HomeMy WebLinkAboutMiscellaneous - 100 CANDLESTICK ROAD 4/30/2018n
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a
. Norih Andover Board of AssessorsbPublic Access
Parcel ID: 210/106.A-0097-0000.0
SKETCH
Click on Sketch to Enlarge
Community: North Andover
PHOTO
Location: 100 CANDLESTICK ROAD
Owner Name: MONTOURI, ROBERT N
CONSTANCE H MONTOURI
Owner Address: 100 CANDLESTICK ROAD
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 8 - 8 Land Area: 1.03 acres
Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2288 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 486,800 454,400
Building Value: 269,300 253,000
Land Value: 217,500 201,400
vlarket Land Value: 217,500
Mapter Land Value:
LATEST SALE
Sale Price: 0 Sale Date: 12/31/1978
Arms Length Sale Code: N -NO -OTHER Grantor:
Cert Doc: Book: 01375 Page: 0276
Page 1 of 1
http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=808639 6/29/2006
Commonwealth of Massachusetts
City/Town of Fr -
System Pumping Record CM3Form 4
'ANDOVERPARTMENT
DEP has provided this form for use by local Boards of Health. Other formsmay be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left / Right front of house, Left / Right rear of house(G;�;(igh sidee of h e'Left /
Right side of building, Left / Right front of building, Left / Right rear of building, Under deck
Address
Citylrown 9tate Zip Code
2. System Owner:
v u"r� u u% I
Name
Address (if different from location)
Cityfrown StateZip Code
��
ti
��}
Telephone Number
t'
B. Pumping Record
1to--
. Date of Pumping Date 2. Q ntity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) ;S"epticcTank ❑ Tight Tank
❑ Other (describe):
4. Effluent Tee Filter present? ❑ Yes No If, yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
i�INI
6. System Pumped By.
Neil Bateson
Name
Bateson Enterprises Ince
Company
7. Location-wh re contents were disposed:
G' S ' Lowell Waste W<
— /
t5form4.doc• 06103
F5821
Vehicle License Number
- Ly — (
Date
System Pumping Record • Page 1 of 1
Important:
When filling out
fomes on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
ren
E.
F
Commonwealth of Massachusetts
City/Town of
System Pumping Record
Form 4
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. Syste Locate
Address /�
Citylrown �c
2. System Owner:
Name
Address (if different from location)
Citv/Town
N
State
Code
State Zip Code
Telephone Number
B. Pumping Record a, -C)�
1. Date of Pumping Date 2. Quantity Pumped:
3. Type of system: ❑
❑ Other (describe):
Gallons
Cesspool(s) Q-9eptic Tank ❑ Tight Tank
4. Effluent Tee Filter present? ❑ Yes LT Ivo If yes, was it cleaned? ❑ Yes ❑ No
5. Con ' io0n System: r �� , 1 \` ,� n
V ,LJ� CEJ "
6. System Pu ped. By: "`
5 a
Name 1 Vehicle License Number
Company
7
t5form4.doc• 06/03
System Pumping Record • Page 1 of 1
TOWN OF
SYST
DATE:
SYSTEM OWNER & ADDRESS
PUMPING RECORD
APR 1 3 2005
TOv '"H ANDOVER
SYSTEM EUC-ATI0N
(example: left front of house). �C
DATE OF PUMPING. S QUANTITY PUMPED: GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
commNTs TRANSFERRED To: G.L.S.D Lowell Waste
i
kIamlkl(0
r, I
r D
i.�O 'D m7U• l Wl/vto C'e iw: e • -i1 If nfil'll ,�G li 3Q' ' 1 m . 1 1 I%. Wi A! -, IM AM,
Application for Septic Disposal System
`. `;Construction Permit _ TOVN OF
x .0 NORTH ANDOVER, MA 01845
Important: Application is hereby made for a permit to:
When filling out ❑ Construct a new on-site sewage disposal system*
forms on the
computer, use ❑ Repair or replace an existing on-site sewage disposal system*
only the tab key
to move your ❑ Repair or replace an existing system component
cursor - do not
use the return A. Facility Information
key.
z' e �4'�1�y1 k A
r�1 Address or Lot #
emm City/Town
TODAY'S DATE
$ 250.00 — Full Repair
$125.00 - Component
2.- TYPE OF SEPTIC SYSTEM*:
Eg"Fiuimp ❑Gravity (choose one)
***If pump system, attach copy of electrical permit to application***
❑ Conventional System (pipe and stone system)
Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system.
❑ Pressure Distribution S.A.S. (No D -Box) (Attach Draft Maintenance Agreement)
❑ Pressure Dosed (D -Box Present) S.A.S.
2. Owner Information
,-a
Name
Address (if different from above)
uityi i own
3. Installer Information
Name
l/v _" -
Address
City/Tow
4. Designer Information
Name
Address
CitylTown
State
Telephone Number
Name of Company
Zip Code
State Zip Code
Telephone Number (Cell Phone # i possible please)
Name of Company
State Zip Code
Telephone Number (Best # to Reach)
Application for Disposal System Construction Permit - Page 1 of 2
a°k -IF,Application for Septic Disposal System
,Construction Permit- TO�fUN OF TODAY'S DATE
I y..
r NORTH ANDOVER, MA 01845
$ 250.00 - Full Repair
$125.00 - Component
PAGE 2OF2
A. Facility Information continued....
5. Type of Building: Wes idential Dwelling or ❑Commercial
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the afore -described
on-site sewage disposal system in accordance with the provisions of Title 5 of the
Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of
North Andover, and not to place the system in operation until a Certificate of Compliance has
been is ued by thisBo d of Health.
Na VDate
Applicat" Approv By: (Board o Health Representative
4
Name Date
Application Disapproved for the following reasons:
For Office Use Only:
L Fee Attacbed? Yes No
2. Project Manager Obligation Form Attacbed? Yes No
3. Pump System? If so, Attacb copy of Electrical Permit Yes_ No
4. Foundation As -Built? (new construction ronly): Yes_ No
(Same scale as approved plan)
5. Floor Plans? (new construction only): Yes_ No
Application for Disposal System Construction Permit • Page 2 of 2
3.
4.
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the
property at (� " cr�G relative to the application
ofc_,d � e'11� dated
Z ' ��'��4 for plans by /y Gre—i and
dated p? - /d ' C'/'-1 with revisions dated
I understand the following obligations for management of this project:
As the installer I am obligated to obtain all permits and Board of Health approved plans prior
to performing any work on a site. I must have the approved plans and the permit on site
when any work is being done.
As the installer I must call for any and all inspections. If homeowner, contractor, project
manger, or any other person not associated with my company schedules an inspection and the
system is not ready then item three shall be applicable.
As the installer I am required to have the necessary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection, without
completion of the items in accordance with Tile 5 and the Board of Health Regulations may
result in a $50.00 fine being levied against my company.
a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done
first. Installer must request the inspection but does not have to be present.
b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or
verbal OK from engineer must be submitted to Board of Health, after which installer calls for
inspection time. Installer must be present for this inspection. With pump system all electrical
work must be ready and able to cause pump to work and alarm to function.
c) Final Grade — Installer must request inspection when all grading is complete. Does not have to be
on site.
As the installer I understand that only I may perform the work (other than simple excavation)
required to complete the installation of the system identified in the attached application for
installation. I further understand that work by others unlicensed to install septic systems in
North Andover can constitute reasons for denial of the system, and/or revocation or
suspension of my license to operate in the Town of North Andover; significant fines to all
persons involved are also possible.
As the Installer I understand that I must be on site during the performance of the following
construction steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection. of the sand and stone to be used.
c) Final inspection by Board of Health staff or consultant.
d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other
components.
6. As the installer I understand that I am solely responsible for the installation of the system as
per the approved plans. No instructions by the homeowner, general contractor, or any other
persons shall absolve me of this obligation.
Undersigneicensed Se nstaller
Date:
Page 1 of 1
Dellechiaie, Pamela
From: Sawyer, Susan
Sent: Tuesday, March 22, 2005 11:46 AM
To: Dellechiaie, Pamela
Subject: FW: 100 Candlestick
-----Original Message -----
From: Dan Ottenheimer [mai Ito: info@millriverconsulting.com]
Sent: Monday, March 21, 2005 1:40 PM
To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer
Subject: 100 Candlestick
Plan review for 100 Candlestick is attached. It is generally a good design with a few items in need of attention.
Please note that this design requires a variance from the Mass DEP for a leach field which is smaller than allowed
under Title 5 standards. You should hold off on any construction permit until this approval has been provided by
the applicant. Also, it looks as though they will need to make internal changes to the plumbing to have it come
out in a different direction. I'd suggest we make sure the installer knows we'll need a plumbing permit as well as
an electrical permit for this job.
Dan
ro -
Daniel Ottenheimer, President
Mill River Consulting, Inc.
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.millriverconsultiniz.com
dano@millriv_erconsulting.com
3/22/2005
f V1 Th '9
0 t�teo �4• A0
LO � fA
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Oq COCNIC N,wK• 1'I
AC
PUBLIC HEALTH DEPARTMENT
Community Development Division
July 5, 2006
Homeowner
100 Candlestick Road
North Andover, MA 01845
To Whom It May Concern:
Please note that the Health Department has recently received an application for a Disposal Works Construction
Permit from James Kellett, to perform a septic repair on your property. This Department was unable to reach you by
phone, and we are uncertain if Robert Montouri, the homeowner listed on the original plan, remains the current
homeowner.
Therefore, please be advised that according to the septic plan approval letter dated May 3, 2005, we still need two
additional pieces of information before we can grant a permit:
a) "Operation and Maintenance Agreement: Throughout its life, the Owner of the System shall have the
System properly operated and maintained in accordance with Company's and designer's operation and,
maintenance requirements, and this Approval and be under an operation and maintenance agreement
(O&M). No O&M agreement shall be for less than one year."
The Health Department needs proof that a plan is in place. Please fax a copy of your agreement to:
978.688.8476.
b) "The owner of the System shall record in the appropriate registry of deeds a notice that discloses the
existence of this Remedial Use approved alternative system. A copy of the book and page number of the
recording must be provided to the local approving authority and the Department of Environmental
Protection prior to the issuance of the Certificate of Compliance."
The Health Department needs proof that this system has been documented with the Registry of Deeds. Please
fax a copy of your deed recording to: 978.688.8476.
Once we receive all the necessary information, we will be able to process the necessary permit. Thank you for
your anticipated cooperation in this matter.
Respectfully,
NOR ANDOVER HEALTH DEPARTMENT
f'S an Y. Sawyer, RENS/6(S
blic Health Director
Cc: Letter from the North Andover Health Department to: Robert Montouri, Homeowner, dated May 3,
2005 re: Subsurface Sewage Disposal System Plan for 100 Candlestick Road, Map 106A, Parcel 97.
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
.f
I4 '
MITT ROMNEY
Governor
KERRY HEALEY
Lieutenant Governor
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
METROPOLITAN BOSTON — NORTHEAST REGIONAL OFFICE
Robert Montuori
100 Candlestick Road
North Andover, Massachusetts 01945
icRfVED
JUN 3 0 2005
TOWN OF;
June 28, 2005
ELLEN ROY HERZFELDER
Secretary
ROBERT W. GOLLEDGE, Jr.
Commissioner
RE: APPROVAL OF ALTERNATIVE TECHNOLOGY FOR REMEDIAL USE (BRPWP64c)
100 Candlestick Road, North Andover (17 -Ipswich)
DEP Transmittal No. W063757
Dear Mr. Montuori:
The Metropolitan Boston -Northeast Regional Office of the Department of Environmental Protection
has received and reviewed your application for approval of an alternative technology pursuant to 310 CMR
15.000 with the above transmittal number. The application is for upgrade to serve a property with an
existing four-bedroom dwelling. No increase in design flow is proposed.
The application contained written notification, dated May 3, 2005, stating that the North Andover
Board of Health had approved the proposed system that incorporates the use of a MicroFASTrm 0.5 unit
and Standard Infiltratoem units. As part of the remedial use approval of the MicroFASTTM 0.5 unit for
remedial use, the designer may select one of three design criteria that may be waived. The criteria that
may be waived are the size of the soil absorption system (SAS); the depth of naturally occurring pervious
material, and the depth to groundwater. The applicant has proposed a two -foot separation between the
bottom of the system and the maximum groundwater elevation. In addition the remedial use portion of
the Standard InfiltratorTI approval permits a reduction in the required SAS area. The designer has
incorporated this reduction into the design. The selection of these two waivers, depth to groundwater and
size of the SAS, results in this application's classification as a BRPWP64c.
Accompanying the application were plans consisting of two (2) sheets, titled as follows:
Title: Proposed Subsurface Sewage Disposal System Upgrade
Location: 100 Candlestick Road
Municipality: North Andover
Applicant: Robert Montuori
Designer: Benjamin C. Osgood, P.E. (Civil) No. 45891
Date (Last Revisions): February 16, 2005 (March 29, 2005)
This information is available in alternate format. Call Donald M. Gomes, ADA Coordinator, at 1-617-556-1057. TDD Service - 1-800-298-2207.
One Winter Street, Boston, MA 02108• Phone (617) 654-6500 • Fax (617) 292-5850 . TDD # (800) 298-2207
DEP on the World Wide Web: http://www.state.ma.us/dep
C) Printed on Recycled Paper
Robert Montuori Page 2
June 28, 2005
It is the Department's opinion that the requirements for the approval of this alternative technology in
accordance with 310 CMR 15.000 have been satisfied. The use of a MicroFASTTM 0.5 unit and Standard
Infiltratofrm units is proposed and is a significant improvement over the existing failed system. This
technology will provide enhanced treatment of the effluent prior to discharge. The effluent's strength will
be reduced below that of standard septic tank effluent. The Department has considered all circumstances of
this application including the limited area available. Given the enhanced treatment with pressure
distribution, the Department has concluded that the proposed system will provide a level of environmental
protection equivalent to that of a conventional Title 5 system constructed in accordance with the Code.
As part of its approval of this system, the Department will require that the following conditions shall be
complied with or this approval shall be rendered null and void:
• Prior to construction the applicant must obtain a Disposal System Construction Permit from the
North Andover Board of Health.
• The septic tank shall be pumped as often as needed and the owner shall maintain an updated
record of the pumping history of the septic tank, including the date pumped and the quantity of
sewage pumped.
• The septic system shall be abandoned and the building connected to municipal sewer within sixty
(60) days of a sewer system becoming available.
• The system is not designed to accommodate a garbage disposal. As such, one should be neither
installed nor used at this location.
• The applicant (or owner) shall abide with all requirements of the Department's Remedial Use
Approval of the MicroFASTTM 0.5 unit.
• The applicant (or owner) shall abide with all requirements of the Department's General Use
Approval of the Standard Infiltratofrm units as it relates to its use in remedial situations.
If you have any questions or additional information is required, please contact Claire A. Golden of my
staff at (617) 654-6516.
Very truly yours,
")qW+M00
Madelyn Morris
Deputy Regional Director
Bureau of Resource Protection
MM/CAG/cag
\2005alternatives 14063757app
cc: • Susan Y. Sawyer, Public Health Director, Health Department, 400 Osgood St, North Andover, MA 01845
• Benjamin C. Osgood, Jr., P.E., New England Engineering Services, Inc., 60 Beechwood Dr, North Andover, MA 01845
• DEP/BRP/Watershed Permitting/Title 5 Section/Boston
Official Use Only
THE COMMONWEALTH OF MASSACHUSETTS Permit No. -�J
Department of Public Safety �Li2r
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee Checked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00
(Please Print in ink or type all information) Date
To the Inspector of Wires:
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below(.
