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HomeMy WebLinkAboutMiscellaneous - 700 MIDDLETON STREET 4/30/2018IL I r z rJl��✓�,/�Z Gi G�I'✓1Gu� Cam} J I tA � N O o � O go m �P OR pO cn O ; m O m I w 1 !Z I to N N N w U C 5 U c. Cc 0. N N C p to O�LuUS O 0 O N, LL F-a� � C W ai W fl - lC c6 OZ F- W J 00 O MN 0 o o 0U c mW 00 m4) U x mCLU "2 0 0 00Q LU Ix U eq oa o� Z _ O ai. iv a CL= O C O CLOP- >. �p 0 (D N 0 d mU)COCOC� 0 <D r OI O NT Y ca U �2 m '0MrC UUii-1i to m 0 O C D Q oZ o O 0 o� ,I 0 0 J m y 7 c m E 0 U �I0 r O O co co N N 0) 0) � r r <O J J i a•�a ,,� N �C'l 22 rl- co ^+<� .,• i Of O O N LL F-a� 0 W m •� J W T= L c m ~ O U_ L L w �cc3 C � -0F- U) F- W J D 00 M to V. - O o � U o E '° 0 rn: E U W ma0 U 20 8° �W C p r ` U M oQ o� Z ad IM co 0-0 >Q 4)p m(D(Dm@ (� H � O 0 r es Y U J O Nw4)a CD OfOc� a U U ii .i E 0 M D F- F- W 0 CL Q o Z o O O O C1 C14 00 p 0 LU w o O W W Os Z U) O J zLL V)w v �LU LU z c o> N Q SFW. 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Z Q<OMa-SOF•-H to W N `�N. fn W cca LL X U cn 0i/i iii ML Z6 - � LL � Q 0 f6 c"a Cf U' .�_+ C9 C9 c Omm m U U9 a_,�m C cY Vr 2 W W FO- o0 ti m Y 00 co v JCD O V:OZ 3 N O N Ur 3 r V i O r Z a� Fc o ui U = = m L �ac0ia ai v-� o c ~~ ow Zo U ~ 00 mmu�c cc 0MLLE0 W v�i(n�W2LL U) PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 5/16/16 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: . Full Repair of an On -Site Sewage Disposal System By: Jay Wadsworth At: 700 Middleton Street Map, 109 Lot 29 North Andover, MA 01845 of this cerOpa�e-&11 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 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com North Andover Health Department (ommunity and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 700 Middleton St. MAP: 109 LOT: 29 INSTALLER: Jay Wadsworth DESIGNER: James Morin PLAN DATE: 5/25/15, Rev 9/25/15 BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: 11/18/15 re -inspection on 12/16/15 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 12/18/15 DATE OF FINAL GRADE INSPECTION:Q SITE CONDITIONS Comments: SEPTIC TANK ® Contractor reports any changes to design plan X Existing septic tank properly abandoned 11/30/15 ® Internal plumbing all to one building sewer ® Topography not appreciably altered ❑ 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 ❑ Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover at finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: placed p -stone in hole instead of 3/" which is shown on the plan. Jay will remove and replace with appropriate stone. Hit ledge bought a plastic tank. (Roth Tank) Tank had to be turned and a portion is now in the overdig. Discussed with Jay Wadsworth, the installer, to evaluate the elevations and pitch with the designer and that all is in accordance with the plan. *Elevations and pitch was incorrect (stop work) New pipe was raised 12" above old pipe, foundation to tank 12'. Plastic tank 12" of stone because of the placement of the tank due to ledge, the d -box will be placed at the end of the tank instead of in between tank and field. Jay indicated the elevation coming out of the house is 98.98 plan says 101 please check all elevations thoroug y 12/18/15 — Building sewer pipe not supported or bedded for much of the length of it. No hydraulic cement required because rubber grommets at tank inlet and outlet. Roth poly tank backfilled with sand or soil, not peastone. Installer instructed to examine the approval for the tank to confirm acceptability of backfill. 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: 12/18/15 — Pipes exiting the distribution box were not level at all within the box so no even flow could be achieved. Pipes exiting distribution box were not level for 2' out beyond the box. SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: 24'Lx16'W 29'Lx26'W with overdig 12/8/15 — SAS size correct SOIL ABSORPTION SYSTEM (Gravel -less Chambers) ® Brand and Model of Chamber: Cultec C4 ® Number of chambers per row: 3 ® Number of rows (trenches): 4 Comments: Total Chambers = FINAL GRADE �I ❑ Loamed ❑ Seeded ❑ Cover per plan Comme i YA ❑ Certification of Installation Form By engineer and signed and dat Engineer and installer 2 As -Built Plan bmitted BM = 100.00 HR = 3.03 HI = 103.03 r ha.c v e' ba, - �1rD SYSTEM ELEVATIONS SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback ROD ELEVATION AS -BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Property line 10 10 -- Building Sewer OUT 3.67 99.03 20 -- Septic Tank IN 4.21 98.49 20 -- Septic Tank OUT 4.44 98.26 10 -- Distribution Box IN 4.58 98.12 10 -- Distribution Box OUT 4.76 97.94 10 101 Lateral 1 TOP 4.79 98.24 1002 50 Lateral 1 INVERT 4.90 97.80 Lateral 2 TOP 4.80 98.23 Lateral 2 INVERT 4.90 97.80 Lateral 3 TOP Lateral 3 INVERT 4.90 97.80 Lateral 4 TOP Lateral 4 INVERT 4.90 97.80 SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback ' Suction line 222(2) 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 ' Suction line 222(2) ❑ 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 12/18/15 — Distance from SAS to well on subject property 79'. Distance to wall of house 12' - note that design plan shows a distance of 23.5' but that is inaccurately depicted and is likely the distance to the inner wall of the house, not the outer wall of the house. 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 `I'heFischer Family May 18, 2016 North Andover, MA 01845 978-683-3630 zmartyz Aol.com Michelle E. Grant Public Health Agent Town of North Andover 1600 Osgood Street Suite 2035 North Andover, MA 01845 Dear Ms. Grant, Subject: 700 Middleton Street Confirming our telephone conversation of the 16' regarding the completion of the G prq�ect, I will hereby assume responsibility for the final grade. You had agreed that 2# I rlo that you would be able to issue a certificate of compliance. Thank you for your help over the past year. ¢ n e : t 1 Sucerely, Martin S. Fischer { 1 % L' 4) rw VAll changes to the design plan have been reflected and noted on the as -built plan t'� As-built plan has a suitable scale; (1 inch — 40 feet or fewer for plot plans) Street Address, Assessor's Map and Lot Number t Lines and Location of Dwellings served by the system Locations, Elevations and Dimensions of As -built system components, including reserve (if applicable) Ties to all tank openings, d -box, and leach area from dwelling or Permanent Structure Setback distanc are shown on the as -built plan from system components to: ub Property interceptor & foundation drains atch basins roperty lines ellings or other structures vate water supply or irrigation wells Watercourses or wetlands ltzl- 8)Z, cations of Wells, Drains, Wetland Resource Areas within 150 feet of system 9) cation of water, gas, electric lines, cable, control panel (if applicable) 10) ation of Structures within 6 Inches of Finished Grade 11) _Original Stamp & Signature 12) _Y Ipcation and holder of any easements which could impact the system 13) V Impervious Areas; Driveways, etc 14) _V/North Arrow 15) V Location & Elevation of Benchmark used RECEIVE® FEB 2 9 2016 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT 16) V STATEME ON PLAN (NA 5.3) a. "I certify the locations, elevations, ties, cover material; exposed component covers etc., shown on this as -built substantiallyagme with the approved plan and have determined that the break ou tions, if applicable, have been met." I JQ 7 Signa=aC77JIWAL esigner Date b. "IWALL IS PRESENT W 4.9) a Letter or statement on the as -built indicating the wall - was. or was not. constructed in accordance with the intended design and anv manufacturer's jecifications." Signature of Designer Date As of: Tuesday, March 17, 2015 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) J As -built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans) 3 treet Address Assessor's Map and Lot Number 4) Lot nd Location of Dwelli erved by the system 5) cations levatio an imensions AJ -built system components; rrrciuding serve (if applicable) 6) Ties to all tank openings, d~ ox, and leach area fro welling or Permanent Struc e C� h 01 Thr " Setback distances are shown on the as -built plan from system components to: +0 Subsurface, interceptor & foundation drains Catch basins Property lines --Dwellings or other structures Private water supply or irrigation wells atercourses or wetlands 8) Locations of ells, Drains, Wetland Resource Areas within 150 feet of system 9) cation 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) 13) 14) N1� \ Location and holder of any easements which could impact the system ✓ Impervious Areas; Driveways, etc North Arrow 15) Location & Elevation of Benchmark used p 16) _2STATEMENT STATEMENT ON PLAN (NA 5.3) a. "I certify the locations, elevations, ties, cover material; exposed component covers e/c., shown on this as -built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met." Signature of Designer Date b. "If a STUCTURAL WALL IS PRESENT (NA 4.9) a Letter or statement on the as -built indicatinSt the wall -was, or was not,constructed in accordance with the intended design and any manufacturer's specifications." Signature of Designer Revised 3/17/15 Date Hadge, Lisa From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Friday, December 18, 2015 5:28 PM To: Grant, Michele; Hadge, Lisa Cc: 'Isaac Rowe'; Pam Lally Subject: Construction Inspection - 700 Middleton Street Attachments: 700 Middleton St. Construction Inspection.doc; Roth Tank Approval - w054018.pdf; p511032rev3proof.pdf Attached please find the results of the construction inspection performed at this address. The construction of the leaching facility portion of the system was found to be acceptable. Several issues were identified in relation to the components prior to the leaching facility. Outstanding issues which were identified are as follows: 1. The building sewer pipe exiting the dwelling towards the septic tank was not backfilled to provide adequate support against settling. 