HomeMy WebLinkAboutMiscellaneous - 439 WINTER STREET 4/30/2018 (3),3q W l 1 I k( `-" -I,
Town of North Andover — Septic S stem - AS -BUILT CHECKLIST
1) All changes to the design plan have been reflected and noted on the as -built plan
2) s -built plan has a suitable scale; (1 inch — 40 feet or fewer for plot plans)
3)treet Address, Assessor's Map and Lot Number
4) "' Lot Lines and Location of Dwellings served by the system
if applicable)
5) 7Ties
LocatiElevations and Dimensions of As -built system components, including reTrve ( app b )
6) to all tank openings, d -box, and leach area from dwelling or Permanent Structure
Setback distances are shown on the as -built plan from system components to:
Subsurface, interceptor & foundation drains
Catch.basins
Property lines
Dwellings or other structures
Private water supply or irrigation wells
�LV atercourses or wetlands
8) � ocations of Wells, Drains, Wetland Resource Areas within 150 feet of system
9) cation of water, gas, electric lines, cable, control panel (if applicable)
10) cation of Structures within 6 Inches of Finished Grade
11) Original Stamp & Signature
12) aLocation and holder of any easements which could impact the system
13) ::z pervious Areas; Driveways, etc
14) \/ /North Arrow
15) Location &Elevation of Benchmark used
16) STATEMENT ON PLAN (NA 5.3)
a. "I certify the locations, elevations, ties, cover material; exposed component covers etc.,
shown on this as -built substantially agree with the approved plan and have determined that the
break out elevations, if applicable, have been met."
Signature of Designer
Date
b. "If a STUCTURAL WALL IS PRESENT (NA 4.9) a Letter or statement on the as -built indicating
the wall - was, or was not constructed in accordance with the intended desiQrr and any
manufacturer's specifications."
Signature of Designer
Date
As of: Tuesday, March 17, 2015
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community and Economic Development Division
CERTIFICATE OF
COMPLIANCE
As of: July 11, 2017
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
New Construction of an
On -Site Sewage Disposal System
By: Todd Bateson, Bateson Enterprises, Inc.
At: 439 Winter Street
Map 104.A Lot 70
orth Andover, MA 01845
of tis ci is , e shall not be construed as a guarantee that the system will function satisfactorily.
Michele Gran
Public Health
120 Main St., North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web www.northandoverma.gov
North Andover Health Department
Community and Economic Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 439 Winter St. MAP: 104.A LOT: 0070
INSTALLER: Todd Bateson
DESIGNER: Phil Christiansen
PLAN DATE: 9/14/16, Rev. 10/13 & 10/17
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
TANK INSPECTION: 11/21/16
DATE OF BED BOTTOM INSPECTION: 11/22/16
DATE OF FINAL CONSTRUCTION INSPECTION: 11/29/16
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
N/A Contractor reports any changes to design plan
X Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
Comments: Laundry system dry to be abandoned after internal plumbing is
connected to building sewer pipe - IR
SEPTIC TANK
® Building sewer in continuous grade, on
compacted firm base
N/A Cleanouts per plan
X Bottom of tank hole has 6" stone base
X Weep hole plugged
X 1500 gallon tank has been installed
H-10 loading
X Monolithic tank construction
X 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
(gas baffle/effluent filter)
24" inch cover to finish grade installed over
inlet and outlet access ports
® Neoprene boots around inlet & outlet
Comments:
DISTRIBUTION -BOX
® Installed on stable stone base
® H-20 D -Box
N/A Inlet tee (if pumped or >0.087foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
N/A Speed levelers provided (not required)
® Schedule 40 PVC Pipe
Comments:
SOIL ABSORPTION SYSTEM (General)
X Bottom of SAS excavated down to C soil layer,
as provided on plan
X Size of SAS excavated as per plan
X Title 5 sand installed, if specified on plan C-33
® 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
N/A Retaining wall (boulder / concrete / timber/ block)
❑ Final cover as per plan
Comments: System has a poly barrier and dry well. Pumper will hook up. Dry
well will be abandoned properly. 21W x 60L with overdig.
