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HomeMy WebLinkAboutCorrespondence - 158 FOREST STREET 11/3/1995 Town of North Andover, Massachusetts Form No.a a v4ORTH BOARD OF HEALTH 0+41�a+,+',IVO O � • w • i. .-. b DESIGN APPROVAL FOR S3AC"USES SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant '� 'Yl- '�i Test No. P P (, s Site Location ��.`�S Reference Plans and Specs -a �r� � s c ��� 7 ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH Fee ( � Site System Permit No. e' � Town of North Andover, Massachusetts F°"""°•s °f AORTH 1 BOARD OF HEALTH '... FO F DISPOSAL WORKS CONSTRUCTION PERMIT SACHUSE Applicant NAME ADDRESS TELEPHONE Site Location : Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. /W CHAIRMAN 110ARD OF HEALTH Fee �� D.W.C. No. APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: -,' :° ` CURRENT INSTALLER'S LICENSE# LOCATION: LICENSED INSTALLER.: .... SIGNATURE: „ ` �,,,,, TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION; w- IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only U $75.00 Fee Attached? Yes 1 ,u �`� No Foundation As-Built? Yes ";- �°'° No Approval Date: r U v' �v'�'v•c,'o fi�r•. W W U W��' 1 :x®�w�-1' U Q .cz n�o 44 co o 1�17 U CL) c O T Q v t L CD CL CrI ® O r O to cmc C3 ll� .V io. ? CO)CL o QUO l �' * + co C42 CD CD CL jjj�� C u1: O �t co') = V) CD co CO) CD m ' CIO F•�.� V m O -Ir E ® U O mot: H= m CD CIO cm �. a H a •° 4Z;. C D c � m co) t5 : Cc,, ° U o,cm ® O c a �c L- •c 0 COD CA w co 4 �C I uj P:m H ® ooc ° CO) H •r CD • ° � ® ®� I ® N CL ®� ° ca g `y•a O_ H- Z ® O.:4a-m a ENVIRONMENTAL COMPLIANCE CO RPORATION CERTIFICATE OF DISPOSAL/RECYCLING Manifest # ; L)ff �°.. :1..20`ry This is to certify that the material received from your facility has been managed at Environmental Compliance Corporation (ECC) or another licensed facility which has been approved by ECC in accordance with all applicable federal , state , and local laws, statutes , and regulations . Recyclable material has been blended for use in accordance with all applicable federal , state , and local statutes , laws and regulations at ECC , a licensed facility . All materials consolidated at ECC and subsequently shipped to another licensed facility for treatment and disposal , shall be identified as being generated by ECC . ECG shall indemnify the generator from any claims as result of damage to any property, contamination of , or adverse effects on the environment , any violation of governmental laws, regulations, or orders, caused by treatment and disposal of the material specified on this manifest . Wa�� Descric� i on Trea+ �Pnt1D7 s 1 os� 1 Method Fac; 1 ; tv Combustible Liquids ECC Oils n . o . s . 4418 Canton St . NA 1270 Stoughton , MA MA 97/98 02072 Authorized by : )(� ,r Date Wanda M . Kopoych Administrative/Compliance Coordinator Regional Customer Service 1-800-982-0153 441R Canton Street 8 Stoughton ® MA 02072 617-297-3530 106 Main Street -,south Portland ME 04106 207-799-7337 COMMONWEALTH OF NIASSALHUSi=I l0 FOR IN-S A-iE i*Ai DEPARTMENT OF ENVIRONMENTAL PROTECTION OIL ONLY DIVISION OF HAZARDOUS WASTE INSTATE OR HWPNO One Winter Street t Boston, Massachusetts 02105 Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Manifest 2.Page 1 Information in the shaded areas 1.Generator US EPA ID No. Dmentpo UNIFORM HAZARDOUS I- � �ocu 1 v of � is not required by Federal law. WASTE MANIFEST A StateManifestDocumentNumber 3 3.Generator's Name and Mailing Address /�1.