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Miscellaneous - 143 LACY STREET 4/30/2018 (2)
143 LACY STREET _ / 210/105.D-0167-0000.0 r / , 3 h Ji I li I 9 �r � VIL MAP # LOT PARCEL # STREET_ 5..: __...__ CONSTRUCTION APPRO ._._.. . HAS PLAN REVIEW FEE BEEN PAID? YES r n�l1 PLAN APPROVAL: DATE PP. BY-_,2..4 DESIGNER: PLAN DATE:_` CONDITIONS - WATER SUPPLY: TOWN WELL WELL PERMIT DRILLER._.__.__---------- .__._...._.__..._..... 5._.._... ........... _ CHEMICAL DA I E APPRUVED.,,`JI h f WELL TESTS: - BACTERIA I llA I E fIPPRUVED BACTERIA II DALE APPROVEll_.9�iZ�9� COMMENTS: FORM U APPROVAL: APPROVAL l*U ISSUE ES. NO DATE ISSUED /��S HY _ ._ .... .................._..___ CONDITIONS: FINAL APPROVAL: _ ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL VES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL NO OTHER NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:—_/ _ '' :.. ". .t � r 't14"f is •ri X#` ,l .. czgP� tlSl$�„4.,�T�.QLI lk •' r 1+ 1. L x'1.1:.i�. -• '..�,`••. '•'rr . h .n L i i . -kx NO .. IS THE •INSTALLER LICENSED?. ",' Y ` •,,..:.. -.1...1• Rl-. - •. ._. W REPAIR' .TYPE OF CONSTRUCTION: NEW ..` '. ~.•NEW CONSTRUCTION: CERTIFIED PLOT. PLAN ,REVIEW. YE NO CONDITIONS OF..APPROVAL ; S NO (FROM FORM U) �. r . JYES� NO `IISSUANCE OF DWC PERMIT ®.-n ' INSTALLER: � s ,DWC PERMIT N0. , BEGIN •INSPECTION NO: - .• . ^EXCAVATION~,INSRECTION: : NEEDED: BY PASSED CONSTRUCTION INSPECTION: --, NEEDED: - : AS BUILT PLAN SATISFAC T��Y: YESs " I APPROVAL TO BACKFILL: DATE: -FINAL - GRADING APPROVAL: DATE FINAL CONSTRUCTION APPROVAL: DATE- 9 �7�/ BY S FLED jj, • 21 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 2/24/2015 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of an On-Site Sewage Disposal System By: Robert Daigle At: 143 Lacy Street Map 105D Lot 167 Not Andover, MA 01845 The is ' ce of this cert' hal not be construed as a guarantee that the system will function satisfactorily. r I _ Mic o le Grant Public Health Agent i 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com SUMMARY OF INVERTS BUILDING TIES SEWER ® FDTN. PRE—EXIST BLDG. CORNER A B C D NOTE THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN PRE—EXIST SEPTIC TANK OUT 30.3 32.5 — — A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 104.20 DIST. BOX 40.1 46.0 — — SYSTEM. IT IS A RECORD OF THE LOCATION DIST. BOX IN 103.86 AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX OUT 103.65 COMPONENTS. INV. BEG TR 103.60 INV. END 103.44 "1 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, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. SIGNATURE-OF DESIGNER DATE LOTl�B—A (2.3349 AC.) WELL 9- WOOD n$ DECK ro yr�- S-A 2 STORY DWELLING O Wt43 *13.M.T.F.=107.5 WETLAND DELINEATED BY 1 1 S NORSE ENVIRONMENTAL \ o �= 9-130 SERVICES AUGUST 2014 6-A 90 r L �. PRE- et EXIST. 5-A TANK I I Q, LEACH FIELD (750 S.F.) l 4-A 'J INSPECTION15 1 09 N PORT 4r F- �� 3-A , VENT �. 2-A UP#13 1-A / 54.7_.1.'..�... ' _'.._._ �k6..06 �- ---4a:7-5'--- =�248'.•- ...... _ LACY STREET �b�""(N OF hfgs q= VLADIMIR-L. �. NEMCHENOK m CD- ,C /STE�� i SSfONAI.EAG AS BUILT PLAN OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./143 LACY STREET r 1.8 2015 z AS PREPARED FOR p To JOHN & STEPHANIE OVAHONEY TM: 105D U DATE: 12-29-14 TL: 167 I � SCALE: 1"=40' 0 20 40 so E MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 w I r TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540—Phone RECEIVED Public Health Director 978.688.8476—FAX healthde t townofnorthan lover.c6ffl � U 2 Q 14 www.townofnorthandover. m TOWN DEPARTMENT OF NORTH ANDOVER HEALTH APPLICATION FOR SOIL TESTS DATE: q-3�2-1+ MAP&PARCEL: 6) - )2 Z LOCATION OF SOIL TESTS: OWNER: Fi i Contact#: r i � �`7 EIVE®APPLICANT: �� Contact#: 9 U 2014 TOWN OF NORTH ANDOVER ADDRESS: DEPARTMENT ENGINEER[ o jj rip 6 , Contact#: (1 7 Q CERTIFIED SOIL EVALUATOR: Intended Use of Land: Reside 'al Subdivision S' le amity Home Commercial Is This: Repair Testing: Undeveloped Lot Testin Upgrade for ddition: 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) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test pit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION A Only Certified Soil Evaluators may perform deep hole inspections. ➢ 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 Commissionproval Date: I I U l� Signature of Conservation Agent: /u (� Date back to Health Department: to p in): LOT 6-A r Q ..2.34 AC.! " Q % Q , 00 4 / i PPdP wEtL 1 � o 1)\ 107.5 G CF-I�L. u. q 0 f Soo GAL 2 1 TAN 2 , E OF FLA WETLAND GGED- /' I . . ` ..``. • 2� Z I - ..65' 9 / o zI' f. i / - L ESS Tft NGS{ 5 ', .. 75' 3 , . - LACY TF EE r Commonwealth of Massachusetts , City/Town of W Percolation Test AUG 15 2014 F Form 12 TOWN OF NORTH ANDOVER 1 HEALTH DEPARTIbiENT M 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 tl computer,use only the tab key Owner Name to move your &4�!7 cursor-do not Street Add ess or Lot# use the return L key. {u AtN _ (L�iiTi YNR D 1 City/Town State Zip Code Contact Person(if different from Owner) l eteph Number B. Test Results Date Time Date Time Observation Hole# Depth of Perc `moi-Pi�i6 r ��IJ `� T Z— Start Pre-Soak End Pre-Soak i �f�' I --� U of Time at 12" rme- Time at 9" Time at 6" Time(9"-6") Rate(Min./Inch) Test Passed: k�k 0 Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Test Performed By: Witnessed By: Comments: 4(-9ce 7i W(, t5form12.doc•06/03 Perc Test•Page 1 of'1 1 , _ 1 i --ice Y- ---j-4_...I__.�_._i-� i J--LJTT I 1 n - 1 I -L' F+77' r' iC I� 71 is L I i 1 +ij i it MI �,r_1 Sawyer, Susan From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Tuesday, May 20, 2014 2:45 PM To: Blackburn, Lisa; Sawyer, Susan Cc: 'Pam Lally'; 'Isaac Rowe' Subject: RE: 143 Lacy Attachments: 143 Lacy Street - Soil testing results 5-20-14.PDF Susan/Lisa, Attached are the soil testing results for the above referenced property. System was installed about 1995 so there is a lot of what appears to be "Title 5" sand above the natural soil. Bill took a sample for textural analysis. I took a sample too, let me know if you want us to send this out to confirm it meets T5 specs. Bill also took a soil sample of the natural soil since it was wet and 7' below grade. It was a fine-medium sand. Let me know about the sand sample and 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.miIIriverconsuIting.com -----Original Message----- From: Blackburn, Lisa [ma iIto:LBlackburn@townofnorthandover.com] Sent:Thursday, May 01,2014 1:16 PM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Subject: 143 Lacy Please contact Bill Dufresne to set up soil testing.Thank you. -----Original Message----- From:_noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent:Thursday, May 01,2014 1:21 PM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" 1 I(3 4 5 T , d�i,(Ce_" Town of North Andover — Septic System - AS-BUILT CHECKLIST 1) '/All changes to the design plan have been reflected on the as-built 2) V Is of suitable scale; (one inch = 40 feet or fewer for plot plans and one inch = 20 or fewer for details of system components) 3) Lot number,Street Name, ssessors Map an(Parcel Number 4) Lot Lines and Location of Dwellings served by the system No Lo-t �At 0 5) y Locations,Elevations and Dimensions of system,including reserve (if applicable) 6) Ties to dwelling or Permanent Structure&Wells v a. From Septic Tank&Distribution (D) Box b. From Leach Area Ties to Lot Lines from leach area 8) �/ Locations of Deep Holes&Peres 9) .' op of Foundation Elevation 10) Locations of Wells,Drains,Watercourses within 150 feet of system 11) ,Location of water,gas,electric lines,cable 12) ✓ Location of Structures within 6 Inches of Finished Grade 13) v Original Stamp&Signature 14) Location and holder of any easements which could impact the system 15) Impervious Areas;Driveways,etc 16) �� North Arrow 1' ocation&Elevations of Benchmark used 18) STATEMENT ON PLAN (NA 5.3) a. "I 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,if applicable,have been met." Signature of Designer Date b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating wall- was,or was not, constructed in accordance with the intended design and anymanufacturer's specifications." Signature of Designer Date As of:Tuesday,July 30,2013 -- btP 04 Town of North Andover - Septic Svstem - AS-BUILT CHECKLIST 1) ::�—_els AR changes to the design plan have been reflected on the as-built 2) of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) 3) Lot number,Street Name,Assessors Map and Parcel Number 4) of Lines and Location of Dwellings served by the system 5) Locations,Elevations and Dimensions of system,including reserve(if applicable) / 6) Z/ Ties to dwelling or Permanent Structure&Wells a.From Septic Tank&Distribution(D)Box b.From Leach Area 7 Ties to Lot Lines from leach area $ 'Ties of Dee Holes&Peres ) P 9) Top of Foundation Elevation 10) Locations of Wells,Drains,Watercourses within 150 feet of system 11) 41 Location of water,gas,electric lines,cable 12) Location of Structures within 6 Inches of Finished Grade 13) Original Stamp&Signature 14) Location and holder of any easements which could impact the system 15) _.//Impervious Areas,Driveways,etc 16) / North Arrow 17) 7 ocation&Elevations of Benchmark used 18) STATEENT ON PLAN(NA 5.3) a. 1 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, if applicable,have been met." Signature of Designer 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 in accordance with the intended design and any many,facturer's specifications." As of.Wednesday,February 18,2015 Gf t NOR7M 1 O♦tz�ic i♦'ti0 F A i • SSACHO PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;(/repaired; By: FA 16 L,6 (Print Name) Located at: (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on y I" �'i ,with a design flow of 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:, Engineer Representative(Signature) p And—Print Name r td 41015 Final Construction Inspection Date: f Tol Engineer Representative(Signature)_H And—Print Name Installer: !Ld (Signature) Date: And—Print Name Enginer:VLAP I H V, (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 Y � � r �• • North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 143 Lacy St MAP: 105D LOT: 167 INSTALLER: Rob Daigle DESIGNER: Vladimir Nemchenok PLAN DATE: 6/20/14 BOH APPROVAL DATE ON PLAN: 10/27/14 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 12/16/14 and 12/19/14 DATE OF FINAL CONSTRUCTION INSPECTION: 12/30/14 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan N/A Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle/effluent filter) ® inch cover to finish grade installed over inlet and outlet ® Hydraulic cement around inlet & outlet Comments: Existing septic tank reused DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan N/A 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 N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Old sand fill was removed and excavated down to original soil on 12/19/14 .f 1 } r SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ 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: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = FINAL GRADE I <( I Loamed (� �(k ` �� � � dZ-2 SPO✓l �-( I Seeded ❑ Cover per plan 3 4P k i O"t—h V W Comments: DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer [D/As-Built Plan BM = 107.50 HR = 0.64 HI = 108.14 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT ---- ---- ---- Septic Tank IN ---- ---- Se tic Tank OUT 3.58 104.21 104.05 Distribution Box IN 3.94 103.85 103.82 Distribution Box OUT 4.14 103.65 103.65 Lateral 1 TOP 4.16 /4.40 Lateral 1 INVERT 103.63 / 103.39 103.61 / 103.36 Lateral 2 TOP 4.17 /4.40 Lateral 2 INVERT 103.62 / 103.39 103.61 / 103.36 Lateral 3 TOP 4.17 /4.40 Lateral 3 INVERT 103.62 / 103.39 103.61 / 103.36 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 89+/- ® 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 1 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 Grant, Michele From: Stephanie O'Mahony <soma hony@omahonyelectric.com> Sent: Thursday,January 22, 2015 8:20 AM To: Grant, Michele Subject: Septic Hi Michele, Thank you for taking the time to come out yesterday to review the grading. We will be taking the responsibility of seeding and putting mulch hay down on the exposed area of the leach field. This will occur immediately and if you need to come back by and review it I will call you once it's been completed. Please let me know when you receive the asbui Its from Bill Dufresne, I want to make sure that we can get signed off on our Certif icate of Compliance. If there is anything further that I need to do to get this completed, please let me know. As you know, this has gone on long enough. Thanks you again for all your help and assistance in this matter. Regards, Stephanie L. O'Mahony President/CEO T 978-762-4600 Ext. 102 F978-762-6600 C• 617-593-7917 i Grant, Michele From: Stephanie O'Mahony <somahony@omahonyelectric.com> Sent: Thursday,January 22, 2015 8:20 AM To: Grant, Michele Subject: Septic Hi Michele, Thank you for taking the time to come out yesterday to review the grading. We will be taking the responsibility of seeding and putting mulch hay down on the exposed area of the leach field. This will occur immediately and if you need to come back by and review it I will call you once it's been completed. Please let me know when you receive the asbuilts from Bill Dufresne, I want to make sure that we can get signed off on our Certif icate of Compliance. If there is anything further that I need to do to get this completed, please let me know. As you know, this has gone on long enough. Thanks you again for all your help and assistance in this matter. Regards, Stephanie L. O'Mahony President/CEO T978-762-4600 Ext. 102 F978-762-6600 C' 617-593-7917 i Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Wednesday, December 31, 2014 2:48 PM To: Sawyer, Susan; Blackburn, Lisa Cc: Pam Lally;Isaac Rowe Subject: 143 Lacy St - final inspection Attachments: 143 Lacy St - Construction Inspection Form.doc; Sand Fill Sieve Analysis.PDF Susan/Lisa, Attached are the construction inspection form and sand fill sieve analysis for the above referenced property.We also have copies of the sales recipes of the sand fill if needed. Everything looked good. Please 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 iroweCc)-millriverconsulting.com www.millriverconsulting.com i Ob l �- i R Dayton Sand&Gravel Co.,Inc. 428 Goodwftn Mllla Road,DaptoR Maims 04005.7352 1-000-339-2700 or 1.207499.2306 Fmcl-207-499.7102 I Project: Bentley Warren Date: Wednesday,December 17,2014 Customer: Bentley Warren Tested By: M.Stone&D.McKenzie Material Source: Dayton Sand&Gravel Co„Inc. Material Description: Washed Sand Material Location: Stockpile �ppf Specification: C33(Ell)Fine Aggregate(Modified) 8 100 -- _ _ _•• _ 90 80 70 — — r=—i- 60 y to 50 — a --+—�-- T_ = -- —-�— EE 40 16- 30 0. .i 20 100 10 1 0.1 0.01 Sieve Size Gradation Analysis Sieve Size Note(s) i %Passing Specification inch mm 1/2" 12.5 100.0 7/16' 11.2 100.0 3/8° 9.5 100.0 100 1/4" 6.3 ...