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Miscellaneous - 258 BRIDGES LANE 4/30/2018 (2)
*61 .ff c North Andover Health Department Community Development Division October 1, 2010 Maureen Magauran Patrick Hanks 258 Bridges Lane North Andover, MA 01845 Re: room addition and deck replacement Dear Ms. Magauran and Mr. Hanks, This is a follow up to the conversation held with Maureen on September 28, 2010 concerning the proposed deck replacement at your property and the subsequent actions that have been taken by you and your contractor over the past few days. We appreciate your cooperation in this important matter and fully understand your concern and quandary over these events. So far things have moved quickly. 1) The Health Dept. requested a floor plan to identify whether the size of the home, with the additional room, would be supported sufficiently by the septic system. The drawing was submitted on September 30th. Your system is sized for a 4 -bedroom or maximum 9 -room home. From the floor plan submitted, this will be an 8 -room home after the addition of the room. - The addition of the room is acceptable 2) The Health Department requested an inspection of the 26 year old septic tank by a licensed septic installer. On October 1, 2010, Neil Bateson reported to the Health Department that the tank is structurally sound and the baffles are in good condition. - The continued use of this tank is approved and concept of the replacement deck over the tank is acceptable to the Health Dept. 3) The Health Department requested the installer indicate what type of access is needed to get to the tank covers for the future. Mr. Bateson suggested installing a manhole over the inlet for easier future access as is already over the outlet. The new deck should have access doors (hinged or otherwise) of sufficient size to uncover the ports. Consideration of potential swelling of decking should be incorporated in the design. Please have contractor describe in narrative or by drawing the proposed access to the tank and discuss the installation of the riser with Bateson. 4) The Health Department requested a rendering of the newest proposal of the deck to scale; including the location of the tanks, the building foundation, the outline of the deck, the locations 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com of the present and future sona Cs and the distances between the tanks�,,,),.i the sona tubes at ' minimum. Please submit plan for review. 5) Mr. Bateson and the Health Department will work together to assist you with the annual inspection requirement of your subsurface disposal system. This is ongoing Once #4 is received, the Health Dept. should have all the data to form a final decision on the deck repair. The decision will be based on the State and Local regulations regarding subsurface disposal systems. Please adhere to the setbacks wherever possible. Sona tubes should be 5 feet from the tanks. Please keep in mind that if a variance to the local regulations is needed for structural integrity, this may be considered however you may have to appear before the Board of Health for the formal request. Please be aware that the Health Department is aware of the age of the tank and the cast iron building sewer that runs under the sunroom. These components should be located in areas that can be excavated in case of an emergency. They are not due to past decisions. It is recommended that you consider the possibility of either of these components failing. If the pipe cracks or shears off you will likely need to move the internal plumbing to repair it. If the tank fails, you will likely fill it and need to relocate the building sewer and the septic tank. It may be prudent to discuss these possibilities with an engineer prior to the possible late night or winter emergency. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Su an Sawyer Public Health Director Cc: Building Department Neil Bateson Red Apple Renovations 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, October 01, 2010 4:11 PM To:'alison@redapplerenovations.com'; 'chris@redapplerenovations.com' Cc: Sawyer, Susan Subject: FW: Letter to Maureen Magauran & Patrick Hanks - 258 Bridges Lane - Proposed Deck Replacement Attachments: 20101001160104623.pdf Importance: High To: Red Apple Renovations Attn: Alison Adams Chris Matey Dear Alison and Chris, Attached is a letter being sent on behalf of Susan Sawyer, North Andover Health Director, regarding the proposed deck replacement at 258 Bridges Lane. The original letter is being sent to the homeowner. Please call the Health Department on Monday if you have any further questions. Have a wonderful weekend. — Best Regards, Pamela DelleChiaie Departmental Assistant lCommunity Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover, MA 01845 N Office - 978-688-9540 9 Fax - 978-688-8476 9 Email - pdellechiaiegtownofnorthandover.com Website hgp://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet." --Anonymous -----Original Message ----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Friday, October 01, 2010 4:01 PM To: DelleChiaie, Pamela Subject: Letter to Maureen Magauran & Patrick Hanks - 258 Bridges Lane - Proposed Deck Replacement This E-mail was sent from "RNPOA428C" (Aficio MP C5000). Scan Date: 10.01.2010 16:01:04 (-0400) Queries to: noreply@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: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. To: Susan Sawyer Page 3 of 4 IIIA 64vre,41V 9'79- 600 - 3l-%06 ^m: Chris Matey To: Susan Sawyer Page 4 of 4 2010-09-30 17:15:19 (GMT) 19789452446 From: Chris Matey To: Susan Sawyer Page 2 of 4 2010-09-30 17:15:19 M 1 9,894S244 From Chris " Mate l 1. �J TOWN OF NORTH ANDOVER WORTH Office of COMMUNITY DEVELOPMENT AND SERVICES � ®�StLto Ie 9HOL ?e.. O o m HEALTH DEPARTMENT t � 27 CHARLES STREET * s 0 NORTH ANDOVER, MASSACHUSETTS 01845 ��SSACHUS���y Susan Y. Sawyer, REHS/RS Public Health Director March 29, 2004 Ms. Maureen Doherty 15 Magnolia Drive North Andover, MA 01845 Re: 258 Bridges Lane Dear Ms. Doherty, 978.688.9540 — Phone 978.688.9542 — FAX healthdept@townofnorthandoiver.com www.townofnorthandover.com The North Andover Board of Health has completed a review of the revised septic system design plans for the above referenced property, submitted on your behalf by New England Engineering Services, dated March 22, 2004 The design has been approved for use in the construction of a replacement onsite septic system. Your installer, Mr. Reilly, will be advised of the approval so that the construction may commence as soon as possible. Unlike previous designs for this property, this is a pressure -dosed system and has specific requirements for long-term maintenance. According to the State Department of Environmental Protection, 310 CMR: 15.254 (2) (d) Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in strict accordance with the manufacturer's specifications. In no instance shall inspection be performed less frequently than once every three months. The results of such inspections shall be submitted to the approving authority. Before the health department may issue a certificate of compliance for this system repair, a maintenance agreement for quarterly inspection must be submitted to this office. Maintenance shall be performed by a Class 2 Wastewater Treatment Plant Operator; a N. Andover licensed Disposal Systems Installer or a Massachusetts licensed septic system inspector. This approval is also subject to the following general 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 Disposal Works Construction permit is void and installation shall stop. At that time, the health department and the system designer should be contacted and apprised of the problem. 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. In the case of a pump system, a licensed electrician must apply and receive a permit for the wiring related to the pump. If you have any questions regarding this approval, please contact the health office. Thank you. Sincerely SusS er, REIM S. ` Public Health director . Cc: File Current Homeowner Engineer — Ben Osgood, New England Engineering Septic Installer — Mike Reilly of F.P. 