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HomeMy WebLinkAboutMiscellaneous - 314 CLARK STREET 4/30/2018 (2) r �� � � l J v � n a O C� Z i r+ Q + w a d s O5 S Ln AJ (D O �_ cn m N 3 O O rrnoD n /My� N r+ r r cu �^ N S Q ^ - S W -0 un -- �' O �_ Q d rt �+ Ai (mD 7 O �D SL o U- (D o ID 7 rt = c w �- — rF moi/ : � 00 3 n (D A� �- (1 O(A o 3• z'^ ola rl- G. 0. �. (D n. Mof rr (�D (D Q m Q n Or � sD O r =3 H1 0 m O w 0 rr Q r+ m rr r r �o A T - n rt 3 p v o rrD a n � n (D pco rh f O fl, N 0 N 3 (D su rt (D c a -1 O D �^ N r+ E U44t 4- s i cn t w , O 3 Y ° Z Qr O rD n rt 14 > ..`'A DA n 00 (D Ln O to V rD r ' 3 zYtl w Ooh N 11J n vim+ rF m e ,11 a Kil jM aQ m 00 eD RL r+ N _•F d N C m n tYIN-0 °* sm a 5 3 Q Qp C h7 p 7 W a ao ` d 0 , J a. Iger ys 7 7 x } J LA a00 to Ln . 4 � 4P• • • • • • • • • • • • T1 C pri Z pWj 0 n 0 "O N C ��^ p C m CA � t O n d \ m v rt d .> yy CFO \ C O Off,, 1 r] Wl 7 N On N Q^ fop < � ' .R "t. V m'"7 Sp C rh m Q oo A• G} "f, COP) 4 . pxy z W Q -a 4 y LA 90 90 O iii '7,J aC S N ? -! t •: 'y' T,•'1'f ` y,j LA Ln T r• s C ; ♦;'1 .ta §> h. ar r 4 � � 11�5rrt N •} \ !l Ln ET 0 LA s D rud AO*Q _ N w as fl<, O \ "O O Ln m A oYa m \ \ T m w:3 „i C O N v' Y .. 4rEt r 4 r •* n d Oo s^ Ln 4 I .r North Andover Board of Assessors Public Access Page 1 of 1 Parcel ID: 210/077.0-0012-0000.0 Community: North Andover SKETCH PHOTO Click on Photo to Enlarge No S Available 314 CLARK STREET Location: 314 CLARK STREET Owner Name: LEE,NORMAN V Owner Address: 185 SANDOWN ROAD City: DANVILLE State: NH ZIP: 03819 Neighborhood: 34 - 4 Land Area: 1.16 acres Use Code: 316 -WAREHOUSE Total Finished Area: 5250 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 480,300 480,300 Building Value: 252,900 252,900 Land Value: 227,400 227,400 Market Land Value: 227,400 Chapter Land Value: LATESTSALE Sale Price: 510,000 Sale Date: 10/22/2001 Arms Length Sale Code: Y-YES-VALID Grantor: MIELE REALTY TRUST Cert Doc: Book: 06427 Page: 0003 http://csc-ma.us/NandoverPubAcc/j sp/flome.j sp?Page=3&Linkld=464942 12/13/2005 Commercial Property Record Card PARCEL_ID:210/077.0-0012-0000.0 MAP:077.0 BLOCK:0012 LOT:0000.0 PARCEL ADDRESS:314 CLARK STREET PARCEL INFORMATION Use-Code: 316 Sale Price: 510,000 Book: 06427 Road Type: T Inspect Date: 09/21/1997 Tax Class: T Sale Date: 10/22/2001 Page: 0003 Rd Condition: P Meas Date: 09/21/1997 Owner: Tot Fin Area: 5250 Sale Type: P Cert/Doc: Traffic: M Entrance: C LEE,NORMAN V Tot Land Area: 1.16 Sale Valid: Y Water: Collect Id: JEL Address: Grantor: MIELE REALTY TRUST Sewer: Inspect Reas: R 185 SANDOWN ROAD DANVILLE NH 03819 Exempt-B/L% / Resid-B/L% 0/0 Comm-B/LW0/100 Indust-B/L% 0/0 Open Sp-B/L% 0/0 COMMERCIAL SECTIONS/GROUPS LAND INFORMATION Section: ID: 101 Use-Code:316 NBHD CODE: 34 NBHD CLASS: 4 ZONE: 12 Category Grnd-Fl-Area Story Height Bldg-Class Yr-Built Eff-Yr-Built Cost Bldg Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class 3 5250 1 C 1962 1975 211,300 1 P 316 S 50530 1.16 227,385 Groups: DETACHED STRUCTURE INFORMATION Id Cd B-FL-A Firs Unt Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond%Good P/F/E/R Cost Class 1 316 3600 1 1 AS S 19600 1981 A A 50///50 18,000 3 2 316 1350 1 1 3 316 300 1 1 C6 F 5000 1981 A A 50///50 30,600 3 VALUATION INFORMATION . Current Total: 480,300 Bldg: 252,900 Land: 227,400 MktLnd: 227,400 Prior Total: 480,300 Bldg: 252,900 Land: 227,400 MktLnd: 227,400 SKETCH PHOTO 314 CLARK STREET =w � Parcel ID:210/077.0-0012-0000.0 as of 12/13/05 Page 1 of 1 • y Lot & Street Map/Parcel 17//c,'7, CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit# Plan Approval: Date: Approved by: Designer: Plan Date: Conditions: Water Supply: Town Well Well Permit: Driller: Well Tests: Chemical Date Approved Bacteria I Date Approved Bacteria II Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: Form "U" Approval: Approval to Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other? YES NO Any Variance Needed? YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: M i s SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? YES NO Type of Construction: NEW REPAIR New Construction: Certified Plot Plan Review YES NO Floor Plan Review YES NO Conditions of Approval from Form U YES NO Issuance of DWC permit: YES NO DWC Permit Paid? YES NO DWC Permit# Installer: Begin Inspection: YES NO Excavation Inspection: Needed: Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: By: Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: Commonwealth o assachusetts City/Town of System Pumping-Record Form 4 Y DEP has provided this form for use-by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using.this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Left/Right front of house(O Rig rear of house Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address � ` Lf City/Town I (� State Zip Code 2. System Owner. Name Address('d different from location) Citylrown ' State Zip Code ; Telephone Number z r B. Pumping Record _ 1. Date of Pumping 2. Quantity Pumped: Date Gallons 3. Type of system. ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yeas No If yes, was it cleaned? ❑ Yes ❑ No, 5. Condition of Syste W` 6. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7.amgnHau ontents were disposed: _ Lowell Waste Water I Date F t5form4.doe-06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts _ City/Town of System Pumping Record Form 4 DEP has provided this form for usezby local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Lo weft/Right front of house, Left/Right rear of house, Left/right side of house, Left/ Ight side of buildi , Left/Right front of building, Left/Right rear of building, Under deck Address ) c4frown State Tip Code 2. System Owner. Name Address(if different from location) C' frown ' �Y State Telephone Number B Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons —� 3. Type of system: ❑ Cesspool(s) eptic Tank El Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes o If yes, was it cleaned? ❑ Yes ❑ No. 5. Conditioofrstem: � ( J p L, 6: System Pumped By Neil Bateson F5821 r ra ill E Name Vehicle License Number ) — Bateson Enterprises Inc- Company nc Com an TOWN O P Y ! ! i 7. Locatio a contents were disposed: Lowell Waste Water Sign HaulmDate t5fomn4.doa 06/03 System Pumping Record•Page 1 of 1 DelleChiaie, Pamela Subject: SYS-Final Grade Location: 314 Clark Street Start: Mon 12/12/2005 1:00 PM End: Mon 12/12/2005 1:30 PM Recurrence: (none) Meeting Status: Meeting organizer Required Attendees: DelleChiaie, Pamela; Sawyer, Susan; Grant, Michele Can you schedule a final grade for 314 Clark Street for Monday? Thanks Susan Sawyer, R.S. Public Health Director office 978 688-9540 fax 978 688-8476 1 Leaves Page 1 of 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, December 08, 2005 4:32 PM To: DelleChiaie, Pamela Subject: FW: Letter of sign-off Pam, add this to the file Thanks -----Original Message----- From: Norman Lee [ma ilto:nlee@NORTH EASTLANDSCAPE.COM] Sent:Thursday, December 08, 2005 4:15 PM To: Sawyer, Susan Subject: Letter of sign-off Dear Suzanne(or whomever it may concern): Northeast Landscape Contractors, Inc. and Norman V. Lee does not hold the responsible the Town of North Andover and its representatives for early signoff specifically regarding the final grading and seeding of the newly installed septic system. As NLC performs professional landscape installations as a part of its daily business, we will be installing a New England Fieldstone Wall, and grading with seed the final job. Should there be any questions or issues, please contact me at the numbers below. Thank you. Sincerely, Norman V. Lee, President Northeast Landscape Contractors, Inc. 315 Clark Street North Andover Ma 01845 Office 978-794-1010/fax 794-3780 nlee_@northeastlandscape.com Fx] I 12/8/2005 X DelleChiaie, Pamela Subject: SYS-Final Grade Location: 314 Clark Street Start: Mon 12/12/2005 1:00 PM End: Mon 12/12/2005 1:30 PM Recurrence: (none) Meeting Status: Meeting organizer Required Attendees: DelleChiaie, Pamela; Sawyer, Susan; Grant, Michele Can you schedule a final grade for 314 Clark Street for Monday? Thanks Susan Sawyer, R.S. Public Health Director office 978 688-9540 fax 978 688-8476 1 Town of North Andover Office of the Health Department Community Development and Services Division +� - 400 OSGOOD STREET North Andover,Massachusetts 0184ACN5 ��s cm e SUg Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax CE�FICA. Off' C09VlIEJ-JA.1 11'C'E As of: (December 13, 2005 This is to cert that the individual su6surface disposal system was a Euffy Repaired by Ralph Simard At: 314 CarkStreet North Andover, W3 01845 Yfas 6een installed in accordance with the provisions of Mitre v of the State Sanitary Code and with the North Andover 0oard of-fealth regulations. The Issuance of this certzcate shall not 6e construed as a guarantee that the system will function satisfactorily. Sus n 2'. Sawyer (Public Yfealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover "J Health Department Date: Location: (Indicate Address,if Residential,or Name of Business) Check#: Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ Septic .-Design Approval $ "e-p-t-ic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) xf _ R Health Agent Initials 1 3 'J2 White-Applicant Yellow-Health Pink-Treasurer Leaves Page 1 of 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Thursday, December 08, 2005 4:32 PM To: DelleChiaie, Pamela Subject: FW: Letter of sign-off Pam. add this to the file Thanks -----Original Message----- From: Norman Lee (maiIto:nlee CdNORTH EASTLANDSCAPE.COM ] Sent: Thursday, December 08, 2005 4:15 PM To: Sawyer, Susan Subject: Letter of sign-off Dear Suzanne(or whomever it may concern) Northeast Landscape Contractors, Inc. and Norman V Lee does not hold the responsible the Town of North Andover and its representatives for early signoff specifically regarding the final grading and seeding of the newly installed septic system As NLC performs professional landscape installations as a part of its daily business we will be installing a New England Fieldstone Wall, and grading with seed the final fob Should there be any questions or issues please contact me at the numbers below Thank you Sincerely, Norman V. Lee, President Northeast Landscape Contractors, Inc. 315 Clark Street North Andover Ma 01845 Office 978-794-1010/fax 794-3780 nlee@northeastlandscape.com Ll 12/13/2005 Page 1 of 1 DelleChiaie, Pamela From: Lisa LeVasseur[lisal@millriverconsulting.coml Sent: Monday, December 05, 2005 11:51 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting,com Subject: Final Construction inspections For today, 12=b�. Yom---- 3J-4-CJar-k Street Lot 8 Gray Street Thanks, Lisa Lisa LeVasseur `j S Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www..millriverconsulting.com 12/5/2005 Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Tuesday, December 06, 2005 1:43 PM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; DelleChiaie, Pamela; Sawyer, Susan Subject: 314 Clark Inspection report attached for 314 Clark Street. A few notes: Licensed installer was not available at final inspection, Jimmy Cheney was there from his company who was quite knowledgeable. Not sure we spelled name of installer correctly on the inspection report, sorry. The high water alarm was not functional when we were there. This needs to be checked at final grade inspection. I reminded Mr. Cheney of outstanding payment to the Town. Dan a Daniel Ottenheimer,President Mill River Consulting,Inc. 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 dano@millriverconsulting.com 12/6/2005 JTOWN OF NORTH ANDOVER 0 O�pORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ~ 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 - no E SACHUS Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX ADDRESS: 314 Clark Street MAP:77 LOT: 12 INSTALLER: Ralph Surianello DESIGNER: Douglas Smith, R.S. PLAN DATE: 12/20/04 Rev: BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 11/22/05,12/5/05 DATE OF FINAL GRADE INSPECTION: �Z// SITE CONDITIONS ®Existing septic tank properly abandoned ®Internal plumbing all to one building sewer ®Topography not appreciably altered Comments: SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-20 loading Monolithic construction ® Watertightness of tank has been achieved (Visual) ® Inlet tee installed, centered under access port ® Outlet tee (gas baffle or effluent filter) installed, centered under access port ® 24" 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: Two-compartment tank 9'7/ 7 / .old/z5 Page 1 of 3 0 0 PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1000 gallon Pump Chamber installed H-20 loading Monolithic construction) ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base 2113�As-- Alarm float working ® Pump On/Off float working ® Drain hole in pressure line ® 24" cover to within 6" of final grade installed over pump access port ® Water tightness of tank has been achieved Visual testing ® Hydraulic cement around inlet & outlet Comments: Alarm did not function, needs to be checked at final grade inspection. 12/5/05 D-BOX ® Installed on stable stone base ® Inlet tee (if pumped or >0.087foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" 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 Page 2 of 3 Z Gravelless disposal systems: type, number and location as per plan ® Elevations of laterals installed as on approved plan i1 V it HDPE barrier installed ning wall (boulder/ concrete /timber/ block) �, �w Final cover as per plan Comrrllents: SYSTEM ELEVATIONS INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 97.46 Septic Tank IN 97.30 Septic Tank OUT 97.12 Pump Chamber IN 9708 Pump Chamber OUT 97.08 Distribution Box IN 102.45 102.50 Distribution Box OUT 102.29 102.32 Chamber 1 Inv. 102.27 102.35 Chamber 1 Bot. 101.77 101.85 Chamber 2 Inv. 102.27 102.34 Chamber 2 Bot. 101.77 101.85 Chamber 3 Inv. 102.27 102.34 Chamber 3 Bot. 101.77 101.85 Page 3 of 3 �j Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, December 02, 2005 10:12 AM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: FW: 314 Clark Street Hi, I noticed in the file, a few notes from Susan.... 8:10 a.m. on Nov. 30th, she called Ralph about the following: 1. Jim Diozzi states that the building sewer must be cast iron first 10 feet. She gave Ralph Jimmy's number. 2. Also, needs to know the resolution to tank relocation. Thank you. -----Original Message----- From: DelleChiaie, Pamela Sent: Friday, December 02, 2005 10:10 AM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)' Subject: 314 Clark Street Hi, Please schedule the 2nd portion of the Final Constr. Inspection with Ralph Simard for above. Call him at 508.958.2002. Also, please remind him that he owes us a check of$275.00 to cover the 2 Final Const. Inspections. Thanks! P -----Original Message----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Monday, November 28, 2005 5:00 PM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; DelleChiaie, Pamela; Sawyer, Susan Subject: inspections Attached are inspections for 42 Olympic Lane (no issues), for 314 Clark Street(partial inspection - needs to have water line looked at, floor drains and plumbing inside building should also be examined), and a report on 101 Cricket Lane. Dan Daniel Ottenheimer,President Mill River Consulting,Inc. Septic System Management Services 2 Blackburn Center Gloucester, NM 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com dano@millriverconsulting.com 12/2/2005 f1 LE t" U l°JU:J�JIJ L�.IJ ll� e o Ln.I�JJl9.AJ D � �_ Town of North Andover Invoice No. 11/22/2005 400 Osgood Street Bill To Ralph Simard Address 90 Park Street North Andover,MA 01845 North Reading,MA 01864 978.688.9540-Phone Web Site- www.townofnorthandover.com Phone 508-958-2002 Fax E-mail- healthdeot(cDtOWnofnorthandoyer.cOm E-Mail 978.688.8476-Fax Deposit Received $0.00 Invoice Subtotal $275.00 Due upon receipt Tax Rate Invoice Total $275.00 Total Amount Due $275.00 Amount Paid 314 Clark Street-Partial Final Const.Inspection of the leaching bed area. Installer requested before tank inspection,which will be the remaining portion of the 11/22/2005 _Final Const.Inspection. _ $150.00' 314 Clark Street-Partical Final Const.Inspection of the �> TBD-pending call from Ralph Simard _tank area $125_001 Received by: r Signature: Print Name: 1 1 I Subtotal $275.00 Tax $0.00 Total $275.00 I {f p( J Thanks for letting us serve you! �i r r 314 Clark Street- Partial Finanst. Inspection Request r"IN Page 1 of 2 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, November 21, 2005 4:21 PM To: Grant, Michele Subject: FW: 314 Clark Street- Partial Final Const. Inspection Request Michele, FYI -----Original Message----- From. Dan Ottenheimer [mailto.info@millriverconsulting.com] Sent: Monday, November 21, 2005 4:15 PM To: DelleChiaie, Pamela Subject: RE: 314 Clark Street- Partial Final Const. Inspection Request Normal construction inspection is$225. Sounds like this will be an inspection in two phases. This phase will be the more complex so will cost slightly more than the other time we will go out. $150 this time, $125 for tank inspection. Dan Daniel Ottenheimer, President Mill River Consulting, Inc. 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 dano@millriverconsulting.com From: DelleChiaie, Pamela [ma iIto:pdellechiaie@townofnorthandover.com] Sent: Monday, November 21, 2005 3:22 PM To: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); McBrearty Andrew (E-mail) Cc: Grant, Michele Subject: 314 Clark Street- Partial Final Const. Inspection Request Importance: High Hello, Michele just spoke with Andy about this. He said this would be quantified as a partial Final Const. Inspection of the leaching bed. We will charge Ralph Simard for this. Can you let me know what Mill River would charge for this? Thank you. 8¢sf Rao.az Patiy¢�a D¢�B¢G�/fiai¢ Health Department Assistant 11/21/2005 1-1 LJ � Grant, Michele From: DelleChiaie, Pamela Sent: Monday, November 21, 2005 3:22 PM To: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); McBrearty Andrew(E-mail) Cc: Grant, Michele Subject: 314 Clark Street- Partial Final Const. Inspection Request Importance: High Hello, Michele just spoke with Andy about this. He said this would be quantified as a partial Final Const. Inspection of the leaching bed. We will charge Ralph Simard for this. Can you let me know what Mill River would charge for this? Thank you. t9.OS, 0#wrdg, Paiwaeu DaBG�aG0lNala Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com ec 1-2 -AI' r �l 05 'e/(2� NOV-22-2005 08:31 AM SO" SMITH 6034872298 P.01 u �J �Dou&1.Smith [S Foxbwy Ddve New BOOn,NH 03070 t603)487-2N8 Phone&Fox RECEi1/ED Soflsrnith Designs Fax Nov 2 2005 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT To: 5V S S✓3 w�.,/� Fax: Fran: ,J (� Drab: CC: D k"U t *WPAvkw ❑FlewCgnar Mt ❑PkRa* O WWW"cla MCI"- E v) (_� s v_� s -- k-c 1—e. 1 ft S Fj cl �-A e <L,:::l V) . . . . . . . . . . . . . . . . . . . TOWN OF NORTH ANDOVER kl J Of NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 � S�CHUS Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX ADDRESS: 314 Clark Street MAP:77 LOT: 12 INSTALLER: Ralph Surianello DESIGNER: Douglas Smith, R.S. PLAN DATE: 12/20/04 Rev: BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 11/22/05 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: Please note the internal plumbing of the building was not inspected. Also, as the field was backfilled, it was not verified if the waterline crossed the force main and if it was sleeved as per plan. SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 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: Page 1 of 3 PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1.000 gallon Pump Chamber installed H-10 loading Monolithic construction) ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: D-BOX ® Installed on stable stone base ® Inlet tee (if pumped or >0.087foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" 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 Page 2 of 3 ® Gravelless disposal systems: type, number and location as per plan ® Elevations of laterals installed as on approved plan ® 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: System had a change of gravel-less chamber from plan, see report from Soilsmith Designs dated 11/23/05. Witnessed barrier installed along westerly side of leaching field. 11/23/05 SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 4.50 Height of Instrument: 104.50 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN 102.45 102.50 Distribution Box OUT 102.29 102.32 Chamber 1 Inv. 102.27 102.35 Chamber 1 Bot. 101.77 101.85 Chamber 2 Inv. 102.27 102.34 Chamber 2 Bot. 101.77 101.85 Chamber 3 Inv. 102.27 102.34 Chamber 3 Bot. 101.77 101.85 Page 3 of 3 Y TOWN OF NORTH ANDOVER 0 NORTI{ Office of COMMtiNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT A 400 OSGOOD STREET ^, NORTH ANDOVER, MASSACHUSETTS 01845 .4 <� s�cMuse Susan Y. Sawyer. REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESSI,J � L �AP-_ LOT: INSTALLER: DESIGNER: PLAN DATE: 02191 BOH APPRO L DATE ON PLAN: ° 02 S DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = LOADING OF SEPTIC TANK GALLON PUMP CHAMBER = T-1 Od —/Dd a - tL LOADING OF PUMP CHAMBER TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: �c 7 � C.���' y � x SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Comments: Topography not appreciably altered ro �2 -� / ) Cl C� Page 1 of 4 ^ TOWN OF NORTH ANDOVER Cf pORT1 Office of COMMUNITY DEVELOPMENT AND SERVICES AZZ HEALTH DEPARTMENT p 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 s�cMusc Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX SEPTIC TANK Bottom of tank hole has 6" stone base lJ Weep hole plugged ❑ gallon tank.ha een-i stalled (H-10 or '20)` onolithi or 2 piece) ❑ of Water tightness tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, under access port ❑ 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: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ , 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: Page 2 of 4 0 TOWN OF NORTH ANDOVER ,� Of NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT A 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 ;S '.o'�t � S�cMuse� Susan Y. Sawyer. REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.087foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Comments: Speed levelers provided (not required) SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" 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 ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) 11Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ Comments: orifice size inch as per plan Page 3 of 4 TOWN OF NORTH ANDOVER ,/'-) t NORTH ` Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 M Susan Y. Sawyer. REHS/RS S�CUSE978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Comments: Rated for exterior if placed outside SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Se tic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 NOY-23-2005 09:50 AM SOI_LSMITH 6034872298 P. O1 Douglu J.Smith •IS Fozbm Drive ;New Boston,NIR 03010 •(603)491-2298 Phone&Fwt Soflffniffi DesignsDesignsR&M'V TO: v�J e— J y moi/ "AUC Fax: From: 00 SVYl t n Rll: Pages: C]Urgent XcrRwAvw D PleasCmrmart 0 Plow Reply ❑Pleas Rocycts Nabs: Z�? 3 L's , �- ��,►f'+�'"Nim. �b�-�""'� -���✓ � , d �W- eT ✓2�r✓� L✓ �Ga ,^-L v5'[ MOV-23-2005 09:51 AM SOILSMITH 6FJ34tirzz7ts r' nZ C �J s am 15 Po New Boston, NM.NM 03070 (803)187-2298 ' 77)1!1-2290 Toll Fnre J. 7 eewa:ee9ke oewl— Mill River Consulting Attn : Dan 11 / 23 / 05 Subject: Norman Lee ( Northwest Landscaping)314 Clark St. North Andover Adjusted system size and loading rate. Dear Dan. The original plan called for the quick 4 equalizer 36 model infiltrators. Evidently those are not available yet so the equalizer 36 models were used. The quick 4 are 48" long and the EQ 36 models are 8.33' long. Since cutting these chambers is not an option,the size of this system changed slightly. The original proposed system was 36 long, now the system is 33.32' long, consisting of 12 EQ 36 units 4 in each row. New loading for this system will have to be as follows: instead of 13 employees in the landscaping business originally now it will change to 12 employees. 2 employees work in the office office square feet is 1350 1350f 1000 x 75 gallons per square foot= 101.25 gallons per day 12 employees x 15 GPD(factory)= 180 GPD 180 ♦ 101.25=281.25 GRD 281.251 .60 = 468.75 square feet required 468.75!4.73 SF/LF = 99.10 linear feet 99.10 18.33'long(each chamber)= 11.89 units required 12 units provided. As built plan will show change to 12 employees Please feel free to call if there are any questions Thanks Dm' -f SoilsmithI76igns cc Sue Sawyer BOH 314 Clark Street - Partial Finanst. Inspection Request Pagel of 2 U 4 DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Tuesday, November 22, 2005 1:45 PM To: DelleChiaie, Pamela Subject: RE: 314 Clark Street- Partial Final Const. Inspection Request Thanks for the go ahead. We will take care of it this afternoon. Dan ' Q I Daniel Ottenheimer,President Mill River Consulting, Inc. Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.,mill,riverconsultina.com dano@millriverconsulting.com From: DelleChiaie, Pamela [mai Ito:pdellechiaie@townofnorthandover.com] Sent: Tuesday, November 22, 2005 9:57 AM To: info@miIIriverconsulting.com Subject: RE: 314 Clark Street- Partial Final Const. Inspection Request Let me know when all set. Thanks. -----Original Message----- From: Dan Ottenheimer [mailto:info@millriverconsulting.com] Sent: Monday, November 21, 2005 4:15 PM To: DelleChiaie, Pamela Subject: RE: 314 Clark Street- Partial Final Const. Inspection Request Normal construction inspection is$225. Sounds like this will be an inspection in two phases. This phase will be the more complex so will cost slightly more than the other time we will go out. $150 this time, $125 for tank inspection. Dan i 0 Daniel Ottenheimer, President Mill River Consulting, Inc. Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 11/22/2005 314 Clark Street - Partial Fina-l'onst. Inspection Request f Page 2 of 2 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com dano@millriverconsulting.com From: DelleChiaie, Pamela [ma i Ito:pdel lech iaie@townofnorthandover.com] Sent: Monday, November 21, 2005 3:22 PM To: Daniel Ottenheimer (E-mail); Lisa LeVasseur(E-mail); McBrearty Andrew (E-mail) Cc: Grant, Michele Subject: 314 Clark Street- Partial Final Const. Inspection Request Importance: High Hello, Michele just spoke with Andy about this. He said this would be quantified as a partial Final Const. Inspection of the leaching bed. We will charge Ralph Simard for this. Can you let me know what Mill River would charge for this? Thank you. &s,(R¢gaz,ds, Pw�w¢Bii D¢B�¢G�lfiAi¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofiiorthandover.com healthdept@townofnorthandover.com 11/22/2005 L4 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: --//—It'"�j City or Town of: l • .fl `�ji� - To the Inspector of Wires: By this application the undersigne gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant r -_Yk • ✓v J7, Telephone No. Owner's Address ' niry Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units FIRE ALARMS No.of Zones No.of Detection and Initiating Devices No.of Alerting Devices Date................................... No.ofelf-Contained Detection/Alertin Devices ' ,oRTH Local❑ Municipal ❑ Other 0 "`° '•�"o TOWN OF NORTH ANDOVER Connect*on 3? :'� ;� o� Security Systems: o vNo.of Devices or Equivalent PERMIT FOR WIRING Data Wiring: * • No.of Devices or Equivalent Telecommunications Wirin : �,SSACHUSES No.of Devices or E uiva ent This certifies that -desired,or as required by the Inspector oJ'Wires. ................................................................................... cipal policy.) has permission to perform .......... . .....:.............................I............I............... AEC Rule 10,and upon completion. ormance of electrical work may issue unless wiring in the building of........................................................ :overage or its substantial equivalent. The at ....... ,North Andover,Mass. a to the permit issuing office. ..................................... plication is true and complete. Fee Lic.No.............. ........................... ELECTRICAL INSPECTOR ^� LIC.NO.:S=1 e I1`►"f✓r Check # ., Bus.Tel.No.•2, t 7 ✓' 9 Alt.Tel.No.:4(;.:y license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ �js NOV-28-2005 11 :28 AM SO`ILSMITH 6034872298 P. O1 M v Douglas J.Smith •15 Foxberry Drive New Boston,NH 03010 •(603)487.2298 Phone&Paz a • • � m• -yl .;:: �:;ice.•"g:;C RI,..,. ,. t µU{- c To: j� law ;c .�r'. (II�I(V.f.;, Fax: From: 1 ` Date: iV Re: Pagw: Rwf IN4l�w.j �G1/t�•t; �jn�I t•�'. �:�[t` ca•• Iv'(.,.11t��!-�4� t(1i'1.''E(?_ E3 UWd O For Review O Pore Comment 0 Pleeee Rs* E3 Plesee Pmycb l�lblilla: . . . . . . . . . . . . . . . . . . . NOV-28-2005 11 :28 AM SOI'L\SMITH 6034872298 P. 02 .,t Infiltrator Modified CertlAcation for General Use Page 3 of 8 4. The minimum separation between any two trenches shall be as I P 'CMR 15.251. . V 5. The requirement that the Chamber installed in trench configuration as. J� � 310 CMR 15.253(6) be provided with inlets at intervals not to exceed .1 not applicable to the System. 6. For•new construction, the applicant can size the System in it trench co without aggr>=gata, using the'effeetive leaching area presented in Table 2. System, however, shall be designed and constructed with a soil absorption systle, area of-less than 400 square feet. Table 2.ERecthe Leaching Area for New Consfrnetlon And Remedial Sites Effective Effective Model Leaching' Leachings Area Area SFlLP SPAT Equalim 24 3.75- NA uick4 Equalizer 24 3.90 NA ` —� izer 36 4.73 NA �----PQuick4 Equalirm 36 4.73 NA Standard Chamber 6.53 NA Quick4 Standar! 6.96 NA Infiltrator 3050 or NA 8.2 StormTech SC-740 NO ERLdty Chamber 7.79 1 NA ck4 M&CW&Ci!z7.93 NA 1. Effective leaching area is,e qual to 1.67(bottom width+(2x invert height)). 2. Effeedve leaebi ng was is equal to 1.0(bottom width+(2x invert Height)) 7. Systems shall be sized in aecordence with the Tat Ila 3 for new construction in DSP desipeftd nitrogen limited areas as defined in 310 CMR 15.214 and 15.215. The effective leaching area. as shown in Table 3, shall be used for any System, installed in s Department d6ignated Nitrogen Sensitive Ares or for any System that is installed for new construction whom a private drinking water supply well is proposed to serve the'theility, as dented in 310 CMR 15.214(2)and for which a variance to the minimum setback distance of 100 feet has been granted NOV-28-2005 11 :29 AM SOILSMITH 6034872298 P. 03 CHAMBER CONFIGURATIONS Equalizer 24 HD and Equalizer 36 Trench Configurations PLAN VIEW(TyPJ - ITRENCH CENTER-TO-CENTER —SPACINGPERTITLE5 SEPTIC TANK REQUIREMENTS IF7= J DISTRIBUTION BOX-..... EQUALIZER 38 CHAMBER---— SCHEMATIC LAYOUT ONLY,TRENCH LENGTH AND NUMBER OF TRENCHES VARIES PER DESIGN. Note.For trenctl conNgurerlons, the spacing between trenched may be used as reBerve area per 310 CMR 15.251 (4). EQUAUZER Z4 HD MOUND FOR CROSS SECTION(TVP.) PROPEA DRAINAGE• ESTABLISH VEGETATIVE COVER 175!Mf , COMPACTED it MIN.,FOR 32,000 LSS/AXLE `, WN.,FOA 16,000 LSS/AXLE i NATIVE BACKFILL a,MAXIMUM COVER .. r EQUALIZER S6 LUNO FOR PROPEN CROSS SECTION(TYP.) DRAINAGE ESTABLISHED VEGETATIVE COVER 4.73 60 12"MIN..H•10 LOAD AREAS NATIVE BACKFILL .' .' :, er MIN.,NON-TRAFFIC AREAS ♦_ V MAXIMUM COVER I ` 13.9" �-^ —2A' —..I uWkb RV ,TAIL �f[� o t 9g < ArN .o • SCHEDULE OF E"TR'IS o 1 U+nit 0 NO DR 3S t B MDM FLOOR ELEV 100.72 AS BUILT PIPE RgMT AT BUILDING 98.42 ELEVATIONS TANK]NMT IN 98.00 N US ,SS; TANK @INERT OUT 97.75 IANDSCApE B �� PUMP D4 VERT IN 97.70 3 PUMP'INVERT OUT 97.45 (15 Ej'O PUMP Ei.EVATION 94.00 Q SLAB '� - _llv 102.47 =o RAxO�TIE V 100.95 i D BOX OUT 102.30 - IO2 SO �3 102_.34 3 Cn r o z 'TBM#2 TOP OF E, Eg EI.E 1 BED 162.30 -n OTTOM 101.80 o z - - TOP OF Q��- Eta 35.