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Miscellaneous - 385 RALEIGH TAVERN LANE 4/30/2018 (2)
At f Lot & Street er�� iQ /aVe0l )Cc , Map/Parcel LN CONSTRUCTION APPROVAL Has plan review fee been paid- YES NO Permit#/ Plan Approval: Date: '� Approved by: A /2% Designer: C r4V6Alb Plan Date: Conditions: Water -Supply: Town Well Well Permit: Well Tests: Chemical Bacteria I Date Bacteria II Date Driller: Approved Approved 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? ES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: r f Aa SEPTIC SYSTEM INSTALLATION CONDITIONS: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: 1s o ( By: �kl Final Construction Approval: Date:. By: Certificate of Compliance: Approval: �Z ` 0 l Date: OL Is the installer licensed?ES Type of Construction: NEW TR,E�AIR- NewConstruction: Certified Plot Plan Review YES Floor Plan Review YES Conditions of Approval from Form U YES NO Issuance of DWC permit: YES NO DWC Permit Paid? Installer: YES NO DWC Permit # Begin Inspection: ES NO Excavation Inspection: Needed: Passed: -L 71e I By: Construction Inspection: Needed: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: 1s o ( By: �kl Final Construction Approval: Date:. By: Certificate of Compliance: Approval: �Z ` 0 l Date: OL Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Public Health Director TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 12/18/01 This is to certify that the individual subsurface disposal system constructed () or repaired (X) �= by John Soucy at 385 Raleigh Tavern Lane Telephone (978) 68&9540 Fax (978) 688-9542 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Van J. LaGrasse Board of Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 --i:4\--�`.'_ :::•. i t - TOWN OFNORrfH ANBOVER SMvAGEY + DISPOSALS)' I\STALLA-rioi! CERTIFICATION f The undersismed here,v ceriiv that the Sewa2c Disposal Syste-n i. ! const:,lc-t:d' hY_sOH 0— located at 38,5- .(ZAI..ei&Vt j AQCRN l.A,yE ------ was installed in cbrtrcrrnance with the Nto-th Andover Board of Htaith 2 -proven plan, Svstem. Deslem Per rit = , dated :with an 3ocroved desi-n tlow ot" eailons per day The materiais,use-were in cortiormarce those speciiied oh the app'rov:a plan; the systern was installed in accordarc e ,,.nth the previsions of 3,10 CIYM 15.000, Title 5 and local reL-slatiors, and the final 2radiclzagrees substantially with the approved plan. .-til work -:,s accurateiv_ reoreseated ;)c the As -built M-ich has been submitted to tiie Board e- Health. P -ed inspection •nate:— Engineer Rc�rLse :�tive. Final inspection date _ I (o b( — _ 13 G© Ensiree- Represe-:tac:v e Insta!:ec: vi L:c :. Date: MOO Tt•9 •, MCA NOR iiEAN .1_F: 11 , 2001 t� INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Init Als A. Bottom of Bed 1. Excavation to proper depth 2. With trenches, sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation, etc. Comments: B. Retaining Wall 1. Wall height and width as specified 2. Waterproofed 3. Wall minimum 10' to leaching facility 4. Wall meets specifications of plan Comments: C. Building Sewer�- 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 4� 3. Watertight joints y� 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8" per foot minimum �- 6. Pipe properly set on compact firm base ---� 7. Pipe laid on continuous grade in straight line c o 8. Cleanouts precede all change in alignment and grade v- 9. Manholes at any 90° change 10. 10' minimum offset to water line ? Comments: 4 D. Septic Tank _y,d , ; 1. Level 2. 1,500 gal minimum 3. Gas baffle present on outlet 4. Manhole to grade 5. Manholes over center and each tee .---�- - 6. 3-20" manholes 7. Inlet tee minimum 12" under invert 8. Outlet tee minimum 14" under invert ..� 9. Outlet line cemented - 10. Air space 3" above tees �- 11. 2" - 3" drop from inlet to outlet 12. Pipe set Y-- 13. Compact base with 6" of 3/4" crushed stone under tank 14. Tank is watertight Comments: E. Pump Chamber 1. If separate from tank, compact base with 6" of 3/4" stone underneath 2. Minimum 2" pipe to d -box if gravity system 3. 20" access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch 12. Pump delivers liquid to d -box Yes NO v I-V - ov el Comments: F. Distribution Box 1. D -box level 2. Minimum 0.1 T' (2") drop 691nlet to outlet_ 3. Minimum 6" sump 4. Outlet pipes show - ual distribution �(.,r 5. Compact has 6" 6" of stone beneath box `� 6. Box is watertight 7. All lines eern ted with hydraulic cement 8. Schedule 40 pipe Comments: G. Soil Absorption system 1. All stone double -washed -'/4" -1 %" - pea stone�'�� Bucket test done 2. Minimum 2" of pea stone above distribution -lies 3. Minimum 6" stonerbeneath pipe��- 4. Distribution lines capped orc nnected together 5. Grading meets 3:1 slope 6. Minimum of 9" of fill graded over system 7. Toe of slope stops minimum 5' from edge of property; if not, then swale. Comments: Leach Trenches -1.__-Minimum 2 trenches 2. Le6gth-of trenches agree with plan. (Max length 100') 3. Width oFtre rhes agree with plan - Mini um 2'; maximum - 4'. 4. V t present if < -feet or specified 5. Dist ce between trenche minimum 4' and m imum of 6' 6. Minim distance between�enches 10' 7. Pipe slop inimum 0.005 or°K per 100' 8. Depth of tr ches below outlet invert minimum of 6". I 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2. Pipe slope minimum 0.005 or 6" per 100' 3. Separation between pipe 6' maximum 4. Pipes connected at end 5. Separation between adjacent fields 10' minirr 6. Pipes set on stable base 7. Maximum 4' separation from edge of field to 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: I Leaching Pits 1. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between 12" and 48". wide 4. Access manholes on each pit 5. Pipes cemented with hydrautic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9" soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond Yes ev line NO AS -BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION -°� LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM _4 LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D -BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED f NORTH 1 I� p S$ACHUSEt Applicant_ Site Location Town of North Andover, Massachusetts Form No. 3 BOARD OF HEALTH G 19 DISPOSAL WORKS CONSTRUCTION PERMIT TE Permission is hereby granted to Construct ( ) or Repair Oo .) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. C CHAIRMAN, BOARD OF HEALTH Feel D.W.C. No. JU J Nov 15 2001 BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# LOCATION: -39_�S LICENSED INSTAAER: _�o y c IA SIGNATURE: /Olfm 6cle TELYPHONE# ' ! lis SS l CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. Administrative Use Only t $160.00 Fee Attached? Yesyx No Foundation As -Built? Yes No Floor Plans? Yes No Approval Date: / INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property at Rde'4/70r;�I-ative to the application of dated for plans by N 1�V1JY"_14WC n dated �l I b b I with revisions dated 1 I understand the following obligations for manage ent of this project: As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable. 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. 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached.. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components. 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Date: tl-/ ��"'�' l Disposa/Works Construction Pe/.t it ���U SEPTIC PLAN SUBMITTAL FORM LOCATION: NEW PLANS: YES $160.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO r DATE: 9 2t3r;! DESIGN ENGINEER: A9ec,— R1111 fC�v1r) ��ci'r�en f',� ►� ,.sem~ DATE TO CONSULTANT: ?/Zz) When the submission is all in place, route to the Health Secretary. NEW ENGLAND ENGINEERING SERVICES lk INC August 17, 2001 Sandra Starr, Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 385 Raleigh Tavern Lane, North Andover, Septic system design Dear Sandra: Enclosed are the following documents relative to the above referenced property. 1. 5 sets of design plans, 2 with original signatures. 2. Soil evaluator sheets. 3. Check for the fee. 4. Plan submittal form. These plans are being submitted for approval. This plan requires a variance and it is hereby requested that the Board of health approve the following variance. Allow the septic system to be located in an area where there is only 20" of "C" layer or pervious material in lieu of the 24" that is required when the system is equipped with a Fast System. I would like to further request that the hearing for the variance be held at the August 30, 2001 Board of Health meeting. I believe the Board can consider this variance prior to the final approval of the plans by the consultant. If you have any questions please do not hesitate to contact this office. Sincerely, Be �a C. Osgob , Jr., EIT President ,.',; 19 2001 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 CHECKLIST FOR NORTH ANDOVER N & M Job 1770/ Y4 SEPTIC SYSTEM PLANS The following is a checklist that incorporates all Title 5 and local regulations for septic plans. Name of Applicant: i% a /f 1 Name of Designer: zeV// A) e'. Plan Date: G 4 Revision Date: Date of Review: Property Address: 3 0 S !ems Z- f e ff TJJVe--- 4-- map: / 07e9- Lot: BOH Reviewer: �1/ tf : Type of Plan (new o upgrade): Number of Bedrooms in Assessor's Records: ggppd) Garbage Disposal Allowed: General Information:, N.A.N A. - -North Andover Septic Regulations Other numbers refer to Title 5 OK Prgblem N/A f� Street number and map/lot - 220(4)(u) Maximum scale of 1 "=40' for plot plan - 220(4) Maximum scale of 1 "=20' for profile and component details - 220(4) Legal boundaries of the facility being served - 220(4)(a) Names of abutters from recent tax map - NA 8.02j Number of bedrooms, design calcs., - NA 8..021 �_— Name & address of record owner & applicant - NA 8.02k Name & address of designer - NA 8.021 Holder and location of all easements - 220(4)(b) Date plan drawn & any revision date - NA 8.02m All dwellings and buildings, existing and proposed - 220(4)(c) Location of all existing or proposed impervious areas - 220(4)(d) All distances on site plan - NA 8.03a -c Elevation of proposed driveway - NA 8.02t Location and elevation of foundation drain - NA 8.02y Location and dimensions of the system incl. reserve (new const.) - 220(4)(e) Limits of excavation of leach area on site plan - NA 8.02z fff� Locus plan - 220(4)(t) (Not to scale) --Porth arrow - 220(4)(g) Existing and proposed contours - 220(4)(g) Locations and logs of deep holes - 220(4)(h) Locations and logs of percolation tests - 220(4)(i) -- Date(s) of soil testing - 220(4)(h) & (i) Existing grade elevation of each