HomeMy WebLinkAboutMiscellaneous - 976 TURNPIKE STREET 10/8/2015 r
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PUBLIC HEALTH DEPARTMENT
NT
Town of North Andover
Community Development Division
CERTIFICATE OF
COMPLIANCE
As of: 9/17/15
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete Repair and Construction of an
On-Site Sewage Disposal System
By: Robert Amor
s t 1
At:
976 Turnpike Street
Map 107C Lot 44
North Andover, MA 01845
The Issuan e of this ce�tif}ca 0`1's all not be construed as a guarantee that the system will function satisfactorily.
r, I
k6
ichele Grant
Public Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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IRECEIVED
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"T"OWN IVY N G:lq::' 400Vf:W
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PUBI IC T UTU 9t"' Rt°tt "t'
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersi d h reby certify th the Sewage Pisposal System constructed;O repaired;
By:
(Print ame) ,! �
Located at: f✓ ,lf f al
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
and last revised on ir,, ,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�'s accurately represented on
the As-built which has been submitted to the Board of Health.
Bottom of Iced Inspection Date: r v
Engineer r septa +� Si nature
4 -� �, p )
And—Print Name r
Final Construction Inspection Date:
Enginer R rescn ative(Signature)
And—Print Name
(Signature) Dater
And—Print Name
Engineer: (Signature) Date:
And—Print Name
1600 Osgond Street, North Andover, Massachusetts 01845
Phone 978.688,9540 Fox 978.688.8476 Web ltftp.'j/ c,to nofiii°�rllingli o t::. o i
Town of North Andover - Septic System - AS-BUILT
CHECKLIST
1) II changes to the design plan have been reflected and noted on the as-
bunt
2 As-built plan has a suitable scale; 1 inch—40 feet or fewer for plot
3) S et Address,Assessor's Map and Lot Number
4) L ines and Location of Dwellings served by the system "
5) Locations,Elevations and Dimensions of As-built system components,including reserve (if
applic e)
6) Ties to all tank openings,d-box,and leach area from dwelling or Permanent Structure
7 Setback distances
,-are shown n the as-built plan from system components to:
iibsurface,interceptor&foundation drains
✓p a -Catch basins
operty lines
7� Dwellings or other structures
Private water supply or irrigation wells
Watercourses or wetlands
8) Locations of Wells,Dra' , etland Resource Areas ithin 150 feet of system
9) ocation of water,gas, electric lines,cable,control panel (if applicable)
10)ZLocation of Structures within 6 Inches of Finished Grade
11 o
rf ginal Stamp&Signature
12 Location and holder of any easements which could impact the system
' 13) I ervious Areas;Driveways,etc
14) orth Arrow
15) Location&Elevation of Benchmark used
16) STATEMENT ON PLAN (NA 5.3)
a. "I certifij the locations,elevations, ties,cover material;exposed component covers etc., shown
on this as-built substantially agree vi t12 t1w approved plan and leave determined that t1w break out
elevations,if applicab , have n met."
Signatur of Designer Date
b. —.-"If aSTUCTURALWALL IS PRESENT(NA 4.9)a Letter or statement on the as-built
indicating the wall-was or was not constructed in accordance with the intended desi gn and any
manufacturer's specifications."
Signature of Designer Date
2" Sch. 40 PVC Force Main 89x23
90x45 ® , _
_ 91 x1 ® ' ® 0x74
O 0
91x 1 4)
92, 9 ® •
-1-2 DECK 10.5' ' 60.4'
93 /,33 '�� 2 CAR 1x09 Goo°'
P / A 90x1
-- GARAGE on c. Plumbing internally connected 0000
9,x38 Pier (Typ) below slab
06 TOP OF FOUNDATION Grassed .
95x6 �— Gar. Slab ' = 98.40'
49 9 x31 Elev=97.35' BASEMENT FLOOR=91.4't
Concrete
96x3,
1 112 STORY WOOD
97, 31 FRAME STRUCTURE
FFE=9 9.6 0'
"0 x 1 Ix 58`� Bit. Conc.
