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HomeMy WebLinkAboutBuilding Permit #285 - 1029 JOHNSON STREET 10/22/2008 (3) BUILDING PERMIT O* NORTH q `�ttlD ti67 tiO TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 7�AOR'"7E0 I,PP �SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION_ /007? €>QYA) Q 44 Print PROPERTY OWNER AIWK AA0 k iszr,c1 Ei�tc Print MAP NO: PARCEL: APT ZONING DISTRICT: Historic District yes no Machine Shop Village yes _ no TYPE OF IMPROVEMENT PROPOSED USE Re 'dentia) Non- Residential New Building afamily Addition Two or more family Industrial ra ion No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: -770 LE - Ift Identification Pleas a or Print Clear) OWNER: Name: k G Phone:JI Address: o( y� CONTRACTOR Name: �'�wny Phone: 5-7—0(114 pp Address: c 0"e— k o.,JA AA Q VT30 Supervisor's Construction License: ( ," Exp. Date: 1 -Co Home Improvement License Exp. Date: ARCHITECT/ENGINEER ����� �( i 1117- Phone: Address: 1&0 )LV At-C At. d AJ y�A 4ISe)l Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 9 taZ� FEE: $Z//Oc r Check No.: �rReceipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor �, Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools f ell Tobacco Sales Food Packaging/Sales ivate(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS U V HEALTH Reviewed on/ Signature > ?"/ /�l ti ��"�f�jd' ' i�^'G v G3 S f� Le r Aa/ COMMENTS w l Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Deport ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location �G No. J Date TOWN OF NORTH ANDOVER O � � f Certificate of Occupancy $ •��;'^•;.�, Building/Frame Permit Fee $ / �cMus r , Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /building inspector t%ORTH 1, 6' O O O�4 CO-c"tWK•`y1' �9SSAC PUBLIC HEALTH DEPARTMENT Community Development Division Date: October 7,2008 Address: 1029 Johnson Street Re: Application for home addition Dear: Mr. and Mrs. Federico, Your application received for review on October 6, 2008 has been fully reviewed by the Health Department. The application was unfortunately denied on, October 7, 2008, for the following reason as shown in red: 1. ❑ Missing information 2. ❑ Passing Title 5 inspection of septic system required per local N. Andover regulations 3. ❑ Location of structure not acceptable 4. X Undersized septic system (see attached section of the MA DEP regulations section 15.204) To address the problem(s): If#4 is checked: Options Septic systems are designed for a certain size home. The Feb.2008 Title V report indicates it passed a test on the function of the system, however the information provided regarding the home shows the system is too small. The floor plan review has shown that the house with the addition will increase to an eight or nine-room house. At minimum there are; 3 bedrooms, 1 study,2 family like type rooms, a kitchen and a dining room. (the ninth room is the undetermined unfinished room in the basement) If this is incorrect, an onsite visit may be arranged by the health staff. 1600'Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com The town assessor file shows your house as a three bedroom home. The Health files have no information regarding the size of the system. The title five indicates a 3- bedroom home. The conclusion is that the system is designed for a 3-bedroom or maximum 7-room home. It is incumbent upon you to do one of the following prior to receiving approval on this application. a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult a professional engineer or registered sanitarian to determine the flow capacity of the septic system. b. Hire a professional engineer to design a new septic system that meets State Regulations c. Request approval of a variance to place a deed restriction as detailed in 15.414 (see attached) Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, ju' Sawyer, Pu lic Health 15irector Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.412: continued (c) With the exception of those watersheds(Ware,Quabbin and Wachusett)to which the provisions of 350 CMR 11.00 (MDC Watershed Protection regulations) apply, local Approving Authorities may,after consultation with the local water supplier,issue variances for the siting of systems within the setbacks to surface water supplies or to tributaries to surface water supplies and may exempt tributaries consistent with the standards and procedures of 350 CMR 11.00 without Department approval provided that no such variance or exemption shall result in the siting of a septic tank or soil absorption system within 200 feet of said surface water supplies or 100 feet of said tributaries,or siting of a septic tank within 25 feet or a soil absorption system within 50 feet of any surface water. Copies of all such variances for uses and exemptions of tributaries shall be submitted to the Department by the local Approving Authority within 30 days of issuance. 413• Conditioning of Variances (1) The local Approving Authority or the Department may issue variances subject to such conditions, including, but not limited to, monitoring and reporting requirements, deed recordation requirements,financial assurances or other qualifications on the use of the system, as it deems necessary to protect public health, safety, welfare and the environment. Any conditions shall be expressed in writing in allowing the variance. (2) Any denial of a variance by the local Approving Authority or the Department may direct the applicant to upgrade an existing system consistent with the requirements and standards of 310 CMR 15.404 and 15.405. Failure to do so may be the subject of enforcement action by the local Approving Authority or the Department. 