Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 1550 SALEM STREET 4/30/2018 (2)
1550 SALEM STREET �' 210/106.6-0054-0000.0 G � ___--� �t� ;---- =J � 5 ��� . -�- � � Y� � TrEDII • ®PY PUBLIC HEALTH DEPARTMENT Town of North Andover Connnunity Development Division CERTIFICATE OF COMPLIANCE As of: 7/10/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Construction of an On-Site Sewage Disposal System By: Jim Kellett At: 1550 Salem Street Map 106.B Lot 0054 North Andover, MA 01845 Tre Issuance of this e ificate shall not be construed as a guarantee that the system will function satisfactorily. 1A 4 Michele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com O D -'� ^�'rro•"��45' t��^CIiUSE< PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER RECEIVED SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION ja 0 2 2015 The undersigned hereby certify that the Sewage Disposal System( )constructed;(X)repaired; 'TOWN OF NORTH ANDOVER By:Jim Kellett,Kellett Excavating LLC KEAI.TH DEPARTMENT (Print Name) Located at: 1550 Salem Street (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated March 9,2015 and last revised on April 17,2015 ,with a design flow of 440 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: 6/11/15 rIL44^ Engineer Representative(Signature) John Morin,PE And–Print Name - Final Construction Inspection Date: 6/23/15 Engineer Representative(Signature) John Morin,PE And–Print Name Installer: (Signature) Date:— . Y�.ILdb And–Print Name Engineer: L+ti _ (Signature) Date: fo&2/ls John M.Morin,PE And–Print Name 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com i Town of North Andover — Septic System - AS-BUILT CHECKLIST 1) / All changes to the design plan have been reflected and noted on the as-built plan 2) v As-built plan has a suitable scale;0 inch= 40 feet or fewer for plot plans) 3) \/ Street Address,Assessor's Map and Lot Number 4) Lot Lines and Location of Dwellings served by the system 5) _LLocations,Elevations and Dimensions of As-built system components,including reserve (if applicable) 6) 1–Ties to all tank openings,d-box,and leach area from dwelling or Permanent Structure 7) Setback distances are shown on the as-built plan from system components to: Subsurface,interceptor&foundation drains Catch basins Property lines Dwellings or other structures — 1 Private water supply or irrigation wells Watercourses or wetlands 8) Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system 9) '� Location of water,gas,electric lines,cable,control panel (if applicable) 10) J Location of Structures within 6 Inches of Finished Grade 11) `L Original Stamp&Signature 12) `� Location and holder of any easements which could impact the system 13) �� Impervious Areas;Driveways,etc 14 ;� North Arrow �� f Benchmark used Iv 6-t�, I S S� �`I l L) 15) Location&Elevation o ��(T(� 16) 7STATEMENT ON PLAN (NA 5.3) Ply�� 1 a. "I certify the locations,elevations, ties,cover material;exposed component coer.�efc., shown on this as-built substanhallyagree with the approved plan and have determined that the break out elevations,if applicable,have been met." Signature of Designer Date b. "If a STUCTURAL WALL IS PRL'SEAT M 4.9>a Letter or statement on the as-built indicating the wall- was,or was not,constructed in accordance with the intended design and any manufacturer's specifications." Signature of Designer Date As of:Tuesday,March 17,2015 ;W Y 1" ,q a 40 f 0, o in 4L At A �• 1 h t � „ �. r -s� • P , moo' r M, t , i' fi pr r 1 �!1 AeiWa.. r y a� �4 ,• •may r kp l 49 � ( x \ � � f . / � � . � � � � 2 � �� � . � �. . / � � . E � � � � � � . / . , \\ , - � . . ` . ( � �. � a � 3\ . . \ 4 � � '/ � � �� � � � � �� \ �� � . �.�\� < . � ^ - . �� � � � � ~ / \ ~ . \ � �.� � . / � . \ § . - - � - .� _ � � � - . 7. � Q �� . _> � yy . . . . \` f» . ( �\ ��J � � � �, � � �\� �« ���� �3t \ . � . y`��/ � �.���\ ^ . [ C� ��, . � �\ ���/\ . , ��d\? � . �� � � ! � � ~`���\ . © - � . .«�� .��� ��� � . .�y� Commonwealth of Massachusetts Map-Block-Lot •, tgcr:eu_f 106.B0054 BOARD OF HEALTH Permit No North Andover BHP 2015-0192 FEE 4 $250.00 ----------------------- j DISPOSAL WORKS CONSTTRUCTTION PERMIT Permission is hereby granted James Kellett ____----------_------_------------ I to(Upgrade)an Individual Sewage Disposal System. atNo 1550- - SALEM STREET----- ---------------------------------------------------------------------------------------------------------- --- - -------------------- as shown on the application for Disposal Works Construction Permit No. BHI'-2015-019 Dated May 14,2015 ------------------------ ------------ Issued On:May-14-2015 r i BOARD-�OF,H$ALTH 4J SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: (Address of septic system) For plans by �— (Engineer) Relative to the application of Ji�-►�5 X [ 6(_e� (Installer's name) And dated MA/LC 2 ,9 15 '�/� rigina ate Dated / ' `� �3 2-0 l S �— sdae) With revisions dated (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans Pdor 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'� 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 antownofnorthandover.com) from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection. With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover,significant fines to all persons involved are also possible. 5. As the installer,I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box, pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer,I understand that I am solely responsible for the installation of the system as per the aj2broz ved plans. No instructions by the homeowner,general contractor,or any other persons shall absolve me of this obligation. 9," )S)2-0 1 S Undersigned Licensed Septic Installer: (Today's Date) (Name— Print a e— 1gne ) • I • [acopy North Andover Health Department Community Development Division i May 18, 2015 Henry and Pam Smith 1550 Salem Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 1550 Salem Street(Map 106B,Lot 54) Dear Mr. and Mrs. Smith: The proposed wastewater system design plan for the above site dated March 9, 2015 with a final revision date of April 16, 2015 and received on April 17, 2015 has been approved. The design plan has been approved for use in the construction of a new on-site septic system for a 4-bedroom home utilizing a Quick 4 Standard Infiltrator Chamber system. This design plan approval is valid until May 18, 2017. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem, such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. At a regularly scheduled meeting of the Board of Health,this plan received the following approvals by the members. Local Upgrade Approvals: • To reduce the setback from the soil absorption system to the property line from 10' to 7' • To reduce the separation distance from the soil absorption system to the estimated seasonal high ground water table from 4' to 3' • To reduce the requirement of soil test pits in the area of the proposed leaching facility from 2 test pits to 1 test pit Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 t sr- • ��.�T�EDyy�' . • • North Andover Health Department (ommunity Development Division r April 13, 2015 I John Morin, P.E. The Morin-Cameron Group, Inc. 447 Boston Street Topsfield, MA 01983 Re: Subsurface Sewage Disposal System Plan for 1550 Salem Street(Map 106B, Lot 54) Dear Mr. Morin: The proposed wastewater system design plan for the above site dated March 9, 2015 and received on April 7, 2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. The full legal boundaries of the facility being served are not shown on the design plan. (3 10 CMR 15.220(4)(a)). 2. Indicate that at least one access port shall be accessible within six inches of finish grade (3 10 CMR 15.22/(2)). 3. A note should be added to the design plan to indicate that the septic tank and distribution box shall be made watertight(3 10 CMR 15.221(1)). 4. The current DEP soil evaluation forms were not submitted(NA 2.3). 