I ' ,
~� Driveway
19px78
I ! Rit. Conc ��-gg
h
lEl �Ry\iYy F,.
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LL ;g
Customer: -
3D VIEW
08!28!2015 Scala:fit to page
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer []
Tanning/Massage/Sody Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales
❑ Food Packaging/Sales E]
Private(septic tank,eta ❑ Permanent Dempster on Site ❑
SHE (FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - H FORM
PLANNING & DEVELOPMENT Reviewed On
Signature—
COMMENTS
CONSERVATION Reviewed on
Signature
COMMENTS
HEALTH Reviewed on gi
1
COMMENTS r Ac
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
PlanniIlg Board Decision: Comments
r
Conservation Decision: Comments
Water 8 Sewer Connection/Snature pate
Driveway Permit
DPW Town Engineer: Signature;
Located 384 Osgood Street
FIREDEPAR^TMEN1° - Temp Dumpster on site eyes no
Located at 124 Main Street �
,,, y
Fire: epattmient.signature/date
COMMENTS
Grant, Michele
From: Jack Sullivan <jacksu1153 @comcast.net>
Sent: Wednesday,July 08, 2015 7:36 AM
To: Grant, Michele
Subject: Re: 976 Turnpike, NA- question on septic review
Hi Michele,
I am going to make the required changes to the 976 Turnpike Street per your review.
Question...the owner would like a deck...I thought if a minimum of 5 feet was provided between the
tank and the sonutubes of the proposed deck it could be permitted...not sure if that is a rule of
thumb?
Jack
From: "Michele Grant" <mgrant @townofnorthandover.com>
To: "Jack Sullivan" <jacksull53 @comcast.net>
Cc: "Isaac Rowe" <irowe @millriverconsulting.com>
Sent: Thursday, May 7, 2015 12:55:02 PM
Subject: RE: 674 Turnpike, NA - Updated Septic Repair Plans in pdf format
Thank you Jack,
Question....Is that well being utilized???
Thx
Michele E.Grant
Public Health Agent
Town of North Andover
1600 Osgood St I Suite 2035
North Andover,MA 01845
Phone 978.688.9540
Fax 978.688.8476
Email tngrant@townofnorthandover.com
Web www,TownofNorthAndover.com
From: lack Sullivan [mailto:jacksull53 @comcast.net]
Sent: Thursday, May 07, 2015 10:53 AM
To: Grant, Michele
1
�I
Massachusetts
Official Use Only
Commonwealth of
r_ lfA %�'° Services Permit No.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j (leave blank
APPLICATION IT TO PERFORM ELECTRICAL
All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00
(PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: Au /S
City or Town of: NORTH ANDOVER To the InIn p r of Wires:
By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below.
Location(Street&Number) t
Owner or Tenant (: All h Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building Z-2 /) Utility Authorization No.
- Existing Service Amps / Volts Overhead❑ Undgrd Q No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ,may
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Completion of thefollowin g table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans TransTotal
Trsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ IN o,of mergency Lighting
rnd. grild. Batteiy Units
No. of Receptacle Outlets No.of Oil Burners 11FM ALARMS No, of Zones
No, of Switches No.of Gas Burners No.of Detection and (�
Initiating Devices `®
No. of Ranges No.of Air Cond. Total
Tons No,of Alerting Devices
No. of Waste Disposers ReatPump Number Tons KW No.of Self-Contained
Totals: IDetection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal El Connection
i —1 Connection
No. of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No. of Water IOW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or E uivalent
OTHER: 0 L)/1 - �' .`; 7-
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated"Value of Electrical Work: 260 J�/_ (When required by municipal policy.)
Work to Start: / 'Inspections to to'requested in accordance with WC Rule 10,and upon completion.
INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 14 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties ofpetjury,that the inform alion on Ais application is true anti complete.