15.414-. Variances for increased Flow to Existing System Local approving authorities and the Department may vary the application of any provisions of 310 CMR 15.000 with respect to any particular case involving increased flow to an existing system only when in the opinion of both the Department(except as provided in 310 CMR 15.412(4))and the local Approving Authority all of the following conditions are met. A showing by the person requesting a variance that the proposed variance would satisfy the maximum feasible compliance provisions as set forth in 310 CMR 15.404 and 15.405 shall not presumptively entitle such person to a variance. (1) The person requesting a variance has established that strict enforcement of the provision of 310 CMR 15.000 from which a variance is sought would be manifestly unjust,considering all the relevant facts and circumstances of the individual case including, at a minimum, the following: (a) the owners of any such system for which permit applications were filed after March 31, 1995 shall be deemed to have had knowledge that full compliance with the requirements applicable to new construction is preferred; (b) the costs of full compliance with the requirements applicable to new construction shall be compared to the costs of compliance with a variance;and (c) whether an upgrade in full compliance with 310 CMR 15.000 is feasible without increased flow. .(2) The system cannot be brought into full compliance through any of the following: (a) an upgraded system which is in full compliance with 310 CMR 15.100 through 15.293; (b) an alternative system which has been approved for such use pursuant to 310 CMR 15.284 (remedial use), 15.285 (piloting), 15.286 (provisional approval), or 15.288 (certification for general use); (c) a shared system which has been approved for such use pursuant to 310 CMR 15.290 and 15.291:or (d) connection to a sewer system. (3) The upgraded system with the increased flow provides better protection of public health and , safety and the environment than the existing system with no increase in flow. Increased flows not in compliance with 310 CMR 15.000 will rarely provide better protection than existing flows to a system designed and constructed in compliance with the 1978 Code or 310 CMR 15.000, but are more likely to constitute improvements over nonconforming or failed systems. 9/22/06 (Effective 4/21/06)-corrected 310 CMR-566 - 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.204: Increases in Design Flow to System No person shall increase the actual or design flow to any cesspool or to any other system above the existing approved capacity,or change the type of establishment of a facility served by a cesspool, unless the cesspool or system is upgraded first. Upgrades to accept increased design flow shall be performed in full compliance with the requirements applicable to new construction unless a variance _ is allowed pursuant to 310 CMR 15.414. For purposes of 310 CMR 15.204,the approved design flow shall be the flow listed in the most recent Disposal Works Construction Permit. 15.211: Minimum Setback Distances (1) All systems must conform to the minimum setback distance for septic tanks,holding tanks,pump chambers,treatment units and soil absorption systems,including reserve area,measured in feet and as set forth below. Where more than one setback applies,all setback requirements shall be satisfied. Septic Tank Soil Absorption System Holding Tank Pump Chamber Treatment Unit Grease Traps Property Line 10[5] 10[5] Cellar or Crawl Space Wall, Swimming Pool(inground),foundation drain 10 20 Slab Foundation 10 10 Water Supply Line(pressure) 10[l] 10[l] Surface Waters(except wetlands) 25 50 Bordering Vegetated Wetland(BVW), Salt Marshes,Inland and Coastal Banks 25 50 Surface Water Supply- Reservoirs and Impoundments 400 400 Tributaries to Surface Water Supplies 200 200 Wetlands bordering Surface Water Supply or Tributary thereto 100 100 Certified Vernal Pools 50 100[2] Private Water Supply Well or Suction Line 50 100 Public Water Supply Well (2) (2) Irrigation Well 10 25 Open,Surface or Subsurface Drains which discharge to Surface Water Supplies or tributaries thereto 50 100 Other Open,Surface or Subsurface Drains (excluding foundation drains)which intercept seasonal high groundwater table[3] 25 50 Other Open,Surface or Subsurface Drains (excluding foundation drains) 5 10 Leaching Catch Basins& Dry Wells 10 25 Downhill Slope not applicable 15[41 [1] Disposal facilities shall be at least 18 inches below water supply lines. Wherever sewer lines must cross water supply lines,both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure watertightness. [2] The required setback shall be 50 feet where the applicant has provided hydrogeologic data acceptable to the Approving Authority demonstrating that the location of the soil absorption system is hydraulically downgradient of the vernal pool.Surface topography alone is not determinative. 4/21/06 310 CMR-512 & J+ - PROPOSAL Homes and Demolition PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: NAME P e^ i NAME ADDRESS i �; �1 hr,sc n5�. ADDRESS /� 11��iPr �:� z=i%b.s �o �ll csd ;'' A C�i`:syS PHONE NO. `S Ca�S�-?�C�` I PHONE NO. 9 I - G(; G _.S G5 I _ W2ereby propose to furnish the materials and perform the labor necessary for the completion of on 11 !r al!) C tol., - �:Innscn 'Si. nz: VOusr 4 :TctakzdVlc�P Si 2C c' X 1 tis 9-led, to exa"'Jc t� IC V C1 0J rQ 'Acfill f�:, c� i �. �.# LL t o G ` �Uc r _ LGi,ll i n 1 a�11 �!2/r A.�1: C: ( A"Sc 14 I(Usy Q d. cut C3-A S��ycr�'t �oe'&ml`af 3'�13c t. cr c Clc�:^ina Tlc r �":crnz cb i T ic.'� �: rt4 cn,rz� t'A4' -S rurd0rC carsxct�v _ CornA C. ` r T Ajeli-;11 r4-J, �vrfrr,M2 c_ V-C' 1r, �v - PVanr1� tJ1 nP.c�itc�1 rb�it iASj205:tcf MI O� yC,�c�l� �l�-c �`t7 2 .5 s fGC T 1�Z1� Caxys.Atel l t G e.- t F\'.c ooy�.1ay:1 � QX�, Vi/1y� C� l�l•1f)Cr Vr �lCi�li'—A� L!S r�� :��E'."icG^ t—AZ rm t ug— �%• All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and comp) ted in a substantial workmanlike manner for the sum of E -Va Dollars ($ S U S c . with payments to be made as follows. 5 •G� ���� u^ist,^vim YYiu:ry bC i's ,tj 5 occ a co pon C..:b1rJ t@ l it c �r a�ire7l.. ine;,�G;fl � �•1 ;�c� Respectfully submitted /� —1 /:� _. o'�S-- S:�;nS Per Any alteration or deviation from above specifications NOTE -This proposal may be withdrawn by us involving extra costs will be executed only upon written if not accepted within 3 C days. order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents,or delays beyond our control. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as ou ' dab Signature Date 10 Signature k44Ace T XJ5oGv tnc�vcle� iF �;ice, an c�cor5 l,).n �S . .ir fessc� wee veo ►�e,� i T �1e•'Z W:`�2� �K� c4:T�trel>,C�.,. R2 r-c,- eAt k're- VCII;YC i(1C`�l��;l� 51'r�PP �Iy NIC ;c ►�inI�q ('cc�inq o �n�nne Akk �l�w Or�� ��c�Z J ` J T hisPriC'L o,�5c �nc� Or-A j5ar:;.y_ ko�Se �._ c < Gel �� e��ce- e-x CrA .. Pte.,n i �y n C l n CL 1 T1UvYlzLlc��l�r Ad t A ' 4 . }. Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments G M , 1029 Johnson Street Property Address Mark& Kristen Federico -' Owner Owner's Name information is No Andover required for MA 01845 2/1/08 every page. City/Town State Zip Cod Date of Ins ection 1 Inspection results must be submitted on this form. Inspection forms ma of be altered in any way. important: When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Benjamin C. Osgood Jr. use the return urn cursor- not Name of Inspector key. New England Engineering Services, Inc. Company Name 1600 Osgood Street Suite 2-64 Company Address No.Andover MA 01845 City/Town State Zip Code 978-686-1768 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title (310 CMR 15.000). The system: 2 Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Inspecto Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 2e cv m P.v► TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 l y k Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: [have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SEr 2eco ,,^e t B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: i / ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced i ❑ obstruction is removed TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 15 l i r� x ! Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: Y . C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system.(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public/water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 I f/ r • Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,•°"r 1029 Johnson Street Property Address Mark&Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ &I Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ E�r Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Er Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow E] ❑,. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 2 Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ gl Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. TITLE 5 FORM 2007.DOC•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e J 1029 Johnson Street Property Address Mark&Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ Eir Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ [2' Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Eg'**- Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ Ege The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ Ej/ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ [� the system is within 400 feet of a surface drinking water supply ❑ [�/' the system is within 200 feet of a tributary to a surface drinking water supply ❑ Er, the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 � Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ 2*� Pumping information was provided by the owner, occupant, or Board of Health ❑ [!( Were any of the system components pumped out in the previous two weeks? [� ❑ Has the system received normal flows in the previous two week period? ❑ R/ Have large volumes of water been introduced to the system recently or as part of this inspection? 2, ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ ET" Was the facility or dwelling inspected for signs of sewage back up? ❑ Was the site inspected for signs of break out? []� ❑ Were all system components, excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank- inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Eg ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: N/ ❑ Existing information. For example, a plan at the Board of Health. ❑ LJ' Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] TITLE 5 FORM 2007.00C•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection I D. System Information Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder? ❑ Yes No Is laundry on a separate j�ewage system? [if yes separate inspection required] Yes ❑ No Sty l�^ Laundry system inspected? [] Yes No Seasonaluse? ❑ Yes 20 No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes 5Q No Last date of occupancy: G"Cv'""T Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): TITLE 5 FORM 2007.DOC-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA . 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: dLloy C K f2Ccc R.nS Was system pumped as part of the inspection? ❑ Yes No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: pn� >✓'II.E w tT}t TawN Were sewage odors detected when arriving at the site? ❑ Yes [v`No TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1029 Johnson Street Property Address Mark&Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): � Depth below grade: Z feet Material of construction: © cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): P-r2R- 4-0epK5 Al0a-0%4o+` fns $�FS�ie. Er i Septic Tank(locate on site plan): Depth below grade: feet Material of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal,list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: /[yu0 Cr-*LLoNS Sludge depth: L Distance from top of sludge to bottom of outlet tee or baffle 3 3 Scum thickness 'L Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 2-5- How SHow were dimensions determined? Q�4 V- TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): TA4J K i A a k e o N a.-11 a -t-a.ou g, E czp•P E-v L.— i 1 t +4 C eoss t w 1.4 c 14- S k o v i-D w ,4- ��-�- TGL N!� Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): /V I,4 Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts N 4 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) A)VTight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert , Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box,,netc.): �'�� 1•• c �.a.Q Gr>,..Yt�oo•. /VC..