HomeMy WebLinkAboutMiscellaneous - 550 BOXFORD STREET 12/28/2015 (5) ; 0
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North Andover Health Department
Community Development Division
April 13,2015
Messina Development Corp
277 Washington Street
Groveland, MA 01834
Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 2
(Map 1050, Lot 22)
To Whom It May Concern:
The proposed wastewater system design plan for the above site dated March 25, 2015 with a
final revision date April 9, 2015 received on April 9, 2015 has been approved.
Please note that the designer has chosen to provide no slope in the pipe from the outlet of
the distribution box to the inlet of line#2 of the leaching facility. Although not a
requirement by Title 5 or the North Andover Board of Health it is strongly recommended
that all distribution pipes from a distribution box to a leaching facility meet a minimum
slope of 0.01 (1/8 inch per foot).
The design has been approved for use in the construction of a new on-site septic system for a 4-
bedroom(max 9-room)home utilizing Quick 4 High Capactiy Infiltrator Chamber system. This
design plan is valid for 3-years from the date of approval.
During this time, a licensed septic system installer must obtain a permit and complete this work,
and a Certificate of Compliance be endorsed by the installer, designer and the Town of North
Andover.
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
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
602 Boxford Street— Lot 2 April 13, 2015
Permit is void, installation shall stop, and the applicant shall reapply for a new
Disposal Systems Construction Permit (3 10 CMR 15.020(1)).
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. Cleanouts to finish grade will be required at all bends in the building sewer pipe in
accordance with 310 CMR 15.222(8)).
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
Health Inspector
Encl. Installers list
cc: Philip Christiansen, P.E.
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
BUILDING PERMIT of�NoRAOR T Fi-I
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATION '' r
Permit No#: Date Received
CHUS���� t
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION , OXF69 ) e-e-
/ Print
PROPERTY OWNER L A6d4iGZ7SZ
Print 100 Year Structure yes tho
MAP ,0 PARCEL: ZONINGDISTRICT: Historic District yes Machine Shop Village yes
I
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
s ew Building One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
11.. ,;� pp !. �� '�'rel�,
ap �
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly r,-,) r ,F
�\ F
OWNER: Name: Phone: , °">l �°�� ,
Address: Y� �4"k:.a ffi,,7 �w, a y�» I' .=t,:' � �l � ... . ` �'° �'`^, !fd.r„I�"�.�4 ,��� � � a v� lC,s Y(`
Contractor Nam o
e - ." :, a b Phone*
Email:
Address: t °1 r w, 4 r l G t h,.k ri”,
Supervisor's Construction License: '° �' Exp. Date: 1
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER `� Phone:�`7�'` 2.—
Address �,& ? Reg. No.
FEE SCHEDULE;BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fiend
m Agent/Own
Plans Silbrnifted YJ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massqgc[B ody Art ❑ Swimming Pools ❑
Well Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank etc. Pennanent Durapster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING DEVELOPMENT Reviewed On Signatur6
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
,4EALTH Reviewed on.5'4 oxi Si
,qnature
--IOMMENTS ( J (� C�'
bkl ,V) 04)PI(Alt 0 L: kAi �S j a ZL((
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40
�L G
'.oning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
t
'tanning Board Decision: Comments
'onservation Decision: Commq'p*
77
4- 3
Vater&Sewer Connection/Si natu
7 Driveway Perm'
IPW Town Engineer: Signature:
Located 384 Ngodd Street
0"
'Of kk'-�
"T' ID
"V M,P'�""" pp", iN-�',1'1: site
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ocatedkat 124 Main Street ,%'., : MTw
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North Andover Health Department o..
Community Development Division
March 31, 2015
Philip Christiansen, P.E.
Christiansen and Sergi, Inc.
160 Summer Street
Haverhill,MA 01830
Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 2
(Map 105C,Lot 22)
Dear Mr. Christiansen,
The proposed wastewater system design plan for the above site dated March 25, 2015 and
received on March 26, 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.
1. Until the new address is provided by the Assessor's office please indicate the address as
"602 Boxford Street—Lot 2". This same numbering system should be used for all
proposed lots in the subdivision.
2. The design plan was not stamped and signed by the designer(3 10 CMR 15.220(2)).
3. On sheet 1 of 2, the survey statement was not signed (NA 3.2).
4. It is unclear if the proposed driveway will be an impervious area(3 10 CMR
15.220(4)(d)).
5. On sheet 1 of 2, the conventional system (proof plan) should be shown on the site plan to
confirm the location meets the required setback distances.
6. A manhole is required at the 90 degree bend in the building sewer line (3 10 CMR
15.222(8)).
7. On sheet 1 of 2, the depiction of the pipe going through the septic tank should be
removed.
