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Home My WebLink AboutMiscellaneous - 540 BOXFORD STREET 4/30/2018 -5y0 B��Cfp ST cit � S�TTL�Dl�e 4s PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 3/22/16 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Construction of an On-Site Sewage Disposal System By: Jesse Warren At: 540 Boxford St. Street Map 105C Lot 0082 North Andover, MA 01845 � i suance oft erw�kate shall not be construed as a guarantee that the system will function satisfactorily. Michele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com � RECEIVED DEC 0 8 2015 TOWN OF NORTH ANDOVER PUBLIC HEALTH DEPARTMENT HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal Systemy constructed;O repaired; By: -7-6(-). rG Va fi n Cl 4 -P V2.10 v m C h (Print Nan;46) Located at: l) . d�( o L) Fbo?4 4LI/ L07— (Installation 07(Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on 7 with a design flow of 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: En eer Representative(Signature) And-Print Name Final Construction Inspection Date: E 'neer Representative(Signature) And-Print Name Installer: / / (Signature) Date: 12-10k— And 210kAnd-Print Name Engine Signature) n Date: And-Print Name 1600 Osgood Street, North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com � Swzx;en�l J� North Andover Health Department (ommunity and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 540 Boxford St. (aka 602 Boxford lot 1) MAP: 105C LOT: 22 INSTALLER: Jesse Warren DESIGNER: Phil Christiansen PLAN DATE: 3/25/15, rev 7/30/15 BOH APPROVAL DATE ON PLAN: 8/5/15 INSPECTIONS TANK INSPECTION: 11/9/15 DATE OF BED BOTTOM INSPECTION:11/9/15 DATE OF FINAL CONSTRUCTION INSPECTION: 11/17/15 DATE OF FINAL GRADE INSPECTION:5U-, Od 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 ❑ 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 ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port M 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— Rubber boots so not cement needed Comments: 11/17/-15 - Effleunt filter was installed, informed installer that needed manhole to finished grade if this was retained 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: 11/17/15 — Informed installer needed hydraulic cement around pipe penetrations SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/block) ❑ Final cover as per plan Comments: 40Wx36L with overdig 11/17/15 — Elevations confirmed, however based on a new benchmark not one on the approved plan. Asked installer for letter from engineer or surveyor confirming the benchmark is accurate. SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: High Capacity Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): 3 Comments: Total Chambers = correct dimensions measured 'NINIAL GR E ❑ med bP�❑ See d Cover er plan Cor ments: D CUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer [✓]� As-Built Plan BM = 126.02 HR = 2.05 H1 = 128.07 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 2.26 125.48 125.10 Septic Tank IN 2.62 125.12 124.88 Septic Tank OUT Distribution Box IN 2.95 124.79 124.57 Distribution Box OUT Lateral 1 Bottom 4.85 123.22 123.25 Lateral 1 INVERT 3.39 124.35 124.21 Lateral 2 Bottom 5.15 122.92 122.87 Lateral 2 INVERT 3.82 123.92 123.83 Lateral 3 Bottom 5.57 122.50 122.50 Lateral 3 INVERT 4.20 123.54 123.46 11/17/15 -Nail in tree used as benchmark, stake that was on approved plan is not longer present at the site 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 ® Drains(intercept g.w.) 25 50 ® Drains(Other)Foundation 10(5) 20(10) ® Drywells 20 25 11/17/15 -Measured distances from SAS to two wells shown on plan and found>100' '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 4/19/2016 Town of North Andover Mail-540 Boxford St No Andover NORIC-X'R'b 0VER Massachuso�s Michele Grant<mgrant@northandoverma.gov> 540 Boxford St No Andover 1 message Bill Lumbard <gileadme@comcast.net> Tue, Apr 19, 2016 at 8:15 AM To: No Andover B O H Michele Grant <mgrant@townofnorthandover.com> Good morning This letter is to inform the No Andover Board of Health that S&L Homes will be responsible for the final grading at#540 Boxford St No Andover ma Thank you Bill Lumbard manager S&L Homes 10 Middlesex Ave Wilmington Mass Sent from my Verizon Wireless 4G LTE DROID https://m ail.google.com/mai I/ca/u/0/?ui=2&ik=d4458df3d9&view=pt&search=inbox&th=1542e72622334c74&sim l=1542e72622334c74 1/1 Town of North Andover — Septic System - AS-BUILT CHECKLIST 1) All changes to the design plan have been reflected and noted on the as-built plan 2) s-built plan has a suitable scale; (1 inch=40 feet or fewer for plot plans) 3) Street Address,Assessors Map and Lot Number 4) Lot Lines an Location of Dwellings served by the system 5) Locations,Elevations and Dimensions of As-built system compone ts,including reserve (if plicable) 6) Ties 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 / 4Watercourses or wetlands 8) ✓ Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system 9) Location of water,gas,electric lines,cable,control panel (if applicable) 10) Location of Structures within 6 Inches of Finished Grade 11) ✓ Original Stamp&Signature 12) cation and holder of any easements which could impact the system 13) ZImpervious Areas;Driveways,etc 14) .?North Arrow 15) v Location&Elevation of Benchmark used 16) V 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,ha ve 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- wasor was not,constructed in accordance with the intended design and any manufacturer's specifications." Signature of Designer Date As of:Thursday,December 10,2015 Hadge, Lisa From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Thursday, November 19,2015 11:28 AM To: Grant, Michele; Hadge, Lisa Cc: 'Isaac Rowe'; Pam Lally Subject: Construction Inspection - 540 Boxford Street(also known as 602 Boxford Street Lot 1) Attachments: 540 Boxford St.(602 Boxford lot 1)Construction Inspection.doc Michele, Construction inspection report form is attached. Af w items that are in need of attention and were discussed with the installer: �• D-box needs hydraulic cement around pipe penetrations. Installer was advised and will complete work and show us at final inspection. • Effluent filter was installed in outlet side of septic tank,which is acceptable, however they needed to have a manhole to finished grade if that is going to remain. • The benchmark that was on the approved plan is no longer in the ground,and a new one was set. I asked the installer to acquire a stamped letter from the engineer or surveyor who established the new benchmark confirming they did this field work. Dan M IRiver ,< consulting C-1 he,.,tf .; d4y02iFgi 4h Vlf6nlRr.hf9(11q S3h�Qr-ttl}rtn;¢. Daniel Ottenheimer, President Mill River Consulting,Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.miliriverconsulting.com dano@millriverconsulting.com Member: Massachusetts Association of Onsite Wastewater Professionals, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, New England Water Environment Association 1 Commonwealth of Massachusetts Map-Block-Lot ----------------------- BOARD OF HEALTH Permit No North Andover -BHP-2015-0364 - - - ---- - ---------- -- -- P.I. FEE F.1. $250.00 DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted Jesse T-._Warren------------------------------------------------------:------------------------------- to(Construct)an Individual Sewage Disposal System. r------ at No 540 BOXFORD STREET T FILEICOPY- ------- --------------------------------------------------------- ------ ------------------------------------------- as shown on the application for Disposal Works Constrvl'-tion Permit No. W-2015-036 Dated ---- ------------------------------ I-------------- --------------- I --- ----- -- Printed On:Nov-05-2015 !�!�ALT:2-'- ---—--—------------------------ w, ° •. Application for Septic Disposal System TODAY'S ATE ' Construction Permit - TOWN OF $250. ull Repair NORTH ANDOVER, MA 01845 $125.00-Component Important: Applicationis hereby made fora permit to: When filling out Construct a new on-site sewage disposal system* forms on the computer,use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑Repair or replace an existing system component—What? cursor-do not use the return A. Facility Information ,f key. N X Address or Lot# - ho" Anldcovey City/Town 2.-*TYPE OF SEPTIC SYSTEM*: NORI�PN ENjR ➢ ❑ Pump M4ravity(choose one) COF tiPPRjM ***If pump system, attach copy of electrical permit to application*** � N�`�,'MO ➢ M"Conventional System(pipe and stone system) ❑Infiltrator or Biodiff user(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 Model. 2. Owner Information SI L,C Name /0 Wt i C'V t' Address(if different from above) d �l i WI /A City/Town State CAP j Zi e Email address Telephone NLYnber 3. Installer Information ies� -r' [AJOK 'P r, -r ry. Ex caVa t) y.C� � Name Name of Company Address l - Row\w mit 096G City/Town State Zip Code [-k ;-75 -loll 9 Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company � d D jv/`IINI�( Address ��►vr./G� 'Ll 1� � City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page of 2 I SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: cvz /64-9 1 66�►-,� 5-1— (Address of septic system) For plans by (Engineer) Relative to the application of (Installer's name) And dated pprlgtna ate Dated V'?�� 26I S o ay s ate With revisions dated 71-3t->Lz(D,- !5 (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 prilor 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 Reguulations may result in a$50.00 fine being levied against me and/or my copi�pan4L. a. Bottom of Bed—Generally,this is the first(P) 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: healthdeptna,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 has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D-Box,pipes, stone, vent,pump chamber, retaining mall and other components. 6. As the installer,l 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. CC�� Undersigned Licensed Septic Installer: U /�'� 1 (Today's Date) _�e 57st- � (Name— Print ame e Application for Septic Disposal System • TODAY'S DATE Construction Permit - TOWN OF $250.00-Full Repair NORTH ANDOVER, MA 01845 $125.00-Component PAGE 2 OF 2 Z,C� = 5;q 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, understand that until a final Certificate of Compliance has been issued by this Board of alth, the installed system is not approved. Name Date A p ron 11it , of Healt Re resentative)0 IV N e Date Application Disapprovfollowing reasons: For Office Use Only: 1. Fee Attached? Yes No 2. ProjectManager Obligation Form Attached? Yes v No 3. Pump S sy tem? Ifso,Attach copy of Electrical Permit Yeo No Applicant received copy of "Electrical Inspection Notes for Septic Systems" Yes No Handout? 4. Reviewed approvalletter, all paperwork received? Yes V No Missing.• 5. Foundation As-Built. (new construction only): Yes No (Same scale as approved plan) 6. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 Grant, Michele From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Friday, November 20,2015 9:16 AM To: Grant, Michele Subject: FW:septic system lot 1 boxford st- bill lombard All set. From: Phil Christiansen [mailto:phil(&csi-engr.com] Sent: Friday, November 20, 2015 9:06 AM To: Dan Ottenheimer; 'Grant, Michele' Cc: gileadme12(@gmail.com; Dan O'Connell Subject: RE: septic system lot 1 boxford st - bill lombard Crew set a cut spike in a 20" pine marked elev,126.02 Regards, Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 (978) 373-0310 (978) 372-3960 fax From: Dan Ottenheimer [mailto:danogmillriverconsulting.com] Sent: Friday, November 20, 2015 8:33 AM To: Phil Christiansen; 'Grant, Michele' Cc: gileadmel2@gmail.com; Dan O'Connell Subject: RE: septic system lot 1 boxford st - bill lombard Great,thanks Phil. As you can appreciate,we need to provide for a level playing field for all projects and wished to make sure the survey control point was not transferred by the installer or someone else, but was actually provided by your firm. Please just confirm what the elevation was of the mark you set,and we should be good to go. Dan From: Phil Christiansen [mailto:phil@csi-engr.com] Sent:Thursday, November 19, 2015 2:07 PM To: Grant, Michele(mgrant(dtownofnorthandover.com) Cc: gileadmel2@gmail.com; Dan O'Connell; infoCa@millriverconsultin_q com Subject: septic system lot 1 boxford st- bill lombard Recently Dan Ottenheimer was on site for an inspection of the installed system. He was concerned with who established the bench mark that is near the system. i Please see note 13 on sheet 2 of our design plans. It states that a bench mark will be established near the system prior to construction. We established the bench mark as per plan. Regards, Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 (978)373-0310 (978)372-3960 fax 2 Grant, Michele To: Phil Christiansen Cc: Blackburn, Lisa Subject: RE: Lot 1 Boxford St- Lombard Hi Phil, Changes.... Spoke to Mr. Lombard again this morning. Looks like he hit ledge where he was proposing to move the tank and pipe, he will now keep the pipe and tank as is and is going to shrink the deck. He understands the set back from the sona tubes should be 5'. Sincerely, Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email merant@townofnorthandover.com Web www.TownofNorthAndover.com From: Grant, Michele Sent: Monday, September 28, 2015 4:23 PM To: 'Phil Christiansen' Subject: RE: Lot 1 Boxford St- Lombard Hi Phil, Did Mr. Lombard explain that he was moving the tank,the location of the pipe,and adding an elbow. I asked him to also refer to you about a cleanout. (Whether or not it will need one, I'm unsure of the distance). Also,as always, it will reflect on your As-Built. Please let me know if you are OK with the above, Many Thanks, 1 Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover, VIA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.com Web www.TownofNorthAndover.com .. n7tu;y� A From: Phil Christiansen [mailto:phil@csi-engr.com] Sent: Monday, September 28, 2015 3:37 PM To: Grant, Michele Subject: Lot 1 Boxford St- Lombard I spoke with Bill Lombard about providing a greater than 5 ft separation from the septic tank to the footing for the deck. The work will be completed within that guidline Regards, Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 (978)373-0310 (978)372-3960 fax 2 • ilE COPY North Andover Health Department (ommunity Development Division August 5,2015 S&L Homes, LLC 10 Middleton Avenue, Suite 1 Wilmington,MA 01887 Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 1 (Map 105C,Lot 22) To Whom It May Concern: The proposed wastewater system design plan for the above site dated March 25, 2015 with a final revision date July 30,2015 received on July 31,2015 has been approved. The design has been approved for use in the construction of a new on-site septic system for a 4- bedroom(max 9-room) home utilizing Quick 4 High Capactiy Infiltrator Chamber system. This design plan is valid for 3-years from the date of approval. 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. This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop,and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(l)). 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 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 '602 Boxford Street—Lot 1 August 5, 2015 10 municipal requirements are met. These may include review by the Conservation Commission,Zoning Board, Planning Board,Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. 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. Sm'derely, ichele Grant Health Inspector Encl. Installers list cc: Philip Christiansen,P.E. 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 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 RECEIVED JUL 2 Q 2015 July 30,2015 TOWN OF NORTH ANDOVER North Andover Health Department HEALTH DEPARTMENT 1600 Osgood Street, Suite 2035 North Andover,MA 01845 RE: Subsurface Sewage Disposal System for 602 Boxford Street—Lot 1 Dear Ms. Grant: Thank you for your comments recognizing that I had not totally completed my revisions to the recently submitted SSDS Plan for Lot 1. In addition to your letter of July 20 comments which I address below,the design has been changed to a 3 trench system. I have reviewed your comments on the above referenced Sewage Disposal System and offer the following responses: For ease in review,my comments are printed in blue. 1. On sheet 1 of 2,the conventional system (proof plan) should be shown with the propose house location. It appears the proposed conventional system will be less than 20' from the proposed house. The proof plan has been revised for the new location 2. On sheet 1 of 2,the setback distances from the proposed well to the system need to be added. The setback distance from the leach trenches to the property line also need to be added. The well has been previously installed. Set back distances have been added to the plan. 3. On sheet 1 of 2,the previously approved house location appears to be shown on the "Property Plan". The previously approved house location has been removed from the property plan.. 4. On sheet 1 of 2,the street name is missing from the site plan. The street name has been added to the plan Should you have any questions, Please do not hesitate to call me. Asi e , i' ristiansen. Grant, Michele From: Gaffney, Heidi Sent: Wednesday,July 29,2015 9:52 AM To: 'Phil Christiansen' Cc: Hughes,Jennifer,Grant, Michele Subject: RE: Lot 1 - Boxford Street A small project can be filed if the only work within the buffer zone is the overdig,however if any clearing,grading or disturbance is going to occur within the buffer zone aside from the small overdig area (the area where the rest of the erosion controls is being moved into the buffer zone)then an RDA will need to be filed. Heidi Gaffney Conservation Field Inspector Town of North Andover 1600 Osgood Street,Suite 2035 North Andover,MA 01845 Phone 978-688-9530 Fax 978-688-9542 Email hgaffney@townofnorthandover.com Web www.TownofNorthAndover.com r From: Phil Christiansen [mailto:phil@csi-engr.coml Sent: Wednesday,July 29, 2015 9:17 AM To: Gaffney, Heidi Subject: RE: Lot 1 - Boxford Street Client requested the erosion control be moved back Regards, Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 (978)373-0310 (978)372-3960 fax From: Gaffney, Heidi [mailto:HGaffney@townofnorthandover.com] Sent: Wednesday,July 29, 2015 9:01 AM To: Phil Christiansen Subject: RE: Lot 1 - Boxford Street 1 It will likely require at least a small project filing, I'd need to check with Jen. Why is the erosion control being moved to be within the buffer zone? Heidi Gaffney Conservation Field Inspector Town of North Andover 1600 Osgood Street,Suite 2035 North Andover,MA 01845 Phone 978-688-9530 Fax 978-688-9542 Email hgaffney@townofnorthandover.com Web www.TownofNorthAndover.com From: Phil Christiansen [mailto:phil(dcsi-engr.com] Sent: Wednesday,July 29, 2015 8:58 AM To: Gaffney, Heidi Subject: RE: Lot 1 - Boxford Street Yes the over dig is within the buffer but the system is outside the 100 ft Regards, Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 (978)373-0310 (978)372-3960 fax From: Gaffney, Heidi [mailto:HGaffney@townofnorthandover.com] Sent: Wednesday,July 29, 2015 8:43 AM To: Phil Christiansen Cc: Hughes, Jennifer Subject: Lot 1 - Boxford Street Hi Phil, I saw a revised proposed septic plan for Lot 1 yesterday that shows the erosion controls being proposed to be moved into the buffer zone and overdig for the system that will go into the buffer zone? Heidi Gaffney Conservation Field Inspector Town of North Andover 1600 Osgood Street,Suite 2035 North Andover,MA 01845 Phone 978-688-9530 2 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 AVA July 28,2015 North Andover Health Department 1600 Osgood Street, Suite 2035 North Andover,MA 01845 RE: Subsurface Sewage Disposal System for 602 Boxford Street—Lot 1 Dear Ms. Grant: I have reviewed your comments on the above referenced Sewage Disposal System and offer the following responses: For ease in review,my comments are printed in blue. J 1. On sheet 1 of 2, the conventional system (proof plan) should be shown RECEIVED with the propose house location. It appears the proposed conventional JUL 2 8 2015 system will be.less than 20' from the proposed house. TOWN OF NORTH ANDOVER The proof plan has been revised for the new location HEALTH DEPARTMENT 2. On sheet 1 of 2,the setback distances from the proposed well to the system need to be added. The setback distance from the leach trenches to the property line also need to be added. Set back distances have been added to the plan. J3. On sheet 1 of 2,the previously approved house location appears to be shown on the "Property Plan". The previously approved house location has been removed from the property plan.. J 4. On sheet 1 of 2,the street name is missing from the site plan. The street name has been added to the plan Should you have any questions, lease do not hesitate to call me. Si hiPIF' GO. r s I 5�r,eM;.�� COI i : -• FiLE. North Andover Health Department Community and Economic Development Division July 20, 2015 Philip Christiansen, P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill,MA 01830 Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 1 (Map 105C,Lot 22) Dear Mr. Christiansen, The proposed wastewater system design plan for the above site dated March 25, 2015 and received on March 26, 2015,June 29,2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. =i. On sheet 1 of 2,the conventional system(proof plan) should be shown with the propose house location. It appears the proposed conventional system will be less than 20' from the proposed house. 2. On sheet 1 of 2,the setback distances from the proposed well to the system need to be added. The setback distance from the leach trenches to the property line also need to be added. 3. On sheet 1 of 2,the previously approved house location appears to be shown on the "Property Plan". 4. On sheet 1 of 2,the street name is missing from the site plan. 