- ca.�� AeQc9c�. (yo r2,o &xLe- o G L-e- tv,a5� �.. fl2 >.z S f/I Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1029 Johnson Street Property Address Mark 8t Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: [� leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): %--1 Elt-P 6.JOl4.A NOQ.NIAL% No t-✓i J>Motcg Pa� DAA^P Salt-{ ng, uNJr-v,q uE;C CeTRi)JnJ. TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) IV Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M •''� 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least twopermanent r f r n I n n Locate all wells within 100 feet. benchmarks. L o eeeceadmarksor bechm rk . a Locate where public water supply enters the building. - �/• +�.�ur.e��� �P� wC 4 27� �� �3 r TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1029 Johnson Street Property Address Mark& Kristen Federico Owner Owner's Name information is required for No Andover MA 01845 2/1/08 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: []Check Slope Surface water ❑ Check cellar ['Shallow wells iv�Nu Estimated depth to ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date Q Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers -(attach documentation) FC] Accessed USGS database-explain: You must describe how you established the high ground water elevation: Cgs Gs MAW� /tip, C*jf� toA-T" -F"L - I ��.>tn t o.�s'�'r..cMe JQ r 1's 4— S4JCL -0 .e G 4..ic✓ S<<Y TITLE 5 FORM 2007.DOC•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 F NEw ]ENGLAND ENGP 4 < G SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-1768• Fax: (978) 327-6138 www.neengineeringinc.com May 1,2008 Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Re: 1029 Johnson Street,North Andover Dear Susan: Enclosed is a passing Title 5 report for the above referenced property. There is however a laundry dry well which was not inspected because the owner is in the process of applying to the building department to construct an addition which would require the removal of the laundry dry well. It is my recommendation that the laundry dry well be removed and the laundry piping be connected to the existing septic system during the construction of the addition. There is no evidence that this system can not handle the additional flow however the Board of Health may want to make it a condition that the system be inspected again a few months after all of the construction is done to verify that the system can handle the new flow. If you have any questions, or need additional information,please do not hesitate to contact this office. Sincerely, 2 C-- ��V Benjamin C. Osgood, Jr.,P.E. President pORTH q 3 0 ,�q6ED /6' �O 6 OL O F- p * � O COCMIC lwKM 7' ��SSAC HUSA PUBLIC HEALTH DEPARTMENT Community Development Division Date: October 7,2008 Address: 1029 Johnson Street Re: Application for home addition Dear: Mr. and Mrs. Federico, Your application received for review on October 6,2008 has been fully reviewed by the Health Department. The application was unfortunately denied on, October 7, 2008, for the following reason as shown in red: 1. ❑ Missing information 2. ❑ Passing Title 5 inspection of septic system required per local N. Andover regulations 3. ❑ Location of structure not acceptable 4. X Undersized septic system (see attached section of the MA BEP regulations section 15.204) To address the problem(s): If#4 is checked: Options Septic systems are designed for a certain size home. The Feb. 2008 Title V report indicates it passed a test on the function of the system, however the information provided regarding the home shows the system is too small. The floor plan review has shown that the house with the addition will increase to an eight or nine-room house. At minimum there are; 3 bedrooms, I study,2 family like type rooms, a kitchen and a dining room. (the ninth room is the undetermined unfinished room in the basement)If this is incorrect, an onsite visit may be arranged by the health staff. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com The town assessor file shows your house as a three bedroom home. The Health files have no information regarding the size of the system. The title five indicates a 3- bedroom home. The conclusion is that the system is designed for a 3-bedroom or maximum 7-room home. It is incumbent upon you to do one of the following prior to receiving approval on this application. a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult a professional engineer or registered sanitarian to determine the flow capacity of the septic system. b. Hire a professional engineer to design a new septic system that meets State Regulations c. Request approval of a deed restriction agreeing to always be a 4-bedroom home. i. Submit a request in writing to the Board of Health identifying why the need to upgrade the septic system is a severe hardship. ii. Attend a BOH meeting to address the board iii. If approved, record the deed restriction at the registry of deeds Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, usan Sawyer, ublic Health 07rector Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 310 CMR: ,DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.204: Increases in Design Flow to System No person shall increase the actual or design flow to any cesspool or to any other system above the existing approved capacity,or change the type of establishment of a facility served by a cesspool, unless the cesspool or system is upgraded first. Upgrades to accept increased design flow shall be performed in full compliance with the requirements applicable to new construction unless a variance is allowed pursuant to 310 CMR 15.414. For purposes of 310 CMR 15.204,the approved design flow shall be the flow listed in the most recent Disposal Works Construction Permit. 