5. Since the Infiltrator Chambers system is proposed as an alternative soil absorption system the"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" will apply. Please provide the following as required by the approval conditions Section II(7): e) The record drawings, approved by the LAA, must clearly indicate an area for the best feasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is determined that it is not capable ofproviding equivalent environmental protection; Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 • septic plan before they can sell it. Isaac Rowe,North Andover septic consultant from Mill River Consulting stated that he feels that Mr.Morin has done a good job on a challenging site.He agrees with everything that M►•.Morin is proposing. MOTION made by Mr. McCarthy to approve the requests for the variance and local upgrades as stated on the plan dated 4/16/15(there were multiple requests to regards to distance reductions to the wetland and reduction to the ground water to three feet rather than four).Motion was seconded by Mr.Pease;all were in favor to grant the variance and requests according to the plan and local upgrades. Mr.Morin requested the acceptance of a deed restriction to restrict the number of bedrooms,as the term bedroom is defined at 310 CMR 15.002("Bedroom"),through the granting of the Title 5 Bedroom Count Deed Restriction to restrict the total number of bedrooms allowed at 1550 Salem Street to be four. Mr.Morin stated that the Assessor's office has 1550 Salem Street listed as four a bedroom,eleven room home.By code,the owners would need a five bedroom septic plan. Since there is no room for a five bedroom septic,which would be considered new construction,they are requesting limiting the number of rooms in the bedroom count,which would require a deed restriction. MOTION made by Mr.McCarthy to approve the request for the deed restriction.Motion was seconded by Mr. Pease;all were in favor to grant the deed restriction according to 310 CMR 15.002. Mrs.Sawyer introduced to the Board Mr.Eric Kfoury,the new Community Development Division Director,of which Health falls under.The members welcome Mr.Kfoury. B. Kenneth Connolly,Commonwealth Waste—Mr.Connolly requested an exemption with regards to the placard requirements as written in the Town of North Andover Board of Health Regulations concerning the Hauling and Disposal of Solid Waste.Mr.Connolly gave his background on Commonwealth Waste,where he is located now at 1175 Turnpike Street and the routes of his trucks. To get anywhere,his trucks must drive on route 114. Mr.Connolly stated that he feels he doesn't fall under what the placards are in place for.Ms. Sawyer explained Commonwealth's previous requests for permits and placards.Michele Grant,Public Health Inspector,gave her background information she had on permitting Commonwealth Waste in the past.A discussion ensued regarding the regulation for placards and permits for trash trucks in the town of North Andover.Mr.Pease and Mr.Kfoury both agreed that the regulation refers to trucks that are traveling from an exempt community and then dumping in Wheelabrator or TBI on Holt Road in North Andover and not just driving through town. However trucks driving through town without a placard,on town roads,may get stopped by the NAPD.If it is decided that the intent of the wording allows a trash truck to;drive through empty;go to pick up a load,off load in NA at Wheelabrator and then drive back home empty on town roads,does not need a placard,than that will impact many other companies.Hence,Mrs. Sawyer and Mrs.Grant are asking the Board for their guidance on permitting trash trucks and stated that the decision needs to be clear and fair to all.Possibly the board could have an open discussion of the regulation at a future Board of Health meeting. MOTION made by Mr.Pease to waive any placard fees for Commonwealth Waste for the year 2015. 4 e only and for maintenance purposes,not for hauling trash.Nb-. The waiver is for the 11 Rout o y p rp g McCarthy seconded the motion.All were in favor and the motion was approved. C. Scott Granwehr,The Farm Stand,new mobile food truck—Mr.Granwehr requested relief from the Board on the matter of not having a food preparation sink on his vehicle.Mrs. Sawyer stated that she 2015 North Andover Board of Health Meeting Page 2 of 4 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Ed-win Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Blackburn,Health Department Assistant North Andover Board of Health Meeting Agenda Thursday,April 30,2015 7:00 p.m. North Andover Police Department Community RooI- 1175 14� 75 Osgood Street North Andover,MA 01845'' and Ms.Grant had spoken to Mr.Granwehr multiple times since February 2014 and repeatedly stated the Health Department's position that he would likely need a preparation sink,but our staff would gladly meet to discuss his proposal.Mr.Granwehr stated at that time that he wanted to prepare food on his truck.The applicant built the truck prior to application submission and without prior approval. The application was received for"The Farm Stand"mobile food truck in March.Prior to submission a discussion with the Health Inspector and Eric Kfoury was held. It was recommended that the applicant should devise a proposal or alternative to the traditional prep sink for his truck.The applicant later decided it's more efficient to prepare all foods in advance at the commissary and load the prepped food onto the truck,and made no suggestion relating to alternative measures.He then asked for his.request to be modified as a non-prep food truck. Mrs. Sawyer explained the difference between a prep and non-prep food truck.Mrs. Sawyer asked Mr.Granwehr at that time if he wanted to modify his application since the application showed a lot of reference to prepping on the truck. He did not submit any changed information that altered the review findings,which resulted in recommending he come to the BOH to discuss his requests.A discussion ensued regarding The Farm Stand's menu and the application. Mrs.Sawyer reviewed the background of the process of the new regulation by the Selectmen regarding mobile food trucks. Mr.Fixler asked why he built his truck without including a prep sink when he was previously told that the Town of North Andover requires a prep sink on mobile food units.Mr.Granwehr stated he wasn't advised by any others that food regulations would require a prep sink on the truck.He stated that he felt that the North Andover regulation was unique and didn't apply to other cities and towns.He stated that the city of Boston makes you prep at a commissary. He stated that on-site prep isn't permitted on food trucks in Boston.Since he does business in Boston,he thought he would be denied a permit if he had a prep sink in the unit.Mrs. Sawyer noted that our office has spoken to Health officials in Boston and they stated that he would not have been denied if he had a prep sink on the unit.Mr.Kfoury asked if a mobile unit was required to use all the equipment on the unit.A discussion ensued regarding the subject.Mrs.Sawyer and Ms.Grant made equal statements that the North Andover Selectmen want to treat mobile food units the same as a brick and mortar restaurant.Mrs.Grant gave her opinion on what is considered"prep"work.The Health Department needs the Board to make that decision regarding what can and can't be done on Mr.Granwehr's truck as far as prepping is concerned.The Health Department would have to make a recommendation regarding this issue before Mr.Granwehr goes before the Selectmen.What is the definition of "prepackaged"? Mr.Granwehr will resubmit his mobile food application to reflect a request for a non- prep permit.The Board agreed that Mr.Granwehr will submit a no-prep mobile food application and that he will not prep on the truck.All prep will be done at his commissary. Mr.Granwehr agreed with the guideline fi-om the Board and ensured the Board that he will follow through with the guidelines.No vote necessary in this matter at this time. VII. COMMUNICATIONS,ANNOUNCEMENTS,AND DISCUSSION 2015 North Andover Board of Health Meeting Page 3 of 4 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman,Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Blackburn,Health Department Assistant Mr.McCarthy brought awareness regarding the tick season.There was a brief discussion regarding Lyme disease,detecting,treatment and diagnosing it. Lauren,a nurse practitioner who came to listen in on a BOH meeting,commented on tics and false positive results. Mrs. Sawyer informed the Board of the 150 hours of service that the current Health Department intern just completed.Ashley Wright was involved with many aspects of Public Health but her main focus was the project she completed on heroin.A brief discussion ensued on the public health issue of heroin addiction. VI11. CORRESPONDENCE/NEWSLETTERS ix. ADJOURNMENT MOTION made by Mr.McCarthy to adjourn the meeting. Mr.Fixler seconded the motion and all were in favor.The meeting was adjourned at 9:58 pm. Prepared by:. Lisa Blackburn, Health Dept.Assistant Reviaved by: All Board of Health Members&Susan Sawyer,Health Director fined bv: Larr,,. ra r, Clerk of the oard Date Signed 2015 North Andover Board of Health Meeting Page 4 of 4 Board of Health Members: Thomas Trowbridge,DDS,MD,Chairman;Larry Fixler,Member/Clerk;Francis