__...... . #4 4.75 99.7 95 - 100 #8 2.36 89.0 80 - 100 #16 1.18 72.8 50 85 '— #20 0.85 62.3 #30 0,6 49.4 25 - 60 — #50 0.3 22.3 5 - 30 — #100 0.15 5.8 0 - 10 #200 0.075 1.2 0 - 2 • 4tfi►:F°>�a Map-Block-Lot Commonwealth of Massachusetts • 105.D0167 BOARD OF HEALTH ---------- ------------ Pennit No 1 North Andover BHP-2014-1284 ----------------------- FEE $250.00, ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Robert K.-Daigle__ ____ ____________ --------- -------------------=---------------------------------------- to(Construct)an Individual Sewage Disposal System. at No 143 LACY STREET as shown on the application for Disposal Works Construction Permit No. BHP-2014-12ated November 06,2014 ----- IFILd -�'''�._-��--��T----------- Issued On:Nov-06-2014 BOARD OF HEALTH Application for Septic Disposal System 111614 3�•`�-` f °L TODAY'13 DATE h Construction Permit - TOWN OF ORTH ANDOVERMA 01845 $250.00—Full Repair ACKU t ,` $125.00-Component Important: Application is hereby made for a permit to: When fining out forms on the ❑ onstruct a new on-site sewage disposal system* 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 key. A. Facility Information Y3 Q t. S +at Address or Lot City/Town 2.- *TYPE OF.SEPTIC SYSTEM*: ❑ Pump ETGravity(choose one) ***If pump system, attach copy of electrical permit to application*** Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information a' Nam +� Ad (ient fro bove W44 — — M 0 City/Town Stat Zip Code Telephone,-Number 3. Installer Information xy NaTne Name of Company Address City/Town State Zip Code Telephone Number hone#i possible please) 4. Dei r Information Nam Name of Company (24 kQJ72 Addre d;?: ''S City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page 1 of 2 x° T„ Application for Septic Disposal System ] °st,••� .�tio �� b l �? •`` ' �` °c TODAY'S AT ' Construction Permit — TOWN OF $250.00—Full Repair �•o,,.,a.. ORTH ANDOVER, MA 01845 ?SSAGNUSg4 $125.00-Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not o place the system in operation until a Certificate of Compliance has been issued by th" rd of Health. Na a Date ppli �tion Ap a y: (Bo rd of Health Representative) / Name Date Application Disapproved for the following reasons: For Office Use Only: L Fee Attached? Yes No 2. Project Manager Obligation Form Attached. Yes No 3. Pump System? If so,Attach copv of Electrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover/licensed installer for the construction for the septic system for the property at: (Address of septic - tem) For plans by � ngineer) Relative to the application of � ��v' (Installer's nany And dated �Uriginalcare) Dated - liq o av s ate With revisions dated (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 prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 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$50.00 fine being levied against me and/or my company. a. Bottom of Bed—Generally, this is the first (V5 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 OK (or e-mail to: healthdept@tocvnofnorthandover.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—Installer 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 (other than simple excavation)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. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box,pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer. I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions b the homeowner. ener 1 contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) ¢� Oct Ev (Name— rint (Name—Signed) • S.ty�En'7 ., .ry �• North Andover Health Department Community Development Division December 18,2013 Stephanie and John O'Mahony 143 Lacy Street North Andover, MA 01845 Re: Request for variance follow up Dear Mr. and Mrs. O'Mahony, This correspondence is in regard to a variance that was granted at a regularly scheduled meeting of the Board of Health on August 25, 2011 as follows; Motion: Mr. Pease made a motion to grant variances to two sections of the Town of North Andover Board of Health Well Regulation: Section 3.1 and 3.2. This variance allows: (3.1)the location of the well that will service lot 5B-1(site of proposed bard structure) is to be maintained at Lot 6A and, 143 Lacy Street, and (3.2)the commonly shared well will service two buildings. These variances are approved by the Board of Health and will remain in effect as long as the properties, as stated, are maintained under their current and common ownership by Stephanie and John O'Mahony, and the barn property is restricted for the occupation of animals only. These variances will be recorded as an attachment to both properties; deeds. The motion was seconded by Dr. MacMillan. All were in favor. I apologize for bringing up this old issue so late,but upon a recent review of files that had remained in our active files with open issues, it was noted that there were no copies of these deed recordings. To complete this file,please provide the documents so we can properly document compliance to the Board of Health's motion. Thank y ti, Sus Sawyer, RE -/'Public Health Directo 1600 Osgood Street,Bldg 20 Unit 2035,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com • St TVIV . A. North Andover Health Department (ommunity Development Division Notice of Decision Date of Decision: August 25,2011 Stephanie and John O'Mahony 143 Lacy Street North Andover, MA 01845 Re: Variance to the N. Andover Board of Health Well Regulation; section 3.1 and 3.2 Premise affected: Map 105 D, Parcels 168,169,170 and Map 105D parcel 167. A variance has been granted at a regularly scheduled meeting of the Board of Health on August 25, 2011 as follows; The general purpose proposed is to utilize the existing potable water well, located at 143 Lacy Street, for dual purposes; to service the dwelling needs at 143 Lacy and also the needs of the newly built barn on the adjacent property. Motion: Mr. Pease made a motion to grant variances to two sections of the Town of North Andover Board of Health Well Regulation: Section 3.1 and 3.2. This variance allows: (3.1)the location of the well that will service lot 5B-1(site of proposed bard structure) is to be maintained at Lot 6A and, 143 Lacy Street, and (3.2)the commonly shared well will service two buildings. These variances are approved by the Board of Health and will remain in effect as long as the properties, as stated, are maintained under their current and common ownership by Stephanie and John O'Mahony, and the barn property is restricted for the occupation of animals only. These variances will be recorded as an attachment to all affected property deeds. The motion was seconded by Dr. MacMillan. All were in favor. COMMONWEALTH OF MASSACHUSETTS Thyou, ss o2 20 Then personally appeared LZ CV7 as the Applicant or • /its authorized agent and acknowledge the foregoing instrument to be his or her free 4f and deed the free act end deed of the Appy efore me. usan wyer, RS HS I SUZANNE Notary Public M,PELICH _ Public Health I . coMeroHw€AtiwoFaassncauserrs MY��� AO My Commissions Expires Director L XPhe9 June 11, 1600 Osgood Street,Bldg 20 Unit 2035,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com North Andover Board of Health Meeting Minutes Thursday,August 25,2011 7:00 p.m. 120 Main Street,2nd Floor Selectmen's Meeting Room North Andover,MA 01845 Present:Thomas Trowbridge,Frank MacMillan,Ed Pease. Also present was Susan Sawyer,Debra Rillahan and Pamela DelleChiaie I. CALL TO ORDER A. The meeting was called to order by Thomas Trowbridge,Chairman,at 7:04 p.m. II. PUBLIC HEARINGS III. APPROVAL OF MINUTES A. July 28,2011 Minutes presented for signature were not signed. Mr.Pease presented some written edits,and Larry Fixler,Clerk was not present for signature. Minutes will be signed at the September meeting. All were in favor. IV. OLD BUSINESS V. NEW BUSINESS A. 143 Lacy Street—Variance Request—Consideration of a Variance request from Stephanie and John O'Mahony to the local Well Regulations with regard to Section 3—Well Siting—Item 3.1 (Location of Well)and Item 3.2.(Separate Well for Each Building). Mr.O'Mahony spoke and provided a summary of the variance request to the Board of Health members. The O'Mahony's would prefer to install a water line from their current well at 143 Lacy Street rather than run a hose to give a more reliable water source to water and clean the animals. The barn is an unheated structure and a well would need expansion tanks and controls which would require a heated room which the barn will not have. The O'Mahony's submitted a letter from their original well installer,Charles M. Rollins Co.,Inc.. Mr.Rollins stated that the well at 143 Lacy Street was a very typical installation and that the well has plenty of water capacity. Statistics: the well installation was completed on July 3, 1989. It was 530 feet deep,33 feet to bedrock,54 feet of 6 inch steel casing set,a static water level of 5 feet,6 inches,and produced 3 GPM. The pump is a 1 H.P.,3 wire,Goulds stainless steel submersible pump,set 500 feet on 1 inch 160 psi poly pipe,#10 submersible drop cable, 1 inch 160 psi offset pipe,and an Amtrol captive air pressure tank,model WX-250,installed May 15, 1995. A 6 inch well holds 1.5 gallons per foot in storage. This well has 750 gallons of storage above the pump,with a 3 GPM(180 gallons per hour,4,320 gallons per day). This well would have no trouble supplying the barn with water for animals.A plot plan showing the location of the structure,as well as a diagram of the area in which the pipes will be run to service water to the barn. A discussion ensued between the Board Members regarding the proper wording of the variance if it is granted.. August 25,2011 North Andover Board of Health Meeting—Meeting Minutes Page 1 of 3 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. 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;Pamela DelleChiaie,Health Department Assistant Questions were raised if there are different homes sharing the water supply,and there is a sufficient water supply,does it matter if it is a barn or a house? Ms. Sawyer stated that the state guidelines and model regulations do not specifically address this issue. However,Ms. Sawyer suggested that the Board consider that the variance should state that if the lots are sold in the future,that each owner must install a separate well for their own properties to avoid any conflict, and to comply with the well regulations. Mr.Pease stated that it appears that the well has the capacity to handle the water supply needed based on the projected use. Dr.Trowbridge stated that stated that the wording can indicate that the shared well usage will sever at the point of sale. Mr.Pease stated that the well could supply water to the barn as long as it stays as a barn. When there is a change of use,and/or there is another structure built on it,the new owner must comply with the well regulations. Dr.Trowbridge stated that at the practical level for the Board of Health,that they should state that if there is a change in the use of a structure that the variance would be null and void. Ms. Sawyer states that any prospective property owner would need to secure an occupancy permit from the Building Department if they plan to occupy a structure. Dr.Trowbridge notes this area is flat land,and the proposed barn structure is being built from the ground up. Therefore,a decision would need to be made when the land is sold. Could a new owner continue the variance? Dr.MacMillan stated that if the Board of Health approves the variance,the approval needs to be contingent on the fact that there is a condition that the water supply to the barn is strictly to be used for a barn for the duration of the variance. Mr.Pease stated that any future buyer should exercise due diligence to find out the source of any properly water supply,and work out an agreement with the owners of the well at 143 Lacy Street(Lot 6A),or establish their own source of water supply. Ms. Sawyer stated that any maintenance and cost of running the well water supply would be the responsibility of the owners of 143 Lacy Street(Lot 6A). Motion Mr.Pease made a motion to grant variances to two sections of the Town of North Andover Board of Health Well Regulation; Section 3.1 and 3.2.This variance allows: (3.1)the location of the well that will service lot 53-1(site of proposed barn structure)is to be maintained at Lot 6A aka,143 Lacy Street,and(3.2)the commonly shared well will service two buildings.These variances are approved by the Board of Health and will remain in effect as long as the properties,as stated are maintained under their current and common ownership,by Stephanie and John O'Mahony,and that the barn property is restricted for the occupation of animals only. These variances will be recorded as an attachment to both properties' deeds.The motion was seconded by Dr.MacMillan. All were in favor. August 25, 2011 North Andover Board of Health Meeting—Meeting Minutes Page 2 of 3 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. Board of Health Members: Thomas Trowbridge,JDS,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;Pamela DelleChiaie,Health Department Assistant VI. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION A. Use of Public Notification System Ms. Sawyer spoke about the use of the public notification system(reverse 911). Ms. Sawyer asked the Board of Health members to rethink the use of this current media outlet and to consider alternative media sources that would not alarm residents unnecessarily. Using the public notification system appears to cause widespread panic,and additional questions which ties up valuable staff time and prevents other important calls from coming through to the office. This is also a problem for the Police Department and the Town Clerk's office as well. As an alternative the Health Department would make this information available via cable,newspaper,website or some other venue. In addition,the verbal message seems to be too long for many of the people to capture all of the information,and as a result they call the office. One option to get updated information out to as many residents as possible is to publicize the news sign-up section on the town website. Dr.Trowbridge stated that the Health Department should continue the current protocol as has been followed this season as t:;:;o[confuse the general public. The Health Department can then transition to a different method of publicizing important health information updates via other media venues as stated. There will be further discussion about the best methods to use to get necessary information out to as many people as possible in a timely manner. Dr.Trowbridge stated that he also would like to keep emotions calm instead of raising the ire of the public by issuing too many pre-cautions that are not necessarily life threatening,such as the option of leaving windows open or closed during spray treatment. Mr.Pease noted that we should make this subject a January 2013 agenda item. Dr.MacMillan also noted that at the same time,we need to remind the public of the deadlines and the spraying opt out option procedure that residents will need to follow. VII. ADJOURNMENT The Board of Health meeting was adjourned at 7:45 p.m. Reviewed by: All Board of Health Members&Susan Sawyer, Health Director Wined bY: September 22, 2011 Larry Fixler, Clerk of the Board Date Signed Auzust 25, 2011 North Andover Board of Health Meeting—Meeting Minutes Page 3 of 3 Note: The Board of Health reserves the right to take items out of order and to discuss and/or vote on items that are not listed on the agenda. 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;Pamela DelleChiaie,Health Department Assistant ILED North Andover Health Department Community Development Division June 16, 2014 Bill Dufresne Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: Sand Sieve Analysis for 143 Lacy Street (Map 1051),Lot 167) Dear Mr. Dufresne, A sand sample was taken of the existing material at the above referenced property on May 20, 2014 and indentified as sample 143LA. The sample was taken to determine if the material meets the sand fill requirements of 310 CMR 15.255(3). Unfortunately, the results show the material does not meet the requirements for Title 5 for sand fill as stated below: • The sample did not meet the requirement for the#4 sieve with a result of 95.6%. 100% of the sample must pass the#4 sieve. • The sample exceeded the limit for the#200 sieve with a result of 6.2%. The allowable requirement is 0%-5%. The sand fill used for the system installation will be required to be in accordance with 310 CMR 15.255(3). Therefore,the existing material on site will not be allowed to be used as sand fill. A copy of the sieve analysis is enclosed for reference. 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 Please contact the office with any questions. Sincerely, /Susan Y. Sawyer, HS/RS Public Health Director cc: Stephanie and John O'Mahony 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 UMassSoil and Plant Tissue Testing LaboratoryWest Experiment Station 682 North Pleasant Street Extension University of Massachusetts ', l � , Amherst,MA 01003 Phone: (413)545-2311 �_ f e-mail:soiliest@psis.umass.edu }f;:`� ��r• . r CENTER FOR AGRICULTURE website:http://www.umass.edu/soiltest/ uiusn XV"F�r,Y;k,sr. USE THIS FORM FOR PARTICLE SIZE ANALYSIS Name: e 1 ar v-W Telephone No:n?¢ 2�2 D t)j q K o o"r r Business Name: IcJ�C� E-mail address:'1 O fm Aver CaY16t',a fr ag,@.i''YU'ilrfve►-consul-; .eorr-1 Street Address: Method of receiving results US Mail (Choose one or include S2 fee for City,State,and Zip(?_) � Q O!p�� both) ©E-mail L77 t I I , +✓1 1 1 IAB If Sample ID Standard Test Title V Sand Include graph Fee,$ (Leave blank) You create this ($70.00) ($10.0 ) (10.00) LCLCy Rr ❑ ❑ Office use only Order Total$ go. Received _ Oue Check# Pott Cash I Soil.Sampling Instructions Soil Test Descriptions&Fees j It's important that you take the necessary steps to obtain a j representative sample. Standard Particle Size Analysis:$70.00 1A determination of USDA textural classification by The first step is to determine the area that will be represented combined Hydrometer Analysis of silts and clay and dry i by the sample.Soil physical appearance,color,slope, sieving of sands.(Can be used to determine Alternate t. drainage,and past management should be similar throughout Percolation rate for Title V requirements.) Sand sieve the area.It may be helpful to draw a map of the property and sizes include:U.S.Standard Sieve No.10,18,35,60,140, identify dissimilar areas where you will collect samples. and 270. I Using a clean bucket and a spade,auger,or sampling tube collect at least 10 to 1S subsamples from random spots within Additional Sieves for Title V Sands:$10.00 the defined area. Soil texture for determination of Title V Sand for new septic construction.Includes determination of USDA Next,break up clods of soil,remove debris,and thoroughly textural classification by combined Hydrometer Analysis j mix subsamples in the bucket.This step very important, of silts and clay and dry sieving ofsands with the because less than 100 grams of your sample will be used for addition of U.S.Standard Sieve No.4,50,100,and 200. particle size analysis.Once the sample is thoroughly mixed, i scoop out approximately two cups of soil and spread on a Grain Size Distribution Graph:$10.00 i clean piece of paper to air-dry.For samples with more than Graphical representation of grain size distribution ( about 10%gravel,submit four cups of soil. i Place dry sample in a plastic zip-lock bag labeled with your sample ID(you create this:limit of 5 characters).Send your sample(s),completed submission form and payment to the address listed above.Make check or money order payable to UMass. s I t i i I 1M:rk Oro„ i:F 0222035030 Customer Since 04/1612009 WRE Internal Comments Cust# 132446 Tech Comments e � 4/29111 rill CAT coo MMOOTB 978-752-4600 or 4-25 marked off dig safe. or 617-593-7917 TVAL possibe Customs Cleaning, Barubs, jetting, pvimping B .12 per gallon, port, combo, already baa filter , msCeaine Bon.sbe will meet you there and give you a CIMCK alt 617-593-7917 (as) System Owner System Location O'Mahony Steph Primary Rome 143 Lacy Street 143 Lacy Street North Andover, MA, 01845 north Andover, MA, 01845 (978)-762-4600 x (978)-762-4600 x O'Mahony CCLS 04/1&2009 Approx.Gal. 0 Custom Clean Customer Home No Location Comments Zabel Filter 04/16/7.009 System Type 8twAlwd T5 Frequency Previous Service 04/23/2011 Service Date042011 Gild Up Location Diagram Depth Below Grade Services Description Quantity Unit Price Ext Pric Custom Cleaning Septic Scrubs 89.9900 50.00 , System Eval First Sour 1 210.0000 $210.00 Custom Cleaning Boost-Combo-Ta119.5100 50.00 6o �f� •� Custom Cleaning High VelocitVr2fte89Q&t-lst$M0 AC40.49 Custom Cleaning Pumping per f3allon1200 $0.00 186UQ Custom Cleaning Leachfield Port50.0000 $0.00 lb 4•-box COvex fCQiUwmGfl} `y Subtotal Tax $0.00 Total8 �M � Tank Observations: Potential 5olutiom: Payment Details ❑5ystem Operating Fine We suggest these 4 keys to keep your system healthy: Payment Type Com► Cn b 1)Regufar Servicing Credit Card 2)Bacteria"Boost"at time of service 3)Use Wind River Bacteria Additive Card#: 4 Use a filter ❑Excessive Solids Utilize Wind River Bacteria Additive Security Code ❑Heavy 5ludge Introduce additional bacteria via Wind River Boost Program Exp Date Utilize Wind River Bacteria Additive ❑Tee Missing/Broken Re ir/Re lace Tee ❑High Liquid Level Could be an indication of system in hydraulic failure. Terms: ai Receipt Suggest a system evaluation and/or a custom cleaning. Call thea ice as soon as b} at 978-841-5017. ❑Distribution Box Issue We observed the following issues: 13 Missing Filter I Use of a filter is one of the 4 keys to keeping ur system healLhy ❑Other The observations and solutions identified day require additional treatment.Please call our Customer Solutions Specialist at 978-841-3017 for additional informoiian,or call our Customer service fine at 800-499-1682 with any questions. Tech Notes: s RMVCAN AL-k %k w Remit a �e�no: n st suits 11u, Lwason, MA 01749 113.30 _J fa_1SL — Time Arrive Time Left Tech Initials Customer Signature WO-001 ® PrinedaorecyckapWar Accounting Copy Rev 2/09 1f 7 Customer Since WRE Internal Comments Cust# Tech Comments System Owner System Locatiionn.� Ip q !�� ST• CCLS Approx.Gal, Custom Clean Customer Nome Location Comments Zabel Filter System Type T5 Frequency Previous Service Service Date Build Up Depth Below Grade Location D' serer -77-14 YC e-U Description Quantity Unit Price Ext Price tf c�1 .vv L63 Subtotal Tax Tank Observations: Potential Solutions: Tota! 4�'7 Cl System operating fine We sug est these 4 keys to k ��Details 9 ey keep your system health I)Regular Servicing y' Payment Type 2)Bacteria"Boost"at time of service Credit Card 3)Use Wind River Bacteria Additive ❑Excessive sucli 4 Use a filter Card#: O Hes Sludge Utilize Wind River Bacteria Additive W ge Introduce additional bacteria via Wind River Boost Program Security de Utilize Wind River Bacteria Additive r=xp_Date l ©Tee Missi /Broken Re it lace Tee frgh Liquid Level Could be an indication of system in hydraulic failure Suggest a system evaluation and/or a custom cleaning. Terms: ❑Distribution Box Issue We observed the following issues: 978-841-5027_ 0 Missin Filter Use o a filter is one of the 4 to k our em but ❑Other The obserwatiorts and solurtions idernifiedy regerre additional treatrrtettt.Please tail our Customer Solutions Specialist at 978-841-5017 for additional irrfartnation,or calf aur Customer Service line at 800-499-1682 with uestiorrs, Tech Notes: i C r c-Pr G r Tim Time Left Tech nitials f o Signa Accounting py 0-001 i Agriculture and Laigl,a A;Jram 1 UMas s Soil and Plant Tissue Testing Laboratory West Experiment Station Extension 682 North Pleasant Street University of Massachusetts Amherst,MA 01003-9302 CENTER FOR AGRICULTURE Phone:413.545.2311 [ Fax:413.545.1931 Jj soiltest.umass.edu t TEXTURAL ANALYSIS RESULTS Customer Name: Mill River Consulting North Andvoer BOH 6 Sargent St Gloucester, MA 01930 I Sample ID: TX140603-1 Customer Designation: 143LA E I USDA SIZE FRACTIONS PERCENT OF WHOLE SAMPLE PASSING Main Fractions Size (mm) Percent Size (mm) Sieve # Sand 0.05-2.0 94.2 Silt 0.002-0.05 5.0 Clay < 0.002 0.8 t% 4.75 #4 95.6 Total < 2.0 100.0 ) f 2.00 #10 87.0 Sand Fractions Size (mm) Percent 1.00 #18 78.5 0.50 #35 58.7 Very Coarse 1.0-2.0 9.7 0.300 #50 38.3 Coarse 0.5-1.0 22.8 0.25 #60 31.4 Medium 0.25-0.5 31.4 0.15 #100 15.6 ` Fine 0.10-0.25 24.5 0.10 #140 10.1 Very Fine 0.05-0.10 5.8 0.075 #200 6.2 0.05 #270 5.0 94.2 i 0.02 20 um 1.3 0.005 5 um 1.0 Silt Fractions Size (mm) Percent 0.002 2 um 0.7 Coarse 0.02-0.05 4.3 E Medium 0.005-0.02 0.3 Fine 0.002-0.005 0.3 5.0 } USDA Textural Class = coarse sand Gravel Content = 13.0% COMMENTS: irowe@millriverconsulting.com t { I E I UMass Extension is an equal opportunity provider and employer,United States Department of Agriculture cooperating.Contact your local Extension office for information on disability accommodations.Contact the State Extension Director's Office if you have concerns related to discrimination,413-545-4800 or see www.extension.umass.edu/civilrights. 1 6/12/2014 Wass Extension - Center for Agriculture Soil and Plant Tissue Testing Laboratory West Experiment Station 682 North Pleasant Street Amherst, MA 01003 Phone: (413) 545-2311 email: soiltest@umass.edu website: http://soiltest.umass.edu/ Particle Size Distribution Curve 100 #4 #10 #18 #35 #60 #140 #270 0.02mm 0.005mm 0.002mm 90 80 R 70 c 60 LL c 50 U a 40- 30- 20 03020 10 0 100 10 1 0.1 0.01 0.001 Particle Diameter(mm) i Prepared For. Mill River Consulting North Andover BOH 6 Sargent St Gloucester, MA 01930 E Lab Number: TX140603-1 k Sample ID: 143LA € (i 1 i i t I € t f i Sawyer, Susan From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Tuesday,June 17, 2014 10:59 AM To: Sawyer, Susan Cc: 'Isaac Rowe' Subject: RE: 143 Lacy st Susan, I reviewed with Dan and we came up with (2) options. Option#1-The cleanest way to proceed would be for the applicant to request a variance from Title 5 to use sand fill that does not meet the sand fill requirements.With the recent changes within the Title 5 program,only the local approving authority would review the variance request. Option#2-The other option would be to have 3-4 other sand samples taken. If they meet the sand fill requirements then the Health Dept could potentially disregard the failed sample as unrepresentative of the existing sand fill on site. Let me know if you have other questions or want to review further. 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.millriverconsulting.com From: Isaac Rowe [mailto:irowe@millriverconsulting.com] Sent: Tuesday, June 17, 2014 10:13 AM To: 'Sawyer, Susan' Cc: 'Isaac Rowe' Subject: RE: 143 Lacy st Good thought, let me think about that and review with Dan. I agree the fill is good sand but it just does not meet the sand fill requirement for Title 5. It would be very costly to remove all that sand fill! I will get back to you soon. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 1 6 Sargent Street Gloucester, MA 01930-2719 Phone:978-282-0014 ext.804 Fax: 978-282-1318 irowea-millriverconsulting.com www.miliriverconsulting.com From: Sawyer, Susan [mailto:ssawyer@townofnorthandover.com] Sent: Tuesday, June 17, 2014 9:11 AM To: 'Isaac Rowe' Subject: RE: 143 Lacy st Question; before he asks. You know how it is ok to design for the "B" if you want to leave it? Can that happen with "fill".?? I wouldn't think so, but it got me thinking. Maybe the BOH could do something? There are wetland issues and variances too I noticed. Since we have the sieve. Is it possible that it is ok to design on that analysis and only remove the required amount needed and then add title V sand at the elevation needed? I am just thinking that your deep shows fill to 6' plus which will all have to come out. Thx From: Isaac Rowe [mailto:irowe@millriverconsulting.com] Sent: Monday, June 16, 2014 4:21 PM To: Sawyer, Susan; Blackburn, Lisa Cc: 'Isaac Rowe' Subject: RE: 143 Lacy st Susan/Lisa, Attached are the cover letter and sieve analysis for the above referenced property. Please 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(a)-millriverconsulting.com www.miliriverconsulting.com From: Sawyer, Susan [mailto:ssawyer(a)townofnorthandover.com] Sent: Monday, June 16, 2014 11:27 AM To: 'Isaac Rowe' Subject: RE: 143 Lacy st 2 I guess we present it as the other ones. Can I have this letter in the same form as the Stanton way? Did Bill do his own like Green Co did for Stanton. If so, are we differing? The problem is the#200 sieve; correct? The sample is supposed to be on the portion that goes through the#4 sieve.Assuming the test was done to code; Is there something he will challenge? From: Isaac Rowe [mailto:irowe(a millriverconsulting.com] Sent: Friday, June 13, 2014 1:20 PM To: Sawyer, Susan; Blackburn, Lisa Cc: 'Isaac Rowe' Subject: 143 Lacy st Susan/Lisa, Attached is the sieve analysis for the sand fill for the above referenced property. It did does not meet the Title 5 specifications for sand fill.We should probably think about how to present this to Bill as there may be conflicting sieve analyses. 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(a)-millriverconsulting.com www.millriverconsultin.g.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 3 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01.845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdept(a,townofnorthandover.com WEBSITE:httn://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: Site Location: l–l " Engineer:H ay"Ae✓l� New Plans? Yea/ $225/Plan Check# (includes 1s' submission and CLE D oE - review only) RE Revised Plans?Yes $75/Plan Check# 2' JUN 3 0 2014 Site Evaluation Forms Included? Yes V/ No TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Local Upgrade Form Included? Yes No Telephone#&Tj `_{?5 r?jS ZDFax#: t/ � J� ��5-144o Homeowner Name: OFFICE USE ONLY When the submission is complete(including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File;Forward to Consultant ➢ Enter on Log Sheet and Database TIN,, Commonwealth of Massachusetts City/Town�of North Andover 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. 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 John &Stephanie O'Mahoney Residence only the tab key Name to move your 143 Lacy Street cursor-do not Street Address use the return key. North Andover MA 01845 City/Town State Zip Code rab 2. Owner Name and Address (if different from above): SAME fe"0" Name Street Address City/Town State 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.7106 Application for Local Upgrade Approval* Page 1 of 4 Commonwealth of Massachusetts Citylfown 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: 660 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: New Leach Field, see plan 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts City/Town of North Andover ao Form 9A - Application for Local Upgrade Approval M y 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: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: N/A 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: N/A t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 3 of 4 i • w 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. C. Explanation (continued) 3. A shared system is not feasible: N/A 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." W, sy)0 1WA 6-30-14 ac'ity Owner's Signatur Date n O'Mahoney Print Name Bill Dufresne/Merrimack Engineering 6-30-14 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 Local Upgrade Approval I Form 913 4M B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater ft ❑ 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 List local variances granted not requiring DEP approval per 310 CMR 15.412(4): List variances granted requiring DEP approval: North Andover Health Dept Approving Authority Susan Sawyer August 20, 2014 Print or Type Name and Title Signature Date 44 Bruin Hill Road Local Upgrade Approval* Page 2 of 2 Commonwealth of Massachusetts RECZa"VED City/Town of North Andover Form 11 - Soil Suitability Assessment Site Sewage Disposal JUN 3(2 7 t A. Facility Information HEALTH DEPAR7,.,�,�, Owner Name Street Address ( t /( Map/Lot# City 9�D� ;� Kl1/�L1l�%a �� O='*� State Zip Code B. Site Information 1. (Check one) ❑ New Construction Upgrade ❑ Re`p�g*.q Ver- 1?,2013 ; I �� 2'�` 2. Published Soil Survey Available? Yes El No If yes: Year Published Publication Scale Soil Map Unit Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ?�No If yes: Year Published Publication Scale Map Unit 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 : Range: E] Above Normal Normal El -Below Normal ( ) Morith/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 Cityrrown 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: �— 6--7,0- 14 '1 AM 4 4PtJ,17 Date Time Weather 1. Location d Ground Elevation at Surface of Hole: Location (identify on plan): 2. Land Use 7n j&L b006 (e.g.,woodland,agri ulturaI field,vacant lot,etc.) Surface Stones �w N � Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Oen Water Body feet Drainage Way7�t Possible Wet Area -� Open y r�fee�t.,.� g feet feet Property Line feet Drinking Water Well f 7e�V i Other feet 4. Parent Material: 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: 4?Z '10''q 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 Cityfrown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: �+t 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 y (Munsell) Depth Color Percent ) Gravel Cobbles& (Moist) Stones o-- 1t, L� Additional Notes: Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts luCityfrown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 5-zr—i u"'°� r� Date Time Weather 1. Location Ground Elevation at Surface of Hole: I � Location (identify on plan): 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) LA t,.4 p Vegetation Landform Position on Landscape(attach sheet) '�d 3. Distances from: Open Water Body �� Drainage Way Possible Wet Area foe 21+ feefeetProperty Line feet 3: f e Drinking Water Well " Other et feet 4. Parent Material: OUT A5A4 Unsuitable Materials Present: O/Yes ❑ No If Yes: ❑ Disturbed Soil /Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: Yes ❑ No If yes: �� 11,7"1 I Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: U0 11116 inches elevation Soil Evaluation Forms.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 - N Commonwealth of Massachusetts Cityrfown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal r C. On-Site Review (continued) Deep Observation Hole Number: T Redoximorphic Features Coarse Fragments (mottles) Soil Texture %by Volume Soil Soil Soil Horizon/Soil Matrix:Color- Consistence Other Depth(in.) Layer Moist(Munsell) (USDA) Cobbles& Structure (Moist) Depth Color Percent ravel Stones LAAH Fe yAr.V Z�-72 Fii.v 7Z•ev, � 7.10515`3 cA►kk 71�/o 7, Z�, y140 �� 0 �-I �v� Additional Notes: Soil Evaluation Forms.doc•rev. 1110 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts Cityfrown of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ D th weeping from side of observation hole A. B. inches inches Depth to soil redoximorphic features (mottles) A. � 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 I a. Doe least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil ab rption system? Yes ❑ No b. If yes, at what depth was it observed? Upper boundary. in ? Lower boundary: i nc 7 Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 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. Signature of Soil Evaluator or�� Date WiiA,11Art 'C741 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam SAAC'�' izo w r.' Z H 1 W 6W K-T"4 AOQAA & G© u S U t,. G.A ch- -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 TerraFilter,LLC. P.O.Box 227 10 Main St. Sturbridge,MA 01566 Tel: (508)347-5508 rra ter (877)347-7263 Fax:(508)347-9857 May 28,2014 Bill Dufresne Merrimack Engineering 66 Park Street Andover, MA 01810 RE: Particle Size Analysis (Alternative to Perc Test) 143 Lacy St, N.Andover, Mass. Dear Bill: Below are the results of the particle size analysis from the sample submitte-d for"the above referenced property. The analysis was performed utilizing the hydrometer method of Gee & Bauder (1986) in Methods of Soil Analysis, Part 1. Physical and Mineralogical Methods,,2nd Edition. Sand Silt Clay (2.00 to.05mm) (.05 to.002mm) (<.002mm) Portion Passing 84.3% 14.2% 1.5% #10 Sieve USDA Soil Textural Classification: Loamy Sand MA Section 15.243 Soil Classification: Class I Based upon the DEP's Title 5 Altemative to Percolation Testing Policy for System Upgrades,the following effluent loading rates apply: Un-compacted Soil 0.66gpolsf Compacted Soil 0.15gpd/sf Should you need additional information, or require further testing services, please do not hesitate to contact our office. Sincerely, (\A C&T-v 1 � Mark Farrell,Soil Scientist Sawyer, Susan From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Tuesday,July 29, 2014 11:00 AM To: Sawyer, Susan; Grant, Michele; Blackburn, Lisa Cc: Pam Lally; 'Isaac Rowe' Subject: Plan review, 143 Lacy Street Attachments: Disapproval Letter 143 Lacy Street.docx Attached please find our recommendation for disapproval of the design plan as proposed. Some small issues plus two larger ones: it is unclear why they should get an LUA for only one test pit in the SAS when they have two other test pits on the site that could be incorporated into the soil absorption system so I have asked them to explain the need more clearly,and, it seems they have mis-calculated elevations at this site and have some explaining to do about that. Let me know if any questions. Dan Mill River consulting< Ct+r+!fngiece r.ns a Pa+rn+Suns t5u+++5.p�f fn r++ontn rntyl Htafth co,i h'At Daniel Ottenheimer,President Mill River Consulting, Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.millriverconsulting.com dano@millriverconsultine.com Member: Massachusetts Association of Onsite Wastewater Professionals, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, Gloucester Rotary Club, New England Water Environment Association 1 • S�q'C1'ED l EILDECUPY I North Andover Health Department Community Development Division July 31, 2014 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 i Re: Subsurface Sewage Disposal System Plan for 143 Lacy Street Subsurface Sewage Disposal System Plan for 143 LacyStreet, Map105D, Lot 167Lot 167 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated June 20, 2014 and received on June 30, 2014 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. 1. A Local Upgrade Approval for only having oneAesLpit in the soil absorption system area has been requested. Please explain on Form 3, w y a design cannot be completed which does not necessitate the reques�age' a Local Upgrade Approval ,_/,2. Please explain the discrepancy between sheet 1 of your plan which shows the elevation contour 106 going through test pit T-2, and sheet 2 of your plan which says the elevation of test pit T-2 is 104.7. Also, if it is actually at 104.7, please confirm your calculation for \1 Vq the design water table as it appears to be 97.9 not 97.8 as indicated �; 3,//Please clarify on the provided septic tank detail (if any)the components which are new. � Please also explain how you propose confirmation of the tank for water will be ti g e/ demonstrated. 4. Please provide 1' tick marks on the vertical section of the Scale Profile you provided to /better view the system and its relationship to existing and proposed grades Please provide the lot area and dimensions (NA 3.2) Please provide a north arrow on the site plan (3 10 CMR 15.220(4)) Please provide for a distribution box which is H-20 loading (NA 3.2) Note; it is assumed the existing building sewer pipe is to remain unless otherwise shown. 9. Please clarify on Form 12 or elsewhere the location of the soil sample that was taken for a sieve analysis in lieu of a percolation test 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 10. Please have the toe of the grade near the soil absorption system stop 5' from the property line or provide a swale (3 10 CMR 15.255(2)) 11. Please specify the need for double-washed leach stone and pea stone (3 10 CMR 15.247(2)) 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. ZSincerea er, t /RS Public Hea th Dir cc: John O'Mahoney File Encl. Form 9A page 2 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 r .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. 