15.211: Minimum Setback Distances (1) All systems must conform to the minimum setback distance for septic tanks,holding tanks,pump chambers,treatment units and soil absorption systems,including reserve area,measured in feet and as set forth below. Where more than one setback applies,all setback requirements shall be satisfied, Septic Tank Soil Absorption System Holding Tank Pump Chamber Treatment Unit Grease Traps Property lane 10[5] 10[5] Cellar or Crawl Space Wall, Swimming Pool(inground),foundation drain 10 20 Slab Foundation 10 10 Water Supply Line(pressure) 10[1] 10[l] Surface Waters(except wetlands) 25 50 Bordering Vegetated Wetland(BVW), Salt Marshes,Inland and Coastal Banks 25 50 Surface Water Supply- Reservoirs and Impoundments 400 400 Tributaries to Surface Water Supplies 200 200 Wetlands bordering Surface Water Supply or Tributary thereto 100 100 Certified Veinal Pools 50 100[2] Private Water Supply Well or Suction Line 50 100 Public Water Supply Well (2) (2) Irrigation Well 10 25 Open,Surface or Subsurface Drains which discharge to Surface Water Supplies or tributaries thereto 50 100 Other Open,Surface or Subsurface Drains (excluding foundation drains)which intercept seasonal high groundwater table[3] 25 50 Other Open,Surface or Subsurface Drains (excluding foundation drains) 5 10 Leaching Catch Basins& Dry Wells 10 25 Downhill Slope not applicable 15[4] [1] Disposal facilities shall be at least 18 inches below water supply lines. Wherever sewer lines must cross water supply lines,both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure watertightness. [2] The required setback shall be 50 feet where the applicant has provided hydrogeologic data acceptable to the Approving Authority demonstrating that the location of the soil absorption system is hydraulically downgradient of the vernal pool.Surface topography alone is not determinative. 4/21/06 310 CMR-512 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.412: continued (c) With the exception of those watersheds(Ware,Quabbin and Wachusett)to which the provisions of 350 CMR 11.00 (MDC Watershed Protection regulations) apply, Iocal Approving Authorities may,after consultation with the local water supplier,issue variances for the siting of systems within the setbacks to surface water supplies or to tributaries to surface water supplies and may exempt tributaries consistent with the standards and procedures of 350 CMR 11.00 without Department approval provided that no such variance or exemption shall result in the siting of a septic tank or soil absorption system within 200 feet of said surface water supplies or 100 feet of said tributaries,or siting of a septic tank within 25 feet ora soil absorption system within 50 feet of any surface water. Copies of all such variances for uses and exemptions of tributaries shall be submitted to the Department by the local Approving Authority within 30 days of issuance. 15.413: Conditionine of Variances (1) The local Approving Authority or the Department may issue variances subject to such conditions, including, but not limited to, monitoring and reporting requirements, deed ' recordation requirements,financial assurances or other qualifications on the use of the system, as it deems necessary to protect public health, safety, welfare and the environment. Any conditions shall be expressed in writing in allowing the variance. (2) Any denial of a variance by the local Approving Authority or the Department may direct the applicant to upgrade an existing system consistent with the requirements and standards of 310 CMR 15.404 and 15.405. Failure to do so may be the subject of enforcement action by the local Approving Authority or the Department. 15.414: Variances for Increased Flow to Existing System r'\ Local approving authorities and the Department may vary the application of any provisions of 310 CUR 15.000 with respect to any particular case involving increased flow to an existing system only when in the opinion of both the Department (except as provided in 310 CMR 15.412(4))and the local Approving Authority all'of the following conditions are met. A showing by the person requesting a variance that the proposed variance would satisfy the maximum feasible compliance provisions as set forth in 310 CMR 15.404 and 15.405 shall not presumptively entitle such person to a variance. (1) The person requesting a variance has established that strict enforcement of the provision of 310 CMR 15.000 from which a variance is sought would be manifestly unjust,considering all the relevant facts and circumstances of the individual case including, at a minimum, the following- (a) ollowing(a) the owners of any such system for which permit applications were filed after March 31, 1995 shall be deemed to have had knowledge that full compliance with the requirements applicable to new construction is preferred; (b) the costs of full compliance with the requirements applicable to new construction shall be compared to the costs of compliance with a variance;and (c) whether an upgrade in full compliance with 310 CMR 15.000 is feasible without increased flow. .(2) The system cannot be brought into full compliance through any of the following: (a) an upgraded system which is in full compliance with 310 CMR 15.100 through 15.293; (b) an alternative system.which has been approved for such use pursuant to 310 CMR 15.284 (remedial use), 15.285 (piloting), 15.286 (provisional approval), or 15.288 (certification for general use); (c) a shared system which has been approved for such use pursuant to 310 CMR 15.290 and 15.291;or (d) connection to a sewer system. n (3) The upgraded system with the increased flow provides better protection of public health and safety and the environment than the existing system with no increase in flow. Increased flows not in compliance with 310 CMR 15.000 will rarely provide better protection than existing flows to a system designed and constructed in compliance with the 1978 Code or 310 CMR 15.000, but are morelikely to constitute improvements over nonconforming or failed systems. 