FIRM NAME; . C '. a LTC.NO.: "3-79 1,4
Licensee: el2zV 611 A . LA)1-1 /I, Signature � o � LTC.NO.: 3 ' 'p
(If applicable,enter "exern.�t"in he license number line.) Bus.Tel.No.:' �4
Address: .2 L.� "1J �j'' ✓ �i GI /'�.� " l Alt.Tel.No.
*Per M.G.L c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent P�,RI�,FEE $
Signature Telephone No.
Grant, Michele
From: Jack Sullivan <jacksull53 @comcast.net>
Sent: Tuesday,August 11, 2015 1:17 PM
To: Grant, Michele; irowe @millriverconsulting.com
Cc: peg @jempropertygroup.com
Subject: Re: 976 Turnpike - Septic Upgrade - Field Construction
Michele & Issac..
Issac...I met with Michele onsite this morning to excavate and view the additional testhole
required. The hole was consistent with the testholes we excavated/logged previous. I will prepare a
memorandum with the soil log noted for the record.
Additionally...the following two changes were discussed onsite and verbally approved...but I wanted
to put the changes into an email for the record:
1) The contractor will be using peastone over the infiltrator units (instead of filter fabric)
2) In-place of Cast Iron risers on the septic tank and dosing chamber, poly risers/cover (green) (24"
diameter) will be utilized....the tanks are not subject to H-20 loads so there is no need for Cast Iron.
Jack Sullivan
781-854-8644
From: "Jack Sullivan" <jacksuI153 @comcast.net>
To: peg @jempropertygroup.com
Sent: Thursday, August 6, 2015 4:14:07 PM
Subject: Fwd: 976 Turnpike - Septic Plan - Contractor minor plan changes
Peg,
This is what I sent to Michele today...how did you make out on the deck?
Jack
From: "Jack Sullivan" <jacksuI153 @comcast.net>
To: "Michele Grant" <MGrant @townofnorthandover.com>
Cc: "Isaac Rowe" <irowe @millriverconsulting.com>, "Lisa Blackburn"
<LBlackburn @townofnorthandover.com>
Sent: Thursday, August 6, 2015 4:07:45 PM
Subject: Re: 976 Turnpike - Septic Plan - Contractor minor plan changes
Michele,
1
Attached are the red lined plans with the field changes. I will drop off paper copies to your office
tomorrow morning around 9 am. I saw the septic tank installation this morning and this plan reflect the
field septic tank location.
Jack
From: "Michele Grant" <MGrant @townofnorthandover.com>
To: "Jack Sullivan" <jacksuI153 @com cast.net>
Cc: "Isaac Rowe" <irowe @millriverconsulting.cam>, "Lisa Blackburn"
<LBlackb urn @townofnorth and over.com>
Sent: Wednesday, August 5, 2015 9:21:36 AM
Subject: RE: 976 Turnpike - Septic Plan - Contractor minor plan changes
Hi Jack,
Yes, Robert and I discussed it yesterday morning. I asked him to run it by you first. One pipe change seemed very
reasonable, however the second pipe, from foundation to tank, I asked for your input. Thankyou emailing Isaac and I.
Michele E.Grant
Public Health Agent
Town of North Andover
1600 Osgood St I Suite 2035
North Andover,MA 01845
Phone 978.688.9540
Fax 978.688.8476
Email marant @townofnorthandover.com
Web www.TownofNorthAndover.com
■ 'r!
From: Jack Sullivan [mailto:jacksu1153 @comcast.net]
Sent: Wednesday,August 05, 2015 7:24 AM
To: Grant, Michele
Cc: Isaac Rowe
Subject: Re: 976 Turnpike - Septic Plan - Contractor minor plan changes
Michele,
The site contractor for the septic installation contacted me yesterday saying he would like to slightly
relocate the sewer force main near the proposed deck footing to avoid any conflict AND run the
second building sewer line out of the house to the septic tank in a slightly different configuration than
shown (contractor said pipe run would be less and pitch would improve which sounded reasonable). I
am ok with these changes and will accurately reflect them on the As-Built plan.
