Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 213 CARLTON LANE 4/30/2018 (3)
213 CARLTON LANE 210/107.A-0208-0000.0 O Sa, f 4 w AJ 7p- YVVAAfs F a�qS _ �oJOSEPHJ. tiN BARBAGALLO y No.464 2 O Bax 01A.? /6 - 3 2 �O��G'STE� ALS JAG C , to y: WETLANDS I HEREBY CERTIFY THAT THE LOCATION, TIES, COVER MATERIAL, EXPOSED COMPONENT COVERS, ETC. SHOWN ON THIS AS—BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED "F1B ` WF66 THAT THE BREAKOUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET. / ENCL. DECK PORCH j N � TITLE: SUBSURFACE SEPTIC DISPOSAL SYSTEM REPLACEMENT / -eA 213 CARLTON LANE OD DR sL WAY WF56 iL NORTH ANDOVER, MASSACHUSETTS / EXIST. or DWELLING I I PREPARED BY: LJR ENGINEERING, INC. Ll 1,500 al SEPTIC TANK'V %s TO00 8t #213 I I WF46 DATE: FEB. 7, 2013 — REVISED TO MARCH 15, 2013 F f k 0J/ A o 113 I t I WETLANDS BM 1 I 4" SCH40 Luke J. Roy, P.E. \1 RECEIVED PVC (TYP.) "' 3 6 \ '�` NOF � I 6 OUTLET H-20 DISTRIB. BOX2 I G JUL 2 2 L013 5 ` .? CIVIL 4 j WF26 NO.47356 TOWN OF NORTH ANDOVER ' 1 HEALTH DEPARTMENT INSPECTION PORT / I `0.NO ` E Q�sT t I ` r 5 ROWS OF 8 / WF WF161/31/13NES QUICK4 STANDARD INFILTRATOR CHAMBERS "7 6 1 13 N � / s E AS-BUILT TIES o NOTE TO OWNER: f POINT N0. A B AN EFFLUENT FILTER HAS BEEN INSTALLED IN OUTLET TEE WF_ ` 1 13.2' 43.5' OF SEPTIC TANK AND WILL REQUIRE PERIODIC MAINTENANCE. / AT A MINIMUM, THE FILTER SHALL BE INSPECTED & CLEANED ' _• '} 2 25.4' 51.9' ON AN ANNUAL BASIS WHEN SEPTIC TANK IS INSPECTED. ' ..n> 1A 1/31/�3NES L1 ; 3 20' 47' I1 WETLANDS 4 36' 56' • 5 45.5' 39' NOTE: AS—BUILT FIELD MEASUREMENTS TAKEN 6-20-13 6 35' 23.5' FIELD BOOK 124, PAGES 55-56 CARLTON LANE 7 28.2' 44.5' ENGINEERING, INC. PLANILJ-RCivil Engineers & Land Surveyors NOT TO SCALE 234 Park Street . North Reading, MA 01864 . 978-664-8141 SCHEDULE OF INVERTS PROPOSED AS—BUILT INVERT ® FOUNDATION EL.=97.85(MIN.) EL.=97.87 SUBSURFACE SEPTIC SYSTEM BENCHMARKS (ASSUMED DATUM) SEPTIC TANK INVERT (IN) EL.=97.65 EL.=97.69 AS-BUILT SEPTIC TANK INVERT (OUT) EL.=97.40 EL.=97.41 NO. DESCRIPTION ELEVATION DISTRIBUTION BOX INVERT (IN) EL.=97.27 EL.=97.28 213 CARLTON LANE BM#1 TOP LEFT COR. FIRST STEP 100.00 DISTRIBUTION BOX INVERT (OUT) EL.=97.10 EL.=97.09 NORTH ANDOVER, MASSACHUSETTS CHAMBERS INVERT EL.=96.97 EL.=96.98 BOTTOM OF CHAMBERS EL.=96.3 EL.=96.31 ASSESSORS MAP 107A PARCEL 208 12147ASB.DWG I JUNE 28, 2013 i •r�' Vl�'Q�32� a C1hit HOA ti 1k C*�` WETLANDS I HEREBY CERTIFY THAT THE LOCATION, TIES, COVER MATERIAL, EXPOSED COMPONENT COVERS, ETC. SHOWN ON THIS AS—BUILT 1 ` SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED / ENCL ! WF6B THAT THE BREAKOUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET.PORCH DECK I ik TITLE: SUBSURFACE SEPTIC DISPOSAL SYSTEM REPLACEMENT FENCE / I 213 CARLTON LANE 00 DRIVEWAY WF56 -dU- NORTH ANDOVER, MASSACHUSETTS j r EXIST. o DWELLING I w I PREPARED BY: LJR ENGINEERING, INC. 1,500gal �cEa/TOP FDN. SEPTIC TANK 0 cue, =100.81 I VYF4B X213 ; f DATE: FEB. 7, 2013 — REVISED TO MARCH 15, 2013 BM#1 WETLANDS It 81395— t 4" sCH40 �EN7._ vsh�x 41 ._- �� i I .wF36 Luke J. Roy, P.E. Pvc (TYP.) ` 3 6 \ -` �N OF 6 OUTLET H-20 DISTRIB. BOX 2 LUKE J.AOY !' CIV4-L 5 I .- co 4. f WF26 No.47356 INSPECTION PORT 7 / c "O�BUI� sllc O,e G/SCEP 5 ROWS OF 8 / ( WF1B1/31/13NES QUICK4 STANDARD INFILTRATOR CHAMBERS / N I j .7 i i 13 AS-BUILT TIES NOTE TO OWNER: POINT NO. A B AN EFFLUENT FILTER HAS BEEN INSTALLED IN OUTLET TEE OF SEPTIC TANK AND WILL REQUIRE PERIODIC MAINTENANCE.1 13.2' 43.5' I• AT A MINIMUM, THE FILTER SHALL BE INSPECTED & CLEANED 2 25.4' 51.9' ON AN ANNUAL BASIS WHEN SEPTIC TANK IS INSPECTED. 1/31/i3NES ` 20' 47' 3 IWETLANDS 'I'' ` 4 36' 56' 5 45.5' 39' NOTE: AS—BUILT FIELD MEASUREMENTS TAKEN 6-20-13 6 35' 23.5' FIELD BOOK 124, PAGES 55-56 CARL TON LANE 7 28.2' 44.5' ENGINEERING, INC. PLANILJ-RCivil Engineers & Land Surveyors NOT TO SCALE 234 Park Street . North Reading, MA 01864 . 978-664-8141 SCHEDULE OF INVERTS PROPOSED AS—BUILT INVERT ® FOUNDATION EL.=97.85(MIN.) EL.=97.87 SUBSURFACE SEPTIC SYSTEM BENCHMARKS (ASSUMED DATUM) SEPTIC TANK INVERT (IN) EL.=97.65 EL.=97.69 AS-BUILT SEPTIC TANK INVERT (OUT) EL.=97.40 EL.=97.41 NO. DESCRIPTION ELEVATION DISTRIBUTION BOX INVERT (IN) EL.=97.27 EL.=97.28 213 CARLTON LANE BM#1 TOP LEFT COR. FIRST STEP 100.00 DISTRIBUTION BOX INVERT (OUT) EL.=97.10 EL.=97.09 NORTH ANDOVER, MASSACHUSETTS CHAMBERS INVERT EL.=96.97 EL.=96.98 BOTTOM OF CHAMBERS EL.=96.3 EL.=96.31 ASSESSORS MAP 107A PARCEL 208 12147ASB.DWG JUNE 28, 2013 CED jars . • E2 --.r . PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF. COMPLIANCE As of: 12/13/13 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System By: James Kellett At: 213 Carlton Lane Map 107A Lot 0208 North Andover, MA 01845 The Iss ce of this certCate shall not be construed as a guarantee that the system will function satisfactorily. an Sawyer Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com �e d• ' • fiL O A PUBLIC HEALTH DEPARTMENT Community Development Diviston TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM —INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage I)ispusal Systenn( }constructed;( )repaired: __ 77 ,_,,. _r-�l L q /cPrint Name) t.ocatedat: 17 Cadtvvi (Installation Address) Was Installed in conftlrtnnance with the North Andover l3oard of tlealth approved plan,originally doled _ 1D. 7r 20 {4__ and last revised on_ A r GG1 { S Zt7 with a design flow of _ .. � .. _....