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Miscellaneous - Lot 3 Boston Street
i 9 . July 26, 2013 Paul F. Driscoll, Revocab' Patricia Driscoll, Trustee 90 Nashoba Rd. Littleton, MA 01460 RE: Re: Subsurface Sew; i Dear Property Owner, The North Andover Boar, r for the above referenced' June 24, 2013, revised Ju approved for use in the c' system. This plan is good During this time, a lie and a Certificate of G Andover. In the event occurring, the North 7 valid. 1. Prior to the is submitted incl 2. Prior to the it submit a fou:; 3. Prior to the i submit the fl'' of nine room 4. If site condit design plan 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 ' Lot 3 Boxford Street July 26, 2013 Permit is void, installation shall stop, and the applicant shall reapply for a new -' Disposal Systems Construction Permit (3 10 CMR 15.020(1)). 5. Prior to issuance of Certificate of Compliance a confirmatory well water, test s 11 le submitted indicating potable water post construction of the site.r,'' 6. It is the responsibility of the applicant and/or the applicants septic systemde :signer, ; septic system installer or other representative to ensure that all otherotate aid1,11? municipal requirements are met. These may include review by the Conservat Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspectror ; 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. Sincely; san Y, -Sawyer' , . HS/RS Public Health erector cc: James Fairweather II, PE file enol: Installers list 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 t�w (z � -x bak �d July 26, 2013 North Andover Health Department Community Development Division Paul F. Driscoll, Revocable Trust Patricia Driscoll, Trustee 90 Nashoba Rd. Littleton, MA 01460 RE. Re: Subsurface Sewage Disposal System Plan for Lot 3 Boxford Street (Mat) 105C, Lot 521 Dear Property Owner, 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 Andover Consultants Inc. dated June 24, 2013, revised July 23, 2013 and received on July 25, 2013. The design has been approved for use in the construction of a 4- bedroom (9 — room maximum) home, on-site septic system. This plan is good for 3 -years from the date of approval. j 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. 1. Prior to the issuance of the building permit the potable well test reports must be submitted indicating sufficient and safe potable water is accessible on site. 2. Prior to the issuance of the Disposal Works Installers Permit, the applicant must submit a foundation as -built at the same scale as the approved plan. 3. Prior to the issuance of the Disposal Works Installer's Permit, the applicant must submit the floor plans of the home showing no greater than four bedrooms or a total of nine rooms. 4. 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 r North Andover Health Department, 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Lot 3 Boxford Street July 26, 2013 Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)). 5. Prior to issuance of Certificate of Compliance a confirmatory well water test s allle # ' submitted indicating potable water post construction of the site. :' F 6. 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 aidIdil municipal requirements are met. These may include review by the Conservat 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. Sincey', san Y.,Sawyer HS/RS Public Health irector cc: James Fairweather II, PE file encl: Installers list North Andover Health Department, 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone: 978.688.9540 Page 2 of 2 Fax: 978.688.8476 O� NO�EDRTy qti nf�copy • O ? OL O r m SSACHUs� North Andover Health Department Community Development Division July 17, 2013 James Fairweather II Andover Consultants, Inc. 1 East River Place Methuen, MA 01844 Re: Subsurface Sewage Disposal System Plan for 0 Boxford Street (Lot 3), Map 105C, Lot 52 Dear Mr. Fairweather: The proposed wastewater system design plan for the above site dated June 24, 2013 and received on July 9, 2013 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. Please specify all system components shall be marked magnetic marking tape including the septic tank (3 10 CMR 15.221(12)). 2. Please indicate the material for the proposed driveway. 3. Please indicate that a benchmark will be set prior to construction within 50-75 feet of the proposed system (3 10 CMR 15.220(4)(q)). 4. The models/brands of the septic tank and distribution box were not depicted on the plan (NA 3.2). 5. On sheet 1 of 2, the survey statement was not signed and dated (NA 3.2). 6. Please indicate the septic tank and distribution box shall be made watertight (3 10 CMR 15.221(1)). 7. On sheet 1 of 2, please modify note #4 to indicate the distribution box shall have a minimum of 6" crushed stone base (3 10 CMR 15.221(2)). 8. Percolation test #2 was performed. Please modify the percolation test log on the design plan and Form 12. A copy of the town representative's field notes are attached for reference. 9. The town representative's field notes indicated a Coarse Sand not a Loamy Sand for the C layers in the test pits. Please modify as needed. 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 10. Please indicate the site of the cast iron frame and cover proposed on the septic tank. 11. Please indicate the breakout elevations on the design plan. 12. Although not a reason for disapproval, a 1.0% slope is preferred from the distribution box to the inlet of the leach trenches. 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. Sin cer y, Sus Y. S er, HS/RS Public Health Director cc: Paul F. Driscoll Revocable Trust, Patricia A. Driscoll, Trustee 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 L,i �r. 53 3 � Z sc 17, 1 -J� Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Wednesday, July 17, 2013 9:31 AM To: Blackburn, Lisa; 'Susan Sawyer (ssawyer@townofnorthandover.com)' Cc: 'Isaac Rowe'; 'Dan Ottenheimer'; 'Pam Lally' Subject: RE: 0 Boxford St. Attachments: 0 Boxford St (Lot 3) Disapproval Letter 7-17-13.doc; 0 Boxford St - Soil testing results 6-11-13.PDF Susan/Lisa, Attached are the plan review letter and my soil logs for the above referenced property. Basically some minor edits needed, overall a good thoughtful design. Please let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street I O _N 0 3 V/ ,,4) V; 0 L H Q H %J t � Nwo > Q V/ sr.0 =o0 Z O r o 3 V U LL o � ci C'5 o w > o z V rn tin z� !1, _l U. 