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: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: N/A 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: N/A t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 3 of 4 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS LAND SURVEYORS 9 PLANNERS 66 PARK STREET• ANDOVER,MA 01810• (978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL info@merrimackengineering.com August 11, 2014 Susan Sawyer, Public Health Director 1600 Osgood StreetAUG 12014 Building 20, Suite 2035 North Andover, MA 01845 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT RE: 143 Lacy Street Dear Susan: We are in receipt of your review letter for the above referenced site dated July 31, 2014. We have revised the plan with regard to items 1, 2, 3, 5, 6, 7, and 11 of your letter. With regard to item 3, septic system upgrades pertain to those components which are FAILED. the tank was not determined to be failed or leaking, as such,the owner should not be required to go through the disruptive and expensive process of proving a component is working properly, when it has not been determined that it is not working properly. If evidence is discovered during construction that the tank is leaking, the contractor will make the Owner, Health Department, and Engineer aware so that appropriate action can be taken. With regard to item 4,this is an unusual request. It has never been requested on any previously approved design, it is a system with no change to existing grade, and simply seems like a meaningless revision which has no merit and is not required by Title 5 or your local regulations. With regard to item 8,the plan states that the existing tank is to remain, it also states that the length of sewer pipe is existing, It is unclear why the reviewer questions or assumes that the sewer pipe is to be replaced or felt the need to state such. With regard to item 9,the field representative for your Department, Isaac Rowe, witnessed exactly where the soil sample was taken from and agreed that it was a representative sample of the "C" soil horizon. We are unclear as to this comment. Lastly with regard to item 10,the upgrade design is in the ground,not a system in "Fill" as such the existing grading is not changing and this comment is not relevant to this design. Additionally,tax records state the owner of the adjacent lot is TIGHE however the O'Mahoney's have since acquired ownership of the adjacent property. With regard to an issue separate from your review, since the existing system was constructed in fill, and since the natural soil conditions are sand and gravel, and since the upgrade design is within the limits of the sand fill, it is reasonable and would be a page 2, Susan Sawyer August 11, 2014 significant savings in cost if the owner was allowed to leave the existing fill in place. Enclosed herewith is a laboratory analysis of the existing sand fill sample taken on site and witnessed by your Agent. It indicates that the sand fill is in compliance with Title 5 requirements. We understand that a sample taken to a separate laboratory marginally fails the title 5 requirements, as such,we propose that the existing fill be allowed to remain, with a condition that 6 inches immediately beneath the system be replaced with new fill which meets the requirements of Title 5. We feel we have adequately addressed your concerns and respectfully request that the design be approved so the owners may move forward with upgrade of their system. Ve truly yours, William Dufresne Merrimack Engineering Services MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810 Sawyer, Susan From: wrdufresne@comcast.net Sent: Thursday, August 14, 2014 1:55 PM To: Sawyer, Susan Subject: Re: Lacy Street Susan I am sorry, I misunderstood your process in North Andover as it differs from most other Towns I work in. I know I have missed agenda's in the past for this same reason. Yes, we would like to be on the first available Board of Health agenda for discussion of the variance requested on the plan previously submitted to the Board of Health. In most cases, the request on the plan suffices as a request to be on the Board of Health agenda and it is automatically placed on a meeting agenda once the plan is submitted for approval and a separate request is not necessary, my oversight. Do you need me to send a separate letter, or is this e-mail sufficient? I have made the plan revisions, they are with the owner, her intention is to hand deliver the revised plans to your office Friday morning, I will have her bring the variance letter request if necessary. Thanks, Bill From: "Sawyer, Susan" <ssawyer(a--)townofnorthandover.com> To: "Bill Dufresne (wrdufresneCa)-comcast.net)" <wrdufresne(aD-comcast.net> Cc: "Lisa Blackburn" <LBlackburn(cD-townofnorthandover.com> Sent: Thursday, August 14, 2014 8:07:29 AM Subject: Lacy Street Bill, Did you want to request to go before the board for August for a local variance; distance to wetlands for 143 Lacy Street? Or any other address? We are trying to decide if we will cancel the meeting for August, as we have done in the past, but the board has no problem meeting if a customer needs approvals to move forward with their septic. Susan Susan Sawyer 1 Commonwealth of Massachusetts S ,QCity/Town of North Andover 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: + AUG 15 20 14 forms on the computer,use John & Stephanie O'Mahoney Residence TOWN OF NORTH only the tab key Name HEALTH DEPARTMENT to move your 143 Lacey Street cursor-do not use the return Street Address key. North Andover MA 01845 City/Town State Zip Code tab 2. Owner Name and Address(if different from above): SAME 'SRA" Name Street Address City/Town State 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 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. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: 660 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: New 750 s.f. leach field 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft. Percolation rate min./inch Depth to groundwater ft t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts City/Town of North Andover 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 �]C 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: Evaluator's Name(type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: existing conditions and the location of the existing s.a.s. preclude the ability to do 2 test holes in the s.a.s. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: N/A t5form9a.doc•rev.7/06 Application for Local Upgrade Approval, Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover a 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. C. Explanation (continued) 3. A shared system is not feasible: N/A 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 impris , ent for deliberate violations." 8-11-14 aci ity ner's Signature Date Stephanie O'Mahoney Print Name Bill Dufresne/Merrimack En ineeri 8-11-14 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 F City/Town of North Andover a Local Upgrade Approval Form 913 �M DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important:When filling out forms 1. Facility Name and Address on the computer, use only the tab John and Stephanie O'Mahoney key to move your Name cursor-do not 143 Lacy Street use the return key. Street Address North Andover MA 01845 Q City/Town State Zip Code ILA 2. Owner Name and Address (if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility (check all that apply): x Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd 5. System Designer: Vladimir Nemenchenok X PE [:IRS Name 66 Park Street Andover MA 01820 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 44 Bruin Hill Road Local Upgrade Approval* Page 1 of 2 TerraF0 M LLC. P.O.Box 227 10 Main St. Sturbridge,MA 01566 Tel: TerraRmw (508)347-5508 (877)347-7263 Fax:(508)347-9857 SAMPLE CLIENT r._� Location: 143 Lacy St. N.Andover Merrimack Eng. V ED Desciption: Title 5 Sand 66 Park St. Specification: Title 5,310 CMR 15.255(3) Andover,Mass. AUG 15 2014 Obtained By: Bill Dufresne,Merrimack Eng TOWN OF NORTH ANDOVER Date: May 26,2014 HEALTH DEPARTMENT RESULTS Tyler Effective Retained Portion Spec Standard Particle Size on#4 Sieve Passing#4 Allowable Sieve Size (mm) N Sieve(%) Passing No.4 4.750 1.0 100.0 100% No.50 0.300 42.3 10-100% No.100 0.150 16.8 0-20% No.200 0.075 3.8 0-5% Title 5 Particle Size Distribution, Sand Fraction 100 1 90 ♦ 1 80 1 F5 70 ♦ 1 1 -0 60 ♦ rn ♦ 1 .S 50 1 N1 a 40 ♦ 30 Sample Passing No.4 Sieve ♦ 1 a- 20 1 10 0 `%% 100.00 10.00 1.00 0.10 0.01 Particle Size (mm) NOTES- Sawyer, Susan From: Gaffney, Heidi Sent: Monday, August 25, 2014 2:01 PM To: Sawyer, Susan Subject: RE: 143 Lacy Street Thank you Susan,that will help a lot. Sent from my Samsung EpicT"'4G Touch "Sawyer, Susan" <ssgMergtownofnorthandover.com>wrote: Just an FYI, I do have Lacy Street on for this week's BOH meeting. I will recommend that if approved the BOH should approve a distance reduction to wetlands as approved by the NA Conservation Commission; not less than 50 feet.That way they won't have to come back to us unless it is a drastic change. Also, I asked Isaac about putting septic systems on an adjacent property such as 143 Lacy.And the horse farm next door. He confirmed the following from the DEP regulations. Please let me know if their notice of intent gets submitted so I can be aware. Thank you! Susan From: Isaac Rowe [mailto:iroweCabmillriverconsulting.com] Sent: Friday, August 22, 2014 9:07 AM To: Sawyer, Susan Cc: 'Isaac Rowe' Subject: RE: 143 Lacy Street Susan, Not sure which property the horse farm is but Title 5 requires the system to be on the same property as the dwelling. It would require a Title 5 state variance to be allowed. Bill did not mention anything about putting the system on another property. Hope this helps.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 i irowe(,@millriverconsulting.com www.millriverconsultinq.com From: Sawyer, Susan [mailto:ssawver@townofnorthandover.com] Sent: Thursday, August 21, 2014 3:08 PM To: Isaac Rowe <irowe@millriverconsulting.com> (irowec&millriverconsulting.com) Subject: 143 Lacy Street Hi, Question: The owners of the Lacy own the horse farm as well. Conservation wants to know why they can't put their system on the horse farm property... any comment? Did Bill mention that possibility? Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com 2 • 9F'STLED.j�� • • North Andover Health Department Community Development Division October 27, 2014 John and Stephanie O'Mahoney 143 Lacy Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 143 Lacy Street, Map 105D,Lot 167 Dear Mr. and Mrs. O'Mahoney: The proposed wastewater system design plan for the above site dated June 20, 2014 with a final revision date July 31, 2014 received on August 15, 2014 and a change in wetland line from the meetings with the NA Conservation Commission has been approved. The design has been approved for use in the construction of a replacement onsite septic system for a 4-bedroom (max 9-room) home. This plan is generally good for 3-years from the date of approval however, as this is for a repair system, this is reduced to 2- years. In the event an imminent health problem, such as sewage backup into the dwelling is occurring,the North J Andover Board of Health may reduce the time period for which this plan is valid. The plan received the following local upgrade approval. 1) Use of only one deep hole in proposed disposal area At a local Board of Health meeting the following local variance was approved. 1) Setback from the soil absorption system to a wetland BVW from 100 feet to 89 feet or as approved by the NA Conservation Commission, but no less than 50 feet. "Final approved wetland line, changed the reduction to 93 feet rather than 89.** 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. The change to the wetland line shall be shown on the final As-built drawing of the subsurface disposal system This approval is also subject to the following conditions: 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 143 Lacy Street October 27, 2014 1. Please keep the attached DEP Form 9b for your records (attached) 2. 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)). 3. 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. Sind ely, san Y. Sawy r, HS/RS Phblic Health Di ctor Encl. Form 913 Installers list cc: Vladimir Nemchenok, Merrimack Eng. Services 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 Commonwealth of Massachusetts City/Town of North Andover a Local Upgrade Approval Form 913 c, 4M DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important:When filling out forms 1. Facility Name and Address on the computer, use only the tab John and Stephanie O'Mahoney key to move your Name cursor-do not 143 Lacy Street use the return key. Street Address North Andover MA 01845 rib City/Town State Zip Code 2. Owner Name and Address (if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility (check all that apply): x Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd Vladimir Nemenchenok 5. System Designer: Name X PE [:IRS 66 Park Street Andover MA 01820 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 143 Lacy Street Local Upgrade Approval* Page 1 of 2 Commonwealth of Massachusetts = w City/Town of North Andover a Local Upgrade Approval Form 9B GSM B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min./inch Depth to groundwater ft ❑ 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 List local variances granted not requiring DEP approval per 310 CMR 15.412(4): Reduction of distance between the wetland BVW and the leaching area from 100 feet to 93 feet. North Andover Subsurface Disposal Regulation criteria. List variances granted requiring DEP approval: North Andover Health Dept Approving Authority Susan Sawyer October 27, 2014 Print or Type Name and Title jSigure Date 143 Lacy Street Local Upgrade Approval• Page 2 of 2 10/27/2014 TOWN OF NORTH ANDOVER PERMITTED SEPTIC INSTALLERS- RENEWED FOR 2014 Doing Business As Phone City Angelo Petrosino (978)664-2030 NORTH.READING,MA 01864 Bill Hall (978) 689-3711 METHUEN, MA 01844 Chad Jablonski (978) 360-9358 NEWBURYPORT, MA 01950 Daniel A. Giard (978) 686-7653 NORTH ANDOVER,MA 01845 David Maynard (978-375-7228 BARNSTEAD,NH 03225 David V. Zaloga, Jr. (603) 765-9296 EXETER,NH 03833 James H. Currier (978) 774-6685 MIDDLETON,MA 01949 James Kellett (781)953-7146 LYNNFIELD,MA 01940 John Butt (978) 815-5754 BOXFORD, MA 01921 John Chongris (508) 509-9443 ANDOVER, MA 0 18 10 John J. Soucy (603)216-7175 SALEM,NH 03079 John L. DiVincenzo (978) 372-7471 HAVERHILL, MA 01835 James Boraczek (978)374-8803 HAMPSTEAD,NH 03841 Joseph Surianello (978)458-9117 DRACUT, MA 01826 Joseph Watson (978)475-3262 ANDOVER, MA 0 18 10 Matthew Manning (603)329-5077 ANDOVER,MA 0 18 10 Michael J. Cove (508) 523-2671 STERLING,MA 01564 Michael W. Reilly (978) 375-4811 ANDOVER, MA 0 18 10 Peter Breen (978)265-7580 NORTH ANDOVER,MA 01845 Robert Daigle (978) 887-3703 HAVERHILL,MA 01830 Robert T.Amor (978) 948 3341 BOXFORD,MA 01921 Robert L. Innis (978)663-6006 