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Correspondence - 62 WINTERGREEN DRIVE 5/23/2016
5/2/2016 Town of North Andover Mail-Construction Inspection-62 Wintergreen Drive NORTH ANDOVER Michele Grant <mgrant @northandoverma.gov> �t���chGN Construction Inspection - 62 Wintergreen Drive 1 message Dan Uttenheimer <dano @millriverconsulting.com> Thu, Apr 28, 2016 at 5:30 PM To: Brian LaGrasse <blagrasse @northandoverma.gov>, Michele Grant <mgrant @northandoverma.gov>, Lisa Hadge <Ihadge @northandoverma.gov> Cc: Isaac Rowe <irowe @millriverconsulting.com>, Pam Lally <plally @millriverconsulting.com> Attached please find the construction inspection report form for 62 Wintergreen Drive. You will note there are three open items which will need to be tended to at a future re-inspection: fi. The installer chose to place an effluent filter in the outlet tee. By doing so, he must put a cover at finished grade for ease of access. The effluent filter is not required in this instance, so he either needs to remove it or he needs to have a cover at finished grade over it. 2. The existing tank was re-used and it did not appear the penetration for the pipe exiting the tank was watertight as there was wet soil immediately below the junction of the pipe and the tank. The pipe penetration can be a weak point and lead to effluent leakage, especially on retrofitted older tanks. The installer was requested to expose the entire pipe and to demonstrate its watertightness at a subsequent re-inspection. 3. The pipes exiting the distribution box were not providing even flow. This is likely due to the tight space associated with trying to get 4 pipes coming out of the box into the four headers of the leach field which were in close proximity. The installer was requested to either make the pipes dead even or to install leveling devices, and to demonstrate even flow at a subsequent re-inspection If you would like to have us examine these matters please let us know. If not, you certainly can do so. will be out of the office tomorrow but glad to help with anything on Monday. Best, Dan tiver Mill '11 consulting d'_"<<ev r �p„ 6 dirats�,Gr o �arv1,if li:=;F[,4a r !uo; oYGn�aY hUps://m ai I.googl e.com/m ai I/ca/u/0/?ui=2&i k=d4458df3d9&view=pt&search=i nbox&th=1545ec7bae3O403c&si m l=1545ec7bae3O4O3c 1/2 North Andover Health Department (ommunity and Economic Development Division January 28, 2016 Frederick Doherty 62 Wintergreen Drive North Andover,MA 01845 Re: Subsurface Sewage Disposal System Plan for 62 Wintergreen Drive (Map 10413,Lot 194) Dear Mr. Doherty: The proposed wastewater system design plan for the above site dated October 15, 2015 with a final revision date of December 4, 2015 and received on December 8, 2015 has been approved. The design plan has been approved for use in the construction of an upgrade on-site septic system for a 4-bedroom (max 9-room)home utilizing an Infiltrator Chamber system. This design plan approval is valid until January 28, 2018. 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. At a regularly scheduled meeting of the Board of Health,this plan received the following approvals by the members. Local Upgrade Approvals: ® To reduce the requirement of soil test pits in the area of the proposed leaching facility from 2 test pits-to 1 test pit 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 62 Wintergreen Drive January 27, 2016 This approval is also subject to the following conditions: 1. 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)) 2. 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. 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. Sincerely, I aJ� Michele Grant Health Inspector Encl. Installers list cc: Philip Christiansen, Christiansen& Sergi 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 CHRISTIANSEN & SERGI, INC PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET,HAVERHILL,MA 01830 C115 tel:978-373-0310 www.csi-engr,com fax 978-372-3960 REM �'VED December 11, 2015 DEC 1 '1 North Andover Health Department TOW1()F H A,1,00VE'� 1600 Osgood Street, Suite 2035 11EMJ 6 N-j",M",TKIEN t' North Andover, MA 01845 RE: Repair Subsurface Sewage Disposal System for 62 Wintergreen Drive Dear Board Members: On behalf of my client Fred Doherty, I request the Board to consider his LUA for his repair of his system at its next available Board Meeting. Sincerely, k4Philip KChristiansen. .......... Commonwealth of Massachusetts City/Town of North