2
I copied Isaac on this as well not knowing if you or Mill River will be inspecting system prior to
backfill....
Jack Sullivan
From: "Michele Grant" <mcirant aetownofnorthandover.com>
To: "Jack Sullivan" <jacksull53Ca7comcast.net>
Cc: "Isaac Rowe" <irowe@millriverconsultbg.com>
Sent: Tuesday, May 5, 2015 12:13:04 PM
Subject: FW: 674 Turnpike - Septic Plan - Need for Town Input
Hi Jack,
Please see Isaac's response. Please feel free to contact Isaac, his'phone is listed below. Keep me apprised of
any conversation and changes to the plan.
Thank you
Michele E.Grant
Public Health Agent
Town of North Andover
1600 Osgood St I Suite 2035
North Andover,MA 01845
Phone 978.688.9540
Fax 978.688.8476
Email mgrant@townofnorthandover.com
Web www.TownofNorthAndover.com
9
From: Isaac Rowe [mailto:irowe @millriverconsulting.com]
Sent: Monday, May 04, 2015 3:05 PM
To: Grant, Michele
Cc: Isaac Rowe
Subject: RE: 674 Turnpike - Septic Plan - Need for Town Input
I would recommend the designer resubmit the revised design plan with the new wetland line and additional variance
requests noted on the plan. MRC will review the revised plan and submit any questions/comments to the Health
Department.
Even though Title 5 variances will be requested the applicant does not need to submit a variance request application to
DEP.The review of variances by DEP has been removed from Title 5 regulations and is no longer required expect in
particular situations.
3
Thanks,
Isaac M. Rowe, R.S.
Project Manager
Mill River Consulting
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
Fax: 978-282-1318
irowe(crmillriverconsulting.com
www.millriverconsulting.com
From: Grant, Michele [maI Ito:mgrant @townofnorthandover.com]
Sent: Monday, May 04, 2015 2:35 PM
To: 'Isaac Rowe'
Subject: FW: 674 Turnpike - Septic Plan - Need for Town Input
Hi Isaac,
Please see below and the attached.....What are your thoughts?
Thankyou
Michele E.Grant
Public Health Agent
Town of North Andover
1600 Osgood St I Suite 2035
North Andover,MA 01845
Phone 978.688.9540
Fax 978.688.8476
Email mgrant @townofnorthandover.com
Web www.TownofNorthAndover.com
From: Jack Sullivan [mailto Jacksu1153 @comcast.net]
Sent: Friday, May 01, 2015 6:28 PM
To: M Yamin
Cc: Sawyer, Susan; Grant, Michele; Hughes, Jennifer; Gaffney, Heidi; Willett,Tim
Subject: Re: 674 Turnpike - Septic Plan - Need for Town Input
Mohammad &Town Staff;
4
i
recently had Norse Environmental come out to the above property to clarify the wetland line based
on in-depth soil probes to determine the limit of hydric soils. The previous wetland line used was
taken from a plan by others for a proposed redevelopment of this property as a Roast Beef restaurant
which never materialized. Upon review mutual review of the wetland line with Jennifer and myself it
appeared the wetland line would need to be brought more upgradient, which was confirmed by Norse
Environmental.
The result of the wetland delineation performed by Norse Environmental presents a problem for use
of an upgraded septic system...specifically almost the entire site is within the 50 foot buffer to the
wetlands. State Title 5 code requires 50 feet from a wetland to a soil absorption system and North
Andover requires 100 feet....thus the problem. The existing septic system is failed and as you can
see from the attached plan it appears at least one of the leaching pits is in the wetland area. So this
email might be more appropriate for the Board of Health to comment on, but I wanted to keep all
departments in the loop since this is an active wetland filing.
I have never had a situation where I was unable to fit a septic system onsite. The Town sewer is over
400 feet away and furthermore individual sewer force mains are not allowed per DPW.
