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Correspondence - 984 TURNPIKE STREET 6/10/2004
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Z O O n> u O O O O O u O 'o N N N � N p N N L b .co Ra ti p-, a.. bb C G b Uaoi o a+ U �F' 0 0 3 ° °u0oro ka CJ S r° q _W R❑i W N W ,o too •� � Q � a5'ai.� W W m Ao ° MOM —Cl O V] V] d V � cO y w N N a A �rWW ° 0 0 N �Ny Pa W GA 0 O O M 0 CD m N N N ON N o h A N O N V r- 'U1 N 0.i 0.i A C O O O O O +�.. ��.. ^�i Z 7 V ° ° ° ° o O O Cl C) 'C 0 a 42 A 3 3 E H N 4. N T 0 U CG R fx •� d d ° E" CN 0.0 i c7 Page I of 2 DelleChlaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.coin] Sent: Tuesday, May 11, 2004 3:51 PM To: pdellechiaie@townofnorthandover.com Cc: Susan Sawyer Subject: RE: 984 Turnpike Street- Bottom of Bed? Sue and PaM, Yes this was done. Sorry for the slow paperwork. The report is attached. Dan Daniel Ottenheinier, President Mill River C'onsulting a System 2 Blackburn Center Gloucester, MA 01930-2259 978 282-0014 or 1-800-377-3044 fiz,ix: 978...282-0011 -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Tuesday, May 11, 2004 1:37 PM To: Daniel Ottenheimer(E-mail) Cc: Sawyer, Susan Subject: 984 Turnpike Street- Bottom of Bed? Importance: High Hi Dan, What date was the Bottom of Bed Inspection done at 984 Turnpike? They are all set for a final, looking back in my notes, I didn't see the report for the Bottom of the Bed. If you have it, can y( forward it via e-mail? Thanks, 5/11/2004 Pagel of 3 elleh19 , Pamela From: Dan Ottenheimer[info @millriverconsulting.com] Seat: Tuesday, May 11, 2004 3:52 PM To: pdellechiaie @townofnorthandover.com Cc: Susan Sawyer Subject: RE: 984 Turnpike Street- Final Inspection Request All set for Thursday €5/13 at 9:00 e.rn. with ,lohn Soucy. Dar) Ld f 11 arralel t ttenheirrier, President C 11 River- Consulting Septic SYsleln Uran(4,err enl Services 2 l laa:kbUrn Cewer Gloucester, MA 01930-2259 97 -282-001.4 or 1- 00-377-3044 flax: x:)78 282-0012 (AN�r .ri�i16Irl ercaansLrli1n .COI'aa uar Ihiv ra.•,c>nsultira .corn -----Original Message----- F m: Pamela DelleChiaie [mailto:pdellechiaie @townofnorthandover.com] Sent: Tuesday, May 11, 2004 11:39 AM To: Daniel Ottenheimer (E-mail) Co: Sawyer, Susan Subject: FVW: 984 Turnpike Street- Final Inspection Request Hi Dan, Ben Osgood and John Soucy both called to let me know that 984 Turnpike Street is ready for a final inspection. Thanks, P -----Original Message----- From: Sawyer, Susan Sent: Monday, May 10, 2004 3:26 PM To: DelleChiaie, Pamela Subject." RE: 984 Turnpike Street Message I called and left a message -----Original Message----- F : DelleChiaie, Pamela Sent: Monday, May 10, 2004 12:11 PM To: Sawyer, Susan Subject: 984 Turnpike Street Message Importance: High 5/11/2004 Page 2 of 3 Okay, it is now 11:50, and I have done nothing on my to do list..... Anyway, Heidi gave me a message of a call she took from a Rich Byers (who is also on the zonin( a lawyer representing the bank(I'm guessing Northmark in relation to the Route 114 issue??)and update on the 984 Turnpike Street address. He said the homeowner was told that everything woul Wednesday. The last info. I have is the info. from NEES re: the segmental blocks. I called John S on status. He is currently working on site. He says that it is a complicated system with the pressui infiltrator system, but should be ready for tomorrow for a Final. Due to the possible political nature of the inquiry, would you prefer to handle this call back? Mr. By is: 978.475.0595. 1 don't know in what way Mr. Byers has a connection to Ms. Newell. It is now 12:10 and I just getting to sending this on to you now in between phone calls, etc......... Thanks, Pam Pamela DelleChiaie, 1-le alth Dept. Assistant Town of North Andover Corm,nunity Development & Services 27 Chades Street North Andover, A//A 01845 pdeilectii�iie@towtiofriorti-iandotlet�.corn 7W 978-688-9540 Fax 978-6889542 n C Cl i ck Here i Meet Pe n Just 0 e ....... 5/11/2004 Operation and Maintenance Service Contract for Pressure Distribution Soil Absorption System Date: y a Customer: S 6 (L e Mailing Address: 91BL( T, NNtrgPittc S% Site. Ct Ct TV(�✓l? lit 57:: A-) This Company agrees to provide servive and maintenance for the Pressure Distribution Disposal Field at the above referenced address. The following maintenance and service schedule is proposed for the next(2)two years of operation commencing upon the date of Certificate of Compliance,receipt of the signed contract and the annual cost in full. Scheduled Annual Service: Cost:4 visits per year at$°l s per visit=$ 300,00 (Note:all covers and access ports must be to grade to allow for maintenance.) 1. Check sludge and scum depth and clean the effluent filter in the 1500 gallon septic tank. 2. Check panel and alarm system. 3. Check ejector pump and float switches in the Pump Chamber. 4. Check distal pressure and compare with design plan, 5. Clean and flush laterals as necessary. 6. Notify client verbally of any problems encountered. 7. Notify js, ':p Board of Health and owner within 24 hours of a system failure or alarm event with corrective action taken. Unscheduled Service: 1. Unscheduled emergency service calls will be billed at the following hourly rate- • Monday through Friday 7 am—5 pm: 416 /111Z • Monday through Friday 5 pm—7 am: 1, 15-0 l N(t Saturday and Sunday po 15.o /H ti With a minimum 2 hour charge. In accordanetwith N*r, Board of Health Rules and Regulations,quarterly inspection reports will submitted,10 the Board of Health. Ac tanck y wn .r Acceptance by Inspector: ignainrc signature 05/04/20^4 07:14 9786851099 NE ENGINEERING SVC PAGE 01 NEW ENGLAND ENGINEERING SERVICES INC May 3,2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 984 Turnpike Street,North Andover Dear Susan: Enclosed is a detail of the retaining wall for 984 turnpike street. This detail was created using the program supplied by the block manufacturer. Soucy's sewer service has been given a copy and has been instructed to construct the wall in this manner. Also enclosed is a proposed maintenance contract. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgo ,Jr-,EIT President 60 BEECHWOOD DRIVE-NORTH ANDOVER,MA 01845-(978)8881768-(888)359-7645-FAX(976)885-1099 05/04/2004 07:14 9786851099 NE ENGINEERING SVC PAGE 02 Version: Risiw4115,3 049 Prepared 8y: NEW ENGLAND ENGINEMNG Project Name: 116 nd%e1 Contact: BEN OSGOOD JR Site Phone: 976.686.1768 PANEL DESIGN FOR PANEL I Panel I Cross Section Drawing: 1 100.0 1 95.75 3.34 0.00 MA Panel 1 Cross Section Geometry: Upper Slope Angle R 0.000 [deg] Surcharge Load q 0.000 [pSq Base Inclination l 0,000 [deg] Batter Angle m 7.120 [deg] Top of Panel 100.000 [ft) .Average Bottom of Panel 96.500 [ft] Base of Panel 95.750 [ft) Total Panel Height H 4,250 (ft) .Embedment Depth Hen16 0.500 [$] Yegc: 7 oi'U 05/04/2004 07:14 9786651099 NE ENGINEERING SVC PAGE 03 verilo"' Risiwen 53 049 Prepared by: NEW ENGLAND ENGINEERING Prefect Nave. 114 rwAW Co Awl: ®EN OSGOUA 1 R Site Phone: 978-656.17" safety Factor summary: Lowest Values for the Project Type of Wall Gravity Wall Panel l..ayerl Failure Variable Standard Calculated Acceptable? Course Mode Name Requirement Value 0«0 No Gravity Panels*�� Type of Wall Geogrid Reinforced Wall Panel Layer/ ,failure Variable Standard Calculate! Acceptable? Course Mode Name Requirement Value F,xtemal i Base Sliding FSsl 1.5 5.196 OK Overtuxning FSvt 2.0 9.248 Old 1 Bening Capacity FSbc 2.0 21.977 Oli; Internal 1 I Pullout FSpo(l) 1.5 1.749 OK 1 l Tensile Overstress FSot(1) 1.0 3.767 OK 1 1 Sliding FSsl(1) 1.5 24.398 OK 1 l Connection FScs(I) 1.5 3.106 OK 1 4 Bulging FSsc(4) 1.5 30.117 OK 3I3/Od 3:49:52 FN9 -__._. Fq"; 1 off 0 05/04/2004 07:14 9786651099 NE ENGINEERING SVC PAGE 04 vv. V.ryYVd'.AV.JV ,L A4 V(VTO®V TI LO{I jV,\3\ Vr nv"Jr" PRESSURE DOSING SOIL ABSORPTION SYSTEM ROUTINE QUARTERLY INSPECTION ADDRESS_ -MAP DATE OWNER: Meiling Address of drffereno Name of Inspector Address& Phone number SYSTEM STATUS Pressure Dosing g SAS Distal Pressure He' ht Lateral#1 Lateral N2 Lateral#3 Lateral#4 Lateral 4 5 Lateral#6 Exiatin Ht. Pion Ht. Equal Distribution:Variation between Lateral Distal Press Lire Heights greater than 10%7 Y/N Pump Chambers Tsst Pump Clean&Check Floats Test Alarm Floes Pump Chamber Condition Control Panel Pump Setting H.O.A. Alarm Setting Soptic Tank(npttona4 Effluent Filter Scum Depth Sludgc Depth Corrective Action taken: (Flush laterals, etc.) Comments: Inspector's Signature I 05/04/2004 07:14 9766851099 NE ENGINEERING SVC PAGE 05 Operation and Maintenance Service Contract for Pressure Distribution Sail Absorption System Date; Customer; hJiailing Address: Site: 117tis Company agrees to provide service find maintenance For the Pressure Distribution Disposal Field at the above referenced address. The rbllowin&maintenance and service schedule is proposed for the next(2)two years of operation commencing upon the date of Certificate of Camplianeo.receipt of the signed conaut and the annual cost in full. Schedutod Annual Service: Cost:4 visits per year at S per visit—S (Note.all covets sad access pottc must be to grade to allow for maintenance.) 1- Check sludge and scum depth and clean tho ofl]uent filter in the 1500 gallon septic tank. 2. Check panel and alarm system. 3_ Check pjecior pump and float switches in the Pump Chamber. 4. Check distal pressure and compare with design pi3n. S. Clean and Mush laterals as necessary. 6. Notify client verbally of any problems vmcountered. 7. 13etify Rowley Bomd of Health and owner within 24 hours of a system failure or alarm event with corrective action taken. Unscheduled Service: 1. Utischeduled emergency service calls will W billed in the following hourly rate: • Monday through Friday 7 ant—5 pm: • Monday through Friday 5 pm—7 am: • Saturday and Sunday With a minimum 2 hour charge. in accordance with Rowley Board of Health Rules and Regulations,quarterly inspeetion reports will be submitted to the Board of Health Acceptance by Owner Acceptance by lnspWor: Sipauro SiOipwro Page 1 of 1 ellehiie, Pamela From: Susan Sawyer[ssawyer @townofnorthandover.com] Sent: Thursday, April 29, 2004 2:12 PM To: pdellechi'aieitownofnorthndover.com Subject: R5-* 984 Turnpike Street thanks -----Original Message----- Fro : Pamela DelleChiaie [mailto:pdellechiaie @townofnorthandover.com] Sent: Thursday, April 29, 2004 12:41 PM To: ssawyer @townofnorthandover.com Subject: 984 Turnpike Street Importance: High Hi Susan, I just spoke with Ben --There has been a delay getting the segmental block information (phone calls back and forth with company) and he knows that John already has the blocks, so he is working on getting the info. asap. Also, he has a maintenance contract that he used for another town, so he will submit that as soon as he can also. He is aware that John Soucy's equipment is at the site. P F."an,yela DelleChicaie, hiealth Dept. Assistant Town of North Andover Community Development& services 27 C hI .,Wes Street N,,)rth An(l ever, MA 0184 trdefterg°hia ie()towtirafracarttr[rrrc over.c of r Tbnl. 978-.688-9940 Fax 978-688-9542 � [ Upicjrande your�Outlook„ to Block,o.iunlr i:mw ail& Glick Here! 4/29/2004 'roWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NDDTH ANDOVER, MASSACHUSETTS 0l845 C us Susan Y. Sawyer 978.6X8.954O---Phone Public 8naidh Director 978.688.9542—[AX April |,2004 Sandra Newell y84 Turnpike Street North Andover,84A0l845 RE: Subsurface Sewage Disposal System Plan for 984Turnpike Street,Map 107C,Parcel 