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Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. A. Site Information Paul Driscoll Revocable Trust owner Name vacant lot adjacent to 353 Boxford Street Street Address or Lot # North Andover MA 01845 City/Town State Zip Code Kevin Driscoll 781-315-5815 Contact Person (if different from Owner) Telephone Number B. Test Results t5form12.doc• 06/03 Perc Test • Page 1 of 1 06-11-13 9:33 a.m 06-11-13 9:49 a.m. Date Time Date Time Observation Hole # P-1 P-2 Depth of Perc 86" 65„ Start Pre -Soak 9:33 same material, test waived End Pre -Soak Time at 12" 9:41(25 Gallons in hole) Time at 9" 9:43 Time at 6" 9:44 Time (9"-6") 1 min. Rate (Min./Inch) <2 MPI <2 MPI Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ James S. Fairweather Test Performed By: Issac Rowe, Mill River for Town of North Andover Witnessed By: Comments: Test pits conducted in area designated on USDA web site as gravel pit, with hinckley soils on surrounding uplands. Test pits confirm hinckley soil deposit at leaching trench area. t5form12.doc• 06/03 Perc Test • Page 1 of 1 O Q 0 3 U) V+ O L O N Q H dA > .= Q o CO Z 04-- r E o 3 E Et L O� O u U LL CIC � m U � o La co U of N r O N I I I I � (n I O O I I i i ® CL C-4� O Z N Yf m m Z j ❑ ❑ j o C Cl) ❑ o m 0 E M c) M m to M i E L N O wOI LO O CD t`p cl a I y i1 U m cal O Z, A Es_;� ullN aNi c .� Cl. Z C'a Z N • 3 L cV0 �' O LL IL 0 > • (n Z U Q Z la O O I i ® CL C-4� O Z O:_ Yf m m Z j ❑ ❑ ® E ❑ i 0 E M c) m O i C N N wOI CD t`p !a a a I i d I m I ZIP i Z, i ullN i m �N Cl. .� '01? Z Z i? 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U 0- OLOL O � m � c i 0 U , O d CA. o CL 3L U .r c �a m 0� N c y a r L z co 0 r, m CL m 0 m m 3 m m C 0 c m N a N Q n �o j 0 E 0 LL O N O B O O 3 as as O L O N H Q L to > R 0 � Q O co Z o3 0 r C E O E E L ) U LL 0 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Idl Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. 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 the local Board of Health to determine the form they use. A. Site Information Paul Driscoll Revocable Trust Owner Name vacant lot adjacent to 353 Boxford Street Street Address or Lot # North Andover MA 01845 City/Town State Zip Code Kevin Driscoll 781-315-5815 Contact Person (if different from Owner) B. Test Results Observation Hole # Depth of Perc Start Pre -Soak End Pre -Soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate (Min./Inch) relephone Number 06-11-13 9:33 a.m Date Time P-1 86" 9:33 9:41(25 Gallons in hole) 9:43 9:44 1 min. <2 MPI 06-11-13 9:49 a.m. Date Time P-2 65" same material, test waived <2 MPI Test Passed: ® Test Passed: Test Failed: ElTest Failed: ❑ James S. Fairweather Test Performed By: Issac Rowe, Mill River for Town of North Andover Witnessed By: Comments: Test pits conducted in area designated on USDA web site as gravel pit, with hinckley soils on surrounding uplands. Test pits confirm hinckley soil deposit at leaching trench area. t5form12.doc• 06/03 Perc Test • Page 1 of 1 Of NOFTN 1 : O Town of North Andover ��'•�,,,,o : ,,,SAC HEALTH DEPARTMENT NUgt� #: �-}/�CHECK 3bO DATE: 9,10 LOCATION: (J UJ K�U )]]`I I H/O NAME: CONTRACTOR NAME: 6566 Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type. $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: Septic - Soil Testing $ `❑ M< Septic Design Approval $ - ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ C" Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer r- - - -- - - - -- - TOWN OF NORTH ANDA,�— Office of COMMUNITY DEVELOPMEN HEALTH DEPARTMI��� 1600 OSGOOD STREET; SUI' NORTH ANDOVER, MASSACHUS Py Susan Y. Sawyer, REHS/RS Public Health Director E W SEPTIC PLAN SUBMITTAL FORM 3 Date of Submission: _Vq//,� Site Location: &vN -C Engineer: �Artw New Plans? Yes ""$225/Plan Check # (includes 1St submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes No Z,� Telephone #: !jjlb• io M • X47-0, Fax #: E-mail:�F� F,r�-ice l,a.}� )IF��/,o►�r��Tit"h ,G��1 Homeowner Name: OFFICE USE ONLY When the submis on is complete (including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database RECEIVED JUL 09 2013 TOWN OF NORTH ANDOVER TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476— FAX Public Health Director E-MAIL: healthdept(i�townofnorthandover.com WEBSITE: http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: —7 /7 Site Location:���y&:a-- stj Engineer: IrWe New Plans? Yes x$225/Plan Check # (includes 1St submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? Yes 11' No Local Upgrade Form Included? Yes No Z-� Telephone #: Fax #: `L-1 ' Ce o' S I© c9 E-mail: �'r`�,ft �t�it� 12� b,� ��-/�o►��.cs��� ITh Gr�d�1 Homeowner Name: OFFICE USE ONLY RECEIVED When the submison is complete (including check): ➢ _Date stamp plans and letter ➢ Complete and attach Receipt JUL 09 2013 TOWN OF NORTH ANDOVER HSA4TH DEPARTMENT ➢ ��Copy File; Forward to Consultant ➢ _Enter on Log Sheet and Database QL� NUMBER COMMONWEALTH OF MASSACHUSETTS BHP -2013-0864 North Andover FEE BOARD OF HEALTH Charles M. Rollins Co., -------------------------------------------------------------------- NAME BOXFORD STREET ---------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A P Well Construction GeU�e This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires----------- November -2-02- ------- 2013 - unless sooner suspended or revoked. ----------------------- 044= An August 20, 2013 --------------------------------- ------------------- BOARD OF ----- - - HEALTH - ----------------- BOARD OF HEALTH CHAIRMAN ----------------------------------------------------------------- L T � L� COMMONWEALTH OFMASSACHUSETTS North Andover BOARD DFHEALTH [�h8[leSK��[�Oilin8(�O�'IOC- '----'--------'�--�----�--�---'-�------ NAME BOXF[]RD STREET ----'------'''—'''----''''''''--'—'''------- '— Aoonsoo IS HEREBY GRANTED }\ PERMIT Well Construction This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ----------- November -2-0,201-3 ------------ unless sooner suspended or revoked. —'—' BOARD OF --� < - - - Augun�2O.2O13 HEALTH - ---------- :—D- - —'-----'-----------'---'— BOAROOFHEALTHCHA|RMAN L � COMMONWEALTH OF MASSACHUSETTS North Andover BOARD OF HEALTH Charles M_._ Rollins Inc. ---------------------------------------------------------Co.,-------------------------------- NAME