P.MacMillan,Jr., M.D.;Joseph McCarthy,Member; Edwin Pease,Member Health Department Staff:Susan Sawyer,Health Director; Debra Rillahan,Public Health Nurse;Michele Grant,Public Health Inspector;Lisa Blackburn,Health Department Assistant M6fin-Cameron Yhe C�3G aMpa N :Q:::::] March 31, 2015 Board of Health P.rN O 7 2015 1600 Osgood Street North Andover, MA 01845 T�b4 ` Re: Septic Repair— 1550 Salem Street Owner/Applicant: Pamela & Henry Smith Dear Board Members: Please find enclosed a sanitary disposal system repair design plan for the above referenced property. The existing leaching facility has failed a Title 5 inspection and needs to be replaced. Based on the existing lot's shape, wetland resource areas and limited space for a replacement leaching facility we are proposing the use of Infiltrator Chambers in a bed configuration. This system is an alternative septic system approved by the Department of Environmental Protection; find attached the General Use Approval, dated Feb. 19, 2015, issued by the Department of Environmental Protection. The General Use Approval for this technology is used in remedial situations. The existing dwelling-is 4 bedrooms but has a total of 11 rooms as defined by Title 5. Based on the room count a replacement system designed for 5 bedrooms is required unless a deed restriction limiting,the number of bedrooms to 4 bedrooms is provided. There is not enough room on the property to design a conventional septic system for 5 bedrooms with a reserve area that would fully comply with the Code. Therefore, our client is proposing to offer a deed restriction limiting the number of bedrooms in the dwelling to 4. Please find attached a DRAFT copy of the deed restriction. Based on the location of the existing dwelling, the lot's topography, wetland resource areas out back and the property lines, there is limited space for the location of a replacement septic system. Based on these existing lot constraints, we are requesting Local Upgrade Approvals from Title 5 in order to design a replacement leaching facility for this property. Please find enclosed Form 9A "Application for Local Upgrade Approval". pp p9 pp .Local Qbgrade Aaprovals Requested: • 'ln accordance with 310 CMR 15.405 (1) (a) we are-proposing to reduce the required setback from the proposed leaching facility and the front property line from 10 feet to 7 feet. CIVIL ENGINEERS • LAND SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS 447 Boston Street(U.S. Route 1) Topsfield, MA 01983 978.887.8586 FAX 978.887.3480 Providing Professional Services Since 1978 www.morincameron.com Board of Health Page 2 March 31, 2015 • In accordance with 310 CIMR'15.405 (1) (k) we are proposing only one test pit in the area' of the leaching facility instead of two. Based on the existing site constraints it was difficult to dig 2 test pits in the area of the proposed leaching facility; this was discussed with the BOH Agent who was witnessing the test who also discussed this with the BOH office before we left the site the day of the testing. • In accordance with 310 CMR 15.405 (1) (h) we are proposing to reduce the required _separation distance from the bottom of the SAS to the estimated seasonal high water table from 4 feet to 3 feet. This will eliminate the need for a pump and eliminate a mound in the front yard. Please note the proposed leaching facility will be 100 feet from the isolated wetlands out back where the existing leaching facility is approximately 80 feet from the wetlands. The existing leach bed is approximately 88 feet from the existing well. In order to meet the required setback from the wetlands the new proposed leaching facility will only be 60 feet from the existing well. Based on this fact our client is proposing to install a new public water service to the existing dwelling. The existing well will be used for irrigation only. In accordance with Condition II (18) (d) of the "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" issued by the Department of Environmental Protection (DEP) with a revision date of September 26, 2014 please find enclosed the Owner Certification. We look forward to meeting with the Board at their next regularly scheduled meeting on April 30, 2015 to discuss this project. If you have any questions prior to the meeting please do not hesitate to contact me. Sincerely, THE MORIN-CAMERON GROUP, INC. John M. Morin, PE Principal JMM/kmm Attachments cc: Pamela & Henry Smith F:\KATHYM\Smith 3307\Board of Health\NABH Ltr.doc t The Morin-Cameron Y...ate � .• ..� ' ,e,� 17 2015 April 16, 2015 =%,, , HE. Ms. Michele Grant Health Inspector 1600 Osgood Street, Suite 2035 North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 1550 Salem Street (Map 1066, Lot 54) Response to Comments Dear Ms. Grant: We are in receipt of your review letter dated April 13, 2015. Please find enclosed copies of the design plan that have been revised to incorporate the comments below and changes to the wetland line which we will discuss later in this letter. I The following numbered responses correlate with your numbered comments from your review letter: 1. A "Locus Boundary Key Map" has been added to Sheet 1 of 2 of the Sanitary Disposal System Repair Plan showing the entire parcel and lot dimensions. 2. A note indicating that watertight access risers shall be set within 6" of finish grade on the septic tank has been added to the 1,500 Gal. 2-Compartment Monolithic Septic Tank detail and the System Profile on Sheet 2 of 2 of the Sanitary Disposal System Repair Plan. 3. A note (number 5) has been added to the 9-Outlet (H-20) Distribution Box detail and the 1,500 Gal. 2-Compartment Monolithic Septic Tank detail both shown on sheet 2 of 2, indicating that they shall be watertight. 4. The current DEP soil evaluation forms are attached. 5. A conventional 20'-0" x 30'-0" leach bed was shown on Sheet 1 of 2 of the Sanitary Disposal System Repair Plan. Supporting Conventional System Capacity Calculations were also provided on Sheet 1 of 2. It is a little difficult to see because of all the line work; I reviewed this issue with Isaac Rowe of Mill River Consulting and he informed me that he is satisfied that a conventional leaching facility is shown. 6. A note has been added to the 9-Outlet (H-20) Distribution Box detail and the System Profile, both shown on sheet 2 of 2, stating that "Watertight access riser shall be installed to within 6" of finish grade if cover is greater than 9"". CIVIL ENGINEERS o LAND SURVEYORS • ENVIRONMENTAL CONSULTANTS a LAND USE PLANNERS 447 Boston Street (U.S. Route 1) Topsfield, MA 01983 978.887.8586 FAX 978.887.3480 Providing Professional Services Since 1978 www.morincameron.com Ms. Michele Grant Page 2 April 16, 2015 7. The location of the percolation test has been added to Sheet 1 of 2 of the Sanitary Disposal System Repair Plan. 8. Even though the existing potable water supply well is proposed to be converted to an irrigation well only, we feel that the 100 foot radius from the well should still be shown on the plan. 9. Even though the required setback from an irrigation well to a leach field is 25 feet, we feel that we should still show the 100 foot radius from the well as it shows that the well cannot be used as a potable water supply because the 100 foot setback encroaches into the proposed leaching facility. We trust that these responses satisfy your questions/concerns outlined in your review letter. Today we met with Jennifer Hughes, Conservation Administrator, to review the wetlands on site. Ms. Hughes made several changes to the wetland line which included connecting the isolated wetlands. Please note the wetland series in question is still considered an isolated wetland. Because of the change in the wetland line, the septic tank is now proposed 72 feet from the wetlands, 75 feet is required per your local regulations, and the proposed leaching facility is 84 feet from the wetlands, where 100 feet is required. We have a little room to move the septic tank further from the wetlands, however, setbacks are tight on this project so it would be helpful to have a little room if we need it so that is why we are requesting relief from this section. Based on the changes in the wetland line it is not possible to locate a leaching facility 100 feet from the wetlands within the front of the property. There appears to be room to design a leaching facility 100 feet from the wetlands in the rear of the property, however, it will most likely be a large fill condition since it appears the rear yard is all fill, and we anticipate a high water table in this location. The system would be located at the toe of a large hill which could pose some grading