6,North Andover, MaaauobomeUn Dear Ms.Newell, The North Andover Board of Health has completed review of the septic systern design plans for the above referenced property submitted on your behalf by New England Engineering Services dated December 15,2003 (Last Rev. March l5`3004). The design has been approved for use in the construction of a replacement onsite septic system. This approval is � valid for three years from the date o[this letter and during this time n licensed septic system installer must obtain u � permit and complete this work,and uCurbfiva1eof Compliance must be endorsed 6y the installer, designer and the � Town of North Andover. The time period for which this plan is valid is reduced to two years from the date of a � � septic system inspection which did not meet the acceptable criteria in the state regulations.In the event an imminent health problem such oa sewage backup into the dwelling io occurring,the time period for which this plan b valid may 6e reduced hv the North Andover Board oFHealth. This approval im subject to the following conditions: l. 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(|)). 2. Uio the responsibility of the applicant and/or the applicant's septic system designer,septic system � installer m other representative toensure that all other state and municipal requirements are met. These may include review hv the Conservation Commission,Zoning Board,Planning Board,Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance mfa Disposal System Construction 9eonk shall not construe and/or imply uomp|ianoov,dbauyofthuaforemendouod � requirements. � 3. Because this is septic system incorporates pressure distribution of the wastewater,you will need N � submit u signed maintenance agreement vvithuliconaedpartyokiOed6oauc6mainteuu000. An � acceptable party may be;a Class 2 Wastewater Treatment Plant Operator,a N.Andover licensed Disposal Systems Installer oru Massachusetts licensed septic system inspector. The agreement must provide for quarterly inspections with copies of reports being sent to our office,and have a minimum duration of two-years ae required iu3lOCK8Rl5.352(2)(d). � 4. The plan calls for installation nfu septic tank effluent filtorbut does not provide for u specified brand. Please be advised that only certain brands of filters are permitted for use in Massachusetts and each is required to follow certain approval criteria. Your designer or installer should work with you to assure u licensed brand in selected for use. 5. The plan calls for the installation ofa segmental hiookvvoUinUnoofupoor du000re/ewa|l.?6e Board of Health members unanimously voted that prior to the issuance of the disposal works construction permit;the installer must submit u structural oerdficormufrom the manufacturer ensuring that they are using the proper type o[wall for this application. Your effort to provide uproperly ftmodooinA septic system for your dwelling io greatly appreciated. The Health Department may be reached a(978-688-q540 with any questions you might have. Sincerely, — ~ ~-- ^' Y. Sawyer,REHS/RS Public Health Director unul: List nf licensed septic system installers cc: New England Engineering Services � file � � � � � � � � � Page 1 of 1 elle hieie, Pamela From: Dan Ottenheimer[info @millriverconsulting.com] Seat: Friday, March 26, 2004 8:51 AM To: Susan Sawyer; Brian LaOrasse; 'Pamela Dellechiaie' Subject: Turnpike Street Pam, I believe I owe the Town an approval letter for this design which you can then place the wording from last night's meeting into. I will have that for you on Monday. Dan Daniel Ottenheimer,President Mill River Consulting Septic System Management Set-vices 2 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 ww .n iii.riv(,ic otisuiittit>,(,.o i 3/26/2004 ENGLAND ENGINEERING SE F R A E ....... I March 17, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover MA 01845 Of N YD Re: 984 Turnpike Street, Septic system design Dear Susan: "" Enclosed are revised dosing calculations and design plans for the septic system design at the above referenced property. A small discrepancy between the design plans and the calculations was pointed out by Mill River Consulting. The discrepancy has been corrected on this set of calculations and plans. A copy of these calculations and the plan has already been provided to Mill River Consulting. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgoo r., EIT ` President 60 BEIECHWOOD DRIVE-hdORTFI ANof VEI:t, AMA 01845-(978)686-1768--(888)359-7645- FAX(978) 6855-1099 E ESSW t7 S R18 T 3 .,[) SIC T i?REA SHEET Fil/in the shaded areas,revise as needed IF ERROR---PRESS ESCAPE DESIGN FLOW(in gallons/day)? 440 Elevation of the PUMP OFF SWITCH,in feet? 93.7 Elevation of the upper LATERAL,in feet? 100.03 DELIVERY PIPE distance,from pump to manifold,in feet? 16 DELIVERY PIPE diameter,in inches(if not 2"-use 2"min)? 3 Design DISTAL PRESSURE,in feet(if not 2.5)?(hd) 3 IS MANIFOLD CENTER-FED&SYMETRICAL(yes or no)? yes YES How many orifices in the MANIFOLD? 1 MANIFOLD ORIFICE diameter,in inches(if not 5116") 0.25 0.25 MANIFOLD DIAMETER(rf not 2"-use 2"min)? 4 4 TOTAL LENGTH OF MANIFOLD 20 Does MANIFOLD drain to FIELD after dose(yes or no)? no How many LATERALS? 7 Pumping chamber weep hole size(usually.25") 0.25 USE 0 IF FORCE MAIN DOES NOT DRAIN PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP TO 50 ORIFICES PER LATERAL Your HIGHEST elevation lateral MUST be LATERAL 1: (first orifice from lateral 1/2 of orifice spacing) Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateral 7: Length of each LATERAL,in feet? 22.5 22.5 22.5 22.5 22.5 22.5 22.5 Diameter of each LATERAL,in inches(1.5"min)? 