Location (Street & Number 100 cIp,44 t E �SD"�d�Ai ,
fl C k F
Owner of
Owner's
Number of Feeders and Ampacity Ye r n alP
cc
/ V
Location and Nature of Proposed Electrical Work Lt i I �/V 7• ! Q �.- -+.m
NORTH
NORTH ANDOVER
3z.
io�,.�.o .•!aoo TOWN OF
p PERMIT FOR WIRING
This certifies that ........................""""""""'
.......................
has permission to perfortYt =(q: .I �``• •-:`?"�'�'%`� '
wiring in the building of . ~ �..? `� : ` '�" .............................................
_? '4 ........ ,
at . ... j.. North Andover, Mass.-�
j
Fee..................... Lic. No ..........................;
ELECTRICAL INSPECTOR
Check # __—__�---
1A��
Total
o. of Transformers INA
ta
enerat"ors INA
o. of Emergency Lighting
attery Units
FgIRE ALARMS No. of Zone
qlo of Detection and
vitiating Devices
lo. of Sounding Devices
o./ of Self Contained
etection/Sounding Devices
Municipal • Other
Lal Connection
_! w Voltage
NO =
,rage by checking the appropriate box.
LIC. NO. J'/0)
0) >�
LIC. NO.
Bus. Tel Plo.
Address Alt Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
(Signature of Owner or Agent) Telephone No. PERMIT FEES
1
Is this permit in conjunction with a building permit , Yes
No
(Check Appropriate Box)
Purpose of Building
Utility Authorization No.
// ,,
�Q 34) Z�
�J Z��
Existing Service Amps voits
Overhead •
Undgrnd
No. of Meters
����0
New Service Amps voits
Overhead •
6ndgrn��-
No. of MetersJI
.,
Number of Feeders and Ampacity Ye r n alP
cc
/ V
Location and Nature of Proposed Electrical Work Lt i I �/V 7• ! Q �.- -+.m
NORTH
NORTH ANDOVER
3z.
io�,.�.o .•!aoo TOWN OF
p PERMIT FOR WIRING
This certifies that ........................""""""""'
.......................
has permission to perfortYt =(q: .I �``• •-:`?"�'�'%`� '
wiring in the building of . ~ �..? `� : ` '�" .............................................
_? '4 ........ ,
at . ... j.. North Andover, Mass.-�
j
Fee..................... Lic. No ..........................;
ELECTRICAL INSPECTOR
Check # __—__�---
1A��
Total
o. of Transformers INA
ta
enerat"ors INA
o. of Emergency Lighting
attery Units
FgIRE ALARMS No. of Zone
qlo of Detection and
vitiating Devices
lo. of Sounding Devices
o./ of Self Contained
etection/Sounding Devices
Municipal • Other
Lal Connection
_! w Voltage
NO =
,rage by checking the appropriate box.
LIC. NO. J'/0)
0) >�
LIC. NO.
Bus. Tel Plo.
Address Alt Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
(Signature of Owner or Agent) Telephone No. PERMIT FEES
1
y �S,,sv �6• ryO\
6.O
yF 6
T ±i�
OHO COCMIC�N
Kw 1'
PUBLIC HEALTH DEPARTMENT
fommunity Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 100 Candlestick Rd. MAP: 106A LOT: 97
INSTALLER: Kellett Excavation
DESIGNER: New England Engineering
PLAN DATE: 2/16/05 rev. 4/29/05
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 8/9/06
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
Comments:
SEPTIC TANK
® Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
❑ Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading Monolithic construction
® Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
® Inlet tee installed, centered under access port
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com
o " A
ey ;<
`T O'O. CMMICMI WKw 1' 4tI
PUBLIC HEALTH DEPARTMENT
(ommunity Development Division
❑ Outlet tee (gas baffle or effluent filter) installed,
centered under access port
❑ 24" inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
® Hydraulic cement around inlet & outlet
Comments: Is a combo septic tank/aerobic treatment tank per plan. 8/9/06
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
® Weep hole plugged
❑ Combo Tank installed. Size:
® 1000 gallon Pump Chamber installed
H-10 loading Monolithic construction)
® Inlet tee installed, centered under access port
® Pump(s) installed on stable base
® Alarm float working
® Pump On/Off floats working
® Separate on/off floats
® Drain hole in pressure line
❑ 24" inch cover to within 6" of final grade installed over
pump access port
® Water tightness of tank has been achieved
Visual testing
® Hydraulic cement around inlet & outlet
Comments:
ADVANCED TREATMENT TECHNOLOGY
® Type of treatment device: 0.5 Micro F.A.S.T.
❑ Installed per manufacturers requirements
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
NORTH
Q�tt�BC $6q��
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N ti fb
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Op_ CO[MI[w! Kw 7'
PUBLIC HEALTH DEPARTMENT
Community Development Division
❑ All components working in accordance with
manufacturer's requirements
Comments: F.A.S.T. blower not active at time of inspection. 8/9/06
SOIL ABSORPTION SYSTEM (General)
®
Bottom of SAS excavated down to 6 in into C soil
Number of chambers per row 16
layer, as provided on plan
®
Size of SAS excavated as per plan
®
Title 5 sand installed, if specified on plan
®
40 Mil HDPE barrier installed
❑
Retaining wall (boulder / concrete / timber/ block)
❑
Final cover as per plan
Comments:
SOIL ABSORPTION SYSTEM (Gravel -less Chambers)
®
Brand and Model of Chamber Infiltrator Quick 4
®
Number of chambers per row 16
®
Number of rows (trenches) 6
❑
Laterals installed and ends connected to header (and
vented if impervious material above)
®
Elevations of laterals and chambers installed as on
approved plan
Comments:
PRESSURE DISTRIBUTION
® 4" inch manifold
® laterals installed with end sweeps
size: 1.5"
material: SCH 40 PVC
® Squirt test 36" in height
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
Comments:
CONTROLPANEL
SYSTEM ELEVATIONS
�10RTM
O*tt�ev
O
T Cy
PUBLIC HEALTH DEPARTMENT
Community Development Division
® Equal distribution to all laterals
® orifice size 0.25" inch as per plan
® Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
® Location of control panel:
® Rated for exterior if placed outside
® Alarm signal located inside
INVERT ON DESIGN PLAN FIELD INVERT ELEV.
Building Sewer OUT
9802
98.17
Septic Tank IN
97.80
97.87
Septic Tank OUT
97.55
97.57
Pump Chamber IN
97.50
97.45
Pump Chamber OUT
97.25
97.81 (pressure)
Lateral 1 INV
100.50
100.51
Lateral 1 TOP
100.75
100.76
Lateral INV
100.50
100.52
Lateral 2 TOP
100.75
100.77
Lateral INV
100.50
100.50
Lateral 3 TOP
100.75
100.75
Lateral INV
100.50
100.53
Lateral 4 TOP
100.75
100.78
Lateral INV
100.50
100.52
Lateral 5 TOP
100.75
100.77
Lateral 6INV
100.50
100.50
Lateral 6 TOP
100.75
100.75
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.towoofnorthandover.com
NORTH
'6,gti0
O A►
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PUBLIC HEALTH DEPARTMENT
Community Development Division
CRITICAL SETBACK DISTANCES
Mark those distances checked in the field against the design plan and regulatory
setback
❑ Wetlands bordering surface
water supply or trib. (in Watershed)
Tank
SAS Sewer
❑
Property line
10
10 --
❑
Cellar wall
10
20 --
❑
Inground pool
10
20 --
❑
Slab foundation
10
10 --
❑
Deck, on footings, etc
5
10 --
❑
Waterline
10
10 101
❑
Private drinking well
75
1002 50
❑
Irrigation well
75
100
❑
Surface Water
25
50
❑
Bordering Vegetated Wetland ,
Salt Marsh, Inland / Coastal Banka
75
100
❑ Wetlands bordering surface
' Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02).
3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland
bylaws
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
water supply or trib. (in Watershed)
150
150
❑
Trib. to surface water supply
325
325
❑
Public well
400
400
❑
Interim Wellhead Prot. Area
❑
Reservoirs
400
400
❑
Drains (wat. supply/trib.)
50
100
❑
Drains (intercept g.w.)
25
50
❑
Drains (Other) Foundation
10 (5)
20 (10)
❑
Drywells
20
25
' Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02).
3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland
bylaws
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
NEW ENGLAND ENGINEERING SERVICES
INC
February 22, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 100 Candlestick Road, North Andover
Septic System Design Plan Submittal
Dear Ms. Sawyer:
The following plans and enclosures for the above referenced property are being submitted for
approval.
1. (3) Copies of the Septic System Design Plans.
2. (2) Copies of the Form 11 Soil Evaluator Sheets.
3. (2) Copies of the Form 12 -Percolation Test Sheets.
4. (2) Copies of the Pressure Distribution Pump Calculations.
5. (2) Copies of the Variance Request Letter.
6. (2) Copies of the Form 9A -Request for Local Upgrade Approval.
7. (2) Copies of the Form 913 -Local Upgrade Approval.
8. (2) Copies of the Infiltrator Certification for General Use.
9. (2) Copies of the Micro -Fast System Approval for Remedial Use.
10. Septic Plan Submittal Form and check for payment of the Town approval fee.
Please contact this office with any questions or concerns.
Sincerely,
—/- —L / t —
Thomas Hector
Project Engineer
RECEIVED
FEB 2 2 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
NEW ENGLAND ENGINEERING SERVICES
INC
February 22, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 100 Candlestick Road
Local Upgrade Approval Request &
Title 5 Variance Request
Dear Ms. Sawyer,
The purpose of this letter is to request that the above referenced property be included in
the upcoming Board of Health meeting agenda to discuss the following local upgrade
approvals and Title 5 variance requests:
Local Upgrade Approval Required
1. Allow reduction in offset distance between the leach bed and a foundation wall from
20 feet required by Title 5, section 15.211(1) to 10 feet.
Title 5 Variance Required
1. Allow a reduction in leach area from 1,760 square feet required to 1062.50 square
feet using infiltrator chambers.
If you have any comments or questions please do not hesitate to contact this office.
Sincerely,
7k -
Thomas Hector
Project Engineer
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
A*
SE
Town of North Andover`
HEALTH -DEPARTMENT
27 Charles Street
North Andover, MA 01845
978.688.9540
healthdepWown ofnorthandover. com
IC PLAN SUBMITTAL
DATE OF SUBMISSION: Z ZZ Z-) s'
SITE LOCATION: /OU ��9(4�
EIVED
FEB 2 2 2005
TOWNIOTH D ARTM ANDOVER
ENGINEER X40 6MTt -n t) AH,iw C-t%i•vzy �ri�s mac,
NEW PLANS: YES ✓ $225.00/Plan Check it: 921
(Includes 1Wne Re -Review Only)
REVISED PLANS: YES $ 75.00/Plan Check #:
SITE EVALUATION FORMS INCLUDED: YES NO
LOCAL UPGRADE FORM INCLUDED: YES NO -
Telephone #: 9 7 6 - 04 - i 7 G b Fax #• T76- (,W-- 109q
E-mail: f��src Nom` . cow
HOMEOWNERNAME: O&C-9T YX0N i vnP-1
OFFICE USE ONLY
When the submission is complete (including check):
1. Date stamp plans and letter
z Complete and attach Receipt
3. Copy File; Forward to Consultant
4. `� Enter on Log Sheet and Database
o
Y
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
rad
Commonwealth of Massachusetts
City/Town of
Form 9A - Application for Local Upgrade Approval
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
rural yH Is io oe suomlttea 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
5.404(1), is not feasible.
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, Title 5 Permitting Program, upon issuance by the local approving authority and before
commencement of construction.
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.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of
a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved
capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000.
A. Facility Information
1. Facility Name and Address:
Robert Montuori
Name
100 Candlestick Road
Street Address
North Andover
City/Town
2. Owner Name and Address (if different from above):
same
Name
City/Town
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Describe Facility:
MA
State
Street Address
State
Telephone Number
❑ Commercial ❑ School
Installation of new residential subsurface sewage disposal system
5. Type of Existing System:
01845
Zip Code
❑ Privy ❑ Cesspool(s) ® Conventional
❑ Other (describe below):
Current residential sewage disposal system is in failure
Form 9A - 100 Candlestick • rev. 5/02
Application for Local Upgrade Approval• Page 1 of 4
Commonwealth of Massachusetts
City/Town of
Form 9A - Application for Local Upgrade Approval
�M
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
A. Facility Information (continued)
6. Type of soil absorption system (trenches, chambers, leach field, pits, etc):
Leach field
7. Design Flow per 310 CMR 15.203:
Design flow of existing system:
Design flow of proposed upgraded system
Design flow of facility:
B. Proposed Upgrade of System
1. Proposed upgrade is (check one):
Unknown
gpd
440
gpd
n/a
gpd
® Voluntary ❑ Required by order, letter, etc. (attach copy)
❑ Required following inspection pursuant to 310 CMR 15.301:
2. Describe the proposed upgrade to the system:
3. Local Upgrade Approval is requested for (check all that apply):
date of inspection
® Reduction in setback(s) — describe reductions:
Request reduction in offset distance from the leach bed to a foundation wall from 20 feet required by
Title 5, section 15.211(1) to 10 feet.
❑ Reduction in SAS area of up to 25%:
SAS size, sq. ft.
❑ Reduction in separation between the SAS and high groundwater:
Separation reduction
Percolation rate
Depth to groundwater
Form 9A - 100 Candlestick • rev. 5/02
ft.
min./inch
ft.
% reduction
Application for Local Upgrade Approval* Page 2 of 4
Commonwealth of Massachusetts
City/Town of
..
Form 9A - Application for Local Upgrade Approval
M
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
B. Proposed Upgrade of system (continued)
❑ 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 member
or agent of the local approving authority.
High groundwater evaluation determined by:
Leslie Whelan 10/24/03
Evaluator's Name (type or print) Signature Date of evaluation
C. Explanation
Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be
completed)
1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
No other location available on the lot for the system size required.
2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible:
A 1500 gallon Micro Fast Septic tank is included in the design.
Form 9A - 100 Candlestick • rev. 5102 Application for Local Upgrade Approval* Page 3 of 4
Commonwealth of Massachusetts
City/Town of
Form 9A - Application for Local Upgrade Approval
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
C. Explanation (continued)
3. A shared system is not feasible:
4. Connection to a public sewer is not feasible:
Town sewer is not in the area of the pro
5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the
appropriate boxes):
❑ Application for Disposal System Construction Permit
❑ Complete plans and specifications
❑ Site evaluation forms
❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines.
Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2).
❑ Other (List):
D. Certification
"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."
2/22/05
ci Owner's ignature Date
Steven E. Pouliot, E.I.T.
(Agent for owner)
New England Engineering 2/22/05
Name of Preparer Date
60 Beechwood Drive
Preparer's address
MA
State/ZIP Code
North Andover
City/Town
978-686-1768
Telephone
Form 9A - 100 Candlestick • rev. 5/02 Application for Local Upgrade Approval, Page 4 of 4
01/25/2005 23:33 17813340115 TANGARDR PAGE 01
02/08/2805 12:14 9786851099 NEW ENG ENG PAGE 02
FORM 11-- SOIL EYALUAT4lt FORM
Page t of 3
No. -
Date:IJas o3
Commonwealth of Massachusetts
Mass�Ghusetts
.S-Oit Su&q&fiUASSES
-stte ewa e• � • •
Performed. By:...... f hmrd ......('
witnessed By:...�.t.._.G��.1.. - Rate:
.w_...... r....................• . •.n��n ..mow.
