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HomeMy WebLinkAboutMiscellaneous - 296 RALEIGH TAVERN LANE 4/30/20188,Z IZ Irn (D SUUMARY OF INVERTS SEWER 0 FDTN. 153.29 SEPTIC TANK IN 152.94 SEPTlC TANK OUT 152.71 PUMP TANK IN 152.68 DIST. BOX IN 154.53 DIST. BOX OUT 154.36 INV. IN CHAMBER 154.30 BOTT. CHAMBER 154.02 JULNGH Q BUILDING TIES BLDG. CORNER A B C D AaM THIS PLAN & CERTIFICATION IS NOT SEP11C TANK OUT 33.5 14.5 A WARRANTY OF THE SUBSURFACE DISPOSAL PUMP TANK OUT 24.1,17.0 SYSTEM * IT IS A RECORD OF THE LOCATION DIST. BOX 25.11,31.7. AND ELEVATION OF THE EXISTING SYSTEM COMPONENTS. "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS -BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. 114014el SIGNATURE OF DESIGNER 'D,4TE WETLANDS FLAGS BY - NORSE EWARONMENTAL SERMCES 4-13-115 LEACH FIELD W/96 INFILTRATOR CHAMBERS TA; TRN AS BUILT PLAN RECEIVED JUL 2 3 2.015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN I - NORTH ANDOVER, MASS. /296 AS PREPARED FOR DAN MCQUAIDE DATE: 6-22-15 SCALE: 1"=40' RAIZIGH TAVERN LANE TM: 106C TL: 112 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 SUMMARY OF INVERTS BUILDING TIES SEWER 0 FDTN. 153.29 BLDG. CORNER A B C D BjQM' THIS PLAN & CERTIFICATION IS NOT SEP11C TANK IN 152.94 SEPTlC TANK OUT 33.5 14.5 - - A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 152.71 PUMP TANK OUT 24.1 17.0 - - SYSTEM. IT IS A RECORD OF THE LOCATION PUMP TANK IN 152.68 DIST. BOX 25.1131.7 - - AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX IN 154.53 COMPONENTS. DIST. BOX OUT 154.36 INV. IN CHAMBER 154.30 "1 HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; BOTT. CHAMBER 154.02 EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS -BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. veklme e��&iAl4rz_ - 0 7, InlIZ, SIGNATURE OF DESIGNER . DATE 31- .1d, I?ALFJGH TA VERN LANE VLA I L NEM cp C-14 AS BUILT PLAN TE Ne R�p �,/ _S4 mll ,p I xn/ I w-, - �: ONA L 0 F SUBSURFACE DISPOSAL S viSTEM LOCATED IN' NORTH ANDOVER, RECEIVED AS PREPARED FOR DAN MCQUAIDE JUL 2 0 2015 DATE: 6-22-15 TOWN OF NORTH ANDOVER SCALE: 1 =40' HEALTH DEPARTMENT MASS./296 RAIZIGH TAVERN LANE TM: 106C TL: 112 0 20 40 80 MERRIMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 Q :13 CH PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 7/15/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Construction of an On -Site Sewage Disposal System By: Todd Bateson At: 296 Raleh!h Tavern Lane Map 106.0 Lot 0112 "_Nqrth Andover, MA 01845 of thireu(ifiXe �hall not be construed as a guarantee that the system will function satisfactorily. Michele Grant Public Health Agen 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com C PUBLIC HEALTH DEPARTMENT (ommunity Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed; repaired; By: (Print Name) ' - Located at: (Installation Address) RECEIVED JUL 0 7 2015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Was installed in conformance with the North Andover Board of Health approved plan, originally dated and last revised on 2--K; with a design flow of 440 —gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310. CNM 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: U - 1-7- 14, DILL, [I-rA4_q,6 And - Print Name Final Construction Inspection Date: And - Print Name (Signature) Enginer:_V1k//Re OW4aA41Z Signature) %00� Engineer Repr gnature) Engineer Representative (Signature) Date:_�—j — /.S— And - Print Name Date: 71alllZel r V141*11 N4,(XC1e4CWA1-- And - Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://www.townofnorthandover.com Town of North Andover — Septic System - AS~BUILT CHECKLIST 1) All changes to the design plan have been reflected and noted