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Miscellaneous - 186 INGALLS STREET 4/30/2018
0 N O W GI D r L � o I I�o�1a�MU1�, v��'izim.ruk PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 11/30/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of an ®n -Site Sewage Disposal System By: Todd Bateson At: Im Map E Lot 47 North Andover, MA 01845 this c�rtrt`i�at shal `riot be co4trued as a guarantee that the system will function satisfactorily. Michele Grant Public Health Agent 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Town of North Andover — Septic System - AS -BUILT CHECKLIST 1) JAR changes to the design plan have been reflected and noted on the as -built plan 2) As -built plan has a suitable scale; (1 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) �/ Locations, Elevations and Dimensions of As -built system components, including reserve (if applicable) 6) t1 Ties to all tank openings, d -box, and leach area from dwelling or Permanent Structure Setback distances are shown on the as -built plan from system components to: Subsurface, interceptor & foundation drains Catch basins _ T- Property lines -T Dwellings or other structures ----V—�Private water supply or irrigation wells Watercourses or wetlands 8) J Locations of Wells, Drains, Wetland Resource Areas within 150 feet of system 9) J Location of water, gas, electric lines, cable, control panel (if applicable) 10) I/ Location of Structures within 6 Inches of Finished Grade 11) Original Stamp & Signature 12) Location and holder of any easements which could impact the system 13) ' / Impervious Areas; Driveways, etc 14) North Arrow 15) & Elevation of Benchmark used 16)zLocation STATEMENT ON PLAN (NA 5.3) a. "I certify the locations, elevations, ties, cover material; exposed component covers etc., shown on this as -built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met.,, Signature of Designer Date b. "If a STUCTURAL WALL IS PRESENT (NA 4.9) a Letter or statement on the as -built indicating the wall - was, or was not, constructed in accordance with the intended design and anv manufacturer's specifications." Signature of Designer Revised 3/17/15 Date Yv a PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( ) repaired; LE Located at: ;{Q - Qi' A L' V2 � l (Installation Address) Was//installed in conformance with the North Andover Board of Health approved plan, originally dated 15 and last revised on q/Y7 —1 �j , with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310. CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: And — Print Name Final Construction Inspection Date: 2 1,4L1 And — Print Name/? (Signature) Engineer: 140 /,utk lW�iAc(Signature) RECEIVED Nov 2 3 2015 Engineer Representative (SignaU�ii,M)N OF NORTH ANDOVER HEALTH DEPARTMENT Engineer Representa ive (S' ature) Date: And — Print Name Date: /l /9 — /s, And — Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com North Andover Health Department Community and EconomicDevelopment Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 186 Ingalls St. MAP: 106B LOT: 47 INSTALLER: Todd Bateson DESIGNER: Vladimir Nemchenok PLAN DATE: 6/30/15, rev 8/7/15 BOH APPROVAL DATE ON PLAN: 8/28/15 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 11/13/15 DATE OF FINAL CONSTRUCTION INSPECTION: 11/16/15 DATE OF FINAL GRADE INSPECTION: 11/18/15 SITE CONDITIONS ❑ Contractor reports any changes to design plan ® Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ® Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction Z Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port Z Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: Rubber boots on tank so not cement needed/see pictures DISTRIBUTION -BOX ® Installed on stable stone base ® H720 D -Box ❑ Inlet tee (if pumped or >0.087foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) X. Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ® Laterals installed and ends connected to h Bader( and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: 34Lx26'10" with overdig. 15' from corner of house SOIL ABSORPTION SYSTEM (Gravel -less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: 6 ❑ Number of rows (trenches): 6 Comments: Total Chambers = 36 FINAL GRADE X Loamed X Seeded X Cover per plan Comments: DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer As -Built Plan BM 127.05 HR = 4.69 HI = 131.74 SYSTEM ELEVATIONS ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Building Sewer OUT 5.95 at mid point 125.79 125.8 Septic Tank IN 6.01 125.40 _ 125.30 Septic Tank OUT 6.19 125.22 125.05 Distribution Box IN 7.06 124.35 124.33 Distribution Box OUT 7.23 124.18 124.16 Lateral 1 TOP Lateral 1 INVERT 7.30 124.11 124.10 Lateral 2 TOP Lateral 2 INVERT 7.30 124.11 124.10 Lateral 3 TOP 7.26 124.48 124.49 Lateral 3 INVERT 7.30 124.11 124.10 Lateral 4 TOP Lateral 4 INVERT 7.30 124.11 124.10 Lateral 5 -TOP Lateral 5 INVERT 7.30 Lateral 6 TOP 7.28 setback Lateral 6 INVERT 7.30 Tank SAS Sewer ® Property line Top of Chamber 10 -- ® Cellar wall Bottom of Bed/Chamber 7.94 ® Inground pool CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water .25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland / Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other) Foundation 10 (5) 20 (10) Z Drywells 20 25 j ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser.distance (NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws } F 1 l . '�•f. Via! `�'� .Glai���a. '� lrti 4' # 4 i�P� �a p+. • J ' J" r. Z ,r ��� �` • f '�q v'� i M � .g� i FG. Vie,• . S � • �' � X ,k'� f '1 ' r " �'��.a• ���`r�l I:... h� r�'•�,i�+' r,...