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Miscellaneous - 137 HAY MEADOW ROAD 4/30/2018 (2)
� � I �'1 HHYHEA R � � ` � '�,,,� SEPTIC SYSTEM INSTALLATION yE� IS THE INSTALLER LICENSED? NO TYPE OF CONSTRUCTION: NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF APPROVAL (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO C3D, NO DWC PERMIT PAID? DWC PERMIT NO. INSTALLER: J�7— ,�o!f BEGIN INSPECTION - YES O: EXCAVATION INSPECTION: NEEDED: PASSED BY CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY: YES : APPROVAL TO BACKFILL: DATE: 9G7 BY - FINAL GRADING APPROVAL: DATE BY FINAL CONSTRUCTION APPROVAL: DATE' BY r NEW ENGLAND ENGINEERING SERVICES INC March 23, 1996 Attn: Sanrr Sandy Staff North Andover Board of Health Town Hall Anex North Andover,MA 01845 Re: 137 Haymeadow Rd. Dear Sandy: Enclosed are the soil evaluator reports for the above referenced location. If you have any questions please do not hesitate to call. Also,I talked to Randy Jones at Jones and Beach engineers,he mentioned that the variance to a water service was not noted on the plan.He will probably foreward a revised plan directly to you. Yours Truly Benjamin C.Osgood Jr. i 33 WALKER RD. - SUITE 22 - NORTH ANDOVER, MA 01845 - (508) 686-1768 , FORM 11 • S011, EVALUATOR FORK Page I of 3 Date: 3- zi-q6 No. Commonwealth of Massachusetts x. Massachusetts Soil Suitabilr Assessment Qr Qn-site Sewa e Dis t.oal. �C Date: Performed By: 3-19- 96 Witnessed By ./z2 .� . N. ffN Ac�.�J rz .. v.4 /�,.. IlGE•0. l.tr-al�on AdArLss tx /J? 7 ��/�7 EI'9OOY'✓' ,P— Owrc.t's.Nsmc. lJ �y��P�T Address.and M'Rri d0 W 2.D. lA�x -N. ►�/N O L9,E iZ /vl Telephone 1 l 3 ? t:1 -y. _. N (},votjr; i2 ew Construction Repair Office Review Published Soil Survey Available: No n Yes t Year Published 1 ,3 7 t Publication Seale Soil Map Unit �aiv;vN Drainage Class eusu ®2R+n►F D Soil Limltatlons ���t-r. ,W.r�?E.,2. ... Surficial Geologic Report Available: No RI Yes El Year Published Publication Scale Geologic Material (Map Unit) ............................ Landform ,..... Flood insurance Rate Map: Above 500 year flood boundary No ❑Yes . Within 500 year flood boundary No [ Yes Q Within 100 year flood boundary No 7Yes Q Wetland Area: National Wetland. nventory Map (map unit) Wetlands Conservancy Program Map.(map unit) ... Current Water Resource Conditions (USGS): Month Range :Above.Normal ❑Normal El Belc, Normal 7 Other References Reviewed: DEP APPROVED F:AhNi- 12107/91 FORM 11 - SOIL EVALUATOR DORM Pale 2 43 I.xcatlt�rl ";C1dCess or Lot wo. /�j7 / Y On-sate ;�:��eview 2r 3�-.I G -4� ime: to uo Weather Deep Hole Number tl ate. Location (id on site plan) - Land Use L Rw�;-v Slope (%? ;surface Stones �FrA Soo LO t 2S Vegetation (TRtriss Landforrn Oleo.�► Lt.•� �5�c PE Position of) landscape (sketch on the back) Distances from: C)pen Water Body /'VO feet Draina xe v/ay / 1/0 feet Possible Wet Area !3 0 feet Property Line !a feet ,drinking Water Well feet Other -- L)EEP OBSERVATION HOLE BOG Other . Depth from Soil Horizon ^ Soil Texture Soil Color ; .vlotZling (Structure. Stones,.Boulders Consistency.stency. % 3 Surface i!n�hesi (USDA? (MunselU II Gravel) 3/2 ' Very FRtA 6 LF, co�.vt0.v t2TS a . i wce is 6- R RNv4�aR s 3 ' I 2V It w i 5TOn1fiI 'O 2 1f/i �riAgLlr' �a.v�Mo.