2. The septic tank used is a Roth Multitank. The MassDEP approval section IV 4 (attached) requires the installer be certified to put these tanks in the ground. Mr. Wadsworth indicated he believed he was certified and was going to check his paperwork. Relatedly, the tank was backfilled with sand, not pea gravel, and at the time out in the field I was not sure if that was acceptable or not. I have now reviewed the approval for these tanks and the associated installation manual and it does say clean sand is acceptable as long as the sand or pea gravel is placed inside the bumps (haunches, as they call them) of the tank (attached). I did not get to discuss this with Mr. Wadsworth but from the parts of the tank that I saw, this type of backfilling was not completed. Mr. Wadsworth was instructed to investigate the tank installation in general as well as the MassDEP approval further, and was instructed that as the licensed installer he is expected to maintain compliance with all relevant approvals at the construction project. 3. The distribution box was poorly constructed with one or several pipes protruding through the wall at a steep angle and thus even flow exiting the box could not be provided. The pipes were also not level for the first 2' exiting the box. Mr. Wadsworth was told the soil absorption system was completed adequately and he was free to backfill it, but that the area around the piping, tank and distribution box was to remain exposed for further work and inspection. Mill River< 'consulting 6-1 L {i7alec+in� ' �'xi6rtaa+�cntnl Pn.m;it�rg lhu iY+tfls,�f fnwtU nmentnt N4A(4 N+ COr.y417rn� Daniel Ottenheimer, President Mill River Consulting, Inc. 6 Sargent Street Gloucester, MA 01930-2719 Commonwealth of Massachusetts Map -Block -Lot .. 109.00029 BOARD OF HEALTH ----------------------- Permit No North Andover BHP -2015-0908 P.I. FEE i' F.I. $250.00 ----------------------- DISPOSAL WORKS CONSTRUCTIONI PERMIT Permission is hereby granted Jay_Wadsworth ----------------------------------------------------------------------------------------------- to (Repair) an Individual Sewage Disposal System. at No 700 MIDDLETON STREET as shown on the application for Disposal Works Construction Permit No. BHP -2015-090 Dated November 17 2015 ________--- A _` ___.__�___..----i r__� _______________ Issued On: Nov -17-2015 �"BOARDJOF HEALTH a r •��°� Application for Septic Disposal System Construction Permit —TOWN OF NORTH ANDOVER, MA 01845 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. r� ISI Application is hereby made for a permit to: ❑ Construct a new on-site sewage disposal system* Repair or replace an existing on-site sewage disposal system* A ❑ Repair or replace an existing system component — What? 111K - TODAY'S ATE 250.00Full Repair $ 0 _Component 2.- *TYPE OF SEPTIC SYSTEM*: ➢ ❑ Pump KGravity (choose one) ***If pump system, attach copy of electrical permit to application*** ➢ ❑ Conventional System (pipe and stone system) ➢ B Infiltrator or Biodiffuser (Gravel -Less) (Attach a copy of your certification to install this type of system.) ➢ ❑ Pressure Distribution S.A.S. (No D -Box) ➢ ❑ Pressure Dosed (D -Box Present) S.A.S. ➢ ❑ Does the system require an effluent filter? Yes No If yes, does plan specify make and model of filter? YES = (no further info. needed) NO = (installer must specify brand of filter before DWC issuance) 2. What is the Make? What is the Model. City/Town Email address 3. Installer Infor tion Cz 5vioAl-- Nara, r4 I 4 OV . rrkt 4. State ly (� `` � �Z' Gqd� Telephone Numberumber fY/�,/�/) NeA �� C��sScc � Name of Company Addres �� 2� City/Town State2� Q `,�e 1t/ss Code 8 Lf Telephone Number (Cell Phone # if possible please) Application for Disposal System Construction Permit • Page 1 of 2 Application for Septic Disposal System TODAY'S DATE Construction Permit - TOWN OF Fuil Repair NORTH ANDOVER, MA 01845 $ 250 0 - Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: 2 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. I understand that until a final Certificate of Compliance has been issued by thik Boar f eal h, the ins e m is not approved. A'�' _" N m Date Representative) l d Date Application Disapproved for the following reasons: For Office Use Only: L Fee Attached? 2. Project Manager Obligation Form Attached.? 3. Pump -Sys tem? If so, Attach cop,y of Electrical Permit Applicant received copy of "Electrical Inspection Notes for Septic Systems" Handout? 4. Reviewed approval letter, all paperwork received. 5. Foundation As -Built? (new construction only): (Same scale as approved plan) Yes No Yes No Yes No Yes No Yes No Yes No G. Floor Plans? (new construction only): Yes No Application for Disposal System Construction Permit • Page 2 of 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction for the septic system for the property at: — I (n H I adb i (Address of septic system) Relative to the application of / (Inst er's name) ( Dated I �� J (Tdclay's ate For plans�wmo/ l 1Y And dated With revision I understand the following obligations for management of this project: 1. As the installer, I am obligated to obtain all permits and Board of Health approved plans Prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer, I must call for any and all inspections. If homeowner, contractor, project manager, or any other person not associated with my company schedules an inspection and the system is not ready, then item three shall be applicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that reauesting an inspection. without comt)letion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against me and/or my company. a. Bottom of Bed - Generally, this is the first (ls� 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: healthdel2t@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 setitic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the installer, I understand that I must be on-site during the performance of the following construction steps: a. Determination that the proper elevation of the excavation has been reached. b. Inspection of the sand and stone to be used. c. Final inspection by Board of Health staff or consultant. d. Installation of tank, D -Box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer. I understand that I am solely responsible for the installation of the system as per the aotoroved plans. No instructions by the homeowner. general contractor. or anv other bersons shall absolve me of this obligation. Undersigned Licensed Septic Installer:' I �" (Today's Date) Print) (Name —Signed) P OWN rA w 40 This is to certify that Jay C. Wadsworth North East Classic Engineering Has satisfactorily completed a 0 MULTITANK RMT Series Installation Seminar And is now part of the Certified Roth MultiTank Installer Network 12-22-2015 DATE OF CERTIFICATION ProSource MANUFACTURER'S REPRESENTATIVE 22395 RMT CERTIFIED INSTALLER NUMBER R014 (OBAL PLASTICS OFFICIAL -December 10, 2015 Jay Wadsworth North East Classic Engineering 6A Knox Trail Acton, MA 01720 VIA U.S. MAIL Dear Jay: Congratulatiollst you successfully completed the CUL Certification on December 10, 2015. Your certification number is: MAC -120915 -WAD please fcrj ftee to contact us regarding our products and for choosing CULTEC. Respectfully yours. Lynch Customer Service Representative A. - Chamber Septic Installation proper installation. Thank you CULTEC, Inc. 878 Federal Road v P.O. Box 280 a Brookfield, 0 06804 Phone: 203-775-4416 e Toll Free: 800-4-CULTEC - Fax: 203-775-142 - Web: www.cultec.com I 10M :T CULTEC TOWN OF NORTH ANDOVER ' a7w, •. Office of COMMUNITY DEVELOPMENT AND SERVICES_., 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 healthde t a townofnorthand IVED www.townofnorthandover.com MAY 1 1 2015 APPLICATION FOR SOIL TESTS DATE: s l a- o (j MAP & PARCEL: TOWN OF NORTH ANDOVER HEALTH DEPARTMENT LOCATION OF SOIL TESTS: -700 k u a k V wn Q 8 A C-� OWNER: Contact#: ![-7'6-4E3`�P*3Q APPLICANT: J qv�= S lMBMn-., Contact #: -77 G C( 6 a -t (, ADDRESS: a 9 6-Q Ca l to VU A ENGINEER: CERTIFIED SOIL EVALUATOR: --)ALk1 fF Contact #: `i*'*-{ "& 6(4 — aa-%& Intended Use of Land: Residential SubdivisionFamily Home Commercial Is This: Repair Testing: V Undeveloped Lot Testing: Upgrade fo Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) ➢ 8.5"x 11 "Plot plan & Location of Testintr (please indicate test nit sites on the plait) ➢ 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: Signature of Conservation Agent. Date back to Health Department: (stamp in): ■1 Andover MIMAP ;Eh r 045,' DDLETON•ST 109.0-00 705 MIDD iEJTON ST 19 741 E3 May 11, 2015 I Interstates — I — SR Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Meters Data Sources: The data for this map was produced by Merrimack Roads ,AORTN Valley Planning Commission (MVPC) using data provided by the Town of i r Easements r North Andover. Additional data provided by the Executive Office of Q MVPC Boundary �. bt4t �e �� 3 Environmental Affairs/MassGIS. The information depicted on this map is for It be for legal boundary ❑ Parcels L O — A planning purposes only. may not adequate definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING { l� THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT �F op 1° ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION 1" = 105 ft w�° ACMUS�t Blackburn, Lisa From: Pam Lally <plally@millriverconsulting.com> Sent: Thursday, May 14, 2015 9:59 AM To: Blackburn, Lisa; 'Dan Ottenheimer'; 'Isaac Rowe' Cc: Grant, Michele Subject: RE: 700 Middleton St. Hi Lisa, We've set up this soil testing with Jim Morin for Thursday, 5/21 in the afternoon. Isaac will arrive around fpm. Pam -----Original Message ----- From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.com] Sent: Monday, May 11, 2015 3:25 PM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: 700 Middleton St. Good Afternoon, Soil testing application for 700 Middleton St. -----Original Message ----- From: noreply@townofnorthandover.com [ma iIto: noreply@townofnorthandover.com] Sent: Monday, May 11, 2015 3:38 PM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 05.11.2015 15:37:46 (-0400) Queries to: noreply@townofnorthandover.com All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north_andover www.facebook.com/northandoverma Commonwealth of Massachusetts City/Town of North Andover w Percolation Test Form 12 G M 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 A. Site Information filling out forms on the computer, iica nn 1v tha tnh Martin Fisher key to move your Owner Name cursor - do not 700 Middleton Road UJC 1110 IClUlll Street Address or Lot # key. North Andover MA 01854 VkA City/Town State Zip Code James Morin 774-696-2246 rIT Contact Person (if different from Owner) Telephone Number B. Test Results Observation Hole # Depth of Perc Start Pre -Soak End Pre -Soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate (Min./Inch) James J. Morin Test Performed By: Issac Rowe Board of Health Witness Comments: 5/21/2015 1:30 Date Time P1 70" 1:44 1:59 1:59 2:02 2:05 3MIN <2MP1 Test Passed: Test Failed: ❑ Date Time Test Passed: ❑ Test Failed: ❑ t5form12.doc• 08/15 Perc Test • Page 1 of 1 Q Town of North Andover BEAVER COMPLAINT DATA SHEET Complaint # Date Received: Name: %13 41;SG>1 f Tel #: Day Address: %%D 012? ht Tel #: Ni g Complaint Location: Map: Parcel:__ Type of Complaint: (Check all that apply): ❑ Property flooding ❑ Road flooding ❑ Crop damage ❑ Septic system all that L�Performed Site Visit ❑ Referred to DEP (water supply) Site Visit Information Date Inspector k5l ��Xe- ❑ Tree damage ❑ Proper damage ❑ Water supply ❑ ❑ Referred to DFW ❑ Other: Comments C: My Documents\Anima1\2001 \Beaver complaints farm 10 17 2001 SS/aem 0 L ✓c - � o (over) Page 1 of 2 5 isvosition: (Check all that avvl Notified Conservation Commission Technical Advice Beaver Destruction Permit Permit # Dam Breach Permit Permit # Pipe Installed Permit # Referred to trapper- Name: Other C:Wy DocumentsWnimal\20011Beaver complaints foam 1017 b0 (over) SS/acm Page 2 of 2 o Q 0 E� h on a L o 0 U v w�Za! OEn i P cd it rA 00 i y w a7 3 0 r. ass Ayb:9 v O Q O s N U . fi U go % .0 0 y � e` n v y Q!