AA 01a46"
)oo CCW%4k994% Rid
Jva1 h A-n"Ycr' s ^ A OtBya
2W Construction❑ 1tep�ir
pffice Review
Published Soil SurveY Available: No Yea
Year Published .11fil Publication Seale 1 ; Mwnap ag nit
Class ,Soil Limitations
Sa1� ecologic Repoxt Av0able. No PT yes ❑
Year published Publication Sole
Geologic, MataW (Map Unit)Flood
Insurance fte Map;
Above 500 yar flood boundary No ❑Yes
Within 504 year flood boundary No Cjycs ❑
W'tbun 100 year flood boundary No ❑ Yes ❑
Welland Area:
National Welland Inventory Map (map unit)
Wetlands C. „..... _.-...._....__........ ................
__.w
LY Paha 11'1ap (map unit)
-Curr"t Water Rescum Couditions (USGS)- Month
3t#S)•
Range :Above Normal DONarrnal DBelc+.v Normal ❑
Oth' References Reviewed:
DEP APP OMM FORM. JAMT NS
01/25/2005 23:33 17813340115 TANGARDR PAGE 02
02/08/2805 12:14 9786851999 NEW ENG ENG PAQE 93
,FORM I I, SOIL EVALUATOR FORM ,
Page 2 of 3
Location After or Lot No. X00 C4Ad t,LaWc k i-oaJr
On-site Review
beep HtaleNumber ., . Oate:..�1� �3 Time.-A.'�
�-..� Weathar
Location Ctdentify on site plan)
Land Use .1d!.._..... _. SI..-.„....._....,�.r M.,�..v»,�..,w. �M.....
QIP (�i .v . SUrfaCe Stones
Vegetation`.+. M,..«w... _. A •...... _ . �... , ,, n ... M, ..
landform —Gmrj. Acft;*..�...._..TM,•�......�..�.M.M ,,,..,.M....w,,...»,.M.w M�.�..�.._..__...._._.. ,.._ .... ... ..
Fashion "on landscape (Sketch on the back)
Distances from:
Open WSW Body., feat Drainage way. -` feet ,
_ possible:W4Ariee " .�J�SL feet. Froperty Line . 04M M M feet
t i inking Water / Well f0et Other ..
7.1
DEEP OBSEFIYATION HOLE LOGDapf"
�+ 70s Herhto�l Sal Texture Sed Color
tvsoa [Muneetq (Struettere S
Gt, l f
J aYR33
i o ylF
i0YR�6 Amit , , Fr�x-ble .
9'o C,obb�,
5
2.1T Comon A4344C I &rd
7.S CA I I a Grrawal
Panni Mateft#: l"Oboo p k; a
Estin sd SQasonal ! C W Wats• YYeati�ng f<otn Pit Face,•
r
DEF APMOVD Font. UM7MS
E
n
I
01/25/2005 23:33 17813340115 TANGARDR PAGE 03
02/0812085 12:14 9786851099 NEW ENG ENG PAGE 04
�FORM 11 -SOIL EvAtwbx
Page 2 of 3
LOMI'on Address or Lot i4o. 100 0.,2A
QA-ibcReview
boep Hole 14 0
LA01160h GO" On Site plan}
landUse _Rj-_�JK ..._ Slope
VfqeftliOn ._CrI_0A3_,4 Surlao St6nes.
1.01ndform
Po won -o*n landampe (Sketch on On bw*) J ;f.
Distances froin:
Open Wot®e
4L.'feet Drainage way,._jyo__ feet
Fro*ty fj"t.
VrInIft Wmf WC41 Mg feet 0i6
Pw"
ML
Aftaftmait—ft; 'r.-t"ftWriter IntheM*:
wgqft from Pk Fam. . ..... —
...........
I
I
01/25/2005 23:33 17813340115
02/98/2005 12:14 9786851099
TANGARDR
NEW ENG ENG
PAGE 04
PAGE 95
FORM 11- SOIL EVALUATOR FORM
Page 3of3
Location Address or Lot No. Qr-
Determination for Seasonal d Water Tabl e
Method Used:
❑ Depth observed standing in observation hole .................. inches
❑ depth weeping from side f observatlon hot .................. inches
Depth to soil mottles inches(21 ""M) OX" TM)
❑ Ground -water adjustment ............... _ feet
Index Well Number Readingp e
at ..._._......_., Index well level ...................
Adjustment factor .._.___._-_. Adjusted ground water leve!
Dot of N Y Occurring Peus eElat
Does at least four feet of naturally occurring pervious material exist ina areas
observed throughout the area proposed for the soil absorption system? l
If not, what is ft depth of naturally occurring pervious material? . �Y
Cer ificatori
I certify that on_� he 9 If -(date) 1 have Passed the soil evaluator examinationapproved by the Departnnent ref Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 1 7.
j /7�
$ignatu 6 (_ . Date
DO' AMOVW PoMw IMP$ .
01/25/2005 23:33 17813340115 TANGARDR PAGE 01
02/08/2005 12:14 9786851099 NEW ENG ENG PAGE 02
FORM 11-- SOIL EYALUA'TOtt k'ORM
Page I of 3
No.. bate:
122003
CommonweWth of Massachusetts
Massachusetts
-site Vpwa e S
r
Performed By:.Z.&hmtr_-4 ..
...maw.................... -4�'tZ b
Rate;
witae w By
d �Do Can +r a asFJw�e/}FiTp,pbe� /41►�>n`lvor;
.
/K,{ �{+rti �4�t►de�,0t•, olds
►oo C*A4k*94% Road
rCDWCOnWstmru'ctIon Repair 1
Office Affliew q7g $ W 95'f3
Published Soil Survey Available: No Yen
Year PublUed �.�..... Publication Scale 13'Aft-p Soilap nitC
�liraimp Class ..�itldl�,. Soil Limitations ��i� ��,,
So�iicial OcOlvgic Rept,flvOable: No Er yes [j�
Year Published Publication Scale
Geologic, Material (Map Unit)
LVdfom_.... ..,........... .... ...
Flood Ins uce Mute Map: _ ... , �......e. ..............—._._.__.... _ .-_ ,� ..,.-. .
Above 500 ym flood boundary No (Dyes
Within 504 year flood bounder No dyes ❑
Within 100 year flood bomdaty No Dyes D
Wetland Area:
National Wedatd Inventory Map (map unit)'
Wetlands Conservancy Map (map unit) ... ...........
._,... _ ., ....................__. �..........�, ..
-Cult Water ReScume Conditions (USGS): Month tvc-�7��
age :Above Normal ONormal DBelcty Normal D
Otho' Referee= Reviewed- '
DEP AMROVM FORM -12/09!95
01/25/2005 23:33 17813340115 TANGARDR PAGE 02
02/08/2005 12:14 9786851099 NEW ENG ENG PAGE 03
1YORM II SOIL EVALUATOR FORM
Page 2 of 3
Location Addrm or Lot No. 100 C w1J 1r-ZWc k F,(� A►d r
0n-site Revie
aeGP HOle Number „ Oate:_leqaj Time:�.$.4 WeathorLocation Ctdentify on site plan)
• � ww.w...w..••«••k•«.w......,•.�•..�"•••.--....•....r••�..•.w..w...vw�..w .... Ww,. rr �nww..wn
Land Use, _. $iclPq 1961 .. "" .. Surface StonC9 ..,
Vegetation ,.w�....�'.�►;!��w�„ � •-.-......�.:_. _.� .. ,. , , , ,, n . , , w., .,
Landform
' Position ,n .. ...,....,.,,.,...w.,�.,,...�,,,.....,�,,.w..�»,.•�,• ,..�,,..�,...._. ,.w,. �,.... ._ •
v lan&08" tskatch on the back!
Distartt�sfrom:
Open Water Body '% , feet Drainage way. �.. feet
possiWeI Area 03 feet' Properly Line ..-!, .4__ fest
1*nking Water Waft ! foot Cfttw
V • ""'.""'..�..ww. '
DEEP OBSERVATION HOLE LOG"
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01/25/2005 23:33 17813340115 TANGARDR PAGE 03
02/08/2005 12:14 9786851099 NEW ENG ENG PAGE 04
�'� : - .. :�•d r,. r, .t•r �,. :ORM II + SOS,. EVAt.U4Th
Page 2 or 3
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Posid.on'on landscape (Sketch on the back)
Distances from: . r••..,.,...,..�..�...,.W..�M.»..,I.,Y...... .. ...
open Water 1300,31P0 • ,' feet Drainage way•.__1-0— feet
f'ossible':We`'pireia'� ,, feet' Prpperty Line ..'.fit • '
$rinking Water Well Mg feet Other n...�..... _...:,�. ,,
DEEP 0ESERVA110N HOLE LOG"
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' 01/25/2005 23:33 17813340115 TANGARDR PAGE 04
02/08/2005 12:14 9786851099 NEW ENG ENG PAGE 05
FORM 11- SOIL EVALUATOR FORM
Page 3 of 3
Location Addrr'ss of Lot No. -log CC►n&Wirmh R X6141mr �Qr
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side f observation'
hol ............. ..... inches
Depth to soil mottles inche421 ".�►) a" T Ps.)
❑ Ground -water adjustment ............._ feet
Index Well Number .- ............... Readingp e
at ..._._......_.. Index well level ...................
Adjustment factor .._.----__--
Adjusted ground water level ............. __�....... _...............
Denth_of Naturally -Occurring e&Ddgus "eal
Does at least four feet of naturally occurring pervious material exist iYA=
observed throughout the area proposed for the soil absorption system?
If not, what is the depth of naturally occurring pervious material?. ovyl"
I certify that on 4.11 9r (date) 1 have passed the soil evaluator examination
approved by the Departrrient of Environmental Protection and that the above analysis
vias performed by me consistent with the required training, expertise and experience
described in 310 CMR 114 7.
• Signatu lr. CDate
If
Commonwealth of Massachusetts
City/Town Of Nor4 A"ao ier
Percolation Test
° Form 12
1M
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Important:
When filling out A. Site Information
forms on the
computer, use Robert Montuori
only the tab key Owner Name
to move your 100 Candlestick Road
cursor - do not Street Address or Lot #
use the return
key. North Andover MA 01845
City/Town State Zip Code
- (978) 682-9543
Contact Person (if different from Owner) Telephone Number
B. Test Results
Witnessed By
Comments
t5form12.doc• 06/03 Perc Test • Page 1 of 1
10/24/05 9:20
11/21/03
9:05
Date Time
Date
Time
Observation Hole #
PT1
PT1
Depth of Perc
30'718"
22"M 9"
Start Pre -Soak
9:20
9:05
End Pre -Soak
9:35
9:20
Time at 12"
9:35
9:20
Time at 9"
9:45 (@ 11.5")
10:41
Time at 6"
12:51
Time (9"-6")
4 HOUR SOAK REQUIRED
130 MIN.
Rate (Min./Inch)
50 MIN./INCH
Test Passed: ❑
Test Passed:
Test Failed: ®
Test Failed:
❑
Benjamin C. Osgood, Jr.
Test Performed By:
Leslie Whelan, Mill River Consultants
Witnessed By
Comments
t5form12.doc• 06/03 Perc Test • Page 1 of 1
Commonwealth of Massachusetts
City/Town of Avo4 A"ADjer
W Percolation Test
Form 12
G^M SV 0 y
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Important: A. Site Information
When filling out
forms on the
computer, use Robert Montuori
only the tab key Owner Name
to move your 100 Candlestick Road
cursor - do not Street Address or Lot #
use the return
key. North Andover MA 01845
City/Town State Zip Code
% - (978) 682-9543
r s Contact Person (if different from Owner) Telephone Number
B. Test Results
t5form12.doc• 06/03 Perc Test • Page 1 of 1
10/24/05 9:20
11/21/03
9:05
Date Time
Date
Time
PT1
PT1
Observation Hole #
30' /18"
22'719"
Depth of Perc
9:20
9:05
Start Pre -Soak
9:35
9:20
End Pre -Soak
9:35
9:20
Time at 12"
9:45 (@ 11.5„)
10:41
Time at 9"
12:51
Time at 6”
4 HOUR SOAK REQUIRED
130 MIN.
Time (9"-6")
50 MINANCH
Rate (Min./Inch)
Test Passed: ❑
Test Passed:
Test Failed: ®
Test Failed:
❑
Benjamin C. Osgood, Jr.
Test Performed By:
Leslie Whelan, Mill River Consultants
Witnessed By:
Comments:
t5form12.doc• 06/03 Perc Test • Page 1 of 1
NEW ENGLAND ENGINEERING SERVICES
INC
DESIGN FLOW (in gallons/day)?
Elevation of the PUMP OFF SWITCH, in feet?
Elevation of the upper LATERAL, in feet?
DELIVERY PIPE distance, from pump to manifold, in feet?
DELIVERY PIPE diameter, in inches (if not 2" -use 2" min)?
Design DISTAL PRESSURE, in feet (if not 2.5)? (hd)
IS MANIFOLD CENTER -FED & SYMETRICAL (yes or no)? ye.
How many orifices in the MANIFOLD?
MANIFOLD ORIFICE diameter, in inches (if not 5/16"1
MANIFOLD DIAMETER (if not 2" --use 2" min)?
TOTAL LENGTH OF MANIFOLD
Does MANIFOLD drain to FIELD after dose (yes or no)? no
How many LATERALS?
Pumping chamber weep hole size (usually .25")
PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP TO 5(
21
YES
0
0.25 0.25
4 4
19
0.25 USE 0 IF FORCE MAIN DOES NOT DRAIN
FICES 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:
Length of each LATERAL, in feet?
62 5' 62 5 62.5' 62.5;
62.5 "6'5'
Diameter of each LATERAL, in inches (1.5" min)?
1.5 1.5". 1.5o 1.5
1.5= 1.5;
Elevation of each LATERAL, in feet?
100.5; 100.5; 100.5': 100.5.
100.5; 100.5=
Number of ORIFICES per lateral
12 12, 12; 12,
12, 12=
Distance from Manifold to closest Orifice, in feet
3.75 3.75 3.75, 3.75
3.751 3.75'
ORIFICE SPACING, in feet
5i 5 5! 5��
5� 5=
Diameter of ORIFICES, in inches? (D)
0 25: 0.25 0.25 0.25
0.25; 0.25;
Square feet of leachfield per laterals (can ignore)
295 295; 295: 295
295a 295.
