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Miscellaneous - 437 SUMMER STREET 4/30/2018 (2)
"I SUMMER STREET - _ . 21 of o'_q_uag3_ao0-0.o r Lot& Street J� Map/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit# Plan Approval: Date: Ida ye Approved by: Designer: LLCM G—a,1� , �itaG, Plan Date: Conditions: Water Supply: Town Well Well Permit: Driller: Well Tests: Chemical Date Approved Bacteria I Date Approved Bacteria H Date Approved Plumbing Sign-Off: Wiring Sign-Off- Comments: Form "U"Approval: Approval to Issue: YES NO Floor Plans 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 As Built YES NO Any Variance Needed? YES NO _FINAL BOARD OF HEALTH APPROVAL: DATE APPROVED BY: � y SEPTIC SYSTEM INSTALLATION Is the installer licensed? YES NO Type of Construction: ' NEW REPAIR New Construction: Certified Plot Plan Review YES NO Floor Plan Review YES NO Conditions of Approval from Form U YES NO Issuance of DWC permit: YES NO DWC Permit Paid? YES NO DWC Permit# Installer: DWC Date Begin Inspection: YES NO Excavation Inspection: Needed: Passed: By: Construction Inspection: Needed: As Built Plan Satisfactory: YES NO Approval of Backfill: Date: By: Final Grading Approval: Date: By: Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: Commonwealth of Massachusetts City/Town of &aA IJ2'?&W� System Pumping Record Facility Information: System Location: �-3 `7 Sum op, S� Address Vlka Ign '' — JAS' City/Town State Zip Code System Owner: (3an'yol�� Name: TON'S U�'yv��;1h�,Tv ENT NEALTFi�Ep?R Adress (if different from location of pump) City/Town State Zip Code Telephone Number Pumping Record Date of Pumping 3 ) L/ Quantity Pumped�� gallons Type of System_)( Septic Tank Grease Trap Other (what) System Pumped by: Company: ROOTER-MAN 46 Portland Street Lawrence,MA 01843 Location where contents were disposed: Signature of Hauler Date •��,'1,'tLED l�,� . • Wry Y PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 10/20/2014 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of an On-Site Sewage Disposal System By: Robert Daigle At: 437 Summer Street Map 107A Lot 83 - North Andover, MA 01845 JTT su ce of t . erti mate shall not be construed as a guarantee that the system will function satisfactorily. Zia ele Grant i Public Health ent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com i • SCK,x�i,�D �6' . c North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 437 Summer St. MAP: 107A LOT: 83 INSTALLER: Robert Daigle DESIGNER: Merrimack Engineering PLAN DATE: 4/7/14, revised 6/19/14 BOH APPROVAL DATE ON PLAN: 6/23/14 INSPECTIONS TANK INSPECTION: 7/1/14 DATE OF BED BOTTOM INSPECTION: 6/30/14 DATE OF FINAL CONSTRUCTION INSPE TI N: /9/14 DATE OF FINAL GRADE INSPECTION: i�� O�� SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: MRC -- Contractor reports tank location adjusted somewhat to preserve patio SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ® Cleanouts per plan X Bottom of tank hole has 6" stone base NO ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing Z Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ❑ 24" inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: arrived prior to the delivery of the tank. In one area there was appox 2" of stone, in another aread there was 3 to 4. Asked Rob to add stone to 6" MRC —Tank cast with boots, no hydraulic cement needed. Manhole over effluent filter was not prepared to be at finished grade, requested contractor to adjust so it will be at finished grade upon completion of 9" of cover over tank . PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1000 gallon Pump Chamber installed ® H-10 loading ® Monolithic tank construction ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ® 24" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by visual testing ❑ Hydraulic cement around inlet & outlet Comments: MRC —tank with boots, no hydraulic cement needed. Pump used not one specified on plan, contractor instructed to obtain letter from engineer indicating the replacement pump is acceptable or to switch to designed pump brand and model CONTROLPANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: MRC — Panel in basement adjacent to electrical box DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.08'/foot) Z Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: MRC —When pump activated, effluent was pushed out of top of distribution box. Contractor instructed to develop plan of action with designer of system SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 97 left corner to B&B, 89 right corner to B&B, B/B 16x52, B/B w/ over dig 27x62 7/1/2014 - Depth of one end should be 19" deep and actually was 9". Depth of hole on the other end should be 28", actually was 12". Asked Rob to dig the hold according to the plan. SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = FINAL GRADE oamed Seeded Cover per plan Comments: DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer M.,,-/As-Built Plan BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber MRC — all elevations checked in field and found to be acceptable SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- Z Deck, on footings, etc 5 10 -- ® Waterline 10 10 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot.Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws Blackburn, Lisa From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Wednesday,July 16, 2014 4:39 PM To: Sawyer, Susan; Grant, Michele; Blackburn, Lisa Cc: 'Isaac Rowe'; Pam Lally Subject: Construction Inspection -437 Summer Street Attachments: 437 Summer St Construction Inspection.doc Attached please find the completed construction inspection form for this address. As you know, under separate cover I sent along a list of some items which needed attention. if you have any questions about them or any other matters please do not hesitate to ask. Dan Mill River consulting C:v(1 6�g�ar;i_ieg i c ormN.� i ert-m�tsa..g - wrrwsri�t�i£:+u�rAFrQ�ta1 nadi�n fn+�au{1.z'n� — - Daniel Ottenheimer,President .j Mill River Consulting,Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.millriverconsulting.com f dano@millriverconsulting.com r Member: Massachusetts Association of Onsite Wastewater Professionals, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, Gloucester Rotary Club, New England Water Environment Association y: pORTy to r �As$ACHNs� PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; By: I Gz (Print Name) Located at: (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated r lzq- 4 and last revised on (p-m-14- ,with a design flow of 1 "I.0 gallons per day. The materials used were in conformance with those specified on the approved plan;the system was installed in accordance with the provisions of 310.CMR 1.5.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan.All work is accurately represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date:,-'92,9 Engineer Representative(Signature) And-Print Name Final Construction Inspection Date: 7 '' Engineer Representative(Signature) 1� Ou aaa P And-Print Name Installer: -_Z . (Signature) Date: 7- And-Print Name Enginer: - (Signature) Date:__.-74'tt yl l I +.Ili Gd Fw0ri And-Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com SUMMARY OF INVERTS BUILDING TIES SEWER ® FDTN. 98,52(9' OFF BLDG. CORNER A I B C D �= SEPTIC TANK IN 97.70 SEPTIC TANK OUT 46.3 30.2 — — SEPTIC TANK OUT 97.55 PUMP TANK OUT 54.5 38.0 - — PUMP TANK IN 97.23 DIST. BOX 95.5 87.3 — — DIST. BOX IN 102.10 h—a DIST. BOX OUT 101.88 BEG DIST LINE 101.77 END DIST LINE 101.49 r' °°• —� LATAKENT °TKENOVIED BOTT. BED 101.02 NN FROM B.O.H. A-5 BY NEW ENGLAND ENGMEERING SERMCES, INC. APPROVEDit-i8-88-` A �� fJJfJJ H-3 LEACH FIELD (750 S.F.) VENT ' INSPECTION PORT tih O. D-BOX 0� 1000 GAL PUMP TANK y�`���N QF l6jgss9 1500 GAL. I" CyG . SEPTIC TANK0. c NEMCH> �K // / �.�'A�'• X09 '9 FG STER�c .�LLQlirs THIS PLAN & CERTIFICATION IS NOT A WARRANTY OF THE SUBSURFACE DISPOSAL f/ SYSTEM. IT IS A RECORD OF THE LOCATION AND ELEVATION OF THE EXISTING SYSTEM L�T I COMPONENTS. .l�OT �s2 (50,000 S.F.) ? "I HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS-BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK OUT ELEVATIONS, 1F APPLICABLE, HAVE BEEN MET." APPROVED DESIGNS PLANS. SIGNATURE OF DESIGNER DIATE AS BUILT , PLAN OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN x NORTH ANDOVER, MASS./437 SUMMER STREET AS PREPARED FOR a SUSAN SCANDORE TM: 107A 7-8-14cn TL: 83 SCALE: I"=40' 0 20 40 so go MERRIMACK ENGINEERING SERVICES fib PARK STREET ANDOVER, MASSACHUSETTS 01810 w i a Commonwealth of Massachusetts RECEIVED City/`town of North Andover W° System Pumping Record AUG 0 2014 Form 4 TOWN OF NORTH ANDOVER <°wM HEALTH DEPARTMENT DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, /� 2 use only the tab [ J 7 3U ry)m e,r key to move your Address curreturn not use the retNorth Andover Ma 01886 use the key. City/Town State Zip Code 2. System Owner: � D:�l Name anon Address(if different from location) City/Town State Zip Code .r.,_. _ _ _ Telephone Number _ B. Pumping Record 1. Date of Pumping Date y 2. Quantity Pumped: Gallon 3. Type of system: ❑ Cesspool(s) M Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signature of Hauler Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 MR am% Series SE 2" Spherical Solids Handling [amHNEb Manual &Automatic www.cranepumps.com Submersible Effluent Pumps Specifications: DISCHARGE........................7 NPT,Female,Vertical LIQUID TEMPERATURE.....:SE411:77°F(25°C)Continuous SE421: 104°F(40°C)Continuous VOLUTE...............................Cast Iron ASTM A-48,Class 30 MOTOR HOUSING..............Cast Iron ASTM A-08,Class 30 SEAL PLATE ......................Cast Iron ASTM A-48,Class 30 IMPELLER: Design.............2 Vane,Open with pump out vanes on back side Dynamically Balanced,ISO G6.3 Material ..........Cast Iron ASTM A-48,Class 30 SHAFT ...............................416 Stainless Steel . SQUARE RINGS.................Buna-N HARDWARE:............:..........300 Series Stainless Steel PAINT...................................Air Dry Enamel SEAL: Design::.........Single Mechanical,Oil Filled Reservoir, o Secondary Exclusion Seal Material ........Carbon/Ce ramic(Buna-N Hardware-300 Series Stainless CORD ENTRY......................15 ft.