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Miscellaneous - 990 JOHNSON STREET 4/30/2018 (2)
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H oAi ,o, c z O O 1 O O N ti ti `S A w v O N 0 O N a G 0 Vl d O � U 0 0 0 0 0 o z o 0 0 0 0 o C> o d o 0 0 N p N N N L ti a ti ti ti d ❑ 0 /a w w w O O O Q Q Q •V•l Cl) U) It 0 N N r+ N 'Q O O A ti H V LT -I O C'1 M til W O O O IS z o 0 0 �/j •� N N N d a w as m 0 0 N U O � y M ti 0 '� °o m Q Qtr Qi Q+ � 1 O C1 a Q Q L1 ,N. d G ti Q as �C O y U ti O Li, G rO p d u C7 E ca Q Q o ti ami a! ° w w oa c7 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 CEIWq7CA2tF OAF' C09b14'LIANCE As of: May 4, 2005 This is to cert that the individual subsurface diisposal system repaired(X) — EuCCSystem 6y �(ike 12eiCCy at 990 Johnson Street North Andover, MA 01845 has been installed in accordance with the provisions of 2-itfe v of the State Sanitary Code and with the North Andover Board of Yfeafth regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. S an T. Sawyer Public Yfealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (vl"repaired: by -- E'I I V—e located at was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # dated_ with an approved 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: Engineer Representative Final inspection date: Engineer Represerhative Installer: Lic.#: Date: Design Engineer: Date:.s D3 _ RECEIVED MAY — 4 2005 TO`jEALTH DEPARTANDOVER � TER G[vf16►LA-f'(etil IS t?b7 oT '11141'!p r6^+;� ' A `jam,"/t `5 1711WItH , rT Is A eLe-OW OF 1146 L4AIVIJ A W I. L.E va,noj aF '64 1: EW T I uh *Y*lt-r ,o coHPo�>«1 rte. Lv'r A ZEA gEpT�� I e— iaS I vwel.uN4,�Rgo I 3 Pee"`'yr (� bnivEl,4.4y L \ �1 EI.,D( G64o,5F) . 1 I z pS BUILT PLAN OFAL SYSTE SLjBSU-RFACE LOCATED IN AS PREPARED FOR DATE: 5—1 Th �o2A SCALE: I MERRIMACK ENGINEERING SERVICES, INC.' PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 60 PARK STREET 0 ANDOVER. mAMACMUSETTS 01910 or TEL (617) 473-3333, 373.5721 OF DANIEL KORAVOS CIVIL No. 37752 O m z o D in =z 0 a z c_4 E! . C #:v __ YI G[vf16►LA-f'(etil IS t?b7 oT '11141'!p r6^+;� ' A `jam,"/t `5 1711WItH , rT Is A eLe-OW OF 1146 L4AIVIJ A W I. L.E va,noj aF '64 1: EW T I uh *Y*lt-r ,o coHPo�>«1 rte. Lv'r A ZEA gEpT�� I e— iaS I vwel.uN4,�Rgo I 3 Pee"`'yr (� bnivEl,4.4y L \ �1 EI.,D( G64o,5F) . 1 I z pS BUILT PLAN OFAL SYSTE SLjBSU-RFACE LOCATED IN AS PREPARED FOR DATE: 5—1 Th �o2A SCALE: I MERRIMACK ENGINEERING SERVICES, INC.' PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 60 PARK STREET 0 ANDOVER. mAMACMUSETTS 01910 or TEL (617) 473-3333, 373.5721 OF DANIEL KORAVOS CIVIL No. 37752 O Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@milldverconsulting.com] Sent: Thursday, May 13, 2004 4:17 PM To: Susan Sawyer; amcbrearty@millriverconsulting.com; 'Pamela Dellechiaie' Subject: 990 Johnson Street Sue and Pam, Attached please find the inspection report which includes the final grade inspection at 990 Johnson Street. Cover material was good, was loamed and seeded, and the existing tank was properly abandoned and all plumbing directed to new tank. Dan 0 .1 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www..mill.r-iverconsulting.com info millriverconsulting.com 5/13/2004 c, MILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 990 Johnson Street MAP: 107A LOT: 30 INSTALLER: Mike Reilly DESIGNER: Merrimack Engineering PLAN DATE: 4/4/04 BOH APPROVAL DATE ON PLAN: 4/20/04 DATE OF BED BOTTOM INSPECTION: 04/30/04 DATE OF FINAL CONSTRUCTION INSPECTION: 05/10/04 DATE OF FINAL GRADE INSPECTION: 5/13/04 SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION X PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1,500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = FIELD DIMENSIONS AND DETAILS OF SAS: 15'X 40' SITE CONDITIONS 0 Existing septic tank properly abandoned Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Existing septic tank to be abandoned and internal plumbing changed. This was confirmed at final grade inspection. 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millr.iverconsulting.com Page 1 of 4 SEPTIC TANK M `JJ MILL RIVER CONSULTING Septic System Management Services ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged 1,500 gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, over access port D Outlet tee (gas baffle or effluent filter) installed, over access port 0 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 O Hydraulic cement around inlet & outlet Comments: Water level below seam in tank. PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged 1,000 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece D Inlet tee installed, over access port ❑ Pump(s) installed on stable base D Alarm float working D Pump On/Off float working Drain hole in pressure line D 24 inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs D Hydraulic cement around inlet & outlet Comments: Inlet tee not located beneath access port, needs to be moved. Pumped switched to brand other than Liberty which was specified on design plan. Pump now Hydromatic SKV40. Water level below seam in tank. 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 2 of 4 MILL RIVER CONSULTING Septic System Management Services D -BOX ❑ Installed on stable stone base D Inlet tee (if pumped or >0.08'/foot) D Hydraulic cement around inlet & outlets D Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM D Bottom of SAS excavated down to C soil layer, as provided on plan Size of SAS excavated as per plan D Title 5 sand installed, if specified on plan 3/4-1 'h" double washed stone installed D 1/8-1/2" (peastone) double washed stone installed laterals installed and ends connected to header (and vented if impervious material above) D Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan D Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed . ❑ Retaining wall (boulder / concrete / timber/ block) ❑x Final cover as per plan Comments: Hydro seed in place at time of final grade inspection CONTROL PANEL ❑x Alarm & Pump are on separate circuits Alarm sounds