Andover Form 9A — Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used,but the Information must be substantially the some as that provided here, Before using this form,check with 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 16.404(1), Is not feasible. System upgrades that cannot be performed In accordance with 310 CMR 16,404 and 16.405,or in full compliance with the requirements of 310 CMR 15,000, require a variance pursuant to 310 CMR 15.410 through 16.416. NgT 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 forms 1, Facility Name and Address; on the computer, use only the tab Fred Do key to move your Name cursor.do not 62 Wintergreen Drive use the return Street Address key. North Andover MA 01846 City/Town State Zip Code 2, Owner Name and Address(if different from above): same Name Street Address City/Town tate Zip Code Telephone Number 3. Type of Facility(check all that apply): Z Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: Existing septic system 6. Type of Existing System: ❑ Privy F-1 Cesspool(s) Conventional ❑ Other(descri6 6. Type of soil absorption system(trenches,chambers, leach field,pits,etc): trenches t5formoa-rev,7100 Application for Local Upgrade Approval*Page 1 of 4 1 Commonwealth of Massachusetts Cityrrown of North Andover Form 9A — Application for Local Upgrade Approval 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: 440 --- — gpd Design flow of proposed upgraded system 440 gpd 440 Design flow of facility: 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: replace existing field with new d-box and infiltrator system,____ 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 sq.ft. °%reduo ill on ❑ Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate — min.Cnch Depth to groundwater 15form9a•rev.7/06 lication for Local Upgrade App p Approval,Page 2 of A I i Commonwealth of Massachusetts City/Town of North Andover j Form 9A -- Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be substantially the some 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. Nigh groundwater evaluation determined by: 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: repair system,testing area limited, because of distance from possible wetlands and more favorable depth to GW in TP 2. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: t5k"a•rev,7106 Appilcolion for local Upgrade Approval*Page 3 of 4 i Commonwealth of Massachusetts Cityrrown of North Andover Form 9A — Application for Local Upgrade Approval DFP has provided this form for use by local Hoards 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, l j C. Explanation (continued) 3. A shared system is not feasible: 4. Connection to a public sewer is not feasible: 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 El 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 submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." Fk I y Owner's Signal a Date Frdd Dohs Print Name Philip Christiansen,Christiansen&Sergi 11/12/2015 Name of Preparer Date christiansen&Sergi, Inc Haverhill Preparer's address City/Town MA 01830 978-373-0310 T State/ZIP Code Telephone 15form9s•rev.7106 Application for Local Upgrade Approval•Page 4 of 4 l m CL a c� Q z E o a z m 0 0 {� C� 4 q1 N M d N ® Cq CL v n ❑ N O :9 o F4 n Q Z, Z O ❑ 4 > >. Qf q B E V E in csy 0 p 0 Q N .o m cu CL CD 0 wI N o } O Q ® r- � w W f/7 ❑ C7 ai y u) E LU tt U) co I!: g L � � � r d m D z z z z z co N N 41 c r r r 0 ® ❑ ® ❑ ❑ N t ■ter � 4J tom• C B N � a„. 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N it 0 N q1 ro � v N 0 :9 O ... o W N Q � a I IL L E FU N N 0 N N 'v ° cn E crs Z 00 LL. LL la i t Y .Q w i i Commonwealth of Massachusetts City/Town of North Andover, MA WjPercolation 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 forms A. Site Information --- on the computer, Frederick Doherty use only the tab y key to move your Owner Name cursor-do not 62 Wintergreen Drive use the return key. Street Address or Lot# North Andover MA _ 01645 Citylrown State Zip Code Contact Person(if different from Owner) Telephone Number _ B. Test Results 9/2/16 3:56 p.m. 9/2/15 _— 1:29_p.C!!