( �0 r�S�R-CSC bl �Il��� -/ lvw o f T`0 �S.State(3en.-.la�"` � d �7 f 1 T,tf doh . ru 4.Generator's Phone( ) ` fi US EPA ID Number C.State Trans.ID co 5.Transporter 1 Company Name 7 8 0 'A O ,TT;7^ T; r n 9 0 2 ! K� TA_'7K T 5;�,: D.Transporter's Phone f ) I O 7.Transporter 2 Company Name 8. US EPA ID Number E.jgtato Trans.iD 10. US EPA ID Number � � � � � I I �j 9.Designated Facility Name and Site Are i r^r F.Transporter's Phone( ) O u _ uo:� — _,� !.L ® Not Required G.State Facility's ID _ R � 00 5 ';_ "- 2.5 / I H.Facility's Phone ? V ( C L� rd 12.Containers 13. 14. Total Unit Waste No. .. � 11.US DOT Description(including Proper Shipping Name,Hazard Class,and lD Number) No Type Quantity Wt/Vol O lE.S 0 I �1 -Tl 0 J-"I D a� n U b. r w G c —1 0 N C. E R c. D X A H T o r o R N 7, d. � O Z o) K.Handling Codes for' astes Listed Above ' I J.Add' al Descriptions for Materials Usted Above:fincltrde physical state and hazard code) 3 � m a, c. Z ; a z v I d b. d. <> b• iii w � L - r O 15.Special Handling Instructions and Additional Information c �E G �'�/iC' G9no.1/ ST ST✓�//-ry ✓ ; MA CL 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above hi 1 proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway ® according to applicable international and national government regulations. f If 1 am a large quantity generator,1 certify that I.have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable U C and that I have selected the practicable method a treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environ- v menl;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management method that is available me and Date I can afford. Year E Month Day E Sig re I 5 PrintedlTyped Name Date O ' of T 17.Transporter 1 Acknowledgement of Receipt of Materials _ Month pay Tear t'. R Signature , ILI : ca A Pri ted/Typed Name J i U S i j �` o 18.Transporter 2 Acknowledgement of Receipt of Materials Month Day Year � Signature T Printed/Typed Name E R 19.Discrepancy Indication Space F A C ! i L 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 1'. Date i � I Lfoprh Day Year,I N r e Sr natur l Y Pri ed yp ed g t I J . Farm Approved OMB No.2050-0039,Expires 9-30-96 EPA Form 3700-22 (Rev.9-94) Previous editions are obsolete. I COPY>1 :_ FACILITY MAILS TO GENERATOR I KJHM.t'.N. lye (rev. 9/90) ����� (tlsslitutx�llittr�tl#I� .d�;�I�t�,��r1ju.�>�i2g Department :of Oublic Safety Division of Fire Prevent#on and Regulation APPUCATION FOh PERMIT, AND PERMIT, Pon 1TEMOVAL AND TRANSPORTATION TO APPROVED TANK YARD FDID# C?dl 0 Permit , bate l�fo . Ar4 0OL)e G1y, Town aa.a :. c ► 1 � 4o h . a . i . MO SAFE NUMBER Fee Paid,. $ "'S' �'� � ��,�✓'S stag •clot` ,. • In accordance with the proviel.onfi of Chaptak' i4, 80' ' Seo. ' 38A; M.O.L. , 527 C R 9 oo application in heroby made by'!'7�� '+';'►� G .�riy C Street Address & city or T ri �cb' 32ir -�rSI, signature of applicants Applicants name printed:� .' '-�. � • . . For permigsioti to remove and trttnsport one Undergraiu id storage. tank from. owner. Agu-,0 /�V46m– , _ $treat Midi-98.81 616frC-97-7 Firm transporting waste: Hazardous waste manifest 49V75 t77 Approved tank yard t SCfC/-4 lib .: rc�gA- Tank yard Address: `^�o = Type of inert gas s - t hL tank i t ' Tank capacity: 5-- . _ Substancayiast 'storedl .Z. FkEL Date of issue: 193rY. ' bate ct. expira ions Signature/Title of officer grahl.ing permits lISl F"— KEEP ORIGINAL AS APPLICATION .4Nn JSStIP NIPI Ir-eTIC es JPMIT .Y'Yo PEI CE TANK CLEANING, INC. Tel.: 894-0251 BOX 327 WALTHAM, MA 02254 894-0252, CUSTOMERS ORDER NO. DATE it SOLDTO f i 6 -pp7��7TTtf}��++[yc ✓C 1 r '�y t r2y�ty� '�,r i .a 3,.