�r �;�4. �;1 • �. �„`' ";�sf, r �'I" r `u �, C.dr_' �:.t} I{('!•.''$ �' f� =>,I — .,. d,#i�'r.r �'L`'�` s-. �'Y * r +,'ti+' r+ F�� � .�(N�„r � - rF o ->'r �/ .a.. 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Address 111 ARGI LLA ROAD M.4 _ ANDOVER, MA 01810 City/Town State . Zip Code Telephone Number (Cell Phone #ifposs/b/e..p/ease) 4. Desi.aner<Information �;` /� lLJu F/'„[.3N-� / I.4! i /` s"1�"'At�r�. ��t i ^' •�%-� �_ Name Name of Company Address City/Town State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 P � '� C> Application for Septic Disposal G ,System Construction Permit -TOWN OF TODAY'S DATE NORTH ANDOVER, MA 0.1845 $ 250"A0 — Full Repair x1~25:00 - Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site'sewage disposal system* forms on the computer, use epair or replace an existing, on -eft sewage disposal' system* onlythe tab key to move your E]Repair or replace an existing systern.component -What? cursor- do not use the return A. Facility Information 1 key. % �r (o Address or Lot # at Cityrrown 70 • y A4? - 7V 7 - `� 2: *TYPE OF SEPTIC SYSTEM*: ➢ ❑ Pump CR<iavity (choose one) —if pump system, attach copy of electrical permit to application' ➢ ❑ Conventional System (pipe and stone system) ➢ Q Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certi5cafion to install this type of system.) ➢ ❑ Pressure Distribution S.A.S. (No D -Box) ➢ ❑ Pressure Dosed (D -Box Present) S.A.S. ➢ ❑ Does the system require an effluent filter? Yes No If yes, does plan specify make and model of filter? YES = (no further info. needed) WO = (installer must specify brand of filter before DWC issuance) What is the Make? What is theModW 2. Owner Information Name �.✓9,¢ /(5� Address (if different from abov ) pV� /%Z/)- '&q / r yam_ City/Town State Zip Code X17r Telephone Number 3. Installer Information Name Name of Company ENTERPRISES, 117 V. Address 111 ARGI LLA ROAD M.4 _ ANDOVER, MA 01810 City/Town State . Zip Code Telephone Number (Cell Phone #ifposs/b/e..p/ease) 4. Desi.aner<Information �;` /� lLJu F/'„[.3N-� / I.4! i /` s"1�"'At�r�. ��t i ^' •�%-� �_ Name Name of Company Address City/Town State Zip Code Telephone Number (Best # to Reach) Application for Disposal System Construction Permit • Page 1 of 2 N L1 TODAY'S DATE $:250.00 N11 Repair $125.00,- Component PAGS 2 OF 2 A. Facility; Information continued.... 5. Type- of Building: Epl(e�sldentlal, Dwelling or [30ommercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore -do' scribed on-site sewage disposal system In accordance with the.provisions of Title 5 of the EnvIronmental Code, as well as the Local Subsurf4ce Disposal Regulations North Andover, and not to place.the System Ih operation until a Certificate of Compliahce has been Issued by Ws Board of Health. Name Date Application Mappr.oved.. for the following reasons: For Office Use only: I - Fee Attached? Yes No 2. PZOIect Afad-ager ObYgw don Form Attached. Yes M 3,: Bin System? Ifso) A MachCS B, No 4. Fbuvd2db*As-Bu&.? (new construction -ronly),- --yes.No (Same scale asapprovedpLw). No A FloorMws? (new construction only): \.No - Odni"010h Perot Page 2 Of 2 sEP'k`IC K ?OBLIGATJ�M As flia•Npstb Aadovea.liceascd fQs ie nstmc f •the�aepiic apttsapo fa�.the�tq y Bdi$Yd to t6l.apptfetdon o� `�_ -�� �� . (immilices Dated J,s! AM dated tunow {iau revised dsoe) I uacictetaad the foRowing ofiligsttoas far =mgemeut ofShia profect: i. As the iast� I ws.obl�tnd to obis sIIpea�db sadBostx} of �iesd� ;eppso4sd p�.� ' . fetbouft sap woA da a site. 2. As fiaboft-j.1ibt li sny sad Itbo eonvs:eect Fm3 maaaget, or may 4 i� tbt�•s3 .his Ifcsble. P!aP � snd'tba system is zansdy, thio ` At* �; x a44d 4o.aywc:p . . • 6 � �� �ert+aothave tcb�p�sait;• . • �����-_�t�i�fitep�tiost far ���. mac.. . a � OIC'(as amsll� fry the ec�imaes must Is tq idff ed•tct'he.8eutof.He" sit: *Clk 6 dsac. 'Isarelter niiist be.p r jffl t' , tb ; be �aatliy ate able oa •eaaaep `deo 'C., �a�pm �'�?��� rntnp),tte: Iusb�ei docs �aot 4. ha*e' I vtttwd that I" lwuzkL ,(e �� sind'I ezei teg�ired . ' to aoa�pletetlie�sc�ttifta of thio sysdetghle% .•sed �pp�f �� � 4 "5., j!S!r thraica�l}Ies,.I n�idert I ^ s 'at�taG . '• • ' a �f t� fioHoarleg oaasir+hc&r� . a Deartfomt that.�tp�r��o aft&e e�as�autrl�•,b� � - � - . - . ba Iasp�et�to� arft�re'�ead nradsgiietbUnved ' illd. aapeaBa� bpBos�mf ut�Te�iltb e(re9`'ot cvaastJlt�rt� '�[t�tl°rtt` afma&, D�"�g, ata�ag teat, P chamber, n`i'b• �snd' othar b. As the isaOee f ttifa xs, m rs.@, T•.,ti..,.1:?.,.e�.s....il.f_ m_ t__. _n_.