on the as -built plan 2) __��__As-built plan has a suitable scale; U inch = 0 feet or fewer for plot plans) 1// 3) Street A/dress, Assessor's Map and Lot Number 4) Lot Lines and Location of Dwellings served by the system 5) Locations, Elevations and Dimensions of As~built system components, including reserve (if applicable) 6) __'�_Ties to all tank openings, d -box, and leach area from dwelling or Permanent Structure v1 setback distances are shown on the as -built plan from system components to: �41#Subsurface, interceptor & foundation drains Catch basins Property lines V Dwellings or other structures 'I -Private water supply or irrigation wells _/ Watercourses or wetlands Locations of Wells, Drains, Wetland Resource Areas within 150 feet of system 9) ---jocation of water, gas, electric lines, cable, control panel (if applicable) 10) _��_Location of Structures within 6 Inches of Finished Grade 11) Z Original Stamp & Signature 12) _��Location and holder of any easements which could impact the system 13) impervious Areas; Driveways, etc 14) _��North Arrow 15) "' Location & Elevation of Benchmark used 16) " STATEMENT ON PLAN (NA 5.3) 3. 1 certify the locations, ele vations, fies, cover matenal; exposed component covers etc., sho wr on this as -built substantially agree u4th the approvedplan andha ve deterinined that the break out ele vadons, if applicable, ha ve been met. " Signature of Designer Date b. - "If a STUCTUP,4L WALL IS PRESEAT (NA 4.9) a Letter or statement on the as -built inaica the wall - was, or was not, constructed in accordance K*h the intended desio and an V manufacturer's �s �Ificatjofls.11 Signature of Designer Date As of: Monday, July 20, 2015 North Andover Health Department (ommunity and Economic Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 296 Raleigh Tavern Lane MAP: 106C LOT: 112 INSTALLER: Todd Bateson DESIGNER: Merrimack Engineering PLAN DATE: 12/4/14 BOH APPROVAL DATE ON PLAN: 4/23/15 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 6/17/15 DATE OF FINAL CONSTRUCTION INSPECTIO ,�N: 6/24/15 DATE OF FINAL GRADE INSPECTION: 9 [1 �1 b SITE CONDITIONS Comments: SEPTIC TANK N/A Contractor reports any changes to-desigln plan Z [E I n q-. -s e ------ ---k— ptic tan 1p_!�qperly abandoned Z Internal plumbing all to one building sewer Z Topography not appreciably altered Z Building sewer in continuous grade, on compacted firm base Z 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 Z Water tightness of tank has been achieved by visual testing x Inlet tee installed, centered under access port 1�1 EO Comments: Z Outlet tee installed, centered under access port (effluent filter) Z 24" inch cover to within 6" of finish grade installed over one access port x Neoprene boots around inlet & outlet Comments: 74x26 PUMP CHAMBER x Bottom of tank hole has 6" stone base Z Weep hole plugged x 1500 gallon Pump Chamber installed x H-10 loading x Monolithic tank construction x Inlet tee installed, centered under access port Z Pump(s) installed on stable base Z Alarm float working Z Pump On/Off floats working Z Separate on/off floats Z Drain hole in pressure line Z 24" cover at final grade installed over pump access port Z Watertightness of tank has been achieved by Visual testing Z Neoprene boots around inlet & outlet Comments: CONTROLPANEL Z Alarm & Pump are on separate circuits Z Alarm sounds when float is tripped Z Location of control panel: basement Z Alarm signal located inside: basement Comments: DISTRIBUTION -BOX Z Installed on stable stone base Z H-20 D -Box Z Inlet tee (if pumped or >0.08'/foot) Z Hydraulic cement around inlet & outlets Z Observed even distribution N/A Speed levelers provided (not required) 0 Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan 40 Mil HDPE barrier installed Laterals installed and ends connected to header (and vented if impervious material above) Elevations of laterals and chambers installed as on approved plan Retaining wall (boulder / concrete / timber/ block) F1 Final cover as per plan Comments: 74'x26 w field SOIL ABSORPTION SYSTEM (Gravel -less Chambers) Brand and Model of Chamber: Standard Quick 4 Low Profile Infiltrator Chambers Number of chambers per row: 16 Number of rows (trenches): 6 Comments: Total Chambers = 96 FINAL GRADE Loamed Seeded Cover per plan Comments: DOCUMENTS NEEDED a-11 Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer [D�As-Built Plan BM = 154.50 HR = 4.76 HI = 159.26 SYSTEM ELEVATIONS ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Building Sewer OUT 5.49 153.42 153.4 Septic Tank IN 5.98 152.93 153.00 Septic Tank OUT 6.20 152.71 152.75 Pump Chamber IN 6.24 152.67 152.70 (2") Pump Chamber OUT 6.70 152.39 ----- (2") Distribution Box IN 4.57 154.52 154.50 Distribution Box OUT 4.58 154.33 154.33 Lateral 1 TOP 4.60 Lateral 1 INVERT 154.31 154.28 Lateral 2 TOP 4.61 Lateral 2 INVERT 154.30 154.28 Lateral 3 TOP 4.62 Lateral 3 INVERT 154.29 154.28 Lateral 4 TOP 4.62 Lateral 4 INVERT 154.29 154.28 Lateral 5 TOP 4.61 Lateral 5 INVERT 154.30 154.28 Lateral 6 TOP 4.60 Lateral 6 INVERT 154.31 154.28 Top of Chamber 4.60 154.66 154.67 Boftom of Bed/Chamber 5.25 154.01 154.00 CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback 1 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 3 10 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws Tank SAS Sewer Z Property line 10 10 Z Cellar wall 10 20 Z Inground pool 10 20 Z Slab foundation 10 10 Z Deck, on footings, etc 5 10 -- Z Waterline 10 10 101 Z Private drinking well 75 1002 50 Z Irrigation well 75 100 Z Surface Water 25 50 Z Bordering Vegetated Wetland Salt Marsh, Inland / Coastal Bank 3 75 100 Z Wetlands bordering surface water supply or trib. (in Watershed) 150 150 Z Trib. to surface water supply 325 325 Z Public well 400 400 Z Interim Wellhead Prot. Area Z Reservoirs 400 400 Z Drains (wat. supply/trib.) 50 100 Z Drains (intercept g.w.) 25 50 Z Drains (Other) Foundation 10(5) 20(10) Z Drywells 20 25 1 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 3 10 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA wetland bylaws C Commonwealth of Massachusetts Map -Block -Lot 106.CO1 12 BOARD OF HEALTH ----------- Permit No ------------ North Andover BHP-2015-0160 ----------------------- FEE $250.00 V4WV ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Bateson -Ent ---------------------------------------------------------------------------------------------- to (Construct) an Individual Sewage Disposal System. atNo - 296 RALEIGH -TAVERN-LANE ---------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BBP-2015-016 Dated --- May - 05 - , - 20 - I - 5 -------- ------------------------- Issued On: May- 05-20 15 BOARD OF HEALTH a Important When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. Application for Septic Disposal System Construction Permit -TOWN OF TODAY S DATE $ 2501.00 — Full Repair NORTH ANDOVER, MA 01845 $125.00: - Component Application Is hereby made for a permit to: [] Construct a new on-site sewage disposal system* 04e-;;ir* or replace an existing. on-site sewage disposal system* [] Repair or replace an existing system component - What? A. Facility Information Cf(, R,.� �IAV_"w Address or Lot # RECEIVED Cityrrown MAY 0 5 2015 2.