_____ Date Time Date Time Observation Hale# Pero 1— Peron Depth of Pero 6011 48" -- Start Pre-Soak 3:55 End Pre-Soak 3:55 1;29 — — Time at 12" 4:10 -- -- 1:44 Time at 9" 4:13 2:15 Time at 6" 419 -- 2:54 Time(9"-61 6 Mins —_ 39 Mins — -- — Rate(Min./Inch) 2 Mins/Inch __ _- .13 Mins/inch Test Passed: Test Passed: Test Failed: ❑ Test Failed: ❑ Steven Eriksen& Maureen Herald Test Performed gy: Issac Rowe-North Andover Board of Health 60ard of Health Witness i Comments: i I t5formllUoc-08/15 Perc Test•Page 1 of 1 � Grant, Michele To: Phil Christiansen Cc: |ois@csieng[con; Hadge, Lisa Subject: RE: 62 WINTERGREEN DRIVE SSDSREPAIR Attachments: FVV: 62Wintergreen Dr. Dear Phil, Please be advised there isa $7S.00 Charge for the second review. All plan reviews and correspondenme need 1Vcome directly tothe Health Dept. for processing before w/e are able tu submit then) to Mill River. Please see the attachment. All were received on November 16 m, 2015 were sent to K4iU River on m m the 16 . Lois sent additional paperwork on the same day,that was also sent to our consultants onthe 16 . Sincerely, Michele E.Grant Public Health Agent Town of North Andover z§OU Osgood StI Suite 2035 North Andover, xxA 01845 � Phone 978.688.9540 Fax 978.688.8476 Email Web � From: Phil Christiansen Sent: Fridav, December 04, 2015 11:04 AM � To: Dan Ottenhchner � Cc: Dan O'Connell; Grant, Michele; Lois Christiansen 62 WINTERGREEN DRIVE SSDGREPAIR Dan 4ya follow opio our discussion this morning Ianz forwarding to you orevised Repair Design for 62 Wintergreen Drive North Andover MA. I have made changes as we discussed. I have alsoattached the letter that Toubnoi11od to the North Andover Health Department that I had submitted to then) for the second review which had not been forwarded tO you for your review. Additionally we were not allowed t0 submit the [(l/\ form gAto the Board until the plans were approved � � lam submitting the Form /\to the Board of Health under separate cover. � 1 • a North Andover Health Department (ommunity and Eeonoink Development Division November 25, 2015 Philip Christiansen, P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill, MA 01830 Re: Subsurface Sewage Disposal System Plan for 62 Wintergreen Drive (Map 104B, Lot 194) Dear Mr. Christiansen, The proposed wastewater system design plan for the above site dated October 15, 2015,revised November 13, 2015 and received on November 16, 2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. Each of these matters was raised in our previous communication to you after reviewing the October 15, 2015 design plan and has not been resolved. The original review comments are provided in parenthesis, with additional information based on the November 13 revised plan provided afterwards. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item where applicable. 1. "A Local Upgrade Approval is required to be sought for only one test pit in the proposed soil absorption system area(3 10 CMR 15.102). Please also list any LUA or variance being sought on the design plan and on Form 9A". Please provide a completed Form 9A to accompany the submission 2. "Clarify or adjust the terminology of"Remove Top and Subsoil" in the profile to also reference the soil nomenclature used in Title 5 of A& B soil layers." This has not been adjusted 3. "Since the existing septic tank is proposed to be re-used, provide a description of the methodology to be used by the installer to determine the suitability of the existing tank. Provide a method to be used for assuring the watertightness of the tank and any proposed Page 1 of 2 North Andover Health Department, 1.600 Osgood Street,, Suite 2035, North Andover, MA 01845 Phone: 978.68 .9540 Fax: 975.688.8426 covers" Information about risers and covers needed for compliance with Title 5 has not been provided 4. "The wetlands resource area shown is not labeled as to what it is and who determined its location" This has not been labeled 5. "The Best Feasible Upgrade plan was not labeled" The system which you intend to have constructed was labeled as the Best feasible Upgrade plan, which is not correct. Please feel free to contact the office or Mill River Consulting at 978-282-0014 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. Sincerely, chele Grant Health Inspector cc: Fred Doherty File ---------------- - ------------- --- - - - ------------------------------- Page 2 of 2 North Andover I-lealtli Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978,688.9540 Fax: 978.688,8476 CHRISTMNSEN&SERGIo INC PROFESSIONAL ENGINEERSAND LAND SURVEYORS 160 SUMMET STREK HAVER1111A.MA 01830 CS1 w+978-373-0314 w\,\,w.csj-ejigr,com fax 9'78-X3'72-:3960 RECEIVED NO I f,) ?