9/22/06 (Effective 4/21/06)-corrected 310 CMR-566 pORTH q a 0 't-TI-ED ,67 �O � �- - F 6 OL O T 0 �4 cacA 01f, CMl wKN`y7' T ��SSAC Hus���� PUBLIC HEALTH DEPARTMENT Community Development Division Date: October 7,2008 Address: 1029 Johnson Street Re: Application for home addition Dear: Mr. and Mrs. Federico, Your application received for review on October 6,2008 has been fully reviewed by the Health Department. The application was unfortunately denied on, October 7, 2008, for the following reason as shown in red: 1. ❑ Missing information 2. ❑ Passing Title 5 inspection of septic sstem required d er local N. Andover regulations 3. ❑ Location of structure not acceptable 4. X Undersized septic system (see attached section of the MA DEP regulations section 15.204) To address the problem(s): If#4 is checked: Options Septic systems are designed for a certain size home. The Feb. 2008 Title V report indicates it passed a test on the function of the system, however the information provided regarding the home shows the system is too small. The floor plan review has shown that the house with the addition will increase to an eight or nine-room house. At minimum there are; 3 bedrooms, 1 study,2 family like type rooms, a kitchen and a dining room. (the ninth room is the undetermined unfinished room in the basement)If this is incorrect, an onsite visit may be arranged by the health staff. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com The town assessor file shows your house as a three bedroom home. The Health files have no information regarding the size of the system. The title five indicates a 3- bedroom home. The conclusion is that the system is designed for a 3-bedroom or maximum 7-room home. It is incumbent upon you to do one of the following prior to receiving approval on this application. a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult a professional engineer or registered sanitarian to determine the flow capacity of the septic system. b. Hire a professional engineer to design a new septic system that meets State Regulations c. Request approval of a deed restriction agreeing to always be a 4-bedroom home. i. Submit a request in writing to the Board of Health identifying why the need to upgrade the septic system is a severe hardship. ii. Attend a BOH meeting to address the board iii. If approved, record the deed restriction at the registry of deeds Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, usan Sawyer, ublic Health 011recior Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.204: Increases in Design Flow to System No person shall increase the actual or design flow to any cesspool or to any other system above the existing approved capacity,or change the type of establishment of a facility served by a cesspool, unless the cesspool or system is upgraded fust. Upgrades to accept increased design flow shall be performed in full compliance with the requirements applicable to new construction unless a variance is allowed pursuant to 310 CMR 15.414. For purposes of 310 CMR 15.204,the approved design flow shall be the flow Iisted in the most recent Disposal Works Construction Permit. 15.211: Minimum Setback Distances , (1) All systems must conform to the minimum setback distance for septic tanks,holding tanks,pump chambers,treatment units and soil absorption systems,including reserve area,measured in feet and as set forth below. Where more than one setback applies,all setback requirements shall be satisfied. Septic Tank Soil Absorption System Holding Tank Pump Chamber Treatment Unit Grease Traps Property Line 10[5] 10[5] Cellar or Crawl Space Wall, Swimming Pool(inground),foundation drain 10 20 Slab Foundation 10 10 Water Supply Line(pressure) 10[1] 10[1] Surface Waters(except wetlands) 25 50 Bordering Vegetated Wetland(BVW), Salt Marshes,Inland and Coastal Banks 25 50 Surface Water Supply- Reservoirs and Impoundments 400 400 Tributaries to Surface Water Supplies 200 200 Wetlands bordering Surface Water Supply or Tributary thereto 100 100 Certified Vernal Pools 50 100[2] Private Water Supply Well or Suction Line 50 100 Public Water Supply Well (2) (2) Irrigation Well 10 25 Open,Surface or Subsurface Drains which discharge to Surface Water Supplies or tributaries thereto 50 100 Other Open,Surface or Subsurface Drains (excluding foundation drains)which intercept seasonal high groundwater table[3] 25 50 Other Open,Surface or Subsurface Drains (excluding foundation drains) 5 10 Leaching Catch Basins& Dry Wells 10 25 Downhill Slope not applicable 15[4] [1] Disposal facilities shall be at least 18 inches below water supply lines. Wherever sewer lines must cross water supply lines,both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure watertightness. [2] The required setback shall be 50 feet where the applicant has provided hydrogeologic data acceptable to the Approving Authority demonstrating that the location of the soil absorption system is hydraulically downgradient of the vernal pool.Surface topography alone • is not determinative. 4/21/06 310 CMR-512 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.412: continued (c) With the exception of those watersheds(Ware,Quabbin and Waehusett)to which the provisions of 350 CMR 11.00 (MDC Watershed Protection regulations) apply, local Approving Authorities may,after consultation with the local water supplier,issue variances for the siting of systems within the setbacks to surface water supplies or to tributaries to surface water supplies and may exempt tributaries consistent with the standards and procedures of 350 CMR 11.00 without Department approval provided that no such variance or exemption shall result in the siting of a septic tank or soil absorption system within 200 feet of said surface water supplies or 100 feet of said tributaries,or siting of a septic tank within 25 feet or a soil absorption system within 50 feet of any surface water. Copies of all such variances for uses and exemptions of tributaries shall be submitted to the Department by the local Approving Authority within 30 days of issuance. 