation — Feb 2006 Page 6 of 6 ,►aRTH Commonwealth of Massachusetts Map -Block -Lot of ,+° ° Iy 1 105.D- 0079 - �. ------ - -- -- - a Board of Health Permit No North Andover BHP -2009-0 - 511511 ---- ----P-20--- P.I. FEE +.. �SSAI 'L54� F.I. $250.00 Disposal Works Construction Permit Permission is hereby granted John-Soucy------------------------------------------------------------------------------- to (Repair) an Individual Sewage Disposal System. atNo 980 FOREST_STREET--------------------------------------------------- ----------------------------------------------------------- ---------------- - as shown on the application for Disposal Works Construction Permit No. BHP -2009-051 Dated --April 17, -2009 -- Issued On: Apr-21-2009 --------------------------------------------------------------------- •r -------- ----------- Board of Health I. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. s�----ton�� Application for Septic Disposal Svstem Construction Permit -TOWN OF ORTH 01845 _Application is hereby made for a 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 i 2.- !TYPE OF SEPTIC SYSTEM*: Pump ❑ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** 't 13 01 TO -S DAIE $ 250.00 — Full Repair ✓ $125.00 - Component ❑ 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 of Q�V c Q7 Name 6 � �re S'� tT'• Address (if different from above) n City/Town State Zip Code Telephone Number 3. Installer Information (' Q'Lv'C-'1-L tcE, Name Name of Company City/TownState Zip Code (( :,, -T?f-? Telephone Number (Cell Phone # if possible please) 4. Designer Information Name ^ 0 6 ` 9 -?lqame of Company Addressf PeL.4UPL-i 614- City/Town 6r-q'�D State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 NORTH Application for Septic Disposal System sConstruction Permit -TOWN OF •' " ORTH ANDOVER. MA 01945 PAGE 2OF2 A. Facility Information ontinued.... 5. Type of Building: U4esidential Dwelling or ❑Commercial B. Agreement L b� TOD DA E $ 250.00 - Full Repair V/ $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 EnvironnjMtal Code, as well as the Local Subsurface Disposal Regulations for the Town of Northver, and not to place the system in operation 7t*la Ce ificate of Compliance has been ss ed by this Boar f Health. 1 �. 6 Name Date Applica!aff Approved B . Board of Health Representative) !I zo���-4 1, " —�t // '-7 /P f Name �---/ Date ,Application Disapproved for the following reas ns: r� For Office Use Only: L FeeAttachedP Yes No 2. Project Manager Ohligation Form Attached. Yes'l No 3. Pump System? If so, Attach copv ofElectrical Permit Yes]Z No 4. Foundation As -Built. (new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans? (new construction only): Yes No Application for Disposal System Construction Permit - Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: IN reg (Address of septic system) Relative to thUlhication of �c'� �Q ((C (Installer's name) Dated o ay s ate ` For plans by t X9h k4leo fEnginegr) And dated 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 mai result in a $50.00 fine being levied against me and/or my company a. Bottom of Bed — Generally, this is the first (15) 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(Itownofnorthandover.