= 102.80 102.95 � C r I�S f'—' i /_ COVER 103.80 �tN 96, Z o FTi -- - m J. S11tny y X ' ` OF 4 gI,F,E' .c c'RO'SS1qG- REST t "�, g�► p� NORMAN LEE CIO A I NOR ao ®��► ; r�• THEAST LANDSCAPING CLARK ST. NORTH ANDOVER MA 01845 ^N' 978 470 3111OD i0 NORTH ANDOVER CLARK ST. PARTIAL AS BUILT FIELD INSPECTION l 1/2112005 j TANK AND PUMP NOT IN YET ! DOUG SMITH CHANGES 36 �.__-•-- ac-' -` 1bg.ti7' EQ MODEL iNFII,TR.ATOR USED INSTEAD OF THE QUICK 4 MODEL(QUICK 4 36 NOT AVAILABLE) 1'ttt?PFRTY Luc LENGTH OF TRENCHS NOW 33.3'LONG V E hT G%jnn bEiO m t #2 POLY BARRIER INSTALLED 3 INSPECTION PORTS INSTALLED N 1� The Equalizer® 36 Chamber The Equalizer 36 Chamber 1'Overlap at Latching Mechanism 13.5' 100' - Effective Length Chamber End View Posil.oc:W" End Plates �15° ° ®o o ®0 0 Q O Q O Igo ° 0® Oo o ° 0® — 22' 6"trill► 9"Invert Part#E0 36P6 Pert Y E036P9 - Size(W x L x H) ....22'x 100'x 13.5' (56 cm x 254 cm x 34 cm) Weight................................33 lbs(14.9 kg) Storage Capacity ................................................87.5 gal (331 L) Lowered Sidewall Height.....-10.2' (26 cm) INFILTRATOR SYSTEMS INC STANDARD LIMITED WARR INFILTRATOR SYSTEMS,INC.,(-htftMI-)STANDARD LIMITED WARRANTY FOR SEPTIC PRODUCTS (a)The sauctual integrity of each chamber and end plate manufactured by InfilbaNr(collectively referred to as'Unis'I when Installed and operat- ed in a leachfield of an onsite septic system in accordance with Infiltrators installation instructions,is wanahted to to original purctreser(-Hader) against defective materials and wallana ship for one(1)year from to date upon which a septic permit"a issued for the septic system containing . . . - the Units;provided,however,fret t a septi permit a not recluied fa the septi system by applicable law,the one(1)year warranty period will begin upon the date that installation of the septic system camenc�es.n order to exercee warranty rights,Holder roust nobly Infiltrator in writing at its cor- pantie tradqualers n Old Saybm&,Connecticut,within fifteen(15)days d the alleged defect.Infiwaor will supply mpitcemem units for arose ants determined Dy he unix ro be defective and covered by this limned Warranty. IMiRratas liability apeaficsty exUuaea the mel a removal �Y�T�M I N C ands et etinedation of the amts. (b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXCLUSIVE.THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS,INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c)The limited Warranty does not extend to incidental,co secluemial,special or indirect dartages.Int tkata stat not be liable for penaltes a liq- Environmental Onsite Wastewater Solutions' udated damages,w"N toss Of production and Polite,labor and rnideresthe ,overhead case a or losses s ihar a expenses by the Holder or any tnid party.Specifically excluded from Limited Warramy coverage is damage to the Unita cue to ordinary wear and fearalteration.accident, msse,abuse or neglect of the Units the anis being sub ected o vehicle magi a other conditions which are not permitted try the installation 6 Business Park Road• P.O. Box 768 nstructras;fayre to mermen the mawamram gcovers set form in the tnsat teton rvructds; o placement of improper materials into o sys- Old Saybrook, CT 06475 tem containing to Unita;failure of to Units a to septic system due to improper sung,improper sizing,excessive weer usage,rpoper grease Y tithe forms M faun t�eye.vat not cahsea by hrhfilrata.This limited warramy shall be writ a the Holder faits to campy withalof 860-577-7000 • FAX 860-577-7001 runner,in no event shat"Infiltrator be responsible for arty it=a damage o the Holder,the Ulnas,a ay mid party resulting kern setalis ion a ship. mem,a from any pradct raI>ilty chins d Holder a dry mid parry.For this Limited warramy o apply,to Unas roust be installed n accordance 1-800-221-4436 with e•sin condOora required by stay ernd reCal codes,all other applicable taws and nfiltrffias istallation instructions. "edam ye ren r `"ped"aryn � c" e" ayma<nwtaso ,a,oexffi,dt Limited Warranty. www.infiltratorsystems.com The above represents the standard Lmled Warranty offered by Imdrata A limited number of states and cables have different warranty require- ments. ghwe- me 0( fl An purchaser d Units should contact lnfiltrstbr9 corporate headghmrtens n Did Saybfak,CanEY.ticiA prior to such Nw ase,b Obtain a waranty and should carefully read that warranty Pia to to pure ase,of U nit& Infiltrator Systems does not recommend insisting were systems add pavemem Chambers mast be installed according to manufacturers ielmcoms Failure to insist aceondig to manufacturers instructions will wild warn". InHlreta Systems recommends tha use d septic teak titers and laundry filers with all orete septic system For technical assistance, installation instructions or customer service, call Infiltrator Systems at 1-800-221-4436. U.S.Patents:4,759,661;5,017,041;5,156,486;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,639,844 Canadian Patents:1,329,959;2,004,564 Other patents pending. Infiltrator,Equalizer and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc,is a registered trademark in Mexico. CharmberSpacer,Contour,MicraLeaching,MultiPort,PdyTiul Posit-ock,QuickCut,Quick4,QuickPlay,and SnapLock are trademarks of Infiltrator Systems Inc.02004 Infiltrator Systems Inc. All rights reserved.Printed in U.S.A. C780804WA-6 o The Quick4® Equalizer® 24 ' ' • ' Chamber SYSTEMS INC Environmental Onsite Wastewater Solutions" �I The evolutionary patent-pending Quick41 EqualizerO 24 Chamber fits in a 18" wide trench and is ideal for curved or straight systems. It features the patent-pending Contour Swivel Connection- which permits 15-degree turns, right or left.The MultiPort end cap allows ► multiple piping options and eliminates pipe fittin s.The chamber's four-foot length provides optimal installation flexibility. The Quick4 Equalizer 24 The MultiPort End Cap Offers Chamber Offers You These These Unique Benefits: Unique Benefits: • Patent-pending tear-out seals on inlet Advanced contouring connections Ports provide ati ht fit to the pipe - swivel 15-degrees right or left •Six molded-in inlets/outlets allow for •Compact nesting provides more maximum piping flexibility � trench length in an equivalent stack •Multiple ports eliminate pipe fittings height and make looping ends easy ; Lightweight chambersbersareeasYto Patent-pending MultiPort end cap :. handle and install fits on either end of the Quick4 / r,e •The Quick4 Equalizer 24 Chamber Equalizer 24 Chamber supports wheel loads of 16 000 lbs/ PR Infiltrator is the number-one septic axle with only 12"of cover leachfield chamber system in the onsite industry, with over 27 million units in-ground in all 50 states and Approved in 24 countries. 4N. ib ice'. a ' 2` "-I The QuickC EqualizeiO 24 Chamber The Quick4 Equalizer 24 Chamber RB 4s° — 16" EFFECTIVE LENGTH MultiPort End Cap W O 12° 1 A 16° 6° FRONT VIEW SIDE VIEW TOP VIEW Quick4 Equalizer • • • Size (W x L x H) ........16"x 53"x 11" (41 cm x 135 cm x 28 cm) Storage Capacity..................20.4 gal (77 L) Effective Length ......................................................48" (122 cm) Invert Height............... .................6" (15 cm) 9 (23 cm) & 10 (25 cm) with invert adapter INFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY (e)The structure)integrity o±each chamber.and plate,we a and other accessory manufactured by In?i1L•ator('Unitswhen Irutaibd and opera)ed;n a teachi'reld,of an cn ore sep is system rim accordance with In`Irator's Instr ct ons i.war anted to the ori:at emchsrei{"Holder"j age rut detective materials and wor!ona.sh p for one year frCm the date thsr the sep) perm:!s issued(o Pe sepltc system cor!a'n ng the Unts provided,however,that d a septic asrmtt:s m�f reeulred 61+applicable law,the weirs ty pardd wn'began upon 1. date Iha installa!:a!of ♦ • th@ septic ssyysstem corrin@rices To exa�fss is ova an[y rights Hdder must nonf�Inf ator n va�tirg at:s Cwpo,a @ Hen qua le min Old Saybrook,Gonnectwut u+1hm f heen(5�days a the al aged defect.Infiltrator wit suppN replacement Un:�s for Un is cdaterminsd,.y Infilhator to 0 be covered by this umued Yyarranry.Ir,�!I;rator's llabi!iry specificRly excludes the cost of removal andbr msrs!?soon of the Units. ((b THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(aj ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITHSYSTEMS I N C R�SPECT TO THE UNITS,INCLUDING NO IMPLIED WARRANTIES OP N;ERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c)This Limited Warranty sheG be void if any pa d the chamber system s menu acturad by anyxe other than Infiltrator,The Limited Warranty Environmental Onsite Wastewater Soludone does not 946 hill 1.o;ncidenta1.cons equenea1,specie!cr indirect damages.Infiltrator shaA not be!stile for pena!tlas a liquidated damages, tnctuding toss of prnducncn and"rofits,labor and materiel,eve head cats,or other losses or exoensas Incurred by the Holder or any third party Specfficafys:2'luded fr�ri Limited WRrrany ccn+erage as dan•,age to the Units due to o:di:iary wear and!ear,a>•arRtlon,aacidenl,mK- 6 Business Park Road • PO. BOX 768 use Rbuse or rregl@ct of the!,is the�.ifs be ng subjected tc vehr_le traifr_or olh@r condelons wh.ch are ror permitted by the nstallalion InsUuct,xs;failure to msnta,n he min m 6•ound covers set forth in the installation;nslructrons;he placemen)d unproper materials into the Old Saybrook, CT 06475 system cantammg the Umts;taaure d the Ones or the septic system due re improper sit;ng or improper sizing,oxeess;ve water usage,improper grease dsposal,or fmpropar operat!cn:or arty other event not caused by Infilll-, This Limited Warranty sma?i be void i?the Hdder falls to 860-577-7000 FAX 860-577-7001 comply vnth aft of the terms set forth in this Limitad Warrsn y Further,in no event shall Infiltrator be responsible for any loss or damage to the Holder,the Units,or any lhlyd parry resulting from installation or 1-800-221-4436 sh pmenG a from any product labile„Isms of Hdder or any third part par this Lin.ed Waranty fo app.y rhe Un+s must ba!rufailed In accordance with Ett Sita condi ons requlr@d by sta a and Iaaa!codes;all other applicable laws;and In?Iltratofs installation Instructions. www.infiltratorsystems.com (d)No repras@ntative o?In?itraor has the authority to change a extend;his Limited Wa.ranty. No warranty applies.to any party otrrer than the ongmal Hdder. ....... The above represents the Standard Li Red Warranty offered by Infiltrator.A limitad number of states and counties have different warranty requirements.Any purchaser d Units shcukf contact Infiltrators Corporate Headquarters in Old Saybrook Connecticut,pilot to such purchase, to obtain a copy of the applicable warranty,and should carefully read that warranty prior to the purchase of;!nits. For technical assistance, installation instructions or customer service, call Infiltrator Systems at 1-800-221-4436. U.S.Patents:4.759,661;5,017.041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1.329,959;2.004,564 Other patents pending. Inffftrator,Equalizer,Quick4 and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc. is a registered trademark in Mexico.ChamberSpacer,Contour,Contour Swivel Connection,MicroLeaching,MultiPort,PolyTuff,Poslock,QuickCut,QuickRay. SnapLock and StraightLock are trademarks of Infiltrator Systems Inc.©2005 Infiltrator Systems Inc.Printed in U.S.A. Q1809051SI-0 Septic System Installation Instructions - . - Quick40 Equalizer® 24 Chambers SY=MS INC Before You Begin Preparing the End Cap Quick4 Equalizer 24 Chambers may only be installed 1.With a utility knife start the according to State and/or local regulations. If unsure of tear-out seal at the appropri- the installation requirements for a particular site,contact ate diameter for the inlet pipe. the local health department. The seal allows for a tight fit Like conventional systems, the soil and site conditions must be for 3-inch, 4-inch SDR35, and approved prior to installation. Conduct a thorough site evalua- 4-inch SCH40 pipe. .V , tion to determine the proper sizing and siting of the system 2. Pull the tab on the tear-out before installation, seal to create an opening on the end cap. Materials and Equipment Needed 3. Snap off the molded 1 ❑ Quick4 Equalizer 24 ❑ 1X-inch Drywall Screws splash plate located on the Start tear-out seal. Chambers ❑ Screw Gun bottom front of the end cap. ❑ MultiPort End Caps ❑ Hole Saw* 4. Install splash plate into the ❑ PVC Pipe and Couplings ❑ Small Valve-Cover Box* appropriate slots below the ❑ Backhoe ❑ 4-inch Cap for inlet to prevent trench bottom ❑ Laser, Transit, or Level Inspection Port* erosion. ❑ Shovel and Rake ❑ Invert Adapter* ❑ Tape Measure 5. Insert the inlet pipe into the ❑ Utility Knife * Optional end cap at the beginning of These guidelines for construction machinery must be the trench. Extend the pipe followed during installation: into the end cap roughly 3 inches before reaching the ❑ Avoid direct contact with chambers when using stop. Screws optional.) 2 C construction equipment. Chambers require a 12-inch Pull tab on tear-out seal, minimum of compacted cover to support a wheel load rating of 16,000 lbs/axle or equivalent to an H-10 AASHTO load rating. Installing the System ❑ Only drive across the trenches when necessary. Never 1. Check the header pipe to be sure it is level or has the drive down the length of the trenches. prescribed slope. ❑ To avoid additional soil compaction, never drive heavy 2. Set the invert height at 6, 9 or 10 inches as specified in the vehicles over the completed system. design from the bottom of the inlet. Note:Use the Invert Adapter to achieve a 9"or 10"invert height. 3. Place the inlet end of the �< Excavatingand Preparing the Site p g first chamber over the back Note:As is the case with conventional systems, do not edge of the end cap. Line ` ' f` install the systems in wet conditions or in overly moist soils, up the notches on the as this causes machinery to smear the soil. bottom of each side of the end cap with the slots on the [ 1. Stake out the location of all trenches and lines. Set the bottom edge of the chamber. elevations of the tank, pipe, and trench bottom. 2. Install sedimentation and erosion control measures. Temporary drainage swales/berms may be installed to protect the site during rainfall events. 3 3.Excavate and level 18"to 24"wide trenches with proper cen- Place first chamber onto end cap. ter-to-center separation. Verify that the trenches are level or have the prescribed slope. 4. Insert two 1%' drywall �r screws on each side of the f Note:Over excavate the trench width in areas where you are chambers. Tighten each planning to contour. screw until the end cap is 4. Rake the bottom and sides if smearing has occurred while firmly secured to the chamber. excavating. Remove any large stones and other debris. Do not use the bucket teeth to rake the trench bottom. Note: Raking to eliminate smearing is not necessary in sandy soils. In fine textured soils(silts and clays), avoid walking in the trench to prevent compaction and loss of soil structure. 4 5.Verify that each trench is level using a level, transit, or laser. Insert drywall screws. 5. Lift and place the end of 3. Use two screws to fasten the pipe to the sleeve around the the next chamber onto the inspection port. previous chamber by holding - 4. Attach a threaded cap or cleanout assembly onto the pro- it at a 45-degree angle. = truding pipe at the appropriate height. Line up the chamber end between the connector hook 5. A small valve cover box may be used if inspection port is and locking pin at the top of below the desired grade. the first chamber. Lower the chamber to the ground to Covering the System connect the chambers. Before backfilling,the system must be inspected by a health Note: When the chamber 5 officer or other official as required by State and local codes. end is placed between the Connect the chambers. Create an as-built drawing at this time for future records. connector hook and locking 1.Backfill the trench by pushing fill material over the chambers pin at a 45-degree angle, the pin will be visible from the back with a backhoe. Keep a minimum of 12 inches of compacted side of the chamber. cover over the chambers before driving over the system. Note: The connector hook serves as a guide to ensure proper Note:Do not drive over system while backfilling in sand. connection and does not add structural integrity to the chamber joint Broken hooks will not affect the structure or void the warranty. Note: For shallow cover applications, you must mound 6. Swivel the chamber on the pin to achieve the proper direc- 12 inches of soil over the system before driving over it, and tion for the trench layout. then grade it back to 6 inches upon completion. Note: The chamber allows up to a 15-degree swivel in either 2•It is best to mound several inches of soil over the finish grade direction at each joint. to allow for settling. This also ensures that runoff water is diverted away from the system. 7.Continue connecting the chambers until the trench is completed. 3. After the system is covered, the site should be seeded or Note:As chambers are installed, verify they are level or have the sodded to prevent erosion. prescribed slope. Note:if the system is for new home construction, it is important 8. The last chamber in the ,Y <x� to leave marking stakes along the boundary of the system.This trench requires a MultiPortwill notify contractors of the site location so they will not cross it end cap. Lift the end cap at ` with equipment or vehicles. a 45-degree angle and insert the connector hook through r Infiltrator Systems,Inc.Limited Warranty (a)The structural integrity of each chamber,end plate, the opening on the top of the wedge and other accessory manufactured by Infiltrator('Units'),when installed and operated in a end cap.Applying firm pres leaohfield of an onsite septic system in accordance with Infiltrator's instructions,is warranted to the original purchaser("Holder')against defective materials and workmanship for one year from the date sure, lower the end cap to that the septic permit is issued for the septic system containing the Units;provided,however,that if a the round to snap It Into septic permit is not required by applicable law,the warranty period will begin upon the date that g p installation of the septic system commences. To exercise its warranty rights, Holder must notify place. Do not remove tear- Infiltrator in writing at its Corporate Headquarters in Old Saybrook,Connecticut within fifteen(15)days of the alleged defect.Infiltrator will supply replacement Units for Units determined by Infiltrator to be out Seal. 8 covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units.(b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE Note:Use straight lengthsp EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS,INCLUDING NO Attach end ca to chamber. IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c)This of pipe with the MultiPort Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than end cap at the trench ends Infiltrator. The Limited Warranty does not extend to incidental,consequential, special or indirect damages. Infiltrator shall not be liable for penalties or liquidated damages,including loss of produc- to create fitting-free looped ends, tion and profits,labor and materials,overhead costs,or other losses or expenses incurred by the Holder or any third party. Specifically excluded from Limited Warranty coverage are damage to the Units due 9.To ensure structural stability, fill the sidewall area by pulling to ordinary wear and tear,alteration,accident,misuse,abuse or neglect of the Units;the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions; soil from the sides of the trench with a shovel. Start at the joints failure to maintain the minimum ground covers set forth in the installation instructions;the placement of where the chambers connect. Continue backfilling the entire improper materials into the system containing the units;failure of the Units or the septic system due to g improper siting or improper sizing,excessive water usage,improper grease disposal,or improper sidewall area, making Sure the fill covers the louvers. operation;or any other evert not caused by Infiltrator.This Limited Warranty shall be void if the Holder fails to comply with all of the terms set forth in this Limited Warranty.Further,in no event shall Infiltrator 10. Pack down the fill by walking along the edges of the trench be responsible for any loss or damage to the Holder,the Units,or any third party resulting from installation or shipment,or from any product liability claims of Holder or any third party. For this Limited and chambers. This is an important step in assuring structural Warranty to apply,the Units must be installed in accordance with all site conditions required by State and local codes;all other applicable laws;and Infiltrator's installation instructions. (d)No representa- Support. live of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the original Holder.The above represents the standard Limited Warranty offered Note:In wet or clay soils, do not walk in the sidewal/s, by Infiltrator. A limited number of States and counties have different warranty requirements. Any purchaser of Units should contact ktiiltrator's Corporate Headquarters in Old Saybrook,Connecticut, 11. Proceed to the next trench and begin with Step 1. prior to such purchase,to obtain a copy of the applicable warranty,and should carefully read that warranty prior to the purchase of Units. Installing Optional Inspection Ports 1. 1. With a hole saw, drill the pre-marked area in the top of the RMA chamber to create a 4-inch opening. 2. Set a cut piece of pipe of the appropriate length into the SYSTEMS INC corresponding chamber's inspection port sleeve. ErMn;n'B"tefonsite wasW are`Sck&= Note:The sleeve will accommodate up to a 4-inch SCH40 pipe. 1-800-221-4436 • www.infiltratorsystems.com U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;5,401.116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004.564 Other patents pending.Infiltrator, Equalizer,Quick4 and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc.is a registered trademark in Mexico.Contour, MicroLeaching,PolyTuff,ChamberSpacer,Mullion,Pc iLock,QuickCut,QuickPlay,SnapLock and StraightLock are trademarks of Infiltrator Systems Inc. ©2005 Infiltrator Systems Inc.All rights reserved.Printed in U.S.A. Q1909051SI-0 O RECEIVED Septic System SEP 3 0 2005 Installation Instructions TOWN OF N TH HEALTH DEPART ME�TR SYSTEMS INC z. s T�� - ._ -•51 `�N=�.���'•s ' •c.�� �'`- ! .�. gip. � � - iL •tet `. s �. `'�K" `. - 'i ,l 3 � r Quick4° High Capacity Chambers Quick4® Standard Chambers Before You Begin 4. Rake the bottom and sides if smearing has occurred while excavating. Remove any large stones and other debris. Do not Quick4 High Capacity Chambers and Quick4 Standard use the bucket teeth to rake the trench bottom. Chambers may only be installed according to State and/or Note:Raking to eliminate smearing is not necessary in local regulations.If unsure of the installation requirements sandy soils. In fine textured soils (silts and clays), avoid for a particular site,contact the local health department. walking in the trench to prevent compaction and loss of Like conventional systems, the soil and site conditions must be soil structure. approved prior to installation. Conduct a thorough site evalu- ation to determine the proper sizing and siting of the system 5.Verify that each trench is level using a level, transit, or laser. before installation. Preparing the End Cap 1. With a utility knife start the Materials and Equipment Needed tear-out seal at the appropri- =v. ❑ Quick4 Chambers ❑ Hole Saw* ate diameter for the inlet pipe. ❑ MultiPort End Caps ❑ 2-inch Drywall Screws' The seal allows for a tight fit ❑ PVC Pipe and Couplings ❑ Screw Gun* for 3-inch, 4-inch SDR35, and El Backhoe 4-inch SCH40 pipe. Backhoe Small Valve-Cover Box" ❑ Laser, Transit, or Level ❑ 4-inch Cap for ❑ Shovel and Rake Inspection Port* �/ ❑ Tape Measure ❑ Utility Knife Optional 1 These guidelines for construction machinery must be Start tear-out seal. followed during installation: 2. Pull the tab on the tear-out ElAvoid direct contact with chambers when using seal to create an opening on the end cap. construction equipment. Chambers require a 12-inch minimum of compacted cover to support a wheel load rating of 16,000 lbs/axle or equivalent to an H-10 AASHTO load rating. ❑ Only drive across the trenches when necessary. Never drive down the length of the trenches. ❑ To avoid additional soil compaction, never drive heavy vehicles over the completed system. 2 Pull tab on tear-out seal. 3.Snap off the molded splash �. Excavating and Preparing the Site plate located on the bottom front of the end cap. Note:As is the case with conventional systems, do not 4. Install splash plate into the install the systems in wet conditions or in overly moist soils, as this causes machinery to smear the soil. appropriate slots below the inlet to prevent trench bottom 1. Stake out the location of all trenches and lines. Set the erosion. elevations of the tank, pipe, and trench bottom. 2. Install sedimentation and erosion control measures. Temporary drainage swales/berms may be installed to protect q the site during rainfall events. Install splash plate. 3. Excavate and level 3-foot wide trenches with proper center- 5. Insert the inlet pipe into the to-center separation. Verify that the trenches are level or have the prescribed slope. end cap at the beginning of •;- the trench.The pipe will go in Note:Over excavate the trench width in areas where you one inch before reaching a are planning to contour. stop. (Screws optional.) n 5 ' Insert inlet pipe. Page 2 Installing the System 8.To ensure structural stability, fill the sidewall area by pulling soil from the sides of the trench with a shovel. Start at the joints 1. Check the header pipe to be sure it is level or has the where the chambers connect. Continue backfilling the entire prescribed slope. sidewall area, making sure the fill covers the louvers. 2. Set the invert height at 11.5 inches from the bottom of the g. Pack down the fill by walking along the edges of the trench trench for the Quick4 High Capacity Chamber. For the Quick4 and chambers. This is an important step in assuring structural Standard Chamber, set the invert height at 8 inches from the support. bottom of the trench. Note:In wet or clay soils, do not walk in the sidewalls. 3. Place the inlet end of theK first chamber over the back "`' ,- 10. Proceed to the next trench and begin with Step 1. edge of the end cap. �Y...." 4. Lift and place the end of y. Installing Optional Inspection Ports the next chamber onto the = 1. With a hole saw drill the pre-marked area in the top of the previous chamber by holding chamber to create a 4-inch opening. it at a 45-degree angle. Line up the chamber end between 2. Set a cut piece of pipe of the appropriate length into the the connector hook and lock- corresponding chamber's inspection port sleeve. ing pin at the top of the first 3 Note:The sleeve will accommodate a 4-inch SCH40 pipe. chamber. Lower to the ground place first chamber onto end cap. 3. Use two screws to fasten to connect the chambers. the pipe to the sleeve around Note: When the chamber the inspection port. end is placed between the connector hook and locking v��,, 4. Attach a threaded cap or y pin ata 45 degree angle, cleanout assembly onto the the pin will be visible from appro- priate height. 1© protruding pipe at the the back side of the chamber. v Note: The connector hook 1 = = 5. A small valve cover box serves as a guide to ensure = _ may be used if inspection proper connection and does port is below the desired 3 not add structural integrity grade. Fasten the pipe. to the chamber joint.Broken 4 hooks will not affect the struc- Connect the chambers. ture nor void the warranty. Covering the System 5.Swivel the chamber on the Before backfilling,the system must be inspected by a health pin to the proper direction for *+� � � �� � ,� officer or other official as required by State and local codes. the trench layout. `z'= � *� ;_ , Create an as-built drawing at this time for future records. RFs-«, �-,. 9 Note:Quick4 Chambers allow 1. Backfill the trench by pushing fill material over the chambers for 10 degrees of swivel in with a backhoe. Keep a minimum of 12 inches of compacted either direction at each joint. cover over the chambers before driving over the system. 6. Continue connecting the Note:Do not drive over system while backfilling in sand. chambers until the trench is Note: For shallow cover applications, you must mound 12 completed. inches of soil over the system before driving over it, and then Note:As the chambers are 5 t:"' grade it back to 6 inches upon completion. installed, verify they are level 2. It is best to mound several inches of soil over the finish grade or have the prescribed slope. Swivel the chamber. P P to allow for settling.This also ensures that runoff water is divert- 7. The last chamber in the sy ,: ed away from the system. trench requires an end cap. 3. After the system is covered, the site should be seeded or Lift the end cap at a 45-degree sodded to prevent erosion. angle and insert the connector _ hook through the opening v _ _ Note:If the system is for new home construction, it is impor- on the top of the end cap. - � tant to leave marking stakes along the boundary of the system. Applying firm pressure, lower �° t - This will show contractors where the site is located so they will the end cap to the ground to � ) ; � not cross it with equipment or vehicles. snap it into place. Do not remove the tear-out seal. _ 7 Attach end cap to chamber. Page 3 0 0 Infiltrator Systems, Inc. Limited Warranty (a) The structural integrity of each chamber, end'plate,wedge and other accessory manufactured by Infiltrator("Units"),when installed and operated in a leachfield of an onsite septic system in accordance with Infiltrator's instructions, is warranted to the original purchaser("Holder")against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units; provided, however,that if a septic permit is not required by applicable law,the warranty period will begin upon the date that installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator in writing at its Corporate Headquarters in Old Saybrook, Connecticut within fifteen(15)days of the alleged defect. Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. (b) THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a)ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS, INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c) This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty does not extend to incidental, consequential, special or indirect damages. Infiltrator shall not be liable for penalties or liquidated damages, including loss of production and profits, labor and materials,overhead costs,or other losses or expenses incurred by the Holder or any third party. Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse or neglect of the Units;the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions;failure to maintain the minimum ground covers set forth in the installation instructions;the placement of improper materials into the system containing the Units;failure of the Units or the septic system due to improper siting or improper sizing, excessive water usage, improper grease disposal, or improper operation;or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to comply with all of the terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder, the Units, or any third party resulting from installation or ship- ment,or from any product liability claims of Holder or any third party. For this Limited Warranty to apply,the Units must be installed in accordance with all site conditions required by State and local codes; all other applicable laws; and Infiltrator's installation instructions. (d) No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the origi- nal Holder. The above represents the standard Limited Warranty offered by Infiltrator. A limited number of States and counties have different warranty require- ments. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook,Connecticut, prior to such purchase,to obtain a copy of the applicable warranty, and should carefully read that warranty prior to the purchase of Units. For more information on the Quick4 Chambers, call 1-866-40UICK4 or 1-866-478-4254. SYSTEMS INC Distributed By: Environmental Onsite Wastewater Solutions- 6 Business Park Road, • P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 • FAX 860-577-7001 1-800-221-4436 www.infiltratorsystems.com U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending.Infiltrator, Equalizer,Quick4 and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc.is a registered trademark in Mexico. Contour,Microl-eaching,PolyTuff,ChamberSpacer,MultiPort,Posil-ock,QuickCut,QuickPlay,Snapl-ock and StraightLock are trademarks of Infiltrator Systems Inc. ©2005 Infiltrator Systems Inc.All rights reserved.Printed in U.S.A. 0140805WA-1 0 0 The Quick4® High Capacity Chamber The Quick4 High Capacity Chamber a 16" 34" 48" _I EFFECTIVE LENGTH MultiPort End Cap 0 0 16" 19 11" 34" FRONT VIEW SIDE VIEW TOP VIEW CapacityQuick4 High •er Specifications Size (W x L x H) ........34" x 53" x 16" (86 cm x 135 cm x 41 cm) Storage Capacity ..................62 gal (235 L) Effective Length ......................................................48" (122 cm) Invert Height..............................11'r (28 cm) INFILTRATOR SYSTEMS,INC.STANDARD LIMITED WARRANTY (a)The structural integrity of each chamber,end plate,wedge and other accessory manufactured by Infiltrator("Units"),when installed and operated in a leachfield of an onsite septic system in accordance with Infiltrator's instructions,is warranted to the original purchaser("Holder') against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units;provided,however,that if a septic permit is not required by applicable law,the warranty period will begin upon the date that installation of . . • - the septic system commences. To exercise its warranty rights,Holder must notify,Infiltrator in writing at its Corporate Headquarters in Old Saybrook,Connecticut within fifteen(15)days of the alleged defect.Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. (b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH SYSTEMS INC RESPECT TO THE UNITS,INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (c)This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator The Limited Warranty Environmental Onsite Wastewater Solutions" does not extend to incidental,consequential,special or indirect damages.Infiltrator shall not be liable for penalties or liquidated damages, including loss of production and profits,labor and materials,overhead costs,or other losses or expenses incurred by the Holder or any third party. Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear,alteration,accident,mis- 6 Business Park Road . P.O. Box 768 use,abuse or neglect of the Units;the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions;failure to maintain the minimum ground covers set forth in the installation instructions,the placement of improper materials into the Old Saybrook, CT 06475 system containing the Units,failure of the Units or the septic system due to improper siting or improper sizing,excessive water usage,Improper grease disposal,or improper operation;or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to 860-577-7000 • FAX 860-577-7001 comply with all of the terms set forth in this Limited Warranty Further,in no event shall Infiltrator be responsible for any loss or damage to the Holder,the Units,or any third party resulting from installation or shipment,or from any product liability claims of Holder or any third party. For this Limited Warranty to apply,the Units must be installed in accordance with all site conditions required by state and local codes;all other 1-800-221-4436 applicable laws;and Infiltrator's installation instructions. (d)No representative of Infiltrator has the authority to change or extend this Limited Warranty No warranty applies to any party other than the www.infiltratorsystems.com original Holder. The above represents the Standard Limited Warranty offered by Infiltrator A limited number of states and counties have different warranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook,Connecticut,prior to such purchase, to obtain a copy of the applicable warranty,and should carefully read that warranty prior to the purchase of Units. For technical assistance, installation instructions or customer service, call Infiltrator Systems at 1-800-221-4436. U.S.Patents:41759,661;5,017,041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending. Infiltrator,Equalizer,Quick4 and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc. is a registered trademark in Mexico.ChamberSpacer,Contour,Contour Swivel Connection,Microl-eaching,MultiPort,PolyTuff,PosiLock,QuickCut,QuickPlay, SnapLock and StraightLock are trademarks of Infiltrator Systems Inc.©2005 Infiltrator Systems Inc.Printed in U.S.A. Q130805WA-1 The SEP 3 0 2005 Quick4' High CapacityTOWN 'OF NORTH ANDOVER Chamber HEALTH DEPARTMENT SYSTEMS INC Environmental Onsite Wastewater Solutions E l The evolutionary patent-pending Quick4® High Capacity Chamber fits in a 36" wide trench and is ideal for curved or straight systems. It features the patent-pending Contour Swivel Connection'" which permits 10-degree turns, right or left.The MultiPort" end cap allows multiple piping options and eliminates pipe fittings.The chamber's n four-foot length provides optimal installation flexibility. The Quick4 High Capacity The MultiPort End Cap Offers _ Chamber Offers You These These Unique Benefits: Unique Benefits: • Patent-pending tear-out seals on inlet " • •Advanced contouring connections ports provide a tight fit to the pipe swivel 10-degrees, right or left •Eight molded-in inlets/outlets allow • Patent-pending StraightLockT'Tabs for maximum piping flexibility ensure a straight connection in bed • Multiple ports eliminate pipe fittings and mound applications and make looping ends easy •Compact nesting provides more • Patent-pending MultiPort end cap trench length in an equivalent stack fits on either end of the Quick4 height High Capacity Chamber •Lightweight chambers are easy to Infiltrator is the number-one septic handle and install leachfield chamber system in the •The Quick4 High Capacity Chamber onsite industry, with over 27 million supports wheel loads of 16,000 lbs/ units in-ground in all 50 states and axle with only 6" of cover 24 countries. Approved in O RECEIVED I Septic System p S EP 3 0 2005 Installation InstructionSYSTEMS INC TOHEAOF NORTH LLTH DEPARTMENTER } V: 1 t '3 %4 e .,I ' ail!s ` � i , qr'�,s y�r1M►�? t � +fiS,t�•' _.fir r . • r: rr� _ s ,� ,��, ar�µq �� ;.rr`'���,.� �? `r.c, s�.<y,� .,� �s ���a�sFfi-��5�'•s��'� `^�',t€v l`,t Quick4TM Equalizer°36 Chambers O O Before You Begin 4. Rake the bottom and sides if smearing has occurred while excavating. Remove any large stones and other debris. Do not Quick4"Equalizer®36 Chambers may only be installed use the bucket teeth to rake the trench bottom. according to State and/or local regulations.If unsure of Note:Raking to eliminate smearing is not necessary in sandy the installation requirements for a particular site,contact soils. In fine textured soils (silts and clays), avoid walking in the local health department. the trench to prevent compaction and loss of soil structure. Like conventional systems,the soil and site conditions must be 5.Verify that each trench is level using a level transit or laser. approved prior to installation. Conduct a thorough site evalua- Y 9 tion to determine the proper sizing and siting of the system before installation. Preparing the End Cap 1.With a screwdriver or utility Materials and Equipment Needed knife start the tear-out seal at ❑ Quick4Equalizer 36 ❑ Hole Saw the appropriate diameter for „� 4 Chambers ❑ 2-inch Drywall Screws* the inlet pipe. The seal allows ❑ MultiPort End Caps ❑ Screw Gun* for a tight fit for 3-inch, 4-inch ❑ PVC Pipe and Couplings ❑ Small Valve-Cover Box* SDR35, and 4-inch SCH40 ❑ Backhoe ❑ 4-inch Cap for pipe. ❑ Laser, Transit, or Level Inspection Port* ❑ Shovel and Rake ❑ Invert Adapter* r* p ❑ Tape Measure ❑ Screwdriver or Knife * Optional Start tear-out seal. These guidelines for construction machinery must be 2. Pull the tab on the tear-out followed during installation: seal to create an opening on ❑ Avoid direct contact with chambers when using the end cap: construction equipment. Chambers require a 12-inch minimum of compacted cover to support a wheel load rating of 16,000 lbs/axle or equivalent to an H-10 AASHTO load rating. ❑ Only drive across the trenches when necessary. Never drive down the length of the trenches. ❑ To avoid additional soil compaction, never drive heavy 2 vehicles over the completed system. Pull tab on tear-out seal. 3. Snap off the molded u splash plate located on the bottom front of the end cap. Excavating and Preparing the Site Note:As is the case with conventional systems, do not 4. Install splash plate into the \ install the systems in wet conditions or in overly moist soils, appropriate slots below the ~ as this causes machinery to smear the soil. inlet to prevent trench bottom 1. Stake out the location of all trenches and lines. Set the erosion. s . elevations of the tank, pipe, and trench bottom. 4 2. Install sedimentation and erosion control measures. _ Install splash plate. Temporary drainage swales/berms may be installed to protect the site during rainfall events. 5. Insert the inlet pipe into the 3. Excavate and level 2-foot wide trenches with proper center- end cap at the beginning of .- the trench. Extend the pipe to-centerse separation. Verify that the trenches are level or have p Y , the prescribed slope. into the end cap roughly 4 inches. (Screws optional.) Note:Over excavate the trench width in areas where you are planning to contour. 5 Insert inlet pipe. Page 2 0 a Installing the System lower the end cap to the ground to snap it into place. Do not 1. Check the header pipe to be sure it is level or has the remove the tear-out seal. prescribed slope. Note:Use straight lengths of pipe with the MultiPort End Cap 2. Set the invert height at 6, 9 or 10 inches as specified in the at the trench ends to create fitting-free looped ends. design from the bottom of the inlet. 9.To ensure structural stability, fill the sidewall area by pulling soil from the sides of the trench with a shovel. Start at the joints Note:Use the Invert Adapter to achieve a 9"or 10"invert height. where the chambers connect. Continue backfilling the entire 3. Place the inlet end of the sidewall area, making sure the fill covers the louvers. first chamber over the back � `-"�� � ` - edge of the end cap. 10. Pack down the fill by walking along the edges of the trench and chambers. This is an important step in assuring structural 4. Lift and place the end of support. the next chamber onto the Note:In wet or clay soils, do not walk in the sidewalls. previous chamber by holding it at a 45-degree angle. ,,;; 11. Proceed to the next trench and begin with Step 1. Line up the chamber end between the connector hook Installing Inspection PortsOptional and locking pin at the top of ;�: p - the first chamber. Lower it to 3 .. 1. 1. With a hole saw, drill the pre-marked area in the top of the the ground to connect the Place first chamber onto end cap. chamber to create a 4-inch opening. chambers. 2. Set a cut piece of pipe of the appropriate length into the Note: When the chamber �. ` corresponding chamber's inspection port sleeve. end is placed between the \\ connector hook and locking \�\\\� Note:The sleeve will accommodate a 4-inch SCH40 pipe. pin at a 45-degree angle, _ 3. Use two screws to fasten s- the pin will be visible from the pipe to the sleeve around rtx the back side of the chamber. the inspection port. Note: The connector hook - 4. Attach a threaded cap or serves as a guide to ensure cleanout assembly onto the proper connection and does .w protruding pipe at the appro- not add structural integrity 4 ,4' priate height. to the chamber joint.Broken ; r • hooks will not affect the Connect the chambers. 5. A small valve cover box structure or void the warranty. may be used if inspection 5.Swivel the chamber on the port is below the desired 3 n to achieve the *, ': grade. Fasten the pipe. p proper pp direction for the trench layout. Note: The chamber allows Covering the System up to a 15-degree swivel in either direction at each joint. Before backfilling,the system must be inspected by a health 6. Where the system design officer or other official as required by State and local codes. requires straight runs, use --f Create an as-built drawing at this time for future records. the StraightLock" Tabs to 1. Backfill the trench by pushing fill material over the chambers ensure straight connections. 6 with a backhoe. Keep a minimum of 12 inches of compacted To activate the tabs, pop the Activate StraightLock'"Tabs. cover over the chambers before driving over the system. tabs up with your thumb and Note:Do not drive over system while backfilling in sand. lock into place. 7. Continue connecting the . Note: For shallow cover applications, you must mound chambers until the trench is 12 inches of soil over the system before driving over it, and completed. > then grade it back to 6 inches upon completion. Note: As chambers are 2. It is best to mound several inches of soil over the finish grade installed, verify they are level ���` to allow for settling. This also ensures that runoff water is or have the prescribed slope. diverted away from the system. 8. The last chamber in the 3. After the system is covered, the site should be seeded or trench requires an end cap. sodded to prevent erosion. Lift the end cap at a 45- 8 Note:If the system is for new home construction, it is important degree angle and insert the to leave marking stakes along the boundary of the system. connector hook through the Attach end cap to chamber. 9 9 Y Y This will notify contractors of the site location so they will not opening on the top of the end cap. Applying firm pressure, cross it with equipment or vehicles. Page 3 0 0 Infiltrator Systems, Inc. Limited Warranty (a) The structural integrity of each chamber, end plate,wedge and other accessory manufactured by Infiltrator( "Units"),when installed and operat- ed in a leachfield of an onsite septic system in accordance with Infiltrator's instructions, is warranted to the original purchaser("Holder")against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units; provided, however,that if a septic permit is not required by applicable law,the warranty period will begin upon the date that installation of the septic system commences. To exercise its warranty rights, Holder must notify Infiltrator in writing at its Corporate Headquarters in Old Saybrook, Connecticut within fifteen(15)days of the alleged defect. Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. (b) THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXCLUSIVE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS, INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c) This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty does not extend to incidental, consequential,special or indirect damages. Infiltrator shall not be liable for penalties or liquidated damages, including loss of production and profits, labor and materials, overhead costs, or other losses or expenses incurred by the Holder or any third party. Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse or neglect of the Units;the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions;failure to maintain the minimum ground covers set forth in the installation instructions;the placement of improper materials into the system containing the Units;failure of the Units or the septic system due to improper siting or improper sizing, excessive water usage, improper grease disposal, or improper operation; or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to comply with all of the terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder,the Units,or any third party resulting from installation or ship- ment,or from any product liability claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance' with all site conditions required by State and local codes; all other applicable laws; and Infiltrator's installation instructions. (d) No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the origi- nal Holder. The above represents the standard Limited Warranty offered by Infiltrator.*A limited number of States and counties have different warranty require- ments. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook, Connecticut, prior to such purchase,to obtain a copy of the applicable warranty, and should carefully read that warranty prior to the purchase of Units. For more information on the Quick4' Equalizer036 Chamber, call 1-866-40UICK4 or 1-866-478-4254, or go to our website at www.infiltratorsystems.com. SYSTEMS INC Distributed By: Environmental Onsite Wastewater Solutions' 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 • FAX 860-577-7001 1-800-221-4436 www.infiltratorsystems.com U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending.Infiltrator, Equalizer and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc.is a registered trademark in Mexico. Contour,MicroLeaching,PolyTuff,ChamberSpacer,MultiPort,Posil-ock,Quick4,QuickCut,QuickPlay,SnapLock and StraightLock are trademarks of Infiltrator Systems Inc. ©2004 Infiltrator Systems Inc.All rights reserved.Printed in U.S.A. 0070205WA-0 qw i ;t Al '•': (t :. � k�• ai r"� e" �' ��7. :;, 'rte � �f��'� '.� r�, 6{s�` ' 1_J .ham, —! f .��4. �� � � ♦31�A,iy€t "� ¢ � 'i� �!�cx .f .'ate,-rte 1r- _ ;. .. -.��.v Y s_.S,�r-t. .� � i•-: 9 ...�,,; - 1' •, -` �� ++i. Y='`'om-� _����/i�����'�".\"\fi� / 361 ?` •IA's-�` ••'- -' � � �. r -,A+"3� -es.. �~ y>-� .� b .,��` a �•' . . - � _- *+''�� ._� fir►:.. . - .sy: _ '3'ti.� i.. 'e.:'. - \�.L'"t• �' '.�` ,rte vI�s '�' 3°f� ��`� � x dot' r+' - "�► L r ,p Ms *, _ ty Rr- F.� 1. qg / / ne- -yip= INFILTRATORS r o o The Quickest Chambers Optimal installation flexibility. Ideal for curved Quick4TM Equalizer°36 Chambers. The evolutionary Quick4 product line offers the most advanced, quickest to install leachfield chambers available today. Ideal for curved and straight systems, they are the only leachfield product installers will ever need for onsite installations. See why the patent-pending Quick4 Equalizer36 Chamber is light-years ahead of all other onsite leachfield products. " Contour Swivel Connection TM StraightLockT"Tabs Advanced Contouring Capability ■ Chamber easily follows contours or an "S" curve ■ Each patent-pending swivel connection turns 15-degrees, right or left ' ■ Contouring capability avoids obstacles easily with no additional parts or accessories ■ Patent-pending StraightLockT" Tabs ensure a straight connection in bed & mound applications ,y Available only from Infiltrator Systems, the innovators of the original plastic leaching chamber. MultiPortT" End Cap NI r 'Pi Mit �nn p Iky _ tai illhfI tc — HEM- MOM `w 11 ^ F+fkNw C� O in the Onsite Industry and straight systems. Multiple piping options. Four-Foot Length Structural Strength Optimal Installation Flexibility Structural tests, as certified ■ Lightweight chambers are �:. .� .,. a by independent professional easy to handle and install = engineers, show that Quick4 w Equalizer36 Chambers will ■ Compact nesting provides withstand 16,000 lbs/axle more trench length in an with only 6 inches of cover. equivalent stack height ■ Patent-pending four-foot length allows more installation flexibility ■ Ideal for curved and straight systems and trench or bed :' applications WWRf MultiPorfm End Cap Four-Foot Chamber Certified Structural Strength Multiple Piping Options ■ Patent-pending tear-out Save time, labor and material cost. seals on inlet ports provide The enhanced features of the Quick4Equalizer36 Chamber a tight fit to the pipe and the proven performance of Infiltrator products add up to ■ Six molded-in inlets/outlets cost savings on labor and material, time savings on the job, allow for maximum piping and optimal design solutions. flexibility ■ Multiple ports eliminate Leave it to Infiltrator Systems to bring you the next pipe fittings and make generation in onsite chambers. looping ends easy ■ Patent-pending MultiPort of end dha cap fit on either end 1 -866-4Q u i ck4 1-866-478-4254 SYSTEMS I N C Environmental Onsite Wastewater Solutions" i l I Quick4TM EQUAL IZEfl 36 CHAMBER 53" Quill Equalizer 36 Chamber I� 48" (EFFECTIVE LENGTH) — -- -- -- -- -- -- -- 22" SIDE VIEW SECTION VIEW MultiPort End Cap i 0 O O 12.. 18" O 6" i 22 SIDE VIEW TOP VIEW I I FRONT VIEW Quick4 Equalizer 36 Chamber Nominal Specifications MultiPort End Cap Nominal Specifications Size (WxLxH) 22"x53"x12" Size (WxLxH) 22"x18"x12" Effective Length 48" Invert Height 6",9— and 10— Invert Height 6" with Invert Adapter INFILTRATOR SYSTEMS,INC.STANDARD LIMITED WARRANTY (a)The structural integrity of each chamber,end plate,wedge and other accessory manufactured by Infiltrator("Units"),when installed and operated in a Ieachfield of an onsite septic system in accordance with Infiltrator's instructions,is warranted to the original purchaser("Holder') against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units;provided,however,that if a septic permit is not required by applicable law,the warranty period will begin upon the date that installation of - . • . the septic system commences. To exercise its warranty rights,Holder must notify Infiltrator in writing at its Corporate Headquarters in Old Saybrook,Connecticut within fifteen(15)days of the alleged defect.Infiltrator will supply replacement Units for Units determined by Infiltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. ARRANTIES WITH RES ECTI TO THE UNITS,INCLUDING NOI IIMPLIED WARRANT ES OF)MERCHANTABILI Y OR FITNESS FOR A PARARE EXCLUSIVE. THEE ARE NO OTHER TICULAR PURPOSE. SYSTEMS I I'^`V C (c)This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator The Limited Warranty Environmental Onsite Wastewater Solutions' does not extend to incidental,consequential,special or indirect damages.Infiltrator shall not be liable for penalties or liquidated damages, including loss of production and profits,labor and materials,overhead costs,or other losses or expenses incurred by the Holder or any third party. Specifically excluded from Limited Warranty coverage are damage to the Units due to ordinary wear and tear,alteration,accident,mis- use,abuse or neglect of the Units;the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation 6 Business Park Road • P.O. Box 768 instructions:failure to maintain the minimum ground covers set forth in the installation instructions;the placement of improper materials into the /'+ system containing the Units,failure of the Units or the septic system due to improper siting or improper sizing,excessive water usage,improper Old Saybrook, CT 06475 grease disposal,or improper operation;or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fails to comply with all of the terms set forth in this Limited Warranty. 860-'5577-7000 - FAX 860-5577-7001 �l Further,in no event shall Infiltrator be responsible for any loss or damage to the Holder,the Units,or any third party resulting from installation or 1-800-221-4436 shipment,or from any product liability claims of Holder or any third party. For this Limited Warranty to apply,the Units must be installed in accordance with all site conditions required by state and local codes;all other applicable laws;and Infiltrator's installation instructions. (d)No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than fire www.infiltratorsystems.com original Holder. The above represents the Standard Limited Warranty offered by Infiltrator. A limited number of states and counties have different warranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook,Connecticut,prior to such purchase, to obtain a copy of the applicable warranty,and should carefully read that warranty prior to the purchase of Units. I i U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending. ® I Infiltrator,Equalizer and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc. is a registered trademark in Mexico.Contour,Contour Swivel Connection,MicroLeaching,PolyTuff,SnapLock,ChamberSpacer,PosiLock,QuickCut,Quickislay,MultiPort RECYCLEDPAPER and Quick4 are trademarks of Infiltrator Systems Inc.©2004 Infiltrator Systems Inc.Printed in U.S.A. 0060705WA-0 y ` � � o � '�{.;TLS `�! L � r�f}''�q� � 4•�`,�'+�Ie cT }$ �•,y ��°�� .� \ ! �_ !lei �j l� •�� 1� *i - "gra , ,t,, t � { n S _ , " �lam. t � I •,u;, j�,�, ,.f �� � , � °. �. �,�r - r I - • gyp, Y r j ii �y i its �, i• `� � \ ` may. a °. 1 -fit►. .Y?S r i M -. e � 6f �� s� `� r s•' � E LL. Y •'� � La 3Sr �I� k r • - y '7 � rt�a�`f' .:�� �!._A �`.$aet :: �• ,.� ;�$�� "f��+y ,�..w `.�t ` :'c� r `'.�� ••�! _1 w.'s+: "ri•C 'Ii. o The Quid est Chamber Optimal installation flexibility. Ideal for curved The evolutionary Quick4TM Standard Chamber is the most advanced, quickest .....:........ to install leachfield product available today. Ideal for curved and straight systems, it's the only leachfield product installers will ever need for onsite installations. See why the Quick4 Standard Chamber is light-years ahead of all other onsite leachfield products. M�. Contour Swivel Connection _ayye' Contour Swivel ConnectionTM Advanced Contouring Capability {. , . .. ■ Chamber easily follows contours or an "S" curve ■ Each connection swivels 10-degrees right or left MultiPort End Cap ■ Contouring capability easily avoids obstacles without additional parts or accessories ■ Latching mechanism allows for quick installation Y , w �s 1 6 D in the Onsite Industry 0 and straight systems. Multiple piping options. Four-Foot Length Structural Strength Optimal Installation Flexibility Structural tests, as certified ■ Lightweight chambers are by independent professional easy to handle and install engineers, show that Quick4 ■ Compact nesting provides Standard Chambers are more trench length in an stronger than all other equivalent stack height Infiltrator Standard Chambers. ■ Shorter length allows more installation flexibility ■ Ideal for curved and straight systems and all leachfield applications MultiPortTM End Cap Four-Foot Chamber Certified Structural Strength Infinite Piping Options Save time, labor and material cost. ■ Molded-in tear-out tabs on The enhanced features of the Quick4 Standard Chamber and inlet ports provide a tight the proven performance of Infiltrator products add up to cost seal to the pipe savings on labor and material, time savings on the job, and ■ Eight molded-in inlets allow optimal design solutions. you to pipe from any direc- tion in a 180-degree radius Leave it to Infiltrator Systems to produce the next ■ Multiple ports eliminate generation in onsite chambers. pipe fittings ■ End cap fits on either end of chamber 1 -866-4Quick4 1-866-478-4254 SYSTEMS INC Slope I 0 0 uick4 STANDARD CHAMBER 52" 1 Quick4 Standard Chamber 48" 1 (EFFECTIVE LENGTH) 6 12" 34" SIDE VIEW SECTION VIEW MultiPort End Cap Q O 16" 12" D o 34" SIDE VIEW TOP VIEW FRONT VIEW Quick4 Standard Chamber Nominal Specifications MultiPort End Cap Nominal Specifications Size(WxLxH) 34"x52"x12" Size(WxLxH) 34"x16"x12" Effective Length 48" Invert Height 8"or 1.25" Invert Height 8" INFILTRATOR SYSTEMS,INC.STANDARD LIMITED WARRANTY (a)The structural integrity of each chamber,end plate,wedge and other accessory manufactured by Infiltrator("Units"),when installed and operated In a leachfield of an onsite septic system in accordance with Infiltrator's instructions,is warranted to the original purchaser("Holder")against defective matenals and workmanship for one year from the date that the septic permit is issued for the septic system containing the Units;provided,however, Z if a septic permit is not required by applicable law,the warranty period will begin upon the date that installation of the septic system commences. To exercise its warranty rights,Holder must notify Infiltrator in writing at its Corporate Headquarters in Old Saybrook,Connecticut within fifteen(15) - / • - days of the alleged defect.Infiltrator will supply replacement Units for Units determined by Infltrator to be covered by this Limited Warranty. Infiltrator's liability specifically excludes the cost of removal and/or installation of the Units. O R (b)THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXCLUSIVE.THERE ARE NO OTHER WARRANTIES WfTH RESPECT SYSTEMS INC TO THE UNITS,INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c)This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty does not extend to incidental,consequential,special or indirect damages.Infiltrator shall not be liable for penalties or liquidated damages,including loss of Environmental Onsite Wastewater Solutions' production and profits,labor and materials,overhead costs,or other losses or expenses incurred by the Holder or any third party. Specifically excludedfrom Limited Warranty coverage are damage to the Units due to ordinary wear and tear,alteration,accident,misuse,abuse or neglect of the Units;the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions;failure to maintain the 6 Business Park Road • P.O. Box 768 minimum ground covers set forth in the installation instructions;the placement of improper materials into the system containing the Units;failure of the Units or the septic system due to improper siting or improper sizing,excessive water usage,improper grease disposal,or improper operation;or Old Saybrook, CT 06475 any other event not caused by Infiltrator.This Limited Warranty shall be void it the Holder fails to comply with all of the terms set forth in this Limited Warranty. 860-577-000-221-44367000• FAX 860-577-7001 Further,in no event shall Infiltrator be responsible for any loss or damage to the Holder,the Units,or any third party resulting from installation or ship- ment,or from any product liability claims of Holder or any third party. For this Limited Warranty to appy,the Units must be installed in accordance 8 with all site conditions required by state and local codes;all other applicable laws;and Infiltrator's installation instructions. (d)No representative of Infiltrator has the authority to change or extend this Limited Warranty. No warranty applies to any party other than the origi- nal Holder. The above represents the Standard Limited Warranty offered by Infiltrator.A limited number of states and counties have different warranty require- ments. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in old Saybrook,Connecticut,prior to such purchase,to obtain a copy of the applicable warranty,and should carefully read that warranty prior to the purchase of Units. I U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending. Infiltrator,Equalizer and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc. is a registered trademark in Mexico.Contour,Contour Swivel Connection,Microl-eaching,PolyTuj SnapLock,ChamberSpacer,PosiLock,QuickCut,QuickPlay RECYCLEDPAPER and Quick4 are trademarks of Infiltrator Systems Inc.©2003 Infiltrator Systems Inc.Printed in U.S.A. Q010705HP-0 The Equalizer® 36 ' ' • Chamber SYSTEMS INC Environmental Onsite Wastewater Solutions- 7— ago" olutions'. w�.wawra 1 1 _ The Equalizer®36 Chamber fits in a 24' wide trench and is available with 9' and 6' invert end plates to provide a variety of design solutions. _ The chamber also features the Sidewinder®sidewall, which enhances evapotransporation and delivers optimum infiltrative performance.With 12' of compacted cover, it supports wheel loads of 16,000 lbs/axle, equivalent to an H-10 AASHTO rating. The Equalizer 36 Chamber Tested and Proven with More than System Offers You These One Million Systems Installed Alm Unique Benefits: • Infiltrator is the number-one septic • Slim chamber profile that fits leachfield chamber system in the narrow trenches onsite industry. �-f • Greater design flexibility due to • More than one million systems have3� multiple invert end plates been installed,with over 27 million • Easy assembly and installation with units in-ground in all 50 states and ���^ as few as two people,a backhoe and 24 countries. Mf a pickup truck Infiltrator's established history of F • Lightweight chambers that can be performance and reliability began delivered in one pickup truck in 1987. -- load and hand-carried into position • Field surveys show that Infiltrator chamber • Inspection port option for easy systems,at 50% reduced sizing, perform equivalent to full-size stone and pipe access to leachfield with no site s .aia•'' `'- disruption systems. • OVERALL REDUCED COST ' Infiltrator is ISO 9001:2000 certified and is IAPMO tested and UPC approved. '1YN Y Approved in .f - I i II i i 1 f S i w /xio Town of North Andover Health Department Date: Location: 2! AI ejal/e (Indicate Address, if/Residential,or Name of Business) Check#: 1 /� Type of Permit or License:(Circle) ➢ ,Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ ,Seep�tic-Design Approval $ Septic Disposal Works Construction(DWC)$ 5� ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) A 6-x-- �W i �l Health Agent Initials U r White-Applicant Yellow-Health Pink-Treasurer o¢s ° T"AtioApplicationr Septic Disposal System Al o,S— ° Construction Permit - TOWN OF TODAY'S DATE *y'~�•;r:o��. y#�NORTH ANDOVER, MA 01845 250,A0 ull Repair �SSwcHus $125.00 -Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer, use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component cursor-do not use the return key. A. Facility Information ?JL/ CA" rab Address or Lot# ,ef, City/Town _ 2.- *TYPE OF SEPTIC SYSTEM*: CKPump ❑ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** ❑ Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information AT �l"9vl 1,e- Name Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information Name Name of Company Address &O'A /3�g��f rri s CO/r�rd Y City/Town State Zip Code lephone Number(Cell Phone#if possible please) 4. Desiqner Information. r L 100,51,; 1,2 r/ ► Name Name of Company J5'_ Address 0307v City/Town State � Z"'Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 r10RTH Application for Septic Disposal System /r11,6/0.S� q.yo '` ��° °c TODAY' DATE ° . - pConstruction Permit — TOWN OF ORTH ANDOVER, MA 01845 $ 250;00- Full Repair 00 Component 4SSwtHuek� PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: []Residential Dwelling or DC,ommercial B. Agreement The undersigned agrees to ensure the construction and inummmoe of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. N Date Applicatio Approved By: (Board of Health Representative) Na Date Application Disapproved for the following reasons: For Office Use Only: / L Fee Attached? Yes v No 2. Project Manager Obligation Form Attached? Yes // No 3. Pump S sy tem? If so,Attach copyo f Electrical Permit Yes No �0�(Oil/'�/ 4. Foundation As-Built?(new construction ronly): Yes /� No (Same scale as approved plan) S. Floor Plans?(new construction only): Yes/V No 4 ' Application for Disposal System Construction Permit•Page 2 of 2 r y INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at /y ��� � s� relative to the application of dated for plans by So-,I S'r` and dated l,� 0 7 with revisions dated / S�— I understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with 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 first 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. 4. As the installer I understand that only I may perform the work(other than simple excavation) required 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 to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer Date: Town of North Andover Health Department Date: /to�7s— Location: (Indicate Address;i Residential,or Name of Business Check#• / �/ x �� Type of Permit or License: (Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction q� ,.7 $ `�/ 7 C/ ➢ OTHER;(Indicate) 7:�7 / /7 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer Town of North Andover NORTH Office of the Health Department Community Development and Services Division - 400 OSGOOD STREET A�AA7D " 1� North Andover,Massachusetts 01845 AcNusE� Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax C2WFICA.2E O F COJVI*t.LDGIANCE As of: December 13, 2005 This is to cert that the individuafsu6surface disposafsystem was a Fully Repaired by Ralph Simard 314 ClarkStreet North Andover, 4A 01845 _71as been instaffeddin accordance with the provisions of Titfe v of the State Sanitary Code and with the North Andover Ooard of Yfeafth regulations. The Issuance of this certiftate shaff not 6e construed as a guarantee that the system wiff function satisfactorily. Sus n T Sawyer Pu6ficWealth(Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover HEALTH DEPARTMENT 27 Charles Street North Andover,MA 01845 978.688.9540 heti thdclit(u.loiviLo(nnrthaii(lover.co`n SEPTIC PLAN SUBMITTAL FORM ' DATE OF SUBMISSION: n 17.1 r c) S i c SITE LOCATION: ENGINEER: L i O-e S NEW PLANS: YES $225.00/Plan Check#: (Includes Is`(NE and One Re-Review Only) REVISED PLANS: YES t/ $75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: LYE§ NO LOCAL UPGRADE FORM INCLUDED: YES �NO Telephone#• ��j ��� 2`l8 Fax#• (�P(2-3 ?� 2 E-mail: HOMEOWNER NAME: Cam VY1 pq-✓-, f— f�if�-�S OFFICE USE ONLY When the submission is complete(including check): 1. ZDate stamp plans and letter 2. Complete and attach Receipt 3. v� Copy File;Forward to Consultant 4. Enter on Log Sheet and Database Commonwealth of Massachusetts Cityffown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information 1. Facility Information n Q,,� n L A e�a st Owner Name CL_,n v7-`� S fi Street Address � — Map/Lot YL11 _S Citylrown State Zip Code B. Site Information 1. (Check one) New Construction ❑ Upgrade Repair ❑ 2. Published Soil Survey available? Yes &--go'❑ If yes: Year Published Publication Scale Soil Map Unit c Soil Name Soil limitations 3. Surficial Geological Report available? Yes ❑ No LK If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes [ No ❑ Within the 100 year flood boundary? Yes ❑ No 14-- Within the 500 year flood boundary? Yes ❑ No ❑i- Within a Velocity Zone? Yes ❑ No Eq- 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal - Page 1 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 6. Current Water Resource Conditions (USGS) Range: Above Normal ❑ Normal Below Normal ❑ Month/Year 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole Number: . Gc j- :--- Date Time Weather 1. Location Ground Elevation at Surface of Hole OCL-t 117 Location (Identify on Plan ) 2. Land Use: C 0✓,N?-�c'►✓-A (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(°o) � Veget— ation � Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body 'lgti z Drainage Way Q`'� Possible Wet Area n kYN feet feet feet Property Line Drinking Water Well Other Teat \ feet 4. Parent Material: 1 ` 1 Unsuitable Materials Present: Yes [3—No❑ If Yes: Disturbed Soil❑ Fill MaterialO�/ npervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes [t-�No ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 2 of 7 Commonwealth of Massachusetts a City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation k v`Z 100 OL Ac-v1-J Deep Observation Hole Number: r Soil Soil.Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other (In) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones F G 2 31 " '`)!vz��� vn 1!`��,L� r e l ►� � c 2, 7 sl �� �1 Sym , �0/0 VW 755 C, ��0 ` s _ Additional Notes .e_ ^Oyt— DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 3 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: # Oct '�6 I2=u:� Date Time Weather 1. Location Ground Elevation at Surface of Hole 311 Location (identify on Plan ) 2. Land Use: b9'�- (✓1�'�–�, ��``• (� (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation If - Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body 20 2 Drainage Way x') Possible Wet Area 1/�u feet feet feet Property Lined • Drinking Water Well -meq_ Other �L feet feet 4. Parent Material: 1 ` Unsuitable Materials Present: Yes 6l-,No❑ If Yes: Disturbed Soil[] Fill Material d�_Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock[] 5. Groundwater Observed: Yes Z,�1Vo ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole�=— Estimated Depth to High Groundwater: Li -T� 99 M inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 4 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal r Deep Observation Hole Number:- Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Structure Consistence Other (In ) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones \`l F,0 "_7,sj slseq YNA,y c 3�' Ic�`ly Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal - Page 5 of 7 Commonwealth of Massachusetts REIM City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: TL 0 v Date Time Weather 1. Location Ground Elevation at Surface of Hole S Location (Identify on Plan ) 2. Land Use: V"'_C't Yl- `J (e.g.woodland,agricultural field,vacant lot,etc.) Surface St6hifs Slope(%) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body (_;2i_e_ Drainage Wayham_ Possible Wet Area n c) feet feet feet Property Line -2,,N Drinking Water Well � Other feet feet 4. Parent Material: �l , \ Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s)❑ Weathered/Fractured Rock❑ Bedrock❑ j5. Groundwater Observed: Yes 6--No ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole 1 Estimated Depth to High Groundwater: S inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 4 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal yY inches elevation Deep Observation Hole Number: k (DO CLS Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture %by Volume Consistence Other (In) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles ii S Stones �i0y� V)C� C'i V*rt"1L1n t uY L c�� Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 3 of 7 Commonwealth of Massachusetts City[Town of ' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: -z — Date Time Weather 1. Location Ground Elevation at Surface of Hole Location (Identify on Plan ) 2. Land Use: (e.g,woodland,agriDcult1ural field,vacant lot,etc.) Surface Stones Slope(%) Cr Vegetation I + S Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way o j 2 Possible Wet Area 2_0C, feet feet feet Property Line I_w Drinking Water Well !a • Other feet feet 4. Parent Material: \ \ \ Unsuitable Materials Present: Yes ❑ No❑ If Yes: Disturbed Soil❑ Fill Materialo�_ mpervious Layer(s)❑ Weathered/Fractured Rock❑ Bedrock[] 5. Groundwater Observed: Yes d--riTo ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: �`o C inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 4 of 7 Commonwealth of Massachusetts CitylTown of ` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Structure Consistence Other (In) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones nn L �2aw ., Fvz►✓xJ i.e 2157 Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 5 of 7 Commonwealth of Massachusetts Cityrrown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal f i D. Determination of High Groundwater Elevation i� 3 4. Li W S (� 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches 06-'bepth to soil redoximorphic features (mottles) A. 3" �' B. H 3 �S inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of natural y occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes o❑ b. If yes, at what depth was it observed? Upper boundary: Lower boundary: inches inches F. Certification I certify that I have passed the soil evaluator examination*approved by the Department of Environmental Protection and that the abo% anal sis was performed by me consis �twith the required training, expertise and experience described in 310 CMR 15.017. Mg-ngrf Soil E alu at. .ate O� Vlr5 � c'l"J Typed or Printed Name of Soil Evaluator *Date of Soil Evaluator Exam I1 Name of Board of Health Witness Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 6 of 7 . Commonwealth of Massachusetts C ity/Town of _ Percolation Test Form 12 4 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: When filling out A. Site Information forms the L::c-::e computetor,use n 4`� � 1�✓1, c only the tab key Owner Name to move your 19)U C, yc � S 1 cursor-do not Street Addre_sls or Lot key.use the return . V-,(al U�✓�� W 1 1 �t� 41 ' City/Town State Zip Code Q 138 '13Q 311ILO i Contact Person(if different from Owner) Telephone Number B. Test Results 05 Z__30 6c,�Aoj Date Time Date Time C5 A Observation Hole# 3 8 Depth of Perc Li /r G 1 -i Start Pre-Soak 2 ✓0 2- - 2 e End Pre-Soak Time at 12" Z 11 _S `2 U-�'�d ►� Time at 9" ►'� ___ ` Time at 6" Time(9"-6") -2-'2-1/ 2, 2 (a / Rate (Min./Inch) _7 ��'t n I 1 h u rn Test Passed: [� Test Passed: Test Failed: ❑ Test Failed: ❑ v� Test Performed B : c-ozan± nu--,4_-v!n Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 02/22l�U5 15:42 9786868476 HEALTH PAGE 02/10 North Andover-Septic System Desf r Plan Review CJrpeifrtist (Rew.,Ian 28,X04) 7h,e fORCW ft clrecIdW frcorpona m Title S and tatei regulatiamfor tep k plan. Property Address: 7,1.�A_C�+_VAj?_1 S 1 Map: Lot__LL Nu ne of Applicant: Name of Designer:,,,,� ) ._c �,,r, Plan]Daft:_1-.1201 u-i Revision Date: t) Date received:A BOH at MRC MRC Staff Reviewer Dde of Review. Type of Plan: ❑new ❑ ups Number of Bedroom in Assessor's Records: Number of Bedrooms in Design: (�gpd) Garbage Disposal Allowed:Xg I S-�MI 1,00 madee:NA=North Andover tDesilp StaWards Other numbers refer to Title 5 C' yes ❑no 'a the lot in the Lake Cochichtwick Waoefthtd? NA 6.00(squires Alt.Treatment) OK Pmbkm NIA Street number and map4ot-220(4)(u) Namm of abutters fi+am recent tax map—NA S.02j Name&afte t of reeoold owner&applicant—NA 8.02k _ Name A address of designer--NA9.021 Date plan drawn&any revb&m date—NA 8.02m p ) Location and elevation of foundation drain oar nota —NA 8.02y 110 V i-v'a1�.�� ,��C.1 _ i++t'sximum scale of 1"=20'for profile and component,details-220(4) Locus plan-220(4)(1) (Not to scale) Dates)of soil tastkv-224(4)(h)&(i) Nwm Of_y Name O iapprovirrg authority representative-220(4Xh)&(i) of sail evaluator-220(4)0) Cnnt hit profile of the cistern to mate-220(4Xo),NA 8.02c Cross senora of teaclriurg facility—NA 8.02*(Nat to scale) V'"n Note Mang,all variance requasm with proper.eitadons-220(4)(p) ►�1 U 1 'L Local upgrade spprovsl requW fount strltmietted&nated on pLgn-403(1) V1,3`1 e Original R.S./P.E.stamp.sig:Mree&date—?20(1)&(2) 3urface.supplics(wrlin 44WJ Laub welle(vdin 400%pvt,weslls(WAN I00')-220(4)(k) ._ Weda»d disclaimer(no wetland wPm 1 OD')—NA 8.02% RLS plan ref"Mce&cMi rm stim orf propeety tine setback variance)-220(3) = QJse approvals/standards checked for 1/A system—DEP docs. System is in Nitrogen Sensitive Area?-213 Leading rate'*'4409NUM(crew construction)-214 j Pere raft>30 MPl—check loading m%(dif'fene w&w/o pressure dist)242(1)&(2) _ Pere rate>60 MPI mw um m odtt ed tf#vtank or>/A teciarhtogy—245(4) 1'+opoaed system quali5es as"*mad"system—ou(dei;nitiorrsl) Plow is over 2,000 gpd—No R.S.allowed—22Q(1) -- yam- Number of bedrOmm with ciftigtr titles—NA 9.021 i —� .10—A Minimum 4 bedroom design ai+out deal miction NA I.05j NA 13.01 Design'low was set in aocorda;lrrce with code—203 ------�� jll►�, Leaching facility at least V above Base flood elevation—NA 9105 1L_ All piping Sch 40 minimum--NA 10.01 _ L Basement floor 1'minimum above groundwater elevation(new'const)NA.5.04 Page I North. h*ver-Septet System Design Am Review Cl echl'Jaa (.R v Jan 28, 2M) OK Problem NIA l)Y - Maximum scale of 1"=40' for plot pian-224(4) Y'1` Holder and location of alt eaaelnenu-220(4)(b) All dwellings and buiidinA existing and proposed-220(4xc) Z Dation of all exi.. i or proposed imparvmw me-220(4Xd) i,�` Elevation of proposed dPivevvay—Na 8.02t 5-��_ c���� Legal boundaries of the facility being sewed-220(4)(a) Location and dimensions ofthe syst m(incl.reserve at+em►for new ctmst.)-220(4)(c.) Ali distances on site plan(ST d:SAS to dwelling&property lines)--NA 8.03 a-c Limits of excavation of leach area on site pin—NA$.02z North arrow-220(4)(g) Ustift and Proposod contours-220(4 Locations and top of deep holes-220(4)(h) Locations and logs of percolation tests-220(4)(i) ►- � Locations of waterlines,drains,and subsurface utilities-220(4)(m) _ Location of bembrnark(s)within 50.75 feet of f ic.-lity-220(4)(q) �cw--1,�_ Location of vmumoursea or wetlands wlin 150'of systew—NA 8.02r —�� Existing system location and now on proper abandonment—354 5-ci acclt,pl<+h ma f z en in ked 15.211 (NA.5.02) OKl�oblem NWA Septic Farm Leach radilty Sewrr Property line 10 10 — Cellar wall 10 20 lngmtmd pool 10 20 .- „_ Slab foundation lfl 10 Deck,on footing etc 5 to -- ____� Waterline 10 10 1Jr Mvaw drinking wall, 7530 l oe se irrigation welt 1544 100'33 surlb a Water 25 SO Bordering vegetnted Wetlmd , 1 Salt Marsh,11110 d I Costal Bwe 7543 lot" WedarAs bordering surface w&W Supply or trio.(la Watrrsbed) 1S025 15050 T-b to 3rtrfaca Water supply 32$ 3Z32QQ Public will 400 400 imerim Weilltc:d Prot.Arm not>440 g/ac/d(new const.only— 1 S.214) .,� Reservoirs 400 400 IOnias(wat.supPlyMib.) 3o 100 -- Drains( &W.) 25 50 .� Drains(Othw)Fmundaelosl 10(s) 2'0(10) Drywetts 2040 25 Downbill slope or battier*-sit -- IS'to 3:1 slope w/o bmricr 'Suctlun line 22.20) .� 'New c ubwdan allawW up to 440 gtlianslday/arere wbm eQ a"Sw wAi purm m to 15.214(2). '100 fed is a minimum aemptable diasnee and nu"rienm is al O*W fork Iftw (NA 5.0). 'As*f wd in 310 CMYt 10.55.10.32, 10.54,and 10.30,rr pacei*y,PO=M to 15.211(3),else by NA wet{and bylaws Pagve 2 02;'212�2C^05 .15-. ;2' 9781888476 HEALTH PAGE 04/10 North Andover-&ptie.4stem Design Plan Review Ckeckl&W (Rev.Jan 28. 2004) 4 .�17p� �nvx�wa�)�tiatterc Note Ural :lie gow far a "P*Owm&dgrr it Euk COMP tom wllerrrrr fraatble as Yat" to 310 CItlR 114040). **rem rnnrpliaxre is trot POL"16k.Owed so rediew"*=k to falloft(405)w/o aborter rrvtj lvanow ental proprrry line or m*hbMV prl qua aster sapph'rrr bwk(with`o"the*it pmfsrnnct.aMd"i"bring LAST p mr.) s,) py►pmv line but root vrint 10'of aewlltcr SAS-rived movey if wAn S' b) cellar walk pool,or slab 1 c) Plaoe itet M=io soil betweeer 30 and 60 W("if filed attar 1111/04) d) lip to 25%reduction in sin of SAS e) Reloatte private well if uepdo syaserm piled because of alis eritak 0 Sobadw to BV W's r,) Se*=U to surface watery,salt otwzdL inland and«costal banK vauW pools,karhatg CB'A,dry welt,of surtiece or sub urfw dvainc not leading to water supplies b) Sebsck to%ma tlrmu,Rrivete wells(vat<i0s);seater stains end Inbs.and dvssas leafts to the sure(not<100') Reduce roWimd sepuelon to`w.(BOM fuumt tet GW.3 or C otrly(depem%g an Pem nWA a000 Bpi flew,no irrwmem in Haw or squwo foc4W no reduction to SAS size,setbacks to yells,BV W's,vmtlm&.sk waw,salt tr mk coachI bank Vmd pool, waw lint;water supplies or trim.hada Aug-INS SaeYel OK problem NIA 0 G —a trap req%dred for certain uses(check 230 for deeds) t/ Pipe die mtkr fisted(4"minitmem)-222(1) Flee scheftle listed-M2(I � l Pipe cast imn of*h 40-PiiC-ISA It.02 WaWfth joiftU spei Wwd-2x3(3)&(41 KA i L02 Pipe laid on co m pao,firm bane-222(3) Pipe laid an m tjuom grade in straight line-222(7) �t Cbmauts precede all chanes in eligetoaent&W Vraie -222(g) Cteaftut provided every 100 feet–722M Msmtroie at airy 40 degree 05-1­nm d'Mi a–222(8) !"Vert sloe m Wilding:_'I LA'L v Inven eie�al sep9k at+ak: � ✓ Slope: I mt of 0.01-0.02 desired)-222(5) Page 3 0'2.•''2,2,'�'005 15:4 9786886476 HEALTH t H'•lt Uhl i� North Am*rmr-SePtic SYskw Dgsign Plan Re'View Checklist (&Y'Jarr 28. 2004) No tank allowed in a pelocity zone or ONO CO"al beach barrier beach,dtrW,or in a regulated f took(2113) j* tV*below g w►.Fable O yer ❑no 0 asstnned QK Pmblem N/A y fL� Tank is accessible-228(3) 20094 of flow{required&provided given, 1540 min.)-220(4xt)&223(1 xa) - 2"(mm}3"(max)drop fiam inlet to outlet.227(5) - Minimum of 4°Hquid deptb-223(2) _..� 3-all Spec Wme to es(minimum)-227(4) 9"sir tioace above flow line(minitntan)-227(4) Tees are mut to be replgeed by baffles-227(1) Tees extend 6"above flow Time-227(1) - inlet to extends 1o"below now time(minimum)-227(6) Outlet tee extends 14"below flow lire(mono for deeper tanks)-227(6) Gas baffle 1nWd%d on outlet•227(4) Effluent Sella 13=4 mid model approved by DEA Rha tppwJ time noted on maniwle coven. Riser placed over alter Filter maintenance schedule specified Access manhole corm above initis oftw&&each tee(except 2 comport)-228(7) 3-20"teles-228(2) —� 1 ChiWptioof 24"rxSWhWftle wlin 6"of Hemel glade if<IMOgpd-228(2) 2 cNidproof 20"Ayers over inlet&autlel tees wfm 60 of final g�if a1000gpd•228{2) --- �� Inlet and outlet tm on antes Sine-227(1) Soil conpaction below tarok specified(if soil is riot+-amivc)_221(2) 6"of-cot INO ctam bema&tank sissified-221(2)&228(l) if> 1,000 gpd AND not*:single fhm dwell.inwt be 2 door 2 cramp.-223(lXb) . _._. If plan specifies disposal most be 2 unks in series or 2=npasrr.w*--223(1)(c) Bel aye cy ratm requin d if tank at or below vmwr We-221(g) -" NoWon as so W& weelfthbim-221(1) f+of cover over WA(min arum)-22811) Top of ink-<-36Wow Wow grade-221(7) W l0 loading(mini.)-N-20 if tnttft.226(3) �. All pal;to Oft(if )in avcoeaierroe with-229 jVo tight rank allowed In a velocity zone or on a coastal beach,harrier beach. 4um; or in a regt+ladad}loorlwuf+ 1;2131 lijkLL"m (Check here if not present: )tenk below g.w.table Oyes Ono 0 assrtm8 OK Problem N!A - X00%of design flow or 2600 gallons provi&d-260(2)(2) . _ 3-20"mothoi+es-228(2) Soil compaction Mow tsnk specifted Of soil is non-mative)-22I(2) 6"of e-1/lone bcrmo tw*V. ccified-221(2)&2.28(1) _ awyancy calls.*uirrd if tank at or below water table-221(8) Notation as to tmilt waaRighmess-221(l) -- — - - - 9"ofcom over to*(minimum).228(t) Top of tat*x=36"below grade,221(7) K-10 k and ft(thin.)-14-20 if uatffic-226(3) All pwping to tank(if spikes)in aeedrdance with-224 M All alarm set at 313 tank capacity-2W.)Xb) Alerm rigtal to loots manned 24 hours per day if deemed necessmy-260(2)(c) Tank is set to keep old system in service during install if possible Mier. 1-24"hiatus w1cover at finished,grade-260(2Xf) _- Yrmr round trails for pumping-260(2)($) Par 4 15: 42 9786888476 HEALTH PAGE Ub/10 AW1h AndYW-Seplac SysteM DalVt Plan Review Checklisr (flev.Jun 28,2004) Odor control provided if tewntd-7W2)(k) ieetftft ldn:(Check Metz if not present: ) OK Problem NIA Inlet clevatiow — - Outlet elevation: 0.1-P drop foam inlet io outlet(minimum)-232(3)(b) 6"sump(nirniom)-232(3)(e) All outlets et same elevalfort(nomrlon)-232(3)(6) Outlet p4 a laid kvcl for fhs:21(nwarton)-232(3)(c) Inlet baflteltee min.t"aver artier We"for ail d-boxes whae pumPl or s dope(>.M-232(3)(a) �V Soil compaction below distribution box specified(if soil is noo-motive)-22!(2) 6"of*,- I W scone bettetl3t& tlu iun box specified-221(2) Box is wateMgbt(nwwuan)-221(l) Top of box X36"below grade-221(3) Dump Cbntetber(Check here if M present: )pump tank bebw g.w.table 13 yta U no 13 assume OK Pmblrm NIA Volum speoiftcd-�-220(4Xr) ?amp an elevatiretn: -220(4)(r) Pump off ckvatww. -220(4Xr) Almn on elevadn: -220(4Xr) '4umber of cycla per&y i(4 RlosWday,CL.1 soil)-220(4Xf),254(l)s �_-- hAnim m 2"6cliyeq line to d4m if gravity-254(1x c) Cycks per day is consiaccnt with tdtamber volume-231(3) Volume aaiculatiow;nclvde fkwamcic volume-231(2) 24 lout store capacity above primp oar elevafien-231(2) -- _ 2 patrrps if system serves>2 dwelling units-23 i(6) Pump On pass ish"101-ais(minimum).231(7) Pump confrWit specified-220(4Xr) Alarm equipinen s*ifrcd-?.31(2) Alarm is in built W$and powered on separate circuit from plump-2.31(9) Pump Sc4mxc corrsd(off-lad on-ing on-nt9rttt ors)-231(8) w Pump MfOrmanee curves included-220(4)(r) —_ i'u"W can Pmvide flow needed against calculated tread-220(4)0) MRMWl Operating switch—NA 12.01 e Check valve,*oder bolt--mA 12.01 1 chik)proaf,24"riseti n hole to Win 6"Of final&Mdz-231(5) Soil a4trtpactian beneath pump chamber specified lied Cf soil is norwnative)-221(2) 6"of<=1%"Ns"in NA spec)stone beneath chamber.specified-221(2)&228(1) Buoyancy calculations if chamber is at or below water table-221(8) Chamber is watettigk(rxaotfan)-221(1) 9"cf cover over chamber(minimum)-228(1) Top of chamber c=36"below grub-22 l(7) 14-101oading(rain.)-H-20 if ftffic(nota im)-226(3) F:nconrnge more than 1 cycle per day. Page S 0-Z 2::'^_225 15: 42 9786888476 HEALTH PAf E 07/10 Norah Ari kwr-SWric Syarrem Design Plan Revitw C*c>Elfst (Rev..fax 28,2001) r O��ih Soli;-sad Gr�rhnh tr�Illevie�t OK Problem 'VIA Proper cid obNrvation hole logo on plan-220(4)(h) Deep hole testing conducted within two years—NA 7.05 All deep holes and pens drown,including aboned toss—NA 8.02n . Soil cvduat m form 11 12 submitted within 60 days of field work-018(2) Existing grade eievalion of each deep hole-220(4)(h) Elevation of pemola"tests—NA 8.02n Proper percolation test log-?20(4)(i) Soil logs and Pere test lop match BOH records �.: Ample deep observation holes in primary disposal area(minimum 2)- 102(2) Ample deep observstion holes in secondary disposrd area(minimum 2)- 102(2) _ Ample pent besting(one in cch disposal area,3 in prim.>2,000 gpd)- 104(4) Pere tests)done in moot WAric6"layer- 104(2) observed and adjusted g.w.elevation in the vicinity of the system.220(4)(n) 49 WOW *bins soil Class Pere MW . loading ran VAR)- L 1thog 1?scft Igeneral-C2019kMARI-All,desiftttr!cxeeot ti tanks) OL Problem NIA sAs size rates provided 220(4x1),NA 8.021 } 50%lsrger if garbage disposal-240(4) SAS sires x required size Trenches to be used whenever,possible 240(6) — _- No vehicle access of impery am dXM IS.—NA 13.02 Vented through)same pipes as distribution system-241(1)(a) Vent ptoteeted Rom precipits►tion/snimal entry-241(1)(b) Vet is placed beyond traffic or impervious area-241(1)(x) All,lines connected to vent-241(1)(d) _ 9"cover over peaatoine-240(9) J� Reserve area provided(new construction)-248(1) GW separation is Adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005-251(9) Excavation extends 6"inb natural soil—NA 9.02 Fill material specs provided—255(3) Top of leach facility<=36"below grade-221(7) Final Smde over 11 minimum 0.02 fk/ft-240(10) Surface 8t subsurface drainage away fi+am LE-240(l 1)&245(5) - Grading slopes away from dwelling Le_a�chlheg F�hstljtQlt&�2 3/8"-518"orifices specified(gravity syr)-251(8) Toe of fdl slope stops S'from property line or swale installed-255(2) 3:1 slope when groding requked-255(2) Page 6 ��'i e?Yt5 1ti: d 9785888475 HEALTH PAGE }AU/IJ North Andoaer-Sepffc SYMM Drsign Plan Review C WCklfst (Rev.fat 28,2004) - _ Impermeable batrW if<3:1 slope or<15 feet to 3:1 slope-255(2) impermeable barrierfretaining wall poured aonm to-NA 9.02 Retaining%van snepmd by P.S.-235(2)(b) Top of moining wallAwriar Y top of pesome elevation(breakoff)-255(2)(0 10'offset ftom edge of kwh facility to edge of ret wall-255(2)(,8) 3A a� f.each pipes$40-M NA 10.91 i.eaoh pipes miMmurn 4"diameter-2&4o%NA 14.04 Pressure dosing guidance followed if pressure distribution•254(2)(c) Oriftc r king<S' Daae volunte Sx-10s void volume of kWh linea Pump valtune includes Dose Vol.+Drainba+ck Vol. Squirt heigm on On(rain 2.3'). ._ Pressure required ovef 2,000 gpd or with UA remedial use-231(l) Crifdcai dfr_W8"parameter ra/cAdWom Tcst Pit Numbers: elevation at grade a, top acceptable soil Cl. b. bottom acceptable soil el. c. natimily occurring soil depth(b-a) :D yes ❑ no >4'natural soil? 240(1) if NO,variama(repair&1/A)415(1) a. ground water el. b. bottmn of leach facility el. __— c. mferation to Vaundwater(ba) yes C no >4'(S'in sends)ground water sep?-W(a)&(b) a. top asoceptable soil el. b. breakout el. yes U no S'ovadig required?-255(1) w Cl yes Q no if"yes„specs for fill provided'? Page 7 02122,"2'00 15: 42 9786888476 HEALTH PAGE :Monk Amower-,Septic SYS"ATSIgn Plc"RMCW ChOcAfin (Rev Jon 28, 2004) LOSJ gj 3j(Check here if rat pre$",. OK Problem N/A, _ Nuorbet offirlds: (wed dosing chamber if>1)-231( )) (100'nnmx.): -252(2)(b) Width: Total arra:L x W Minimum 900 squam feet(neer caauction only)NA 9.01(1) Effective Ieach and given total of 51 loading factor. Effective area=total area s.E x LTAR = g/day Effective area is',*j-design flow of fail'ky bring screed Minimum of two distrityution litres-252(2X9) 6' Zine se ion(MAX,)-252(zxd) 4'tntudmum separation from edge of field to tine-252(2Xe) Reserve 4'front primary teach area-NA 9.04 10'minimum sepwation betvjen adjacent leech fields-252(2)(f) Be vim 6"and l2"of 344- t t/2"atone bateath field-252(2)W 247(2) Ends of distribution httea tied bpdk r with solid pipe--251(9),NA 15.01 2"of 1/0'=1/Z"2x washed peastane-247(2) c#ii&Th-schn(Check here if not present:: ) OK Problem NJA Number of tz enchos: (minimum 2)-NA 9.01(2) D"etlt of txamhes(max elf:2')• '-247(1) Width of trenches(2'ruin.,4' max.): '-251(1)(b) Length of trenches(100'max.): 1-251(l)(1) Minimun 500 square feet(near conmuction only)NA 9.01(1) Trenehes are vented(when>S0')-251{i 1) _- Tmiclees follow contour fines-251(2) __r TmMch spacir4 3 times effective width or depth-251(1)(d),NA 14.01 Trench spacing>10'if in fell-NA 14.01 Available leach arra given Botem=L x x # - s.f. Sidewall-L x D X0 x2= s.f. Effective leach ams given Loading ficbr_ Effecbve area-total Fires s.f.x LTAR-- _ - - Siday Effective arca is>--design flow of facility being served 2"of 148"-112''21 washed peasforre-247(2) _-- 'A"to 1 W'double washed stone A=balsam of SAS to dist.lines-247(1) 1.g blas ER (Check here if OK ProMm NIA __-- a ofpits/ph syston": (dosing chamber if>1,231(1)) Dimensions of each pit or eystern:L W D Dqxh of pits(max off.2')E3 : �.253(1;(a) Available leach arca given �.. Bottorn=L x W x 0 of sotenms 51 Page 8 2 ,' `«05 15:42 97868b841b HLHLIH rH-1ic Horth r n&Ver-,Septic S�Mft 005,gn Plan Rtvkw Ckv" (Rev.Jan 28,20V4) SS L+W _ x DE x 2,_ _x#of systems= _. ._ _. _ + �is.f Total ares%-- boMn dewal — Fq&ctive leach areal gi1en loading facm E�ctive gases=total arca &f.