- *WPE OF SEPTIC SYSTEW: TOWN OF NORTH ANDOVER > 2,Pump M Gravity (choose one) HEALTH DEPARTMENT �If pump system, attach copy of electrical permit to appficatidn� > E] Conventional System (pipe and stone system) > &3-Mfiltrator or Blodiffuser (Gravel -Less) (Attach a copy of your certificafton to install this type of system.) > Pressure Distribution S.A.S. (No D -Box) > Pressure Dosed (D -Box Present) SJLS. > 0 Does the system require an effluent filter? Yes No If yes, does plan specffy make and model of filter? (jjjP (no further info. needed) NO = (installer must specify brand of filter before DWC issuance) What is the Make? 2. Owner Information What is the modaP� Name Address (if different from above) CityfTown State Zip Code Telephone Number 3. Installer Information Name Name of Company Pd - Address �j .,44 Cityrrown State Zip Code 4. DesLaner Information Name Z, Address /41 Alij, Cityrrown 17 ?-' P- 7 4 - Telephone Number (Cell Phone # if possible pleaSO) Name of Company State Zip Code 9%, 6-tv ,1- 6 ,,v, 6 Telephone Number (Best # to Reach) Application for Disposal System Construction Permit - Page 1 of 2 A. �OAFT Z ..TOWN TODAYS DATE $.250.66 �. Full Repair $125.00.. Component PAGE 2 OF 2 A. Fad'111tyInformati.on continued.... S. Type' of Buildin-g: 04�s�ldential Dwelling or E3Comm . ercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-dei&rlbed on-s1te sewage disposal system In accordance with the provIslons of Title 5 of the EnvIronmental Code, as well as the Local Subsurfjcq Disposal Regulations for the Town of North Andover, and not to place the system Ih operation until a Certificate Of Compliance has been Issued Py this Board of Health. Name Date I . A 'I ica o�n A. p d 8 o d-af ealth Representative) "lic p Nm Date Application Dit;appr.oved.. for the following reasons: For ofnc6 use Only: I. - -Fee AttAchedp: 2.. ProjectAradgger 3, jkM P & ? If, 4 FouvdadoizAs-Budt, (S"M S Attach=yof TftCqjP_ egnii 'P, [an) . S. FloorMwsp (new colistruction, o I yes No yis M No Page 2 of 2 �Ys tbt.h, ,6ft"Ct10fi Permit SEP n.c*s.y - MR. -PRO JECT MAMGWMNT'OJ31JGAnONS As fl*Nqnh Andovar&=sed bjivaWr *4w.W114Mk*A fog -16 -septic qrtewforthevop"u- (Ad4cm Ofseptle syst=) --Trot PUM by Ate Roative to djt,jppjjmd=,Of 4­40'5�, (Dwstauees qmiq— AM doftd �A(_/ 4/ DiW [di With �_vv�= dated (TAst I undcatand the fonowing Obngatio= f0t Mgnagement Of0b P ;Oject: 1. As , the insune411 'am obligated -to obtain, Aff Pe=its and Board -of-Health Plans MW to f tdOM149 anfwwk da I% Rite. glut Wad= - 2. As f6hwftj 1001trPmm not *940ckted with my empiq *18-dulm M 1nsPfdC#= and tha sptcin is not rejd� &in item 6ftesuLbo. sTpub". As t4 lu�- Vamii4*ad W lmvv,�6 A_ettMt� w—e*' leow-Pliotto thespplkabjeiu�ictioo' '3p _VPW CobA but 4Q .:dGt to bo pa T, pea Ai_6&i I* 6&idon for rjCvA1iow,..tk4 b. t"*a'k .2mRQ.V Mq#banddu=RM)Y&3M thee -be tahittful od% -anim for "'.filspeed qttft.4-4- aecfticd,�Mmf be res4j ond abk to C. &Ve to ke, 6&dtr- - 4. ed ngton of the 6. LNOrM,AnQ=L fQ"1== �ftj tR a ezrp�ce �qf thi! foRowing Cani"COM & Pcdi�*& afthe�wdwdstavfoU used Q d. laqb& dou oruj* "aj�py p4g, 0=4* vwt.. P =,P chamber. rewAbw waff wd mh'... Infiltrator Chamber I/A technology Certification I I hereby certify that I have been given a copy of the Title 5 I/A technology approval letter, and the Owner's Manual for the above technology and I agree to comply with all terms and conditions. I further certify that I am aware that this design does not allow use of a garbage grinder in the dwelling and that I understand my requirement to repair, replace or modify or take any other action required by the Department or the LAA if the Department or the LAA determines the system to be failing to protect public health and safety and the environment. signature: J fi7c4un Lj� certified by: (please print) date 4 April 23, 2015 Dan McQuaide 296 Raleigh Tavern Lane North Andover, MA 0 184 