when float is tripped ❑ Location of control panel: Basement ❑ Rated for exterior if placed outside Comments: 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 3 of 4 10 C 0 MILL RIVER CONSULTING Septic System Management Services SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 1.27 Height of Instrument: 101.27 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 95.20 95.46 Septic Tank IN 95.00 94.91 Septic Tank OUT 94.75 94.66 Pump Chamber IN 94.70_ 94.56 Pump Chamber OUT Distribution Box IN Distribution Box OUT Manifold Lateral 1 HIGH 96.90 96.88 Lateral 1 LOW 96.70 96.68 Lateral 2 HIGH 96.90 96.94 Lateral 2 LOW 96.70 96.68 Lateral 3 HIGH 96.90 96.89 Lateral 3 LOW 96.70 96.68 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 4 of 4 CO Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Tuesday, May 11, 2004 3:52 PM To: Susan Sawyer; 'Pamela Dellechiaie' Subject: 990 Johnson Street Sue and Pam, An inspection was performed at 990 Johnson Street on May 10. A few items were found to be in need of attention, and I know Pam documented some of that in a letter to the owner. Report attached. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultiniz.com info@millrive_rconsulting.com 5/11/2004 TOWN OF NORTH ANDOVER J F %0RTPj Office of COMMUNITY°DEVELOPMENT AND SERVICES 0`^°*E� HEALTH DEPARTMENT +"q "• 27 CHARLES STREET > NORTH ANDOVER, MASSACHUSETTS 01845"SsacHusEt`� 978.688.9540 — Phone Susan Sawyer, REHS/RS 978.688.9542 - FAX Public Health Director healthdept@townofnorthandover.com www.townofnorthandover.coni FAX Ta �,1�� � . e o �,� From: Fax: Pages: Phone: Date: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle Please contact the Health Department at the above numbers for further assistance. TOWN OF NORTH ANDOVER RTa A Office of COMMUNITY DEVELOPMENT AND SERVICES Z 4ty'_ HEALTH DEPARTMENT �x 27 CHARLES STREET °4 NORTH ANDOVER, MASSACHUSETTS 01845 "SsACHU Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX healthdept@townofnorthandover.com www.townofnorthandover. com May 10, 2004 Mr. & Mrs. Wayne Pavledakas 990 Johnson Street North Andover, MA 01845 Please note that a final inspection of your septic system was completed this morning by our septic consultant, and based on the information that we currently have, there have been no significant items identified as problems with the system. Of particular note, the old septic system has not yet been abandoned, but the plumber is scheduled to arrive tomorrow, May l 1s' to complete that. After the plumbing work has been completed, Mike Reilly will return to fix some minor items, crush the old septic tank, and do the final grade. When these final items have been taken care of, a Final Grade Inspection will be conducted by Ms. Susan Sawyer of the Health Department. At that time, if everything appears to be in order, a Certificate of Compliance will be issued for the septic system. Please call the above phone number if you have any additional questions. Sincerely S" Y. Sawyer, REHS Public Health Director /pfd xc: Daniel Ottenheimer, Mill River Consulting Mike Reilly, F.P. Reilly and Sons J CJ HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 May 10 2004 10:59am Last Transaction Date Time TVe Identification Duration Pales Res llt May 10 10:59am Fax Sent 819784753102 0:25 1 OK .O f c� V V Q z r� O m v a� G U ° cd aJ O vi r A 04 E z >, 'b ° �" > � O cz V O �V �" O �" cd nq cC w O o x ° O °' U 'til rn m `� O O d y, 0 a) O O V O 0 V NCd 0 QUA°a���o� .O f c� V V Q C_ S] ami m C6 4 0 Z a� z(a)c ° r. � O •b-0 E O E z � F .5 .O f c� V V Q HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 May 10 2004 10:58am Last Transaction Date Time Type Identification Duration P-nes Result May 10 10:57am Fax Sent 89784753102 0:37 0 Error 388* * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 May 10 2004 10:56am Last Transaction Date Time T= Identificati Duration PAW Re u May 10 10:55am Fax Sent 89784753102 0:38 0 Error 420* * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. J HP Fax K 1220xi Log for NORTH ANDOVER 9786889542 May 10 2004 10:45am Last Transaction Date Time Type Identification Duration Pages Result May 10 10:44am Fax Sent 89784753102 0:37 1 Error 350* * A communication error occurred during the fax transmission. If you're sending, try again and/or call to make sure the recipient's fax machine is ready to receive faxes. If you're receiving, contact the initiator and ask them to send the document again. E tlORTM TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 CHARLES STREET i + NORTH ANDOVER, MASSACHUSETTS 01845 *��`°4•r° ^"t<yx SSAC14USE Susan Y. Sawyer, REHS/RS 978.688.9540 - Phone Public Health Director 978.688.9542 - Fax FAX DanielOttenheimer From: Pamela To: Mill River Consulting Fax: 978.282.0012 Pages: �l O� 1.800.377.3044 or Date: Phone: 978.282.0014 �5 �o a Request for Soil Testing or CC: Re: Septic Plan Review ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Septic Plan Review Soil Test OTHER Note: For plan reviews, this is notification only. 'Plans will be mailed or arrangements made to pick them up as requested. 1 Add ,J Please call 978-688-9540 for assistance with any questions. Thank you. Cc: File - Address 0 HP Fax K1220xi Log for NORTH ANDOVER 9786889542 May 10 2004 10:36am Last Transaction Date Time Type Identification Duration Pages Result May 10 10:35am Fax Sent 819782820012 1:27 2 OK 0 TOWN OF NORTH ANDOVER of NORTh q Office ®f COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ' A 27 CHARLES STREET - qR.lieo NORTH ANDOVER, MASSACHUSETTS 01845 "SSgcNusEt Susan Y. Sawyer, REHS/RS Public Health Director May 10, 2004 Mr. & Mrs. Wayne Pavledakas 990 Johnson Street North Andover, MA 01845 978.688.9540 — Phone 978.688.9542 — FAX healthdept@townofnorthandover. com www.townofnorthandover. com Please note that a final inspection of your septic system was completed this morning by our septic consultant, and based on the information that we currently have, there have been no significant items identified as problems with the system. Of particular note, the