Page 1 of 3
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
8. The manufacturer was not indicated for the septic tank (NA 3.2). However, if it is
assumed that the manufacturer is SHEA concrete, the model number indicated on the
design plan does not reference a monolithic septic tank.
9. On sheet I of 2, the water line from the well to the proposed dwelling should be depicted.
10. On sheet 2 of 2, the distribution box detail depicts a 2" sump. A minimum 6" sump is
required(310 CMR 15.232(3)(e)).
11. On sheet 2 of 2,the schedule of elevations and the profile indicate no slope from the
outlet of the distribution box to the inlet of the Infiltrator Chamber trenches.
12. The breakout elevation should be indicated clearly on the design plan to assist the
installer.
13. Indicate the material of the proposed manhole covers above the septic tank and indicate
the material and size of the manhole cover proposed above the distribution box.
14. 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 11(18):
a) proof that the Designer has satisfactorily completed any required training by
the Company far the design and installation of the Technology;
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:
1. has been provided a copy of the Title 511A technology Approval,
the Owner's Manual, and the Operation and Maintenance Manual,
and the Owner agrees to comply ms and conditions;
y with all terms 1
2. for Systems installed under a Remedial Use Approval, the owner
agrees tofit1fill his responsibilities to provide a Deed Notice as
required by 310 CMR 15.287(10) and the Approval;
3, for Systems installed tinder 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);
4. if the design does not provide for the use of garbage grinders, the
restriction is understood and accepted; and
5. whether or not covered by a warranty, the System Owner
understands the requirement to repair, replace, modify 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.
Page 2 of 3
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
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Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any 1
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,
r
ILL
ichele Grant
Health Inspector
cc: Messina Development Corp
File
Page 3 of 3
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NOR'111 ANDOVER, MASSACHUSETTS 01845
Susan Y.Sawyer, REIIS/RS 978.688.9540 --Phone
Public health Director 978.688.8476 -- FAX
licaltlidei)t(`iitownofiiotiliandover.coiii
www,towtiol'noi-tiian(lover.coiii
Well and/01' PUMID ADDlication
(Please print) DATE:
LOCATION to Drill Well or install a pump. Lot# 2 Boxford Road
Licensed Well Contractor Name and Company Name-, George W. Rollins
Charles M. Rollins Co., Inc.
Contact Phone Numbers:
Homeowner: N—V
Address:
Contact Phone Numbers: t q
WELLS(to be completed at time of pump test)
Type ofwell: Bedrock Us., Domestic
Diameter of well: 611 11
Size of Casing: 6
Depth of bedrock: 191 Depth of casing into bedrock: 31' RECEIVED
Seal been tested? Yes No( Date of test: q ——( —I 5 30 am
Depth of well:500, Water bearing rock: Ceukp"_'1<1 T OF NOR'M ANDOVER
Depth of water: I I Delivers:63 GPM for: 2— tEALI'H DEPAR'WENT
tic .0 -AM (how long)
Drawdown:_ feet after pumping: . -3 GPNI
Date of Completion: — I r, a, -,
Sigmiture6ffiVell Contractor
PUNIPS(To be filled in before installation)
Name&size of Pump: Type:
Size of Tank: 'T_6 Pump delivers: GPM
Pipe used in well: Cast Iron Galvanized Plastic V"-
6
Sleeve used to protect pipe? Yes No 'Type Dwell Seal:
te: 7— t .
Signature of&fTip Installer
ter analysis report submitted to Health Department:
Wiring Inspector Health Department Representative
`\HEALTH\WebUpdates\Woi-dForms\WelI Application.doc
Massachusetts Department of Environmental Protection
Bureau of Resource Protection
Well Completion Reports
Well Driller
Please specify work performed: Address at well location:
New Well Street Number: Street Name:
LOT#2 BOXFORD ROAD
Please specify well type: Building Lotk Assessor's Map#:
Domestic 2
Assessor's LoW ZIP Code:
Number Of Wells:
City/Town:
Well Location NORTH ANDOVER
In public right-of-way: GPS
C Y North: West:
42.66818 71,04703
Subdivision/Property/Description:
Mailing Address:
cjidt ilefe if same as Well location addrc-'S
Property Owner: Street Number: Street Name:
MESSINA DEVELOPMENT CO., INC, 277 WASHINGTON
STREET
City/Town: State:
Engineering Firm: GROVELAND MASSACHUSETTS
ZIP Code:
01834
Board of health permit obtained,
to YeS Not RU'(JUIN-d
Permit Number: Date Issued:
BHP 2015 0082
i
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection-- Well Driller Pro ran1
Well Conrl:)lelloti Repot-Is(Gener-til)
j (---Choose Screen Type_,_ .,
I
WATER-BEARING ZONES F DRY WE.-.11
From To Yield(gpm)
148 150 1.5
423 424 1.1
482 1483 3.7
PERMANENT PUMP(IF AVAILABLE)
3 Wire Constant Speed
Pump Description Horsepower
Submersible _ X314
Pump Intake Depth(ft) 400 Nominal Pump Capacity (gpm) 5
ANNULAR SEAL/FILTER PACK
From To Material 1 Weight Material 2 Weight Water Batches Method Of
(gal) (count) Placement
.�. ...._.._�.......a..__...w......._.. �ChoaseMate�rial...�...__ �... 1 _ ' r""`.�_w...y _.�.�_..�...._
0 19 Native Material I Gravii
19 31 Bentanite Grout
1 ' ( Choose Material 24 1 Tremfe
WELL TEST DATA
[late Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft
(HH:MM) BGS) (HH:MM) BS)
aaoezol5 air Bl.,�� ..�...o.� ��„.
