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Home My WebLink AboutMiscellaneous - 150 JOHNNY CAKE STREET 4/30/2018 CAKE STREET treet �775-5JOHNNY .210/107.A-01.96-0000.0 t A I I y�y North Andover Board of Assessors Public Access Page 1 of 1 I Townof,Worth Amtdover- S.oard of Assessors. F � ♦ K rAr�^•Ana.�"�r Property Return to the Home page click on logo Record Card Parcel ID:210/107.A-0196-0000.0 Community: North Andover SKETCH PHOTO New Search Click on Sketch to Enlarge Click on Photo to Enla e Sales Summary Residence [� Detached Structure ` Condo Commercial ` Comparable Sales 150 L-52 JOHNNY CAKE STREET • - Location: 150 JOHNNY CAKE STREET Owner Name: STEPHEN J.&CHRISTINA M.HUNT Owner Address: 150 JOHNNY CAKE STREET City:NORTH ANDOVER State:MA ZIP: 01845 Neighborhood:8-8 Land Area: 1 acres Use Code: 101 -SNGL-FAM-RES Total Finished Area: 2818 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 677,300 621,400 Building Value: 438,600 404,000 Land Value: 238,700 217,400 Market Land Value:238,700 Chapter Land Value: LATEST SALE Sale Price: 599,900 Sale Date: 02/21/2002 Arms Length Sale Code: Y-YES-VALID Grantor:HARTMUT H.LEGNER Cert Doc: Book: 06682 Page: 0336 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=991613 4/18/2007 tAORTH q t 0 A T D94 CO[MKnl WKII`�1` % CHUS��y PUBLIC HEALTH DEPARTMENT (ommunity Development Division CE1�2I FICA2E O F C09Y"' -1ANCE As of.- June f:,dune S, 2007 'This is to cert that the individual su6surface d4osal system received a SAW FAC2ORT IM PEMON of the: Complete Septic System Repair By• Todd Bateson At: 150 Johnnycake Street flap 107.A; Parce10196 North Andover, 9I4A 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the. system will function satisfactorily. I. Susa,`Y Sawyer, XE Sl,:: 5I Pu6licWealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Q�rORY a Ry o0 IL AArsp CHUS S PUBLIC HEALTH DEPARTMENT (ommunity Development Division TOWN OF NORTH ANDOVER : SEPTIC DISPOSAL SYSTEM—INSTALLATION CER :IFICATIO RECEIVED The undersigned hereby certify that the Sewage Disposal System( constructed;( )rep ired; By 'Foy D nE! JUN - 4 2007 (Print Name) TOWN OF NORTH ANL)GVER Located at: 1�D �� NN� I�-E pj��(� HEALTH DEPARTMENT (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 12,— —19(o and last revised on_ s,_i z—0-7 ,with a design flow of 40 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: C7' Engineer Representative(Signature) Y nU�� E And-Print Name Final Construction Inspection Date: Engineer Representative(Signature) 1 L1,. 7l! And-Print N Installer• (Signature) Date: '-2� IH OF M4Ass9c O y LAgIMIR L V G NEMCHENOK And-Print Name Enginer: 0 1. ignatare) Date: .x-.3(7-07 o. A9p ST1rR�� Q And-Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://www.townofnorthandover.com U11:1�1'Now �. � Bt T�1 ig PI...,.� '� �crrti F F�.,-rrv�•l ►S �oT A I�1A"Aw"\f 1d 4` TZH , 5T: I* A UeOw OF t4& • 17 4 0 E LE voe riot �F -r�1� r-�•�rf�Nei of'5 r r�rl i, =Z z 01 m0 1 . m �y r , 7Z o mo o }� ?° w (DltJFl�Twal[ Liu jKle 70 1,5 co rK gr�l s 1G>n, y 150 r ASW-j'LT ILA SUBSURFACE DISPOSAL SYSTEM LOCATED IN �jN OF 41.4A '..�D N►.�NY - o= VLADIMIR L �rG AS-� OR PREPARED FNEMCH.LNQ> Te ye -V-vi0-7 DATE: FGIs 5 I�J =Q7� �SS/ONA1.E��\�. .,� I to SCALE: 1 '4 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 O TEL (617) 473.3333, 3MS721 RECEIVED AS-BUILT CHECKLIST JUN - 4 2007 TOWN OF NORTH ANDOVER JL HEALTH DEPARTMENT / LOT NUMBER, STREET NAME V ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, 4NCLUDING TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES&PERC TESTS t/ ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK& D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS ETC. NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, May 31, 2007 11:09 AM To: Marianne Peters(E-mail); Daniel Ottenheimer(E-mail) Subject: FW: 150 JohnnyCake- Final Construction Request Importance: High Please send me'.a copy of the Final Construction Report. Thank you. -----Original Message----- From: DelleChiaie, Pamela Sent: Thursday, May 17,2007 2:29 PM To: Marianne Peters(E-mail) Cc: Daniel Ottenheimer(E-mail) Subject: 150 JohnnyCake-Final Construction Request Importance: High Hi, Please schedule.a FC inspection with Todd Bateson for 150 Johnnycake Street. His number is: 978.815.2703. Thank you. SAW R¢gAfdsl Pa�i¢ha D¢BB¢G�lfiai¢Q Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover;MA o1845 9978.688.9540-Phone A 978.688.8476-Fax http://www.townofilorthandover.com healthdept@townofnorthandover.com I 1 NORTH q w, 6 OL to ORATED 9SSACHUS�� PUBLIC HEALTH DEPARTMENT (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 150 Johnnycake St. MAP: 167A LOT: 196 INSTALLER: Bateson Enterprises DESIGNER: Merrimack Engineering PLAN DATE: 12/7/06 rev. thru 2/13/07 BOH APPROVAL DATE ON PLAN: 2/20/07 INSPECTIONS 5 TANK INSPECTION. DATE OF BED BOTTOM IN PECTION: ,� DATE OF FINAL CONSTRUCTION INSPECTION: 5/21/07 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ® Inlet tee installed, centered under access port ® Outlet tee (gas baffle or effluent filter) installed, centered under access port 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com tAORTy q O ,LID 'sr �O -W� ; OL ti T � 611MC 1` T COCMICMIWKM V 16 049 SSACHUS� PUBLIC HEALTH DEPARTMENT Community Development Division ® 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ® Hydraulic cement around inlet & outlet Comments: The septic tank was approximately half full at the time of the construction inspection therefore water tightness could not be verified on 5/21/07. PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ❑ Combo Tank installed. Size: ® 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com r10RT1j O 0 O 1� O •wq. COCMIC„�wKM v �,440gATED 01 , SSACHUS� PUBLIC HEALTH DEPARTMENT Community Development Division SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to 6 in into 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber Infiltrator Quick 4 ® Number of chambers per row 10 ® Number of rows (trenches) 5 Z Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan Comments: CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of controlp anel: ❑ Rated for exterior if placed outside ® Alarm signal located inside Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofoorthandover.com 14ORTH q 20�tttieo F6�6tiO O� CO,NI(M,WK.`y1` reo ^pa 4y �SSACHUS�� PUBLIC HEALTH DEPARTMENT (ommunity Development Division SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Building Sewer OUT 95.70 96.3 Septic Tank IN 95.49 95.90 Septic Tank OUT 95.24 95.65 Pump Chamber IN 95.12 95.60 Pump Chamber OUT n/a n/a Distribution Box IN 96.57 96.47 Distribution Box OUT 96.41 96.30 Lateral 1 INV 96.32 96.27 Lateral 2 INV 96.32 96.27 Lateral 3 INV 96.32 96.27 Lateral 4 INV 96.32 96.27 Lateral 5 INV 96.32 96.27 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.68 8.8476 Web www.townofnorthandover.com i ' r10RTH O�t16g1'O 0 L Orev COCNIIt MIWKw 1' ��SSACHUS PUBLIC HEALTH DEPARTMENT (ommunity Development Division 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 ❑ Stab foundation .10 10 -- ❑ Deck, on footings, etc 5 10 -- ❑ Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface 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 Ej Drains(wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains(Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 ' Suction line 222(2) z 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA S.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fox 918.688.8416 Web www.townafnorthandover.com s.10RTH q O �tllO 06' .t,O �2 �6'��- _ 6 OL N ~ A D44TID 0, ��SSACHUS PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: MAP: LOT: >� INSTALLER: �;� � y'�' '�� 9" DESIGNER: S �'(,(� �✓ 7g PLAN DATE: 'v a/ 15,110dBOH APPROVAL ATE ON PLAN: INSPECTIONS TANK INSPECTION: 6- hol- DATE OF BED BOTTOM INSPECTION: J "digo DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Comments: Topography not appreciably altered SEPTIC TANK Bottom of tank hole has 6" stone base aM/Weep hole plugged 1 500 allon tank g een installed H-10 loadin Monolithic construction J ❑ Water tightne s ac ieved J (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under I access ort p 1 1600 Osgood Street,North Andover Massachusetts 01 845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofoorthandover.rom 4ORTty Of SL.eo 1° 4 '91r O 1c - ! � o c«.?..t. �. 