Maximum number of orifices in any one lateral
12
Minimum lateral diameter
1.5
iii 5MRW R*..,
FRICTION CALCULATIONS (using Hazen Williams friction ft= Ld((3.55Qm/Ch(DdA2.63)))A1.85)
PRESSURE CALCULATIONS (using orifice dischage equation Q=11.79
DA2 hdA.5
Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral s: Lateral 6:
LATERAL DISCHAGE (first approximation)
15.32 15.32 15.32 15.32
15.32 15.32
MANIFOLD ORIFICE DISCHARGE
0.00
TOTAL SYSTEM DISCHAGE (first approximation)
91.89
TOTAL DISCHARGE PER LATERAL
15.40 15.40 15.40 15.40
15.40 15.40
DISCHARGE PER SQUARE FOOT OF LEACHFIELD
0.05220324 0.05220324 0.0522032 0.0522032 0.0522032 0.0522032
ORIFICE MAXIMUM DISCHARGE BY LATERAL
1.30 1.30 1.30 1.30
1.30 1.30
ORIFICE MINIMUM DISCHARGE BY LATERAL
1.28 1.28 1.28 1.28
1.28 1.28
ORIFICE % DIFFERENCE DISCHARGE within LATERAL
1.5% 1.5% 1.5% 1.5%
1.5% 1.5%
MAXIMUM DISCHARGE LATERAL
15.40
MINIMUM DISCHARGE LATERAL
15.40
MAXIMUM DISCHARGE PER SQUARE FOOT
0.05
MINIMUM DISCHARGE PER SQUARE FOOT
0.05
% DIFFERENCE DISCHARGE for SYSTEM by orifice
#REF! 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
0.0% as percent of maximum square foot in system
WEEP HOLE DISCHARGE (usually a 1/4" weep hole)
2.06 weep hole= 0.25 inch
VOID VOLUME IN DELIVERY PIPE
VOID VOLUME IN MANIFOLD
VOID VOLUME IN EACH LATERAL
TOTAL LATERAL VOID VOLUME
7.71
12.40
5.74 5.74 5.74 5.74 5.74 5.74
34.43
MINIMUM DOSE VOLUME (based on void volume) 172.13 to 344.25 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
MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM
MANIFOLD HEADLOSS (center -fed unless manifold design)
DELIVERY PIPE HEADLOSS
FITTING LOSS (headloss'.15)
DISTAL PRESSURE HEAD
STATIC HEAD (OFF -SWITCH TO HIGH LATERAL/MANIFOLD)
HEADLOSS PUMP TO WEEPHOLE (assume 3' run)
PUMP MUST BE ABLE TO PASS SOLIDS AT
or
After OTIS (network losses=1.3'distal head)
0.59 0.59 0.59 0.59 0.59 0.59
0.59
0.10
0.43 w/ delivery 3 inch diameter
0.45 add extra head if fittings are more than absolute minimum
3.00
6.25
0.06
94.46 G.P.M 10.87 FEET OF HEAD
94.46 G.P.M. 13.67 FEET OF HEAD
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
NEW ENGLAND ENGINEERING SERVICES
INC
DESIGN FLOW (in gallons/day)?
Elevation of the PUMP OFF SWITCH, in feet?
Elevation of the upper LATERAL, in feet?
DELIVERY PIPE distance, from pump to manifold, in feet?
DELIVERY PIPE diameter, in inches (if not 2" --use 2" min)?
Design DISTAL PRESSURE, in feet (if not 2.5)? (hd)
IS MANIFOLD CENTER -FED & SYMETRICAL (yes or no)?
How many orifices in the MANIFOLD?
MANIFOLD ORIFICE diameter, in inches (if not 5/16"`
MANIFOLD DIAMETER (if not 2" --use 2" min)?
TOTAL LENGTH OF MANIFOLD
Does MANIFOLD drain to FIELD after dose (yes or no)?
How many LATERALS?
Pumping chamber weep hole size (usually .25")
PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP
94
21
0
0.25 0.25
4 4
0.251 USE 0 1F FORCE MAIN DOES NOT DRAIN
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:
Length of each LATERAL, in feet?
9
, `
� , ' '__'62"5_1"-""
62 51 62 5. 62.51
"? "
62.5;
62.5 62.5'
Diameter of each LATERAL, in inches (1.5" min)?
1.511.5: 1.5
1.51
1.5 1.5
Elevation of each LATERAL, in feet?
100.5: 100.55: 100.5,
100.5:
100.5_: 100.5f
Number of ORIFICES per lateral
121, 12^ 12
12
12 121
Distance from Manifold to closest Orifice, in feet #
3.75' 3.75 3.75,
3.75:
3.75 3.75
ORIFICE SPACING, in feet
5 5 5`:
51�
5': 5'
Diameter of ORIFICES, in inches? (D)
0.25' 0.25- 0.25`
0.25`;
0.25` 0.25
Square feet of leachfield per laterals (can ignore)
295 295' 295;
295;
295 2W5
Maximum number of orifices in any one lateral
12
Minimum lateral diameter
1.5
FRICTION CALCULATIONS (using Hazen Williams friction ft= Ld((3.55Qm/Ch(Dd^2.63)))^1.85)
PRESSURE CALCULATIONS (using orifice dischage equation Q=11.79
D^2 hd^.5
Lateral 1: Lateral 2: Lateral 3:
Lateral 4: Lateral 5: Lateral 6:
LATERAL DISCHAGE (first approximation)
15.32 15.32 15.32
15.32
15.32 15.32
MANIFOLD ORIFICE DISCHARGE
0.00
TOTAL SYSTEM DISCHAGE (first approximation)
91.89
TOTAL DISCHARGE PER LATERAL
15.40 15.40 15.40
15.40
15.40 15.40
DISCHARGE PER SQUARE FOOT OF LEACHFIELD
0.05220324 0.05220324 0.0522032
0.0522032 0.0522032 0.0522032
ORIFICE MAXIMUM DISCHARGE BY LATERAL
1.30 1.30 1.30
1.30
1.30 1.30
ORIFICE MINIMUM DISCHARGE BY LATERAL
1.28 1.28 1.28
1.28
1.28 1.28
ORIFICE % DIFFERENCE DISCHARGE within LATERAL
1.5% 1.5% 1.5%
1.5%
1.5% 1.5%
MAXIMUM DISCHARGE LATERAL
15.40
MINIMUM DISCHARGE LATERAL
15.40
MAXIMUM DISCHARGE PER SQUARE FOOT
0.05
MINIMUM DISCHARGE PER SQUARE FOOT
0.05
• DIFFERENCE DISCHARGE for SYSTEM by orifice
#REF! 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
0.0% as percent of maximum square foot in system
WEEP HOLE DISCHARGE (usually a 1/4" weep hole)
VOID VOLUME IN DELIVERY PIPE
VOID VOLUME IN MANIFOLD
VOID VOLUME IN EACH LATERAL
TOTAL LATERAL VOID VOLUME
2.06 weep hole=
7.71
12.40
5.74 5.74 5.74
34.43
0.25 inch
5.74 5.74 5.74
MINIMUM DOSE VOLUME (based on void volume) 172.13 to 344.25 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
MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM
MANIFOLD HEADLOSS (center -fed unless manifold design)
DELIVERY PIPE HEADLOSS
FITTING LOSS (headloss'.15)
DISTAL PRESSURE HEAD
STATIC HEAD (OFF -SWITCH TO HIGH LATERAL/MANIFOLD)
HEADLOSS PUMP TO WEEPHOLE (assume 3' run)
PUMP MUST BE ABLE TO PASS SOLIDS AT
or
After OTIS (network losses=1.3'distal head)
0.59 0.59 0.59 0.59 0.59 0.59
0.59
0.10
0.43 w/ delivery 3 inch diameter
0.45 add extra head if fittings are more than absolute minimum
3.00
6.25
0.06
94.46 G.P.M 10.87 FEET OF HEAD
94.46 G.P.M. 13.67 FEET OF HEAD
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845.(978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
TOWN OF NORTH ANDOVER of NORTh 7
Office of COMMUNITY DEVELOPMENT AND SERVICES F
HEALTH DEPARTMENT
•s ^^*
400 OSGOOD STREET • �, ...�r....` «
NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss�C
Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone
Public Health .Director 978.688.9542 — FAX
March 18, 2005
Benjamin Osgood, P.E.
New England Engineering Services, Inc.
60 Beechwood Drive
North Andover, MA 01845
Re: 100 Candlestick Road, Mau 106A, Lot 97
Dear Mr. Osgood:
The proposed septic system design plans for the above site dated February 16, 2005 and received on February 22,
2005 has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. Each
item is followed by the specific section in Title 5: 310 CMR 15.000, or North Andover regulations which is not
met by this design.
1. The detail for the septic tank shows 3 manholes to grade, but the system profile shows risers only to
within 6" of grade. Please clarify the intended location of the manhole covers.
2. Please provide a draft maintenance agreement for the MicroFast treatment unit and the pressure
distribution system.
3. The pressure distribution calculations use a center -fed manifold, but the design is based upon
calculations for an end -fed manifold. This should be reviewed and clarified.
4. - The pump dosing drainback calculations do not include the manifold volume. This will reduce the dose
to the field by approximately 12 gallons which would then put the dose volume below the recommended
minimum.
Additionally, while not a reason for plan disapproval, you may wish to consider the following in your revised plan
submission: The location of the blower and vent for the treatment unit is specified to be placed in close proximity to
the dwelling. You may wish to consult with the manufacturer regarding issues of noise or odor and whether
protective measures or a different location may be prudent.
Please feel free to contact the office with any questions you may have. We look forward to working with you to
obtain a septic system which will be in compliance with all regulations and assure protection of public health and the
environment of North Andover.
Sincerely,
Su n Y. Sawyer, REHS/RS
Public Health Director
cc: Owner
File
TOWN OF NORTH ANDOVER f NORT11 4
r Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845"sSACMUS t�
Susan Y. Sawyer, REHS/RS
Public Health Director
May 2, 2005
Robert Montouri
100 Candlestick Road
North Andover, MA 01845
978.688.9540 — Phone
978.688.9542 — FAX
RE: Subsurface Sewage Disposal System Plan for 100 Candlestick Road, Map 106A, Lot 97
Dear Ms. Montouri,
The North Andover Board of Health has completed the review of the septic system design plans
for the above referenced property submitted on your behalf by New England Engineering
Services dated March 29, 2005 and received by this office on April 8, 2005.
The design has been approved for use in the construction of an upgrade onsite septic system. This
approval is valid for three years from the date of this letter and during this time a licensed septic
system installer must obtain a permit and complete this work, and a Certificate of Compliance
must be endorsed by the installer, designer and the Town of North Andover.
This approval is subject to the following conditions:
1) If site conditions are found in the field to be different from those indicated on the design
plan and/or soil evaluation, the originally issued Disposal System Construction Permit is
void, installation shall stop, and the applicant shall reapply for a new Disposal Systems
Construction Permit (3 10 CMR 15.020(1)).
2) It is the responsibility of the applicant and/or the applicant's septic system designer,
septic system installer or other representative to ensure that all other state and municipal
requirements are met. These may include review by the Conservation Commission,
Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical
Inspector. The issuance of a Disposal System Construction Permit shall not construe
and/or imply compliance with any of the aforementioned requirements.
3) Approval of the Massachusetts Department of Environmental Protection is required for
the variance requested with this septic system design. Approval, must be obtained prior to
issuance of a Disposal System Construction Permit.
4) The approval letter issued by the Massachusetts Department of Environmental Protection
(DEP) for the treatment unit which is part of this onsite wastewater system requires:
a) "Operation and Maintenance Agreement: Throughout its life, the Owner, .of the System
shall have the System properly operated and maintained in accordance with Company's
and designer's operation and maintenance requirements and this Approval and be under
--} an operation and maintenance agreement (O&M). No O&M agreement shall be for less
r f
than one year."
A draft agreement has been provided which is satisfactory to be implemented. This must
be signed and returned to this office prior to issuance of a Disposal Systems Construction
Permit.
Additionally, effluent from the septic system needs to be monitored quarterly. At a
minimum, the following parameters shall be monitored: pH, BODS, and TSS. All
monitoring and operation and maintenance data shall be submitted to the local approving
authority and the DEP by January 31 st of each year for the previous calendar year. After
one year of monitoring and reporting and at the written request of the owner, the DEP
may reduce the monitoring and reporting requirements.
"The owner of the System shall record in the appropriate registry of deeds a notice that
discloses the existence of this Remedial Use approved alternative system. A copy of the
book and page number of the recording must be provided to the local approving authority
and the Department of Environmental Protection prior to the issuance of the Certificate of
Compliance."
c) The owner of the System shall provide a copy of the DEP Approval letter, prior to the.
signing of a purchase and sale agreement for the facility served by the System or any
portion thereof, to the proposed new owner.
Your effort to provide a properly functioning septic system for your dwelling is greatly
appreciated. The Health Department may be reached at 978-688-9540 with any questions you
might have.
Sincerely,
Susan Y. Sawyer, REHS/RS
Public Health Director
encl: List of licensed septic system installers
cc: New England Engineering Services
file
TOWN OF NORTH ANDOVER f NORTH 1
Office of COMMUNITY DEVELOPMENT AND SERVICES a �p
HEALTH DEPARTMENT
400 OSGOOD STREET
► ° e ....t.3:.. yes r
NORTH ANDOVER, MASSACHUSETTS 01845 "SS;CHU t�
Susan Y. Sawyer, REHS/RS
Public Health Director
May 2, 2005'
Robert Montouri
100 Candlestick Road
North Andover, MA 01845
978.688.9540 — Phone
978.688.9542 — FAX
RE: Subsurface Sewage Disposal System Plan for 100 Candlestick Road
Map 106A, Parcel 97
Dear Mr. Montouri:
The North Andover Board of Health has completed the review of the septic system design plans
for the above referenced property submitted on your behalf by New England Engineering
Services dated February 16, 2005, Revised on March 29, 2005, and received by this office on
April 8, 2005.
The design has been approved for use in the construction of an upgrade onsite septic system
for a four-bedroom home (maximum 9 -room house). This approval is valid for three years
from the date of this letter and during this time a licensed septic system installer must
obtain a permit and complete this work, and a Certificate of Compliance must be endorsed
by the installer, designer and the Town of North Andover.
With regard to the Special Design Notes indicated in the approved plan:
1. The "Micro Fast" pre-treatment system is being used to allow a reduction between the bottom
of leaching facility and the groundwater from 4 feet required by Title 5 to 2 feet pursuant to
the approval for remedial use issued by DEP dated August 13, 2001.
2. Approval of this plan requires a maintenance contract between the system owner and a
licensed treatment plant operator for the quarterly inspection and maintenance of the
"Micro Fast" pretreatment system.
3. This design utilizes the "Bw" horoizon material to obtain 48" of pervious material below the
leach field.
At the April 28, 2005 Board of Health Meeting, the following was approved:
Title 5 Variances Required
1. Allow a reduction in the leach area from 1,760 square feet required to 1062.50 square
feet using infiltrator chambers.
Local Upgrade Approval
1. Allow reduction in offset distance between the leach bed and a foundation wall from
20 feet required by Title 5, section 15.211(1) to 10 feet.
In addition, the Town of North Andover approval is subiect to the following conditions:
1. If site conditions are found in the field to be different from those indicated on the design
plan and/or soil evaluation, the originally issued Disposal System Construction Permit is
void, installation shall stop, and the applicant shall reapply for a new Disposal Systems
Construction Permit (3 10 CMR 15.020(1)).
2. It is the responsibility of the applicant and/or the applicant's septic system designer,
septic system installer or other representative to ensure that all other state and municipal
requirements are met. These may include review by the Conservation Commission,
Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical
Inspector. The issuance of a Disposal System Construction Permit shall not construe
and/or imply compliance with any of the aforementioned requirements.
Please note that the attached DEP Form 9B, Local Upgrade Approval Form must be submitted to
the appropriate Regional Office of the Department of Environmental Protection, Bureau of
Resource Protection, Title 5 Permitting Program upon issuance by the local approving authority
and before commencement of construction. Note that the mailing address is: #1 Winter Street,
Boston MA 02108 and must be submitted by the property owner.
Your effort to provide a properly functioning septic system for your dwelling is greatly
appreciated. The Health Department may be reached at 978-688-9540 with any questions you
might have.