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N- I ndd I ii II II \ II I II SSS By N Maureen Magauran andDrawn Red Apple Renovations 3 61e=�-0° Patrick Hanks FLOOR PLAN 978.409.1293 258 Bridges Lane North Andover, MA 01845 0 2 M Kai [■Eƒ fK= \}{«f0 7 ` |m\ 17 `© 2 3 g{/ ;if .m5 _2# | F§e CL G } (�o ��� ƒ\\ - \|2 }} >]e a !!� 2°ƒ CDo -- )( k/) (/ \ \\ƒ 1 81 z, \\ M. | &- WD °£ E; CD CL f m; CD{ CD M}M(Z &) # E(/I ]» ƒ(»!\I m`E #03 / [ �\2 2 § N j n z �m 92rm = § 2(�; cD cD� {;�0 g'0 2& \ \ - ;za ;[}i\ {)� /2( e;,=a . _ %_CD!! CD (�\ 0 3 / _— By: SS Maureen MagauC n and Scale: ®«-,� Patrick Hanks SECTION 258 Badges Lane North Andover, MA 01845 Red Apple Renovations 978.409.1293 0A Drawn By: SS Maureen Magauran and Scale: Scale: -o Patrick Hanks 258 Bridges Lane North Andover, MA 01845 IMAGES Red Apple Renovations 978.409.1293 0 m en -1 I a 9 till[ F ro �G1wxG1smt�T� SAIDN ''�.ro�0 a d 7'0 0 G y.yi � a=irocOp=wN� f71 X C0 O m=7'fn eC T DO 9ia� ao�CD 0 F,C w m n 00 Vi D W O G T. a G)w m U NN m to O N -n O „ ro DCD �i U7 _d Cil a CL T C CD 'cs+ X Cn CO C;?1 S CD iG7cnx�gm�T'' m�,�dm.,xAroyrl b tD f6 G' to �• 9 A � T �NLe � N N C O � MeD exp O VJ .�_••• eb � � � r �, H a''T1 .d_•.NA 0 �••.eui�,SX ooma ?et a �bN n ID 0 0 T Cr ro ro w �. 10 G) ti w NN N CD N 0 r x' ro m � 3 n m N d G1 g N C_ d D d. N C ID II O X r 3 .n m Z 3 � ro y� On 2 ro N (i N �C O0- fp ro O �groOOJ M�ewOa O a O ~{ n H 010 0rn (ntoc n �a�i�mmy�n a (D Z! Z! w[�nro° T Ao CO 0 L O (D O A m, G) w 2 0 r. T ro CD 3rawn By. Red Apple Renovations Maureen Magauran and 978.409.1293 3/16" 1'-0" Patrick Hanks WINDOWS (2X EACH) 3/16' = 258 Bridges Lane North Andover, MA 01845 Down of North Andover Office of the Health Department o?'` 'N Community Development and Services Division 27 Charles Street "` °*, •a ''�� North Andover, Massachusetts 01845 'SSACNUS�t Susan Y. Sawyer, REHS/ RS Public Health Director 978.688.9540 - Phone 978.688.9542 - Fax C�E1�TI�FI�A�IE OE C09W)UAYCE As of: ,dune 2, 2004 Thir is to cert that the indzividuafsukurface d4osafsystem repaired (X) — EulrSystem 6y 9Vike r�ei�y at 258 Bfidges Gane North Andover, JKA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary ,Code and with the North Andover 0oard ofWealth regulations. The Issuance of this certiate shalt not 6e construed as a guarantee that the system u4ff function satisfactonfy. > 1 r Sus `Y. Sawyer, 19& ftb& Ifealth (Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (�) repaired; by located at _ �� 2, p 40 yg z5- was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # , plan dated , 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. Bed inspection date: 1// Z 7/0 `/ Final inspection date: �j 13 0 Installer: Engineer: G iva C-- Engineer Representative Engineer Repr a tative Date: Date: NEW ENGLAND ENGINEERING SERVICES INC Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 258 Bridges Lane, North Andover, Septic System As -Built Dear Susan: May 14, 2004 WN OF NORTH ANDO'. EF BOARD OF HE��ITH 2I es nn ; . MAY New England Engineering is submitting a septic system as -built for the above referenced property. We have also included the system installation certification. Enclosed are three (3) copies of the as -built plan and one copy of the installation certification. If you have any comments or questions please do not hesitate to contact this office. Sincerel , Thomas Hecto New England Engineering Services, Inc. 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@milldverconsulting.com] Sent: Wednesday, February 04, 2004 8:35 AM To: Heidi Griffin; Brian LaGrasse; pdellechiaie@townofnorthandover.com Subject: 258 Bridges Lane Heidi, Brian and Pam, Attached please find the inspection form for the bottom of bed inspection performed at 258 Bridges Lane. The contractor had inadvertently removed too much soil and will have to bring in sand to raise the elevation to the needed height. Otherwise, everything looked fine. M Daniel Ottenheimer, President E Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.miIiriverconsulting.com info@millriverconsulting.com 2/4/2004 Page 1 of 1 lJ Pamela DelleChiaie From: "Dan Ottenheimer" <info@miIIdverconsulfing.com> To: "Heidi Griffin"<hgdffin@townofnorthandover.com>;<blagrasse@townofnorthandover.com>; <pdellechiaie@townofnorthandover.com> Sent: Thursday, October 02, 2003 8:20 AM Attach: Revoke Construction Permit 258 Bddge.doc; Construction Inspection Form Bridges #258.doc Subject: 258 Bridge Lane Heidi, Brian and Pam, Attached please find the construction inspection form for the bottom of bed inspection at -258 Bridge Lane. Unfortunately at least 1/3 of the proposed soil absorption system has only ledge underneath it. I have notified the designer and informed the contractor to cease construction. The designer will be contacting your office to re -schedule soil testing for this site. I have also attached a letter to the licensed installer which the Town may wish to consider issuing in order to confirm the problem found and the revocation of the construction permit. I did not have the mailing address for FP Reilly so you'll need to fill that in if you want to send this letter out. 9. Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 info@millriverconsulting.com 10/2/2003 101 MILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 258 Bridges Lane MAP: 104D LOT: 90 INSTALLER: Mike Reilly DESIGNER: New England Engineering Services PLAN DATE: Nov 12, 2003 BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: January 30, 2003 DATE OF FINAL CONSTRUCTION INSPECTION: February 13, 2004 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE X GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = re -use existing LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = n/a LOADING OF PUMP CHAMBER = n/a TYPE OF SAS = Field DIMENSIONS AND DETAILS OF SAS: 16'x31' with 5' overdig. Gravelless disposal units. SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 1 of 3 0 MILL RIVER CONSULTING Septic System Management Services SEPTIC TANK FN ❑■ Comments: D -BOX Comments: SOIL ABSORPTION SYSTEM El 0 D 0 Bottom of tank hole has 6" stone base Weep hole plugged gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, over access port Outlet tee (gas baffle or effluent filter) installed, over access port Ainch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present Hydraulic cement around inlet & outlet Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution Speed levelers provided (not required) Bottom of SAS excavated down to C soil layer, Size of SAS excavated as per plan Title 5 sand installed, if specified on plan 3/4-1 %" double washed stone installed 1/8-1/2" (peastone) double washed stone installed laterals installed and ends connected to header (and vented if impervious material above) Orifices @ 5 & 7 o'clock positions Gravelless disposal systems: type, number and location as per plan 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 2 of 3 MILL RIVER CONSULTING Septic System Management Services NO ❑ Elevations of laterals installed as on approved plan 0 40 Mil HDPE barrier installed ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: Contractor removed B horizon down to C horizon. Plan calls for retention of B soil horizon. Contractor will replace with sand fill. Site survey indicates contractor installed entire soil absorption system too low by approximately 1'. Contractor indicated septic designer came to site and changed the reading of Benchmark #2 to something different than elevation 100.52 on the design plan. Contractor instructed to cease work at this time until this matter can be clarified. SYSTEM ELEVATIONS Benchmark: 100.52 -- Rod at Benchmark: 3.90 Height of Instrument: 104.42 INVERT ON DESIGN PLAN ROD (CD TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Distribution Box IN 101.88 3.19 100.90 Distribution Box OUT 101.71 3.32 100.77 Lateral 101.61 3.42 100.67 Top of Sand 101.07 4.20 100.22 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 3 of 3 A 0 0 MILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 258 Bridges Lane MAP: 104D LOT: 90 INSTALLER: Mike Reilly DESIGNER: New England Engineering Services PLAN DATE: BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: April 30, 2004 