9 Tap PUBLIC HEALTH DEPARTMENT munity Development Division 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: l PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ Combo Tank installed. Size: ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: 2 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com NORTH q O t�ec �6� ti0 0 " Opti qp O[MKMwItR`y �9S13ACHUS��Ay PUBLIC HEALTH DEPARTMENT (ommunity Development Division SOIL ABSORPTION SYSTE General Bottom of SAS excavated down to 6 in into C soil j layer, as provided on plan VTitle Size of SAS excavated as per plan 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/concrete /timber/ block) Final cover as per plan Co ents: rA SOIL ABSORPTION S S E ravel- ess hambers ❑ Brand and Model of Chamb- e Infiltrator(wick 4 ❑ Number of chambers per row 9 ❑ Number of rows (trenches) 3 ❑ Laterals installed and ends connected to header (and vented if impervious material above) ❑ Elevations of laterals and chambers installed as on approved plan Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside ❑ Alarm signal located inside Comments: ao fe�,, 0 3 U � � 3 1600 Osgood Street,Nork Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townanorthondoverarn f VtORTH q O �'J.90 ,6' X00 ea° y LA NIwK� 1. T �9SSACHUS PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 INV Lateral 1 TOP Lateral 2 INV Lateral 2 TOP Lateral 3 INV Lateral 3 TOP Lateral INV Lateral 4 TOP 4 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com r NORTH O tis-:O ,6 0 a 02 n eyb Opp 40 c«.c i�w . 1 ��SSAUS` ItAr ED CM ��y PUBLIC HEALTH DEPARTMENT Community Development Division 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 10 101 ❑ Private drinkingwell 2 75 100 SO ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib.to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains(wat. supply/trib.) 50 100 ❑ Drains(intercept g.w.) 25 50 ❑ Drains(Other)Foundation 10(5) 20(10) ❑ Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA S.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 5- 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Commonwealth of Massachusetts ECavE® City/Town of ' System Pumping-Record OCT 2 7 2014 Form 4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use,.by local Boards of Health. Other forms may be'used, but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left/ ht rear of hou . , Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town State Zip Code 2. System Owner. Name' Address(if different from location) City/Town ' Stag � �-qLpCode ; Telephone Number is B. Pumping Record 1. Date of Pumping gate 2. Quantity Pumped: Gallons -' 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ No If yes, was it cleaned? es ❑ Na ' 5. Condition of System: 6. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc- Company 7. Lova'"ere contents were disposed: aS• Lowell Waste Water Sig Haul evDate t5form4.doc•06/03 m Pumping in P 9 Re rd co Page 1 of 1 Commonwealth of Massachusetts RECEIVED City/Town of ° System Pumping Record �.�� {� 4 2013 ~ Form '4 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT DEP has provided this form for use,by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left Ig t rear of h ft/right side of house, Left/ Right side of building, Left/Right front of building, Le fight rear of building, Under deck Address I 5Dvl- t JIQAN-J-e�f City/Town State Zip Code 2. System Owner. Name' Address(if different from location) Cityrfown State Zip Code E Telephone Number l B. Pumping Record r f . 1. Date of PumpingDate Quantity Pumped: Ly Gallons -Y 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? Yes ❑ No If yes, was it cleaned? Yes ❑ No 5. Condition of System: �o(vvlq( 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. 7. GL n where contents were disposed: S. Lowell Waste Water Signitule Haule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 RECEIVED Commonwealth of Massachusetts City/Town of OCT E 2012 System Pumping Record TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Form 4 lug DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here.`Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left/ �Rightrear eft/right side of house, Left/ Right side of building, Left/Right front of building, Llding, Under deck Address �J Cityrrown State Zip Code 2. System Owner. Name Address(if different from location) Cityrrown Stat S Zi Code Telephone Number B. Pumping Record 1. Date of Pumping � �. Quantity � Date ty Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? es ❑ No If yes,was it cleaned? es ❑ No 5. Conditir ofi tem: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7.J-5ignAtufe 4Haule ntents were disposed: Lowell Waste Water Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 a Commonwealth of Massachusetts City/Town of W° System Pumping Record Form,4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board.of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left front of house, right front of house, left side of house, right side of house, Left rear of hou ear of ouse, heft side of building, right rear of building, under deck. sn o City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town StateQQ Zip ode SS M Telephone Number B. Pumping Record erg 1. Date of Pumping Date l 2• Quan 'y Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank El Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? es ❑ No If yes, was it cleaned? es No 5. Condit*pn,��tem: n R rKU 6. System Pumped By: Neil J. Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc. Company 7. Location where contents were disposed: S. Lowell Ste ter Signa u of auler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of M System Pumping Record F JUN rj 7 Z010 Form 4 TOWN OF NORTH ANOOVER DEP has provided this form for use by local Boards of Health. Other fo ATH EP RTMENT information must be.substantially the same as that provided here. Before using this form,check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Health or otter approving authority. A. Facility Information 1. System Location: Left side a fight side of house, Left front of house, Right front of house, Left rear of hous , Ight rear of hous . Left rear of building. Right rear of building. Address ��U r-� City/Town State Zip Code 2. System Owner: Name Address(if different from location) CitylTownSta ^� C -`7(1� Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? Yes ❑ No If yes, was it cleaned? es ❑ No 5. Condition of SysteVu 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locaf w contentswere disposed: G.L.S.D L Waste Water Signature of ule Date t5form4.doc•06/03 System Pumping Record.Page 1 of 1 Commonwealth of Massachusetts City/Town of a: System Pumping Record Form 4 LiZ DEP has provided this form for use by local Boards of Health. Other information must be substantially the same as that provided here. Beith your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: Left front, left rear, left_side of house. Right fr �right , right si of hou forms on the computer,use only the tab key Address to move your � � \ cursor-do not City/Town State Zi Code use the return P key. 2. System Owner: Name Address(if different from location) CitylTown Stat Telephone Number B. Pumping Record 1. Date of Pumping Date 2• Quantity Pumped: Gallons 3. Type of system: 8 Cesspool(s) eptic Tank Tight Tank Other(describe): 4. Effluent Tee Filter present? es No If yes,was it cleaned? S�No 5. Con4.Wh Con .'' of Sy tem: C° A 6. System Pumped By: Neil Bateson F 5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location re contents were disposed: L.S.D Lowell Waste Water Yignau rDate t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts RECEIVED City/Town of System Pumping Record APR 2 8 2008 Form 4 TOVViv Ur NORTH ANDOVER DEP has provided this form for use by local Boards of Health.Othe H �t th information must be substantially the same as that provided here. Before using this forret,check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location:�_� forms on the (�; ' — f j� `vv computer, use only the tab key Address �� V\ to move your cursor-do not City/Town tate Zip Code use the return key. 2. System Owner: Name ISI Address(if different from location) Cityrrown Stat�-5Zip Code - Telephone Number I' B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons:�� 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? 9--Ve—s El No If yes,was it cleaned? Q-Yes ❑ No 5. Condition of Sy tem: (4a- C( Qx-'� Le,kjZT Ao�f 6. System Pumped By: Name Vehicle License Number Company 7. Location where contents wersposed: L _ �' � Sign dWW Date t5form4.doc-06/03 System Pumping Record a Page 1 of 1 y RECEIVED Commonwealth.of Massachusetts C+ity/Town of I MAY 2 2 2007 System Pumping. Record TOWN OF NORTfI•ANflOV1=R Form 4 HEALTH DEPARTMENT �y DEP has provided this form for use by local Boards of Health.. The System Pumping Record must be submitted to the local Board of Health or other approving authority. . A. Facility Information Important: When filling out 1. System Location. forms on the c'\ ..__ computer.use only the tab key Address to move your cursor-do not. �••^ �-1 C.' V\ 1, use the:return Cityrrown State Zip Code key. 2- System Owner: Name Address(if different fromaocatian ). City/Town State Zip Cade Telephone Number .B. Pumping Redord 1. Date.of Pumping Date 2- Quantity Pumped: Gallons .3. Type of system: ❑ Cesspool(s) ❑ Septic Tank.. ❑ Tight Tank. . ❑ Other(describe). 4. Effluent dee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes`❑ No 5. Condition of System:. 