SOIL ABSORPTION SYSTEM (Presby)
® Presby Enviro-Septic
® Number of chambers per row: 5
® Number of rows (trenches): 6
Comments: Total Pipes = 30
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
BM = 100.00
HR = 13.80
HI = 113.80
SYSTEM ELEVATIONS
ROD
ELEVATION
AS -BLT INVERT
ELEV
DESIGN INVERT
ELEV
Benchmark
Building Sewer OUT
8.15
105.30
105.72
Septic Tank IN
8.26
105.19
105.45
Septic Tank OUT
8.50
104.95
105.20
Distribution Box IN
8.64
104.81
104.76
Distribution Box OUT
8.88
104.57
104.59
Lateral 1 TOP
9.05
Lateral 1 INVERT
104.40
104.42
Lateral 2 TOP
9.16
Lateral 2 INVERT
104.29
104.17
Lateral 3 TOP
9.32
Lateral 3 INVERT
104.13
104.02
Lateral 4 TOP
9.66
Lateral 4 INVERT
103.79
103.67
Lateral 5 TOP
9.90
Lateral 5 INVERT
103.55
103.42
Lateral 6 TOP
10.21
Lateral 6 INVERT
103.24
103.17
CRITICAL SETBACK DISTANCES
Mark those distances checked in the field against the design plan and regulatory
setback
1 Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance (NA 5.02).
3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30, respectively, pursuant to 15.211(3), also by NA
wetland bylaws
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 Bank3
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
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:
(Print Name)
Located at: JQ WlRJ��,� 577
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
C and last revised on ���/3 %/ �o , with a design flow of
66D gallons per day. The materials used were in conformance with those specified on the
approved plan; the system was installed in accordance with the provisions of 310. CMR 15.000, Title 5 and local
regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on
the As -built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date:
And — Print Name
Final Construction Inspection Date:_///24-//%_
'Fµ t G t P c1 /LCS/7.41J5Ck/
And — Print Name
Installer:
E
(Signature)
Engineer Representative (Signature)
re)
Date: 1-30-17
And — Print Name
Date: 1-2141/7
PaIup f44n1sr7)qU5E u/
And — Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.northandoverma.gov
n. Commonwealth of Massachusetts Map -Block -Lot
• 104.AO070
-----------------------
BOARD OF HEALTH Permit No
North Andover -------------------BHP-2016-0465 ----
P.I. FEE
F.I. $350.00
-----------------------
DISPOSAL WORKS CONSTRUCTION PERMIT
Permission is hereby granted Todd -Bate -son -----------------------------------------------------------------------------------------
to (Upgrade) an Individual Sewage Disposal System.
atNo -4-3-9-WINTER -STREET ------------------------------------------------------------------------------------------------------------------
as shown on the application for Disposal Works Construction Permit No. BB -P-20-1-6---046 --- Dated -November 07,-2016
------------
Issued On: Nov -07-2016 ---------- Lg6Xi60YoHEA-L-'-rIj
------------------------------------------ — -------
--------------------
:- Application for Septic disposal System
Construction Permit - TOWN OF
w.: •(;0:0-
ull Repair
NORTH ANDOVER, MA 41845 Component
Application is hereby made for a permit to:
❑ Construct a new on-site sewage disposal system* RECEIVED
fflfepair or replace an existing on-site sewage disposal system* 0
❑ - Repair of replace an existing system component What. NOV U % ZU16A
A. Facility Information- TOWN OF NORTH ANDOVER
L13 HEALTH DEPARTMENT
Address or Lot #
City/rown 10 .
2: *TYPE OF SEP IC SYSTEM*:
➢ ❑ Pump aGravity (choose one)
***If pump system, attach copy of electrical permit to application**'
➢ ❑� omrentional System (pipe and stone system)
➢ &&Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system.)
❑ Pressure Distribution S.A.S. (No D -Box)
➢ ❑ Pressure Dosed (D -Box Present) S.A.S. /
➢ ❑ Does the system require an effluent filter? Yes No
If yes, does plan specify make and model of filter? YES = (no further info. needed)
NO = (installer must specify brand of filter before DWC issuance)
What is the Make?
What is the Mode F"
2. Owner Information
'AA -~-s -SAAL 1-6i vA
Mame
J43 q
Address (if different from above)
/U�1 ^W_ '/'P( V ys
Cityl�wno State Zip Code
Telephone Number
3. Installer Information
�Q �r �e spa✓
Name Name of CIDAT@t!1iWENTERPRISES, INC.
111 ARGILLA ROAD
Address ANDOVER, MA 01 al a
Cityfrown
State Zip Code
T7r ?ts-j`yo3
Telephone Number (Celt Phone # if possible please)
4. Designer Information 1
pGl
1-1-P ef�r T to�-S Cr✓i`ci �- =
Name Name of Company
Address
Cityrrown
b":V
s/.