deep hole - 220(4)(h) �-' Elevation of percolation tests - N.A. 8.02n Name of approving authority representative - 220(4)(h) & (i) Name of soil evaluator - 220(4)0) Soil logs and perc test logs match BOH records Locations of waterlines, drains, and subsurface utilities - 220(4)(m) Observed and adjusted g.w. elevation in the vicinity of the system - 220(4)(n) Complete profile of the system to scale - 220(4)(o), NA 8.02c Cross section of leaching facility - NA 8.02w (Not to scale) Location of benchmark(s) within 50-75 feet of facility - 220(4)(q) Note listing all variance requests with proper citations - 220(4)(p) Local upgrade approval request form submitted - 403(1) Original R.S./P.E. stamp, signature & date - 220(1) & (2) V it-- --' If P.E., discipline specified within stamp. MGL C. 112 s. 81M sfc. supplies (w/in 400'), pub. wells (w/in 250'), pvt. wells (w/in 150') - 220(4)( Location of watercourses, wetlands, wells, etc. Win 150' of system - NA 8.02r Wetland disclaimer - NA 8.02s - RLS plan reference & certification required (prop line setbacks) - 220(3) Use approvals / standards checked for UA system - DEP docs., Perc rate >30 MPI - not allowed for new, LUA for upgrade - 245(1)&('3) Perc rate > 60 MPI - must use modified tight tank or UA technology - 245(4) Proposed system qualifies as "shared" system - 002 (definitions) Flow is over 2,000 gpd - No R.S. allowed - 220(1) Design flow was set in accordance with code - 203 Existing system location and note on proper abandonment - 354 Leaching facility at least 1' above Base Flood elevation — NA 9.05 All piping Sch 40 minimum — NA 10.01 Basement floor minimum 1' above groundwater elevation — NA 5.04 Foundation drain present with elevation — NA 8.02y On-site Soil and Groundwater Review OK Problem N/A E� Proper deep observation hole logs. on plan - 220(4)(h) All deep holes and peres shown, including aborted tests — NA 8.02n Soil evaluation forms submitted within 60 days of field work - 018(2) Proper percolation test log - 220(4)(i) Ample deep observation holes in primary disposal area (minimum 2) - 102(2) �~ Ample deep observation holes in secondary disposal area (minimum 2) - 102(2) Ample perc testing (one in each disposal area, 3 in prim. > 2,000 gpd) - 104(4) Deep hole testing conducted within two years — NA 7.05 Hole Identification Numbers: ground elevation el. Gf acceptable soil el. Leach facilitv invert el. ground water el. refusal el. _ bottom of leach facility el. thickness of acceptable soil_ before & after soil R&R separation to groundwater separation to refusal soil class_ perc rate loading rate �— septic tank below g.w. table pump tank below g.w. table l.f in fill Setback Distances (Given in feet) 15.211 2 (yes or no) (yes or no) -255(l) YES NO Is the lot in the Lake Cochiewick Watershed? NA 6.00 & 5.02 OK Problem N/A Septic Tank Leach Facility Property line 10 10 �'r Cellar wall 10 20 Inground pool 10 20 Slab foundation 10 10 �J Deck, on footings, etc. 5 10 Waterline 10 10 Private drinking well 75 100 ^— Irrigation well 75 100 Wetlands 75 100 Public well 400 400 Wetlands bordering surface 150 150 water Supply or trib. (in Watershed) - Length of run: Trib. To Surface Water supply 325 325 Reservoirs 400 400 Tributaries to reservoirs 200 200 Drains (wat. supply/trib.) 50 100 �'- Drains (intercept g.w.) 25 50 ��— Foundation drains 10 20 C— Drains (Other) 5 10 —T Drywells 20 25 Downhill slope 15' to 3:1 slope w/o barrier Building Sewer OK Problem N/A Grease trap required for certain uses (check 230 for details) Pipe diameter listed (4" minimum) - 222(1) �-- Pipe schedule listed - 222(3) e_— Pipe cast iron or Sch 40 PVC — NA 11.02 — Watertight joints specified - 222(3) & (4) L" Pipe laid on compact, fin base - 222(5) h ��`�� Pipe laid on continuous grade in straight line - 222(7) @ '^ Cleanouts precede all changes in alignment and grade - 222(8) Cleanout provided every 100 feet - 222(8) —rte- Manhole at any 90 degree alignment change - 222(8) Invert elevation at building:, Invert elevation at septic tank: - Length of run: - Slope: (minimum of 0.01 - 0.02 desired) - 222(6) '--� 10' offset to private well or suction line - 222(2) 3 3 Septic Tank OK Problem N/A - Tank is accessible - 228(3) No structures above tank- (228(3) r-- -� Tank can accommodate both primary & reserve - NA 9.04 200% of flow (required & provided given. 1500 min.) - 220(4)(f) & 223)(1)(a) _ 2-3" drop from inlet to outlet - 227(5) - Minimum of 4' liquid depth - 223(2) �- 3" air space above tees/baffles (minimum) - 227(4) �-- 9"air space above flow line (minimum) - 227(4) Tees are not to be replaced by baffles - 227(1) Tees extend 6" above flow line - 227(1) Inlet tee extends 10" below flow line (minimum) - 227(6) Outlet tee extends 14" below flow line (more for deeper tanks) - 227(6) R Gas baffle installed on outlet - 227(4) Access manhole cover above center of tank & each tee (except 2 compart) 228(2) 3-20" manholes - 228(2) 1 childproof, 24" riser/manhole w/in 6" of final grade if <1000gpd- 228(2) ✓' Inlet and outlet tees on center line - 227(1) Soil compaction below tank specified.(if soil is non-native) - 221(2) — > 6" of <=3/4"stone beneath tank specified - 221(2) & 22 8(1) If > 1,000 gpd AND not a single fam. dwell. must be 2 tks or 2 comp. - 223(1)(b) If plan specifies disposal must be 2 tanks in series or 2 compart. tank - 223(1)(c) Buoyancy calcs. required if tank at or below water table - 221(8) f' Tank is watertight - 221 (1) 9" of cover over tank (minimum) - 228(1) y— H- 10 loading (min.) - H-20 if traffic - 226(3) Top of tank <=36" below grade - 221(7) All pumping to tank (if applies) in accordance with - 229 -✓'�`� Tank is set to keep old system in service during install if possible Distribution Box (Check here if not present: 1 OK Problem N/A Inlet elevation:. Outlet elevation: 0.17' drop from inlet to outlet (minimum) - 232(3)(b) 6" sump (minimum) - 232(3)(e) All outlets at same elevation - 232(3)(b) Outlet pipes laid level for first 2 ft. - 232(3)(c) AT Pipe Sch 40 - NA 10.01 Number of outlets: Number of laterals: Size of outlets: Inlet baffle/tee min. 1" over outlet invert for all d -boxes - 232(3)(a), Soil compaction below distribution box specified (if soil is non-native) - 221(2) 6" of stone beneath distribution box specified - 221(2) Box is watertight - 221 (1) Top of box <=36" below grade - 221(7) Buoyancy calculations required if box is at or below water table - 221(8) Pump Chamber (Check here if not present: OK Problem N/A Volume specified: 220(4)(r) Pump on elevation- 220(4)(r) Pump off elevation: 220(4)(r) Alarm on elevation: 220(4)(r) Number of cycles per day - 220(4)(r) (also 254(1)(d) if gravity from d -box) Minimum 2" delivery line to d -box if gravity - 254(1)( c) 4 -- Pressure dosed l.f. if flow >= 2,000 gpd - 254(1)(a) & 254(2)(a) y Cycles per day is consistent with chamber volume - 23 1 Volume calculations include flowback volume - 2') 1(2) �-- 24 hour storage capacity bove pump on elevation - 231(2) Number of pumps: 2 if system serves >2 dwelling units - 231(6) Capacity of pump(s) - gpm @ ' TDH - 220(4)(r) Pump can pass 1 1/4 "solids (minimum) - 231(7) - �^ Pump controls specified - 220(4)(r) Alarm equipment specified - 231(2) Alarm is in building and powered on separate circuit from pump - 2') 1(9) _ Pump sequence correct (off -lead on -lag on -alae -n on) - 231(8) Pump performance curves included - 220(4)(r) Manual operating switch - NA 12.01 �G Check valve, bleeder hole - NA 12.01 4-''" w` 1 childproof, 24" riser/manhole to final grade - 2'31(5), !' Soil compaction beneath pump chamber specified (if soil is non-native) - 221(2) 1G 6"of <=3/4"stone beneath chmbr. specified - 221(2) & 228(1), �1 Buoyancy calculations if chamber is at or below water table - 221(8)9 -- 9" of cover over chamber (minimum) - 228(1) H- 10 loading (min.) - H-20 if traffic - 226(')), Chamber is watertight - 221 (1) Top of chamber <=36" below grade - 221(7) Leaching Facility (general - complete for all designs) OK Problem N/A `�- 50% larger if garbage disposal - 240(4) Trenches to be used whenever possible - 240(6) �-- No vehicle or imperv. area above l.f. unless unavoidable - 240(7); NA 13.02 nted if under impervious cover -241.(l) -Vented through same as distribution system 241 (1)(a) pipes - 9i/.r retr-� Vent protected from precipitation/animal entry - 241 (1)(b) Vent is placed beyond traffic or impervious area - 24 1 (1)(c) All lines connected to vent if bed or trenches - 241(1)(d) 9" cover over peastone - 240(9) �-- Reserve area provided (new construction) - 248(1) Reserve 4' from primary leach area - NA 9.04 4' (5' if perc rate <=2 MPI) separation to g.w. - 212(a) & (b) t'" n 4' (down to 2' with variance or UA - upgrades only) of natural soil under 11 4-''" w` GW separation is adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005 - 251(9) Require 5' removal and replacement if in fill - 255(5) �1 Top of leach facility <= 36" below grade - 221(7) -- Final grade over 1.£ minimum 0.02 ft/ft -240(10) Surface & subsurface drainage away from It - 240(1 1) & 245(5) Minimum design flow 440 gpd without deed restriction - NA 13.01 3:1 slope where grading required - 255(2) �°---�� Toe of fill slope stops 5' from property line or swale installed - 255(2) Impermeable barrier if < 3:1 slope or < 15 feet to-3:lslope - 255(2) Impermeable barrier/retaining wall poured concrete - NA 9.02 Retaining wall stamped by P.E. - 255(2)(b) Top of retaining wall >= top of peastone elevation - 255(2)(f) 10' offset from edge of leach facility to edge of ret. wall - 255(2)(g) Perc test(s) done in most restrictive layer - 104(2) 1C Perc test 4' below leaching elevation - NA 7.06 Design flow listed and required/provided leach area given - 220(4)(f) --. Leach pipes SCI49C - NA 10.01 Leach pipes minirAN' diameter except for dosed system - NA 14.04 Leach lines capped, vented, or connected together - 251(9) -- Pressure dosing guidance followed if pressure distribution - 254(2)(c ), Pressure dosing required over 2,000 gpd or with I/A remedial use - 231(1) rel Leaching Trenches (Check here if not present: ) OK Problem N/A Number of trenches: Minimum of 2 trenches - NA 9.01(2) Depth of trenches (max eff. 2'): -247(l) Width of trenches (2' min., 4' - 251 (1)(b) Length of trenches (100' - 25 1 (1)(a) Trenches are vent when> 50') - 251 (11) Trenches fo contour lines - 251(2) Trench cing 3 times effective width or depth minimum- 251 (1)(d) In or reserve between trenches, 10' min. - NA 14.01& 14.03 vailable leach area given (Min. 500 s.f.) - NA 9.01(2) Bottom=L xW x#- _ Sidewall = L x D —x2= Effective leach area given Loading factor: Effective area = total a s.f. x LTAR = Effective area is �ashegd flow of facility being served 2"of 1/8"- 1/2" 2peastone.