1 `- 6: Systenj Pumped BYr Name Vehicle License Number Company 3. Location re contents.were di ed: Sign ur f H uler Date http://www,mass'.gov/dep%water/approvals/t6forms.hf n4inspect t5form4.d6c-06103 System Pumping Record•Page.1 of 1 �~ „aar►, `" Commonwealth of Massachusetts Map-Block-Lot 107.A-0196- �a c Board of Health ----------------------- o o n Permit No a BHP-2007-0065 North ----------------------- North Andover + .. P.I. FEE ,SS 1CHUSE� F.I. $250.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted Todd-Bate-son ----- --------------------------------------------------------------------------------------------- to(Repair)an Individual Sewage Disposal System. at No CE E ------150---JOHNNY-------------------------AK------STRET------------------------------------------------------------------------------------------------------------------ as shown on the application for Disposal Works Construction Permit No. BHP-2007-006 Dated April 18,2007 ----------------------- ----------------------------- --0--- 4 iLE---------------- Issued On:Apr-18-2007 Boar of Health Commonwealth of Massachusetts Map-B107.--°c 019966- 107.A- - Board of Health ----------------------- • North Andover AI �''°i••�a ' Certificate of Compliance 1SS�cNu5�4 .THIS IS TO CERTIFY,That the Individual Sewage D' sal System (Repair) by Todd Bateson Installer at No 150 JOHNNY CAKE STRE --------------------------------------------- ----------------------------------------------------------------------------------------------------------- has been installed in accordanc ' the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal r s Construction Permit No. BHP-2007-006 Dated_--April ,-2007 ----------------------- 18 ----------- Printed On:/Apr-1�8-2007 ------------------------------------ - ---- ----------------------------------------------- Board of Health 4`1 9 M _ NOR,rti Town of North Andover �`�.�• t '. HEALTH DEPARTMENT S3 CYIUSf CHECK#: DATE: LOCATION: /fid H/O NAME: CONTRACTOR NAME: /d of Type of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ,/ ❑ Food Service-Type: $ ❑ Funeral Directors $ F f ❑ Massage Establishment ❑ Massage Practice $ ❑ Offal(Septic)Hauler �,� $ ❑ Recreational Camp r�'' $ ❑ Sun tanning ,` $ ❑ Swimming Pool,,r' $ ❑ Tobacco $ i ❑ Trash/Solid Waste Hauler $ i ❑ Well Construction $ SEPTIC Systems ❑ Septic-Soil Testing ❑ Septic—Design Approval � $ ❑4septic Disposal Works Construction(DWC)\'' $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ 0 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer 140 TF, Application, for Septic Disposal TODAY'S DATE p,Construction Permit - TOS OF NORTH ANDOVER, MA 01845 $ 250.00-F .,. ;� -Component ,SS�CHUS¢, Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,use [4epair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component cursor-do not use the return A. Facility Information key. /sa _�C, ----- nb Addressor Lot# -_—- __-- —_—--_—_--__-- . Cityrrown d 2.-* PE OF SEPTIC SYSTEM*: Pump ❑ Gravity (choose one) / ***If pump system,attach copy of electrical permit to application*** r/ ❑ 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 Name Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Cell Phone#if possible please) a. Designer Information n Name Name of Company �(o PA , /C 5� Address .44 v11,9-- 41 Fr/o City/Town State Zip Code Telephone Number(Best#to Reach) ;> x=.Application for Disposal System Construction Permit•Page t of 2 Application for Septic Disposal System _ _ _ Construction Permit — TOWN OF TODAY'S DATE k $ 250.00–Full Repair ORTH ANDOVER, MA 01845 $125.00 -Component PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: [residential Dwelling or❑Commercial i B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issue this Board of Health. - 13 -- a � Name Date Applicat' n Approved By: oard of Health Representative) Date Application Disapproved for the following reasons: For Office Use Only: J L Fee Attached? Yes ✓ No 2. Project Manager Obligation Form Attached? Yes No 3. Pum S stem? 1 so,Attach co o Electrical Permit Yes No If — 4. Foundation As-Built?(new construction ronly): >es <:,No (Same scale as approvedplan) 5. FloorPlans?(new construction only): . ollcatiorefo;[k-nosp!Systems Construction Permit•Page 2 of 2 4 _: :RU LAdk AP SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLI GATTON° S1 7 2007 TOWN OF NORTH ANDOVER As the jNorth Andover licensed installers for the construction for the septic system for the L.Ef'ARTME- (Address of septic system) 7 For'plans by r v MAS j� ��i�'N-4tkAt (Engineer) Relative to the application of (;I,le Sa i✓ (Installer's name) And dated `7_e (� �Tngmal date Dated � — I ,j__.- 6 ' y (I Way's ate) With revisions dated d ' � 3 —a "'I (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`(1 s 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&ownofnorthandover 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 septics ystems in North Andover can constitute reasons for denial of the system and/or revocation or sus pension 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 followingconstruction steps: a. Determination that the proper elevation of the excavation has been reached b. f Inspection p o the sand and stone to be used. C. Final inspection by Board ofHealth staffor 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 resj2onsible for the installation of the s stem as l2er the approved plans. No instructions by the homeowner,general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: (Today's Date) af--r-�2-Sd oma/ arae— nnt` (Name—Signed) t Official Use Only Permit No. �3 a l/• 07./M.SiN•eX45 / /✓ 4 Pad&•S104 Occupancy&Fee Checked�6 BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:oo (Please Print in Ink or type all information) Date To the inspector of Wires: Town of North Andover REC The undersigned applies for a permit to perform the electrical work described below. IVED Location(Street&Numter ADD L Owner or Tenant �'�•-v e= l �v�. N OF NORTH ANDOVER HEALTH DEPARTM OwneesAddress EOFNT --------------- Is this permit in conjunction wO a building permit Yes ❑ No E]--(Check Appropriate Bac) Purooae.of Buildina__..__ Utility Authorizatlon No. 6uagBn ftualliahn3 x•oN vAA j ❑ Undgmd ❑ No.of Meters Undgmd ❑ Na of Meters I i Date.............f................... Total 3:0� .°TM . TOWN OF NORTH ANDOVER No.ofTranstormers IcvA p AL PERMIT FOR WIRING Generators KVA • , ; No.of Emergency Lighting I Battery Units ass"cwusE� FIRE ALARMS No.of Zone � No. a nd Initiating Deylcas ifes that ................... ..................Phis cert .......... • No.of Sounding Devices permission to perform_.... �- �s'.. . .'::::-' ........................... Noy of sen Containedr''` Pet 13 Municipal t' ................... I r ces 13 Other r wiring in the building of..... ...........' ... Local Connection f... Low voltage at.. .. ,r�'4 :: ` :^y�.. .- "•.......... ,North Andover,Mass. Wiring w ) v✓�` f Fee. .... ....... Lic.Nod: t?:_.. ..;..,.......... '.* "" .... .. ...... ELEcrRiCAL INSP R Check # �✓l 7307 N� = gage by a,eadng the appropriate book Pa 40 aa�'8 d�uedn�0 00'ZL 2lWD L SN (Eh�iratloih Drite) .� Rough Final -ON Vuugd f UC.NO. �u.j^asn mrarun L UC.NO. Z 7 3 / Bus.Tel No. 7 -V/ 4/3� d 1` "-(- Address zoo K�r>aLa�«�� •� (Aft c.92 A� .-. Alt Ter.No. 4 7 C_: 1.t-2 r7 i,S' OWNER'S INSURANCE WAIVER: 1 am aware that the does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my Signature on this permit application waives this requirement Owner Agent (Please Check one) Telephone No. PERMITTEE (Signature of Owner or Agent) i NORTN ILEs^9 ix Health Department February 20, 2007 Tina and Steve Hunt 150 Johnnycake Street North Andover, MA 01845 Re: Wastewater Treatment and Dispersal System Plan for 150 Johnnycake Street, Map 107A, Lot 196 Dear Mr. And Mrs. Hunt, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Merrimack Engineering Services dated December 7, 2006 last revised February 13, 2007. The design has been approved for use in the construction of a replacement onsite septic system. This plan is good for 2-years from the date of approval. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring, the North Andover Board of Health may reduce the time period for which thisp lan is valid. The following request has been approved: 1. To allow the application for a Local Upgrade as requested,to allow the use of a sieve analysis in lieu of a percolation y p o test. This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 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 1600 Osgood Street. HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 2-36 E-Mail: healthdept@townofnorthandover.com North Andover,MA 01845 Phone:978.688.9540 Fax:978.688.8476 shall not construe and/or imply compliance with any of the aforementioned } requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely,,. Susan Y. Sawyer, REHS/RS Public Health Director cc: Vladimir Nemchenok file I i i I i DelleChiaie, Pamela From: Grant, Michele Sent: Thursday, May 24, 2007 8:44 AM To: DelleChiaie, Pamela Subject: RE: 150 Johnnycake Street I have that file Pam, the reason is I trying fill out the inspection report. Thanks Michele -----Original Message----- From: DelleChiaie, Pamela Sent: Tuesday,May 22, 2007 12:03 PM To: Sawyer,Susan;Grant,Michele Subject: 150 Johnnycake Street Importance: High Hi, I am trying to locate above file. If you see it, please let me know. Also, trying to track the inspections for this one. Todd Bateson took out an application on this one on 4/19/07. 