Susan & Michelle....I am not sure if you have run into this situation before. MY THOUGHT IS'WITH
THE MICRO FAST UNIT PROVIDING DE-NITROFICATION THE DEP WOULD PROBABLY
GRANT A VARIANCE FROM THE 50 FOOT WETLAND SETBACK REQUIREMENT. This would
also require a variance from the North Andover BOH and Conservation. I do not think DEP would
allow a tight tank since they typically want to see some sort of soil absorption field if there is any land
area that would allow some treatment, even with a setback variance. If you could forward this email
and plan to Mill River for comment that might be helpful. If everyone agrees the best option is to
pursue the DEP variance on wetland setback I can look to prepare the application and continue the
public hearing process with Conservation. I would look to submit the variance paperwork to the NA
BOH at the same time the DEP variance request is submitted.
The owner and I would like to try to finalize some type of design to finally remedy the failed septic
system...please let me know the best course of action to take.
Thank you.
Jack Sullivan
781-854-8644
All email messages and attached content sent from and to this email account are public records
unless qualified as an exemption under the Massachusetts Public Records Law.
Visit us online at www.townofnorthandover.com
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5
Attached are the red lined plans with the field changes. I will drop off paper copies to your office
tomorrow morning around 9 am. I saw the septic tank installation this morning and this plan reflect the
field septic tank location.
Jack
From: "Michele Grant" <MGrant @townofnorthandover.com>
To: "Jack Sullivan" <jacksuI153 @comcast.net>
Cc: "Isaac Rowe" <irowe @millriverconsulting.com>, "Lisa Blackburn"
<LBlackburn @townofnorthandover.com>
Sent: Wednesday, August 5, 2015 9:21:36 AM
Subject: RE: 976 Turnpike - Septic Plan - Contractor minor plan changes
Hi Jack,
Yes, Robert and I discussed it yesterday morning. I asked him to run it by you first. One pipe change seemed very
reasonable, however the second pipe,from foundation to tank, I asked for your input. Thankyou emailing Isaac and I.
Michele E.Grant
Public Health Agent
Town of North Andover
1600 Osgood St I Suite 2035
North Andover,MA 01845
Phone 978.688.9540
Fax 978.688.8476
Email mgrant@townofnorthandover.com
Web www.TownofNorthAndover.com
•
From: Jack Sullivan [mailto:jacksull53 @comcast,net]
Sent: Wednesday, August 05, 2015 7:24 AM
To: Grant, Michele
Cc: Isaac Rowe
Subject: Re: 976 Turnpike - Septic Plan - Contractor minor plan changes
Michele, .
The site contractor for the septic installation contacted me yesterday saying he would like to slightly
relocate the sewer force main near the proposed deck footing to avoid any conflict AND run the
second building sewer line out of the house to the septic tank in a slightly different configuration than
shown (contractor said pipe run would be less and pitch would improve which sounded reasonable). I
am ok with these changes and will accurately reflect them on the As-Built plan.
2
Commonwealth of Massachusetts Map-Block-Lot
107.00044
BOARD OF HEALTH -----------------------
Permit No
North Andover BHP-2015-0331
---------------- ------
FEE
$250.00
-----------------------
DISPOSAL WORKS CONSTRUCTION PERMIT
Permission is hereby granted Robert-T.-Amor
to(Construct)an Individual Sewage Disposal System,
at No --9-7-6--TURNPIKE-STREET
as shown on the application for Disposal Works Construction Permit No. BHP-2015,-033---', ated August 03,2015
---------------
Issued On:Aug ------------- --- -
-----------------------------------
-03-2015
- -- - - -------------------------- BOARD OF HEALTH
Application for Septic Disposal System,
t'. TODAY'S DATE
Construction Permit — TOWN OF
NORTH ANDOVER MA 01845 5 0°x°.-- &m oenent
a $ p
Important: Application s hereby made fora permit to:
When filling out ❑ onstruct a new on-site sewage disposal system*
forms on the
computer,use Repair or replace an existing on-site sewage disposal system*
only the tab key
to move your ❑ Repair or replace an existing system component—What?
cursor-do not
use the return A. Facility Information
key. �/a'r� rz m '. />
Address 0
or L - "
ran
City/Town /t✓ h/ '
2.-*TYP OF SEPTIC SYSTEM*:
➢ V Pump ❑Gravity(choose one)
***If pump system, attach copy of electrical permit to application***
➢ ❑ onventional 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)
➢ ❑ Pressure Dosed(D-Box Present)S.A.S.