BOXFORD STREET ----------------------- ----------------------------------------- ADDRESS IS HEREBY GRANTED A PERMIT Well Construction NUMBER BHP -2013-0864 FEE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires November -2-0,201-3 ----------- unless sooner suspended or revoked. August 20, 2013 BOARD OF HEALTH CHAIRMAN $135.00 ------------------------------------------------------ BOARD OF -COPY -------------- HEALTH ---P-LE ----------- TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES �` �4. HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone N�,/�� •� Public Health Director 978.688.8476 — FAX healthdeptt@townofnorthandover.com P— www.townofnorthandover.com cre 40 --.:� S t;;f Well and/or Pump ADDlication , C +�`^ (Please print) DATE:y — 2 6% _ 1 3 LOCATION to Drill Well or install a pump: Ly 3 © 13, 0, h Licensed Well Contractor Name and Company Name: C A✓ 9te-5 Iv ` • &(," vi S ev • =,txC—' Cl -"D ' � '-7, P-0 LA-- t'j S !a 4o 12,--i-o t � I • /fix IF'n ;21}) V^A . Contact Phone Numbers: L,! 00-44 - Cl '7 aid - 9 N Z - z 3'to Ct t t_ _ ni 'i 3-7 5 - 7 Homeowner: V�Q'j i +` + x x 5 C o c L Address: ra GJ� �S t'Z-- f} �/ Z . CL- 14A M � IJ W. 6-� Contact Phone Numbers: '? S 1 - 315, — , I WELLS (to be completed at time of pump test) Type of well: 6ZV e, C, C ke Diameter of well: Depth of bedrock: Seal been tested? Yes( ) No ( ) Date of RECEIVED Use: �a tMeSi-1 Size of Casing: AUG L 0 2113 Depth of casing into bedrock 1 TOWN OF NORTH ANDOVER Depth of well: Water -bearing rock: Depth of water: Delivers: Drawdown: feet after pumping: Date of Completion: PUMPS (To be filled in before installation) Name & size of Pump: Size of Tank: Pipe used in well: Sleeve used to protect pipe? Date: GPM for: (how long) hours at: t,r�) Signature vl7ell Contractor Type: Pump delivers: GPM Cast Iron_ Galvanized Plastic Yes No Type of well seal: Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Signature of Pump Installer X:\O1May2012\IEALTH\WebUpdates\WordForms\Well Application.doc Health Department Representative andover consultants inc. July 23, 2013 Ms. Susan Y Sawyer, Public Health Director North Andover Health department 1600 Osgood Street, Suite 2035 North Andover, MA 01845 RE: Plan revisions Boxford Street -Map 105C, Lot 52 North Andover, MA Dear Ms. Sawyer: 1 East River Place Methuen, Massachusetts 01844 Tel. (978) 687-3828 Fax (978) 686-5100 www.andoverconsultants.com nECEI D JUL 25 2013 TOWN. of NORTH ANDOVER HEALTH DEPARTMENT We have revised our plans in response to your comments made in a letter, to this office, dated July 17, 2013. The revisions are summarized below: Comment 1. Please specify all system components shall be marked magnetic marking tape including the septic tank (310 CMR 15.221(12)). Response: A note has been added to the profile on sheet 2 requiring the magnetic tape. Comment 2. Please indicate the material for the proposed driveway. Response: The driveway will be paved and IS labeled bituminous concrete on the plan, sheet 1 of 2. tX Comment 3. Please indicate that a benchmark will be set prior to construction within 50-75 feet of the proposed system (310 CMR 15.220(4)( c)). Response: A note has been added to sheet 1 of 2 requiring this. Comment 4. The modelslbrartds of the septic tank and distribution box were not depicted on the plan (NA 3.2). Response: The manufacturer, Shea Concrete Products, has been added to the details of each on sheet 2 of 2. Comment S. On sheet 1 of 2, the survey statement was not signed and dated (NA 3.2). Response: The statement has been signed. Comment 6. Please indicate the septic tank and distribution box shall be made watertight (310 CMR 15.221(1)). Response: This note has been added to the details of each on sheet 2 of 2. /Comment Comment 7. On sheet I of 2, please modify note #4 to indicate the distribution box shall have a minimum of 6" crushed stone base (310 CMR 15.221(2)). Response: Notes 3 and 4 have been revised to provide a 6" crushed stone base under the Civil Engineers • Land Surveyors • Land Planners C. IT andover ��consultants inc. septic tank and distribution box. Comment 8. Percolation test #2 was performed. Please modify the percolation test log on the design plan and Form 12. A copy of the town representative's field notes are attached for reference. Response: Soil material was so coarse that pre soak could not be maintained. The perc test data table, on sheet 1 of 2 of the plans, and Form 12 was revised to reflect this. Comment 9. The town representative's field notes indicated a Coarse Sand not a Loamy Sand for the C layers in the test pits. Please modify as needed. / Response: The test pit data tables, on sheet 1 of 2 of the plans, and appropriate Form 11 pages were revised to reflect this. Comment 10. Please indicate the size of the cast iron frame and cover proposed on the septic tank. Response: A 24 -inch cast iron frame and cover is proposed. The septic tank detail on sheet 2 of 2 has been revised to show this. Comment 11. Please indicate the breakout elevations on the design plan. Response: The breakout elevations have bee added to the profile depicted on sheet 2 of 2. The 128 contour on the plan view, sheet 1 of 2, was revised. Comment 12. Although not a reason for disapproval, a 1.0% slope is preferred from the / distribution box to the inlet of the leach trenches. Response: The profile label indicates the minimum slope for the distribution lines. This slope varies depending on the length of each line. The slopes for this design exceed I%. We have attached 3 copies of the revised plans, revision dated July 23, 2013, for your review. Also attached is a copy of the revised soil data sheets noted above. Should you require any additional information, or have any questions concerning this septic system design, please feel free to contact us. Sincerely, ANDOVER CONSULTANTS, INC. James S. Fairweather Il, P.E. Project Engineer Enclosures Commonwealth of MassachusettsRECE".' City/Town of North Andover W Percolation Test i Zii N CL 0 ^3^, V, V, L 0 CD E N Q N 7 s �Q � '0 O ;z 3 O r C E O E ;+ L- 0 V U LL CL L a) z O C cc O a) cn O Q m a) 0 `m L O v C w a) O N 'O (p O 0 C v O � U _ 3 O C O 0 CO) ` y N N •� C N N E 06 N d C C O m L O o U) � U tmp p U. 9 Cf >` L Oo > O 0 N d x a E -a vOi -a " yp �j C c JUS UN 0 �V M m V � d a CD U- ., `0 C 0 U 0 E �X 'C6 L Or' C d Oc L . y v M N .o 02 N N .o co N M N L O i cq O G co 2 N 0 N f6 CL O E O 0 0 m a5 3 m L r C 0 m N N co 0 M (D m f0 a f6 N O Q N m m 3 N N O `o w c N E N cnN N Q. Z 3 U) 0 I E.... `0 LL 0 d O t CL 0 O 2� w N_ rW U) W O N'O .0 V, 1 O 0 L O 0 f+ U E N 0 N N co C cu CL N a) 3 C L' N O U Z y..Q O t '0 d '� 2 o 1w O W Fu Z m 1 0 3°r � N � o �� Co U) d 0O O C CL E� i O O o o:t.! U U LL U E G d t O w N_ O N'O .0 to 0 y 0 0 U d 0 co C cu N N Nd U) d 0O 0 O N E G O0 � LL > 0 a N d t0 0 0 U d R a0.. d 0 ~ O o -- N U c mIL ,� U. .