issues with runoff from the hill. A system in this location would require a force main that would run under the existing driveway and travel approximately 250 feet to the proposed leaching facility. Based on the existing topography the force main would not drain empty between pumping cycles and therefore would need to be installed below frost or insulated to prevent freezing. Since the proposed setbacks from the septic tank and leaching facility exceed the minimum State required setback to wetlands, and the proposed septic tank and leach field are further from the wetlands than what currently exist, the system, as proposed, should have no impacts on the resource area. Also, the existing dwelling is located between the septic components and the wetlands limiting the potential impacts even further. We feel that the system, as designed, will not have any impacts on the resource areas and to require the additional disturbance and costs associated with positioning the leaching facility 100 feet from the wetlands at the rear of the property is not warranted and would result in a hardship for our clients. Ms. Michele Grant Page 3 April 16, 2015 At this time we respectfully request that the Board of Health issue two variances from Section 3, Table 1 — Setback Distance Table of your local Board of Health regulations "Minimum Requirements For the Design, Construction And Maintenance of Onsite Wastewater Treatment and Disposal Systems" for a reduction in the required setbacks from a wetland resource area to a septic tank and leach field as discussed above. The two variance requests have been added to sheet 1 of 2 of the design plan. We shall notify all abutters by certified mail 10 days before the Board of Health meeting, as required. Please schedule us for your next Board of Health meeting on Thursday, April 301h, so that we may review this application with the Board. If you should have any questions please do not hesitate to contact me. Sincerely, THE MORIN-CAMERON GROUP, INC. rVt John M. Morin, PE Principal JMM/kmm Enclosures cc: Pam and Henry Smith Mill River Consulting (via email) F:\KATHYM\Smith 3307\Board of Health\NABH Response Letter 4-16-15.docx Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Pamela & Henry Smith Owner Name 1550 Salem Street map 106B Parcel 54 Street Address Map/Lot# North Andover Massachusetts 01845 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ❑ Upgrade ® Repair 2. Soil Survey Available? ® Yes ❑ No If yes: USDA web soil survey 421D Source Soil Map Unit Canton fine sandy loam Rapid permeability, high Ksat moderately compact substratum Soil Name Soil Limitations Glacial lodgment till Rolling ground moraine controlled by shallow underlying bedrock Geologic/Parent Material structure 3. Surficial Geological Report Available? ❑ Yes ❑ No If yes: Year Published/Source Publication Scale Map Unit 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ® No If Yes,continue to#5. 5. Within a velocity zone? ❑ Yes ® No 6. Within a Mapped Wetland Area? ❑ Yes ® No MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (USGS): 10/14 Range: ❑ Above Normal ® Normal ❑ Below Normal MonthNear 8. Other references reviewed: Bedrock Geologic Map of Massachusetts NRCS/USDA soil survey of Essex County, Northern Part t5form11 (1)•rev.3/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of North Andover _ Form 11 - Soil Suitability Assessment for, On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: TP14-1 10731/14 09:30 clear, cool, 48, calm Date Time Weather 1. Location Ground Elevation at Surface of Hole: —128'AMSL Latitude/Longitude: 423801.9N / 710343.9W feet Description of Location: Front yard of property between House and Salem Street 2. Land Use Single family residential dwelling none observed —3% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) grass lawn ground moraine back slope/side slope Vegetation Landform Position on Landscape(SU,.SH,BS,FS,TS) 3. Distances from: Open Water Body >200 Drainage Way >50 Wetlands >100 feet feet feet Property Line >10 Drinking Water Well >150 Other feet feet feet 4. Parent Material: Sandy lodgment till Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: none none Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 72" inches elevation t5form11 (1)•rev.3/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover _ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP14-1 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) &Stones 00-27 ^C 10YR3/2 Sandy Loam structurless friable fill layer 27- 31 Ab 10YR2/2 Sandy Loam granular friable 31 - 36 Bw 10YR4/6 Sandy Loam —15% blocky friable 36- 120 C 2.5Y5/6 72" 10Y7/1 25"10 Loamy Sand —20% . —10% structurless friable 2.5YR4/6 Additional Notes: t5form11 (1)•rev.3/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole: Latitude/Longitude: / feet 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body Drainage Way Wetlands Feet feet feet Property Line Drinking Water Well Other Feet feet feet 4. Parent Material: Unsuitable Materials Present: ❑ Yes ❑ No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t5form11 (1)•rev.3/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 i Commonwealth of Massachusetts City/Town of North Andover - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) USDA Soil Structure Consistence Other Depth Color Percent ( ) Gravel Cobbles (Moist) &Stones Additional Notes: t5form11 (1)•rev.3/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#14-1 Obs. Hole# ❑ Depth observed standing water in observation hole .inches inches ElDepth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 72" inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh= Sc—[Sr X (OWc—OWmax)/OWr] Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# Sc Sr OWc OWmax OWr Sh E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ® Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 31" Lower boundary: 120" inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5form11 (1)•rev.3/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results ofmy soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 10131114 Signature of SoilEvalu or Date Alexander F. Parker/ 1848 _ _ 2016 _ Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Isaac Rowe North Andover Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15,018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and j to the designer and the property owner with Percolation Test Form 12. i i i i t5form11 (1)•rev.3/15 Form 11—Soil Suitability Assessment for Onsite Sewage Disposal •Page 7 of 8 Sawyer, Susan From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Monday, November 03, 2014 8:30 AM To: Sawyer, Susan Subject: RE: 1550 Salem St. John Morin. I am sure he will call you to discuss when he gets into the design. Isaac M. Rowe,R.S. Project Manager Mill River Consulting - 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 Fax: 978-282-1318 irowe@millriverconsulting.com www.milIriverconsultinp.com -----Original Message----- From: Sawyer,Susan [mailto:ssawyer@townofnorthandover.com] Sent: Monday, November 03, 2014 8:03 AM To: 'Isaac Rowe' Subject: RE: 1550 Salem St. It's been years since we have put one in. Who is the engineer? Did you discuss it with them on the site? will keep a look out for it.: Thanks - S -----Original Message----- From: Isaac Rowe [mailto:irowe@millriverconsulting.com] Sent: Friday, October 31, 2014 2:05 PM To: Blackburn, Lisa;Sawyer,Susan Cc: 'Pam Lally'; Isaac Rowe Subject: RE: 1550 Salem St. Susan, Attached are the soil testing results for the above referenced property. I allowed only one test to be conducted to avoid digging through the existing system and gas line.This will likely need an I/A system due to the location of the well (<100'). Let me know if you have any questions. Thanks, Isaac M. Rowe, R.S. Project Manager 1 Sawyer, Susan From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Wednesday, November 19, 2014 2:37 PM To: Sawyer, Susan Cc: Isaac Rowe Subject: RE: Septic Repair- 1550 Salem Street, North Andover am pretty much around so let me know when you want to chat. Thanks,. Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone:978-282-0014 ext.804 Fax: 978-282-1318 irowe(cD-millriverconsulting.com www.mill riverconsulting.corn From: Sawyer, Susan fmailto:ssawyerCa)townofnorthandover.com] Sent: Monday, November 17, 2014 8:14 AM To: Isaac Rowe <irowe(&millriverconsultina.com> (irowe(&millriverconsulting.com) Subject: FW:. Septic Repair- 1550 Salem Street, North Andover need to chat with you about John's choices. Can you let me know if you are around to chat today? Thx S j From:john morin [mailto:johnOmorincameron.com] Sent: Friday, November 14, 2014 3:00 PM To: Sawyer, Susan Subject: RE: Septic Repair - 1550 Salem Street, North Andover Hi Susan, Have you had a chance to reach out to Dan or Isaac re:the need for pretreatment if we request a Local Upgrade Approval to reduce the setback to the well? I found out from my client that they recently spent$5,000+/-to fix their well. Thanks, John M. Morin, P.E. THE MORIN-CAMERON GROUP, INC.447 Boston Street, US Route I,Topsfield, MA 01983 p 1978.887.8586 f 1978.887.3480 w I www.morincameron.com From:john morin Sent: Thursday, November 06, 2014 2:56 PM To: 'Sawyer, Susan' Subject: RE: Septic Repair - 1550 Salem Street, North Andover Hi Susan, I was thinking about designing a Presby but in order to get it to work I think I will need the 2'groundwater separation reduction allowed under the DEP approval. Are you looking for something with more treatment like a waterloo or FAST for the reduction in the setback to the well? Thanks, John M. Morin, P.E. THE MORIN-CAMERON GROUP, INC.447 Boston Street, US Route I, Topsfield, MA 01983 p 1978.887.8586 f 1978.887.3480 w www.morincameron.com From: Sawyer, Susan (mailto:ssawyer@townofnorthandover.com] Sent: Thursday, November 06, 2014 11:17 AM To:john morin Subject: RE: Septic Repair - 1550 Salem Street, North Andover Isaac noted this issue to me,.but I didn't know that town water was nearby What type of system are you-proposing to design to provide equal protection. From:john morin [mailto:john(amorincameron.com] Sent: Wednesday, November 05, 2014 7:37 PM To: Sawyer, Susan Subject: Septic Repair - 1550 Salem Street, North Andover Hi Susan, We are doing a septic repair at the above referenced property; soil testing was done last week and we were only able to perform one deep and perc because of the limited space out front and wetlands out back. Fortunately the soils are pretty good; unfortunately there is no way to design a replacement system 100 feet from our own well. Our client just spent money fixing the well pump before they realized the septic would need to be replaced. Town water does exist in the street however the water service that was provided to this lot is on the opposite side from where the well is so it will be a costly project to install the water service from the existing water main. We are currently working on the design but I think we will be able to maintain a 50 foot setback from our own well which is allowed as a Local Upgrade Approval (LUA) if approved by the BOH. Do you think your Board will entertain this LUA? We will be submitting a LUA for the one test pit. Thanks, John M. Morin, P.E. THE MORIN-CAMERON GROUP, INC.447 Boston Street, US Route I,Topsfield, MA 01983 p 978.887.8586 f 978.887.3480 w l www.morincameron.com 2 Blackburn, Lisa From: Sawyer, Susan Sent: Friday, March 13, 2015 10:52 AM To: Grant, Michele;Isaac Rowe <irowe@millriverconsulting.com> (irowe@millriverconsulting.com); Dan Ottenheimer(dano@millriverconsulting.com) Cc: Blackburn, Lisa Subject: FW: Septic Repair- 1550 Salem Street FYI From: John Morin [mailto:john@morincameron.com] Sent: Friday, March 13, 2015 10:44 AM To: Sawyer, Susan Subject: Septic Repair- 1550 Salem Street Hi Susan, We have finalized the septic design for the above property; you may recall this is the property where the owners were hoping to save their existing well so we were going back and forth between Conservation and BOH in an attempt to do this. After we told them it was not going to happen they went and discussed the issue with both the BOH and the Conservation offices and got the same answer. Now that the system is designed we will need several Local Upgrade Approvals and a deed restriction. The existing house is 4.bedrooms,the Assessors records show 4 bedrooms but the house has 11 rooms. Based on room count we would need to design for 5 bedrooms; since this would be an increase in flow we would have to provide a reserve area and we would not be allowed the Local Upgrade Approvals so we need the deed restriction limiting to 4 bedrooms. spoke with Michelle earlier in the week and she said the BOH needs to approve all deed restrictions. I asked if we had to notify abutters and she told me to check your regulations and Title 5. Based on the Local Upgrade Approvals requested I do not see that we have to notify abutters so the only questions would be the deed restriction. Title 5 is silent on this issue and your local regulations only state that you have to notify abutters if you are requesting a variance; I don't see the deed restriction as a variance so I don't believe we need to notify abutters. Please give me a call to discuss(I left you a vm regarding this also). Thanks, John M. Morin, P.E. THE MORIN-CAMERON GROUP, INC.447 Boston Street, US Route I,Topsfield, MA 01983 p 1978.887.8586 f 1978.887.3480 w 1 www.morincameron.com i Blackburn, Lisa From: Blackburn, Lisa Sent: Tuesday,April 14, 2015 12:52 PM To: 'John@morincameron.com' Subject: 1550 Salem St. Attachments: 201504141000.pdf Hi John, The hard copy of the attached letter is in the mail. Please remember if you want to be on our next BOH agenda,we would need a written request no later than Monday, April 20th.The next BOH meeting is Thursday,April 30th at the NA Police Department meeting room at 7:OOpm. Lisa Blackburn -----Original Message----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent:Tuesday,April 14, 2015 10:00 AM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 04.14.2015 10:00:14(-0400) Queries to: noreply@townofnorthandover.com r Grai:4, Michele From: Isaac Rowe <irowe@millriverconsulting.com> Th n 18, 2 1 Sent: Thursday,June 0 5 1: 1 PM 5 To: Blackburn, Lisa; 'Pam Lally' Cc: Grant, Michele;Isaac Rowe Subject: RE: 1550 Salem St. Attachments: 1550 Salem St - Final Construction Inpsection.doc; new town waterline.JPG;well disconnection.JPG;well waterline and pump.JPG Lisa/Michele, Attached is the final construction report for the above referenced property. Everything looked good. Also attached are a few photos of the waterline from the existing well into the house and new waterline from the street. This plan required the well to be used for irrigation only.The well waterline has been disconnected from the internal plumbing and the new waterline from the street has been installed. You may wish to review the proper irrigation plumbing requirements with the plumbing inspector or verify if he has inspected this disconnection. � I Please let me know if you have any questions. K- _ , c� V Thanks, ��� L jIsaac M. Rowe,R.S. � � -7 Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804f uv►q b t 1 Fax:978-282-1318 irowe(a)millriverconsulting.com www.millriverconsulting.com From: Blackburn, Lisa [mailto:LBlackburn(d)townofnorthandover.coml� Sent: Wednesday, June 17, 2015 10:22 AM - To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 1550 Salem St. John Morin called to say that they are ready for final inspection at 1550 Salem-St. Please call Jim Kellett 781.953.7146 �(�� , l� w Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 1 Grant, Michele From: Deems, Maura Sent: Tuesday,July 07, 2015 4:49 PM To: Grant, Michele Subject: 1550 Salem Street Michele, FYI: A plumbing permit was pulled this afternoon for the piping and new main drain for 1550 Salem Street. Maura Maura Deems Building Department Assistant Town of North Andover 1600 Osgood Street Bldg. 20 Suite 2035 North Andover, MA 01845 Phone 978.688.9545 Fax 978.688.9542 Email mdeems@townofnorthandover.com Web www.TownofNorthAndover.com I 0 ro Postage $ Jb� Certified Fee , d c -Postmark C3 Return Receipt Fee i Q (Endorsement Required) y Here O Restricted Delivery Fee (Endorsement Required) Q O r.q Total Postage&FeesLn $ i C Sent" - -- � Donald Deadder ------------ orp C] or P 1557 Salem Street ' r`' cry North Andover, MA 01845 Certified Mail Provides: e A mailing receipt o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. n Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 D I � ••@a Pam M13AZI • 1 Postage $ Certified Fee © _ C3 ReturnReceipt Fee 1 Postmark e (Endorsement Required) C3 C3 ` M Restdcted Delivery Fee (Endorsement Required) - .. Ln Total Postage&Fees t O Sent Vinh Tran "- ra sireer, 0 or Po, 1565 Salem Street North Andover, MA 01845 Certified Mail Provides: • A mailing receipt a A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: • Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 ' FU OF F CM I Postage $ ra Certified Fee Cl Return Receipt Fee Postmark j OO (Endorsement Required) Here O Restricted Delivery Fee \\ y (Endorsement Required) VO L r-q Total Postage&Fees \ iLn Sent To Joseph Burke ri Utreef M or P0 1577 Salem Street �` cry North Andover, MA 01845 Certified Mail