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION X PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = re -use existing LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = 1,000 LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = Field DIMENSIONS AND DETAILS OF SAS: 16'x31' with 5' overdig. Gravelless disposal units. Pressure Distribution. SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 1 of 3 SEPTIC TANK MILL RIVER CONSULTING Septic System Management Services ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) 0 Inlet tee installed, over access port O Outlet tee (gas baffle or effluent filter) installed, over access port 0 24 inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: Re -using existing tank which is located under deck. Access ways being built into deck. Center access port has manhole cover for pumping. Effluent filter installed on outlet side, contractor will try place a manhole cover over the outlet access port. PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged O 1,000 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, over access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ 20 inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Contractor had called previously to request permission to install a shallow "ledge" tank for pump chamber due to presence of shallow depth to refusal in area of tank. Indicated this would be satisfactory provided the designer provided a tank detail and float setting calculation for new tank. SOIL ABSORPTION SYSTEM 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 info@millriverconsulting.com Page 2 of 3 MILL RIVER CONSULTING Septic System Management Services ❑ Bottom of SAS excavated down to C soil layer, ❑ Size of SAS excavated as per plan D Title 5 sand installed, if specified on plan ❑ 3/4-1 '/" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions D Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan D 40 Mil HDPE barrier installed ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: Checked construction of Soil Absorption System. Chambers level, at grade specified on plan. Piping properly constructed, discussed proper types of end caps with contractor, he will provide. Gave ok to backfill soil absorption system. 2 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.80.0.377.3044 978.282.0014 info@millriverconsulting.com Page 3 of 3 Or t NORTN O tt��o ,e'�•{•O O F p 4 -- SSACHUSEt Applicant Site Location Town of North Andover, Massachusetts Form No. 3 BOARD OF HEALTH DISPOSAL WORKS CONSTRUCTION PERMIT NAME ADD Permission is hereby granted to Construct ( ) or Repair ( an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. { l% CHAIRMAN, BOARD OF HEALTH / Fee D.W.C. No. � ' or APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 6118/0 3 CURRENT INSTALLER'S LICENSE# AR a LOCATION: ;ZS - S Sz i D G-" n t LICENSED INSTALLER: ✓� i �A Mw C 0 s G-0 a b � dZ— SIGNATURE: C TELEPHONE# CHECK ONE: REPAIR: ✓ NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. $175.00 Fee Attached? Foundation As -built? Floor plans on file? Administrative Use Only Yes ✓ No Yes AV)l No Yes /V 4 No Approval Date: 10 INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at ZSR 1 --/}N r relative to the application of a }ung dated �v/��% 3 for plans by NEW E,140n 4;* and dated 5 ZS/0 3 with revisions dated 3PLO 3 I understand the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and- the system is not ready then item two shall be applicable. 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,. without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a) Bottom of Bed - generally fust inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade — Installer must request inspection when all grading is complete. Does not have to be on site. 3. As the installer I understand that persons or companies not associated with my company may riot perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the, system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank, D -box, pipes, stone, vent,pump chamber, retaining wall and other components. 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer z' . C (D-,)- Disposal Works Construction Permit # Date: &/8.03 Commonwealth of Massachusetts Map -Block -Lot 104.D- 0090 - ----------------------- Board Health Permit No North Andover BHP -2004-0342 P.I. FEE F.I. $250.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted Mike Reilly -------------------------------------------------------- to (Repair) an Individual Sewage Disposal System. at No 258 BRIDGES LANE as shown on the application for Disposal Works Construction Permit No. BHP -2004-034 Dated April 02, 2004 ------------------------- V ---- Issued On: Apr -02-2004 Bo f He h Commonwealth of Massachusetts Map -Block -Lot 104.D- 0090 - Board Of Health North Andover Certificate of Compliance THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair) by .Mike Reilly ---------------------------------- ---------------------- -- �-' ---- - �-,'' Installer at No 258 BRIDGES LANE �' - -- - -- ----------------------------- - -- has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. BHP -2004-034 - Dated April _02,_2004 ....... - .----------------------------- - --------------- Printed On: Apr -02-2004 Board Of Health APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: -I �a-y `I CURRENT INSTALLER'S LICENSE# LOCATION: 'o LICENSED INSTALLER: 4�-• P. p2 -Ni 1~F , SIGNATURE: � TELEPHONE# 91 CHECK ONE: REPAIR: `� NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. dAd '' t t' U O I .!!$ 00 Fee Attached? Foundation As -built? minis ra ive se n y Yes L/ No Yes No Floor plans on file? Yes No_ Approval 41 Date: d �)INSTALLER PROJECT MANAGE!, N,, OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at relative to the application of dated �ni-fS`� for plans byrkj.g dated ��vt with revisions dated I understand the following obligations for management of his project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contra( project manger, or any other person not associated with my company schedules an inspec and the system is not ready then item two shall be applicable. 2. As the installer I am required to have the necessary work completed prior to the applic, inspections as indicated below. I understand that requesting an inspection,. witt completion of the items in accordance with Tile 5 and the Board of Health Regulations r result in a $50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be d fust. Install0must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As -built verbal OK from engineer must be submitted to Board of Health, after which installer calls inspection time. Installer must be present for this inspection. With pump system all electr. work must be ready and able to cause pump to work and alarm to function. c) Final Grade'— Installer must request inspection when all grading is complete. Does not have to on site. 3. As the installer I understand that persons or companies not associated with my company rr not perform the work required by my company to complete the installation of the syst( identified in the attached application for installation. I further understand that work by oth( unlicensed to install septic systems in North Andover can constitute reasons for denial of t system, and/or revocation or suspension of my license in the Town of North Andover pl significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the follow construction steps: elevation of the excavation has been reached. a) Determination that the proper b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and oth components. 5. As the installer I understand that I am solely responsible for the installation of the system per the approved plans. No instructions by the homeowner, general contractor, or any oth, persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: 4-a-01. Disposal Works Construction Permit # 0 M 0 N ti t 4 V1 00 00 023 0 O �D C7 dW WWy N W > Q a 00 a O x Q 00O NzN .a 00 'O � O u •y � w a u O > L d G a,Av�3aa� OAU a O N a+ O a O .a •y � •� � � L d G a,Av�3aa� OAU � m ,Z rk7� E O ppW q � aen a U a T a° c c � ,y ° a o° A o e I0�0.5 a$ ^b o '� ;; o E � ;; ° •0 3 a Q uj � C Cd Pi O I? A G m .G ao O Y .0 O C .T .'