-. _U y L •+ ?0 0 E 0 E— 0 O a a m D o- U � � X 3 � R Ui H � •o N 02 c N _ Cu ;� U 'o c O •- N N r r CL O N a� m 3 t rn m 0 O th ca d N a a) E 3 U1 m .Q 0 E 0 0 m tl) N U c 0 cli0 N .0 :° a; 3 CD 0 0 co 0 U') a� rn m a 76 Q N 0 N rn m a3i N c O 0 N E N cnN N Q a f0 O I E `0 LL 0 E U 0 a w 'a N N CL N N w w -1 . t� N O t CL 0 3 d O N 'O O O O L O O y'n v d d N M L c y o � � & O > (n O V Z 3 °' 0 �> o O Z d 4-- 3 O N .a o 06 �C L O O o 0 0 U LL u y y d t 0 O N 'O O O O v d _5 c o .cu .N w cm. (A ' 06 N y y d Eo in m3 0 R O LL > d� o' R O 0 N ' a (D d CO �- cu O tC 0V U N co C d N (D V d a R m LL .- d o °O 0 E O d t 0 oc O N M v W 2N N _s U� N N N N � f 0 0 co W* 0 d U 0 CL N N a N N O andover consultants inc. July 23, 2013 Ms. Susan Y Sawyer, Public Health Director North Andover Health department 1600 Osgood Street, Suite 2035 North Andover, MA 01845 RE: Plan revisions Boxford Street -Map 105C, Lot 52 North Andover, MA Dear Ms. Sawyer: RECEIVED D JUL 2 5 2013 TOWN, OF NORTH ANDOVER EALTH DEPARTM HENT We have revised our plans in response to your comments made in a letter, to this office, dated July 17, 2013. The revisions are summarized below: Comment 1. Please specify all system components shall be marked magnetic marking tape including the septic tank (310 CMR 15.221(12)). Response: A note has been added to the profile on sheet 2 requiring the magnetic tape. Comment 2. Please indicate the material for the proposed driveway. Response: The driveway will be paved and IS labeled bituminous concrete on the plan, sheet 1 of 2. Comment 3. Please indicate that a benchmark will be set prior to construction within 50- 75feet of the proposed system (310 CMR 15.220(4)( q)). Response: A note has been added to sheet 1 of 2 requiring this. Comment 4. The models/brands of the septic tank and distribution box were not depicted on the plan (NA 3.2). Response: The manufacturer, Shea Concrete Products, has been added to the details of each on sheet 2 of 2. Comment 5. On sheet 1 of 2, the survey statement was not signed and dated (NA 3.2). Response: The statement has been signed. Comment 6. Please indicate the septic tank and distribution box shall be made watertight (310 CMR 15.221(1)). Response: This note has been added to the details of each on sheet 2 of 2. Comment 7. On sheet I of 2, please modify note #4 to indicate the distribution box shall have a minimum of 6" crushed stone base (310 CMR 15.221(2)). Response: Notes 3 and 4 have been revised to provide a 6" crushed stone base under the Civil Engineers • Land Surveyors • Land Planners 1�1 East River Place Methuen, Massachusetts 01844 ` Tel. (978) 687-3828 Fax (978) 686-5100 www.andoverconsultants.com RECEIVED D JUL 2 5 2013 TOWN, OF NORTH ANDOVER EALTH DEPARTM HENT We have revised our plans in response to your comments made in a letter, to this office, dated July 17, 2013. The revisions are summarized below: Comment 1. Please specify all system components shall be marked magnetic marking tape including the septic tank (310 CMR 15.221(12)). Response: A note has been added to the profile on sheet 2 requiring the magnetic tape. Comment 2. Please indicate the material for the proposed driveway. Response: The driveway will be paved and IS labeled bituminous concrete on the plan, sheet 1 of 2. Comment 3. Please indicate that a benchmark will be set prior to construction within 50- 75feet of the proposed system (310 CMR 15.220(4)( q)). Response: A note has been added to sheet 1 of 2 requiring this. Comment 4. The models/brands of the septic tank and distribution box were not depicted on the plan (NA 3.2). Response: The manufacturer, Shea Concrete Products, has been added to the details of each on sheet 2 of 2. Comment 5. On sheet 1 of 2, the survey statement was not signed and dated (NA 3.2). Response: The statement has been signed. Comment 6. Please indicate the septic tank and distribution box shall be made watertight (310 CMR 15.221(1)). Response: This note has been added to the details of each on sheet 2 of 2. Comment 7. On sheet I of 2, please modify note #4 to indicate the distribution box shall have a minimum of 6" crushed stone base (310 CMR 15.221(2)). Response: Notes 3 and 4 have been revised to provide a 6" crushed stone base under the Civil Engineers • Land Surveyors • Land Planners andover consultants inc. septic tank and distribution box. Comment 8. Percolation test #2 was performed. Please modify the percolation test log on the design plan and Form 12. A copy of the town representative's field notes are attached for reference. Response: Soil material was so coarse that pre soak could not be maintained. The perc test data table, on sheet 1 of 2 of the plans, and Form 12 was revised to reflect this. Comment 9. The town representative's field notes indicated a Coarse Sand not a Loamy Sand for the C layers in the test pits. Please modify as needed. Response: The test pit data tables, on sheet 1 of 2 of the plans, and appropriate Form 11 pages were revised to reflect this. Comment 10. Please indicate the size of the cast iron frame and cover proposed on the septic tank. Response: A 24 -inch cast iron frame and cover is proposed. The septic tank detail on sheet 2 of 2 has been revised to show this. Comment 11. Please indicate the breakout elevations on the design plan. Response: The breakout elevations have bee added to the profile depicted on sheet 2 of 2. The 128 contour on the plan view, sheet 1 of 2, was revised. Comment 12. Although not a reason for disapproval, a 1.0% slope is preferred from the distribution box to the inlet of the leach trenches. Response: The profile label indicates the minimum slope for the distribution lines. This slope varies depending on the length of each line. The slopes for this design exceed 1 %. We have attached 3 copies of the revised plans, revision dated July 23, 2013, for your review. Also attached is a copy of the revised soil data sheets noted above. Should you require any additional information, or have any questions concerning this septic system design, please feel free to contact us. Sincerely, ANDOVER CONSULTANTS, INC. P� James S. Fairweather II, P.E. Project Engineer Enclosures Commonwealth of Massachusetts RECEIVED City/Town of North Andover v Percolation Test JUL 25 Zig �3 Form 12 TOWN OF NORTH ANDOVER M HEALTH DEPARTMENT Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. ISI Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. 