� _ _ _. iJade d Saptic.I • • : podwoott 1. • ''. .. r .. '.c:`+.moi.. •' .. . , North Andover Health Department Community and Economic Development Division August 28, 2015 Rolland Muise 186 Ingalls Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 186 Ingalls Street (Map 10613, Lot 47) Dear Ms. Muise: The proposed wastewater system design plan for the above site dated June 30, 2015 with a final revision date of August 7, 2015 and received on April 20, 2015 has been approved. The design plan has been approved. for use in the construction of a new on-site septic system for a 3 -bedroom home utilizing a Quick 4 Low Profile Infiltrator Chamber system. This design plan approval is valid until August 28, 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 cellar wall from 20' to 15' • To reduce the separation distance from the soil absorption system to the estimated seasonal high ground water table from 4' to 3.5' 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 186 Ingalls Street August 28, 2015 This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)) 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, ichele Grant Health Inspector Encl. Installers list cc: Vladimir Nemchenok, P.E., Merrimack Engineering Services File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Grant, Michele To: Vladimir Nemchenok; rjmuisel@verizon.net Cc: Blackburn, Lisa; MERRENG@aol.com; wrdufresne@comcast.net Subject: 186 Ingalls Dear Vladimir, As per our conversation yesterday, I've received word back from our Chairman of the Board, Dr. Trowbridge. He will allow 186 Ingalls to be presented as a walk-on in front of the board, on Thursday, August 27th, 2015. If you so choose to appear, please let us know, as Dr. Trowbridge would like advance notification. Many Thanks, Michele E. Grant Public Health Agent Town of North Andover 1600 Osgood St i Suite 2035 North Andover, MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.com Web www.TownofNorthAndover.com Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday, August 20, 2015 3:52 PM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele; rjmuisel@verizon.net Subject: FW: 186 Ingalls Street Attachments: 186INGALLS ST. -NORTH ANDOVER2.pdf; 186INGALLS ST. -NORTH ANDOVER.pdf, 186 Ingalls.pdf Revised septic plans for 186 Ingalls Street. From: wrdufresne@comcast.net[mailto:wrdufresneCcbcomcast.net] Sent: Thursday, August 20, 2015 3:47 PM To: Blackburn, Lisa Cc: Grant, Michele Subject: 186 Ingalls Street Lisa As requested, attached are electronic copies of the revised 186 Ingalls Street Plan Thanks, Bill 1 MERRIMACK ENGINEERING SERVICES, INC, PROFESSIONAL ENGINEERS LAND SURVEYORS 9 PLANNERS 66 PARK STREET • ANDOVER, MA 01810 • (978) 475-3555, 373-5721 • FAX (978) 475-1448 • E-MAIL info@merrimackengineering.com August 19, 2015 Michelle Grant Health Inspector 1600 Osgood Street, Suite 2035 North Andover, Ma 01845 RE: 186 Ingalls Street Dear Michelle, RECEIVED 1QQ 20 2015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT We are in receipt of your review letter for the above referenced site dated 7-29-15. We have revised the plans with regard to items 1-4 of your letter. With regard to your additional comments that you encourage us to review, please note that before we start every septic system upgrade job, we have a site visit with the owners and review the property as a whole, specifically, we measure the height of the sewer pipe from the top of foundation where it exits the dwelling in cases where it is visible, and in this case, it was visible, so we are confident in its approximate height. Additionally, we take notice of the location of existing wells on and off the property. On the day of soil testing we again verified well locations on the lot located to the immediate south and to the east as we were aware of that well location having completed a septic system upgrade of that property last year. Enclosed herewith are 3 copies of the revised septic system upgrade design, we feel we have met all the requirements of Title 5 and the North Andover BOH and have adequately addressed your concerns and respectfully request the design be approved as re -submitted. Very truly yours, V44/Arl f(,JWC!l AIX -- Vladimir Nemchenok, P.E. Merrimack Engineering services, Inc. North Andover Health Department (ommunity and Economic Development Division July 29, 2015 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 MCOPY Re: Subsurface Sewage Disposal System Plan for 186 Ingalls Street (Map 106B, Lot 47) Dear Mr. Nemchenok: The proposed wastewater system design plan for the above site dated June 30, 2015 and received on July 14, 2015 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item where applicable. 1. The pipe between the septic tank and distribution box is labeled as "FM" which implies a pressurized force main, though no such piping is proposed on any other part of the design. Please clarify this notation to avoid confusion during the construction process. 2. Please clarify which brand and model of gravel -less chamber is being proposed. They are identified as "Quick 4 Standard Plus LP", "Standard LP" and "Quick 4 LP" on various sections of the design plan. 3. Please specify the requirement for annual maintenance on the proposed effluent filter (3 10 CMR 15.227(7)). 4. Please provide a percolation test log on the design plan (3 10 CMR 15.220(4)(1)) Lastly, while not a reason for disapproval you are encouraged to review and assure yourself of two items: 1. That the nearby properties truly do not have a well located within 100' of the proposed soil absorption system as indicated in Note 13 on your design plan. 2. That the building sewer elevation is as you indicate it to be on your design plan. If this estimated elevation is incorrect then the entire may not be able to be constructed as you proposed. North Andover Health Department, 1600 Osgood Street, Suite 2035, Page 1 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 These two items are being called to your attention so you can be aware and hopefully make certain there are not issues which arise with this project. Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Upon resolution of the items described above, please schedule the requested Local Upgrade Approvals on a future meeting agenda of the North Andover Board of Health where you can present them at a hearing of the Board of Health members for their consideration. -Sincerely,; Michele Grant Health Inspector cc: Roland Muise File North Andover Health Department, 1600 Osgood Street, Suite 2035, Page 2 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 TOWN OF NORTH ANDOVER' Office of COMMUNITY DEVELOPMENT AND SERVICES - HEALTH DEPARTMENT Alto, 1600 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone978.688.8476— FAX Public Health Director E-MAIL: healthdeptktownofnorthandover.com WEBSITE: http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: 7- 1 G -- Site Location:299_IhMAZ2 6TM ET Engineer: M Ei2YLl W ACr -- 50611-2=406 New Plans? Yes V $225/Plan Check #(includes 1't submission and one re- review only) Revised Plans?Yes $75/Plan Check # RECEIVED Site Evaluation Forms Included? Yes /'� No JUL 14 2015 TOWN OF NORTH ANDOVER Local Upgrade Form Included? Yes No HEALTH DEPARTMENT Telephone #:k2� ? S —?jy5 5 Fax #: qjl — 1440 E-mail: UAR 1 J2 N1/ NEMGI-i�►�G��Gp, GaM Homeowner Name: &xjl-, IGS C OFFICE USE ONLY When the sub m*'sion is complete (including check): )0.V Date stamp plans and letter ➢ ✓ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ J Enter on Log Sheet and Database Commonwealth of Massachusetts City/Town of North Andover e Form 9A — Application for Local Upgrade Approval M ,DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ 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 RECEIVED 1. Facility Name and Address: JUL 14 2015 Rolland Muise Residence TOWN OF NORTH ANDOVER Name HEALTH DEPARTMENT 186 Ingalls Street Street Address North Andover City/Town 2. Owner Name and Address (if different from above): SAME Name Cityrrown Zip Code 3. Type of Facility (check all that apply): ® Residential ❑ Institutional 4. Describe Facility: 3 Bedroom House 5. Type of Existing System: MA State Street Address State (978) 685-0241 Telephone Number ❑ Commercial ❑ School 01845 Zip Code ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Unknown t5form9a.doc • rev. 7/06 Application for Local Upgrade Approval* Page 1 of 4 �v Commonwealth of Massachusetts City/Town of North Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: B. Proposed Upgrade of System 1. Proposed upgrade is (check one): unknown gpd 330 gpd 330 gpd ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Total Replacement (see plan) 3. Local Upgrade Approval is requested for (check all that apply): ® Reduction in setback(s) — describe reductions: Distance from s.a.s. to fdtn. from 20' to 15' ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. ® Reduction in separation between the SAS and high groundwater: Separation reduction 0.5 ft. Percolation rate 10 min./inch Indwater 3.5 ft. % reduction Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts City/Town of North Andover u a Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12 -inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met— describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluatormust be a member or agent of the local approving authority. High groundwater evaluation determined by: Isaac Rowe 5.12-15 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: NA 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: NA t5form9a.doc • rev. 7/06 Application for Local Upgrade Approval* Page 3 of 4 4 Commonwealth of Massachusetts City/Town of North Andover a Form 9A — Application for Local Upgrade Approval �M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: NA 4. Connection to a public sewer is not feasible: None Available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other (List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." 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U) U) c£ jCM \/ $f k \ = 5 3 C) w�8 m$1c CO) =@ w k/>ƒ 7� ©� g S \§k} �\ = @ � ° . dna@2 S § o ocu 0 �' o )E&W% C2 . \ _ L 0 CL e e K E �k ¢/2 Z0 N O Q. N as 3 m as v� O L O f+ _ N Q 7 V � O Q O .c '— .c r- O O cn Z 30 C E O E E � L- 0.- V U ILL � I Mg IliiiIIIIIIIIIIIIIIIIIiioi1P co W 00 4) ca a Ij Commonwealth of Massachusetts City/Town of North Andover - Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to ,determine the form they use. Important: When filling out A. Site Information forms on the computer, use Rolland Muise only the tab key Owner Name to move your 186 Ingalls Street cursor - do not Street Address or Lot # use the return key. North Andover MA 01845 City/Town State Zip Code VQ (978) 685-0241 Contact Person (if different from Owner) Telephone Number B. Test Results Observation Hole # Depth of Perc Start Pre -Soak End Pre -Soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate (Min./Inch) Date Time P-1 60" 10:42 10:57 10:57 11:14 11:43 29 10 Date Time Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ William Dufresne SE# 640 Test Performed By: Isaac Rowe (Mill River Consultina) Witnessed By Comments t5form12.doc• 06/03 Perc Test • Page 1 of 1 f Infiltrator Chamber I/A technology Certification I hereby certify that I have been given a copy of the Title 5 I/A technology approval letter, and the Owner's Manual for the above technology and I agree to comply with all terms and conditions. I further certify that I am aware that this design does not allow use of a garbage grinder in the dwelling and that I understand my requirement to .repair, replace or modify or take any other action required by the Department or the LAA if the Department or the LAA determines the system to be failing to protect public health and safety and the environment. -5xx"L%Ai v. certified by: (please print) MERRIMACK ENGINEERING SERVICES, INC. 