BILLERICA, MA 01821 Rocci DeLucia, Jr. (603) 974-1580 SALEM,NH 03079 Serge Beaulieu (603)235-3740 DERRY,NH 03038 Stephen Iacozzi (978)479-4407 METHUEN,MA 01844 Timothy Quinlan (978)457-0528 HAVERHILL, MA 01830 Todd Bateson (978) 815-2703 ANDOVER, MA 01810 Warren Pearce Jr. (978)-664-5264 NORTH READING,MA 01864 NORTH ANDOVER&KINGSTON,NH William(Tom) Sawyer (603) 642-8910 03848 Grant, Michele From: Sawyer, Susan Sent: Thursday, November 06, 2014 1:20 PM To: Grant, Michele Cc: Blackburn, Lisa Subject: FW: Septic 143 Lacy Attachments: Septic service Daigle is supposed to pull the permit. Note: Since they are keeping the septic tank, I wanted to verify that it is not leaking. I was going to do an observation test, but then te nie mentioned that it was pumped in April and sent the bill. Lisa is asking Mill River for the pumping slip. If there is no notation about the tank being low and that the amount �yf/ pumped looked fine,then I am satisfied that the tank is still in good shape. If, however there is a note that the tank was low or other relevant concern than we should do an observation test. From: Blackburn, Lisa Sent: Thursday, November 06, 2014 12:24 PM To: Sawyer, Susan Subject: FW: Septic Read below. From: Stephanie O'Mahony [ma i Ito:soma honyC&oma honyelectric.com] Sent: Thursday, November 06, 2014 12:01 PM To: Blackburn, Lisa Subject: Septic Hi Lisa, Attached is the service slips on my septic system for my home at 143 Lacy Street from Wind River Environmental. I had them send me the service sheet of April 27, 2014 and the on one from April 29, 2011. Please let Susan know that if she still would like to come out on this coming Monday or any other day at 6am to inspect the tank and then again at 6pm just let me know what would work for her and I'll make it happen. Also, if you need any other information, please feel free to call or email me. Thank you, Stephanie L. O'Mahony Presiden t/CEO T 978-762-4600 Ext. 102 i ao4 un _T, v _�06 _+1 C-4- 4Q 6-1�_ _ A 0-V-L I_V__r/ae -1 411/ UL Grant, Michele From: Grant, Michele Sent: Monday, December 22, 2014 3:28 PM To: 'Dan Ottenheimer' Subject: RE: Lacy Street E. - Ph l ou 00-6gy 1 ct 3 tat Thank you Dan, Please keep me informed. le: Final Construction ETC Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.com Web www.TownofNorthAndover.com `cwt k\ From: Dan Ottenheimer [mailto:dano(d)millriverconsultina.com] Sent: Monday, December 22, 2014 3:20 PM To: Grant, Michele Cc: 'Isaac Rowe' Subject: RE: Lacy Street As requested, I am writing to confirm the chain events over the last few days associated with this project. I received a voicemail from William Dufrense at Merrimack Engineering on December 18, 2014. He indicated that at some time in the past he had met with Susan Sawyer and they verbally agreed to not remove all the sand fill that was present at the site,and that he had a sieve analysis which showed the sand was in compliance with Title 5. As we discussed,there is no documentation that you found in the file substantiating any discussion about this matter, and our office has not seen any sieve analysis results beyond the one collected by us on behalf of the Town during the time when soil testing was performed. Mr. Dufrense indicated he has instructed the installer to remove all the existing sand fill and bring in new sand fill. On Wednesday and Thursday Isaac Rowe and I both spoke with the installer, Mr. Daigle. He was already aware of the need to remove the existing sand fill and was going to commence that work. He was informed of the need to have a sieve analysis of the new sand fill,and also that receipts demonstrating the yardage of sand purchased were to be provided. He indicated no problem with either of those requests. i On Friday Dece-Mber 19, 2014,we performed a bed bottom inspection at this site and confirmed the removal of all previously installed sand fill. Dan From: Dan Ottenheimer [mailto:dano(a>millriverconsulting.com] Sent: Thursday, December 18, 2014 8:03 AM To: Grant, Michele (mgrant@townofnorthandover.com) Subject: Lacy Street Michele, Left you a vm late yesterday. Also,this morning, I left another message at Merrimack Engineering for the engineer,Vladimar Nemchenok,to call me. The installer told me the engineer has some special arrangement regarding the existing sand fill,which I do not see on the plan and which I would like to get clarified. I have called the installer to let him know I am following up on the information he told me about some type of special arrangement he was told the engineer had. He was not available but I left him a voicemail. If he is concerned about time delay and expresses anything to you, he can either try encourage the engineer to return my call from several days ago,or can remove all the existing sand fill. Otherwise, I will update him and you when I hear from the engineer to clarify what I was told by the installer. Dan .l1 consulting< Civil togiAlec,ing s knYlroplf17r•dalA! p'k~Imikting Mtvje iopAl tnietwonirtentit Health Gphl4rlirrq Daniel Ottenheimer, President Mill River Consulting, Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.miliriverconsulting.com dano@millriverconsultine.com Member: Massachusetts Association of Onsite Wastewater Professionals, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, Gloucester Rotary Club, New England Water Environment Association 2 Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday,January 29, 2015 12:04 PM To: Bill Dufresne Cc: Grant, Michele; somahony@omahonyelectric.com Subject: 143 Lacy St. Hi Bill, Stephanie O'Mahony called this morning to see if the as-built and the Installation Certification form was received by us yet. I told her that we still have not received it as of today. I told her I would shoot you an email to check on the status of it. Thanks! 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 X 143 LACY STREET 105.D-0167 Complaint Detail Report Printed On:Wed Jan 15,2011 Complaint#: CT-2011-000055 Status: Closed GIS#: 6616 Violator: CGT LACY TRUST xaRrw Address: 143 LACY STREET Map: 105.13 Address: 143 LACY STREET Date Recvd.: Jun-15-2011 Time Recvd.: 02:43 PM Block: 0167 NORTH ANDOVER,MA 018 Category: Well Abandonment Lot: Type: Residential - • GeoTMS Module: Board of Health District: Trade: M�b�•=�o��' Recorded By: Pamela DelleChiaie Zoning: Structure: CHU Description: Complaint' Complaint received from Stacy Birch regarding proper abandonment of well formerly on her property,but now belonging to the O'Mahony family of 143 Lacy Street. See file for summary of emails back and forth between Stacy Birch and Stephanie O'Mahoney and Susan Sawyer. This is what I sent Ms.Birch -----Original Message----- From:Sawyer,Susan Sent:Thursday,June 09,2011 12:18 PM To:'staceybirch 1960@gmail.com' Subject:wells Stacey, At 11:00 AM today,Mr.Brown and I went to the site and met with the owner.Using a 2005 plan by Neve Morin,we were able to identify the known existing wells on the property. Location of the old shallow well was observed.Appeared filled and compacted at this time.No immediate concerns identified.Proper abandonment procedures were discussed for any future abandonments. Susan Sawyer -----Original Message----- From:Sawyer,Susan Sent:Wednesday,June 08,20114:08 PM To:'staceybirch 1960@gmail.com' Subject:RE: Stacey, I have spoken to the O'Mahoney's regarding the photo and the concern.I will be visiting their property tomorrow or Friday to verify the location that the old well was in for information the health file.Old unknown wells on farms are very common and could be dangerous for the land owners.Filling to prevent a sink hole is the general protocol.I believe you noted that your home is serviced by a drilled well at an unknown depth and is secured by an impervious casing. Dug wells are generally at an upper level of the water table(@ 50-80 feet)and drilled ones are deep into the granite bedrock over 300 feet. The State of MA and the town do not have any regulation that require homeowners to test private wells,but we would recommend that you have your well tested annually for bacteria and other contaminants,as suggested by the water testing companies.Keeping a record of your private testing is a good way to ensure that the water you are drinking is potable. I will send you any other findings after my site visit. GeoTMS@ 2011 Des Lauriers Municipal Solutions, Inc. Pagel oft 143 LACY STREET 105.D-0167 Complaint Detail Report Printed On:Wed Jun 15,2011 Susan Susan Sawyer Health Director 1600 Osgood Street North Andover,MA 01845 -----Original Message----- From:staceybirchl960@gmail.com[mailto:staceybirchl960@gmail.com] Sent:Tuesday,June 07,20119:07 AM To:Sawyer,Susan Subject: Susan, The O'Mahoney's are dumping all kinds of junk down into an old well and we are afraid that It will harm our grown water and other around here. Could you please check it out and get back to me. Thank you Stacey Hughes Sent via BlackBerry by AT&T Comments: Inspector Assigned to Complaint: Susan Sawyer Contacts Contact Type Date Time Name Phone Best Time To Reach Recorded By Response Caller Jun-15-2011 2:43 PM Stacy Birch Pamela DelleChiaie Follow-Up by Health Director Actions Taken GeoTMS Module Status Date Time Response Type Action Taken Comments Board of Health REFERRAL, GeoTMS@ 2011 Des Lauriers Municipal Solutions, Inc. Page 2 of t ' a DelleChiaie, Pamela �le y From: Sawyer, Susan Sent: Friday, June 10, 2011 11:07 AM To: DelleChiaie, Pamela Subject: O'Mahoney Stephanie requests we send the complaint information regarding the well issue when you get it inputted. For her files. S Stephanie OMahony somahonyelectric@vahoo.com Stman SaIUyn J ub&NeaPt6 `. iwttan 1600 Vag"d Stwd J3e4 2U,unit 2-36 NadA andamm,.Ma 01845 e ice 978 688-9540 fax 978 688-8476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/preidx.htm ]Massachusetts Public Records Law. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Friday, June 10, 2011 11:07 AM To: DelleChiaie, Pamela Subject: FW: well abandonment Attachments: well regs adopted 3.02 altered 6.24.04.doc This is what I sent her. FYI From: Sawyer, Susan Sent:Thursday, June 09, 2011 12:05 PM To: 'Stephanie OMahony' Subject: well abandonment Hello Stephanie, As I mentioned at the site visit to your property today, I am sending you the local regulations regarding wells in North Andover. See section 6 for proper abandonment of wells. Along with Mr. Brown, I observed the location where the old dug well was sited, and it appears compacted.You stated your husband's filling procedures that he took. Noting the filling from the bottom up with loose gravel and then mixed with sand to complete compaction.This method is the preferred method. Large boulders should not be used as they may cause problems in the future. Filling the well with materials near the site would be fine with the Health Dept. When you have completed the second well abandonment, please let us know so we can document it in your file here in our office. Thank you Susan Stmacn SLYwy= 1600 069c+vd Stwd `✓3 4 20,unit 2-36 .N"&Qndaaett,.MQ U1S45 office 978 688-9540 978 688-8476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/Dreidx.htm ]Massachusetts Public Records Law. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 TOWN OF NORTH ANDOVER BOARD OF HEALTH WELL REGULATIONS The Board of Health of the town of North Andover, Massachusetts acting under Chapter 111, Section 31 of the Massachusetts General Laws, as amended and with reference to Chapter 40, Section 54 of said General Laws has, in the interest of and for the protection of public health and the environment, established and adopted the following rules and regulations: Section 1. DEFINITIONS 1.1 The word "well" as used in these regulations shall include any pit, pipe, excavation, casing, drill hole or other private source of water to be used for the purpose of supplying potable water in the town of North Andover. This includes irrigation wells. 1. 2 The words "water systems" as used in these regulations shall include pipes, valves, fittings, tanks, pumps, motors, switches, controls and appurtenances installed or used for the purpose of storage, filtration, treatment or purification of water for any use whether or not located inside of a building. 1. 3 The words "well contractor" as used in these regulations, shall mean any person, association, partnership, company or corporation that installs, constructs or repairs a water system associated with a well. 1.4 The words "non-essential well" as used in these regulations refers to all wells that are not the sole source of potable drinking water for a site, whether residential or commercial. Section 2 . PERMITS 2 . 1 No well shall be constructed until a well permit has been issued by the Board of Health. Such a permit shall be applied for by a well contractor registered with the town of North Andover. A fee will be charged as found in the current North Andover Board of Health fee schedule. 2 .3 Appropriate wiring and plumbing permits shall be applied for and issued by the Building Department prior to well construction. 2 .4 No building permit shall be issued for the construction of a building which necessitates the use of water therein for a well located on the land where the building is to be constructed, until a well has been installed and the Board of Health has determined that a safe and adequate supply of potable water is available. 2 . 5 A well form shall be issued along with the well permit to be filled out by the well and pump contractor. Such a form must be filled out accurately and copies kept on file at the Board of Health upon its completion. Forms received which are not representative may be cause for the revocation of the contractor' s registration. 2 . 6 Major renovation or repair of existing wells and/or water systems must be approved by the Board of Health. 2 . 7 A permit for the construction of a well shall not be issued for any property located within the Lake Cochichewick Watershed that currently has reasonable access to the town water system. The watershed boundaries are as found within section 4 . 136 of the North Andover Zoning Regulations, "Watershed Protection District" . 2 . 