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 the local Board of Health to determine the form they use. A. Site Information Paul Driscoll Revocable Trust Owner Name vacant lot adjacent to 353 Boxford Street Street Address or Lot # North Andover Cityrrown Kevin Driscoll MA State 781-315-5815 01845 Zip Code Contact Person (if different from Owner) Telephone Number B. Test Results 06-11-13 9:33 a.m 06-11-13 9:49 a.m. Date Time Date Time Observation Hole # P-1 P-2 Depth of Perc 86" 65" Start Pre -Soak could not maintain pre-soak could not maintain pre-soak End Pre -Soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate (Min./Inch) <2 MPI <2 MPI Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ James S. Fairweather Test Performed By: Issac Rowe, Mill River for Town of North Andover Witnessed By: Comments: Test pits conducted in area designated on USDA web site as gravel pit, with hinckley soils on surrounding uplands. Test pits confirm hinckley soil deposit at leaching trench area. t5form12.doc• 06/03 Perc Test • Page 1 of 1 — U) CL N v/ 1 O L N d N N Q t � N O �Q� w — O Z 1 30 c E o E '� L U U LL CL H d s O 41 w (D O H o O O V _ > > O 0'a N ` M C L CD E N ca N �C C 4f EE .0 O o CO R U 0 LL N >` � _ Re N > O 0 N d =z a) a N 0 C N C U 0 '0 0 J �v c N m V N IL LLU. .� 0 4> O CL° 0 EE 0 � a m 0 t o. O (A LO } .`. l} m C) N O 2 z N _� w= U U .o c N M co N O C O � M O Z 0 Lo N E N N R 'a 0 E 0 O m 4`1 co 0 Cl) 4) O) R a R N 0 n. N m R 3 a� CO 05 _ C 0 O v - C N E a N fq Q. T a coo U) 'o U) E O LL 0 E 0 a N N CL N L2 N O CL y 3 U) 4) 1 O L O d Q C s N1 > 4w (A co c u) wQ s=.0 O ;z 1 3 0 C £ O E E 1 L- 0= 0= O 0 U LL I Al N a L.: 7 Z N 0 2 cu c N O a- a) a) N 0 d r O O N 'O O 0 O L) m O 0 y d C 0 d d E Ima c 0 LL > N d Ro O v � m 'O''Q tmA'O ~j o O N U c o m IL ti �. v d L CL O �- O £ O E .. O O V � r a 0 Oc U c � 2y N _ o o 2 N a. 0 C N N t rr 4 O) N 0 m 3 L m r Z c 0 U) m N a N E cn U) C CL 0 E 0 0 m N d L V 0 0 a w a� 3 a Z d a 0 co 0 LO a� m m a m 0 O. Ul N m f0 3 d N C O w C N N m T :o m CO 0 m I E 0 LL 6r•1 co CL a� E z N O 2 C O Z a) fn O CL m CD 0 d s O v O N O O O O V d f6 N w C i fA im N m N m m a o a« N LL> m� U, d UO ` N m xQ N ~ O fa U y W c m N � V d CL m d LL tl d O 0.0 0 E£ 0 m t � d 0 oc O N g +`• �o U� 2H N O c = J w O N L N N a o C� o CO co O M a� rn m CL m N O CL N rn m 3 N N A C O O G N E N N cacaQ 'o I E 0 LL O Of MO RT 6 -r V V O F? • : Town of North Andover HEALTH DEPARTMENT �S., rMust� CHECK #: DATE*Iql LOCATION: H/ O NAME:�� CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrashlSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: r Septic - Soil Testing CGYI $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS, RS Public Health Director 978.688.9540 — Phone 978.688.8476 — FAX RECEIVED neannue t w,townomortnana ver.c 1! 06 2013 www.townofnorthandover.c m TOWN OF NORTH ANDOVER APPLICATION FOR SOIL TESTS I HEALTH DEPARTMENT DATE: S MAP & PARCEL: ��� C ✓� LOCATION OF SOIL TESTS: OWNER: �%�U1. p9f-6,,-'oQ-Contact #: TN TW5r /-%vxI✓ - - - Z,0e-(- APPLICANT:y7JV J2 L�Z ( Contact #: ADDRESS: qO 109K 6M )ZD L; r%�Z ro/u ENGINEER:.> Contact #: -7 7 —&0 7 — 3o Ze CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes - THIS FORM No �- permitting test) fis covers the minimum two deep holes and °a. Fee of $360.00 per lot for repairs or upgrades. 11 INFORMATION Tole inspections. tl Engineers can design septic plans. re required for each septic system disposal area. one percolation test, at the discretion of the BOH is within two weeks of testing. r than 1"-100') shall be submitted to the Board of Health , tests). ;hall be submitted. Xrite Below This Line N.A. Conservation Commission Approval Date: ► 3 Signature of Conservation Agent: Date back to Health Department: (stamp an). a w - \�. l ;,.mac ��- ��. 66� OC o..,/ < I J/ �f TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS, RS Public Health Director 978.688.9540 — Phone 978.688.8476 — FAX RECEIVED neannue t w,townomortnana ver.c 1! 06 2013 www.townofnorthandover.c m TOWN OF NORTH ANDOVER APPLICATION FOR SOIL TESTS I HEALTH DEPARTMENT DATE: S MAP & PARCEL: ��� C ✓� LOCATION OF SOIL TESTS: OWNER: �%�U1. p9f-6,,-'oQ-Contact #: TN TW5r /-%vxI✓ - - - Z,0e-(- APPLICANT:y7JV J2 L�Z ( Contact #: ADDRESS: qO 109K 6M )ZD L; r%�Z ro/u ENGINEER:.> Contact #: -7 7 —&0 7 — 3o Ze CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes - THIS FORM No �- permitting test) fis covers the minimum two deep holes and °a. Fee of $360.00 per lot for repairs or upgrades. 11 INFORMATION Tole inspections. tl Engineers can design septic plans. re required for each septic system disposal area. one percolation test, at the discretion of the BOH is within two weeks of testing. r than 1"-100') shall be submitted to the Board of Health , tests). ;hall be submitted. Xrite Below This Line N.A. Conservation Commission Approval Date: ► 3 Signature of Conservation Agent: Date back to Health Department: (stamp an). a w - \�. l ;,.mac ��- ��. 66� OC o..,/ < C \ � w �. �. ,� ;- I I } � � ��� � � � �.� � � V r � 1. k , .� '� 'r ,' �� � i � � �'y ` j� I TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, RENS, RS Public Health Director 978.688.9540 — Phone 978.688.8476 — FAX www.townofnorthandover O�' NOnTh '� Q O'aOp CHUS�-�1 RECEIVED Y 06 2013 TOWN OF NORTH ANDOVER APPLICATION FOR SOIL TESTS HEALTH DEPARTMENT DATE: rj b MAP & PARCEL: ���C ✓G 2 -- LOCATION OF SOIL TESTS: OWNER: i3U p/Zfs�oGL_ Contact #: �N 7Y. /sT !