�� (fY Y.. 'k�1 �f � f ^5 3$ t >s r t _ } Sl,; { _' i. S ) Y �.4b ;7. '� Jk't` � 1 1.� � 11 „ , :•5,- . 0 S ock Road ` Andover, MA 01810 TERMS: NET CASH forservices rendered November 15, 1996 at the buildin 11/15/9G site located at 153 Forest Street, North Andover, in the removal -of- a 275 gallon tanIc which was `later-� i - - - 8 - - ct and cleaned, on our premises and subsequently disposed of 300.00 Price to include cost of ,Fire Permit and disposal of sludge removed and reported to the Commonwealth of MA on hazardous Waste Manifest #14AJ202090 � ENCLOSURES 4 1 , � z n 8 >n g �• �' Z y z � m W mn wo? -4 T�� g � r n rq - Y m bbl 4 C .1. NE" A .� gyp° S ING ............. April 11, 1996 Nrvw.,u. Sandy Starr, R.S. North Andover Board of Health 146 Main Street North Andover, MA 01845 Re: 158 Forest Street, Robert Janusz Dear Sandy; We are in receipt of your letter dated April 3, 1996 regarding the above-referenced design. You do realize that this lot currently has a dwelling, well, and cesspool (within 30 feet of the wetland) and that Bob Janusz is going to build a new house for his son who lives in the family homestead, and upgrade the lot to new regulations. We met with you on January 30, 1996 and left the meeting with the understanding that this lot was to be designed on 110 gallon/bedroom/day. Find attached our previous design on 165 gallon/bedroom/day. I would not have redesigned it if I felt the original was what you wanted. Please realize that the bed design is much less intrusive on the lot and will require less regrading and tree clearing. I see no reason to overdesign it. Find attached past plans and correspondence for your reference and a revised plan with perc elevations. Primary is 4' from reserve. The design is based on a perc rate of 15 minutes per inch and on current soil evaluation criteria. Existing peres were 4 and 11 minutes/inch respectively. Also realize that 3 feet of sand fill is required under the system because of the SHWT found. Please advise, as Bob wants to being construction. I will ask Bob Janusz to drop off a check for $60.00. Sincerely, THOMAS E. NEVE ASSOCIATES, INC. Thomas Neve, PE, PLS President, CEO Attachments cc: Bob Janusz TEN(ebc-Torn\305.doc ENGINEERS @ a LAND SURVEYORS LAND USE PLANNERS a 447 Old Boston Road U.S. f-OUte 8d1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 Town of North Andover f NORTH 'i OFFICE OF ��o`t. o ,yo L COMMUNITY DEVELOPMENT SERVICES A 146 Main Street North Andover, Massachusetts 01845 �,94oq,�eo'op'S�y SSACHUSE April 3, 1996 Mr. Thomas Neve 447 Old Boston Road Top sfield, MA 01983 Re: Lot #158 Forest Street Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Insufficient soil tests in system. 2. Elevations of peres tests not present. 3. Septic tank not 25 feet to foundation. 4. Leaching area not 3 5 feet to foundation, 5. Designed for less than 660 GPD. 6. Reserve not 4 feet from primary. In addition, since this is a new design, the full review fee of sixty(60) dollars is required. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, C Sandra Starr, R.S., Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 F NORTH ANDOVER BOARD OF HEALTH fC' DESIGN REVIEW REPORT FEE: � � PERMIT # 7�9 DATE RECEIVED APPLICANT '-130 3 Z-2,AZ)w - MAP 'b PARCEL ) ADDRESS LOT ✓J— STREETm'.e ADDRESS PLAN DATE / REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: l"5 /A) .. � 3. / . / r PLAN REVIEW CHECKLIST ADDRESS „ . /4 ., � , "," ... " ENGINEER ✓ �'> ° 1... GENERAL 3 COPIES STAMP LOCUS fi'...' NORTH ARROW SCALE CONTOURS ""�� PROFILE ����"�°" SECTIONS BENCHMARK `� �� �'' SOIL & PERCS ELEVATIONS , °" " WETS . DISCLAIMER � WELLS & WETS --- WATERSHED?_41L DRIVEWAY "" (Elev) WATER LINE FDN DRAIN..-i"f SCH40 '' TESTS CURRENT? " " " SOIL EVAL SEPTIC TANK MIN 1500G L111 . 17 INVERT DROP "" GARB. GRINDER (+200 o EDF") 25 ' TO CELLAR MANHOLE ELEV GW # COMPS. D-HOAX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET .. ,. � - OUTLET (2" OR . 17 FT) TEE REQ'D? 1.J LEACHING MIN 660 GPD? RESERVE AREAL,"� 4 ' FROM PRIMARY. 20 SLOPE 100 ' TO WETLANDS "' 100 ' TO WELLS 4 ' TO S ,H.GW � " (5 ' >2M/IN) 35 TO FND & INTRCPTR DRAINS ./ 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY ,°° "" MIN 12" COVER -°"" FILL? (-2' °' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min .005 or 611/100 ' ) °"' SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) "` RESERVE BETWEEN TRENCHES? /­""' IN FILL?/""" BE 10 ' MIN. 411 PEA STONE? t," VENT? r. (>3 ' COVER; LINES >501 ) BOT / + SIDE - � �C�w� X LDNG � C� - TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright D 1995. by S.L. Starr '.. THOMAS E. NEVE ASSOCIATES, INC. Engineers o Land Surveyors o Land Use Planners 447 Boston Street US #1 TOPSHELD, MASSACHUSETTS 01983 DATE JOB NO. (508) 887-8586 FAX (ltd ) 887-3480 ATTENTION TO A,r a � d RE: r L 11 Ix Jf WE ARE SENDING YOU Attached ❑ Under separate cover via df �` the following items: > V, m ❑ Shop drawings ,Prints ❑ 'Plans S ples ❑ Specifications �- ❑ Copy of letter ❑ Change order ❑ b n„rp ” COPIES DATE NO. DESCRIPTION t t ! r� d . a m THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted Resubmit copies for approval • For your use ❑ Approved as noted ❑ Submit copies for distribution • As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS ` a -r gJw t L. is-&, d. -voutz �p I CVo.P0.'k(_ °1 ,° 6t�» �.7oI�tJa" If 44_ -f s " 0 A. (? t4my l ✓ t C tat c t trpoo m 1 t Ian 4a �C6a V t -r 5"P_ -rte t I l lade yyt �� 4S. 5C— "C d W 1 t td ! tJ Pam�p 1 COPY TO RECYCLED M� 4 Contents:40%Pre C u ons ner-10%Post-Consumer SIGNED: If enclosures are not as noted,kindly notify-Os at once. `" PLAN REVIEW CHECKLIST T ADDRESS —161- ENGINEER_ jlfiI6 GENERAL 3 COPIES STAMPS to` LOCUS NORTH ARROW(_.--""""" SCALE CONTOURS PROFILEtt,� SECTION_] BENCHMARK N1 SOIL & PERCS -­ELEVATIONS jc� ­­ WETS . DISCLAIMER.> WELLS & WETS DRIVEWAY 'CElev) W WATERSHED?,A�l ATER LINE FDN DRAIN- SCH40 EST CURRENT? SOIL EVAL '7 SEPTIC TANK MIN 150OG . 17 INVERT DROP GARB. GRINDER _Z 1_(+200% ELF) 251 TO CELLAR MANHOLE ELE V GW # COMPS . D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT 5, OUTLET 6 INLE�F (211 OR . 