HomeMy WebLinkAboutMiscellaneous - 36 BEAVER BROOK ROAD 12/23/2015 FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date: 1,//V,
NO.
Commonwealth of Massachusetts
N012TH 1q1v00L16K- , Massachusetts
Assessment or On-site Sewage Qkn
Performed By:
Date: 4/.+
.....0....F...... ....................... ........
Witnessed By: .........."Al oww•s H"W, j419--,SS(/V0q 1�*:VeG`9PMg"V1— "'f'o'
Lwallm A00S Or 110T 13 AddICS1,and
Lots 1.3 F A V 6 tt TckphoW 1 .14 &r4e1wr PoN,-N 091vlZ
I'a0yromo w/f 01117,(
NewConstructlon ®. Repair ❑
9v 7 3 10 2
Office Review
Published Soil Survey Available: No ❑ yes Q
soil Map Unit cm�-� .........
Year Published j..?.?,,jA..... Publication. Scale z je) , .
oajj)i.v.6VSoi1 Limitations P.M.1..... Qr............................
Drainage Class WIFG(,
Surficial Geologic Report Available: No El yes ❑
Year Published Publication Scale
Geologic Material (Map Unit) ................11..........I......................................................................................... ....... ...................
Landform ...I....................... .................. ..........................
Flood Insurance Rate Map:
Above 500 year flood boundary No 0 Yes M
Within 500 year flood boundary No ❑Yes ❑
Within 100 year flood boundary No []Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit) ...........................I........ ... .......
Wetlands Conservancy Program Map (map unit). ................................... ........................
Current Water Resource Conditions (USGS)- Month
Range :Above Normal ❑Normal [1BelcwNormal ❑
Other References Reviewed:
DEP APPROVED FORM•12107195
CHRISTIANSEN & SERGI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET HAVERHILL, MASSACHUSETTS 01830 (508)373.0310 FAX:(508)372.3960
September 18, 1995
North Andover Board of Health
120 Main Street
North Andover,MA 01845
Re: Lot 13 Beaver Brook Road (Evergreen Estates) Septic System Design
Dear Board of Health Members:
On behalf of my client,Messina Development Corp.,I would like to appear before the
Board at your scheduled September meeting to request variances from the Town of North
Andover's Minimum Requirements for the Subsurface Disposal of Sanitary Sewage for a
proposed septic system at the above referenced location The variances requested are as follows:
1. North Andover Regulation 2.14.4 Minima m apacity
The variance requested is to allow for the minimum capacity of the disposal system
to be reduced from the required 660 gallons per day to the design flow of 440 gallons per day.
2. North Andover Regulation 2.14 Sewage Flow Estimates
The variance requested is to allow for the estimated daily flow per bedroom to be
reduced from the North Andover requirement of 165 gallons per day to the Title V requirement of
110 gallons per day.
3. North Andover Regulation 4.18 Dtslances
The variance requested is to allow for the proposed disposal system to be located
at a distance of 20 feet from the proposed cellar wall and foundation drain. The set back distance
required by the North Andover regulation is 35 feet. The set back distance required by Title V is
20 feet.
Enclosed are three copies of the septic system design for this lot. Please notify me when
you have scheduled a meeting to consider this request for variances.
Ve Truly Yours,
w
p G. Christiansen
t
FORM It - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. tof /3 111 ZGIZ&On/ /F-S Ffl a1
On-site Review
�'�� Time:.: ...::... Weather
Deep Hole Number 1.�..,:'"".I: Date:,-.'.f .
Location (identify on site plan)
.....
• land Use Slope (%) 3.-- �5 Surface Stones
Vegetation _,..v..... k....... . . .... .:. .....
Landform ....:::_r.:.,.::;....: ...,..:..-,.,.:...::....:. .::...:. . ...N:::.:.,.....:. _... ....,.... .,:.v.,-.:: .:....::... .n,.........�.,::..,........ .. .
Position on landscape (sketch on the back)
Distances from:
Open Water Body . - .. . feet Drainage way. .... feet
�. Possible Wet Area . .: feat' Property Line ......... feet
Drinking Water Well feet Other .....,.,........:
DEEP OBSERVATION HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, °fo
Gravel)
F 5,L W�tl�3f 3
�1 6►�
�f. S Hl4SSl Ef Ff'l/"1-Z (-b
.