-247(2) Trench dep _ 3/4" to 11/2" double washed stone - 247(1) Leach Fields (Check here if not present: ) OK Problem N/A Final Grading OK Problem N/A s.f. s. f. g/day Number of fields: (need dosing chamber if > 1, 231 (1)) Length (100' max.): - 252 (2)(b) Width: Total area: L x W = s. f. Minimum 900 square feet - NA 9.01(1) Distribution lines connected with solid pipe — NA 15.01 Effective leach area given Loading factor: Effective area = total area s.f x LTAR = g/dav Effective area is >= design flow of facility being served Minimum of two distribution lines - 252(2)(a) Cline separation (max.) - 252(2)(d) 4' maximum separation from edge of field to line - 252(2)(e) 10' minimum separation between adjacent leach fields - 252(2)(f). Between 6" and 12" of 3/4 - 1 1/2" stone beneath field - 252(2)(g) & 247(2) 2"of 1/8"-1/2" 2x washed peastone.- 247(2) Slope over leach area minimum of 0.02 feet/foot — 240(10) Grading shall divert drainage away from leach area — 240(l 1) Grading slopes away from dwelling 5/24/01 f./office/forms/tonackltr.doc NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm(a,netway.com Date August 23, 2001 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770/019A 385 Raleigh Tavern Lane Assessors Map 107A, Lot 121 Dear Members of the Board, Jt r 3n ty rA: Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated August 16,2001, by New England Engineering Services, Inc.. It is our opinion that the proposed design will meet the requirements of Title 5 and the North Andover Board of Health `By -Laws" if the following is addressed: On Sheet 1 of 2 identify Town Health Representative present during testing Land Surveyors Civil Engineers Environmental Planners 220(4)(h)&(1) ,f--2-)— Disciple should be written adjacent to signature and stamp. -MGL C1 129.81M v3 -r Submit DEP approval documents for secondary treatment (Bio-microbles, Inc.). ' J --- -4) Existing septic tank should be removed rather than crushed and filled or relocate J proposed D -Box and piping to an area away from existing septic tank. -354 Septic tank shall have the first compartment size of 500 gallons. The second compartment shall be at least 1000 gallons. See DEP approval. 4-'6) Specify the micro -fast to be 0.5 Model. e_-7) Public notification variance hearing is necessary as less than 2 feet of natural pervious soil exists in accordance with 15.411. �8) Final grade over system center elevation should be 102.06 for 2% grade —240.1.0. 4,--9,) Minimum horizontal distance to 100 feet contour is 17.1 feet for a break-out — elevation of 100.7. Please revise accordingly, -255(2). inch 10) 3 manifold should have a continuous slope back to pump chamber to ensure back drain. Revise profile to ensure staggered height of manifold risers and give manifold a specific scope back in area of leaching system. Land Surveyors Civil Engineers Environmental Planners Identify size of riser pipe from 3 inch manifold to lateral pipe. 21') 2) Provide pressure distribution design calculations for orifice flow and size, spacing, lateral head loss, manifold head -loss and force main head -loss. This information should be on 8.5 X 11 paper. 6-/1'3) Identify location of pressure system cleanouts on plan view. /e -e"1$7 ) Remove General Note 7. Respectfully, ohn L. Noonan, P.L.S.-P.E. &office/forms/tonarev/1770019A Land Surveyors Civil Engineers 2 Environmental Planners M 0 Fl— [ 'A Lzlel,�STI.Z_ Ln '30 / ru Postage $ Certified Fee r,U ia Return Receipt Fee Here ft C3 (Endorsement Required) C3 Restricted Delivery Fee E3 (Endorsement Required) GS M C3 Total Postage & Fees Is 31V ru Sent To M Ot #0 1 %5 Drift --------------------------------------------------------------------- or PO Box No. L N. .... T ....................... CD Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A signature upon delivery s A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece `Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery mays be' restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ® If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT. Save this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102595-01-M-1049 IM Total Postage & Fees $ A A L rU M 0 Postage 33nj �• J $ru �ST O rrCertified Fee C�` �(( PZ I Return Receipt Fee ` Po n H j``.i - (Endorsement Required) J C:3 Restricted Delivery Fee ?AR 17 (Endorsement Required) I O 0- 1=11 t=11 Total Postage & Fees $ A L J rU M 0 Sent To rF -[�isi(r�q ' ..l Street. Apt. No.; or PO Box No. �(( �r�'F. 7r�, --•------------•----------- �r1t4'l� o o City State, ZIP+4 j``.i - ---•-- Certified Mail Provides: , ■ A mailing receipt e A unique identifier for your mailpiece ■ A signature upon delivery ■ A record of delivery kept by the Postal Service for two years Important Reminders: m Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. ■ Certified Mail isnot: available for any class of international mail. ® NO INSURANCE COVERAGE' IS PROVIDED with Certified Mail. For valuables; please consider Insured.or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece 'Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivpry may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". e If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102595-01-M-1049 tr- ®1> L f1J Postage Ir r1J ' Certified Fee Q J,10 / ,,�p� ,•••����� 11 SEP PIe•.. 1 C3 Return Receipt Fee (Endorsement Required) C3 O Restricted Delivery Fee (Endorsementequ Required) C3 SPS - Total Postage & Fees $ felSent To Street, Apt. No.; or PC Box No. J l 9 �u ... -- City, State, ZIP+4 Certified Mail Provides: ■ A mailing receipt ' s A unique identifier for your mailpiece e A signature upon delivery e A record of delivery kept by the Postal Service for two years Important Reminders:, ■ Certified Mail,may ONLY be combined with First -Class Mail or Priority Mail. ® Certified`Mail'is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. s For an additional fee, a Return Receipt may tie requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece 'Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. IS For an additional'•`fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If apostmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT- Save this receipt and present it when making an inquiry. PS Form 3800, January 2001 (Reverse) 102595-01-M-1049 O O ll �. Ln ruPostageCertified `r t Fee �tT Return ReceiptFee Required) SORestricted D20Wer. 0(Endorsement Delivery FeeO (Endorsement Required)O Total Postage & Fees $ � -� � ru Sent To m - O '( i*` c t�calf s -------- ---- ----------------- --------------- 'i Street, Apt. No.; f�� or PO Box No. �j O �`------I�L1-�� ------�Gpl/Lt�_ City, State, ZIP+4 -T "'"""'" O t- jMonism= �� Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece a A signature upon delivery e A record of deliver kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be,ebmbined with First -Class Mail or Priority Mail. ■ Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. e For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece to Receipt Requested". To receive a fee waiver for a duplicate return receipt,ra USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". a If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the posf-office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT. Save this receipt and present it when making an inquiry. PS Form 3800, JanuQW 2001 (Reverse) 102595-01-M-1049 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we' can return the card to you. '■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: A. Received by (Please Print Clearly)I B. Date of n T, Is)gelivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type Wertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) ? 0 0. 1_ ; 0 -3 2 Ot. 0 0 0 0 2 9 6.21 50 116 PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-1424 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS 111111 Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • P.O. BOX 536 No Andover. MA 01845 1111!!i 111 if I l l l i if Ill l!lli�!lII1!ltilll Complete items 1, 2,.ands3. Also complete yjern 4 -if Restricted Delivery is desired. Tint:your name and address on the reverse so that we can return the'card to you. ■'Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 7.3 A. Received by (Please Print Clearly) I B. Slate pf Delivery lo Agent lo Addressee i�Ielivery address different from ite 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 1A Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 0 01: 0 3 2 0 .0 0,0 0 2.9 6 2 5 0 3 0 PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-1424' UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • P.O. BOX 536 No Andover. MA 01845 liIIIIIIIIII I III III IIIIIIIIII! IIIIII I I III I III It ILII III III I i I If ■ Complete iteirls 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. �.+ Print youf•n.' ,me and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 00 k). 4.,0-. ��, c f�� y,��� �Q IG9 0A I/fy- ( 1�2k� 2. Article Number (Transfer from service label) A. Received by (Please Print Clearly) B. pate /j- of Delivery C. Signature� N � ® Agent X Q ❑ Addressee D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type Al Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 7001 0320 0000 2962 5009 — ❑ Yes PS Form 3811, March 2oo1 Domestic Return Receipt 102595.01-M-1424 UNITED STATES POSTAL SERVICE First -Class Mail Postage '& Fees Paid USPS 111111 Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • P.O. BOX 536 No Andover, MA 01845 ■ CoMplete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: F; & l 0VD- 61-4 I^, PGI�.LGc ,� ' ✓v A. Received by (Please Print Clearly) I B. X If YES, enter delivery of Delivery Q Addressee n i em ? ❑ Yes below: ❑ No 3. Service Type i Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) ?001 0320 0000 2962 5023 PS Form 3811, March 2001 Domestic Return Receipt 102595-01-M-1424 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fee& Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • P.O. BOX 536 No Andover, MA 01845 III. I I1IIIIIIII!I IIIIIt II II I! III I I I I I I I I III If I II 11111111111 II NEW ENGLAND ENGINEERING SERVICES INC September 21, 2001 Sandra Starr North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 385 Raleigh tavern lane Dear Sandra: At your request I am sending this letter as a reminder that I have been scheduled for a variance hearing for the above referenced property. The hearing was to be scheduled for your September 27, 2001 meeting. I have enclosed a copy of the notice that was sent to the abutters and the original mailing receipts as well as the return cards for four of the abutters. If you have any questions please do not hesitate to call. Sincerely, )Y-61 C� BenjamirfC. Osgood, Jr. President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 4 41 PUBLIC NOTICE Public notice is hereby being given to the abutters of 385 Raleigh Tavern Lane, North Andover, MA regarding the request of John Sefarian for approval for reductions to the requirements of the Title 5, the law governing the installation of septic systems in Massachusetts. The request is being made to allow the installation of a septic system to replace the existing failed septic system. The following Title 5 Variances are being requested. TITLE 5 VARIANCES: 1. Reduction in the required depth of naturally occurring pervious soil below the leach field from 24 " as allowed with a Fast Effluent Pretreatment System to 20". The Board of Health will hold a public hearing regarding this request on Thursday September 27, 2001 at 7:15 PM in the Public Works meeting Room at 384 Osgood Street, North Andover, MA. If you have questions regarding this hearing you may contact the Board of Health at 978-688-9540, or contact New England Engineering Services, Inc. at 978-686-1768. Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Health Director October 12, 2001 Ben Osgood New England Engineering Services, Inc. 60 Beechwood Drive North Andover, MA 01845 Re: 385 Raleigh Tavern Lane Dear Mr. Osgood: WOO Telephone (978) 688-9540 Fax(978)688-9542 This letter confirms that on September 27, 2001, a hearing was held at the regularly scheduled meeting by the North Andover Board of Health to consider a variance request for the repair of the septic system at 385 Raleigh Tavern Lane. After due deliberation, the Board voted to approve the request to allow the proposed septic system area to be placed in a location with 20 inches of parent material in the C horizon. This 20 -inch depth is 4 inches less than the minimum 24 inches required with use of a Fast System. Please call the Health office at 688-9540 if you have any questions. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: Homeowners File SS/aero BOARD OF APPEALS 688-9541 BUILDMIG 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 SEPTIC PLAN SUBMITTAL FORM LOCATION: �3,9. S 141 e ;q k NEW PLANS: YES $160.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: 1114ki — rT DESIGN ENGINEER: /�0'e •� lC�, :.� �2r s� �� is DATE TO CONSULTANT: /i/00,01 y r c4 13$tg ��oo When the submission is all in place, route to the Health Secretary. BOARD OF HEALI Y --- iW� N N N Fto W W W W W W W x x N N N coo NCQ N .��q aa -,r Ce A A Ct CI (V oal t G� ? r? / l% � ='G ,-1 �U Et� - 7-7 0 I./ -S C�LLIL; G Gt 2p -L _J -)t -c! -{A -2L f. gj�-A4 x - 7a g 6 —//ohs /� I"us� LU LU xxx IA Vf fA 000 in riAA «nn �J ,� ITP 6 L) AA 7—;"— L-' 0 ,. }'�f^C N %c✓� .2/rC Vit L) L` e ri ,4 n./1 FO L -D ftf" L7 o6as)zx�<� x Pr Nt xc V u�-7r7-( P 35! /- J tj %7 i2 �5 ' v/aiL'2r4►. spR c, ,j Cr !T i cif %�'� %L' /� l�✓ I �/ v!� [i N �iil l� / 5 120J "r- 11,5— ,� ITP 6 NL PUn�� ptS ct?�'%1G.0 rc 7 "fs �LctTc'6cw� }C Ep ?02, cS G. /7, L) AA 7—;"— L-' 0 ,. }'�f^C N %c✓� .2/rC Vit L) L` e ri ,4 n./1 FO L -D L7 o6as)zx�<� x Ir�.f2S�2Xao 2,3 G-G!/v ry 120J "r- 11,5— NL PUn�� ptS ct?�'%1G.0 rc 7 "fs �LctTc'6cw� }C Ep ?02, cS G. /7, 5+e71 r _ ` :? !� i � y��:� � Q.... u.J � �..,;% h�.L` S:5 - UA :5- W W W W W W coo /V CT e. s ; 3 h N O O _n 7X2aG--.-t om ar= 2" Poc., AAA C4 5- pa rly nrt o � � c 5 +' S= C P p R 3 �% !'v /mac f f l <s 7 (� l�T ��/�. c7 s rz a �� ✓ ,�: 65 vv`;� NEW ENGLAND ENGINEERING SERVICES INC November 6, 2001 Sandra Starr, Administrator North Andover Health Department Town Hall Annex 27 Charles Street North Andover, MA 01845 Re: 385 Raleigh Tavern lane, North Andover, Septic system design Dear Sandra: Enclosed are revised plans pertaining to the septic system design for the above referenced property. The changes that have been made to the plans are as follows: 1. The town representative present during testing has been identified. 2. Discipline has been written next to the signature of the engineer. 3. DEP approval documents of the fast system are enclosed. 4. Septic. tank has been specified as being removed. 5. Septic tank compartment sizes have been corrected on the fast tank. 6. Micro fast has been specified as the 0.5 Model. 7. The variance hearing has been advertised and variance has been approved. 8.. Grades over the system have been detailed. 9. Contour lines have been adjusted to meet the required offset to slope. 10. Manifold invert elevations in the field have been specified on the leach pipe layout plan view. Profile view specifies minimum slope of manifold pipe. 11. Risers between the manifold and the lateral pipes have been specified as min 3". 12. Pressure distribution design calculations are enclosed. 13. Lateral clean out locations are shown on leach pipe layout plan view on sheet 2. 14. General note # 7 has been revised. These plans are being submitted for approval by the Board of Health. If you have any questions regarding the information submitted, please do not hesitate to contact this office. Sincerely, 9 C -- B � EITenjahin President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 p LEM i 2L3,ivRiL ✓ i�2'' �Ui!t�N.1-- `f ,'a�/r�t. 1�G': 1 G -'!i/ /� - w/W^' 1 S SFS PLt4,v S Sete- /V 4,- G�9 r2�M L) /2 y' / rr �c7 r2! 777 /4 7-)7" CALCv 2p- L I Sc RLL k his �; pi se �I K& e (`i = D rs� Fs A- tz !� f es(? t''L' f { f` ;+7-/ 41 r✓ ]{ GP.4 x 7 a g tlG //ohs IZ4 CW OP O,44/ LUMAIAI LUwW xxx N V! 0 cooin !N aaq t; C; tV H C U STJ-1p s 40. I` z IN/)t e: r L a}.f NZ ek74 tilt 7,2 8G l� S j' L t f! F# � !,. r 4", C Fi ✓ rJ r s -5 ' ,� r rF Y A -S 11-1 r.•X(.0 v Al Le � N 6 -7-7'f J r qQf-�L d -v rjCr- %D t2 ' y L -204-L- 5,z-qcr �c1 it 3 M tq&,/ i r --,o L,> fl�l �12.sr. SNL i�(:� p tS c. - I -V- TE t214Y- 0 e sc ffof-/Z4,� zl � ���(,% N [%% a/ J .2 /�C V v t, tl .•.�- E.� - tr o L v ,�, � a! L/'�"�2 f=1 L S .,¢ 17 o6�s)z ax�o 2.o.�62 t o da 21 G Per Is _ 2 -3 7 f s6 r�os� �a6u,�►��= dam, ��� 1/0 rl-5 ,:s -3, 7�v,4y G" ¢� O� fl�l �12.sr. SNL i�(:� p tS c. - I -V- TE t214Y- 0 e sc ffof-/Z4,� 5teP L 6t;1-CUL&%^v/� 1 `!i�� (� t�i0= }} 2. 5 r✓' —7 6a w allM aag SA of000 A)GT �}ll� ! 0 0 04 A r n 3 iaa!����t i NEW ENGLAND ENGINEERING SERVICES INC November 13, 2001 John Noonan Noonan and McDowell, Inc. 25 Bridge Street Billerica, MA 01821 Re: 385 Raleigh Tavern Lane, North Andover Plan Review Dear John: Enclosed are revised plans and calculations for the pressure dosed septic system design for the above referenced property. Because of the reduced head, the pump was made smaller and more holes were added in the laterals. I would appreciate you reviewing the revisions as soon as possible so we can pull a permit for the installation by Thursday. If you have any questions regarding the revised design please do not hesitate to call. Sincerely, 7 4�f'0 BenjaZin C. Osgoo/Jr.,EIT President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 -.(978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 A 04 V V C4 C4 F, -z , a ,— j 9 s —,o N /, - -, ��-3 I I xJ 7?r SFS FL r- 12 0 A4 KI ^2 -Z 0 i7�v C- yv 19- t, L/ L., a L disc RLQ j7 Pis, ytf�&& x = 9'-10 n aaa AAA cvcva U STS P f/ �f G i6 /`'Ff Pf+� r .'`�t /`�f<� i t i� 41� •Q 1 (SSG' L3 �L D o -r 6,E 35 �-0 rjCr- GoL5 ' Z- arL-�a04-1- Aj t ivt AJ 4,D t E N e S 3 /nfqnJIF--OL> lS UIQ. S Iii 6 DG' Z�/rtr�1�vaE" t1 c.J AA-� r:'r.7 c t </ J t. U n n j 4 Vit' S cl / c? r,�' L�� ✓ L? L, u It, %Gt!J :2 r� 1,�4 L L� > V OLU ti, �%` Ji/ � �" /�/'7 tr J + .:77j1C. u6�s)2xiy t- �C.��s��X�o 120J 657 5 Hv ✓�17 U � /�✓� (rG "�/D rS !� 0� 3 J r'rr II n s I:;�O,S �/afl�l�C Oct 02:-7, 7 IZA4 PCY1�F'/2C-C re /mac ✓ r% I-0--- � W W W W W W xxx YD AA 0 h0o �n aaa ring rC4r A"L)L�- Ty 1'' 12 C- D Pj L Fe -'-c T-7 J r 1, o s� G 'v ! 77-1 ;- A } 91-0 6 PNS T; -(2o 2,,vO 1-1y B R o 5 F 4/0 M NOONAN & Mc DOWELL, INC. 25 Bridge Street, Suite 6, Billerica, MA 01821-1023 Voice (978) 667-9736 Fax (978) 671-9565 Email: nm@netway.com Date November 14, 2001 Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan Review, 1770, Lot 019A 385 Raleigh Tavern Lane Assessors Map 107A, 121 Dear Members of the Board, Please be advised that Noonan & McDowell, Inc. has reviewed the plan dated August 16, 2001, and revised: August 16, 2001 By New England Engineering Services, Inc. It is our opinion that the proposed design meets the requirements of Title 5 and the North Andover Board of Health `By -Laws". Respectfully, John L. Noonan, P.L.S.-P.E. G : office/5/ 1770019A �K To:'A BQA NORM ��,Nt�iFO / F -- P10V 15 2001 Land Surveyors Civil Engineers Environmental Planners Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 "SS"C"'ntis Sandra Starr Health Director November 15, 2001 Ben Osgood New England Engineering 60 Beechwood Drive No. Andover, MA 01845 Re: 385 Raleigh Tavern Lane Dear Ben: OP Telephone (978) 688-9540 Fax (978)688-9542 This is to notify you that the revised plans dated 11/13/01 for 385 Raleigh Tavern Lane have been approved. If you have any questions, please do not hesitate to call the Board of Health Office at 978-688-9540. Sincerely, Sandra Starr, R.S., C.H.O. Health Director S S/smc cc: Sefarian File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANINUNG 688-9535 BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: (,-. LZ;Qv j MAP & PARCEL: (09 LOCATION OF SOIL TESTS: 3SP,4e",�,4�n ( � 0nn;n. 191 OWNER: 3}i,\,�'�, e.. c? ��� TEL. NO.: !2:29 - - - 0 0 �E:— ADDRESS: /-) Amo ENGINEER: lU cwl L,`, TEL. NO.: 7 CERTIFIED SOIL EVALUATOR: Ve— 0s D,c- -To- Intended j 2 Intended Use of Land: Residential Subdivision Is This: Repair Testing: Single Family Home Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No )C THE FOLLOWING MUST BE INCLUDED WITH THIS FORM C )c.nc,e Commercial 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 $200.00 per lot for repairs or uQ 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 "-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: 3 Date Received: Check Amount: Check Date: Town of North Andover, Massachusetts Form No. 2 f NORTq BOARD OF HEALTH O c � w P DESIGN APPROVAL FOR ds,C"USES SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant —7d, Z'wh TestNo.Site Location___ _�8� /l CIJQJ/A4 r' i4 Wn Reference Plans and Specs. DESI Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. Fee �'/u CHAIRMAN, BOARD OF HEALTH Site System Permit No. /l6, I - Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 1 '" I.° N "° 0. 