Provides: a A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. a Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". N o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 ,� �. • W.Lrl.l_�1 . ' m F F I C A � Postage $ � Certified Fee Retum Receipt Fee `J 1\�,` Po (EndorsemenStM t Required) y, Here y 0 Restricted Delivery Fee (Endorsement Required) S d O I � a u'I Total Postage&Fees M Sent To — Sheryl Pryor � Street, ---------- C3 or PO 1542 Salem Street --------- North Andover, MA 01845 i Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece ra A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail®or Priority Mails. n Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return I Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. c For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 p 44-&071"- ru UI I� Postage $ � y �c Certified Fee f M Postmark Cn M Return Receipt Fee Here 4 p (Endorsement Required) M Restricted Delivery Fee \ J (Endorsement Required) IC3 - V') Total Postage&Fees C3 Sent To — - r Nelson Carbonell r-a .Sfree C3 or P( 1560 Salem Street %ry North Andover, MA 01845 Certified Mail Provides: d A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: d Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. o Certified Mail is not available for any class of international mail. d NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. d For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the. fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. d For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". d If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 ,3 Ln • C I 3 Postage $ y O> v T y Certified Fee Return Receipt Fee —i •Postma CO (Endorsement Required) Here M Restricted Delivery Fee \ ( `' (Endorsement Required) \_ C3 \C Total Postage&FeesLn C3 Sent T, George Abou-Ezzi C3 -r o--P---C) 60 Long ----------- Pasture Road 0 0.Po North Andover, MA 01845 Certified Mail Provides: n Ang receipt 1 e A identifier for your mailpiece a A of delivery kept by the Postal Service for two years I Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mails. e Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. n For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 The Morin-Cameron x NOTICE This notice is to inform you that the North Andover Board of Health will beholding a hearing on Thursday, April 30, 2015, at 7pm at the North Andover Police Department meeting room (1475 Osgood Street), on the Application for Variance by at Pam & Henry Smith at 1550 Salem Street (Assessors Map 1066, Parcel 54) to request the following: ....LOCAL B.O.H. VARIANCE REQUEST STATE LOCAL REQUEST (TITLE 5) (BOH) MINIMUM SETBACK DISTANCE BETWEEN SEPTIC TANK AND WETLAND RESOURCE AREAS (NORTH ANDOVER BOARD OF HEALTH MINIMUM REQUIREMENTS , FOR THE DESIGN, CONSTRUCTION 25 75 72 AND MAINTENANCE OF ONSITE WASTEWATER TREATMENT AND DISPOSAL SYSTEMS, SECTION 3, TABLE 1) MINIMUM SETBACK DISTANCE BETWEEN SOIL ABSORPTION SYSTEM AND WETLAND RESOURCE AREAS (NORTH ANDOVER BOARD OF HEALTH MINIMUM 50' 100' 84' REQUIREMENTS FOR THE DESIGN, CONSTRUCTION AND MAINTENANCE OF ONSITE WASTEWATER TREATMENT AND DISPOSAL SYSTEMS, SECTION 3, TABLE 1) FAKATHYM\Smith 3307\Board of Health\NABH Variance Abtr Notice.doc CIVIL ENGINEERS • LAND SURVEYORS • ENVIRONMENTAL CONSULTANTS • LAND USE PLANNERS 447 Boston Street (U.S. Route 1) Topsfield, MA 01983 978.887.8586 FAX 978.887.3480 Providing Professional Services Since 1978 www.morincameron.com Abutter to Abutter( ) Building Dept. ( ) Conservation ( X ) Zoning ( ) Town of North Andover Abutters Listing REQUIREMENT. MGL 40A,Section 11 states in part"Parties in Interest as used in this chapter shall mean the petitioner, abutters,owners of land directly oppositeon any public or private way,and abutters to abutters within three hundred(300)feet of the property line of the petitioner as they appear on the most recent applicable tax list,not withstanding that the land of any such owner is located in another city or town,the planning board of the city or town,and the planning board of every abutting city or town." Subiect Property., MAP PARCEL Name Address 106.6 54 Henry Smith,Jr. 1550 Salem Street North Andover,MA 01845 Abutters Properties Map Parcel, Name Address 106.A 27 Christopher Stasonis 1514 Salem Street,North Andover,MA 01845 106.A 91 Arillotta Realty Trust 1532 Salem Street,North Andover,MA 01845 106.A 216 LP Realty Trust 57 Long Pasture Road,North Andover,MA 01845 106.B 1 Sylvia Konopka 1535 Salem Street,North Andover,MA 01845 106.B 2- Donald Deadder 1557 Salem Street,North Andover,MA 01845 106.B 3- Vnh Tran 1565 Salem Street,North Andover,MA 01845 106.B 4- Joseph Burke 1577 Salem Street,North Andover,MA 01845 106.B 5 Richard Galeazzi 1589 Salem Street,North Andover,,MA 01845 106.B 53— Sheryl Pryor 1542 Salem Street,North Andover,MA 01845 106.B 55— Nelson Carbonell 1560 Salem Street,North Andover,MA 01845 106.B 56 Winston Burt,III 1580 Salem Street,North Andover,MA 01845 106.B 57 Cynthia Hopkins 1592 Salem Street,North Andover,MA 01845 106.B 98 Arthur Dickey 26 Turtle Lane,North Andover;MA 01845 106.B 99 Arline Schwartz 38 Turtle Lane,North Andover,MA 01845 106.6 100 Carl Schoene 58 Turtle Lane,North Andover,MA 01845 106.B 220 Elvino DeSilveira 54 Long Pasture Road,North Andover,MA 01845 106.B 221-- George Abou-Ezzi 60 Long Pasture Road,North Andover,MA 01845 106.6 222 Jane Barbagallo 51 Long Pasture Road,North Andover,MA 01845 This certifies that the names appearing on the records of the Asse isor i as of ,lam Certified by: ate -3- `�� 1 1 tap TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAI��healthdept@townofnorthandover.com WEBSI IE:h"://www.townofnorthandover.com. SEPTIC PLAN SUBMITTAL FORM 0 7 2015 y Tow. Date of Submission:April 7, 2015 Site Location: 1550 Salem Street Engineer:John M. Morin, PE New Plans? Yes X $225/Plan Check#60213 (includes Ist submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes X No Local Upgrade Form Included? Yes X No Telephone#:978-887-8586 Fax#:978-887-3480 E-mail:John@morincameron.com Homeowner Name: Pamela & Henry Smith 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 , i Commonwealth of Massachusetts City/Town of H Form 9A— Application for Local Upgrade Approval a DEP has provided this form for use by local Boards of Health. Other forms may be used, but the M information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important:When filling out forms 1. Facility Name and Address: on the computer, use only the tab Pamela & Henry Smith key to move your Name cursor-do not 1550 Salem Street use the return Street Address key. North Andover MA 0 r� Citylrown State Zipp Code 2. Owner Name and Address (if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: Single family dwelling 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other(describe below): Septic tank, distribution box and leach bed 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Infiltrator chambers (bed configuration) Local Upgrade Approval.doc•rev.7/06 Application for Local Upgrade Approval* Page 1 of 4 r 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 M 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: 440 gpd Design flow of proposed upgraded system 440 gpd Design flow of facility: 440 gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): ❑ Voluntary ❑ Required by order, letter, etc. (attach copy) ® Required following inspection pursuant to 310 CMR 15.301: date of nspx1 of 014 insp date 2. Describe the proposed upgrade to the system: Install new septic tank, distribution box and infiltrator chambers. 3. Local Upgrade Approval is requested for(check all that apply): ® Reduction in setback(s)—describe reductions: Reduce setback from SAS to front property line from 10 feet to 7 feet(15.405(1)(a)) 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 1 ft. Percolation rate 5 min./inch Depth to groundwater 3 ft. Local Upgrade Approval.doc•rev.7/06 Application for Local Upgrade Approval* Page 2 of 4 ,I 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 `M information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Isaac Rowe 10/31/14 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: Lot shape, wetlands and existing dwelling location limit available area for SAS. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: An alternative system, infiltrator chambers are proposed. Local Upgrade Approval.doc•rev.7/06 Application for Local Upgrade Approval, Page 3 of 4 Commonwealth of Massachusetts City/Town of Form 9A— Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the M 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: Abutting septic not failed. 