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 date: Blackburn, Lisa From: Gaffney, Heidi Sent: Thursday, July 16, 2015 4:04 PM To: 'wrdufresne@comcast.net' Cc: Hughes, Jennifer; Grant, Michele; Blackburn, Lisa Subject: RE: 186 Ingalls Street Hi Bill, We reviewed the wetland line today at 186 Ingalls Street and agree with it. The erosion control line will need to be survey staked up -gradient of the 100' buffer zone line and the installed erosion controls will need to be confirmed by the conservation department prior to the start of work in order to not need to file with the Conservation Commission. Heidi Gaffney Conservation Field Inspector Town of North Andover 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone 978-688-9530 Fax 978-688-9542 Email hgaffnev@townofnorthandover.com Web www.TownofNorthAndover.com From: wrdufresne@)comcast.net[mailto:wrdufresne(cbcomcast.net] Sent: Tuesday, July 14, 2015 5:37 PM To: Gaffney, Heidi Subject: Fwd: 186 Ingalls Street From: wrd ufresneQcomcast. net To: "Lisa Blackburn"<Iblackburn(cD-townofnorthandover.com> Cc: "Michele Grant" <mgrant townofnorthandover.com>, "Jennifer Hughes" <jhughes townofnorthandover.com> Sent: Tuesday; July 14, 2015 4:12:19 PM Subject: 186 Ingalls Street Lisa, Attached please find a pdf of the Septic System Upgrade Design for the above subject site. The owner, Rolland Muise, will be submitting a complete application package and fee to you in the next day or two. Thanks, 1 Blackburn, Lisa From: Blackburn, Lisa Sent: Tuesday, July 14, 2015 3:27 PM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 186 Ingalls Good afternoon, I am mailing out septic plans for 186 Ingalls St. Did you get the email that our July BOH meeting has been cancelled? Isaac, I gave John Butt your cell number. He picked up the permit and plans for 1353 Salem Street. He will be looking for an inspection sometime probably tomorrow. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email IbIackburn@town ofnorthandover.com Web www.TownofNorthAndover.com 1 r v "+fit % a, 'e5+�-. ,� »� „�� v "� ,� rx= �; e - � .. A. . 4 APPLICATION FOR SOIL TESTS DATE: 4 -Z, -'j- 15 MAP & PARCEL: 10(/ f? / "l '7 LOCATION OF SOIL TESTS: IN f-U&LLA� G9Trj/9y�f OWNER: _ k l l*ky Contact #: bile 605- �-Zt i APPLICANT: /A Contact #: ADDRESS: ENGINEER." 041, IJiAeZ-- W6 Contact #A%ivJ'f7�r T CERTIFIED SOIL EVALUATOR: i�ji %, (Wed Intended Use of Land: Residential Subdivision Single Family a Commercial RECEIVED Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: APR 2 7 2015 In the Lake Cochichewick Watershed? Yes No " TWAN OF NORTH ANDOVER THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5" x 11 " Plot plan & Location of Testine (please indicate test nit sites on the plan) ➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing, a scaled plan (no smaller than 1"-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: Signature of Conservation Agent. � oN `�� ML /' — a as ® r 4� Date back to Health Department: (stamp in): 0_, ` TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ;, k HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, RENS, RS 978.688.9540 —Phone Public Health Director 978.6 8 8.8476 —FAX healthdept@townofnorthandover.com www.townofnorthandover.com APPLICATION FOR SOIL TESTS DATE: 4 -Z, -'j- 15 MAP & PARCEL: 10(/ f? / "l '7 LOCATION OF SOIL TESTS: IN f-U&LLA� G9Trj/9y�f OWNER: _ k l l*ky Contact #: bile 605- �-Zt i APPLICANT: /A Contact #: ADDRESS: ENGINEER." 041, IJiAeZ-- W6 Contact #A%ivJ'f7�r T CERTIFIED SOIL EVALUATOR: i�ji %, (Wed Intended Use of Land: Residential Subdivision Single Family a Commercial RECEIVED Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: APR 2 7 2015 In the Lake Cochichewick Watershed? Yes No " TWAN OF NORTH ANDOVER THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5" x 11 " Plot plan & Location of Testine (please indicate test nit sites on the plan) ➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing, a scaled plan (no smaller than 1"-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: Signature of Conservation Agent. � oN `�� ML /' — a as ® r 4� Date back to Health Department: (stamp in): 0_, ` 04 We �161 loc-.Bort Sutvey was muae- rne- )toutl zln8 JAI -at 4er jwe-Wtlq s6ow.tl is, kocm- e-8 on Ae _tq+ appt-oximZA ely as. ?lC3AQ-Al)z,txj -yk-a- i{--immPlie-8 w4m ereJe-A W4 A-6 70fiiti(i LAW:O�+ke-Towci o�7 Rc)vu", AqUovERl, zin8464 4e- t,oy,mezeA,546e* Zoquic iret�ultecne 4s 44he_ 16.al 46-dwettin -Cerv�t�y s6owti 15 tiQ-( it -i a fli ot.,) PLA i q ZoKc. KA P(Zlti otity- aLa4io'1 Owner information is required for every page. t5ins - 3/13 Commonwealth of Massachusetts Title 5 Official Inspection Form L .