➢ ❑ Does the system require an effluent filter? Yes No
If yes, does plan specify make and model of filter? YES =(no further info. needed)
NO=(installer must specify brand of filter before DWC issuance))
"at is die Make? d,6g["4 it/hatis die M.d,1? IVI,1141
2. Owner Information
Name
Add ess(indifferent from above)
` .
City/Town State Zip de
Email address Telephone Number
3. Installer Information
Name Name of Company
Address
zzkA
City/Town State Zip Code
Telephone Numb (Cell Phone#if possible please)
4. Designer Information
NameNa
me o Company
Address
t� 4� r /t+ a
City/Town ,. f State Zip Code
Telephone Number(Best#to Reach)
Application for Disposal System Construction Permit•Page 1 of 2
Application for Septic Disposal System
Construction Permit - 'TOWN OF TODAY'S DATE
NORTH DOVER, A 01845 $260.00-Full Repair
$126.00-Component
PAGE 2OF2
A. Facility Information continued....
5. Type of Building: residential Dwelling or❑Commercial
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the afore-described
on-site sewage disposal system in accordance with the provisions of Title 5 of the
Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of
North Andover. I understand that until a final Certificate of Compliance has been issued by
this Board of Health, the installed system is not approved.
Name Date
Jcatio A rove d y: and f eaIth Representative)
pp Q
ame" Date
Application Disapproved for the following reasons:
„ . ....... �....
For Office Use Only:
Z Fee Attached? Yes No
2. Project Manager Obligation Form Attached? YesV__ No
3. Pump System? If so,Attach of Electrical Permit Yes �w Na
Applicant received copy of
"Electrical Inspection Notes)b_- e ,c.Systerns� " Yes No
Handout?
4. Reviewed approvalletter, all paperwork received. Yes'° No
Missing.'
5. Foundation As-Built?(new construction only): Yes No
(Same scale, as approved plan)
6. F1oorPlans?(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:
l
(i,ddress ohs ptic.sys ���) For plans by 5 z� ,)�/'W ✓ ✓ P/i '
Relative to the application of I'l611'cf
(Installer's name) And dated
M
,,. 19.gina.Zia
Dated '
� lt
oc as ate With revisions dated _o � -
(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 priot 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 requited to have the necessary work completed prior to the applicable inspections as
indicated below. I understand that requesting an inspection,without completion of the items in accordance
with Title 5 and the Board of Health Regulations may result in a$50.00 fine being levied against me and/or
my company
a. Bottom of Bed—Generally,this is the first(1'� inspection unless there is a retaining wall,which
should be done first. The installer must request the inspection but does not have to be present.
b. Final Construction Inspection—Engineer must first do their inspection for elevations,ties, etc.
As-built of verbal OK(or e-mail to: health dc.)t i)townofnorthandover.com) from the engineer must
be submitted to the Board of Health,after which installer calls for an inspection time. Installer must
be present for this inspection. With a pump system,all electrical work must be ready and able to
cause pump to work and alarm to function.
c. Final Grade—Installer must request inspection when all grading is complete. Installer does not
have to be on-site.
4. As the installer,I understand that only I may perform the work (other than sim ple 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 of.Health staff or consultant.
d. Installation of tank, D-Box,pipes, stone, vent,pump chamber, retaining wall and other
components.
6. As the installer, I understand that I am solely responsible for the installation of the system as per the
ap roved plans No instructions by the homeowner.general contractor,or any other persons shall absolve
me of this obligation.