State Zip Code
3"7-3-0310
Telephone Number (Best # to Reach)
Application for Disposal System Construction Permit • Page 1 of 2
I I
TODAY'S DATE
$.250.06 - Pull Repair
$125.60.--domponent
PAGE 20.F2.
A. Facility. :I.n.fo.rmation:continued....
S. Type* of BuIldin-g: 26'sidential Dwelling or ElOornmercial
B.Agreement
The undersigned agrees to ensure
9 the construction and maintenance of the atore-deibribed
on-site sewage disposal iystemin accordance with the provisions of
Title 5 of the
EnvIronmental Code, as well as the Local SubsuMice Disposal Regulations for the Town of
North Andover, and not to place,tho System Ih Operation until a Certificate Of COMPIWIce has
been Issued by this Board of Health.
Nam*-- Dite
Apple tion A
d A y: (Board of Health Representative)
Name
Date
Ap Ilcatl
–7M.tapproved for the following reasons:
tO
For Office Use Only:
Fee Attached?:
Yes No
2.- P-OOOCtAfgd2ger Obligation Fo=
3, P
MD &t
eM? rfsoj Attach conn,
4- . Fbund2dO&As-BuAkP (new construction -ro Ply)..
(S=C SCde as apptovedptaq).
A FloorEwsP(newcolistruction- only')..
yis
M
Yes�
N
Yes
NO
. ycls�—\ - No_
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2. As the instal C4 I am .obHVtvd to abtaia aff pemo* std' Bostd of fIesdth approved plana OM t'D
�patfoamittg anp:wo�c saw a site.
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TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES s
HEALTH DEPARTMENT
4;p;;q.�
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01845
SEPTIC PLAN SUBMITTAL
FORM
Date of Submission: 9 0-111 `''
Site Location: Y 3 2 W t A)7 -E4 S� "
978.688.9540 — Phone
978.688.8476— FAX I
E-MAIL: healthdept@northandoverma.gov
WEBSITE: htt ://www.northandoverma. ov ED
Engineer: P/11,L/ P CP OS W o9 U S
J
New Plans? Yes t-__"$275/Plan Check #
review only)
Revised Plans?Yes $125/Plan Check #
Site Evaluation Forms Included? Yes
Local Upgrade Form Included? Yes
SEP 212016
lei
TOWNALTH ER
DEPARTMENT
(includes 1St submission and one re -
No
No Al
Telephone #: q7e -3 -7-3-0316 Fax #:
E-mail: oh, % e SC — e4q . C7� t►'1
Homeowner
Name: JAMES SAAG ?'-2P �JK_
OFFICE USE ONLY
When the sub ission is complete (including check):
➢ 1/ Date stamp plans and letter
➢ _Complete and attach Receipt
i
➢ 't./ Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
.a
North Andover Health Department
Community and Economic Development Division
September 26, 2016
Philip Christiansen, P.E.
Christiansen and Sergi, Inc.
160 Summer Street
Haverhill, MA 01830
Re: 439 Winter (Map 104A, Lot70)
Dear Mr. Christiansen,
The proposed wastewater system design plan for the above site dated September 14, 2016 and
received on September 21, 2016 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 where applicable.
1. Show all watercourses, wetlands, drains and wells within 150' of the proposed septic
system or provide a note indicating none exist (NA 3.2).
2. On sheet 1 of 2 in the site plan view, the waterline was not shown on the design plan (3 10
CMR 15.220(4)(m)).
3. On sheet 1 of 2 in the site plan view, it appears the deck on footings is less than 5' from
proposed septic tank. Therefore, a local variance will need to be requested from NA 3.9.
4. On sheet 1 of 2, the bottom of system sand elevations for lines 42,4,6 are 3.9' to the
ESHWT.
5. On sheet 1 of 2, the ground surface elevation for TP #1 ranges from approximately 104.5-
105.9. The soil log depicts the test pit with a ground elevation of 104.5 which is the
lowest elevation on the slope. Please adjust the ground surface elevation and the
ESHWT to more accurately reflect the range in surface elevation in the location of the
test pit.
