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Home My WebLink AboutCorrespondence - 2009 SALEM STREET 9/27/2011 ,na "'9W!IWwNwmi Commonwealth of Massachusetts ----- City/Town of North Andover Form Application for Local Upgr DEP has provided this form for use by local Boards of Health. Other fa' �f information must be substantially the same as that provided here. Before usln'g 'ls" orm,°'cec wl i your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: forms on the computer,use George Haseltine Trustee, 2009. Salem Street Realty Trust only the tab key Name to move your I crew °� p cursor-do not - -- — " - Street Address --- ---- --- use the return key. _ Iderry , �; ,- NH 03053 City/Town State -- - Zip Code -- - rab 2. Owner Name and Address (if different from above): SAME _ ° Name Street Address e_ �_ - - C ylTown State ,- )�; /� _ 603) 785-8768 Zip c�d � - Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ institutional ❑ Commercial ❑ School 4. Describe Facility: 3 Bedroom House 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Unknown LUA FORM t5form9a.doc•rev.7106 Application for Local Upgrade Approval*Page 1 of 4 Commonwealth of Massachusetts CitylTown of North Andover Form 9A ® Application for Local Upgrade Approval ^M 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 your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Unknown gpd Design flow of proposed upgraded system 330 gpd Design flow of facility: 330 gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Total Replacement(see plan) 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ® Reduction in separation between the SAS and high groundwater: Separation reduction 1.0 ft. Percolation rate 7 min./inch Depth to groundwater 3.0 ft. LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 9A - Application for Local Upgrade Approval �qM 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 your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: 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 groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Randy Burley 9-12-11 Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: Full compliance would result in mounding the system which would also require a pump causing unreasonable financial hardship 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: NA LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval, Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 9A ® Application for Local Upgrade Approval o�^M 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 your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: NA 4. Connection to a public sewer is not feasible: None Available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ❑ Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "l, 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 subpijting false information, including, but not limited to, penalties or fine and/or imprisonment for delrb (ate violations." 9-22-11 Facility w er's Signature Date George Haseltine,-- Print Name Bill Dufresne/Merrimack Engineering 9-22-11 Name of Preparer Date 66 Park Street Andover Preparer's address City/Town MA/01810 (978)475-3555 State/ZIP Code Telephone LUA FORM t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 4 of 4 TOWN OF NORT11 ANDOVER Office of(.'.0MM1J NITY I)EVELOPM EM' AND SERVICES HEALTH DETARTMENT 1600 OSGOO DSTREEI'; RIJILDINC 20; SUITE 2-36 NORTH ANDOVER, MASSM.111JSE1I-S (&1845 97&688.9540 Phone Susan Y.Sawyer,RUAIS/RS 9'78.68&8476 FAX Pubfic Health Director E-MAIL: healdid )�LLL(? n(jr(handover.com . ............... ......................................... .............................................................. SEPTIC PLAN SUBMITTAL FORM Date of Submission:— CEP 2 8 Site Location: "Z&M, t�74 tOLI ' TOM14 0-NORTH ANDOVER HEAL'Tli DEPARTMENT Engineer: New Plans? Yes_V" $225/Plan Check#' —(includes 1st submission and one re- review only) / Revised Plans?Yes $75/Plan Check 4 471 Site Evaluation Forms Included? Yes_ No Local Upgrade Form Included? Yes No Telephone#: Fax#: E-mail:— Homeowner Name: OFFICE USE ONLY When the submission is complete (including check): 7isll Date stamp plans and letter Complete and attach Receipt Copy File; Forward to Consultant Enter on Log Sheet and Database OD O C _ o o (fS m Z Z E m o mm El 1:1 Z o Ulu) 2 N 0 0 a a) D m a> m cv U) v) } 3 C G _ a) ,�y �( J r„j- O O O ❑ ❑ N E M fq V O 00 `O_ 00 U 00 L) E my p N r �- LL7 .K] 1� Z Z ` U) 7. C) N r r. Z c •® C c Q N E U) E u) a�i v O 0. 