,t u�
Parent Material(geologic) TI f✓�.. Depthtoeedrock: F)'1
Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: S b r� _
. rr
Estimated Seasonal High Ground Water: __ •—•—
DEP APPROVED FORA(•12/07/95
FORM II - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. foT /3 6 VAN-6&,"A.� >i.4 r/ -J
On-site Reweit
�S ....:;.... .. Weather
Deep Hole Number 11, • :..,
," Date::.` ` Time:-
Location (identify on site plan) _ »� �•.,�,»�,.,,.�-.,vh- .:...,.,,....w,...,:,,.r,.:,.:w,N..::.........:N.µ.,w,,,-.,. :�-:n-::.,,v �...-,::... ...x,.-:::,.,.
Land Use Slope (%) �.-- �3 Surface Stones
Vegetation .... .....»,•.-:..,:,:..:.,:v:.r v:..::...:.,,::�x,..»..:..;.::N..,::,.
Landform ......, .x,.:�•.,.:.:.-:.,:. ...:... ......... r..:,...v,::.,.......,».,w�,,,,,.:.,..:.:,.,
Position on landscape (sketch on the back) . ..,,.... s
Distances from:
Open Water Body . • , feet Wainage way. .,..••.... feet
Possible Wet Area - ... feet Property Line ...:.... ..... feet
Drinking Water Well feet Other
DEEP OBSERVATION-HOLE. LOW '
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(Inches) (USDA} (Munseit) Mottling (Structure,Stones,Bould)rs, Consistency, %
Gravel
µS F 5L 10W-3/3
S'- 3
3 6 0 41 Z'elooX
Ci��W /Yl�•SS�V�r r=t2l1�t3uL (-b t�t12M
Parent Material(geologic) I DepthtoBedrock:
Oeath tg Groundwater: Standing Water in the Hole:. Weeping from Pit Face: 7 7 —_ —
n
Estimated Seasonal High Ground Water:
DLP APPROVED FORM-1210719S
FORM lI - SOIL LVALUATOR FORM
Page 3 of 3
Location Address or Lot No. LU1' /3 F_d9'i2C: '-z "r4'
Determination for Seasonal Hi h Water Table
Method Used:
❑ Depth observed standing in observation hole................... inches
❑ Depth weeping from side of observation hole ........... ..... inches
ErDepth to soil mottles `�. i,� inches
❑ Ground water adjustment ................... feet
Index Well. Number ................... Reading Date Index well level
Adjustment factor .................. Adjusted ground water level ........................................................
Death of Naturally Occurring Pervious Material
Does at least four,feet of naturally occurring pervious material- exist in all areas
observed throughout the area proposed for the soil absorption system? yI.S
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on 1 (date) 1 have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
Signature Date 3
DEP APPROVED FORA(•12107/95
FORM 12 - PERCOLATION TEST
Location Address or Lot No. toT" (3 D
COMMONWEALTH OF MASSACHUSETTS
Massachusetts
Percolation Test*
Date: .,......,.,... ('A8�qjG Time:,..:,.:,
Observation Hole #
iovKc 13 ._4- Pl vtc /3 -3/+
Depth of Perc 66 " SB n
Start Pre-soak /?- ., o
1297
End Pre-soak
Time at 12"
• /� oZ
Time at 9" Z
Time at 6"
Time (9"-6") Z /ti 111V Z 7 Mry
Rate Min./Inch AVAI It
* Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Site Failed ❑
Performed By: e K9,1 L AIS&v 1 S 0 it 6 INC.
Witnessed By: _ 5L4S19N r-v iz-9
Comments: ww ,n. ...�,... .w..-�n-.,���. N.m r_-........K., M...w �.,..-:.M� .���......_...., ,v . w. �.N.,w.w....w..........
DEP APPROVED FORM-1210719S
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FORM Q - LOT REL.FAS-E FORM
INSTRUCTIONS: Thi.sr-foam is used to veri y that all necessary ' 1:
;approvals/permi:ts from• Boards and .Departments having' j u.risdi ction
- have been obta.a:ned. Thin does not .zeli eve the applicant °and/or
landowrxer from compliance with a.ny..`:applicabl:e 'local or state. lark. .
regulations or requir ements.