old septic system has not yet been abandoned, but the plumber is scheduled to arrive tomorrow, May 11 d' to complete that. After the plumbing work has been completed, Mike Reilly will return to fix some minor items, crush the old septic tank, and do the final grade. When these final items have been taken care of, a Final Grade Inspection will be conducted by Ms. Susan Sawyer of the Health Department. At that time, if everything appears to be in order, a Certificate of Compliance will be issued for the septic system. Please call the above phone number if you have any additional questions. Sincerely Sus Y. Sawye=REHS,1 Public Health Director /pfd xc: Daniel Ottenheimer, Mill River Consulting Mike Reilly, F.P. Reilly and Sons TOWN OF NORTH ANDOVER g1oRTh pF t,,:o a qH Office of COMMUNITY DEVELOPMENT AND SERVICES°Z. HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01.845 ��Ss�ci+usEt`s Susan Y. Sawyer, REHSIRS Public Health Director May 10, 2004 Mr. & Mrs. Wayne Pavledakas 990 Johnson Street North Andover, MA 01845 978.688.9540 — Phone 978.688.9542 — FAX healthdent cr.townofnorthandover.com www.townofnorthandover.com Please note that a final inspection of your septic system was completed this morning by our septic consultant, and based on the information that we currently have, there have been no significant items identified as problems with the system. Of particular note, the old septic system has not yet been abandoned, but the plumber is scheduled to arrive tomorrow, May 11 w to complete that. After the plumbing work has been completed, Mike Reilly will return to fix some minor items, crush the old septic tank, and do the final grade. When these final items have been taken care of, a Final Grade Inspection will be conducted by Ms. Susan Sawyer of the Health Department. At that time, if everything appears to be in order, a Certificate of Compliance will be issued for the septic system. Please call the above phone number if you have any additional questions. Sincerely rf., fJ Suin Y. Sawyer, REHS/ Public Health Director /pfd xc: Daniel Ottenheimer, Mill River Consulting Mike Reilly, F.P. Reilly and Sons 0 0 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Friday, May 07, 2004 3:23 PM To: pdellechiaie@townofnorthandover.com Cc: Susan Sawyer Subject: RE: 990 Johnson Street Pagel of 3 No problem. Our soils for today were postponed until next week. I've spoken with Mike Reilly and we'll tackle the three items he has outstanding on Monday. Dan F l Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@a millriverconsulting.com -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Friday, May 07, 2004 1:52 PM To: Daniel Ottenheimer (E-mail) Cc: Sawyer, Susan Subject: FW: 990 Johnson Street Hi Dan, Bill Dufresne called Susan while I was out picking up lunch. He told her this site was all set, so you can do the final. In the future, if an installer calls me, I will be sure to call the engineer right after to confirm everything before I let you know. Sorry for the back and forth on this. Thanks, Pam -----Original Message ----- From: Sawyer, Susan Sent: Friday, May 07, 2004 12:07 PM To: DelleChiaie, Pamela Subject: RE: 990 Johnson Street Did the engineer call you to tell you the as -built was done and it was all set to be inspected? If so, please make note. If not, please do not give it to Dan until you hear from the eng. Just tell Mike to have the eng. call. Do not take the installers word that all is fine. Thus we can avoid things like the Watson/Boston Road problem. Thanks 5/7/2004 C 0 Page 2 of 3 -----Original Message ----- From: DelleChiaie, Pamela Sent: Friday, May 07, 2004 11:05 AM To: 'Daniel Ottenheimer (E-mail)' Cc: Sawyer, Susan Subject: 990 Johnson Street Importance: High Hi Dan, Mike Reilly needs a Final Inspection on 990 Johnson Street. Please call him at 978.375.4811. Thanks, P Pamela DelleChiaie, Health Dept. Assistant Town of North Andover Community Development & Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnorthandover.com TeL 978-688-9540 Fax 978-688-9542 5/7/2004 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@ mill riverconsulting.com] Sent: Monday, May 03, 2004 3:25 PM To: Susan Sawyer; 'Pamela Dellechiaie' Subject: 990 Johnson Street Attached please find inspection report for bottom of bed at 990 Johnson Street. No problems. I was told Sue looked at tank holes so no investigation was performed of those components. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting corn info @ millriverconsulting.com 5/3/2004 MILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 990 Johnson Street MAP: 107A LOT: 30 INSTALLER: Mike Reilly DESIGNER: Merrimack Engineering PLAN DATE: BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: 04/30/04 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION X PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1,500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = FIELD DIMENSIONS AND DETAILS OF SAS: 15'X 40' SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 1 of 5 01 MILL RIVER CONSULTING Septic System Management Services SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, over access port ❑ Outlet tee (gas baffle or effluent filter) installed, over 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 Comments: PUMP CHAMBER ❑ 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, over 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 ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 2 of 5 C 0 MILL RIVER CONSULTING Septic System Management Services D -BOX Comments: SOIL ABSORPTION SYSTEM 0 5 Comments: PRESSURE DISTRIBUTION El El Comments: 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) Bottom of SAS excavated down to C soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan 3/4-1 1/2" 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 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 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 3 of 5 MILL RIVER CONSULTING Septic System Management Services 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: 