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HomeMy WebLinkAboutCorrespondence - 28 CEDAR LANE 5/30/2003 � NEW ENGLAND IC �f May 30, 2003 Sandra Starr, Administrator North Andover Health Department "Town Hall Annex 27 Charles Street North Andover, MA 01 845 Re: 28 Cedar Lane, North Andover, Septic system.design Dear Sandra: Enclosed are the following documents regarding the above referenced property. 1. 5 copies of septic system design plans, one with an original stamp. 2. Copy of soil evaluator sheets. 3. Local upgrade approval request form. 4. Application for approval. 5. Check to cover fee. This plan is being submitted for approval. If you have any questions regarding the information submitted, please do not hesitate to contact this office. Sincerely, Benjamin C. Osgo d, Jr.,ETT President 60 BPa:EC91WOOD O IVE-NORTH ANDOVER, NSA 0184,13-(975)686-17 68-(888):159-7545- FAX(978)685-1099 SEPTIC PLAN SUBMITTALS LOCATION: - i i -vim'c Map & Parcel s NEW PLANS: YES > $225.00/Plan �'' Check#: REVISED PLANS: YES $ 60.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: ( YES ,1 NO LOCAL UPGRADE FORM INCLUDED: YES ,) NO DATE: `� �. �l DATE TO CONSULTANT: DESIGN ENGINEER: Telephone#: 97 ' When the submission is complete (including check), date stamp plans, COPY for Conservation, and place in existing file with green Design Approval form. 124/23l21203 13:43 17x,133 40115 TAHGARDR PAGE 01 FOM 11 • SUYL, FVAL.tJA,TQ.R FORM . Page 2 or 3 ,t'Iy' {!/fie•^ Lozation Address or Lcit Igo. ty off � Deep Hale Number Deto. / [ {��-r Tire: /. "°" Westher 1��' .r,. .. ,.:. tr?ne t_O,�atian (identify On site plan) / Surface S s "~ Land Use ,•,. Slope (%f Vegetation Lsndform position on lsndV ape aivences from: feet open Water Body feet Dreinsge way Possible Wet Area feet Property Lino feet Drinking Water Well feet Other DEEP OBSERVATION'HOLE LOG Dei�thv arum I Sn r Hnrizon soil Texture Soil Color Soil o Surtete ;Incnasl (USDA) (Mansell) Mattlint7 (structure, Stones,Gravielj s°��r,s'stencv�°• °'�T ITFtfTl1l CAS-�E�EF �dI� Li - R 'fi Parent Material Igeolaph:l f?epthto�drock� -----_.._....... -�----- --" Weeping from Pit Facti; Gr�ourLd er; Stanr ing Water in thF Hole: � p �.�- :stimated Seasonal High Ground Water; DEP AY-PROVED POILNI• U!07�9S \\ @4/23/20103 13:43 178113340115 TAHGARDR FADE 02 FORM 11 SOIL FVALUATOR FORM Page 2 of 3 cT � . ..tea._ �.1 Location Address or Lot No, _ ' r` _ t r "' .4si � iz ew _ ft Deep Hole Number l58te: �� Time.,l Weather r� Lotion (identi , on site plan) f*T t Land ,Jse y Slope {ob} Surface ones ._. Vegetation La ndfornl Position on landscape Distances from: Open Water Body fzet Drainage way feet Possible Wet Area feet Property Line . feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* -- -•� Depth from Soli Horizon Soil Texture Soil Color Soil— Other -~ Graiace Ilnchesl (VS�AI IhAunselll fvtottling (Structure,Stones, Boulders, Cons's!ancv, _ Gravel) Aj e P,ty AKA Parent Material(geologip) Depth to Groundwater, Slanding Water In the Nola: �„���• ? Weeping from Pit Pere, Estimated Seasonat High Ground Water; ___P f UEt'APPROVED FOKAI• 1107 195 � r 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-CNlR 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 10,000 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: �rAl'r� �/sva i T-1 Address: 2-is c ED 00- L lh%,'J� ,v O n r}r Phone#: q 7 6-C, 6 - Address of facility: D Pr O ,_A,.j u „J ��,�,,� o ye 2) Applicant(if different from above) Name: Address: Phone#: 3) Type of Facility: ,/Residential Commercial School Institutional (Specify)_ V�lq M 1 c,y 0 ZL'1 l w 6— Page 2 of 5 4) Type of Existing System: _privy cesspool(s) -conventional system other(describe) Type of soil absorption system(trenches, chambers, pits, etc.) r T-s 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 ' pd Why c) Design flow of facility 9 yo gpd 6) Proposed upgrade of existing system is: a) Voluntary required by order, letter, etc. (attach copy) _,A Required following inspection required by 31 CMR 15.301 (provide date inspection form was submitted to the approving authority) (date) b) Describe the proposed upgrade to the system: �VNSTAL� Ncti � ��. , P- go f}vb H r-(C'2� 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) eduction of required separation between bottom of SAS & high groundwater(specify proposed reduction& perc rate) ,f` j2? J/ o 4 �;?MIA lw,q 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: -1�p,j b zA- 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 9or 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. 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: Pro ee4� 42 V W ri L-L ANA THE ,4-0o, 710 r- b) An alternative system approved pursuant to 310 CMR. 15.283-15.288 is not feasible. c) A shared system is not feasible. /VLO Ce ac 19 r3-!T✓ C C N d) Connection to a sewer is not feasible. C-X /S f 5 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." U Facility OwneekAgnature J Date �/G�yi+•✓I �sf 0 J S cJ Print Name — L'f'a't�Gt Yv..,e°� � l_.✓21 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. NEW ENGLAND ENGINEERING SERVICES ... .._..._ .... .. .... ... „,.., , �.mm..... June 18, 2003 Sandra Starr, Administrator North Andover Health Department Town hall Annex 27 Charles Street North Andover, MA 01845 t Fie: 28 Cedar Lane, North Andover, Septic system design 9 Rear Sandra: r - Enclosed are revised septic system design plans for the above referenced properly. The fallowing revisions have been made. A. The house has been noted as not having a foundation drain. u/2. The connect pipe ends note in the profile has been modified to indicate the use of solid pipe. "3. The percolation test elevation has been added. ,,A. A swale detail has been added along the house to indicate haw the water will drain from around the house. 5. The existing system location has been added to the plans. One other issue you wanted addressed is the reduction in offset distance to the water table request. Several facts were examined by this office while determining if the reduction was warranted. In order to maintain a 5 foot separation in the offset to the water table a pump system would have to be designed. Also, the site is sloping and the water table slopes with the site as indicated by the test pit information so at least half of the system has a water table offset approaching 5 foct or greater. It is the opinion of this office that the installation of a pump system in lieu of a gravity system poses a greater:maintenance responsibility. The potential of a problem with the system that would result in a public health threat would outweigh any minute amount of increased treatment that would be gained by raising the entire system one foot. This plan is being submitted for approval. If you have any questions regarding the information submitted, please do not hesitate to contact this office. Sincerely, Benjamin C..mm. go 1, Jr.,I IT President 60 E'3 E:.CHVVC7OD DRIVE M1JOUH ANDOVER, MA 0184 ..(978)686-'1768..(888) 359-7645-FAX(978)6855 1099 