5 I . "�Opy North Andover Health Department (ommunity Development Division Re: Subsurface Sewage Disposal System Plan for 296 Raleigh Tavern Lane (Map 106C, Lot 112) Dear Mr. McQuaide: The proposed wastewater system design plan for the above site dated December 4, 2014 with a final revision date of April 13, 2015 and received on April 21, 2015 has been approved. The design has been approved for use in the construction of a replacement onsite septic system for a 4 -bedroom (max 9 -room) home utilizing an Infiltrator Chamber system. This plan is generally good for 3 -years from the date of approval however, as this is for a repair system, this 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. This approval is also subject to the following conditions: 1 If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(l)). Page I of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035 North Andover, MA 0 1845 Phone: 978.688.9540 Fax: 978.688.8476 ,`�296 -9aleigh Tavern Lane April 13, 2015 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. 3. A cleanout is required in the building sewer pipe at the proposed connection to the existing building sewer pipe. Alternatively, if there is a cleanout in the building sewer pipe inside the building/cellar this would be acceptable. The cleanout inside the building shall be in close proximity to the building sewer pipe location in the foundation wall. 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. S1 cdrely, ichele Grant Health Inspector Encl. Installers list cc: Vladimir Nemchenok File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, NoithAndover,MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 P� January 29, 2015 North Andover Health Department (ommunity Development Division Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 0 1810 Re: Subsurface Sewage Disposal System Plan for 296 Raleigh Tavern Road, Map 106C, Lot 112 Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated December 4, 2014 and received on January 5, 2015 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or N)rth Andover regulation that is not met by this design follows each item where applicable. 1 . The proposed contour elevations are incorrect on the southern side of the leach field. 2. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" will apply. Please provide the following as required by the approval conditions Section 11(7): e) The record drawings, approved by the LAA, must clearly indicate an areafor the bestfeasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption Systemjails or it is determined that it is not capable ofproviding equivalent environmental protection; Section 11CM: a) proof that the Designer has satisfactorily completed any required training by 'j the Companyfor the design and installation of the Technology; c) a certification, signed by the 01wner of recordfor the property to be served by the Technology, stating that the property Owner: Page I of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 1. has been provided a copy of the Title 5 11A technology Approval, the Owner's Manual, and the Operation and Maintenance Manual, and the Owner ggrees to comply with all terms and conditions; 2. for Systems installed under a Remedial Use Approval, the owner agrees toju,�,ill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); 3. if the design does not provide for the use ofgarbage grinders, the restriction is understood and accepted; and 4. whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to befailing to protectpublic health and safety and the environment, as defined in 310 CMR 15.303. Please feel free to contact the 6ffice 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. incerely, Michele