17 FT) TEE REQ 'D? Itl LEACHING FROM PRIMARY? ''L` 2% SLOPE MIN 660 GPDO. -I RESERVE AREA ��,,�, '� 1001 TO WETLANDS 100 ' TO WELLS ,E" 41 TO S .H.GW-L4-11-----,` (51 >2M/IN) "All, 351 TO FND & INTRCPTR DRAINS, 3251 TO SURFACE H2O SUPP ",---'- 4*1 PERM. SOIL BELOW FACILITYA �f- MIN 1211 COVER FILL? if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/100 ' ) t-' SIDEWALL DIST. 3X EFF. W OR D (MIN RESERVE BETWEEN TRENCHES? �.�...IN F I L "'MUST BE 10 ' MIN. 4 PEA STONE? VENT? (>3 ' COVER; LINES >50 ' ) BOT + SIDE X LDNG TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright Q 1995 by S.L. Starr Town of North Andover o E AoRTH OFFICE OF 3� COMMUNITY DEVELOPMENT AND SERVICES � p i Sq •° 146 Main Street North Andover, Massachusetts 01845 9SSACHU5�� (508) 688-9533 December 7, 1995 Mr. Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot #158 Forest Street This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: �) Benchmark not within 75 feet of system (310 CMR 15. 2209) . v2) Who is soil evaluator? 3) Leaching area less than 35 feet to foundation drain. 4) System less than 100 feet to wetlands according to NACC. 5) Please update fill requirement note to reflect current regulation. (see enclosed) -�:A7)) Please add assessor map and parcel numbers (N.A. 6. 02a) . Are there any wells, including old unused ones within 125 feet of the system? (N.A. 6. 02n) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cj p BOARD OF APPEALS 688-9541 B=ING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell PLAN REVIEW CHECKLIST ADDRESS —ENGINEER GENERAL 3 COPIES STAMP " LOCUS f NORTH ARROW SCALE CONTOURS PROFILE SECTION BENCHMARK SOIL & PERCS ELEVATIONS WETS . DISCLAIMER WELLS & WETS WATERSHED? DRIVEWAY (---"'('Elev) WATER LINE FDN DRAIN SCH40 L,---`­ TESTS CURRENT? SOIL EVAL SEPTIC TANK MIN 150OG . 17 INVERT DROP GARB . GRINDER II�--) (+200% EDF) 25 ' TO CELLAR MANHOLE ELEV GW # COMPS . D-BOX SIZE LINES j FIRST 21 LEVEL STATEMENT INLET OUTLET (2" OR . 17 FT) TEE REQ ' D?-z1/L) LEACHING MIN 660 GPD?_LRESERVE AREA 41 FROM PRIMARY? 2% SLOPE 100 ' TO WETLANDS 100 ' TO W ELLS 41 TO S . H . GW (51 >2M/IN) 351 TO FND & INTRCPTR DRAINS , , 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY ;`a MIN 12" COVER FILL?""' (251 if above natural elev; 10 ' if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 611/ 1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 101 MIN . 411 PEA STONE? VENT? (>31 COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x (DxLx2x7—) (—G/ ft2) Copyright 1 1995 by S.L. Starr PITS MIN 660 LEACHING MIN I (13 'x16 ' ) PIT_ MANHOLE/PTT GW MIN 4 ' BELOW BOTTOM EXC 23c EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2)c(L+W)xD X #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD_= TOTAL (L x W x ) (2 x (L+W)xD x #) (G/f't2) FIELDS MIN 660 GPD .,"'w 900 ft2 BED `� GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS ,JOINED? w 4" PEA STONE? w - DIST LINE SLOPE .005? >3 ' COVER-VENT , `Z V SCH 40 MIN 1.211 COVER RATE L�-JA,I LDG :' X 660 = �, %y X = TOTAL G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X - PUMP CAPACITY gpm L W D Vol . DISCI°iARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP . CIRC. GW—(Min. 1 ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright 0 1995 by S.L. Starr NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: '` PERMIT $ gym" DATE RECEIVED Ida c ,,p APPLICANT MAP PARCEL ADDRESS LOT # ENG. A215416--,, .,.