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 me of this obligation. Undersigned Licensed Septic Installer: ` b (Today's k 1�zv fit ame —Print) ame igne / N Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... Z -e' -o has Permission to Perform 5qo Au ..... wiring in the building of .... /W4 0 Z- D4 vi�e--C ............................................................................... ........... ............ at ........... 0"t '0112A-00 ....... ....................... . North Andover, Mass. Fee .S.�.. ......... Lic. No .............. .................................................... Ile ELECMCAL INSPECMR Check # iP 8695 The Commonwealth of Massachusetts Department of Public Safety ana a + r„ arewd_..,, WAM OF FM PAMNWN AMULA'nONS $27 CMA 120 sm own 004 APPLICATION FOR PERMIT -TO PERFORM ELECTRICAL WORK AN �+rOAe b bR i>�rbalt'�d 111 �pOCIf,♦lr10� Mlfll1 the � t�bON �30dR��ji>CIiA11 1 Q� (PLEASE Pftff M tHK CR YYPE " owofi ""M) 0 M.� CRY or Town of /�'& ,/ AS/ot:�'✓c?4 To the kbep IM of Who: 7tp ur4wW ned appow for s tit b pubrm Me Wwkic al work daaalbad bebw. IJD0 don (NMd i Owner orTw+ant Owner's Addn W . Is thb po idt In aw*Aiapgn wNh s Wk** permit rie d No Cr— (Cf,oh Awmprm* Aox) Pt rpm d Buildhy S t e LE 9b•� i • , ,� G tJt ity Aulhorl�ctlbrt Nm " f EW*Q 3WVb* ?= gyp. _ 12-0 IZ411 via ow had DU*" ❑ Na d r UMARG" Ampe I vow Owtmd Q tlndWd ❑ Na d Motors,...,,..,._.,._,,,. Number d fMdr4�.- Date ...,Y .1,�'•..:. ��.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... .z'P.... � �........................................ ?. "" .. has permission to perform ,................................................................. Gi a ✓ie wiring in the building of...................Z- ....... D'1-.................... ....... .............................. � ....�- �r �� Jr ""� .................... . North Andover, Mass. at ...... .......................................... -1�ss Fee.S Lic. No. ............... ...................... ELECTRICAL INSPECTOR Check li FMM ..r Liosrnso A ALM9M8 ft of WW ns Def"/ d 8ounwo of &Wc0i W e www,t res ® No LD oxpkat M Oleo) AwTOL NM n. OWNEiI'd OMWO M WAIVER I am &M* OW t w ft" OW— mt Wo tM Vaum m cow w or IN **rarWelmuhKwa. nxxdrad by iAs�sarMwMls fis�naral i.awe► srd tlwbt my on � panl�it apylosNoe► wa#iss this +pWnrrwxN. TONG MP~ tai (apnMua d dwMr or Attanlf , CJ NORrkIED q N6'6 O L yO s a. PUBLIC HEALTH DEPARTMENT Community Development Division March 3, 2008 Derrick Davies 980 Forest St. North Andover, MA 01845 RE: Septic System Design, 980 Forest Street, North Andover, Map 105D, Lot 79 Dear Mr. Davies, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by New England Engineering Services, dated December 20, 2008, last revised February 19, 2008. This plan has been approved. The approval includes a Local Upgrade Approval for the request to have less than the required 12 inch separation between the pump chamber outlets and the estimated seasonal high ground water table. The design has been approved for use in the construction of an onsite septic system for a 6 - bedroom house (maximum 13 -room). This plan is valid for two years from the date of this approval. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem 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. Floor Plans — Prior to the issuance of the Disposal Works Construction permit a floor plan must be submitted to the Health Department showing all rooms used as living space; including a finished basement and/or attic. 2. 