19 °Rqa Ewea,^APPLICATION FOR SITE TESTING/INSPECTION Applican Site Locz Engineer Test/Inspection Date and Time Fee��� CHAIRMAN, BOARD OF HEALTH Test No. 1e)11 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. FORA) 11 - SOIL EVALUATOR FORA Page 2of3 ►-7774/0,p Location Address or Lot leo. 365- ,TAV>-°v /V ,Z 77.7e /fes 0 o V =01 - On -site Review ! Date:. �2g�®� Time: / Z %'`�° ° Weather /9 / '}f Deep Hole Number � Location (identify on site plan) Land Use 'W c7 0.0-,;� Slope (%) Z— Surface Stones Vegetation F"•1!"� .,,•����.� c✓7 Landform - Position on landscape (sketch on the back) Distances from: Open Water Body !x'00 feet Drainage way feet Possible Wet Area >/Ofd feet Property Line .. 7 --al feet Drinking Water Well 7. 100. fieet Other _ ......: 7" P �. DEEP OBSERVATION HOLE LOG' }�` Qw�o Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell► Mottling (Structure, Stones, 8oulders, Consistency, % Gravel) 3 -0 O, -- Jr L a/�C � -'�'" ✓ %� s P / tom? Parent Material (geologic) DepftoSedrock: Depth to Groundwater: Standing Water in the Hole: N 4P Weeping from Pit Face: Estimated Seasonal High Ground Water: 7—'W 'far I-' G SYYfqJ2.�' DEP APPROVED FORM - 12107/95 1 i ",, FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 1-7 70/v/9 Location Address or Lot No. 3 S 4e-131 °4 '7A1� 4^) N 0 et rH- '117-j'oa ✓d:--r� On-site Review Deep Hole Number 4 Date:- 7 /Time: Location (identify on site plan) - Land Use .W Slope Surface Stones Weather % /9- '4 1Y 0 7 -GR PaPcs Vegetation r' Landform Position on landscape (sketch on the back) Distances from: Open Water Body 7/ GC? feet Drainage way ,� feet Possible Wet Area 7/00 feet Property Line .. 2° feet Drinking Water Well 7/0. feet Other DEEP OBSERVATION HOLE LOGS Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones,G ulledlrs, Consistency, % e- S¢! L GOY L 0 %3 C� r Parent Material (geologic)Ock. Death to Groundwater: Standing Water in the Hole: ,'yq '-A� Weeping from Pit Face: I AL/ O Estimated Seasonal High Ground Water: - oEr DEP APPROVED FORM - 12/07/95 I f �. FOI01 11 - SOIL EVALUATOR FORM Page 2 of 3 �7�gfoi,9 Location Address or Lot No. 3 S XALie;;.-/GhR 7AllO^/ L'y O.L TH t}7J0'v ✓=7'— On-site Review Deep Hole Number % Date: 17/2 0/0 1 Time: ) Z JP Weather b, /y �" f Location (identify on site plan) Land Use®n0-�Aot� V�Nl�Slope (%) Surface Stones od7`46'3 Vegetation dit/ 4A )% f Land orm . Position on landscape (sketch on the back) Distances from: �Q Open Water Body %/pQ feet Drainage .vay feet Possible Wet Area 7/4® feet Property Line ._ZO feet Drinking Water Well . feet Other DEEP OBSERVATION HOLE BOG` Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) —3 /00" r�s�' Parent Material (geologic) DepthtoBedrock= 319 Doth to Groundwater: Standing Water in the Hole: ��Weeping from Pit Face: Estimated Seasonal High Ground Water:^ — DEP APPROVED FORM - 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot leo. :7 6 -' tEA `'�f ,rv,orc r/;�- 4v%/Vv t/ On-site Review Deep Hole Number Date:. 7/L¢/Gt/ Time: Weather Location (identify on site plan) Land Use 4 401-0�.ti Slope M -A— Surface Stones Vegetation Landform . Position on landscape (sketch on the back) Distances from: � Open Water Body/01" feet Drainage way�J.P.Q feet Possible Wet Area %/r<%0 feet Property Line "I'L4 � feet Drinking Water Well '7.jAQ feet Other ntsv A,/ DEEP OBSERVATION HOLE LOG* Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, G ulledlrs, Consistency, % p - 20 A pyo n S�;0,0 �y /�sfz IGs.�sf: 4f� M1114 MUM yr c r,v��.a „�uv...�.. ... --�-- - ---- - - - - - 80 1 Parent Material (geologic) °mock' g Depth to Groundwater: Standing Water in the Hole: lots it a Weeping from Pit Face: A-JVI'J _ Estimated Seasonal High Ground Water: Q — DEP APPROVED FORM - 12107/95 I 1 Location Address or Lot No FOR.1i 12 - PERCOLATION Thi ST .r COMMONWEALTH OF MASSACHUSETTS /Lf , 11'eae t01 '=s..— , Massachusetts Percolation Test' Date: . 7A / Time:. Observation Hole ;# Depth of Perc Start Pre-soak f End Pre-soak Time at 12" Time at 9" fi Time at 6" � � �..-- Time (9"-6") Rate Min./Inch i'viinimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed L Site Failed Q .................. Performed By: Witnessed By: Comments: oE. DEP APPROVED FORM - U/07/9S T - A i No./ / 4 'z 0 4 FORM 11 - SOIL EVALUATOR FORNM Page 1, of 3 Date: eke/— Commqnwea�h of Massachusetts Massachusetts Soil Suitability Assessment for On-site Sewage, Disposal Performed By:..... a4.....�.....4...4...o....1.......................... Date: WitnessedBy: ............ . .. ..................................................................................................... ............................................. —"I 0,�xr's Name. 74 Loudon Address or Address, and Lot I "Al ::�F �;/j � 17 Tclephom I We), lo� vew Construction 1:1 Repair Office Review Published Soil Survey Available: No El Yes Year Published le� ........... —. Publication Scale ./ ............. . Soil Map Unit Drainage Class 4�Yl�..4n .......... Soil Limitations 26 . ............ .. Surficial Geologic Report Available: No Yes 0 Year Published Publication Scale GeologicMaterial (Map Unit) ................................................................................................................... .. . .... ... Landform.............................................................. ............................................................................................................ .. .......... Flood Insurance Rate Map: Above 500 year flood boundary No DYes DO Within 500 year flood boundary No E)Yes 0 Within 100 year flood boundary No E]Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) ........... .......... ... ...... .. . ... .......... ........ ......................... .. ....... . . . ... Wetlands Conservancy Program Map (map unit). ................................................... ........ Current Water Resource Conditions (U$GS): Month Range :Above Normal []Normal ©Belau Normal ❑ Other References Reviewed: DEP APPROVED FORM - 12/07/95 � v • 4, FORM 11 SOIL EVALUATOR +'ORNf Page 2 of 3` Location Address or Lot No. C.� �`� ��� -4.,Wx /4 , On-site ,review 0 Deep Hole Number .l Date:.. TI�t Location (identify on site plan)••• - ..�• . w ...�. �..w..••• .••.•:•.•. Land Use /T��/1� Slope Surface Stone s��W .A..'� Vegetation . Landform....--./..� .:: .. .. ........... ... .. ......................... Position on landscape,,(sketch on the back) . •!• •••...•....... Distances from: Open Water Body 7po feet Drainage way/oz--,, feet Possible Wet Area feet Property Line..".—,.... feet Drinking Water Well%�;�� feet Other-- DEEP ther—.:. DEEP OBSERVATION HOLE LOG' Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) 3 °yam ¢o c MINIMUM Ur L nUIW nCuumcu iai rvcni '""' uwr`r��nncn Parent Material (geologic) �i���dYv � /�'� L � DepthtoBedrock: 4/ Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: ^•_ Esjimated Seasonal High Ground Water: IVO a* DEP APPROVED FORM • 12/07/95 FORM 11 : SOIL EVALUATOR DORM Page 2 of 3 Location Address or Lot No. /����A6' On-site ,Review �f m Deep Hole Number 2, Date:.. `".7' �/. Tlma:"o Weather Location (Identify on site plan) Land Use ;:O�' Slope (%) ...l Surface Stone 4,k./7 "_ .. Vegetation�.� . �..:..... ....:_......:.,... ........,.. :.... ...: . Landform ....., _l M ,,. .l.M........ ......,... ... . Position on landscape,(sketch on the back) .� • .•�—� ..:........�.. ...... Distances from: Open Water Body feet Drainage way.l. feet Possible Wet Area feet Property Line ......,..,.... feet Drinking Water Well< feet Other .,... �w,......,.:.�,,.....,. DEEP OBSERVATION HOLE LOG` Depth from Surface (Inches) Soil Horizon Soil Texture (VSOA) Soil Color (Munaell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) 3 Cd� � ` MINIMUM OF'2 HO ES REQUIR UA] EVERY F VFUStU U15PU5Al.AREA Parent Material (geologic Lam/ uG Dep"oBedrock: Depth to Groundwater; Standing Water in the Hole: Weeping from Pit Face: Es{imated Seasonal High Ground Water: —ga w * DEP APPROYED FOMI. 1210719S FORM 11 - SOIL EVALUATOR FOkNj Page 2• of 3, Location Address or Lot No':-�—a&–el4o�- On-site Review Deep Hole Number ` Date.- Tlme:/-4.14 5 r�i Weather—r-vo? Location (identify on site plan) !''! Le;4=7 Land Use .4 Slope M , , .. SurfaceStone..... Vegetation.,. H..............,.w...:.,.......::..�_. .., . . ..........:.. .... . Landform, lSl ... �.�...:.. �:.................�....... ... . Position on landscape (sketch on the back) ...�''......,...�.. . Distances from: O Open Water Body O feet Drainage way. S. feet Possible Wet Area ... feet Property Line .............. feet Drinking Water Well ,���"� feet Other ...x,,.'....,.,v. DEEP OBSERVATION HOLE LOG* Depth from Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) © ' /ol_ �i G 4' el g 023 v� �Ily �� MINIMVM Ur L HVLtJ rttuumv miycv Gnr 72.?ry W1JFVJnL/1nGr1 Q Parent Material (geologlcl;6 &0 0 "" —�7 24 G DepthtoBedrock: Death to Groundwater: Standing Water In the Hole: Weeping from Pit Face: Esllmated Seasonal High Ground Water: DEP APPROVED FORM - 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2 or 3 Location Address or Lot i4o/i>� �� rl�•�- G On-site Review Deep Hole Number ... Date:.. • TimeWeathee�wly = Location (Identify on site plan) - �', �'� Land UseTr_ L Slope (%) Surface Stonesytt% Vegetation. l' ..,...�.,.,.,�.:........ ,.,..........,.,_....r.-. Landform ..:.:1f . M .... ........ ...... Position on landscape (sketch on the back) , ..-��"...i�!a�—G.....,..... Distances from: Open Water Body ��� feet Possible Wet Area feet Drinking Water 0 feet Drainage way/?�.5---'. feet Property Line ..1�-'. feet Other ...........,..,...,...,:. DEEP OBSERVATION HOLE LOG` Depth from Surface (Inches) Soil Horizon Sol[ Texture (USDA) Soil Color (Munsell). Soil Mottling Other (Structure, Stones, Boulders, Consistency, % Gravel) ••�y11 5451 MINIMUM yr G nvLtJ rttUUlrttU AI tvcmT rnvrvocu orvoALAMA Parent Material (geologic) L%e 1,4'W-) C5 DepthtoBedrock: Depth to Groundwater: Standing Water In the Hole: Weeping from Pit Face: _ Esjimated Seasonal High Ground Water: ik DEP APPROVED FORdf • 12107/95 FORM 11 - SOIL EVALUATOR-'FOR,M,. Page S ot'3 Location Address or Lot No.5-�� %� C•C� / ,q�r�k�/ Determination for Seasonal High Water Table Method Used. ❑ Depth observed standing in observation hole ................... inches ❑ Depth weeping from side of observation hole ................. inches © Depth to soil mottles ...:::..,::...::..:. inches ❑ Ground water adjustment .................... feet Index Well Number .................. Reading Date ................... Index well level Adjustment factor ................... Adjusted ground water level ..... Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? . AJO If not, what is the depth of naturally occurring pervious material? Certification 1 certify`� that on �� (date) I havepassed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.0'17. Signatur Gid" Date W * DEP APPROVED FORM • 12/07/95 In SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT D,DRESS STREET [, tLI'PLICANT q FORt•1 U TOWN OF NORTH ANDOVER LOT RELEASE FUM ASSIGNED BY D.P.W. DATE OF APPLICATION 4. 114 f 9 Z T014N USE BELOW THIS L1I4E PLANNING BOARD TOWN PLANNER CONSERVATION COHMISSIO11 CONSERVATION ADMIN. PHONE 6$0200 y5 DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED y B ARD OF HEALTH htnv��!' rA 1111 01 1 G DATE APPROVED 1ie%,A yb S A ; U1 PATE C Df �n YI/f'�V�G 1i' l 5. r DLPAllMIEN'T OF PUBLIC WORKS rI ! / DRIVEWAY PERPIIT SEWER/WATER CONNECTIONS FIRE, DEPT. RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning; and Health Boards, the Conservation Conunission prior to the issuance of any building permits for the subject lo -t. This form shall not releive the applicant from the CQ IT', of any appiicabie Town requirement or Bylaw, JANE SWIFT Governor John & Martha Sefarian e385 Raleigh Tavern Lane North Andover, MA 01845 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan Boston — Northeast Regional Office October 30, 2001 BOB DURAND Secretary LAUREN A. LISS Commissioner RE: STATEMENT OF ADMINISTRATIVE DEFICIENCY AND CHANGE OF PERMIT CATEGORY Application for BRPWP59b - Approval of a Variance Granted by the Board of Health 385 Raleigh Tavern Lane, North Andover (13a -Merrimack) DEP Transmittal No. W024093 Dear M/M Sefarian: The Metropolitan Boston -Northeast Regional Office of the Department of Environmental Protection has received and reviewed your application for approval of a variance pursuant to 310 CMR 15.000 with the above transmittal number. Accompanying the application were plans consisting of two (2) sheets, titled as follows: Title: Plan Showing Proposed Subsurface Sewage Disposal System Location: 385 Raleigh Tavern Lane Municipality: North Andover Applicant: John & Martha Sefarian Designer: Richard C. Tangard, P.E. No. 13021 Date (Last Revision): August 16, 2001 (October 17, 2001) This application requests approval of an upgrade utilizing an alternative technology, specifically a Bio-Microbics, Inc., MicroFASr Model 0.5 Treatment System. It would appear that site constraints preclude complete compliance with all aspects of the Remedial Use Approval for the technology proposed. As part of the Remedial Use Approval for the Bio-Microbics, Inc., MicroFAsr Model 0.5 technology, only one of the three listed design standards can be relaxed in accordance with the approval. The three design standards from which to choose are: reduction of the area, by up to fifty (50) percent, in the required soil absorption system (SAS); reduction in the separation to high groundwater; and reduction in the depth of naturally occurring pervious material. The reduction in the depth of naturally occurring pervious material from four (4) feet to two (2) feet was the design standard chosen. The reduction in the depth of the naturally occurring pervious material to less than two feet, 20 inches, results in a permit category becoming BRPWP64c, instead of BRPWP59b, as noted on the application. The Department has noted several administrative deficiencies that must also be addressed prior to the Departments technical review: This information is available in alternate format by calling our ADA Coordinator at (617) 574-6872. 205A Lowell St. Wilmington, MA 01887 . Phone (978) 661-7600 . Fax (978) 661-7615 . TTD# (978) 661-7679 ;,a Printed on Recycled Paper Please note that two Supplemental Transmittal forms have been enclosed with this deficiency letter. One has been filled out, Section 4c, and should be submitted with any additional payment to the Boston lock -box and the other form has been filled out, Section 4b, to be used for all submittals to this office. This is explained further under the next two bulleted items. The fee for a BRPWP64c application is $300. This amount is $100 greater than the $200 fee for a Title 5 variance request. A Supplemental Transmittal Form, specifically noted for permit payment, Section 4c, has been enclosed for your use. Please make the check payable to the Commonwealth of Massachusetts and remit along with this enclosed Supplemental Transmittal Form to: Commonwealth of Massachusetts Department of Environmental protection P.O. Box No. 4062 Boston, MA 02211.__ Please write the Transmittal Number on the front of the check. A BRPWP64c application form has been enclosed and has also been forwarded with a copy of this letter to your consultant. This form should be filled out along with a second Supplemental Transmittal Form, specifically noted for the submittal of the new application, Section 4b, and submitted to this office. The Department requires the signature of either applicant on the enclosed permit application form, BRPWP64c, or a signed letter from one of the applicants stating that Richard C. Tangard or Benjamin C. Osgood, Jr., may act as the applicants' agent and has permission to sign for the applicants. In accordance with 310 CMR 4.00, you have one hundred eighty (180) days from the postmarked date of this letter in which to address the listed deficiencies. Within the one hundred eighty(180) day time frame, the applicant is advised to allow for the appropriate Board of Health action on the revised submittal since the Department of Environmental Protection's subsequent action may be its final action and, therefore, any further filing in this matter would be considered a NEW application. If the applicant cannot accommodate the schedule of the Board of Health within the one hundred eighty (180) day period, or for any other reason requires additional time, the applicant may, by written agreement with this Department, extend this schedule in accordance with 310 CMR 4.04(2)(f). The applicant is also advised that when the Department receives the new information, it will initiate a second administrative review. The enclosed Supplemental Transmittal Form should be completed and included as a cover sheet with any future submittal to the Department relating to the above matter. You need only correspond to the Northeast Regional Office at the above.address. If additionsl information is required, contact George A. Kretas at (978) 661 Very truly yours, %'1G4j7VA/'� Madelyn Morris Deputy Regional Director Bureau of Resource Protection mm/gak enclosures (Two Supplemental Transmittal Forms & BRPWP64c Application Form) cc: - Sandra Starr, R.S., Office of the Health Department, 27 Charles Street, North Andover, MA 01845 - Benjamin C. Osgood, Jr., E.I.T., New England Engineering Services, Inc., 60 Beechwood Drive, North Andover, MA 01845, w/enclosures - BRP/Wastewater Management Program/Title 5 Section/ Boston JANE SWIFT Governor John & Martha Sefarian f.385 Raleigh Tavern'Lane North Andover, MA 01845 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan Boston — Northeast Regional Office t+ 0IN OF NORTH AA!DQ? BOARD OF HEALTH NOV 2 t 2001 y November 8, 2001 BOB DURAND Secretary LAUREN A. LISS Commissioner RE: APPROVAL OF INSTALLATION OF AN ALTERNATE SYSTEM FOR REMEDIAL USE (BRPWP64c) 385 Raleigh Tavern Lane,.North Andover (13a -Merrimack) DEP Transmittal No. W024093 Dear M/M Sefarian: The Metropolitan Boston -Northeast Regional Office of the Department of Environmental Protection has received and reviewed your application for approval of the installation of an alternate system for remedial use pursuant to 310 CMR 15.000 with the above transmittal number. This application is for an upgrade of an existing failing system. No increase in design flow is proposed. The application contained written notification, dated October 12, 2001, that the North Andover Board of Health had approved the proposed system where use of a Bio-Microbics, Inc., MicroFAST® Model 0.5 Treatment System is proposed. The reduction of the depth of naturally occurring permeable soil under the soil absorption system (SAS) from the required four (4) feet to less than two (2) feet, 20 inches, has been proposed. This proposal exceeds what is allowed under the Remedial Use Approval for this technology and results in this application's classification as a BRPWP64c. Accompanying the application were plans consisting of two (2) sheets titled as follows: Title: Plan Showing Subsurface Sewage Disposal System Location: 385 Raleigh Tavern Lane Municipality: North Andover Applicant: John & Martha Sefarian Designer: Richard C. Tangard, P.E. No. 13021 Date (Last Revision): August 16, 2001 (October 17, 2001) An engineer of the Department reviewed the plans and the accompanying data, and it is opinion of the Department that the plans are in compliance with 310 CMR 15.000. It is the opinion of the Department that the requirements for the approval of this alternative technology, in accordance with 310 CMR 15.000 have been satisfied. The following paragraph outlines the Department's findings relative to equal environmental protection as they relate to the alternative technology, which the Department hereby approves. - R This information is available in alternate format by calling our ADA Coordinator at (617) 5746872. 