-- rcjv� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments or' �'-A 186 Ingalls Street Property Address Roland Muise Owner's Name North Andover MA 01845 Cityrrown State Zip Code D. System Information (cont.) 6/4/2013 Date of Inspection Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand -sketch in the area below Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 15 of 17 Permit NO: Iccnarl- TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received 6 ffld TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Kone family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [][]t tick ❑ W II �;` F odplain �,,Wv— hands w ®1111atershed �® st ct � � �„�'"� ��a� � � ���"���, V� Y � � 'moi. 1®�1%UaterlSewe�. F,��' t �. .,&s.-.-+S�.r. ..5* te,. � 2:•:; :Vn. _,.�"^tt'r,... ..� m � -.� - �.-�..._ �.-..-z•....Ps..........»r� #:L` � ....,.��:�4.-.-.^ t Aa F 4�.-de.r :... DESCRIPTION OF WORK TO BE PERFORMED: ARCHITECT/ENGINEER Phone: Address: Reg. No.. FEE SCHEDULE: BULDING PERMIT: $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ FEE: $ _ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to th g ar n nd 'Si mature 'OT:A ent/Owner g T g S,i,g�ature of ;contract 4 �: { Plans Submitted ❑ . Plans Waived 11 Certified Plot Plan ❑Letam�ped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE.DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ .. _Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed COMMENTS HEALTH COMMENTS F 00 .>< 3 Reviewed on Si nature Zoning Board of Ap als: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Tolv ! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT _,Temp Dumpster on site yes no L_ orated at:124,Maiil Street Fire Departmefrrt signature/date �OMMENTS , ij . JUN -5-8013 04:00 FROM:BRTESON ENTERPRISES 9784755451 TO:9786888476 P.1/1 Commonwealth Of Massachusetts Title 5 Official Inspection SubsuirFaceSewagopis Deet _ on Farm r P System Form Not for Voluntary Assessments (-Dv les IngjIIs Street ~✓" ` Property Addie- — •—...—.—. — — —. — Owner Roland Muise — — — — — — — — Inrormaton is Ownees Name — ---• roquired For North Andover every page.iI r own ' — ^ — MA 01845 6/4/2013 State Zip Code D®te of Inop9Ction D. Systerri Information (cont) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, Including ties to at least two permanent reference landmarks or benchmarks. Locate all wells. within 100 feet. Locate where'publilw water supply enters the building. Check one of the boxes below: hand -sketch in the area below drawing attached separately 15ins - 3113 Tige 6 Wdal Impoion Tann: !10* Oft Sewage Dispooel SyBtom • Pape 15 of 17 Y � 1 . 4��+ 'i�//�/-JylV)/Ci(1�"�.—'_ {mer. .$_'•'._ +..,,,� ...-.-,e....-<\a�- - - h. �+-. .. �.-,. _, .. °Y�. •� i k S. �{{ . � •� 1 I a-=L.�" � • 4=� ' \l�LS-+J'. 1�j' LC.- ll.-- �.J Com"'- '4 �t3 ; ;�t j .� � �, p t }Z I L`. w. •. ��s?..dL .:l '1.:. ' t x rr2.. +0. ^4 . 9 =- .w w ^: C/ ' North Andover Health Department Community Development Division May 30, 2013 Roland and Joanne Muise 186 Ingalls Street North Andover, MA 01845 Re: Application for: rear deck @ 186 Ingalls Street, North Andover, MA Dear Mr. and Mrs. Muise Your application for a building permit at 186 Ingalls Street has been reviewed by the Health Department. As you are aware from a conversation I held with you, the application cannot be approved until further information is received. The Health Department has no information of file on the accurate location of the subsurface disposal system. For protection of the structure of the new deck; the footings must be at least 5 feet from the edge of the tank. This minimum distance is needed in case this tank needs to be removed or crushed in the future. The Health Department has requested that components of the septic system be located by a licensed septic inspector. Authority to request this is granted by the MA DEP Environmental Code, which states Boards of Health may require septic inspections at any time a building permit is issued. A list of local inspectors can be found at this website. http://www.townofnorthandover.com/Pages/NAndoverNM Health/permitsandregs A plan is to be submitted depicting at minimum; the locations of the house; septic tank and building sewer; porch proposed with the deck sona tubes/ footings. This should be with ties between each component and preferably to scale. A full Title V inspection is not required for this building permit. Thank you for your cooperation in this matter. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. is Health Director Cc: Building Department File 1600 Osgood Street, Bldg 20 Unit 2035, Nortk Andover, Massachusetts 01845 g Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com North Andover Board of Health Meeting. Minutes . Thursday — August 27, 2015. 7:00 p.m 120 Main Street, 2nd Floor Selectmen's Meeting Room North Andover., MA 01845 • uvjkA ccx� Present: Thomas Trowbridge, Larry Fixler, Frank MacMillan, Joseph McCarthy, Susan Sawyer, Michele Grant, Lisa Blackburn I. CALL TO ORDER The meeting was called to order at 7:00.pm. IL PLEDGE OF ALLEGIANCE III. PUBLIC HEARINGS IV. APPROVAL OF MINUTES A. The meeting minutes from June 25, 2015 will be presented for signature at the next BOH meeting. V. OLD BUSINESS VI. NEW BUSINESS A. 29 Granville Lane - John Morin representing the owners of 29 Granville Lane, requested a LUA to reduce the separation distance from the soil absorption system to the estimated seasonal high ground water table from 5' to 4' (3 10 CMR 15.405(1)(h)(2). Mr. Morin gave a detailed presentation including the background history on the current failed septic