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 4 of 5 • NXLL RIVER CONSULTING Septic System Management Services 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 Distribution 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 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 5 of 5 Ali DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Friday, April 30, 2004 8:55 AM To: pdellechiaie@townofnorthandover.com Subject: RE: 990 Johnson Street & 258 Bridges Lane Tomorrow (4/30) at 7:30 a.m. Dan 0 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultin2.com info mil lriverconsultin&com -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Thursday, April 29, 2004 4:13 PM To: Daniel Ottenheimer (E-mail) Subject: 990 Johnson Street & 258 Bridges Lane Hi Dan, Page 1 of 2 a Just received a call from Mike Reilly. He is ready for a Bottom of Bed Inspection at 990 Johnson Street, wants to know when you can come tomorrow to do the BB Inspection. Also, he is hoping to get a Final Inspection on 258 Bridges Lane while you are there, however, he is waiting to hear from Ben to be sure tl pump and electrical are all set_ He will let you know when you see him at Johnson Street. Mike's number is: 978.375.4811. Thanks! P:) Pamela DelleChiaie, Health Dept. Assistant Town of North Andover 4/30/2004 It is the responsibility of the applicant to record. the required deed restriction per 310 CMR 15.000 Title 5. The following is a suggested format, but the final document should be approved by your attorney prior to recording. NOTICE OF VARIANCEIDEED RESTRICTION Pursuant to 310 CMR 15.000 Title 5, and as a condition of the North Andover Board of Health Disposal Works Construction Permit dated �° :� notice is hereby given that real estate located at 0190 JORA nQ&) � North Andover, Massachusetts, (aka Assessor's Map I 07/Lot � o ), as described in a deed from to dated 19 and recorded in the Essex County Registry of Deeds in Book & 3�23(oand Page / 0 8 , and as Document # , is the subject of a variance from the Town of North Andover Minimum Requirements for the Subsurface Disposal of Sanitary Sewage A1.05 and C9.01(4). Said varianace limits the maximum number of bedrooms at this dwelling to three bedrooms. This variance is within the jurisdiction of the North Andover Board of Health. Signed and sealed this _ ,�� day of &A'� 4� ��;'7 CX Property owner signatures Essex, s.s. COMMONWEALTH OF MASSACHUSETTS Date: Then personally appeared the above-named -56 a rI L - V1 es and acknowledged the foregoing instrument to be his/her/ their free act and deed, before me. Name Notary Public Commonwealth of Massachusetts Map -Block -Lot 107.A- 0030 - Board Of Health - -- Permit No North Andover BHP-2004-0344 --------- P•I. _ FEE F.I. $250.00 Disposal Works Construction Permit Permission is hereby granted Mike Reilly____ ________ to (Repair) an Individual Sewage Disposal System. at No 990 JOHNSON STREET as shown on the application for Disposal Works Construction Permit No. BHP -20047034 e prfl 02,-2004 -- - Issued On: Apr -20-2004 Boar ITIalth Commonwealth of Massachusetts Map -Block -Lot 107.A- 0030 - Board Of Health ------------- - North Andover Certificate of Compljw THIS IS TO CERTIFY,That the Individ ewage Disposal System (Repair) by Mike Reilly ----------------------------- Installer at No 9 -9 -0 -JOHNSON -STREET has been instalt6a in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP -20047034 Dated Apri102,_2004 ---------- Printed -On: Apr -16-2004 ----- _ ---------- . Board Of Health r Town of North Andover Health Department Date: Location: I ! (Indicate Address, if Residential, or Name of Business) Check #: Type of Permit or License: (Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service - Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal (Septic) Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERM[TS: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑L'Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ )0- OTHER: (Indicate) d L 9 Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: o�-���E CURRENT INSTALLER'S LICENSE# LOCATION: LICENSED INSTALLER: V7 SIGNATURE: TELEPHONE# CHECK ONE: REPAIR: ✓ NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. `� Administrative Use Only $ .00 Fee Attached? Yes No Foundation As -built? Yes No Floor plans on file? Yes No Approval / Date: Z © a • ,�.' INS'T'ALLER PROJECT MANAGI�NT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at ,�,A On ��4 ��'�'� S} relative to the application of dated Li -a-O"Afor plans by an( dated with revisions dated I understand the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contra( project manger, or any other person not associated with my company schedules an inspec and the system is not ready then item two shall be applicable. 2. As the installer I am required to have the necessary work completed prior to the applic; inspections as indicated below. I understand that requesting an inspection, _ witt completion of the items in accordance with Tile 5 and the Board of Health Regulations i 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 d first. Installemust request the inspection but does not have to be present. b) Final inspection - Engineer must first do their inspection for elevations, ties, etc. As-buih verbal OK from engineer must be submitted to Board of Health, after which installer calls inspection time. Installer must be present for this inspection. With pump system all electr 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 on site. 3. As the installer I understand that persons or companies not associated with my company rr not perform the work required by my company to complete the installation of the cyst( identified in the attached application for installation. I further understand that work by oth( unlicensed to install septic systems in North Andover can constitute reasons for denial of t system, and/or revocation or suspension of my license in the Town of North Andover p) significant fines to all persons involved. . 