205A Lowell St. Wilmington, MA 01887 . Phone (978) 661-7600 . Fax (978) 661-7615 . TrD# (978) 661-7679 �.j Printed on Recycled Paper The proposed alternative treatment technology, MicroFASr Model 0.5 Treatment System, will provide enhanced treatment of the effluent prior to discharge. The effluent's strength will be reduced below that of a standard septic tank effluent. Site constraints, such as size, ledge, and poor soil conditions result in that there being no other area on the property that can provide sufficient naturally occurring permeable soil. Given the enhanced treatment and pressure distribution, the proposed system will provide a level of environmental protection equivalent to that of a conventional Title 5 system constructed in accordance with the Code. As part of its approval, the Department will require that the following conditions are complied with by the applicant and all subsequent owners or this approval be rendered null and Void: The use of the distribution box (D-box),shall = proceed as outlined on the design plans.. A brick invert shall be constructed in the D -box that will channel flow through the D -box and the change of direction to the outlet pipe and septic tank. Prior to construction, the applicant must obtain a Disposal System Construction Permit (DSCP) from the North Andover Board of Health. The applicant (or owner) shall abide by all the requirements of the August 13, 2001 Department approval for remedial use of the Bio-Microbics, Inc., MicroFASr Model 0.5 Treatment System. Throughout its life, the system shall be under a maintenance agreement with no less than a one- year contract. The owner/operator shall at all times properly operate and maintain the system. The system is not designed to accommodate a garbage disposal. As such, one should not be installed or used at this dwelling. - It is the responsibility of the applicant to assure that the approved plans are available at the site during construction. The special conditions, outlined above, in no way should be viewed as superseding any conditions imposed by the North Andover Board of Health. The above conditions are meant to supplement any the conditions imposed upon the facility. If you have any questions or additional information is required, please contact George A. Kretas at (978) 661-7744. Sincerely, Pak'..4 F/4", -1 Madelyn Morris Deputy Regional Director Bureau of Resource Protection mm/gak cc: - Sandra Starr, R.S., Office of the Health Department, 27 Charles Street, North Andover, MA 01845 - Richard C. Tangard, P.E., New England Engineering Services, Inc., 60 Beechwood Drive, North Andover, MA 01845 - BRPMastewater Management Program/Title 5 Section/Boston �\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY EDWARD P. KUNCE Lieutenant Governor Acting Commissioner Jeremy DeBonet 385 Raleigh Tavern Lane N. Andover, MA 01846 Re: Alternative On-site Sewage Treatment Sampling Reduction Request DEP Facility ID: W024093 -' 385 Raleigh Tavern Lane,.N.Andover Dear Mr. DeBonet: June 12, 2003 JUN 1 7 2003 The Department has received a request from Wastewater Treatment Services, Inc. dated, January 17, 2003 providing information on the performance of the above referenced alternative on- site sewage disposal system (system) and requesting a reduction or elimination of effluent monitoring and reporting on a quarterly basis on this system. The Department, having reviewed the monitoring data for this technology, in general, and your system, approves the request to reduce effluent monitoring of the system, from four times to one time per year. The change in monitoring requirements in no way changes the requirement that, throughout its use, the system shall be under an operation and maintenance agreement with a person or firm qualified to provide services consistent with the system's specifications. The operator must maintain the system at least every three months and anytime there is an alarm event. Additionally, as required by the Approval for the system, any time the operator changes, you shall notify the Department and the local approving authority, in writing, within seven days of such change. Please note that the Department is now requiring the use of a DEP approved inspection form and technology checklist. A copy of these forms, the "DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems" and the FAST O&M Checklist, must be submitted to the Department and local Board of Health for each O&M inspection performed. The certified operator under contract to operate and maintain the system must complete these forms. Enclosed are copies of these forms. This information is available in alternate format. Call Aprel McCabe, ADA Coordinator at 1-617-556-1171. TDD Service - 1-800-298-2207. DEP on the World Wide Web: http://www.mass.gov/dep . IVO Printed on Recycled Paper \ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 JANE SWIFT Governor BOB DURAND Secretary LAUREN A. LISS Commissioner APPROVAL FOR REMEDIAL USE Pursuant to Title, 310 CMR 15.00 Name and Address of Applicant: Bio-Microbics, Inc, 8450 Cole Parkway Shawnee, KS 66227 Trade name of technology and model: MicroFAST Treatment System Models MicroFAST 0.5, 0.9, 1.5, 3.0, 4.5 and 9.0; HighStrengthFAST Treatment System Models HighStrengthFAST 1.0, 1.5, 3.0, 4.5 and 9.0 and NitriFAST Treatment System Models NitriFAST 0.5, 1.0, 1.5, 3.0, 4.5 and 9.0 (hereinafter called the "System"). Schematic drawings of each model are attached and are a part of this Approval. Date of Application: Transmittal Number: Date of Issuance: Expiration date: March 16, 2001 W 019013 August 13, 2001 August 13, 2006 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Approval for Remedial Use to: Bio-Microbics, Inc., 8450 Cole Parkway, Shawnee, KS 66227 (hereinafter "the Company"), approving the System described herein for Remedial Use in the Commonwealth of Massachusetts. Sale and use of the System are conditioned on compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. Glenn Haas, Acting Assistant Commissioner Bureau of Resource Protection Department of Environmental of Protection Date This information is available in alternate format by calling our ADA Coordinator at (617) 574-6872. DEP on the World Wide Web: http://www.state.ma.us/dep i3O Printed on Recycled Paper Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST I. Purpose 1. The purpose of this approval is to allow use of the System in Massachusetts, on a Remedial Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Approval for Remedial Use authorizes the use and installation of the System in Massachusetts. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.284(2). 4. This Remedial Use Approval authorizes the use of the System where the local approving authority finds that the System is for upgrade of a failed, failing or nonconforming system and the design flow for the facility is less than 10,000 gallons per day ( GPD) and there is no increase in design flow to be served by the system. H. Design Standards 1. The FAST treatment system (Fixed Activated Sludge Treatment), Models MicroFAST 0.5, 0.75, 0.9,and 1.5, HighStrengthFAST 1.0 and 1.5, NitriFAST 0.5, 0.75, 0.9 and 1.5 all consist of a single tank having a primary settling zone and an aerobic biological zone. Solids are trapped in the primary zone where they settle. In the aerobic zone, the bacteria colony attaches itself to the surface of a submerged media bed and feeds on the sewage as it circulates. Models MicroFAST, HighStrengthFAST and NitriFAST 3.0, 4.5 and 9.0 consist of a standard Title 5 septic tank for settling solids and a second tank with the submerged media for aerobic treatment. 2. Models MicroFAST 0.5, 0.75 and 0.9. HighStrengthFAST 1.0, NitriFAST 0.5, 0.75 and 0.9 shall be installed in the second compartment of a two compartment septic tank with a total liquid capacity of at least 1,500 gallons. Models MicroFAST, HighStrengthFAST and NitriFAST 1.5 shall be installed in the second compartment of a 3000 gallon tank. The two compartment septic tank shall be installed between the building sewer and the pump chamber of a standard Title 5 system constructed in accordance with 310 CMR 15.100 - 15.279, subject to the provisions of this Approval. MicroFAST, HighStrengthFAST and NitriFAST Models 3.0, 4.5 and 9.0 shall be installed between a septic tank designed in accordance with 310 CMR 15.223 and the pump chamber of a SAS. 3. The System is approved for use at facilities with a maximum design flow up to 10,000 GPD. 4. The System may be used in soils with a percolation rate of up to 90 min./inch. For soils with a percolation rate of 60 to 90 min./inch, the effluent loading rate shall be 0.15 GPD/ sq. ft. 5. Pressure distribution designed in accordance with Department guidelines is required for all installations of the System. Page 2 of 8 Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST III. Allowable Soil Absorption System Design 1. Reduction of the Required Soil Absorption System Size - An Applicant is eligible for up to a 50 percent reduction in the area of the soil absorption system required by 310 CMR 15.242, where all the following is met. Accordingly, in approving design and installation of the System by a particular Applicant, the local approving authority may allow up to a 50 percent reduction in the area of the soil absorption system required by 310 CMR 15.242, provided that all of the following conditions are met: A. No reduction in the required separation (four feet in soils with a recorded percolation rate of more than two minutes per inch or five feet in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the stone underlying the SAS and the high groundwater elevation is allowed unless such a reduction is first approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284. B. No reduction in the required four feet of naturally occurring pervious material is allowed unless the Applicant has demonstrated that the four foot requirement cannot be met anywhere on the site, that easements to adjacent property on which a system in compliance with the four foot requirement could be installed have been requested but cannot be obtained, and that a shared system is not feasible. Any such reduction must first be approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284. C. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is not feasible, the local approving authority may allow a reduction under a local upgrade approval in accordance with 310 CMR 15.405 (1) (a), (b), (f), (g), and (h). D. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is not feasible, even taking into account provisions for local upgrade approval as described above, then pursuant to 310 CMR 15.410, the applicant first must obtain variance(s) from the local approving authority and then approval of the Department. 2. Reduction of the Required Separation Distance to High Groundwater Elevation - An applicant is eligible for a reduction in separation (four feet in soils with a recorded percolation rate of more than two minutes per inch or five feet in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the stone underlying the SAS and the high groundwater elevation, where all of the following conditions are met. Accordingly, in approving design and installation of the System by a particular Applicant, the local approving authority may allow a reduction in the required separation (four feet in soils with a recorded percolation rate of more than two minutes per inch or five feet in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the stone underlying the SAS and the high groundwater elevation, provided that all of the following conditions are met: A. A minimum two foot separation (in soils with a recorded percolation rate of more than two minutes per inch) or a minimum three foot separation (in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the stone underlying the SAS and the high groundwater elevation is maintained. Page 3 of 8 Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST B. No reduction in the required SAS size is allowed unless such a reduction is first approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284. C. No reduction in the required four feet of naturally occurring pervious material is allowed unless the Applicant has demonstrated that the four foot requirement cannot be met anywhere on the site, that easements to adjacent property on which a system in compliance with the four foot requirement could be installed have been requested but cannot be obtained, and that a shared system is not feasible. Any such reduction must first be approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284. D. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is not feasible, the local approving authority may allow a reduction under a local upgrade approval in accordance with 310 CMR 15.405 (1) (a), (b), (0, (g), and (h). E. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is not feasible, even taking into account provisions for local upgrade approval as described above, then pursuant to 310 CMR 15.410, the applicant first must obtain variance(s) from the local approving authority and then approval of the Department. 3. Reduction of the Requirement for Four Feet of Naturally Occurring Pervious Material — An Applicant is eligible for a reduction in the required four feet of naturally occurring pervious material in an area of no less than two feet of naturally occurring pervious material, where all of the following conditions are met. Accordingly, in approving design and installation of the System by a particular Applicant, the local approving authority may allow a reduction in the required four feet of naturally occurring pervious material in an area with no less than two feet of naturally occurring pervious material, provided that all of the following conditions are met: A. The Applicant has demonstrated that the four foot requirement cannot be met anywhere on the site, and that easements to adjacent property on which a system in compliance with the four foot requirement could be installed have been requested but cannot be obtained, and that a shared system is not feasible. B. No reduction in the required SAS size is allowed unless such a reduction is first approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284. C. No reduction in the required separation (four feet in soils with a recorded percolation rate of more than two minutes per inch or five feet in soils with a recorded percolation rate of two minutes or less per inch) between the bottom of the stone underlying the SAS and the high groundwater elevation is allowed unless such a reduction is first approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284. D. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is Page 4 of 8 Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST not feasible, the local approving authority may allow a reduction under a local upgrade approval in accordance with 310 CMR 15.405 (1) (a), (b), (f), (g), and (h). E. Where full compliance with all of the minimum set back distances in 310 CMR 15.211 is not feasible, even taking into account provisions for local upgrade approval as described above, then pursuant to 310 CMR 15.410, the applicant first must obtain variance(s) from the local approving authority and then approval of the Department. IV. General Conditions 1. All provisions of 310 CMR 15.000 are applicable to the use of this System, the owner and the Company, except those that specifically have been varied by the terms of this Approval. 2. Any required sample analysis shall be conducted by an independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory. It shall be a violation of this Approval to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 3. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease operation of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare and the environment. 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer system. Accordingly, no System shall be installed, upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 6. Design and installation shall be in strict conformance with the Company's DEP approved plans and specifications, 310 CMR 15.000 and this Approval. V. Conditions Applicable to the System Owner The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non -sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L biochemical oxygen demand (BODS) and 30 mg/L total suspended solids (TSS). The effluent pH shall not vary more than 0.5 standard units from the influent water supply. 3. Operation and Maintenance Agreement: A. Throughout its life, the Owner of the System shall have the System properly operated and maintained in accordance with Company's and designer's operation and maintenance requirements and this Approval and be under an operation and maintenance agreement (O&M). No O&M agreement shall be for less than one year. B. No System shall be used until an O&M agreement is submitted to the approving Page 5 of 8 Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST authority which: a. provides for the contracting of a person or firm competent in providing services consistent with the System's specifications and the operation and maintenance requirements specified by the designer and those specified by the Department; b. contains procedures for notification to the local approving authority and the Department within five days of a System failure, malfunction or alarm event and for corrective measures to be taken immediately; and c. Provides the name of the operator, which must be a Massachusetts certified operator as required by 257 CMR 2.00 that will operate and monitor the System. The owner of the System shall at all times have the System properly operated and maintained, at a minimum every three months and every time there is an alarm event. The local approving authority and the Department shall be notified, in writing, within seven days every time the operator or operators are changed. 4. The owner shall furnish the Department any information, which the Department may request regarding the System, within 21 days of the date of receipt of that request. 5. Within 30 days of the approving authority's issuance of the Certificate of Compliance for the system, the owner shall submit a copy of the Certificate of Compliance to the Department. 6. By January 31' of each year for the previous year, the System owner shall submit to the Department and the local approving authority an O&M checklist and a technology checklist, completed by the System operator for each inspection performed during the previous calendar year. Copies of the checklists are attached to this approval. 7. The owner of the System shall record in the appropriate registry of deeds a notice that discloses the existence of this Remedial Use approved alternative system. A copy of the book and page number of the recording must be provided to the local approving authority and the Department prior to the issuance of the Certificate of Compliance. 8. The owner of the System shall provide a copy of this Approval, prior to the signing of a purchase and sale agreement for the facility served by the System or any portion thereof, to the proposed new owner. 9. Effluent from a system serving a facility with a design flow of less than 2000 GPD shall be monitored quarterly. Both influent and effluent from a system serving a facility with a design flow 2000 GPD to 10,000 GPD shall be monitored monthly. At a minimum, the following parameters shall be monitored: pH, BODS, and TSS. All monitoring and operation and maintenance data shall be submitted to the local approving authority and the Department by January 31" of each year for the previous calendar year. After one year of monitoring and reporting and at the written request of the owner, the Department may reduce the monitoring and reporting requirements. 10. When sanitary sewer connection becomes feasible, within 60 days of such feasibility, the owner of the System shall obtain necessary permits and connect the facility served by the System to the sewer, shall abandon the System in compliance with 310 CMR 15.354, unless a later time is allowed, in writing, by the local approving authority, and shall in writing notify the Department of the abandonment. Page 6 of 8 Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST VI. Conditions Applicable to the Company 1. By January 31' of each year, the Company shall submit to the Department, a report, signed by a corporate officer, general partner or Company owner that contains information on the System, for the previous calendar year. The report shall state: the number of units of the System sold for use in Massachusetts including the installation date and date of start-up during the previous year; the address of each installed System, the owner's name and address, the type of use (e.g. residential, commercial, school, institutional) and the design flow; and for all Systems installed since the date of issuance of this Approval, all known failures, malfunctions, and corrective actions taken and the address of each such event. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4 Prior to its sale of the System, the Company shall provide the purchaser with a copy of this Approval. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Approval. 5. If the Company wishes to continue this Approval after its expiration date, the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Approval, unless written permission for a later date has been granted in writing by the Department. VII. Reporting 1. All notices and documents required to be submitted to the Department by this Approval shall be submitted to: Director Watershed Permitting Program Department of Environmental Protection One Winter Street - 6th floor Boston, Massachusetts 02108 VIII. Rights of the Department Page 7 of 8 Bio-Microbics Remedial Use Approval MicroFAST, HighStrengthFAST and NitriFAST 1. The Department may suspend, modify or revoke this Approval for cause, including, but not limited to, non-compliance with the terms of this Approval, non-payment of the annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval and/or the System against the owner, or operator of the System and/or the Company. IX. Expiration Date 1. Notwithstanding the expiration date of this Approval, any System sold and installed prior to the expiration date of this Approval, and approved, installed and maintained in compliance with this Approval (as it may be modified) and 310 CMR 15.000, may remain in use unless the Department, the local approving authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. W019013 Remedial Bio-Microbics 8-13 Combined Page 8 of 8