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 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, a4 II+ r f <t �! � UIL � Michele Grant Health Inspector cc: S&L Homes, LLC 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 Blackburn, Lisa From: Blackburn, Lisa Sent: Tuesday,July 14,2015 10:31 AM To: Dan Ottenheimer;Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: FW:602 Boxford Street Lot 1 Attachments: Lot 1 Boxford Street SSDS 6-29-2015.pdf Hi, Here is the revised septic plans for 602 Boxford St. Lot 1.This plan was originally approved but is being resubmitted because the placement of the house was changed (just like 602 Boxford St. Lot 2). 1 was also made aware of the new home numbers for lots 1 and 2: 602 Boxford St. Lot 1 is going to be 540 Boxford St. 602 Boxford St. Lot 2 is going to be 550 Boxford St. From: Dan O'Connell [mailto:dano(dcsi-engr.com] Sent:Tuesday,July 14, 2015 10:20 AM To: Blackburn, Lisa; Grant, Michele Subject: 602 Boxford Street Lot 1 Hi Lisa& Michelle. Bill Lombard asked me to send you the attached pdf of the revised septic plan that Phil did for Lot 1 at 602 Boxford Street. I wasn't sure who to send it to so you both get it. Let me know if you have any questions. Best regards, Daniel J. O'Connell, P.E. CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 Tel. 978-373-0310 Fax 978-372-3960 E-mail: dano ftsi-engr.com www.csi-enqr.com 1 NORTy BUILDING PERMIT %'I F. bq� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION * y Permit No#: Date Received �SsgcHus�� Date Issued: IMPORTANT:Applicant must complete all items on this page 'LOCATION', S" `Print _ } 43,1ROPERTWOWNEF2 plL1E4 '. ,Print 100iYea,r'Structure yes" MAP .Q PARCEL ':�=�! '20N_ING,DISTRICT: HistoncDistnct yes no a. ' MacfiineShop`Village yes o ` TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential " ew Building gne family [I Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other a Stte elm a `Flootlp ain O�Wlanbm 0 .. e` 1®.� et' ds. UVaters istr1 f Ei 1 ' a❑111/ater/Sem � - ,DESCRIPTION OF WORK TO BE PERFORMED: CoLJA4 C S I LV 01,06C4 OJ -56 or Ce E�tti �f .0 e rr� Identification- Please Type or Print Clearly 9 7 9-a4-5- 3 OWNER: Name: s C- Phone: 1°7P, - l R-,,4 Address: 1 Mid` _ U - — � .oA k 4 (Y1 �1 "" `Contractor;Nameir rat1�1 C Phonef _ 1AiMA,r't ` - ,r r .,T:•.gym « - v aet• a r q r r _. f r +7«' � F. � f ''Q 1. ,�rr�l, Exp *;Date 6 ISupe'rvisor,s�Construction,Licen.e j s €+ h .: t .{ y�� z Fri .-• �Home;lmprovemert?License "�,. �{� ..�.x.?�.,. 4»- -Exp '4©ate4 Shu •� _, :..�_ .. n ARCHITECT/ENGINEERg�,jt Phone:� jS6��- Address: 8 Ear eg. No. Z,77i S FEE SCHEDULE:BULDING PERMIT.,$92.00 PER$9000.00 OF THE TOTAL ESTIMATED cosrBASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �i ria afitk�rPa®fAae _ _ iana'turPro a = _ PPlans Waived ❑ans Submitted� Pl � Certified Plot Plan ❑ Stamped Plans IFPublicSewer ERAGE DISPOSAL Tanning/MassageBody Art ❑ Swnnmiag Pools XTobacco Sales ❑ Food Packaging/Salesnk,etc. Pennanent Dumpstex on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING& DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Si nature f, COMMENT uG ru Zoning Board of Appeals:variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connection/si natu &V e Dn��wa/Permit DPW Town Engineer: Signature: FIRS DEP,�1RT1911ENT QTe - rnp Durnpsfe o ��- s4 g ""`- -� - Located od St e [Lo ted at 1w24 Man Streett t ..,..,�. Fire jig artmesig • 5 TsCED`j* 4.. copy North Andover Health Department Community Development Division April 13,2015 Messina Development Corp 277 Washington Street Groveland, MA 01834 Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 1 (Map 105C,Lot 22) To Whom It May Concern: The proposed wastewater system design plan for the above site dated March 25, 2015 with a final revision date April 8,2015 received on April 9,2015 has been approved. Please note that the designer has chosen to provide no slope in the pipe from the outlet of the distribution box to the inlet of the leaching facility. Although not a requirement by Title 5 or the North Andover Board of Health it is strongly recommended that all distribution pipes from a distribution box to a leaching facility meet a minimum slope of 0.01 (1/8 inch per foot). The design has been approved for use in the construction of a new on-site septic system for a 4- bedroom(max 9-room)home utilizing Quick 4 High Capactiy Infiltrator Chamber system. This design plan is valid for 3-years from the date of approval. 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. 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 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 � r '0602 Boxford Street—Lot 1 April 13, 2015 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 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. Sin rely, r C Michele Grant Health Inspector Encl. Installers list cc: Philip Christiansen,P.E. 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 CHRISTIANSEN & SERGI, INC CS1 PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET,HAVERHILL,MA 01830 tel:978-373-0310 www.csi-engr.com fax 978-372-3960 April 8, 2015 i,ex 09 2015 North Andover Health Department TO% 1600 Osgood Street, Suite 2035 j;_ North Andover, MA 01845 RE: Subsurface Sewage Disposal System for 602 Boxford Street—Lot 1 Dear Ms. Grant: I have reviewed your comments on the above referenced Sewage Disposal System and offer the following responses: It should be noted that the house has been moved from the original design to accommodate the well location. The location of the proposed system has not changed. For ease in review,my comments are printed in blue. 1. Until the new address is provided by the Assessor's office please indicate the address as "602 Boxford Street—Lot 1". This same numbering system should be used for all proposed lots in the subdivision. The new address has been noted on the plan. 2. The design plan was not stamped and signed by the designer (3 10 CMR 15.220(2)). Stamped original was provided to the NABOH. 3. On sheet 1 of 2, the survey statement was not signed (NA 3.2). Stamped original was provided to the NABOH. 4. It is unclear if the proposed driveway will be an impervious area (3 10 CMR 15.220(4)(d)). A note"asphalt" has been added to the plan. 5. The manufacturer was not depicted for the septic tank (NA 3.2). However, if it is assumed that the manufacturer is SHEA concrete, the model number indicated on the design plan does not reference a monolithic septic tank. The proper model number has been noted on the plan 6. On sheet 1 of 2, the water line from the well to the proposed dwelling should be depicted. Water line has been added to the plan. 7. On sheet 2 of 2,the outlet inve fi elevation of the distribution box needs to be 2" or 0.17'below the inlet invert elevation (3 10 CMR 15.232(3)(b)). 0.17" has been noted on the plan 8. On sheet 2 of 2,the distribution box detail depicts a 2" sump.A minimum 6"sump is required (3 10 CMR 15.232(3)(e)). The 6" sump has been added to the plan. 9. The breakout elevation should be indicated clearly on the design plan to assist the installer. Breakout elevation is noted on cross section. 10.On sheet 1 of 2, the conventional system (proof plan) should be shown l on the site plan to confirm the location meets the required setback distances. Proof plan is shown on a site plan. 11.Indicate the material of the proposed manhole covers. Material has been identified. 12.A note should be added to the design plan to clearly indicate that a riser to within 6" of finish grade is required above the distribution box if greater than 9"of cover material is installed.Note has been added. 13.On sheet 2 of 2,the schedule of elevations and the profile indicate no slope from the outlet of the distribution box to the inlet of the Infiltrator Chamber trenches, That is correct. It is the intent of the design. 14.Since the Infiltrator Chamber system is proposed as an alternative soil absorption system th.e"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" will apply. Please provide the following as required by the approval conditions Section 11(18): a) proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; No training is required. c) certif cation by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and Copy of Certification on sheet 2. d) 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 Tittle 51/A technology Approval, the Owner's Manual, and the Operation and,Maintenance Manual, and the Owner agrees to comply with all terms and conditions,- 2. onditions;2. ,for Systems installed under a Remedial Use Approval, the owner agrees tofitlfill his responsibilities toprovide a Deed Notice as required by 310 CMR 15.287(10) and the Approval; 3. for Systems installed under a Remedial Use Approval, the owner agrees tofit/fall his responsibilities toprovide -written notification of the Approval to any new Owner, as required by 310 CMR 15.28 7(5); 4. if the design does notprovide for the use of garbage grinders, the restriction is understood and accepted; and 5. whether or not covered by a warranty, the System v Owner understands the requirement to repair•, replace, modifj;or take any other action as required by the Department or the LAA, If the Department or the LAA determines the System to befailing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Copies of above D are attached. Should you have any questions, please do not hesitate to call me. Sin hris ans R CHRISTIANSEN & SERGI, INC ' PROFESSIONAL ENGINEERS AND LAND SURVEYORS i 160 SUMMER STREET, HAVERHILL, MA 01830 Owner's Certification for 602 Boston Street Lot 1 I,Robert Messina,the owner of record of 602 Boston Street Lot 1, hereby certify to the following: 1. I have been provided a copy of the Title 5 Innovative Alternative Technology Approval for General use dated 2/19/2015 ,the Owner's Manual with maintenance, and I agree to comply with all terms and conditions; 2. The design does not provide for the use of garbage grinders. This restriction is understood and accepted; 3. Whether or not covered by warranty, I understand the requirement to repair, replace,modify or take any other action as required by the Department or the North Andover Board of Health)NABOH) ,if the Department or the NABOH determines the system to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Acknowledged: Robert Messina Messina Development Corp. +� Gfa-ht, Michele From: MessinaNewHomes@aol,com Sent: Tuesday, March 31, 2015 11:44 AM To: Grant, Michele Subject: Re: Lots 1 &2 Boxford St Attachments: Scan0666.pdf Hi Michele, Please see the attached letter you requested from Bob. Thank you, Marylee Messina In a message dated 3/30/2015 2:15:38 P.M. Eastern Daylight Time, mgrant@townofnorthandover.com writes: Dear Bob, At first glance of the plans for 602 Boxford Street, Lots 1 &2. It appears that the proposed wells meet the Health Department 100' buffer setback,however this Septic Plan has not yet been approved. And any work on this site would be at your own risk. We would also require a sketch of the proposed well of placement by the well drillers of the coordinates. Please be advised that the Health Department is not responsible for the approval of any other North Andover