µ ow With Dnll,`'7 W4 6.3 02:00 500 01:56 11
WATER LEVEL
[late Static Depth BGS(ft) Flowing Rate(gpm)
Measured
04092015 11
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COMMENTS
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LlMassachusetts Department of Environmental Protection
131.1reau of`Resource Protection ---Well Driller Prognam
lf'ell C. mipletion Repons(Genend)
i
WELL DRILLERS STATEMENT
This well was drilled or altered under my direct supervision, according to the applicable rules and regulations, and this report is complete
and accurate to the best of my knowledge.
ROLLINS,
JEFF Monitoring(M) supervising Griller GEORGE,
Driller ROLLINS 307 Registration# 300 signature W
CHARLES M.
Firm ROLLINS CO., INC. Rig Permit# 0208 Date Jab Complete j04082015
NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion.
1
m} ,b" Analytical, L 1.C" ref 978-39 1 44128 f-w 978-391-4643 LabNumber 154498
.......... .... ........ _.
31 A Willow Road,Ayer MA 01432 Websde. httl)/Avww Nmhob aAnalytic,al corn Use this number with all corre;panderlce
Client:
Charles M. Rollins Co., Inc. ReportDate: 4/17/2015
126 Depot Read
Boxford, MA 01921
i
Certificate of Analysis
Lot#2 Boxford Rd, North Andover, MA - f
Parameter Method Result MCL MRL, Date of Analysis. Analyst
-Well Head
Sampled:411412015 4:15:00 PM by Client
Total Colifoon Bacteria,1100ml ENZ,SUB.SM9223 Absent Absent Absent 4/15/2015 11:40:00 AM M-MA1118
Arsenic,Total,MG/L SM 3113B 0,007 0.01 0.001 4/16/2015 M-MA1118
Calcium,MG/L EPA 200.7 10.5 Not Spec 0.2 4/17/2015 M-MA1118
Copper,MG/L EPA 2003 0.003 1.3 0.003 4/17/2015 M-MA1118
Iron,MG/L EPA 2003 # 0.95 0.3 0.003 4/17/2015 M-MA1118
Lead,MG/L SM 3113B ND 0.015 0.001 4/16/2015 M-MA1118
Magnesium,MG/L EPA 200.7 1.6 Not Spec 0.1 4/17/2015 M-MA1118
Manganese,MG/L EPA 2007 0,038 0.05 0.002 4/17/2015 M-MA1118
Potassium,MG/L EPA 200.7 0.6 Not Spec 0.1 4117/2015 M-MA1118
Sodium,MG/L EPA 200.7 23.1 See Note 02 4117/2015 M-MA1118
Alkalinity,MG/L SM 2320B 83 Not Spec 1 4/15/2015 M-MA1118
Ammonia as N,MG/L SM 4500-NH3-D NO Not Spec 01 4/15/2015 M-MA1118
Chloride,MG/L EPA 300.0 81 250 1 4/15/2015 M-MA1118
Chlorine,Free Residual,MG/L SM 4500-CL-G NO Not Spec 0,02 4/15/2015 M-MA1118
Color Apparent,CU SM 2120B # 25 15 0 4/1512015 M-MA1118
Conductivity,UMHOS/CM SM 2510B 206 Not Spec 1 4/15/2015 M-MA1118
Fluoride,MG/L EPA 300.0 0.8 4 0.1 4/15/2015 M-MA1118 t
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Hardness,Total,MG/L SM 23406 33 Not Spec 1 4/17/2015 M-MA1118
Nitrate as N,MG/L EPA 300.0 ND 10 0.05 4/15/2015 M-MA1118
Nitrite as N,MG/L EPA 300.0 ND 1 0.02 4115/2015 M-MA1118
Odor,TON SM 2150B 0 3 0 4/15/2015 RPM
pH,PH AT 25C SM 4500-H-B 81 6.5-8.5 NA 4/15/2015 M-MA1118
Sediment,pos/neg - NEG ------ NEG 4/15/2015 RPM
Sulfate,MG/L EPA 300.0 11.2 250 1 4/1512015 M-MA1118
Turbidity,NTU EPA 180.1 12.5 Not Spec 0.1 4/15/2015 M-MA1118
MCL=Maximum Contaminant Level(EPA Lirnit),MRL=Minimum Reporting Level
Sodium Guidelines-Mass 20,EPA 250, #=Result Exceeds Limit or Guideline
NO=None Detected(<MRL), `=Background Bacteria Noted
Massachusetts Certified David L.Knowlton
Laboratory#M-MA1118 Laboratory Director Pagel of 1
A.