system and the location of the proposed new system. Due to an existing in -ground pool, wetlands and other issues; there wasn't a possibility to put the new septic system in the backyard. Although the back of the new system is about 4.8' above the water table which almost. meets the 5' set back, the front of the system would require the LUA. The system will require a smll block wall or boulder retaining wall since the new. system needs to be raised up. Dr. Trowbridge looked at the plan and asked for clarification on the lot lines. Dr. Trowbridge. asked Mr. Ottenheimer, Mill River Consultant, if there were any issues as far as the abutting property or street were concerned. Mr. Ottenheimer stated there were not. Mr. Ottenheimer Also stated that he thought that the design plan was we11 thought out and didn't see a reason for the LUA to not be granted. :Dr. Trowbridge asked .Mr. Morin if they needed to go before Conservation. Mr. Morin stated that they had to file with Conservation and that they were issued a permit: MOTION made by Dr. -Macmillan to approve the LUA as requested and stated on the plan dated. Motion was seconded by 'Mr. McCarthy. All in favor and the motion was approved. B. 700 Middleton St. - James Herrick, filling in for Jim Morin, representing the owners of 700 Middleton Street, requested: 1. A Local Upgrade Approval request to reduce the setback distance fi•om the private well to the proposed leach field of 77 feet where 100 feet is required. (3 10 CMR I5.405(1)(g) 2015 North Andover Board of Health Meeting Page I 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; MemberHealth Department Staff: Susan Sawyer, Health Director; Debra RillAan, Public Health Nurse; Michele Grant, Public Health Inspector; Lisa Blackburn, Health Department Assistant 2. A Local Upgrade Approval request is required to have only one test pit in the proposed leach field area where two are required. (3 10 CMR 15.405(l)(k) 3. A local Upgrade Approval request of setback distances of wetlands to a SAS of 51 feet where 100 feet is required. Mr. Herrick gave a detailed presentation regarding the failed septic system and the new proposed septic system. The new system will be .generally in the same area of the existing failed system, which is the only place to put the system. Mr. Herrick stated that they filed a notice of.intent with the Conservation Commission but has not met with thein yet. They need the approval from Board of Health before they can go before Conservation... Mr. Herrick reviewed the proposed septic plan with the board members. Mr; McCarthy asked Mr. Herrick if the property has a well. Mr. Herrick stated that there is a well. The law requires 6system to be 100 ft. from a private well to a proposed leach field area. The LUA of 77 ft. is being requested. Dan Ottenheimer, Mill River Consultant, stated that the risk of contamination of the well water is unique to each site, not the specific distance from the septic system. The state regulations.list 100 ft. as an appropriate separation. Dr. Macmillan asked Mr. Ottenheimer if the board had enough information to respond to the LUA's and what would Mr. Ottenheimer suggest. Mr. Ottenheimer stated that is pursuant to the state rules, the town Board has authority to allow the distance reduction. He stated that "there could be three possible answers. 1. Approve what was proposed, 2. Install a treatment system or 3. Approve what was proposed but have the well water monitored as in a sample drawn once a year. Mr. Herrick asked if there were samples drawn and.the water was contaminated, how you would determine where the.contamination came from. He stated that the current well is up gradient from the system. It would be.difficult to prove that the new septic system is causing an impact to the well water. Mr. McCarthy asked if the new system is in the same area as the failed system. Mr. Herrick stated yes and that the failed system is 30 years old. Mr. McCarthy asked if the well water had been tested and Mr. Herrick stated he was unsure. Mr. Fixler suggested getting a water test now to get a baseline. Dr. Trowbridge looked at the plan and discussed the abutters to the property. It is very unlikely that they would have an impact the well water. A discussion ensued regarding the impact the new septic system could have on the well. Dr. Trowbridge asked if the water tested clean now, but in 2 years came back contaminated, what would then be the Board's responsibility. A discussion ensued regarding a water treatment system. Mr. Herrick stated that the new system will be doing a better job than what is now there. Mr. Fixer asked what the approximate cost of a pre-treatment system would cost. Mr. Herrick replied that tanks cost around $8000 plus the electrical components and regularanaintenance. Dr. Macmillan stated that he felt uncomfortable approving the LUA's without a pre-treatment system. Mr. McCarthy stated he isn't concerned and that he would feel comfortable approving the LUA's because the water flow path is away from the well. Dr. Macmillan stated that there are also wetlands on other sides of the property. Mr. McCarthy stated that it is an upgraded septic system and you can't prove that it will fail. The. board then referred to Mr. Ottenheimer concerning the septic plans. Mr. Ottenheimer stated that they completed the initial review in June and didn't