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Miscellaneous - 1353 SALEM STREET 4/30/2018 (2)
r j 1353 SALEM STREET J J 210/106.A-013&0000.0 i / 1 � � I c O I ii i t V) �,,,� � eh� rrn�+r� wi�lA;�n �o���vi✓��� tr� � Ro1MW CLW 6L 12 � l 1353 SALEM STREET _ 210/106.A-0138-0000.0 I i i I f r I �3s3 �w� fir_ u� .�,h n , mac ' r rj • S�sT VEu 6 • r 1fi�~ copy COQ PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 8/4/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System By: John Butt At: 1353 Salem Street Map106.A Lot 138 �th Andover, MA 01845 Is su ce of this f ca shall no be construed as a guarantee that the system will function satisfactorily. Mic ele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com SUMMARY OF INVERTS BUILDING TIES N00 SEWER 0 FDTN. 94.31(3' OFF BLDG. CORNER A B C D SEPTIC TANK IN 93.71 SEPTIC TANK OUT 20.3 — — 43.8 1. THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK OUT 93.39 JPUMP TANK OUT 28.0 — — 53.1 A WARRANTY OF THE SUBSURFACE DISPOSAL PUMP TANK IN 93.31 IDIST. BOX - 23.7 12.0 - SYSTEM. IT IS A RECORD OF THE LOCATION DIST. BOX IN 95.20 AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX OUT 95.19 COMPONENTS. INV. IN CHAMBER 95.08 2. THE 2 FORCE MAIN WAS EXPANDED TO BOTT. CHAMBER 94.82 4" FOR THE FINAL 4' AS IT ENTERS THE DISTRIBUTION BOX. A 4" TEE WAS INSTALLED INSIDE THE DISTRIBUTION BOX. "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS-BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, 1F APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. ViG&f,'Ud /I f'i-A4 06�AJ0u— olf©v- 20 As- SIGNATURE OF DESIGNER DATE 189,45, LQT 99 (44,070 S.F.) �' KTLANDS DELINEATED BY BASBANES ASSOVS JAN. 2015 s� SA 4A 2A 3A 00 ry0. low, ti _�i -;-7CLEANOUT r ss. i , 1500 GAL. n c SEPTIC TANK r {{ � I *BIJI,t.F.�97.96 r 1d(J' 0 tea, e-eax ti� 1000 GA zO�kL LEACH FIELD PUMP TANK W/42 INFILTRATOR SCH40 CHAMBERS PVC SLE VEok 3S, INSPE TION co PORT `� VENT 00 .0 85.7 ' _ - -UP H_ �� OF Mq 65.00 $' 7=T q VLADIMIR L. G SAW"���1,''� � NEMCHENOK � V co F 4 FcisTE� �ss�oluAL AS BUILT PLAN OF 91 SUBSURFACE DISPOSAL SYSTEMCEIVED 8 LOCATED IN I AUG 0 6 2015 NORTH ANDOVER, MASS./1353 SALEM STREET z AS PREPARED FOR TOWN OF NORTH ANDOVER 64 HEALTH DEPARTMENT cil JEFF GREENE TM: 106A DATE: 7-29-15 TL: 138 co SCALE: 1"=40' 0 20 40 so E in MERRIMAC K ENGINEERING SERVICES 66 PARK STREET Q ANDOVER, MASSACHUSETTS 01810 w I � s�.rrreu��.• RECEIVED AUG 0 6 2015 PUBLIC HEALTH DEPARTMENT TOWN OF NORTH ANDOVER (ommunity Development Division HEALTH DEPARTMENT TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; By: �OH0 R2 UT (Print Name) Located at: I'M5�? (Installation Address) Was�installed in conformance with the North Andover Board of Health approved plan,originally dated `T K and last revised on . ^-Z-1— 1 ! ,with a design flow of `i—ftJ 6 P,p gallons per day. The materials used were in conformance with those specified on the approved plan;the system was installed in accordance with the provisions of 310.CMR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan.All work is accurately represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: 7^ I Engineer Representative(Signature) 1 , And—Print Name . Final Construction Inspection Date:�d�� Engineer Representative(Signature) And—Print Name Installer• (Signature) Date: ,,/ And—Print Name Engineer: V tA&t- AA lW-A/I94*Z-(Signature) Date: And—Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com Town of North Andover — Se ticc System - AS-BUILT CHECKLIST 1) !/All changes to the design plan have been reflected and noted on the as-built plan 2) V/ As-built plan has a suitable scale; (1 inch=40 feet or fewer for plot plans) 3) Address,Assessor's Map and Lot Number 4) Lot Lines and Location of Dwellings served by the system 5) Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable) 6) -z-Ties to all tank openings,d-box,and leach area from dwelling or Permanent Structure � Setback distances are shown on the as-built plan from system components to: Subsurface,interceptor&foundation drains Catch basins Pr perty lines RECEIVED Dwellings or other structures Private water supply or irrigation wells AUG 0 6 2015 Watercourses or wetlands / TO OF NORTH ANDOVER 8) J Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system HEATH DEFART"ti ENT 9) ✓ Location of water,gas,electric lines,ca e,control panel applicable) 10) " Location of Structures within 6 Inches of Finished Grade 11) y Original Stamp&Signature 12) ✓ Location and holder of any easements which could impact the system 13) v Impervious Areas;Driveways,etc 14) North Arrow 15) Location&Elevation of Benchmark used 16) STATEMENT ON PLAN (NA 5.3) a. "I certify the locations,elevations,ties,covermaterral;exposed component covers etc., shown on this as-built substantially agree with the approved plan and have determined that the break out elevations,if applicable,have been met." Signature of Designer gn gn Date b. "Ifa STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating the wall- was.or was not,constructed m accordance with the intended desio and any manufacturer's specifications Signature of Designer Date As of:Tuesday,March 17,2015 • SEn y c ti. North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 1353 Salem St. MAP: 106.A LOT: 0138 INSTALLER: John Butt DESIGNER: Merrimack Engineering PLAN DATE: 4/28/15 revised 5/21/15 BOH APPROVAL DATE ON PLAN: 06/15/15 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 7/23/15 DATE OF FINAL CONSTRUCTION INSPECTION: 7/29/15 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ® Existing septic tank properly abandoned] ❑ Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: 7/29 — existing septic tank not yet abandoned, will do so upon completion of backfilling SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ® Cleanouts per plan X Bottom of tank hole has 6" stone base Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved b g Y visual testing 1 ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle/effluent filter) ® 24" inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: Boots on tank penetrations PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged ® 1000 gallon Pump Chamber installed ® H-10loading ® Monolithic tank 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" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by visual testing ❑ Hydraulic cement around inlet & outlet Comments: Boots on tank penetrations CONTROL PANEL ❑ Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped Z Location of control panel: basement ® Alarm signal located inside: basement Comments: Could not physically access basement but heard alarm from outside DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) ) ® Schedule 40 PVC Pipe Comments: 7/29 — contractor to place hydraulic cement around pipe penetrations, engineer contacted regarding inlet elbow inhibiting drainback SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 28Lx17W, 37Lx27W overdig SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: 7 ❑ Number of rows (trenches): 6 Comments: Total Chambers = 42 FINAL GRADE Loamed Seeded EMO, Q �D[ �) Cover per plan �`"^ Comments: DOCUMENTS NEEDED Certification of Installation Form submitted B engineer and signed and dated b Y 9 9 Y Engineer and installer As-Built Plan BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 94.32 94.65 Septic Tank IN 93.71 94.25 Septic Tank OUT 93.41 94.00 Pump Chamber IN 93.72 93.95 Pump Chamber OUT j Distribution Box IN 95.35 95.30 Distribution Box OUT 95.35 95.13 Lateral 1 TOP Lateral 1 INVERT 95.09 95.08 Lateral 2 TOP Lateral 2 INVERT 95.09 95.08 Lateral 3 TOP Lateral 3 INVERT 95.08 95.08 Lateral 4 TOP Lateral 4 INVERT 95.08 95.08 Lateral 5 TOP Lateral 5 INVERT 95.09 95.08 Lateral 6 TOP Lateral 6 INVERT 95.09 95.08 Top of Chamber Bottom of Bed/Chamber 94.80 94.80 SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback 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 10' ® 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 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 ' ♦� �� ' � e � �� {•�_fir ��t,� �r°�c �"Y a ��r"� n ter fy �• Fti s. °t • }f 4,r 'aa � t � �• �f#YFr�+✓ i ."rte�F+.y+ " � n '{2 i�,��R"{{r,,,,F.�'`dr1�,� '* �l '¢7��!�r'4� c M " ,ru• r to {1 � iii ar to\ r• �' •1 41.•\ :�' ! e, � ,HT1 �,.�. {alb '(':.fa`}}�... `- e+'ft i. t � e: {� .3.e. `,,..rc� '• ''r � rrl y�Y����S�t r t .,, f aat r 1 �7�•i 5.i a�d 0 ti I r NY wti t /a •\ t r � O ' {�� �•� �to i't��;� .� �,;.' 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L < will r � T ,ypry ig IL If lb to H �' �� Ew,.. r1 » Y � -x of r 19 • • ` �1 �.� J r�4 � .i r. r x + •� Ya, r a , •'Y+7� .5� � ,. �� 5 ��� � + � �„ + „ �$ � - .�rj 'fid F ` D r �„ `�'', , 4 s•13 '�° ' g Yj + ' df lot f� ., 4 4p p fi + G „ 1 r � I + l r rc ' 1 � `�'Y fly � �. 9 T •�, � "�"} �rMt +� • �•y•�.,k'J( Ri7'' �•� M�'sl f. ��a .,: �x♦,'aM Grant, Michele From: TYLER <tmunroe22@comcast.net> Sent: Tuesday, August 04, 2015 11:58 AM To: Grant, Michele Subject: 1353 Salem Street Hi Michelle, I have been contracted by JB Construction to hydroseed the septic repair at 1353 Salem St No. Andover. This will be done by 12:00 Thursday 8/6/2015 Thank You Tyler Munroe i Commonwealth of Massachusetts = �• Map-Block-Lot 46 BOARD OF HEALTH 1os.AolsB ---------------- Permit No P.I. North Andover BHP-2015-0289 ----------------------- F.I• FEE $250.00 DISPOSAL, WORKS CONSTRUCTION PERMIT Permission is hereby granted John Butt - - -- - --- ------------------------------------------------------------------------------------------------- to(Upgrade)an Individual Sewage Disposal System. at No 1353 SALEM STREET - ---------------- --------------- - - as shown on the application for Disposal Works Construction-Permit No. BHP-2015-028____ _ __ Dated June 30 2015 Issued On:Jun-30-2015 r 1 �__ ---------------------------------------------------------------------------------- �ARD�OF _-ACTH----------------- i i Application for SeDtic Disposal System TODAY'S 6ATE Construction Permit — TOWN OF NORTH ANDOVER MA 01845 $ ull Repair omponent 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—What? cursor-do not use the return A. Facility Information key. /3,53 .SAt 1LM ST` Address or Lot# N004 MOULIM, CityiTown 2.- *TYPE OF SEPTIC SYSTEM*: ➢ R Pump ❑Gravity(choose one) ***lf 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) ➢ Pressure Dosed(D-Box Present)S.A.S. ➢ ❑ Does the system require an effluent filter? Yes—,/— No If yes, does plan specify make and model of filter? YES=(no further into. needed) NO=(installer must specify brand of filter before DWC issuance) C what is the Make?_�(,, r L Wbat is the Mode]P A 1861 2. Owner Information ,W CY_r C-Yr P 1A1 Q Name Address(if different from above) hNIn l �1�.� YV11A �l City own State Zip Code V I - Email address Telephone Number 3. Installer Information 'Irn 01 A J� n-4261'e6g/V1Wh 6y� Name Name of Company 1�- S— Address x-)&1)Cj 'I tom- �- CitylTown State Zip Code Telephone Number(Cell Phone#if po sible please) 4. Designer Information i 11 MP V110 im/lYl��l lel 11") m Name Nae of Company I VSA KN�- S�' Address a A 0 Ci /Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 •bs�, Application for Septic Disposal System TODAY'S DATE Construction Permit - TOWN OF NORTH ANDOVER, MA 01845 $250.00-Full Repair $125.00-Component PAGE 2OF2 i A. Facility Information continued.... 5. Type of Building: pResidential 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. I understand that until a final Certificate of Compliance has been issued by this Board of Health, the installed system is not approved. Name4 Date .P� "7 Ap p roved By: (Board ffeal#6 Representative) ame Date Application Disa proved for the following reasons: For Office Use Only: L Fee Attached. Yes— No 2. Project'ect Man er Obli ation Form Attached? Yes ✓ No � g — 3. Pump System? If so,Attach coQE ofElectrical Permit Yes. No Applicant received copy of "Electrical Inspection Notes for Septic Systems" Yes_ No Handout? 4. Reviewed approval letter, all paperwork received? Yes No MISSing:' 5. Foundation As-Built?(new construction only): Yes No (Same scale as approved plan) 6. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 i SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: SC&Vo cs (Address of septic system) For plans by Mcm wck_ ,, r G (Engineer) Relative to the application of ,�Vn _&x�_ .� (Installer's name) And dateda -/ D ated t 1,5 With revisions dated Zl�tS (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans g[[®r to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor, project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. 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 Title 5 and the Board of Health Regulations may result in a 350.00 fine being levied against me and/or my compan�r. a. Bottom of Bed— Generally, this is the first (111) inspection unless there is a retaining wall, which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection— Engineer must first do their inspection for elevations, ties, etc. As-built of verbal 0 K (or e-mail to: healthdept@townofnorthandover.com) from the engineer must be submitted to the Board of Health, after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system, all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade.— I nstaller must request inspection when all grading is complete. Installer does not have to be on-site. - 4. As the installer, I understand that only I may perform the work (otherthansimpieexcanation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done 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. 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Ditormination that tbt proper elevation of the exeavatlen bas biro riaebid. b. Inepott/on of the sand and Mone to be ueid. L final Inspietlon by Board of Health staff or eoneultont. d. Inetollotlen of tank, D-Box, p/poe, ;tone, vent, pump thambir, ritainlnp wall and other eomponente. 6. As the installer. I understand that I am solely responsible for the installation of the system as per the approved dans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) ams— In am Igne Grant, Michele From: Greene,Jeff <greenej@bcmcontrols.com> Sent: Thursday,June 18, 2015 3:04 PM To: Grant, Michele Subject: 1353 Salem Street Hi Michele, I am receipt of the North Andover Health Department approval for the septic system replacement at 1353 Salem Street. Thank you so much for your assistance in getting this done in such a timely manner. I also see the contractor list you have included. The contractor I was planning on using is JB North Shore Construction Company out of Boxford. Contact name is John Butt. He assisted in the test holes during the design process last February and I have been planning to use him since. I believe he does work in North Andover. However, I see he is not listed on the contractor list. Would there been any problem in using him? Thank you so much! Jeff Greene BCM Controls, Inc. 30 Commerce Way Woburn, MA 01801 Ph: 781-933-8878 x117 Fax: 781-932-3856 Cell: 781-858-7263 greenei@bcmcontrols.com 1 Grant, Michele From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Wednesday,July 29, 2015 1:58 PM To: vnemchenok@yahoo.com; merreng@aol.com , Cc: Grant, Michele Subject: Question regarding your project at 1353 Salem Street, North Andover Attachments: July 29 2015 008.JPG Vladimir, I completed an inspection of the septic system you designed at 1353 Salem Street today.The work was completed by John Butt and there generally seemed to be good craftsmanship and the project was for the most part in compliance with your design plan and with Title 5. One question came up which will need your involvement please: Your plan shows a 90 degree elbow to be built inside the distribution box for dispersement of the pumped water. The contractor built it according to your plan. What we noticed today was that the elbow is below the static water level and thus at the end of the pump cycle the force main created a seal so that the piping was unable to rapidly drain. The contractor and I had concerns about this possibly causing a freezing or siphoning problem and I wanted to review this with you. When I look at Title 5, 310 CMR 15.232(3)(a), it calls for an inlet tee, baffle or splash plate and does not speak to use of an elbow. It was reported that one of your representatives instructed the site contractor that this is the method of construction that is desired, primarily to avoid the possibility of water exfiltrating from the top seam of the distribution box if a tee were to be used that directed water up. While I can appreciate that concern, I need to ask you to please intervene by either: 1. Examining the operation of the system and attesting in a separate letter that the pump system complies with Title 5 and is operating per your specification 2. Reviewing this matter with the site contractor and developing some type of solution for this situation. One that readily comes to mind is to transition the force main from a 2" pipe to a 4" pipe near the distribution box and then place a 4" inlet tee inside the tank-this should,though I am not certain, avoid concerns about water seeping from around the distribution box lid and allow the force main to drain readily between pump cycles. Of course there may be other methods you might wish to consider as well,this is just one idea. If something different is proposed we would appreciate a quick note explaining what that approach might be and then have you depict on the as-built plan. The attached photo of the box while being dosed might assist you visualize matters. Could I ask that you please look into this matter and let me know which way you wish to proceed? If it helps,the excavation contractor can be reached at 978.815.5754 if you wish to review this with him. Thanks in advance, Dan 1 7/29/2015 Well Water Pumps.Measuring static water level. ;I Nand,-Operated,, v { �-ftl[Rump OUR PUMPS USES PREPAREDNESS WHY SIMPLE PUMP PRICING GET A QUOTE SUPPORT CONTACT HOME HOW TO FIND YOUR WATER LEVEL Your static water level (often simply called "the water level") is the Pressure discharge piping distance from ground level down to the water in your well.It's the " WELL To houseresting"level of water---i.e.when you are not pumping and haven't CAP pumped recently. T THE STATIC WATER LEVEL CAN COME FROM: I static 1.From your well driller's report eater If you have one from when the well was initially drilled. well depth 2.From your driller's records If you don't have the well report,your driller may have records. depth ' of 3.Your driller measuring pump ' You may need your driller to come and do a current measurement. 