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Famola Sent: Friday, September 30, 2011 2:42PK8 To: 'Daniel Dttenheimer'; 1aamo Rowe; Peters, Marianne; 'Randy Burley' Co: Sawyer, Susan Subject: FVV: SEPTIC -2DOQ Salem Street- Plan Review Application - Map 10O.A- Lot#2 - Subdivision#8 &tbuohrnmnbs: 20110828154957651.pdf Attached iaanew septic plan review application from.Bill Dufresne for 2OOD Salem Street Plan Application' Map I08.A-Lot#2-Subdivision#3. Please note that this is a different 2009 Salem Street than the one before. The lot was divided. Itia leaving in the mail today. Thank yoo| :\ Best Regards, Pomc{uDeUc[hJuic '''—Original Message----- From: Sent:Wednesday, September 28,20113:50 PM � To: I)cllcCbi ic`Puzocla � Subject: SEPTIC-2009 Salem Street-Plan Review Application-Map 108.A-Lot#2 -Subdivision#3 � This E-mail was sent from RNPOA428C^ (Aficio MP C5000). Scan Date: Og28.201125:49:57/-O400\ Queries to: Please note the Massachusetts Secretary of State's office has determined that most emails to and fruro municipal officca and officials are public records.Fornoorcinformubonpicaacreferto:littl--)-H\Nr\;\r"7.sce.state.ma.us/r-)rc/l.-)I-Cidx.litm. Please consider the environment before printing this email. 'rowr� OP' NORT11 ANI)OVER Q V MT tit"t, °� a�t't:"t` Illb il' 11I1c11 p191fi 11 t ttt`I: „ ' '. PC, 1600 OSGOOD STREET; � LD � 0S" VIT 2-36 001 I ANDOVER, MASACHSFITTS' M 8/15 $A IKIS susall V.sawyer,H FA ISAIS 978,68895,10� Phone 978.688,8476 - FAX Viddic Ifealth Director it \VF.BSH'F': SEPTIC PLAN SUBMITTAL FORM R E EY Date of Submission: (W 28 ? Site Location: 44Z ------------- TOWN 0(XN6,R-Tfi ANIDOVER HEALTH DEPARTMENT Engineer: &K (includes I submission and one e- Now Plans? Yesz$225/Plaii C I i e c k#—OJT� " r review only) Revised Plans?Yes $75/Plan Check#— Site Evaluation Forms Included? Yesz� No Local Upgrade Form Included? 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U tU a C N > 8 �pW ° a o (U = d Mn (� (U O) O ' '0 p X U vim- ® ' N O U C N (U c m O C M t0 c oar C +r c E o CL cU roro0 Z O .0 CO 7 > .�.. C U a-. W O e N •� *' C :3 0 O C t'. > c^ (O w Q O d D. N o) o Q Lolo, °Zm® 13) C N o 0 c N U- o® 2 4- B r- -0 :!.. � O O O r- 13_a) 0 a. o LL N N ate.+ C:) :3 m €KtN7 EI Q LO CD Q Q '� N M N fA � M � +C '® N (U to O w wo O i7 c U O —�, (6 LO LO UJ j j Q Q � � � v o �° � ® G sU _ 2 C ® r p C7 m N E N C O O ® E '0 C:) W � Z Ou O o O o N 4- (� (`Q N .E- S! V1 j N E c o tU G- U m� .5 ° Q o io o a � v o o rn U U tJL LL € o LL s� k 1 N' I' N F- 54 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. Important: When filling out A. Site Information forms on the computer,use _2009 Salem Street Realty Trust only the tab key Owner Name -"-- to move your 2009 Salem Street cursor-do not Street Address or Lot# -"- - - - - use the return — key. North Andover MA 01845 City/Town State Zip Code George Haseltine (603) 785-8768 Contact Person(if different from Owner) Telephone Number B. "Test Results 9-12-11 11 am _ Date Time Date Time Observation Hole# p-5 Depth of Perc 36" - - Start Pre-Soak 10:55 End Pre-Soak 11:10 Time at 12" 11:10 Time at 9" 11:26 Time at 6" 11:46 Time (9"-6") 20 min Rate(Min./Inch) 7 Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Bill Dufresne Test Performed By: Randy Burley Witnessed By: — Comments: t5formI2.doc•06/03 Perc Test•Page 1 of 1 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS (b LANG SURVEYORS 0 PLANNERS 66 PARK STREET-ANDOVER,MASSACHUSETTS 01810•TE(,(976)476-3555,373-672) - FAX(978)475-1446-E-MAlL:merrenq@aoI.com 8 FANEIJIL HALL VARKETPIAQE -THIRD FLOOR- BOSTON,MASSACHUSETTS 02109-TEL(617)973-6462 -FAX(617)9736406 MR, ' RE,CEIVED 0(10�T 0 11 '"OWN OF NOR"H AMOVER HEAL-711 DL,°PAflTN4 I� t? f�LA,- IIU FtW�;kk � � Z/M, M-F INFILTRATORG systems Inc, DATE: March 2, 2010 TO: Massachusetts Septic Engineers FROM: Kyle Landis, Infiltrator Area Sales Representative RE: NEW Innovative Chamber Announcement-The Quick4 Plus Standard LOW PROFILE(LP) CC: Blake Johnston, Infiltrator Northeast Region Manager Infiltrator Systems Inc. is excited to share our most