1.5 1.5 1.5 1.5 1.5 1.5 1.5 Elevation of each LATERAL,in feet? 100.03 100.03 100.03 100.03 100.03 100.03 100.03 Number of ORIFICES per lateral 5 5 5 5 5 5 5 Distance from Manifold to closest Orifice,in feet 2.5 2.5 2.5 2.5 2.5 2.5 2.5 ORIFICE SPACING,in feet 5 5 5 5 5 5 5 Diameter of ORIFICES,in inches?(D) 03125 0.3125 0.3125 0.3125 0.3125 0.3125 0.3125 Square feet of leachfieid per laterals(can ignore) Maximum number of orifices in any one lateral 5 Minimum lateral diameter 1.5 FRICTION CALCULATIONS(using Hazen Williams friction ft=Ld((3.55Qm/Ch(Dd 12.63)))^1.85) PRESSURE CALCULATIONS(using orifice dischage equation Q=11.79 D^2 hd^.5 Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral5: Lateral 6: Lateral7: LATERAL D18CFIAGE(first approximation) 9.97 9.97 9.97 9.97 9.97 9.97 9.97 MANIFOLD ORIFICE DISCHARGE 1.28 TOTAL SYSTEM DISCHAGE(first approximation) 71.07 TOTAL DISCHARGE PER LATERAL 9.99 9.99 9.99 9.99 9.99 9.99 9.99 DISCHARGE PER SQUARE FOOT OF LEACHFIELD #DIV/01 #DIV/0! #DIV/O! #DIV/0! #DIV/01 #DIV/0! #DIV 10! ORIFICE MAXIMUM DISCHARGE BY LATERAL 2.00 2.00 2.00 2.00 2.00 2.00 2.00 ORIFICE MINIMUM DISCHARGE BY LATERAL 1.99 1.99 1.99 1.99 1.99 1.99 1.99 ORIFICE%DIFFERENCE DISCHARGE within LATERAL 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% MAXIMUM DISCHARGE LATERAL 9.99 MINIMUM DISCHARGE LATERAL 9.99 MAXIMUM DISCHARGE PER SQUARE FOOT #DIV/0! MINIMUM DISCHARGE PER SQUARE FOOT #DIV/01 •DIFFERENCE DISCHARGE for SYSTEM by orifice 0.5%as percent of maximum orifice in system •DIFFERENCE DISCHARGE for SYSTEM by laterals 0.0%as percent of maximum lateral in system •DIFFERENCE DISCHARGE for SYSTEM by square feet as percent of maximum square foot in system WEEP HOLE DISCHARGE(usually a 1/4"weep hole) 1.97 weep hole= 0.25 inch VOID VOLUME IN DELIVERY PIPE 5.87 VOID VOLUME IN MANIFOLD 13.06 VOID VOLUME IN EACH LATERAL 2.07 2.07 2.07 2.07 2.07 2.07 2.07 TOTAL LATERAL VOID VOLUME 14.46 MINIMUM DOSE VOLUME(based on void volume) 72.29 to 144.57 MIN ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW (weep hole,usually 14",not counted for dose,effluent is repumped during process and not counted for friction,except as fitting headloss) TOTAL HEAD LOSS IN EACH LATERAL 0.13 0.13 0.13 0.13 0.13 0.13 0.13 MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM 0.13 MANIFOLD HEADLOSS(center-fed unless manifold design) 0.02 DELIVERY PIPE HEADLOSS 0.20 w/delivery 3 inch diameter FITTING LOSS(headloss*.15) 0.45 add extra head if fittings are more than absolute minimum DISTAL PRESSURE HEAD 3.00 STATIC HEAD(OFF-SWITCH TO HIGH LATERAUMANIFOLD) 6.33 HEADLOSS PUMP TO WEEPHOLE(assume V run) 0.04 PUMP MUST BE ABLE TO PASS SOLIDS AT 73.19 G.P.M 10.17 FEET OF HEAD GPM=all lateral or head is sLan of s After OTIS(network losses=1.3'distal head) 73.19 G.P.M. 13.50 FEET OF HEAD head is static he .... . ............... .... .............� ........ ..._w............... .. .. ...,.. ... NEW�, ....._. ........................_._.. ,_....�. ,,,,.... � .. �......... INC ................ . ,,,. ..qw.v.w...w.....w .... o .. March 1, 2004 Susan Sawyer BOA PI.,OF M"`:L,..P. I North Andover Board of Health 27 Charles Street I �� 0 North Andover, MA 01845 Re: 984 Turnpike Street,North Andover, Septic system design Dear Susan: Enclosed are 5 sets of revised septic system design plans for the above referenced property. The changes made to the plan address the comments of a letter from Brian LaGrasse letter dated January 12, 2004 and include the following 1. General note#6 states that there are no foundation drains. 2. The abutters have been added to the plans. 3. The system is still located 10 feet fi•orn the dwelling. Moving the system to another location or further back on the lot will require more variances and more expense than the site currently used. This office will request to be heard at the next board of health meeting regarding this local upgrade request. 4. The manhole covers are specified as being min 20" diameter on the profile view on sheet #1. 5. The pump chamber is specified to be sealed in pump chamber note#1. In addition the tank note indicating that the tank be supplied by the manufacturer as watertight has been labeled as a tank and pump chamber note. 6. Construction note#4 has been modified to indicate the removal of the first 6" of the "c" layer. 7. The soil notes have been revised on the plans. New form 11 have been submitted with the proper depth of soil. 8. This comment is an affront of the honesty and integrity of this fern. It may well state that the reviewer feels the signature has been forged by someone other than Richard Tangard. All of the signatures belong to Richard Tangard. 9. The system is still designed with a three foot offset to the water table. This office would like to address this issue as a local upgrade request at a board of health meeting. 0 EC 111tVOO DRIVE•.NOR-rH ANDOVER, MA 01845-(978)686-1'7 8-(888) 9-7645-FAX(978)05-1099 10. A leach field design has been used to conserve space. Trenches would require a much larger footprint than a leach field and would cause the need for large amounts of fill, local variances for the offset distance to a wetland, or the construction of large walls. The system as designed has been modified to a pressure dosed system and the calculations have been provided. This office would like to further address this comment as a local upgrade request in front of the board of health. In addition, the system has been designed per Title 5 requirements with respect to the dosing frequency of the system. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgoo , Jr.,EIT President Y.:f� 11 �a'a PoK Q lfilpI ,k?, dI FN,"I'dN Mbl", 984 turnpike street,north andover,ora /rfl in the sfa,a9od gar as'ra.lar„t.as i°ro de'd DESIGN FLOW(in gallons/day)? 