�. A m T "' d !Y � Qc°i o a YO 'D y0 �, J". iG pp lC ra U 0 oa[i 0. U e > •N O�'°' 3w OO U ^O o q 7 Y on a a° n X > Q a O N a+ a A .a •y � a �° � �o c.o � ��N W OAU � m ,Z rk7� E O ppW q � aen U a T a° c c � ,y ° a '° o e I0�0.5 a$ ^b o '� ;; o E � ;; ° •0 3 a uj � C Cd Pi O I? A G m .G ao O Y .0 O C .T .'�. 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O O N N N O O O OO s 00 0 zoo U U U U OU w m m m m m L L a a N N CIO Ln A A G 0 G 0 O CIOO a U .G N .G Cd I-� A 0 O N 0 0 .Gi W ti •G-. � �-O. O O N N N O O O OO s 00 0 zoo w m m m m m L L a a N N CIO Ln A A G 0 G 0 O CIOO a U .G N .G Cd I-� A 0 O N 0 0 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Tuesday, May 11, 2004 3:08 PM To: Susan Sawyer; 'Pamela Dellechiaie' Subject: 258 Bridges Lane Sue and Pam, We inspected 258 Bridges Lane on 5/10 with Mike Reilly. We checked the pump chamber and found it generally satisfactory but the floats had been mounted with electrical tape. Requested Reilly to use clamps or ties which are more permanent. Could not access house to check alarm but Reilly will arrange to do so in a few days. Last item worth noting is that the squirt at the distal end of the pressure distribution system is only about 6". Typical design guidelines call for 3' minimum, since we did not do final plan review, I am not sure what this designer used for calculations. The greater squirt helps,promote scouring of the orifices and reduces clogging. This problem should be checked against the design calculations, and should also be noted to the person who is doing maintenance of this system. Due to the unique and lengthy problems associated with this site and everyone's desire to put it behind them, we will not charge the town for this inspection. ' Call with any questions. Dan a Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info Q@mllllr-iverconsulting.com 5/11/2004 05/07/2004 08:02 9786851099 NE ENGINEERING SVC PAGE 01 NEW ENGLAND ENGINEERING SERVICES tv INC R� FAX MEMO VOVV�A Of- HEAD , DATE 5/7/2004 To: Susan Ford FROM: Ben Osgood, Jr. This transmission contains 2 pages including this cover sheet. If this transmission is unclear or you experience difficulties you may call at 978-686-1768. Message: Attached is the addendum to the septic design for 258 Bridges lane for the ledge tank pump chamber with floats and capacity calculations If you have any questions don't hesitate to call. Thank you Ben Osgood, Jr. Phone: 978-686-1768 work. 978-686-1768 home Fax 978-685-1099 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01846.(970) 886-1768 - (888) 359-7645 - FAX (978) 695-1099 05/07/2004 06:02 9766651099 NE ENGINEERING SVC PAGE 02 ADDENDUM TO 258 BRIDGES LANE SEPTIC DESIGN I1 VENT HOLES 5/6/2004 i •0._6" r 20" CLEANOUT COVERS SCH 40 PVC TEE 2" SCH 40 PVC rGATE VALVE rQUICK DISCONNECT COUPLING WATERPROOF 4 -JUNCTION BOX 2" VERTICAL CHECK VALVE 121# .1ALARM ON 102.89 N 2' PUMP ON 102.72 �. 4,r- PUMP OFF 102.39 4" SCH 40 PVC 6" COMPACTED 3/4" CRUSHED STONE INV. IN 104.641 i 1000 GALLON LEDGE TANK PUMP CHAMBER (H-10 LOADING) SCALE: 1" = 2' SHEA MODEL TK1000L OR EQUAL, PUMP CHAMBER NOTES 1, PUMP CHAMBER SHALL BE WATER TIGHT AS SUPPLIED BY MANUFACTURER 2. 9" MINIMUM COVER REQUIRED OVER PUMP CHAMBER 3. JOINT SEALED WITH BUTYLS RESIN BY MANUFACTURER 17,oT: I I,,, t DOSE SIZE GALLONS (WIDTH OF TANK)x(LENGTH OF TANK)x(DEPTH OF PUMP) 62" x 120" x 4' / 1728 CU IN PER CU FT x 7.5 GAL PER CU FT m 129 GALLONS. DOSES PER DAY 440 GALLONS PER DAY FLOW/ 129 GALLONS. 4 DOSES PER DAY. EMERGENCY STORAGE (WIDTH OF TANK)x(LENGTH OF TANK)x (DEPTH OF ALARM ON TO INVERT IN) 62" x 120" x 21' / 1728 CU IN PER CU FT. x 7.5 GALS PER CU FT . 678 GALLONS Page 1 of 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, May 06, 20041:54 PM To: DelleChiaie, Pamela Subject: FW: 258 Bridges Lane Pam, I forgot about this. Have you seen anything from NEES. If not can you call him and explain this note below from Dan on what we need from him. Thanks -----Original Message ----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Thursday, May 06, 200412:05 PM To: Susan Sawyer; 'Pamela Dellechiaie' Subject: 258 Bridges Lane Sue and Pam, Attached please find the inspection report for the system at 258 Bridges Lane. The contractor obtained permission from us to use a shallow "ledge" tank in this instance provide they get your office (and our office) a tank sketch and float setting calculations. We have yet to receive that from the designer so we cannot perform a final inspection of the system in operation. Dan 0 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsulting.com 5/6/2004 May 3, 2004 Mr. Michael Reilly F.P. Reilly & Sons, Inc. 206 Andover Street, Suite 11 Andover, MA 01810 Re: Installation at 258 Bridges Lane Dear Mike, 0 Thanks for meeting with us at the North Andover town offices back on March 25. We've been advised that the work on Bridges Lane is now almost completed. At the meeting with you and Ben you reconfirmed that the total bill will not exceed the $20,500 amount of the proposal revision dated December 22, 2003. Please forward a revised bill marked Final Invoice for the remaining balance due. Once we have received confirmation that the certificate from the Board of Health has been issued the approved invoice will be forwarded to the current homeowner so that funds can be disbursed. Thank you for your assistance in completing this installation as soon as possible. Sincerely, Stephen Doherty 15 Magnolia Drive North Andover, MA Cc: —Susan Y. Sawyer, REHS/R.S., Public Health Director Ben Osgood, NE Engineering Services John Cusack, Premier Properties LLC Michael E. Lombard, Esq Maureen Magaurin, 258 Bridges Lane, North Andover, MA DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Friday, April 30, 2004 8:55 AM To: pdellechiaie@townofnorthandover.com Subject: RE: 990 Johnson Street & 258 Bridges Lane Tomorrow (4/30) at 7:30 a.m. Dan 0 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultin2.com info@miliriverconsulfin-g.com -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Thursday, April 29, 2004 4:13 PM To: Daniel Ottenheimer (E-mail) Subject: 990 Johnson Street & 258 Bridges Lane Hi Dan, Page 1 of 2 Just received a call from Mike Reilly. He is ready for a Bottom of Bed Inspection at 990 Johnson Street, wants to know when you can come tomorrow to do the BB Inspection. Also, he is hoping to get a Final Inspection on 258 Bridges Lane while you are there, however, he is waiting to hear from Ben to be sure tl pump and electrical are all set. He will let you know when you see him at Johnson Street. Mike's number is: 978.375.4811. Thanks! P:) Pamela DelleChiaie, Health Dept. Assistant Town of North Andover 4/30/2004 TOWN OF NORTH ANDOVER Noera Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET �Rp�g1f¢° ♦tF`��c� NORTH ANDOVER, MASSACHUSETTS 01.845 UStit Susan Y. Sawyer, REHS/RS Public Health Director March 29, 2004 Ms. Maureen Doherty 15 Magnolia Drive North Andover, MA 01845 Re: 258 Bridges Lane Dear Ms. Doherty, 978.688.9540 — Phone 978.688.9542 — FAX healthdept townofnorthandover.com www.townofnorthandover.com 37Ij The North Andover Board of Health has completed a review of the revised septic system design plans for the above referenced property, submitted on your behalf by New England Engineering Services, dated March 22, 2004 The design has been approved for use in the construction of a replacement onsite septic system. Your installer, Mr. Reilly, will be advised of the approval so that the construction may commence as soon as possible. Unlike previous designs for this property, this is a pressure -dosed system and has specific requirements for long-term maintenance. According to the State Department of Environmental Protection, 310 CMR: 15.254 (2) (d) Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in strict accordance with the manufacturer's specifications. In no instance shall inspection be performed less frequently than once every three months. The results of such. inspections shall be submitted to the approving authority. Before the health department may issue a certificate of compliance for this system repair, a maintenance agreement for quarterly inspection must be submitted to this office. Maintenance shall be performed by a Class 2 Wastewater Treatment Plant Operator; a N. Andover licensed Disposal Systems Installer or a Massachusetts licensed septic system inspector. This approval is also subject to the following general 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 Disposal Works Construction permit is void and installation shall stop. At that time, the health department and the system designer should be contacted and apprised of the problem. 