*** is out`=thi.s. section*
_
***Applicant i_cant f i.'1 - - - -�
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Comments:
: . Publ i;c. Works aewer%water ;cotlnectkQns
driveway .pezmit. _
Fire Department
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Received by Building Inspector .' Date,-
option to i sz
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APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: Il r (t - /' ) CURRENT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTALLER:
SIGNATURE: TELEPHONE# }
CHECK ONE: _...
REPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION,PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$75.00 Fee Attached? Yes No
Foundation As-Built? Yes __ No
Floor Plans? Yes No
Approval Date;
HRISTIANSEN & SE I, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS i
160 SUMMER STREET HAVERHILL,MASSACHUSETTS 01830 (508)373.0310 FAX: (508)372.3960
TO: Ms. Sandra Starr poi 1,
Board of Health
North Andover.
RE: Septic aystlem Desi�gn Plans `
Date: j�-=�
Attached are plans fpr Z,
This design is
—–�- a new submittal
a revision with the following changes
1
1
NORTH ANDOVER BOARD OF HEALTH
DESIGN REVIEW REPORT
FEE: PERMIT # lo�� DATE RECEIVED
APPLICANT �'l5s�/U�9 MAP PARCEL
ADDRESS LOT # )0 STREET #
ENG. ( 2211&4 B960.0 TC D
ENG. ADDRESS ,'-.: lloD (, 1kl �i4 S Z-
PLAN DATE � REV. DATE
CONDITIONS OFAFPROVAL
APPROVED DISAPPROVED
REASONS FOR DISAPPROVAL:
0°
•ems' `�/? �-� D ,j
Tle
PLAN REVIEW CHECKLIST n
C -� ��/-�/ ENGINEER
ADDRESS 1/�'�G Cam_ _
GENERAL
3 COPIES 4./ STAMP y LOCUS NORTH ARROW V SCALE
CONTOURS !/ PROFILE SECTION L,---" BENCHMARK �-' SOIL &
PERCS t/ ELEVATIONS DISCLAIMER L--- WELLS & WETS
WATERSHED?_I) DRIVEWAY �(Elev) WATER LINE FDN DRAIN L�
SCH40 TESTS CURRENT? �--''� SOIL EVAL �. U�60
SEPTIC TANR, / / ��
MIN 150OG y . 17 INVERT DROP GARB. GRINDER /U ' (+200% EDF)
25 ' TO CELLAR MANHOLE X' ELEV . GW # COMPS. t
D-BOX
SIZE # LINES 3 FIRST 2 ' LEVEL STATEMENT
INLET / ,9, - OUTLET J 3,3.3/ = Z (2" OR . 17 FT} TEE REQ'D?
LEACHING
MIN 660 GPD?X/ RESERVE AREA " 4 ' FROM PRIMARY? L---"2% SLOPE
100 ' TO WETLANDS " 100 ' TO WELLS �� 4 ' TO S .H.GW. L--- (5 ' >2M/IN)
35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY L, MIN 12" COVER L,-' FILL?
if above natural elev; 10 ' if below) BREAKOUT MET?
TRENCHES
..c
MIN 660 gpd SLOPE (min . 005 or 6 11/1001 ) SIDEWALL DIST. 3X EFF.
W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST
BE 10 ' MIN. 4" PEA STONE? VENT? (>3 ' COVER; LINES >501 )
BOT + SIDE X LDNG = TOT
(L x W x #) (DxLx2x#} (G/ft2)
Copyright 0 1995 by S.L.Starr
PITS
MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT
GW MIN 4 ' BELOW BOTTOM EXC* 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2x(L+W) xD x #) (G/ft2)
CHAMBERS f
MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005
BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT
BOT + SIDE X LOAD = TOTAL
(L x W x #) (2 x (L+W) xD x #) (G/ft2)
FIELDS
MIN 660 GPD. 900 ft2 BED GW MIN 4 ' BELOW BOTTOM OF FIELD
PIPE ENDS JOINED? 'C-� 4" PEA STONE? bl" DIST LINE SLOPE . 005?
>31COVER--VENT SCH 40ci MIN 12" COVER
RATE LDG X 660 � X
.� - TOTAL A07 Z-
G/ft2 REQ 'D (ft2) LXW
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L W D Vol.
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
5pm
MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP . SWITCH
Copyright,O 1993 by S.L.Starr
/t
�HRISTIANSEN & SE GI, INC.
/PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET HAVERHILL,MASSACHUSETTS 01$30 (508)373-0310 FAX: (508)372-3960
.AIM(
T0: Ms . Sandra Starr
Board of Health
North Andover
RE: Septic System Design Plans
Date :
Attached are plans for
This design is
a new submittal
a revision with the following changes
Town of North Andover Of „ORT1�
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
30 School Street x .""
WILLIAM J.SCOTT North Andover,Massachusetts 01845
Director SICHUSB
December 22, 1997
Christiansen&Sergi
160 Summer Street
Haverhill,MA 01830
Dear Phil:
I have as yet not received a reply,as requested,to my letter of December 16, 1997,concerning
Lots 11 and 13 Evergreen Estates. I would like to get beyond this stage in the process and,after discussion
with the Board ofHealth,I am willing to observe and inspect a bed excavation for these lots,providing
plans have not changed and the weather conditions permit. However,I must have a written communication
from you on the status of both of these lots before I would be willing to issue yet another temporary-permit,
As for as scheduling an appointment for excavation,once a permit is issued,please be advised that I will
not be in the office on January 2, 1998 and will be on vacation January 12 through 16, 1998, I hope that we
can come to some accommodation.
In addition,on the advice of the Board,I am requesting that you, as the engineer of the project, be
the representative through which all communication is funneled until the work is handed off to the licensed
installer. It would be appreciated if you could work this out witiryour client.
Sincerely,
Sandra Starr,KS.
Health Administrator
Cc: A.Couillard
G.Henderson
W.Scott
BOH
File
CONSERVATION-(978)688 9530 • HEALTH-(978)688-9540 • PLANNING-(978)688-9535
*BUILDING OFFICE-(978)688-9545 • *ZONING BOARD OF APPEALS-(978)688-9541 • *146 MAIN STREET
PLAN REVIEW CHECKLIST
ADDRESS /25 �V6 11�A,) ENGINEER
GENERAL
3 COPIES L. STAMP l/ LOCUS NORTH ARROW SCALE
CONTOURS C PROFILE Sc) SECTION � BENCHMARK � � SOIL &
PERCS 91 ELEVATIONS WETS . DISCLAIMERk WELLS & WETS
WATERSHED?A/-) DRIVEWAY WATER LINE FDN DRAIN M&P
SCH40 t_/ TESTS CURRENT? SOIL EVAL a, I ,O
SEPTIC TANK
MIN 150OG "� . 17 INVERT DROP GARB. GRINDERZV.(2 comps +200)
10 ' TO FDN (--� MANHOLE t-••— ELEV GW # Comps. GB 4
D-BOX
SIZE # LINES__ __, FIRST 2 ' LEVEL STATEMENT
INLET „ 9.� � - OUTLET/ -/, _ 17 (2" OR . 17 FT) TEE REQ D?-Az6L
LEACHING
MIN '440 GPD? RESERVE AREA 4' F OM PRIMARY.
MIN SLOPE
100 ' TO WETLANDS, 100 ' TO WELLS t/ 4 ' TO S.H.GW (5 ' >2M/IN)
20 ' TO FND & INTRCPTR DRAINS L-f-' 400 ' TO SURFACE H2O SUPP L/
4 ' PERM. SOIL BELOW FACILITY ? MIN 12" COVER `"'f FILL? Ll r(15 ' )
BREAKOUT MET? �Jo r
TRENCHES
MIN 440 gpd SLOPE (min .005 or 6"/100 ' ) SIDEWALL DIST. 3X EFF.
W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST
BE 10 ' MIN. 4" PEA STONE? VENT? (>3 ' COVER; LINES >50 ' )
BOT + SIDE X LDNG = TOT
(L x W x #) (DxLx2x#) (G/ft2)
CoDyrSght &7 1996 by S.L. Starr
PITS
MIN 440 LEACHING MIN 1 (131x1.6 ' ) PIT MANHOLE/PIT
GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
(L x W x ##} {2x{L+W)xD x ##) (G/ -t-2)
CHAMBERS
MIN 440 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-48" STONE `'`� SPLASH PADS
SLOPE .005
BED/TRENCH (.---(Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT
BOT .
+ SIDE oa--j° X LOAD , 46= TOTAL '
#_) (2 x (L+W)xD x #) (G/ft2)
FIELDS �9
_..