Department. Please call me at the phone number below with any other questions. Sincerely Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 1 Fax 978.688.8476 Email in grant(o)towndn orthandover.coin Web www.TownofNorthAndover.com d From: Phil Christiansen [mailto:Phil(&csi-engr.com] Sent: Monday, March 30, 2015 1:04 PM To: Gaffney, Heidi; 'messinanewhomes@aol.com'; Dan O'Connell Cc: Grant, Michele; Hughes,Jennifer Subject: RE: Lots 1 &2 Boxford St Heidi Attached are revised plans to correct the grading issues you called out Philip Christiansen P.E. CHRISTIANSEN& SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill,MA 01830 (978) 373-0310 2 (978) 372-3960 fax r _ ., From: Gaffney, Heidi [mailto:HGaffngy@townofnorthandover.com1 Sent: Monday, March 30, 2015 11:01 AM To: 'messinanewhomes@aol.com'; Phil Christiansen; Dan O'Connell Cc: Grant, Michele; Hughes,Jennifer Subject: Lots 1 &2 Boxford St Hi, I took a look at the plans submitted to the health department for lot's 1 &2 on Boxford St and, for lot 2 the erosion control and grading in spots is too close to the 100' BZ, one area the grading is shown going into the erosion control, and lot 1 a few grading lines extend beyond the erosion control and into the 100' BZ. This should be corrected and the erosion control should be in place prior to any work on the lot. Heidi Gaffney Conservation Field Inspector Town of North Andover 1600 Osgood Street,Suite 2035 North Andover,MA 01845 Phone 978-688-9530 Fax 978-688-9542 Email lhgaffne (-a,townofnorthandover.com Web www.TownofNorthAndover.com P ` 3 MESSINA DEVELOPMENT COMPANY,INC. 277 Washington Street Groveland,MA 01834 978-891-3190 March 31, 2015 Dear Michelle, I understand that the septic designs have not et been approved b the � Y pP y BOH and I accept full responsibility for the location and installation of the wells on lot 1 &2, Boxford St. Sincerely, _ Bob Messina i c�grL"�n•l�' � =i. .Z North Andover Health Department Community Development Division March 30,2015 Philip Christiansen,P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill,MA 01830 Re: Subsurface Sewage Disposal System Plan for 602 Boxford Street—Lot 1 (Map 105C,Lot 22) Dear Mr. Christiansen, I The proposed wastewater system design plan for the-above site dated March 25, 2015 and { received on March 26,2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000,or North Andover regulation that is not met by this design follows each item. 1. Until the new address is provided by the Assessor's office please indicate the address as "602 Boxford Street—Lot I". This same numbering system should be used for all proposed lots in the subdivision. 2. The design plan was not stamped and signed by the designer(3 10 CMR 15.220(2)). 3. On sheet 1 of 2,the survey statement was not signed(NA 3.2). 4. It is unclear if the proposed driveway will be an impervious area(3 10 CMR 15.220(4)(d)). 5. The manufacturer was not depicted for the septic tank(NA 3.2). However,if it is assumed that the manufacturer is SHEA concrete,the model number indicated on the design plan does not reference a monolithic septic tank. 6. On sheet 1 of 2,the water line from the well to the proposed dwelling should be depicted. 7. On sheet 2 of 2,the outlet invert elevation of the distribution box needs to be 2"or 0.17' below the inlet invert elevation (3 10 CMR 15.232(3)(b)). 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 8. On sheet 2 of 2,the distribution box detail depicts a 2" sump. A minimum 6"sump is required(3 10 CMR 15.232(3)(e)). 9. The breakout elevation should be indicated clearly on the design plan to assist the installer. 10. On sheet 1 of 2,the conventional system(proof plan) should be shown on the site plan to confirm the location meets the required setback distances. 11. Indicate the material of the proposed manhole covers. 12. A note should be added to the design plan to clearly indicate that a riser to within 6"of finish grade is required above the distribution box if greater than 9" of cover material is installed. 13. On sheet 2 of 2,the schedule of elevations and the profile indicate no slope from the outlet of the distribution box to the inlet of the Infiltrator Chamber trenches. 14. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use"will apply. Please provide the following as required by the approval conditions Section II(18): a) proof that the Designer has satisfactorily completed any required training by the Company for the design and installation of the Technology; c) certification by the Designer that the design conforms to the Approval, any Company Design Guidance, and 310 CMR 15.000; and d) 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 UA 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 a Deed Notice as required by 310 CMR 15.287(10) and the Approval; 3. 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); 4. if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and 5. 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 protectpublic health and safety and the environment, as defined in 310 CMR 15.303. 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 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, G � . Michele Grant Health Inspector cc: Messina Development Corp 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 4 Joyce A.Bradshaw,Trustee,Gorton Family Trust ' 624 Boxford Street North Andover,MA 01845 (978)857-3374 November 24,2014 Christiansen&Sergi,Inc. 160 Summer Street I Haverhill,Ma 0 183 0-6318 I 1, Joyce A. Bradshaw, Trustee, Gorton Family Trust do hereby grant permission to Christiansen & Sergi, Inc. to access property on Boxford Street for any Wetlands or any other filings necessary. r I Please do not hesitate to contact me with any questions. Thank-you. Sincerely, Joyce A. (Gorton)Bradshaw i � I i' • TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSCOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX E-MAIL:healthdept6Eb-,,townofnorthandover com WEBSITE:http://www.to�Anoffiorthandover.com SEPTIC PLAN SUBMITTAL FORM Date of Submission: 3 "2Jo —1 Site Location-- Engineer: NewPlans?_ _YesX $225/P an- Check# f (includes ls`submission and one re- ' _ review only) Revised Plans?Yes $75./Plan Check# - Site Evaluation Forms Included? Yes P No Local Upgrade Form Included? Yes No Telephone#- q79--3-73-6316 Fax#: E-mail: j2L /0 C SG - en 2 f .C'o m l�e�e��er j�e v�1 aP�,1 , Name:_ AA est i Ilk. [��ie(D b rPn eine 0Wf1edJ&1 e OFFICE USE ONLY When the submission is complete(including check): ➢ Date stamp plans and letter ➢ Complete and attach Receipt hth� Z!i Z015 t TO ➢ Copy File; Forward to Consultant Ni_-, ➢ Enter on Log Sheet and Database Commonwealth of Massachusetts --- City/Town of North Andover x - - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Gorton Family Trust Owner Name 602 Boxford Street LOT 1 Map 105C Lot 22-1 Street Address Map/Lot# North Andover MA 01845 City State Zip Code B. Site Information 1. (Check one) ® New Construction ❑ Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If yes: NRCS 421 B&C Source Soil Map Unit CANTON LARGE STONES Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published/Source Publication Scale Map Unit Geologic/Parent 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: Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions(USGS): Month/Year Range: ❑ Above Normal ❑ Normal ❑ Below Normal 7. Other references reviewed: tp lot 1 corrected•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 <L\_1 Commonwealth of Massachusetts u,pCity/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: 1-A 1/14/2015 15 CLOUDY Date Time Weather 1. Location Ground Elevation at Surface of Hole: 124.00 Location(identify on plan): WOODS NO 0-3 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) OAK, W PINE OUTWASH PLAIN BOTTOM Vegetation Landform Position on Landscape(attach sheet) >100 >100 >100 3. Distances from: Open Water Body feet Drainage Way feet Possible Wet Area feet Property Line >50 Drinking Water Well >1fee00 Otherfeet feet 4. Parent Material: ALLUVIAL Unsuitable Materials Present: El Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 6811 5. Groundwater Observed: ® Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 118.34 inches elevation tp lot 1 corrected•rev.3113 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 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: 1-A Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles& (Moist) Stones 0-8 A 10YR3/2 FSL 8-23 BW 1 1 OYR3/6 LS 23-45 C1 2.5Y6/4 MED SAND 45-86 C2 2.5Y6/3 CS ROOTS TO 64 REFUSAL SEAASON 68" Additional Notes: tp lot 1 corrected•rev.3/13 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: 1-B 1/14/2015 15 CLOUD Date Time Weather 1. Location Ground Elevation at Surface of Hole: 125.33 Location (identify on plan): 2. Land Use WOODS NO 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) OAK W PINE OUTWASH PLAIN BOTTOM 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 >50 Drinking Water Well >1fee00 Otherfeet feet 4. Parent Material: ALLUVIAL 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: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 118.34 inches elevation tp lot 1 corrected•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts UluCity/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 1-B Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) ( )USDA Structure Stones Consistence Other Depth Color Percent Gravel Cobbles as (Moist) 0-9 A 10YR3/2 FSL 9-20 BW 1 10YR3/6 LS 20-87 C1 2.5Y6/3 C SAND REFUSAL Additional Notes: tp lot 1 corrected•rev.3/13 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 On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 1-C 1/14/2015 15 CLOUD Date Time Weather 1. Location Ground Elevation at Surface of Hole: 124.00 Location (identify on plan): 2. Land Use WOODS NO--- 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) OAK W PINE OUTWASH PLAIN BOTTOM Vegetation Landform Position on Landscape(attach sheet) >100 >100 3. Distances from: Open Water Body feet>100 Drainage Way feet Possible Wet Area feet Property Line >5feet0 Drinking Water Well >1 00 Other feet 4. Parent Material: ALLUVIAL Unsuitable Materials Present: El Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation tp lot 1C•rev.3/13 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: 1-C Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) ( )USDA StoneConsistence Other Depth Color Percent Gravel Cobbles a Structure (Moist) Stones 0-7 A 10YR3/2 FSL 7-26 BW 1 10YR3/6 LS 26-78 C1 2.5Y6/3 C SAND ROOTS TO 57 REFUSAL Additional Notes: tp lot 1 C•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 5 of 8 Commonwealth of Massachusetts y Cityl-rown of North Andover A = Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal r D. Determination of High Groundwater Elevation 1. Method Used: ® Depth observed standing water in observation hole A. 68" B. 87" R C: 78"R inches inches ❑ Depth weeping from side of observation hole A. B. C: inches inches ❑ Depth to soil redoximorphic features (mottles) A. B. C: inches inches ❑ Groundwater adjustment(USGS methodology) A. B. C: 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: 11 9'1, Lower boundary: 86hes tp lot 1 corrected•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-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 1 017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are acc and in c d ftp with 310 CMR 15.100 through 15.107. 