1 do not have a record of any Final Const. inspection, etc. Aost R¢gwad8, PaAVaBa D¢jff00,Olui¢Q Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover,MA 01845 2978.688.9540-Phone A 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com 1 Page 1 of 1 vF DelleChiaie, Pamela From: BRDUFRESNE@comcast.net Sent: Tuesday, January 30, 2007 9:27 AM To: DelleChiaie, Pamela Subject: 150 Johnnycake Street Pam: Please re-schedule this property for the February 15th B.O.H. meeting as it was originally scheduled for the Dec 06 meeting which was cancelled. We now have a plan review from Mill River which I will address and respond to by the end of this week Thanks, Bill 1/30/2007 Comcast Webmail - Emaii Message Page 1 of 1 IP From: BRDUFRESNE@comcast.net To: ssawyer@townofnorthandover.com(Susan Sawyer) Subject: 150 Johnnycake Road Date: Tuesday, December 12,2006 5:29:33 PM Susan, I have completed the design for the above, I am waiting for the sieve analysis results from Geotechnical Services before I can submit the plan. I am giving you a heasds up in hopes to be on the December meeting(12-21-06). The following local variances are requested:Distance from S.A.S to wetland from 100'to 91' The following L.U.A's are being requested:Laboratory sieve analysis in lieu of a field perc test I expect the written soils report in the next day or two. I already received a textural class verbally which allowed me to get the design done. Plans should be submitted later this week. Anything you can do is appreciated. Thanks, Bill i 14tr•//Trio;lnPntPr7 nnm�oot nat/.:rmn/ ,/.»m/dG7F7T157MrlA Q'7R(1MM17(1(��7O7l17d�G'ITt 17/11)/1 MA MERRIMACK ENGINEERING SERVICES INC. IN411X2 @[F Engineers • Surveyors • Planners 66 Park Street ANDOVER, MASSACHUSETTS 01810 DATE JOB NO. (978) 475-3555 ATTENTION Fax (978) 475-1448 RE: TO �, , IJGsst� WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION t �7 FEB 0 2 2007 Tl-i AND O'IER �_iFA'Lj-H [)EPA I iii THESE ARE TRANSMITTED as checked below: �or approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS �4al�A 0, I 4 iletj i Ir l n,4- .,En-1P4, To rTrH'S 2 ,� . � � 1,� '-rk 1 S 10 FFo vt�•-n(21 I , (it_.E.i_1 L_1-f DFJ 0�6.1,2 VOfJT LL,1191201A4D t�� l��L 2` •. i tcl 1-f�1 V C-64VZ-V -Va- ITC r- j � �� C'OT"�- �.�W�L � oc ow, Lr �)U F. /W k-r'64)P- -To rTF N k-t '7, C70:- A-r-gac_-IcV S r'VM]g SWM COPY TO SIGNED: _V if enclosures are not as noted,kindly notify us at once. Men imsck EngWeering Services,,Inc. Bill Dufresne 66 Pads Streot Andover,Mass 01810 EAX TRANSMITTAL Phone(978)475-3555 Ext.20 FAX(978)475-1448 TO: Pam COMPANY: No.Andover Hear Dept FAX*: (978)688-8476 DATE:2-2-07 RE: 160 Johnnycake Street Number of page including cover. 2 MMA,GE: Pam I hodvaialanliy omood the req=W pip curve fmm my submission this am_ Her is a fax copy.I wild put ori&W in the mail Bill I i I I ' I V fiWE40mSERIES TECHNICAL SPECIRCA77ON , PUMP IMPELLER The pump(s)shall be model The pump shall have a VORTEX style impeller as manufactured by Liberty Pumps, Bergen,NY, capable of passing a 211 spherical solid, or equal. The Pump(s)shall have a capacity of—GPM SEi4L at a total dynamic head of feet. Motor size The shaft seal shall be of the carbon/ceramic shall be 4/10 horsepower, single phase,60 hz. unitized design,with BUNA N elastomers and and volt operation. stainless housings, MOTOR EX'f'7ERNAL COMSTRUCTyOM The pump motor shall be of the submersible The pump volute, legs and motor housing type,oil filled,hermetically sealed and shall be shall be gray iron castings,ASTM plass 25 or thermally protected.The overload element shall better.All castings shall be epoxy powder automatically reset when motor cools. coated before assembly.All fasteners shall be Motor windings shall be of the class B insulation of 300-series stainless steel or brass. rating.The rotor shaft shall be made of 416 stain- LEVEL COI SQL less steel and shall be supported by lower and upper sleeve bearings. Automatic units shall be controlled by an adjustable,mercury-free,wide angle float switch. The power cord shall be of the quick-disconnect Float cord shall be equipped with a series plug design allowing replacement of the cord without for manual bypass operation. breaking seals to the motor and/or oil chamber. � 1 MODELS HP Vous MASE AMPS DISCHARGE AUTOMATIC IMPELLER LE41 M 4/10 115 1 12 2"FNPT NO VORTEX LE41A 4/10 115 1 12 2" FNPT YES VORTEX 10'cord standard on above models_For 20'or 30'cord options,add a"-2"or"-3"suffix to model number.Example: LE41A-2(20'cord) i DIMENSIONAL DATA.- PERFORMAMC.L CURVE 1550 RPM Weigst LE41 M:39 LBS. 24 H+sigttt:13.5" a 20 Moor Width:10.76"(manual models) � 's U. 100 4 Maximum fluid tempershim 140 douran F. 12 2 0 8 - 4 ° 0 ~ / ✓�/ �I ® 0 20 is 50 80 70 tt0 G U.S. aHOifPer Minute rum N 1 I I I ...; Specifications are subject to ch 0 1.4 2.8 4.2 5.8 Po bf change without notice, Were Per Second t iberw Pumps a 7000 Appm Thee Avvem m•Bergen,Mew YW*14416 a Phone 800--543-2550 Fax(565)494.1839 wWlna,/fbelr�ypump8,00m 7292-RU02 Il _ _ DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, May 22, 2007 1:25 PM To: DelleChiaie, Pamela Subject: RE: 150 Johnnycake Street ok. I will keep my eye out. It doesn't ring a bell yet. S -----Original Message----- From: DelleChiaie,Pamela Sent: Tuesday, May 22,2007 12:03 PM To: Sawyer,Susan;Grant,Michele Subject: 150 Johnnycake Street Importance: High Hi, I am trying to locate above file. If you see it, please let me know. Also, trying to track the inspections for this one. Todd Bateson took out an application on this one on 4/19/07. 1 do not have a record of any Final Const. inspection, etc. &N-(RegaAdg, PAiw¢Ba D¢�B¢G�lfiwi¢Q Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 2978.688.9540-Phone A 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com DelleChiaie, Pamela From: Sawyer, Susan Sent: Wednesday, April 18, 2007 2:39 PM To: DelleChiaie, Pamela Subject: 150 Johnnycake 150 Johnnycake Road app 2.20.0... found this one 1 DelleChiaie, Pamela From: MERRENG@aol.com Sent: Tuesday, February 20, 2007 4:26 PM To: DelleChiaie, Pamela Subject: Re: 150 Johnnycake Street The engineer's name is Vladimir Nemchenok. Chris Merrimack Engineering Services 66 Park Street Andover, MA 01810 978-475-3555 978-475-1448 FAX merreng@aol.com Check out free AOL<http://pr.atwola.com/promoclk/1615326657x431122724lx4298082137/aol?redir=http°/a3A% 2F%2Fwww%2Eaol%2Ecom%2Fnewaol>. Most comprehensive set of free safety and security tools, millions of free high-quality videos from across the web,free AOL Mail and much more. DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, February 20, 2007 3:12 PM To: DelleChiaie, Pamela Subject: FW: 150 Johnnycake I Sorry, I see it is attached. PIs just send the note. Disregard the 9A stuff S ----Original final Message----- From: Sawyer,Susan Sent: Tuesday,February 20,2007 3:11 PM To: DelleChiaie, Pamela Subject: 150 Johnnycake Pam, Bill wants to know if you found the 9A. Do you need another copy, he says it was sent with the original. Maybe it went to Mill River with the soils. We could check with them first if you think it might have. Anyway,a if you need one lease 9 Yw Y, Y p add the request to my note below and send it to B. D. Thanks Bill, @ the insp. port I missed the detail in the end section. No problem there. Thanks As for its location, I don't have preference. I guess it does not specify where, usually on the far end is good. I like where you have it now. Thanks Susan 2 DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, February 13, 2007 9:28 AM To: DelleChiaie, Pamela Subject: 150 Johnnycake After we determine if the 9A is here or not pls send this to Bill D Bill, I am going over the 150 Johnnycake revised plan and your comments. Please let me know your thoughts on these issues in regard to the first letter #3 1 believe the reviewer was looking for the location of the inspection ports on the plan view. If they are not shown in an approximate area the installer will pick his own spot, which may not be the best for future Title V inspections. The schematic of the chamber detail shows a hole for an inspection port, however more detail is needed. It would be good to show a location in the field as well as a specification detail of what the port should look like, whether it is to grade, has a screw cap cover etc. The installer must know what you want. 240 says in short, a minimum of one inspection port consisting of a perforated four inch pipe laced vertically down in the stone or sand. The pipe shall be capped with a screw