4. As the Installer I understand that I must be on site during the performance of the follow 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. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and oth components. 5. As the installer I understand that I am solely responsible for the installation of the system; per the approved plans. No instructions by the homeowner, general contractor, or any oth persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: 4 -a-O`F Disposal Works Construction Permit # c- �( J `chard Lucius 990 Johnson St. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at 990 Johnson St. . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1/ until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of 1000 in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 200 lineal (square) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE 11/25/68 Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE 11/25/68 Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE <. A • Signature I Inspecting Offic Percolation Tes4 4 Min Soil: Gravel -Clay Garbage Grinder yes 1 � J BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. r v r .Z �v M j-fo 1 -40 J ss' r 170 1. NAME J' A 4i -Z E, h u i u ^ DATE l l Z 2-1( 2. ADDRESS "/ f lj (Te) A a , 6 k �S" � LOT NO. TEL. 0 d 3. NO. OF BEDROOMS .^yam DEN YES NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. C BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE c , NAME OF APPLICANT LOCATION Mdres4Jof lot no. BUILDING: Dwelling y( Other SYSTEM: New X, Repair R GENERAL DESCRIPTION OF LAND SUBSOIL: Clay _X ravel Sand PERCOLATION TEST 4 - minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK %k2t:Q gallon capacity, LEACH FIELD lineal feet of drain pipe. illiam J. D i colli Enginedtr Board of Heal TOWN OF NORTH ANDOVER pOR74/' Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET � "�4 •>'" NORTH ANDOVER, MASSACHUSETTS 01845"SsgCHU5 Susan Y. Sawyer 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX April 21, 2004 Wayne Pavledakes 990 Johnson Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 990 Johnson Street, Map 107A, Parcel 30, North Andover, Massachusetts Dear Ms. Pavledakes, 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 Merrimack Engineering Services dated November 11, 2003 (Last Rev. April 9, 2004). The design has been approved for use in the construction of a replacement onsite septic system. This approval is valid for three years from the date of this letter and 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. The time period for which this plan is valid is reduced to two years from the date of a septic system inspection which 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 time period for which this plan is valid may be reduced by the North Andover Board of Health. The application for a Local Upgrade was approved as requested, for a reduction in the separation between the soil absorption system and the high groundwater from the required four feet to three feet. With the granting of this reduction, a deed restriction must be placed on the property, which limits the maximum number of bedrooms of this dwelling to three bedrooms. The applicant must submit proof of recording, prior to the issuance of a Certificate of Compliance by the health department. This restriction shall remain on the property until such time that the dwelling is connected to a municipal sanitary sewer system and the soil absorption system is properly abandoned. This approval is subject to the following conditions: 1. The attached DEP Form 9b must be submitted to the appropriate Regional Office of the Department of Environmental Protection at One Winter Street, Boston MA by the property owner 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 10 CMR 15.020(1)). 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. 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 might have. Sincerely; ,� 4� Susan Y. Sawyer, REHS/RS Public Health Director cc: Merrimack Engineering Services file MERRIMACK ENGINEERING SERVICE --(NC. Engineers • Surveyors • Planners 66 Park Street ANDOVER, MASSACHUSETTS 01810 (978) 475-3555 Fax /(97\8) 475-1448 TOle? L D n -k2' CIE .1ACL WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via ❑ Shop drawings ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ [LIEVV ROap 4 UH@WnVu'm DATE -'Z JOB NO. ATTENTION RE: �01) 50 CT 25— ®O FD51'� t7 ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION / '2 ieV15�"J — l b THESE ARE TRANSMITTED as checked below: ❑ For approval oour use ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS COPY TO ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US cZ- SIGNED: If enclosures are not as noted, kindly notify us at once. Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 913 y< M Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 4Q 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 Wavne Pavledakes 990 Johnson Street Street Address North Andover City/Town 2. Owner Name and Address (if different from above): Name MA State Street Address City/Town State Zip Code 3. Type of Facility (check all that apply): Telephone Number X Residential El Institutional ❑ Commercial El School 4 Des' fl 310 CMR 15 203 330 Ign ow per gpd 5. System Designer: CA" 5. Koravos X PE ❑ RS 66 Park Street Andover MA 01845 Zip Code Address Cityrrown B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s) — specify: ❑ Reduction in SAS area of up to 25%: State, SAS size, sq. ft. % reduction 990 Johnson Street 9b approval • rev. 5102 Local Upgrade Approval* Page 1 of 2 Commonwealth of Massachusetts MVIAMNEW City/Town of Local Upgrade Approval Form 9B G B. Approval (continued) X Reduction in separation between the SAS and high groundwater: S Four feet to three feet eparatlon reduction Percolation rate Depth to groundwater ❑ Relocation of water supply well (explain): ft. min./inch ft. List local variances granted not requiring DEP approval per 310 CMR 15.412(4): List variances granted requiring DEP approval: North Andover Board of