4.Measuring it yourself To determine your static water level yourself,you'll need ► A small steel weight,e.g.a nut ► A fishing float ► Fishing line or string. Measuring yourself is the last choice because there's a possibility you could get the line caught down the well. HOW TO MEASURE ► Attach the weight to the end of the line or string.Attach the bobber one inch above the weight. ► Remove the well cap and lower the weighted end with bobber into the well casing. ► When the bobber reaches the water level,the line will go limp. You'll feel a slack in the line. '. ► At the point where you feel the slack,mark the line at the top edge of the casing (you can tie a small knot in the line,use tape or a marker) ► Pull the line back up from the casing. . Measure the length of the line from the bobber to the marked line.This is your static water level. CLOSE THIS WINDOW,TO GO BACK TO GET-A-QUOTE FORM GET A QUOTE I DEALERSHIP QUERIES I SEND A MESSAGE SIMPLE PUMP COMPANY,LLC 1140 Amarillo Drive,Gardnervilee, Nevada 84460-7504 a1C . httpJ/www.simplepump.con/Support/Statc-level.html 1/1 i Blackburn, Lisa From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Wednesday,July 29, 2015 2:15 PM To: Blackburn, Lisa Cc: Grant, Michele; Pam Lally Subject: RE: 1353 Salem Street Attachments: 1353 Salem St.Construction Inspection.doc Attached please find the construction inspection report form for this site reflecting the final construction inspection which was completed today. The craftsmanship was generally on target with no major problems identified due to construction There are three items of note, however: 1. He has not yet abandoned the existing septic tank and will do so towards the conclusion of the project. He said you are already aware of this and are planning to inspect when he has done this work. He was reminded of the need to contact your office for inspection of that task. 2. The distribution box needs hydraulic cement around the pipe penetrations. The contractor was going to complete that right after I left and I told him he need not leave that open for observation. 3. The pipe elbow into the distribution box needs some attention per my earlier email to the design engineer. Please let me know if you have any questions. Dan i -----Original Message----- From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.coml Sent:Tuesday,July 28, 2015 12:08 PM To: dano@millriverconsulting.com Cc: Grant, Michele Subject: FW: 1353 Salem Street Hi Dan, They are ready for final inspection at 1353 Salem St.John Butt's phone number is: 978.815.5754.Thank you. -----Original Message----- From: Bill Dufresne [mailto:wrdufresne@comcast.net] Sent:Tuesday,July 28, 2015 11:57 AM To: Blackburn, Lisa Cc: Grant, Michele Subject: 1353 Salem Street Lisa The system at the above site is ready for final inspection. 1 Thanks. Bill Sent from my Whone All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north_andover www.facebook.com/northandoverma i z I r MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS LAND SURVEYORS • PLANNERS 66 PARK STREET•ANDOVER,MA 01810•(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL info@merrimackengineedng.com July 30,2015 Dan Ottenheimer, President Mill River Consulting,Inc. 6 Sargent Street Gloucester,MA 01930-2719 RE: 1353 Salem Street-North Andover Dan, We are in receipt of your e-mail regarding the septic system construction at the above referenced site,more specifically,the issue you raised during your inspection regarding the 2"distribution box influent line. Additionally we spoke to the contractor,John Butt,regarding the same. We have experienced numerous problems in the past with the use of 2"tees in this specific application as although 310 CMR 15.232 (3)(d)specifies distribution boxes to have water tight covers, 2"pvc tees on force mains often cause enough velocity, turbulence and inflow that effluent by passes the distribution box covers and causes effluent break out in the area surrounding the distribution box,as a solution,we recommended an elbow. We appreciate and respect your concerns with this suggestion,and as an alternative, suggest expanding the final 4 feet of 2"force main to 4"sch 40 PVC force main with a 4" tee installed immediately inside the distribution box. We have also used and specified this alternative in the past and it seems to remedy the problem.Please let us know if this is acceptable and we will advise the Contractor to proceed accordingly and specify this detail in these design circumstances moving forward. Very truly yours, Vl Ao lmtt Alk%U MOV, - Vladimir Nemchenok,P.E. Merrimack Engineening Services, Inc. -A Commonwealth of Massachusetts M a Department of Fire Services r BOARD OF FIRE PREVENTION REGULATIONS [1 APPLICATION FOR PERMIT TO PERFORI All work to be performed in accordance with the Massachusetts Electric (PLEASE PRINT INXNK OR TYPE ALL INFORMATION) Datt City or Town of: NORTH ANDOVER To ti By this application the undersigned gives notice of his or her intention to perforin i Location(Street&Number) c1� Ort l E� 1 Owner or Tenant K-p•EE10c- Owner's Address Is this permit in conjunction with ing ITt? _Yes ❑ No , j -------- Utility.A verhead❑ erhead❑ W ' t > :. ! 0 a Z b °o F Qpletion of the follo %A. o ddle)Fans 0 :U Q 0 L�, w ve ❑ In- Z 1— d. rnd. LL 0 Z W oTotalf 0. Tons s 0 Jx...Tons.........KW { o KW o z w rN KWNo.of "EA*+• sts HP n 12, �o • ��°j �' s h additional detai cz Mol.,,.+ 3 w v c }n required by rm accordance wit permit for the p = � ` : yrv=�ior ; sivliuig pleted operation undersigned certifies that such coverage is in force,and has exhibited proof of sE CHECK ONE: INSURANCE`- BOND ❑ OTHER ❑ (Specify:) X certify,under the ains and penalties ofperjury,that the information on this FIRM NAME: . r, -S v dot?z�`I ov &F C T Q•1-C eq#,: Licensee:0l _ P U ®tdkc3-T�1 N Signature (If applicable,entre " xempt"in the ense n]m�ber Address: y t�� it - *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safet) OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not h required by law. By my signature below,I hereby waive this requirement. lam Owner/Agent Signature Telephone No. .F\ Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a uilding ermit? Yes El No ❑ (Check Appropriate Box) Purpose of Building,5aP 4 E - Pw CL CU Utility Authorization No. - Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Pj 'l�r�t rfte Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency ig ting No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers HeaTota P Number...Tons..........KW . No.of Self-Contained Detection/Alerting Devices Municipal Other No.of Dishwashers Space/Area Heating KW Local❑ Connection Heating Appliances . KW Security Systems:* a No.of Dryers No.of Devices or E uivalent No.of WaterNo.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ® ° (When required by municipal policy.) Work to Start: "7'g'I S Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless bili insurance including"completed operation"coverage or its substantial equivalent. The ' s roof of liability g P . the licensee provides ty p p undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE` - BOND ❑ OTHER ❑ (Specify:) X certify, sander the ains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: . A44Lr'S o d+�Pt�5ty9 C s'Q 2 A� LIC.NO.: (SMO Licensee: i to oVkjt �rA M Signature _ LTC.NO� - (If applicable,ent� " xempt_in the ' e„nse n mber ' e.). Bus.Tel.No.: X' 6——�/ Address: 60 "W `�� _` e RT ®� �� Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires Department or Public Safety"S License. Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. r GOMMONWEALTF1 OF M/1SSACHUS�T'�S�`� 5-PAW-Of ELEGTf l Cl RNS i p ISSUES THE FOLLOWkt LICENSE AS . A REG JOURNEYMAN ELECTRICIA: u JAMES-- S KOUYOUMJ FAN i•. . (( (. ... :• ., 1 .'QRS /. -� thy], .; . 6� LOWELL RD' FW u Nt? TH READ-,I.NG MA O 1;864-1,635 � X1.51 O7/3t/_1::6 2.7440 LL North Andover Board of Health Meeting Minutes Thursday—May 28,2015 7:00 p.m. 120 Main Street,2nd Floor Selectmen's Meeting Room North Andover,MA 01845 Present:Thomas Trowbridge,Larry Fixler,Frank MacMillan,Joseph McCarthy,Susan Sawyer,Michele'Grant,Lisa Blackburn I. CALL TO ORDER The meeting was called to order at 7:00 pm. II. PLEDGE OF ALLEGIANCE III. PUBLIC HEARINGS IV. APPROVAL OF MINUTES A. Meeting minutes from April 30,2015 will be presented at the next BOH meeting. V. OLD BUSINESS VI. NEW BUSINESS A. 674 Turnpike St.—Jack Sullivan,Sullivan.Engineering,represented the homeowner of 674 Turnpike Street.Mr. Sullivan started by giving background information on the property,the timeline of designing the new septic plan for the current failed septic system and soil testing.Problems with wetlands came up during soil testing and Mr. Sullivan had to attend two meetings with the Conservation. Since then,Conservation has reluctantly approved the plans due to there being no other feasible alternative.Although in compliance with all the state regulations,he explained that there are requests of four local upgrade approvals and two variances that are needed through the Health Department in order to approve.the current septic plan: Local Upgrade Approvals Request: l) To allow a three foot separation between the bottom of the infiltrator units and the seasonal high groundwater table(4 feet required) 2) A sieve analysis in lieu of field percolation test due to the amount of fill onsite and the high seasonal groundwater table 3) To allow a 16 foot setback from the building foundation to the soil absorption system(20 feet required) 4) To allow a 6 foot setback from the property line to the soil absorption system(10 feet required) Variances Request: 1) Setback distance from wetlands to septic tank(29 feet requested,75 feet required under local bylaw) 2) Setback distance from wetlands to soil absorption system(50 feet requested, 100 feet required under local bylaw,50 feet under Title 5) Mr.Fixler asked if town sewer is available and if so why not connect to town sewer.Mr.Sullivan explained the reasons why the Town of North Andover DPW is not allowing hook up to town sewer.A discussion ensued regarding the subject of alternative septic systems and the process.Dan Ottenheimer,Mill River Consultant,stated that there is a notice/statement that is placed on the deed if a home has a non-traditional septic system installed.He stated that there is 2015 North Andover Board of Health Meeting Page 1 of 3 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Blackburn,Health Department Assistant also a contract in place with a company that does the preventative maintenance on a non-traditional septic system.Deed restrictions for a non-traditional septic system compared to deed restrictions on a bedroom count were discussed. Mr.Ottenheimer stated that due to the difficult site conditions,the septic design presented is a thoughtful approach to solve the problem. MOTION made by Mr.Fixler to approve the LUA requests as listed on the plans.Motion was seconded by Dr. MacMillan;all were in favor to approve the LUA's listed on the plans. MOTION made by Mr.Fixler to approve the variance requests as listed on the plans.Motion was seconded by Dr.MacMillan;all were in favor to approve the variance requests as listed on the plans. 1353 Salem Street—Mr.&Mrs.Green,homeowners of 1353 Salem Street were present.Dr.Trowbridge gave background information on the septic request.The homeowners did not submit their request in time to be on the May agenda however,they were welcomed to come in as a walk on to the agenda.Mr.Jeff Green,the current owner of 1353 Salem Street,stated that the current septic system failed and gave his timeline for applying for a new septic system.He explained where the failed septic system is currently located and where the placement of the new septic system will be. The request was for one local upgrade approval setback from the SAS to the street property line from 10 feet to 7 feet. Dr.MacMillan asked Mr.Ottenheimer to comment on the appropriateness of the request.Mr.Ottenheimer stated that new septic plans are prudent considering the site condition;however,procedural matters regarding notifying abutters may not have been followed in this case.The applicant or the engineer is required to notify the abutter which in this case is the Town of North Andover DPW. Dr.MacMillan stated that since the septic design approaches town property,the North Andover DPW would need to have been notified.He asked if the engineer had notified the DPW.Michele Grant,Public Health Inspector, stated that to her knowledge,they had not been notified. Dr.MacMillan stated that the DPW needs to be notified and that he would suggest approving the local upgrade with the condition that the DPW is notified and proof of notification is given the to the Health Department. Dr.Trowbridge stated that there is a 10 calendar day notification needed.As long as nothing is heard back from the DPW within those 10 calendar days,then the local upgrade will be approved.If there is a problem then the engineer will need to respond and the Board approval will be moot.The engineer will need to do the formal notification.Mr.Ottenheimer stated that the notification needs to be made by certified mail with the Health Department given notification of this. MOTION made by Dr.MacMillan to approve the local upgrade with the condition that the abutter,which is the North Andover DPW,be given notification.If there is no objection within the ten day window,the motion will be granted. VII. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. Ken Farbstein,MPP,public health advocate from the Tobacco 21 program approached the podium.Dr. Trowbridge stated that the night's information was for discussion only and no regulation change would take place. If wanted,the regulation change could take place as soon as next month's BOH meeting with proper notification. Dr.Trowbridge gave background information of the passing of the new tobacco regulations.Since passing the new regulations,there have been open conversations regarding considerations of the age 21 program:Dr. Trowbridge was approached by Dr.Hartman of Boston Children's Hospital.Dr.Hartman is the primary advocate of the age 21 program in Massachusetts.Mr.Farbstein discussed the trend to increase the minimum age for tobacco purchases within the Commonwealth.Mr.Farbstein stated his reasons why rising the purchasing age to 21 can protect underage smokers.Mr.McCarthy stated that the North Andover Tobacco regulations were just updated on.February 2,2015.A discussion ensued regarding other cities and towns that have adopted raising the minimum age to 21,flavored tobacco,other establishments following CVS's decision to stop selling tobacco products,and e-cigarettes.Mr.Farbstein stated that so far there hasn't been a legal challenge.Dr.Trowbridge stated that perhaps a number of towns need to adopt the over 21 regulation before the State hits that tipping point where they will enact it at the state level 2015 North Andover Board of Health Meeting Page 2 of 3 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,.Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Blackburn,Health Department Assistant North Andover Board of Health Meeting Minutes Thursday—May 28,2015 7:00 p.m. 120 Main Street,2"d Floor Selectmen's Meeting Room North Andover,MA 01845 Dr.Trowbridge suggested having a public hearing at the next BOH meeting which is June 25,2015 to consider amending the current regulation.Dr.Farbstein showed the Board an example of a template which can be used to update the regulations.Dr.Trowbridge stated that he will work with Ron Beauregard for the tobacco program to get the wording on amending the.regulation.Susan Sawyer,Public Health Director,will contact all retailers that hold a tobacco permit in North Andover.Dr.MacMillan stated that the public hearing will only discuss the one subject of increasing the minimum age.for tobacco purchases to 21.The rest of the approved regulation will not be discussed. VIII. CORRESPONDENCE/NEWSLETTERS IX. ADJOURNMENT MOTION made by Dr.MacMillan to adjourn the meeting.Mr.Fixler seconded the motion and all were in favor.The meeting was adjourned at 8:15 pm. Prepared by: Lisa Blackburn,Health Dept.Assistant Reviewed by.- All v:All Board of Health Members&Susan Sawyer,Health Director Signed b Lariy9dei�1tivk of the.B and Date Signed 2015 North Andover Board of Health Meeting Page 3 of 3 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Giant,Public Health Inspector;Lisa Blackburn,Health Department Assistant r. COPY 'ys�'cT�`L4aroa' • North Andover Health Department (ommunity and Economic Development Division June 15,2015 Jeff Greene 1353 Salem Street North Andover,MA 01845 Re: Subsurface Sewage Disposal System Plan for 1353 Salem Street(Map 106A,Lot 138) Dear Mr. Schmidt: The proposed wastewater system design plan for the above site dated April 28,2015 with a final revision date of May 21, 2015 and received on May 21,2015 has been approved. The design plan has been approved for use in the construction of a new on-site septic system for a 4-bedroom home utilizing a Quick 4 Low Profile Infiltrator Chamber system. This design plan ' approval is valid until June 15,2017. b d During this time, a licensed septic system installer must obtain a permit and complete this work, ¢ and a Certificate of Compliance be endorsed by the installer,designer and the Town of North Andover. In the event an imminent health problem, such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. At a regularly scheduled meeting of the Board of Health,this plan received the following approvals by the members. Local Upgrade Approvals: r • To reduce the setback from the soil absorption system to the property line from 10' to 7' Page 1 of 2 North Andover Health Department, 1600 Osgood Street,Suite 2035, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 r 1353 Salem Street June 15, 2015 This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void,installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)) 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. ncerely, 1 Michele Grant Health Inspector Encl. Installers list cc: Vladimir Nemchenok File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 MERRIMACK ENGINEERING SERVICES, INC. ` PROFESSIONAL ENGINEERS LAND SURVEYORS • PLANNERS 66 PARK STREET•ANDOVER.MA 01810•(978)475-3555.373-5721 •FAX(978)475-1448• E-MAIL info@memmockengineedng.com May 29,2015 RECEIVED Bruce Thibodeau JUN 0 12015 Director of Public Works 384 Osgood Street TOWN OF NORTH ANDOVER North Andover,MA 01845 HEALTH DEPARTMENT RE: 1353 Salem Street Dear Mr. Thibodeau, We have prepared a septic system upgrade design for the owner, Jeff Greene,of the. above referenced site. Due to site limitations and constraints, a Local Upgrade Approval has been requested from the NA Board of Health to allow the soil absorption to be 7 feet from the street j property line where 10 feet is required. You are hereby notified of this request. The Local Upgrade Approval Request was discussed at the May 28, 2015 Board of Health meeting and is approved subject to receipt of your comments or concerns within 10 days of receipt of this notice.Plans are on file and may be viewed at the Board of Health office at 1600 Osgood Street,.North Andover, MA 01845. . Yours truly, William Dufresne, Project Manager Merrimack Engineering Services,Inc RECEIVE® JUN 01 2015 TOWN OF NORTH ER HEALTH DEPARTMENT ci] D C3 N C`- ` rU Postage $ c >} Certified Fee C3 Postmark C3 Return Receipt Fee �2 a 70 Here C3 (Endorsement Required) Restricted Defivary Fee C7 (Endorsement Required) » Total Postage&Fees Sent To + C3 StreeF,Apt No.; �. or PO Bax No. sJ �.._��"'+►"x�- A 'Ik! j__.------- C(ry State,710 1 f 1 E I a ate items 1,2,and 3.Also complete A, Signat r Agent item 4 if Restricted Delivery is desired. dressee ® Print your name and address on the reverse so that we can return the card to you. B. Re ived b (PHnfed Name C.Date of Delivery IS Attach this card to the back of the mailpiece, J , I, or on the front If space permits. D. is delivess differen Item 1? ❑Yes If YES,eit delivery addr a ow: 0 No 1. Article Addressed to: j � 12,t4 G4 "fk 71001704- Oc-I&VO P � � 'G+%r� 3. Sice Type p� I�Certified Mail® ❑Priority Mail Express'" 0 Registered E3 Merchandise Merchandise �6 O insured Mail 0 Collect on Delivery 4. Restricted Delivery?