type cap and accessible to within 3 inches of grade. Please provide detail for the prospective installer. #8 The pump chamber view and the profile view states"24 inch dia. C.I. manhole raised to within 6 inches of FG" not to grade. On the contrary the tank does say"to FG" .231(5) requires an access cover to final grade. DelleChiaie, Pamela From: Sawyer, Susan Sent: Tuesday, February 13, 2007 8:03 AM To: DelleChiaie, Pamela Subject: 150 Johnnycake Pam I need to do a form 9 B for 150 Johnnycake, but I can't see the form 9A. I have the file maybe you can let me know if we received it or not. If not, please contact Bill Dufresne and ask him for one. Thanks Susan 3 ' DelleChiaie, Pamela From: BRDUFRESNE@comcast.net Sent: Tuesday, January 30, 2007 9:27 AM To: DelleChiaie, Pamela Subject: 150 Johnnycake Street Pam: Please re-schedule this property for the February 15th B.O.H. meeting as it was originally scheduled for the Dec 06 meeting which was cancelled. We now have a plan review from Mill River which I will address and respond to by the end of this week Thanks, Bill DelleChiaie, Pamela From: Sawyer, Susan Sent: Wednesday, January 24, 2007 7:34 AM To: DelleChiaie, Pamela Subject: RE: Food $Transfer ok, now for the second part. Let's tal efore we continune. Thanks S -----Original Message----- , From DelleChiaie,Pamela/ Sent: Tuesday,January 23,200 :08 P To: Sawyer,Susan Cc: Grant, Michele i f ubie Food$Transfer 1 1 (, Impoffance: High r �, �Ibe Food amount that can be t ansferred fro the neral Funo Accodnt will be: $2,965.00. r 51 12%13/06 Kind'erca, $ 10.00 51 k12/1�3/06 Roche Farm Stand $60.00 51612/13/06 Ricky's Cbndy Cones $40.00 fl 51612/13/06 A.L. Prime Energy $ 10.00 51612/1 x/06 Beet of Thymes $141,00 fj 51612/15106 Kay's Hallmark $1 .00 o 51612/\13);06 Little Pr fessionals $1, o 51712/1�3/b6 Dbn Ro k Liquors $110.00 51712/13/0'6 Staples $13.00 51712/13/06 I .C. - oncession $13 .00 51812/14106 Marsh I's $13� 0 51812/14/06 Sarah owler $2 55�0�0 1812/14/06,{ 4ohnn akes $25 06 51812/14/06N! Pier 1 mports 1 .0 51912/14/06 Swee Impressions $ .00 _ \ 52012/14/06 ala tra $110.00 52012/14/06 Blo buster $130.00 52012/14/06 arker's Farm $60.00 52112/14/06 Ye Olde Pepper Candy $130.00 52112/14/06 Rocky's Ace Hardware $130.00 52112/14/06 Richdale 535 $130.00 4 52212/14/06 Industrial Park Catering $95.00 52212/14/06 Fitness for You $130.00 52212/14/06 Main St. Liquors $110.00 52212/14/06 Meritor Academy $110.00 5351/19/07 Royal Crest $160.00 5351/19/07 M.C. - Barnes& Noble $130.00 5361/19/07 McAloons $110.00 8¢g R¢gAadg, Pa ¢lea D¢BB¢G�lfiwi¢ Health Department Assistant Tow 'of North Andover 1600 Osgood Street Building 20, S.-bite 2-36 North dover, o1845 978.68 .9540- hone 978.68 .8476- ax http:// to ofnorthandover.com healthdep wnofnorthandover.com DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Friday, January 12, 2007 7:43 AM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: plan review 150 Johnnycake Road S image001 Jpg First of all, wh ever decided on a road named "Johnnycake Road"? What is next"Flapjack Lane"? Plan review is attached. I could not read the spelling on the name of the designer in his stamp so I took a guess. I am hoping you have a better copy of the plan and can better address the correspondence. Dan I Rm Plan Review 150 Johnnycake Roa... Daniel Ottenheimer, President Mill River Consulting, Inc. 5 I On-Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com <http://www.millriverconsulting.com/> danogmillriverconsulting.com <mailto:danogmillriverconsultin .cg om> DelleChiaie, Pamela From: BRDUFRESNE@comcast.net Sent: Friday, December 15, 2006 12:09 PM To: DelleChiaie Pamela Subject: 150 Johnnycake Street Pam, I E-mailed Susan on 12-12-06 regarding the above but got no response. I have mailed plans for the above along with all required fees and applications. My clients were hoping to get on the B.O.H. meeting this month on 12-21-06. The following local variance is requested: Distance from s.a.s. to wetland from 100' to 91' The following Local Upgrade Approval is requested: Laboratory sieve analysis in lieu of a field perc test You should receive the plans and applications on Monday. Anything you can do is appreciated as their system is hydraulically failed and they are forced to minimize water use and do laundry away from their home. Thanks, Bill 6 DelleChiaie, Pamela From: Marianne Peters [mpeters@millriverconsulting.com] Sent: Wednesday, December 06, 2006 10:21 AM To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: 150 Johnnycake Street-Soil Eval image001 Jpg Attached please ind the soil eval for 150 Johnnycake Street. Please call if you have any questions. ERN LTJ Johnnycake Street #150,Soil ... Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 N www.miliriverconsulting.com DelleChiaie, Pamela From: Marianne Peters[mpeters@millriverconsulting.com] Sent: Tuesday, November 21, 2006 3:16 PM To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: 150 Johnnycake St scheduled for Dec 4 @ 9:00 Soil Evaluation for 150 Johnnycake Street with Bill Dufresne scheduled for December 4th @ 9:00. image001.jpg Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.millriverconsulting.com DelleChiaie, Pamela From: Grant, Michele Sent: Thursday, March 16, 2006 5:15 PM To: DelleChiaie, P ela Subject: spections Hi Pam, /� k I have calle all of the Home Cooks to schedule inspe io , however, I've o yecieved a call back fro John from Johnnycake. I and going to continue to call, however would like to go forward with somemore Inspection . I } { 1 Thanks Michele 8 LAMassachusetts Department of Environmental Protection 'Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 5.404(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 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of aseptic system constructed in accordance with either the o e orr310 CMR 1 .000. A. Facility Information FEB 2 ® 2007 Important: When filling out 1. Facility Name and Address TOWN OF NORTH ANDOVER forms on the i �^� HEALTH DEPARTMENT computer,use only the tab key Name to move your � v �t71 ij i < -"7 T_K- -'_r cursor-do not use the return -et Address t , AA (� I key. � 1��4 T LA AN ON c R, 1`�' City State Zip Code � 2. Owner Name and Address: A x V a (JOT -- '"`°' Nam S rt ee Address City State loll s✓�►? �1 ��'� �� ZipT�Ie'phon ue�1 mber 3. Type of Facility(check all that apply): residential ❑ Institutional ❑ Commercial ❑ School - 4. Describe Facility: p W I- kau 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): t5form9a•rev.5/02 Application for Local Upgrade Approval• Page 1 of 4 Massachusetts Department of Environmental Protection L mop—, Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: 9P Design flow of proposed upgraded system gpd ej .� Design flow of facility ` 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: �1�0►.�� T�la,,� "i—r+`7 ��..�1�� 1 OCA ��`f,d. ,vd��-/(� ii 3. Local Upgrade Approval is requested for: ❑ Reduction in setback(s) —describe reductions: NIA . I j ❑ Percolation rate for 30 to 60 min./inch: min./inch I ❑ 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. ❑ Relocation of water supply well (explain): t5form9a•rev.5/02 Application for Local Upgrade Approval* Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) ff/O/ther requirements of 310 CMR 15. t — q 000 that cannot be met describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: 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: 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: eki.-A. 3. A shared system is not feasible: 4. Connection to a public sewer is not feasible: t5form9a•rev.5/02 Application for Local Upgrade Approval• Page 3 of 4 Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 011domplete plans and specifications Site evaluation forms l 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 1, 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." F '' O Qrss, at Date G Print ame �� bu F�Vknr �M d1�e2f sic ts ) Y � � 6 Name of Preparer Date 66, CAS -r � Preparer's address City/Town h 2 State/ZIP Te ephone NOTE: 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Division of Watershed Management, upon issuance by the local approving authority and before commencement of construction. t5form9a•rev.5/02 Application for Local Upgrade Approval* Page 4 of 4 i RECIEWPENU Commonwealth of Massachuse is RECEIVE City/Town of MAR 0 6 2007 VED Form 9A - Applicatio for" Local,U+p raMd NPOFov a TOWN c�FtvV ,,r- TOWN FIEALTH UEI�ALCII.,,s w_ I " T N 0 f�Oi C ` ^'sI SOI FR DEP has provided this form for use by loca oards of Health. Other for�mv r,� y,1VF,,ur d ,b'ut"th information must be,substantially the same as that provided here. BJore-uginT is-form, check with your local Board of Health'to determine the form they use. Form 9A is to be submitted1b 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 U P�,E ®� only the tab key Name to moveour Yf y cursor-do not 1!5v use the return Strr Address ! � N s , A key. City/Town00, Zip Code 2. Owner Name and Address (if different from abo fetan Name'71—L+ ��' / o Y�Vri_ Irlrllt�. I �,• _ _ _ A�I �f Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): l._4 Residential ❑ Institutional 0 Commercial ❑ School 4. Describe Facility: 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) Conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): ;. o:4 t5form9a.doc•rev. 7/06 Application for Local Upgrade Approval* Page 1'of 4 Commonwealth of Massachusetts �} City/Town of Form 9A — Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: gpd Design flow of proposed upgraded system 0 9Pd`" Design flow of facility: god B. Proposed Upgrade of Syste 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: 14'A kn-d 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 i 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 N - w Form 9A - Application for Local Upgrade Approval "0 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 ER 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: i 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 i 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: 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: t5form9a.doc•rev.7/06 Application for Local Upgrade Approval, Page 3 of 4 Commonwealth of Massachusetts City/Town of F Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: . 