^y o c csi ayi E e^ L o 0 U v P cd �wx Z U F o o O D y • • •O X01 7a � A u u a a U U i y w a7 3 0 r. ass Ayb:9 v O Q O s N U . fi U go % .0 0 y � e` n v y Q!^y o c csi ayi E e^ Grant, Michele From: Douglas, Robert [rdouglas@andoverma.gov] Sent: Wednesday, July 15, 2009 10:29 AM To: Crafts, Patricia Cc: Grant, Michele; Carbone, Thomas; fred@snell.com; Andy Girdwood Subject: RE: Jenkins rd Thank you for your report Patty! ./6D I am forwarding it on to our contacts at AVIS. = From: Crafts, Patricia Sent: Wednesday, July 15, 2009 10:07 AM To: Douglas, Robert Cc: Grant, Michele; Carbone, Thomas Subject: Jenkins rd Hi Bob! Just an FYI: I conducted a beaver inspection with Michele Grant the North Andover Health Inspector. This inspection took place at Marty Fisher's house located at 700 Middleton Rd North Andover. His property abuts Harold Parker State Forest. There was no evidence of a public health hazard on this property. There was naturally occurring wetlands / vegetation. In addition, there was no flooding of the resident's septic system. The resident informed me today that the Harold Parker Ranger, Steve David, stated that the beavers & dam are on Avis property off Jenkins Rd and that was the cause of the ponding on his property. Steve David can be reached at 978-686- 3391 Marty Fisher informed me that the trails off Jenkins Rd are flooding. Since he told this to me today, it was not part of the beaver inspection yesterday. Again, there is no evidence of a public health hazard at 700 Middleton Rd North Andover. This is just an FYI. Let me know if you have any questions. Patty North Andover Health Department fommunity Development Division 12/28/15 Jay Wadsworth 54 Knox Trail Action, MA 01720 RE: 700 Middleton St. Re -inspection fee of $50.00 �sUw 1. The building sewer pipe exiting the dwelling towards the septic tank was not backfilled to provide adequate support against settling. 2. The septic tank used is a Roth Multitank. The MassDEP approval section IV 4 (attached) requires the installer be certified to put these tanks in the ground. Mr. Wadsworth indicated he believed he was certified and was going to check his paperwork. Relatedly, the tank was backf lled with sand, not pea gravel, and at the time out in the field I was not sure if that was acceptable or not. I have now reviewed the approval for these tanks and the associated installation manual and it does say clean sand is acceptable as long as the sand or pea gravel is placed inside the bumps (haunches, as they call them) of the tank (attached). I did not get to discuss this with Mr. Wadsworth but from the parts of the tank that I saw, this type of backfilling was not completed. Mr. Wadsworth was instructed to investigate the tank installation in general as well as the MassDEP approval further, and was instructed that as the licensed installer he is expected to maintain compliance with all relevant approvals at the construction project. 3. The distribution box was poorly constructed with one or several pipes protruding through the wall at a steep angle and thus even flow exiting the box could not be provided. The pipes were also not level for the first 2' exiting the box. Please make your check payable to the Town of North Andover and submit to the Health Department at 1600 Osgood St., North Andover, Ma 01845. Thank you. v Michele Grant Public Health Inspector Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 North Andover Health Department [ommunity Development Division 12/22/15 Jay Wadsworth 54 Knox Trail Action, MA 01720 RE: 700 Middleton St. 12/22/15 Tank Re -inspection at 700 Middleton St. $50.00 Please make your check payable to the Town of North Andover and submit to the Health Department at 1600 Osgood St., North Andover, Ma 01845. --Thank you. r Michele Grant Public Health Inspector North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Page 1 of 1 Fax: 978.688.8476 4i -1. Grant, Michele From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Friday, December 18, 2015 5:28 PM To: Grant, Michele; Hadge, Lisa Cc: 'Isaac Rowe'; Pam Lally Subject: Construction Inspection - 700 Middleton Street Attachments: 700 Middleton St. Construction Inspection.doc; Roth Tank Approval - w054018.pdf, p511032rev3proof.pdf Attached please find the results of the construction inspection performed at this address. The construction of the leaching facility portion of the system was found to be acceptable. Several issues were identified in relation to the components prior to the leaching facility. Outstanding issues which were identified are as follows: 1. The buildingsewer pipe exiting the dwelling towards the septic tank was not backfilled to rovide-a.de uate pp g g p p ._ - q i support against settling. 2. The septic tank used is a Roth Multitank. The MassDEP approval section IV 4 (att//oh�d) requires thein;staller be Usertified to put these tanks in the ground. Mr. Wadsworth indicated he believe Yae was certified4nd was going to check his paperwork. Relatedly, the tank was backfilled vii h sand, not pea graw�, d axetheIime�out ins e field I was not sure if that was acceptable or not. I have now reviewed the approval for these tanks and the associated installation manual and it does say clean sand is acceptable as long as the sand or pea gravel is placed inside the bumps (hauncfres ,as they call them) of the tank (attached). I did not get to discuss this with Mr. Wadsworth but from the parts of the tank that I saw, this type of backfilling was not completed. Mr. Wadsworth was instructed to investigate the tank installation in general as well as the MassDEP approval further, and was 'instructed that as the licensed installer he is expected to maintain compliance with all relevant approvals at the construction project. 3.. The distribution box was poorly constructed with one or several pipes protruding through the wall at a steep angle and thus even flow exiting the box could not be provided. The pipes were also not level for the first 2' exiting the box. Mr. Wadsworth was told the soil absorption system was completed adequately and he was free to backfill it, but that the area around the piping, tank and distribution box was to remain exposed for further work and inspection. Me 11, Bever >consuffing< mdloiaatepast thvOeA1ars,�otsk l�fefihh Csr.�a�Yf rs . Daniel Ottenheimer, President Mill River Consulting, Inc. 07, �F X10 R Ty qti , - O ? OL ��SSA C H US�� North Andover Health Department Community Development Division 12/15/15 Jay Wadsworth 54 Knox Trail Action, MA 01720 RE: 700 Middleton St. 12/15/15 Tank Re -inspection at 700 Middleton St. $50.00 Please make your check payable to the Town of North Andover and submit to the Health Department at 1600 Osgood St., North Andover, Ma 01845. i iGrant�_L Public Health Inspector Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 o Rive]r consulting Civil Engineering 4 Environmental Permitting Municipal Environmental Health Consulting TO: Michele Grant, North Andover Health Department FROM: Isaac Rowe, RS, Project Manager DATE: December 9, 2015 RE: Construction of septic system at 700 Middleton Street We are in receipt of an email forwarded from you which was dated December 8 2015 from fames Morin, New England Classic Engineering. The email is requesting to review the possibility of requesting a post -construction variance because the soil absorption system was constructed at a depth of approximately -7" deeper than authorized by Title 5 and the approved design plan. We have concerns about issuance of a variance in this instance. As indicated in the approval letter issued to the property owner Mr. Fischer and copied to the designer lames Morin, if site conditions are found to be different all work shall cease and the Health Department notified. This language is also reflected in Title 5 at Section 020 (1). Moreover, General Note #10 on the approved. design plan requires the installer to notify the designer of any alterations prior to proceeding with construction. It is or;understandingfrom this email that the Health Department was not aware of any construction changes related to the elevation of the Leach field.. Furthermore, this email does not say that compliance with Title 5 is not possible. Construction of a septic system to the approved elevation is a basic requirement of compliance with Title 5 and the installer should have never proceeded to build this system once he was aware that the elevation was not acceptable. This information had to been known by the installer prior to and during the construction of the system, not just when reported to your office at the conclusion of construction. Therefore, it is our strong recommendation to the Town of North Andover Health Department to require the on-site wastewater system to be installed at the proper elevation. &,,6argent Street, Gloucester, Massachusetts 01930-2°7,15 lelep Ihone 978-282-0014 ♦ Fax 978-28 -1318 nfo milriverconsulting.com O www.millriverconsulting.c October 11, 2015 North Andover Board of Health 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Re: 700 Middleton Road Dear Members: Please accept this letter as a request for a variance/waiver of the Title 5 Regulations for the above referenced property. The property at 700 Middleton Road is an existing 4 bedroom home. The current owners are trying to sell the property and retire. The property can meet all the Title 5 requirements except the following local upgrades: • The required well offset is 100' and the plan as designed has a 77' offset. • 2 test pits are required one test pit provided • 100' offset to wetlands is required 51' provided If the board chooses to grant this variance they could do so without endangering the environment. We have tested the current well and are submitting the results with this letter. In closing, I would like to mention every attempt to place the system in the optimal location was considered, particularly in light of the existing conditions. I would like to thank you for your consideration. Sincerely, James J. Morin, RS #1132 675 Concord Ave 9 Belmont, MA 02478 • Phone # 774-696-2246 • jim@neclassicengineering.com North Andover Health Department (ommunity and Economic Development Division September 21, 2015 James Morin, R.S. NorthEast Classic Engineering 675 Concord Avenue Belmont, MA 02478 Re: 700 Middleton Street (Map 109, Lot 29) Dear Mr. Morin: The proposed wastewater system design plan for the above site dated May 25, 2015, revised August 23, 2015, August 25, 2015, September 16, 2015 and received on September 16, 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 where applicable. 