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. 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. 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com The issuance of a Disposal System Construction Permit shall not construe or imply compliance with any of the aforementioned requirement. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincerely, Susan Y. Sawyer, REHSS Public Health Director Encl: list of licensed septic system installers Cc: New England Engineering Services 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com NEw ]ENGLANDIENGINEEPJNG SERACES9 INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768 • Fax: (978) 327-6138 www.neengineeringinc.com Feb 19, 2008 Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover, MA 0184501 Re: 980 Forest Street, North Andover EB 2 12008 Revised Plans TOWN of NORTH DEPARTMENTER Dear Susan: Enclosed are revised plans which address the comments in your denial letter dated Feb 6, 2008 in regards to the above referenced property. Your comments have been addresses as follows: 1. A local upgrade approval request has been added to the plans asking that the board allow a less than 12 " separation between the pump chamber outlets and the water table. 2. Pump note 44 already specifies a manual on/off switch. 3. Trenches were not used in order to keep the footprint of the leach field to a minimum. Due to the fact that this system is mounded and the town requires an increased trench separation over what is required by Title 5 the system would be much larger and therefore much more expensive if trenches were used. If you have any questions or require any additional information please do not hesitate to contact this office. Sincerely, Benj 7 in C. Osgood,VrP,E. President pORT/1 Ot �a,ae X61'{' t Hu Health Department February 6, 2008 Mr. Benjamin Osgood Jr. P.E. New England Engineering Services 1600 Osgood Street Building 20, Suite 2-64 North Andover, MA 01845 Re: Proposed Subsurface Sewage Disposal System - 980 Forest Street, Map 105D, Lot 79 Dear Mr. Osgood: The proposed wastewater system design plan for the above site dated December 20, 2007 and received on December 27, 2007 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover (NA) regulation that has not met by this design follows each item for your convenience. 1. Please request a Local Upgrade Approval to allow less than a 12 inch separation between the inlet and outlets of the pump chamber and the Estimated Seasonal High Groundwater level (227(5) of LUA) 2. Please specify a manual operating switch for the pump (NA 12.01) 3. Please indicate why trenches were not able to be used in this design (240(6)) 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. Sincerely, X /i Susan Y. Sawyer, REHHS/RS Public Health Director cc: Owner File 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 N 24--0" ;asolo 03 A a m N Full Bath x O °o co �O 3 � w o. 0 O O O N Uv o�-0 Z cc CD o N � Q 0 C 1 a) w0' N 3 ;asolo N CL -n O 00 B 1vl ,Z n W O G O CD N CD NCL A O O N3 A 3 0 ;asolo 03 A a m N Full Bath x O °o �O 3 � W N M n m N c CD �O w o. 0 o �7905 W N M 9 24'-0" 24'-0" N cD CL v N m 3 CD m 0 0 0 3 c c ui 7 CD Q y S S N <D CL !p 3 v CD fA 3 CD s c 3 0 N (D N . O N S- CDCDa a N � N 3 N� I w C 7 7 N S m CL y 3 (D 7 N cD CL v N m 3 CD NJ 24'-o^ � A cc b m U or CA CO 3 0 ® fD v �g _ CDCD 3 � X 0 O 3 w N O n S CD 