recent innovation in gravelless chamber technology with the Massachusetts Title 5 system design community. Infiltrator makes if our goal to provide the onsite wastewater community with a full range of products that meet most any system design requirement. With this in mind,we are introducing the NEW Quick4 Plus Low Profile (LP) chamber. The'Quick4 Plus Standard LP chamber is similar to its predecessor, the MassDEP-approved Quick4 Standard chamber, in length (48 inches when engaged) and width (34 inches). The innovative facet of the design is in the height,which has been reduced from 12 inches to 8 inches, For a drainfield situated where a shallow groundwater table, impervious conditions, or other restrictions limit vertical separation distance, the reduced height of the Quick4 Plus Standard LP chamber increases separation distance. Additionally, this design feature provides more soil that can contribute to wastewater treatment between the infiltrative surface and limiting condition, The reduced vertical profile moves infiltration closer to the ground surface, thereby improving the potential for subsoil reaeration from the atmosphere, This promotes oxygen recharge to the biologically active vadose zone beneath the infiltrative surface and helps support aerobic decomposition of wastewater_ With an approved rating of 6.96 square foot per linear foot, fhe Quick4 Plus Standard LP chamber has the some footprint requirement as the current Quick4 Standard chamber, but allows for even greater design and installation flexibility. We have included the MassDEP approval letter, product cut sheet, and typical AutoCAD designs_ Should you have any additional questions, or would like for me to visit your office to discuss the uses of this new product,feel free to contact me at 866-511-6068. We appreciate you considering Infiltrator's chamber products. As always, we will continue to innovate and support our products to assist with all of your septic system design needs. 6 Business Park Road•P.O.BOX 76B•Old Saybrook,CT 00475•Phone 88D.577.7000•FaX 880.577.7001•www.inriltratorsyrtoms.com Infiltrator Modified Approval of Alternative Systems for General Use Page 4 of 7 5. Effective leaching area is equal to I.0(3 +(2x invert 13eight)) for Systems with a width greater than 3 feet. 6. The maximum trench width allowed to calculate effective leaching area is 3 feet. 8. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 9, In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CM12 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3. No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area determined in accordance with 310 CMR 15.252(2)(i). 'fable 3. Effective Leaching Area for Bed or Field Configuration Effective Model Leaching' Area Equalizer 24 2.08 uick4 Equalizer 24 2.23 uick4 Equalizer 24 LP 6-inch invert 2.22 uick4 Equalizer 24 LP 2-inch invert 2.22 Equalizer 36 3.05 uick4 Equalizer 36 3:05 Standard Chamber 4.72 uick4 Standard 4.72 uick4 Plus Standard 432 uick4 Plus Standard 1.P 4.72 Infiltrator 3050 or StormTech SC-740 7.1 High Capacity Charxrber 4.72 ick4 High Ca aci 4.72 7. Ff£ective Leaching area is equal to 1.67 tizzies bottom width only_ 10. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in 'Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction COMMONWEALTH OF MASSACHUSETTS ulpEXECUTIVE OFFICE OF ENERGY& ENVIRONMENTA.L AY FAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, CIA 02108 617-292.5500 DEVAL L.PATIUCE Govexnor IAN A.BOWLES Secretary TIMOTHY P,MUTtRA.Y Lieutenant Governor LAURIE BURT Commissioner MODIFIED APPROVAL OF ALTERNATIVE SYSTEMS FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Infiltrator Systems,.Inc. P.O. Box 768 613usiness Park Road Old Saybrook, CT 06475 Trade name of technology and model:High Capacity chamber, Quick4 High Capacity chamber, Standard chamber, Quick4 Standard chamber,Quick4 Plus Standard, Quick4 Plus Standard LP(Low Profile), Infiltrator 3050(Storm Tech SC-740), Equalizer 24 chamber, Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber, and Quick4 Equalizer 24 LP(Low Profile) chamber(hereinafter the"System"). Schematic drawings of the System and a design and installation manual are attached and made a part of this Certification Transmittal Number: X228042 Date of