HomeMy WebLinkAboutApplication - 796 WINTER STREET 6/25/2001 SEPTIC PLAN SUBMITTAL FORM
LOCATION: r L✓ 6".v T
NEW PLANS: } $160.00/Plan
REVISED PLANS; YES $ 60.00/Plan
SITE EVALUATION FORMS INCLUDED: S NO
DATE: 6mo,5116-v
DESIGN ENGINEER:,1�/,C•
DATE TO CONSULTANT:
When the submission is all in place, route to the Health Secretary.
Town of North Andover, Massachusetts Form No.2
tORT#1 BOARD OF HEALTH
f A
P
DESIGN APPROVAL FOR
,JS^C" � SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
• Applicant �. � Test No.
Site LocationC��
Reference Plans and Specs. � 6Vj&J1 /L?IZI
ENGINEE DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed '
in accordance with regulations of Board of Health.
i
CHAIRMAN,BOARD OF HEALTH
Fee Site System Permit No.•�_
a
NEW E El,"-RING w ..:.....:......,... m m � w �.SERVICES E
S
............................. ......w...
nuuoww•..,.:.iw www�w.i.i.ii ww wWwwuu ww.w wwiwww�nmwwwwwwwr�.w.iw.w,wwwwww.w.M..www www,rwww wwww www.w.w„.ww..... ii.
June 22, 2001
Sandra Starr, Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re; 796 Winter Street,North Andover, Septic system design
Dear Sandra:
Enclosed are the following documents concerning the above referenced property.
I. 5 sets of design plans, 1 with original signature.
2. Submittal form for approval.
3. Soil evaluator sheets.
4. Check to cover the fee.
If you have any questions please do not hesitate to contact this office.
Sincerely,
0
Benjamin C. 0sgo-`o , Jr., EIT
President
60 9.4EEM MOOD OD DRIVE..,- NORTH ANDOVER, MA 01845®( "78)666-1768-( 88)359-7645-FAX(978)665-1099
, INC.
25 Bridge Street, Suite 6, Billerica, MA 01821®1023
Voice (978) 667-9736 Fax (978) 671-9565
Email: nm(rx?Le\v�r. coin
Date: July 18, 2001
Town of North Andover
Office of the Health Department
Community Development and Services Division
27 Charles Street
North Andover, MA 01845
RE: Subsurface Sewage Disposal System
Plan Review, 1770/021
796 Winter Street
Assessors Map 1048, Lot 115
Dear Members of the Board,
Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated June 15, 2001 by
New England Engineering Services, Inc.
It is our opinion that the proposed design will meet the requirements of Title 5 and the North
Andover Board of Health `By-Laws" if the following is addressed:
1) In the profile the bottom of the leaching area and end invert are not at proper grade.
2) Need to submit local upgrade approval request form. 403(1)
3) Please write out civil beneath stamp.
4) Missing designer's certification statement.
5) Provide boyance calculations for pump chamber.
6) Septic tank should be inspected to ensure outlet pipe has a tee to proper depth and gas
baffle.
7) The percolation rates indicate a denser class II material than what is called for in soil log.
Design for one dose per day.
8) Include with pump design, discharge rate and plot head for various discharge rates on
graph.
9) Provide a concrete or clay barrier 10 feet from leaching area. NA9.02 &255(2)(g).
10)Provide detail for vent and end connection to ensure no cross flows.
11)General Note 7 should be reworded to state design meets state and local regulations, but
you have no control over construction or use by owner.
Respectfully,
John L. Noonan, P.L.S.-P.E.
G:office/forms/1770021
Land Surveyors Civil Engineers Environmental Planners
y
Bridge Street, Suite 6, Billerica, MA 01821®1023
Voice (978) 667-9736 Fax (978) 671-9565
Email: nm@netway.com
Date
Town of North Andover
Office of the Health Department
Community Development and Services Division
27 Charles Street.
North Andover, MA 01845
RE: Subsurface Sewage Disposal System
Plan Review, 1770!