Undersigned Licensed Septic Install er: (T >lay's L ate) P-
( arise--Print) ( �uff—'Sign ed
Blackburn, Lisa
From: Jack Sullivan <jacksul153 @corncast.net>
Sent: Wednesday,July 01, 2015 11:25 AM
To: Blackburn, Lisa
Subject: Re: 976 Turnpike St.
Lisa,
must have left an old address on the plan...sorry.
Owner information:
JEM Property Group
14 Chatfield Drive
Litchfield, NH 03052
Thank you.
Jack
From: "Lisa Blackburn" <LBlackburnn townofnorthandover.com>
To: "Jack Sullivan" <iacksu1153comcast.net>
Sent: Wednesday, July 1, 2015 11:09:00 AM
Subject: 976 Turnpike St.
Hi Jack,
Here is the disapproval letter for 976 Turnpike St. Can you give me the homeowners address? I have
39 Cotuit Street LLC, 733 Turnpike St. #217, No. Andover MA. I did notice Jem Property Group on
the Form 11. 1 want to make sure I have it correct. Thanks.
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1
1
i
•
North Andover Health Department
Community and Economic Development Division
July 22, 2015
JEM Property Group
14 Chatfield Drive
Litchfield,NH 03052
Re: Subsurface Sewage Disposal System Plan for 976 Turnpike Street(Map 107C,Lot 44)
To Whom It May Concern:
The proposed wastewater system design plan for the above site dated June 22, 2015 with a final
revision date of July 9, 2015 and received on July 13, 2015 has been approved.
The design plan has been approved for use in the construction of a new on-site septic system for
a 4-bedroom(max 9-roam)home utilizing a Quick 4 Plus Standard LP Infiltrator Chamber
system. This design plan approval is valid until July 22, 2017.
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 also subject to the following conditions:
1. If site conditions are found in the field to be different from those indicated on the
design plan and/or soil evaluation, the originally issued Disposal System Construction
Permit is void, installation shall stop, and the applicant shall reapply for a new
Disposal Systems Construction Permit (3 10 CMR 15.020(1)).
Page 1 of 2
North Andover Health. Department, 1600 Osgood Street, Suite 2035
North.Andover, MA 01.845 Phone: 978.688.9540 Fax: 978.688.8476
976 Turnpike Street July 20, 2015
2. It is the responsibility of the applicant and/or the applicant's septic system designer,
septic system installer or other representative to ensure that all other state and
municipal requirements are met. These may include review by the Conservation
Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector
and/or Electrical Inspector. The issuance of a Disposal System Construction Permit
shall not construe and/or imply compliance with any of the aforementioned
requirements.
3. Since only one test pit is in the proposed soil absorption system the required Form 9A
—Local Upgrade Approval request form is required to be submitted. Also, an
additional test pit will be required at the time of the bottom of bed inspection to
confirm the subsurface soil conditions prior to the installation of the leach field
components.
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,
)Michele Grant .mm
Health Inspector
Encl. Installers list
cc: Jack Sullivan, P.E.
File
Page 2 of 2
North Andover Ilealtli Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
io /�i/lei%i �i,.♦ ., � ae,
i r
North Andover Wealth Department
(ommunity Development Division
July 1,2015
Jack Sullivan,P.E.
Sullivan Engineering Group,LLC
P.O. Box 2004
Woburn,MA 01888
Re: Subsurface Sewage Disposal System Plan for 976 Turnpike Street(Map 107C,Lot 44)
Dear Mr. Sullivan:
The proposed wastewater system design plan for the above site dated June 22, 2015 and received on June
25, 2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are
corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met
by this design follows each item where applicable.
1. On sheet 1 of 2,the finished side slope of the mounded system is steeper than 3:1
horizonatal:verticial(3 10 CMR 15.255(2)).
2. On sheet 1 of 2,the proposed deck and pump chamber do not meet with minimum setbacks in the
North Andover Board of Health regulations(NA BOH 3.9).