Sincerely,
Susan Y. Sawyer, REHS/RS
Public Health Director
Encl: List of licensed septic system installers
Form 9B — Local Upgrade Approval — to be sent to DEP by Homeowner
cc: New England Engineering Services
File
N
TOWN OF NORM ANDOVER Of pORTN
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 �'Ss�CHUs
Susan Y. Sawyer, REHS/RS
Public Health Director
May 3, 2005
Robert Montouri
100 Candlestick Road
North Andover, MA 01845
978.688.9540 — Phone
978.688.9542 — FAX
RE: Subsurface Sewage Disposal System Plan for 100 Candlestick Road
Map 106A, Parcel 97
Dear Mr. Montouri:
The North Andover Board of Health has completed the review of the septic system design plans
for the above referenced property submitted on your behalf by New England Engineering
Services dated February 16, 2005, Revised on March 29, 2005, and received by this office on
April 8, 2005.
The design has been approved for use in the construction of an upgrade onsite septic system
for a four-bedroom home (maximum 9 -room house). This approval is valid for three years
from the date of this letter and during this time a licensed septic system installer must
obtain a permit and complete this work, and a Certificate of Compliance must be endorsed
by the installer, designer and the Town of North Andover.
With regard to the Special Design Notes indicated in the approved plan:
1. The "Micro Fast" pre-treatment system is being used to allow a reduction between the bottom
of leaching facility and the groundwater from 4 feet required by Title 5 to 2 feet pursuant to
the approval for remedial use issued by DEP dated August 13, 2001.
2. Approval of this plan requires a maintenance contract between the system owner and a
licensed treatment plant operator for the quarterly inspection and maintenance of the "Micro
Fast" pretreatment system.
The approval letter which must be issued by the Massachusetts Department of Environmental
Protection (DEP) for the treatment unit which is part of this onsite wastewater system requires:
a) "Operation and Maintenance Agreement: Throughout its life, the Owner of the System
shall have the System properly operated and maintained in accordance with Company's
and designer's operation and maintenance requirements and this Approval and be under
an operation and maintenance agreement (O&M). No O&M agreement shall be for less
than one year."
i
r A draft agreement has been provided which is satisfactory to be implemented. This must
be signed and returned to this office prior to issuance of a Disposal Systems Construction
Permit.
Additionally, effluent from the septic system needs to be monitored quarterly. At a
minimum, the following parameters shall be monitored: pH, BODS, and TSS. All
monitoring and operation and maintenance data shall be submitted to the local approving
authority and the DEP by January 31 st of each year for the previous calendar year. After
one year of monitoring and reporting and at the written request of the owner, the DEP
may reduce the monitoring and reporting requirements.
b) "The owner of the System shall record in the appropriate registry of deeds a notice that
discloses the existence of this Remedial Use approved alternative system. A copy of the
book and page number of the recording must be provided to the local approving authority
and the Department of Environmental Protection prior to the issuance of the Certificate of
Compliance."
c) The owner of the System shall provide a copy of the DEP Approval letter, prior to the
signing of a purchase and sale agreement for the facility served by the System or any
portion thereof, to the proposed new owner.
3. This design utilizes the `Bw" horoizon material to obtain 48" of pervious material below the
leach field.
At the April 28, 2005 Board of Health Meeting, -the following was approved:
Title 5 Variances Required
1. Allow a reduction in the leach area from 1,760 square feet required to 1062.50 square feet
using infiltrator chambers.
Local Upgrade Approval
1. Allow reduction in offset distance between the leach bed and a foundation wall from 20 feet
required by Title 5, section 15.211(1) to 10 feet.
In addition the Town of North Andover approval is sub'ect to the following -conditions:
1. If site conditions are found in the field to be different from those indicated on the design
plan and/or soil evaluation, the originally issued Disposal System Construction Permit is
void, installation shall stop, and the applicant shall reapply for a new Disposal Systems
Construction Permit (3 10 CMR 15.020(1)).
2. It is the responsibility of the applicant and/or the applicant's septic system designer,
septic system installer or other representative to ensure that all other state and municipal
requirements are met. These may include review by the Conservation Commission, Zoning
Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector.
The issuance of a Disposal System Construction Permit shall not construe and/or imply
compliance with any of the aforementioned requirements.
Please note that the attached DEP Form 913, Local Upgrade Approval Form must be submitted to
the appropriate Regional Office of the Department of Environmental Protection, Bureau of
Resource Protection, Title 5 Permitting Program upon issuance by the local approving authority
and before commencement of construction. Note that the mailing address is: #1 Winter Street,
Boston MA 02108 and must be submitted by the property owner.
Your effort to provide a properly functioning septic system for your dwelling is greatly
appreciated. The Health Department may be reached at 978-688-9540 with any questions you
might have.
Sincerely,
Susan Y. Sawyer, REHS/RS
Public Health Director
Encl: List of licensed septic system installers
Form 9B — Local Upgrade Approval — to be sent to DEP by Homeowner
Sample Notice of Variance/Deed Restriction Form
Sample of O&M Service Contract for Pressure Distribution Soil Absorption System
cc: New England Engineering Services
File
0.
v Commonwealth of Massachusetts
City/Town of
Local Upgrade Approval
Form 9B
wM
DEP has provided this form for use by local Boards of Health if they choose to do so.
The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided
to the system owner. The system owner shall provide a copy of the Local Upgrade Approval to the
appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource
Protection, Title 5 Permitting Program, upon issuance by the local approving authority and before
commencement of construction.
A. Facility Information
Important:
When filling out
1. Facility Name and Address
forms on the
computer, use
Robert Montuori
only the tab key
Name
to move your
100 Candlestick Road
cursor - do not
Street Address
use the return
key.
North Andover
City/Town
VQ
2. Owner Name and Address (if different from above):
(same)
Name
City/Town
Zip Code
3. Type of Facility (check all that apply):
® Residential ❑ Institutional
4. Design flow per 310 CMR 15.203:
5. System Designer:
60 Beechwood Drive
MA
State
Street Address
State
Telephone Number
❑ Commercial
440
❑ School
01845
Zip Code
gpd
Benjamin C. Osgood, Jr. ® PE ❑ RS
Name
North Andover MA, 01845
Address Cityrrown State, ZIP
B. Approval
1. Local Upgrade Approval is granted for:
❑ Reduction in setback(s) — specify:
❑ Reduction in SAS area of up to 25%:
SAS size, sq. ft.
% reduction
Form 913 - 100 Candlestick • rev. 5/02 Local Upgrade Approval* Page 1 of 2
• Commonwealth of Massachusetts
City/Town of
Local Upgrade Approval
Form 9B
�M
B. Approval (continued)
❑ Reduction in separation between the SAS and high groundwater:
Separation reduction
Percolation rate
Depth to groundwater
❑ Relocation of water supply well (explain):
ft.
min./inch
ft.
List local variances granted not requiring DEP approval per 310 CMR 15.412(4):
List variances granted requiring DEP approval:
171,&
�y � �'�"`dn YG✓ �J L:
Approving Authority
�`l . � s v� J Zc��/'t ✓
Prriint or Type Name and Title
ature
Date
Form 9B - 100 Candlestick • rev. 5/02 Local Upgrade Approval, Page 2 of 2
PUBLIC HEALTH DEPARTMENT
Community Development Division
Sandra Skelton
846 Chestnut Street
North Andover, MA 01845
June 30, 2006
Re: Variance request
Dear Ms. Skelton,
This correspondence is in response to your request to the Health Department to appear at the
May 25, 2006 meeting of the Board of Health. At that meeting the members of the Board of
Health approved a variance to the North Andover Subsurface Disposal Regulations 1.07
"Cesspools are failed systems and shall be replaced with a system meeting these regulations and
310 CMR 15.000" a cesspool is a failed system". With this variance the board allows the
property, known as 846 Chestnut Street, to maintain the drywell for the purpose of the laundry
water only.
This variance approval is granted for the home as was approved for a recent addition. It
does not include any future additions to the total number of rooms such as the garage and pool
house. Any further addition of flow to this system would require the installation of a fully
compliant wastewater disposal system or the connection of the home to a municipal sewer and
the proper abandonment of the existing system.
Sin,
usan Sawyer, REHS S
Public Health Director
Cc: Building Dept.
File
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 fax '978.688.8476 Web www.townofnorthandover.com
NEW ENGLAND ENGINEERING SERVICES
INC
April 6, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 100 Candlestick Road, North Andover
Septic System Design
Dear Susan:
RECEIVED
APR 8 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Enclosed are revised plans which are being submitted for the property referenced above.
Changes have been made to address the comments dated March 18, 2005. The changes
are as follows.
1. The riser notes for the septic tank have been revised.
2. A draft maintenance agreement is enclosed.
3. The pressure distribution calculations were done for a center fed manifold which is
symmetrical. The plan is designed with a center fed manifold which is symmetrical.
We do not have an end fed manifold and therefore no changes were made to address
this comment.
4. The pump dosing calculations have been revised to include the drainback volume
from the manifold..
These plans are being submitted for approval. If you have any comments or questions
please do not hesitate to contact this office.
Sincerely,
CC
Ben C. Osgood, Jr. P.E.
President
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
09 -FEB -05 09:31AM FROM-JREMPROD +1508880T232 T-293 P.02/03 F -5T0
—' �g�DE�\IED 44 Commercial Street
Please eom
Pleaplata oil items marked • Raynham, MA
including throe signatuea. Mal 02767
signed original contact to: APR ®8 2005
WhM aw Trc U=tt Tgvices. lr& TO (SM) 880-0233
44 COMMada> geed TH ANDOVER Fax; (508) 880.7232
Raynham MA 92767 TOW N OF NOR
HEALTH DEPARTMENT
INSPECTION AND FF DENT TESTING AGREEMENT
Agreement entered into by and between Wastewater Treatment Services, Inc. (herein called WTS) and
the FAST` System OWNER (herein called OWNER) for the inspection by WTS of certain equipment
of OWNER which is described below.
Upon acceptance of this agreement at WTS's office, WTS will render the following services only:
Equipment will be inspected at least 4 times per year that this Agreement remains in effect, with the fust
inspections beginning . These inspections will include:
1) Testing of the sludge depth in the septic tank.
2) Inspection, power testing and cleanheplace intake filter of the air blower.
3) Inspection of the alarm system.
4) Inspect overall condition of FAST* System.
5) Notification to OWNER of any problems encountered.
*6) ' Inspection of Septic Tank and Pump Chamber
*7) Inspection of pump and pump cycle
*8) Inspect/clean floats
9) Service other than routine maintenance will be billed at an hourly rate, plus travel and parts.
WTS shall notify the local Board of Health and Department of Environmental Protection in writing
within 24 hours of a system failure or alarm event including corrective measures that have been taken.
OWNER will be billed standard WTS charges for any parts used in repairs or maintenance. Any
additional labor time will be billed to the OWNER at standard labor rates of $74.00 per hour.
Emergency service between regular inspections will be provided at standard labor rates during normal
business hours; at time and one-half after 5:00 PM and on Saturdays; and at double time on Sundays and
holidays. Emergency service charges will include a minimum four (4) hours of labor, plus standard
W17S charges for parts, plus mileage and travel charges. The annual rate includes routine maintenance,
but does not include repairs required for damages caused by abuse, accident, theft, acts of third persons,
forces of nature, or alterations made to the equipment. WTS shall not be responsible for failure to render
the agreed services if caused by strikes, labor disputes, non-cooperation by OWNFR, or other factors
beyond the control of WTS.
OWNER understands and agrees that WTS is not responsible for special, incidental or consequential
damages, including loss of time, injury to person or property, or equipment failure.
OWNER agrees that WTS may enter OWNER's property and have acceptable access to all areas
deemed by WTS to be necessary or appropriate for WTS to perform its duties hereunder.
OS -FEB -05 09:31AM FROM-JREMPRODF RECEIVED +15088807232 T-293 P.03/03 F-570
APR 8 2005
This is atwo-year contract which will jg F N�T pa is are non-refundable. OWNER's failure
to pay invoices promptly or to otherwi tnp y wt t s contract may result in suspension of service,
cancellation of contract and/or nullification of warranties, at the election of WTS. This agreement is not
assignable without the consent of WTS and will remain in force until canceled by either party through written
notice.
M_ _ANUFAC'TCJRER MODEL NO. SERIAL NO. L CATION ANNUAL RATE
Bio-Microbics MicroFAST North Andover, MA $390.00
E�MENT OWNER Wastewater Treatment Services, Ync.
#cicmed by OWNER:
Signed:
*Address:
*City: State•.Zip:
North Andover MA 01845
Telephone 978-794-9526
Daytime Telephone:
44 Commercial Street
Raynham, MA 02767
Tele: (508) 823-9566
Pax: (508) 880-7232
Effective Date of Agreement
OWNER understands that (1) ANNUAL RATE payment is for one year only of this two-year agreement
and is non-refundable; and (2) Current AEP Regulations require OWNER to maintain a service agreement for
the life of the FAST* System. Y HAVE READ AND UNDERSTAND THE FOREGOING.
-Signed by OWNER:
Effluent Testing
Effluent sample taken 4 times per year and delivered to a qualified testing lab for cvaluation. Results sent to
State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable access to
effluent to enable a grab sample to be taken for laboratory testing performed.
PERMIT:
*(PLEASE CHECK ONE) ( ) GENERAL ( X ) REMEDIAL ( ) PROVISIONAL
*SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (Y) or (1) if YES. please .attach copy of permit
(X) pH,'BODS, TSS
Cost for Testing:
Testing of Distal Pressure
Total
Operator assigned:
Telephone:
() Total Nitrogen ( X ) Other per Local Board of Health:
*Distal Pressure & Inspection
of pump, floats, septic & pump
chamber.
$180.001visit
$150.001yicit
$330.00/Visit
William Everett
(908)400-3868
*Approval for Effluent Testing
Homeowner Signature
*Engineer: New England Engineering
NEW ENGLAND ENGINEERING SERVICES
INC
April 9, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Re: 100 Candlestick Road, North Andover, MA
Certified Mail Receipts for Public Hearing
Dear Ms. Sawyer:
APR 12 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
New England F,ngineering Services is submitting the original mail receipts of the notification of
abutters for the above referenced property. These are being submitted for your records. Also
included is a copy of the public notice letter sent to each abutter. We look forward to attending
the next meeting regarding 100 Candlestick Road.
Please contact this office with any questions or concerns.
Sincerely,
Thomas Hector
Project Engineer
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
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PUBLIC NOTICE
PUBLIC HEARING
Public notice is hereby being given to the abutters of 100 Candlestick Road, North
Andover, MA regarding the request of Robert Montuori for approval of Variances to the
requirements of Title 5, the state law governing the installation of septic systems. The
following Variance is being requested:
Title 5 Variance Required
Reduction in leach area from 1,760 sq. ft. required to 1062.50 sq. ft. using
infiltrator chambers.
Local Upgrade Approval Required
1. Allow.reduction in offset distance between the leach bed and a foundation wall
from 20 feet required by Title 5, section 15.211(1) to 10 feet.
The North Andover Board of Health will hold a public hearing regarding this request on
Thursday, April 28, 2005 at 5:00 PM at the Town Hall second floor conference room
located at 120 Main Street, North Andover, MA. If you have question regarding this
hearing you, you may contact the North Andover Board of Health at (978) 688-9540, or
contact New England Engineering Services, Inc. at (978) 686-1768.