Grant Health Inspector 9 V4�' !L4 cc: Dan McQuaide 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 1P 1 MERRIMACK ENGINEERING SERVICES, INC, PROFESSIONAL ENGINEERS - LAND SURVEYORS - PLANNERS 66 PARK STREET - ANDOVER, MA 01810 - (978) 475-3555, 373-5721 - FAX (978) 475-1448 - E-MAIL Info@merrimackengineering.com Michelle Grant Health Inspector 1600 Osgood Street Suite 2035 North Andover, MA 0 1845 RE: 296 Raleigh Tavem Lane Dear Michelle, We are in receipt of your review letter dated 1-29-15 for the above referenced site. We have revised the plans with regard to all items I through 2 of your letter. Enclosed herewith are 3 copies of the revised plans. We feel we have adequately addressed you concerns. On behalf of the owner, we respectfully request the plans be approved for construction as re -submitted. Yours truly, RECEIVED William Dufresne, Project Manager MERRIMACK ENGINEERING SERVICES APR 2 12015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT -dran?, Michele From: Gaffney, Heidi Sent: Wednesday, February 25, 2015 3:01 PM To: Grant, Michele Subject: FW: 296 Raleigh Tavern Lane - Septic From: wrdufresne(cbcomcast. net [maiIto:wrdufresne0)comcast. net] Sent: Tuesday, February 24, 2015 4:04 PIVI To: Gaffney, Heidi Subject: Re: 296 Raleigh Tavern Lane - Septic Yes, everything I am working on is in holding pattern due to this dam snow. It's killing me! From: "Heidi Gaffney" <HGaffney(cb-townofnorthandover.com> To: "wrd ufresne(a)-comcast. net" <wrd ufresne(@-comcast. net> Cc: "Michele Grant" <mqrant(cD-townofnorthandover.com>, "Jennifer Hughes" <'hughes(-a)-townofnorthandover.com> Sent: Tuesday, February 24, 2015 2:32:25 PM Subject: RE: 296 Raleigh Tavern Lane.- Septic. Hi Bill, I'm glad she was able to delineate 1353 Salem before all the snow (I haven't seen the flags yet, but was out there when the test pit app came in). I haven't been to 296 Raleigh Tavern and with the snow of course I won't be getting there for a bit, but it will likely need to be delineated when the weather allows. 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 hgaff nev@townof northa nclover.com Web www.Townof NorthAnclover.co m From: wrclufresneOXomcast. net [mailto:wrclufresne(�Dcomcast. net] Sent: Tuesday, February 24, 2015 3:01 PIVI To: Gaffney, Heidi Subject: Re: 296 Raleigh Tavern Lane - Septic 1 Heidi - - 'I I had Leah Basbanes check out this site the same time she did 1353 Salem Street. See attached GIS overlay. I asked her to confirm the presence of wetlands within 150 feet of the westerly property line where I intended to do the test pits. I have the review from the BOH that requires revisions, I will look at the GIS overlay and confirm with her and show any wetlands or buffer zones on the revised drawings. Thanks M From: "Heidi Gaffney" <HGaffney(cD-townofnorthandover.com> To: "wrdufresne(cD-comcast. net" <wrd ufresne(cD, com cast. net> Cc: "Michele Grant" <mqrant(cD-townofnorthandover.com>, "Jennifer Hughes" <0 hug hes(cDtownofnorthandover.com> Sent: Tuesday, February 24, 2015 1:20:28 PM Subject: 296 Raleigh Tavern Lane - Septic Hi Bill, The septic plan for 296 Raleigh Tavern Lane does not have any wetlands shown on it and Note #15 states "no wetlands exist within 150ft. of the proposed system." Please see the image below showing the GIS wetlands layer and a measurement I did on the GIS system. Did a wetland scientist check this area out and determine that it isn't wetland? 2 .NORTH -4 Z" p", Planning Com 51 714( " 9mrk N 0 q[q[q&, � �45- ff j V P. 9 . 3 ;a it Blackburn, Lisa From: BlackburnJisa Sent Monday, January 05, 2015 2:08 PM To: Dan Ottenheimer, Isaac Rowe; Pam Lally Subject: 296 Raleigh Tavern Lane Happy New Year, I'm mailing out plans and paperwork for 296 Raleigh Tavern Lane today. 