1. The profile view depicts the same finish grade of 99.5+/- above all the system components which does not provide adequate cover material above the septic tank. Additionally, the profile elevation 100 and the septic tank are depicted incorrectly. Depict the profile to scale, septic tank and proposed finish grades correctly to ensure all system components have the required minimum cover material. 2. On the site plan view and Plan & Profile view, the proposed finish grade of 100.00 above the septic tank does not provide adequate cover material. The top of the septic tank is at elevation 99.97 based on the Graves Concrete specification sheet. 9" of cover material is required in accordance with 310 CMR 15.228(1). 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. 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 ncerely, Michele Grant Health Inspector cc: Martin Fischer 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 Grant, Michele k To: James Morin Cc: zmartyz@gmail.com; Hadge, Lisa; Isaac Rowe; Kfoury, Eric Subject: 700 Middleton St. Attachments: 2O151OO61456.pdf Importance: High Good Afternoon Jim, Thank you for stopping by this morning. I trust you got the necessary information from the Conservation Department to move forward and submit the paperwork to appear in front of the Con Com Board. When you were here we talked a little about the Well Setback. We didn't speak of the other 2 LUA's that the board will have to approve. So I'm attaching the minutes from the meeting that your counterpart attended. Please see the Highlighted LUA's at the top of the page along with the Board's decision at the bottom of the page. With that being said, please submit as soon as possible an updated request to appear in front of the board and the 3 LUA's that you are presenting to the Board. Thank you 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 mgrant@townofnorthandover.com Web www.TownofNorthAndover.com 1 I -e- �4 h��n a-vK. 1 Blackburn, Lisa From: Blackburn, Lisa Sent: Friday, September 18, 2015 10:37 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: FW: 700 Middleton Attachments: 700 MIDDLETON RD - FINAL stamped.dwg 9162015-Model.pdf; Water quality results.pdf; Request for variance Letter.docx; 700 Middleton resubmittal paperwork.pdf Hi Isaac, Here is all the re -submitted information again from James Morin. I've attached the missing paperwork that he just brought in this morning. I told Mr. Morin that we would keep him information as far as being a walk on to Thursday's BOH meeting. I told him we needed an approvable plan in order for him to be a walk on. -----Original Message ----- From: James Morin [mailto:iim@neclassicengineering.com] Sent: Wednesday, September 16, 2015 10:27 PM To: Blackburn, Lisa Subject: RE: 700 Middleton Good evening Lisa, I talked with Ms. Grant toady and she asked me forward the following information as soon as possible. I would like to apologize to the health department for working directly with your review engineer and It will not happen again. I am sending over a copy of the revised plan and a variance request letter. The revised forms will be coming in a separate email I am waiting for the home owner to sign them. Thanks for all your help and please let me know if you need anything else. Regards, Jim Morin -----Original Message ----- From: Blackburn, Lisa [ma iIto: LBlackburn@townofnorthandover.com] Sent: Tuesday, September 1, 2015 12:09 PM To: James Morin <jim@neclassicengineering.com> Cc: Grant, Michele <MGrant@townofnorthandover.com>;'zmartyz@gmail.com' <zmartyz@gmail.com> Subject: 700 Middleton Please see the attached disapproval letter regarding 700 Middleton St. Please remember that there is an additional fee of $75.00 for your next plan review re -submission. Thank you. -----Original Message ----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Tuesday, September 01, 2015 12:23 PM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Grant, Michele From: Blackburn, Lisa Sent: Thursday, September 17, 2015 8:27 AM To: Dan Ottenheimer; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: FW: 700 Middleton Attachments: 700 MIDDLETON RD - FINAL stamped.dwg 9162015-Model.pdf; Water quality results.pdf, Request for variance Letter.docx Hi Isaac, I want to send this information on to you. We are still waiting for more paperwork to come in from Jim Morin. -----Original Message ----- From: James Morin [mailto:iim@neclassicengineering.com] Sent: Wednesday, September 16, 2015 10:27 PM To: Blackburn, Lisa Subject: RE: 700 Middleton Good evening Lisa, I talked with Ms. Grant toady and she asked me forward the following information as soon as possible. I would like to apologize to the health department for working directly with your review engineer and It will not happen again. I am sending over a copy of the revised plan and a variance request letter. The revised forms will be coming in a separate email I am waiting for the home owner to sign them. Thanks for all your help and please let me know if you need anything else. Regards, Jim Morin -----Original Message ----- From: Blackburn, Lisa [mailto:LBlackburn@townofnorthandover.com] Sent: Tuesday, September 1, 2015 12:09 PM To: James Morin <jim@neclassicengineering.com> Cc: Grant, Michele<MGrant@townofnorthandover.com>; 'zmartyz@gmail.com'<zmartyz@gmail.com> Subject: 700 Middleton Please see the attached disapproval letter regarding 700 Middleton St. Please remember that there is an additional fee of $75.00 for your next plan review re -submission. Thank you. -----Original Message ----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Tuesday, September 01, 2015 12:23 PM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 09.01.2015 12:23:08 (-0400) Queries to: noreply@townofnorthandover.com September 16, 2015 North Andover Board of Health 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Re: 700 Middleton Road Dear Members: Please accept this letter as a request for a variance/waiver of the Title 5 Regulations for the above referenced property. The property at 700 Middleton Road is an existing 4 bedroom home. The current owners are trying to sell the property and retire. The property can meet all the Title 5 requirements except the required offset to their well. The required offset is 100' and the plan as designed has a 77' offset. If the board chooses to grant this variance they could do so without endangering the environment. We have tested the current well and are submitting the results with this letter. In closing, I would like to mention every attempt to place the system in the optimal location was considered, particularly in light of the existing conditions. I would like to thank you for your consideration. Sincerely, James J. Morin, RS #1132 675 Concord Ave • Belmont, MA 02478 • Phone # 774-696-2246 • jim@neclassicengineering.com 61 Louisa Viens Drive Dayville, CT 06241 Fax: 860-774-2689 Phone: 860-774-6814 Toll -Free: 800-334-0103 Report To: Jim Morin 700 Middleton Road North Andover, MA 01845 Copy To: Massachusetts Department of Environmental Quality M-CT008 Project Name: 700 Middleton Road Source of Sample: Bathroom Sink North Andover, MA Date of Collection: 9/3/2015 Date Received in Laboratory: 9/3/2015 PM Collected By: Client Laboratory ID: E509439-1 BACTERIOLOGICAL RESULTS PARAMETER RESULTS DL UNITS MCL COMMENT Total Coliforms Absent /100ML 0 Escherichia coli Absent /100ML. 0 THE BACTERIOLOGICAL RESULTS ARE ACCEPTABLE FOR POTABILITY STANDARDS CHEMICAL RESULTS ]MCUS HAVE BEEN ESTABLISHED FOR THE FOLLOWING PARAMETERS] PARAMETER RESULTS DL UNITS MCL COMMENT Nitrate 0.072 1 0.050 ppm 10 : For the parameters listed on this page, all III 111111111111111111111IIIIIII 111111111III 101-000000474489 met. Report is an accurate analysis of: Sample received at this laboratory Ron Warila Laboratory Director 91812015 Page 1 of 2 KEY TO TERMS COL - colonies MCL - US EPA Max Contamination Limit ml - milliliter RL - US EPA Recommended Limit ppm - parts per million ND - None Detected NTU - Turbidity unit NE - None Established AL - Action Level DL - Detection Limit cv - Certified Vendor for Premier Laboratory, Inc OUT - Out of range or exceeds limit III 111111111111111111111IIIIIII 111111111III 101-000000474489 met. Report is an accurate analysis of: Sample received at this laboratory Ron Warila Laboratory Director 91812015 Page 1 of 2 VMICROBAC"' Analytical Data Report Massachusetts Department of Environmental Quality M-CT008 61 Louisa Viens Drive Dayville, CT 06241 Fax: 860-774-2689 Project Name: 700 Middleton Road Phone: 860-774-6814 Source of Sample: Bathroom Sink Toll -Free: 800-334-0103 Location of Sample: North Andover, MA Date Received in Laboratory: 9/3/2015 PM Collected By: Client Laboratory ID: E509439-1 Analyte Result DL MCL RL AL (1) Bathroom Sink Date Collected: 9/312015 Ammonia, as N DW