4. Connection to a public sewer is not feasible: I 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 ID/Site evaluation forms AQ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide roof that P Y p a affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification 1, 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.,, 07 ad ity er's nature Date Print,Name , Name of Preparer Date Pl pparer's address City/Town State/ZIP Code --- I Telephone t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 4 of 4 Commonwealth of Massachusetts City/Town of Local Upgrade Approval Form 9B 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 When filling out 1. Facility Name and Address forms on the computer,use Tina and Steve Hunt only the tab key Name to move your 150 Johnnycake Street cursor-do not Street Address use the return key. North Andover MA 01845 CdyiTown State Zip Code m 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): ❑ Residential ❑ institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: gpd 5. System Designer. Name ❑ PE ❑ RS Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: Reduction in setback —specify: C1 Reduction s( i� fY: ❑ Reduction in SAS area of up to 25°x: SAS size,sq.ft. %reduction 150 Johnnycake Road 9B•rev.7/06 Local Upgrade Approval* Page 1 of 2 t Commonwealth of Massachusetts City[Town of Local Upgrade Approval Form 9B B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction e 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: N.Andover BOH Approving AutlM* Susan Sawyer, Health Director February 20,2007 Print or Type Name and rile re 150 Johnnycake Road 9B•rev.7/06 local Upgrade ApprovaN Page 2 of 2 Comcast Webmail - Email Message Page 1 of 1 From: BRDUFRESNE@comcast.net To: ssawyer@townofnorthandover.com(Susan Sawyer) 2007 Subject: 150 Johnnycake street Date: Tuesday, February 13,2007 1:21:18 PM [V:iEALTH H ANDOVER ARTMENT Susan, I got your message from Pam. I submitted the form 9A, soil evaluation form and septic plan transmittal form with the original submission back on Dec. 15th. Pam didn't mention wether she found it or not.Would I have revised the plan to address the septic tank cover to fin grade. I wasn't aware of t at requirement. I may have made the same ommission on previous designs. I will be sure to address this on all future designs.With regard to the inspection ports 15.240(13).The code does not specify where in the s.a.s.the port is to be placed and I have no specific opinion on the issue. Do you?Let me know and I will specify that particular location in the future.With regard to the details of how to construct the port,there is a note and schematic in the infiltrator field end section that states "4 sch 40 pvc inspection port from bottom of chamber to within 3"of F.G.w/threaded cap". Do you want me to add perforated? Is that the issue?I will add perforated to the plan and an inspection port location and re-submit. Thanks, Bill 2 http://mailcenter2.comcast.net/wmc/v/wm/45D201 A4000DO34DO0000CE62207021553B... 2/13/2007 MERRIMACK ENGINEERING SERVICES INC. Engineers • Surveyors a Planners 66 Park Street ANDOVER, MASSACHUSETTS 01810 DATE JOB NO. e —Z-0•7 (978) 475-3555 ATTENTION Fax``(978) 475-1448 TO �.N RE: call) Jaw O > WE ARE SENDING YOU 11Attached ElUnder separate cover via the following items: i ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION FEB 0 2 2007 G �'��N QOVER HEALTH )EPAR I Ivi i THESE ARE TRANSMITTED as checked below: Cor approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED U NED AFTER LOAN TO US REMARKS 4iA1.51n''1 S I � fle I'��-1 I'LE� ►'t-Y•� �'c� � 1_7 2 ,3 I 1 14)F::o rt R-F' 21121 S �-i2 L� o h� Y�� , �JOiJ"�i 1(,�,212 ,ys. 1? >j�t.�.�-�f2�--�'I 1•-G�.�q�� W i�U k..�C�,12.io -Tip rTr> ►� � � Sr✓� �-t'-rt.�-I 5��.�e�s COPY TO P SIGNED: If enclosures are not as noted,kindly notify us at once. I ♦ ' NORTH OE 3? bit 1 *6'6 OOL � A # AC Health Department January 11, 2047 Vladimir Nemokench,P.E. j Merrimack Engineering Services, Inc. 66 Park Street Andover,MA 01814 Re: Wastewater Treatment and Dispersal System Plan for 154 Johnnycake Street,Map 107A, Lot 196 Dear Mr. Nemokench: The proposed wastewater system design plans for the above site dated December 7, 2006 and received on December 22, 2006 have been reviewed. Unfortunately, they 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, Since the esting tank is proposed to be re-used, it is critical that it is watertight against infiltration and exfiltration. Please note on theplan that the contractor must arrange an extra inspection with the Health Department to confirm the integrity of the tank prior to excavation of the SAS. - 2. Please indicate the requirement for the 1 equ outlets of the distribution box to be level -232 .31 Please provide inspection ports inside the proposed soil absorption system-240 The details of the proposed Infiltrator-brand gravel-less chambers indicate the "Standard"model is to be used, while the dimensions shown are for the"Quick4" model. Please clarify the notation to avoid confusion during the construction phase. t,5 Please provide the name of the abutters from a recent tax map-NA 8.02j 6,)Please indicate the pump control brand and model to be used, and the alarm specifications-220&231 -.Please provide a pump performance curve-220 v1 (_�&�lease provide for cover over the pump chamber located at final grade-231 Tease use trenches as the type of soil absorption or explain why they cannot be used- 4 244. Please place a short description, in the note section, of the conditions that led you oto choose to not use the trenches. "0. Please review the calculations for the length and width of the provided soil absorption system as they appear to be slightly different than our calculations. 1600 Osgood Street HEALTH DEPARTMENT Page 1 of 1 Building 20;Suite 236 E-Mail:healthdept@townofnorthandover.com North Andover,MA 01846 Phone:978.688.9540 Fax:978.688.8476 1 r:'fie s c!ar=4'the percolation rise and leading rate :sed in the�esign - i� does not appear that '30 min»tec per inch ex7ctc in the.Aacgifiat;nn r.haxt for Clave T cork Tease feel free to contact the ogee E1.71"th any questions you may ha-=e. We look fbpvard to working with vot, to nhta n a wastewater treatment and dicpercal cvctem which will he in compliarce with all regulations and assure protection of public health and the enviroranent of :Ci�nnlr-,erP v� f Zusan Y. Sawyer,REPH itS D-1,1:u '�aitli vai%ii�rr cc: Owner I1 00 LE40=SERIES TECHNICAL SPECIFICATIONS FEB o 2007 .} TOWN OF NORTH ANDOVi":� —' PUMP IMPELLER HEALTH DEPARTMENT The pump(s) shall be model The pump shall have a VORTEX style impeller as manufactured by Liberty Pumps, Bergen, NY, capable of passing a 2" spherical solid. or equal. SEAL The pump(s) shall have a capacity of GPM at a total dynamic head of feet. Motor size The shaft seal shall be of the carbon/ceramic shall be 4/10 horsepower, single phase, 60 hz. unitized design, with BUNA N elastomers and and volt operation. stainless housings. MOTOR EXTERNAL CONSTRUCTION The pump motor shall be of the submersible The pump volute, legs and motor housing type, oil filled, hermetically sealed and shall be shall be gray iron castings,ASTM class 25 or thermally protected. The overload element shall better.All castings shall be epoxy powder automatically reset when motor cools. coated before assembly.All fasteners shall be Motor windings shall be of the class B insulation of 300-series stainless steel or brass. rating.The rotor shaft shall be made of 416 stain- LEVEL CONTROL less steel and shall be supported by lower and Automatic units shall be controlled by an upper sleeve bearings. adjustable, mercury-free, wide angle float switch. The power cord shall be of the quick-disconnect Float cord shall be equipped with a series plug design allowing replacement of the cord without for manual bypass operation. breaking seals to the motor and/or oil chamber. MODELS HP VOLTS PHASE AMPS DISCHARGE AUTOMATIC IMPELLER LE41 M 4/10 115 1 12 2" FNPT NO VORTEX LE41A 4/10 115 1 12 2" FNPT YES VORTEX 10'cord standard on above models.For 20'or 30'cord options,add a"-2"or"-3"suffix to model number.Example: LE41 A-2(20'cord) DIMENSIONAL DATA: PERFORMANCE CURVE 1550 RPM Weight: LE41 M:39 LBS. 24 Height:13.5" s 20 N N d 16 Major Width:10.75" (manual models) L I C 4 .o Maximum fluid temperature 140 degrees F. c = 12 x m 8 2 o�,,1- - - - 4 3` 0 SSPM 0 10 20 30 40 50 60 70 80 - �® U.S.Gallons Per Minute j MEMeHR !YgT�IG I I � � �, Specifications are subject to change without notice. 