+✓ �2}S, l L i i +{8" 10 I 641 aLD S Few FN ta 5 / ! � y I l ! ' L e., A4 04.SS1v �� Depthto6edrock: Parent Maeeral (geologic/ -- Weeping from Pit Face: -- Deoth toGroundwater. Standing\^,�r.3,or in the Mole: - yS '` Estimated Swasonal High Ground w.t.ar:_ 1)EP APPROITI)FORM- 12/07/95 i F0101 I I - SUIL LVALUA,roiz vc,,fol I'ag ; : f 3 Location Address or Lot No. 137 HtfYeyt$00 2D, sU. NO©cJcrt A4 71 P. �. Determination{ forSeasonal Hig�? Water- Table Method Used. Q Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole inches LSI Depth to soil mottles Ya inches Ground water adjustment . _ feet index Well Number ... _: leading Date Index well level Adjustment factor ,. .. ;adjusted grour;d water level Degtr,�, of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in ail areas observed throughout the area proposed for the soil absorption system? _W,,&_ if not, what is the depth of naturally occurring pervious material? , Certific ption certify,that on we v /-91s- ,Et (date) i' have passed the soil evaluator exa � c<<ion approved by the Departmen,,. of Environmentai Protection and that the above n:a!ysis rias performed by me consistent with the required training, expertise and expf.,, ience described in 310 CMR 15.017. Signature .� 1! Date 3— z-:5—9(2 loe i DFP APPROVED FOR.%1-I'./ii 195 FORM 11 - SOIL EVALUATOR 1.--()R-Nl 1'a;;, : of 3 Locatiol; ,'iddress or lot No. /�� /��}/nwEft00 �. RD N. i9nJ�D✓t2 n�i4 Determinationfor Seasonal High Wates Table Method Used: --i Depth observed standing in observation hole. inches L-I Depth weeping from side of observation hole IncInes W! Depth to soil mottles -1/D inches Ground water adjustment feet Index. ``Alli Number .. Reading .Date . Index well level Adjus 4U-n,cent factor -...... Adjusted ground water level ..... pept!_l `_Naturally Occurring Pervious Mater al Does at least four feet of naturally occurring pervious material exist in 411 �Lreas observed throughout the area proposed. far the soil absorption system? ...,.�.� S if not, what is the depth of naturally occurring pervious material? certify that on yo v /2-9s (date) I have passed the soil evaluator exarnifation approved by the Cepartment of Environmental.P.rotection-and :,tat the above v%,a s performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date :3-Z - 96 4 �3 DFP APPROVED FORA•12107/.95 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Locancin Aljr r' ,SS it?' L-ot No. 137 NiFf100v�/^�20 itl. O✓�/� NI14 On-site Review Deep Hole Number Time: q.So Weather )'RR>�o cco. aY Location (identity on site.plart) Land Use 409 Al Al slope .M <S` Surface Stones 1=Ew .. .BovJ-DeZs Vegetation 6-219 s Landform P11-0'VtA-1 N Sj-o'PF Position on sar :, app rsl., ,F: (.,m the back) Ds r i tances t , r .n, Open; Water Br,,,J,1 /2o feet Drainage way / 2O feet Pos. le Wwt Fr�. /v o feet Property Line Z feet ri.:; Water M:i! feet Other DEER OBSERVA,7 ON HOLE 40.G .: Other Depth iron ' Soil ti•~zrizon j~Soil Texture Soil Color Soil Surface (inctf,$) (USDA) (Munsell) Mottling (Structure;Stones,Q eVld,rs,.Consistency, % 2 ve tZ j FRiA BLF COPAA46,111 i?T&. `y S:rnn E c.C, Lj C k ,f Z _ 96 1 C g„�t�e�y i�y�s�✓9 ° mho VE ,. ►2ooi'S -1-0 6� 25, '/r !•;!'ti�ri lVl t]1' DepthtoBedrock: Parent Mater ai tQaufct,0 Depth to r,..ar_a_'te,: S'.anLng'Nrter in the Hole; ._ �_..-....-_----- Weeping from P,t F;;c e: Estimated sena; t l i,`i ::ro ;r d Water!.