Health Approving Authority Public Health Director /� , _., 4116/04 Print or Type Name and Title Date 990 Johnson Street 9b approval • rev. 5/02 Local Upgrade Approval* Page 2 of 2 �+ 0 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS LIq 11 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL (978) 476-3555,373-5721 • FAX (978) 475-1448 • E-MAIL: merreng@aol.com April 12, 2004 Ms. Susan Ford Director of Public Health 27 Charles Street North Andover, MA 01845 RE: 990 Johnson Street Dear Ms. Ford: We just received the review letter for the above referenced site dated December 10, 2003. We have revised our septic design to address items 1, 2, 3, 5, 6 and 7 of the letter. With regards to item #4, we disagree with the reviewer. The reviewer's interpretation of 310 CMR 15.254 is that when pumping to a distribution box and gravity distributing through the soil absorption system that trenches are required and any other type of S.A.S. requires a variance from DEP.310 CMR 15.254 says that the distribution lines shall be constructed as any other distribution lines with exception to the pipe diameter. The specifications for construction of distribution lines is specified in 310 CMR 15.251 (trenches) under the heading of trenches, however, that does not infer that trenches are the only type of SAS allowed. With regards to item #8 of the review letter, we again disagree with the reviewer. Title 5 clearly allows for LUA's to be granted whenever a system in full compliance is not feasible. This has been practiced with all other reviewers in the Town of North Andover in the past 8 or 9 years. In this instance, raising the system an additional foot would create grading and drainage issues with regards to neighboring properties. This design already requires significant expense by relocating a system from the rear of the property to the front in order to eliminate wetland issues. Further raising the system would also create a greater extend of horizontal disruption, tree clearing, existing utility conflict thus increasing the cost and scope of the job significantly.. L6�.I> Ms. Susan Ford April 12, 2004 Page 2 Given the above, we feel significant factors exist which warrant the granting of the requested L.U.A. in this instance and respectfully request this design be approved as resubmitted. cd Very truly yours, MERRIMACK ENGINEERING SERVICES William Dufresne Project Manager MERRIMACK ENGINEERING SERVICES, INC. • 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 �q le,9 t NORTI{ 1 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 27 CHARLES STREET x NORTH ANDOVER, MASSACHUSETTS 01845 �,S ",••� ��<'* SACHU`+ Heidi Griffin, Community Development Director (978) 688-9540 - Phone Acting Health Director (978) 688-9542 - Fax Bill Dufresne From: Pamela To: MERRIMACK ENGINEERING 66 PARK STREET Andover, MA 01810 978-475-1448 Pages: Fac Phone: 978-475-3555 pate: Septic Plan Response CC: Re: ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: Attached is the response from the Health Agent regarding Septic Plans for the following property: A copy has also been mailed to the homeowner. Please call 978-688-9540 for assistance with any questions. Thank you Cc: File Homeowner ISP Fax K1220xi Log for NORTH ANDOVER 9786889542 Dec 12 2003 2:02pm Last 30 Transactions Date Time Type Identification Duration Pages Result Dec 10 4:30pm Received 9789886139 2:37 3 OK Dec 10 4:58pm Fax Sent 819788976247 0:00 0 No answer Dec 10 5:01pm Fax Sent 819788970099 0:30 2 OK Dec 10 5:03pm Fax Sent 819783411797 4:02 7 OK Dec 10 5:5lpm Received 0:38 0 No fax Dec 10 5:52pm Received 6179267854 0:19 1 OK Dec 11 9:01am Received 9786851099 1:26 3 OK Dec 11 11:07am Fax Sent 818884868823 0:22 1 OK Dec 11 11:46am Received 508 656 3150 1:23 3 OK Dec 11 12:36pm Received 9789886139 2:42 4 OK Dec 11 1:17pm Fax Sent 815086505472 1:30 4 OK Dec 11 1:24pm Received 1978 683 6595 0:42 1 OK Dec 11 1:50pm Fax Sent 89788873480 0:58 2 OK Dec 11 2:39pm Received 19786870948 0:30 2 OK Dec 11 3:24pm Received 0:54 2 OK Dec 11 5:07pm Fax Sent 815087650193 0:46 2 OK Dec 12 2:03am Received 1:45 4 OK Dec 12 9:29am Received 0:38 0 No fax Dec 12 9:31am Received 9783529872 1:05 2 OK Dec 12 9:34am Received 0:38 0 No fax Dec 12 10:32am Fax Sent 816172484000 0:15 0 Jammed ,. Dec 12 10:33am Fax Sent 816172484000 14:43 26 OK Dec 12 10:52am Received 0:38 0 `No Dec 12 11:06am Fax Sent 784 �25 02:05 3 Dec 12 ll:llam Received Q 0 OK Dec 12 11:55am Received 1 603 527 9191 0:56 3 OK Dec 12 1:08pm Received 0:52 2 OK Dec 12 1:10pm Fax Sent 818884868823 0:34 1 OK Dec 12 1:24pm Received 2:28 3 OK. Dec 12 1:34pm Received 6038930733 2:25 2 OK TOWN OF NORTH ANDOVER °t NORTp Office of COMMUNITY DEVELOPMENT AND SERVICES F y p HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 'ssACH Heidi Griffin 978.688.9540 — Phone Acting Health Director 978.688.9542 — FAX December 10, 2003 Daniel Koravos, P.E. Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: 990 Johnson St., Map 107A, Lot 30 Dear Mr. Koravos: The proposed septic system design plans for the above site dated July 25, 2003 have been reviewed and have been found to have technical deficiencies that must be address prior to the plan approval. They are as follows: 1. Please provide a profile drawn to an appropriate scale. The depths to the tops and bottoms of tanks, d -box, and SAS are not shown to scale. The ESHGW elevation is not drawn to scale. (NA 8.02(c)) 2. Please provide a line in the system profile which depicts the existing grade (3 10 CMR 220(4)(0)) 3. Breakout elevation (97.2) is not maintained for 15' towards the north east corner of the leach area. (310 CMR 255(2)) 4. Trenches are the required type of soil absorption system when using pressure dosing of effluent. (3 10 CMR 15.254). Please use trenches in this instance or request a variance from the state regulations. 5.' Please call for the excavation beneath the SAS to extend 6" into natural soil (NA 9.02) 61 Please provide a 2" minimum delivery line to the d -box. (3 10 CMR 254(l)(c)). 