(5m)Quick Disconnect Cord with plug 1 On 115 Volt,Pressure Gromment for sealing and strain relief UPPER BEARING................Single Row,Ball,Oil Lubricated LOWER BEARING...............Single Row,Ball,Oil Lubricated Series: SE SE411 8� SE421 MOTOR: Design............NEMA LTorque Curve,Oil Filled,Squirrel Cage Induction .4HP, 1750RPM, 60Hz Insulation........Class B SINGLE PHASE...................Permanent Split Capacitor(PSC) Includes Overload Protection in Motor LEVEL CONTROL..............."A"-Wide Angle,PVC,Mechanical, 15 ft(5m) cord with Piggy-Back Plug,N/O "AU"-Wide Angle,Polypropylene, Mechanical,N./O Integral to pump.ON and OFF Points are adjustable "VF"-Vertical Float,PVC,Snap Action, 15 ft(5m)cord,with Piggy-Back plug. OFF point ONLY is adjustable OPTIONAL EQUIPMENT.....Seal Material,Additional Cord R; CS� us CSA 108 UL 778 LR16567 DESCRIPTION: PUMP IS DESIGNED FOR HANDLING SEWAGE EFFLUENT IN TYPICAL SEPTIC TANKIEFFLUENT APPLICATIONS. SECTION PAGE 10 0 CRANE PUMPS & SYSTEMS DATE 6104 61 A Crane Co.Company USA:(937)778-8947 'Canada: (905)457-6223 International: (937)615-3598 IMMM& Milk ° Series SE LjAHimF.b 2" Spherical Solids Handling www.cranepumps.com Manual &Automatic Submersible Effluent Pumps SE411VF SE411 &SE421 (Less Float) SE411AU,SE421AU inches SE411 A (mm) ' r 10.75 10.75 10.75 (273)(,5 � ) (273) 135 1.56 (273) 1.56 ( ) (40) (1-35 (40)e } n f 6.00 t1" O r- �a 3.86 x °� 3.86 a ��, 52) 3.86 (98) O (9{{8) (98) 1 7.75 S 7.75 - (197} (197) 11 197(197) e u 12 16.76 (4 6) 16.76 16.76 8.75 I (426) (426) (222) 5.60 5.00 77 (127 5.00 ADJUSTABLE (127) I (127) (127) STOP MODEL NO PART NO HP VOLT PH/Ha RPM NEMA FULL LOCKED CORD CORD CORD (Nom) START LOAD ROTOR SIZE TYPE O.D CODE AMPS AMPS inch(mm) SE411 096747 0.4 115 1/60 1750 C 12.0 19.0 14/3 SJTOW 0.375(9.5) SE411A 096748 0.4 115 1/60 1750 C 12.0 19.0 14/3 SJTOW 0.375(9.5) SE411AU 096749 0.4 115 1/60 1750 C 12.0 19.0 14/3 SJTOW 0.375(9.5) SE411 VF 100836 0.4 115 1/60 1750 C 12.0 19.0 14/3 SJTOW 0.375(9.5) SE421 096750 0.4 230 1/60 1750 C 6.2 13.0 14/3 SJTOW 0.375(9.5) SE421AU 096751 0.4 230 1/60 1750 C 6.2 13.0 . 14/3 SJTOW 0.375(9.5) Mechanical Switch on SE-A,cord 16/2,SJOW,Piggy-Back Plug Mechanical Switch on SE-AU,cord 14/2,SJOW,0.370(9.4mm)O.D. Vertical Switch on SE-VF,cord 16/2,SJOW,0.320(8.1 mm)O.D.Piggy-Back Plug IMPORTANT! 1.) PUMP MAY BE OPERATED'DRY'FOR EXTENDED PERIODS WITHOUT DAMAGE TO MOTOR AND/OR SEALS, 2.) THIS PUMP IS APPROPRIATE FOR THOSE APPLICATIONS SPECIFIED AS CLASS I DIVISION II HAZARDOUS LOCATIONS. 3.) THIS PUMP IS NOT APPROPRIATE FOR THOSE APPLICATIONS SPECIFIED AS CLASS I DIVISION I HAZARDOUS LOCATIONS. 4.) INSTALLATIONS SUCH AS DECORATIVE FOUNTAINS OR WATER FEATURES PROVIDED FOR VISUAL ENJOYMENT MUST BE INSTALLED IN ACCORDANCE WITH THE NATIONAL ELECTRIC CODE ANSI/NFPA 70 AND/OR THE AUTHORITY HAVING JURISDICTION.THIS PUMP IS NOT INTENDED FOR USE IN SWIMMING POOLS,RECREATIONAL WATER PARKS,OR INSTALLATIONS IN WHICH HUMAN CONTACT WITH PUMPED MEDIA IS A COMMON OCCURRENCE. 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Thanks, Bill From: "Sawyer, Susan" <ssawyer .townofnorthandover.com> To: "wrdufresne(c-D-comcast.net" <wrdufresnea-com cast.net> Sent: Wednesday, July 9, 2014 2:19:28 PM Subject: RE: 437 Summer He was just here too. He told me you were sending the specs. I will just put your email in the folder that it is ok. Yes, it was the electrical box I mentioned. His electrician will check in with our inspector, Peter,tomorrow to get that straightened out. I guess he likes to look at the work before it's covered up etc. I attached a pic of the alarm box. It is true it is not the usual, but as long as it is safe and legal and does the job, it will be allowed. I am leaving that up to Peter. It should be all figured out by tomorrow. From: wrdufresneCabcomcast.net [mailto:wrdufresneCaacomcast.net] Sent: Wednesday, July 09, 2014 2:33 PM To: Sawyer, Susan Subject: Re: 437 Summer Susan Rob Daigle just brought me the pump spec's. He used a Barnes which is a very reputable brand and meets the requirements specified on the plan. Bill i From: "Sawyer, Susan" <ssawver(cD.townofnorthandover.com> To: "Bill Dufresne (wrdufresne ancomcast.net)" <wrd ufres necd-)co m cast.net> Sent: Wednesday, July 9, 2014 12:28:33 PM Subject: 437 Summer Bill, Rob is bringing us the spec for the pump.Are you approving the pump you viewed as a replacement for the Liberty you had on the plan? In addition, I believe the water pressure was pushing out of the top of the d box excessively. Did you witness that? Rob said he spoke to you and that you told him to put on a 90 instead of the "T" is that correct? Did he do anything else? My electrical inspector"failed"the box according to him. I do not have in writing what is wrong with the box. Did you view it and if so is the an acceptable box?Will it"work"? Also, Rob did not raise the cover to grade over the effluent filter and had no plans to do it per plan. He had to be told by the inspector. We will be going back out to check these things. Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 ���� � ' �� � u �,h� � � '" , ��I �.5�'f DIay�, • • P�RAEEU NO' North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 437 Summer St. MAP: 107A LOT: 83 INSTALLER: Robert Daigle DESIGNER: Merrimack Engineering PLAN DATE: 4/7/14, revised 6/19/14 BOH APPROVAL DATE ON PLAN:6/23/14 INSPECTIONSl TANK INSPECTION: DATE OF BED BOTTOM INS ECTION: 6/30/14 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base '_>V�El Cleanouts per plan Bottom of tank hole has 6" stone base ❑ Weep hole plugged 1500 gallon tank has been installed ` - 1 H-10 loading `- Monolithic tank construction Water tightness of tank has been achieved by visual testing - Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: "qj T,-P, o� PUMP CHAMBER(,&6 4cgr S a ❑ Bottom of tank hole has 6" stone e ba s ❑ Weep hole plugged ❑ 1500 gallon Pump Chamber installed ❑ H-10 loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROL PANEL ❑ Alarm & Pumare on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX Installed on stable stone base H-20 D-Box Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) ❑ Schedule 40 PVC Pipe Comments: �y 1 I SOIL SORPTION SYSTEM (General) Bottom of SAS excavated down to C soil layer, 81s provided on plan .. �f1 � �� `� Size of SAS excavated as per plan A� yy ❑ Title 5 sand installed, if specified on plan "2t t 40 Mil HDPE barrier installed A C����C B El Laterals installed and ends connected to header (and vented if impervious material above) 64t ❑ Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) i ❑ Final cover as per plan Comments: �. \ r/Y1, oT - _,_`enL 066 069 r4 ( �SDIL BS PTION YSTE (Gravel-fe'ss Chambers) - ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = FINAL GRADE ❑ Loamed ❑ Seeded ❑ Cover per plan Comments: DOCUMENTS NEEDED ❑ Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer ❑ As-Built Plan !t BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib.to surface water supply 325 325 ® Public well 400 400 ® . Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 Z. Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws D Commonwealth of Massachusetts Map-Block-Lot `` • 107.A0083 --- ----------------- R � BOARD OF HEALTH Permit No North Andover BHP-2014-0674 •+ "`"� P.I. FEE F.I. $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Robert K._Daigle,_Jr.__________ _____________ ___________ ----- --------- ------------------ to(Construct)an Individual Sewage Disposal System. at No -4-37-SUMMER-STREET as shown on the application for Disposal Works Construction Permit No. BHP-2014 067 �tM ed"% e,_5�2------------- ----- 14 � 1.Issued On:Jun-25-2014 BOARD OF HEALTH Application for Septic Disposal System 6 DATE - Construction Permit — TOWN OF ORTH ANDOVER MA 01845 $ 250.00-l=ull Repair �''�,,.,o•"� �- $125.00-Component 4SS�cMusF� Important: Application is hereby made for a permit to: When filling out VRepair nstruct a new on-site sewage disposal system* forms on the computer,use or replace an existing on-site sewage disposal system* only the tab key to move your Repair or replace an existing system component—What? cursor-do not use the return key. A. Facility Information c — V Address or Lot#Al I City/Town � ' 2.-*,TYPE OF SEPTIC SYSTEM*: � R'Fump ❑ Gravity(choose one) ***If pump system, attach copy of electrical permit to application ❑Conventional System (pipe and stone system) w\A0V t4©,It, ❑ Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification o�iinnstatype of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information Name Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information Name. Name of Nmpany Ad ress City/Town State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2. Application for Septic Disposal System A�ttuao a NbQ TODAY'S DATE Xonstruction Permit - TOWN OF $250.00—Full Repair Asa•,,..•t� ORTH ANDOVER, MA 01845 $125.00 -Component SACHUS� PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover, and not to place the system in operation until a Certificate of Compliance has been issued by this and of Health. 4- 51 NaMe 0L' Date r Apptlic tion Ap v 'y: (B and of Health Representative) �. C P Name Da e Application Disapproved for the following reasons: For Office Use Only: 1. Fee Attached. Yes No 2. Project Manager Obligation Form Attached? Yes No 3. Pump SsY tem? If so,Attach cope of Electrical Permit Yes No 4. Foundation As-Built?(new construction ronly): Yes No (Same scale as approved plan). 5. Floor Plans?(new construction only):: Yes No Application for Disposal System Construction Permit•Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: �/,y 9 S u/W14a^l/ l (Address of septic system) For plans by �,,_,� (Engineer) Relative to the application of G� "V (Installer's name) And dated la�// vq� rigina ate Dated o ay s ate With revisions dated (Last revised date) I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer,I must call for any and all inspections. If homeowner,contractor,project manager,or any other person not associated with my company schedules an inspection and the system is not ready,then item three shall be applicable. . 