4. Connection to a public sewer is not feasible: Not available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." + a5 aUWbr., F li Owners Signature Date Pamela & Henry Smith Print Name John Morin, The Morin-Cameron Group, Inc. 5 Name of Preparer Date 447 Boston Street Topsfield Preparees address City/Town MA 01983 978-887-8586 State/ZIP Code Telephone Local Upgrade Approval.doc•rev.7/06 Application for Local Upgrade Approval* Page 4 of 4 Authorization Form Re: 1550 Salem Street, North Andover I, Pam Smith, authorize The Morin-Cameron Group to sign any and all applications to the Town of North Andover on my behalf regarding the above-referenced property. r _ m Smith Date I • The Morin-Cameron Group, Inc. Bank 6021: 447 Boston Street;Suite 12 Topsfield,MA 01983 America's Most Convenient Bank® 978-887-8586 53-7054-2113 CHECK DATE U R 4/3/15o o PAY Two hundred twenty-five & ---------------------------------------------- 00/100 ---------------------------------00/100 dollars m W TO Town of North Andover AMOUNT n $225.00 8 C SMI3307 u AUTHORIZED SIGNATURE II°06021311° : 211370 S4 SI: 82S24S10SSo - -The Morin-Cameron Group, Inc. 60213 Smith 3307—Septic app, fee $225.00 60213 JCT OLT141 USE WITH 91500 ENVELOPE f pLAKNING BoAmo APPROVAL umorr'IS16`$tl�{Yl1tY5lOK� Eo9�i.11fIs1Ow OF LANA 1NN CONTROL LA.,, UOT RE9ulREi7, Z' S .y%E � IWr N L VE 2 F�IA►�5� -c�y�,A , P>_gh1NING BoAR� Ssz 3$ 1D,pN " �0i SCALE I''=4-0 F'T, 3 JuI-Y 1%9 lv��E C o•� ��� ogE 7 A L T GEo P. w 'I fl H -rR'RRZ M7rrQ.D' k R'A�CFf6u6.C.PRESSEY,IWr ,. . 30. E RlGc i.A*►o sukVeYoRs „M ; ' era` �� 9 11314um*ar sm, LYMK Siewo-T»E SAME LANe s4 buim ow PLA14jkscoitoeo F S 5 1 Essex No-REGISTRY JAN.18,1969 4LA,%it 5'r95 P Irk 35 - q AR s E 56' s r - o , a\J m 5 1P�6 1p 9.'L9 � N R' 0 00; Y .d r J `< m I(1 .4 `r to N m N i O n JA in 0 h Lo-T Lo-r 3 M1 76,900 S.F. LO 1 h LOT Z 66,200 s.F, N, Sk.0700 S.F 146,900 S.F. r X v W i 7 T V 5 0' j9`V t- N 33 30'21E'Nl IS'0.00 4'7.•73 _ STAR 5 T R E 53e-2 .RAKK\KG bOARP A9PRoVA4l1gvaWTNe Z'Mm4w-C—IR-LAW NOT Vun284 • '; N�P�-,.�.' T�H +N fR . PLA-K`N'IN-cs BoARo` a ti. p"zowIslow:.of LAma 114 SKEEZ ? of 2 RA`lMONO c'PRE ssv%.Nc. R 8 nerr a ssi y5 les mP @b.'A%D SY RUEKORS 69 }I'E MY%ROH.b7\L•YN% nMw ^J N , � ° • FL�� pu %Qk I+1 9E1K6-N;SAME.LAND SNaw%ON PLA%RECORDED I I' �"ye•89 pp ES6CY K'b,REGtS7RY.IA%.18�1968 PLf.M M5795 5p.j6Q~ sSs O 5 S� 98 �pL"L .. '1482 a In n +"� U '\! T m 3 n .o/ h v i t- H ` O 1 6 aa, c r LOT 9 e.y AceEs 7 IL N '00 0 W s•� a i a _ 1 u I. W N N n p o 4 q �. 00:sa `eIt 6 t 3ea� 1 R Y. �? \ N �t. syeaa� °� � 44.iop s.�• f ADT �0+1H 6 ° e 41 y4o ul 4 Y�✓° � u �S.F 7 • � I ? J O �Oj 4 1 �.'• V 4 i r °ze. °•Y �e,9 �.,, �.,BdcE E r e•�� m 'dq C.,Y es c a* I.tvi.�a4Y...15Q.°°. Q4, s>+w 'b4�SY.•ve � �7 •SZREE T•Q nE7 11.f9e P"t IS•glfr. °4 .. � S�Z_Z Q37.S:�+.+'\• "'.(/ ,(ls�. `'`a3 ST�GF COMMONWEALTH OF MASSACHUSETTS NORTH ANDOVER, MASSACHUSETTS SOIL SUITABILITY ASSESSMENT FOR ON-SITE SUBSURFACE SEWAGE DISPOSAL SITE INFORMATION Friday, October 31', 2014 Street Address:#1550 Salem Street City/Town:N.Andover State:Massachusetts County:Essex Zip Code:01845 Land Use:Single family residential Latitude:—42039'01.9"N Longitude:—71003'43.9"W Elevation:—128'AMSL PUBLISHED SOIL DATA AND MAP UNIT DESCRIPTION Physiographic Division:Appalachian Highlands Physio.Province:New England Physio.Section:Seaboard lowland section Soil map unit: 421D—Canton fine sandy loam(Coarse-loamy,mixed,mesic,Typic Dy_strochrepts) 15-25%slopes NRCS/USDA web soil survey:Essex County,Massachusetts,Norther M. Map Scale: 1:200' Soil hydric or upland: Upland Average depth to water table:72" Depth to restrictive feature: >120" Frequency of flooding:None Frequency of ponding:None Available water capacity:Low(-4.5") Runoff class:Low Drainage Class:Well drained . Hydrologic Soil Group:A Ksat:High(2.00—6.00 in/hr) Soil limitations: Rapid permeability moderately-compact stable substratum,high saturated hydraulic conductivity&deep water table WETLAND AREA&USGS WELL MEASUREMENTS (closest active USGS monitored well) National Wetland Inventory Map:NA Wetlands Conservancy Program:NA Bordering vegetative wetland: >200 feet Current Water Resource Condition(USGS):Well Site#4234010711093801.MA-XMW 78 Wilmington,MA Well completed in Sand and gravel gguifers and ice-contact deposits,including kames and eskers. Well depth: 12.00 feet Borehole depth: 12.00 feet Land surface altitude:95.00 feet above NGVD29 Most recent data value: 8.59'on 10/30/1.4(depth to water level,feet below land surface). Range:Normal NATIONAL FLOOD INSURANCE RATE MAP Above 500 year flood boundary?Yes Within 500 year flood boundary?No Within 100 year flood boundary?No SURFICIAL GEOLOGY: Surficial geology:Own:Early Wisconsin aged ground moraine Map scale: 1:24,000' Geologic parent material: Sandy, moderately compact,glacial lodgment-till deposits overlying undulating bedrock. Geomorphic landform:Rolling ground moraine Landform position(213):Back slope Landform position(313): Side slope Slope gradient:—2-4% Down slope shape:Linear Across slope shape:Concave Slope complexity: Simple Bedrock outcropping in vicinity:None Glacial erratics in vicinity:Boulders observed in rear yard of site. 1 TP 14-1 DEEPH oERVATION Bs OLE #1550 Salem Street,North Andover, Massachusetts Date: October 31,2014 Time:09:30 Weather:Clear,cool,480F,calm. Position on landscape: Gently sloping front yard Slope aspect:Northerly Vegetation: Grass lawn Property line: 10+feet Drainage way: 50+feet Drinking water well: 50+feet. Wetlands: 50+feet Open water body: 200+feet Abutting septic system: 50+feet SOIL PROFILE ► IR 14-1 Depth below Soil Soil Texture Soil Color Redoxomorphic Consistence,grade,size,structure,grain size,soil moisture state, land surface Horizon/ (USDA/MRCS) (EarthColors) Features from roots,horizon boundary,clasts,stratification,artifacts,restrictive (inches) Layer ESHGWT features,etc. Anthropogenic layer/human transported material.Sand is the Op 27 C Sandy Loam I OYR32 none observed „ predominant texture.Very friable,structuriess,well graded, --� very dark unstable,uncompacted and non-cohesive,fine to medium grained brown mineral content,20%rounded to sub-rounded gravel,abrupt smooth boundary. Very friable,fine to medium granular structure(moderate grade), silty cohesive matrix,fine grained mineral content,damp matrix., 27 31" Ab Sandy Loam l 0YR22 none observed very dark many fine to medium grass and shrub roots,free of clasts,clear grayish brown wavy boundary. Very friable,fine to medium blocky structure(weak grade),gritty, 31 36" $ Sandy Loam 10YR46 weak cohesive matrix,fine to medium grained mineral content, w yellowish none observed damp matrix,few fine to medium tree and shrub roots,15% brown rounded gravel content,diffuse smooth boundary. Friable,structure less,somewhat stable matrixweakly stratified C 2.5Y56 and poorly graded,mixed fine to medium grained mineral content, Loamy Sand @ 72" gritty, 20%rounded to sub-rounded gravel content,free of cobble 36 —� 120" libro n brown (m 3,p) sized clasts,faint variegated colors(nodules)observed at subtle textural changes within matrix,observed seasonal high groundwater table at 72",no apparent water observed and no bedrock refusal at test bole depth. Depth to bedrock: > 120" Hydrologic Soil Group: A Drainage Class: Well drained Soil map unit: 421D—Canton fine sandy loam(Coarse-loamy,mixed,mesic,Typic D_ystrochrepts) 15-25%slopes 2 TP 14-1 DEEP OBSERVATION HOLE #1550 Salem Street North Andover Massachusetts DEPTH TO APPARENT/PHREATIC GROUNDWATER TABLE: Not Observed Apparent water seeping from pit face: (B�iow jd s f.a ) Depth to stabilized apparent water: a�j.W iffid cel Soil moisture state:Damp ESTIMATED SEASONAL HIGH GROUNDWATER TABLE: Depth of Estimated Seasonal High Groundwater Table: 72"(below land surface) Type: Masses on grain surfaces and ped interior Abundance:Many Size:Coarse Contrast:Prominent Shape:Irregular/stringy and spherical Moisture state:Moist Location:C matrix Hardness: Soft Boundary:Diffuse Concentration color:2.5YR46(red) Reduction color: 10Y71 (light greenish gay) DETERMINATION OF HIGH GROUNDWATER ELEVATION / Observed depth to stabilized phreatic water: inches below grade Observed water weeping from side of deep hole: inches below grade Observed depth to redoximorphic features: 72" inches below grade Groundwater adjustment: DEPTH OF NATURALLY OCCURRING PERVIOUS MATERIAL: ► 7.41 feet Depth of naturally occurring pervious material in TP 14-1 Upper boundary: 31" Lower boundary: 120" Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. I further certify that the results of my soil evaluation,as indicated in the attached Soil Evaluation Form,are accurate and in accordance with 310 CMR 15.017. Alexander F.Parker License#1848 June 1998 Printed name of evaluator&license number Date of Soil Evaluator Certification Mr.Isaac Rowe,Town of North Andover Public Health Agent 10/31/14 Town of North Andover witness Date of soil testing 3 COMMONWEALTH OF MASSACHUSETTS NORTH ANDOVER, MASSACHUSETTS SOIL SUITABILITY ASSESSMENT PERCOLATION TEST Percolation Test Percolation Test 1 TP 14-1 Depth of test: Depth to shelf. 