(Extra Fee) 0 Yes t 2. Article Number 7 014 0 510 01101 1702 7208 (Transfer from service label) PS Form 3811,July 2013 Domestic Return Receipt 5�ST4IM j Fi7LECOPY r�A T ` YLM„ North Andover Health Department (ommunity Development Division May 20,2015 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover,MA 01810 Re: Subsurface Sewage Disposal System Plan for 1353 Salem Street Map 106A,Lot 138 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated April 28,2015 and received on May 15,2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item where applicable. 1. Cleanouts are required at all bends in the building sewer line(310 CMR 15.222(8)). 2. On sheet 2 of 2,the scale profile depicts the infiltrator chambers with a length of 24' instead of 28'. Please be aware the Local Upgrade Approval request will need to be presented at a Board of Health public hearing and the affected abutter(likely the Town of North Andover)will need to be notified 10 days prior to the public hearing. Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sin e. 6V Michele Grant Health Inspector cc: Jeffrey Green File Page 1 of 1 North.Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Wednesday, May 20, 2015 10:56 AM To: Blackburn, Lisa; 'Pam Lally' Cc: Grant, Michele;Isaac Rowe Subject: RE: 1353 Salem St. Attachments: 1353 Salem Street - Disapproval Letter 5-20-15.docx Michele/Lisa, Attached is the disapproval letter for the above referenced property for the initial plan review.Only minor edits needed. I did add a note about the public hearing requirement and notification of the abutter. Please review this and let me know if any changes are needed with the statement. Let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone:978-282-0014 ext.804 Fax:978-282-1318 irowe )-millriverconsulting.com www.miliriverconsultin.g.com From: Blackburn, Lisa [mailto:LBlackburnCaatownofnorthandover.com] Sent: Friday, May 15, 2015 10:00 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 1353 Salem St. Good morning, I'm mailing out septic plans for 1353 Salem St. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com 1 s .• TOWN OF NORTH ANDOVER 'v Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT •~RAtroD A 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540-Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdeptt@townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: ;-14- 1 1;, RECEIVED Site Location: Iq Cj�7 GA LKH & MCF_1_ MAY 15 2015 TOWN OF NORTH ANDOVER Engineer: /$225/Plan HEALTH DEPARTMENT New Plans? Yes Check# 2e40 (includes V submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes No Telephone#: lam)�P� 7�j'7j��i�' JC-2d Fax#(A7f2j 1!�-)q�te E-mail: Homeowner Name. OFFICE USE ONLY When the s 'ssion is complete (including check): ub ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ _Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database t Inriltrato r Chamber I/A technology Certification l hereby certify that I have been given a.copy of the Title 5 PA. technology approval letter, and the Owner's Manual for the abovie technology and I agree to comply with.all terms and conditions. I further certify that I am aware that this design does not allow use of a garbage =grinder.in the dwelling and that 1 understand any requirement to 4 repair, replace or modify or take any other action.required by the Department or the LAA if the Department or the LAA determines the system to be failing to protect public health and safety and the environment. sign ur date: certified by: (please print) W-IRRIMAC;KiNGINEERING SFR`•>ICES.It+1C. 66 PARK STREET• 'fit DOVi ER.h j+SSACHUSETTS 018)0 Commonwealth of Massachusetts City/Town of North Andover a o 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. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. 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 Important: When filling out 1. Facility Name and Address: forms on the computer,use Jeff Greene Residence only the tab key Name to move your 1315 Salem Street cursor-do not use the return Street Address key. North Andover MA 01845 CitylTown State Zip Code r� 2. Owner Name and Address(if different from above): SAME Name Street Address Cityfrown State (781) 858-7263 Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: 4 BDRM House 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Trenches t5form9a.doc-rev.7/06 Application for Local Upgrade Approval* Page 1 of 4 Commonwealth of Massachusetts City/Town of North Andover a Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: unknown gpd Design flow of proposed upgraded system 440 gpd Design flow of facility: 440 gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: 3. Local Upgrade Approval is requested for(check all that apply): ® Reduction in setback(s)—describe reductions: Distance from SAS to street property line from 10'to 7' 0 E] Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction p Percolation rate min./inch Depth to groundwater t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 2 of 4 ° 1 Commonwealth of Massachusetts City/Town of North Andover o 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. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: i Evaluator's Name(type or print) Signature Date of evaluation � II 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: NA 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: NA t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 9A Application for Local Upgrade Approval a 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: NA 4. Connection to a public sewer is not feasible: None Available 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." 5-8-15 ,ac ' wner's Signature Date Jeff Greene Print Name Bill Dufresne/Merrimack Engineering 5-8-15 Name of Preparer Date 66 Park Street Andover Preparer's address City/Town MA/01810 (978)475-3555 State/ZIP Code Telephone t5form9a.doc•rev.7/06 Application for Local Upgrade Approval*Page 4 of 4 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Jeffrey Greene Owner Name 1353 Salem Street 106A/ 138 Street Address Map/Lot# North Andover MA 01845 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ® Upgrade ❑ Repair 2. Published Soil Survey Available? ® Yes ❑ No If yes: 2014 version 10 1:15,800 421 Year Published Publication Scale Soil Map Unit Canton Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published Publication Scale Map Unit Till Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No Within the 500-year flood boundary? ❑ Yes ❑ No Within a velocity zone? ❑ Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions (USGS): 02/2015 Range: ❑ Above Normal ® Normal ❑ Below Normal Month/Year 7. Other references reviewed: Soil Evaluation