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 Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com L * A TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 – Phone Susan Y. Sawyer, REHS/RS 978.688.8476– FAX Public Health Director E-MAIL: healthdept@townofnorthandover.com WEBSITE: hftp://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission:— I -f SiteLocation: TAuI3141 Engineer: VJFa&jkjAfAC�� EK)61j)1�06 New Plans? Yes $225/Plan Check # "0�5 (includes I't submission and one re- review only) Revised Plans?Yes $75/Plan Check # F Site Evaluation Forms Included? Yes No JAN 2015 TOI,v,, _-*gpm Local Upgrade Forrn Included? /,,.)A.. Yes N o LT01 il de,�M 2M�- �5; 5 14- lel Telephone ax #: &I w) 1 11 pjigjiii�� Homeowner Name:— RA Q tj,-. 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(D 'Fl �� (a % m R ca 0 0 0 w w 0 M < m x lu M CL CD — m < 0 ca Co M 0 E o — m 0 cr t -'z M 0 — CL 5 =r CD C5 CL CD 3 0 =r o M o 0 0 CD M— CA w z CL 6 cr 9D _0 =3 -4 < -0 0 - CD m - LU =r =r cr C) 0 =r 0 M CO CD K a CO 0 XZ C7 CD CD CD :3 CD =r CD C� CD CD :3 04 =r @ , ca 3 c M M aa ;=; a- m =T ca cr < O'< =v h 0 3 3 = CD 3 0 CD :,4 0 0 CD < -0 w CD :3 — CD :E 0 0 ;:;: = :3 =r 0 w =r -0 M M C: M -0 OL 0 CD CD 5' 0 0 ::r CD CA ;:� 0 FP- � Cn M -4 0 — 0 :3 M CL 0 < 0 m :3 X CL -0 c 0 o 0 FD* W :3 = 0 no 0 M -1 3 "n 0 (D ,n o o 0 0 0 C) CA =r 0. 0 CO) R 9) A cr (D (D —h 0 "n 0 3 I Ch (D CO) (D 0) Q (D a U) v 0 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 01__� VS" Commonwealth of Massachusetts City/Town of Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. A. Site Information [2A 0 H e. - Owner Name 201 & V-�164 7VAV U4. Street Address oTLot # OM14 AVQ4Vf1L- I W45 Cityrrown State Zip Code ) Contact Person (if different from Owner) 'relephone Number B. Test Results Observation Hole # Depth of Perc Start Pre -Soak End Pre -Soak. Time at 12" Time at 9" Time at 6" Time (9"-6") Rate (Min./inch) ll -z5-1+ IIA1.4 Date Time f �- I A41, Test Passed: Test Failed: El uate i ime Test Passed: El Test Failed: F1 IN.L- [2i_tftoiV Test Performed 8y: - - fP �" A- io Witnessed Ely:' Comments: t5form 1 2.doc- 06/03 Perc Test - Page 1 of 1 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 0 1845 Susan Y. Sawyer, RENS, RS Public Health Director 978.688.9540 - Phone 978.688.8476 - FAX www.townofilorthandover APPLICATION FOR SOIL TESTS OCT Z , 9�. 2014 Torow OF r4bl*lti AN50VER 1EA1 DEPARTMENT DATE: 1,9, ,77 - I MAP & PARCEL: LOCATION OF SOIL TESTS: 9AL,61AW -T-10n1F1,lZ,14) A 10,-/- A *WNER:-QAh0 CA UL- - kc IQ QAJ0 Contact#: -'Iml M = Wo APPLICANT: Contact #: f ADDRESS: ENGINEER: H�M LAC� FQ(ai'kE'rZA&)� Contact#: 670) y-, 2--0 CERTIFIED SOIL EVALUATOR: VUrhe4TJ6 A 70 r2V 7, - �z Z1061 Intended Use of I Land: Residenti . al Subdivision �mgle �Fy Home Commercial Is This: Repair Testing: Undeveloped Lot Testing:_ Upgrade for Addition:_ In the Lake Cochichewick Watershed? Yes THE FOLLOWING MUST BE INCLUDED WITH THIS FORM No > Proof of land ownership (Tax bill, or letter from owner permitting test) > 8.5"x .1-l"Plot Plan& Location of Testinva (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 remirs or uvarades. GENERAL INFORMATION > Only Certified Soil Evaluators may perform deep hole inspections. > Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. > At least two deep holes and two percolation tests are required for each septic: system disposal,'area. > Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. > Full payment will be required for all additional tests within two weeks of testing. > Within 45 days of testing, a scaled plan (no smaller than 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 Approval Date:. Signature of Conservation Date back to Health Department: (stamp in): 4� 2 - .2 2 X/V kg/Lv, o_Y, I.A z r . .... .......... I 0!q j�� s 7- Z2 4�14 SS -tA IVA - �_ya,-3 7 1.2— 22- - ��2 m m Cc) 0� Y!c Ncrth APPRCVED DATE ZA nnic snTY-1i JKI,MJILkTION GM�CK LIT Reag=st 1. Distance Tot a. Wetlands b. Drains c. Well LOT, F Ek,Xr,AVA OK �AIL or 2. Water Line Location 3- No PYrC PiPs %1A ilk Valz Septic' Tank Clean Oat Covers .a. .