3. On sheet l of 2,although noted on the plan,the other building sewer line proposed into the septic
tank is not depicted on the site plan. If bends are proposed in the building sewer line(s) a
cleanout is required.
4. Annual maintenance of the effluent filter is required and should be noted on the design plan(3 10
CMR 227(7)).
5. On sheet 1 of 2,the site plan and profile do not provide adequate cover material above the
proposed tanks (3 10 CMR 228(1)).
6. On sheet 1 of 2,the sizing calculations for the conventional system depicts the incorrect"leach
area provided"for the trench length and square footage.
7. On sheet 1 of 2, if finish grades are proposed within 5' of the property line a swale is required
(3 10 CMR 15.255(2)).
8. On sheet 2 of 2,pump calculation note#10 depicts the incorrect reserve capacity of 412 and 453
gallons based on the available volume above the alarm float of 33". Additionally the gallons/
vertical foot appear to be based on a smaller pump chamber. Please modify the emergency
storage calculations as needed.
9. On sheet 2 of 2,pump calculation note#11 indicates a maximum operating point of 40 GPM with
a total head of 14.22 feet.This operating point appears to be beyond the pump performance curve
for the selected pump. Therefore indicating the pump may not be able to provide necessary flow
Page 1 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
against the calculated head. Please confirm if the selected pump will meet the operating point or
revise the pump selection as needed.
10. On sheet 1 of 2,the slope of the longest line from the distribution box to the Infiltrator Chamber
inlet appears to be approximately 0.002' based on an 18ft+/-length of pipe. The design plan
proposes a slope of 0.01'.
11. Although not a reason for disapproval,you may wish to minimize the force main length by
proposing the distribution box on the northern side of the leach field.
12. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the
"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification
and/or Approved for Remedial Use"will apply. Please provide the following as required by the
approval conditions
Section H(18):
c) certification by the Designer that the design conforms to the Approval, any Company
Design Guidance, and 310 CMR 15.000; and
d) a certification, signed by the Owner of record for the property to be served by the
Technology, stating that the property Owner:
L has been provided a copy of the Title 5 EA technology Approval, the
Owner's Manual, and the Operation and Maintenance Manual, and the
Owner agl°ees to comply with all terms and conditions
2. for Systems installed under a Remedial Use Approval, the owner agrees
to fulfill his responsibilities to provide written notification of the
Approval to any new Owner, as required by 310 CMR 15.287(5);
3. if the design does not provide for the use of garbage grinders, the
restriction is understood and accepted; and
4. whether or not covered by a warranty, the System Owner understands
the requirement to repair, replace, mods or take any other action as
required by the Department or the LAA, if the Department or the LAA
determines the System to be failing to protect public health and safety
and the environment, as defined in 310 CMR 15.303.
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.
incerely,
Michele Grant
Health Inspector
cc: JEM Property Group
File
Page 2 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
RECEIVED
E
July 9,2015 JUL 21 2015
Town of North Andover "1° 1j C)i N�9 fls 1i ANDOVER
Board of Health
1600 Osgood Street
North Andover,MA 01845
Re: 976 Turnpilie Street,North Andover
Owner Certification for Septic Upgrade
As owner of the above property T certify that:
1. have been provided a copy of the Title 5 KA technology Approval, the
Otivner's Manual, and the Operation and Maintenance Manual, and the
Owner agrees to comply with all terms and conditions;
2. for Systems installed under a Remedial Use Approval, the owner agrees to
fulf ll his responsibilities to provide written notification of the Approval to
any new Owner, as required by 310 CMIZ 15.287(5),
3. if the design does not provide for the use of garbage grinders, the
restriction is understood and accepted, and
4. whether or not covered by a warranty, the System Owner understands the
requirement to repair, replace, mode or take any other action as required
by the Department or the LAA, if the Department or the LAA
determines the System to he failing to protect public health and safety and
the environment, as defined in 310 CAM 15.303.
Ver rely o rs,
Peg raveline of JEM Property Group