�— AN'ROVID i•)RAI•12107195 I I { Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road ^^ Property Address Doug George �� L Owner Owner's Name t%@ information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information RECEIVED out forms on the computer, use only the tab 1. Inspector: 20 key to move your JUN 10 15 cursor-do not John DiVincenzo use the return Name of Inspector TOWN OF NORTH ANDOVER key. Stewarts Septic Serive HEALTH DEPARTMENT " VV Company Name 58 South Kimball street Company Address Bradford MA 01835 City/Town State Zip Code 978-372-7471 S113386 Telephone Number License Number B. Certification 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 ❑ Fails ❑ Needs Furth valu ion by the Local Approving Authority r In/pector's Signature Date I The system inspector4=0 ubmit a copy of this inspection report to the Approving Authority (Board of Health or DEP)witdays of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/ day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. I ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ 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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a, 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ❑ 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: ® ❑ Existing information. For example, a plan at the Board of Health. ® El ( Y Determined in the field if an of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,. 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information Description: I Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: Type of Establishment: I Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): i General Information Pumping Records: Source of information: Stewarts Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Site Guage on truck Reason for pumping: Inspect tank Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1996 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 30" Depth below grade: feet Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): I Septic Tank(locate on site plan): Depth below grade: 12"feet j Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape measure & Sludge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Both baffles good liquid levels good. no leakage. Grease Trap (locate on site plan): Depth below grade: feet i Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is North Andover MA 01845 5/28/2015 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I 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 per day Alarm present: ❑ Yes ❑ No I Alarm level: Alarm in working order: ❑ Yes ❑ No I Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): No solids carryover(very clean) Equal dist no leakage Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Ran pumps manually by raising floats in pump chamber Alarm and pumps working at this time. * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1-20X43 ❑ 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.): No Hydraulic failure, No ponding no damp soils. i Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): i I i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w„a 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately i i t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °� a,•''c 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required for every North Andover MA 01845 5/28/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 3-23-96 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: pulled files ® Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: I You must describe how you established the high ground water elevation: Ground water at elvation 96.0 bottom of bed @ elev 98.0 3' seperation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 137 Haymeadow road Property Address Doug George Owner Owner's Name information is required North Andover MA 01845 5/28/2015 page. Citylfown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information — Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I t5ins-3113 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 1.11;�) ;1C. ,..Iii', ..� sic>•r ecn.�'��^ � ✓� +3f,9 ,�" ;l'"Il1rµ'1l1 ..y; g8 4u h r ;00 \` '.\ C UISIOiICB from w°ler line io system from 20C10�O a-;i.' :Y� 55 LF OF CONCRE i E BALL SEE.;DEA9L�,�, x „ , 1'I I EXISTING SYSTEM ' r > ' '4'y z3r '�;�,� � TO BE REMOVED D . E i , I �T`•.yt A "e S 55'36'15'” ...e® 4 `pr�,x``� ..- � ''++w, Fr. -' '..'•'•• :�»�l 'r .� .CJ 0 �•4 C7f���y�.Fd�w.^1y `J10Vt �� � �\,•\i\: � �ax `QOM"{ �`�''^�=+T^t,5z �5,��.i.>_�/�\,. ",,� Aj RELOCA I P \ PJMP FENCE I CHAMBE O R .: .. . 1Y�\e 5 EXISTING 1500 GAL - - — — J SEPTIC TANK PROPOSED ---- I FENCE q� AN ASSUMED B.M.-- 0 = \ ' PORCH SLAB EXISTING o ELEV: = 100.00% ' 4 BEDROOM HOUSE - �,; to ( � � � ...,._�_.._ ., ._-• - ii 'Id i r 1 1 'l , 5 LOT a,-GAA } t i 43.822 S.F. :i a; e• (. !' i);)C: putt 11 11 '-.oiR—C•_-^ A. wall :t:m?:) 08 Dis:a,ce rc.rn wOler line 0 systi em ,t r0m 20 0 30 \ 55 LF OF ;CONCR %EMNA`L \ t6d • .., 1 SEE DEr Air, , . .� EXISTING SYSTEM0 92 i TO BE REMOVED I \ 1 T�•�t.f. I , 5 55°,35'I5 C;C' p 6�8 c ~'` w '0 .� 6�{ r r \t SHED IAj \ x RELOCATE ' PUMP FENCE CHAMBER \ Ohl O I, t EXISTING 1500 GAL _ `T\SEPTIC TANK -------- -< _ PROPOSED -- 1 ^� FENCE GG / ASSUMED B.M.-,\ e \ I PORCH SLAB =XIS'.NG .7 IN p ELEV. = I00.00- x a BEDROOM HOU.SE – :-----..::- w i I j �1 ` ! OT GAA `1 X3.822 S.F. ❑ Stewart's Septic Service ❑ Andover Septic ❑ Stratham Hill Septic ❑ Roto-Ram (978) 372-7471 (978) 475-2593 (603) 772-5548 (978) 452-9022 58 South Kimball Street, Bradford, MA 01835 w _ K Drte, �erv+c� PAY FROM THIS BILL Cust er at�me: ❑ Reg. Nature of Service 00 (- Pt,cn ❑ N/C ❑ Reg.Maint. Service Locatio°h: ❑ Emergency r i �� se_j 2T), Septic Tank Pumping and Cleaning ❑ Day ❑ Night Phone: M "Done the Right Way" Contact:',: Billing Address: Not Responsible for Covers `,�� or Irrigation Systems City. 1 XJ� �' zip: Special Instructions ❑ Completed ❑ Incompleted Reason: Per: s AM/PM Services Rendered z Vacuum Pumping Observations Drain Cleaning Septic Tank ❑ Good Condition ❑ Main Lined ❑ Drywall ❑ Leechfield'Runback ❑ Toilet Bowl ❑ Leech Pit/Overflow ❑ Riding High' ❑ Kitchen Sink ❑ D-Box (liquid level) ❑ Bathtub/Shower ❑ Pump Chamber ❑ Full to Cover ❑ Vanity ❑ Grease Trap t ❑ Excessive Solids ❑ Floor Drain ❑ Catch Basin' " Top/Bottom ❑ 'Vent ❑ Portable Toilet ❑ Use No Powdered Soap ❑ Sewer Jet ❑ Other ❑ Heavy Grease ❑ Other.� ` Oty: ❑ Roots Footage: -' Size: ❑ Suggest Electric ❑ Under 1000 gallons ❑ 1000 gallons ❑ 1500 gallons Rootering ❑ 2000 gallons ❑ 3000 gallons ❑ 4000 gallons ❑ Van Called ❑ 5000 gallons ❑ Other ❑ Other } Misc. I- • Digging Charge O Backhoe e°" ) ❑ Inspection ❑ Location ft./in. F u' LI Consultion nrs. ❑ Certification: P/F ❑ Service Call ❑ Estimate Reason: ❑ Labor ❑ Portable Toilet Rental ❑Pump Repair ❑ Waiting Time ❑ Baffle ❑ Repair * Digging Charge is Per Driver ❑ Chemical Treatment Discretion ❑ Other Description of work f ol Recommendations Terms of Payment Parts Vacuum Pumping r Drain Cleaning w ET 15 DAYS Yr. Month 1 ;Yr. " ' Month Tax Terms&Conditions C] Cash LICheck LlCredit Discount Total 1. Not responsible for damage beyond curb line. 3. 