0 1.4 2.8 4.2 5.6Liters Per Second Liberty Pumps• 7000 Apple Tree Avenue •Bergen,New York 14416•Phone 800-543-2550 Fax(585)494-1839 www.libertypumps.com 7292=R6i02 Page 1 of 1 DelleChiaie, Pamela From: BRDUFRESNE@comcast.net Sent: Tuesday, January 30, 2007 9:27 AM To: DelleChiaie, Pamela Subject: 150 Johnnycake Street Pam: Please re-schedule this property for the February 15th B.O.H. meeting as it was originally scheduled for the Dec 06 meeting which was cancelled. We now have a plan review from Mill River which I will address and respond to by the end of this week Thanks, Bill 1/30/2007 I Comcast Webmail -Emai -Message Page 1 of 1 From: BRDUFRESNE@comcast.net To: ssawyer@townofnorthandover.com(Susan Sawyer) Subject: 150 Johnnycake Road Date: Tuesday, December 12,2006 5:29:33 PM Susan, I have completed the design for the above, I am waiting for the sieve analysis results from Geotechnical Services before I can submit the plan. I am giving you a heasds up in hopes to be on the December meeting(12-21-06). The following local variances are requested: Distance from S.A.S to wetland from 109 to 91' The following L.U.A's are being requested: Laboratory sieve analysis in lieu of a field perc test I expect the written soils report in the next day or two. I already received a textural class verbally which allowed me to get the design done. Plans should be submitted later this week. Anything you can do is appreciated. Thanks, i Bill 4� h,t„•Ilmoilnantar7 nmm�ac4;,Pt�.x.,,.�„��,,„,�d57F�n�7nnne Q7unnnnn��n�77n7Ma«�R y�_�.�7�7M,< • .-,. . - . .< v�,. P aux;*7x� ,.;til 1r { .... .-.. k,�. -r� ••y '40mSERIES TECHNICAL SPECIRCA77ONS � PUMP IMPELLED The pump(s)shall be model The pump shall have a VORTEX style impeller as manufactured by Liberty or equal. Pumps, Bergen, NY, capable of passing a 21' spherical solid, The pumps)shall have a capacity of—GPM SM at a total dynamic head of feet. Motor size The shaft seal shall be of the carbon/ceramic shad be 4/10 horsepower, single phase, 60 hz. unitized design,with BUNA N elastomers and and volt operation. stainless housings. MOTOR EXMRNAL CONSTR(ICTM The pump motor shall be of the submersible The pump volute, legs and motor housing type,oil filled,hermetically sealed and shall be shall be gray iron castings,ASTM plass 25 or thermally protected:The overload element shall better.All castings shall be epoxy powder automatically reset when motor cools. coated before assembly.All fasteners shall be Motor windings shall be of the class B insulation of 300-series stainless steel or brass. rating.The rotor shaft shall be made of 416 stain- LML CONTROL less steel and shall be supported by lower and upper sleeve bearings, Automatic units shall be controlled by an adjustable, mercury-free,wide angle float switch. The power cord shall be of the quick-disconnect Float cord shall be equipped with a series plug design allowing replacement of the cord without for manual bypass operation. breaking seals to the motor and/or oil chamber. MODELS HP Vous PHASE AMPS DISCHARGE AUTOMA77C IMPELLER LE41 M 4/10 115 1 12 2" FNPT NO VORTEX LE41A 4/10 115 1 12 2" FNPT YES VORTEX 10'cord standard on above models_For 20'or 30'cord options,add a"-2"or"-3"suffix to model number.Example: LEMA-2(20'cord) DfANA 1ON41t DAr•4r PERFORMMCE CURVE Weight LE41 M:39 LBS. 24 1350 RPM "Mght:13.5" a 20 :!� T Mejor Vllidth;10.76"(manual models) U 16 Cpl IXAI � 4 ' Mmdmum fluid temperature 140 degrew F. ' 12 o $ 2-- 4 :I_— — ° o Y / ✓-/ 10 20 40 50 84 70 BO U.S. U' �J Gallons Per Minute �� specficabona are subject to change Without notice, 0 1.4 2.g 4.2 5.8 Liters Per second 4NPHY Pumps r 7000 Apple Dee Avenue•Bergen,New York 14416 Phone 800-543-2530 Fax 1585)46W 1839 wwoI mertypuMP& 7292-RG/02 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Friday, January 12, 2007 7:43 AM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: plan review 150 Johnnycake Road First of all, who ever decided on a road named "Johnnycake Road"? What is next"Flapjack Lane"? Plan review is attached. I could not read the spelling on the name of the designer in his stamp so I took a guess. I am hoping you have a better copy of the plan and can better address the correspondence. Dan >Mil consulUn Daniel Ottenheimer,President Mill River Consulting,Inc. On-Site Wastewater Management Services 2 Blackburn Center 1 Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultin2.com dano@millrtverconsulting.com, I 1/16/2007 ��i Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Friday, January 12, 2007 7:43 AM To: Grant, Michele; Lisa Kozel LeVasseur; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: plan review 150 Johnnycake Road First of all, who ever decided on a road named "Johnnycake Road"? What is next"Flapjack Lane"? Plan review is attached. I could not read the spelling on the name of the designer in his stamp so I took a guess. I am hoping you have a better copy of the plan and can better address the correspondence. Dan >M i I I R it-%-,ii consuItin Daniel Ottenheimer, President Mill River Consulting, Inc. On-Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultina.com dano@mill_riv_erconsulting.com i 1/16/2007 jY !1(DRTAi + op �SSAClilE6�1 Health Department January 11, 2007 Vladimir Nemokench,P.E. Merrimack Engineering Services, Inc. 66 Park Street Andover,MA 01810 Re: Wastewater Treatment and Dispersal System Plan for 150 Johnnycake Street, Map 107A, Lot 196 Dear Mr. Nemokench: The proposed wastewater system: design plans for the above site dated December 7, 2006 and received on December 22, 2006 have been reviewed. Unfortunately, they 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. Since the existing tank is proposed to be re-used, it is critical that it is watertight against infiltration and exfiltration. Please note on the plan that the contractor must arrange an extra inspection with the Health Department to confirm the integrity of the tankp rior to excavation of the SAS. 2. Please indicate the requirement for the outlets of the distribution box to be level - 232 3. Please provide inspection ports inside the proposed soil absorption system-240 4. The details of the proposed Infiltrator-brand gravel4ess chambers indicate the "Standard"model is to be used, while the dimensions shown are for the"Quick4" model. Please clarify the notation to avoid confusion during the construction phase. 5. Please provide the name of the abutters from a recent tax map-NA 8.02j 6. Please indicate the pump control brand and model to be used, and the alarm specifications-220& 231 7. Please provide a pump performance curve-220 8. Please provide for cover over the pump chamber located at final grade- 231 9. Please use trenches as the type of soil absorption or explain why they cannot be used— 240. Please place a short description, in the note section, of the conditions that led you to choose to not use the trenches. 10. Please review the calculations for the length and width of the provided soil absorption system as they appear to be slightly different than our calculations. 1600 Osgood Street MIEAt.'rH DEPARTMENl'.._....-...a..�-...................._�..� —__. ._ ..,.. Building 20;Suite 2-36 E-Mail:healthdept@townofnorthandover.com Page 9 of 1 North Andover,MA 01846 Phone:978.688.9540 Fax:978.688.8476 I -.a• ??. Tease clarify the percolation rate loadan;rate ;used _ the desigr - :t does not annenr that 10 m_injitPc ner in(-.h eyictc in the r 2,,,,iCcntinn c_.hart fnr Clic-, I enilc. _!'!ease feel free to contact the office with any questions you may have. We look forward to working with vnai to nhtain n waste-water treatrnent an dispersal systemwhich will hP in compliance with all .regulations and assure protection of public health and the environment of 'til".fa1, A,,.d�,.,. �iln!`P,TP V r' usan Y. Sa;�Ver, r i 1 I S cc. Owner IH A 1.4- TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSOOOD STREET; BUILDING 20; SUITE 2-36 �7 ywdN"o.e'-�y 6 NORTH ANDOVER, MASSACHUSETTS 01845 SACH0 978.688.9540—Phone Susan Y.Sawyer,RENS/RS 978.688.8476—FAX Public Health ®6o actor E-MAIL:healthdepta townofnorthandover.com WEBSITE:http://www.townofnortliandover.com SEPTIC PLAN SUBMITTAL FORM R Date of Submission: �.