— gallons per day, llie rrnaterials used were in conforil,ance with those specified on the approved plan;the system was installed in accordance with the provisions of'310.CMR I5,(100,"Title Sand local regulations,and the final grading agrees substantially with the approved pian.All work is accurately represented on l tine As-built which has been submitted to the Board of Health. i Bottorn of lied Inspection Date:__._ t'sngincer Representative(Signature) And--Print Name Final Construction Inspection Date: Engineer Representative(Signaturc) i And—Print Namc Installer• << ' (SignaCurr) I)srtc: L' +�' l—� /serf --__ And Prittt Nantc rngincr: (Signature) Date: 7 I:z z t 13 Lv& ). gpy And Print Nanny 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 478.688.9540 Fax 478.688.8476 Web http://www,townofnorthandover.coni RECEIVED Commonwealth of Massachusetts` ` "013 City/Town of NoOk Wovew HEALWN TH NORT T-14T ►t�A�T�+t�aaARr►� rrr Certificate of Compliance rz r Form 3 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 thi;rform,check with the local Board of Health to determine the form they use. This Is to Certify that the following work on an On-Site Sewage Disposal System Important: Men filling out Construction of a new system forms on the Repair or replacement of an existing system computer,use Repair or replacement of an existing system component only the tab key to move your cursor•do not Has been done in accordance with Title 5 and the Disposal System Construction Permit(DSCP): use the return key. _ DSCP Number i DSCP Date _ Facility Owner Street Address or Lot# wv� pfoh.Dvt'v CitOown Slate Zip Code Designer Information: -u�{ 1' R L) K Lo t�-eCvl�iR�! n 1A1'. Nam —- Name of Compaft�i Signature —+------�__ _._ Date Installer Information: yes P �tf HP11rH- Ekrwvt r/7� Name Name of Company nature Date Use of this system is conditioned on compliance with the provisions set forth below: The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. Approving Authority Signature Date �� W t5form3.doc•06103 Certificate of Compliance•Page 1 or 1 Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Friday,June 21, 2013 12:49 PM To: Blackburn, Lisa; 'Susan Sawyer(ssawyer@townofnorthandover.com)' Cc: 'Isaac Rowe'; 'Dan Ottenheimer'; plally@millriverconsulting.com Subject: RE: 213 Carlton Lane Attachments: 213 Carlton Lane.doc Susan/Lisa, Attached is the inspection form for the above referenced property. Everything looked good. Let me know if you have any questions. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 1 North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 213 Carlton Lane MAP: 107A LOT: 0208 INSTALLER: James Kellett DESIGNER: LJR Engineering PLAN DATE: 2/27/2013 BOH APPROVAL DATE ON PLAN: 3/5/2013 INSPECTIONS TANK INSPECTION: 6/12/2013 DATE OF BED BOTTOM INSPECTION:6/18/13 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION:7/15/13 SITE CONDITIONS N/A 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 N/A Cleanouts per plan X Bottom of tank hole has 6" stone base X Weep hole plugged X 1500 gallon tank has been installed H-10 loading X Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) 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. 1 load N/A 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: corner of house to post 20', 16.4x32'2", 26.4x42'4" SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 8 ® Number of rows (trenches): 5 Comments: Total Chambers = 40 N i FINAL GRADE X Loamed X Seeded X Cover per plan Comments: All set, 7/15/13 DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer As-Built Plan n , BM = 100.00 HR = 2.45 HI = 102.45 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark 2.45 Building Sewer OUT 4.23 97.87 97.85 Septic Tank IN 4.40 97.70 97.65 Septic Tank OUT 4.66 97.44 97.40 Distribution Box IN 4.86 97.24 97.27 Distribution Box OUT 5.04 97.06 97.10 Lateral 1 TOP 5.18 Lateral 1 INVERT 96.92 96.97 Lateral 2 TOP 5.17 Lateral 2 INVERT 96.93 96.97 Lateral 3 TOP 5.17 Lateral 3 INVERT 96.93 96.97 Lateral 4 TOP 5.17 Lateral 4 INVERT 96.93 96.97 Lateral 5 TOP 5.17 Lateral 5 INVERT 96.93 96.97 Top of Chamber 5.13 97.32 97.3 Bottom of Bed/Chamber 6.13 96.32 96.3 a CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- Waterline 10 10 101 ® Private 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) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 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 1 • y�K��n� Commonwealth of Massachusetts Map-Block-Lot ~~71N 107.A0208 BOARD OF HEALTH Penn------ Permit------Permennit No North Andover BHP-2013-0728 ----------------------- P.I. FEE F.I. $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted James Kellett ------------------------------------------------------------------------------------------------------ to(Construct)an Individual Sewage Disposal System. at No -213--------CARLTON-------------------LANE---------------------------------------------- - as shown on the application for Disposal Works Construction Permit No. BHP-2013- _22,._,—Dated (� N------------ Printed On:May-28-2013 ------------- BOARD OF HEALTH r t of Nd orH�N Application for Septic Disposal System MAY 23,2013 �:��`d °� TODAY'S DATE ° . pConstruction Permit - TOWN OF X Y ORTH ANDOVER MA 01845 $ 250.00 Full Repair CHUs�< $125.00-Component Important: Application is hereby made for a permit to: When filling out * E�" � forms on the ❑ Construct a new on-site sewage disposal system V computer,use ❑■ Repair or replace an existing on-site sewage disposal syste[TC0WN only the tab key to move your ❑ Repair or replace an existing system component—What? MAY 23cursor-do not 2 013use the returnA. Facility Information OF NORTH ANDOVER key. LTH DEPARTMENT 213 CARLTON LANE , as Address or Lot# NORTH ANDOVER City/Town 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump X■ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** ❑ Conventional System (pipe and stone system) ❑■ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information DAVID FOWLER Name 213 CARLTON LANE Address(if different from above) SAME City/Town State Zip Code Telephone Number 3. Installer Information JAMES KELLETT KELLETT EXCAVATING LLC Name Name of Company 400 SALEM STREET Address LYNNFIELD MA 01940 City/Town State Zip Code 781-953-7146 Telephone Number(Cell Phone#if possible please) 4. Designer Information LUKE ROY LJR ENGINEERING Name Name of Company 234 PARK STREET Address NORTH READING MA 01864 City/Town State Zip Code 978-664-8141 Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 Application for Septic Disposal System MAY 23, 2013 Construction Permit — TOWN OF TODAY'S DATE , MA X31545 $225.00-Full Repair ORTH ANDOVER $125.00-Component 213 CARLTON LANE PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: FEIResidential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title S of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been sued bythis/B�oard of Health. / u /.. am Date Applicati Approved�I.Board of Health Representative) Na Date App cation disap rovedr the following reasons: For Office Use Only: Z Fee Attached. Yes No 2. Project Manager Obligation Form Attached. Yes( No 3. Pum, S sy tem? If so, Attach copy offlectrical Permit Yes Ne__� 4. Foundation As-Built?