-f uT-1 c06C,,. APPLICANT: �j [ (/ �f%/L�Gc�L (_ Contact #: ADDRESS: 70 lV/S//-O& 9® L;7re�ZTD/t-) M ©/y�U ENGINEER: �,ZJ�I/E72 �7D�t-3SrJLT�.L�j S Contact #: -1 7�iG —&e%— 3602e CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No �— THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5" x 11 " Plot plan & Location of Testing (please indicate test nit sites on the plan) ➢ 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 $360.00 per lot for reaairs or uuerades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ 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). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date. l Signature of Conservation Agent: l E Date back to Health Department: (stamp in): %- A_�j 66-L- 60( 6_t� c RECEIVED JUN 1232013 TOWN OF 7!tA ,NSA _�POVER WWI T - , I Aj VA p,A Vol tl ---Z-56 4 Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Tuesday, June 11, 2013 11:25 AM To: 'Susan Sawyer (ssawyer@townofnorthandover.com)'; Blackburn, Lisa Cc: 'Pam Lally'; 'Isaac Rowe' Subject: 0 Boxford St - soil testing results Attachments: 0 Boxford St - Soil testing results 6-11-13.PDF Attached are the soil testing results for the above referenced property. This is for new construction and they are planning on doing a trench system with the reserve in between the primary. Let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street El / 1.10 JVni-I_. 1 -UVV SCALE: 1 "=20' DATE: OWNER & APPLICANT: PAUL F. DRISCOLL REVOCABLE TRUST PATRICIA A. DRISCOLL, TRUSTEE 51-55 LORING STREET LAWRENCE, MASS. LOCATION: 379 BOXFORD STREET (LOT 3) NORTH ANDOVER, MASS TOWN MAP N0. 105C TOWN LOT NO. 52 T ,s ,. r, j\andover V h onsultants7` inc. 1 East River Place William S. MacLeod Methuen, Mass. 01844 Reg. Prof. Engineer PERCOLATION TESTS HOLE NO. TOP DEPTH SATURATION 12"-9" DROP 9"-6" DROP PERC. RATE & DATE ELEVATION In. Min. Min. Min. Min. in. ® DEEP OBSERVATION HOLE LOG NO., DATE DEPTH SOIL TEXTURE COLOR SOIL & ELEV. In. HORIZON USDA MUNSELL MOTTLING OTHER PARENT • MATERIALDEPTH TO BEDROCK: STANDING WATER: WEEPING FROM.. PIT FACE: ESHWT: PARENT MATERIAL:DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM PIT FACE: ESHWT: PARENT DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM PIT FACE. ESHWT: MATERIAL PARENT MATERIAL -DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM PIT FACE: ESHWT: TESTS CONDUCTED BY: TESTS OBSERVED BY: JVni-I_. 1 -UVV TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, RENS, RS 978.688.9540 — Phone Public Health Director 978.688.8476 — FAX www.townofnorthandover APPLICATION FOR SOIL TESTS DATE: MAP & PARCEL: LOCATION OF SOIL TESTS:��Z-- OWNER: UL, Contact #: 41ty7yysr 1-�� v �✓ '' ScoGi. APPLICANT: ��� (/ U l��lf Cv1! �_ Contact #: OF p10R7/y 4y 3� a 5 jk vers e Av �, m ri CI P, 2013 TOWrq fat- NOF,)I I.1 ANDOVER HEALTH DEFARTrAENT ADDRESS: '�o /V/5"O ; 9,0 L Zrz: Z tO/L) /41I -'V%9 0 ENGINEER: Contact #: CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing:' Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5"x 11 "Plot plan & Location of Testing (please indicate test nit sites on the plan) ➢ 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 $360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ 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). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: 1 1 3 Signature of Conservation Agent: Date back to Health Department: (stamp in):Iry ' Et :� itii �� � ,r� � � l A.r ti , � F'I�•, E.C.B.(FND.) �j''`' •* r.'; '' BENCH MARK PIN W/YELLOW CAP so)(po ELEV.=141.57 RD EDGE OF p AGEMENT U.P. j5231 /21 �4?` GAS MARKER r) a) r 0 z GAS -124- -122-- - —120— —taa_\ ----� _'—� I I42 I I 182 _ o I , I I I � I I j s 57'00,, \ \ — I I � I I \ 1 i ;t - - - - - - - I I I I _ J `�' `" ='-tee•' �' ' ' d=• . \ W , TI QD LU <� Li 9 � I Z �I I I I , I � j J \ \ LOT 3 \ �, ► 133s585 S.F. \ 1�------------ '_ GRA VAI Dn n n C� 'A -17 SCALE: -1 1 1 "=20' DATE: OWNER & APPLICANT: PAUL F. DRISCOLL REVOCABLE TRUST U 0 PATRICIA A. DRISCOLL, TRUSTEE � 51-55 LORING STREET LAWRENCE, MASS. LOCATION: 379 BOXFORD STREET (LOT 3) I NORTH ANDOVER, MASS TOWN MAP NO. 105C TOWN LOT NO. 52 YLI�u Fes_ .1-r'xY _. an d o ve r consultants ```• inc. 1 East River Place William S. MacLeod Methuen, Mass. 01844 Reg. Prof. Engineer PERCOLATION TESTS HOLE NO. TOP DEPTH SATURATION 12"-9" DROP 9"-6" DROP 1 & DATE ELEVATION In. \ Min. Min. Min. In. SCALE: -1 1 1 "=20' DATE: OWNER & APPLICANT: PAUL F. DRISCOLL REVOCABLE TRUST U 0 PATRICIA A. DRISCOLL, TRUSTEE � 51-55 LORING STREET LAWRENCE, MASS. LOCATION: 379 BOXFORD STREET (LOT 3) I NORTH ANDOVER, MASS TOWN MAP NO. 105C TOWN LOT NO. 52 YLI�u Fes_ .1-r'xY _. an d o ve r consultants ```• inc. 1 East River Place William S. MacLeod Methuen, Mass. 01844 Reg. Prof. Engineer PERCOLATION TESTS HOLE NO. TOP DEPTH SATURATION 12"-9" DROP 9"-6" DROP PERC. RATE & DATE ELEVATION In. Min. Min. Min. Min. In. ® DEEP OBSERVATION HOLE LOG NO., DATE DEPTH SOIL TEXTURE COLOR SOIL & ELEV. In. HORIZON USDA MUNSELL MOTTLING OTHER PARENT MATERIAL• DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM.. PIT FACE: ESHWT: PARENT MATERIAL• DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM PIT FACE: ESHWT: PARENT MATERIAL• DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM PIT FACE: ESHWT: PARENT MATERIAL: DEPTH TO BEDROCK: STANDING WATER: WEEPING FROM PIT FACE: ESHWT: TESTS CONDUCTED BY: TESTS OBSERVED BY- Y: -1I O 70 N _4 A A srREeT I E 0 G O LOCUS PLAN SCALE: 1"=800' r I U 0 � pR�vE srREeT I E 0 G O LOCUS PLAN SCALE: 1"=800' r I 4 S I� I I GAS 4/1 132 GAS MARKER -124- -122--' — —120- 0 BENCH MARK PIN W/YELLO' ELEV.=141.57 _ CAP _ fOG f OF' U.P.15231/21 140— _ I \ I I I i 1. 1 I i I I I I E.C.B.(FND.) so)(po PAVCMENT 7Z'-1 42 _ S76 '57#004 \ \ \ \ I \ i � t 1 - - �� .� \ \ \ lot 1 I Ld Z I W i / / _ " ai'.. W jp Q �I/ I I 1 1 I II I I 1 � 1 \ — — — — — — — — — — \ — — — — — — — — \ � ` 1 LOT 3 133o585 S.F. GRAVEL RnAn- - Q TOWN OF NORTH ANDOVER Permit Number NORTH ANDOVER, MASSACHUSETTS 01845 Date Issued Expiration Date Jackie's Law — Permit Application Pursuant to G.L. c. 82A §1 and 520 CMR 7.00 et seq.(as amended) THIS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION Name of Applicant 144,:Zlvv ��L�LC Phone� Cell Street Address l®� o13� r 70 / l City/Town MA ZIP #?