Issuance: February 21,2003,Revised August 19,2005,December 22,2005,July 24, 2006,July 19,2007, Modified February 4,2009,Modified June 30,2009 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Infiltrator Systems, Inc., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter"the Company"), for General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000_ June 30,2009 Glenn Haas,Acting Assistant Commissioner Date Bureau of Resource Protection This information is n,allable in siternsio forme(-Csil Oonald M•Como,ADA Coordinator at 617456-1057.TDDN 1-866-539-7612 or 1.6)7-574-6868• MessDEP on the World Wlde Web: htlp:/ •mses.gov/dep Printed on Recycled Paper DelleChiaie Pamela From: Randy Burley [rb dev@miUhveroonaulting.com] Sent: Friday, October 14. 2011 1:17 PM To: 'Daniel Ottanheimer'; Grant, Michele; 1eeao Rowe'; 'Marianne Peters'; DeUeChiaie, Pamela; Subject: <!��',:-20.09:Satem_St Plan Review(Upgrade for existing no u Attachments: Bill Dufresne .pdf Hello All, As you may be aware, this is the lot that new construction soil testing has been performed. This particular plan proposes on upgrade bo the existing dwelling. The main point of confusion is the loading rate and/or actual model of Infiltrator that is being proposed. I have attached the latest approval off the DBP`a vvobei0:. Keep in mind in this approval letter, Table is for n"to:ncb"configuration and Table] is for u"bed orfield"configuration, which is being proposed. Feel free to contact ouc with any questions. � Sincerely, � Randy Burley � Project Manager � Mill R.iverC.onuQlting b Sargent Street Gloucester, MA 01030 Ph 978-282-0014 Fxg78-282-l3l8 � Please note the Massachusetts Secretary of State's office has determined that most ernails to and from Municipal offices and officials are public records.For more � information please refer to: � � Please consider the environment before printing this email. � � � � � 1 ComrnorlwaalthufK0aemElohueatla Exeoudve OffiC8 ofEnergy &EnvironnnentA} Aftairs �� ~ ' �� ` 0~ K �� , � �� U�� U�� ~ �� u ��xwo ��oo�� x ^ � on ��xvo ^ x ��oo�� o ��o��xx One Winter Street Boston' K8�O210B~U1�2B2�5OO DEVAL.Lpmnmu RICHARD uemuvAwJR. o^mw,n", aoo,etraw � P.MURRAY xsmmsTH L.KIwmeu umu('enarlt Cove rn", oomm/oainnmr MODIFIED APPROVAL OF ALTERNATIVE SYSTEMS FOR GENERAL USE Pursuant to Title 5, 3|O CMQ 15.000 Nonou and Address of Applicant: Infiltrator Systems, Inc. p.D. Box 768 � 6 Business Park Road Old Saybrook, C?06475 | Trade name of technology and model: High Capacity chamber, 0uiuk4 High Capacity chamber, 0uick4 � Plus Bicb Capacity uharubrr (8-inch invert), ()uick4 Plus High Capacity chamber (13'iuoh invert), Standard chamber, 0uink4 Standard chamber, Ouick4 P|oo Standard chamber (5.3-iuubiovert)` (}uick4 Plus Standard obmoher (8.0-inch invert), ()uiok4 Plus Standard LP (Low Profile) ohumhor (3.3-inch � iuved), 0uiok4 Plus Standard LP(Low Profile) chamber(8-iuobinvrd), ln5h/u(or30�O (S�onnTmubS<�' � . � � � 740) chamber, Equalizer 24 chamber, 0uiuk4 Equalizer 24 chamber` Equalizer 36 chamber, 0uiok4 Equalizer 36 chamber, 0ulok4 Equalizer 24 LP (Low Profile) chamber (6 inch iuvnd), and 0oiok4 Equalizer 24 LP (Low Profile) ubanobcr(2 iuob invert)(hereinafter the"System"). 8obcmn1ic drawings of the System and a design and installation ouuoua]are u pail ofthis Certification. � � | Transmittal Number: X220042 Date ofIssuance: February 2l, 2003, Revised August |q,2005, December 22, 200S, July 24, 2006, � July 19, 2007, Modified February 4. 2O0g, Modified June 30, 20O9` Modificd � September }8, 2UOP,Modified June 30,20!0, Modified March 30, 20|l. Authority for Issuance � Pursuant toTitle 5 of the State Environmental Code, 3|U CMR 15.000` the Department ofEnvironmental � Protection hereby issues this Certification 1o: Infiltrator Systems, Inc., P.O. Box 768, 6 Business Park � Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the System described � herein. Su\n and use of the System are conditioned on and subject to compliance by the Company and the System ovvoez with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification conabto1os uvio|u1ion of3|O CK48L 15.000. 