6. Submit the DEP approval letter for the alternative soil absorption system proposed.
7. Since Enviro-Septic (Presby) system is proposed as an alternative soil absorption system
the "Standard Conditions for Alternative Soil Absorption Systems with General Use
Certification and/or Approved for Remedial Use" will apply. Please provide the
following as required by the approval conditions
Page 1 of 3
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
Section II(7):
e) The record drawings, approved by the LAA, must clearly indicate an area for
the best feasible replacement system that could be installed in the event that the
proposed Alternative Soil Absorption System fails or it is determined that it is not
capable of providing equivalent environmental protection;
Section II(18):
c) a certification, signed by the Owner of record for the property to be served by
the Technology, stating that the property Owner:
1. has been provided a copy of the Title 5 IIA technology Approval,
the Owner's Manual, and the Operation and Maintenance Manual,
and the Owner agrees to comply with all terms and conditions;
2. for Systems installed under a Remedial Use Approval, the owner
agrees to fulfill his responsibilities to provide written notification
of the Approval to any new Owner, as required by 310 CMR
15.287(5);
3. if the design does not provide for the use of garbage grinders, the
restriction is understood and accepted; and
4. whether or not covered by a warranty, the System Owner
understands the requirement to repair, replace, modify or take any
other action as required by the Department or the LAA, if the
Department or the LAA determines the System to be failing to
protect public health and safety and the environment, as defined in
310 CMR 15.303.
Provide a note on the design plan to indicate the deed notice requirement in accordance with
Section II(23):
a) For System upgrades installed under a Remedial use Approval the System
Owner shall provide a copy of record and/or register the Deed Notice
required by 310 CMR 15.278(10), to the LAA. The Deed Notice shall be
completed as follows:
L a certified Registry copy of the Deed Notice bearing the book
and page%r document number; and
ii. if the property is unregistered land, a copy of the System Owner's
deed to the property as recorded at the Registry, bearing a marginal
reference on the System Owner's deed to the property.
Page 2 of 3
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
i
Please feel free to contact the office or Mill River Consulting at 978-282-0014 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,
L �
Brian J. LaGrasse, CEHT
Director of Public Health
cc: James Saalfrank
File
Page 3 of 3
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476
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
978.688.8476— FAX
E-MAIL: healthdept@northandoverma.gov
WEBSITE: http://wNvw.northandoverma.gov
SEPTIC PLAN SUBMITTAL
FORM
Date of Submission: %0 4/ 7/ //6
Site Location: 1� 3 f W, n
Engineer:
New Plans? Yes
review only)
V_
$275/Plan Check # (includes 1St submission and one re -
Revised Plans?Yes t-"$' 125/Plan Check # J 3��
Site Evaluation Forms Included? Yes No
Local Upgrade Form Included? Yes
Telephone '3
p 7 -1) 316
No,----"
Fax #:
E-mail: l S e 5L -- if i2 r. CsYyI
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
10/11/2016 Town of North Andover Mail - RE: 439 Winter St.
NORT DOVER
Massachusetts Lisa Hadge <Ihadge@northandoverma.gov>
RE: 439 Winter St.
1 message
Isaac Rowe <irowe@millriverconsulting.com> Mon, Oct 10, 2016 at 11:05 AM
To: Lisa Hadge <Ihadge@northandoverma.gov>, Pam Lally<plally@millriverconsulting.com>
Cc: Brian LaGrasse <blagrasse@northandoverma.gov>, Michele Grant <mgrant@northandoverma.gov>, Isaac Rowe
<irowe@millriverconsulting.com>
Brian/Lisa,
I have reviewed the revised plan. I would recommend approval after a minor revision.
On sheet 1 of 2, under the "System Elevation Worksheet" the ESHWT elevation and associated piping elevations for
line #3 appear to still be low by 0.1' based on existing grade elevation. These should be changed in this section and in
the "System Elevations" table too.
I would recommend suggesting to the designer he can make the minor edits in the office on the plans with his initials
and date or he can submit a revised set of plans.
I would be happy to email him directly and copy you on the email if that is preferred.
Let me know.
Thanks,
Isaac Rowe
Project Manager
'xt ,i re
Cem�,-Ll RIVER CONSULTING
C€rjllv€' Sduf otlt lbr 1.111d FJN, cv9rapftwm
6 Sargent Street
Gloucester, MA 01930-2719
https://mail.goog le.com/mail/ca/u/0/?ui=2&ik=46857787dO&view=pt&search=inbox&th=157af2Oeaf3O367d&siml=157af2Oeaf3O367d 1/2
10/11/2016 Town of North Andover Mail - RE: 439 Winter St.