Assessors Map /,°')'l Lot
Dear Members of the Board,
Please be advised that Noonan &McDowell, Inc. has reviewed the plan dated )
b
y � � ✓
It is our opinion that the proposed design will meet the requirements of Title 5 and the North
y- he following is addressed.
cc � Law �� i; ��„ �„ �,"�,r,��fir.�' �a^6" "0°" '�'v ;� 1 ..��r�„ � � :;w r" m^,�✓�,
Andover
Board of Health B s if t
r p
�qks
p
rv�,Jr r +.s � d... ,�" n. ,.+ ✓, �:e, m, w �" �"�' ,� � � ,.^"',�°a �" r b, ff ate,_ at.., ,p� i ��.,. � ,d" „..
J
o, e
mp
rc �
y 6�
✓ r✓✓ W
';„ ^„� 'e �,✓ �,r,.m.-.✓ r" e"',,,..h.. �:, ^,...��� N". m '.me M,. �„.. M a`� a � -am ry . e,;:v:t.,,.." .,, r,�^:a;..;�""y�
�r
v
d er q;,J r a"^"e,.
� a
,,9 w
Xy
✓
Respectfully,
Y A
ll
PP
John L. Noonan, P.L.S.-P.E.
G:office/forms/tonarev
.w . � ,� ,,..,.mw r A' ✓` `G r n d y,
0
s
s 0 @u
Land Surveyors Civil Engineers Environmental Planners
- _.. -------_-------------- _._ �............ .�._ w................................._ .. � °.R I
NEW ENGLAND ENG1114EERING .. .w.
_.... .._....W_......._._W...._...... . . .... .._._.. ._._ INC ..... _w...�.. ...o...W. .w. d. w............d.wdw ...d..dw..d..dd..�
July 20, 2001
Sandra Starr, Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: 796 Winter Street,North Andover, Septic system design
Dear Sandra:
Enclosed are revised plans for the above referenced property. The following changes
have been made. The numbers below correspond to the concerns in the consultants letter
dated 7/18/2001.
1. The profile has been adjusted to indicate the bottom of the bed and the end invert
at the proper elevation.
2. The local upgrade request form is enclosed.
3. The word civil has been written below the stamp.
4. Designers certification statement has been added below soil logs.
5. Buoyancy calculations are on the plan in the left column under the construction
notes and pump dosing calculations.
6. Note number 15 addresses installation of new inlet and outlet tees as well as a gas
baffle for the existing tank.
7. The dosing calculations have been revised.
8. This has been plotted on the pump curve.
9. A membrane with a block wall is still the detail on the plan. This detail has been
accepted on designs approved by DER
10. A vent detail has been provided.
11. The second sentence of note # 7 has not been removed. We do not guarantee the
functioning of the system. We only design what the regulations require.
If you have any questions please do not hesitate to contact this office.
Sincerely,
1qd
Bexjain C. Osgoo r. EIT " ' ���
`resident
nub
(50 BEECHW001 DRIVE- NORTH ANDOVER, A 01845-(978)686-1768-(888)359-7645.. FAX(978)6851099
Town of North Andover of No pTH 1
Office of the Health Department �� 6`y� . ,b,°tio p
Community Development and Services Division
27 Charles Street ?4 °� -• 4�
Sys q,,.o,•pt�5
North Andover, Massachusetts 01845 S"CHUS
Sandra Starr Telephone(978)688-9540
Health Director Fax (978)688-9542
July 24, 2001
Ben Osgood, Jr.
New England Engineering
60 Beechwood Drive
North Andover,MA 01845
Re: 796 Winter Street
Dear Ben:
This is to notify you that the revised plans dated 7/9/01 for 796 Winter Street have been
approved.
The following variances have been granted:
1. Reduction of ground water separation from 4 feet to 3 feet.
2. Use of a rubber membrane and seqmental block retaining wall in lieu of a
concrete wall for slope reduction.
If you have any questions, please do not hesitate to call the Board of Health Office at
978-688-9540.
Sincerely, -
Sandra Starr, R.S., C.H.O.
Health Director
SS/smc
cc: Williford
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
yt,
i4
f1
Page 1 of 5
9A-APPLICATION FOR LOCAL UPGRADE APPROVAL
Commonwealth of Massachusetts
North Andover, Massachusetts
Application for Local Upgrade Approval
Title 5, 310 CMR 15.000
DEP approved form required by 310 CMR 15.403(1)
To be submitted to Local Approving Authority/Board of Health: For the upgrade of a
failed or non-conforming system with a design flow of<10,000 gpd, where full
compliance, as defined in 310-CMR 15.404(1), is not feasible.