7 r O 3 v � � S m 3 N3 � O w� 3 v U or CA CO 3 0 ® fD v �g _ CDCD 3 � X 0 O 3 w N O n S CD 7 r O 3 v � � S 3 co 0 0 0 m U) v O C112 - Zv 0 DN a 0 CD y 0 0 1 TOWN OF 'SORTII ANDOVER Tk Office of i O',\,] 411 NI'Iy I)l. VELOP'MENT AND SERVICFS HEALTH DEPARTMENT 1600 OS(-;()c9D STREET; F3UILDINC 20, SI ITE 2-36 NORTH ANDOVER. L1ASS.,A.C'11LJS TTS WS -4 s 'A U Susan Y. Saiz-cr, CtEIMIRS Public Health Director SEPTIC PLAN SUBMITTAL FORM Date of Submission: 7, �007 978.688.9540 — Phone 978.688.847b- I AX E -:!JAIL: ltealtl7� g,�t ri ti�� iio4_nf�rYliarc'o� e co _3� WERSITsite wrt.tq��uof',�t��y:h<���ic�vcr.c�>zr� Site Location: 4 f oag f ? do.LI�DUU1- Engineer:_ l Q m i' C. ,Sq,�d P New Plans? Yes V$225/Plan Check # (includes 1't submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? Yes ✓ No Local Upgrade Form Included? Yes No Telephone #: Fax #: E-mail: d$ r �n • COh,( Homeowner Dqyjl-� Name: Pef V1GIC OFFICE USE ONLY When the submission is complete (including check): ➢ r/ Date stamp plans and letter ➢ ✓ Complete and attach Receipt ➢ /Copy File; Forward to Consultant ➢ 1/ Enter on Log Sheet and Database FR EGE IV- , DEC 2 7 7J;7 TOWN Gr HEALiN vc�-• ' FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals pe rmitts Boards and Departments having jurisdifron ction have been obtained. This does not rel - the applicant and/or landowner from compliance Y applicable or re liance with an a uirernents. ieve q "APPLICANT FILLS OUT THIS SECTION J APPLICANT P, b A, i, S LOCATION: Assessor's Map Number SUBDIVISION j STREET PHONEC? S 6' �' �j PARCEL t LOT (S) ST- NUMBER, Tib_0 ------- " "OFFICIAL USE +�a.vrvuncNVH I JUN -5 OF TOWN AGENTS: DNSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED / 03 q ' t >MMENTS HIAA � VN PLANNER INSPECTOR -HEALTH , C INSPECTOR -HEALTH DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DA TE- REJECTED l�'i -i . CAr WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT 'ARTMENT D BY BUILDING INSPECTOR rm DATE Mil 1 1 NEl!_ L -,J ._�.:: lir NT :n,iJ t CE R'V EE�>� -J :��"5% `.rim P t--i�.! {� . ,-r- l^•? ST r��?• rte'. 1� i I I' ',aV. i :{`.,ii"` •! r."i _ c._^i. It�.'.�.`t...i"f %' s._. �..:;`..�M�•%.!;L F.i `-�`R EYIttt VED ui 838.8 - _ ?� VV� i. t1�nd vei (TOWl(N OF NORTH ANDOVER HEALTH DEPARTMENT APPL ICATI ON FOR SOIL TESTS DATE: f O� MAP& PARCEL: 1liS tJ /JIOGI'� 7q LOCATION OF SOIL TESTS: _ %�� l�t!� M- A ldol�ev OWNER: r auj /'� f )l C Contact 9. APPLICANT: G� p Contact ADDRESS: ENGINEER: Contact#. lr CERTIFIED SOIL EVALUATOR: t- C P6 • Intended Use of Land: Residential Subdivision SingleFarnily Home Commercial IsThis. Repair Testing. C// Undeveloped Lot Testing: Upgrade for Addition: I n the L ake Cochi chert ck Watershed? Yes No Ll THE FOLLOWING MUST BE INCLUDED WITH THISFORM > Proof of land ownership (Tax bi11, or latter from owner permitting test) 8.5_x 11_PIot plan & Location of Testing (pi ease indicatetest pit sites on theoian Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolahontests required for each disposal area. Fee of $360.0 per lot for repairs or upgrades, GENERAL INFORMATION A Only Certified Soil Evaluatorsmay perform deep holeinspections. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area > Repairs require at least two deep holes and at least one percolation test, at thedisoretion of the BOH representative. Full payment wi l l be required for all additional tests within two weeks of testing. a Within 45 days of testing, a staled plan (no smaller than `1,100 -)shall be submitted to the Board of Health shovvi ng the location of all tests (i nd udi ng aborted tests). Within 60daysof testing soil evaluation formsshall besubmitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent: �Jv` Date back to Health Department: (stamp in): .1 A N1 F THOMAS & JANE SK. 1807 PG.320 N\ F L4:WRENC E V. CC TA --Ml D. C©UC HUN 9K.3056 PC.234 b e-y,cr 22' If^x+ 8LO 1'ROPOSCD LOG4tjo, fOvE sa P;PO/,OSED OR/V�,AY 1 t i 2 3 PROPOSED PARKING SPACES 10'X20' L07' 1A /REA=2.41 AG.t 104,940 tS.F. 'SEE EASEMENT PLAN BY CHRIST IANSEn do SERGI !\ DATED MARCH. 22. 1.995- 27.22' 995- 27.22' .DH h x'2O-*Or N `DH 3g� 1 Ft 11_ �LS� 10.00' 1i 92-991 1/ 11 alk M l! 1� t i r NUMBER FEE 5Q THE COMMONWEALTH OF MASSACHUSETTS $25.00 �s�_ ..MI ....... of.........NQRM..MDQVFaR............................. This is to Certify that ..... DownEast ... rilling................ NAME .... 23 ... P iernp-...Rc Ladt...Barningtnn......RL H....UaZ5......................................................... ADDRESS IS HEREBY GRANTED A LICENSE For Well Drilling . . . Permit -. Lot 1A Forest Street ........................••------ •. --........... .....-•------ . --- -- ---------•--- -- -- --........ .--------------------------------------•--------•----•--......-••••----•--------•---...------------•----•----------•-----------------------• •---•-•-----••------------------ This license is granted in conformity with the Statutes and ordinances relating thereto, and expires ... December_,_31-�_-__1.9.95________________unless s9er sde�dP revoke August 7_, 95 FORM ass HOBBS & WARREN. INC. a 'r r .. carie 16 EAST MAIN STREET, P.O. 60X 1153, GLOUCESTER, MASS. 01931.1153 TELEPHONE: (508) 281.0222 FAX: (508) 283.3374 CERTIFICATE OF RNRLYSIS Mr. Charles Piscatelli Colonial Village Development Corp. 701C Salem Street N. Andover, MA 01845 Report No.: 951995 October 26, 1995 BRCTERIOLOGICRL RNRLYSIS Well Description: New well, f10 -feet deep, located"on Lot 1, Forest Street, N. Andover, MA. Sampling: Sample taken by customer on October 21, 1995. Findings: Total Coliform Bacterial Count/100 mL . . . . . . 0 Methods: Analysis performed in accordance with Standard Methods for the Examination of Water & Wastewater, 17th Edition, 1989. Remarks: The bacteriological quality of this sample was found to meet the requirements of Mass. Department of Environmental Protection's 310 CMR 22.00, "Drinking Water Regulations" for human consumption. John Marietta JM/ds Lab Director MASS CERTIFIED LABORATORY H MA026 WELL DATABASE ADDRESS: AGE OF WE'LL: WELL DRILLER: WELL PERT .T: L 3� WELL LOCATION: .--W= PERMIT DATE: " 7 " �Z-�� DEPTH OF WELL: ? TYPE OF WELL: a.. D b. DUG TYPE OF WATER BEARING ROCK_ WATER ANALYSIS DATE: 4� HIGH IRON: N OTHER CONTA EN S' c. UN - OWN ; Al WELL DATABASE f.i i ADDRESS: -Z ' ` AGE OF WELL: WELL DRILLER: j WELL PERT r: WELL LOCATION: r WELL PERNET DATE. DEPTH OF WELL: TYPE OF WELL: a.. DRILLED b. DUG c. UN�NO WN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: HIGH NL NGANESE: Y N HIGH IRON: Y N OTHER CONTA-'WANTS' Y N E) Biomarine 16 EAST MAIN STREET, P.O. BOX 1153, GLOUCESTER, MASS. 01931.1153 TELEPHONE: (508) 281-0222 FAX: (508) 283.3374 CERTIFICATE OF RNRLYS I S Mr. Doug Strong Colonial Village