1/14/2015 ignat a oil Ev ator Date Phil' Christiansen #378 11/1994 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam Isaac Rowe 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. tp lot 1 corrected•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 i • 4 Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important:When filling out forms A. Site Information on the computer, use only the tab Gordon Family Trust key to move your Owner Name cursor-do not 602 Boxford St LOT 1 use the return Street Address or Lot# key. North Andover MA 01845 r� City/Town State Zip Code Philip Christiansen 978.373.0310 Contact Person(if different from Owner) Telephone Number B. Test Results 1/14/2015 9:26 1/14/2015 9:28 Date Time Date Time Observation Hole# 1-A 1-B Depth of Perc 6+ 16=22 22 + 18=40 Start Pre-Soak 9:26 9:28 End Pre-Soak 9:41 9:43 Time at 12" Time at 9" WOULD WOULD Time at 6" NOT MAINTAIN NOT MAINTAIN Time(9"-6") WATER WATER Rate(Min./inch) <2 MIN/INCH <2 MIN/INCH Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Philip Christiansen Test Performed By: Isaac Rowe Witnessed By: Comments: t5form 12.doc•06103 Perc Test•Page 1 of 1 4 I TOWN OF NORTH ANDOVER :J Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET;SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540–Phone Public Health Director 978.688.8476–FAX healthdept(titownofnorthandov r.co E`il www.townofnorthandover.com ved APPLICATION FOR SOIL TESTS NOV Z6 2014 DATE: 11/24/2014 MAP&PARCEL: 105C.22 TOWN UFNURIHANUUVER LTH DEPARTMENT LOCATION OF SOIL TESTS: 602 Boxford St, NA Lot-__L_ OWNER. ot __L — OWNER: Gorton Family Trust Contact#: APPLICANT:Messina Development Contact#:978-837-9536 Tl-'s ADDRESS: 277 Washington St, Groveland, MA 01834 ENGINEER: Christiansen & Sergi, Inc Contact#: 078-373-0310 CERTIFIED SOIL EVALUATOR: Philip ChrIStIanSen Intended Use of Land: Residential Subdivision Single Family Home Commercial Lt7 - v Is This: Repair Testing: Undeveloped Lot Testing: X Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bil or letter from owner permitting test) ➢ 8.5"x]I", elan&Location of Testing(please indicate test nit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for 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: IN Signature of Conservation Agent.L-" — C k l Date back to Health Department:(stamp in): ✓� �6k "' �� w e_ �e J OL +� ((lackburn, Lisa From: Isaac Rowe <irowe@millriverconsulting.com> Sent: Wednesday,January 14, 2015 2:33 PM To: Blackburn, Lisa; 'Pam Lally';Grant, Michele Cc: Isaac Rowe Subject: RE:602 Boxford St. Attachments: 602 Boxford Street- Soil testing results Jan 9-14 2015.PDF Lisa, Attached are the soil testing results for the above referenced property. This was for(9) new construction lots. Phil Christiansen will be survey locating all the deep observation holes and percolation tests. 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.millriverconsulting.com -----Original Message----- From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.com] Sent:Wednesday, December 03,2014 8:45 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Subject: 602 Boxford St. Good Morning, Please call Phil Christiansen at 978-837-9583 for soil testing. -----Original Message----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent:Wednesday, December 03,2014 8:53 AM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "Co mDev-Health-Ricoh" (Aficio MP C3002). 1 - � _ - -, i MA i 11riY�. I i t J . i 1 t)I i i ✓ � � � I � � -�- ( � i � I F. Ns ,{ I i I t n 1 I f I i I ? _� f ' I I i ems_-... _ .- ---�-,•. i B ir , r � • I -- r r 14) -•1 r � �:� 1 � !. �� ' I Com! � � ! [ I 7-FfE § f 1 eyd 3 I ..._.._._._..._.._e,..._.. -.._.._. .. I j , : CPTH �6ti�� fjJ { v � � I z ., _ I , , { M , 4 _ _ • m �} J �� - I PAC I Y 3 _ ( k.. 4 -Z4 "5 10.14 - - - z_4-/00 i 1 r i ' � • t j y 4 W/_v! C 3• � I y�,,, i I lid Y s I l � i •mac� � _.---- _9_- 31 C _ _ i_ 4 w _ � Yom. •TC°, , 1 y r I yy I _ , , , AK Jz I �! I g , n } / - f 1 i I ' _ pyx , r ' f i I — , I i » � ,. I • �a. d . r lq- v' I 4 , i -V 1C, Z, D Ali f , L4.111 o --t-s � : t , G . � 1 s v�I� R Pr I _- - - ' 4 - jA -:-?/t J. ;1q q- 37 , -�P-- Ale, rzI -- � Till. J X ! 2�� 3 C, X5101 f U_ t53,ga �Z c3 2 5y W3 i � 6 • COMMONWEALTH OF MASSACHUSETTS NUMBER • BHP-2015-0081 North Andover FEE BOARD OF HEALTH $135.00 Charles M. Rollins Co., Inc. ---------- ------------ ------- --------------------------------------------------------------------- NAME BOXFORD STREET ----------------- ----------------------------------------------------- ADDRESS IS HEREBY GRANTED A PERMIT Well Construction Well-Lot 1 This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ----------------June-3-01- 201-5- - _ _-_______ unless sooner suspended or revoked. ------- - - ----- March 31, 2015 ---------------------------------------------------------------- BOARD OF --------- ------------------ HEALTH - ----------------- II ." Y ( ' • BOARD OF HEALTH CHAIRMAN TOWN OF NORTH ANDOVER • Office of COMMUNITY DEVELOPMENT AND SERVICES •4Es � HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX bealthdept@townofnorthandover.com www.townofnorthandover.com Well and/or Pump Application (- (Please print) DATE: 3-31 l07—LLOCATION to Drill Well or install a pump: t07— Licensed icensed Well Contractor Name and Company Name: Chil ikes tom• I -O u-"kis CC,. =is c , Contact Phone Numbers: .997- 2-3Zo 78- 375- 45'$7 Homeowner: A Wy , ! Address: )--7 7 W S19 t Ai(y-To"J ST-, i i+IJ® Contact Phone Numbers: g 8 _ 3 7 - r1 g WELLS(to be completed at time of pump test) Type of well: 13 1-G Use: Diameter of well: Size of Casing: (� Depth of bedrock: Depth of casing into bedrock: Seal been tested? Yes( ) No( ) Date of test: Depth of well: Water-bearing rock: Depth of water: Delivers: GPM for: (how long) Drawdown: feet after pumping: hours at: GP Date of Completion: C " , Signatur Well Contractor PUMPS(To be filled in before installation) Name&size of Pump: Type: Size of Tank: Pump delivers: GPM Pipe used in well: Cast Iron Galvanized Plastic Sleeve used to protect pipe? Yes No Type of well seal: Date: Signature of Pump Installer Date water analysis_report submitted to Health Department: Plumbing Wiring Inspector Health Department Representative S:�Health\Permit Applications\Well Application.doe } TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ��` HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2935 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y.Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476--FAX healthdept(i)townofnorthandover.cotn www.townofnorthandover.com Well and/or Pump Application �{ (Please print) DATE: ` Z — (5 LOCATION to Drill Well or install a pump: Lot# 1 Boxford Road Licensed Well Contractor Name and Company Name:George W. Rollins Charles M. Rollins Co., Inc. Contact Phone Numbers: G L Homeowner:Messina Development Co., Inc. Address:277 Washington Street, Groveland, MA Contact Phone Numbers:978-837-9583 WELLS(to be completed at time of pump test) Type of well:Bedrock use:Domestic Diameter of well:611 Size of Casing:6" Depth of bedrock:191 Depth of casing into bedrock:31 Seal been tested? Yes()C) No( ) Date of test: Ll— 1 -2—( 5 Depth of well:500 G1 Water-bearing rock: �.r�24'•)VC�_ Depth of water: 1 -3 Delivers: 2.8 GPh7 for: 2 �j (how long) Drawdown: L1 Q po feet after pumping: l hours at: 2-' GPM Date of Completion: ! 2 q 1 �� Signature o 'ell Contractor PUMPS(To be filled in before installation) Name&size of Pump:Goulds 1 HP Type:Submersible Size of Tank:TBD Pump delivers:5 GPM Pipe used in well: Cast Iron_ Galvanized Plastic > Z045 Qt4�'� Sleeve used to protect pipe? Yes No� w Type o ell seal: LJ/1„ Date: .- 5✓ «' Signature of P6rKp Installer Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Health Department Representative X:\O1May2012\HEALTH\WebUpdates\WordForms\Well Application.doc Nashoba Analytical, LLC Tel:978-391-4428 Fax:978-391-4643 LabNumber: 164348 31A Willow Road,Ayer MA 01432 Website:http://www.NashobaAnalytical.com Use this number with all correspondence Client: Well Water Connection John Larsen a ortDate: 3/18/2016 PO Box 158 neCEIVE® Tewksbury, MA 01876 MAR 22 2016 Certificate of Analysis TOWN WNOFN R HANDOVER ARTMENT 540 Boxford St, North Andover MA Parameter Method Result MCL MRL Date of Analysis Analyst -Well Tank Sampled:3/14/2016 9:30:00 AM by P Bonazzoli Total Coliform Bacteria,/100ml ENZ.SUB.SM9223 Absent Absent Absent 3/14/2016 10:25:00 AM M-MA1118 Arsenic,Total,MG/1 SM 3113B 0.003 0.01 0.001 3/15/2016 M-MA1118 Calcium,MG/L EPA 200.7 51.2 Not Spec 0.2 3/15/2016 M-MA1118 Copper,MG/L EPA 200.7 ND 1.3 0.003 3/15/2016 M-MA1118 Iron,MG/L EPA 200.7 0.062 0.3 0.003 3/15/2016 M-MA1118 Lead,MG/L SM 31136 ND 0.015 0.001 3/15/2016 M-MA1118 Magnesium,MG/L EPA 200.7 6.9 Not Spec 0.1 3/15/2016 M-MA1118 Manganese,MG/L EPA 200.7 0.032 0.05 0.002 3/15/2016 M-MA1118 Potassium,MG/L EPA 200.7 0.5 Not Spec 0.1 3/15/2016 M-MA1118 Sodium,MG/L EPA 200.7 11.7 See Note 0.2 3/15/2016 M-MA1118 Alkalinity,MG/L SM 2320B 83 Not Spec 1 3/14/2016 M-MA1118 Ammonia as N,MG/L SM 4500-NH3-D ND Not Spec 0.1 3/14/2016 M-MA1118 Chloride,MG/L EPA 300.0 61.8 250 1 3/14/2016 M-MA1118 Chlorine,Free Residual,MG/L SM 4500-CL-G ND Not Spec 0.02 3/14/2016 M-MA1118 Color Apparent,CU SM 2120B 0 15 0 3/14/2016 M-MA1118 Conductivity,UMHOS/CM SM 2510B 412 Not Spec 1 3/14/2016 M-MA1118 Fluoride,MG/L EPA 300.0 ND 4 0.1 3/14/2016 M-MA1118 Hardness,Total,MG/L SM 2340B 156 Not Spec 1 3/15/2016 M-MA1118 Nitrate as N,MG/L EPA 300.0 ND 10 0.05 3/14/2016 M-MAI118 Nitrite as N,MG/L EPA 300.0 ND 1 0.02 3/14/2016 M-MAI118 Odor,TON SM 2150B 1 3 0 3/14/2016 MFL pH,PH AT 25C SM 4500-H-B 7.5 6.5-8.5 NA 3/14/2016 M-MA1118 Sediment,pos/neg -------------- NEG ------ NEG 3/14/2016 MFL Sulfate,MG/L EPA 300.0 17.2 250 1 3/14/2016 M-MA1118 Total Dissolved Solids,MG/L SM 2540C 250 500 1 3/17/2016 M-MAI118 Turbidity,NTU EPA 180.1 0.5 Not Spec 0.1 3/14/2016 M-MA1118 MCL=Maximum Contaminant Level(EPA Limit),MRL=Minimum Reporting Level Sodium Guidelines-Mass 20,EPA 250, #=Result Exceeds Limit or Guideline ND=None Detected(<MRL), `=Background Bacteria Noted Massachusetts Certified David L.Knowlton Laboratory#M-MAII 118 Laboratory Director Page 1 of 1 t Nashoba Analytical, LLC Tel:978-391.4428 Fax:978.391-4643 LabNumber: 154747 31A Willow Road,Ayer MA 01432 Website:http://�vww.NashobaAnalytical.com Use this number with al I correspondence Client, Charles M.Rollins Co., Inc. ReportDate: 4/28/2015 126 Depot Road Boxford, MA 01921 Certificate of Analysis Lot#1 Boxford Rd, North Andover MA Parameter Method Result MCL MRL Date of Analysis Analyst -Wellhead Sampled:4/23/2015 4:00:00 PM by Client E.coli,/100ML NA-MUG-SM92220 Absent O/Absent Absent 4/241201511:10:00 AM M-MA1118 Total Coliform Bacteria,/1 DOML MF-SM9222B # 3 O/Absent 0 4/2412015 