ND mg/L 0.020 NE NE NE III 111111I111IIIIIIIIIIIIIII111111111111111 101-000000474489 COMMENT Page 2 of 2 KEY TO TERMS COL - colonies MCL - US EPA Max Contamination Limit ml - milliliter RL - US EPA Recommended Limit ppm - parts per million ND - None Detected NTU - Turbidity unit NE - None Established AL - Action Level DL - Detection Limit cv - Certified Vendor for Premier Laboratory, Inc OUT - Out of range or exceeds limit III 111111I111IIIIIIIIIIIIIII111111111111111 101-000000474489 COMMENT Page 2 of 2 :D :13 M M :E) M m mmmmm n m rnr_nr- 2MZmZ M cMcMcc 5' ° �'-0 cn D o o m m U), m _ -0 O M ° v v sn z D m ccnn m — i 3 m M co M r >y c� c G o 5.0 w (D o 0 0 O D_0w rn N n W z 0 ^D l! ri M ° x 0 T 4dre r p c/1.4 CD 0 0 W 2 L,o p u o Z m m Z M O`°�f m cmn cin m 0 o r, o m � -? COMPOSITE 3 � N �► `° v_ CD O M� 0 0 " ° O GRAB � o o (D 0 Qp D D C) z z d Sample Matrix S (D O O° O U =� D 33 �: 6 0- o rn 2r Number of M z 0 z Bottles 0 co rn v x v `I —!'1 et 0 0 m o z 0 z j 0 -n c) D (71 C7 m X X m D W m I Ci < rn❑ Z n 0 a -_-1 r- n �. Z (7 y m n O M C7 E m m 2 D D �' D Z D< m o `m X fil r m 3 � w �* T. Zc7ov <� cn O ,-AI N m L ^v^ C o p m 1 m J 4Cmi ( 0 s � 0 z y rr r% gelO 3 —P Sodium Thio ri r D v D G) rp ISO4 :3Z m 'S D HCL CDM m ❑ r HNO3 fD ct wLL NON-PRES N v Mixed Grant, Michele From: Dan Ottenheimer <dano@millriverconsulting.com> Sent: Friday, August 28, 2015 8:51 AM To: jim@neclassicengineering.com Cc: Grant, Michele; 'Isaac Rowe' Subject: RE: 700 Middleton Road, North Andover The meeting is actually Thursday September 24th, not the 25th as indicated below, I am sorry about that. Truly, I was looking at a calendar that someone printed up that is actually off by one day for the entire month of September. Kind of hard to believe that a company would goof like that but they did. Anyway, maybe see you on September 24th...... From: Dan Ottenheimer(mailto:dano(a)millriverconsulting.com] Sent: Friday, August 28, 2015 8:30 AM To: 'jim@neclassicengineering.com' Cc: Grant, Michele(mgrant(a)townofnorthandover.com); 'Isaac Rowe'(irowe(a)miliriverconsulting.com) Subject: 700 Middleton Road, North Andover Jim, I understand you are attending to your child's drop off at college and I hope that went well. I just did the same last week and it truly is a bittersweet moment. Jim Herrick represented your project at the North Andover Board of Health last night and I wanted to try summarize matters for you: The Board tabled discussion until the next meeting because they were of a mixed mind regarding the proximity of the well to the soil absorption system and whether to grant the Local Upgrade Approval as requested or not. As you see in Section 3.8 of the Town's Onsite Wastewater regulations, they are comfortable reducing setbacks when the wastewater strength has been reduced using a DEP-approved pre-treatment system. This was discussed as something for you to consider. It was also discussed that the well might not be hydrologically connected with the location of the soil absorption system but no one was able to discern that with the information on the plan and what was verbalized by Jim Herrick. People felt a water sample of the current well might help determine the relationship between the current septic system to the well, as would information about the depth and construction material of the well and the current septic system. Lastly, while it did not come up last night, I would suggest you provide better information on the design plan as to why the soil absorption system could not be placed elsewhere on the property which then does not necessitate a Local Upgrade Approval as I would imagine someone will ask that at some point in time. While I do not have answers to the above questions for you, I wanted to share my thoughts about the meeting so that you and your client can discuss what transpired and develop some additional information to share with the Board. Finally, I wanted to let you know there are still some lingering issues with the plan and associated documents and you will be receiving a technical review letter regarding those in the coming days. On behalf of the North Andover Board of Health and its Health Department, we look forward to working together with you on a successful outcome to this project design and construction. The next meeting of the Board, should you wish to be present, is slated for September 25th. We would want to make sure to have ample time before then to review any new information you might compile. I hope the above information will assist you and your client achieve a successful outcome. If Michele Grant, Isaac Rowe or I can be of any further assistance please do not hesitate to write. Dan (�.� Mill Riove�]-r< �'�cansultin civil nginev-rgrit, * 'aia�rdrim: s# f P+arna<C+wi�c itr iyi llY, I �,rra�,r+,ttil4i�a�� i HC+ttlt �5 t�ltiri Daniel Ottenheimer, President Mill River Consulting, Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.millriverconsulting.com dano(WmiIIriverconsultine.com Member: Massachusetts Association of Onsite Wastewater Professionals, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, New England Water Environment Association Finally, I wanted to let you know there are still some lingering issues with the plan and associated documents and you will be receiving a technical review letter regarding those in the coming days. On behalf of the North Andover Board of Health and its Health Department, we look forward to working together with you on a successful outcome to this project design and construction. The next meeting of the Board, should you wish to be present, is slated for September 25th. We would want to make sure to have ample time before then to review any new information you might compile. I hope the above information will assist you and your client achieve a successful outcome. If Michele Grant, Isaac Rowe or I can be of any further assistance please do not hesitate to write. Dan Mill consulting Clvai (nL;iwet mr, +! t ri vi rom frlt,!o I a I Po'zniokIfrg ti1911t(4wAi [fYt'+f;ywr; it tat H! nllh -on-501)(1V Daniel Ottenheimer, President Mill River Consulting, Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 x 802 www.miIIriverconsulting.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 North Andover Health Department (ommunity and Economic Development Division August 28, 2015 James Morin, R.S. NorthEast Classic Engineering 675 Concord Avenue Belmont, MA 02478 Re: 700 Middleton Street (Map 109, Lot 29) Dear Mr. Morin: The proposed wastewater system design plan for the above site dated May 25, 2015, revised August 23, 2015, August 25, 2015 and received on August 25, 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 where applicable. The profile view depicts the same finish grade of 99.7+/- above all the system components which does not provide adequate cover material above the septic tank. Please depict the proposed finish grades to ensure all system components have the required minimum cover material. Also finish grades or finish spot elevations need to be depicted on the site plan view. The Local Upgrade Approval request form 9A is incomplete. The request for only one deep observation test hole in the disposal area needs to be checked and the form needs to be signed and dated. The Owner Certification is not signed and references Infiltrator Quick 4 chambers instead of the Cultec C4 Chambers. 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. Si Ise ly, ache e Grant Health Inspector cc: Martin Fischer File Page 1 of 1 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Section II(18): c) a certification, signed by the Owner of record for the property to be served by the Technology, stating that the property Owner: 1. has been provided a copy of the Title 5 EA 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 to fulfill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); 3. if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and 4. whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Although not a reason for disapproval you may wish to consider the following: In the site plan view, turning off the survey point numbers and descriptions. The design plan is difficult to read in the location of the proposed septic system. Please explain the reason for raising the proposed septic system approximately 10" higher compared to the initial design plan. 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. Cerely, LU LI ichele Grant Health Inspector cc: Martin Fischer 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 North Andover Board of Health Meeting Minutes Thursday — August 27, 201.5 7:00 P.M, 120 Main Street, 2n`t Floor Selectmen's Meeting Room North Andover, MA 01845 Present: Thomas Trowbridge, Larry Fixler, Frank MacMillan, Joseph McCarthy, Susan Sawyer, Michele Grant, Lisa Blackburn I. CALL TO ORDER The meeting was called to order at 7:00 pm. II. PLEDGE OF ALLEGIANCE III. PUBLIC HEARINGS IV. APPROVAL OF MINUTES A. The meeting minutes from June 25, 2015 will be presented for signature at the next BOH meeting. V. OLD BUSINESS VI. NEW BUSINESS A. 29 Granville Lane - John Morin representing the owners of 29 Granville Lane, requested a LUA to reduce the separation distance from the soil absorption system to the estimated seasonal high ground water table from 5' to 4' (3 10 CMR 15.405(1)(h)(2). Mr. Morin gave a detailed presentation including the background history on the current failed septic system and the location of the proposed new system. Due to an existing in -ground pool, wetlands and other issues, there wasn't a possibility to put the new septic system in the backyard. Although the back of the new system is about 4.8' above the water table which almost meets the 5' set back, the front of the system would require the LUA. The system will require a small block wall or boulder retaining wall since the new system needs to be raised up. Dr. Trowbridge looked at the plan and asked for clarification on the lot lines. Dr.. Trowbridge asked Mr. Ottenheimer, Mill River Consultant, if there were any issues as far as the abutting property or street were concerned. Mr. Ottenheimer stated there were not. Mr. Ottenheimer also stated that he thought that the design plan was well thought out and didn't see a reason for the LUA to not be granted. Dr. Trowbridge asked Mr. Morin if they needed to go before Conservation. Mr. Morin stated that they had to file with