Development 701C Salem Street North Andover, MA 01845 TOWN Or t30AR u AUG 2 Report No.: 951483 August 16, 1995 WRTER QURLITY RNRLYSIS Well Description: New well, 110 feet deep, located on Lot 1A, Forrest Street, North Andover, MA. Sampling: Samples taken by Charles Xenos on August 10, 1995. Findings: Parameter Level Detected EPR Guideline* Total Coliform Bacteria/100 mL 0 0 Specific Conductance (Nmhos/cm) 250 - pH Value 7.87 (slightly alkaline) 6.5-8.5 Total Dissolved Solids (mg/L) 176 500 Calcium Content (mg/L) 31.4 150 Copper Content (mg/L) <0.01 1.0 Hardness (CaCO3, mg/L) 108 (moderate) _ Iron Content (mg/L) 4.58 0.3 Lead Content (mg/L) <0.001 0.015 Magnesium Content (mg/L) 7.07 - Manganese Content (mg/L) 0.73 0.05 Sodium Content (mg/L) 6.6 28 Fluoride Content (mg/L) 0.15 2.0 Chloride Content (mg/L) 14.4 250 Nitrite Nitrogen Content (mg/L) <0.04 0.1 Nitrate Nitrogen Content (mg/L) <0.1 10 Sulfate Content (mg/L) 4.97 250 Alkalinity Content (CaCO3, mg/L) 103 100 Ryznar Stability Index (20°C) 8 (optimum) noncorrosive Methods: Analyses performed in accordance with Standard Methods for the Examination of Water & Wastewater, 17th Edition, 1989. *Based on the recommended maximum contaminant levels of the Mass Department of Environmental Protection Agency's 310 CMR 22.00, "Drinking Water Regulations" and the "Safe Drinking Water Act" of the United States Environmental Protection Agency. Mass. Certified Labs MA026 and MA123 u �} Biomarine Report No.: 951483 August 16, 1995 Remarks: The Iron and Manganese levels detected may cause the water to taste "rusty" and stain clothing and plumbing fixtures. Filtration is available to correct these levels if continued usage and flushing of the well does not cause them to abate. By: �J�/� Jahn Mad etta Lab Director JM/ds cc: North Andover Board of Health Mass. Certified Labs MA026 and MA123 ar , Department of Environmental Management/Division of Water Resources WELL COMPLETION REPORT WELL LOCATIONyO1 _ ,Q GE PHIC7SE RIPTION N W o f eel) (Ci -W City/Town Y . i•v �+ . .- r.- f� S/ Well owne V,-,./ JA/ p'A� / di Address N S E W Of t_2 (mi. i Ihs) l r I Board of Health permit obtained: ye _ intersec ❑ �� SI /road) WELL USE Domestic Q Public ❑ Industrial LL DAT depth ft. ;?etl, Monitoring ❑ Other to bedrock ft, ! Water -bearing rock/unconsolidaled material: Method drilled Date drilled Description CASING Water -bearing zo s: / S � G.— 1) From Type Length -ft. Dia(.I.D.) in. 2) From To �� 31 From To Length into bedrock ft. 6J/,vf Gravel pack well: dia. Protective well seal: ✓�'E Screen: dia. Grout -0 Other Slatlength from_ to STATIC WATER LEVEL (all wells) Static water level below land surface q ✓ U ft. Date v WELL TEST (production wells) Drawdown /2 Zft. !,�- _ 1,9gpm after pumping How measured Jr Recovery lir.'! min. at ft. after_hr.LAe�U min. 0 LOG of FORMATIONS COMMENTS Materials I Frani I To _ c >a Driller iry v ♦ -c Firm l9S— Address City/Town Supervisin Driller RegA vvr+r[v Vr nCAL I h C:Vt'Y q80 ,ees SEPTIC AS-BUILT -Foa- COLONIAL VILLAGE DEVCORP SCALE'l"=q0' DATE: 9/26/95 SCOTT L. GILES, R. P. L.S. NO. ANDOVER, MA. T AS -BUILT ELEVATIONS INVERT OUT HOUSE=94.38 IN TANK= 93.63 OUT TAW= 93.32 IN D. BOX 93 f0 SEP 2 1 L O rqA-- 2.41 ACRES 1\ '' p DUT QBOX--92.94 END TRENCH= 92.6/ TRK KBU/L END TRENCHt 92.73 A 4e�\ 5o' 23' T.O.W.=99.0 /65.0' v� I i'. Wo. 13872 r• ERE�`� LAM 91716