IL —_
BOARD OF HEALTH
NORTH ANDOVER, MA 01845
978-688-9540
APPLICATION FOR SOIL TESTS
DATE: MAP & PARCEL:
LOCATION OF SOIL TESTS: 200 Cavi P,�_ i= s 7 c K,
OWNER: _ gam /1Aor,.yoZ% TEL. NO.:
ADDRESS: 10 v r A-�j 0 I E s,c AI�� , /V
SEP 3 0 2000
. _-
ENGINEER: r N (,-1 tjCe 2(rJG—TEL. NO.: c, 7P - 662 -
CERTIFIED
8a -
CERTIFIED SOIL EVALUATOR: %� ti N ,q R j>
7
5
Intended Use of Land: Residential Subdivision L Single Family Hom�
Is This:
Repair Testing: Undeveloped lot testing:
In the Lake Cochichewick Watershed? Yes
No
Commercial
IHE r•ULLUWING MUST BE INCLUDED WITH THIS FORM
1. Proof of land ownership (Tax bill, or letter from owner permitting test)
2. Plot plan & Location of Testing
3. Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area Fee of $200.00 per lot for repairs or
Lipgrades. (If time is not critical, fee for repairs is $75.00)
GENERAL INFORMATION
jT_
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans.
3. At least two deep holes and two percolation tests are required for each septic system disposal area.
4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the
BOH representative.
5. Full payment will be required for all additional tests within two weeks of testing.
6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') shall be submitted to the Board
of Health showing the location of all tests (including aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conseruaryt/ion Commission Approval:
tl f5 O
Date Received: 'Check Amount: e2 Check Date:
SEP 3 0 2003�tkl'/
n
Ali
o
Page 1 of 1
DelleChiaie, Pamela
From: Dan Ottenheimer [info@milldverconsulfing.com]
Sent: Monday, November 24, 2003 8:39 AM
To: Heidi Griffin; Brian Ladrasse; Pamela Dellechiaie
Subject: 100 Candlesfick Road
Heidi, Brian and Pam,
Attached please find the percolation test results for the property at 100 Candlestick
Road. The soil testing was completed several weeks ago with the results already
forwarded to the Town. The site required an overnight soak for the percolation test
which was completed last week.
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.miliriverconsulting.com
info@millriverconsulting.com
11/24/2003
�.�!11J1� I'� i
MITT ROMNEY
Governor
KERRY HEALEY
Lieutenant Governor
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
METROPOLITAN BOSTON — NORTHEAST REGIONAL OFFICE
Robert Montuori
100 Candlestick Road
North Andover, Massachusetts 01945
JUN 3 o 2005
TOWN OF i,i(Z'Tt-I ANDOVER
HEALl"H: A_-- %ENT
June 28, 2005
ELLEN ROY HERZFELDER
Secretary
ROBERT W. GOLLEDGE, Jr.
Commissioner
RE: APPROVAL OF ALTERNATIVE TECHNOLOGY FOR REMEDIAL USE (BRPWP64c)
100 Candlestick Road, North Andover (17 -Ipswich)
DEP Transmittal No. W063757
Dear Mr. Montuori:
The Metropolitan Boston -Northeast Regional Office of the Department of Environmental Protection
has received and reviewed your application for approval of an alternative technology pursuant to 310 CMR
15.000 with the. above transmittal number. The application is for upgrade to serve a property with an
existing four-bedroom dwelling. No increase in design flow is proposed.
The application contained written notification, dated May 3, 2005, stating that the North Andover
Board of Health had approved the proposed system that incorporates the use of a MicroFASTTM 0.5 unit
and Standard InfiltratorTM units. As part of the remedial use approval of the MicroFASTTM 0.5 unit for
remedial use, the designer may select one of three design criteria that may be waived. The criteria that
may be waived are the size of the soil absorption system (SAS), the depth of naturally occurring pervious
material, and the depth to groundwater. The applicant has proposed a two -foot separation between the
bottom of the system and the maximum groundwater elevation. In addition the remedial use portion of
the Standard InfiltratorTM approval permits a reduction in the required SAS area. The designer has
incorporated this reduction into the design. The selection of these two waivers, depth to groundwater and
size of the SAS, results in this application's classification as a BRPWP64c.
Accompanying the application were plans consisting of two (2) sheets, titled as follows:
Title: Proposed Subsurface Sewage Disposal System Upgrade
Location: 100 Candlestick Road
Municipality: North Andover
Applicant: Robert Montuori
Designer: Benjamin C. Osgood, P.E. (Civil) No. 45891
Date (Last Revisions): February 16, 2005 (March 29, 2005)
This information is available in alternate format. Call Donald M. Gomes, ADA Coordinator, at 1-617-556-1057. TDD Service - 1-800-298-2207.
One Winter Street, Boston, MA 02108• Phone (617) 654-6500 . Fax (617) 292-5850 • TDD # (800) 298-2207
DEP on the World Wide Web: http://www.state.ma.us/dep
0 Printed on Recycled Paper
r
Robert Montuori Page 2
June 28, 2005
It is the Department's opinion that the requirements for the approval of this alternative technology in
accordance with 310 CMR 15.000 have been satisfied. The use of a MicroFASrm 0.5 unit and Standard
Infiltratof1m units is proposed and is a significant improvement over the existing failed system. This
technology will provide enhanced treatment of the effluent prior to discharge. The effluent's strength will
be reduced below that of standard septic tank effluent. The Department has considered all circumstances of
this application including the limited area available. Given the enhanced treatment with pressure
distribution, the Department has concluded that the proposed system will provide a level of environmental
protection equivalent to that of a conventional Title 5 system constructed in accordance with the Code.
As part of its approval of this system, the Department will require that the following conditions shall be
complied with or this approval shall be rendered null and void:
• Prior to construction the applicant must obtain a Disposal System Construction Permit from the
North Andover Board of Health.
• The septic tank shall be pumped as often as needed and the owner shall maintain an updated
record of the pumping history of the septic tank, including the date pumped and the quantity of
sewage pumped.
• The septic system shall be abandoned and the building connected to municipal sewer within sixty
(60) days of a sewer system becoming available.
• The system is not designed to accommodate a garbage disposal. As such, one should be neither
installed nor used at this location.
• The applicant (or owner) shall abide with all requirements of the Department's Remedial Use
Approval of the MicroFASrm 0.5 unit.
• The applicant (or owner) shall abide with all requirements of the Department's General Use
Approval of the Standard Infiltratofrm units as it relates to its use in remedial situations.
If you have any questions or additional information is required, please contact Claire A. Golden of my
staff at (617) 654-6516.
Very truly yours,
1)A(1UW
Madelyn Morris
Deputy Regional Director
Bureau of Resource Protection
MM/CAG/cag
\2005alternatives 14063757app
cc: • Susan Y. Sawyer, Public Health Director, Health Department, 400 Osgood St, North Andover, MA 01845
• Benjamin C. Osgood, Jr., P.E., New England Engineering Services, Inc., 60 Beechwood Dr, North Andover, MA 01845
• DEP/BRP/Watershed Permitting/Title 5 Section/Boston
it
JANE SWIFT
Governor
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617-292-5500
BOB DURAND
Secretary
LAUREN A. LISS
Commissioner
APPROVAL FOR REMEDIAL USE
Pursuant to Title, 310 CMR 15.00
Name and Address of Applicant:
Bio-Microbics, Inc,
8450 Cole Parkway
Shawnee, KS 66227
Trade name of technology and model: MicroFAST Treatment System Models MicroFAST 0. 5,
0.9, 1.5, 3.0, 4.5 and 9.0; HighStrengthFAST Treatment System Models HighStrengthFAST 1.0,
1. 5, 3.0, 4.5 and 9.0 and NitriFAST Treatment System Models NitriFAST 0. 5, 1.0, 1.5, 3.0, 4.5
and 9.0 (hereinafter called the "System"). Schematic drawings of each model are attached and are
a part of this Approval.
Date of Application:
Transmittal Number:
Date of Issuance:
Expiration date:
March 16, 2001
W 019013
August 13, 2001
August 13, 2006
Authority for issuance
Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of
Environmental Protection hereby issues this Approval for Remedial Use to: Bio-Microbics, Inc.,
8450 Cole Parkway, Shawnee, KS 66227 (hereinafter "the Company"), approving the System
described herein for Remedial Use in the Commonwealth of Massachusetts. Sale and use of the
System are conditioned on compliance by the Company and the System owner with the terms and
conditions set forth below. Any noncompliance with the terms or conditions of this Approval
constitutes a violation of 310 CMR 15.000.
Glenn Haas, Acting Assistant Commissioner
Bureau of Resource Protection
Department of Environmental of protection
Date
This information is available in alternate format by calling our ADA Coordinator at (617) 5746872.
DEP on the World Wide Web: http• AWM-state.mamatclep
A Printed on Recvcled Paoer
0
Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST
I. Purpose
1. The purpose of this approval is to allow use of the System in Massachusetts, on a Remedial
Use basis.
2. With the necessary permits and approvals required by 310 CMR 15.000, this Approval for
Remedial Use authorizes the use and installation of the System in Massachusetts.
3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.284(2).
4. This Remedial Use Approval authorizes the use of the System where the local approving
authority finds that the System is for upgrade of a failed, failing or nonconforming system and
the design flow for the facility is less than 10,000 gallons per day ( GPD) and there is no
increase in design flow to be served by the system.
H. Design Standards
1. The FAST treatment system (Fixed Activated Sludge Treatment), Models MicroFAST
0.5, 0.75, 0.9,and 1.5, lEghStrengthFAST 1.0 and 1.5, NitriFAST 0.5, 0.75, 0.9 and 1.5
all consist of a single tank having a primary settling zone and an aerobic biological zone.
Solids are trapped in the primary zone where they settle. In the aerobic zone, the bacteria
VViViix all4Vlles itself Lo Lily Jl1 11 AVG Or
a siib111Grged 111E ld UGd alld lucds on the sewage as
it circulates. Models MicroFAST, HighStrengthFAST and NitriFAST 3.0, 4.5 and 9.0
consist of a standard Title 5 septic tank for settling solids and a second tank with the
submerged media for aerobic treatment.
2. Models MicroFAST 0.5, 0.75 and 0.9. lEghStrengthFAST 1.0, NitriFAST 0.5, 0.75 and
0.9 shall be installed in the second compartment of a two compartment septic tank with a
total liquid capacity of at least 1,500 gallons. Models MicroFAST, HighStrengthFAST
and NitriFAST 1.5 shall be installed in the second compartment of a 3000 gallon tank. The
two compartment septic tank shall be installed between the building sewer and the pump
chamber of a standard Title 5 system constructed in accordance with 310 CMR 15.100 -
15.279, subject to the provisions of this Approval. MicroFAST, HighStrengthFAST and
NitriFAST Models 3.0, 4.5 and 9.0 shall be installed between a septic tank designed in
accordance with 310 CMR 15.223 and the pump chamber of a SAS.
3. The System is approved for use at facilities with a maximum design flow up to 10,000
GPD.
4. The System may be used in soils with a percolation rate of up to 90 min./inch. For soils
with a percolation rate of 60 to 90 min./inch, the effluent loading rate shall be 0.15 GPD/
sq. ft.
5. Pressure distribution designed in accordance with Department guidelines is required for all
installations of the System.
Pave 2afR
Bio-Microbics Remedial Use Approval MicroFAST, Hi
pp ghStrengthFAST and NitriFAST
III. Allowable Soil Absorption System Design
Reduction of the Required Soil Absorption System Size - An Applicant is eligible for up to a
50 percent reduction in the area of the soil absorption system required by 310 CMR 15.242,
where all the following is met. Accordingly, in approving design and installation of the System
by a particular Applicant, the local approving authority may allow up to a 50 percent reduction
in the area of the soil absorption system required by 310 CMR 15.242, provided that all of the
following conditions are met:
A. No reduction in the required separation (four feet in soils with a recorded percolation rate
of more than two minutes per inch or five feet in soils with a recorded percolation rate of
two minutes or less per inch) between the bottom of the stone underlying the SAS and the
high groundwater elevation is allowed unless such a reduction is first approved by the local
approving authority and then approved by the Department pursuant to 310 CMR 15.284.
B. No reduction in the required four feet of naturally occurring pervious material is allowed
unless the Applicant has demonstrated that the four foot requirement cannot be met
anywhere on the site, that easements to adjacent property on which a system in compliance
with the four foot requirement could be installed have been requested but cannot be
obtained, and that a shared system is not feasible. Any such reduction must first be
approved by the local approving authority and then approved by the Department pursuant
to 310 CMR 15.284.
C. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is
not feasible, the local approving authority may allow a reduction under a local upgrade
approval in accordance with 310 CMR 15.405 (1) (a), (b), (0, (g), and (h).
D. Where .full compliance with all of the minimum set back distances in 310 CMR 15.211 is
not feasible, even taking into account provisions for local upgrade approval as described
above, then pursuant to 310 CMR 15.410, the applicant first must obtain variance(s) from
the local approving authority and then approval of the Department.
2. Reduction of the Required Separation Distance to High Groundwater Elevation - An applicant
is eligible for a reduction in separation (four feet in soils with a recorded percolation rate of
more than two minutes per inch or five feet in soils with a recorded percolation rate of two
minutes or less per inch) between the bottom of the stone underlying the SAS and the high
groundwater elevation, where all of the following conditions are met. Accordingly, in
approving design and installation of the System by a particular Applicant, the local approving
authority may allow a reduction in the required separation (four feet in soils with a recorded
percolation rate of more than two minutes per inch or five feet in soils with a recorded
percolation rate of two minutes or less per inch) between the bottom of the stone underlying the
SAS and the high groundwater elevation, provided that all of the following conditions are met:
A. A minimum two foot separation (in soils with a recorded percolation rate of more than two
minutes per inch) or a minimum three foot separation (in soils with a recorded percolation
rate of two minutes or less per inch) between the bottom of the stone underlying the SAS
and the high groundwater elevation is maintained.
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Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST
B. No reduction in the required SAS size is allowed unless such a reduction is first approved
by the local approving authority and then approved by the Department pursuant to 310
CMR 15.284.
C. No reduction in the required four feet of naturally occurring pervious material is allowed
unless the Applicant has demonstrated that the four foot requirement cannot be met
anywhere on the site, that easements to adjacent property on which a system in compliance
with the four foot requirement could be installed have been requested but cannot be
obtained, and that a shared system is not feasible. Any such reduction must first be
approved by the local approving authority and then approved by the Department pursuant
to 310 CMR 15.284.
D. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is
not feasible, the local approving authority may allow a reduction under a local upgrade
approval in accordance with 310 CMR 15.405 (1) (a), (b), (f), (g), and (h).
E. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is
not feasible, even taking into account provisions for local upgrade approval as described
above, then pursuant to 310 CMR 15.410, the applicant first must obtain variance(s) from
the local approving authority and then approval of the Department.
3. Reduction of the Requirement for Four Feet of Naturally Occurring Pervious Material — An
Applicant is eligible for a reduction in the required four feet of naturally occurring pervious
material in an area of no less than two feet of naturally occurring pervious material, where all of
the following conditions are met. Accordingly, in approving design and installation of the
System by a particular Applicant, the local approving authority may allow a reduction in the
required four feet of naturally occurring pervious material in an area with no less than two feet
of naturally occurring pervious material, provided that all of the following conditions are met:
A. The Applicant has demonstrated that the four foot requirement cannot be met anywhere on
the site, and that easements to adjacent property on which a system in compliance with the
four foot requirement could be installed have been requested but cannot be obtained, and
that a shared system is not feasible.
B. No reduction in the required SAS size is allowed unless such a reduction is first approved
by the local approving authority and then approved by the Department pursuant to 310
CMR 15.284.
C. No reduction in the required separation (four feet in soils with a recorded percolation rate
of more than two minutes per inch or five feet in soils with a recorded percolation rate of
two minutes or less per inch) between the bottom of the stone underlying the SAS and the
high groundwater elevation is allowed unless such a reduction is first approved by the local
approving authority and then approved by the Department pursuant to 310 CMR 15.284.