11:10:00 AM M-MA1118 Arsenic,Total,MG/L SM 31138 0.008 0.01 0.001 4/27/2015 M-MA1118 Calcium,MG/L EPA 200.7 35.4 Not Spec 0.2 4128/2015 M-MA1118 Copper,MG/L EPA 200.7 NO 1.3 0.003 4128/2015 M-MA1118 Iron,MG/L EPA 200.7 0.078 0.3 0.003 4/28/2016 M-MA1118 Lead,MGIL SM 3113B NO 0.015 0.001 4/27/2015 M-MA1118 Magnesium,MG/L EPA 200.7 4.6 Not Spec 0.1 4128/2015 M-MA1118 Manganese,MG/L EPA 200.7 0,039 0.05 0.002 4128/2015 M-MAI118 Potassium,MG/L EPA 200.7 0.7 Not Spec 0.1 4/28/2015 M-MA1118 Sodium,MG/L EPA 200.7 12.3 See Note 0.2 4128/2015 M-MA1118 Alkalinity,MG/L SM 2320B 72 Not Spec 1 4/24/2015 M-MA1118 Ammonia as N,MG/L SM 4500-NH3-D NO Not Spec 0.1 4124/2015 M-MAI118 Chloride,MG/L EPA 300.0 41.6 250 1 4/24/2015 M-MAI118 Chlorine,Free Residual,MG/L SM 4500-CL-G ND Not Spec 0.02 4124/2015 M-MAI118 Color Apparent,CU SM 2120B 5 15 0 4124/2015 M-MA1118 Conductivity,UMHOS/CM SM 2510B 333 Not Spec 1 4/24/2015 M-MAI118 Fluoride,MG/L EPA 300.0 0.1 4 0.1 4124/2015 M-MA1118 Hardness,Total,MG/L SM 2340B 107 Not Spec 1 4128/2015 M-MA1118 Nitrate as N,MG/L EPA 300.0 NO 10 0.05 4/24/2015 M-MA1118 Nitrite as N,MGIL EPA 300.0 NO 1 0.02 4/24/2015 M-MA1118 Odor,TON SM 21508 0 3 0 4/24/2015 RPM PH,PH AT 25C SM 4500-H-B 6.9 6,5-8.5 NA 4/24/2015 M-MA1118 Sediment,poslneg --------------- NEG ------ NEG 4/24/2015 RPM Sulfate,MG/L EPA 300.0 16.3 250 1 4/24/2015 M-MA1118 Turbidity,NTLI EPA 180.1 1.5 Not Spec 0.1 4124/2015 M-MAI118 MCL=Maximum Contaminant Level(EPA Limit),MRL=Minimum Reporting Level Sodium Guidelines-Mass 20,EPA 250, #=Result Exceeds Limit or Guideline NO=None Detected(<MRL), '=Background Bacteria Noted Massachusetts Certified David L.Knowlton Laboratory#M-MA1118 Laboratory Director Page 1 of 1 Massachusetts Department of Environmental Protection • -- Bureau of Resource Protection Well Completion Reports J Well Driller Please specify work performed: Address at well location: iNew Well Street Number: Street Name: LOT#1 BOXFORD ROAD Please specify well type: Building Lot#: Assessor's Map#; 'Domestic 1 N— Assessor's Lot#: ZIP Code: Number Of Wells: 01845 r City/Town: Well Location NORTH ANDOVER In public right-of-way: GPS I r Yes r No North: West: 42.66778 71.04858 Su bdivisiontProperty/Description: Mailing Address: _ r click here if same as well location address Property Owner: Street Number: Street Name: MESSINA DEVELOPMENT CO.,INC. 277 WASHINGTON STREET City/Town: State: Engineering Firm: GROVELAND MASSACHUSETTS ZIP Code: 01834 Board of health permit obtained: Yes r Not Required i_ _ _ __ _ Permit Number: Date Issued: BHP 2015 008103/31i2015 Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock Mud Rotary 'Air Hammer WELL LOG OVERBURDEN LITHOLOGY Drop in drill Extra fast or Loss or addition From(ft) To(ft) Code Color Comment stem slow drill rate fluid — ,0 �19 _ Silty Sand And Gr Brown L _ C r YES C NO I (' Fast � Slow i r Loss ( Addi WELL LOG BEDROCK LITHOLOGY Drop in drill Extra fast or Loss or addition of Visible Extra From(ft) To(ft) Cade Comment Rust Large stem slow drill rate fluid Staining Chips 19 100 Granite j f�' YES t: NO G Fast r Slow Loss Addition Yes �LE Ye �i 1100 200_ Granite YES NO, Fast Slow r Loss Addition r Ye� IFY, �2D0_ 300 Granite 54- YES r_ N0. Fast Slow' ' r` Loss r Addition Y s E Ye 300 400 Granite Y rC YES f. NO 1 r Fast r Slow r Loss r Addition =Yes Ye 400 500 _ Granite Fr YES t10; Fast Slow Loss r Addition �Y Ye ADDITIONAL WELL INFORMATION Developed r Yes t: No} Disinfected t: Yes r No' Total Well Depth 500 Depth to Bedrock 19 Fracture Surface Seal Type None _ ; Enhancement r Yes (I W' CASING tr Is Casing above ground? From: 1 To: 0 From To Type Thickness Diameter Driveshoe F._ (31_ 1 Steel - 17# FF—Y SCREEN 1,F No Screen,` From To Type Slot Size Diameter Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Ll� - I I 1 , 1---Choose Screen Type WATER-BEARING ZONES [F DRY WELL From To Yield(gpm) F 18 r19 2.8 PERMANENT PUMP(IF AVAILABLE) 3 Wire Constant Speed Pump Description Horsepower -Submersible Pump Intake Depth(ft) 480 Nominal Pump Capacity(gpm) 5 ANNULAR SEAL/FILTER PACK Water Batches Method Of From To Material! Weight Material Weight (gal) (count) Placement 0 _ r19 ' Native Material ' hoose Material Gravity '19 31 7. Bentonite Grout • Choose Material 24 —� L1 Tremie WELL TEST DATA Date Method Yield(gpm) Time Pumped Pumping Level(ft Time To Recover Recovery(ft (HH:MM) BGS) (HH:MM) BGS) L04120/2015 ' Air Blow With Drill Stem • :2.8 102:00 ! 1480 ,� 04:10 1 _ - _ - _ __ . _ jt__ _ _j L _ _ L __ _ WATER LEVEL Date Static Depth BGS(ft) Flowing Rate(gpm) Measured 04/21/2015 t.13 COMMENTS Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Lill - WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. ROLLINS, JEFF Monitoring[M] Supervising Driller Signature GEORGE, Driller ROLLINS 307 Registration# 305 W CHARLES M. Firm ROLLINS CO.,INC. Rig Permit# 0208 Date Job Complete 0 412 012 0 1 5 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion. " Nashoba Analytical, LLC lel 978-391.4428 Fax:978.391-4643 LabNumber: 164863 31 A Willow Road,Ayer MA 01432 Website:http://,Aw%i,.NashobaAnalytical.com Use this number with all correspondence Client: Charles M.Rollins Co.,Inc. ReportDate: 4/30/2015 126 Depot Road Boxford, MA 01921 Certificate of Analysis Lot#1 Boxford Rd, North Andover MA Parameter Method Result MCL MRL Date of Analysis Analyst -Wellhead Sampled:412MO15 4:00:00 PM by Client Total Coliform Bacteria,/t 00m] ENZ.SUB.SM9223 Absent Absent Absent 4/29/2015 10:45:00 AM M-MA1118 MCL=Maximum Contaminant Level(EPA Limit),MRL=Minimum Reporting Level Sodium Guidelines-Mass 20,EPA 250, #=Result Exceeds Limit or Guideline NO=None Detected(<MRL), '=Background Bacteria Noted Massachusetts Certified David L.Knowlton Laboratory#M-MA1118 Laboratory Director Page 1 of 1 Commonwealth of Massachusetts Executive Office of Energy&Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 Charles D.Baker Matthew A.Beaton Governor Secretary Karyn E,Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR GENERAL USE Pursuant to Title 5,310 CMR 15.000 Name and Address of Applicant: Infiltrator Systems,Inc. P.Q.Box 768 6 Business Park Road Old Saybrook,CT 06475 Trade name of technology and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8- inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber(8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber(8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber,Equalizer 24 chamber,Quick4 Equalizer 24 chamber,Equalizer 36 chamber,Quick4 Equalizer 36 chamber,Quick4 Equalizer 24 LP(Low Profile)chamber(6 inch invert),and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert)(hereinafter the"System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19,2015 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 to: Infiltrator Systems, Inc., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter"the Company"), for General Use of the System described herein.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 Approval constitutes a violation of 310 CMR 15.000. February 19,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate format.Call Michelle Waters•Ekonem,Diversity Director,at 617,292.5751.TTY#MassRelay Servfee 1-800439-2370 MassDEP Website:www.mass.povldep Printed on Recycled Paper Infiltrator Chamber,Infiltrator Inc, Page 2 of 6 Approval for General Use—February 19,2015 I. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 uick4 Equalizer 24 LP(6-inch invert) 16 x 48 x 8 62 Quick4 Equalizer 24 LP 2-inch invert16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 Quick4 Standard HD 34 x 48 x 12 8 Quick4 Plus Standard 5.3-inch invert34 x 48 x 12 5.3 Quick4 Plus Standard(8-inch invert) 34 x 48 x 12 8 Quick4 Plus Standard LP 3.3-inch invert 34 x 48 x 8 3.3 Quick4 Plus Standard LP 8-inch invert 34 x 48 x 8 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.251 High Capacity Chamber 34 x 75 x 16 11 High Capacity H-201 Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5 Quick4 Plus High Capacity 8-inch invert 34 x 48 x 14 8 Quick4 Plus High Capacity(13-inch invert) 34 x 48 x 14 135 1 This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements. 2 Includes Infiltrator Multipodm invert adapter attached to the side of the end cap. 3 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 1 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 12 Endcap, 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. J' Infiltrator Chamber,Infiltrator Inc. Page 3 of 6 Approval for General Use—February 19,2015 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. 4. For new construction or upgrades,the applicant can size the System in a trench configuration,using the effective leaching areas presented in Table 2, Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching' Leaching$ Area Area SF/LF SF/LF Equalizer 24 3.76 N/A .Quick4 Equalizer 24 3.90 N/A _Quick4 Equalizer 24 LP 6-inch invert) 3.90 N/A Quick4 Equalizer 24 LP 2-inch invert2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard 5.3-inch invert6.20 N/A Quick4 Plus Standard 8-inch invert6.96 N/A Quick4 Plus Standard LP 3.3-inch invert 5.65 N/A Quick4 Plus Standard LP 8-inch invert 6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A High Capacity H-20 Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity(8-inch invert) 6.96 N/A Quick4 Plus High Capacity(13-inch invert) 7.93 N/A �.Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. '.Effective leaching area is equal to 1.67(bottom width+(2x invert height))for Systems 3 feet or less in width. $.Effective leaching area is equal to 1.0(3+(2x invert Height))for Systems with a width greater than 3 feet. 1 9.The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3,or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. Infiltrator Chamber,Infiltrator Inc. Page 4 of 6 Approval for General Use—February 19,2015 6. For new construction or an upgrade,the applicant can size the System in bed or field configuration,using the effective leaching areas presented in Table 3, Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching10 Area SF/LF Equalizer 24 2.09 Quick4 Equalizer 24 2.23 Quick4 Equalizer 24 LP 6-inch invert2.23 Quick4 Equalizer 24 LP 2-inch invert2.23 Equalizer 36 3.06 .Quick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 Quick4 Standard HD 4.73 uick4 Plus Standard(5.3-inch invert) 4.73 uick4 Plus Standard(8-inch invert) 4.73 _Quick4 Plus Standard LP 3.3-inch invert4.73 Quick4 Plus Standard LP(8-inch invert) 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 High Capacity H-20 Chamber` 4.73 Quick4 High Capacity 4.73 Quick4 High Capacity HD 4.73 Quick4 Plus High Ca aci (8-inch invert) 4.73 Quick4 Plus High Capacity(13-inch invert) 4.73 10.Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288,additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. H. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval,the System shall comply with the"Standard Conditions fop Alternative SAS with General Use Certification and/or Approved for Remedial Use"(the M Infiltrator Chamber,Infiltrator Inc. Page 5 of 6 Approval for General Use—February 19,2015 'Standard Conditions'),except where stated otherwise in these Special Conditions. 