(new construction ronly): Yes No (Satre scale as approved plan) S. Floor Plans?(hew construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: 0113 G ~ln L6"3�. (address of septic system) For plans br [� Relative to the application of� P-,C, IlPlr (InstalleCs rn�e) And elated �� � —7n � �1 t. rrinna ate) Dated With revisionsto as(kite) dared _1 (1„tet rcvi,ed slate) 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 plansrif.1 to performing any work on a site. l must havethe oved plans and the Permit on site whet, any work is being done. 2. As the installer, I must call for arnv and all inspections. If homeowner,.contractor., project manager,or anN other person not: associated with my company schedules an inspection and the system is riot ready, then item three shall be applicable. 3. As the installer,I am regtured to have the necessary work cornpleted prior to the applicable inspections as indicated below. I undc:rstarnd that requesting art in,section.without completion of the.items in t cdance with 'l isle 5 and the Board of Health Rel;utation5 mai resin in a S50.00 tine being levied a}ninct me and/or mycon�tiV; a. Bottom of Bed—Generally, this is the first (I”) inspection unless there is a retaining�va.11,which should be done first. 'I1 e installer must request the inspection but does not: have to be present, l p l b. Final Construction Inspection—Engineer trust first do their inspection for elevations, des, etc.. As-built of verbal.OIC: (tar e-mail to: hcal ill Jet)t c u:0mvnofiu>ttln! dovcr morn) 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 systcm, all electrical work must be ready and able to cause pump to work and a.larnn to function. c. Final Grade—Installer must request inspection when all grading is cornplete. Installer dues not have to be on-site. 4. As the installer, I understand that ornly 1 may per.fornn the work (olhertban simple evcavatiot)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 si-stems 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 perfortnance of t:he following cornst-ructiott 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 atn solely responsible for the inetallgion of the systenn as per the. approved talons \TQ inga,tictions by the hoomowner.general contractor, or anyo h r persorns shall absolve me of this obligation. Undersigned Licenseded septic Installer: s_� �. ('1Todav's Date) e�,��`/�j ?dame— nnt) c S1gneg} Blackburn, Lisa From: Luke Roy <Iroy@ljrengineering.com> Sent: Tuesday,June 04, 2013 5:29 PM To: Blackburn, Lisa Cc: jim.kellettexcavating@comcast.net; Sawyer, Susan Subject: RE: 213 Carlton Attachments: 213CarltonConfirmatoryTestHole060413.pdf Attached are the results of confirmatory test hole performed today at 213 Carlton Lane. Please let me know if anything additional required. Thanks. Luke J. Roy, P.E. LJR Engineering, Inc. 234 Park Street North Reading, MA 01864 978-664-8141 978-664-8142 fax From: Blackburn, Lisa [mailto:LBlackburn(&townofnorthandover.com] Sent: Wednesday, May 29, 2013 3:30 PM To: 'Luke Roy' Cc: jim.kellettexcavating(bcomcast.net; Sawyer, Susan Subject: 213 Carlton Good Afternoon Luke, Jim Kellett has submitted a DWC for 213 Carlton. Per the BOH approval a soil test must be requested and conducted before we can issue the permit to Jim. The cost will be $192.50. Please submit a check along with the application and we will forward to Mill River to let them know to contact you. 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 IblackburnPtownofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from rnunicipal offices and officials are public records.For more information please refer to:htto://www.sec.state.ma.us/ore/l)reidx.htm. Please consider the environment before printing this email. 1 -/'-I 5 C-V-Y t MA Commonwealth of Massachusetts CitylTown of V O rd-k 44W61 U d-tN - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: Tr 61,111S t . o O S t,v"/ '7 0& Date Time Weather 1. Location Ground Elevation at Surface of Hole: ' Location (identify on plan): 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) C9ya,sc Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way Possible Wet Area S2� feet feet feet Property Line feet 1} Drinking Water Well feet Other feet 1 o a s 4. Parent Material: y 0-16-A Unsuitable Materials Present: El Yes ❑ No If Yes: ❑ Disturbed Soil 9 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 6`fi " 673 .3 Estimated Depth to High Groundwater: inches elevation t5forml1.doc-rev.1110 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) Cobbles& Structure Consistence Other Depth Color Percent Gravel Stones s t 44 b 10 Y re-2/1 F C.,L, vµ L z o c 7-,Cy l.; (►- Additional Notes: t5forml l.doc•rev.1110 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 RA Jr ' POOL AREA , Oaf�,; N/F F ERIC & ANNE EISENBERG SAO. i.38 ry, 225 CARLTON LANE 8B wF1se J MAP 107A PARCEL 209 1 'llh " �tl 7 87 sl' ,t MODIFY/RAISE INTERNAL NCL. DECK PLUMBING AS NECESSARY es31 jPORCH J , : . FOR BUILDING SEWER TO � Ii EXIT FDN. AT INV.=97.85(MIN.) CD FENCE' /=" '• ""' "`` - BIT. VENT RISER EXIST. CONFIRMATOR PUMP & REMOVE o DWELLING .:SHALL BE AT' EXIST. SEPTIC TANK :THIS APPROX. P TOP FDN. BE WITNESSES DESIGN ENGIN 1,500ga1 H-10 MONOLITHIC �' i00.8t #213 a. OF HEALTH R SEPTIC TANK, SHEA CONC. , 66. �°j 97.y1 .RI OR TO INS PRODUCTS OR EQUAL, WITH EFFLUENT FILTER r � 0 1 E3M t � �,; 13.97 ..__- 4" SCH40 c �` PVC (TYP.) �• :�. ^z s C.. ;L. Qo 6 OUTLET H-20 DISTRIB. BOX, .''.12, �� i;aa: •'.l''•:.:;: SHEA CONC. PRODUCTS OR EQUAL • '1b?MINS- o, ll X99.17 i INSPECTION I ORT\ 5 ROWS OF QUICK4 STANDARD24' $••3 I LIMIT Of" REMOKAL C INFILTRATOR CHAMBERS x •• �UNSUI�ABLEAATRI� �,; i REMOVE ANY PORTIONS OF C R;`3- EXIST. STONE LEACH FIELD ,/ ENCOUNTERED WITHIN " .ss i EXCAVATION 9 , REMAINDER OF EXIST. / _... STONE LEACH FIELD x TO BE ABANDONED / 22 ysc,;*�.