410 Elevation of the PUMP OFF SWITCH,in feet? 93,7 Elevation of the upper LATERAL,in feet? 100,03, DELIVERY PIPE distance,from pump to manifold,in feet? ]f DELIVERY PIPE diameter,in inches(if not 2"--use 2"min)? 3 Design DISTAL PRESSURE,in feet(if not 2.5)?(hd) 3 IS MANIFOLD CENTER-FED&SYMETRICAL(yes or no)? yes YES How many orifices in the MANIFOLD? 1 MANIFOLD ORIFICE diameter,in inches(if not 5/16") 0,25 0.25 MANIFOLD DIAMETER(if not 2'"-use 2"min)? 4 4 TOTAL LENGTH OF MANIFOLD 201 Does MANIFOLD drain to FIELD after dose(yes or no)? r10 How many LATERALS? 7 Pumping chamber weep hole size(usually.25") 0,25 USE 0 IF FORCE MAIN DOES NOT DRAIN PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP TO 50 ORIFICES PER LATERAL Your HIGHEST elevation lateral MUST be LATERAL 1: (first orifice from lateral 1/2 of orifice spacing) Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateral 7: Length of each LATERAL,in feet? 22.11 22 5 22 5 22,5 22.".I 22.3 2 Ci Diameter of each LATERAL,in inches(1.5"min)? 1.3 1 5 1,1.; "r 8 5 1,5 1 5 Elevation of each LATERAL,in feet? 100 03 16.E 03 ('If)0:3 6fl,t(Y,03 100 03 10003 100,03 Number of ORIFICES per lateral 5 5 5 ",5 IJ 3 Distance from Manifold to closest Orifice,in feet 2 5 25 2 5 25 25 25 2.5 ORIFICE SPACING,in feet 5 5 5 3 5 ; Diameter of ORIFICES,in inches?(D) 0 11'5 i?3$2.5 03125 0"3'1 T5 0,312°5 03125 0 3125 Square feet of leachfield per laterals(can ignore) Maxdmum number of orifices in any one lateral 5 Minimum lateral diameter 1.5 FRICTION CALCULATIONS(using Hazen Williams friction ft=Ld((3.55Qm/Ch(Dd^2.63)))41.85) PRESSURE CALCULATIONS(using orifice dischage equation Q=11.79 D 12 hd 1.5 Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateralfi LATERAL DISCHAGE(first approximation) 9.97 9.97 9.97 9.97 9.97 9.97 9.97 MANIFOLD ORIFICE DISCHARGE 1.28 TOTAL SYSTEM DISCHAGE(first approximation) 71.07 TOTAL DISCHARGE PER LATERAL 9.99 9.99 9.99 9.99 9.99 9.99 9.99 DISCHARGE PER SQUARE FOOT OF LEACHFIELD #DIV/0! #DIV/0! #DIV 10! #DIV/0! #DIV/0! #DIV/0! #DIV 101 ORIFICE MAXIMUM DISCHARGE BY LATERAL 2.00 2.00 2.00 2.00 2.00 2.00 2.00 ORIFICE MINIMUM DISCHARGE BY LATERAL 1.99 1.99 1.99 1.99 1.99 1.99 1.99 ORIFICE%DIFFERENCE DISCHARGE within LATERAL 0.50/0 0.5% 0.5% 0.50/. 0.5% 0.5% 0.5% MAXIMUM DISCHARGE LATERAL 9.99 MINIMUM DISCHARGE LATERAL 9.99 MAXIMUM DISCHARGE PER SQUARE FOOT #DIV/01 MINIMUM DISCHARGE PER SQUARE FOOT #DIV/0! "l DIf I� ! ISC':,tJAR d: tare SY.-',T11"M by offlov, CP.f!S :M,p:`rcent cat inaaxiimma «Gibe„¢ In systern N ilSC3@ PRC.,I.for W4D`3S91:M by kateiak 0 f:1'2 was paxr.enf 0 r'im;1xknov'n latex al In SyMem %Lall°FFRITJC:;I l51r.C.:hyat!�GF folS'b"1F[ by 4x'o4, o im'oimirinl<�qwi[e fr" l lrl,wl}n'karrn WEEP HOLE DISCHARGE(usually a 1/4"weep hole) 1.98 weep hole= 0.25 inch VOID VOLUME IN DELIVERY PIPE 8.81 VOID VOLUME IN MANIFOLD 13.06 VOID VOLUME IN EACH LATERAL 2.07 2.07 2.07 2.07 2.07 2.07 2.07 TOTAL LATERAL VOID VOLUME 14.46 MINIMUM DOSE VOLUME(based on void volume) 72.29 to 144.57 MIN ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW (weep hole,usually 1/4",not counted for dose,effluent is repumped during process and not counted for friction,except as fitting headloss) TOTAL HEAD LOSS IN EACH LATERAL 0.13 0.13 0.13 0.13 0.13 0.13 0.13 MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM 0.13 MANIFOLD HEADLOSS(center-fed unless manifold design) 0.02 DELIVERY PIPE HEADLOSS 0.30 w/delivery 3 inch diameter FITTING LOSS(headloss`15) 0.45 add extra head if fillings are more than absolute minimum DISTAL PRESSURE HEAD 3.00 STATIC HEAD(OFF-SWITCH TO HIGH LATERAUMANIFOLD) 6.33 HEADLOSS PUMP TO WEEPHOLE(assume 3'run) 0.04 mu,,�` FFAIRI.I 10 PAS�3 rSA"[ i320 (W'm m ,/ I u r ue i ii/VI,a/VI, GPM=all lateral of head is sum of s AH c;E 0 of I (i lOv,,or,k I i'd i l a(h t t,R l) T 20 G P M 1 3 60 H I.1 01 1 HAI) head is stalic he '12/17/29-03 0C1:5 7 1781:33 301° TAhaGARDR PAGE 02 fO&M 11 0 SOIL EVALUATOR FOR11 Page ] of 3 D te:/,� f Co monlvealth of Massa huSetts REV No' MassChusetts opt Sail atc� l� Assessment or On ite Sewagg D sal Pcrformed By / Date �,,11e 3 Witnessed By: ......�. � T,�_4 .....,��..���r�C� ... ' Lo ton Acduw or 4�ie La,► FA&'.rasi.&jt ( 'r �� ew Construetlon ❑ Repair Office Review I Published Sail Survey Available: No ❑ Yes Year Published ............ .. Publication Scale —Soil Map Unit Drainage Mass ���.�-....... Soil Limitations ����,..... ����� Surflcial Geologic Report Available: No ZI Yes ❑ Year Published publication Scale Geologic Material (Map Unit) .......................... ................. ....,. .... ..... ........ E andform ................. Flood Insurance Rate Map: Above 500 year flood boundary No D Yes Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No []Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) Wetlatyds Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range :Above Normal ❑Normal OBelcw Normal ❑ Other Refi rences Reviewed: DEY APPROVED PO RM•12107195 )2,11711138? 00:57 17813:34011F TAFIGARDR PAGE 03 F'C)RM IX SOIL FVAL.LIATOR FORNI Page 2 of 3 Location Address or Lot No. On-i&g Review d Deep Hole Number Date1:4 Time: Weather /O- Location (identify on site plan) f� ...:.:...:: . ,:..:. ... .. . Land Use [ i, , T,.,ej� Slope M Surface Stones Vegetation , Landform ,Position on IandscapE � Distances from: Open Water Body feet drainage way feet Possible Wet Area feet Property Line ' ... feet Drinking Water Well feet Other . ..: DEEP OBSERVATION LOG` Depth trom $oil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel} ! -T Z Irl,111� Z- 5 Parent Material(geologic) '�2e 77/—'G C-- Depthto8adrock: Depth to„Groundwater. $tend(np Water In the Hole: weeping from Pit Face: Estimated $easonat High Ground Water,_._ DEV APPROVED FORR1. 