0J 194't—, March 30,2011 � David Ferris, Director Date Wastewater Management Program Bureau of Resource Protection � This/nfomouoois available in alternate format.Call Michelle wwmrs-Ekan*m.Diversity Director,mm/-2o2a/m.noow1-800-6ae-7mz",1-6n-67*aueo � Mwmospwebs/te:w*w.mas«.uwvep Printed no Recycled Paper � Infiltrator-chamber. Modified Approval of Alternative Systems for General Use Page 2 of 7 I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 Quick4 Equalizer 24 LP 6-inch invert 16 x 48 x 8 6 Quick4 Equalizer 24 LP 2-inch invert 16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 Quick4 Plus Standard 5.3-inch invert 34 x 48 x 12 5.3 Quick4 Plus Standard 8-inch invert 34 x 48 x 12 8 Quick4 Plus Standard LP 3.3-inch invert 34 x 48 x 8 3.3 Quick4 Plus Standard LP 8-inch invert 34 x 48 x 8 8 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.25 Hi h Capacity Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 Plus High Capacity 8-inch invert 34 x 48 x 14 8 Quick4 Plus High Capacity 13-inch invert 34 x 48 x 14 13 l Includes Infiltrator MultiportTM invert adapter attached to the side of the end cap. 2 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in- One 8 Endcap. s Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2 Infiltrator-chamber. Modified Approval of Alternative Systems for General Use Page 3 of 7 4 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in- One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed or field in accordance with the requirements in 310 CMR 15.252. 3. The use of aggregate as specified in 310 CMR 15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed in accordance with Section 11 item 11. 4. The minimum separation between any two trenches shall be as specified in 310 CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6)be provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In accordance with 310 CMR 15.240 (13) a minimum of one inspection inlet shall be installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. 7. For new construction, the applicant can size the System in a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System, however, shall be designed and constructed with a soil absorption system area of less than 400 square feet of effective area. Table 2. Effective Leaching Area for New Construction And Remedial Sites Effective Effective Model Leaching Leaching Area Area SF/LF SPLIT Equalizer 24 3.76 NA Quick4 Equalizer 24 3.90 NA Quick4 Equalizer 24 LP 6-inch invert 3.90 NA Quick4 Equalizer 24 LP 2-inch invert 2.78 NA Equalizer 36 4.73 NA Quick4 Equalizer 36 4.73 NA Standard Chamber 6.53 NA Quick4 Standard 6.96 NA Quick4 Plus Standard 5.3-inch invert 6.20 NA Infiltrator-chamber. Modified Approval of Alternative Systems for General Use Page 4 of 7 Quick4 Plus Standard 8-inch invert 6.96 NA Quick4 Plus Standard LP 3.3-inch invert 5.65 NA Quick4 Plus Standard LP 8-inch invert 6.96 NA Infiltrator 3050 or StormTech SC-740 NA 6.71 High Capacity Chamber 7.79 NA Quick4 High Capacity 7.93 NA Quick4 Plus High Capacity 8-inch invert 6.96 NA Quick4 Plus High Capacity 13-inch invert) 7.93 5. Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. 6 Effective leaching area is equal to 1.67(bottom width+(2x invert height))for Systems 3 feet or less in width. 7. Effective leaching area is equal to 1.0(3 +(2x invert Height)) for Systems with a width greater than 3 feet. 8. The maximum trench width allowed to calculate effective leaching area is 3 feet. 8. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 9. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3. No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area determined in accordance with 310 CMR 15.252(2)(1). Table 3. Effective Leaching Area for Bed or Field Configuration Effective Model Leaching Area SF/LF Equalizer 24 2.09 Quick4 Equalizer 24 2.23 Quick4 Equalizer 24 LP 6-inch invert 2.23 Quick4 Equalizer 24 LP 2-inch invert 2.23 Equalizer 36 3.06 Quick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 Infiltrator-chamber. Modified Approval of Alternative Systems for General Use Page 5 of 7 Quick4 Plus Standard 5.3-inch invert 4.73 Quick4 Plus Standard 8-inch invert 4.73 Quick4 Plus Standard LP 3.3-inch invert 4.73 Quick4 Plus Standard LP 8-inch invert 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 Quick4 High Capacity 4.73 Quick4 Plus High Capacity 8-inch invert 4.73 Quick4 Plus High Ca acit 13-inch invert 4.73 9. Effective Leaching area is equal to 1.67 times bottom width only. 10. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 11. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective depth can be increased up to two feet inclusive of invert of the chamber. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. 12. When the System is installed as specified in 310 CMR 15.255: Construction in Fill, the finished 15 foot horizontal separation distance, item (2), shall be measured from the from the top of the chamber. I11. General Conditions 1. All provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall Infiltrator-chamber. Modified Approval of Alternative Systems for General Use Page 6 of 7 be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may then size the soil absorption system for the System. The total area required for the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 2. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 3. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, Infiltrator-chamber. Modified Approval of Alternative Systems for General Use Page 7 of 7 the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System,with a copy of this Certification. 4. The Company shall prepare an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the local approving authority, and update the list annually. Updated lists shall be forwarded to the local approving authority. 5. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. VI. Conditions Applicable to Installers of the System 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street- 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. • North Andover Health Department Community Development Division October 21, 2011 George Haseltine Sent via Email and Regular Mail: george.haseltine @gmail.com 66 Gilcrest Road Londonderry,NH 03053 Re: Subsurface Sewage Disposal System Plan for 2009 Salem Street(Map 108A,Lot 2) Dear Mr. Haseltine, 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 the Merrimack Engineering Services dated September 21, 2011, The design has been approved for use in the construction of a replacement, three bedroom, on-site septic system. This plan is good 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. 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. The following local upgrades have been approved. 1. The vertical offset from SAS to the estimated water table from 4 feet to 3 feet This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 2. 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 Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 2009 Salem Street October 20, 2011 3. 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. 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. Sincerely, Sus n Y. & y r, REHS/ Public Health Director cc: Vladimir Nemchenok file encl: Form 9b Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Commonwealth of Massachusetts City/Town of Z f a Local Upgrade Approval Form 913 DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important:When filling out forms 1. Facility Name and Address on the computer, use only the tab George Haseltine Trustee, 2009 Salem Street Realty Trust key to move your Name cursor-do not 2009 Salem Street use the return Street Address key. City/Town State Zip Code 2. Owner Name and Address(if different from above): 66 Gilcrest Road Name Street Address Londonderry NH City/Town State 03053 603 785-8768 Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: gpd 5. System Designer: Vladimir Nemchenok x PE RS Name 66 Park St Andover MA, 01810 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 2009 Salem St 9b 10 20 11.doc•rev.7/06 Local Upgrade Approval, Page 1 of 2 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B M B. Approval (continued) x Reduction in separation between the SAS and high groundwater: Separation reduction 1 ft. Percolation rate 7 min./inch Depth to groundwater 3 ft. ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test List local variances granted not requiring DEP approval per 310 CMR 15.412(4): List variances granted requiring DEP approval: North Andover Health Dept �J Approving Authority G� Susan Sawyer �' October 20, 2011 Print or Type Name and Title al re / Date 2009 Salem St 9b 10 20 11.doc•rev.7/06 Local Upgrade Approval* Page 2 of 2