•%' — r$ r U / _ ��� ,' Blackburn, Lisa From: Blackburn, Lisa Sent: Tuesday, May 28, 2013 5:51 PM To: 'jim.kellettexcavating@comcast.net' Subject: RE: 213 carlton lane, 34 raleigh tavern lane permit apps. Attachments: 213 Carlton Lane letter.pdf Jim, These applications weren't signed. Can you sign them then scan them to me? Also I've attached a letter for 213 Carlton. You might want to contact the engineer. There is a stipulation in the approval letter. You can contact Luke Roy. It can't be started without getting the stipulation done. Contact Sue with any questions. From: iim.kellettexcavatinci(@comcast.net [mailto:jim.kellettexcavating(a)comcast.net] Sent: Friday, May 24, 2013 9:53 AM To: Blackburn, Lisa Subject: 213 carlton lane , 34 raleigh tavern lane permit apps. Hello Lisa Day off ! Nice country huh!! Attached are the apps for the septic systems @213 carlton and 34 raleigh tavern Best, Jim Kellett Kellett Excavating, LLC 781-599-7934 (office) 781-953-7146 (cell) 781-595-3330 (fax) ENGINEERED PLANS SEPTIC SYSTEMS installed/Repaired TITLE V INSPECTIONS SEWERNVATER LINES HOUSE SITE WORK DRAINAGE SYSTEMS RETAINING WALLS 10 WHEELER DELIVERIES ALL JOBS COMPLETED FROM START TO FINISH Call Jim 781-953-7146 Licensed, Bonded & Insured 1 Blackburn, Lisa From: Sawyer, Susan Sent: Tuesday, May 28, 2013 6:02 PM To: Dan Ottenheimer(dano@millriverconsulting.com) Cc: Blackburn, Lisa;Isaac Rowe <irowe@millriverconsulting.com> (irowe@millriverconsulting.com) Subject: 213 Carlton Attachments: 213 Carlton Ln app 3.5.13.doc Hi Dan, Thanks for Friday! For this property,the board was generous to Luke about the approval letter. We will need to do a soil test prior to installation etc. PIs see the approval letter for details. The cost is on them. Can you tell me what the charge will be? I do not know when this will happen, but Kellett is trying to pull the permit; so I would say pretty soon. Maybe there is one to piggy back on to save a trip. Thx Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email m_ailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hfto://www.see.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 5�[TLED North Andover Health Department Community Development Division March 5, 2013 David and Pamela Fowler 213 Carlton Lane North Andover, MA 01845 Subsurface Sewage Disposal System Plan for 213 Carlton Lane,North Andover, Massachusetts Map 107A Lot 208 Dear Mr. and Mrs. Fowler, The North Andover Board of Health has completed the review of the septic system design plans for the above referenced property, submitted on your behalf by LJR Engineering, Inc. dated February 7, 2013, last revised on February 25, 2013 and received March 1, 2013. The design has been approved for use in the construction of a replacement onsite septic system for a 4-bedroom (max 9-room) home. This plan is generally good for 3 years from the date of approval, however as this is for a repair system,this plan is reduced to 2 years. 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 held on February 28, 2013, the following was approved: A local variance has been approved to reduce the setback distance of the soil absorption system to a wetland resource area from 100 feet to 50 feet. The following local upgrades have been approved. To reduce the required separation between the bottom of the soil absorption system and the high groundwater elevation from 4 feet to 3 feet 1. To allow for a sieve analysis to be performed on the soil, because a percolation test was unable to be conducted at time of testing. I of 2 North Andover Health Department, 1600 Osgood Street Suite 2035 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.698,9476 213 Carlton Lane March 5, 2013 2. To allow the use of a single deep hole in the leaching area rather than the two required. NOTE: At the time of this approval,there are no soil tests shown within the area. The board allowed a confirmation soil test within the soil absorption system.to be conducted prior to the system installation to ensure the system was designed properly. This approval is specific to this site due to the board members determination that the condition of system, in active failure, was a threat to the safety of the occupants and that strict enforcement of this provision would only delay the remedy of the conditions. Stipulations of approval are as follows. a. Soil evaluation forms for the test hole shall be submitted with in 24 hours of the test b. The test hole shall be witnessed by the BOH representative and additional fees shall be paid by the applicant. Cost to be determined. c. A percolation test shall be required if unsaturated soil conditions exist or a sieve analysis shall be required if the soil conditions differ from TP-1 and TP-2 d. If soil conditions in the confirmatory test hole differ from TP-1 and TP-2 and would alter the design of the soil absorption system. Then the designer shall submit a revised plan to the Health Dept prior to installation. This approval is also subject to the following conditions: 1. Please keep the attached DEP Form 9b for your records 2. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 3. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sinc y, usan Y. S , REHS/RS Public Health Director cc: LJR Engineering Form 9b file Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Commonwealth of Massachusetts City/Town of North Andover o Local Upgrade Approval Form 913 47M ivOSv DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. A. Facility Information Important:When filling out forms 1. Facility Name and Address on the computer, use only the tab David and Pamela Fowler key to move your Name cursor-do not 213 Carlton Lane use the return key. Street Address North Andover MA 01845 2L `i City/Town State Zip Code 2. Owner Name and Address(if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd 5. System Designer: Luke Roy Name 0P ElRS 234 Park Street North Reading MA 01864 Address City/Town State,ZIP B. Approval 1. Local Upgrade Approval is granted for: ❑ Reduction in setback(s)—specify: ❑ Reduction in SAS area of up to 25%: SAS size,sq.ft. %reduction 213 Carlton Ln 9b 3 5 13•rev.7/06 Local Upgrade Approval* Page 1 of 2 Commonwealth of Massachusetts City/Town of North Andover F A o Local Upgrade Approval a Form 9B 4�M SVO B. Approval (continued) ® Reduction in separation between the SAS and high groundwater: Separation reduction 1 ft. Percolation rate min./inch Depth to groundwater 