11107/93 12/1 f!2[JUJ UU:b( 1/U1 Jj4kJ11'b I AN(UAHDH F'A(-iE M FORM 11 SOIL EVALUATOR FOP_, Pau 2 of Location Address or Got No Deep Hole Number / Tim WDate: eather;/z° L ocation (ldfly on site plan) �!. ..,. - �. .._.. .. , . .... . Let) Usa rf ,4 Sivpe (%► Surface Stones -- Vegetation Landlorm Position on landscape Distances from: Open Water Body Drainage way ° � feet Possible Wet Area .f feet Property Llne .../• . feet Dr►nking Water Well !? Z feet Other . .... , ,,,.Y,....,.,.,.... BEEP OBSERVATION'NOL� tOG` Depth from Soll Holi#oo 5oll TaXSUre $611 Color i SoG Other Surfoos (Inches) (USDA) (Munself) I Mohifng IStruclure, 3ton93, Boukfars, Con$,pencr, % Ci(lVel) -/d / s • Yr Paton; Ma(iriel (pfoloplc) Deoth is ftiindwstar: Standing Water In the Hole; per^ Weeping from Pit Face; Eslimatad Seasonal High Ground Water;__ — � -�---_ UP A.PPA0vTD r0RA1• ilio7/95 12/17/2003 00:57 17813343115 I ANUAKUK FORM 11 - SOIL L-AiA -VATOR FORM PMC 3cif3 Location Address or Lot No, eMern-hzajo-n far .�'�asvnal Hi 6Watcr TaLlg Method Used_ Depth observed standing in observation hole inches d Deptrr weeping trorn side of observation hole inches Depth to soil rnattles ..:— inches � Ground water adjustment feet Index Well Number Heading Date ................ Index well level Adjustment factor Adjusted ground water level 2)eoth of Naturally occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in' all areas observed throughout the area proposed for the soil absorption system? Y, - , If not, what is the depth of naturally occurring pervious material? --` Certification I certify that on rf (date) I have passed the soil evaluator examin anon approved by the Department of Environmental Protection and thatthe above analysis was performed by'me consistent with the required training, expertise and experinnce described in 310 CMR 15.017. Signature Date VEF APPROVED FORM- 12/07195 FORM 12 - PERCOLATION TEST Location Address or Lot No. ` 8Lj IJ Zvi?( tL S i COMMONWEALTH OF MASSACHUSETTS �jo aq7-( A-�,1 POA4, , Massachusetts Percolation Test* Date: Time:, Observation Hole # Depth of Perc y6, /zQ Start Pre-soak 17 , � 3 End Pre-soak 1° 3Y Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed 1� Site Failed ❑ ..............................................................................................:.......................................___.................. Performed By: �L�i 05y""),Q j 2 Witnessed By: ���, 1„, iq,j Comments: ................ _.................:...................:............_:................................. DEP APPROVED FORM-12/07/95 TOWN OFN01117.11 ANDOVER Office oi'(",.'OMMI,)N,I"I"%' [)�E'%�FI.,OPMEN'I' AND SERVICES HEIAL"111 DEPARTMENT 27 1`11 1 1 ES STREET NOR"M ANDOVEI�, MASSAC14(JSETTS V1 t 5 Heidi Griffin 978698.9540 111011c Acting Health Director 978,6 t ,954 -FAX January 12, 2004 Richard C. Tangard, P.E. New England Engineering Services, Inc. 60 Beechwood Drive North Andover, MA 01845 Re: 984 Turnpike Street, Map 1070, Lot 6 Dear Mr. Tangard: The proposed septic system design plans for the above site dated December 15, 2003 have been reviewed. Unfortunately, the plans cannot be approved as submitted. The following items are in need of attention prior to approval: 1. Please provide the location and elevation of the foundation drain. If there is no drain, please make a statement to that effect on the plan. (NA 8.02y) 2. Please indicate the names of all abutters from the most recent Assessor's map. (NA 8.02) 3. Setback requirements to the cellar wall are not met and will require application for a Local Upgrade Approval to reduce that standard, or you may re-design the soil absorption system to maintain compliance with the setback, (3 10 CMR 15.211) 4. Please indicate the size of the manholes brought to grade over the septic tank and pump chamber. (3 10 CMR 15.228) 5. Please indicate the requirement for the pump chamber to be watertight. (3 10 CMR 15,221) 6. Please indicate that removal of the fill, A&B soil horizons shall extend at least 6" into the suitable soil of the C horizon. (NA 9.02) 7. Your Form 11 does not indicate that a minimum of 4' of naturally occurring permeable soil was identified in Test Pit#1. This would normally require steps such as use of an advanced treatment device, use of the B soil horizon for wastewater treatment, and/or requesting a variance from state regulations. Prior to undertaking these efforts, however, you are advised to review your site notes to ascertain if they coincide with those of the soil evaluator working for the North Andover Board of Health who had recorded different information than what you identified, 8. Your signature on Form 11 does not appear to match your signature provided on the design plan. You may wish to review the materials submitted with this application to confirm they are all endorsed by you. 9. The design includes a Local Upgrade Approval request to reduce the separation from the bottom of the soil absorption system to the estimated seasonal high ground water from the required 4' to 3'. Several sections of Title 5 do not allow this request to be granted including 310 CNM 15,401 and 404(1)which indicate that whenever feasible a design should maintain full compliance with the standards in the regulations. If full compliance with the design standards is not feasible, the applicant may request a(n) Local Upgrade Approval which is least damaging to public health and/or environmental protection as evidenced in the alphabetized list at 310 CMR 15.405(1). In this instance, it seems apparent that the setback reductions specified at 310 CM 15.405(1) (a), (b) and perhaps (d) could be incorporated into the septic system design, if needed, before requesting the setback reduction at (i) as on this design plan. 10. Trenches are the required type of soil absorption system when using pressure dosing of effluent. Please use a trench configuration or request appropriate variances from the design standards. (3 10 CNM 15.254) In addition, dosing greater than once per day increases the efficacy of wastewater treatment and reduces possible ponding problems with the soil absorption system. You are encouraged to review the currently proposed once daily dosing. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a replacement septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sipper rian LaGrasse Health Inspector cc: Homeowner CD&S Dir. File Page 1 of 2 allaChiai , Pamela . ... Frown: Clan Ottenheimer[info a7millriverconsulting.com] Seat: Monday, December 22, 2003 1:37 PM To: pdeilechiaie @townofnorthandover.com Subject: PE: 984 Turnpike Street Pam, Attached please find a file with a cleaner version of the soil test results from our field book. Dan Daniel Ottenheimer, President Mill Diver Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 ww\v\v,rlpillri�r rconst ltijig,cojii info(ir)millrive reonsulting. orr -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie @townofnorthandover.com] Sent: Thursday, December 18, 2003 9:45 AM To: Daniel Ottenheimer(E-mail) Subject: 984 Turnpike Street Importance: High Hi Dan, Can you reseed me the soil test results for 984 Turnpike Street done in August 2003? I have a hard copy,but the re,, not that legible,so when I went to reprint,I could not find the original e-mail you sent. Thanks for your help. Pam ;-) Pamela DelleC hiaie, Health Dept.Assistant 3/30/2004 Page 1 of 2 DelleChiaie, Pamela From. Dan Ottenheimer[info @millriverconsulting.coml Sent: Monday, December 22,2003 1:37 PM To: pdellechiale@townofnorthandover.cam Subject: RE: 984 Turnpike Street Pam, Attached please find a file with a cleaner version of the soil test results from our field book. Dan. Daniel Ottenheimer,President Mill River Consulting ,septic System Management Services 5 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax:978-282-0012 www.mi llriverconsulting.coM info @rrnnillriverconsultin-,co as ----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie @townofnorthandover.com] Sent:. Thursday, December 18, 2003 9:45 AM To: Daniel Ottenheimer(E-mail) Subject: 984 Turnpike Street Importance High Hi Dan, Can you resend me the soil test results for 984 Turnpike Street done in August 2003? 1 have a hard copy,but the re: not that legible,so when I went to reprint,I could not find the original e-mail you sent. Thanks for your help. Pam;-) Paineki DelleChiaie,Health Dept. assistant 12/22/2003 "2 '1,11411��""!"Ai............ 7L "mommom/ow,awma 'WOR,'RYMMS I (""i— e""' A If ........I", rma" 414% ', lip*14 7 Z ', l " ' :O'li If f ux .......... —7-7 ell '4L 10 (�f OlOw jam MR M, I i&W'i % AW il.. 1g, Ai .............. .......... f............. I ma nimmm"w W" 4R)1�1%4��..� w f MMA i......L.."tu"am,wri'--4"') .,.m .... -._...... . .......... ...... ............ . ....... . . .....................m. m.... _..�... E AND ENGINEERING SERVICES . .. ................... ................... ._ I N C ...,.... ��_�..........................r...........�_........... .,... ............,.,.......... November 26, 2003 Brian LeGrasse !E tLQf North Andover Board of Health ° ` " 27 Charles Street WC 3 North Andover, MA 01845 4- Re: 984 Turnpike Street,North Andover, Septic system design Dear Brian: Enclosed are the following documents concerning the above referenced property, 1. 5 sets of septic system design plans, one with an original stamp. 2. Form 9 Local Upgrade Approval Form. 3. Application for approval of plans. 4. Check to cover review fee. These plans are being submitted for approval. Approval of the plan requires that the Board of Health approve the local upgrade approvals requested. Please accept this letter as a request to be scheduled as an agenda item for the next Board meeting to discuss this plan. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjamin. C. Osgo d, Jr., EIT President 60 BF:E(,d°1lf OO DRIVE— NORTH ANDOVER, MA 01845..(978)686-1.768—(888):159-7645— FAX(978)685-10199 ,EPTIC PLAN SUBMITTALS LOCATION: C>,,,&,Map &Parcel 0 , NEW PLANS: YES $225.00/Plan Check#: REVISED PLANS: YES $ 60.00/Plan Check#: 81TE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES. NO DATE: i ��"'� n s DATE TO CONSULTANT: DESIGN ENGINEER: N i r� ( � )r Telephone#: When the submission is complete (including check), date stamp plans, COPY for Conservation, and place in existing file with green Design Approval form. 12/17120103 001:57 17813340115 TANGARDR PALE 02 FORM 11 - SOIL EVALUATOR ihO RIM Page Y of 3 No. �. ` Date:,/O 4! Corqmonwealth of Massachusetts tea. rr�v , Massachusetts ssessrn Sail �Suitab&L en of Pcrformed By: �� r�{l� ��r.. ~,mac � Date: /x` /�3 Witnessed By: iC .. e?w Corlstru.tlon C1 Repair OfTice Review � � � �. Pub!ished Soil Survey Available: No ❑ Yes Year Published t� �.. Publication Scale soil Map Unit Drainage Class 0'42 .L..... Soil Limitations Surficial Geologic Report Available: No,ZI Yes ❑ Year Published Publication Scale Geologic Material GAap Unit) Landforrn Flood insurance .Rate Map: Above 500 year flood boundary No 71 Yes Within 500 year flood boundary No Eyes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area: National Wetland hive:ntory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions(LJSGS): Month Range :Above Normal ❑Normal OBelcw Normal ❑ Other References Reviewed: .11� UEP APPROVED FORM•121071y,% 12/17/20K1 00: 57 1781:3340115 TANGARDR PAGE 0:3 FORM 11 SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. On-site ,review o Deep Hole Number Date:- ° �� Time ' '`� Weather Location {�e f f�on �an} ! � {�: . Land Use p Surface Stones Vegetation , ' Landform Position on Iandscap( Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line, Drinking Water Well ld feet Other . ., . + ------ DEEP OBSERVATION HOLE LOG` ®� Depth tram Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Moulders, CQnsit:trncy, qb Gravel) f Parent Material (geologic)_ � ! Depthto9edrock: Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: +/ Estimated Seasonal High Ground Water:____ DEF APPROVED FORM- 12/07145 12/17/20963 00: 57 178133401115 TANGARDR PAGE 04 F'(7R.IY1 11 • SOIL F,VALUATOR a'Ok' page Location Address or Coot No, v � :��/ '����G� �� A IV xz � en 'Jeep Hole Number �� . patQ:.,.so?j/�� Time: 9./-I"" weeihe 7 Location (Ida lfy on site plan) eA f n land Use 10Pa No) SuffaCe Stones -- Vegetation ca°' Landlorm / Position on landscape / Distances from: Open Water Body � feat Drainage way ° � teat Possible Wet Area .