1.5%per month will be charged to accounts past due. 2. All complaints shall be reported within 48 hours. 4. The purchaser agrees to pay all cost of collection. Customer Signature Serviceman �'� Town of North Andover , NpRTk OFFICE OF 3?o tido` COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street North Andover,Massachusetts 01845 `°�...°•''y ty 9SSACHUS�t June 3, 1996 t� ' Jones &Beach Engineers, Inc. 85 Portsmouth Ave. Stratham,N.H. 03885 Re: 137 Haymeadow Road Fax#508-653-0269 To Whom it May Concern: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Elevations of test holes missing. g 2. Elevation p 1 vation of to of concrete barri6r can be no lower than the breakout elevtion. 3. Distance form retaining wall to leach area should be at least 10 feet. Any questions, please do not hesitate to call me at the number below. Sincerely, y_:rdra Starr, R.S., Health Administrator BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover, Massachusetts Form No.2 MORTil BOARD OF HEALTH 'T n I•• 00 )lam a � I o F w F DESIGN APPROVAL FOR ,ssAON°SE`� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �7(f'lt-<< /�1- tS 1.�� X� Test No. Site Location 9..J / Reference Plans and Specs. CO h/�6 ENGINEER DESI DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH Fee Site System Permit No. i L ^jt� ,toovER/ FORM 11 - SOIL EVALUA = f�R FORM of 3 t Dates -z �- No. Commonwealth of Massachusetts Massachusetts Soil Suitabili' Assessment or On-site ewa a Drs j w>jaxl, tj l' Date: Performed By: Alk Witnessed. By: //-- 2O Owner's Name, 0'0' y tlo'IoonAddressor %37 MfIY/V1G/J)� Address,and 437 VVH of Y,-41efJ90oV T'ZD. L Teltphorn 1 / ySNN©f,��2sN19struction ❑ Repair —�..._.._ Office. Review es ®_ Published Soil Survey Available: No Y , 5,9 qa Soil Map Unit Year Published . jg7 _ l l Drainage Class Well D +nP Soil Limitations Surficial Geologic Report Available: No X3 Yes ❑ Publication Scale Year Published Geologic Material (Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No .[]Yes Q Within 500 year flood boundary No El Yes ❑ - Within 1100 year flood boundary No ❑Yes ❑ Wetland Area: National Wetland Inventory, Map (map unit) !1�' Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions (USGS): Month Range :Above Normal !]Normal ❑Bele^/ Normal ❑ ^ Other References Reviewed; - PEP APPitoWD FORM- 12107/95. .w FORM 11 - ' 011: EVALUA"'WR F0,101 Z?c F lit' 3 2 0 Location Addressor Lot iJo. �7 �,t�A -WQ-&V– -=lam 1%411p0Vka:-4 On-site Review . Deep Mole Number Date:. `/q"96 Time: T/ Sa Weather Pl'fgT6Y C 1 V Location (identify on.site plan) Land Use 1— Land IV Slope i%1.,.. Surface Stones Vegetation Landform —5�.OPt Position on landscape (sketch on the back( Distances from: Open Water Body /-?v feet Drainage way feet Possible Wet Area /©0 feet Property Line ark feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOW �^ Depth from ;SoHorizon Soil Texture Soil Color Scii •�~ Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, S,� es, Boulders, Gravel) f2iAStF �Z r�r 96`" � Bo•.tcQe�-y �o��tsl� 2�v�,y b/� ;A4 V�� `z�ofs iz 6 0 '( i t -HOLES REUUIREU 2 AT :t R .. Parent Material {geologic) l3 �ctci� -vit DepthtoBed arK �n• , ._ .