8 The Board of Health may deny an application for a non- essential well when it is in the interest of public health to do so, as in times of drought. Section 3 . WELL SITING 3 . 1 The location of a well must be within the boundaries of the lot in which it will be in service. 3 .2 There shall be a separate well for each building. It shall be constructed up-gradient from all sources of potential contamination and must be located at distances which are to be equal to or in excess of the following; 1) 100 feet from any septic leach field or existing underground storage tanks 2) 75 feet from any septic tank 3) 50 feet laterally from the normal high mark of any water source 4) a minimum setback of 25 feet from all streets, lot lines and driving surfaces. 5) 20 feet from existing building sewers, and underground swimming pools 3 .4 The well shall not be placed within a defined wetland or in an area of consistent flooding. Any proposed well located within 100' of a wetland is subject to regulation by the Wetlands Protection Act. The BOH shall receive a copy of written approval from the North Andover Conservation Commission prior to the issuance of a well permit in these cases. Section 4 . CONSTRUCTION REQUIREMENTS 4 . 1 The well contractor shall observe reasonable sanitary measures and precautions in the performance of his work in order to prevent the pollution of contamination of the well . 4 .2 Newly constructed wells or wells where repair work has been done shall be thoroughly disinfected before being put into use. 4 .3 Every well shall supply adequate water for the purpose for which it is intended and shall give satisfactory evidence of continuing capability to do so. 4 .4 Before being approved, every well shall be pump tested by the well contractor (4 hr pump test) . The results of the pump test shall be submitted on the well form issued by the Board of Health. A well shall exceed the following flow rates, or it shall be considered inadequate for a single family dwelling. Well Depth Gallons per Minute for Four Hours 0 - 150 5 - 6 150 - 200 4 200 - 250 2 - 3 250 - 300 1 -2 350 and over 1/2 4 .5 There shall be a single and separate water system for each dwelling and it shall not be installed or materially altered until the Board of Health is notified. The Board will require a description of the installation or repair to be conducted. Emergency work for repairs or service of existing equipment not amounting to a substantial renovation or overhaul may be done without notification. Appropriate inspections by wiring or plumbing inspectors will be required before final Board of Health approval. 4 . 6 All pumps, motors and tanks shall be placed on a suitable foundation and all equipment and parts of the system that may require adjustments or service shall be made readily accessible. 4 . 7 All pump houses, pump or pipe pits and wells shall be designed and constructed so as to prevent flooding and otherwise to prevent the entrance of pollutants or contaminants. 4 . 8 The Board of Health shall require the installation of all necessary switches, controls and devices, and the satisfactory performance of a pressure and operating test of the system before final approval; the test must demonstrate that the system will deliver adequate pressure and volume consistent with the well and the well requirements. The Board of Health must be given reasonable notice of when the installation is ready for inspection. 4 . 9 No certificate of occupancy shall be issued until all the provisions of these regulations have been met. The inspections and these regulations cannot be construed as a guarantee by the town of North Andover or its agents that the water system will function satisfactorily. Section 5 . WATER QUALITY 5 . 1 In cases of new construction, the Board of Health shall require the submission of a water analysis report. The report shall include bacterial and chemical evaluations conducted by a laboratory approved by the Board of Health or the Massachusetts Department of Public Health. Laboratories conducting testing must supply a copy of Massachusetts certification as verification that it holds current certification for all types of analysis done on water samples. The submission of a chemical analysis to the Board of Health is required before issuance of a building permit. The bacterial analysis must be conducted after the water system is completely installed. A report must be submitted before the Board of Health will issue final approval. The following minimal parameters must be included in the water analysis. total coliform alkalinity arsenic calcium chloride * indicates Primary Contaminants color copper hardness iron lead magnesium manganese nitrogen (ammonia) * nitrogen (nitrite) * odor pH * potassium sediment sodium sulfate turbidity total dissolved solids Additional information shall be required if the well is in an area of agricultural use or within 500-1000 feet of utility rights-of- way 5 .2 All primary contaminants shall meet EPA standards. Based on the results of the water analysis reports, the Board of Health may require additional treatment of a water supply. Section 6 . PERMANENT OR TEMPORARY WELL ABANDONMENT 6 . 1 All permanently abandoned wells shall be tightly sealed by approved methods to prevent pollution of the ground water. Prior to plugging, the well shall be checked for debris that may interfere with the process. If the integrity of the original well seal is in doubt, the casing shall be removed or perforated. In addition all pumping equipment and associated plumbing shall be disconnected and removed. 6 .2 When a well is not abandoned, but is out of use for an extended period of time, it shall be the owner' s responsibility to properly maintain the well and to prevent the development of defects which may facilitate the impairment of water quality in the well or in the water bearing formations penetrated by the well. Until a well is permanently abandoned by plugging procedures, all provisions for protection of the water from contamination and for maintaining sanitary conditions around the well shall be carried out to the same extent as though the well were in routine use. 6 .3 To temporarily abandon a well, the top of the well casing shall be sealed with a watertight threaded cap or with a steel plate welded watertight to the top of the casing. If the top of well seal is watertight, the pump may be left in place. A well that has, after extended use, been temporarily abandoned for three (3) years shall be considered permanently abandoned, and shall be appropriately plugged. Section 7 . PENALTIES 7 . 1 Any person who shall violate any provisions of these regulations for which a penalty is not otherwise provided in any of the General Laws or Sanitary Code shall upon conviction be fined not less than fifty nor more than five hundred dollars. Section 8 . UNCONSTITUTIONALITY CLAUSE 8 .1 So far as the Board of Health may provide each section of these rules and regulations shall be construed as separate to the end that if any section, item, sentence clause or phrase shall be held invalid for any reason, the remainder of these rules and regulations shall continue in effect. Gayton Osgood, Chairman Dr. Francis P. MacMillan Dr. John Rizza, Clerk Published N.A. Citizen, February 9, 1984 Rev. 9/90 Rev. 8/93 Rev. 1/02 DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, June 09, 2011 12:20 PM To: DelleChiaie, Pamela Subject: FW: wells Bottom to top;this is the complaint from Stacey Birch. Please document it,and my response when you have time. thx -----Original Message----- From: Sawyer,Susan Sent:Thursday,June 09,201112:18 PM To: 'staceybirchl960@gmail.com' Subject:wells Stacey, At 11:00 AM today,Mr.Brown and I went to the site and met with the owner.Using a 2005 plan by Neve Morin,we were able to identify the known existing wells on the property. Location of the old shallow well was observed.Appeared filled and compacted at this time.No immediate concerns identified.Proper abandonment procedures were discussed for any future abandonments. Susan Sawyer -----Original Message----- From: Sawyer,Susan Sent:Wednesday,June 08,20114:08 PM To: 'staceybirch1960@gmail.com' Subject:RE: Stacey, I have spoken to the O'Mahoney's regarding the photo and the concern.I will be visiting their property tomorrow or Friday to verify the location that the old well was in for information the health file.Old unknown wells on farms are very common and could be dangerous for the land owners.Filling to prevent a sink hole is the general protocol.I believe you noted that your home is serviced by a drilled well at an unknown depth and is secured by an impervious casing. Dug wells are generally at an upper level of the water table(@ 50-80 feet)and drilled ones are deep into the granite bedrock over 300 feet. The State of MA and the town do not have any regulation that require homeowners to test private wells,but we would recommend that you have your well tested annually for bacteria and other contaminants,as suggested by the water testing companies.Keeping a record of your private testing is a good way to ensure that the water you are drinking is potable. I will send you any other findings after my site visit. Susan Susan Sawyer 1 health 6irector 1600 Osgood Street North Andover,MA 01845 -----Original Message----- From:staceybirchl960@gmail.com[mailto:stacgbirch1960@gmail.com Sent:Tuesday,June 07,20119:07 AM To:Sawyer,Susan Subject: Susan, The O'Mahoney's are dumping all kinds of junk down into an old well and we are afraid that It will harm our grown water and other around here. Could you please check it out and get back to me. Thank you Stacey Hughes Sent via BlackBerry by AT&T Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 Del�eChiaie, Pamela From: Sawyer, Susan Sent: Friday, June 10, 2011 11:08 AM To: DelleChiaie, Pamela Subject: FW: wells This is what I sent Ms.Birch Sorry if I already sent you this.Couldn't remember -----Original Message----- From: Sawyer,Susan Sent:Thursday,June 09,201112:18 PM To: 'staceybirchl960@gmail.com' Subject:wells Stacey, At 11:00 AM today,Mr.Brown and I went to the site and met with the owner.Using a 2005 plan by Neve Morin,we were able to identify the known existing wells on the property. Location of the old shallow well was observed.Appeared filled and compacted at this time.No immediate concerns identified.Proper abandonment procedures were discussed for any future abandonments. Susan Sawyer -----Original Message----- From:Sawyer,Susan Sent:Wednesday,June 08,20114:08 PM To: 'staceybirchl960@gmail.com' ' Subject:RE: Stacey, I have spoken to the O'Mahoney's regarding the photo and the concern.I will be visiting their property tomorrow or Friday to verify the location that the old well was in for information the health file.Old unknown wells on farms are very common and could be dangerous for the land owners.Filling to prevent a sink hole is the general protocol. I believe you noted that your home is serviced by a drilled well at an unknown depth and is secured by an impervious casing. Dug wells are generally at an upper level of the water table(@ 50-80 feet)and drilled ones are deep into the granite bedrock over 300 feet. The State of MA and the town do not have any regulation that require homeowners to test private wells,but we would recommend that you have your well tested annually for bacteria and other contaminants,as suggested by the water testing companies.Keeping a record of your private testing is a good way to ensure that the water you are drinking is potable. I will send you any other findings after my site visit. Susan Susan Sawyer Health Director 1600 Osgood Street 1 North A,ndGver,MA 01845 -----Original Message----- From:staceybirchl960@gmail.comjmailto:staceybirchl960@gmail.com� Sent:Tuesday,June 07,20119:07 AM To:Sawyer,Susan Subject: Susan, The O'Mahoney's are dumping all kinds of junk down into an old well and we are afraid that It will harm our grown water and other around here. Could you please check it out and get back to me. Thank you Stacey Hughes Sent via BlackBerry by AT&T Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices . and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 p DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, June 09, 2011 12:06 PM To: DelleChiaie, Pamela Cc: Grant, Michele; Rillahan, Deb Subject: FW: well abandonment Attachments: well regs adopted 3.02 altered 6.24.04.doc Just FYI From: Sawyer, Susan Sent:Thursday,June 09, 2011 12:05 PM To: 'Stephanie OMahony' Subject: well abandonment Hello Stephanie, As I mentioned at the site visit to your property today, I am sending you the local regulations regarding wells in North Andover. See section 6 for proper abandonment of wells. Along with Mr. Brown, I observed the location where the old dug well was sited,and it appears compacted.You stated your husband's filling procedures that he took. Noting the filling from the bottom up with loose gravel and then mixed with sand to complete compaction.This method is the preferred method. Large boulders should not be used as they may cause problems in the future. Filling the well with materials near the site would be fine with the Health Dept. When you have completed the second well abandonment, please let us know so we can document it in your file here in our office. Thank you Susan Stl att Saauzc 1600 Uagaad Shed J34 20,unit 2-36 .NodA Qndom,Ata 01845 aUke 978 688-9540 fax 978 688-5476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/preidx.htm ]Massachusetts Public Records Law. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp:/Avww.sec.state.ma.us/[)re/preidx.htm. Please consider the environment before printing this email. 1 TOWN OF NORTH ANDOVER BOARD OF HEALTH WELL REGULATIONS The Board of Health of the town of North Andover, Massachusetts acting under Chapter 111, Section 31 of the Massachusetts General Laws, as amended and with reference to Chapter 40, Section 54 of said General Laws has, in the interest of and for the protection of public health and the environment, established and adopted the following rules and regulations : Section 1. DEFINITIONS 1.1 The word "well" as used in these regulations shall include any pit, pipe, excavation, casing, drill hole or other private source of water to be used for the purpose of supplying potable water in the town of North Andover. This includes irrigation wells . 