3. As the installer,I am.required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a$50.00 fine being levied against me and/or my company. a. Bottom of Bed—Generally, this is the first (VS inspection unless there is a retaining wall,which should be done first. The installer must request the inspection but does not have to be present. b. Final Construction Inspection—Engineer must first do their inspection for elevations,ties, etc. As-built of verbal OK (or e-mail to: healthdept&townofnorthandover.com) from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection. With a pump 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. Installer does not have to be on-site. 4. As the installer, I understand that only I may perform the work (other than simple excavation)and I am required to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible. 5. As the installer,I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation bas been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Healtb staff or consultant. d. Installation of tank, D-Box,pipes, stone, vent,pump chamber, retaining wall and other components. 6. As the installer, I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner,general contractor,or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer: r (Today's Date) (Na e—Print) (Name—Signe 6841 s . ORT Of Of _ Ty = Town of North Andover s, a .;; .� �' HE TH DEPARTMENT SACHUs! CHECK#: -`"`DAT LOCATION:°~' `I H/O NAME: CONTRACTOR NAME: T , R', - Type of Permit or License: (Check box) - ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ I ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ S tic-Design Approval $ ,_ V Septic Disposal Works Construction(DWCY J f ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ i ❑ Other:(Indicate) $ v I Health Agent Initial' White-Applicant Yellow-Health Pink-Treasurej i i Blackburn, Lisa From: wrdufresne@comcast.net Sent: Tuesday,July 08, 2014 2:05 PM To: Blackburn, Lisa Subject: 437 Summer Street Hey LB! Robby Daigle is ready for a final inspection at 437 Summer Street. hope you are finding a fun way to beat the heat! Thanks, S , c, Bill 1 f s`r From: "Lisa Blackburn" <LBlackburn(otownofnorthandover.com> c2 K.. � c.z f J To: "Bill Dufresne" <wrdufresne(aD-comcast.net> - Sent: Tuesday, July 1, 2014 7:59:17 AM Subject: 7 Olympic Lane Got it. Lisa Blackburn 1' Health Department Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are-public records.For more information please refer to:hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 SIEVE ANALYSIS 7/2/2014 OF W/C/S KINGSTON MATERIALS A Division of Torromeo Industries, Inc., P.O. Box 2308, Methuen, MA 01844 978-686-5634 Kingston Plant at 18 Dorre Road, Kingston, NH Methuen Plant at 33 Old Ferry Road, Methuen, MA ............. .. ................................... ............... .............. ................. .......... ..... ............ ...................8............ ... ....... ....... ....... ...........- ............... .............. ....... . ..... ...... .... ....... ................. ........ ................. ...... ...... ...... -5 NQ ........... AN "PA 'A'ST..- 0 r .. -A ED.'.' 3/8" 0 0 0 100 100 TO 100 #4 0.9 0 0 100 95 TO 100 #8 'I'll 10 10 90 80 TO 100 #16 162.4 14 24 76 50 TO 85 #30 208.8 18 42 58 25 TO 60 #50 347.5 30 72 28 10 TO 30 #100 233.6 20 92 8 2 TO 10 #200 81.8 7 99 1 0 TO 5 PAN 11.3 1 TOTALS 1157.3 100 ................... ................:. .... .......... .................... ... . ....... . ............. .................. .... A.. SIEVE ANALYSIS OF WICIS TOTAL%PASSING --M--MIN. DEVIATION X MAX. DEVIATION 120 100 co 80 60 40 20 — 0 - 1 2 3 4 5 6 7 8 SIEVE SIZES RECEIVED SAND DELIVERED TO: 437 SUMMER STREET L jUt 09 2014 N. ANDOVER, MA TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Sawyer, Susan From: wrdufresne@comcast.net Sent: Wednesday,July 09, 2014 2:33 PM To: Sawyer, Susan Subject: Re:437 Summer Susan Rob Daigle just brought me the pump spec's. He used a Barnes which is a very reputable brand and meets the requirements specified on the plan. Bill From: "Sawyer, Susan" <ssawver(a)-townofnorthandover.com> To: "Bill Dufresne (wrd ufresn eCa)-co m cast.net)" <wrdufresneCaD-comcast.net> Sent: Wednesday, July 9, 2014 12:28:33 PM . Subject: 437 Summer Bill, Rob is bringing us the Spec for the pump.Are you approving the pump you viewed as a replacement for the Liberty you had on the plan? In.addition,I believe the water pressure was pushing out of the top of the d box excessively. Did you witness that? Rob said he spoke to you and that you told him to put on a 90 instead of the "T" is that correct? Did he do anything else? My electrical inspector"failed" the box according to him. I do not have in writing what is wrong with the box. Did you view it and if so is the an acceptable box?Will it"work"? Also, Rob did not raise the cover to grade over the effluent filter and had no plans to do it per plan. He had to be told by the inspector. - We will be going back out to check these things. Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com 1 MORTN 6801 ti % Town of North Andover HEALTH DEPARTMENT ""CHUSf �T CHECK#: j DATE: LOCATION: H/O NAME: r CONTRACTOR NAME: I "1 Type of.Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ j ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ VD K Septic-Design Approval �v❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ P2, Heal'A Agent Initials White-Applicant Yellow-Health Pink-Treasurer v 6801 Of NORT:1y F r s ♦ L9 • Town of North Andover HEALTH DEPARTMENT sACMUSt CHECK#: r` DATE: !511sj1+ LOCATION H/O NAME: _ r CONTRACTOR NAME: Type of Permit or License: (Check box) V ❑ Animal $ .❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ } ❑ Tobacco $ ❑ TrashlSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ Septic-Design Approval $1 ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other(Indicate) $ i HeaX Agent Initials White-Applicant Yellow-Health Pink-Treasurer TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL:healthdept@townofnorthandover.com WEBSITE:http://www.townofnorthandover.com SEPTIC PLAN SUBMITTAL FORM RECEIVED Date of Submission: Ij� ���-) MAY 2014 TOWN OF NORTH ANDOVER Site Location: `2 L}H n2 HEALTH DEPARTMENT Engineer: New Plans? Yes $225 lan Check# (includes 1st submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes V No Local Upgrade Form Included? kk Yes No Telephone#: Fax#: — E-mail: Homeowner Name: OFFICE USE ONLY When the submission is complete(including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database Commonwealth of Massachusetts RECI �F City/Town of North Andover F Form 11 - Soil Suitability Assessment for ®n-Site Sewage Dispo. al "FAY 2014 TOWN OF NORTIi ANDOVE e A. Facility Information ENT Susan and Joseph Scandore Owner Name 437 Summer Street - -- 107A/83 Street Address Map/Lot# North Andover MA 01845 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ® Upgrade ❑ Repair 2. Published Soil Survey Available? ® Yes ❑ No If yes: version 9 1:15,840 421 Dec 17,2013 Publication Scale Soil Map Unit Canton Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published Publication Scale Map Unit Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary?. ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No Within the 500-year flood boundary? ❑ Yes ❑ No Within a velocity zone? ❑ Yes ❑ No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions(USGS): 04/2014 Range: ❑ Above Normal ® Normal ❑ Below Normal Month/Year 7. Other references reviewed: Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 4 C. On-Site Review (continued) Deep Observation Hole Number: T-1A - Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Munsell Consistence Other Layer Moist Y (Munsell) (USDA) Cobbles& Structure Depth Color Percent Gravel Stones (Moist) 0-2 A& Fill 2-18 B 2.5Y5/6 LS Massive Friable 18-122 C 2.5Y5/4 64 7.5YR4/6 >5 LS Massive Friable Additional Notes: Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T-2A 4-15-14 10am Cloudy, drizzles, 60 degrees Date Time Weather 1. Location Ground Elevation at Surface of Hole: 102.3 Location (identify on plan): See plan 2. Land Use Residential none 3-8 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Lawn Ground Moraine side slope Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100 feet feet feet Property Line e0t Drinking Water Well >1fee00 Other feet 4. Parent Material: Till Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: none none Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 64 97.0 inches elevation Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T-2A Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist Munsell (Moist)Consistence Other La y (Munsell) (USDA) Cobbles& Structure Depth Color Percent ravel Stones 0-2 A& Fill 2-19 B 2.5y5/6 LS Massive Friable 19-121 C 2.5Y5/4 64 7.5YR4/6 >5 LS Massive Friable Additional Notes: Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for ®n-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. 64 B. 64 inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ® Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 18/ 19 Lower boundary: 122 / 121 inches inches Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts - City/Town of North Andover s Form 11 - Soil Suitability Assessment for ®n-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR .15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 5-1-14 Signature of Soil Evaluator Date William Dufresne 5-9-96 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam Isaac Rowe/Mill River Consulting North Andover Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. FSoil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 s J- • North Andover Health Department (ommunity Development Division June 23, 2014 Susan and Joseph Scandore 437 Summer Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 437 Summer Street, Map 107A Lot 83 Dear Homeowners: The proposed wastewater system design plan for the above site dated April 7, 2014 with a final revision date June 19, 2014 received on June 23, 2014 has been approved. The design has been approved for use in the construction of a replacement onsite septic system for a 4-bedroom(max 9-room)home. This plan is generally good for 3-years from the date of approval however, as this is for a repair system,this is reduced to 2- years. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem, such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)). 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 437 Summer Street June 23, 2014 shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincere U Y. Ier, /RS Public He h Dir for Encl. Installers list cc: Merrimack Engineering Services File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Sawyer, Susan From: Sawyer, Susan Sent: Wednesday,June 04, 2014 10:47 AM To: 'Bill Dufresne' Cc: Gaffney, Heidi Subject: 437 Summer Street Attachments: 15 222(8) explanation_0001.pdf Hi Bill, Good news; Claire came up with an old diagram about the building sewer, but can't find the actual reference from the DEP meeting. So,yes,this bend is approvable without the clean-out. I am glad to have that info.for the future. Also, as far as I know the code is silent on the depth of cover over a d-box; though too deep in most cases does hinder future Title V inspections.This one on Summer is fine either way as you noted. On another note, in talking with Heidi, I was looking closer at the grading. It looks like the grading along the buffer zone line, at 102, is a foot or so higher than the existing ground.So, it appears that the finish grade is about 1' up onto the hay bale. Unfortunately, I don't think an installer would be able to finish to the toe of the slope until the hay bales were moved. Can you take a look at that area on the plan for me and correct or comment as warranted? Thank you, Susan - Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawver@townofnorthandover.com Web www.TownofNorthAndover.com •, Tn�„ 1 iA lei, ic: _ ............._______ l 6715 F L9 • Town of North Andover `�'•�;,;o:: HEALTH DEPARTMENT GMUSE4 CHECK#: DATE: LOCATION: H/O NAME: �,��� �' CONTRACTOR NAME: Type of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ , ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ._ ro XSeptic-Soil Testing $ i ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ Health Agent Initials White-APP licant Yellow-Health Pink-Treasurer 67 � . O o w Town of North Andover HEALTH DEPARTMENT CHUSt4 CHECK#: DATE: LOCATION: H/O NAME: CONTRACTOR NAME: Type of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrashlSolid Waste Hauler $ a ❑ Well Construction $ SEPTIC Systems: rV Septic-'Soil Testing $ V j ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ `a ❑ Title 5 Inspector $ ❑ Title 5 Report $ i ❑ Other. (Indicate) $ { Health Agent Initials Y.� White-Applicant Yellow-Health Pink Treasurer i TOWN OF NORTH ANDOVER ' `" "' Office of COMMUNITY DEVELOPMENT AND SERVICESk;. HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540-Phone �C� � ` Public Health Director 978.688.8476—FAX healthdeptgtownofnorthandove .com www.townoftiorthandover.com MAR 2 5 2014 APPLICATION FOR SOIL TESTS HEALTH DEPARTMENT ANDOVERTOWN OF NORTH DATE: MAP&PARCEL: 107A LOCATION OF SOIL TESTS: Lf OWNER: � h� ��, ljontact#: �&;?� APPLICANT: !.7/,t_}-t Contact#: ADDRESS: ENGINEER: r/-jt_(,- Contact#: l�2 CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential ubdivision ngle Family H e Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testing(please indicate test pit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of3$ 60.00 per lot for repairs or uugrades. GENERAL INFORMATION Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date. 17 Signature of Conservation Agent. Date back to Health Department: (stamp in): iw garcons I 1 I 1000 GALLON PUMP CHAMBER t o I I EXISTING 1000 t SEPTIC TANK TO \ I ' BENCHMAR BULKHEAD o T.,P.#1 \ NOTE 'BOX 1� /DISTRIBUTdON T #1 BOX o 000 Lij 0 Ole .000 w VENT •� ,� � m � ® �. . Ld � . V) EROSION P.T.# CONTROL 20 MIL POLY N/. tjQ�,� 'BARRIER ` , MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS LAND SURVEYORS e PLANNERS 66 PARK STREET• ANDOVER,MA 01810• (978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL info@merrimackengineering.com May 22, 2014 Susan Sawyer Public Health Director 1600 Osgood Street � REC �� Eb Building 20, Suite 2035 North Andover, MA 01845 MAY 0'2014 RE: 437 Summer Street � TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Dear Susan, We received your review letter for the above referenced site dated May 19, 2014. We have revised the plan with regard to items#2, #4, #5, and#6 of your letter. With regard to item#1, the system is in fill and a minimum of 1.0' of cover is proposed for a finish elevation of elevation 103.0. Based on the plan&profile elevations and the distribution box details, it is easily determined that the top elevation of the distribution box is 102.55. This is equal to 5.4" of cover, as such, the reviewer is incorrect, the distribution box is within 6" of finish grade and therefore a riser is not required. With regard to item#3, cleanouts are only required for bends of 90 degrees or greater.r r This particular topic was discussed and covered at the 2012 annual MHOA seminar at V which time graphics and discussions were