Conservation and that they were issued a permit. MOTION made by Dr. Macmillan to approve the LUA as requested and stated on the plan dated. Motion was seconded by Mr. McCarthy. All in favor and the motion was approved. B. .700 Middleton St. - James Herrick, filling in for Jim Morin, representing the owners of 700 Middleton Street, requested: 1. A Local Upgrade Approval.request to reduce the setback distance from the private well to the proposed leach field of 77 feet where 100 feet is required. (3 10 CMR 1.5.405(1)(g) 2015 North Andover Board of Health Meeting Page 1 of 4 Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman; Larry Fixler, Member/Clerk; Francis P. MacMillan, Jr., M.D.; Joseph McCarthy, Member; Edwin Pease, Member Health Department Staff: Susan Sawyer, Health Director; Debra Rillahan, Public Health Nurse; Michele Grant, Public Health Inspector; Lisa Blackburn, Health Department Assistant ,a iM 2. A Local Upgrade Approval request is required to have only one test pit in the proposed leach field area where two are required. (3 10 CMR 15.405(l)(k) 3. A local Upgrade Approval request of setback distances of wetlands to a SAS of 51 feet where 100 feet is required. Mr. Herrick gave a detailed presentation regarding the failed septic system and the new proposed septic system. The new system will be generally in the same area of the existing failed system, which is the only place to put the system. Mr. Herrick stated that they filed a notice of intent with the Conservation Commission but has not met with them yet. They need the approval from Board of Health before they can go before Conservation. Mr. Herrick reviewed the proposed septic plan with the board members. Mr. McCarthy asked Mr. Herrick if the property has a well. Mr. Herrick stated that there is a well. The law requires a system to be 100 ft. from a private well to a proposed leach field area. The LUA of 77 ft. is being requested. Dan Ottenheimer, Mill River Consultant, stated that the risk of contamination of the well water is unique to each site, not the specific distance from the septic system. The state. regulations list 100 ft. as an appropriate separation, Dr. Macmillan asked Mr. Ottenheimer if the board had enough information to respond to the LUA's and what would Mr. Ottenheimer suggest. Mr. Ottenheimer stated that is pursuant to the state rules, the town Board has authority to allow the distance reduction. He stated that there could be three possible answers. 1. Approve what was proposed, 2. Install a treatment system or 3. Approve what was proposed but have the well water monitored as in a sample drawn once a year. Mr. Herrick asked if there were samples drawn and the water was contaminated, how you would determine where the contamination came from. He stated that the current well is up gradient from the system. It would be difficult to prove that the new septic system is causing an impact to the well water. Mr. McCarthy asked if the new system is in the same area as the failed system. Mr. Herrick stated yes and that the failed system is 30 years old. Mr. McCarthy asked if the well water had been tested and Mr. Herrick stated he was unsure. Mr. Fixler suggested getting a water test now to get a baseline. Dr. Trowbridge looked at the plan and discussed the abutters to the property. It is very unlikely that they would have an impact the well water. A discussion ensued regarding the impact the new septic system could have on the well. Dr. Trowbridge asked if the water tested clean now, but in 2 years came back contaminated, what would then be the Board's responsibility. A discussion ensued regarding a water treatment system. Mr. Herrick stated that the new system will be doing a better job than what is now there. Mr. Fixer asked what the approximate cost of a pre-treatment system would cost. Mr. Herrick replied that tanks cost around $8000 plus the electrical components and regular maintenance. Dr. Macmillan stated that he felt uncomfortable approving the LUA's without a pre-treatment system. Mr. McCarthy stated he isn't concerned and that he would feel comfortable approving the LUA's because the water flow path is away from the well. Dr. Macmillan stated that there are also wetlands on other sides of the property. Mr. McCarthy stated that it is an upgraded septic system and you can't prove that it will fail. The board then referred to Mr. Ottenheimer concerning the septic plans. Mr. Ottenheimer stated that they completed the initial review in June and didn't receive any revised plans until this week. There were two revisions that came in this week alone. There are still some technical questions that need to be considered. Dr. Trowbridge asked Mr. Herrick if there was any way of waiting until next month's BOH meeting to make a decision. Mr. Herrick was not aware of the schedule for the homeowner or others concerned. The Board will refer to Mr. Ottenheimer to work out the concerns with Mr. Herrick. A vote was made by Dr. Macmillan to table the request for the LUA's until the next BOH meeting on the fourth Thursday of September. The vote was seconded by Mr. Fixler. All were in favor. C. 186 Ingalls St. - Vladimir Nemchenok, representing the owners of 186 Ingalls Street, requested two LUA. 1. Setback from S.A.S. to FDTN from 20' to 15' 2. Vertical offset from S.A.S. to E.S.W.T. from 4' to 3.5' Mr. Nemchenok gave a detailed presentation on the proposed new septic system and the existing well. A discussion ensued regarding the placement of the new system and. the reasons for the requests. The new tank will be put in the same location but in a different angle. The septic is designed for a three bedroom house. Dr. Macmillan asked Mr. Ottenheimer what the best practices are in this situation. Mr. 2015 North Andover Board of Health Meeting Page 2 of 4 Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman; Larry FLvder, Member/Clerk; Francis P. MacMillan, Jr., M.D.; Joseph McCarthy, Member; Edwin Pease, Member Health Department Staff: Susan Sawyer, Health Director; Debra Rillahan, Public Health Nurse; Michele Grant, Public Health Inspector; Lisa Blackburn, Health Department Assistant North Andover Board of Health Meeting Minutes Thursday -- August 27, 2015. 7:00 p.m. 120 Main Street, 2"a Floor Selectmen's Meeting Room North Andover, MA 01845 Ottenheimer stated that he has done a thorough review of the proposed plan and what is being asked is not unreasonable. MOTION made by Dr. Macmillan to approve the LUA as requested and stated on the plan. Motion was seconded by Mr. Fixler. All in favor and the motion was approved. VII. COMMUNICATIONS, ANNOUNCEMENTS, AND DISCUSSION A. A discussion regarding walk-ons to the BOH meetings. Mr. Ottenheimer stated that in the local regulation, section 8.4, it is stated that no hearing will be scheduled unless the design plan or other information submitted has been reviewed and found to be technically complete and accurate. This clearly addresses walk-ons to the BOH meetings unless considered an emergency. Michele Grant asked the board members if they would want an approved plan through Mill River pending any LUA's before having them come before the board. Dr. Trowbridge stated that in general it is the overall intent. Ms. Grant confirmed with the board that unless there is an emergency, written notice needs to be given before the meeting agenda deadline along with an approvable plan through Mill River. Dr. Macmillan stated that there is a process for a purpose which is to protect the public health. B. Susan. Sawyer discussed notification of one human case with West Nile Virus in Middlesex County. The recent preventative measures of spraying the perimeters of the North Andover fields and schools were a prudent action. It was a great opportunity before school starts and the weather starts to get cool. She cautioned to wear repellents and be careful between the dawn and dusk hours. Although mosquito activity slows down in cooler weather after Labor Day, she still urges everyone to be cautious and take preventative measures even though there are fewer mosquitos around in the cooler weather. C. Susan Sawyer reminded the Board that the new Tobacco Regulations will take place on September 1, 2015. All retailers have been notified and everything went smoothly. VIII. CORRESPONDENCE /NEWSLETTERS IX. ADJOURNMENT MOTION made by Dr. Macmillan to adjourn the meeting. Mr. Fixler seconded the motion and all were in favor. The meeting was adjourned at 7:55 pm. Prepared by, Lisa Blackburn, Health Dept. Assistant Reviewed bv: 2015 North Andover Board of Health Meeting Page 3 of 4 Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman; Larry Fbder, Member/Clerk; Francis P. MacMillan, Jr., M.D.; Joseph McCarthy, Member; Edwin Pease, Member Health Department Staff: Susan Sawyer, Health Director, Debra Rillahan, Public Health Nurse; Michele Grant, Public Health Inspector;.Lisa Blackburn, Health Department Assistant All Board of Health Members & Susan Smvyer, Health Director Signed bY: 4 *aird Larry Fix lark f Date Signed 2015 North Andover Board of Health Meeting Page 4 of 4 Board of Health Members: Thomas Trowbridge, DDS, MD, Chairman; Larry FWer, Member/Clerk; Francis P. MacMillan, n, M.D.; Joseph McCarthy, Member; Edwin Pease, Member Health Department Staff: Susan Sawyer, Health Director; Debra Rillahan, Public Health Nurse; Michele Grant, Public Health Inspector; Lisa Blackburn, Health Department Assistant North Andover Health Department (ommunity and Economic Development Division August 24, 2015 James Morin, R.S. NorthEast Classic Engineering 675 Concord Avenue Belmont, MA 02478 Re: 700 Middleton Street (Map 109, Lot 29) Dear Mr. Morin: The proposed wastewater system design plan for the above site dated May 25, 2015, revised and received on August 23, 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 where applicable. 1. The incorrect Local Upgrade Approval request form (913) was submitted. The form 9A is required. 2. The profile view appears to propose a finish grade of 100.3 but the site plan view does not appear to indicate the same proposed finish grades. 3. Under the PLAN & PROFILE section, the proposed finish grade above the leach field does not match the profile view. 4. The profile view indicates the septic tank is approximately 57' from the distribution box but the site plan view indicates a distance of approximately 5'. 