[W` 1) row�OF NOR r M e AINDOVER HEMl H DEF-IN MVENT Owner's Cei•tification for 62 Wintergreen Drive I, Fred Doherty, the owner of record of 62 Wintergreen Drive, hereby certify to the following: 1. I have been provided a copy of the Title 5 Innovative Alternative Technology Approval for General use dated 6/12/2015 , the Owner's Manual with maintenance , and I agree to comply with all terms and conditions; 2. The design does not provide for the use of garbage grinders. This restriction is understood and accepted; 3. Whether or not covered by warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the North Andover Board of Health (NABOH) , if the Department or the NABOH determines the system to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Acknowledged: Fred Doherty LG n t..,rt'Iini-q"'1ol-O eaw'alth of Ma ssaac l"il,traet"ts - w [`,xec.:i_a'tive Office of Energy F, b=rav/ir or.il.nent;a:al Affair's rl 0 D One WIP1ter` treet Boston, N/1A 02)11: 8-617-292-5500 C;I'iti,arle.s t7 13,*pi M at1h(-,1W A,,Beaton Governor Seacxet,ai y Karyra E. Polito Martin Stniherg l..ieat.ttemint Goverraoi C,olmni,rsimer APPROVAL FOR GENERAL USE NOW I Pursuant to Title 5, 310 CMR 15.000 tows OF N 4,N i i r ,y°DOVER Name and Address of Applicant: Infiltrator Water Technologies,LLC. P.O. Box 768 6 Business Park Road Old Saybrook, CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8- inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard. LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber, Equalizer 24 chamber, Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber, Quick4 Equalizer 24 LP (Low Profile) chamber(6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber (2 inch invert) (hereinafter the "System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 1.9, 2015,modified June 12, 2015 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 Water Technologies, LLC., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the System described herein. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. OaJ444- June 12,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources l'his information is available in alternate foraaarat.Call Michelle Watprs-Ekana non Diversity Director,at 617-291-5751,TTM'aF M a slRelray 7arvlce 1-800439-2370 Ma«ssDEP W¢=bsit.e.www.rn,ass,9ovklep Frintc-.d on Recyried flame: Infiltrator Chamber,Infiltrator Water Technologies. Page 2 of 6 Approval for General Use—June 12,2015 I. 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 62 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 Standard HD 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 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.254 High Capacity Chamber 34 x 75 x 16 11 High Capacity H-20'Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 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 14 135 1 This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements. 2 Includes Infiltrator MultiportTM invert adapter attached to the side of the end cap. 3 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 4 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 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 or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. Infiltrator Chamber,Infiltrator Water Technologies. Page 3 of 6 Approval for General Use-June 12,2015 3. 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. 4. For new construction or upgrades, the applicant can size the System in a trench configuration, using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching? Leaching$ Area Area SF/LF SF/LF Equalizer 24 3.76 N/A Quick4 Equalizer 24 3.90 N/A Quick4 Equalizer 24 LP (6-inch invert) 3.90 N/A Quick4 Equalizer 24 LP (2-inch invert) 2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard(5.3-inch invert) 6.20 N/A Quick4 Plus Standard(8-inch invert) 6.96 N/A Quick4 Plus Standard LP (3.3-inch invert) 5.65 N/A Quick4 Plus Standard LP (8-inch invert) 6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A High Capacity H-20' Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity(8-inch invert) 6.96 N/A Quick4 Plus High Capacity(13-inch invert) 7.93 N/A 6 Effective April 21, 2006, 310 CMR 15.251(1)(b)maximum trench width is 3 feet. Effective leaching area is equal to 1.67(bottom width+(2x invert height)) for Systems 3 feet or less in width. 8. Effective leaching area is equal to 1.0 (3 +(2x invert Height)) for Systems with a width greater than 3 feet. 9. The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3, or additional reductions in soil absorption system may be allowed. 