NOR1� ANDOVER
Massachusetts R Lisa Hadge <Ihadge@northandoverma.gov>
RE: 439 Winter St.
1 message
Isaac Rowe <irowe@millriverconsulting.com> Mon, Oct 10, 2016 at 11:11 AM
To: Lisa Hadge <Ihadge@northandoverma.gov>
Cc: Brian LaGrasse <blagrasse@northandoverma.gov>, Michele Grant <mgrant@northandoverma.gov>, Isaac Rowe
<irowe@millriverconsulting.com>
Just a FYI - his response to comment #6 seemed like he was annoyed by the request to submit the DEP approval letter
but he ended up submitting the wrong approval letter. Not a big deal because he complied with all of the
requirements as needed but it reinforces the importance of this request. A number of designers do not have a full
understanding of the difference between the various system approvals and requirements.
Thanks,
Isaac Rowe
Project Manager
0�"%LZ RIVER CONSULTING
{` r.mikv Solution.., fire Lind f.iv' eirlitw-ori
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
www.miliriverconsulting.com
From: Isaac Rowe [mailto:irowe@millriverconsulting.com]
Sent: Monday, October 10, 2016 11:06 AM
To: 'Lisa Hadge'; 'Pam Lally'
Cc: 'Brian LaGrasse'; 'Michele Grant'; Isaac Rowe
Subject: RE: 439 Winter St.
Brian/Lisa,
https://mail.google.com/mail/ca/u/0/?ui=2&ik=46857787dO&view=pt&search=inbox&th=157af268038b9870&siml=157af268038b9870 1/3
October 4, 2016.
CHRISTIANSEN & SERGI, INC
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 SUMMER STREET, HAVERHILL, MA 01830
tel: 978-373-0310 www.csi-engr.com fax 978-372-3960
Mr. Brian J. LaGrasse, CEHT
Director of Public Health
Town of North Andover,
North Andover, MA
RE; 439 Winter Street, (Map 104A, Lot 70)
Dear Mr. LaGasse:
In response to your comments on letter dated September 26, 2016, I offer the
following comments:
1. Show all watercourses, wetlands, drains and wells within 150' of
RECEIVED
OCT 0 6 2016
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
the proposed septic system or provide a note indicating none exist
(NA 3.2).
An approximate wetland line is shown on the plan. It is taken from the North Andover
GIS site
2. On sheet 1 of 2 in the site plan view, the waterline was not shown on the
design plan (3 10 CMR 15.220(4)(m)).. A waterline has been added to
the plan
3. On sheet 1 of 2 in the site plan view, it appears the deck on footings is less than 5' from
proposed septic tank. Therefore, a local variance will need to be requested from NA 3.9.
The septic tank has been moved to comply with NA3.9
4. On sheet 1 of 2, the bottom of system sand elevations for lines
#2,4,6 are 3.9' to the ESHWT.
The bottom of system sand elevations have been adjusted.
5. On sheet 1 of 2, the ground surface elevation for TP #1 ranges from approximately
104.5- 105.9. The soil log depicts the test pit with a ground elevation of 104.5 which is
the lowest elevation on the slope. Please adjust the ground surface elevation and the
ESHWT to more accurately reflect the range in surface elevation in the location of the
test pit.
The ground surface in the cross-section accurately reflects the existing ground surface
over the system. The elevation of the test pit shown in the soil log was the elevation
determined by field survey. The water table is 68 " or 5.66 feet below the surface. The
ground water elevation. As can be seen in the cross-section the existing ground surface
elevation above the system range from 103.4 and 104.8. The water table elevation is
0A
shown as 68" below the surface. The components of the system are designed to account
for the sloping water table elevations. The symbol for the test pit is not an actual
representation of the test pit size but only an approximate location. The actual surface
elevation is as shown in the profile and cross-section.
6. Submit the DEP approval letter for the alternative soil absorption system proposed.
The Approval letter is attached. (It seems redundant to have to submit a letter that DEP
has issued for approval of this system use when it is public record, available on line and
I assume in the possession of the third party reviewer and the Town of North Andover
Health Department)
7. Since Enviro-Septic (Presby) system is proposed as an alternative soil
absorption system the "Standard Conditions for Alternative Soil
Absorption Systems with General Use Certification and/or Approved
for Remedial Use" will apply. Please provide the following as required
by the approval conditions
Section II(7):
e) The record drawings, approved by the LLA, must clearly indicate an
area for the best feasible replacement system that could be installed in the
event that the proposed Alternative Soil Absorption System fails, or it is
determined that it is not capable of providing equivalent environmental
protection:
I have added calculations to size afield under Title 5 requirements and added the
system outline on the plan as well as grading. Installation of such a system will require
the use of a barrier as well as a retaining wall because the required grading cannot be
attained without filling the pool and encroaching on the neighbors' property.