__._._. `T� Weeping Nvin`r'it Face:--7—� r� Depth to Groundwater: Standing Water in the Hole: __..._ Estimated Seasonal High Ground Water. —' •"" ' 70�� ol= TEss` P�i F4C✓ = 9v'%OCA cviE2 E� vAT�o•v c 47t-7 0 12/07/95 uEp,yexovED to.iznt• � I OJ01 II - SOIL LVALUATOIZ DORM Page 3 of 3 Location Address or Lot No. 137 t-dyl"ef-00W i9p. AN 9,20Ctz pC cp Maces2 Determination for Seasonal High Water Table Method Used: Depth observed standing in observation hole . ... inches ❑ Depth weeping from side of observation hole inches Depth to soil mottles y.d inches ❑ Ground water adjustment feet Index Well Number Reading Date ...._.....: Index well level .... . Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yle 5 If not, what is the depth of naturally occurring pervious material? Certification I certify that on AAOV (date) I have.passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with.the required training,,expertise and experience described in 310 CMR 15.017. Signature Date 23-f6 DEP APPROVED FOR%1•'12107195 FORINT' l l - SUIT. EVAIXIA I O i, )ICNI I"",,. .. of 3 Location Address or Lot t0- 437 adeM .,,.� Nat)Vi�✓� A4'4 On-site Review Deep Hole Number G� Date:.. 3-./ ` 96 Time:. /0.v p Weather c50NNY 4/0 + Location (identify onsite plan) Land Use Slope (%) . Surface Stones FIE,i:�.! C>ve..D�2 S Vegetation ,�rS Landform l�fLP M I-1,'U SL c pC _ Position on landscape (sketch on the back) Distances from: Open Water Body P-40 feet Drainage way /E/O. feet Possible Wet Area /30 feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture SoiLColor Soil Other Surface (Inches) {USDA) (Munsell) Mottling (Structure, Stones,G Boulders, G°nsiE.t.r:oY, 3 vt.� Fri A S r:E C<)A4 A4cv RM, 1pj� /Z wE-FK "j9NJI')9t2 Y Sib AC ) i°y iz y/� /-2►iq B L F,; C'6W7.r�.� 2ts l S HS" y1,6 � BL17S, �Fw �IN� ?.s'j /2 fZj .vtflss 1 vL 71 3 k C2 �, Si. 2—y`:1/b 2S') 1'/2 FTL►4B1.t; AlASsI ✓F, Sn Al m3P rj'I"I'7TMP'iT5ED DIS Parent Material (geologic)�4CI l 11 z L DepthtoBedrock: -.-.' -- -- 7Z" Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: � Estimated Seasonal High.Ground Water. !/k --- -~ " 1-4,J7 OF rC57- Piz FL�(1 10v"'�o w/TT.9.8L'C-- "Fl-ev = 9 .00 1)EP APPROVED FORM• 12107/95 /' FORM I I - SOIL EVALUATOR FORM page 3 of 3 y Location Address or Lot No. 137 rI/ ymg:egoaw a o" .Determination for Seasonal High Water Table Method Used; El Depth observed standing in observation hole inches 0 Depth weeping from side of observation. hole inches © Depth to soil mottles �8: inches Q Ground water adjustment .. feet Index Well Number .... ........ . Reading Date Index well level . Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed. throughout the area proposed for the soil absorption system? YeS If not, what is the depth of naturally occurring pervious material? Certification I certify that on NVOV 19-7=E: (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me.consistent with the required training, expertise and experience described in 310 CMR 15.017, Signature _ Date -3-2-3- :26 1)EP APPROVED FORM• 12/07/95 n..� _ — - -m►9Mr9anrn�YPiMI++F-+,�I - -i�rrl5r.��-'' �+rr^wi:, Town of North Andover, Massachusetts Form No.3 f pORTM 1 BOARD OF HEALTH 19 �o h T DISPOSAL WORKS CONSTRUCTION PERMIT S'TACHUSf Applicant r. AME ADWSS TELEPHONE Site Location Permission is hereby granted to Construct ( ) or Repair an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BMgn OFTTMLNT+� 6-0 Fee �� D.W.C. No. i Y,,,'?. -+j rr. -t. ?f...F4j. 1�; x�i, !