Forms.doc-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: T-1 2-5-15 9am snowy 30 Date Time Weather 1. Location Ground Elevation at Surface of Hole: 95.0_ Location (identify on plan): See plan 2. Land Use Residential none 8 (e.g.,woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) Lawn Ground Moraine side slope Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body > 100 Drainage Way >100 possible Wet Area >100 feet feet feet Property Line 15 feet Drinking Water Well feet>100 Other feet 4. Parent Material: Till Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ® Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 50 90.8 inches elevation Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts Cityrrown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T-1 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) structure Consistence Other Depth Color Percent Gravel Cobbles& (Moist) Stones 0-20 Fill 20-32 B 10YR4/6 FSL Massive Friable 32-70 C 2.5Y5/4 50 5YR4/6 >5 LS 5 10 Massive Friable Additional Notes: Soil Evaluation Forms.doc-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 i <C\ Commonwealth of Massachusetts CitylTown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T-2 2-5-15 9am snowy 30 Date Time Weather 1. Location Ground Elevation at Surface of Hole: 95.6_ Location (identify on plan): See Plan 2. Land Use Residentail None 8 (e.g.,woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) Lawn Ground Moraine side slope Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 possible Wet Area >100 feet feet feet Property Line e°t Drinking Water Well feet00 Other feet 4. Parent Material: Till Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ® Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 63 90.3 inches elevation Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 <C\ Commonwealth of Massachusetts City/Town of North Andover F Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T-2 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) obbles& Structure Consistence Other C Depth Color Percent Gravel (Moist) Stones 0-20 Fill 20-35 B 10YR4/6 FSL Massive Friable 35-86 C 2.5Y5/4 63 7.5YR4/6 >5 LS 5 10 Massive Friable Additional Notes: Soil Evaluation Forms.doc-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal r D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. 50 B. 63 inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ® Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: aches 5 Lower boundary. 70/e86 Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 41 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 2-5-15 Signature of Soil Evaluator Date William Dufresne 5-9-96 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam Isaac Rowe (Mill River Consulting) North Andover Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. Soil Evaluation Forms.doc-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts Cityrrown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: Soil Evaluation Forms.doc•rev. 1110 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 Commonwealth of Massachusetts City/Town of Percolation Test Form 12 GM SVey 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 Jeffrey Greene only the tab key Owner Name to move your 1353 Salem Street cursor-do not Street Address or Lot# use the return key. North Andover MA 01845 City/Town State Zip Code (781) 858-7263 Contact Person(if different from Owner) Telephone Number B. Test Results 2-5-15 Date Time Date Time Observation Hole# P-1 Depth of Perc 40" Start Pre-Soak 11:41 End Pre-Soak 11:56 Time at 12" 11:56 Time at 9" 12.17 Time at 6" 12:45 Time (9"-6") 28 min Rate(Min./Inch) 10 Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ William Dufresne Test Performed By: Isaac Rowe Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 I TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ' HEALTH DEPARTMENT - 1600 OSGOOD STREET; SUITE 2035 Alms, NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540-Phone Public Health Director 978.688.8476-FAX healthdept@townofnorthandover.com www.townofnorthandover.com APPLICATION FOR SOIL TESTS DATE: - ^ytj MAP&PARCEL: Z �) LOCATION OF SOIL TESTS: OWNER: jrrf 6l't eew Contact#: APPLICANT: Contact#: ADDRESS: ENGINEER: —Contact#: CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision ' gle Family Ho Commercial Is This: Repair Testing: V/ Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) JAN Z.'-2015 y 8.5"x 11"Plot plan do Location of Testing(please indicate test nit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers um two deep holes and TOWo'L two percolation tests required for each disposal area. Fee of$360.00 pe lot for re airs orr.a}e3s: r � - GENERAL INFO ATION ➢ Only Certified Soil Evaluators may perform deep hole inspection . ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ 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). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: , w Signature of Conservation Agent. A 6D 0-� (v ',-P— l Date back to Health Department: (stamp in): ��!� vi, „u Al rk \. • Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Thursday, February 05, 2015 2:48 PM To: Blackburn, Lisa Cc: Grant, Michele; Pam Lally;Isaac Rowe Subject: RE: 1353 Salem St. Attachments: 1353 Salem Street - Soil testing results 2-5-15.PDF Michele/Lisa, Attached are the soil testing results for the above referenced property. This was for an upgrade to the existing system. Let me know if you have any questions. Thanks, i Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 Fax: 978-282-1318 irowe@millriverconsulting.com www.millriverconsulting.com -----Original Message----- From: -- -From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.com] Sent: Monday,January 26, 201511:50 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 1353 Salem St. Good Morning, Please contact Bill Dufresne to set up soil testing.Thank you. -----Original Message----- From: noreply@townofnorthandover.com [mai Ito:noreply@townofnorthandover.com] Sent: Monday,January 26, 2015 12:02 PM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date:01.26.201512:01:48(-0500) Queries to: noreply@townofnorthandover.com 1 I 1 i IRN NVI it I I E S � � S !i f ! LLI z l - - I , -Tor I I IT t t , i i III Y .. -, ' Z _.f I { - _ I � 1 ` I t: 4 y , A /) 14t LL Nares 1Ap1+. G �raSS. Of 6 • 4 � x:t• 4p� 7%, z Lo-C 1.01 faKi>��SdrnJ _— �—• 4`_�5 k�J D r 12" Mig T05011. COUtlt 4$40 1 TR cl4 N i* 1 • r' N U o al ? u� r 40' - _ 1 LA Q r ' 0� t JAXfl C:4 1 816 'CLAY SL kIU/ uo kaAr��i. •�u��++��2tl