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. In the case of a pump system, a licensed electrician must apply and receive a permit for the wiring related to the pump. If you have any questions regarding this approval, please contact the health office. Thank you. Sincere r. Sues Sawyer, ROM.S.�'�. Public Health director Cc: File Current Homeowner Engineer — Ben Osgood, New England Engineering Septic Installer — Mike Reilly of F.P. Reilly & Sons DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, March 29, 2004 3:56 PM To: DelleChiaie, Pamela Subject: 258 Bridges 258 Bridges OK 3.29.04.doc Pam, please check over this approval letter. Add cc's to the homeowner ( you said you had the name) and to the engineer. Do you have the approved stamp for plans or do I. It is ok to stamp. Then please call Mike Riley and tell him to come and get the plan. Thanks Susan Sawyer, Public Health Director Town of North Andover 27 Charles Street North Andover, MA 01845 03/22/2004 08:11 9782820012 03/19/2004 15:21 9786851090 DA'L'E 3/19/04 To: Dauld ouenheimer FROM: Ben Osgood, Jr. MILL RIVER CONSULT ^ NE ENGINELKINu 5v4 /0 FAX MEMO This transmission contains 2 pages including this cover sheet. If this transtnission is unclear or you experience difficulties you may call at 978.686-1768. Message: The enclosed plan is a plan of the revised spot grades and existing topography for the property at Badges Lane in North Andover. Please check them against the elevations obtained by your surveyor and let me know if you agree. We have re -designed the plan and will submit on Monday if you concur with our elevations. Thank you Ben Osgood. )r, Phone: 97".86-1768 work 978-686-1769 i owe Fau 978..685-1,090 PAGE. 02 03/22/2004 08:11 9782820012 MILL RIVER CONSULT 03/19,`20Pa 15:21 978685109 NE ENulNtxKllva 5vt, PAGE 03 or 01. r f fit'co / N ti o tiaj 10 •.a� -:0 t by •� \\ PAGE 03 03/22/2004 08:11 9782820012-0 iw N Let " MILL RIVER CONSULT PAGE 04 tpPa to 41."4915 vo O N r+ W m CA O m I v OUt pON OQW M m(o m � , < e O O01 o (D 00 PAGE 04 tpPa to 41."4915 vo O N r+ W m CA O m I -o O U► O 'v O fP V � + M W < O O01 p (D 00 o m m Q o' PAGE 04 tpPa to 41."4915 vo O N r+ W m CA O m NEW ENGLAND ENGINEERING SERVICES INC Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 258 Bridges Lane, North Andover, Septic System Design Dear Susan: March 23, 2004 NVA OF NORTH ANDD"F BOARD OF HEALTH 'I Z 3 2004 ,J Enclosed are 5 sets of revised septic system design plans for the above referenced property. The changes made to the plan address the following: 1. Existing topography in the area of the proposed leach bed has been checked and revised. 2. Proposed leach bed has been revised to reflect new topography utilizing a pressure distribution design. Enclosed is a copy of the pump calculations. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgoo,rJr.,EIT President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 NEW ENGLAND ENGINEERING SERVICES INC PROS1-,E DSTR � PrCpglty Lacatfo� DESIGN FLOW (in gallons/day)? Elevation of the PUMP OFF SWITCH, in feet? Elevation of the upper LATERAL, in feet? DELIVERY PIPE distance, from pump to manifold, in feet? DELIVERY PIPE diameter, in inches (if not 2" --use 2" min)? Design DISTAL PRESSURE, in feet (if not 2.5)? (hd) IS MANIFOLD CENTER -FED & SYMETRICAL (yes or no)? yes How many orifices in the MANIFOLD? MANIFOLD ORIFICE diameter, in inches (if not 5/16") MANIFOLD DIAMETER (if not 2" -use 2" min)? TOTAL LENGTH OF MANIFOLD Does MANIFOLD drain to FIELD after dose (yes or no)? no How many LATERALS? Pumping chamber weep hole size (usually .25') PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP TO 50 Your HIGHEST elevation lateral MUST be LATERAL 1 It arldges > an¢, North Andcry 1c 1 0 0.3125 0.3125 4 4 USE 0 IF FORCE MAIN DOES NOT DRAIN i PER LATERAL 1 f?'v'�`ia OFF NORTFI ANDOVER/ BOARD OF HEALTH b � 2 (first orifice from lateral 1/2 of orifice spacing) Lateral 1. Lateral 2 Lateral 3: Lateral 4: Lateral 5: Length of each LATERAL, in feet? 31.25 31.25 31.25 31.25 31.25 Diameter of each LATERAL, in inches (1.5' min)? 1.5. 1.5 1.5 1.5 1.51 Elevation of each LATERAL, in feet? 104.6 104.6 104.6 104.6 104.61 Number of ORIFICES per lateral 5 5 5 5 Distance from Manifold to closest Orifice, in feet f 3.13 3.13 3.13 3.13 3.13, ORIFICE SPACING, in feet 6.25 6.25 6.25 6.25 6.251 Diameter of ORIFICES, in inches? (D) 0.375 0.375 0.375 0.375 0.375 Square feet of leachfield per laterals (can ignore) j_147_._""._147 147 147 147 Maximum number of orifices in any one lateral 5 Minimum lateral diameter 1.5 RESUL�' FRICTION CALCULATIONS (using Hazen Williams friction ft= Ld((3.55Qm/Ch(Dd^2.63)))^1.85) PRESSURE CALCULATIONS (using orifice dischage equation Q=11.79 D^2 hd^.5 Lateral t: Lateral 2: Lateral 3: Lateral 4: Lateral 5: LATERAL DISCHAGE (first approximation) 14.36 14.36 14.36 14.36 14.36 MANIFOLD ORIFICE DISCHARGE 0.00 TOTAL SYSTEM DISCHAGE (first approximation) 71.79 TOTAL DISCHARGE PER LATERAL DISCHARGE PER SQUARE FOOT OF LEACHFIELD ORIFICE MAXIMUM DISCHARGE BY LATERAL ORIFICE MINIMUM DISCHARGE BY LATERAL ORIFICE % DIFFERENCE DISCHARGE within LATERAL MAXIMUM DISCHARGE LATERAL MINIMUM DISCHARGE LATERAL MAXIMUM DISCHARGE PER SQUARE FOOT MINIMUM DISCHARGE PER SQUARE FOOT % DIFFERENCE DISCHARGE for SYSTEM by orifice • DIFFERENCE DISCHARGE for SYSTEM by laterals • DIFFERENCE DISCHARGE for SYSTEM by square feet WEEP HOLE DISCHARGE (usually a 1/4" weep hole) VOID VOLUME IN DELIVERY PIPE VOID VOLUME IN MANIFOLD VOID VOLUME IN EACH LATERAL TOTAL LATERAL VOID VOLUME 14.43 14.43 14.43 14.43 14.43 0.09816967 0.09816967 0.0981697 0.0981697 0.0981697 2.91 2.91 2.91 2.91 2.91 2.87 2.87 2.87 2.87 2.67 1.3% 1.3% 1.3% 1.3% 1.3% 14.43 14.43 0.10 0.10 1.3% as percent of maximum orifice in system 0.0% as percent of maximum lateral in system 0.0% as percent of maximum square foot in system 2.04 weep hole= 0.25 inch 66.83 9.79 2.87 2.87 2.87 2.87 2.87 14.34 MINIMUM DOSE VOLUME (based on void volume) 71.71 to 143.43 MIN ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW (weep hole, usually 1/4", not counted for dose, effluent is repumped during process and not counted for friction, except as fitting headloss) TOTAL HEAD LOSS IN EACH LATERAL MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM MANIFOLD HEADLOSS (center -fed unless manifold design) DELIVERY PIPE HEADLOSS FITTING LOSS (headloss'.15) DISTAL PRESSURE HEAD STATIC HEAD (OFF -SWITCH TO HIGH LATERAUMANIFOLD) HEADLOSS PUMP TO WEEPHOLE (assume T run) 0.33 0.33 0.33 0.33 0.33 0.33 0.02 2.34 w/ delivery 3 inch diameter 0.45 add extra head if fittings are more than absolute minimum 3.00 4.52 0.04 PUMP MUST BE ABLE TO PASS SOLIDS AT 74.19 G.P.M 10.70 FEET OF HEAD or After nTIS (network losses=1.3'distal head) 74.19 G.P.M. 13.83 FEET OF HEAD 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Tuesday, March 02, 2004 2:54 PM To: Susan Sawyer; Brian LaGrasse; 'Pamela Dellechiaie' Subject: FW: Bridges Lane l TEE: - Daniel Ottenheimer Installer Letter, 258 Homeowner Letter, Daniel Ottenheimer (info@millr... Bridges ... 258 Bridges ... (info@millr... Forwarding as requested. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.milldverconsulting.com info@millriverconsulting.com -----Original Message ----- From: Dan Ottenheimer [mailto:info c@millriverconsulting.com] Sent: Friday, February 27, 2004 8:32 AM To: 'Susan Sawyer Subject: RE: Bridges Lane Sue, I have these letters written for your review as we discussed. I think you will find them polite and tactful (at least as best as I can write) but also hitting the key points. No hard feelings if you edit them as you see fit. I did not have some of the names and addresses which will need to be filled in. Regarding Mr. Markey's concerns: I think that it is certainly a fine approach if the applicant/designer wishes to seek a variance if there is only a 3 foot ground water separation. I also agree that this should be buttoned up soon. My suggestion for bringing in a licensed surveyor was for several reasons. First, I sincerely hope it doesn't come to this but if it ends up going to court, the Town will have an open and shut case based on the report of a registered surveyor. Second, Ben Osgood admitted that he made mistakes on several issues including the elevation of the septic outlet, the old benchmark label and now even the new benchmark label. I therefore do not believe we should trust any of the existing data provided on the design plan. Moreover, based on what we were able to glean from the data, it appears a gravity flow system might not work here now. This needs to be know quickly too so all parties can confirm if a pump chamber needs to be designed here now. v I did speak with a surveyor this morning and he can be out there on Monday. However, I am fine with whatever the Town wishes to do here, so we can call 1 0 0 states: "In the event it is discovered during installation of the system that site conditions differ from those contained in the soil evaluation and/or the approved design plans, the originally issued Disposal Systems Construction Permit is void, installation shall stop..." In addition, you have not returned several telephone messages indicating our concern for this project. You are hereby requested to appear at the next meeting of the North Andover Board of Health to explain why it appears you failed to comply with the requirements of a licensed septic installer in two different areas. The Board of Health next meets on March 25, 2004 at the Department of Public Works (DPW), 384 Osgood Street at 7:00 p.m. Feel free to contact me if any questions arise in the interim. I look forward to working with you to bring successful resolution to the septic system construction at this address. Sincerely, Susan Y. Sawyer, REHS, RS Health Director Cc: File Board of Health members r- 0 TOWN OF NORTH ANDOVER of �oafipga Office of COMMUNITY DEVELOPMENT AND SERVICES �? °`� `'• 6°A HEALTH DEPARTMENT 27 CHARLES STREET "o r 41 D NORTH ANDOVER, MASSACHUSETTS 01845 ��sS�ICHIb�it°� Susan Y. Sawyer 978.688.9540 -Phone Health Director 978.688.9542 -FAX W J March 2, 2004 u.. Michael Reilly F.P. Reilly & Son 207 Andover Street, Suite 11 Andover, MA 01810 RE: Septic System Construction, 258 Bridges Lane, North Andover Dear Mr. Reilly: This letter is being written to document some concerns regarding construction of the septic system serving the dwelling at 258 Bridges Lane. On Friday February 13, 2004, I along with two representatives from our technical advisers, Mill River Consulting, were present at the site to perform a final construction inspection. Due to a family emergency, you as the licensed septic installer were not able to attend the inspection. David Doucette from your company was present. Mr. Doucette joined us on the inspection and used his survey equipment to indicate rod readings at various key points. When calculations were completed and it was indicated that the soil absorption system did not appear to be constructed at the elevation specified on the design plan, it was reported that you had also observed some discrepancy, that you contacted the design engineering company, New England Engineering Services, and that they instructed you to utilize a new benchmark which they had created by taking the former benchmark reading of 100.52 and labeling it as 101.52. This has the effect of lowering the soil absorption system F and reduces the ground water offset from the bottom of the soil absorption system to 3'. Additionally, some of the fittings on the Infiltrator units were not secured and when discussed with Mr. Doucette he indicated you had obtained a videotape and booklet from the Infiltrator company, but that you had not attended a training offered by that company. This was later confirmed in a telephone conversation with Infiltrator. The MDEP Approval Letter for Infiltrators indicates in section VI. Conditions Applicable to Installers of the System that: 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. At no time during construction of this soil absorption system did you contact our office to indicate a design change had occurred. This is required by Title 5 (3 10 CMR 15.020) which rA states: "In the event it is discovered during installation of the system that site conditions differ from those contained in the soil evaluation and/or the approved design plans, the originally issued Disposal Systems Construction Permit is void, installation shall stop..." In addition, you have not returned several telephone messages indicating our concern for this project. You are hereby requested to appear at the next meeting of the North Andover Board of Health to explain why it appears you failed to comply with the requirements of a licensed septic installer in two different areas. The Board of Health next meets on March 25, 2004 at the Department of Public Works (DPW), 384 Osgood Street at 7:00 p.m. Feel free to contact me if any questions arise in the interim. I look forward to working with you to bring successful resolution to the septic system construction at this address. /sanY. il % wyer, REHS, R Health Director Cc: File Board of Health members n TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer 978.688.9540 — Phone Health Director 978.688.9542 — FAX March 2, 2004 �l- Homeowner 258 Bridges Lane North Andover, MA 01845 RE: Septic System Design and Construction Dear Homeowner: I am writing to share with you recent developments in the construction of the septic system which serves your house. As you may know, a septic system design was completed by Richard Tangard of New England Engineering Services and a permit to construct the septic system was obtained by Mike Reilly of F.P. Reilly & Sons. During a routine inspection of the construction, several items of concern were noted which caused us to have construction ceased until they could be resolved. These issues relate primarily to the elevation of the septic system and its ability to provide flow of the wastewater properly from your house, and also relate to the necessary separation of the leach area from the ground water. Both of these items are critical to the proper functioning of the septic system. We have attempted to speak with the septic contractor regarding this matter and to this date he has not returned our telephone calls. We have spoken with Ben Osgood, a representative of New England Engineering Services, who concurred with our observation that some problems were found. The Town of North Andover is going to retain the services a Registered Land Surveyor to provide a thorough assessment of the situation with the septic system serving your property. I understand this may seem like a complex and confusing letter. Rest assured, however, that by assuring that a proper septic system is constructed on property we are taking steps necessary to protect your interests and those of the public health and environment of the Town of North Andover. We will keep you apprised of the situation as we learn more. If you have any questions please do not hesitate to contact me or schedule a time to meet with me. Sincere, , / `Susan Y. Sawyer, RS, REFIS Health Director Cc: file Maureen Doherty (former homeowner) — 15 Magnolia Drive, North Andover, MA 0l 845 0 Page t of 1 DelleChiaie, Pamela From: Dan Ottenheimer (nfo@milldverconsulbng.com] Sent: Tuesday, February 24, 2004 4:19 PM To: Susan Sawyer; Brian LaGrasse; 'Pamela Dellechiaie' Subject: 258 Bridges Lane Susan, Brian and Pam, Attached please find the construction inspection form for the property at 258 Bridges Lane. You will note that the system was not properly constructed in that the elevations of the leach field are approximately V below what is called for on the design plan. I have instructed the contractor to cease work on the system until this matter has been resolved. There also appears to be significant errors on the surveying done on the site by the engineering company which is a separate but related matter. (Never a dull moment) Dan 1-1 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsuIting.com 2/24/2004 0 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulbng.coml Sent: Tuesday, November 25, 2003 8:45 AM To: Heidi Griffin; Brian LaGrasse; Pamela Dellechiaie Subject: 258 Bridges Lane Heidi, Brian and Pam, Attached please find the pl n approv er for the septic system design at 258 Bridges Lane. I addressed it to y at 258 Bridges Lane though I am aware she has since moved. You may wish to change that if you have additional inf r tion regarding her new address. •r Gv Dan G� r Daniel Ottenheimer, President J 5 Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsulting.com 11/25/2003 .. 