Section II(18)
c) a certification, signed by the Owner of record for the property to be
served by the Technology, stating, ...
A copy of the Owner signed certification is attached.
Section II(23)
Provide a note on the design plan to indicate the deed notice requirements
in accordance with Section II(23).
A note has been added to the plan.
Please contact me if you have any additional questions or comments on
these revised plans.
Since ,
P ' ' G. Christiansen PE
Owner's Certification for 439 Winter Street, North Andover,RECEIVED
OCT G 6 2616
'[OWN OF NORTH ANDOVER
HEALTH DEPARTMENT
I, James Saalfrank the Owner of record of 439 Winter Street, hereby
certify to the following:
1. 1 have been provided a copy of the Title 5 Innovative Alternative
Technology Approval, the Owner's Manual, and the Operation and
Maintenance Manual for the Presby Enviro-Septic Wastewater
Treatment System, and I agree to comply with all terms and conditions
2. 1 agree to fulfill my responsibilities to provide written
notification of the Approval to any new Owner, as required by 310
CMR 15.287(5);
3. The design does not provide for the use of garbage grinders. This
restriction is understood and accepted;
4. Whether or not covered by a warranty, I understand the
requirement to repair, replace, modify or take any other action as
required by the Department or the Local Approving Authority (LAA), if
the Department or the LAA determines the System to be failing to
protect public health and safety and the environment, as defined in
310 CMR 15.303. z--)
;s Saalfrank
ber 5, 2016
i
n Commonwealth of Massachusetts
Executive Office of Energy & Environmental Affairs
Department of Environmental Protection
One Winter Street Boston, MA 02108.617-292-5500
DEVAL L PATRICK RICHARD K. SULLIVAN JR.
Governor Secretary
RMQTHY P. MURRAY KENNETH L. KIMMELL
Lieutenant Governor
Commissioner
GENERAL USE CERTIFICATION
Pursuant to Title 5, 310 CMR 15.00
Name and Address of Applicant:
Presby Environmental, Inc.
143 Airport Road
Whitefield, NH 03598
Trade name of technology and models: Presby Enviro-Septic® Wastewater Treatment
System (hereinafter called the "System"). The "Massachusetts Enviro-Septic® Wastewater
Treatment System Quick Reference Guide" including schematic drawings of typical Systems, an
inspection checklist, and a System Installation Form are part of this Certification.
Transmittal Number: X233394
Date of Issuance: Revised March 19, 2013
Authority for Issuance
Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of
Environmental, Protection hereby issues this Certification for General Use to: Presby
Environmental, Inc., 143 Airport Road, Whitefield, NH 03598 (hereinafter "the Company"),
certifying the System described herein for General Use in the Commonwealth of Massachusetts.
The sale, design, installation, and use of the System are conditioned on compliance by the
Company, the Designer, the Installer and the System Owner with the terms and conditions set
forth below. Any noncompliance with the terms or conditions of this Certification constitutes a
violation of 310 CMR 15.000.
David Ferris, Director
Wastewater Management Program
Bureau of Resource Protection
March 19, 2013
Date
This information is available in alternate format. Call Michelle Waters-Ekanem, Diversity Director, at 617-292.5751. TDD# 1-866-539-7622 or 1.617-574-6868
MassDEP Website: www.mass.gov/dep
Printed on Recycled Paper
Revised General Use Certification Page 2 of 3
Presby Enviro-Septic Wastewater Treatment System
Revision Date: 3/19/2013
Technology Description
The System is an alternative subsurface Soil Absorption System (SAS) that replaces a
conventional SAS designed in accordance with 310 CMR 15.000. The System consists of an 11
5/8 -inch diameter corrugated, high-density plastic pipe with a 9.5 -inch interior diameter and a
standard length per unit of 10 feet. The pipe is perforated with eight holes equally distributed
around its inner circumference at each corrugation. Each hole has a plastic skimmer extending
inwards. The exterior of the pipe has ridges on the peak of each corrugation and is wrapped with
two layers of fabric material. The inner layer is a thick layer of coarse, randomly oriented
polypropylene fibers. The outer fabric layer is a thinner non -woven geo-textile polypropylene.