� feet Property Line , ��. feet etrinking Water Well feet Other . ., . . DEEP OBSERVA TION'HOLE LOG' 0apth crom Sol(HorlxoA Soll Toxwre $all Color i $oli Q(hwr Surfeoe (Inohasl (V50A) (Munsell) Mortltng (SINclura, Stones, Boulders, Convuee)cv. ,e Cravat) eo Y.� - ' parent Malens! IgeoloQiel�'� r / i`' Depihtofladrock. OekJh•tn Orvundwa(er: Standing Water in the Hole: Wooping from Pit Face: Estirtvrad Seasonal High Oround Water: DR?APPA0VV'P VOtUI. ilio719S 12/17/2003 E10:57 1781334011E TANGURDR PAGE O FORM 11 - SOIL l,:VALUA UR FORM Pa€;c` 3 of 3 Location Address or Lot No, e ermaz ti i n —Water Zjg e Met Mpd Used_ Depth observed standing in observation hole inches Depth weeping frorn side of observation hole,.. inches Depth to soil mottles .,. ,°'J inches 10!(—/- `• IJ Ground water adjustment feet - 4C�2, Index Well Number Reading Date ,... Index welf level Adjustment factor Adjusters ground water level ... .. e th of Naturlioaur_ rinf' rvious Material Goes at least four feet of naturally occurring Material observed throughout the area proposed for the sso!] absorpi System? in all areas If not, what is the depth of naturally occurring pervious material? -� �ertifi� cation ! certify that on i� `q ��_a (date) I have passed the soil evaluator examination approved by the C�apartrnent of Environmental Prt�tectio,n and that tfie above analysr � was performed by me consistent with the required training, expertise a,-Id (�ixperience described in 310 CMR 15.017. _ / �I< Signature Gate UFF APPROVED FORM• 12/07/95 FORM 9A ® Application for Local Upgrade Approval Commonwealth of Massachusetts ,Massachusetts (City/Town) Application for LOCAL UPGRADE APPROVAL Title 5,-310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(1) 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 15.417. OTE: Local upgrade approval shall not be new design flow to a cess ool or rl new for an upgrade proposal that includes the addition of a P p ivy,or the addition of a new design flow above the existing approved capacity of a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: City/Town: c>,, Facility/System owner* D�,,� , Address: =s.r, U City/TOWn. Telephone: ( 7 ca State: A Zip: Type of Facility(check all that apply): Residential Ej Institutional facility ❑Commercial ❑School Type of existing system: ❑Privy ' ❑Cesspool(s) WConventional System ❑ Other(describe) Type of soil absorption system(trenches,chambers,leach field,pits,etc Design Flow per 310 CMR 15.203: Design flow of existing system d Design flow of proposed upgraded system —Lmd Design flow of facility e _gpd ------—_ Proposed upgrade of system is: ❑Voluntary ❑Required by order,letter,etc.(attach copy) Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection / [L — l tA1J�/i,,ruv;z FORM 9A - Application for Local Upgrade Approval Department of Environmental Protection Pagel of 3 DEP Approved Form—3/20/02 Describe the proposed upgrade to the system s J�,�� ; �i �v i,> 14 C Local Upgrade Approval is requested for: ❑ Reduction in setback(s) (Describe reductiyoyns) lit W c> 7? ❑ Percolation rate for 30 to 60 min/inch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% (SAS size and%reduction) SAS sq ft Reduction ❑ Reduction in separation between the SAS and high groundwater Separation reduction— I ft Percolation rate 45 min/inch Depth to groundwater . .7> ft ❑ Relocation of water supply well(Explain) ❑ 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)(i)(1).The soil evaluator must be a'm6mber or aLyent of the local approvine authority High groundwater elevation determined by: ' _�4AU r_ G_ i3c r�s� I II (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date) -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: i� T tom, 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: D:a /oi c aue Department of Environmental Protection DEP Approved Form-3120/02 Page 2 of 3 FORM 9A - Application for Local Upgrade Approval 3. A shared system is not feasible:_P/J0);Iz;! -A T?b 4. Connection to a public sewer is not feasible: '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 ❑bh 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) CERTIFICATION: "I,the facility owner,certify under penalty of law that this document and all attachments,to the best of my knowledge and belief,are true,accurate,and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonment for deliberate violations. Facility owner's signature i Print name Date/,;,,' Ci 1 z x''=-' 0"a - �s-J'P_ Name of preparer Preparer's Address. �> c) Date City/Town: 1_)i 1-1 r 7r .�J State Zip: Preparer's telephone: NOTE: 310 CMR 15.403(4)requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection;Bureau of Resource Protection,Division of Watershed Management,upon issuance by the local approving authority and before commencement of construction. Department of Environmental Protection Page 3 of 3 DEP Approved Form-3120/02 '