/? ci t tf 6 6 I Name of Excavator (if different from applicant) Phone Cell Street Address �. © goy%sw,-P 5 7- City/Town MA ZIP Name of Owner(s) of Property Phone Cell Street Address City/Town MA ZIP Permit Fee Received No Yes Other Contact Description, location and purpose of proposed trench: Please describe the exact location of the proposed trench and its purpose (include a description of what is (or is intended) to be laid in proposed trench (eg; pipes/cable lines etc..) Please use reverse side if additional space is needed. SWF 7-y Insurance Certificate #: Name and Contact Information of Insurer: M F51'1'00 �tf✓✓ /Z v ���1 Policy Expiration Date: Dig Safe #: 7-v / 3 © /oo 3 Name of Competent Person (as defined by 520 CMR 7.02): Ki evpo Massachusetts Hoisting License # License Grad U ` � OL g Expiration Date: 7/3 ` BY SIGNING THIS FORM, THE APPLICANT, OWNER, AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT THEY ARE FAMILIAR WITH, OR, BEFORE COMMENCEMENT OF THE WORK, WILL BECOME FAMILIAR WITH, ALL LAWS AND REGULATIONS APPLICABLE TO WORK PROPOSED, INCLUDING OSHA REGULATIONS, G.L. c. $2A, 520 CMR 7.00 et seq., AND ANY APPLICABLE MUNICIPAL ORDINANCES, BY-LAWS AND REGULATIONS AND THEY COVENANT AND AGREE THAT ALL WORK DONE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN ALL RESPECTS AND WITH THE CONDITIONS SET FORTH BELOW. THE UNDERSIGNED OWNER AUTHORIZES THE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO UNDERTAKE SUCH WORK ON THE PROPERTY OF THE OWNER, AND ALSO, FOR THE DURATION OF CONSTRUCTION, AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR AND INSPECT THE WORK FOR CONFORMITY WITH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND REGULATIONS GOVERING SUCH WORK. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO REIMBURSE THE MUNICIPALITY FOR ANY AND ALL COSTS AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNECTION WITH THIS PERMIT AND THE WORK CONDUCTED THEREUNDER, INCLUDING BUT NOT LIMITED TO ENFORCING THE REQUIREMENTS OF STATE LAW AND CONDITIONS OF THIS PERMIT, INSPECTIONS MADE TO ASSURE COMPLIANCE THEREWITH, AND MEASURES TAKEN BY THE MUNICIPALITY TO PROTECT THE PUBLIC WHERE THE APPLICANT OWNER OR EXCAVATOR HAS FAILED TO COMPLY THEREWITH INCLUDING POLICE DETAILS AND OTHER REMEDIAL MEASURES DEEMED NECESSARY BY THE MUNICIPALITY. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE MUNICIPALITY AND ALL OF ITS AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY, CAUSES OR ACTION, COSTS, AND EXPENSES RESULTING FROM OR ARISING OUT OF ANY INJURY, DEATH, LOSS, OR DAMAGE TO ANY PERSON OR PROPERTY DURING THE WORK CONDUCTED UNDER THIS PERMIT. APPLICANT SIGNATURE 11 /At DATE S-/,-/, /_3 EXCAVATOR SIGNATURE (IF DIFFERENT) DATE OWNER'S SIGNATURE (IF DIFFERENT) DATE: 2 1 P a g e CONDITIONS AND REQUIREMENTS PURSUANT TO G.L.C.82A AND 520 CMR 7.00 et seq. (as amended) By signing the application, the applicant understands and agrees to comply with the following: No trench may be excavated unless the requirements of sections 40 through 40D of chapter 82, and any accompanying regulations, have been met and this permit is invalid unless and until said requirements have been complied with by the excavator applying for the permit including, but not limited to, the establishment of a valid excavation number with the underground plant damage prevention system as said system is defined in section 76D of chapter 164 (DIG SAFE); Trenches may pose a significant health and safety hazard. Pursuant to Section 1 of Chapter 82 of the General Laws, an excavator shall not leave any open trench unattended without first making every reasonable effort to eliminate any recognized safety hazard that may exist as a result of leaving said open trench unattended. Excavators should consult regulations promulgated by the Department of Public Safety in order to familiarize themselves with the recognized safety hazards associated with excavations and open trenches and the procedures required or recommended by said department in order to make every reasonable effort to eliminate said safety hazards which may include covering, barricading or otherwise protecting open trenches from accidental entry. Persons engaging in any in any trenching operation shall familiarize themselves with the federal safety standards promulgated by the Occupational Safety and Health Administration on excavations: 29 CFR 1926.650 et.seq., entitled Subpart P "Excavations". iv. Excavators engaging in any trenching operation who utilize hoisting or other mechanical equipment subject to chapter 146 shall only employ individuals licensed to operate said equipment by the Department of Public Safety pursuant to said chapter and this permit must be presented to said licensed operator before any excavation is commenced; vi. By applying for, accepting and signing this permit, the applicant hereby attests to the following: (1) that they have read and understands the regulations promulgated by the Department of Public Safety with regard to construction related excavations and trench safety; (2) that he has read and understands the federal safety standards promulgated by the Occupational Safety and Health Administration on excavations: 29 CMR 1926.650 et.seq., entitled Subpart P "Excavations" as well as any other excavation requirements established by this municipality; and (3) that he is aware of and has, with regard to the proposed trench excavation on private property or proposed excavation of a city or town public way that forms the basis of the permit application, complied with the requirements of sections 40- 40D of chapter 82A. This permit shall be posted in plain view on the site of the trench. For additional information please visit the Department of Public Safety's website at www.mass.eov/dns 3 1 P a g e Summary of Excavation and Trench Safety Regulation (520 CMR 14,00 et seg.) This summary was prepared by the Massachusetts Department of Public Safety pursuant to G.L.c.82A and does not include all requirements of the 520 CMR 14.00. To view the full regulation and G.L.c.82A, go to www/mass.gov/dps Pursuant to M.G.L. c. 82, § 1, the Department of. Public Safety, jointly with the Division of Occupational Safety, drafted regulations relative to trench safety. The regulation is codified in section 14.00 of title 520 of the Code of Massachusetts Regulations. The regulation requires all excavators to obtain a permit prior to the excavation of a trench made for a construction -related purpose on public or private land or rights-of-way, All municipalities must establish a local permitting authority for the purpose of issuing permits for trenches within their municipality. Trenches on land owned or controlled by a public (state) agency requires a permit to be issued by that public agency unless otherwise designated. In addition to the permitting requirements mandated by statute, the trench safety regulations require that all excavators, whether public or private, take specific precautions to protect the general public and prevent unauthorized access to unattended trenches. Accordingly, unattended trenches must be covered, barricaded or backfilled. Covers must be road. plates at least 3/a" thick or equivalent; barricades must be fences at least 6' high with no openings greater than 4" between vertical supports; backfilling must be sufficient to eliminate the trench. Alternatively, excavators may choose to attend trenches at all times, for instance by hiring a police detail, security guard or other attendant who will be present during times when the trench will be unattended by the excavator. The regulations further provide that local permitting authorities, the Department of Public Safety, or the Division of Occupational Safety may order an immediate shutdown of a trench in the event of a death or serious injury; the failure to obtain a permit; or the failure to implement or effectively use adequate protections for the general public. The trench shall remain shutdown until re -inspected and authorized to re -open provided, however, the excavators shall have the right to appeal an immediate shutdown. Permitting authorities are further authorized to suspend or revoke a permit following a hearing. Excavators may also be subject to administrative fines issued by the Department of Public Safety for identified violations. Summary of 1926 CFR Subpart P -OSHA Excavation Standard This is a worker protection standard, and is designed to protect employees who are working inside a trench. This summary was prepared by the Massachusetts Division of Occupational Safety and not OSHA for informational purposes only and does not constitute an official interpretation by OSHA of their regulations, and may not include all aspects of the standard. For further information or a full copy of the standard go to www.osha.eov. Trench Definition per the OSHA standard: o An excavation made below the surface of the ground, narrow in relation to its Iength, o In general, the depth is greater than the width, but the width of the trench is not greater than fifteen feet. Protective Systems to prevent soil wall collapse are always required in trenches deeper than 5', and are also required in trenches less than 5' deep when the competent person determines that a hazard exists. Protection options include: o Shoring. Shoring must be used in accordance with the OSHA Excavation standard appendices, the equipment manufacturer's tabulated data, or designed by a registered professional engineer. o Shielding (Trench Boxes). Trench boxes must be used in accordance with the equipment manufacturer's tabulated data, or a registered professional engineer. o Sloping or Benching. In Type C soils (what is most typically encountered) the excavation must extend horizontally 1 % feet for every foot of trench depth on both sides, I foot for Type B soils, and % foot for Type A soils. o A registered professional engineer must design protective systems for all excavations greater than 20' in depth. continued -.._.1---- __ge • Ladders must be used in trenches deeper than 4'. o Ladders must be inside the trench with workers at all times, and located within 25' of unobstructed lateral travel for every worker in the trench. o Ladders must extend 3' above the top of the trench so workers can safely get onto and off of the ladder. • Inspections of every trench worksite are required: o Prior to the start of each shift, and again when there is a change in conditions such as a rainstorm. o Inspections must be conducted by the competent person (see below). • Competent Person(s) is: o Capable (i.e., trained and knowledgeable) in identifying existing and predictable hazards in the trench, and other working conditions which. may pose a hazard to workers, and o Authorized by management to take necessary corrective action to eliminate the hazards. Employees must be removed from hazardous areas until the hazard has been corrected. • Underground Utilities must be: o Identified prior to opening the excavation (e.g., contact Dig Safe). o Located by safe and acceptable means while excavating. o Protected, supported, or removed once exposed. • Spoils must be kept back a minimum of 2' from the edge of the trench. • Surface Encumbrances creating a hazard must be removed or supported to safeguard employees. Keep heavy equipment and heavy material as far back from the edge of the trench as possible. • Stability of Adjacent Structures: o Where the stability of adjacent structures is endangered by creation of the trench, they must be underpinned, braced, or otherwise supported. o Sidewalks, pavements, etc. shall not be undermined unless a support system or other method of protection is provided. • Protection from water accumulation hazards: o It is not allowable for employees to work in trenches with accumulated water. If water control such as pumping is used to prevent water accumulation, this must be monitored by the competent person. o If the trench interrupts natural drainage of surface water, ditches, dikes or other means must be used to prevent this water from entering the excavation. • Additional Requirements: o For mobile equipment operated near the edge of the trench, a warning system such as barricades or stop logs must be used. o Employees are not permitted to work underneath loads. Operators may not remain in vehicles being loaded unless vehicles are equipped with adequate protection as per 1926.601(b)(6). o Employees must wear high -visibility clothing in traffic work zones. o Air monitoring must be conducted in trenches deeper than 4' if the potential for a hazardous atmosphere exists. If a hazardous atmosphere is found to exist (e.g., 02 <19.5% or >23.5%, 20% LEL, specific chemical hazard), adequate protections shall be taken such as ventilation of the space. o Walkways are required where employees must cross over the trench. Walkways with guardrails must be provided for crossing over trenches > 6' deep. o Employees must be protected from loose rock or soil through protections such as scaling or protective barricades. 5 1 P a g e