To be submitted to DER For the upgrade of a failed or non-conforming system with a
design flow of 1.0,000 up to 15,000 gpd and/or for upgrade of state of federal facility,
where full compliance, as defined in 310 CMF 15.404(1), is not feasible.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that
includes the addition of new design flow to a cesspool or privy or the addition of new
design flow above the existing approved capacity of a system constructed in accordance
with either the 1978 Code or 310 CMR 15/000.
1) Facility/System Owner:
Name: C`�6 Q��s ft'v etL)(z�f W)
Address: t, Glo„t -(L
Phone#:
Address of facility: �• U,.'' z T Q,'
2) Applicant (if different from above)
Name: �: ,� � s � -e-
Address:
Phone #:
3) Type of Facility:
Residential Commercial School Institutional
(Specify)
Page 2 of 5
4) Type of Existing System:
__privy cesspools) conventional system
other(describe)
Type of soil absorption system (trenches, chambers, pits, etc.)
5) Design Flow Based on 310 CMR 15.203:
a) Design flow of existing system ? gpd
Approved: des Approval date:
no Why:
b) Design flow of proposed upgraded system A)110 gpd Why
c) Design flow of facility 440 gpd
6) Proposed upgrade of existing system is:
a) Voluntary
required by order, letter, etc. (attach copy)
Required following inspection required by 31 CMR 15.301
(provide date inspection form was b tted to t e approving authority)
V '-V/ �V- a-VN (date)
b) Describe the proposed upgrade to the system:
c) Which of the following are applicable to the proposed upgrade?
Reduction of setback(s) (list setbacks to be reduced with proposed setback
distances)
Percolation rate of 30-60 minutes per inch(state actual perc rate)
Up to 25% reduction in subsurface disposal area design requirements (state
required& proposed size)
Relocation of water supply well (identify well, describe relocation)
A Reduction of required separation between bottom of SAS & high
groundwater(specify proposed reduction & perc rate) ti ' j D `
Page 3 of 5
Other requirements of 310 CMR 15.000 that cannot be met(specify sections
of the code)
System upgrades that cannot be performed in accordance with 31 CMR 15.404 &
15.405, or in full compliance with the requirements of 310 CMR 15.000, require a
variance pursuant to 310 CMR 15.410-15.417.
7) If the proposed upgrade involves a reduction in the required separation between
the bottom of the soil absorption system and the high groundwater elevation, an
Approved Soil Evaluator must determine the high ground water elevation
pursuant to 310 CMR 15.405(1)(1)(1). The evaluator must be a member or agent
of the local approving authority:
Distance from soil absorption system to high groundwater feet
As determined by:
Evaluator's name:
Evaluator's Signature:
Date of evaluation: ]
8) Notice to Abutters:
No application for upgrade approval in which the setback from property lines or a
private water supply well is reduced shall be complete until the applicant has
notified all abutters whose property �or well is affected by certified at least ten
days before the Board of Health meeting at which the upgrade approval will be on
the agenda. Such notice shall include the date, time and place where the upgrade
approval will be discussed.
If the department is the approving authority, then such notice to abutters must be
completed prior to the date of submission of the application to the department.
The notices to abutters shall include a copy of the completed application form and
shall reference the standards set forth in 310 CMR 15.402 through 15.405.
-4
Page 4 of 5
List of affected abutters:
Abutter Name Date notified
Address
Abutter Name Date notified
Address
Abutter Name Date notified
Address
Abutter Name Date notified
Address
9) Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible
(each section must be completed):
a) An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
b) An alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible.
c) A shared system is not feasible.
f
d) Connection to a sewer is not feasible.
c
10) An application for a disposal system construction permit, including all required
attachments (e.g. plans & specifications, site evaluation forms), must accompany
this application. Is the DSCP application attached?
yes no
Page 5 of 5
11) Certification ;
"I, the facility owner, certify under penalty of law that this document and all attachments,
to the best of my knowledge and belief, are true, accurate, and complete. I am aware that
there may be significant consequences for submitting false information, including, but not
limited to, penalties or fine and/or imprisonment for knowing violations."
71 2
Facili Owner's S' Kure Date
Print Name
Name of Preparer Date
Telephone No. &Address of Preparer
NOTE: Title 5, 310 CMR 15.403(4) requires the system owner or operator to submit
to the Department a copy of the local upgrade approval upon issuance by the Board of
Health and prior to commencement of construction.