&f.x LTAR g{da y Wfective area is>.design►flow of facility being saved} Minimum of 2 pits at hast 131x V—14A 9.81(3) 24+ -253(6) Diasr waoa for gmwedambrs.in trench cottlig.• i °" '�`40 ,253(6) -- DishriWM far gaileriVddM "'in bed conf g.-ca.pdpe ftrves Spacing-2 daces the effeWve width of depth(the meter)-2530)(c) 2"of iir-ur 2x wasllod peastono-247(2).BDS 700.3.2(1) – Y4-to 1 1n"double writhed stone-247()) Each pit b"at last one 20"9=88 cover,2A"Cl to grade aver 2,ow gpd 253(3) $y unding aWgete thiekrKn betwexn !'(min.)and 4' OUX) .__.. . Vents,if rtcu esss�►.=tOW unckr covets of pits)-241(e) APR Off A- ,'SQetded' Health Depwt7 et,no LUA �J lieslth i}epartnt�'►t.wl LUA 3011rd of Hezllb,focal reostion variance Bard of Heal'tb,w/LUA board of Health,Title 5 variance DEPT;itle 5 va iw= DEP,holding tank - Notice of Intent Porins rTOM Cates.Comma. Other: Dag maintenance agraemw t with hauler drsfter for tight otafr�cvaf ified—260(r)(d) -� Medwd and frequency IM Location and method of corAwl removal–260(2Xe) Dowd Restriction regording#bedrvOms imft maintenance Agreement(1Pmssm D'+steributice delivery to SAS requires this) �—:groper License w/class 2 WW TP oawvw for Ajvxwed treatmatt Licensed Wdaller or hauler(or hove)for simple Puss.Diss. TW6num 2-year term Quarterly sahWuled maintenance Check pressure distribution if part Of design Page 9 TOWN OF NORTH ANDOVER ,w r►, f6►N Office of COMMUNITY DEVELOPMENT AND SERVICES � ►'; . : �"►�� HEALTH DEPARTMENT 2?CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer,REHSiRS 978.688.9540-Phone Public Kealth Director 978 688 1542--FAX April 18,2005 Douglas J. Smith,R.S. 15 Foxberry Drive New Boston,NI-I 03070 RE: 314 Clark Street, Map 77,Lot 12,North.Andover,MA Dear Mr. Smith, The proposed septic system design plan for the above site location, dated December 20,2004 and received on March 17,2005,has been reviewed. Unfortunately,it casmot be approved W-til Th-- following hefollowing items are corrected. Each item is followed by the specific section inTitle S. 310 CMR 15.000,or North Andover regulations which is not met by this design. 1. Design calculations should not be based on an of ice building. Clearly this would be an increase in flow to a facility that is used to store and repair landscaping equipment, The flow should be calculated based on the building area used for each purpose,such as office,storage,repair, etc.If water is not used for irrigation on the site,perhaps the actual water records could be used to show the facility's flow. -220(4)(t), NA 8.02i 2. There is no need to include a reserve area since the system and soil logs shown arc not, , and cannot,be used wider new construction standards. 3. Regarding soil logs; a. The observed water,or lack there of,must be noted. -220(4)(h)&(i) b. The year of the perc test appears to be incorrect. -220(4)(h)&(i) c. The location of the perc test must be clearly shown on the plan and labeled.-NA 8.02n d. There is less than 4' of C material,therefore you must call for using the B-la,er or I,i ask for a variance.-415(j) e. If you are going to use the 3-layer, you must perc it or do a soil analysis of it. Also,TP-2 has the B-layer as a.Class II soil. f. Application package needed for use of soil analysis.Please submit Form 3I2.PWP 396.-DEF policy on alternative to percolation testing. 4. Note#15 states that 28"of material must be removed for the construction of the SAS. � Instead please indicate the particular soil horizons that are to be removed, e.g. fill,A, (and B?) plus 6"into the naturally occurring material(NA 9.02). If you wish to state an approximate depth of material that will be retncved,please state that it's approximate, Z%179 39y,J H--1N3H 9Lb888a8Lb ST:SZ 984 ;'7,Z b0 5. Regarding the profile,please provide the following items: -220(4), NA8.02 . a. Proposed and finishad grades should each be drawn as lines running through the length of the entire system. -- -- b. Please show the building on the profile twice. Please add it on the Ear end of the profile to show how the SAS and building elevations interact. It appears a scale may be needed between the SAS and building to divert surface water away from the building. Finish grade elevations over the septic tank,d-box,and SAS should be stated. d, Breakout and ESHGW elevations should be stated. rDThe ESHGW scales to only 3.5' below the SAS. 6. . The title block must indicate the street number.-220(4)(u) 7. Tie site plan must show distances between the building and the SAS and tank.-NA X8.03 a-c Existing SAS location must be shown on the plan. -354 9. Elevations are not given on the proposed contour lines arotutd the septic system. - v 200(4)(8) If the contours are at 2' intervals,they do not meet the 3:1 (H:V) requirements. -255(2)Without the elevations of these contour lines,it's also nor clear whether there is 15' horizontal distance to breakout. 101 -; The width of the leach area should be 15.25' instead of 12',based on 9 rows of QV infiltrators that are 1.25' wide,plus 8 spaces in between that are 6"wide. 11. Trenches should be used wherever possible. Please design using trenches instead of a field.-240(6) 12. Regarding the water/sewer crossing, please provide more detailed specifications for t�` L sleeving the sewer line.—211 f 1](1) 13. The depth of cover rrtaU-rial over the leach area must be specified. The requirements are a minimum 12"(9"clean backfill plus 3"topsoil)and maximum 36".-221(7) 14. Regarding the building sewer,the following details must be stated on the plan: a. Pipe diameter(4" minimum).222(1) b. Pipe schedule listed(cast iron or SCH 40 P•VC).-222(3),NA 11.02 < <- c. Water tight j oints. 222(3)&(4),(4),NA 11.02 d. Pipe laid on a compact, firm base.-222(5) e. Pipe laid on a continuous grade in a straight line.-222(7) f. ft appears there is a bend in the pipe, therefore a cleanout is necessary prior to the change in alignment.-222(8) 15. All plastic piping must be SCH 40 PVC, No where on the plan does it state the material of the pipes from the tank to the d-box, or the d-box to the infiltrators.-NA 10.01 81188 39ad Hi-IV3H 91.V88898G6 Gt :9t GO !.7',t0 16. Tees are needed in the septic tank and pump chamber, The following specifications are need on thu plan: (-227(1)3 (4), (6)) a. Inlet tees must extend a,nzinimwn of 10"below the flow line.N4ed one for the tank and one for the pump chamber. b. Outlet tee must extend a minimum of 14"below the flow line. c:. Teas extend 6"above the flow line. d. 3"air space is needed above the tees. e. A gas baffle is needed on the outlet tee. f. Tees must be located on the center line of the tank and under the ananhole covers. 17. Regarding the septic tank,the following specifications:teed to be stated on the plan; (-228(1),(2), 227(1);221(1),(2),(j),(S), 226(3)) a. One child-proof manhole cover within 6"of finished grade. b. Cover material over the tank must be stated as 9"minimum and 36" maxis Lxa. c. The septic tank detail shows 4 possible item numbers,please specify which tank you are calling for. d. Buoyancy calculations are required. e. A notation regarding water-tightness. f. 6"of<= 1 1/z"of stone beneath tank. L;(J 18. Regarding the d-box, a. A minimtun of 0.17' drop is required between the inlet and outlet elevations.- 232(3)(b) b. Inlet baffle is needed that is a minimum of 1"above the outlet invert elevation.- 232(3)(a) c. Notations are needed for the following: i. All outlets at the same elevation.,-232(3)(b) ii. Outlet pipes laid level for the first 2 ft.-232(3)(c) iii. Box is watertight.-221(1) iv. Top of box is<=36"below finish grade.-221(7) v. Soil compaction below if soil is non-native.-221(2) vi. 6"of<= 1 '/"of stone beneath.-221(2) 19. Regarding the pump: a. (D) in the specs states that the pw-nps alternate, yet it appears that the second pump is a back up pump to activate at the same elevation as the aiarm. -231(8) b. I'f the first pump switches on at 5",how is the off set after 100 gallons pumped`? The pump off elevation is not given. The same is true for the second pump with an on at 13". -220(4)(r) c. It's not clear whether the pump calculations include flow back volumes.-231(2) The pump must be able to pass 11i."solids and a notation to this effect must be stated on the plan. Please feel free to contact the offlice with any questions you may have. We 'look for"Vaid to working v,rith you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover, Sincerely, EZ/70 MVM H1-Id3H 9zV8883KG yti =- i.'�'•,'a'r'rl-� C' t LETTER OF TRANSMITTAL. North .Andover Health Depa-rtmento� 140oTN �9ti 400 Osgood Street 3�' yt� 6'6 a0L North Andover, MA 01845 0 978.688 9540 - Phone - _ 11L 978.688.8476 - Fax °� M healthdept(a<tow nofnorthandover.com - E-mail gCHus www.townofnorthandover.com - Website Page / of TO: DATE: ///7/v COMPANY: FROM: Pamela DelleChiaie, Health Department Assistant RE: Phone: l�� Fax: We are sending you: OCopy of Letter OPlans Oflther ill in below) These are transmitted as checked below: y OAppmwdasNoted ➢ OForRevwwandcomment ➢ OSuhn& copiesfor O%Requested ➢ OFor Your Use disx r OAsRequired y OResubmit (Wifffor y OForApp vW appmw REMARKS: COPY TO: COPY TO: COPY TO:O SIGNED: 1 � TRANSMISSION VERIFICATION REPORT TIME 11/09/2005 12:00 NAME HEALTH FAX 9786888476 TEL 9786888476 SER. # 000B4J120960 DATE DIME 11/09 11:56 FAX N0./NAME 816034872298 DURATION 00:00:54 PAGE{S} 03 RESULT OK MODE STANDARD ECM TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES F?e. '• �A HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01.845 �'SS";C14 Susan Y. Sawyer 978.688.9540—Phone Public Health Director 978.688.9542—FAX November 8, 2005 Norman Lee Northeast Landscaping 314 Clark Street North Andover, AM 01845 RE: Subsurface Sewage Disposal System Plan for 314 Clark Street, Map 77, Parcel 12,North Andover, Massachusetts Dear Mr. Richards, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by Doug Smith on December 20, 2004, last revised October 24, 2005. The design has been approved for use in the construction of a new onsite septic system for a commercial landscape business without any kitchen facilities within its premises. 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. This approval is subject to the following conditions: 1. The installer must place one inspection port along each leach line of chambers for future inspection purposes. 2. A thrust block shall be placed at any point of the force main to the distribution box that exceeds a 45-degree angle. 3. Pump Chamber- A riser must be placed over the manhole above the pump to within 6 inches of grade. 4. Pump chamber and septic tank—If a paved driving area is placed over any portion of the tanks, manholes to grade with cast iron covers must be placed over each manhole covered. 5. If any other 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 pplicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 6. 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. 7. The plan previously indicated that a drilled well is proposed. A revision showing the proposed water line has been added. There will be no well drilled on the property for any use. Your effort to provide a properly functioning septic system is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincer , usan Y. Sawyer, REHS/RS Public Health Director cc: Doug Smith, Soilsmith Designs file a Town of North Andover HEALTH DEPARTMENT 27 Charles Street North Andover,MA 01845 978.688.9540 healthdept(a),townofnortlzandover.com FNOV 4 2005 SEPTIC PLAN SUBMITTAL FORM 4� 2 DATE OF SUBMISSION: n o J 7 S SITE LOCATION: G vq� ENGINEER: L, t kOe S o v NEW PLANS: YES $225.00/Plan Check#: (Includes 1 EWp and one Re-Review Only) REVISED PLANS: YESy $75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO Telephone#: &63 -18_) Z 2'M Fax#: E-mail: f)5�2 l L S Yr,jt t'1 <2 y4 o �_ _C o v -) HOMEOWNER NAME: 10c,,�mpinL-e }— l.v}�tS OFFICE USE ONLY When the submission is complete(including check): 1. ,/�Date stamp plans and letter 2. F/ mplete and attach Receipt 3. t/ Copy File;Forward to Consultant 4. Enter on Log Sheet and Database Commonwealth of Massachusetts City/Town of NOV 4 2005 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal DEP has provided this form for use by on-site professionals and local Boards of Health. Other forms may be used, but the information must be substantially the same as provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information 1. Facility Information �/� l��Yti-� y1 LI M V e - � Owner Name f ' u --7 o CL_V �'Z\� �� Map/Lot S�i 1 1 , Z v& Street Address � City/Town State Zip Code B. Site Information 1. (Check one) New Construction ❑ Upgrade ��Repair ❑ 2. Published Soil Survey available? Yes E]/i leo ❑ If yes: 0 / 1 - 11 Is BLi Year Published Publication Scale Soil Map Unit Pyof 5H W'S InNar�nOv��. Q.�L \ Soil Name Soil limitations 3. Surficial Geological Report available? Yes ❑ No �?_ If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes E4 No ❑ Within the 100 year flood boundary? Yes ❑ No �- Within the 500 year flood boundary? Yes ❑ No ❑/� Within a Velocity Zone? Yes ❑ No [ ' 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 1 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 6. Current Water Resource Conditions (USGS) _ Range: Above Normal ❑ Normal 0�r Below Normal ❑ Month/Year 7. Other references reviewed: C. On-Site Review (minimum of two holes required at every proposed disposal area) Deep Observation Hole Number: Oc't % cI %— Date Time Weather 1. Location Ground Elevation at Surface of Hole O2 t OO Location (Identify on Plan ) 2. Land Use: C 0 vNn r— -C)✓g,�.. _ (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(°o) Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body '1� _ Drainage Way h 0"-- Possible Wet Area h� feet feet feet e Property LinDrinking Water Well no{ Other feet feet 4. Parent Material: +i 1 Unsuitable Materials Present: Yes [}—No❑ If Yes: Disturbed Soil❑ Fill Material[?t-**Tmpervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 5. Groundwater Observed: Yes &---No ❑ o If Yes: Depth Weeping from Pit Depth Standing Water in Hole —7 47e Estimated Depth to High Groundwater: 5 6C of _ DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 2 of 7 Commonwealth of Massachusetts IMM Cityrrown of IN IN ago, Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation Deep Observation Hole Number: # Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Consistence Other Layer (Munsell) (USDA) (In.) (Moist) Depth Color Percent Gravel Cobbles &Stones _Zd j;\\ i'I vz S�� S L -r gvz��Uk. i r5� =�1 C 2\51S% � 1 0°r0 Gg�` ? ► Additional Notes .et�A yAs— 2-1' DEP Form 11 Soil _ Suitability Assessment for On Site Sewage Disposal•Page 3 of 7 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: oct_m luoc I2`-00 Date Time Weather 1. Location Ground Elevation at Surface of Hole_ r 023 1 O Location (Identify on Plan ) 2. Land Use: C.� iM�✓�� b9�.. �� �`=' v (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) I�$'5 Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way Possible Wet Area V) feet feet feet Property Line 21 • Drinking Water Well V)jj-�,o Other \ feet feet 4\4. Parent Material: ` 1 Unsuitable Materials Present: Yes dj/-No ❑ If Yes: Disturbed Soil❑ Fill Material4--impervious Layer(s) ❑ Weathered/Fractured Rock[] Bedrock❑ 5. Groundwater Observed: Yes [6Ao ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole _ Estimated Depth to High Groundwater: �P� !18 t�1 inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 4 of 7 Commonwealth of Massachusetts C ity/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number:_- Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Structure Consistence Other eptO ept Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones 93 L✓��IM Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 5 of 7 Commonwealth of Massachusetts Cityffown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: ac'e's" 'll C, OS ':- 0 q Date Time Weather 1. Location (l'�r1/l Ground Elevation at Surface of Hole I W l_Z s Location (Identify on Plan ) 2. Land Use: C.6 ry,'V'e/z c' I+� (e.g.woodland,agricultural field,vacant lot,etc.) Surface St6hes Slope(%) Vegetation 1 6 y- Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body ii2 &_ Drainage Way hh Ste_ Possible Wet Area ►n_oti iv feet feet feet Property Line '-2.N Drinking Water Well jfj< Other feet feet 4. Parent Material: +t , \ Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil❑ Fill Material[] Impervious Layer(s) ❑ Weathered/Fractured Rock❑ Bedrock❑ 0 5. Groundwater Observed: Yes 6---No ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole f �r Estimated Depth to High Groundwater: S cl'-3 S inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 4 of 7 Commonwealth of Massachusetts a City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal inches elevation Deep Observation Hole Number: # S , W11-LS Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Consistence Other (In.) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones 0 -v:5 )9 c)I VZ'N3 V?_MLkIX_I IF14-1,114�, �5_3�) t2> s/( 5�1 ncA VI,11� 33_ 215j(e �, -35" 76IR-% 3/b O°10 � + ► fie L. Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal•Page 3 of 7 Commonwealth of Massachusetts CitylTown of 4 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (Cont.) Deep Observation Hole Number: �p O c 1- \11 05 l -- Date Time Weather 1. Location Ground Elevation at Surface of Hole )100l80 O Location (Identify on Plan ) 2. Land Use: SMS 3°10 (e.g,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vz V4 Vegetation � �� Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body h 0'-Ne— Drainage Wayh aj a possible Wet Area h 0h-e feet feet Property Line © - Drinking Water Well o� Other feet feet feet 4. Parent Material: \ 1 \ Unsuitable Materials Present: Yes ❑ No❑ If Yes: Disturbed Soil❑ Fill Materiald-limpervious Layer(s)❑ Weathered/Fractured Rock[] Bedrock❑ O 5. Groundwater Observed: Yes L—ao ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole ✓ Estimated Depth to High Groundwater: 1; 19-( _$ (� Inches elevation DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal• Page 4 of 7 Commonwealth of Massachusetts G City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole Number: �^ Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Structure Consistence Other (In.) Layer (Munsell) (USDA) (Moist) Depth Color Percent Gravel Cobbles &Stones XP L FAi 6)ke �� L"� 51 Additional Notes DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal- Page 5 of 7 Commonwealth of Massachusetts u City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation -43 *ti S (� 1. Method used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches [�_bepth to soil redoximorphic features (mottles) A. -3,3 B. H3 inches inches J ElGroundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of natural y occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes[ No❑ b. if yes, at what depth was it observed? Upper boundary: Lower boundary: inches inches _' F. Certification rte\ I certify that I have passed the soil evaluator examination*approved by the Department of Environmental Protection and that the abo\ anal sis was performed by me consis t with the required training, expertise and experience described in 310 CMR 15.017. v gnf Soil E -5aluato Date Typed or Printed Name of Soil EvaluatorV)0_S`\J AYI100.aDate of Soil Evaluator Exam is o 1i Name of Board of Health Witness Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 DEP Form 11 Soil Suitability Assessment for On-Site Sewage Disposal • Page 6 of 7 CommonwealDof 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. 'mp°tta"tWhen filling out A. Site information forms on the �� � L-,e-,e computer,use � / only the tab key Owner Name T to move your -9A S - cursor-do not Street Address or Lot# e the return key. ��� �/�, O'-1?✓�� ,M ,^ O\ �1 City/Town State Tp Code VQ I773 Contact Penson Cd different from Owner) Telephone Number B. Test Results 05 Date TKne Date Tune Observation Hole# 5 p) - Depth of Pert Li Start Pre-soak `� \ �" 2- e End Pre-Soak �1 S r•,��� 'L Ll Time at 12" -` I� � v , ) Time at 9 vftz Time at 6° ce Time(9"-6°) 2— 2 2, / r Rate Min./Inch �� Test Passed: [� Test Passed: Test Failed: ❑ Test Failed: ❑ L Test Performed B : em ���.x,11 c n A, -E- n ont-vL) Adm Witnessed By: Comments: t5form12.doa 06/03 Perc Test•Page 1 of 1 LJ � TOWN OF NORTH ANDOVER ,wer►, Office of COMMUNITY DEVELOPMENT AND SERVICES �P, •'gid. ;.^'• � HEA]<,TR DEPARTMENT � 2? CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542--FAX April 18,2005 Douglas J. Smith,R.S. 15 Foxberry Drive New Boston,NH 03070 RE: 314 Clark Street, Map 77,Lot 12,North Andover,MA Dear Mr. Smith, - The proposed septic system design plan for the above site location, dated December 20,2004 and received on March 17,2005,has been reviewed. Unfortunately,it cannot be approved until the following items are corrected. Each item is followed by the specific section in Title 5. 310 CMR. 15.000,or North Andover regulations which is not met by this design. 1. Design calculations should not be based on an office building.. Clearly this would be an increase in flow to a facility that is used to store and repair landscaping equipment, The flow should be calculated based on the building area.used for each purpose,such as office,storage,repair,etc. If water is not used for irrigation on the site,perhaps the actual water records could be used to show the facility's flow. -220(4)(t),NA 8.021 2. There is no need to include a reserve area since the system and soil logs shown are not- and cannot,be used under new construction standards. 3. Regarding soil logs: a. The observed water, or lack there of,must be noted. -220(4)(h)&(i) C/ b. The year of the perc test appears to be incorrect. -220(4)(h)&(i) c. The location of the perc test-lust be clearly shown on the plan and labeled.-NA 8.02n d. There is less than 4' of.C material,therefore you must call for using the B-layer or (� ask for a variance._415(1) v e. If you are going to use the B-layer,you must perc it or do a soil analysis of it, Also,TP-2 has the H-layer as a.Class II soil. £ Application package needed for use of soil analysis.please submit Norm AkPWP V 596.-DEP policy on alternative to percolation testing. 4. Note #15 states that 28"of material must be removed for the construction of the SAS. Instead please indicate the particular soil horizons that are to be removed,e.g. fill,A, (and B?)plus 6"into the naturally occurring material(NA 9.02). If you wish to state an approximate depth of material that will be rempved,please state that it's approximate, 6:1/Z0 39Vd H1173H 9Lb88898L6 5T:9I 90@7,/ZZ/t,0 V N 1.6. Tees are needed in the styptic tank and pump chamber, The following specifications are need on the plan: (-227(1), (4), (6)) a. Inlet tees must extend a niinimtun of 10"below the flow line.Need one for the tank and one for the pump chamber. b. Outlet tee must extend a minimum of 14"below the flow line. c. Tees extend 6"above the flow line. d. 3"air space is needed above the tees. e. A gas baffle is needed on the outlet tee. 0f. Tees must be located on the center line of the tank and under the manhole covers. 17. Regarding the septic e following specifications need to be stated on the plaar, (-22-8(),(2), 227(1)` 22 1(( (2),( ),($)� 226(3)) One child-proof rnartfiole cover within 6"of finished grade. b. Cover material over the tank must be stated as 9"minimum and 36"maximum. c. The septic tank detail shows 4 possible item numbers,please specify which tank you are calling for. d. Buoyancy calculations are required, e. A notation regarding water-tightness. f 6"of<= 1 1/z"of stone beneath tank. 18. Regarding the d-box, a. A minimwn of 0.17' drop is required between the inlet and outlet elevations.- 232(3)(b) b. Inlet baffle is needed that is a minimum of 1"above the outlet invert elevation.- 232(3)(a) c. Notations are needed for the following: i. All outlets at the same elevation. -232(3)(b) iL Outlet pipes laid level for the first 2 ft,-232(3)(c) iii. Box is watertight.-221(1) iv. Top of box is<=36"below finish grade.-221(7) v. Soil compaction below if soil is non-native.-221(2) vi. 6"of<= 1 %"of stone beneath.-221(2) 19. Regarding the pump: a. (D) in the specs states that the pumps alternate, yet it appears that the second pump is a back up pump to activate at the same elevation as the alarm. -231(8) b, If the first pump switches on at 5",how is the off set after 100 gallons pumped`? 1 The pump off elevation is not given. The same is true for the second punsp with an on at 13". -220(4)(r) c. It's not clear whether the pump calculations include flow back volumes. -231(2) 1 The pump must be able to pass 11/"solids and a notation to this effect must be stated on the plan. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover, Sincerely, 30Vd HJ--IV3H 9Lb88898L6 9T. :9T G@K. Z71/V0 O 5. Regarding the profile,please provide the following items. —220(4),NAS-02 7UT oposed and finished grades should each be drawn,as lines running through the ,tgth of the entire system. ease shove the building on the profile twice. Please add it on the far end of the _ ofie to show how the SAS and building elevations interact, It appears a swale ay be needed between the SAS and building to divert surface water away from e building. c. Finish grade elevations over the septic tank,d-box,and SAS should be stated. d. Breakout and ESHGW elevations should be stated. The ESHGW scales to only 3.5' below the SAS. 6. Da-title block must indicate the street number.-220(4)(u) 7. ,,�Se site plan must show distances between the building and the SAS and tank.—NA 8.03 a-c _�. Existing SAS location must be shown on the plan. -354 9. �levadon are not given on the proposed contour lines around the septic system. - 2b(4)(g) If the contours are at 2' intervals,they do not meet the 3:1 (H-V) requirements. -255(2)Without the elevations of these contour lines,it's also not clear whether there is 15' horizontal distance to breakout. 1 The width of the leach area should be 15.25' instead of 12',based on 9 rows of infiltrators that are 1.25' wide,plus 8 spaces in between that are 6"wide. 11. ,� T nches should be used wherever possible. Please design using trenches instead of a field.-240(6) 12. Re gardine the water/sewer crossing,please provide more detailed specifications for sleeving the sewer line.—211(11(1) 13. The dep -7711071 re ath of cover material over the'leach area must be specified. The requirements min % 0 0 TOWN OF NORTH ANDOVER f NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET •'' NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX April 18, 2005 Douglas J. Smith, R.S. 15 Foxberry Drive New Boston,NH 03070 RE: 314 Clark Street, Map 77, Lot 12,North Andover, MA Dear Mr. Smith, The proposed septic system design plan for the above site location, dated December 20, 2004 and received on March 17, 2005, has been reviewed. Unfortunately, it cannot be approved until the following items are corrected. Each item is followed by the specific section in Title 5: 310 CMR 15.000, or North Andover regulations which is not met by this design. 1. Design calculations should not be based on an office building. Clearly this would be 1 an increase in flow to a facility that is used to store and repair landscaping equipment. The flow should be caajculated based on the building area used for each purpose, such r��office, storage, rep5ir, etcl. If water is not used for irrigation on the site, perhaps the /Pip" jaciva�water records c"cdcF] used to show the facility's flow. -220(4)(f),NA 8.02i 2. There is no need to include a reserve area since the system and soil logs shown are not and cannot, be used under new construction standards. 3. Regarding soil logs: a. The observed water, or lack there of, must be noted. -220(4)(h)&(i) b. The year of the perc test appears to be incorrect. -220(4)(h)&(i) c. The location of the perc test must be clearly shown on the plan and labeled. NA 8.02n d. There is less than 4' of C material,therefore you must call for using the B-layer or ask for a variance. -415(l) e. If you are going to use the B-layer, you must perc it or do a soil analysis of it. Also, TP-2 has the B-layer as a Class II soil. f. Application package needed for use of soil analysis. Please submit Form BRPWP 596. —DEP policy on alternative to percolation testing. 4. Note#15 states that 28" of material must be removed for the construction of the SAS. Instead please indicate the particular soil horizons that are to be removed, e.g. fill, A, (and B?)plus 6" into the naturally occurring material (NA 9.02). If you wish to state an approximate depth of material that will be removed, please state that it's approximate. 0 0 5. Regarding the profile, please provide the following items: —220(4),NA8.02 a. Proposed and finished grades should each be drawn as lines running through the length of the entire system. b. Please show the building on the profile twice. Please add it on the far end of the profile to show how the SAS and building elevations interact. It appears a swale may be needed between the SAS and building to divert surface water away from the building. c. Finish grade elevations over the septic tank, d-box, and SAS should be stated. d. Breakout and ESHGW elevations should be stated. e. The ESHGW scales to only 3.5' below the SAS. 6. The title block must indicate the street number.-220(4)(u) 7. The site plan must show distances between the building and the SAS and tank.NA 8.03 a-c 8. Existing SAS location must be shown on the plan. -354 9. Elevations are not given on the proposed contour lines around the septic system. - 200(4)(g) If the contours are at 2' intervals, they do not meet the 3:1 (H:V) requirements. -255(2) Without the elevations of these contour lines, it's also not clear whether there is 15' horizontal distance to breakout. 10. The width of the leach area should be 15.25' instead of 12', based on 9 rows of infiltrators that are 1.25' wide, plus 8 spaces in between that are 6"wide. 11. Trenches should be used wherever possible. Please design using trenches instead of a field.-240(6) 12. Regarding the water/sewer crossing, please provide more detailed specifications for sleeving the sewer line. —211[1](1) 13. The depth of cover material over the leach area must be specified. The requirements are a minimum 12" (9"clean backfill plus 3"topsoil) and maximum 36".-221(7) 14. Regarding the building sewer,the following details must be stated on the plan: a. Pipe diameter(4"minimum).222(1) b. Pipe schedule listed(cast iron or SCH 40 PVC).-222(3),NA 11.02 c. Water tight joints. 222(3)&(4),NA11.02 d. Pipe laid on a compact, firm base.-222(5) e. Pipe laid on a continuous grade in a straight line.-222(7) f. It appears there is a bend in the pipe,therefore a cleanout is necessary prior to the change in alignment.-222(8) 15. All plastic piping must be SCH.40 PVC.No where on the plan does it state the material of the pipes from the tank to the d-box, or the d-box to the infiltrators.—NA 10.01 16. Tees are neede `n the septic tank and pump chamber. The following specifications are need on the plan: (-227(1), (4), (6)) a. Inlet tees must extend a minimum of 10"below the flow line.Need one for the tank and one for the pump chamber. b. Outlet tee must extend a minimum of 14" below the flow line. c. Tees extend 6" above the flow line. d. 3" air space is needed above the tees. e. A gas baffle is needed on the outlet tee. f. Tees must be located on the center line of the tank and under the manhole covers. 