receive any revised plans until this week. There were two revisions that came in this week alone. There_ are. still some technical questions that need to be considered. Dr. Trowbridge asked Mr. Herrick if there was any. way `of waiting until next month's BOH meeting to make a decision. Mr. Herrick was not aware of the schedule for the homeowner or others concerned. The Board will refer to Mr. Ottenheimer to work out the concerns with Mr. Herrick. A vote wits made by Dr. Macmillan to table the request for the LUA's until the next BOH meeting on the fourth Thursday of September. The vote was seconded by Mr. Fixler. All were in favor. C. 186 Ingalls St. Vladimir Nemchenok, representing the owners of 186 Ingalls Street, requested two LUA. 1, Setback from S.A:S. to FDTN from 20' to 15' 2. Vertical offset from S.A.S. to E.S.W.T. from 4' to 3.5' . Mr. Nemchenok gave a detailed presentation on the proposed new septic system and the existing well. A discussion ensued regarding the placement of the new system and the reasons for the requests. The new tank will be put in the same locationbut in a different angle. The septic is designed for a three . . bedroom house. Dr. Macmillan asked Mr. Ottenheimer what the best practices are in this situation. Mr. 2015 North Andover Board.of Health Meeting Page 2 of 4 Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman; Larry Fix ler, 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 Healthlnspector; Lisa Blackburn, Health Department Assistant North Andover Board of Health Meeting Minutes Thursday — August 27, 2015 7:00 p.m. 120 Main Street, 2"d Floor Selectmen's Meeting Room North Andover, MA 01845 Ottenheimer stated that he has done a thorough review of the proposed plan and what is being asked is not unreasonable. MOTION made by Dr. Macmillan to approve the LUA as requested and stated on the plan. Motion was seconded by Mr. Fixler. All in favor and the motion was approved. VII. COMMUNICATIONS, ANNOUNCEMENTS; AND DISCUSSION A. A discussion regarding walk-ons to the BOH meetings. Mr. Ottenheimer stated that in the local regulation, section 8.4, it is stated that no hearing will be scheduled unless the design plan or other information submitted has been reviewed and found to be technically complete and accurate. This clearly addresseswalk-ons to the BOH meetings unless considered an emergency. Michele Grant asked the board members if they would want an approved plan through Mill River pending any LUA's before having them come before the board. Dr. Trowbridge :stated that in general it is the overall intent. Ms. Grant confirmed with the board that unless there is an emergency, written notice needs to be given before the meeting agenda deadline along with an approvable plan through Mill River. Dr. Macmillan stated that there is a process for a purpose which is to protect the public health. B. Susan Sawyer discussed notification of one human case with West Nile Virus in Middlesex County. The recent preventative measures of spraying the perimeters of the North Andover fields and schools were a prudent action. It was a great opportunity before school starts and the weather starts to get cool. She cautioned to wear repellents and be carefnl.between the dawn and dusk hours. Although mosquito activity slows down in cooler weather after Labor Day, she still urges everyone to be cautious and take preventative measures even though there are fewer mosquitos around in the cooler weather. C. Susan Sawyer reminded the Board.that the new Tobacco Regulations will take place on September 1, 2015. All retailers have been notified and everything went smoothly. VIII. CORRESPONDENCE / NEWSLETTERS IX. ADJOURNMENT MOTION made by Dr. Macmillan, to, adjourn the meeting. Mr. Fixler seconded the motion and all were in favor. The meeting was adjourned at 7:55 pm. Prepared by: Lisa Blackburn, Health Dept. Assistant Reviewed by: 2015. North Andover Board of Health Meeting Page 3 of 4 Board of Health Members: Thomas Trowbridge, DDS, MD, Chainrian; 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 Inspectorjaisa Blackburn, Health Department Assistant Al! Board of Health Members & Susan S"ier, Health Director Signed by: �4rf Larry Fixle , the B and Date Signed SUMMARY OF INVERTS SEWER 0 FDTN. 125.44 SEPTIC TANK IN _ 125.39 SEPTIC TANK OUT 125.20 DIST. BOX IN 124.33 DIST. BOX OUT 124.17 INV. IN CHAMBER 124.10 BOTT. CHAMBER 123.82 RECEIVED NOV 2 3 2015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT to 0 l BUILDING TIES BLDG. CORNER A BC EDSEPTIC TANK OUT 19.8 13.7 — DIST. BOX — — 39.0 18.5 7A A���TTcc 1 .L1r,�+..i�,t� THIS PLAN & CERTIFICATION IS NOT A WARRANTY OF THE SUBSURFACE DISPOSAL SYSTEM. 1T IS A RECORD OF THE LOCATION AND ELEVATION OF THE EXISTING SYSTEM COMPONENTS. "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS -BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. v"wv/ruff n',ze� SIGNATURE OF DESIGNER LOT 5 (45,500 S.F.) V+1 \ Nl- l\� 1500 SEPTIC m D -_. Amax. t 'BM. T.F.m127.0s EMIT. sit MVE O �t WEA /36iINFIL TOR' CHAMBERS INSPECTION PORT ...... __ __._ ..._. _......�.W ._... ,.15;0..0.0' �....._ e.r' i AS BUILT PLAN OF SUBSURFACE DISPOSAL // i s - DATE SYSTEM LOCATED IN NORTH ANDOVER, MASS. /186 INGALLS STREET AS PREPARED FOR ROLLAND MUISE TM: 106B DATE: 11-16-15 TL: 47 SCALE: 1"=40' 0 20 40 so MERRIMACN ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810