presented by DEP specifically relating to this matter. It should be noted that modern day pipe materials such as pvc have such greater flow characteristics as older pipe materials and the need for cleanouts for all bends simply is not necessary, additionally,the plumbing code requires a cleanout immediately inside the dwelling and the sewer pipe to the septic tank is only 10 feet long, as such, any potential clog can be easily cleared from within the dwelling. With regard to item#7,the designer and the owner reserve the right to design a system in excess of the MINIMUM standards as minimum requirements are just that,the minimum allowed and greater standards are not only allowed but sound engineering practice. Enclosed please find 3 copies of the revised plans. We feel your comments have been adequately addressed. On behalf of the owner, we respectfully request that the plans be approved for construction so they may be able to proceed with upgrade of their septic system. Yours truly, William Dufresne Merrimack Engineering Services rg QA�kATkD A�A4 North Andover Health Department (ommunity Development Division May 19, 2014 Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover, MA 01810 Re: 437 Summer Street, Map 107A, Lot 83 Dear Mr. Nemchenok: The proposed wastewater system design plan for the above site dated April 24, 2014 and received on May 15, 2014 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. A riser to within 6 inches of finish grade is required above the distribution box if greater than 9 inches below grade. Magnetic tape cannot be used as an alternative to providing a riser. Please modify the note in the "Graphic Scale" on sheet 2. /2. On sheet 1 of 2,please note the approximate location of the seepage pits that are referenced in note#11. 3. On sheet 1 of 2, a cleanout is required for the building sewer line since a directional change is proposed (3 10 CMR 15.222(8)).' On sheet 2 of 2, the distribution box outlet elevation appears to be incorrect. There is greater than a 0.17' drop from inlet to outlet. The detail of the distribution box indicates a 0.17' drop from inlet to outlet. Please modify,this discrepancy. /5. On sheet 2 of 2, the proposed stone in the leach field must be double washed stone (3 10 CMR 15.247(1-2)). /6. On sheet 2 of 2,the manhole cover above the pump chamber outlet is required to be to finish grade (3 10 CMR 15.231(5)). 7. Although not a reason for disapproval, the leach field appears to be oversized by approximately 100 SF. Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Susan Y. Sawyer, REHS/RS Public Health Director cc: Susan and Joseph Scandore File i Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Blackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Tuesday,April 15, 2014 4:23 PM To: Blackburn, Lisa;Sawyer, Susan Cc: 'Pam Lally'; irowe@millriverconsulting.com Subject: RE:437 Summer St. and 450 Boston Street Attachments: 437 Summer St- Soil testing results 4-15-14.PDF;450 Boston St- Soil testing results 4-15-14.pdf Lisa/Susan, Attached are the soil testing results for the above referenced properties. As you know,437 Summer St already had soil testing and perc tests done post 1995 by Ben Osgood and even had a design plan prepared. Bill wanted to do a couple of pits to confirm the soil. He will use the perc test results from the design plan. However,we.did not agree with the ESHWT by Osgood.We called it about 2' lower. I believe Osgood may have been ultra conservative with his assessment. I can explain in more detail if needed. Please let me know if you have any questions. Thanks, . .. Isaac M. Rowe,,R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 Fax:978-282-1318 irowe _millriverconsulting.com www.millriverdonsultin.g.com From: Blackburn, Lisa [mailto:LBlackburnCltownofnorthandoVer.com] Sent: Monday, March 31, 2014 8:24 AM To: Dan Ottenheimer; Isaac Rowe;.Pam Lally Cc: Sawyer, Susan Subject .437 Summer St. and 450 Boston Street Good Morning, Attached are applications for soil testing at 437 Summer Street and 450 Boston Street. - I Please contact the engineers, Bill Dufresne for 437 Summer Street and James Morin for 450 Boston Street to set up a date.Thank you. Lisa Blackburn Health Department Town of North Andover 1 Commonwealth of Massachusetts - City/Town ofi '� '. _ y . System Pumping Record MR Z 4 'n14 Form 4 TOWN OF'M n, HEATH DF0 DEP has provided this form ^Rrf�pENT for useby local Boards of Health. Other forms may=be used;but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Left/ ight rear of Nous Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address L l Cl U VkA, to Q-4- ��-AAA Cityrrown J State Zip Code 2. System Owner. Name Address(4 different from location) Cityrrown ' State Zip Code Telephone Number _ t B. Pumping Record a©~ t3 1. Date of Pumping r 2. QuantityPum Date � Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yep 3-Iq-0 If yes, was ft cleaned? ❑ Yes ❑ No. 5. Condition of System: 6. System Pumped By: Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Ina Company 7. 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