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. Infiltrator Chamber,Infiltrator Water Technologies. Page 4 of 6 Approval for General Use—June 12,2015 6. For new construction or an upgrade, the applicant can size the System in bed or field configuration, using the effective leaching areas presented in Table 3. Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching1" 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 Quick4 Standard HD 4.73 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 High Capacity H-20' Chamber 4.73 Quick4 High Capacity 4.73 Quick4 High Capacity HD 4.73 Quick4 Plus High Capacity(8-inch invert) 4.73 Quick4 Plus High Capacity(13-inch invert) 4.73 10 Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288, additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. 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. II. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval, the System shall comply with the "Standard Conditions for•Alternative SAS with General Use Certification and/or Approved for Remedial Use" (the Infiltrator Chamber,Infiltrator Water Technologies. Page 5 of 6 Approval for General Use—June 12,2015 'Standard Conditions'), except where stated otherwise in these Special Conditions. 2. New Construction This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow, for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction, as provided in Paragraph 6 in section II Design and Installation Requirements of the Standard Conditions. 3. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility meets the siting requirements for upgrades, as provided in Paragraph 7 in section II Design and Installation Requirements of the Standard Conditions 4. The System shall be exempt from the minimum inlet spacing requirements of 310 CMR15.253. 5. The System shall have a minimum of one inspection port through the top of one of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. When the System is installed in trench configuration, then the system shall comply with these requirements: a) Length (each trench) 100 feet maximum (3 10 CMR 15.251(1)(a)); b) Width (each trench) 2 feet minimum to 3 feet maximum (3 10 CMR 15.251(1)(b)). - Chambers greater than 3 feet wide, when specifically approved, are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be two times the effective width or depth of each trench, whichever is greater, or where the area between trenches is designated as reserve area, three times the effective width or depth of each trench, whichever is greater(3 10 CMR 15.251(1)(d)); d) The effective teaching area shall be calculated using the bottom area and a maximum of two feet (per side) of side wall area for each trench (3 10 CMR 15.251(1)(e)); e) Trenches shall be situated, where possible, with their long dimension perpendicular to the slope of the natural soil. Where possible they shall follow the contour lines (3 10 CMR 15.251(2)); f) Trenches constructed at different elevations shall be designed to prevent effluent from the higher trench(es) flowing into the lower trench(es) (3 10 CMR 15.251(3)); g) The area between trenches may be designated as system reserve area only where the separation distance between the excavation sidewalls of the primary trenches is at least three times the effective width or depth of each trench, whichever is greater(3 10 CMR 15.251(4)) - Chambers greater than 3 feet Infiltrator Chamber,Infiltrator Water Technologies, Page 6 of 6 Approval for General Use—June 12,2015 wide, when specifically approved, shall be separated by three times the actual width and are subject to other Special Conditions and limitations; and h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15.241 (3 10 CMR 15.251(11)). 7. When installed in trench configuration, approved Alternative Chambers greater than 3 feet wide: a) shall be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber, or where the area between trenches is designated as reserve area, three times the actual width of the chamber; and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective leaching area. 8. When installed in a bed or field configuration, the System may be installed without distribution piping, but must comply with the following requirements in 310 CMR 15.252: a) the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or field (3 10 CMR 15.252(1)); b) the maximum length of chambers in series shall be 100 feet(3 10 CMR 15.252(2)(b)); c) separation distance between adjacent beds/fields shall be ten feet(3 10 CMR 15.252(2)(f)); and d) the effective leaching area shall include only the bottom area, not the sidewalls (3 10 CMR 15.252(2)(1)). 