2. New Construction This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow,for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction, as provided in Paragraph 6 in section H Design and Installation Requirements of the Standard Conditions. 3. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility meets the siting requirements for upgrades,as provided in Paragraph 7 in section II Design and Installation Requirements of the Standard Conditions 4. The System shall be exempt from the minimum inlet spacing requirements of 310 CMR15.253. 5. The System shall have a minimum of one inspection port through the top of one of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade, 6. When the System is installed in trench configuration,then the system shall comply with these requirements: a) Length(each trench) 100 feet maximum(3 10 CMR 15.251(1)(a)); b) Width(each trench)2 feet minimum to 3 feet maximum(3 10 CMR 15.251(1)(b)). -Chambers greater than 3 feet wide,when specifically approved, are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be two times the effective width or depth of each trench,whichever is greater,or where the area between trenches is designated as reserve area,three times the effective width or depth of each trench,whichever is greater(3 10 CMR 15.251(1)(d)); d) The effective leaching area shall be calculated using the bottom area and a maximum of two feet(per side)of side wall area for each trench(3 10 CMR 15.251(1)(e)); e) Trenches shall be situated,where possible,with their long dimension perpendicular to the slope of the natural soil.Where possible they shall follow the contour lines(310 CMR 15.251(2)); f) Trenches constructed at different elevations shall be designed to prevent effluent from the higher trench(es)flowing into the lower trench(es)(3 10 CMR 15.251(3)); g) The area between trenches may be designated as system reserve area only where the separation distance between the excavation sidewalk of the primary trenches is at least three times the effective width or depth of each trench, whichever is greater(3 10 CMR 15.251(4))-Chambers greater than 3 feet w Infiltrtor Chamber,Infiltrator Inc. Page 6 of 6 Approval for General Use—February 19,2015 wide,when specifically approved,shall be separated by three times the actual width and are subject to other Special Conditions and limitations;and h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15.241 (3 10 CMR 15.251(11)). 7. When installed in trench configuration,approved Alternative Chambers greater than 3 feet wide: a) shall be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber,or where the area between trenches is designated as reserve area,three times the actual width of the chamber;and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective leaching area. 8. When installed in a bed or field configuration,the System may be installed without distribution piping,but must comply with the following requirements in 310 CMR 15.252: a) the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or field(3 10 CMR 15.252(1)); b) the maximum length of chambers in series shall be 100 feet(310 CMR 15.252(2)(b)); c) separation distance between adjacent beds/fields shall be ten feet(3 10 CMR 15.252(2)(f));and d) the effective leaching area shall include only the bottom area,not the sidewalls(310 CMR 15.252(2)(i)).. 9. For Systems constructed in fill and installed, the System shall be installed as specified in 310 CMR 15.255 Construction in Fill,except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 10. The System is exempt from 310 CMR 15.287,specifically items. (5)requiring written notification of alternative system prior to property transfer,(6)need for a certified operator,(9)need for an operation and maintenance contract with an operator and(10)deed notice requirement. r_ M _ s i a ilk oil: y \� 1 _ p • R 1 ell y K « x� E x N _ p r � � r t t t - 7�m ,yam � � �. •� �, g- � b A Guide to the Proper Care and Maintenance of Your Onsite wastewater Treatment System .COURTESY OF INFILTRATOR.SYSTEMS, INC. ` Dear Septic System0.ner, A RESIDENTIAL SEPTIC SYSTEM: What's Inside Clean water is ourhentage-its also our responsibility.As the population grows and mom land is developed,we must all find new ways to safeguard Your onsite wastewater treatment plant Pag0 our environment for future generations. The Residential Septic System At Infiltrator,were doingour Your Onsite Wastewater pamanrt by usinglun,science to products frobetter What is a Septic System? " V` Treatment Plant performing septic systems.We maliufaciure reliable products hom vnanu,vie h° primarily recycled materials.Our reduced footprint minimizes disruption A septic system is an onsite wastewater - �1'0 % page T or the environment Ali of this provides septic system owners with treatment system that processes and purifies �p� " - The Infiltrator Product System: products they can trust for superior performance,ease of maintenance, t I � Today's Modem Solution sndlong to m value household waste(effluent).The effluent consists . W of blackwater(toilet wastes)and graywater ® x Page 10 What started over 26years ago as an idea for a better leachfield,is new (kitchen sink,bathtub and laundry wastes). Care and Maintenancea worldwide company with a broad range of products in service in North ` - of Your Infiltrator System / America and around the world.Today,one in every three systems installed _ in North America is an Infiltrator system.This Septic System Owner's Manual A septic system has two components: explains how septic systems work,describes the benefitsofthe Infiltrator a septic tank and a leachfield or drainfield. system,and provides valuable tips for pmW system maintenance.This Primary treatment occurs in the septic tank, is part of our commitment to making sure that clean water is where bacteria digest organic materials in the CONGRATULATIONS ... everyones business. wastewater.The effluent then flows into the Your leachfield system is constructed with Mitrator products. , leachfield for secondary treatment.Here,bacteria Infi@rator products,manufactured of recycled materials,interlock complete the digestion and purification process -4--t together to form a continuous drainage area.These state-of-the-art as the wastewater slowly leaches or infiltrates Roy Moore,President&CEO A standard septic system has two components:a septic tank and a leachfield g g � systems offer many advantages over old-fashioned stone and pipe �z into the soil. ' systems.They treat more effluent,more efficiently,in a smaller area. Infiltrator Systems Inc. / , Ili �t x. yus,.tiyshnm a � g I� he> SYSTEM COMPONENTS:THE SEPTIC TANK SYSTEM COMPONENTS:THE LEACHFIELD The septic tank is a watertight underground box,about eight feet Found in all three of these layers are billions of bacteria that live From the septic tank,partially treated effluent flows into a leachfield, long,four feet wide,and five feet deep.It typically has at least a naturally in the tank and perform the first phase of treatment to which typically has two or more trenches.This is where effluent is 1,000-gallon capacity for retaining,storing,and treating solids,in break down solid matter.The bacteria digests the solid materials. naturally purified as it percolates down through the soil. addition to releasing effluent into the leachfield,sometimes called In the process,gases are produced,which are vented from the pyr a drainfleld. septic tank through the plumbing vent on your rooftop. For proper effluent purification,the distance between the trench As wastewater flows into the tank,heavy solids settle to the bottom and the water table should be equal to or greater than the bottom into a sludge layer,while grease and fats float to the top minimum distance allowed by your local health department.The sail — forming a layer of scum.Between these two layers is a clear zone acts as a biological filter,removing harmful substances before the of liquid called the clarified zone. effluent reaches the groundwater. Infiltrator Systems manufactures chamber systems and EZflow Access port Scum layer Baffle Access port Geosynthetic Aggregate systems which are both used in leachfield installations. Inlet pipe -OutletClarified zonefflureent Ibws into the leachfietd wheit is naturally purified as it percolates Sludge layerivt_ �,/ r_ _ down through the soil. Cutaway of an Infiltrator Septic Tank The stores and treats solids befom releasing effluent into the leachfield .. a _septic tank retans., EZilowg�Y" eacthetic lhrield. A..er�tra�acyitansmm Saptk System O�nerY MenuW 5 rI OLD-FASHIONED SYSTEMS: TODAY'S MODERN SOLUTION: STONE AND PIPE SYSTEMS INFILTRATOR CHAMBER SYSTEMS. Old-fashioned systems use gravel or crushed stone in the Infiltrator Chamber Systems EZf/ow Systems leaching trenches to create void space to store the effluent and Infiltrator chambers are hollow structures that attach end-to-end. EV/ow is an environmentally friendly replacement to traditional i release it slowly.However,such systems are prone to eventual They are installed in trenches or beds without gravel(except stone in septic drainfields using an engineered geosynthetic 1 failure as the voids(empty spaces)around the gravel become where local codes require the use of gravel).The entire bottom of aggregate modular design.The EZflow system is designed plugged.This phenomenon occurs over time as solids build-up the trench is open for unobstructed infiltration of water.The large to improve infiltrative performance by eliminating the fines and between the stones,limiting infiltration of water into the soil. storage volume within the hollow chambers accommodates peak reducing compaction and embedment associated with crushed As the gravel settles,it also tends to compact and accumulate flows of effluent from the home.Infiltrator chambers also feature stone. fines(small soil particles),further reducing the infiltration rate. patented sidewall louvers that allow lateral leaching of effluent into the soil. (j pw Infiltrator chamber 0, EZf/ow � Stone and pipe systems can fail .t' systems'design stems erep ace stone because solid matter clogs the eliminates the need space between the stones. for stone.The Is'., in a traditional system reducing compaction entire trench and fines. for unobstructed `7.a m�, r' ►. - infiltration. Stone bbckage reduces infiltration rate. F" e_hflm t�tmmacom �� $epic System Oanefe Manual] ADVANTAGES OF INFILTRATOR PRODUCTS ADVANTAGES OF SEPTIC SYSTEMS ' :t OVER STONE AND PIPE OVER SEWER SYSTEMS 1, 6A Infiltrator products are today's superior alternative to The alternative to septic treatment technology are sewer systems, old-fashioned stone and pipe because they: which pipe waste to a centralized treatment plant,typically near a r Provide long-term savings due to longer life and greater river or other body of water for disposal after treatment.In addition w f, r * to being a cost effective alternative to expensive sewer lines, operating efficiency $ . k 1- v I septic systems are environmentally superiorto sewers because they: - x —Offer worry-free,long-tern service with only simple, s u i ; r ,• routine maintenance —Provide simple,effective onsite wastewater treatment Protect landscape from damage caused by heavy equipment —Allow the groundwater to be recharged onsite, th' ; Provide greater treatment area to handle more wastewater which makes more clean water available for use ' with higher efficiency —Avoid contamination of local groundwater caused by ageing sewer lines,which leak untreated effluent into the soil '' 1 r —Offer a"greener'approach utilizing recycled plastic resins .