5. The model of the septic tank and distribution box are still not indicated on the design plan as requested (NA 3.2). 6. The location of the existing system is not shown in the site plan view. 7. A revision date is missing from the design plan. 8. The lot number is missing from the design plan. 9. General note #18 is incorrect. 10. Since the Cultec Chambers system is proposed as an alternative soil absorption system the "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" will apply. Please provide the following as required by the approval conditions Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Commonwealth of Massachusetts City/Town of North Andover a F a Local Upgrade Approval Form 913 = 1N Say`e DEP has provided this form for use by local Boards of Health if they choose to do so. The Local Upgrade Approval is to be completed by the local Board of Health and a signed copy provided to the system owner. B. Approval 1. Local Upgrade Approval is granted for: ® Reduction in setback(s) — specify: offset from well to SAS 100' required 77' provided ❑ Reduction in SAS area of up to 25%: t5form9b • rev. 02/2014 SAS size, sq. ft. % reduction Local Upgrade Approval* Page 1 of 2 A A. Facility Information Important: When filling out forms 1. Facility Name and Address on the computer, use only the tab Martin Fischer key to move your Name cursor - do not the 700 Middleton Road use return key. Street Address North Andover MA 01854 City/Town State Zip Code 2. Owner Name and Address (if different from above): Name Street Address City/Town State Zip Code Telephone Number 3. Type of Facility (check all that apply): ® Residential ❑ Institutional ❑ Commercial ❑ School 4. Design flow per 310 CMR 15.203: 440 gpd 5. System Designer: James MorinName ❑ PE ®RS 675 Concord Ave Belmont Ma, 02478 Address City/Town State, ZIP B. Approval 1. Local Upgrade Approval is granted for: ® Reduction in setback(s) — specify: offset from well to SAS 100' required 77' provided ❑ Reduction in SAS area of up to 25%: t5form9b • rev. 02/2014 SAS size, sq. ft. % reduction Local Upgrade Approval* Page 1 of 2 A Commonwealth of Massachusetts W City/Town of North Andover o Local Upgrade Approval Form 9B GSM B. Approval (continued) ❑ Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate Depth to groundwater ❑ Relocation of water supply well (explain): ft. min./inch ft. ❑ Reduction of 12 -inch separation between inlet and outlet tees and high groundwater ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test List local variances granted: offset from sas to wetlands 100' required 51' provided. Approving Authority Print or Type Name and Title Signature Date t5form9b • rev. 02/2014 Local Upgrade Approval• Page 2 of 2 Commonwealth of. Massachusetts CityTfown of North Andover Form 9A Application for Local Upgrade Approval DER has provided this form for use by focal Boards of Health. Other forms may be used, but the information must be substantially the same as that provide here. Before using this form, check with your local Board of Health to determine the form they use: C. Explanation (continued) 3. A shared system is not feasible: No possible shared system available. I 4. Connection to a public sewer is not feasible: No sewer avaiable 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): Application for Disposal System Construction Permit Complete plans and specifications Site evaluation forms [❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). Other(List) D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. i am aware that there may be significant consequences for submitting false information, including, but not.limited to, penalties or fine and/or imprisonment for deliberat I tions." .9/1812015 aafdy Owner's ignature Date - Martin Fischer Print Name James J. Morin Name of Prepares Date 6:75 Concord Ave Belmont Preparer's address City/Town 774-896-2246MA, 02478 774-696-2246 StateMP Code Telephone t5form9a revised • rev. 7106 _ Application for Local Upgrade Approval• Page 4 of 4 1 Commonwealth of Massachusetts City/Town of North Andover For 9A - Application for Local Upgrade Approval DEP has provided this fotrn.for use by focal Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed ornonconforming septic system with a design stow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System. upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000, A. Facility Information DECEIVED Important: When filling out forms 1. Facility Name and Address: SEP "� 2d on the computer, 15 use only the tab. Martin Fischer key to move your Name -rOW I OF NOKTt r cursor - do not 700 Middleton Road}iEAI:TH pfPARTMENT use the return key. Stmt Address North Andover MA 01'$45 u City/Town State Zip Code 2. Owner Name and Address (if different from above): Name Street Address City/Town State Zrp Code Telephone Number 3. Type of Facility (check all that apply) Residential ❑ Institutional ❑ Commercial ❑ School 4. Describe facility: Exsisting single family 4 Bedroom Home. 5. Type of Existing System: ❑ Privy ❑ Cesspool(s). Conventional ❑ Other (describe below):. 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Septic tank and leach field. t5form9a revised - rev. 7/06 Application for Local Upgrade Approval* Page 1 of 4 Commonwealth of Massachusetts City/Town of North Andover Foams 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: 440 gpd Design flow of proposed upgraded system 440 spd Design flow of facility: 476 gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): ❑ . voluntary ❑ Required by order, letter, etc. (attach copy) Required following inspection pursuant to 310 CMR 15.301: 5/25/2015 date of inspection 2. Describe the proposed upgrade to the system: New 1500 gallon septic and c4 cultec leach field. & Local Upgrade Approval is requested for (check all that apply): Reduction in setback(s) - describe reductions: Offset from well to leachfield 109 required IT provided. Reduction in SAS area of up to 25%'. SAS see ❑ Reduction in separation between the SAS and high groundwater. Separation reduction f< Percolation rate minfnch Depth to groundwater fL °% reduction t5fonn9a revised - rev. 7106 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts Cityrrown of North Andover Form 9A - Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local r Bo f` Board Health to determine the form they use: B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ I Reduction of 12 -inch separation between inlet and outlet tees and high groundwater 9 ® Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for rc test Y pe ❑ Other requirements of 310 CMR 15.000 that cannot be met — describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15:405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by Evatuator s Name (type or print) Signature Date of evaluation C. Explanation Explain why full compliance, as defined in 310 CMR 15.404(1) is not feasible: (Each section must be completed) 1: An upgraded system in full compliance with 310 CMR 15.000 is not feasible: relocating the well is not an option because the lot is 50 wetlands. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: altemative system does not change the the position of the well. I t5form9a revised rev. 7/06 Application for Local Upgrade Approval, Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover a o Form 9A — Application for Local Upgrade Approval °M , , •� DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd, where full compliance, as defined in 310 CMR 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.415. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information 1. Facility Name and Address: Martin Fisher Name 700 Middleton Road Street Address North Andover MA City/Town State 2. Owner Name and Address (if different from above): Name City/Town Zip Code 3. Type of Facility (check all that apply): ® Residential ❑ Institutional 4. Describe Facility: Exsisting single family 4 Bedroom Home. 5. Type of Existing System: Street Address State Telephone Number ❑ Commercial ❑ School 01845 Zip Code ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Septic tank and leach field. t5form9a • rev. 7/06 Application for Local Upgrade Approval, Page 1 of 4 Commonwealth of Massachusetts City/Town of North Andover a L; o Form 9A — Application for Local Upgrade Approval G„M 5 By`�i DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15.203: Design flow of existing system: Design flow of proposed upgraded system Design flow of facility: B. Proposed Upgrade of System 1. Proposed upgrade is (check one): 440 gpd 440 gpd 476 gpd ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: 2. Describe the proposed upgrade to the system: New 1500 aallon septic and c4 cultec leach field. 3. Local Upgrade Approval is requested for (check all that apply): ® Reduction in setback(s) — describe reductions: Offset from well to leachfield 100' reauired 77' Dro% ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. ❑ Reduction in separation between the SAS and high groundwater: Separation reduction Percolation rate Depth to groundwater ft. min./inch ft. date of inspection % reduction t5form9a • rev. 7/06 Application for Local Upgrade Approval* Page 2 of 4 Commonwealth of Massachusetts City/Town of North Andover a o Form 9A — Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. B. Proposed Upgrade of System (continued) ❑ Relocation of water supply well (explain): ❑ Reduction of 12 -inch separation between inlet and outlet tees and high groundwater ❑ Use of only one deep hole in proposed disposal area ❑ Use of a sieve analysis as a substitute for a perc test ❑ Other requirements of 310 CMR 15.000 that cannot be met— describe and specify sections of the Code: If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Evaluator's Name (type or print) Signature C. Explanation Date of evaluation Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: relocating the well is not an option because the lot is 50 wetlands. 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: alternative system does not change the the position of the well. t5form9a • rev. 7/06 Application for Local Upgrade Approval* Page 3 of 4 Commonwealth of Massachusetts City/Town of North Andover a Form 9A — Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. C. Explanation (continued) 3. A shared system is not feasible: No possible shared system available. 