0 0 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ~ 27 CHARLES STREET'? NORTH ANDOVER, MASSACHUSETTS 01845 �9SS iCNUS �A Heidi Griffin 978.688.9540 — Phone Acting Health Director 978.688.9542 — FAX November 24, 2003 Ms. Maureen Doherty 15 Magnolia Drive North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 258 Bridges Lane, Map 104D, Lot 90, North Andover, Massachusetts Dear Ms. Doherty, The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by New England Engineering Services dated November 12, 2003. The design has been approved for use in the construction of a replacement onsite septic system. This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. The time period for which this plan is valid is reduced to two years from the date of a septic system inspection which did not meet the acceptable criteria in the state regulations. The time period for which this plan is valid may be reduced by the North Andover Board of Health in the event an imminent health problem such as sewage backup into the dwelling is occurring. This approval is 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. 0 Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely, /x"{ice/�\)l/'Y�� /�////y/,/� � /� - �l j /9 /♦ Heidi Griffin, Acting Health Director encl: List of licensed septic system installers cc: file New England Engineering Services TOWN OF NORTH ANDOVER Of µORT!{ A Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ~ 27 CHARLES STREET` NORTH ANDOVER, MASSACHUSETTS 01845 Heidi Griffin 978.688.9540 — Phone Acting Health Director 978.688.9542 — FAX October 2, 2003 Michael Reilly F.P. Reilly & Sons Address RE: 258 Bridges Lane Septic Construction Permit Dear Mr. Reilly, This letter is being written to confirm the verbal notification already provided to you that the Disposal System Construction Permit issued to you for the septic system upgrade at 258 Bridges Lane has been revoked. Due to the presence of bedrock found beneath the proposed soil absorption system, it was determined that 4' of naturally occurring soil was not present beneath the soil absorption system. As indicated in Title 5 310 CMR 15.020 "In the event it is discovered during installation of the system that site conditions differ from those contained in the soil evaluation and/or the approved design plans, the originally issued Disposal Systems Construction Permit is void, installation shall stop, and the applicant shall apply for a new Disposal Systems Construction Permit." Thank you for your attention to this matter. Sincerely, l' � ss Brian Lagrae 94-1e� Health Inspector cc: New England Engineering Services Property owner 6,Jire D O `� D•o coc�c.ewcK �m *� Town of North Andover, Massachusetts No. 1 BOARD OF HEALTH /',r� APPLICATION FOR SITE TESTING/INSPECTION Applicant NAML AUUKL ILLLYHUNL Site Location Engineer '-�' • ✓r/� "f �� � �0'� G�'�" NAME ADDRESS TELEPHONE Test/Inspection Date and Time Z6) If CHAIRMAN, BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. Nov C.C. Date Plbg. Permit No. r NUMBER COMMONWEALTH OF MASSACHUSETTS BHP -2003-0350 North Andover FEE $360.00 Board Of Health New England Engineering ----------------------------------------------------------------------------------------------------------- NANE 258 BRIDGES LANE ------------------------------------------------------------------------------------------------------------ ADDRESS IS HEREBY GRANTED A PERMIT Soil Testing This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires --------------October 24, 2005 unless sooner suspended or revoked. ------------------------------- ----------------------------------------------------------------- October 23, 2003 Board Of ----------------------------------------------------------- Health ------------------------ --FILE-- ------------------------- ----------------------------------------------------------------- NEW ENGLAND ENGINEERING SERVICES INC October 21, 2003 North Andover Board of Health 27 Charles Street North Andover, MA 01845 4,m - t ZOQ3 Re: 258 Bridges Lane, North Andover, Septic system design OGS 2 �r Dear Sir or Madam: �.•� Enclosed is a check in the amount of 360.00 dollars to cover the fee for additional test pits at the above referenced property. This office is scheduled to perform the tests under the observation of Mill River Consulting this Friday. If you have any comments or questions please do not hesitate to contact this office. Sincerely, 9-.- C C. �i Benjamin Osg Jr., EIT President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 015,'2112003 1":24 17818340115 ` TANGARDR PAGE 02 FOlt1°e°I 11 -,OIL EVALUATOR FORM Page 2of3 Location Address or Lot No. Onns to Rai, w x Deep Hole Number Date; 7irtte;'�` � � Weather q.,� 7— LoCritiort li ientify on site_ .. Land Use ,+ ^' Sletpe iC�) �'" Surface Stones""�"; 4' Vegetation�°�"" L anoform - Position on landscape Distances from: Open Water Body feet Qra�nage way feet Possible Wet Area feet Property Line .. .. feet Drinking Water Well feet Other. Depth from Surface (tnche8) i 0-/1 DEEP OBSERVATION HOLE LOG' Soil Horizon Sell 7emure Soil Color 1 $oil Gtther (USDA) 04115611) Mottling (Structure, Stones, 9oulders, Consistency. Gravel) fly s P, - Parent Malarial (geologic) DepthtoSeftckt peplft tc G%w�ndK.eter: Standing Water in the Hole: _ Weeping from Pit Fece: _ cspmated Se,sanaf High Ground Wat:r_.... ia VEP AFFROYED FOPAi • 12r07/45 05121/2003 12:24 17813340115, TANGARDR PAGE 01 FORM 11 - SOIL EVALUATOR FORM `age 2 of 3 -17 Location Address or Lot On-site Re ew Jeep HOIQ Number . Date 12 �t Time: Weather 117 Location (identify on site plana .�*Slope p,.,,,.,, % Surf S Land Use /'. S10 a (°%I dee Manes � c�/ 'Jegetatian [.���`� Landform Position on landscape f . Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet property Line .. feet Drinking Water Well .. feet Other. ..............:...:.....:,.. DEEP OBSERVATION HOLE LOG* Parent Material (geologic) DapthtoBadrock!..__ Oe !h to Groundwater: Standing Water in she Wolp: Woopina from Pit Face; _ Es,irnated Seasonal hilgh Ground Water: iiUEF APPROVED FORtiI - 12107195 Depth from Surface llnchw $oil Horizon Soil Texture (L)SOA) soil Color (Munsell) Soil Mottling Other jStrudture, Stanea, Boulders, Cons;ste,c,/ 1A Gravel) i � ILII �MINIMUM 0 HZ M USED DISPOSAMEA Parent Material (geologic) DapthtoBadrock!..