✓.f`... t:'�. r1Y- _{1�to 1.r r"�t ai.,y�i;IMP we� 1 • F, Ifs-0••� � I�.ri•, ISL+•.�• , , Iyr• i I . w. ������■��� Ufa ���( • a . s�Zto FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this i sec on***** * ** *** APPLICANT: n ��' Phone LOCATION: Assessor's Map Number ( C) LI Parcel 001� � 11 I �. II Subdivision �-t�u w.� sw �J( Lot(s) l Street 4,ALI � , St. Number _ ************************Official Use Only************************ RE/CO TIONSOFTOWN AGENTS/:,,_ 4-7 J v 6d&_Eu, Date Date Approved Cons rvation Rejected Administrator Date Rej - Comments V� �, �� ( V14 6(kk e 7 /0 0 ' �A . Date Approved Town Planner Date Rejected i Comments Date Approved _ Food I ector-Health Date Rejected Date Approved 7 __��e is nspector-Health Date Rejected i Comments /� f� - � j ; -e_ r Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Form No.4 Town nofNorth Andover, Massachusetts - BOARD OF HEALTH 2,?_19 96 , July — CERTIFICATE OF COMPLIANCE This is to certify that Absor tion Sewage Disposal System constructed ( ) or repaired ( ) the Individual Soil p by `T INSTALLER MA at 137 Ha mea SITE LOCATION s been installed m accordance with Board of Health Regulations as described in heDesign has 6/9/ 1996_ Approval Site System Permit No. dated The issuance of this certificate that the system will shall not be construed as a guarantee function satisfactorily. � /����� /�. BOARD OF HEA 0 It- I Z1' .. PLAN REVIEW CHECKLIST ADDRESS J3 7 &,yeho&J ENGINEER �6�Q L-S } R6A6�i GENERAL 3 COPIES ,�,/ STAMP L,"" LOCUS NORTH ARROW �/ SCALE CONTOURS / PROFILE L1 SECTION BENCHMARK '' SOIL & PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS WATERSHED? A10 DRIVEWAY -----(Elev) WATER LINE L--""- FDN DRAIN SCH40 r/ TESTS CURRENT? f.,-� SOIL EVAL 1-73EN (056 on b) Jk SEPTIC TANK MIN 1500G . 17 INVERT DROP GARB. GRINDER(+200% EDF) 25 ' TO CELLAR-J—br MANHOLE 1/ ELEV GW # COMPS . D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET lU(7, 3 - OUTLET (2 11 OR . 17 FT) TEE REQ'D? LEACHING MIN 660 GPD?,AU RESERVE AREA 4 ' FROM PRIMARY? 2% SLOPE I-� 100TO WETLANDS ---- 100 ' TO WELLS ---- 4 ' TO S .H.GWS(' (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS-�—Ap 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY `S MIN 12" COVERL--- FILL? y(25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 411 PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright 0 1995 by S.L. Starr PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W)xD x #) (G/ft2) FIELDS MIN 660 GPD �'I� 900 ft2 BED L" GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? 4" PEA STONE? L--- DIST LINE SLOPE . 005? t--- >3 'COVER-VENT SCH 40 `�� MIN 12" COVER cl RATE LDG X . = c/ X TOTAL �a G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY � gpm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpmm MANHOLES TO GRADE ALARM SEP. CIRC. c/ GW (Min. 1 ' below inlet) HWL�-Iwll LWL13,6I CHECK VALVE/ BLEEDER HOLE L/ MANUAL OP. SWITCH L---' Copyright C 1995 by S.L.Starr ti z 14 �---- -- _ g7,oo' _rr I it n P 4olOld P AINAC�� �nSEMEnJ�r i T- Z r•,o� �' 3 LAA 2 r d ;�I O H eG• ' O I ' r 4-to,' ot 1+1V. PIPE OUT OF H5E A 5 E5 u L-r 11 1 V_ PJPE I NTD Tp hLy- I kA\/ PAPE OUTO F TANy- 150 . -- u i2_ u 9•F�.iF— D 1NV_ PIPE INTO D.80X -- INV. Pt PP-OUT D.FliaX I r�J R, AAA. SG4 LE t = qp ` DATi=; 71 to X0 F2At-11L c F-L-INASAS5C- 1kA,T"ES F--- N61NEEtZS AV.C.a tlT1✓GT'S -4 &.tQ f,,i o. � " I