3 ft. ❑ Relocation of water supply well (explain): ❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ® Use of a sieve analysis as a substitute for a perc test List local variances granted not requiring DEP approval per 310 CMR 15.412(4): reduction to reduce the setback from a leach field from a wetland from 100 feet to 50 feet List variances granted requiring DEP approval: N. Andover Health Dept Approving Authority Susan SawyerH March 5, 2013 Print or Type Name and Title (gnZatu�re Date 213 Carlton Ln 9b 3 5 13•rev.7/06 Local Upgrade Approval* Page 2 of 2 k11t"%0"k'tf IG tti 0 HAR C 12013 TOWN OF NORTH ANDOVER Commonwealth of Massachusetts HEALTH DEPARTMENT City/Town of N o rl-k IQ h d ovt'r m Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information Important: When filling out 1. Facility Name and Address: forms on the computer,use D ,n QV 14 Q f Ot M"'L Q f- W I&/- only the tab key Name to move your cursor-do notuse Street Address key.the return t p 6 r yh {Orvt OY� 1y 1 � Cityrrown State Zip Code 2. Owner Name and Address(if different from above): ° Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility(check all that apply): dResidential ❑ Institutional ❑ Commercial ❑ School 4. Describe Facility: Lt btAvW w- s I .A 5 le f'rLw-,-L y d wit t'I'nt6 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) EV Conventional ❑ Other(describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): t5form9a.doc•rev.7/06 Application for Local Upgrade Approval, Page 1 of 4 Commonwealth of Massachusetts City/Town of Form 9A - Application for Local Upgrade Approval ^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. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: 40 gpd Design flow of proposed upgraded system 4 9 9Pd� �U Design flow of facility: gpd B. Proposed Upgrade of System 1. Proposed upgrade is(check one): 14 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: IAs'Wtahov, Gr 1.5-00 50-1 Salol-�� }-aKk v�►-d C'&K S f-rt/e�ti 'ova O f S S c.o w t o f ' D 0 ti i&� N s+-t)-v.,A, i t•I-rafVr CJA o 0&k V S 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)-describe reductions: ❑ Reduction in SAS area of up to 25%- SAS size,sq.ft. %reduction [� Reduction in separation between the SAS and high groundwater: 1 Separation reduction ft Percolation rate N o f e,re, Depth to groundwater ft 3 t5form9a.doc•rev.7/06 Application for Local Upgrade Approval* Page 2 of 4 4 Commonwealth of Massachusetts City/Town of Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. 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 Lvke 7. Rey .t � , 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: ro wy�— tvv�t*iri GX1'tfi`n!5 � S i1-� wehoa.4t , fry zr Va�r I-uCbbHtisf'r'aa)�d�fiS�V -aitQavw e 1W yra.V,`i-y A"' l , o o•� y a r 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: i/k s 4 s o f �. Fc`l }'Y a �"DY l/I�Gc b,c,v s i% �h c-V %r4 s ysC4..re n o t ego n iw, t i a l( y {'cas �b Lk t5form9a.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 information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: 4. Connection to a public sewer is not feasible: No v-w-0-� 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.l am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonment for deli rate violations! �3 Facility Owner's Signature Date Print Na LvFc 7. Roy 2 t2G ( t3 Name of Preparer Date 2-3'4 foar�-- St. yoryk 9t04trict Preparer's address Cityfrown 94 011Wy StatefZIP Code Telephone t5form9a.doc•rev.7/08 Application for Local Upgrade Approval*Page 4 of 4 Blackburn, Lisa From: Sawyer, Susan Sent: Tuesday, February 26, 2013 4:02 PM To: 'Troy@ljrengineering.com' Cc: Blackburn, Lisa Subject: 213 Carlton Lane Attachments: 20130226152330458.pdf Luke, Please find attached disapproval letter for 213 Carlton Lane. Please be advised that you are scheduled to be on the BOH meeting scheduled for this Thursday evening; 120 Main Street, second floor at 7PM. I will have your plans with me. If you have changed them in time, please bring at least 3 copies. If the board approves your request regarding the soil testing I will be recommending these items be considered for a condition of approval. It is ultimately the Board's decision however. Thank you Susan 1. Soil evaluation forms for the test hole shall be submitted with the as-built plan 2. The test hole shall be witnessed by the BOH representative and additional fees shall be paid by the applicant. Cost to be determined. 3. A percolation test shall be required if unsaturated soil conditions exist or a sieve analysis shall be required if the soil conditions differ from TP-1 and TP-2 4. If soil conditions in the confirmatory test hole differ from TP-1 and TP-2 and would alter the design of the soil absorption system. Then the designer shall submit a revised plan to the Health Dept prior to installation. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. Blackburn, Lisa From: Isaac Rowe [irowe@millriverconsulting.com] Sent: Monday, February 25, 2013 10:11 AM To: Blackburn, Lisa Cc: Sawyer, Susan; 'Dan Often heimer'; 'Pam Lally'; 'Isaac Rowe' Subject: RE: 213 Carlton Lane septic replacement Attachments: 213 Carlton Lane- Disapproval Letter 2-25-13.doc Susan, Please find attached the plan review for the above referenced property. There a just a few minor edits with the design plan. The bigger question is how the BOH/Health Dept wants to handle the LUA request for the test holes. As I noted in the letter, technically a variance from Title 5 is needed with no test holes proposed but it appears to be the understanding that a confirmatory test hole will be conducted during construction and prior to SAS installation. If this is the way the BOH votes to approve then I would recommend the following conditions of approval: 1. Soil evaluation forms for the test hole shall be submitted with the as-built plan 2. The test hole shall be witnessed by the BOH representative and additional fees shall be paid by the applicant(if required) 3. A percolation test shall be required if unsaturated soil conditions exist or a sieve analysis shall be required if the soil conditions differ from TP-1 and TP-2 4. If soil conditions in the confirmatory test hole differ from TP-1 and TP-2 and would alter the design of the soil absorption system. Then the designer shall submit a revised plan to the Health Dept prior to installation. Please call to review if you have any questions. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 1 J s Gloucester,MA 01930-2719 Phone:(978)282-0014 Fax: (978)282-1318 irowe millriverconsulting.com www.millriverconsu Iting.com From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.com] Sent: Wednesday, February 20, 2013 1:31 PM To: 'Isaac Rowe' Cc: Sawyer, Susan; Dan Ottenheimer; Pam Lally Subject: RE: 213 Carlton Lane septic replacement FYI, I am putting in the mail a copy of the plan along with accommodating paperwork for 213 Carlton Lane. 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 IblackburnPtownofnortha ndover.com Web www.TownofNorthAndover.com From: Isaac Rowe [mailto:irowe@millriverconsulting.com] Sent: Wednesday, February 20, 2013 12:12 PM To: Sawyer, Susan Cc: 'Dan Ottenheimer'; Blackburn, Lisa; 'Isaac Rowe' Subject: RE: 213 Carlton Lane septic replacement I am sure we can make time to review the plan ASAP. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 2 Gloucester,MA 01930-2719 Phone: (978)282-0014 Fax: (978)282-1318 irowe _millriverconsulting.com www.millriverconsulting.com From: Sawyer, Susan [ma iIto:ssawyer(atownofnorthandover.com] Sent: Wednesday, February 20, 2013 11:19 AM To: 'Isaac Rowe' Cc: 'Dan Ottenheimer'; Blackburn, Lisa Subject: RE: 213 Carlton Lane septic replacement Luke has told me the system has backed up into the house and the owners are pumping and desperate to get this approved, but I also informed Luke that Isaac will need time to look at the plan. Luke says it should come in today. We will send it right out. Hopefully,you all aren't on vacation and you feel generous with your time. As you know my board is very concerned for homeowners in trouble so they won't want to put this off until March, but first ...we'll see if it comes in. S From: Isaac Rowe [ma ilto:irowe(abmill riverconsulting.com] Sent: Tuesday, February 19, 2013 11:32 AM To: Sawyer, Susan Cc: 'Dan Ottenheimer'; Blackburn, Lisa; 'Isaac Rowe' Subject: RE: 213 Carlton Lane septic replacement Susan, Not seeing a sketch plan it is tough to say. If he is proposing no test pits in the new SAS area then technically it is a variance from Title 5 and NOT a LUA request. The LUA section states"at least one deep hole has been performed in the proposed disposal area". I guess it would be up to the BOH if they want to look at this as a LUA request considering the situation. I do not anticipate the soils being very different from our test pits if the new SAS is proposed between the house and test pits conducted. I would be comfortable doing deep holes during construction if that is a condition of approval by the BOH. We would charge additional time for this soil test/inspection and this should be relayed to the designer/owner. Call with any questions. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street 3 • S�gT1�D��' . . • • North Andover Health Department Community Development Division February 25,2013 Luke Roy,P.E. O'Neill Associates 234 Park Street North Reading,MA 01864 Re: Subsurface Sewage Disposal System Plan for 213 Carlton Lane,Map 107A,Lot 208 Dear Mr. Roy: The proposed wastewater system design plan for the above site dated February 7,2013 and received on February 20,2013 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. Please submit the signed Form 9A—Local Upgrade Approval request form prior to the Board of Health public hearing. 2. Since there were no test pits performed in the proposed soil absorption system area this would require a variance from 310 CMR 15.102. However, it is understood that the request is to conduct a confirmation test hole in the proposed soil absorption system area during construction and prior to the soil absorption system installation. This request is being filed under a Local Upgrade Approval request in accordance with 310 CMR 15.405(1)(k). Please modify the note on the site plan regarding this request,to include the test hole shall be witnessed by the Board of Health representative as well as the design engineer. 3. Please indicate if the proposed septic tank is an H-10 or H-20 loading tank. 4. On the site plan,please show the location of the proposed vent. 5. On the profile view,please indicate which soil layers are proposed to be removed. 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. /iinSa r,RE Public He -Direct cc: David&Pamela Fowler - File Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Blackburn, Lisa From: Blackburn, Lisa Sent: Wednesday, February 20, 2013 1:31 PM To: 'Isaac Rowe' Cc: Sawyer, Susan; Dan Ottenheimer; Pam Lally Subject: RE: 213 Carlton Lane septic replacement FYI, I am putting in the mail a copy of the plan along with accommodating paperwork for 213 Carlton Lane. 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 IblackburnCa)townofnorthandover.com Web www.TownofNorthAndover.com t V 1 From: Isaac Rowe [mailto:irowe@miliriverconsulting.com] Sent: Wednesday, February 20, 2013 12:12 PM To: Sawyer, Susan Cc: 'Dan Ottenheimer'; Blackburn, Lisa; 'Isaac Rowe' Subject: RE: 213 Carlton Lane septic replacement I am sure we can make time to review the plan ASAP. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street i Gloucester,MA 01930-2719 Phone: (978)282-0014 Fax: (978)282-1318 irowe .millriverconsulting.com www.millriverconsulting.com From: Sawyer, Susan [maiIto:ssawyerCabtownofnorthandover.com] Sent: Tuesday, February 19, 2013 9:44 AM To: 'Isaac Rowe' Cc: 'Dan Ottenheimer'; Blackburn, Lisa Subject: FW: 213 Carlton Lane septic replacement Hi Isaac, Don't worry you aren't missing anything.These variance requests came in before the plan submission.Today was our agenda cut off for the Feb. meeting. The plans are forthcoming. Anyway, I understand from Luke that the location that was tested is not the best place. It is too close to the wetland. Hence, no testing has been done in the area that the repair will be located. It is next to the house in the front yard. Normally, I would have them do more testing to get at least 1 in the field, however if you agree with Luke that it is not good to disturb the area before the building