17. Regarding the septic tank,the following specifications need to be stated on the plan: (-228(1), (2), 227(1), 221(1),(2),(7),(8), 226(3)) a. One child-proof manhole cover within 6" of finished grade. b. Cover material over the tank must be stated as 9"minimum and 36"maximum. c. The septic tank detail shows 4 possible item numbers, please specify which tank you are calling for. d. Buoyancy calculations are required. e. A notation regarding water-tightness. f. 6" of<= 1 '/2" of stone beneath tank. 18. Regarding the d-box, . a. A minimum of 0.17' drop is required between the inlet and outlet elevations.- 232(3)(b) b. Inlet baffle is needed that is a minimum of 1" above the outlet invert elevation.- 232(3)(a) c. Notations are needed for the following: i. All outlets at the same elevation..-232(3)(b) ii. Outlet pipes laid level for the first 2 ft.-232(3)(c) iii. Box is watertight.-221(1) iv. Top of box is <= 36"below finish grade.-221(7) v. Soil compaction below if soil is non-native.-221(2) vi. 6" of<= 1 '/z" of stone beneath.-221(2) 19. Regarding the pump: a. (D) in the specs states that the pumps alternate,yet it appears that the second pump is a back up pump to activate at the same elevation as the alarm. -231(8) b. If the first pump switches on at 5", how is the off set after 100 gallons pumped? The pump off elevation is not given. The same is true for the second pump with an on at 13". -220(4)(r) c. It's not clear whether the pump calculations include flow back volumes. -231(2) The pump must be able to pass 1'/2" solids and a notation to this effect must be stated on the plan. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, 02/22/2P05 15:42 9786688 6 HEALTH PAGE 02/10 North Amiov+er-Sep*S)Wem Dpsign PIM Revmw Cl far (Rev.Jan 28 2004) 7'he.fotiowfn8 eheehrfst fircorPwWaa Title S mid loea regulotraM far Sep&plum. Property Address,_ 31G�-All, < T Map: Lots 17 Name of Applicant: Name of Dcsi I ►±: . Plan Datc. J-Lj-La l O�,,j Revision Date: 101 ' 0 Y '^ Date received:at BOH at MRC MRC Staff Reviewer- Date of Review. Type of flan: ❑new ❑ repgrade Number of Bedrooms in Assessoes Records: Number of Bedrooms in Design: ( gpd) Garbage Disposal Allowed:WLt8t Lq naKftn:NA=North Andover Design Standanda Other numbers refer to Title 5 Q yes ❑ no Is the lot in the Lake Cocteichcv i Waoens w ? NA 6.00(t+egoires Alt.1fmatment) OK Problem NIA Streit number and maplfot-220(4xu) Names of abutters frmst recent tent map-NA to Name&address of record owner&applicant-NA 8.02k Name&addrm of designer-NA8.021 Date plan drawn&any rrviaion date-NA 8.02m Yl Location and elevation of foundation drain -NA 8.02y Mwchrt m scale of 1"=20'for pmfiile and compmetmt details,220(4) Locus plan-220(4)(t) (Not to leak) Dete(s)of soil testing-220(4)(h)&(i) Name afapprovirtg avtWty t'epresenta "-220(4)(h)&(i) Name&a ortifisafma jawabw orf soil esraluttor-220(4)(1) Complete prof3Ee of the system to sage-220(4xo),NA 8.02c Cross section of leaching feteility NA 8.02*(Not to scale) —YIn n Note listing all variance reqs with proper cit&=_220(4w►) Lull upgrade approval request form mkm&W&noted on plait-403(1) Vl Ov\e, Original R.SJP.&stamp,signaI ,, &deft-22!1(1)&(2) Surface sttppsics(WrO 4(10'),Pub wells(w/in 4001 pvt,wells(w/in I00')-220(4)(k) Wetland disclaimer(no wetland went 1 OW)--NA 8.021 ILLS place rrfe;s+tncc&certirt'watian(d'prapaRy line setbsek vMGM -220(3) We approvals I smndords checked for l/A systems-DEP does. „ h A SIVOM is in Nitrogen Sensitive Am?-215 JOD Loading rate-0-440gpAl8=(new cortttuction)-214 j AOD Pe:r+c rote>30 MPI-dW*loading rdc(diflfitn w&w/o pressure dist)242(1)t(2) _,._.,.. Pere rate>60 MPI—mw mwm&fred tutu lank or IIA techrsbtogy—243(4) Pr000sed system qualifies as"shared"system-002(de:fettitian�t) n Flow is over 2,0!10 gpd-No R.S.alWMd-22!1(1) _ Number elf be&wms with&Sip vales-NA 8.021 j .Ij_11i Minimum 4 bedroom p vhdm dost XVMC ion NA 1.05J NA 13.01 Design floor was sett in 80cmdow with colt:-203 ifl Leaching facility at lei V above Base Flood elevation-NA 9105 All piping Sch 44 minirnurn--NA 10.01 i Basement floor 1'rrtirdmum above grounAvwatter elevation(new const)NA,S.04 �1 Site : Par 1 f l ENO4 2005 I .,._[JZI ZZI ZVOO. i0:94Z '.7(Cbt1b1J4 lb Mf4L-i ri North AW�W-&ptec&&tem Dengn PAW MOW ChecUW `O� Jan 28, 2004) OK Problem. NIA n9- Maxiamwn scale of 1'"=40' for plot Plan-220(4) 1 �✓'2 a _ nv':t Holder and location of all eaaemerits-220(4)(b) �� All dwetlinp and buildings,existing and pwposed-220(4xc) Location of all exiWing or proposed imps rAxis afar-220(4)(d) Elevation of p vpwW driveway—NA 8.021 S ce, c oN Legal bowidaries of the facility being aervW-220(4x&) _._ Location and dimensions of the system(incl.serve am&for new consL)-220(4xe) _ All dig fasees an she plae►(ST&SAS to dmm cling dt property lives)—NA 8.03 a-c L Limits of excavation of leach area on site pias—NA 8.022 North anaw-220(4 / Wstmg and propend oasoom-220(4)(g) Locations and togs of deep boles-220(4)(h) Locatiow and logs of percolation tests-220(4xi) - ./ Locations of waterlines,dtahm and subsurface utilities-220(4xm) iG Logon of bealalmnark(s)within 50.75 feet of&Wlity-220(4Kq) Ucatlon of wa mtcou sea or weder4s wfm I50'of systatu—NA 8.02r Existirt system loedtioe and note on proper vent—354 �stlteh_DJon=f¢iven in_fcrwtl 15.211 (NA S.®2j C1K P�blem N/A Septic PY* Leach Facfttly &wer Propwty lige 10 10 Cellar wall 10 20 -- (nground pool 10 20 -- _� Sbb foundatm 10 10 Deck on footings,etc 5 t0 Watsartirte 10 t0 IV Private"king well' 7S 34 1003 Se lnrigatiort wen 1540 logs f _ Swrmce Water 25 50 9ofdaing Vogdtated Wedatlt , Salt Matah,Inland I Coostai Banta 7526 10V 34 Wetlands bor&ring swface water Supply or trib.(1n Watershed) LS9 g3 ISt13A \ Trib to SU*w Waw supply 325X104 M200 Public well 400 400 Interim WAlhad Prot.Area not>440 g/ac/d(new const,only--15.214) Reservoirs 440 400 --_ Drains(w&t.supplyMb.) 50 100 Drains(inknept&W.) 25 50 _ Chains(011ier)Fewedetiwa 10(s) 20(10) Drywells 2040 25 Downbill slope or trarin wall -- 15'to 3:1 slope w/o barrier 'Suction fine 22M) 'Nvw comtnuctim Awed up to 400 pRoWdaybue wbeae ort a Fivge well pataaatt to 15.214(2). �1(x€1 feet Ss�miairnmm mo�ptabk distnwe and no vArianoe ffi eltewed terra leaear dibrimx(NA Sett?}. 'AS d r'W' d in 3t CMllt 10.55.10.32,10.54,and 10.30.MVOC ivaty,P103=0 too 15211(3),Also by NA,wadand bylem Pargi¢2 I I i i @'2/252,12005 15;42 9781888 --HEALTH. PAGE 04/10 North Andaver-Septic Sym Design Plan R WWW ChWMi,*1 (Rev Jatr 28. 7004) ��.yT,o nwk AoNxvvd1.Y6ertr: None MW doe goal fare aeptta OWM alulp IVEV,&cav&wN w6a vw fra#We as sat ferrh to 310 rmg 11494(1). Wisare M moviawe is ant patesft allo"d so radhor sail wk►ofa0Wg(40S)w/o oboes noWearkm snhw prgpvsy line or apiS rbotM Moak water supph'rttl=k(with a-Me*w tnse and"i"behq USrpr # mw:) n) pmpwy line but ant wrin 10'of w odw SAS-need smv it'vdM S ,^ \� b) cellu Wali,pool,or dab \Z 1 c) pbW tMa Ma is poi!betw=30 ad 60 Mi l(a&if Aid aft If(1/04) d) Up to 23%reductias in rise of S" e) Kdoaete private yell if septite qa=fasted betxae*fob ae;teAs 1) Seabaaks to uV W's S) Setbsetaa to wfaee .aft mosh,bland and cx a&W bard,vernal pools,teaddag Colk dry well'.t,or or!mbsvrfae draitrs not leading to vraist suppw b) Seams to vale,fines,private maps(act<W),water U40ita anti trft and drams lemft to the SOrre(nos<100') I) Radom rewired sepraallat to&W.(DON rest stet GW,3 or 6'S*(fteaft M fm mien<00 ld ftw,no WOVQW in now or sq+srre foatc,no raduatiort to SAS alae,udn cb W walla,BVVr%. wetlmds.sk wsws.snit musk couftl bank.Vernal hens, Waer l;kc1 WSW strppliu or tnbs.ldr Mi Basun,Ssw. OK Pmblem NIA !7 Gram trap riequked fa Certain uses(chock 230 fins de twis) -- t/ Pipe di ntW fisted(4"minbmntt)-222(1) p4w aclutdnle iai Pipe east hzsn Z40 —Npl t I.02 WMVf#N joiM spxified-222(3)A(41 NA t L02 Pipe htid on cwgwt firm base-222(5) Pipe laid an emdtttnn grade in atnftht line-222(7) . int Clewouts p nedc alf eMnps in alivown and VWe"222(gi) - Clewwxn pravi ded eveey 100 W—222M .—. 1'JGr MaNx+te a4 ►Oto des�rc atigrtment cJrat,ge-222(8) Invert elevation at buil ft Invert efe• roet aY at tic w*: ELK i -� Leet arm.�� Slat -C5 7 (ntisamiglil of A,01-0.02 desired)-222(5) Page 3 0V22/9-005 15:4 2 9786888470 HEALTH PAGE 05/10 O North Andbv,¢r-&pile 4wew Design Plan Review Checklist (Rev.Jan 28. 2004) Aro task allowed in a Velocity sane or on a coa9W bewk barrier beac&dOW,or in a regpltrted}vo&WW(213) ftdLLqk "k tai*below&w.We ©yes [I no D assumed OK Prrtbfean N/A Tank is acccsibk-228(3) 4 &223(l�a) 20094 of fltrw(required&pnMded 8i� 1540 min.)-220E )(f) 2"(ynkp "znax)dmp front inlet to audet-227(5) mkdmm of W ttquid tVth-223(2) 3"start above teeswks(ta nimwn)-227(4) 9"air Space above flaw tine(minimknn)-227(4} Tees am not to be replaced by battles-227(t) Tam extend 6"above flour fire-WO) bdet tee extends 10"below flaw litre(minitrna n).227(6) Outlet tee exta*14"below flaw fine(mare for deeper tanks)-227(6) _....- Gas baffle insuHed on outlet-227(4 Mount fitter Brand and modef approved by DEP F'iltw Vpahmw rooted On mWftle Cowers. �" Riser placed truce Ether --- t=iltaer areeier5em�sole s�ci8ad Accau wmhwk cover above aema of tam&each the(except 2 comport)228(2) 3-20"manbales-228(2) I ClniRdpmar2(1"rrserh"epbo{e wAp 6-ofr'fuW glade if<IoMgpd-228(2) 2 ctaldptoof 2V risers over inlet&onntlet tees wtm 6r of feel grade if>1000"d 228(2) inlet and wince Im on tenter tine-227(1) Soil compaction below tank specified(if soil is non-rrmive)-221(2) 6"of orj -.qone beneath ttttdt speeif'an d-221(2)&228(l) If>1.000 gpd ANIS not a single fleas.dwa ML mwt be 2 tks or 2 camp.-2230 xb) If plant specifa disport most be 2"Am in series or 2 compwt.tank-223(l)(0 Buoyertey cak&requhed if tante at of below water table-221(9) Intaswtank w&%"* Onm-221(1) 9"ofcover over tarok(mWenum)-228(1) --— Tog of tattle<-W below grads-221(7) tj-10 ling(Wn.)-H2O if trsf'Oe-226(3) All ptan*g to torah(If applies)in acoMem wM-229 )vo ttgltt tmk allowed to a v+elacity zone or on a coagaf*,M& barrier beach dum> or in a regtalatad hkxAvway x213; e-2/22/2@03 15: 42 978688847'-\ HEALTH PAGE 06/10 U 0 J.. htarth Aehdaver-,Septic SyNeen,aertgn Puler Review Ched&M (fiev.Jon 26,2004) Odor control provided ifrequired-2b0(2xk) Dig tax(Check here if not present: _ ) OK Problem NIA Inlet clevatioa: outlet elevation: 0.17 drop from inlet m outlet(mWwAirn)-232(3l(b) 6"sump(mini s)-232(3)(e) AD outlet at same elevasiort(notokn)-MOO) Outlet piM laid level for fits 2 A(nWaWn)-232(3Xc) Wet bankAeeo min.t"over outlet Wvm for A d-bow who panrped or MW dope(x.010-232(3X3) Soil compaction below dkWbudw box speeifwd(if soil is note-netivt).221(2) 6"of,- I K"gone bene dis nVAion box specified-231(2) Sox is watertight(nWaNw)-221(1) Top of box X36"below grade-221(9) Plant:~Cltatnet wr(Cheek here if not present )ptetnp tank below g a table 0 yrs I3 on 0 assume OK Pmbiesn N/A Volume specified: -220(4)(r) Ptunp on alevatieott: .220(4)(r) pump off elevation: -22(}(4)(x) Mmu on eleva&m: -220(4)(r) Number of cycles per day correct(4 dossslday,CL I soil)-220(4)(r),254(l)' ..._._ Winimum 2"delivery Bete to d4m if gravity-254(I x c) Cycles per day is wrisisam with cyber voksme-231(3) Volume calculatiow include flowbacls volume.-231(2) 24 Flom nmV capacity above ptimp on eleve ien-231(2) 2 pump ff system selves>2 dwelling units-231(6) Pump can pass l W solids(minimum)-23 t(9) contt+ols specified-220(4Xr) _ Alarm egeripreent speoifmd-231(2) Alam is in building and powamd,an separate circuit from pump-231(9) - -- Pump mWence cornett(off-lead on-leg o"lentt on)-Z3l(S) ----- - -_--.w pump per'forteance curves included-220(4)(r) -- - Ptttnp can provide flow needed against calculated bud-220(4)(r) Maeeeel oWeling WiWh-AIA 12.01 Check valve,bleeder bole-NA 12.01 I childp ed.24"rimfrnanhole to wen 6"of final grade-231(5) Soil cW02ctim beneath Pump clmmbe r sPecified Of sail is non-mtive)-221(2) f"of<,I%"(3:"in NA spec)stone beneath chamber.specified-221(2)!I! 228(1) Buoyancy calculations if chamber is at or below water table-221(3) Chamber its watertight(rxnot/on)-221(l) 4"of cover abler chamber(mirhimum)-228(1) Top of chmnber X36"below gado.22 1(7) H-10 loading(mitt.)-H-20 if traffic(nowim)-226(3) 'nstt00UMV more than t cycle per dale, 132/221'1213C;'� 15: 42 9786680 HEALTHO PAGE 07/10 f Nosh Ar doW-Septic 5OMM,Design Plan Review Che&*'sl (Rev.Jan 28,2004) O�e�e Soli and Gr����'� OK Problem N/A proper deep observation hole saga on plan-220(4Xh) Vap hole testft cbrducted within two years—NA 7.05 All deep holes and pxcs shovm,including abmftd tests—NA 8.02n Soil evalraation forms 11 12 submitted within 60 days of field work-018(2) Existing gmdc elevation of each deep hole-220(4)(h) Elevation of percotation teats—NA 8.02n Proper percolation fast log•220(4)(i) Soil toga and pera test logs rnatch 134H words Ample deep observation holes in primary disposal area(rninirnurn 2),-102(2) Ample deep observation holes in secondary dfrsposs. area(minimum )- 1. (2j _ Amplepert besting(one in tach diiigpogai arca,3 in prim.>2,000 Spa)- 1044(4) Parc test(s)done in most restrictive layer- 104(2) 22(1(4)( ) ---- observed and adjusbod g.w.elevation in the vicini Of the stern• n Soil Class perc rate loadingrate(LTAR)- Left king EMM,tOMMI comVkMj all designs except ti finless oK Problem NIPS SAS sine cases provided 220(4xf),NA 8.021 5o%larger if prbage disposal-240(4) SAS size x required size Trenches to be used whenever possible 240(6) No vehicle access of impary Brea above LE—NA 13.D2 { "qMViW9OW6F 2411(l) Vented through same pipes as distribution system-2410)(a) Vent protected tions precipitation/animal entry-241(1)(b) _ Vent eAllfines ventis p1wed beyond k ori leea A=-24 1( (e 9"cover over peastow-240(9) -- �� Reserve area provided(new construction)•248(1) - CW separation is adjmmed to highest existing grade if facility error into a hillside Pipe slope minimum of 0.005-251(9) Excavatum extends 6"into natural soil—NA 9.02 Fill material specs provided—255(3) Top of teKh l0wility<-36"below grade-221(7) Final grade over LF mirdmum 0.02 IM-240(10) Surface&subsurface drainage away from 11-240(1 I)&245(5) Onding slopes away front dwelling 3/g"-5/8"orifices specified(gravity system)-251(8) Toe of fill slope stops 5'from property line or swrale installed-255(2) 3:1 slope where goading rrquir+ed-255(2) Page 6 02;2242005 15: 42 9786688 HEALTH PAGE ea/17 O Nodh Axdawr-SgWC SMOSM DMV Plmr Review Chtc;irtlg ()en Jbn 28,20Q4) itrtpssmeable ban*if<3:1 slope&<I5 feet to 3:1 elope-255(2) Impamea►ble barrierimtairning wall p xnvd concrete—NA 9A2 Y Rctabft Wall stansped by PX.-255(2)(b) rn y} Top of m"iningwalllbsrria>-top of peastone ekvatiion(hre"ut)-2S5(2)(1) 10'offset fim edge of kwh facility to edge of net,w311-2SS(2xg) Leach pipes$40-264%NA 10.01 L.eaoh pipes trrir3ittturn 4"diameter-MW�NA 14.04 pressure doing guidaw followed if ptrssure distnUation•254(2)(c) Oritier spacing<59- Dow 'Doe vokaw Sx—10u void volmc of leach lines -- Pump volurse includes Dose Vol.+DraW mck Vol, Squirt heigm on plan(rain 2.5'). _�..— presatue required ova 2,ot10 gpd or with 1iA remedial use—231(l) i Cc� e�iticai Aea! rr! R�> �r Test pit Numbers: elevation at grade a, top Weeptame soil el. ---�-- b. bottom acceptable sal ol. c. naturrally of cwring sail depth(b-a) yes ❑ no >4'natrral soil? 240(1) []ifNO,variance(repair&I/A)41S(l) a. ground water el. �---.- b. botknn of leach facility el. ---- e. aelrarstion to groundwater 0") C1 yes ❑no >4'(5'in sands)gcotmd water sep?-212(a)A(b) a. top noceptable soil el. b. bm%kout el. ❑yes U no 5'ovcrdig required?—255(1) (-1 yes Q vo if"yes„apace for fill provided? Page 7 02/22/2015 15:42 97868880 HEALTH PAGE 09/10 Norsk Amlow-Sqft St'9M IAZsiign Plat Review ChOCO st (Rev Jam 28d 2004) tea; (Clerk here if not present: OK Problem N/A Number offwlds: (need dosing chamber if>1)-231(1)) Length(100'marc.)' -252(2)(b) Width: ..� Total a nw I.. x W Minimwn 900 s p m+c feet(mead construction only)NA 9.01(1) — MWive kwb arca given total of 51 Loa ft favor. _ Mective am;=total am s.£x LTAR = g/day Effective an is�,-design slow of facility being served Nlinimutn of two distribution litres•252(2)(a) 6' line bion(tmmx.)-252(2xd) 4'maximum separation from edge of field to line-252(2)(e) Resew 4'fiam primmy leach area-NA 9.04 10'minim m sep oration between a4went leach f"tchls-252(2)(f) Between 6"and I2"of 314- I I/2"stone baeeath field-252(2)(g)&247(2) Ends of dim ution lines tied tbrpltdr with solid pipe--251('9),NA 15.01 2"of 1/g'=I/2"2x washed peasbane-247(2) Lgad—Iaae T rywh o(Creek here if not present ) OK Problem N/A _ Number oftranchos: (minimum 2)—NA 9.01(2) Depth of tdre when(max eff.2-): '-247(3) Width oftrenchm(2'min.,4'am.j:� '.251(1)(s) Length of trenches(100'max.): '-251(1 Xa) Minifflum 500 saguaro feet(new Construction only)NA 9.01(1) Tre whasam wonted(whm>50')-251(11) Treimbn follow contour lincs-251(2) Trench wwhV 3 tines effective width or dWb-251(1xd),NA 14.01 _ t TMM t SWing>1 a'if in fill—NA 14.01 Available leach arra given Bottom=L x W x #—=—&f. _ Sidewa0=L x D x# x 2= ST Effective leach ams given Loading hwxor: Effective area-total m+ea s.f.x LIAR — 8/day Eff Give ares is>=design flow of facility being served 2"of 1/8"4/2'Zit wesiuxl peassone-247(22) sl"to I%"do"washed stoee fi m bottom of SAS to dist.lines-247(l) LMblas E (Check here if no(pnessnt:�1 OK Problem N/A *Of pits/pit sysIMS.- (dosing chamber if>1,231(1)) ^. Dimensions of each pit or system:L W D Depth of pits(max efE 21)De: .253(l)(a) — Available leach arts given ._..� Hattorn=L x W x#of systems Par 8 ,02/272"2005 15:42 9786888 HEALTH PAGE 20/10 a A"Ambver-Sepik D880 plan Rt*w C&VbW (Rev Jas 28,2004) S'sdewal1=L+W x Di x 2 _x#of Rams= --s.f. +sidMil _ = st Taal area=bottom ---� Effective teach area Owen Dive AM==total __._areaarea sl x LTAIL = Bl�Y 1Effective aces is>r-design flow of facility being awed) minimum of 2 pita at hast 13'x16'-NA 9.01(3) 20' -253(6) Dtsttitbuticm for gxila in/dunbrs.in Keach oonfag.-Pipes<=40&f,.253(6) Disbibufim for galleA J&mb s-to bed fig--ca.piPe SpKing-2 Banes the=effecxive width or {the greater)-253(l)(c) 2"of I/8"-t/2"2x wasW peastom-247(2).EDS 710.3.20) 3w,to i iir double washed stone-2470) Each pit had Ot manone 20"arcea,cover,24„CI to grade over 2,=gPd 253(3) ----—" Surrounding aggM- tiridcna$between I'(min.)and 4'(UM-)-253(1)(b) Veers,if n news ay,erxWW uexler covers of pits)-241(e) rt�r�►a��teed'ed: Health Depaxtrnent,no LUA 14ea1t Delmbselo.w/LLtA sward of Health,local regulation variance bra!of Hesltb,w/LUA Board of Health,'Title 5 variance UEP,Title 5 vanri WC DFP,holding tank Notice of Intent forms Ester Cans.CmIRL ®t4lCF: Draft rrcxir wrumm arvemcnt Wtfh hauler drafter for tight to*? "— Method and frecpsecwy ofmw*vsl specified-260(2)(d) Location and method of conux t removal-2+60(2X0 Met!Restriifion m pfding#bedrooms Draft maintenance Agreement(Pressure Distribution delivery to SAS re"ires this) Proper License w claw 2 WWTP operaW for Advanced ft8ftnent Lkensed installer or hauler(or above)far simple Press.Dist. Minimum 2-yews'term Quarterty scheduled maintenance Check pressure distribution if part of deaiga Page 9 ^ Page 1 of 1 C DelleChiaie, Pamela From: Andy McBrearty [amcbrearty@millriverconsulting.com] Sent: Wednesday, April 20, 2005 3:29 PM To: Susan Sawyer Cc: info@miliriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie' Subject: 314 Clark Street review Susan, Here is the review for 314 Clark Street. A rather difficult review. One of the biggest questions is Doug's determination of design flow. He should be using the sq.ft. of the office and shop areas independently, not clustered as a single office. -andy 10/13/2005 a Town of North Andover Health Department Date: Location: (Indicate Address,if Residential,or Name of Business) Check#• Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ -➢ SEPTIC PERMITS: ❑ Septic-Soil Testing $ f y -0/Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate)730 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer NORTHEAST LANDSCAPE CONTRACTORS, INC. 4975 TOWN OF NORTH ANDOVER BOI�OF HEALTH O 2/21/2005 TOWN FEE FOR SEPTIC PLAN 225.00 z IVED7 2005TH ANDOVERREPARTMENT Banknorth Operating Acct TOWN FEE FOR SEPTIC PLAN SUBMITTAL 225.00 Town of North Andover HEALTH DEPARTMENT 27 Charles Street North Andover,MA 01845 978.688.9540 RECEIVED healthdenOtownofnorthandover.com MAR 17 2005 SEPTIC PLAN SUBMITTAL FO WN OF NORTH EALLTH DEPA TME�NTER DATE OF SUBMISSION: 24 SITE LOCATION:-'-37J�- ENGINEER: a Sy-Y) k-r e,s L I h 1 NEW PLANS: YES_Z,---'$225.00/Plan Cheek#: Y176, (Includes 1 and one Re Review Only) REVISED PLANS: YES $75.00/Plan Check#: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO Telephone#. 7q -(0(0 Fax#: 713 E-mail: N t e e. HOMEOWNER NAME: n OFFICE USE ONLY When the submission is complete(including check): 1. D e stamp plans and letter 2. U" Complete and attach Receipt 3. ✓ Copy File;Forward to Consultant 4. Enter on Log Sheet and Database G -- 0 UNIVERSITY of MASSACHUSETTS Soil Characterization Laboratory Department of Plant and Soil Sciences FAJ Stockbridge Hall Box 37245 voice: 413.545.3068 Amherst, MA 01003-7245 fax: 413.545.3958 u MASS. May 14, 2003 Doug Smith Soilsmith Designs 15 Foxberry Drive New Boston, NH 03070 Dear Mr. Smith: Enclosed are the results of the analysis you requested on the soil sample from theProperty of Norman Lee, Clark Road,North Andover, MA. Particle size analysis was done by the method of Gee and Bauder(1986) as described in Methods of Soil Analysis, Part 1, Physical and Mineralogical Methods, 2nd Edition, and summarized as follows. The sample was dried, and sieved to pass a 2 mm sieve. The sample was then dispersed with sodium hexametaphosphate and mechanical shaking, following which the sample was wet sieved to pass a 53µm sieve. The fraction retained on the sieve was dried, and weighed. The particles passing the 53µm sieve were placed in a sedimentation cylinder to obtain percent silt(53µm to 2 µm) and clay(<2 gm) by the pipet method. This sample is 75.0% sand, 22.0 % silt and 3.0% clay which textures as a loamy sand. This soil is a 310 CMR Class I soil. Should you have any questions about this analysis, or need the services of the lab in the future,please call. Sicerely, ' Mickey Spokas, MS, CPSSc Lab Manager The University of Massachusetts is an Affirmative Action/Equal Opportunity Institution 0 Printed on Recycled Paper Town of North Andover, Massachusetts Form No. 1 NORTH q BOARD OF HEALTH �� //y 32O�S11" /6,6 -L V. 6 W AZL— S1 O A ' °q °aaE ,° "0 ' APPLICATION FOR SITE/TESTING/INSPECTION ArED �9SSACHusE��y Applicant lee— NAME ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/I nspection Date and Time 22E CH MAN, RD HEALTH Fee l/J `'/ o. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. ,s�/f,��✓ � � — � � �� �„�,�� - ���- ���.������ow���� EsT �/� Cf���i� �T ������� -- - - - -- - Ao '�' OC,A B ION: �O�� �/`1i I obi=•�: ClOL=.iI0N i i iME OF A ,. j i ISI c .".i�., • TJ NINE T 6 iNl= i i Town of lvdrth Andover, Massachusetts Form No. 1 ONORTH A BOARD OF HEALTH s` O � A APPLICATION FOR SITE TESTING/INSPECTION ��SSACHUS���y J Applicant NAME ADDRESS TELEPHONE Site Location ✓/• ��. i Engineer��� NAME ADDRESS WEL P CM Test/Inspection Date and Time 1 ' CHAIR ✓ H� Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. r • BOARD OF HEALTH .- NORTH ANS-DOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS MVV DATE: 2 Z MAP &PARCEL: —7 / 2 LOCATION OF SOIL TESTS" OWNER: A/aYu,t 6 11 L C'� TEL. NO.: 1 1 O 4 �0 ` 3 1 1 ADDRESS:I& Cro rk. ,4 v ed— Al JfpiJover Me c $ S— ENGINEER: 0 0 Syn i�' s-)# 1 �55 TEL. NO.: 6C) 9(?-) ZZ7 g CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 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$225.00 per lot for repairs or up rg ades. (If time is not critical, fee for repairs is$75.00) 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"-I00') 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 Below This Line N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: iJ /dt Oa p a NORTHEAST LANDSCAPE CONTRACTORS, INC. 2850 TOWN OF NORTH ANDOVER 11/12/2002 SEPTIC SYSTEM, 225.00 N I V l� Banknorth PERMIT FOR SEPTIC SYSTEM 225.00 N -N 0 d N 0 R T H E A S T6i;-.- E NORTHEAST LANDSCAPE CONTRACTORS LANDSCAPE CONTRACTORS 314 Clark Street • North Andover, MA 01845 s 978-470-3111 • 978-794-1010 Fax: 978-794-3780 %G 0 k �gJ'j L w�vf-ti1 V e eFc (►�-�k SES teJ c�lc IL - , -`t'� - ' �.�,�y� � (]►��`/['^��'�y � �}wry 1 til `� — . a ; To- if 41 _ ✓ 1 �,II, ', - � .. y61r— 7I �°{tet _ ��.- ._—_ �r I f � r i ` '. � I ! �._.,- �. ._ ..I, -t �� 1, -r r- i . Eel 1 y 11 r AT-T ' J r. r I j I ' I • f , 1 - I4j I E I ' � - _ I ^.,,s'�L.-_ � ---\.L _ __' d 1 t -- -L. s7..� 71 , 1. ,___4�l� F -r -* -1 ^ r- •- i. . - .�-. ,- -77 , J1 - �I 33 � -- J I— — -- t i ll 13 -- i jt l i 1,,�..� :��k ,'�L17. IGon��`1-•C:. � �a t�t , � t .l�?. �.}I , _ —;n r _ � J . s I ti I I I +- -4--- 1 I I� 1 l j--i-- - , I , J - --- -- -- ---- -- - - , I , I _ d 4 Ilk I I I I _ _ i- • I I 1 ' J I I _ __ + I I I _fir I LJ- I �-�--i-J- _."� J _` -{____ + �_ I -t- (- � {'"I--�-�_.I._.� i__4_+--L-I � !!J/// JJ✓ -_---- •'r - iill�..VV❑❑�„444111 I I I i I I I i T I I I I � I �'/•�"7 n I fir I , I I i I `i 1 I 8 4 - 'i t J vi I i r 7 2 --- Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wastewater Permitting Program , 'I �`,` Form 11 - Soil Suitabily ,Assessment for On-Site Sewage Site Address or Map/Lot Number it — -- ge Disposal A. Facility Information 1. Facility Information �n 40—ly-fl, 4P Owner Name v l�i v1 L- Street Ad ess , -A�� Map/Lot_ ,Z City �o� rt' _ _ VY)Vol. lS State Zip Code B. Site Information a 1. (Check one) New Construction ❑ Upgrade p9 ❑ Repair 2. Published Soil Survey available? Yes No ❑ If es: + y Year Publ shed 1 1��- f)C, r ���� Publicatiori Scale Soil Map Unit Sod Name Soil limitations 3. Surficial Geological Report available? Yes [] No ❑ If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map: Above the 500 year flood boundary? Yes [ No ❑ Within the 100 year flood boundary? Yes ❑ No [�r Within the 500 year flood boundary? Yes ❑ No ®/ Within a Velocity Zone? Yes ❑ No [� 5. Wetland Area: National Wetland Inventory Map Wetlands Conservancy Program Map Map Unit Name Map Unit Name 6. Current Water Resource Conditions (USGS) Range: Above Normal Month/Year ❑ Normal ❑ Below Normal ❑ 7. Other references reviewed: nen i Massachusetts Department of Environmental Protection Ll , Bureau of Resource Protection —Wastewater Permitting ProgramSite Address or Map/Lot Number jForm 11 - Soil Suitability Assessment for On-Site Sewage Disposal i C. On-Site Review (minmunn of two holes required at ever I i � y proposed disposal area) i Deep Observation Hole A: (VDU J)I,o.11 _JQ'- J0 U Date �\Y Time Weather 1. Deep Observation Hole Logs O Deep Hole Number Ground Elevation at Surface of Hole Location (Identify on Plan ) 2. Land Use: (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones '—' Slope(% 0 ss Vegetati n Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body 1 � Drainage Way jzD�� Possible Wet Area ) 00"feet feet feet Property Line '3;,S Drinking Water Well 12a^f Other feet feet 4. Parent Material: Unsuitable Materials Present: Yes ❑ No ZL"- If Yes: Disturbed Soil❑ Fill Material[] Impervious Layer(s)❑ Weathered/Fractured Rock(] BedrockEl 5. Groundwater Observed: Yes ZKNo ❑ If Yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: j (9 ofD` inches elevation i 1 Massachusetts Department of Environmental Protection ' C,) Bureau of Resource Protection — Wastewater PermittingProgram Site Address or Map/Lot Number Form 11 � - Soil Suitability Assessment for On-Site Sewage Disposal Deep Observation Hole A: Deep Hole Number. Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Structure Soil Depth Horizon/ Color-Moist (mottles) Texture % b V (In ) Layer (Munsell) (USDA) yolume Consistence Other Depth Color Percent — (Moist) Gravel Cobbles &Stones ctz:SA -7 SI sal 3= 2�S,J ��� I�0..�w� Additional Notes Massachusetts Department of Environmental Protection j Ll Bureau of Resource Protection — Wastewater Permitting ProgramSite Address or Map/Lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ,I C. On-Site Review (Cont.) Deep Observation Hole B: -L3 03 oc Date Time Weather 1. Deep Observation Hole Logs Deep Hole Number `2, Ground Elevation at Surface of Hole W--139 0 Location (Identify on Plan ) 2. Land Use: L O11A— _ (e.g.woodland,agricultural field,vacant lot,etc.) Surface Stones Slope Vegetation Landform Position on landscape(attach sheet) 3. Distances from: Open Water Body V)o­j Drainage Way V1__ o� Possible Wet Area V)2:!!C feet feet feet Property Line '11741 Drinking Water Well hiYl-e_ Other fee feet 4. Parent Material: ---b_, 1 Unsuitable Materials Present: Yes ❑ No If Yes: Disturbed Soil[] Fill Material❑ Impervious Layers)❑ Weathered/Fractured Rockn Bedrock❑ O I 5. Groundwater Observed: Yes No If Yes: Depth Weeping from Pit Depth Standing Water in Hole I r7 Estimated Depth to High Groundwater: INSj 6T Or 7_>y inches elevation I Massachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater PermittingProgram ,�-- �L\ `' Site Address or Map/Lot Number '- -_ ` Form 11 - Soil Suitability assessment for On-Site Sewage Disposal Deep Observation Hole B: Deep Hole Number: Soil Soil Matrix: Redoximorphic Features Soil Coarse Fragments Soil Soil Depth Horizon/ Color-Moist (mottles) Texture % by Volume Structure Consistence Other (In.) Layer (Munsell) — (USDA (Moist) Depth —Color Percent Gravel Cobbles ----. 8 Stones 2� ,R VV) � i Additional Notes nf=P P-1»1 9 7 '•nd A......----------- Massachusetts Department of Environmental ProtectionL C � � Bureau of Resource Protection — Wastewater Permitting Program)`l1 1 Site Address or Map/Lot Number Form 11 - Soil Suitability Assessment for Cin-Site Sewage Disposal D. Determination of High Groundwater Elevation A-) A}2 1. Method used: ❑ Depth observed standing water in observation hole A. B. ❑ Depth weeping from side of observation hole A. inches B inches inches inches 4-Depth to soil redoximorphic features (mottles) A. �� B. _�_ El Groundwater hes O Groundwater adjustment (USGS methodology) A. B.inches inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of natural y occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes No❑ b. If yes, at what depth was it observed? Upper boundary: Lower boundary: inches inches F. Certification 0 I certify that I have passed the soil evaluator examination"approved by the Department of Environmental Protection and that the above analysis was performed by me nsisten ith the required training, expertise and experience described in 310 CMR 15.017. i ature of Soil Eva u' C) Zoo S ` Date Typed or Printed Name of Soil Evaluator 'Date of Soil E,I ator Exar� SIy)dOrSY`CV\0� A_CO2�_I)c Name of Board of Health WitnesshD-q_J\-F Board of Health Note: This form must be submitted to the approving authority with Percolation Test Form 12 i l Massachusetts Department of Environmental Protection Bureau of Resource Protection —Wastewater Permitting Program Site Address or Map/lot Number Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal i w Use this sheet for field diagrams: I i 0 41 FORM 12 . PERCOLAiION TEST local on Address or tot No. .. COMMONWEALTH OF MASSACHUSETTS Massachusetts ]Percolation Test" Date: Time: Observation Hole # Depth of Parc Start Presoak End Pre-soak Time at 12" 1 Time at 9" Time at 6" Time (9"-6") Rate tviin./Inch t • Minimum of 1 percolation test. rust be perfa(rraed in both the primary area AND reserve area. Site Passed C Site Failed Performed BY: -_ W oessed By. -- - Contrtzents: i� woo �e vv) �.