7L Please provide a note or detail for the inlet baffle/tee 1" over the outlet invert for the d -box (3 10 CMR 15.232(3)(a)). 8. 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. Additionally, please be advised that a deed restriction is required since the design flow is less than 440 gpd as specified in North Andover Wastewater Regulations 13.01. This will need to be recorded at the Registry and proof submitted to the office prior to issuance of a Disposal Systems Construction Permit. 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. Sincerely rain LaGrasse Health Inspector cc: Homeowner CD&S Dir. File Page 1 of 1 Q DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulfing.com] Sent: Wednesday, December 10, 2003 2:49 PM To: Heidi Griffin; Brian LaGrasse; Pamela Dellechiaie Subject: 990 Johnson Street Heidi, Brian and Pam, Attached please find the review letter for the septic system design at 990 Johnson Street. Unfortunately it cannot be approved as designed. M. Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsuItina.com 12/10/2003 f Mr �►� t y TOWN OF NORTH ANDOVER BOARD OF HEALTH Location _ Permit # Food Service $ Retail Food O� $ Limited Retail \ $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing/ $ Design Approval Permit/!// $ Dumpster Permit - $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ Health Agent White - Applicant Yellow - Dept. Pink - Treasurer f _1 SEPTIC PLAN SUBMITTAL -'ORM LOCATION: 1 9eq JO 4 r�%Np !�nt w-Ee,T NEW PLANS:- $225.00/Plan `-� Check #: (Includes T" Re -Revie nly) REVISED PLANS: YES $ 60.00/Plan Check #: SITE EVALUATION FORMS INCLUDED: NO LOCAL UPGRADE FORM INCLUDED: NO DATE: L-7— o DATE TO CONSULTANT: DESIGN ENGINEER: JUe;�tr i e�jG 10&&ktga Telephone OFFICE USE ONLY When the submission is complete (including check): I. _^_Date stamp plans 2. Complete the = DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM form 3. Attach file and route to the Health Director for review ` �J FORM 9A - Application for Local Upgrade Approval Commonwealth of Massachusetts — 142=34 ' A iv r--A:�t I Vii`, Massachusetts (City/Town) Application for LOCAL UPGRADE APPROVAL Title 5, .310 CMR 15.000 DEP Approved Form Required by 310 CMR 15:403(1) Form 9A is to be sul mitted.to the Local Board of Health for the upgrade of a failed or nonconforming septic iyitem with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. 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 a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: City/Town: M. A, j ug yL ' Facility/System owner: Address: City/Town: -cam Telephone: _LgWr Stater_ Zip: d 1 Type of Facility (check all that apply):sidential 0 Institutional 0 Commercial Describe facility 0 School Type of existing system: 0 Privy 0 Cesspool(s) OConventional System 0 Other (describe) UT!tv6k., I ) Type of -soil absorption system (trenches, chambers, leach field, pits, etc) Design Flow per 310 CMR 15.203:. Design flow of existing system -kNKU ,A> gpd Design flow of proposed upgraded system "_gpd Design flow of facility —3299_ gpd Proposed upgrade of system is: [B Voluntary 0 Required by order, letter, etc. (attach copy) Department of Environmental protection ❑ Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection FORM 9A - Application for Local Upgrade Approval Pagel of 3 DEE' APPMved Forth — 3/20/02 �J o Describe the proposed upgrade to the Local Upgrade Approval is requested for: ❑ Reduction in setbacks) (Describe reductions) ❑ Percolation rate for 30 to 60 minPmch Percolation rate min/inch ❑ Reduction in Sp$ wea of up to 25% (SAS size and % reduction) SAS sq $ Reduction [� Raduction in separation between the SAS and high groundw ter Separation reduction ft Percolation rate_ minlinch Depth to groundwater ft ❑ Relocation of water supply well (Explain) ❑ Other requirements of 310 CMR 15.000 that cannot be met Describe and specify sections of the Code 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 aeent of the local anorovin:t authority. Hi h groundwater elevation determined by: (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date) 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: of, haze&A-A3222 -LLhC Tµr; v rL,ae�rr� UZ ty tragiT ntsT IAeRIK �XiSTir �un€r A?JV -T-6 fj,�� gq c•t�.F�.c- 2 An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: ILIIII� - - * Department of Environmental Protection Page 2 of 3 DEP Approved Form — 3120/02 FORM 9A - Application for Local Upgrade Approval 3. A shared system is not feasible: IOUA 4. Connection to a public sewer is not feasible: _ AWVI ,;64/t-�-10*L a The Application for Local Upgrade Approval must be accompanied by all of the following: . (Check the appropriate boxes) ❑ Application for Disposal System Construction Permit Lys 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) 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 maybe significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations. r Facility owner's signature 5,az Date f / / / Print name VZ 5 Name of preparer� Preparer's Address-A61itf7.i� City/Town: Preparer's telephone: ( C,70 1_ (c /a3 NOTE: 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, Division of Watershed Management, upon issuance by the local approving' authority and before commencement of construction. LLill pepartme It of Environmental Protection Page 3 of 3 DEP Approved Foran - 3120/02 owner's Address: -2 C7 JPH K) *) Tel #:(Ae4$* New (stsc) Rep*4-1 Date: �'—?1f-o Wetlan ep Zone II Soll Symbol_fI? _SollR'om Soil QJ Deep Observation Hole Logs ElmiLtion Depth Soil Horizon Soil Tenure Soil Color Sop Mottling % Gravel, Stoaes, etc• Ou %l LAC, r. ",,v L-. LA -v,- lof W, Parent hiaterW, Depth to Bedr*&- st=din= Water 1n the Hole: Weephl= ftnta Pit Face ESRG%V: jdc • tc,{jw I,MF �I g• v 71.1 5``�,� tzta�r,��'' a�ra�yf �wk �ywr PatYat Matecta! -)'I . t. V Depeh to Bedtaelt_�Staadla= Yater Lt the Rola —•-� tVeepin; [tnta Pit Face '— ESHGW:� Date : ?,4 Percolation Tests 4bsei Depth Start Time Time Time Time Rate Performed Br --&X _ Witnessed B}: I&T`OL.&V c ar -3:3 �'°`"•�'r`'� `'`.Q...`.