1.2 The words "water systems" as used in these regulations shall include pipes, valves, fittings, tanks, pumps, motors, switches, controls and appurtenances installed or used for the purpose of storage, filtration, treatment or purification of water for any use whether or not located inside of a building. 1.3 The words "well contractor" as used in these regulations, shall mean any person, association, partnership, company or corporation that installs, constructs or repairs a water system associated with a well. 1.4 The words "non-essential well" as used in these regulations refers to all wells that are not the sole source of potable drinking water for a site, whether residential or commercial. Section 2 . PERMITS 2 . 1 No well shall be constructed until a well permit has been issued by the Board of Health. Such a permit shall be applied for by a well contractor registered with the town of North Andover. A fee will be charged as found in the current North Andover Board of Health fee schedule. 2 .3 Appropriate - wiring and plumbing permits shall be applied for and issued by the Building Department prior to well construction. 2 .4 No building permit shall be issued for the construction of a building which necessitates the use of water therein for a well located on the land where the building is to be constructed, until a well has been installed and the Board of Health has determined that a safe and adequate supply of potable water is available. 2 . 5 A well form shall be issued along with the well permit to be filled out by the well and pump contractor. Such a form must be filled out accurately and copies kept on file at the Board of Health upon its completion. Forms received which are not representative may be cause for the revocation of the contractor' s registration. 2 . 6 Major renovation or repair of existing wells and/or water systems must be approved by the Board of Health. 2 . 7 A permit for the construction of a well shall not be issued for any property located within the Lake Cochichewick Watershed that currently has reasonable access to the town water system. The watershed boundaries are as found within section 4 .136 of the North Andover Zoning Regulations, "Watershed Protection District" . 2 . 8 The Board of Health may deny an application for a non- essential well when it is in the interest of public health to do so, as in times of drought. Section 3 . WELL SITING 3 . 1 The location of a well must be within the boundaries of the lot in which it will be in service. 3 .2 There shall be a separate well for each building. It shall be constructed up-gradient from all sources of potential contamination and must be located at distances which are to be equal to or in excess of the following; 1) 100 feet from any septic leach field or existing underground storage tanks 2) 75 feet from any septic tank 3) 50 feet laterally from the normal high mark of any water source 4) a minimum setback of 25 feet from all streets, lot lines and driving surfaces. 5) 20 feet from existing building sewers, and underground swimming pools 3 .4 The well shall not be placed within a defined wetland or in an area of consistent flooding. Any proposed well located within 100' of a wetland is subject to regulation by the Wetlands Protection Act. The BOH shall receive a copy of written approval from the North Andover Conservation Commission prior to the issuance of a well permit in these cases. Section 4 . CONSTRUCTION REQUIREMENTS 4 . 1 The well contractor shall observe reasonable sanitary measures and precautions in the performance of his work in order to prevent the pollution of contamination of the well. 4 .2 Newly constructed wells or wells where repair work has been done shall be thoroughly disinfected before being put into use. 4 .3 Every well shall supply adequate water for the purpose for which it is intended and shall give satisfactory evidence of continuing capability to do so. 4 .4 Before being approved, every well shall be pump tested by the well contractor (4 hr pump test) . The results of the pump test shall be submitted on the well form issued by the Board of Health. A well shall exceed the following flow rates, or it shall be considered inadequate for a single family dwelling. Well Depth Gallons per Minute for Four Hours 0 - 150 5 - 6 150 - 200 4 200 - 250 2 - 3 250 - 300 1 -2 350 and over 1/2 4 .5 There shall be a single and separate water system for each dwelling and it shall not be installed or materially altered until the Board of Health is notified. The Board will require a description of the installation or repair to be conducted. Emergency work for repairs or service of existing equipment not amounting to a substantial renovation or overhaul may be done without notification. Appropriate inspections by wiring or plumbing inspectors will be required before final Board of Health approval. 4 . 6 All pumps, motors and tanks shall be placed on a suitable foundation and all equipment and parts of the system that may require adjustments or service shall be made readily accessible. 4 . 7 All pump houses, pump or pipe pits and wells shall be designed and constructed so as to prevent flooding and otherwise to prevent the entrance of pollutants or contaminants. 4 . 8 The Board of Health shall require the installation of all necessary switches, controls and devices, and the satisfactory performance of a pressure and operating test of the system before final approval; the test must demonstrate that the system will deliver adequate pressure and volume consistent with the well and the well requirements . The Board of Health must be given reasonable notice of when the installation is ready for inspection. 4 . 9 No certificate of occupancy shall be issued until all the provisions of these regulations have been met. The inspections and these regulations cannot be construed as a guarantee by the town of North Andover or its agents that the water system will function satisfactorily. Section 5 . WATER QUALITY 5 . 1 In cases of new construction, the Board of Health shall require the submission of a water analysis report. The report shall include bacterial and chemical evaluations conducted by a laboratory approved by the Board of Health or the Massachusetts Department of Public Health. Laboratories conducting testing must supply a copy of Massachusetts certification as verification that it holds current certification for all types of analysis done on water samples . The submission of a chemical analysis to the Board of Health is required before issuance of a building permit. The bacterial analysis must be conducted after the water system is completely installed. A report must be submitted before the Board of Health will issue final approval . The following minimal parameters must be included in the water analysis. total coliform alkalinity arsenic calcium chloride * indicates Primary Contaminants color copper hardness iron lead magnesium manganese nitrogen (ammonia) * nitrogen (nitrite) * odor pH * potassium sediment sodium sulfate turbidity total dissolved solids O Additional information shall be required if the well is in an area of agricultural use or within 500-1000 feet of utility rights-of- way 5 .2 All primary contaminants shall meet EPA standards. Based on the results of the water analysis reports, the Board of Health may require additional treatment of a water supply. Section 6 . PERMANENT OR TEMPORARY WELL ABANDONMENT 6 .1 All permanently abandoned wells shall be tightly sealed by approved methods to prevent pollution of the ground water. Prior to plugging, the well shall be checked for debris that may interfere with the process. If the integrity of the original well seal is in doubt, the casing shall be removed or perforated. In addition all pumping equipment and associated plumbing shall be disconnected and removed. 6 .2 When a well is not abandoned, but is out of use for an extended period of time, it shall be the owners responsibility to properly maintain the well and to prevent the development of defects which may facilitate the impairment of water quality in the well or in the water bearing formations penetrated by the well. Until a well is permanently abandoned by plugging procedures, all provisions for protection of the water from contamination and for maintaining sanitary conditions around the . well shall be carried out to the same extent as though the well were in routine use. 6 .3 To temporarily abandon a well, the top of the well casing shall be sealed with a watertight threaded cap or with a steel plate welded watertight to the top of the casing. If the top of well seal is watertight, the pump may be left in place. A well that has, after extended use, been temporarily abandoned for three (3) years shall be considered permanently abandoned, and shall be appropriately plugged. Section 7 . PENALTIES 7 . 1 Any person who shall violate any provisions of these regulations for which a penalty is not otherwise provided in any of the General Laws or Sanitary Code shall upon conviction be fined not less than fifty nor more than five hundred dollars . Section 8 . UNCONSTITUTIONALITY CLAUSE 8 . 1 So far as the Board of Health may provide each section of these rules and regulations shall be construed as separate to i the end that if any section, item, sentence clause or phrase shall be held invalid for any reason, the remainder of these rules and regulations shall continue in effect. Gayton Osgood, Chairman Dr. Francis P. MacMillan Dr. John Rizza, Clerk Published N.A. Citizen, February 9, 1984 Rev. 9/90 Rev. 8/93 Rev. 1/02 t j i Ia . -- -- _ - t I42� I j. �� I i ' I I �'f € , ILJ AF _. , bi } �bx r - - ---------------------------------------------- .. .. . F 0 1 State tea3nt* gualpt , w Main Office/Laboratory At: Tramway Marketplace At: Daniels Artesian Wells 22 Manchester Rd./Rt,28 Route 18& 25 Route 3 Derry,NH 03038 West Ossipse, NH 03890 Sanbornton, NH 03269 j (603) 432-3044 1-800-699-9920 1.800-699-9920 li vIrrt-fir to of �knafijztis .for U rii,t Y. � ��xt ; rt SENT To; JOhI] O'Mahony Jr. TEST NO. : 1$606 f } PO Box 1183 } Melrose, MA 02176 SAMPLE i LOCATION: Lot; 6A Lacey St. DATE & TIME SAMPLED; 05/22/95,' 12:00 PM Na. Andover, MA EPA PARAMETER RESULT RECOMMENDED (PPM) MAX.LEVEL(PPM) - PH UNITS 6.5 - 8 ,5 UNITS HARDNESS 150 CHLORIDE NITRATE 1 25050 i NITRITE 1.0 SODIUM 150 IRON MAN0.3GANESE 0.05 COLIFORM ABSENCE /100 ML ABSENCE /100 ML OTHER BACTERIA /100 ML 200 /100 ML COPPER 1.3 I ARSENIC 0.05 LEAD 0.015 CHROMIUM 0.1 CALCIUM NONE SET FLUORIDE 2 0 COLOR CPU 15 CPU ODOR TON 3 TON TURBIDITY NTU 5 NTU � HYDROGEN SULFIDE NONE SET (XXX.) NONE PARAMETERS MEET CURRENT EPA STANDARDS FOR DRINKING WATER. ( ) THE TESTED PARAMETERS ItEF T CURRENT EPA PRIMARY STANDARDS FOR ! DRINKING WATER, BUT SOME SECO14PARY PARAMETERS EXCEED STANDARDS. II! { ) THETESTEDPARAMETERS FAIL CURRENT EPA STANDARDS FOR DRINKING WATER I - -----DUE-TO PRIMARY STANDARDS OUTSIDE OF LIMITS. -------------- - --- ----------------- OMMENTS: --------r. . -----------,-___--- I ,..--------------- -- -- } LESS THAN OUR LOWEST CALIBRATION POINT GREATER THAN OUR. HIGHEST CALIBRATION POINT TNTC TOO NUMEROUS TO COUNT 1 FLAGS PARAMETERS WHAT EXCEED PRIMARY STANDARDS; CAUSES TEST FAILURE. 2 FLAGS PARAMETERS THAT EXCEED SECONDARY STANDARDS; DOES NOT FAIT, TEST NOTE' SUBSEQUENT SAMPLES FROM THE SAME WATER SOURCE MAYsu�YR . -��'$.+d'�i-r.�a�rrn„,.....,....._.,R,nw,� AufIlQTlzCd by �f/✓ r r 8818�1[7111rra Orautte State Sualptt"WL oh. Main Office/Laboratory At:Tramway Marketplace At: Daniels Artesian Wells 22 Manchester Rd./Rt. 28 Route 16&25 Route 3 Derry, NH 03038 West Ossipee, NH 03890 Sanbornton, NH 03269 (603)432-3044 1-800-699-9920 1-800-699-9920 %L�erti f tir xte of ;knalijois for B rinkixtg ater SENT TO: John B. O'Mahony Jr. EST NO. -- 0. • 1$53 PO Box 1183 Melrose, MA 02176 SAMPLE LOCATION: Lot 6A Lacey St. DATE & TIME SAMPLED:--65/16/95 ,-10:30 AM No. Andover, MA EPA PARAMETER RESULT RECOMMENDED (PPM) MAX.LEVEL(PPM) --------- ------ -------------- PH 8.11 UNITS 6.5 - 8.5 UNITS HARDNESS 83 150 CHLORIDE 250 NITRATE <0.5 10.0 NITRITE <0.05 1 .0 SODIUM 7.1 250 2 IRON 1 .27 0.3 2 MANGANESE 0.06 0.05 1 COLIFORM PRESENCE/100 ML ABSENCE /100 ML OTHER BACTERIA /100 ML 200 /100 ML COPPER 1 .3 ARSENIC 0.05 LEAD 0.015 CHROMIUM 0.1 CALCIUM 26.9 NONE SET FLUORIDE 2.0 COLOR 10 CPU 15 CPU ODOR TON 3 TON 2 TURBIDITY 7.0 NTU 5 NTU HYDROGEN SULFIDE NONE SET ( ) THE TESTED PARAMETERS MEET CURRENT EPA STANDARDS FOR DRINKING WATER. ( ) THE TESTED PARAMETERS MEET CURRENT EPA PRIMARY STANDARDS FOR DRINKING WATER, BUT SOME SECONDARY PARAMETERS EXCEED STANDARDS. (XXX) THE TESTED PARAMETERS FAIL CURRENT EPA STANDARDS FOR DRINKING WATER DUE TO PRIMARY STANDARDS OUTSIDE OF LIMITS. ----------------------------------------------------------------------------------------- COMMENTS: SULFATE = 19.8 PPM ALKALINITY = 61.0 PPM SPECIFIC CONDUCTANCE = 182 uMHOs MAGNESIUM = 3.8 PPM ----------------------------------------------------------------------------------------- < LESS THAN OUR LOWEST CALIBRATION POINT > GREATER THAN OUR HIGHEST CALIBRATION POINT TNTC TOO NUMEROUS TO COUNT 1 FLAGS PARAMETERS THAT EXCEED PRIMARY STANDARDS; CAUSES TEST FAILURE. 2 FLAGS PARAMETERS THAT EXCEED SECONDARY STANDARDS; DOES NOT FAIL TEST. NOTE: SUBSEQUENT SAMPLES FROM THE SAME WATER SOURCE MAY,,VA X. Authorized by - a c'4d 104.63 { —AWETLAND DELI { !� NORSE EENVIRONMENTAB SERVICES AUGUST 2014 �I. \ '104.03 3--A —�{ 7—A_ 6 o { �rw 4—A -� 104.03 - 99.721 'a r far!� $ "�- '.—`?/i�` -•-. •• { 4* ' 5-A ~,1 - oo J 98. 3 / Gl{ 58.83 s �1 9. .p fit j _i � t �► qmw ops€ M ON m WAR we 9m 99.77 V x 100.02 ►p/ 1 ` 99.f 1 - 99.25 99_ ``. T�f < CO 0 FILTER TR PROP. COMB�ST . 1R � SOCK/EROSION CONTROL � �g,3� t t +r BARRIER (130 L.F.f) 9 �1'5 �T 100.41 100.24 "LIMIT OF WORK �Pf 'J4 1 � BRW 00 104.54 iC7 ,•. 1 ; \--LP1034.3{7 { — -- �' '10b.0 r PROPOSED SOIL PROP. LIMIT OF STOCKPILE AREAS EXCAVATION 5' ALL AROUND l PROP. 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