and that it is more than likely not worse soils near the home; I can allow confirmatory holes during installation. Not my first choice, but in the interest of causing a disturbance to the existing system, I will approve it if you also feel the same way. Thanks Susan From: Luke Roy [mailto:lroy(&Ijrengineering.com] Sent: Friday, February 15, 2013 1:52 PM To: Sawyer, Susan Subject: 213 Carlton Lane septic replacement Hi Susan, Attached is variance request letter for 213 Carlton Ln., as discussed for the Feb. 28th meeting. Please note, I also included a variance to water table which may be necessary. I included request for alternate to percolation and also for less than two deep holes in the area...just in case we are only able to do one confirmatory test. FYI, I already have the textural analysis back and it is favorable—loamy sand (Type 1) Please let me know if you need anything else. I will submit plan as soon as possible...middle next week if ok?Thanks. Luke Luke J. Roy, P.E. LJR Engineering, Inc. 234 Park Street North Reading, MA 01864 978-664-8141 978-664-8142 fax 4 t 1U 50 TOWN OF NORTH ANDOVER • y`M,HGh'' Office of COMMUNITY DEVELOPMENT AND SERVICES ' HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSI:TT'S 01845 Susan Y.Sawyer, RENS, RS 978.688.9540—Phone Public Health Director 978.688.8476—1=AX Rot healthdepQ),townofhorthandover.coin www.townolhorthandover.com v ",d 4-6 e, I i-� D-e F 1-• 4e p � APPLICATION FOR SOIL TESTS y t- DATE: s �2 r'I 1 4 3 MAP& PARCEL: I D 7 ZD _ _ LOCATION OF SOIL TESTU we Z ( �i C,{L r� �y vi Le OWNER: D O-0-A 9f aVvL jq F-#W(-Ly Contact#:_Aq — APPLICANT:— L e— b Contact/k q,) r 6 ` �&Il'{j k 12 ADDRESS: 23 L4 ewrjc S1 N , 1 •t.0-dlv- , MVA i 6 �( ENGINEER: L J t) cA mjy Iy1 p) l�G• Contact#: CERTIFIED SOIL EVALUATOR: L V k-e 401 5 Intended Use of Land: Residential Subdivision Singl6ami Home Commercial Is This: Repair Testing: �/ Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM Proof of land ownership(Tax bill,or letter from owner permitting test) 8.5".V1 "Plot plmn& Location of Teslini'(Please indicate lest pit viler on Ibe plan) r Fee of 5425.00 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 r Only Certified Soil Evaluators may perform deep hole inspections. y Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. Y At least two deep holes and two percolation tests are required for each septic system disposal area. y Repairs require at least two deep holes and at least one percolation test,at the discretion of the 1301-1 representative. Y 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 I"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). Y Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Conan/ss/onn Approv rl Date: �� )3 S/�ruature of Conservation A�Jenl: , --- Dule buck to Uea(th Departrnenl: (stamp in). v �p p c- l� < i � 'T Agriculture and Lan&4p /Cj�am UM as s Soil and Plant Tissue Testing Laboratory West Experiment Station Extension 682 North Pleasant Street University of Massachusetts CENTER FOR AGRICULTURE Amherst,MA 01003-9302 Phone: 413.S45.2311 Fax:413.545.1931. soiltest.umass.edu TEXTURAL ANALYSIS RESULTS Customer Name: U.T.S. 5 Richardson Lane Stoneham, MA 02180 Sample ID: 113437 Customer Designation: 213 Carlton Lane, N Andover USDA SIZE FRACTIONS PERCENT OF WHOLE SAMPLE PASSING Main Fractions Size (mm) Percent Size (mm) Sieve # % Sand 0.05-2.0 77.7 Silt 0.002-0.05 19.2 Clay < 0.002 3.1 Total < 2.0 100.0 2.00 #10 93.0 Sand Fractions Size (mm) Percent 1.00 418 82.8 Very Coarse 1.0-2.0 10.9 0.50 435 71.0 Coarse 0.5-1.0 12.7 0.25 #60 55.9 Medium 0.25-0.5 16.2 Fine 0.10-0.25 24.2 0.10 #140 33 .4 Very Fine 0.05-0.10 13.6 77.7 0.05 #270 20.8 0.02 20 um 12.3 Silt Fractions Size (mm) Percent 0.005 5 um 5.20.002 2 um 2.9 Coarse 0.02-0.05 9.1 Medium 0.005-0.02 7.6 Fine 0.002-0.005 2.4 19.2 USDA Textural Class = loamy sand Gravel Content = 7.0% COMMENTS: nedcal@aol.com Uvlass Extension is an equnI opportunity provider and employer,United States Department of Agriculture cooperating.Contact your local Extension office for information on disability accommodations.Contact the Shire Extension Director's Office if you have concerns related to discrimination,413-545-4Rp0 or see vvvvtiv.extension.umass.edu/civilrights. rRECEIVED o- y � Commonwealth of Massachusetts 2 v 2013 City/Town of N Q+f h Prod Ove-,v' T OWN OF NORT49- 1 DEP Form 11 - Soil Suitability AssesntSewage Disposal A. Facility Information Doay ra Paw-,-4a (7-ow Owner Name z 1 3 Car 1 f'a,k La K e i o 7 A/ 2-0$ Street Address Map/Lot# Na - h 14ndayt,r M14 01 $4,5 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ❑ Upgrade d Repair 2. Publishellloiz ey Available? ❑ Yes ❑ No If yes: Year Published Publication Scale Soil Map Unit Soil Name Soil Limitations 3. Surficial Geological Report Ava le? ❑ Yes ❑ No If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? ❑ Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No Within the 500-year flood boundary? ❑ Yes ❑ No ithin a velocity zone? ❑ Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions(USGS): Month/Year Range: ❑ Above No al ❑ Normal ❑ Below Normal 7. Other references reviewed: t5form11.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 _�LN Commonwealth of Massachusetts City/Town of -- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: Tie— I I Ips I t 3 Date Time Weather 1. Location Ground Elevation at Surface of Hole: Location (identify on plan): wv^ 2. Land Use Res . 1 dL (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) &v-t,-L'& Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet Drainage Way feet Possible Wet Area feet sD` Property Line Drinking Water Well Other W �` `0.w.Y t 4feet feet feet K� 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: L+ %" Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 r Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 4 C. On-Site Review (continued) Deep Observation Hole Number: TT _ l Redoximorphic Features Coarse Fragments Depth in. Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil p ( ) Layer Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles&Stones (Moist) 2 7 �14r'd FI 1217 G 2 sy `��3 YZ.. vv �y ' e�G n Additional Notes: t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 i Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: —2 Date Time Weather 1. Location Ground Elevation at Surface of Hole: i Location (identify on plan): 2. Land Use ke S" 10—w'' (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) &-ras t Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet Drainage Way feet Possible Wet Area feet I} Property Line ?et Drinking Water Well feet Other feet 4. Parent Material: i o av�y so-vxd Unsuitable Materials Present: 9 Yes ❑ No If Yes: ❑ Disturbed Soil [Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 'r_ 5. Groundwater Observed: EllYes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 14 6 112. 3 inches elevation t5forml1.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T? + Z Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Munsell Cobbles& Consistence Other Moist Layer Y (Munsell) (USDA) Structure Depth Color Percent ravel (Moist) Stones 23 L 3 O f}N (o y K 2-11 Fs L w r. v ro,v 12-0 G 2-'i Y ` a q6 Additional Notes: t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 . R Commonwealth of Massachusetts City/Town of y Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 4 D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches Depth weeping from side of observation hole A. B.inches inches �t Depth to soil redoximorphic features (mottles) A. `'� Z B. L b inches inches El Groundwater B.Groundwater adjustment(USGS methodology) inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material 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 /L4 b. bL 1 �a~1L2v4 b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: inches t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 r L3 <r\- Commonwealth of Massachusetts City/Town of 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. 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 15.100 through 15.107. 1�1� T Y�, 1M z ( ► 4� � t 3 SigiaturSoil EvalZtor�/ 7 C> Date 0 -f L I D V Typed or Printed Name of Soil EvSF-2aluator/License# Date of Soil Evaluator Exam Isaac Rowe N0-4fik PC-wdrvwV- Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 <11IN Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t5form11.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 , Blackburn, Lisa From: Isaac Rowe[irowe@millriverconsulting.com] Sent: Monday, January 28, 2013 12:53 PM To: 'Susan Sawyer(ssawyer@townofnorthandover.com)'; Blackburn, Lisa Cc: 'Pam Lally'; irowe@millriverconsulting.com Subject: 213 Carlton Lane Attachments: 213 Carlton Lane-soil testing results 1-28-13.pdf I Susan/Lisa, Attached are the soil testing results for the above referenced property. The soil was too saturated to perform a perc test so Luke Roy took a soil sample for a sieve analysis. Please let me know if you have any questions. Thanks, Isaac M. Rowe,R.S. Project Manager Mill River Consulting j 6 Sargent Street RECEIVE® MYN of NOMH aN r HMTM aEPnRTrurur i y3 Z13 C--r , I I ; 1 I , ` - C L TT j I - I � I RECEIVED 2A 2013 j Ta-tw of rxm",C i 1 { 1 I it Blackburn, Lisa From: Isaac Rowe [irowe@miliriverconsulting.com] Sent: Tuesday, January 15, 2013 8:41 AM To: Blackburn, Lisa; 'Dan Ottenheimer'; 'Pam Lally' Cc: irowe@millriverconsulting.com Subject: RE: 213 Carlton Lane Lisa, We are scheduled for soil testing on Monday January 28th with Luke Roy. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: (978) 282-0014 Fax: (978) 282-1318 irowe@millriverconsulting.com www.millriverconsulting.com -----Original Message----- From: Blackburn, Lisa [maiIto:LBlackburn@townofnorthandover.com] Sent: Friday, January 11, 2013 9:29 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Subject: 213 Carlton Lane Good Morning, Attached is the Application for Soil Tests signed by Heidi from Conservation. You can schedule a soils test with the Engineer however please make sure Luke sees the attached email from Heidi. If you have any questions please let me know as Susan isn't in today and I want to make sure I'm doing this correctly. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street Suite 2035 North Andover, MA 01845 TOWN OF NORTH ANDOVER o0RT$1 i �f yy 43G 1�_a� Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 'ss;C',",U `g Susan Y. Sawyer, REHS, RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept@townofnorthandover.com www.townofnorthandover.coni APPLICATION FOR SOIL TESTS DATE: i 2 �' 'z__ MAP& PARCEL: 10 7 l-Z 2 0 LOCATION OF SOIL TESTS: Z 1 3 C aY ( foh Lore OWNER: D&V t 3 E' F0-We� � Q F-OW1eC Contact#: APPLICANT: L-IJ K e Il© (, Contact#: ADDRESS: Z 3 cI �Q r k S4 rLC t N tiff�b► MI M W D I g L4 ENGINEER: UK ��4y t V1 � �� n q , h 1 e , Contact#: CERTIFIED SOIL EVALUATOR: Ly Ke 7, Koy, s C_- Z7 4 O Intended Use of Land: Residential Subdivision ingle Family H Commercial Is This: Repair Testing: Undeveloped Lot Testing JAN 0 3 2013 Upgrade for Addition:a In the Lake Cochichewick Watershed? Yes No F- '-7}i C"':-7 THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan& Location of Testing(please indicate test pit sites on the plan) Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. )o 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 I"-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 Approv Date: 6 Signature of Conservation Agent: Date back to Health Department: (stamp in): - CPO 00 WTI c I P� zp SRC, to O F z` so t Z� ' > 106 FT, F AO*A Rio R Lo-r 41 LOT 4.0 i43 15s:. ` ! LOT 3'9. %.k- 02 • / _ �Al- 75 s Gaffney, Heidi From: Gaffney, Heidi Sent: Thursday, January 10, 2013 12:38 PM To: 'Troy@ljrengineering.com' Cc: Hughes, Jennifer Subject: 213 Carlton Lane Attachments: 2O13O1O9_145534.jpg; 2O13O1O9_1457O2.jpg Hi Luke, I will sign off for test pits because it appears that the test pit locations will be more than 50' away from a potential wetland. However, someone will need to take a look at the wooded area near the road, it has wetland characteristics and there is a black corrugated pipe that goes under the driveway but I don't know where it goes. See attached photos. The old filing(file#242-115)on this is not helpful at all other than the old subdivision plans show that this area was wetland before the subdivision. 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 heaffnev@townofnorthandover.com Web www.TownofNorthAndover.com u� 1