� STREET ADDRESS 447 J> a 12�. PLAN DATE , " ra ' ° REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED " REASONS FOR DISAPPROVAL: L: _._. °. , rF Fber,p � "' w 47 7 ; ' Sec, eD a .. - .. 17 xs a ✓ � Y J9 _ �. I Town of North Andover of NORTH t .o �ti OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 0 A 146 Main Street North Andover, Massachusetts 01845 �SSACHUS`�� (508) 688-9533 December 7 , 1995 Mr. Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot #158 Forest Street This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1) Benchmark not within 75 feet of system (310 CMR 15. 2209) . 2) Who is soil evaluator? 3) Leaching area less than 35 feet to foundation drain. 4) System less than 100 feet to wetlands according to NACC. 5) Please update fill requirement note to reflect current regulation. (see enclosed) 6) Please add assessor map and parcel numbers (N.A. 6. 02a) . 7) Are there any wells, including old unused ones within 125 feet of the system? (N.A. 6. 02n) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell 4 15. 255: construction in Fill (3) Fill ,matefial for systems-, constructed in' 'fill shall consist of select on-site or imported soil material- , free from organic mutter and other deleterious 8ubstanc Mixtures and layers of different classes of soil shall no used. The fill material shall have a percolation rate bet > . ..:.... .... .....:........................ ....................................:::::::::::::::.:::: .:::::::>:;::..::::::. :::...... .:.:::::::::::::::. :::: �.::::::. .... :.:.: .....:::::::..::::::.:.::::.::::.:::.::::::::.:::::.::::.:..:.::::.::::::::::::.:::::::::::.:.::.. >::::>:::an : : e er us:»>::>:s sfi:a<n e:s .............. c� .. t ::::::.-....t .:::::..............................................:.:..:...:::::...:. .:::..:: .. :a ><>c .::: ...........::......................................................................::::::::.::.:....:... •:::<::: :: >:>:::ma r: ..... ..> ...........r ........... .................................................. ........................................................................ e . efts ed ::. ..1 :: r . . : ::.::::::.:.:r...:::::::::..:::::::::::::::::::::::.: xe. res:entet. ue>::>sa 1: .... :..; he::::: : ....::...:.... .:::...: .:::.:..:...:...: .... ,. .:.:..h.e. a�s�<::<<s�a�:�;>�:�e<::: ':ear:�o �d:<:::��:::»��:�:::...................................................................................._........ ......-. .<,:;_>LO=ERIE 0:M Q: zit::::>::::::>::::>::::>::>;::> :::<:;::>:<:::::;:::<:::;::>::::;::::;::::::;::::;::::;::::;::: `:.:: < >............ ;....-::v.;; .. ..:.:}...:h::•:....{...:::.: ... ..:...: .:.:::::: :..:. .:. v:::?..v..•.i:v}..',..•:}ii...::.. ......:..,..;..::ji:::. .....i...::i:::i�::.;,i:...,... i::•?'.'. .:::: .: .::._. .:.::.: .{.� .: AMR, WELL DATABASE i hf� ADDRESS: AGE OF WELL: WELL DRILLER: WELL PERMIT#: WELL LOCATION: r WELL PER vET DATE: DEPTH OF WEL TYPE OF WELL: a.. DRILLED b. DUG e. 'SOWN TYPE OF WATER BEARING ROCK.: WATER ANALYSIS DATE: HIG 'MANGANESE: Y N HIGH IRON: Y D Ne OTHER CON T ANTS: /Y N WELL DATABASE ADDRESS: I •�� `� /`+ '�5z'ti ta'' _ AGE OF WELL: WELL DRILLER: WELL PERWTT#: WELL LOCATION: ,d WELL PERMIT DATE: DEPTH 0 F LL: TYPE OF WELL: a.. DRILLED b. DUG c. UNKNOWN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: HIGH MANGANESE: Y N w� HIGH IRON: Y ( N� OTHER CONTAMINANTS: Y N