�. ... _)_ - C0 _nfy,_I_ ��, �ovw room torr V O O TOWN OF NORTH ANDOVER °f�►ORTH 1 O Office of COMMUNITY DEVELOPMENT AND SERVICES o '��� ? y�.c •,.•s HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01 845 �'SS;C«us` 978.688.9540—Phone Susan Sawyer,REHS/RS 978.688.9542—FAX Public Health Director healthdept@townofnorthandover.com-E-mail www.townofnorthandover.com-Website FAX To:(Name) _j � From: Company Fa LlSt 7,Z� (� Pages: Pno es- Date: Z A'S e: CC: ❑ Urgent ❑ For Review ❑Please Comment ❑Please Reply ❑ Please Recycle Please contact the Health Department at the above numbers for further assistance if required. �p J fu 7 / COMMONWEALTH OF MAc ,ACHUSETTS r v�OF,Ht -��_� t EXECUTIVE OFFICE OF ENVIRONMENTAL AF -RX-7 a DEPARTMENT OF ENVIRONMENTAL PROTEnI�TI��� S� /r TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: Owner's Name: / /J Owner''s Address: Date of Inspection: Name of Inspector: lease print vEhzi I. D;Ili areti?o Company Name: l U Ice Mailing Address: Z / O/Y-45- Telephone Number: CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Co ditiona11 Passes eeds urAr Evaluation by the Local Approving Authority ~� Fails t Inspector's Signature: stJ4 I ate: The system inspector shallmit a copy of this inspection report to th Approving Authority(Board of Health or DEP)within 30 days of co pleting this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments T ****This report only describes conditions at the time'of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 s L OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ,y CERTIFICATION(continued) Property Address: 5/4/ C_�//4/L S7— Owner: 7 -Owner: A4'/j/ a- Date of Inspection: C2�1 1.,9$ Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired:The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of.Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 ► �""'" Page 3 of 11 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: `Y` L-�l � �, .5 T e� /t /% Owner• lln)119) Date of Inspection: C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and they presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: �� r Owner: ley`'til-M)LIa Date of Inspection: .��( D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: V-0 Backup of sewage into facititymr system component due to overloaded or clogged SAS or cesspool _koo'bischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool l Static liquid ieveI in the distribution box above outlet invert due to an overloaded-or clogged SAS or cesspool _ZO''Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow //Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _ Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ Any portion of a cesspool or privy is within a Zone 1 of a public well. JAny portion of a cesspool or privy is within 50 feet of a private water supply well. ;Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compommds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: . To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area–IWPA)or a napped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 4 Page 5 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 31 S Owner:��r Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: V-0 Pumping information was provided by the owner,occupant,or Board of Health } —Lee/Were-any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? P1000 Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no; v**'Existing information. For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[3 10 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: ��_,l�✓�,f'1/�//G�� / Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents:457 e2r-"P Lc-y-� g Does residence have a garbage grinder(yes or no):_V Is laundry on a separate sewage system(yes or no):_ [if yes separate inspection required] Laundry system inspected(yes or no):_ Seasonal use: (yes or no): - ► - - Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no): Last date of occupancy: COMMERCIAL/INDU TRIAL// Type of establishment: �U lX. ,. S N US• Design flow(based on 310 CMR 15.203): d Basis of design flow(seats/persons/sqft,etc.): /,S`" /r' p Lo%=&=S Grease trap present(yes or no):/VV Industrial waste holding tank present(yes or no):'V V Non-sanitary waste discharged to the Title 5 system(yes or no):Nd Water meter readings,if available: Last date of occupancy/use: 6 of V�I e C OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: U17)19--e 2--00 Was system pumped as part of the ' spection(yes or no):Y�f If yes,volume pumped: allons--How was guanrIty pumped determined? Reason for pumping: _/�S 4?C G 7- / Aiv I< TYP OF SYSTEM j/4eptic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate ageof alcomponents,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no);NO 6 Page 7 of 11 "- ✓ OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C �/ c/o INFORMATION(continued) Property Address: 1`t o r , Owner• -� Date of Inspection: BUILDING SEWER(locate on site plan) Depth below grade: 3 / Materials of construction: iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade: 6 y Material of construction:_concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: ' Distance from top of sludge to bottom of outlet tee or baffle:00 Scum thickness: 0 n Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of tlet tee or baffle: %rr How were dimensions determined: e 'g s o Comments(on pumping recommendations,ffilet and outlet tee or baffle condition,structural integrity,liquid levels aselate outlet invert,evidence of leakage,etc.): GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiberglass youlyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 t o Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: — TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover;any evidence of leak-age into out of bo etc.): ai o h ec�&v e Aj PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): 8 Page 9 of 11 — a � OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: / Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not-required) If SAS not located explain why: , k&-rc 't U P G er- �7` la—P 7— co.�►.Q. r- V � Type t leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: d innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): � c 7- A-j a & [`cN o r r oce r CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): i 9 o � • Page 10 of l l . OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address•,3/ akir r Owner: / e�rjla Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: ,t ST.`. ,. Owner: ,t. Date of Inspection: gr5Z5 SITE EXAM Slope Surface water Check cellar Shallow wells Q Estimated depth to groundwater " t feet Please indicate(check)all methods used to determine the high ground water elevation: j Obtained from system design plans on record-If checked,date of design plan reviewed:. �bserved site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked.with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how You sta li hed the hifound water elevatipn: ` 4 -cG! s��E d .yC7 ON nc c /•� Guy 11 Mar-12-02 09: 14A N.Les NE Landscape Cantr_ 978 .794 3780 P.03 TOWN OF NORTH ANDOVER 10655 TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE IF22 BILL DATE: 01/18/2000 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 CHARLES BENEVENTO Meter: 2120121 COLLECTOR Service: 314 CLARK ST V��•r 9. n. tes, r fi Y _ ky ME ; ILE'S H TT 0 PP 0 ING C 0. I PO OX 159 NO. ANDOVER DOVER MAr>« 1845 AN S�SK Retain this voucher for your records RATE:._ fi •RS:TITAI >`F E S .:.....:... PR77 R. xf ..� G.. ..A +�E #2:: ::. 2121}:::. :...}.,...:._.,....n.x.;.x w �8 r'= kT. fl: WERE ^ n.KV s v��i. f� �• :.....!..:.:.:.:..;_>':..w.�n."...:....,•:.�vv:.:nv::-::::ii.:.niv:n>.:,v.a.n.:.:>..::.r:n.:nn-. %{[• ............ F*r * Ay; sb Vx . v ,.AhO:�f� ems= f aft " �. ,�8� ham`°�a�e:} ��`ira6e >' % .:......"..:.................w...._......,: :::::.,.n,.:... �?" ;:; "fie A .:: ��',. %"r- ..............n:........n .nx.....�.. . .}... ....................-:wn... .wn An 3. ..%.,�.}„�<.. >s <°:: : : ; DETACH Please detach here and return the bottom voucher with your payment n••., nn •.xn•.n• DETACH TOWN OF NORTH ANDOVER 10555 TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE #22 BILL DATE: 01/18/2000 P.O. BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO t: COLLECTOR 3«p�,.te'3•}-^ : +.Mia„ ::.:�`:a:�� 2+"ni<i i b:}itFhi4�%h>?X•~s':5 ta:<,.: w::t}<•%ar'µr i:.r:s <>':::i:'::��wi<.,w;ini r�y.q.}�.� MEILE'S HOTTOPPING CO. I « - �x n. wr% PO BOX 159 wn : Y NO. N AD OYER MA 01845 444444IIIIII������ �"'� v>! Return this voucher with your payment Comm we Ith of Massachusetts Massachusetts System Pumping Record System Owner System Location Date of Pumping: l ���-� Quantity Pumped: 10�e/gallons Cesspool: No Yes [] Septic Tank: No [] Yes �— System Pumped by: V4&4" License# Contents transferred to: Greater Lawrence Sanitary District Date: Inspector: December 11, 2001 0 Project# 0111101 New �r England Environmental pip 9 200 rptn3EET Cooraio Mr. Ronald Stelline Watershed ManagemenVUIC Program MA Dept. Of Env. Protection 205A Lowell Street Wilmington,MA 01887 RE: Confirmation of Floor Drain Closures/UIC Notification at Northeast Landscaping 314 Clark Street,North Andover,Massachusetts Dear Mr. Stelline; This letter is to confirm that New England Environmental Technologies(MEET)has overseen the closure of the two (2) floor drains in the service bays at the above referenced property. On December 7, 2001 the drains were sealed by a licensed plumber and verified by the Town Plumbing Inspector. The floor drains are believed to connect to a dry well and were installed when the building was originally constructed to allow snow and storm water to drain from vehicles parked inside. For the past fifteen years the building was owned by a paving contractor, Miele Hot Top. The property was recently purchased by Northeast Landscaping. The non-permitted floor drains were identified By NEET during the environmental due diligence review conducted as part of the property transfer process. In order to assess any potential releases from this property, and in particular the floor drains,MEET installed four(4) groundwater monitoring wells surrounding the building. Although trace levels of contaminants were discovered(8 ppb MTBE) no reportable concentrations of contaminants were found on the property. The property is located adjacent to a landfill in a heavily industrialized area. A database search found an extremely large number of listed spills and releases within '/Z mile up-gradient of the property. NEET concluded that the trace levels of contaminants found were most likely ubiquitous to the area, and that the site(and the floor drains) contained no significant contamination or source of release. NEET had previously contacted your office to discuss the intent of the new property owner (Northeast Landscape)to permanently seal the floor drains to prevent any possible contamination in the future. On behalf of the property owner-Northeast Landscape,New England Environmental Technologies(MEET) is requesting that your Department accept the closure of the two(2)floor drains at the above referenced property. As discussed,the analytical data developed during the property transfer environmental assessment is being submitted with the UIC (Underground Injection Control) Closure Notification form, and the Floor Drain Closure form-WS 1. A copy of the full property transfer assessment report is available upon request. 310 Main Street. Groveland. MA 01834 '-lenhore (978) 821-1111 Farsimile (978) 521-1 7 FC December 11,2001 Q Project# 0111101 NEET Should you have any questions concerning this submittal, please feel free to contact NEET at (978) 521-1111. Sincerely, NEW ENGLAND ENVIRONMENTAL TECHNOLOGIES(MEET) SPC � - David P. Argyros, CHMM Sr. Project/General Manager CC: Mr. Norman Lee - Owner,Northeast Landscape North Andover Board of Health North Andover Plumbing Inspector Attachments: 1. Form WS 1 -Plumbing Inspector Approval to Seal Floor Drain 2. Form 2000-01-13 -UIC Notification 3. Environmental Site Assessment&Limited Subsurface Investigation Report • Transmittal/Conclusion Letter • Groundwater Flow Sketch • Photographs • Soil Screening Logs • Soil Boring Logs • Environmental"First Search"Report • Groundwater Analytical Data i Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F.Wald Gawrnar Tr ,:c dyudy Coxe Thomas B. Powers Acting FORM WS1 fpmmryrgn�r Notice of Plumbing Inspector Approval to Seal Floor Drain April 1992 Note: This Application Does Not Apply To Any Facility Whose Floor Drain Is Connected To A Municipal Sewer System. To: Plumbing Inspector for the City/Town of fVOA . 13 oder Company Name: AlaeA t Nature of Business: Mailing Address: 4 C lc., k S' of N. Location: 5 .�.►rc --- .,----- -,,..,_ Phone Number: ( 97 6 ) 7 ) + -- 1 a 1 y Facility Owner: Norm,., Lep. requests to seal 7- floor drains. #of drains Any additions or alterations to the system are not permissible without the approval of the local plumbing inspector. All seals must be in compliance with 248 CMR. This form must show both signatures before copy may be filed with DEP. Upon approval, a complete py of this notice shall be filed immediately with the DEP Under- ground Injection Cont r0 am (�i•617/556-1165) at the address below. Upon. completion of all woakp is hall f e the DEP UIC Notification Form to the same address. Z � signal cy Owner Date 5045 App ]!Signature of Local Ptwnbing 1 pector Date Plumbing Permit# Owner shall send a completed DEP/Division of Water Supply copy of this form to. Underground Injection Control Program One Winter Street, 9th floor Boston, MA 02108 One Winter street • Boston,Massachusetts 02106 • FAX(617)556-1049 • Telephone(617)292.5500 n:\,mv...,,,rL,rmafanu•wrl rr•• TO'd 084E V6L 846 '-A'4•u00 ads=)spus-i 3N/a0-1-N, d9Z=Zt IO-Lt-Da❑ I NOp,N OL TOWN OF NORTH ANDOVER �? tea',` .....•• p PERMIT,FOR PLUMBING SSACMUS� � �L-- This certifies that . . .'. . . .4Y. . . . . has permission to perform '-� plumbing in the buildings of/� Q at . s3,�y. . . . .� t�- - ,isL . . . . . . .. North Andover,/Mas. Fete. . . . . .Lic. No.. . . . . . . . . G� IN f�$ ECTOR Check # 5045 J COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OFENVIRONMENTALPROTECTION ONE WINTER STREET,BOSTON,MA 02108 617-292-3300 WILISAM F.WELDTRUDY COXE Governor Secretuy ARGEO PAUL CELLUCCI DAVID B.STRUHS LL Governor Commissioner UIC NOTIFICATION FORM DIVISION OFWATERSUPPLY The Underground Injection Control (UIC) program protects drinking water by regulating discharges to the ground via injection wells such as dry wells, septic systems tied to industrial processes, and other subsurface leaching. systems. Pursuant to UIC regulations(3 10 CMR 27.00),where the potential exists for pollutants to enter an injection well (e.g.by means of a floor drain)and the presence of the pollutants causes or is likely to cause a violation of any Massachusetts Drinking Water Regulation or which adversely affects or is likely to adversely affect the health of persons, the use of the well is prohibited With the exception of discharges authorized under the Department's Ground Water Discharge Permit program, the Department considers this prohibition to include the use of any injection well at facilities which have in the past or currently use, store, or otherwise manage hazardous materials and/or wastes as defined in 310 CMR 30.000 and 310 CMR 40.0000. This form shall serve as notice to the DEP of the elimination of the use of an unauthorized injection well. The structural option which has been chosen to bring the system into compliance should be noted under item I. Submit all information and attachments for that option, as well as for item M as noted. This form should be submitted after completing the closure of the injection well. I. Option chosen for discharge system when eliminating the use of the injection well: )J_A. Sealing: Plug point of entry,if applicable(see 248 CMR 2.09). . 4 1. Copy of Form WS1: Notice of Plumbing Inspector Approval to Seal Floor Drain (where applicable),and Plumbing Permit Number: 4 N 2. Date of plugging: /D/ 01 B. Tank: Connect discharge to holding tank.meeting appropriate DEP requirements. _1. Floor plan with-tank location _2. Type of tank: _Pre-Cast Tight Tank(DEP Permit BWP IW 01) Converted System(e.g.Converted MDC Trap)(DEP Permit BWP IW 28) _Containment Basin(specified attachments required) _3. DEP permit&.permit/transmittal#,where applicable: 9 _4. Date of connection: C. Sewer: Connect discharge to municipal sanitary sewer. _l. Sewer discharge permit&permit/transmittal#(from-DEP and/or other administrative entity): 9 _2. Date of hookup: SEE REVERSE SIDE Printed on Recycled Peper _D. Other: Certain other options may also apply (e.g.closed loop recirculating system,closure and removal of entire operation, surface water discharge permit). Specify(attach a sheet if more space necessary): The following information must be submitted with this form as noted: \J_A. Screening and Analytical Results: This information must be submitted in accordance with criteria specified in the document entitled "Massachusetts Closure Requirements for Shallow Injection Wells." B. Waste Management Plan: When required via the issuance of an enforcement order from the DEP's UIC program,a waste management plan specifying methods to be used to properly col- lect,store,and dispose of all potentially hazardous wastes shall also be submitted. System's Previous Final Point of Discharge: We Number of Points of Entry to System: before closure: after closure: 0 Name of Business: Mailing Address: 3 1+ C;Unck St N Aa-db r,, AA A (7 1945- Location: S4r,e Facility Owner: Mr, Norma%^ Le-e Phone: 02-0)7 1+- /oIy Nature of Business: _ L aL,.d,5L rep;A on+r r4or EPA Hazardous Waste Generator ID Number: I HEREBY CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED- AND AM FAMILIAR WITH THE INFORMATION SUBMITTED IN THIS DOCUMENT AND ALL ATTACHMENTS AND THAT,BASED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, I BELIEVE THAT THE INFORMATION IS TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,INCLUDING POSSIBLE FINES AND IMPRISONMENT. I UNDERSTAND THAT I MUST HANDLE, STORE, AND DISPOSE OF ALL HAZARD- OUS WASTES IN AN ENVIR NTALLY SOUND MANNER IN ACCORDANCE WITH ALL APPROPRIA RE IONS. Z /3 O SIGNATURE OF OWNER bATE Any questions may be directed to the UIC Program at (617)292-5770. Complete and sign this form and submit it and all required attachments for items I(only the attachments for the option chosen)and H,to the following address: Underground Injection Control Program DEP/Division of Water Supply One Winter Street,9th floor Boston,MA 02108 Send duplicate copies of all forms to: Local Board of Health Local Plumbing Inspector 01/24/97; c:\uicforms\notffrm7.doc v NEST ENVIRONMENTAL SITE ASSESSMENT And LIMITED SUBSURFACE INVESTIGATION REPORT Performed At: Miele Hot Top 314 Clark Street N. Andover,MA 01845 Prepared For: Mr. Joseph Miele Miele Realty Trust 314 Clark Street North Andover,MA 01845 Prepared By: New England Environmental Technologies Corporation 310 Main Street Groveland,MA 01834 September 28, 2001 Project#010.8064 New September 28,2001 England Environmental Reference#0108064 E ET Technologies Corporation Mr. Joseph Miele Miele Realty Trust 314 Clark Street North Andover,MA 01845 RE: Environmental Site Assessment and Limited Subsurface Investigation Report for Property Located at: 314 Clark Street,North Andover,Massachusetts Dear Mr. Miele, New England Environmental Technologies (MEET) Corp. has completed an Environmental Site Assessment (ESA) supplemented by a Limited Subsurface Investigation (LSI) of the property located at 314 Clark Street in North Andover, Massachusetts. This ESA & LSI included a site inspection and the installation of four (4) soil test borings, all of which were developed into permanent groundwater monitoring wells. Soil.and groundwater sampling was conducted in order to evaluate the site in terms of release(s) of oil or hazardous materials to the environment as defined within Massachusetts General Laws (MGL) Chapter 21E, and the Massachusetts Contingency Plan (MCP) 310 CMR 40.0000. In addition, this report also contains the results of a tank tightness test conducted on an underground diesel fuel storage tank located at the site. Our findings are presented in the enclosed report. We hope this report provides you with adequate information for your purposes. Thank you for engaging NEET to provide these services. Should you have any questions concerning this report, please do not hesitate to call the undersigned at(978) 521-1111. Sincerely, NEW ENGLAND ENVIRONMENTAL TECHNOLOGIES E)a' OW4-1— David P. Argyros, CI-IMM Sr. Project/General Manager Enclosures 310 Main Street, Groveland, MA 01834 Telephone (978) 521-1111 Facsimile (978) 521-1760 Not Drawn To Scale 91, 90, Mw-1 0 275-g4l I 5,UST a AST 4 Garage Doo s MW-2 r Leac O O Field MW-4 ---- Legend -0-mw-f = Monitoring Well M -3 O = Floor Drain GW Flow Contour interval= 111. Clark Road NEW ENGLAND ENVIRONMENTAL TECHNOLOGIES,CORPORATION FIGURE 3 - Groundwater Flow Sketch 0 310MAIN STREET,GROVELAND,MASS. 01834 314 Clark Road Project# 0108064 E E,- 978-521-1111 North Andover MA 1 I 111 1 �r rc � 1 1 1 � � 1 • i r PHOTOGRAPHS 314 Clark Street North Andover,Massachusetts Photograph#3: View of interior of one garage bay. SOIL SCREENING LOG New VOC Environmental Technologies ww,, (�.EE �1T Corporation SITE: Miele PROJECT#: 0108064 314 Clark St. _ _ DATE OF SAMPLING: 8/05/01 N. Andover,MA DATE OF ANALYSTS:: 8/05/01 CERTIFIED BY0,^l V'� �S� lot VV DEVICE: Century OVA 128 GC SCREENING METHOD: Headspace STANDARD: Benzene SPAN SETTING: 300 UNITS OF MEASUREMENT: PPM SPECIES DETECTED: Organic Volatiles Note:BDL =Below Detection Limit of 0.10 PPM BORING ID DEPTH CONCENTRATION Co CWENTS B1/S1 _ 0.5-1.5 ft flt) 3.0' m No visual contamination/odor B1/S2 5-6.5 ft 20.0 m No visual contamination/odor B1/S3 10-11.5 ft 0.5 nm No visual contamination/odor B2/S1 0.5-1.5 ft flt) 4.0 ppm No visual contamination/odor B2/S2 5-6:5 ft 0.5 ppm No visual contamination/odor B2/S3 10-11.5 ft 0.5 ppm No visual contamination/odor 310 Main Street,Groveland, MA 01834 Telephone(976)521-1111 Facsimile(976)521-1750 Ce Q New SOIL SCREENING LOG England VOC Environmental rtoSNEE Copoain SITE: Miele PROJECT#: 0108064 . 314 Clark St - -- _ DATE OF SAMPLING: .8/06/01 N. Andover,MA DATE OF ANALYSIS: 8/06/01 CERTIFIED BY: fge,-j DEVICE: Century OVA 128 GC SCREENING METHOD: Headspace STANDARD: Benzene SPAN SETTING: 300 UNITS OF MEASUREMENT: PPM SPECIES DETECTED: Organic Volatiles Note:BDL =Below Detection Limit of 0.10 PPM BORING ID DEPTH CONCENTRATION COMMENTS B3/S1 - 0.5-1.5 ft(flt) . ,0.6ppm No visual contamination/odor B3/S2 5-6.5 ft 0.0 ppm No visual contamination/odor B4/S1 0.5-1.5 ft flt 40.0 pprn Asphalt Chips/Dust Present B4/S2 5-6.5 ft 2.5 ppm No visual contamination/odor B4/S3 10-11.5 ft 4.0 ppm No visual contamination/odor 310 MWn Street,Groveland,MA 01634 Telephone(978)521-1111 Facsimile(978)521-1760 v New England Environmental SOIL SCREENING LOG NC Technologies E ET Corporation SITE: Miele FILE # 0108064 -314 Clark St. DATE OF SAMPLING: 9/10./01 .North Andover, MA DATE OF ANALYSIS: 9/17/01 DEVICE: PetroFLAG System SCREENING METHOD: 9074 (Turbidimetric) STANDARD: Petroleum Hydrocarbons SPAN SETTING: 585 nm CURVE. 7 Petroleum IINITS OF MEASUREMENT: PPM (uci/g) SPECIES DETECTED: Hydrocarbons SAMPLE ID DEPTH CONCENTRATION COMMENTS B1-S2 5 6..5 BDL B2-S1 0..5 - 1.5 1434 EARTHY ODOR B3-S1 0..5 - 1. 5 198 EARTHY ODOR. B4-S3 -10 - 11.5 BDL DL = 8etow Detectable. Limit of 25 PPM Certified By*:- Date: l / Page 1 of 1 310 Main Street,.Groveiand, MA 01834 Telephone(978)521-1111 Facsimile(978)521-1760 New England Environmental WATER SCREENING LOG EETTechnologies Corporation TPH SITE: Miele FILE #: 0108064 • 314 Clark St. - DATE OF SAMPLING: /10/01 North Andover DATE OF ANALYSIS: 9/17/01 DEVICE: Foxboro/Miran-IA SCREENING METHOD: 418. 1 (Infrared) STANDARD: Reference oil SPAN SETTING: 2930 cm—1 m Hydrocarbons UNITS OF MEASUREMENT:. PPM (ma/L) SPECIES DETECTED: Total Petroleu oleu SAMPLE ID DEPTH CONCENTRATION COMMENTS MW-1 GW 0.944 MW-2 GW BDL MW-4 GW BDL B L = Below Detectable- Limit of 0.5 PPM Certified By:. Date: � Page 1 of 1 310 Main Street,Grovelard,MA 01834 Telephone(978)521-1111 Facsimiie(978)521-1760 Project well ID:B1 New England Environmental Miele Project#0108064 Technologies Corporation 314 Clark St. Prepared by:Todd Dyer Date: 9/5/01 N. Andover,MA Depth To Groundwater. 7.18 ft. Depth Well Const Notes Sample IDBlows per 6" Total VOC's. Sample Description -00- Principal:Dark Brown,Fine Grained -01- Earthy Odor. B1-S1 FLIGHT 3.0 ppm SAND And SILT.Some:Fine Gravel. -02- Loose.Dry -03- -04- -05- Principal:Light Brown Grayish,Fine Slight Odor. BI-S2 10:6:8 20.0 ppm Grained SAND And CLAY.Some:Fine �- Gravel.Medium Dense.Moist -07- -08- -09- -10- Principal:Gray,Fine Grained SILT And -11- No Odor. Bl-S3 5:6:14 0.5 ppm CLAY Little:Fine Gravel.Stiff.Moist. sY .: -13- -14- -15- -16- -17- -18- -19- -20- -21- -22- -23- -24- -24- -25- End of Boring: 12.5 ft. -26- Water Encountered:7.18 ft. GRANULAR SOILS COHESIVE SOILS LEGEND BLOW DEN STrY BLOWS/& CONSISTENCE S AN D PAC K 4-10 LOM 2< Sof B & N 10.30 TONITE Med S E Deme A L 4-8 Med Stiff 30.30 Dmee 9-15 Stiff WELL SCREEN >50 Very Deme 15-30 Very Stiff B A C K F I L L >30 Had � n Project Well ID:B2 New. England Environmental Miele Project#0108064 Technologies Corporation 314 Clark St. Prepared by: Todd Dyer Date:9/5/01 N. Andover,MA I Depth To Groundwater: 7.64 ft. Depth Well Const Notes Sample ID Blows per 6" Total VOC's Sample Description -00- Principal:Dark Brown,Fine Grained -01- Earthy odor. B2-S 1 FLIGHT 4.0 ppm SAND And SILT.Little:Fine Gravel. -02- Trace:Organic Matter.Loose.Dry -03- -04- -05- Principal:Light Gray,Fine Grained Earthy odor. B2-S2 15:12:12 0.5 ppm SAND.Some:Silt Little:Fine Gravel. -06- Medium Dense.Damp. �s -07- -08- -09- -10- Principal:Light Gray,Fine Grained SILT. No Odor. B2-S3 8:14:12 0.5 ppm Some:Clay.Little:Fine Gravel.Medium -11- Dense.Moist. -13- -14- -15- -16- -17- -18- -19- -20- -21- -22- -23- -24- -24- -25- End of Boring:14.0 R -26- Water Encountered:7.64 fL GRANULAR SOILS COHESIVE SOILS LEGEND BLOW DENSITY BLOWS/R CONSISTENCE .' . D 4-10 Lo2-4 sober - SAN LOM PAC K B EN TO N I T E SEAL 10-30 Mad Deme 4$ Med S' ..................................... 30.50 Deme 8-15 Sttff WELL SCREEN >50 Very Deme 15-30 Vay stiff / B A C K F I L-L >30 Hmd Project Well ID:B3 New England Environmental Miele Project#0108064 Technologies Corporation 31.4 Clark St. Prepared b':Todd Dyer Daze: 9/6/01 N. Andover,MA Depth To Groundwater: 7.81 ft. Depth Well Const Notes Sample ID Blows per 6" Total VOC's Sample Description -00- Pn=pal:Dark Brown,Fine Grained SILT -01- Earthy odor• B3-S1 FLIGHT 0.6 ppm And SAND.Little:Fine Gravel.Trace: -02- Organic Matter.Loose.Dry. -03- -04- -05- Principal:Medium Brown,Fine Grained No Odor. B3-S2 11:13:10 BDL SILT.Some:Clay.Some:Fine Gravel. -06- q Medium Dense.Damp. -07- -08- -09- -10- -11- -12- -13- -14- -15- -16- -17- -18- -19- -20- -21- -22- -23- -24- Boring Attempted Three Times in Area -24- No Bedrock Believed to be Encountered -25- End of Boring:8.0 1 -26- Water Encountered:7.81 ft. GRANULAR SOILS COIMrVE SOILS LEGEND BLOW DENSrIY BLOWS/8 CONSISTENCE #?! 4.10 Loose 2-4 soft S A N D P A C K 10-30 Md Deme B E N 4-8 T O N I T E SEAL A Med ,... L Stiff ....,...,. 30.50 Dc= 8-15 Stiff WELL SCREEN >50 VayD. 15-30 Very Stiff B A C K F I L L >30 bard Project Well ID:B4 [N7ewE�ng�fand Environmental Miele Project#0108064 Technologies Corporation 314 Clark St Prepared by:Todd Dyer Date: 9/6/01 N. Andover,MA Depth To Groundwater: 7.35 8. Depth Well Const Notes Sample ID Blows per 6" Total VOC's Sample Description -00- Prmcipal:Medium Brown,Medium to -01- Strong Odor. B47S 1 FLIGHT 40.0 ppm Fine Grained SAND And siLT.Some: -02- Fine Gravel.Loose.Dry. -03- -04- -05- Principal:Medium Brown,Fine Grained No Odor. B4-S2 8:10:12 2.5 ppm SAND And SILT.Little:Fine Gravel. �" Medium Dense.Dry. -07- -08- -09- -10- 07--0g--09--10- Principal:Light Gray,Fine Grained -11- Earthy Odor. B4-S3 6:6:8 4.0 ppm SAND And SILT.Little:Fine Gravel. Medium Dense.Wet. -12- -13- -14- -15- -16- -17- -18- -19- -20- -21- -22- -23- -24- -24- -25- End of Boring: 13.5 R. -26- Water Encountered:7.351 GRANULAR SOILS COHESIVE SOrLS LEGEND BLOW DENSITY BLOWS/RCONSISTENCE p� Lflme Y9cY° < 5 Y zs il mna izn 4s� S A N D P A C K 4-10 2� Soft 10.30 Mea Deme a-sB ENT O N I T E S Mods' ............. E A 30-50 Deme 9-15 Stiff WELL SCREEN >50Very Deme E I5-30 Very Stiff B A C K F I L L >30 Hard Tr DataMap Technolog.Y� � Colvporafion - Envonmental FirstSearch� irReport , = TARGET PROPERTY: 314 CLARK ST- NORTH TNORTH ANDOVER MA 01845 Job Number: 0108064 PREPARED FOR: New England Environmental Technologies 310 Main Street Groveland, MA 01834 09-25-01 • Fsviso �=R,, Tel: (781) 320-3720 Faz: (781) 320-3715: . Envko=zenW.r IS•87Ciiwt BTEC oF.Da18IVl8P GCbR01 On..f Y1 .. ,c"er ov�� gbweserve& +• .' - 'JJJ•ii0{iL�•itJ t i ..4ti e - s ••t••{••{{•{ ♦. .••••. .... .. �•a ♦f•1•�•,w�Jw�iww•^ •Jif %� • • ���tw•�•_.i Jiti•°to 4•i J wt•` .s�'iti Oi0♦iO�Odd•� {O'JOJi -�Jr.••JJ��i••J:i�V t• • i'OOiti!:i J t•.:•'i Oiti•00 J�' SOurce1999 US Cenm 77GER Files TaIlIft Sat aatiftule.42.724152 Longitude--71.122M) Public Water Supply,DEP Zone H.Boundaries Identified Site,Multiple Sites,Receptor.— N—Polontial Drink S-- W*Yield(GB�Medisun Yield(GC) Bl"Rings Rep.—1/4 mile Radii;. Red Rig RW..b NPI�Solid Waste I andfin(SWL)or Hazud"s Waste Water Bodies,So4c Sontoo Aquifi:r­­---­._­_._ Railroads 500 Env romnental-Fvuffearcl SearcTt;Summary Report Target Site: 314 CLARK ST NORTH ANDOVER MA 01845 FirsLSearch Summary Database Sel Updated Radius Site 1/8 1/4 1/2 .1/2> ZIP TOTALS NPL Y 04-1.7-01 1.00 0 0 0 0 0 0 0 CERCLIS Y 07-09-01 0.50 0 1 0 0 - 0 1 RCRA TSD Y 08-08-01 0.50 0 0 0 0 0 0 - __- RCRA COR Y 08-08-01 1.00 0 0 0 0 0 0 0 RCRA GEN Y 08-08-01 -0.25 . 0 1 1 - - 0 2 RCRA NLR N 08-08-01 0.25 - - - ERNS Y 01-06-00 . 0.25 0 3 2 - - 9 14 NPDES N 07-15-01 0.25 - _ FINDS N 06-28-01 0.25 - _ IRIS N 07-16-98 0.25 - _ - State Sites Y 08-01-01 1.00 0 0 1 0 7 11 19 Spills-1990 Y 05-10-01 0.50 0 5 6 2 - 45 58 Spills-1980 N .03-10-98 0.25 - - _ _ _ SWL Y 06-01-01 0.50 0 2 0 . 0 - 2 4 Permits N NA 0.25 - _ Other N NA 0.25 - - - REG UST/AST Y 05-02-01 0.25 0 0 2 - - 0 2 Leaking UST N NA 0.50 - _ State Wells :Y. 03-01-01 0.50 0 0 0 0 _ 0 0 Aquifers Y 01-20-99 0.50 0 0 0 1 - 0 1 ACEC N 01-20-99 0.50 - _ Wetlands N 11-20-00 0.50 Floodplain N 09-01-96 0.50 Receptors Y 01-01-95 0.500 0 0 0 - 0 ' 0 Nuclear Permits N 04-30-99 0.50 - Historic/Landmark N 03-08-01 0.50 - Federal Land Use N 06-17-98 0.50 - Federal Wells N NA 0.50 - Relmses(Air/Water) N 01-06-00 0.25 - - TOTALS.