9. For Systems constructed in fill and installed, the System shall be installed as specified in 310 CMR 15.255 Construction in Fill, except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 10. The System is exempt from 310 CMR 15.287, specifically items: (5)requiring written notification of alternative system prior to property transfer, (6) need for a certified operator, (9) need for an operation and maintenance contract with an operator and(10) deed notice requirement. ��� � ��� ��� ������ � 0��0�������� �� ���������� 0���� PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET,HAXERH|LL,MA01830 CS1 tmi978'371-0310 wvw.os|-angr.oum fax978'372'3980 November 13, 2015 North Andover Board ofHealth Michele Grant Health Agent 16O0 Osgood Street Suite 2035 North Andover, MAO1845 Re: 62 Wintergreen Drive, Subsurface Sewage Disposal System Plan RECEIVED Dear Ms. Grant' NOV We are iD receipt Of your letter Of November 12, 2O15OD the above TOWNOFNORTHANDOVER HEA�T DER&RT�ENT referenced project. | have prepared a revised plan and respond tV ' your comments b8|Vvv. For ease of reference, | have printed your comments, and then nny response inblue. 1. The finish grade on the site plan does not match the finish grade on the profile vievv. Finish contour 126 and/or spot grades need to be added to the site plan view to assure proper cover � is provided'The 126 COMOUr and spot elevations have been added to the site plan 2. The location of the water line is not shown (31O [K4R 1S.Z20/4\(m)) A water line has been ad(,Jedtm the plan l A Local Upgrade Approval is required to be sought for only one test pit in the proposed soil absorption system area /310 CMR 15.102\. Please also list any LUA or variance being sought on the design plan and on Form 9A Form 9Ais attached and a note has been added tothe plan 4. Clarify distribution box construction requirements to include all outlets � pipes needing to be level for the first 2' upon exiting the box (310 CK4R 15.232/3Uc\ A note has been addedto the profile that all pipes firom the dbnx outlet tobe level for 2feet � 5. Surface elevations are missing on the soil logs onthe design plan /310 CMN15.32O(4)(h)) Surface elevations have beer) added tm the soil logs 6. The chamber i nve rt heightin the design parameters does not match the invert inthe chamber detail. Confirm the correct model unit to be used is allowed in Massachusetts and is labeled consistently on the plan The invert height has been corrected 7. Reference and provide a copy of the most recent approval letter for the alternative disposal system you have selected. The one provided has been supplanted with e newer version T �e Alternative system was approved 6/12/15.Attached is a copy of that approval, O. Provide the required designer ce1iUioadon when using aA|ternative Soil Absorption System � /DEP Policy Section U(18)(d\The certification which was on sheet in the original submitkM has been moved to sheet 1 and madfifiedbzrefeci the date nf6/12/1S 9. Clarify or adjust the telnino|ogy of "Remove Top and Subsoil"in the profile to also reference the soil nomenclature used in Title S of & 8 soil layers,'The use of the phrase ''Top and SubsuU" when describing what is to be removed for proper installation of system is appropriate ancl need not be changed because it is the teraiinology used by the insta[[ers, Installers are not soil evaluators and do not refer to soils by horizon nomenclature, Additionally an & horizon is defined in 'Title 5es "tnpsuih" (see unsuitab|ernaieria|s3lUCMR15.002). The B horizon oruwbsoi| is not referred toat all within Tit|eS. 10. Since the existing septic tank is proposed to be re-used, provide a description of the methodology to be used by the installer to det81nin8 the suitability of the existing tank. Provide a method to be used for assuring the watertightness of the tank and any proposed covers Notes have been arldedLo the pian concerning Use of Ore existing tank, 11. A benchmark was not provided (310 CK4R 15.220(4)(q))The top of the house foundation and the top ofthe tank have been referenced as bench marks � 12. Soil data provided on Form 11 and the design plan does not match that Vf the Board ofHealth 's representative 'sfield book notes A copy of notes are for The soil � � . � evaluabzron site was Steve Erikson a certified soil evaluator, His information differs from the � Board of Health repreSentative in only the depth of'the C horizon on test pit 1. (Steve lists 80" � while the B01-1 nepresentahve lists 82"). Since Steve is the exaYuaturand the BOH representative is the witness I have maintained Steve's QO" This difference does not have any bearing onthe design � � 13. Miscellaneous wording is shown above the site plan view | didn't see any miscellaneous � wording or) our copy of the p|ans 14. The wetlands resource area shown is not labeled as to what it is and who deUslnined its location S,Leve Erikson, who is also a wetland scientist located the pocket of wetlands in an effort to be complete in f,)reparkig the repair plari. It is an area with wetiand plants and soils. 1G. The Best Feasible Upgrade plan was not labeled The plan has been labeled Please Do not hesitate to call me if you any additional questions. Regards, Philip G. Christiansen � M North Andover Health Department Community and Economic Development Division November 12, 2015 Philip Christiansen,P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill,MA 01830 Re: Subsurface Sewage Disposal System Plan for 62 Wintergreen Drive (Map 104B,Lot 194) Dear Mr. Christiansen, The proposed wastewater system design plan for the above site dated October 15, 2015 and received on October 21, 2015 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 where applicable. 1. The finish grade on the site plan does not match the finish grade on the profile view. Finish contour 126 and/or spot grades need to be added to the site plan view to assure proper cover is provided 2. The location of the water line is not shown (3 10 CMR 15.220(4)(m)) 3. A Local Upgrade Approval is required to be sought for only one test pit in the proposed soil absorption system area(31.0 CMR 15.102). Please also list any LUA or variance being sought on the design plan and on Form 9A 4. Clarify distribution box construction requirements to include all outlets pipes needing to be level for the first 2' upon exiting the box (3 10 CMR 15.232(3)(c) 5. Surface elevations are missing on the soil logs on the design plan(3 10 CMR 15.220(4)(h)) 6. The chamber invert height in the design parameters does not match the invert in the chamber detail. Confirm the correct model unit to be used is allowed in Massachusetts and is labeled consistently on the plan Page 1 of 2 North Andover Ilealth. Department, 1.600 Osgood Street, Suite 2035, North. Andover, MA 01845 Phone: 978.698.9540 Fax: 978.688.8476 7. Reference and provide a copy of the most recent approval letter for the alternative disposal system you have selected. The one provided has been supplanted with a newer version 8. Provide the required designer certification when using a Alternative Soil Absorption System(DEP Policy Section II(I 8)(c)) 9. Clarify or adjust the terminology of"Remove Top and Subsoil" in the profile to also reference the soil nomenclature used in Title 5 of A &B soil layers. 10. Since the existing septic tank is proposed to be re-used, provide a description of the methodology to be used by the installer to determine the suitability of the existing tank. Provide a method to be used for assuring the watertightness of the tank and any proposed covers 11. A benchmark was not provided (3 10 CMR 15.220(4)(q)) 12. Soil data provided on Form 11 and the design plan does not match that of the Board of Health's representative's field book notes. A copy of the notes are attached for reference. 13. Miscellaneous wording is shown above the site plan view 14. The wetlands resource area shown is not labeled as to what it is and who determined its location 15. The Best Feasible Upgrade plan was not labeled Please feel free to contact the office or Mill River Consulting at 978-282-0014 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. 1 rely, ichele Grant Health Inspector cc: Fred Doherty File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01.845 Phone: 978.688.9540 Fax: 978.688.8476 Hadge, Lisa From: Hadge, Usa Sent: Thursday, October 22, 2Ol542OPK4 To: Dan Dttenheinner;Isaac Rowe; Pam Lally Cc: Grant Michele Subject: 62 Wintergreen Dr. Attachments: 20I510221550.pdf Attached are septic plans and paperwork for 63 Wintergreen Drive. -----Original Message----- From: l Sent:Thursday, October 22, 2015 3:50 PM To: Hodge, Lisa Subject: Message from "ComDev'Health-Ricoh" This E-mail was sent from "ComDev'Heakh'Ricoh" (AMdV MP C3002). Scan Date: 10.22.2015 15:50:08 ('0400) Queries to: � � 1 �I V � k . n s h• GEl � <<,.. a SEPTIC PLAID SUBMITTAL T'TAL PORM RECEIVED Date of Submission: �( ��`" �� �; TOWN F NORTH H/w 1 W , Site Location: 6-9, vy' C vi i 1 Z,�r/, .