37" 55" Depth of hole: 18". Start presoak: 09:46 End presoak: 10:01 Time at 12"--)� 10:01 Time at 9"—* 10:10 Time at 6"---> 10:23 Total time 9"to 6"—* 13 minutes Rate 4.33 MPI (minutes per inch) Alexander E Parker License#1848 10/31/14 Printed name of evaluator&license number Date of percolation testing Mr.Isaac Rowe,Town of North Andover Public Health Agent Town of North Andover witness 4 7 1 a� e Commonwealth of Massachusetts Executive Office of Energy & Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108 0 617-292-5500 Charles D. Baker Matthew A.Beaton Governor Secretary Karyn E.Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Infiltrator_Systems,Inc. P.O. Box 768 6 Business Park Road Old Saybrook, CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8- inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber, Equalizer r 24 chamber, Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber, Quick4 Equalizer 24 LP(Low Profile) chamber(6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert) (hereinafter the "System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19, 2015 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Infiltrator Systems, Inc., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the System described herein. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. February 19,2015 David Ferns, Director Date Wastewater Management Program Bureau of Water Resources I. Design Standards "'his information is availab;e in alternate format.Cail Mcnetie waters-Ekanern.Diversity Dlrec`..or.ai 617-292-5751.TTY#folassRO ay Service 1-800-439-2379 WssDEP ir,r>tsiie:;;r✓,v.:;ziss. n.i;d2n rir.teri Cri t ecy,,-.Ne 1"aper Infiltrator Chamber,Infiltrator Inc. Page 2 of 6 Approval for General Use—February 19,2015 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches -Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 Quick4 Equalizer 24 LP 6-inch invert) 16 x 48 x 8 6Z uick4 Equalizer 24 LP 2-inch invert16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 _Quick4 Standard HD 34 x 48 x 12 8 Quick4 Plus Standard 5.3-inch invert34 x 48 x 12 5.3 Quick4 Plus Standard 8-inch invert34 x 48 x 12 8 Quick4 Plus Standard LP 3.3-inch invert 34 x 48 x 8 3.3 Quick4 Plus Standard LP 8-inch invert34 x 48 x 8 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.254 High Capacity Chamber 34 x 75 x 16 11 High Capacity Chamber H-20 Chamber' 34 x 75 x 16 11 _Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5 Quick4 Plus High Capacity 8-inch invert34 x 48 x 14 8 uick4 Plus High Capacity 13-inch invert 34 x 48 x 14 135 This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements. 3 Includes Infiltrator MultiportrM invert adapter attached to the side of the end cap. 3 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 4 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. A Infiltrator Chamber,Infiltrator Inc. Page 3 of 6 Approval for General Use-February 19,2015 4. For new construction or upgrades, the applicant can size the System in a trench configuration, using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching' Leachings Area Area SPLIT SF/LF Equalizer 24 3.76 N/A Quick4 Equalizer 24 3.90 N/A Quick4 Equalizer 24 LP (6-inch invert) 3.90 N/A Quick4 Equalizer 24 LP 2-inch invert2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard 5.3-inch invert6.20 N/A Quick4 Plus Standard 8-inch invert 6.96 N/A Quick4 Plus Standard LP 3.3-inch invert5.65 N/A Quick4 Plus Standard LP 8-inch invert6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A High Capacity H-20 Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity 8-inch invert6.96 N/A JLQ uick4 Plus High Capacity 13-inch invert7.93 N/A 6 Effective April 21,2006, 310 CMR 15.251(1)(b)maximum trench width is 3 feet. '. Effective leaching area is equal to 1.67(bottom width+(2x invert height))for Systems 3 feet or less in width. 8. Effective leaching area is equal to 1.0(3 +(2x invert Height))for Systems with a width greater than 3 feet. 9. The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems.installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3, or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 6. For new construction or an upgrade, the applicant can size the System in bed or field configuration, using the effective leaching areas presented in Table 3. Infiltrator Chamber,Infiltrator Inc. Page 4 of 6 Approval for General Use—February 19,2015 Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching10 Area SF/LF Equalizer 24 2.09 uick4 Equalizer 24 2.23 uick4 Equalizer 24 LP 6-inch invert2.23 , uick4 Equalizer 24 LP 2-inch invert2.23 Equalizer 36 3.06 uick4 Equalizer 36 3.06 Standard Chamber 4.73 uick4 Standard 4.73 uick4 Standard HD 4.73 uick4 Plus Standard 5.3-inch invert4.73 Quick4 Plus Standard(8-inch invert) 4.73 uick4 Plus Standard LP 3.3-inch invert4.73 uick4 Plus Standard LP 8-inch invert 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 High Capacity H-20 Chamber' 4.73 uick4 High Capacity 4.73 uick4 High Capacity HD 4.73 uick4 Plus High Capacity 8-inch invert4.73 2ick4 Plus High Capacity 13-inch invert4.73 10.Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288, additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units.approval. In no instance shall.the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. II. Special.Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval, the System shall comply with the "Standard Conditions for Alternative SAS with General Use Certification and/or Approved for Remedial Use" (the 'Standard Conditions'), except where stated otherwise in these Special Conditions. 4 G Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w 1550 Salem St Property Address Pamela Smith Owner Owner's Name information is required for every N Andover MA 01810 9/10/2014 page. City/Town State Zip Code Date of Inspection I Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector. SEP 6 2O 4 key to move your cursor-do not David Chandler _ use the return Name of Inspector ` key. i HEALTH DEPARTMENT Sewer Works � Company Name I 26 Hillside Ave. Company Address Westford MA 01886 CityfTown State Zip Code 978-692-4410 S137 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority I , d 9/10/2014 Inspecto s igna ure Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 1 a � . a T TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ,., � 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept(a_town ofnorthandover.com www.townofnorthandover.com APPLICATION FOR SOIL TESTS I� DATE: October 10,2014 MAP&PARCEL: Map 106B Parcel 54 LOCATION OF SOIL TESTS: 1550 Salem Street I OWNER: Pamela&Henry Smith Contact#: 978-683-1368 CEIVED APPLICANT:Pamela&Henry Smith Contact#:978-683-1368 204 OCT 14 ADDRESS: 548 South Bradford Street North Andover MA 01845 — ,OF NORTH ANDOVER 14 ACTH DEPARTMENT ENGINEER: John Morin The Morin-Cameron Group,Inc. Contact#: 978-887-8586 CERTIFIED SOIL EVALUATOR: Alex Parker Intended Use of Land: Residential Subdivision Single Family Hom Commercial i Is.This: Repair Testing: X Undeveloped Lot Testing� Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x II"Plot plan&Location of'Testing(please indicate test nit sites on the nlan) ➢ 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�gnairs or u�gr des. 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"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval Date: > 1 Signature of Conservation Agent: J�L� 1 - ON If Date back to Health Department: (stamp in): ` �v a , Y� alil.'0 111 sr X Y 3 ! r i , _ 1 { 1 qs�l 1 _.. p 17 509 : IZAJil �u►ill 11 I ---------._ Ze „_,,._...,_...._. _. _ - �- _:• �.s _....... s i t r BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. g � ;z I el c , I rct ��so SaIE s-f Jac �, r r 1. NAME C-Z G D►' DATE - 2. ADDRESS / ✓� S�1/u�m LOT NO. TEL. 76 � DEN YESy� NO � 3. N0. OF BEDROOMS 3 '7� 4. GARBAGE GRINDER YES __ NO� -- 1 5. SHOW DIMENSIONS OF HOUSE (. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT i 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL t 9 NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM STREAMS ' 10. SHOW LOCATION OF BROOKS, , DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE; LOCAL REGULATIONS SHOULD BE READ CAREFULLY.