The System includes required connectors designed to connect pipe units together. The System
also includes six inches of sand, specified as concrete sand meeting ASTM C-33 (also called
`System sand'), surrounding the pipe on all sides.
Conditions of Approval
The term "System" refers to the Alternative Soil Absorption System in combination with the
other components of an on-site treatment and disposal system that may be required to serve a
facility in accordance with 310 CMR 15.000.
The term "Approval" refers to the technology -specific Special Conditions, the Standard
Conditions for General Use Certification of Alternative Soil Absorption Systems, the General
Conditions of 310 CMR 15.287, and any Attachments.
For Alternative Soil Absorption Systems that have been issued General Use Certification for
the installation of Systems to serve facilities where the site meets the requirements for new
construction, the Department authorizes reductions in the effective leaching area (3 10 CMR
15.242), subject to the Standard Conditions that apply to all Alternative Soil Absorption Systems
with General Use Certification and subject to the Special Conditions below applicable to this
Technology.
Special Conditions
1. The System is an approved Patented Sand Filter System for use as an Alternative Soil
Absorption System. In addition to the Special Conditions contained in this Approval, the
System shall comply with all Standard Conditions for Alternative Soil Absorption Systems,
except where stated otherwise in these Special Conditions.
2. The System is approved for facilities where a conventional system with a reserve area exists
or can be built on-site in full compliance with the new construction requirements of 310
CMR 15.000 and has been approved by the local approving authority.
3. This Certification shall not be used for the installation of a System to upgrade or replace an
existing failed or nonconforming system, unless the facility meets the siting requirements for
new construction, including a reserve area.
X233394
Revised General Use Certification
Presby Enviro-Septic Wastewater Treatment System
Revision Date: 3/19/2013
Page 3 of 3
4. The separation distance to the estimated seasonal high groundwater elevation shall be
measured from the bottom of the System sand below the Enviro-Septic Wastewater
Treatment System.
The System shall only be installed in bed or field configuration, as described in 310 CMR
15.252. The System shall not be installed in trench configuration and no sidewall area shall
be considered in the total effective leaching area provided. The effective leaching area shall
be the bottom area only (length times width) of the sand bed.
6. Systems shall be installed with differential venting for aeration and inspection access at end
of each run of pipe, section or serial bed and whenever the System is installed under
impervious surfaces.
7. Serial distribution laterals or sections shall be limited to no more than 500 gpd with each
lateral a maximum of 100 feet, and must be laid level. Multi-level systems shall not be
allowed.
8. System component material specifications for the pipe, plastic components, fabric and sand
shall comply with the specifications identified in the initial VA technology approval. Prior
approval from the Department for any change from these specifications shall be requested in
writing.
9. Any changes to the approved plans must receive prior Local Approving Authority (LAA)
approval. Before a Certificate of Compliance can be issued by the LAA the System Designer
must include any changes to the approved plan into the as -built plans.
X233394
V
I
8/17/2016
9:48
-
Commonwealth of Massachusetts
RECEIVED
Observation Hole #
City/Town of North Andover
•
_SEP
Percolation Test
212016
'
Form 12TpwN
OF NORTH ANDOVER
LTH DEPARTMENT
wM
10:03
BA
Time at 12"
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health.
Other forms may be used, but
the information must be substantially the same as that provided here. Before
using this form, check with
the local Board of Health to determine the form they use.
14
Important: When
A. Site Information
5 MIN/INCH
filling out forms
Test Passed:
on the computer,
use only the tab
James Saalfrank
Test Failed:
key to move your
Owner Name
cursor - do not
..e +tie —f,.-
439 Winter St.
- ""' Street Address or Lot #
key.