� ` � -VC DEC 2 2 2006 Site Location: 'c5C> J0 QK !AA,Le ��Tr TOWN OF NORTH MENT R HEALTH Engineer: . d tA-1/1`�G %" LOA A )e� i_A? New Plans? YesL/_$225/Plan Check#(includes 1St submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes No Local Upgrade Form Included? Yes '� No Telephone#:_T7_0 q7l;� Fax#: 6-70) E-mail: �F� ��2Qf Z,01-4 c".�(,� Homeowner .r 1 Name: OFFICE USE ONLY When the submission is complete(including check): �/_Date stamp plans and letter Complete and attach Receipt Copy File;Forward to Consultant Enter on Log Sheet and Database r+^r b ' Page 1 of 1 DelleChiaie, Pamela f From: Marianne Peters [mpeters@millriverconsulting.com] I Sent: Wednesday, December 06, 2006 10:21 AM To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DeileChiaie, Pamela; Sawyer, Susan Subject: 150 Johnnycake Street-Soil Eval Attached please find the soil eval for 150 Johnnycake Street. Please call if you have any questions. H Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.miliriverconsultin_g.com 12/6/2006 f KKKK... r � � ! Fse- Apra � i � ► ! 1 ' I l � t � , , . , SL �.� (� -z�` FSS ior�� ._ -- I _ - ' -� t � �_� � 1 �_ '� ' �_ ► �_ � � ' `� 117 tIT 11LI 1-11 TOWN OF NORTH ANDOVER @ NaRTH a Office of COMMUNITY DEVELOPMENT AND SERVICE'S oap6''�.a ez4 F 14EALTH DEPAR'T'MENT 0 : '. . ... 1600 OSGOOD STREET; .BUILDING 20; SUITE 2-36 �c* ` �`t,'$a NORTH ANDOVER, MASSACHUSET'TS 01545 Susan V.Sawyer,REAS,IIS 978.688.9540—Phone / Public health Director 978.688.8476—FAX healthdept@townofnorthandover.com www.townofiiorth andover.com APPLICATION FOR SOIL., TESTS DATE: l I ` t �� _ Cit MAP&PARCEL: / C LOCATION OF SOIL TESTS: u:) L._I d (`�i �a� JT• OWNER: �r l l--o ft`� 1�;—TY U 6, E-4 o D J7 Contact APPLICANT:—T—t Y--L& k 'S-,-T f--.V `G. 1—(OV5-1 Contact#: ADDRESS: 1 2r ENGINEER - G Contact#: V 75 CERTIFIED SOIL EVALUATOR F11 C t-. 1-0 U Il — Intended Use of Land: Residential Subdivision ogle amity Home Commercial Is This: Repair Testing: Q/enUndeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes o THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.511x 11"Plot plan&Location of Testi lease 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$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH .' representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"400')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval Date: Z Signature of Conservation Agend: Date back to Health Department..(stamp in): to 4( � w/1 h 2-5 6 lett Ohio JHIV, IU. LUUL > LUfIYI IVv. 'tUU7 F. L 83saw.S.P. t a sroar � , 96_Cp JOHNNYCAKE STREET so P 199♦ICl 6vaeon Swvey SoAwpr� PREPARED: 07-03-1997 SCALE 1 inch = 60 het CERTIFIED TO: BARON MORTGAGE CORPORATION Thr prrmanrnl-Orurture'r lire apprnximwtele . )m-au ntho r�l r nu rge my ManeRrm rna ARrnr;rground as Tha•}�rich• rrnerd tr,ehr frrnrngto Yrde rrquirrmrnu firth,.lural /e,uitl(tprdiuurr•, an rffd.o.a 0'11 fee• JOHN eue►r ispr .rmrnti nn th ► rep-m.% full in an 1 Location: Onmer's Name: 1�1 Mapftmel:_ 1,V"7 -��r - Addmss: Q 1 O�_4 O wyeA Installer. Telf 9'1t, 2=MMe w msq gepdr ✓' Date:124ALP�Wetland:qnOtAty 4w ne II Soti Sptnbol So11 Rhine Soil p " 9AW— 1 � , Deep 06smad-on Hole Logs Elctiittlon Depth Soil ll r Solt Tenure Soft Color Snfl iklottling % Grnv4 Stones,etL V92 10 �4 a-V4 5L P 2Zm aL. �to&dtec�,_`0'�Stmdin=Nata'!a tbe$ala�Weepin=fcopa rlt Face�� ,�:•' � '.; ,• �,.,_FSBGNt o . Vit' � �"►�,�,� . A OY Q4,. r; Pa=t M"U W —r i L t., Depth to Ramk 6aad4C Wkwht she _Bdc 1 *`'W 2f FM 1Yc - � eeplaLfcaa?ltFaer .Date t - I'crcolation Tests i ' '� Obaer-s�ttioafiole� � 1 - i Depth of Pere Stat Pct-soil; Time at n& Time at 9" Time at r Time(9"-61 -Rate Min/Inch Performed Bs: "f ?!'" Witnessed Br Massachusetts Department of Environmental Protection . , Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 5.404(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 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of a septic 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 thei,, computer,use `—� Lt P' mel NC�,; only the tab key Name to move your �/ ,�� , cursor-do not a' "� F"" use the return Sfreet Address -key t21/c' i•.a AI\)OcV E YL City State Zip Code r� 2. Owner Name and Address: F f.3A �jTCV L�f.37' 1 mot I I\)IL)Y C'e, _ Nam ��, �/� Stree Address l�M� VO- ur �l z city State Zip T lephone umberer 3. Type of Facility(check all that apply): residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): t5form9a•rev.5/02 Application for Local Upgrade Approval*Page 1 of 4 J Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required b 310 CMR 15.40 1 q 3 Y A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: gpd Design flow of proposed upgraded system gpd Design flow of facility `'f ° 0 gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): li?/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: TA rO 1:!�- 1 CA' l 44 r-f CLA2 3. Local Upgrade Approval is requested for: ❑ Reduction in setback(s) —describe reductions: KAI . ❑ Percolation rate for 30 to 60 min./inch: min./inch ❑ 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. ❑ Relocation of water supply well (explain): t5form9a•rev.5/02 Application for Local Upgrade Approval• Page 2 of 4 LLIMassachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) Other requirements of 310 CMR 15.000 that cannot — q be met describe and specify sections of the Code: �f is L� 1�"� _x ��fa/�.➢ �1.��1 If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: 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: ��►�l7"!�h/ �"�C7 I�J T TD V1 C dmf I -y 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: eAjA. 3. A shared system is not feasible: 4. Connection to a public sewer is not feasible: ��F t5form9a•rev.5/02 r .,, Application for Local Upgrade Approval*Page 3 of 4 y. _ } a y LIMassachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 D,eomplete plans and specifications D--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." F`cty,0 is S* at Date Print ame I�r �� bu.tz'y�evL�M�kezo��Glcr��,�is�4 Iy��✓� Name of Preparer Date && rat i2 c- A PZ- Preparer's address City/Town State/ZIP e 4P��7, (9 10 1 eo �� )V-A �` i 3, 5E-7 5- Telephone NOTE: 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Division of Watershed Management, upon issuance by the local approving authority and before commencement of construction. —.--t5form9a-•-rev.-5/02- - Application for Local Upgrade Approval* Page 4 of 4 c Geotechnical Consultants, Inc. (508)229-0900 FAX: (508)229-2279 December. 8, 2006 Mr. Bill Dufresne Merrimack Engineering Services Inc. 66 Park Street Andover, MA 01810 RE; Sieve Arm-b-51's 150 Johnny Cake Street North Andover, MA GCI Project No. 2062650 Dear Mr. Dufresne: A representative soil sample was delivered to our laboratory for gradation analysis from 150 Johnny Cake Street, North Andover, Massachusetts. Grain size distribution for the recovered sample was determined in accordance with ASTM D422. Based on the attached gradation curve, the sample failed to meet the Title V specifications outlined in 310 CMR 15.255 of the Massachusetts State Environmental Code. According to the USDA Classification system, this sample is considered Class I Loamy Sands. We trust the foregoing and attached are sufficient for your immediate needs. Should you have any questions, please do not hesitate to contact us. Sincerely, GEOTECHNICAL CONSULTANTS,INC. 6 k,4. . , � u dt.4-�- Christopher Chiodo cc/vas 201 Boston Post Road West; Marlborough; Massachusetts 01752 = - ea Particle Size Distribution Report C C C C C C .0 C M O OO O O O_ 7 O (0 M N r r n M # # # a lot # # # 100 I � INV- I I I 90 80 I I I k It yV I I 70 WTkatl Z 60 @ p W , FL F- \ Z 50 U W 40 3 � I 30 I I I I I I . l I AI I I I I I I I I I 1I I 20 I I I I I I I I I I\ 10 I o 100 10 1 0.1 y 0.01 0.001 GRAIN SIZE - mm. %Stone %+3" %Gravel %Sand %Silt %Clay Coarse Medium I Fine V.Crs.1 Crs. Med. Fine IV.Finel Crs. I Fine 0.0 0.0 0.0 0.0 F 4.9 5.1 7.1 111.5 20.2 51.2 SIEVE PERCENT SPEC.* PASS? Material Description SIZE FINER PERCENT (X=NO) USDA Class I Loamy Sands #4 100.0 100.0- 100.0 #8 96.2 AtterbergLimits (ASTM D 4318) #10 95.1 PL= LL= P1= #40 80.6 450 74.9 10.0- 100.0 Classification #100 60.8 0.0-20.0 X USCS= SM AASHTO= A-4(0) #200 41.1 0.0-5.0 X Coefficients #270 23.3 D85= 0.5941 D60= 0.1446 D50= 0.0959 D30= 0.0600 D15= D10= Cu= Cc= Date Tested: 12/07/06 Tested By: CC Remarks Sample sieved to determine%retained on#4 and the portion passing the 44 was sieved as per 310 CMR 15.255. 2.7%of the sample was retained on the#4. Title V Sample No.: 2184 Source of Sample: Date Sampled: Recieved 12/ Location: Elev./Depth: Checked By: Title: Geotechnical Consultants, Inc. Client: Merrimack Engineering Project: 150 Johnny Cake Street -Marlborough,, MA- Project No: 2062650------------Figure--- T, — - -Fi ure--- !' y44sr� , ',r'+ Via• '--,-,. n... �r - I- U BAR?s,A' NO FS OVAL SPN\ G a S.7 r ' P� Ex is t�nrc �A<