�u,►`�l�L,� ��ie�a,`�,VYto.%.iat. (�.a,�-.o��zede- lxd wt-" K. E. R. D. #' 990 J0HNsoiY s T -,f s & r 6 8j 176- Sq. Fr. +- r PL A N N. E. R. D. � 3998 'ANDORSM4 a < 9x � .a N. R. D. flsl W ioLEr 6 � 44 9' rJ6° 3ji2i , = � c I T •R- c At. A'. R. A. # 33 954" CO1,. EwMAM & THOMSON OF LAND IN NORTH ANDOVER., MAS5. OWNED BY 'HO WARD M. ANO A L V/NAB. Tl-lolq s o1v SCALE /n= 80' LANNING BOARD APPROVAL JNDPR SUBDIVISION CONTROL LAW NOT REQUIMM PLANNING BOARD OF N06LTN ANOovER� SS, ,r MA r 1.968 Comp; feq� �rom a pjan by y0WAR0 Al. rilpm50N w � o 1!1 r � D w K. E. R. D. #' 990 J0HNsoiY s T -,f s & r 6 8j 176- Sq. Fr. +- r PL A N N. E. R. D. � 3998 'ANDORSM4 a < 9x � .a N. R. D. flsl W ioLEr 6 � 44 9' rJ6° 3ji2i , = � c I T •R- c At. A'. R. A. # 33 954" CO1,. EwMAM & THOMSON OF LAND IN NORTH ANDOVER., MAS5. OWNED BY 'HO WARD M. ANO A L V/NAB. Tl-lolq s o1v SCALE /n= 80' LANNING BOARD APPROVAL JNDPR SUBDIVISION CONTROL LAW NOT REQUIMM PLANNING BOARD OF N06LTN ANOovER� SS, ,r MA r 1.968 Comp; feq� �rom a pjan by y0WAR0 Al. rilpm50N WNy NQ. l qjO 54AW St Dia geifcci; 0 SkMP1.G F 3 _,...-��..w- -,- t i 7-1 so"-., IN -1N-::,S- S Cir ,- ;C i -. T- iiivlEr=.T TIME E= i 1 ;Ni= T ii i'v l" hAlhosr. fS 1 rwi-K053 9 Town of North Andover, Massachusetts \ljm No. i INORTM .1BOARD OF HEALTH ,�/,— 4�11ED /6 O WV[ �-d- JY� 6 L41, APPLICATION FOR SITE TESTING/INSPECTION AATED PPp �'�y Applican ,9✓.te.Difi� Site Location ��.� O/x W Engineer Test/Inspection Date and Time Fee— "I ee / I$-",�- -7'/S 71 Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Rndo�assachusetts ,� � BOARD OF HEALTH 3�p0�t`ED i6:6tiO� 7 // 5M O -APPLICATION FOR SITE TESTING/INSPECTION SACHUs���y Applicant_y NAME ADDRESS TELEPHONE Site Location / �d/��✓y-�� �j' Engineer NAME AD RESS TELE HONE Test/Inspection Date and Time 9 " X:!5,-36 CHAIRMAN, BOARD OF HEALTH Fee—Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. 4/ TOWN OF NORT ANDOVE //�� BOARD OF HEALTH Location Permit Food Service $ Retail Food $ Limited Retail $ _ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing v $" Design Approval Permit $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ 6�i/�`�.G9 � V Health Agent Hinite - Applicant Yellow - Dept. Pink - Treasurer • BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS Z 2033 DATE: MAP & PARCEL: 10-74 -TL LOCATION OF SOIL TESTS: q c2 p��)Gf�p� E OWNER: VAy P tv k::�� TEL. NO.: 74 ADDRESS: ENGINEER:. HlQzrm F -IACV— 64J6 (j)&9 M ICY TEL. NO.: �(�..c Y( CERTIFIED SOIL EVALUATOR: --161 A, CQ Intended Use of Land: Residential Subdivision Is This: / Repair Testing: V In the Lake Cochichewick Watershed? S' ' y Ho Commercial Undeveloped lot testing: Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 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 $200.00 per lot for repairs or upgrades. (If time is not critical, fee for repairs is $75.00) 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 "-1001) 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 Write Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: f.z w o r i o :..IE G "^ cn �8 Z c.i a LU a w � =�Z c Z � =^w z Y a Q w C c a �!aAP 3: 3 omz N, E. R. O. * 42 119 990 J0HIYsoK ST'REEr O 6 8� 176. Sq. Fr. d 69�� �Q.15 44 9- �6 "W s 74031 2I. T - I � 45.75 N. E. R. D. 4* 3998 'ANDOR SW4 a N. E. R. D. # 33 99 COI-EM,4k S- rHOMSON PLAN OF LAND INS NORTH ANDOVER., MASS. OWNED BY HO WARD M. An A L V/NAB. Tl-lolw s o1v SCALE /0= 80" MAY 1,968 LANNING BOARD APPROVAL JNDER SUBDIVISION CONTROL LAW NOT REQUIRED PLArrr ING BOARD OF NORTH ANDov@R, SS, tr • C'ornpfleq( from a plan by AlouvgaD /H.'-rga)AsoN BRASSEUR ASS©CIATES — LAND SURVEYORS — 601/z Bailey Street Haverhill, bass. ., BOA` -'%D OF HEALTH �1 NORM -ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: (ir MAP & PARCEL: -T- --j 10-74 T U `Y LOCATION OF SOIL TESTS: q plc? 014 o�g OWNER: VA�i Lr, tpA r-,� TEL. NO.: ADDRESS: 110 LJOlW P [ ? / i G i ENGINEER: [A1QPZ) HACV - CA) I L)F I-; ft4 t,& TEL. NO.: CERTIFIED SOIL EVALUATOR: ji 6 ,t,,. -VLIEJLGA JF, Intended Use of Land: Residential Subdivision S' y Ho Commercial Is This: !!! Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No L,-' THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land. ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & ocation of Testing 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 $200.00 per lot for repairs or Lipgrades. (If time is not critical, fee for repairs is $75.00) 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 Write Below This Line N.A. Conservation Commission Approval: { �w Date Received: Check Amount: Check Date:OFH��� F i i;A f LCC.I.I_ �F 9.1.I.LPlt1A i,,- GA4 N. R. R. D. 40 3998 'ANDER SON 1 N. P. R. D. # J L � to r K 2 45. 5.x. 4 2�' 1 y N. B. R. D. Zc 1� a 990 <JDyNsoNul sTRsEr NocEr em 1" v1 r� 82.15 �9 R6 w Al. R. R. D. # 33 99 COLEMAN Sc 7'NOMSON x 0 PLAN OF LAND IN No,9 TH ANDOVER, MASS. OWNED BY Ho WAR D M. AND AL VIVA,B. THOMSON SCALE / �= 80' MA Y 1,968 .OF :LAnING BOARD APPROVAL JNDER SUBDIVISION CONTROL LAW NOT REQUIRED tz PLANNING BOARD OP isms�itc NORTH ANDov&R,, SS. MASSEUR ASSOCIATES LAND SURVEYORS b0�h Be!;! Street Haverhi, Mass. (ig.1 CO,npi�Cq �F�on7 a r/ar7 Icy {/OWARD Aj.%11PA450N �-L\ Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ 1�1 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. The System Pum ng Record must be submi ed to the local Board of Health or other approving authority. RECEIVED A. Facility Information MAY 0 5 2008 1. System Location: tT F TH NDOVI YHA MENT Address Cityrrown State , 2. System Owner: 0;��� - Name Address (if different from location) City/Town B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe): Zip Code Stat�3o gCode Telephone Number Y-) (a--� Date 2. Quantity Pumped: Gallons Cesspool(s) eptic Tank ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes E7 -1q6" If yes, was it cleaned? ❑ Yes ❑ No 5. Condition oSystem: v�� 6. SystePu ped I : e� Name () I O� Company 7. Location ere conte wer pc _ Vehicle License Number `� G-6 --<� Date t5form4.doc- 06/03 System Pumping Record < Page 1 of 1