North Andover MA 01845
Q City/Town State Zip Code
Philip Christiansen 978.373.0310
Contact Person (if different from Owner) Telephone Number
B. Test Results
Test Performed By:
Isaac Rowe
Witnessed By:
Comments:
Date Time
Test Passed: ❑
Test Failed: ❑
t5form12.doc• 06/03 Perc Test • Page 1 of 1
8/17/2016
9:48
Date
Time
Observation Hole #
1
Depth of Perc
23+18=41
Start Pre -Soak
9:48
End Pre -Soak
10:03
Time at 12"
10:03
Time at 9"
10:13
Time at 6"
10:27
Time (9"-6")
14
Rate (Min./Inch)
5 MIN/INCH
Test Passed:
Test Failed:
❑
Daniel O'Connell
Test Performed By:
Isaac Rowe
Witnessed By:
Comments:
Date Time
Test Passed: ❑
Test Failed: ❑
t5form12.doc• 06/03 Perc Test • Page 1 of 1
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No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
'DtUIl/ OF N047?f
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( ) Repair (>i Upgrade ( ) Abandon ( ) - XComplete System ❑ Individual Components
ocati
/ [� ag39�],,,�VV II o TE �Z yam;
toTll Al7K-C4j C_n -7V
Map/Parcel #
Lot #
Installer's Name
Address
Telephone #
..%AMC -S SAAB C1W Aj<
Own,,, Name
/�W J Address
��3��5 2
r Telephone Telephone #
I-1,�lsn� Nsx/ s se 2x / NDes
C
57- AN olg�3
Address l
!?;T-373- 314
Telephone #
Type of Building: "Ob Lot Size VS60 Sq. feet
Dwelling — No. of Bedrooms Garbage Grinder ( to
Other — Type of Building No. of persons Showers (�, Cafeteria ( )
Other fixtures
Design Flow (min. re uired). gpd Calculated design flow gpd Design flow provided h4U gpd
Plan: Date 4 Number of sheets 2 Revision Date
Title—Af7T?X NQ M 6 � 1-k'/ .l—
Description of Soil(s) 6Q L,
Soil Evaluator Form No.&- Name of Soil EvaluatorL).014oNNC-7-Z— Date of Evaluation7114
DESCRIPTION OF REPAIRS OR ALTERATIONS RFAM1/F t9t-L g�-X! '"77A/& -
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE S and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date
Inspections
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
L10,
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SUITE 2035
NORTH ANDOVER, MASSACHUSETTS 01845
APPLICATION FOR SOIL TESTS
978.6889540 — Phone
978.688.8476 — FAX
healthdept@northandoverma.gov /
www.northandoverma.gov �!
R E VED
DATE: MAP & PARCEL: 16M - 70 AUG 0 3 2016
NORTH ANDOVER
LOCATION OF SOIL TESTS: 9,39 mi t n 4P-4 _ S"7`- HEALTH DEPARTMENT
OWNER: James 4ywmk Contact #:
403— 36 —
APPLICANT: 5alme— Contact #:
ADDRESS: q32 w ! U7T/L S✓
ENGINEER: (h rl z9,nS--e4 Contact #: 17 C'3 7 3 — Q 3 f U
CERTIFIED SOIL EVALUATOR:
C?1 Sit r�'
In�ided Hie of Land: Residential Subdivision Single Family Hom Commercial
Is This: Repair Testing: v 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 Testinje (please indicate test nit sites on the plan)
➢ Fee of $585.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of $440.00 per lot for repairs or upgrades.
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:
Signature of Conservation Agent:t/o f -}2d ^I' p) GZO p ff1�6 mac('/f
!� �—
T°
Date back to Health Department: (stamp in):
1 "'�'�4✓l �'-Cl.el`� '1/�I ui%r`s'— t ow-VIC'�
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STREET
Lois Christiansen
From:
Phil Christiansen
Sent:
Monday, August 01, 2016 4:18 PM
To:
Lois Christiansen
Subject: FW: Septic system failure
Philip Christiansen P.E.
CHRISTIANSEN & SERGI, INC.
PROFESSIONAL ENGINEERS AND LAND SURVEYORS
160 Summer Street
Haverhill, MA 01830
(978) 373-0310
-----Original Message -----
From: Jim and Kathy Saalfrank [mailto:jksaalfrank@verizon.net]
Sent: Wednesday, July 20, 2016 9:55 AM
To: Phil Christiansen <phil@csi-engr.com>
Subject: Septic system failure
Hi,
My name is Jim Saalfrank and I live in North Andover MA. I was given your name as a contact from Bateson Septic for
planning to replace an old septic system that has been leaking and overflowing. The leaching field is constantly
overflowing and the tank is overflowing on occasion due to the field failing, but should be replaced as well. So we are
looking to have a new system planned out so we can start the ball rolling in installing a new one. My cell #603-365-8559
and it's the best number to reach me at. The address is 439 winter street in North Andover.
Any help would be much appreciated.
Thank you,
Jim
Sent from my iPhone
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