15.413: Conditioning of Variances (1) The local Approving Authority or the Department may issue variances subject to such conditions, including, but not limited to, monitoring and reporting requirements, deed recordation requirements,financial assurances or other qualifications on the use of the system, as it deems necessary to protect public health, safety, welfare and the environment. Any conditions shall be expressed in writing in allowing the variance. (2) Any denial of a variance by the local Approving Authority or the Department may direct the applicant to upgrade an existing system consistent with the requirements and standards of 310 CMR 15.404 and 15.405. Failure to do so may be the subject of enforcement action by the local Approving Authority or the Department. 15.414: Variances for Increased Plow to Existing System Local approving authorities and the Department may vary the application of any provisions of 310 CMR 15.000 with respect to any particular case involving increased flow to an existing system only when in the opinion of both the Department(except as provided in 310 CMR 15.412(4))and the local Approving Authority all of the following conditions are met. A showing by the person requesting a variance that the proposed variance would satisfy the maximum feasible compliance provisions as set forth in 310 CMR 15.404 and 15.405 shall not presumptively entitle such person to a variance. (1) The person requesting a variance has established that strict enforcement of the provision of 310 CMR 15.000 from which a variance is sought would be manifestly unjust,considering all the relevant facts and circumstances of the individual case including, at a minimum, the following- (a) ollowing(a) the owners of any such systdm for which permit applications were filed after March 31, 1995 shall be deemed to have had knowledge that full compliance with the requirements applicable to new construction is preferred; (b) the costs of full compliance with the requirements applicable to new construction shall be compared to the costs of compliance with a variance;and (c) whether an upgrade in full compliance with 310 CMR 15.000 is feasible without increased flow. (2) The system cannot be brought into full compliance through any of the following: (a) an upgraded system which is in full compliance with 3I0 CMR 15.100 through 15.293; (b) an alternative system which has been approved for such use pursuant to 310 CMR 15.284 (remedial use), 15.285 (piloting), 15.286 (provisional approval), or 15.288 (certification for general use); (c) a shared system which has been approved for such use pursuant to 310 CMR 15.290 and 15.291;or (d) connection to a sewer system. (3) The upgraded system with the increased flow provides better protection of public health and safety and the environment than the existing system with no increase in flow. Increased flows not in compliance with 310 CMR 15.000 will rarely provide better protection than existing flows to a system designed and constructed in compliance with the 1978 Code or 310 CMR 15.000, but are more likely to constitute improvements over nonconforming or failed systems. 9/22/06 (Effective 4/21/06)-corrected 310 CMR-566 p0 R TIi � ��gil•E� �6�� �2► yt'�- '. •a �L ti � V01, ey y� cocNic�wKN 7' T �9SSAC Hus���y PUBLIC HEALTH DEPARTMENT Community Development Division Date: October 7,2008 Address: 1029 Johnson Street Re: Application for home addition Dear: Mr. and Mrs. Federico, Your application received for review on October 6,2008 has been fully reviewed by the Health Department. The application was unfortunately denied on, October 7, 2008, for the following reason as shown in red: 1. ❑ Missing information 2. ❑ Passing Title 5 inspection of septic system required per local N. Andover regulations 3. ❑ Location of structure not acceptable 4. X Undersized septic system (see attached section of the MA DEP regulations section 15.204) To address the problem(s): If#4 is checked: Options Septic systems are designed for a certain size home. The Feb. 2008 Title V report indicates it passed a test on the function of the system,however the information provided regarding the home shows the system is too small. The floor plan review has shown that the house with the addition will increase to an eight or nine-room house. At minimum there are; 3 bedrooms, 1 study,2 family like type rooms, a kitchen and a dining room. (the ninth room is the undetermined unfinished room in the basement) If this is incorrect, an onsite visit may be arranged by the health staff. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com r The town assessor file shows your house as a three bedroom home. The Health files have no information regarding the size of the system. The title five indicates a 3- bedroom home. The conclusion is that the system is designed for a 3-bedroom or maximum 7-room home. It is incumbent upon you to do one of the following prior to receiving approval on this application. a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult a professional engineer or registered sanitarian to determine the flow capacity of the septic system. b. Hire a professional engineer to design a new septic system that meets State Regulations c. Request approval of a deed restriction agreeing to always be a 4-bedroom home. i. Submit a request in writing to the Board of Health identifying why the need to . upgrade the septic system is a severe hardship. p ii. Attend a BOH meeting to address the board iii. If approved,record the deed restriction at the registry of deeds Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, � /usanwyer, ublic Health erector Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com r" 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.204: Increases in Design Flow to System No person shall increase the actual or design flow to any cesspool or to any other system above the existing approved capacity,or change the type of establishment of a facility served by a cesspool, unless the cesspool or system is upgraded first. Upgrades to accept increased design flow shall be performed in full compliance with the requirements applicable to new construction unless a variance is allowed pursuant to 310 CMR 15.414. For purposes of 310 CMR 15.204,the approved design flow shall be the flow listed in the most recent Disposal Works Construction Permit. 