-Tees v,. -Length & To b. Cement Pipe to Tank- On Both Sides of Tank 5. Distribiitiozi Box a. Covers & Box - No Cracks b. - All Lines Flowing Fqual Amounts c. No Back Flow 6.- Leach"Field or Trench a. Dimensions b., Stone Depth c* Capped 'Ends Clean Double -Washed Stone 7. Leach Pit Leach Pit ae ions b b. e%Depth ce ash Pads Xess d. e Cament Pipe to Pit Both Sides I . lean Double Washed Stone C Cl a : 8. No Garbage DisPosal 9. Final Grading Inspection, 10. Barricacling Covered S�,stem 3.1. As Built Subn dtted a. Lot Location b. Dimmsions of System c. Location with Regar&to Perc Test d. Elevations e.' Water Table S> Be tflvll��r V-*UA59> 16 I -f 70-) r-�,ard of T'&Ith SUBM-RFACE DIMS41 DMIGN CHWK LIST LOT 7 APPROVED DATE DISA ' PPRUVM DATE Provided: Reasons: #�- Title V Reg 2.5 e submitted plan mst show as a Unirm.mt .e lot to be aerved-area.,dimensions lot # ab-atters cation and log de4ep obaervation holes-disstmee to ties or-ation and results percolation tests-distamce to ties design calculations & calculations chowing requirei leaching area e ocation and dimensions of syute-m-inDluding reBeme area eAsting and proposed contours g) location any vat areas ultMn 10-0 1 of semga disposal system or disclair.3r-check vmtlands mapping 6.00 h) varface =d subsurfaco drains vithin 1001 of so-w2go disposal systrwm or disclaimer i- location wW drainage ease-mnzits vithin 1001 of se��'-a dit-posal system or disclaiz--r-Pl=ning Board files (j) k -no= sources of water supVlyr with3n 2001 of sowage di--Por�9-1 Of system or disclaimer (.)C-) ation of my. Proposed well. to serve lot -1001 from leacbing facility lo ation of water )-ines on proporty-101 fizom leaclAng facility location of benchmark drivetrdys garbage diaposals 6000" no PVC to be ussd in conutruction .00.4 q) profile of of basem.snt., plumb pipe. .9 , sc-p twnk, 6istribution box 5DIets and outlets, eistribution field piping and Utter elv'rations 00 to, n.-iziaum groiaid water elevation in cxea sew�age dispo�il Sys tem —2(s) plan raast be prapared by a r-rofessional. Fag--Inoor or other p��ofessionaal nmthorized by Iaw to prepare su--h p1mas Rog 6 80�,'ptic Tzmks (a) of flow,. water table, teeSp &CjDth Of tOC-S., 000, access., puzping o0000 kb ) clemout, w4l'M) 101 from cellar t,*11 or iWoLmd m4rmdng pool ---'7(d) 251 from gubmwface &z-Jms Reg 10.2 Reg 10.4 Distrib-ation rkoxes Ti—opegreater tb,-n 0.08 MOP Sab-mirfac'e �hack LLst P,-� q e 2 FAIL I OT, Reg 11.2 11.4 11.10 11.3-1 Reg 15.1 15.4 15.8 3.7 Reg 1,4,1 14.3 14.4 14 .7 10 Reg 9. 1 9.6 Leaching, Pith Leaching ts are preferred where the installation is possible a) calcula, ons of leaching area-minimm 500 eq ft b) spac c swu"r , e, drainage 2% d.� cov rinaterial e lizo fjA 140 splash pad tee at elbow g) no bc-ads in pipe from d -box to pipe P A) no gre-a-ter an 20 ninutes/inch. 'b) area� 900 aq ft I ,c) constra on of field 'd auiIa drainage 2 % :0) �201 m cellar v -All or inground suim-Ang pool Leaching TreAches % MY bin ;d) CZ -1 -Flay. ons 'oeac g area-rdn 500 ijq ft >Y spacing -4 ft idn 6 ft with reserve betueen dim maions dd) constria,ation 0)� stone surface drainage 2% Do-vmhill S,160pe a) -sTq—pe'-y7---F be b) ylx X 1�0 (to be-shom) PTPS J ff a) agpr#al b) staaU-by power