D: Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is
Pnue 4 of R
Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST
not feasible, the local approving authority may allow a reduction under a local upgrade
approval in accordance with 310 CMR 15.405 (1) (a), (b), (f), (g), and (h).
E. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is
not feasible, even taking into account provisions for local upgrade approval as described
above, then pursuant to 310 CMR 15.410, the applicant first must obtain variance(s) from
the local approving authority and then approval of the Department.
IV. General Conditions
1. All provisions of 310 CMR 15.000 are applicable to the use of this System, the owner and the
Company, except those that specifically have been varied by the terms of this Approval.
2. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP
approved testing laboratory, or a DEP approved independent university laboratory. It shall be a
violation of this Approval to falsify any data collected pursuant to an approved testing plan, to
omit any required data or to fail to submit any report required by such plan.
3. The facility served by the System and the System itself shall be open to inspection and
sampling by the Department and the local approving authority at all reasonable times.
4. In accordance with applicable law, the Department and the local approving authority may
require the owner of the System to cease operation of the System and/or to take any other
action as it deems necessary to protect public health, safety, welfare and the environment.
5. The Department has not determined that the performance of the System will provide a level of
protection to public health and safety and the environment that is at least equivalent to that of a
sewer system. Accordingly, no System shall be installed, upgraded or expanded, if it is feasible
to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004.
6. Design and installation shall be in strict conformance with the Company's DEP approved plans
and specifications, 310 CMR 15.000 and this Approval.
V. Conditions Applicable to the System Owner
1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes
that are non -sanitary sewage generated or used at the facility served by the System shall not be
introduced into the System and shall be lawfully disposed.
2. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30
mg/L biochemical oxygen demand (BODS) and 30 mg/L total suspended solids (TSS). The
effluent pH shall not vary more than 0.5 standard units from the influent water supply.
3. Operation and Maintenance Agreement:
A. Throughout its life, the Owner of the System shall have the System properly operated
and maintained in accordance with Company's and designer's operation and
maintenance requirements and this Approval and be under an operation and
maintenance agreement (O&M). No O&M agreement shall be for less than one year.
B. No System shall be used until an O&M agreement is submitted to the approving
Popp. gofR
Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST
authority which:
a. provides for the contracting of a person or firm competent in providing services
consistent with the System's specifications and the operation and maintenance
requirements specified by the designer and those specified by the Department;
b. contains procedures for notification to the local approving authority and the
Department within five days of a System failure, malfunction or alarm event and
for corrective measures to be taken immediately; and
c. Provides the name of the operator, which must be a Massachusetts certified
operator as required by 257 CMR 2.00 that will operate and monitor the System.
The owner of the System shall at all times have the System properly operated and
maintained, at a minimum every three months and every time there is an alarm
event. The local approving authority and the Department shall be notified, in
writing, within seven days every time the operator or operators are changed.
4. The owner shall famish the Department any information, which the Department may request
regarding the System, within 21 days of the date of receipt of that request.
5. Within 30 days of the approving authority's issuance of the Certificate of Compliance for the
system, the owner shall submit a copy of the Certificate of Compliance to the Department.
6. By January 31" of each year for the previous year, the System owner shall submit to the
Department and the local approving authority an O&M checklist and a technology checklist,
completed by the System operator for each inspection performed during the previous calendar
year. Copies of the checklists are attached to this approval.
7. The owner of the System shall record in the appropriate registry of deeds a notice that discloses
the existence of this Remedial Use approved alternative system. A copy of the book and page
number of the recording must be provided to the local approving authority and the Department
prior to the issuance of the Certificate of Compliance.
8. The owner of the System shall provide a copy of this Approval, prior to the signing of a
purchase and sale agreement for the facility served by the System or any portion thereof, to the
proposed new owner.
9. Effluent from a system serving a facility with a design flow of less than 2000 GPD shall be
monitored quarterly. Both influent and effluent from a system serving a facility with a design
flow 2000 GPD to 10,000 GPD shall be monitored monthly. At a minimum, the following
parameters shall be monitored: pH, BODS, and TSS. All monitoring and operation and
maintenance data shall be submitted to the local approving authority and the Department by
January 31' of each year for the previous calendar year. After one year of monitoring and
reporting and at the written request of the owner, the Department may reduce the monitoring
and reporting requirements.
10. When sanitary sewer connection becomes feasible, within 60 days of such feasibility, the owner
of the System shall obtain necessary permits and connect the facility served by the System to
the sewer, shall abandon the System in compliance with 310 CMR 15.354, unless a later time
is allowed, in writing, by the local approving authority, and shall in writing notify the
Department of the abandonment.
Pape 6 of R
Bio-Microbics Remedial Use Approval MicroFAST, HigbStrengthFAST and NitriFAST
VL Conditions Applicable to the Company
By January 31' of each year, the Company shall submit to the Department, a report, signed by
a corporate officer, general partner or Company owner that contains information on the System,
for the previous calendar year. The report shall state: the number of units of the System sold for
use in Massachusetts including the installation date and date of start-up during the previous
year; the address of each installed System, the owner's name and address, the type of use (e.g.
residential, commercial, school, institutional) and the design flow; and for all Systems installed
since the date of issuance of this Approval, all known failures, malfunctions, and corrective
actions taken and the address of each such event.
2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in
advance of the proposed transfer of ownership of the technology for which this Approval is
issued. Said notification shall include the name and address of the proposed new owner and a
written agreement between the existing and proposed new owner containing a specific date for
transfer of ownership, responsibility, coverage and liability between them. All provisions of this
Approval applicable to the Company shall be applicable to successors and assigns of the
Company, unless the Department determines otherwise.
3. The Company shall famish the Department any information that the Department requests
regarding the System, within 21 days of the date of receipt of that request.
4 Prior to its sale of the System, the Company shall provide the purchaser with a copy of this
Approval. In any contract for distribution or sale of the System, the Company shall require the
distributor or seller to provide the purchaser of the System, prior to any sale of the System,
with a copy of this Approval.
5. If the Company wishes to continue this Approval after its expiration date, the Company shall
apply for and obtain a renewal of this Approval. The Company shall submit a renewal
application at least 180 days before the expiration date of this Approval, unless written
permission for a later date has been granted in writing by the Department.
VII. Reporting
1. All notices and documents required to be submitted to the Department by this Approval shall
be submitted to:
Director
Watershed Permitting Program
Department of Environmental Protection
One Winter Street - 6th floor
Boston, Massachusetts 02108
VIII. Rights of the Department
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Al.
\ COMMONWEALTH OF MASSACHUSETTS
EXECUTNE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617.292-5500
MITTROMNEY ELLEN ROY IERZFELDER
Governor Secretary
KERRY BEALEY
Lieutenant Governor EDWARD P. KUNCE
Acting Commissioner
MODIFIED CERTIFICATION FOR GENERAL USE
Pursuant to Title 5, 310 CMR 15.000
Name and Address of Applicant:
Infiltrator Systems, Inc.
P.O. Box 768
6 Business Park Road
Old Saybrook, CT 06475
Trade name of technology and model: High Capacity Chamber, Standard Chamber, Infiltrator 3050
(Storm Tech SC -740) and Equalizer 24 and 36 (hereinafter the "System").
Transmittal Number: W023699
Date of Issuance: February 21, 2003
Date of Expiration: February 21, 2008
Authority for Issuance
Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of
Environmental Protection hereby issues this Certification to: Infiltrator Systems, Inc., P.O. Box 768,
6 Business Park Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the
System described herein. Sale and use of the System are conditioned on and subject to compliance by
the Company and the System owner with the terms and conditions set forth below. Any
noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR
15.000.
Glenn Haas, Director
Division of Watershed Management
Department of Environmental Protection
Date
This WormaHon 6 avallable in alternate format. Call Aprel McCabe, ADA Coal-Anator at 1-617-55fr1171. TDD SerAft - I-800-298-2207.
DEP on the World Wide Web: http:/twww.mass.gov/dep
0 Prirked on Recycled Paper
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Infiltrator Modified Certification for General Use
Page 2 of 8
I. Purpose
1. The purpose of this Certification is to allow use of the System in Massachusetts,
on a General Use basis.
2. With the necessary permits and approvals required by 310 CMR 15.000, this
Certification authorizes the use of the System in Massachusetts.
3. The System may be installed on all facilities where a system in compliance with
310 CMR 15.000 exists on site or could be built and for which a site evaluation in
compliance with 310 CMR 15.000 has been approved by the local approving
authority, or by DEP if DEP approval is required by 310 CMR 15.000.
II. Design Standards
1. The models listed below are covered under this Certification.
Model
Dimensions
W x L x H
Inches
Invert
Height
Inches
Equalizer 24
15 x 100 x 11
6
Equalizer 36
22 x 100 x 13.5
6
Standard Chamber
34 x 75 x 12
6.5
Infiltrator 3050 or
StormTech SC -740
51 x 85.4 x 30
24
High Capacity Chamber
34 x 75 x 16
11
2. The System is an open -bottom leaching unit molded from polyolefin resin. It can
be installed without aggregate or distribution pipe as an absorption trench in
accordance with the requirements in 310 CMR 15.251.
3. The use of aggregate as specified in 310 CMR 15.247 is not necessary with the
System when installed as a trench, bed or field.
4. The minimum separation between any two trenches shall be as specified in 310
CMR 15.251.
5. For new construction, the applicant can size the System in a trench configuration
without aggregate, using the effective leaching areas presented in the following
table. No System shall be designed and constructed with a soil absorption system
area of less than 400 square feet.
Infiltrator Modified Certification for General Use
Page 3 of 8
1. Effective leaching area is equal to 1.67 times the bottom width plus two x invert.
2. Effective leaching area is equal to 1.0 times the bottom width plus two x invert.
6. Systems shall be sized in accordance with the following table for new
construction in DEP designated nitrogen limited areas as defined in 310 CMR
15.214 and 15.215. The effective leaching area, as shown in the following table,
shall be used for any System installed in a Department designated Nitrogen
Sensitive Area or for any System that is installed for new construction where a
private drinking water supply well is proposed to serve the facility, as defined in
310 CMR 15.214 (2) and for which a variance to the minimum setback distance
of 100 feet has been granted.
Effective
Effective
Model
Leaching'
Leachinj
Area
Area
2.3
SF/LF
SF/LF
Equalizer 24
3.75
NA
Equalizer 36
4.73
NA
Standard Chamber
6.53
NA
Infiltrator 3050 or
NA
8.2
StormTech SC -740
High Capacity Chamber
7.79
NA
1. Effective leaching area is equal to 1.67 times the bottom width plus two x invert.
2. Effective leaching area is equal to 1.0 times the bottom width plus two x invert.
6. Systems shall be sized in accordance with the following table for new
construction in DEP designated nitrogen limited areas as defined in 310 CMR
15.214 and 15.215. The effective leaching area, as shown in the following table,
shall be used for any System installed in a Department designated Nitrogen
Sensitive Area or for any System that is installed for new construction where a
private drinking water supply well is proposed to serve the facility, as defined in
310 CMR 15.214 (2) and for which a variance to the minimum setback distance
of 100 feet has been granted.
Effective leaching area is equal to 1.0 times the bottom width plus two x invert.
Systems installed on remedial sites shall be allowed to utilize the effective
leaching areas presented in item 5 above or additional reductions in soil
absorption leaching area approved by the approving authority in accordance with
310 CMR 15.284. In no instance shall the reduction in the soil absorption system
required in 310 CMR 15.242 exceed the maximum reduction allowed for
alternative systems approved in accordance with 310 CMR 15.284. The effective
leaching areas presented in item 6 above shall be used for remedial sites located
in Department designated Zone II or IWPA when the facility is to be brought into
full compliance in accordance with 310 CMR 15.404.
Effective
Model
Leaching'
Area
SF/LF
Equalizer 24
2.3
Equalizer 36
2.8
Standard Chamber
4.0
Infiltrator 3050 and
8.2
Storm Tech SC -740
tbgh Capacity Chamber
4.5
Effective leaching area is equal to 1.0 times the bottom width plus two x invert.
Systems installed on remedial sites shall be allowed to utilize the effective
leaching areas presented in item 5 above or additional reductions in soil
absorption leaching area approved by the approving authority in accordance with
310 CMR 15.284. In no instance shall the reduction in the soil absorption system
required in 310 CMR 15.242 exceed the maximum reduction allowed for
alternative systems approved in accordance with 310 CMR 15.284. The effective
leaching areas presented in item 6 above shall be used for remedial sites located
in Department designated Zone II or IWPA when the facility is to be brought into
full compliance in accordance with 310 CMR 15.404.
Infiltrator Modified Certification for General Use
Page 4 of 8
8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used
whenever possible. When the System is installed for new construction without
aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the
System shall be designed using the effective leaching area for the bottom width
presented in the following table. Chambers shall be spaced a minimum of six
inches apart (edge -to -edge) when used in a bed configuration. No system shall be
designed and constructed with a leaching area of less than 400 square feet. The
effective leaching area shall only be equal to the bottom width for any System
installed in a Department designated Nitrogen Sensitive Area or for any System
that is installed for new construction where a private drinking water supply well is
proposed to serve the facility, as defined in 310 CMR 15.214 (2) and for which a
variance to the minimum setback distance of 100 feet has been granted
1. Effective Leaching area is equal to 1.67 times bottom width only.
2. Effective leaching area for Infiltrator 3050 or StormTech SC -740 is equal to 1.0
times the bottom width
9. The System, when installed in a bed or field configuration without aggregate on
remedial sites, shall utilize the effective leaching areas presented in item 8 above
or additional reductions in soil absorption system area approved by the approving
authority in accordance with 310 CMR 15.284. In no instance shall the reduction
in the soil absorption system area required in 310 CMR 15.242 exceed the
maximum reduction allowed for alternative systems approved in accordance with
310 CMR 15.284.
10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or
Chambers, shall have an aggregate base and/or be surrounded by aggregate and
shall be sized as specified in 310 CMR 15.253 (1) (a) and (b). Effective depth
can be increased up to two feet with the corresponding addition of up to 14 inches
of base aggregate. Bottom width can be increased by two to eight SF/LF with the
corresponding addition of one to four feet of aggregate per side.
Effective
Model
Leaching'
Area
SF/LF
Equalizer 24
2.08
Equalizer 36
3.05
Standard Chamber
4.72
Infiltrator 3050 or
4.25
StormTech SC -740
High Capacity Chamber
4.72
1. Effective Leaching area is equal to 1.67 times bottom width only.
2. Effective leaching area for Infiltrator 3050 or StormTech SC -740 is equal to 1.0
times the bottom width
9. The System, when installed in a bed or field configuration without aggregate on
remedial sites, shall utilize the effective leaching areas presented in item 8 above
or additional reductions in soil absorption system area approved by the approving
authority in accordance with 310 CMR 15.284. In no instance shall the reduction
in the soil absorption system area required in 310 CMR 15.242 exceed the
maximum reduction allowed for alternative systems approved in accordance with
310 CMR 15.284.
10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or
Chambers, shall have an aggregate base and/or be surrounded by aggregate and
shall be sized as specified in 310 CMR 15.253 (1) (a) and (b). Effective depth
can be increased up to two feet with the corresponding addition of up to 14 inches
of base aggregate. Bottom width can be increased by two to eight SF/LF with the
corresponding addition of one to four feet of aggregate per side.
Infiltrator Modified Certification for General Use
Page 5 of 8
11. The requirement that Chambers installed in trench configuration as specified in
310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is
not applicable to the System.
III. General Conditions
1. The provisions of 310 CMR 15.000 are applicable to the use of the System,
except those that specifically have been varied by the terms of this Certification.