- 0 12 12 3 7 67 101 Notice of Disclaimer Due to the limitations,constraints,inaccuracies and incompleteness of government information and uter to DataM Teclnolo p �PP�B data currentlyg available. ap �'Corp.,certain conventions have been utilized-in preparing the locations of all federal,state and local agency sites residing in DataMap Technology Corp.'s databases.AIIIPA NPL and state landfill sites.are-depicted by a rectangle approximating their location and size.The,boundaries of the rectangles represent the eastern and western most longitudes;the northern and southern most latitudes.As such, the mapped areas may exceed the.actual areas and do not represent the.actual boundariesof these properties.All other sites are depicted by a point representing their approximate address location and make no attempt to represent the actual areas of the associated property. Actual boundaries and locations of individual properties can be found in the files residing at the agency responsible for such information. Waiver of Liability Although DataMap Technology Corp.uses-its betefforts_to research the acnual location of each-site,DataMap Technology-Corp.does.not and can not wamnt the accuracy of then sites vMh regard to exact location and Sim All arnhorized users of DataMap Tecbaoi s services proceeding-signifying an understanding ofDwaMap Technology Corp.'s searching and mapping convenions,-aadagr&�wa�, and All liability claims associated with search-and map resuhs mcomplete:and,r msaxnatet1e aOCatrOns4. - r;r .•„ 40 a �. .. . - F : New England Environmental ANALYTICAL REPORT Technologies roltsNEE oporaicn EPA METHOD 502.2 PURGEABLE VOLATILE .ORGANICS Project Number: 0108064 Project Name: MIELE Sample Matrix: Water . Sample ID:. MNA-MW-1 Sample Container::. 4-0 ml VOA vial Laboratory ID: 12343 Sample Preserved:: X Yes No Dilution Factor: 1 Preservative used. HC1 Date of Collection,*_-9/10/01 Concentration units: ug/L (PPB) Date`of Analysis:: 9/21/01 ND Dichlorodifluoromethane* ND 1,2.-Dibromoethane. ND Chloromethane ND Chlorobenzene.* ND Vinyl Chloride ND 1,.1, 1,2-Tetrachloroethane ND Bromomethane* ND Ethylbenzene ND Chloroethane ND m &- p-Xylene ND Trichlorofluoromethane ND o-Xylene ND 1, 1-Dichloroethene ND Total Xylenes (o+m+p) ND Methylene Chloride ND Styrene ND trans-1,2-Dichloroethene ND Isopropylbenzene ND 1, 1-Dichloroethane . ND Bromoform ND 2 ,2-Dichloropropane ND 1, 1,2,2-Tetrachloroethane ND cis-1, 2-Dichloroethene ND 1,2, 3-Trichloropropane ND Chloroform ND n-Propylbenzene ND Bromochloromethane ND Bromobenzene ND 1, 1, 1-n-Trichloroethane ND_ . 1,.3 ,5-Trimethylbenzene ND 1, 1-Dichloropropene ND 2-Chlorotoluene ND Carbon. Tetrachloride ND 4-Chloroto.luene ND 1, 2-Dichloroethane ND tert-Butylbenzene ND Benzene ND 1, 2,4-Trimethylbenzene ND Trichloroethene ND sec-Butylbenzene ND 1,2-Dichloropropane ND p-Isopropyltoluene ND Bromodichloromethane ND 1, 3-Dichlorobenzene ND Dibromomethane ND 1, 4-Dichlorobenzene ND cis-1, 3-Dichloropropene ND n-Butyibenzene ND Toluene ND 1,2-Dichlorobenzene ND trans-1, 3-Dichloropropene. ND 1,2-Dibromo-3-Chloropropane ND 1, 1,.2-Trichloroethane ND 1,2,4-Trichlorobenzene ND 1,3-Dichloropropane ND Hexachlor.obutadiene ND Tetrachloroethene . ND Naphthalene . ND Dibromochloromethane ND 1,2 ,3-Trichlorobenzene ND Methyl Ethyl Ketone* ND Methyl Isobutyl Ketone* ND Acetone* ND Methyl Tert-Butyl Ether* NO TARGET COMPOUNDS DETECTED 2—Bromo—l—chloropropane N/A% Recovery: Internal Surrogate: . Fluorobenzene 100% Method Reference: US EPA Method 502.2, September. 1986 Detection limit established at 0.5 ug/L X Dilution Factor PPB = Parts Per Billion ND = not detected * = Detection limit of 10 ug/L Certified by?Director Date 310 Main street,Groveiand,MA 01834 Telephone(978)521-1111 Facsimile(978)521-1760 v� h New England Environmental A*rer=CAL -REPORT NEETTechnologies. Corpora tion EPA METHOD sot-7- PURGEjABLE VOLATILE ORGAN=CS` Project Number: 010.8064 Project. Name:: MIELE Sample MatrixWater Sample ID- NIlIA-MW-2 :: Sample Container: 40 ml VOA vial Laboratory ID. 12344 Sample Preserved: X• Yes -- No Dilution Factor: 1 Preservative Used-- HCl Date of Collection:.9/10/01 Concentration Units ug-/L. (PPB). Date of Analysis-: 9/21/01 ND Dichlorodifluoromethane* ND 1,.Z-Dibromoethane. ND Chloromethane. ND Chlorobenzene.- ND vinyl Chloride ND 1,1,.1,2-Tetrachloroethane ND Bromomethane* ND Ethylbenzene ND Chloroethane 0.37 m & p-Xylene ND Trichlorofluoromethane ND _o-Xylene ND 1,1-Dichloroethene ND Total Xylenes (o+m+p) ND Methylene Chloride ND Styrene ND trans-1",.2-Dichloroethene. ND Isopropylbenzene ND 1, 1-Dichloroethane ND Bromoform ND 2 ,2-Dichloropropane ND 1., 1,2, 2-Tetrachloroethane ND cis-1,.2.-Dichloroethene ND 1,2, 3-Trichloropropane ND Chloroform ND n-Propylbenzene ND Bromochloromethane ND . Bromobenzene _ ND 1,1,1-Trichloroethane 0.31 1,-3 , 5-Trimethylbenzene ND 1,1-Dichloropropene ND 2-Chlorotoluene. ND Carbon. Tetrachloride ND 4-Chlorotoluene ND 1, 2.-Dichloroethane ND tert-Butylbenzene ND Benzene ND 1,.2,4-Trlmethylbenzene ND Trichloroethene ND sec-Butyl-benzene ND 1,.2-Dichloropropane ND p-Isopropyltoluene ND Bromodichloromethane ND 1, 3-Dichlorobenzene ND Dibromomethane ND 1,4-Dichlorobenzene ND cis-1, 3-Dichloropropene ND n-Butylbenzene ND Toluene ND 1,2-Dichlorobenzene ND trans-1,3-D.ichloropropene ND 1,2-Dibromo-3-Chloropropane ND 1,1,.2-Trichloroethane ND 1,.2.,4-Trichlorobenzene ND 1,3.-Dichloropropane ND Hexachlorobutadiene ND Tetrachloroethene ND Naphthalene ND Dibromochloromethane ND 1,:2, 3-Trichlorobenzene _ ND Methyl Ethyl Ketone* ND Methyl Isobutyl Ketone* ND Acetone* 4.86 Methyl Tert-Butyl Ether* TRACE PETROLEUM FINGERPRINT PRESENT 2—Bromo—l—chloropropane 90% % Recovery: Internal Surrogates Fluorobenzene 91% Method Reference: US EPA Method 502.2, September 1986 Detection limit established at 0.5 ug/L.X Dilution Factor PPB Parts Per Billion ND = not detected = Detection limit of 10 ug/L Certified by- Director Date 310 Main Street;Groveland,MA 21834 Telephone(976)521-1111 Facsimile-(978)521-1760 77, New En land ' Environmental' ICAL REPORT NETw� Technologies Corporation EPA METHOD so2.2 PURGEABLE VOLATILE: ORGANICS Project Number: 0108064 Project Name► MIELE Sample Matrix: Water . Sample ID: 'MNA-MW-3 Sample Container-- 40 ml VOA vial Laboratory2345 Sample Preserved: ID:. 1X Yes No Dilution Factor: 1 Preservative. Used: HC1 Date of Collection:9/10/01 Concentration Units- ug/:L (PPB) Date- of Analysis. 9/21/01 ND Dichlorodifluoromethane* ND 1,2-Dibromoethane. ND Chloromethane - ND Chlorobenzene : ND Vinyl Chloride. ND 1, 1, 1,.2-Tetrachloroethane ND Bromomethane* ND Ethylbenzene ND Chloroethane ND m. &. p-Xylene ND Trichlorofluoromethane ND _o-Xylene ND 1, 1-Dichl.oroethene ND Total Xylenes (o+m+p) ND Methylene Chloride ND Styrene ND trans-1,.2-Dichloroethene ND Isopropylbenz.ene ND 1, 1-Dichloroethane ND Bromoform ND 2,2-Dichloropropane ND 1, 1,2,2-Tetrachloroethane ND cis-1,.2-Di.chloroethene ND 1, 2, 3-Trichloropropane ND Chloroform ND n-Propylbenzene NDBromochloromethane ND Bromobenzene ND 1, 1, 1-Trichloroethane 0.31 1,.3 ,.5-Trimethylbenzene ND 1., 1-Dichloropropene ND 2-Chlorotoluene . ND Carbon- Tetrachloride ND 4-Chlorotoluene ND 1,2-Dichloroethane ND tert-Butylbenzene 0.4 Benzene 1. 05 1,2,4-Trimethylbenzene ND, Trichloroethene ND sec-Butylbenzene ND 1,2-bichloropropane ND p-Isopropyltoluene ND Bromodichloromethane ND 1, 3-Dichlorobenzene ND Dibromomethane ND 1,4-Dichlorobenzene ND cis-1, 3-Dichloropropene ND n-Butylbenzene 0.58 Toluene ND 1,2-Dichlorobenzene ND trans-1,3-Dichloropropene. ND 1, 2-Dibromo-3-Chloropropane ND 1,1,2-Trichloroethane ND 1,2,4-Trichlorobenzene ND1,3-Dichloropropane. ND Hexachlorobutadiene ND Tetrachloroethene ND Naphthalene ND Dibromochl:oromethane ND 1,..2,3-Trichlorobenzene ND Methyl Ethyl Ketone* ND Methyl Isobutyl Ketone* ND Acetone* 5. 13 Methyl Tert-Butyl Ether* TRACE PETROLEUM FINGERPRINT PRESENT 2-Bromo-l-chloropropane 93% % Recovery:. Internal Surrogate: Fluorobenzene 100% Method Reference: US EPA Method 502.2, September 1986 Detection limit established at 0.5 ug/L X .Dilution Factor PPB = Parts Per Billion ND not detected * = Detection limit of 10 ug/L Certified by: �a/�Of Director Date 310 Main Stn3 ,Groveland;MA 01834 Tcfn-.,r In-MN V"A I I I =01.1'712M ' ,:, J .:•. .fin<"t..k. '. _ - - . - - - - New England Environmental ANALYTICAL REPORT Technologies` EE e°T Corpomtidn EPA METHOD 502..2 PURGEABLE VOLATILL ORGANICS Project Number- 0108064 Project. Name: MIELE Sample Matrix. Water Sample ID: MNA-MW-4 Sample Containerr- 40 ml VOA vial Laboratory ID: 12346 Sample Preserved:. X Yes No Dilution Factor: 1 Preservative Used- HCl Date of Collection:.9/10/01 Concentration Units; uq/L (PPB) Date of Analysis: ' 9/21/01 ND Dichlorodifluoromethane* ND 1.1.2-Dibromoethane. ND Chloromethane ND Chlorobenzene - ND- Vinyl Chloride ND 1_, 1, 1,2•-Tetrachloroethane ND Bromomethane* ND Ethylbenzene ND Chloroethane 1.•17 m & p-Xylene ND Trichlorofluoromethane. 0.57 o-Xylene ND 1,1-Dichloroethene ND Total Xylenes (o+m+p) ND Methylene Chloride ND Styrene ND trans-1,2-Dichloroethene ND Isopropylbenzene ND 1, 1=Dichloroethane ND Bromoform ND 2 ,.2-Dichloropropane ND 1, 1,2,2-Tetrachloroethane ND cis-1,.2-Dichloroethene ND 1, 2, 3-Trichloropropane ND Chloroform ND n-Propylbenzene ND Bromochloromethane ND Bromobenzene ND 1, 1, 1--Trichloroethane ND . 1,-3 ,5-Trimethylbenzene ND 1,,1'-Dichloropropene ND 2-Chlorotoluene ND Carbon Tetrachloride ND 4-Chlorotoluene ND 1, 2-Dichloroethane ND tert-Butylbenzene ND Benzene 1.33 1, 2, 4-Trimethylbenzene ND Trichloroethene ND sec-Butylbenzene ND 1,2-Dichloropropane ND p-Isopropyltoluene ND Bromodi.chloromethane ND 1,.3-Dichlorobenzene ND Dibromomethane ND 1, 4-Dichlorobenzene NDcis-1,.3-Dichloropropene ND n-Butylbenzene 0.71 Toluene ND 1,2-Dichlorobenzene ND trans-1,3-Dichloropropene ND 1,2-Dibromo-3-Chloropropane ND 1,1,2-Trichloroethane ND 1,.2,'4-Trichlorobenzene ND 1,-3•-Dichloropropane ND Hexachlorobutadiene ND Tetrachlor.oethene ND Naphthalene ND Dibromochloromethane ND 1,2,.3-Trichlorobenzene ND Methyl Ethyl Ketone* ND Methyl Isobutyl Ketone* - ND Acetone* 8.. 12 -Methyl Tert-Butyl Ether* TRACE PETROLEUM FINGERPRINT PRESENT 2-Bromo-l-chloropropane 100 % Recovery:. Internal Surrogate: Fluorobenzene 97% Method Reference: US EPA Method 502.2, September 1986 Detection limit established at 0.5 ug/L X Dilution Factor .PPB,= Parts Per Billion ND = not detected = Detection limit of 10 ug/L Certified by:. Director Date We Main Street,.Gmveiand,MA 0.1834 Teiephone(978)521-1111 Fecsimffe(M)521=1780 -yzY 4''i""gain" �`,c.'"' _ v^a �a. , .^wi»niksfwa'R'-.S�" Y 4]£t 1.. �<Yn vi J RIM; ytcafr Specialists in Dwironmental Services CERTIFICATE OF ANALYSIS New England Environmental Tech - -- Date Received: 9/10/01 Attn:. Mr. David Argyros Date Reported: 9/19/01 310 Main Street P.O. # Groveland, MA 01834 Work Order#: 0109-10896 DESCRIPTION: PROJECT#0108064 WME-NORTH ANDOVER, MA Subject sample(s) has/have been analyzed by our laboratory with the attached results. Reference: All parameters were analyzed by U.S. EPA approved methodologies. The specific methodologies are listed in the methods column of the Certificate Of Analysis. Certification#: RI-033, MA-RI015, CT-PH-0508, ME-RIO15 NH-253700 A &B,.USDA.S-41844;.NY-11726 If you have any questions regarding this work, or if we may be of further assistance, ple co ct us Approved by: 1 7/ r' cha ob Pa n tti QA/QC Coo r' Da o g anager enc: Chain of Custody 41 Illinois Avenue,Warwick,.RI 02888 950 Boylston Street,Unit 102,Newton Highlands,MA 02461 Tel:(401) 737-8500 Fax:(401) 738-1"970 Tel:(617).965-5133. Fax:(61'7)965-5624 y .. Page` of ML Analytical;Laboratories#.Inc.." CERTIFICATE OYANALYSIS New England Environmental Tech Daae Received: 9/10/01 Approved by: Work Order# 0109-10896 .I. Analyti Sample#: 001 SAMPLE DESCRIPTION.MWl D,E GRAB 09/10/0101230 - SAWLE . DET.. Y2 ED PARAMETER RESULTS L`Il&r UNITS. METHOD DATE/TIME ' ANALYST VPH Unadjusted C5-C8 Aliphatics(FID) <10 10 119/1 MADEP 9/14/01 19:43 NPV Unadjusted C9-C12 Alipbatics(FID) 150 10 ug/l MADEP 9/14/01 19:43 NPV Methyl-telt butylether <5 5 ug/l MADEP 9/14/01 19:43 NPV Benzene <5 5 ug/l MADEP 9/14/01 19:43 NPV Toluene <5 5 ug/l MADEP 9/14/01 . 19:43 NPV . Ethylbenzene <5 5 ug/l MADEP 9/14/01 19:43 NPV m,p-Xylene <5 5 u911 MADEP 9/14/01 19:43 NPV o-Xylene <5 5 119/1 MADEP 9/14/01 19:43 NPV Naphthalene <55 119/1 MADEP 9/14/01 19:43 NPV Adjusted C5-C8 Aliphatics(FM) <10 10 u9/1 MADEP 9/14/01 19:43 NPV Adjusted C9-C12 Aliphaties(FID) 20 10 119/1 MADEP 9/14/01 19:43 NPV C9-C10 Aromatics(PID) 130 10 119/1 MADEP 9/14/01 19:43 NPV SURROGATE RANGE 9/14/01 19:43 NPV 2,5-Dibromotoluene(PID) 119 70-130'Y MADEP 9/14/01 19:43 NPV 2,5-Dibmmotoluene(FID) 119 704307 MADEP 9/14/01 19:43 NPV All QA/QC procedures required by the VPH Method were followed. All.Performance/Acceptance Standards for the required QA/QC procedures were achieved or otherwise stated. No significant modifications were made to the VPH Method.. Page 3, Of .3 . . R.I.Analytical:LaboratoriCSi hw CERTIFICATE OF ANALYSIS New England Environmental Tech Date Received: 9/10/01 Approved by: Work Order# 0109-10896 R.I. cal Sample#: 002 SAMPLE DESCRIPTION::MW 1 F,G GRAB 09,/10/01 @1230, SAMPLE DET. /YZED. PARAMETER RESULTS LIMIT UNITS METHOD DATE/TI11E ANALYST EPH C9-C18 Alipharics <7 7 U9/1 MADEP 9/19/01 13:31 TRA C19-C36 Aliphatics <7 7' U9/1 MADEP 9/19/01 13:31 TRA C11-C22 Aromatics <7 7' U9/1 MADEP 9/19/01 13:31 TRA Total EPH <21 21 U9/1 MADEP 9/19/01 13.:31 TRA, SURROGATES RANGE 9/19/01 13:31 TRA. Chloro-octadecane 40 40-140% MADEP 9/19/01 13:31 TRA Ortho-Luphenyl 77 40-140% MADEP 9/19/01 13:31 TRA. FRACTIONATION SURROGATES RANGE 9/19/01 13:31 TRA 2-Fluombipheayl 88 40-140% MADEP 9/19/01 13:31 TRA 2-Bromonaphthalene 72 40-14b% MADEP 9/19/01 13:31 TRA extraction date exuacted MADEP 9/18/01 12:05 GRK All QA/QC procedures required by the EPH Method were followed. All Performance/Acceptance"Standards for the required QA/QC procedures were achieved or otherwise stated. No significant modifications were made to the EPH Method with the followingexception: C-range values may have been blank subtracted to minimize the effect of leachable plasticizers from the SPE cartridges. White Copy Original(Accompanies Samples) Yellow Copy-Collector Pink Copy—Customer's Copy :. RJ, Analytical Laboratories, Inc, CHAIN OF CUSTODY RECORD'Page 41 Illinois Avenue 950 Boylston Street,Unit 102 Container Type Codes: Preservative Codes. Matti;Cgdfs Warwick,RI 02888 Newton Highlands,MA 02461 P=Plastic V=Vial NP=Non preserved S=Sulfuric GW;7 Groundwater S=Sgil Phone: (401)737-8500 Phone: (617)965-5133 G=Glass St=Sterile I=Cooled VC H=HCI WW=Wastewater AG=Amber Glass N=Nitric SH=NaOH DW=Potable.Water A=Air Fax: (401)738-1970 Fax: (617)965-5624 O=Other(describe) M=Methanol SB=NaHSO, O=Other(describe) B=aglk/Sniid Date Time G=Grab Container$ Preservative Matrix Collected Collected Sample ID C=Com #+Code Code Code77 Analyses Requested C . ALI NCL: 64d Client Information Project Information Company Name: New England Environmental Technologies Project Name/ Location: (�/`� r,Z� N� )Je� (VI Address: 310 Main Street P.O.Number / Project Number: 010206+ t Tocit, Istt �/ Gd, MA 01834 Project Manager e ort : Phone: . .(978) 521-1111 Fax: f978) 521-1760 sampled by: Contact: Reference Proposal: lln uished by, Date Time iteckiycd by: Date Time Turn Around Time: IS4t. 13 Normal 1 al ! 0�(J -����- Q 5 business days . . ' 04 Butcher es ma a I ❑ Rush business days) Proj cl tnents: RIAL USE ONLY. 4 Pick-up Only ❑ RIAs Sampled Q Shipped on ice . RIAL W.O.M - ' J W-i ov I., vu I MORTGAGE, INISP E, CTION PLAN NORTHFRN ASSOCIATLS, INC. BROADWAY LAWRENCE, MA 01843-3522 DEED BEF, 206612,99 ICOR- NQ"AN LEE N A TION. 314 CLARK ST PT JREF rATE NORTH ANDOVER MA SCALE: f'=60' )ATE: 9/26/01 JOE 20110829S roil 550,450--t S&jff STY WD # 314 OD LO CD L# 1 4 JR-408,00' -90-47 CLARK STREET d 7vn& hzx:!r b*en d*t9rmi7' *d bW socau cmd 0 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: SYSTEM OWNER & ADDRESS SYSTEM LOCATION 7— (example: left front of house) &//7'/ a6aj DATE OF PUMPING: a o�J'�lJo� QUANTITY PUMPEDGALLONS CESSPOOL: NO 1/ YES SEPTIC TANK: NO YES !� NATURE OF SERVICE: ROUTINE ZEMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: /� �✓ COMMENTS: f CONTENTS TRANSFERRED TO: Mar-12-02 09: 16A N.Le���NE Landscape Contr-. 978 4 3780 P.04 � J TOWN OF NORTH ANDOVER 19371 TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE W2 BILL DATE: 04/04/2000 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR YC��'4•i�:'sfP'<::�..�rv:i.:>:S .•{•�:ry::>:.�'i..'t.v!S<•+'�n j�t�f.� •� �.w,i:C.1µ!l ::f: nYr+ .S:;i it <:Jc. u:»>N:iNN ,y MEILE'S HO 0 Tf PP NG CO. .0. T C I `?.' "M1`C?'>v,iw!!+Y•' nyiit^ x.>p%V'^aX Y::T:ww�Tv ,:R: PO BOX 159 y��'{�`��''%<{.'+.•\'Y«LY..!>:vw•>:.\:+A!9.i.C:<:v:«..<•T::v>.v.wn4>YM Y:.•'::'.:.v Y..� .. NO. ANDOVER MA 01845 ` ' hi»wY.... :i. y Retain this voucher for your records NT :S I. N.. >F EFw 5 R R w t . L�4 , " ..:..:::..:: n b 46. L E�x r " T u .: v ... ................. ................. . . .. . u j.y �Y6Cn: :Lt+ '.:.1r• 1T tL'' flt`1iia���,• �w U: - .... : sf.i ti' aiser :ski" :1:. care i 3 _....__..,...._,.:.....:..,,...._._......Y::,...,..:.. ......_.... :.t DETACH Please detach here and return the bottom voucher with your payment DETACH TOWN OF NORTH ANDOVER 19371 TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE #32 BILL DATE: 04/04/2000 P.O. BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO F COLLECTOR 0 R -::fes y,.•. '«�eMeza«sri�. '.ri>Mti'^M>y.S4>!`.� :T mu4+onY1„+_+L ti.v. MEILE'S Hz.:. OTTOPPiN6 CO. . I > > w�. ZT PO BOX 159 xi M NO. ANDOVER MA 01845 Return this voucher with your payment Mar-12-02 09: 19A N.L SNE Landscape Contr_ 9784 3780 P.Os I UWN uF NUK I H ANU J1 J.RC27 TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE BILL DATE: 06/15/2000 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR W.::rc}rn«<to::in ♦ih,p:: v :'.�.>s �'}:>. r:ii. w.t..•.-•' +fir% y.i i w�v .rn :4:w MEILE'S H TT PI 0 QP NG CO. I -Ynr x4<. PO bX159 B /kj �' �::i}'ia w•:}! tato: 5 N0. ANDOVER MA184 4:>;<vC� :tMtti<i .:.>::i:w•op Mott< ..}n a..... F.ts>xn{cei::i+ci:v.'u.<•s:w '. ^ �•:• %::•1y:.,.i�.�i..ii:�.n.:.:<G'I..::i�i}:•:�:::'.'�:..}:v4..':"i.•::I.:i:+w%i'A':M.Yii�: : J.:::..v.v.::.:.......... J• �,^..>.n}'n>nwn.:nv.•..w.:::.v..::::.:n,.:....:n..... Retain this voucher for your records =RA TERES:- st S II L!-hd:t� I ' E R N:: N :n. :1 3L 0f 5 85 2fl r. } . 2 v' 1 n : :..,.. I•r y�, rc ....:.:.::: ,•':'�.'+��?J�.�:_:,i.`�:.A�:�n'n,r:: �.:�::i^::+.:::.:Yti,v_:.:�`,n'.v./.:�;�x.�.. st•'::�..::.'�Y ti�:::k:.••::•`.•'�,+.:::•. .. :n.n. ..Yv•:.w ..•..n.v. .. v.vnu:,vn..,�,v::.�.v:..�i•Y .....,...:':. n jSE Ot .. ....•.. ..... .:.:.:::..v:,:... �?a ��e�:r ��r�ig�:: NN ... ............ ... 3. ttr. :... ? ,:......:..[.:. "e a3 :•.ice a x� ..:... :.. :. , ........:. C"11,7' .., iT'? V, if iGicJ4•'vG.•. ._.. :.. �b 'natY, < e aie. Q...:�1�'.µ y'. x�e.> s.�.:,;;�►+�z�<. 1` J rc: �#rir.� s tla£e:.:s:: fsA rttim,«ta t ...g wft dam;t �13eir 'ice DETACH Please detach here and return the bottom voucher with your, payment DETACH TOWN OF NORTH ANDOVER 26738 TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE #42 BILL DATE: 06/15/2000 P.O_ BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO COLLECTOR qE �W. ht ri4 V Sb>:. id,\w vif Ji+n:, 'S H TT P N CO. . �E:;. MEILE 0 0 I G I PO BOX 159 ;< N0. ANDOVER MA 01845 �E'u v .. x;:>.,xn%.�[.X`)i%z»:k«<:..:zci::x::;::Y::t�tS::::s.•%;::ti.>:a:::x<�i:¢.:o�.u�:f:{+t:�i;i3c .ikx'.:x�.:z::s.;>:ix:;�:r Return this voucher with your payment Mar-12-02 09:21A N.Lg�'NE ^Landscape Contr. 978 4 3780 P.06 LJ 1(jWt+t Ut f1VKt H At�l jyr X170 TOWN OF NORTH ANDOVER 2001 WATER/SEWER BILL CYCLE 02 BILL DATE: 09/15/2000 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR M N PIN EILE'S OTTOP G CO. ,CO. P 1 T 0 BOX 59 NO. ANDOVER MAO1s4 5 s •. i -4L- .: +ASYwn. T�:-w0...... '�,:.'.,v. w :�.�• r. w:nu'::iY: �• Retain this voucher for your records RATS �• O.. 'nn � uuyy . ` ,f��. ;;;v:>'s R OU ba .. .......::....:..:.;:::....::.::..,::::,.: .......::..:::::. ; ; u: :I t :r: : t . .. , :'� •� 1 _mak'':. dat ��fi` , - :�"`����:. .....:..•:....,::::::.. . ei" . r; W. r xaiY DETACH Please detach here and return the bottom voucher with your payment DETACH TOWN OF NORTH ANDOVER 4196 TOWN OF NORTH ANDOVER 2001 WATER/SEWER BILL CYCLE #12 BILL DATE: 09/15/2000 P.O. BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO COLLECTOR six. YY:a`. •Vin'.:ki:r.Sr. a}� ,. � M FILE S HO TTOPPI G N CO. , I PO0 $ X 159 .�. N0. ANDO ER01845T V MA 'w 'v!: ' � r.��'`i. ��Y':SiVVii. +ATti,,i.:i'• .`�y:.`` Return this voucher with your payment Mar--12-02 09:23A N�L "-�,NE Landssc�ape$gCont�r. 97894 3780 P.07 TOWN OF NORTH ANDOVER v 2001 WATER/SEWER BILL CYCLE iD BILL DATE: 12/15/2000- P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR ;...:. TTOPPINGCO. . =:uA MULE'S HO C i . A ��:' P 0 BOX 159 . XT VER MA 184 Xw NO AN 0 5 OO XT rA ow Retain this voucher for your records 41 AM RE ST : 3.��i Vin.•i::..•. $ : e�aliy':: ' �a Wiest. 1 ' l : _:: eMdae::daps : tys hr 'Cglsecs3TfiaI :�� . r:'a+...."� ,I. DETACH Please detach here and return the bottom voucher with your payment DETACH TOWN OF NORTH ANDOVER 11906 TOWN OF NORTH ANDOVER 2001 WATER/SEWER BILL CYCLE #22 BILL DATE: 12/15/2000 P.O. BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO ..,._._, .,,...... ....... COLLECTOR IX N ME I LE S HOTT PPING CO. , I 0 PO 80X 159 N0. ANDOVER MA 01845 ,NR:iY S :r: •.Crc..:o�a.. wig.•.t> �yx� Return this voucher with your payment Mat-12-02 09:25A N,.Lqc NE LandscaeaContrr-..'978 4 3780 P.08 I vm� TOWN OF NORTH ANDOVER 2001 WATER/SEWER BILL CYCLE , BILL DATE: 03/27/2001 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR �!�.�. k Cw> oy :n MEILE1 S H 0 TTOPPING � 1 : .> P0 BOX 159 iv�v.K N0, ANDOVER ER MA 0184 nv i Retain this voucher for your records AT RAT£r C ({��J'��� v\.is•^':n.:nw.:..v�+:'�vnn:�<+ra:•i;•..•;.r.. , :...�....:.:.:....:.....v::.:.:.:..:.::..:::::.... :..a....... ,, {.�� <• .........:::..:.:. •[{}y ......:.::..:...:>:..v:::. .:: �:Y�:S...� � ..'�r � r � .oda. • .. .... .....,.::n.....:. ^ Q '"T•` 5. :•1'E#�: 2121,21" � .3;. A� :' ,�..���•�.''�> x , T. M. - ' �h ^.:, .. ..:..::...:. <.. :ll t .........:::.:::....:.... :g::........:..:.... .. ........:: T. 1�tx ea1t 1ntt[iao 19 a" n::.: :<tex e. . ..7 T:1:::::1: fie Gtr} ::due: 'iiia:' t h. R: bt a .. . i� 1 e�. ''< :r: :...�a. .......... . .. I . .0< 'C .. .. ..y Aad :.:..:'. ice. ...... .:.! '..:.::. ::..::....:..:......:. ....... .:.:.....:..:.rte T • DETACH Please detach here and return the bottom voucher with your payment DETACH TOWN OF NORTH ANDOVER 19364 TOWN OF NORTH ANDOVER 2001 WATER/SEWER BILL CYCLE #32 BILL DATE: 03/27/2001 P.O. BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO \h`~ COLLECTOR y� y w^. it X:i Ni- nW hN v . '.Vin'•>:a>. kW MEILE 1S P HOTTO PI NG CO. I POI 4 r . 159 X NO. ANDOVER MA 01845 ">, . :x 5 P' II•�Yp��q;{•sa}���:> T'�+'i.:s.i�ryc�.:x.>ZYJ^w�Yti t: Return this voucher with your payment Mar-12-02 09:2BA N.Le"�,NE Landscaee Contr-. 978'�X94 3780 P.09 TOWN OF NORTH ANDOVER 2002 WATERISEWER BILL CYCLE #,_1 BILL DATE: 10/19/2001 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR :k x x�y i:�iJ,G>yiv r•�{ K�kv <ia:vn,:,,,v.,,,:',yy,i>}x.i:.':n�.><�Y+ot'�irx Y„':T�,•:'i'�: i':r:ii<.:uv'•.t>..,...r:..... � .i .>:..ra ':.rte t^.a„'N, �n::�ti�nMt+.•,'.x<C:<..:� ME I LE S HOTTOPP I NG CO. , I = :- �' ti K POI Box 159 max. 't Y. :w N0. ANDOV E 01845 MA R r.? Retain this voucher for your records .E_ . .I: DE :I JN < , R QS WE . / / 00 AZI ' v n, n.k.._ . 1TfR;.. Sr• a/�: .jj.((•��•.����jj�//�••,��, `"����i���Q��-.::��:�:;:'�v.'.�...i���u!+'nv:�'n:�..'w:�.,:"....`:�:.^r.:.r.:r•::Y.."n�Y�.•���,�:��...:�.n.::,:'<:,::�i�:.:.•v:+:n:.�.. > n:p ri l '. :ti; r. vw .:.:...::... �s #: :..::::.:.. p�Y +" .. .... �......:..,.....,:....: ... r Ate;. '-;'^�� o».o :.zke::,i3. y,:. :ater'it sdeza _ ;€rte nFb iI.' 6Pt� 8`i `��Piapeftlkfllsltp'L' $LE:.:, }fir,AFit! a.. W .:. ..::. ..:... .e 3:tu DETACH Please detach here and return the bottom voucher with your payment DETACH TOWN OF NORTH ANDOVER 7889 TOWN OF NORTH ANDOVER 2002 WATER/SEWER BILL CYCLE #16F BILL DATE: 10/19/2001 P.O. BOX 124 Account: 2120121 NO. ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO COLLECTOR Y:V�f,r:?:Frxf.'Y:Y v�Arrc :.:���A>`}!?\+n^%T:n N:�i��'wdR�•': .risv>�.�.x:;:.:i,S.:v:i t0�'�:•:si•M.n}.n nqh.:..�.:, J... MEILE'S HOTTOPPING CO. 1 Rc”" PO BOX 159 NO. ANDOVER MA 01845 A 02 0. Return this voucher with your payment Mar-12-02 09:30A N.Le/___11�NE Landscape Cont-v: _'(.2' 4 3780 P. 10 TOWN OF NORTH ANDOVER 2001 MATER/SEWER BILL CYCLE BILL DATE: 06/15/2001 P.O. BOX 124 NO. ANDOVER MA 01845 Account: 2120121 Meter: 2120121 CHARLES BENEVENTO Service: 314 CLARK ST COLLECTOR tit'w •l :Y< z:}.•r'.%wvN'•�''n,: 1 :<:urn'�ya .'+"'.;.'::�,<�q.�..o.::�:<%•»�i'a��x<.'.,:.::.r . ME I LE S HOTTOPP I NG CO. , I PO BOX 159 - r>"�r " `" N0. ANDOVER MA 01845 <x` <.;�yyF ?•�y<ie.' 'i:t'SY:!k':.IX!t'>;•:vw•:•.y::,{:!v:S.hitit:iM:.:tr2<.: S3•: �����11...��}}.ff.'''•• .+'% .:i�:JC•.'4} fie e•fp; Retain this voucher for your records ..I T'j : E: L 5 S 1 • - :sE�.: � R : 0 1L ;. ........:..:.. " nR r . n... I:fiR.` ll �W :'_ GT£2•rfl.� 9��;����:� `'�� �: ETf ::#.,. { 2 r fihF# :83 iEA.:>:. .:I f k °i` ..... ..:.. . �Ovaty���s�.:I.��,. ... .:............. i. .. T gft n..; .n> -;dor ` ' 9: vw: .: azeit:. "," .. .. ry: ..:.....:fit...:..., r" moi. •�. �; .fie:. �.., . ..r3,'; .„�►' ,......,.........�. . :, >��..: x�.: cam•.. y n /.{gy +gyp J'R:t7 :'4{•{��"7')7:3 ......::..�:.n�..t.+. p& ., n.. DETACH Please detach here and return the bottom voucher with your payment DETACH TOWN OF NORTH ANDOVER 27944 TOWN OF NORTH ANDOVER 2001 WATER/SEWER BILL CYCLE #42 BILL DATE: 06/15/2001 P.O. BOX 124 Account: 2120121 NO_ ANDOVER MA 01845 Service: 314 CLARK ST CHARLES BENEVENTO COLLECTOR •D`y'S%�a:::•wtto:"r:>MN.::'i:ir«+<*k:•x;�:�•3i'.r>�:;c:y:,::?r:k:!u2!<'x:2.:�'Y.� va✓<� ...:ry:!n :.nk<#i::, n<:rY: •F..q:�:ya'.b.d:c:ti:a:� M '+cv3:b•. hrc: v�,:,�':}>a:.i,<sS�::l,<v:W?'ryY} ���//��jj]]�� WW"-, <a'/�iSw Y.Y�h<iS1 i5i94 viW�Y''�� MEILE'S HOTTOPPING CO. , I z« P0 60 ' X 1 59 NO. ANDOVER MA01 845 .�,yi Return this voucher with your payment NORTH BOARD OF HEALTH o M i " * 120 MAIN STREET TEL: 682-6483 SSACHUSE NORTH ANDOVER, MASS. 01845 Ext. 32 or 33 9t APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31B OF CHAPTER 111 OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE TO THE BOARD OF HEALTH: Application. is hereby made for a permit to maintain a dumpster on property located at in accordance with the Rules and Regulations of the Board of Health Check use: ( ) Residential use ( Commercial use ( ) 30 day temporary ( ) Annual Name of applicant: 0 191) Co /Pb- Owner of property:_�y< 1.G' f.�f L T� j P Telephone number:_ On the bottom half of this form, please sketch an outline of property, showing the proposed location of the dumpster. Give distance from dumpster to other buildings and lot lines or boundaries. Use back Liaitional space is eeded. `-Please return this application with a fee of .$10. 00 ($5. 00 for temporary permit) to: Board of Health, 120 Main St. , No. Andover, MA 01845. a {. ..3%:- ",rt;z' 'a�a;$ �.. .,.f +±'a'• C.. - +�� y..,a..; 4�i" 'X:r,�`F^k ° „�'_'•^ - M •L•..- .. :- . , i 1 / Y - h rt k t. � FEE t { NUMBER i t THE COMMONWEALTH OF MASSACHUSETTS $10 - 00 TOWN of NORTH ANDOVER...................... C .................... This is to Certify that ------------ NAME ...... .............................. NAME 314 Clark Street, North Andover, MA 01845 ' . _...................... i ADDRESS IS HEREBY GRANTED A PERMIT Maintain One.....(1)....Dumpster..................................................... ••-•-..._.__- For __-•--------•---•-----••---•---•--- _ d __________________________________________________________••-••--•----------- ............ ...........................................................- .......................................... This permit is ranted in conformity with the Statutes and ordinances relating thereto, and expires..._.-_De��mbex•--31.•,--••19-9.1.-••••••-•-•unless sooner suspended or revoked. ...........4..... --_______- ;,, 19.91. . . . ._. ... ��?�.....� ........ .............•--•-- .._.....August._.2-1-,..................... .I- . ............................ FORM 481 HOBBS & WARREN. INC. MIELE'S HOT TOP CO., INC. 11758 314 CLARK ST. - P.O. BOX 159 + NORTH ANDOVER, MA 01845 5-20 110 19a/F ry PAY TO THE "i �.N ORDER OF 3 r i DOLLARS { Shawmut e Shawmut Bonk,NA. ' Boston,MA 02211 P 4t FOR W-W► ii'0 1 1 —I'0 1 1000 2061: 32 07713,q ',n' 4 - • , e �1ORTH , O` .to , 1'LD = ' BOARD OF HEALTH • ��---• ,' 120 MAIN STREET . °••• ° ""cy TEL: 682-6483 �SS'4CHusc NORTH ANDOVER, MASS. 01845 Ext. 32 or 33 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31B OF CHAPTER 111 OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE I TO THE BOARD OF HEALTH: Application is hereby made for a permit to maintain adumpster on property loca c-ed at ',-31 � I 6-0'� l S I in accordance with the Rules and Regulations of the Board of Health Check use: ( ) Residential use ( � Commercial use ( ) 30 day temporary ( Annual Name of applicant: /1iI/C/E r.-L7-0 42 rl-2 /ti L Owner of property: /'//C/c-- Telephone CTelephone number: On the bottom half of this form, please sketch an outline of property, showing the proposed location of the dumpster. Give distance from dumpster to other buildings and lot lines or boundaries. Use back side if adc?itinnal space is nee-'ea. > U til ST�/L �r /v6' Please return this ap tion with a fee of $10. 00 ($5. 00 for temporary permit) to: Board of Health, 120 Main St. , No. Andover, MA 01845. NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS TOWN--------------- of ........NPRT.H---ANDOVER.................. This is to Certify that ---------Miele-'$-•-I Q t.tjop..C.QmpariLy......In-c-------------------------------- NAME ------------------------------3-1-4---Gla-r-k----Stre-ety...p-r-G.,----13.&x----1-59-j----No-r-th---Art-d-ever-i....MA ADDRESS IS HEREBY GRANTED A PERMIT For --------------------Maintain-t-a-in...One-----(j)....p3ATP.§j�q.K...................................................................... ........................................................................................................................................................................... ........................................................................................................................................................................... ............................................................................................................................................................................ This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires.....December...31......19-92--------------unlesssoonersiA "2a F(ror,revoked. rn e - , ,1!6� .. ........................... ........P -T"..---------- ....... ............... ......... ----- --------- ............. ........ February 6 , .........19.92 .. ... ...... ........ .............................................. ...... ----------------- z .................. ..................... . . .............. FORM 451 HOBBS a WARREN. INC. i MIELE'S HOT TOP CO., INC. :12058 314 CLARK ST.- P.O. BOX 159 NORTH ANDOVER, MA 01845 5-20 110 PAY TO THE I ORDER OF ( C'-�J { �y� � -� INC L full ou �`�� DOLLARS Ja Shawmut e Shawmut Bank,NA. Boskn Boston,MA 02211 ' I FOR 'i'0i205811' -i:0L10002061: 32 0 ? ? L3 4n' i i i Commonwealth of Massachusetts = City/Town of - W° System Pumping Record Form ` � 't `� Iv DEP has provided this form for use by local Bo r I aftht'C�f ` . Fm may be used, but the information must be substantially the same as atI sing this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address ,� l LA CitylTown State l Zip Code 2. System Owner: A Name `-�-- Address(if different from location) City/Town State Zi Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: a-S Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of S ste�,,r V 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. 7G. where contents were disposed: S. Lowell Waste Water Sign toe Haule Date i t5form4.doc•06103 System Pumping Record•Page 1 of 1 I