• .-t F
MIN 440 GPD 900 ft2 BED GW MIN 4 ' BELOW BOTTOM OF FIELD
PIPE ENDS JOINED? 4" PEA STONE? DIST LINE SLOPE . 005?
>3 'COVER-.VENT SCH 40 MIN 12" COVER
RATE ' ( X ) X = TOTAL
L W LDG
DOSING .TANKS AND PUMPS
DIMENSIONS X X PUMP CAPACITY—
L W D Vol,
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
qpm
MANHOLES TO GRADE ALARM SEP . CIRC. GW (Min. 1 ' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP . SWITCH ENUF STORAGE?
Copyright 0 1996 by S.L. Starr
Town of North Andover NoR7H
OfSttto X61
orrrCr or,
COMMUNITY DEVELOPMENT AND SERVICES
30 School Street
WII,LIAM J.SCOTT North Andover,Massachusetts 01845 "SSaTic, �y
Director
April 29, 1998
Christiansen & Sergi
160 Summer Street
Haverhill, MA 01830
9
RE: Lot 3 Windkist Farm
Lot 13 Evergreen Estates
Dear Phil:
This letter is to inform you that the proposed septic plans for Lot 3
Windkist Farm Road have been denied because the line from the house to the
tank must be a straight line.
The proposed plans for lot 13 Evergreen Estates have been denied
because the flow calculations were based on twenty minutes per inch instead of
25 minutes per inch.
If you have any questions, please do not hesitate to call the Board of
Health office at the number below.
Sincerely,
Sandra Starr, R.S.
Health Administrator
cc: Wm. Scott, Dir. CD&S
Bill Barrett
DECM Essex
File
BOARD OF APPEALS 688-9541 BUILDING 688.9545 CONSERVATION 688-9530 HEALTH 688.9540 PLANNING 688-9535
Town of North Andover
HEALTH DEPARTMENT
/ NAM��X" ,
Massage Type of Permit or License:(Check box) 6,(.
• Body Art Establishment $
El Body Art Practitioner $
• Funeral Directors $
•• Massage Practice $
• Offal(Septic)Hauler
• Recreational__` �
�
• Sun tanning
[3 Swimming Pool
0 Tobacco
0 Trash/Solid Waste Hauler
0 Well Construction
SEPTIC Systems
• Septic-Soil Testing
• Septic-Design Approval
[3 septic Disposal Works Construction(DW0
0 Septic Disposal Works Installers(DWI)
0 Title 5 Inspector
0 Title 5 Report
Health Agent Initials
White-Applicant Yellow-Health EtLnk-Treasurer
�
�
26�•
i
LOT 13
W
WF-2
fi
WF-3
WFF-4
WF-Y
WF-B WF/-'6
9 _A\ WF Y
WF-11 Wr
• T.O.F.
140.9'
•-SOT102.4'
320
BEAVER BROOK ROAD
FOUNDATION LOCATION PLAN I CDMFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO
THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL
APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED.
(THIS CERITFTGTION DOES NOT CONSIDER ANY OTHER
OF S " "'s'` ' "os EwsEMENs
CLI ENT: J.BA RBA GA L L O �m�
THIS DRIW►NG SHALL NOT BE USED BY THE CLIENT FOR ANY
THIS CERTIFICATION IS MADE AND LIMITED PURPOSE OTHER THAN THAT OUTUNED ABOVE•EXCEPT WAH THE
WRII7EN PERMISSION OF CHRISTIANSEN & SERG1 INC.
TO THE ABOVE CLIENT. FURTHERMORE THIS DRAWING IS THE COPYWlCHTED PROPERTY
OF CHRISTUNSEN & SOM INC. AND ANY UNAUTHORIZED USE
LOCATION:LOT 13 "EVERGREEN ESTATES" IS PRWIWED.CHRISILANSEN & SERGI TAKES NO RESPONSIBIUTY
FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR-
NORTH ANDOVERNA. MUTTON CONTAINED HEREON.
OF
SCALE. 1 "=80' DATE: 5127199 'CH
CHRIS TIA NSEN & SERGI PROLAND 1WAL ENGINEERS
ERS
f LAND SURVEYORS
160 SUMMER ST. HAVERML.AU. 01830 TEL 5011-373-0310 i Y �y«
®1989 BY CHRISTUNSEN d SERA INC.
DWG.NO.: 94036076