��. ��.' HEM.TH DEPARTMENT Engineer: F"4i lei ,�! e,y') 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 Telephone#: { / > 7 3 -o Fax M E-mail: (d OS1"— 'n r". Homeowner Name: /; ... �1--/&w-T' ` l OFFICE USE ONLY When the sub mi ian is complete (including check); > Date stamp plans and letter > j,/ Complete and attach Receipt > Copy File; Forward to Consultant > Enter on Log Sheet and Database CIL, CN 03 C� LO v 0 cn CL 00 0 o CL C�- Q? 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E to >'a "0 a E E i a) 0 0 - I V, > w 75 :1 ern o 4— U) 0 0 00 (1) (Z) LO E C0 CL �20 m a) a) 0 co r- Co :E cv >,.(n � - -0 U) r co C: > a) 0 N as 0 LL % 2 o 5 .2 0 0 � m jo 0 m 0 > it 0 5 (1) - 4) (10 k6 LLJ 0 M o " -M w 0) far 0 Q) c c m E X M E CO (U M C , c c Z M 0 (Y) Z 0 M M M (D (n a) W 4- M c 0 P c:: o 0 > 16 .2) W 11 (U ui 2 4) =3 0 m v 0 M m V isi as E 0 E o OM > 02 E 0 E � %- m z 4) -o m (D z 0 0 U () LL LL t3 co w Z c� 03 CY9 N CL 0 0 N W 0 0 �h M� E LL �IMYA Y _y0-�,y E V/ y E p 0 0 M C W a 4- < ® N 0 0 c E cXi Z ai o C o 3: L1 E D 0 .— 0 AR 0 0 LL. U- a k �yq t r Commonwealth of Massachusetts City/Town of North Andover, MA 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 forms A. Site Information on the computer, use only the tab Frederick Doherty key to move your Owner Name cursor-do not 62 Wintergreen Drive use the return `Siieei'A'd'-dre'ss or Lot# key North Andover MA 01845 10 IOU City/Town State Zip Code 0 Contact Pe r s o n(It different from Owner Telephone Number B. Test Results 9/2/15 3:55 p.m. 9/2/15 1:,2.9 p.m. _biie Time Date Time Observation Hole# Perc 1 Perc 2 60-1 48" Depth of Perc Start Pre-Soak 3:55 1:29...... End Pre-Soak 3:55 Time at 12" 4:10 1:44 Time at 9 4:13 2:15 " Time at 6" 4:19 2-54 6 Time(9" Mins 39 Mins-6") - Rate(Min,/Inch) 2 Mins/Inch 13 Mins/Inch Test Passed: Test Passed: Test Failed: ❑ Test Failed: ❑ Steven Eriksen&Maureen Herald Test Performed By: Issac Rowe- North Andover Board of Health B 11 oard of Health Witness Comments: t5form I 2.doc-08115 Perc Test•Page 1 of I C * CHRISTIANSEN & SERGI, INC S1 PROFESSIONAL ENGINE-° "f AND LAND SURVE."YORS 160 SUMMER STREET, HAVERHILL, MA 01830 RECEIVED 21 ?()jr� TOWN OF NORTH ANDOVER Owner's Certification for 62 Wintergreen Drive HEALTH DEPARTMENT 1, Fred Doherty, the owner of record of 62 Wintergreen Drive, hereby certify to the following: 1. 1 have been provided a copy of the Title 5 Innovative Alternative Technology Approval for General use dated 2/19/2015 , the Owner's Manual with maintenance , and I agree to comply with all terms and conditions; 2. The design does not provide for the use of garbage grinders. This restriction is understood and accepted; 3. Whether or not covered by warranty, I understand the requirement to repair, replace,modify or take any other action as required by the Department or the North Andover Board of Health )NABOH) , if the Department or the NABOH determines the system to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Acknowledged: Fred Doherty i Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs LiDepartment of Environmental Protection One Winter Street Boston, MA 0210€3 4 617-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR GENERAL USE Pursuant to Title 5,310 CMR 15.000 Name and Address of Applicant: Infiltrator Systems,Inc. P.O.Box 768 6 Business Park Road Old Saybrook, CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8- inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Phis Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber,Equalizer 24 chamber, Quick4 Equalizer 24 chamber,Equalizer 36 chamber, Quick4 Equalizer 36 chamber,Quick4 Equalizer 24 LP(Low Profile) chamber(6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert) (hereinafter the"System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19,2015 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.The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. February 19,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources This information Is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TTY#MassRelay Service 1.800-139-2370 MassDEP Websile:www.mass.gov/dep Printed on Recycled Paper