15.211: Minimum Setback Distances (1) All systems must conform to the minimum setback distance for septic tanks,holding tanks,pump chambers,treatment units and soil absorption systems,including reserve area,measured in feet and as set forth below. Where more than one setback applies,all setback requirements shall be satisfied. Septic Tank Soil Absorption System Holding Tank Pump Chamber Treatment Unit Grease Traps Property Line 10[5] 10[5] Cellar or Crawl Space Wall, Swimming Pool(inground),foundation drain 10 20 Slab Foundation 10 10 Water Supply Line(pressure) 10[1] 10[l] Surface Waters(except wetlands) 25 50 Bordering Vegetated Wetland(BVW), Salt Marshes,Inland and Coastal Banks 25 50 Surface Water Supply- Reservoirs and Impoundments 400 400 Tributaries to Surface Water Supplies 200 200 Wetlands bordering Surface Water Supply or Tributary thereto 100 100 Certified Vernal Pools 50 100[2] Private Water Supply Well or Suction Line 50 100 Public Water Supply Well (2) (2) Irrigation Well 10 25 Open,Surface or Subsurface Drains which discharge to Surface Water Supplies or tributaries thereto 50 100 Other Open,Surface or Subsurface Drains (excluding foundation drains)which intercept seasonal high groundwater table[3] 25 50 ' Other Open,Surface or Subsurface Drains (excluding foundation drains) 5 10 Leaching Catch Basins& Dry Wells 10 25 Downhill Slope not applicable 15[4] [1] Disposal facilities shall be at least 18 inches below water supply lines. Wherever sewer lines must cross water supply lines,both pipes shall be constructed of class 150 pressure pipe and shall be pressure tested to assure watertightness. [2] The required setback shall be 50 feet where the applicant has provided hydrogeologic data acceptable to the Approving Authority demonstrating that the location of the soil absorption system is hydraulically downgradient of the vernal pool.Surface topography alone . is not determinative. 4/21/06 310 CMR-512 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.412: continued (c) With the exception of those watersheds(Ware,Quabbin and Wachusett)to which the provisions of 350 CMR 11.00 (MDC Watershed Protection regulations) apply, local Approving Authorities may,after consultation with the local water supplier,issue variances for the siting of systems within the setbacks to surface water supplies or to tributaries to surface water supplies and may exempt tributaries consistent with the standards and procedures of 350 CMR 11.00 without Department approval provided that no such variance or exemption shall result in the siting of a septic tank or soil absorption system within 200 feet of said surface water supplies or 100 feet of said tributaries,or siting of a septic tank within 25 feet or a soil absorption system within 50 feet of any surface water. Copies of all such variances for uses and exemptions of tributaries shall be submitted to the Department by the local Approving Authority within 30 days of issuance. 15.413: Conditioning of Variances (1) The local Approving Authority or the Department may issue variances subject to such conditions, including, but not limited to, monitoring and reporting requirements, deed recordation requirements,financial assurances or other qualifications on the use of the system, as it deems necessary to protect public health, safety, welfare and the environment. Any conditions shall be expressed in writing in allowing the variance. (2) Any denial of a variance by the local Approving Authority or the Department may direct the applicant to upgrade an existing system consistent with the requirements and standards of 310 CMR 15.404 and 15.405. Failure to do so may be the subject of enforcement action by the local Approving Authority or the Department. 15.414- Variances for Increased Flow to Existing System Local approving authorities and the Department may vary the application of any provisions of 310 CMR 15.000 with respect to any particular case involving increased flow to an existing system only when in the opinion of both the Department(except as provided in 310 CMR 15.412(4))and the local Approving Authority all of the following conditions are met. A showing by the person requesting a variance that the proposed variance would satisfy the maximum feasible compliance provisions as set forth in 310 CMR 15.404 and 15.405 shall not presumptively entitle such person to a variance. (1) The person requesting a variance has established that strict enforcement of the provision of 310 CMR 15.000 from which a variance is sought would be manifestly unjust,considering all the relevant facts and circumstances of the individual case including, at a minimum, the following- (a) ollowing(a) the owners of any such system for which permit applications were filed after March 31, 1995 shall be deemed to have had knowledge that full compliance with the requirements applicable to new construction is preferred; (b) the costs of full compliance with the requirements applicable to new construction shall be compared to the costs of compliance with a variance;and (c) whether an upgrade in full compliance with 310 CMR 15.000 is feasible without increased flow. (2) The system cannot be brought into full compliance through any of the following: (a) an upgraded system which is in full compliance with 310 CMR 15.100 through 15.293; (b) an alternative system which has been approved for such use pursuant to 310 CMR 15.284 (remedial use), 15.285 (piloting), 15.286 (provisional approval), or 15.288 (certification for general use); (c) a shared system which has been approved for such use pursuant to 310 CMR 15.290 and 15.291;or (d) connection to a sewer system. (3) The upgraded system with the increased flow provides better protection of public health and safety and the environment than the existing system with no increase in flow. Increased flows not in compliance with 310 CMR 15.000 will rarely provide better protection than existing flows to a system designed and constructed in compliance with the 1978 Code or 310 CMR 15.000, but are more likely to constitute improvements over nonconforming or failed systems. 9/22/06 (Effective 4/21/06)-corrected 310 CMR-566