__ Oe !h to Groundwater: Standing Water in she Wolp: Woopina from Pit Face; _ Es,irnated Seasonal hilgh Ground Water: iiUEF APPROVED FORtiI - 12107195 F5• I/ •r >`:•7.2u F5• I/ Starr, Sandy From: Starr, Sandy Sent: Friday, May 30, 2003 5:06 PM To: Griffin, Heidi Cc: Santilli, Ray Subject: RE: Septic System Page 1 of 2 Hi, I called mrs. Doherty but she was not home - left a message. Also tried John Cusack - realtor - not there. Talked to Ben Osgood, engineer, and he is changing plans to address my concerns. The leach area will be made longer, removed further from the lot line and the impermeable barrier will be removed. This re -location may also make a variance to groundwater separation unnecessary. I'm writing a letter that the design is approved and that a confirmatory deep hole will be done at the WSW end of the leach area prior to construction. Sandy -----Original Message ----- From: Griffin, Heidi Sent: Friday, May 30, 2003 9:35 AM To: Starr, Sandy Subject: RE: Septic System Hi Sandy: Don't misunderstand me, I am not asking you to sign off on the plan. If you can please call back the homeowner/woman who complained to the town managers' office and explain the technical reasons why you can't, I will be satisfied. After you speak with her, if you can please just send an email to me, Ray and Linda Dallaire [who sent the original email] updating them, I am more than fine with that. Heidi -----Original Message ----- From: Starr, Sandy Sent: Friday, May 30, 2003 9:33 AM To: Griffin, Heidi; DelleChiaie, Pamela; Lagrasse, Brian Subject: RE: Septic System Heidi, There are several technical issues with this plan that will prohibit a sign off today. Have been attempting to speak to engineer but as of now, haven't been able to. Unless he can convince me otherwise, there needs to be additional discovery on the lot (soil tests) and a good chance of a re -design. I cannot sign off on something that does not meet Title 5 requirements. The buyer also needs to be aware of the design and how it will change his/her backyard. I will do what I can. SS -----Original Message ----- From: Griffin, Heidi Sent: Friday, May 30, 2003 9:17 AM To: Starr, Sandy; DelleChiaie, Pamela; Lagrasse, Brian Subject: FW: Septic System Hi Sandy, Pam and Brian: The below email complaint came in yesterday. Unfortunately, Ray is gone today and I was gone yesterday so this never made it your way.... Can whomever of you is appropriate [I can't tell from the email whom it would be] call this lady and 5/30/2003 Page 2 of 2 LJ let her know the status of her plans, etc. and just send a general email to myself, and Ray updating us? Thank You, Heidi -----Original Message ----- From: Dallaire, Linda Sent: Thursday, May 29, 2003 8:42 AM To: Griffin, Heidi Cc: Santilli, Ray Subject: Septic System Hi Heidi: Hope you're doing well after your return to work... Maureen Doherty Called for Mark this morning. She needs someone to pass plans ASAP on her septic system so she can close the sale on her house, otherwise she will lose the sale. Her telephone number is 978-687-0844. Please let me know how you make out with this issue as 1 know she will be calling back to see if anything is being done. Thanks, Linda Dallaire 5/30/2003 0 BOARD OF HEALTH 0 NORTH ANDOVER, MASS. 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: 19- MAP & PARCEL: LOCATION OF SOIL TESTS: 2-5 R 00 Crr 5 OWNER: Fr'ON K 0 fll_i:1 TEL. NO.: ADDRESS: abb 2 rAtf,>GE- 5 L-A'X1G N' -AY -5 2Q03 Z c/ ENGINEER:r w E N G f�nR 7 G r«i. TEL. CERTIFIED SOIL EVALUATOR:Dsc,yo cid cJ /L i 2, G K 6&V C I�Gs�yCc2A Intended use of land: Residential Subdivision ngle Family Home Commercial �i Is This: Repair testing Undeveloped lot testing In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. 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 $200.00 per lot for repairs or up rg ades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2: Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. 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). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Be pw This Line N.A. Conservation Commission Approval: Date Received: •' S f Check Amount: Check Date: �s a� Yfl Cot IRS -Y /,Aj 7.2 . 7 :2. -Y .... . . .... A 41 0 Page 1 of 5 9A - APPLI6ATION FOR LOCAL UPGRADE APPROVAL: Commonwealth of Massachusetts North Andover, Massachusetts Application for Local Upgrade Approval Title 5, 310 CMR 15.000 DEP approved form required by 310 CMR 15.403(1) To be submitted to Local Approving Authority/Board of Health: For the upgrade of a failed or non -conforming system with a design flow of <10,000 gpd, where fiill compliance, as defined in 310• CMR 15.404(1), is not feasible. To be submitted to DEP: For the upgrade of a failed or non -conforming system with a design flow of 10,000 up to 15,000 gpd and/or for upgrade of state of federal facility, where full compliance, as defined in 310 CMF 15.404(1), is not feasible. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of new design flow to a cesspool or privy or the addition of new design flow above the existing approved capacity of a system constructed in accordance with either the 1978 Code or 310 CMR 15/000. 1) Facility/System Owner: Name: Sre'E Alva Address: ass 9 2i., &C,S Lox/ Phone #: Address of facility: 12 2) Applicant (if different from above) Name: s Address: Phone #: 3) Type of Facility: --residential Commercial School Institutional (Specify)__ .ir w G t, �H� �, c,.� LCr •�, G- 4) Type of Existing System: _privy cesspool(s) other(describe) Page 2 of 5 ✓conventional system Type of soil absorption system (trenches, chambers, pits, etc.) F, c- 5) 5) Design Flow Based on 310 CMR 15.203: a) Design. flow of existing system gpd Approved: _yes Approval date: no Why: '2 b) Design flow of proposed upgraded system rlYo c) Design flow of facility yq D gpd 7 Why 6) Proposed upgrade of existing system is: a) Voluntary required by order, letter, etc. (attach copy) ✓Required following inspection required by 31 CMR 15.301 (provide date inspection form was submitted to the approving authority) -J;�* vc e-1 7o U- ,� �c N�,rey (date) b) Describe the proposed upgrade to the system: c) Which of the following are applicable to the proposed upgrade? Reduction of setback(s) (list setbacks to be reduced with proposed setback distances) Percolation rate of 30-60 minutes per inch (state actual perc rate) Up to 25% reduction in subsurface disposal area design requirements (state required & proposed size) Relocation of water supply well (identify well, describe relocation) V Reduction of required separation between bottom of SAS & high groundwater (specify proposed reduction & perc rate) '9 Pee- w 3 Se e Pou- Y e'n, n /�Nr/7 Page 3 of 5 Other requirements of 310 CMR 15.000 that cannot be met (specify sections of the code) System upgrades that cannot be performed in accordance with 31 CMR 15.404 & 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410-15.417. 7) 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 ground water elevation pursuant to 310 CMR 15.405(1)(1)(1). The evaluator must be a member or agent of the local approving authority: Distance from soil absorption system to high groundwater 3 feet As determined by: Evaluator's name: S,qj o 2,4. 22. Evaluator's Signature: Date of evaluation: slXf 1 03 8) Notice to Abutters: No application for upgrade approval in which the setback from property lines or a private water supply well is reduced shall be complete until the applicant has notified all abutters whose property 9or well is affected by certified at least ten days before the Board of Health meeting at which the upgrade approval will be on the agenda. Such notice shall include the date, time and place where the upgrade approval will be discussed. If the department is the approving authority, then such notice to abutters must be completed prior to the date of submission of the application to the department. The notices to abutters shall include a copy of the completed application form and shall reference the standards set forth in 310 CMR 15.402 through 15.405. Page 4 of 5 List of affected abutters: Abutter Name Date notified Address Abutter Name Date notified Address Abutter Name Date notified Address Abutter Name Date notified Address 9)' Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible (each section must be completed): a) An upgraded system in full compliance with 310 CMR 15.000 is not feasible: b) An alternative system approved pursuant to 310 CMR 15.283-15.288 is not feasible. _ Cosi �s �2o N��3�"rluC c) A shared system is not feasible. A10 f}2r 14- cin d) Connection to a sewer is not feasible. /vim 10) An application for a disposal system construction permit, including all required attachments (e.g. plans & specifications, site evaluation forms), must accompany this application. Is the DSCP application attached? 1Z yes no o Page 5 of 5 11) 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 knowing violations." Facility Owner Date L75`I�aw--n C nsGooD 3 -IL Print Name �eti;aw.. (' C�sUvO'D Name of Preparer Date 60 3E&cHc.j000, �/Lut--- N, 19,0 i78 656-/968 Telephone No. & Address of Preparer NOTE: Title 5,310 CMR 15.403(4) requires the system owner or operator to submit to the Department a copy of the local upgrade approval upon issuance by the Board of Health and prior to commencement of construction.