2. The facility served by the System, and the System itself, shall be open to
inspection and sampling by the Department and the local approving authority at
all reasonable times.
3. In accordance with applicable law, the Department and the local approving
authority may require the owner of the System to cease use of the System and/or
to take any other action as it deems necessary to protect public health, safety,
welfare or the environment.
4. The Department has not determined that the performance of the System will
provide a level of protection to the environment that is at least equivalent to that
of a sewer. Accordingly, no new System shall be constructed, and no System shall
be upgraded or expanded, if it is feasible to connect the facility to a sanitary
sewer, unless allowed pursuant to 310 CMR 15.004.
5. Design, installation and use of the System shall be in strict conformance with the
Company's DEP approved plans and specifications and 310 CMR 15.000, subject
to this Certification.
IV. Conditions Applicable to the System Owner
The System is approved for the treatment and disposal of sanitary sewage only.
Any wastes that are non -sanitary sewage generated or used at the facility served
by the System shall not be introduced into the on-site sewage disposal system and
shall be lawfully disposed of.
2. For new construction, the owner initially shall size a soil absorption system in
accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil
adsorption system using aggregate, including a reserve area, can be installed on
the site. The owner may than size the soil absorption system for the System. The
total area required for the aggregate system, which may include the area
designated for the System, and a reserve area shall be preserved and the owner
shall ensure that no permanent structures or other structures are constructed on
that area and that the area is not disturbed in any manner that will render it
unusable for future installation of a conventional Title 5 soil absorption system.
The owner of the System shall at all times properly operate and maintain the on-
site sewage disposal system.
Infiltrator Modified Certification for General Use
Page 6 of 8
4. The owner shall furnish the Department any information that the Department
requests regarding the operation and performance of the System, within 21 days
of the date of receipt of that request.
5. No owner shall authorize or allow the installation of the System other than by a
person trained by the Company to install the System.
V. Conditions Applicable to the Company
1. By January 31st of each year, the Company shall submit to the Department a
report, signed by a corporate officer, general partner, or Company owner that
contains information on the System for the previous calendar year. The report
shall state known failures, malfunctions, and corrective actions taken for the
System as well as the daze and address of each event.
2. The Company shall notify the Department's Director of Watershed Permitting at
least 30 days in advance of any proposed transfer of ownership of the technology
for which this Certification is issued. Said notification shall include the name and
address of the proposed new owner and a written agreement between the existing
and proposed new owner containing a specific date for transfer of ownership,
responsibility, coverage and liability between them. All provisions of this
Certification applicable to the Company shall be applicable to successors and
assigns of the Company, unless the Department determines otherwise.
3. The Company shall furnish the Department any information that the Department
requests regarding the System, within 21 days of the date of receipt of that
request.
4. Prior to any sale of the System, the Company shall provide the purchaser with a
copy of this Certification. In any contract for distribution or sale of the System,
the Company shall require the distributor or seller to provide the purchaser of the
System, prior to any sale of the System, with a copy of this Certification.
5. If the Company wishes to continue this Certification after its expiration date, the
Company shall apply for and obtain a renewal of this Certification. The Company
shall submit a renewal application at least 180 days before the expiration date of
this Certification, unless written permission for a later date has been granted by
the Department.
6. The Company shall prepare an installation manual specifically detailing
procedures for installation of its System The Company shall institute and
maintain a training program in the proper installation of its System in accordance
with the manual and provide a training course at least annually for prospective
installers. The Company shall certify that installers have passed the Company's
training qualifications, maintain a list of certified installers, submit a copy to the
Infiltrator Modified Certification for General Use
Page 7 of 8
Department, and update the list annually. Updated lists shall be forwarded to the
Department.
7. The Company shall not sell the System to installers unless they are trained to
install these Systems by the Company.
VI. Conditions Applicable to Installers of the System
Each Installer shall install the System in accordance with Company training on
the installation of the System and the conditions of this Certification.
2. No Installer shall install the System unless the Installer has been trained by the
Company on installation of the System
VII. Reporting
All submittals of notices and documents to the Department required by this
Certification shall be submitted to:
Director
Watershed Permitting Program
Department of Environmental Protection
One Winter Street - 6th floor
Boston, Massachusetts 02108
VIII. Rights of the Department
1. The Department may suspend, modify or revoke this Certification for cause,
including, but not limited to, non-compliance with the terms of this Certification,
non-payment of an annual compliance assurance fee, for obtaining the
Certification by misrepresentation or failure to disclose fully all relevant facts or
any change in or discovery of conditions that would constitute grounds for
discontinuance of the Certification, or as necessary for the protection of public
health, safety, welfare or the environment, and as authorized by applicable law.
The Department reserves its rights to take any enforcement action authorized by
law with respect to this Certification, the System, the owner, or operator of the
System and the Company.
IX. Expiration Date
1. Notwithstanding the expiration date of this Certification, any System installed
prior to the expiration date of this Certification, and approved, installed and
maintained in compliance with this Certification (as it may be modified) and 310
CMR 15.000, may remain in use unless the Department, the local approving
authority, or a court requires the System to be modified or removed, or requires
discharges to the System to cease.
TOWN OF NORTH ANDOVER NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES.tl,-
O w
HEALTH DEPARTMENT I.- ` '°
ti
si r<r
400 Osgood Street
NORTH ANDOVER, MASSACHUSETTS 01845 �'SS;CHyS
978.688.9540 — Phone
Susan Y. Sawyer, RENS/RS 978.688.9542 — FAX
Public Health Director E -Mail: healthdept@townofnorthandover.com
Website: www.townofiiorthandover.com
November 5, 2004
Mr. Robert Montuori
100 Candlestick Road
North Andover, MA 01845
RE: VIOLATION LETTER — FAILED SEPTIC SYSTEM AT 100 CANDLESTICK ROAD
Dear Mr. Montuori:
This letter is in regard to your property of 100 Candlestick Road. As the owner or trustee of this property, it is
important that you understand the current situation at this site.
Your property did not pass a Title 5 Septic System inspection .conducted by Mr. Ben Osgood of New England
Engineering, dated January 30, 2002. According to 310 CMR 15.305 (1) "If a system is failing to protect public
health and safety or the environment as set for the in 310 CMR 15.303(1) or 15.304 (1), the owner or operator shall
upgrade the system within two years of discovery".
According to Health Department records, your engineer, Mr. Ben Osgood applied for Soil Testing on September 30,
2003, and the tests were completed on October 24, 2003, Percolation tests were completed on November 21, 2003.
Since this time, we have received no application for a septic plan review.
Please secure an engineer to prepare a septic plan for review, and have them submit it to the Health Department no
later than November 30, 2004. Once you have an approved septic plan, you need to hire a licensed septic installer,
licensed by the Town of North Andover to conduct the septic installation. This can be completed this year, weather
permitting.
A properly working septic system is vital to the protection of the environment and to the safety and well being of
your neighbors and Town. The North Andover Health Department will work with you to ensure a proper
installation of a septic system at your property.
If you have any further questions, please contact us at the above number or via e-mail. Thank you for your
cooperation in this matter.
Sincerel
Susan Y. Sawyer, REHS, RS
Public Health Director
Cc Mr. Ben Osgood, New England Engineering
File
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Ta`JI�N OF NORTH ANDOVEE
BOARD OF HEALTH_
JAN 3 1 2002
TITLE 5
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY-*SSENS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 100 Candlestick Road
North Andover_
Owner's Name: _Robert Montuori_
Owner's Address: _100 Candlestick Road
_
TOWN NORTH ANDb,,;-7,
North Andover_
_/
BOARD OF HEALTH
Date of Inspection: _1/30/2002_
�
Name of Inspector: Neil J. Bateson
Company Name: Bateson Enterprises Inc._
��pp
FGD_ " 1 2002
Mailing Address: Argilla Road_
-- g
—111
Andover, Ma. 01810_
Telephone Number: _( 978 ) 475-4786_
P '�
CERTIFICATION STATEMENT
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 5 (310 CMR 15.000). The system:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
X ils
Inspector's Signature: Date: _1/30/2002_
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.
Notes and Comments
****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.
Page 2 of i 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: _100 Candlestick Road_
_North Andover—
Owner: Montuori
Date of Inspection: _1/30/2002_
Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D
A. System Passes:
I 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:
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. I.f "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:
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
obstruction is removed
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:
Page 3 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: _100 Candlestick Road_
_North Andover—
Owner: Montuori
Date of Inspection: _1/30/2002_
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 1.00 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 I 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.
The system has a septic tank and SAS and the SAS is less than 1.00 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 and volatile organic compounds indicates that the well is free from pollution from that facility 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:
Page 4 of I 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: _100 Candlestick Road-
- North
oad__North Andover—
Owner: Montuori
Date of Inspection: _1/3012002_
D. System Failure Criteria applicable to all systems:
You must indicate "yes" or "no" to each of the following for all inspections:
Yes No
—Yes_ _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_Yes_ _ Static liquid level in the distribution box above outlet invert due to an overloaded or, clogged SAS or
cesspool
_No_ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow
_No_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
�Na_ Any portion of the SAS, cesspool or privy is below high ground water elevation.
No Any portion of cesspool or privy is within. 100 feet of a surface water supply or tributary to a surface
water supply.
_No_ Any portion of a cesspool or privy is within a Zone 1 of a public well.
No Any portion of a cesspool or privy is within 50 feet of a private water supply well.
No 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 coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility 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.]
_Yes_ (Yes/No) 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.
You must indicate either "yes" or `no" to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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
_ 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.
Page 5 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: _100 Candlestick Road-
- North
oad__North Andover_
Owner: Montuori
Date of Inspection: _1/30/2002_
Check if the following have been done. You must indicate "yes" or "no" as to each of the following:
Yes No
Yes_ _ Pumping information was provided by the owner, occupant, or Board of Health
No Were any of the system components pumped out in the previous two weeks ?
Yes _ .Has the system received normal flows in the previous two week period ?
_ _No Have large volumes of water been introduced to the system recently or as part of this inspection ?
N/A _ Were as built plans of the system obtained and examined? (If they were not available note as N/A)
Yes _ Was the facility or dwelling inspected for signs of sewage back up ?
Yes_ _ Was the site inspected for signs of break out ?
Yes _ Were all system components, excluding the SAS, located on site ?
_Yes_ _ 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 ?
_Yes_ _ 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:
Yes no
Yes_ _ Existing information. For example, a plan at the Board of Health.
_Yes_ _ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of
e is unacceptable) [3 10 CMR 15.302(3)(b)]
Page 6 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: _100 Candlestick Road_
_North Andover_
Owner: MontuoA
Date of Inspection: _1/30/2002_
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms (design): 3_ Number of bedrooms (actual): _4_
DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x # of bedrooms): _330_
Number of current residents: _3
Does residence have a garbage grinder (yes or no): _No_
Is laundry on a separate sewage system (yes or no): _No_ [if yes separate inspection required]
Laundry system inspected (yes or no): _
Seasonal use: (yes or no): _No_
Water meter readings: Nov. 99 to Nov. 01= 27,200 W a 7.5 = 204,000 GalsJ 730 Days = 279 Gals./Day_
Sump pump (yes or no): No
Last date of occupancy: Current
COMMERCIALANDUSTRIAL
Type of establishment:
Design flow (based on 310 CMR 15.203): gpd
Basis of design flow (seats/persons/sgft,etc.):
Grease trap present (yes or no): _
Industrial. waste holding tank present (yes or no):
Non -sanitary waste discharged to the Title 5 system (yes or no): _
Water meter readings, if available:
Last date of occupancy/use:
OTHER (describe):
GENERAL INFORMATION
Pumping Records
Source of information: _Pumped Sept. 97, owner_
Was system pumped as part of the inspection (yes or no): _No_
If. yes, volume pumped: _gallons -- How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
X_ 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: _Tank was replaced in
9/3/1997. D -box & field was installed in 1979. Info at B.O.H.
Were sewage odors detected when arriving at the site (yes or no): No
Page 7 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: _100 Candlestick Road-
- North
oad__North Andover—
Owner: Montuori
Date of Inspection: _1/30/2002_
BUILDING SEWER (locate on site plan) X
Depth below grade: 18"
Materials of construction: —X—cast iron _X_40 PVC other (explain):
Distance from private water supply well. or suction line:
Comments (on condition of joints, venting, evidence of leakage, etc.): _4" Cast iron thru wall. 4" PVC out to
septic tank. 3" PVC in house. No leaks. _
SEPTIC TANK: X locate on site plan)
Depth below grade: �6"
Material of construction: —X—concrete _metal —fiberglass polyethylene
_other(explain)
If tank is metal list age: _ Is age confirmed by a Certificate of Compliance (yes or no): _ (attach a copy of
certificate)
Dimensions: 10' x 5' x 4'
Sludge depth 6"
Distance from top of sludge to bottom of outlet tee or baffle: 21"
Scum thickness: 12"
Distance from top of scum to top of outlet tee or baffle: 8"
Distance from bottom of scum to bottom of outlet tee or baffle: _999
_
How were dimensions determined: _Subtract scum & sludge depth to tee length. _
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage, etc.): _Inlet tee ok. Outlet tee ok. Depth of liquid at outlet invert.
No evidence of leakage. _
GREASE TRAP: (locate on site plan)
Depth below grade:
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:
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage, etc.):
t'�
Page 8 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: _100 Candlestick Road_
North Andover—
Owner: Montuori
Date of Inspection: _1/30/2002_
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):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present (yes or no):
Alarm level: Alarm in working order (yes or no):
Date of last pumping:
Comments (condition of alarm and float switches, etc.):
DISTRIBUTION BOX: _X (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: _2"_
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, etc.): -D -box level & distribution equal. No evidence of leakage. Evidence of
carryover. Water 2" above all outlet inverts. _
PUMP CHAMBER: (locate on site plan)
Pumps in working order (yes or no):
Alarms in working order (yes or no):
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Page 9 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 100 Candlestick Road_
North Andover—
Owner: _Montuori
Date of Inspection: _1/30/2002_
SOIL ABSORPTION SYSTEM (SAS): _X (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:
X leaching fields, number, dimensions: _1 field 20' x 45'_
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.): _Soil ok. Vegetation ok. No sign of ponding to surface. Sign of hydraulic failure, water 2" above all
outlet inverts in d -box.
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 or 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.):
Page 10 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: _100 Candlestick Road-
- North
oad__North Andover—
Owner: Montuori
Date of Inspection: _1/30/2002_
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
Ato1=10'6"
Ato2=12'9"
A to D -Box = 31'
B to 1= 53'8"
Bto2=53'
B to D -Box = 59'
Page 11 of 11
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: _100 Candlestick Road
_North Andover—
Owner: Montuori
Date of Inspection: _1/30/2002_
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 5 feet
Please indicate (check) all methods used to determine the high ground water elevation:
X_ Obtained from system design plans on record - If checked, date of design plan reviewed: _7/5/1979 _
_ 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)
_ Accessed USGS database -explain:
You must describe how you established the high ground water elevation: _As per design plan_
Tel: (978) 475-4786
Fax: (978) 475-5451
BATESON ENTERPRISES, INC.
Excavating -Water.& Sewer Lines -Septic Systems & Pumping Service
111 Argilla Road Andover, Mass. 01810
Title 5 Inspection Report
Property Address: 10 Candlestick Road, North Andover
Owner: Montuori
Date of Inspection: 1/30/2002
My report contained herein does not constitute a guarantee of future usage and the functionality of the existing
septic system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any further
operation of your current septic system.
Neil J. Bateson
Bateson Enterprises, Inc.