6, @
%004/27/15 09:54AII ROLLINS YELL 978-352-8236 P.01
N ashoba Analytical 11,C TO:978091,4428 Fav 97W91-4643 LabNumber: 164498
................................
31A Willow Road,Ayer MA 01412 Webaile:Biti):/I%t,\vw.Naslii)bi)Arihlyticni,corti 02W this Mlinber with till correspondence
Client
Charles M. Rollins Co,, Inc. RepQrtMate: 4/1712015
126 Depot Road
Boxford, MA 01021
_Certificate of Analyallp
Lot#2 Boxfo Rd, North Andover, MA rN ca, C C> Y�Q
l'itr meter Method Result MCI, MRL Date of Analysis AlWlyit
Well Head
Sampled:4/14/2016 4:15.'00 PM by Client
Total Coliform Bacteria,/100m1 ENZ.SUB.SM0223 Absent Absent Absent 4/15/2016 1111:40:00 AM M-MA1 118
Arsenic,Total,MGIL SM 31136 0.007 0.01 0.001 411012015 M-MA1118
CaICILIM,MG/L EPA 200.7 10.3 Not Spec 0.2 4117/2016 M-MA11 118
Copper,MG/L EPA 200.7 0.0013 1,3 0.003 4/1712015 M-MA1 110
Iron,MOY/L EPA 200.7 # 0.96 013 0.003 4/1712016 M-MAI i 18
Lead,MG/L SM 31138 NO 0,0116 0,001 4116/2016 M-MA1 110
Magnesium,MG/L EPA 200.7 1.6 NotSpeo 0.1 4117/2015 M-MAI1118
Manganese,MGtL EPA 200,7 0.038 0.05 0.002 4117/2015 M-MA1118
Potassium,MG/L EPA 200,7 0.6 Nol Spec 0.1 4/17/2015 M-MA1118
Sodium,MG/L C=PA 200.7 2311 See Note 0.2 4/17/2015 M-MA1 118
Alkalinity,MG/L SM 23208 83 Not Spec 1 411512016 M-MA1118
Ammonia as N,MGA. SM 4600-NH3-0 NO Not Spec 0.1 4/16/2015 M-MA1118
Chloride,MG/l.. EPA 300.0 8.1 250 1 4/15/2015 M-MAI 118
Chlorine,Free Residual,MG/L. $M 4600-CL,X> ND Not SW 0.02 4/1512015 M-MA1118
Color Apparent,CU SM 2120B # 26 is 1) 4/15/2015 M-MAI 118
CondkJOINIty,UMHOSICM SM 2510B 200) Not Spec 1 41151205 M-MA1118
Fluoride,MG/t. EPA 300.0 0.8 4 0'1 4/15IR015 M-MA1118
Hardness,Total,MG/L SM 23406 13 Not Spec 1 4/1712015 M-MAI 118
Nitrate as N,MG/L. FPA 300,0 ND 10 0.06 4/15/2016 M-MAI 118
N11rile as N.MG/t. r.FA 300.0 NO 1 0.02 4/16/2016 M-MAI 110
Odor,TON SM 21506 0 3 0 411512015 RPM
pH,PFI AT 25C SM 4600-H,8 8,1 6.6,8.5 NA 4/15/2015 M-MA111a
NEG NEG 4/15/2015 RPM
Sulfate,MG/L (rPA 3000 11,2 260 1 4/1512015 M-MA1118
Turbidity,NTU r:PA 180,1 12,5 Not Spec 0.1 4115/2016 M-MA11118
MCLaMaxlmum Contaminant I-oval(EPA Limit),MRL=Minimum Reporting Level
Sodium Guidelines.Mass 20,EPA 260, *m Result Exceeds Limit or Guldelino
NO=None Detected(<1VIRt.), 'x-Background 13,9cleria Noted
Massachusetts Certified David L. Knowlton
Laboratory#M-MA I 118 Laboratory Director Page I of 1
Re c e i v e d T i me.-�Ap r,, 21,,- 0 15'9310 03 AM'-No, 1194