— C to manufacture the products —Avoid environmental disasters of raw sewage discharges from —Are backed by a minimum 1-year warranty and a reputable, treatment plants during floods or processing accidents 4 mro 0 *, r' service oriented company � ► Infiltrator products can be installed in curved, r —Can be Installed In tight,sloped and curved areas creating sloped and small areas allowing for optimal land use. less site disruption el ► Infiltrator systems are designed to safeguard our environment L - - for future generations. 7 t, ► Pollution from sewage. F t� I CARE AND MAINTENANCE OF YOUR INFILTRATOR SYSTEM LOCATING THE SEPTIC TANK SEPTIC SYSTEM MAINTENANCE RECORD Use the chart below to record standard system maintenance such A septic system may be out of sight,but it definitely should not be Why the Tank Needs Pumping Periodically It's very important to know where the tank is in order to have it as the dates the tank was pumped. out of mind.With proper standard maintenance and by being more inspected and pumped.Here are three different ways to find your I aware of our dailylivinghabits,you will greatlyimprove the life About 95 percent of the sludge and scum that is in your septic �lt�II1I1uu1I�I){0i I l'ilI and health of your system.Here are some guidelines to help you tank is broken own ptic tank. the tank and b wilds by bactthe sludge ia.The other 5 percent retlyyour mains in 1e Ask to see the septic system permit for your property r 1111 iQl p!16�,IV�l iII�W protect your septic system investment. septic tank must be pumped out regularly.Otherwise,solids would at your local health department,town or city hall. eventually fill the lank and wash-out into the leachfield.This is It will have a diagram of your system on it. detrimental to the overall health and longevity of your system. 2. See where the sewer line leaves your house,the tank CAUTION:If solids do overflow from the septic tank into the should be about 10 feet outside the foundation wall. leachfield,they will prematurely clog the soil pores(openings). 3. Have your septic contractor probe with a steel rod, Pumping out the septic tank at that point will not restore the taking care to avoid damaging the tank or underground utilities. system.The most likely solution would be installing a new leachfield in a different area,which can be very expensive and disruptive to your property. —'--— �— Have your tank checked by a septic system contractor every two to three years.If you have high water usage or a garbage disposal, the inspections should be more frequent.Use the septic system maintenance record on page 11 to enter and date each inspection InMator Septla Tank and pumping. -- 1D w,1,fift,,tnye1ema oom Septic Syaiem Ownefe Manuel 11 DIAGRAMMING THE LOCATION THE DAILY INS AND OUTS OF A HEALTHY SEPTIC SYSTEM Once you know where the septic tank is,use the septic system on the layout equal 5 feet x 5 feet or 10 feet x 10 feet.Measure THE INSIDE STORY ✓No paints,oils,chemical drain cleaners,thinners,solvents, layout below to sketch the location of your house,driveway,septic and record the exact footage from the house to each septic tank poisons,or pesticides.These toxic chemicals not only tank,and leachfield.Depending on your lot size,let each square access port or cleanout spot. You can protect the performance and life of your system by kill helpful bacteria,they may also contaminate the controlling what goes into and through your septic system. Here's haw: groundwater. Contractor: ■ Conserve water.Large volumes of water over a short period ✓No grease or cooking oils.Grease may harden in the septic of time will flush untreated solids out of the septic tank into the tank's scum layer and build up until it blocks the inlet or leachfield. outlet.If you melt grease and pour it down the drain,it may run through the septic tank and then harden,clogging the ✓Practice conservation every day.For example,turn off soil pores in your leachfield. Contact Info: the faucet while brushing your teeth. ✓Go easy with your garbage disposal.Using a garbage ✓Space out heavy water-using activities such as washing disposal typically doubles the rate of solids buildup in the clothes and taking showers. septic tank.To avoid frequent pumpouts,compost your ✓Repair leaky faucets and valves.Consider replacing old garbage or put it in the trash. toilets that use 3.5 to 5 gallons per flush with __ _ __ new 1.6 gallon fixtures. ■ Be cautious with household chemicals.Disinfectants, ammonia,bathroom cleaners,bleach,etc.can kill the bacteria ■ Keep your drains clean.Remember your system needs in order to operate properly.Allow the Permit Number. that a septic system uses natural system to dilute and neutralize them a little at a time. biological processes,so only ✓Infiltrator doesn't recommend the use of additives that claim A biodegradable waste should go in it. to boost the bacteria count or extend septic system life. Your septic system layout - ✓No cigarette butts,tissues, Bacteria are already present by the billions,and additives sanitary napkins,disposable won't affect the need for periodic pumping. 7 diapers,catbox litter,coffee �M grounds or cotton swabs. is wr.infiltrala,eyslmns.tom ! Septlespt—Ow .M—1 is THE DAILY INS AND OUTS OF A HEALTHY SEPTIC SYSTEM INFILTRATOR'S FAMILY OF PRODUCTS NOW YOU'RE AN INFORMED Ql1/Ck4 Quick4&Quick4 Plus Chamber Systems THE OUTSIDE STORY Infiltrator chamber systems are a direct replacement for old-fashioned Here's how you can control what happens outside your septic INFILTRATOR SEPTIC SYSTEM OPERATOR stone and pipe leachfields.Infiltrator chambers give designers,engineers, `it�$ y installers and homeowners great flexibility in placement of the septic leachfield. �t x system. Most problems with septic systems are due to lack of proper care. ` ■ Keep surface water away.Divert downspouts,roof drainage, With a little attention,your Infiltrator chamber or EZflow septic EZflow driveway runoff,and sump pump discharge away from the system can be a valuable asset to your property.It all comes down VtEZ�jpyU EZflow is an environmentally friendly replacement to traditional stone and pipe drainfields leachfield.Landscape your yard to channel rainwater away. to knowing where your system is,protecting it from internal and T using an engineered geosynthetic aggregate modular design.The EZflow system is ® Encourage the right plants.Remove trees such as willows external problems,giving it regular maintenance,and calling a designed to improve infiltration performance by eliminating the fines associated with that like"wet feet."Their roots may penetrate and damage the professional septic contractor when you need help.If you follow crushed stone,and reducing compaction and embedment associated with stone. AMIM leachfield.Grow grass or ground cover over the septic system these simple guidelines,it will benefit the environment,as well as Septic Tanks to prevent soil erosion.Plant beneficial trees such as pines yourself.Infiltrator chamber and EZflow septic systems are the Fl LTRATOR' Infiltrator septic tanks provide a revolutionary improvement in plastic septic near the leachfield to absorb water. premier onsite wastewater systems and,now,you're an informed ' tank design,offering exceptional strength comparable to concrete tanks. ® Avoid physical damage.Don't drive over the system or septic system operator. There's a full range of tank sizes to best suit your needs. compact the soil with heavy equipment.Don't dig in theEZset Risers and Lids leachfield or build anything over it.Don't cover the tank or _ EZ SPt EZset risers and lids are made from glass reinforced polypropylene, leachfield with concrete or blacktop. " providing superior strength and durability.Ideal for use with any For more information on septic products, concrete or plastic tank.The slip resistant lids are fastened using Call Infiltrator Systems: stainless steel screws and can be further secured by installing locking rings. 1-800-221-4438 Aquaworx IPC Panels Or visit our website: &AQUAwo r x Aquaworx IPC Panels provide an innovative approach to pump control where a pumpN www.infiltratorsystems.com is required.These panels use a floatless pressure transducer technology,monitors 3 liquid levels,controls pumping time intervals and logs events in real-time.Panels are r available in simplex or duplex. 14 rww.infipratonryslemstem Septic System 0v n Manuel 15 GS k F i i i w I 1 - INFILTRATOR® Tel 860-5774 Business 7 000 rk RolaFax 60-5 7-7001 I Old Saybrook,CT 06475 r� = 1-800-221-4436 I www.infiltratorsystems.com U.S.Patents:4,759,661;5,017,041;5,156,488;5,336,017;5,401,116;5,401,459;5,511,903;5,716,163;5,588,778;5,839,844 Canadian Patents:1,329,959;2,004,564 Other patents pending. Infiltrator,Equalizer,Quick4 and SideWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc.is a registered trademark in Mexico.Contour,Contour Swivel Connection,Microl-eaching,MultiPort,PolyTuff,Snapt_ock,ChamberSpacer,Posil-ock,QuickPlay and QuickCut are trademarks of Infiltrator Systems Inc. ©2013 Infiltrator Systems Inc. Not responsible for any typographic errors.Printed in U.S.A. A50 0613 ��rl O F Atiy S+s9 O J. G oSERGI m U No.331$1 100'BUFFER ROF� sI o� RV 0 DLl L ) EXISTING OT 1 FOUNDATION TOF EL=131.6' r 6 g1 a 's iso 7I Zp�G 100' BUFFER �� p O QO 1 CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO V THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER CLIENT: S & L HOMES LLC RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, ORDERS OF CONDITIONS,ETC.)THIS DRAWING SHALL NOT BE USED THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT BY THE CUENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN LOCATION: NORTHANDOVER,MA. &SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY DATE: 8125115 SCALE: 1'!--80' 11NAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SE14G1, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL.978-373-0310 FAX.978-372-3960 DWG.NO.:14036.001.017 - - - -.IIIlk L 1 III, ■11.'.Ill I.11 1.I.. _ !■ff _ _ _ = riuiiliiiiliiiiiiu - - _ tffl - - Ilil l.nnalr■allr.11M t■■ __ _ �unuu nur�.nu.l"rr . 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OTHER LOCAL, STATE AND / OR FEDERAL CODES THAT MAY APPLY TO THIS PROJECT SHALL BE CONSIDERED AS PART OF THE 5. FRAMING LUMBER SHALL BE NO. 2 GRADE SPRUCE-PINE-FIR OR BETTER. CONSTRUCTION DOCUMENTS. 3. ALL WASTE MATERIALS AND DEBRIS SHALL BE REMOVED AND B FLOORS SHALL ALL OBE NS COMPLETELY FIRE ETC.) THRU DISPOSED OF PROPERLY. 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