4. Connection to a public sewer is not feasible: No sewer avaiable 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit ❑ Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other (List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." Facility Owner's Signature Martin Fisher Print Name James J. Morin Name of Preparer 675 Concord Ave Preparer's address 774-696-2246MA, 02478 State/ZIP Code Date Date Belmont City/Town 774-696-2246 Telephone t5form9a • rev. 7/06 Application for Local Upgrade Approval* Page 4 of 4 14 Certification of Owner . In Regard to use of Cultec C4 Chambers Innovative/alternative Technology I Herby Certify and attest as the present owner of the property Fisted above that: oI have received a copy of the Title 5 I\► technology approval and the owner's manual for the proposed Cultec C4 chambers to be installed. o That a garbage disposal will not be installed. o That the SAS will be replaced, modified or other actions taken as required by the Board of health or DEP if the system is determined to be failing to protect human health and safety and the environment. o That the system will only be installed by an installer licensed by the Board' of Health. who has received appropriate training by Cultec. a That prior to the issuance of a certificate of compliance the designer and installer will certify that the system has been installed in accordance with all necessary requirements. o That If i find the SAS has ponded 3" or more I will measure the ponding level within 30 days and report to the Board of Health the ponding level if it remains at 3" or more. This measurement is made via the observation port shown on the plans. o . That when a sanitary connection becomes available I will connect to the facility within 60 Days. 1 BY 121Z Date:.kl 5�1�2a�; Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday, August 06, 2015 2:41 PM To: jim@neclassicengineering.com Cc: Grant, Michele Subject: FW: 700 Middleton Hi Jim, I'll be on vacation next week so I'm just sending you a reminder to make sure you get the letter to us by Monday 8/17/15. You can send it to mgrant@townofnorthandover.com. Thanks. From: Blackburn, Lisa Sent: Thursday, July 30, 2015 2:57 PM To: iim@neclassicenaineerina.com Cc: Grant, Michele Subject: 700 Middleton Hi Jim, Just a reminder that I need a letter from you requesting to come before our next BOH meeting on Thursday Aug 27th for the LUA you are requesting. Thank you. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com sxohTN OF �© O n $ACrU6G 1 Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday, July 30, 2015 2:57 PM To: jim@neclassicengineering.com Cc: Grant, Michele Subject: 700 Middleton Hi Jim, Just a reminder that I need a letter from you requesting to come before our next 130H meeting on Thursday Aug 27th for the LUA you are requesting. Thank you. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com 1 1 of NoRrH qti s . SSACHUs� North Andover Health Department fommunity and Economic Development Division June 30, 2015 James Morin, R.S. NorthEast Classic Engineering 129 Lexington Road Lowell, MA 01852 Re: 700 Middleton Street (Map 109, Lot 29) Dear Mr. Morin: The proposed wastewater system design plan for the above site dated May 25, 2015 and received on June 1, 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. The names of abutters are not indicated on the site plan (NA 3.2). 2. A Local Upgrade Approval request is required to reduce the setback distance from the private well to the proposed leach field (3 10 CMR 15.405(1)(g)). 3. A Local Upgrade Approval request is required to have only one test in the proposed leach field area (3 10 CMR 15.405(1)(k)). 4. A form 9A for the Local Upgrade Approval requests is required. 5. The lot area is not indicated on the site plan (NA 3.2). 6. Setback distances from the proposed system to the existing dwelling, private well and wetland resource area are not indicated on the site plan (NA 3.2). 7. The 5' sand overdig is not indicated on the site plan. 8. The 100' contour line near the proposed system is not indicated on the site plan. 9. The waterline from the private well is not indicated on the site plan (3 10 CMR 15.220(4)(m)). 10. The statement indentifying the property is within or not within the watershed of Lake Cochichewick not indicated on the design plan (NA 3.2). 11. The profile view appears to propose only 3" of cover material above the septic tank. A minimum of 9" of cover material is required (3 10 CMR 15.228(1)). 12. Please indicate the modelibrands of the septic tank and distribution box that are proposed (NA 3.2). 13. The percolation form 12 is required (NA 3.2). 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 1P r 14. The percolation log on the design plan indicates the incorrect percolation rate of 2 mins/inch. The percolation rate is <2 mins/inch. 15. The soil log for TH1 indicates the incorrect soil texture for the C layer. Also refusal was encountered at 68". The field notes from the Board of Health representative are included for reference. 16. Under the PLAN & PROFILE section, the breakout elevation is incorrect. 17. Under the PLAN & PROFILE section, the total width of the chambers is incorrect. 18. Please indicate who delineated the wetlands depicted on the portion of the property. 19. Since the Cultec Chambers system is proposed as an alternative soil absorption system the "Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use" will apply. Please provide the following as required by the approval conditions Section II(7): e) The record drawings, approved by the LAA, must clearly indicate an area for the best feasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is determined that it is not capable of providing equivalent environmental protection; Section II(18): 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 IIA technology Approval, the Owner's Manual, and the Operation and Maintenance Manual, and the Owner agrees to comply with all terms and conditions,- 2. onditions;2. for Systems installed under a Remedial Use Approval, the owner agrees to fulfill his responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5); 3. if the design does not provide for the use of garbage grinders, the restriction is understood and accepted; and 4. whether or not covered by a warranty, the System Owner understands the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303. Although not a reason for disapproval you may wish to consider the following: 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 ,A . Since a local variance is being requested for the reduced setback to the wetland resource area and a Local Upgrade Approval is requested for the reduced setback to the private well you may wish to consider proposing a Secondary Treatment Unit as described in the North Andover Board of Health regulations section 3.8. 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. S* erel , Ok Michele Grant Health Inspector cc: Martin Fischer 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 0 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, RENS/RS Public Health Director SEPTIC PLAN SUBMITTAL FORM Date of Submission: 5/29/2015 Site Location: 700 Middleton Road 978.688.9540 — Phone 978.688.8476— FAX E-MAIL: healthdentntownofnorthandover.com WEBSITE: httn://www.townofhorthandover.com RECEIVED JUN 0 1 2015 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Engineer: James Morin New Plans? Yes X $225/Plan Check # (includes 1St submission and one re- review only) Revised Plans?Yes $75/Plan Check # Site Evaluation Forms Included? Yes X No Local Upgrade Form Included? Telephone #: 774-696-2246 Yes No X Fax #: E-mail: Jim@neclassicengineering.com Homeowner Name: Martin Fischer OFFICE USE ONLY When the sub ssion is complete (including check): ➢ Date stamp plans and letter ➢ _LComplete and attach Receipt ➢ L/ Copy File; Forward to Consultant ➢ 1/ Enter on Log Sheet and Database O D D T O Cn V 3 v PD CID W W v v CID 0 00 0 V W CA W O � CS S cr � �o �� �K CD N -n G f�D G O 0 (gyp 0 r+ O CD n N a A P- 0) c o D CD (D _. m CD CD (D w o O o O CD N CO)CD CD O= m CCDD O CDO :D v S CD (D 0 �' O �` O 0 CD z O C) CD Q CL O CD o o 0 0. 0 a CD � c Cl m w =• 0 W 0 0 < N (- El O cn 0 CO)W CD 2 N 0 CD En N OL 0 OCD `< 2 � N � ® .nom 3� 0 co0 v ® ❑ 3 CD O 0 N ,w VU) w w v (C) c D 0 CD z O v 171z 0z 1 w w m co CD z 0 v RIM _3 _? 7 7 N 'r (D (D � 0 O o N CD O 0) CD O 0 J O a Cs O c CL 0) .v U) U) r v C CL O 3 W c O a, C) z N m G) OL CD O 0 Co. 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ICommonwealth of Massachusetts Executive Office of Energy &Environmental Affairs mo H,ALL�r� LlDepartment 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 CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Technology Transfer to: Roth Global Plastics, Inc. P.O. Box 245 One General Motors Drive Syracuse, NY 13206 Trade name of technology and model number: Roth Multi Tanks models RMT -1060, RMT -1250 and RMT -1500 (hereinafter the "System" or "Tank(s)"). Schematic drawings of these septic tanks and installation instructions/checklist are available from the manufacturer. Transmittal Number: W 054018 Date of Issuance: February 28, 2005, revised March 20, 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: Roth Global Plastics Inc., a subsidiary of Roth Industries North Inc., One General Motors Drive, Syracuse, NY 13206 (hereinafter "the Company"), for General Use in the Commonwealth of Massachusetts of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. David Ferris, Director Wastewater Management Program Bureau of Water Resources March 20, 2015 Date This information is available in alternate format. Call Michelle Waters-Ekanem, Diversity Director, at 617-292-5751. TTY# MassRelay Service 1-800-439-2370 MassDEP Website: www.mass.gov/dep Printed on Recycled Paper Certification for General Use Roth Global Plastics Septic Tanks I. Purpose Page 2 of 6 1. The purpose of this Certification is to allow the use of the System in Massachusetts on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority; or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards 1. The models listed below are covered under this Certification. * These tanks can only be installed in accordance with 310 CMR 15.404(2)(a). 2. The System approved includes the 1060, 1250 and 1500 gallon polyethylene septic tanks, designated by the Company as models RMT -1060, RMT -1250 and RMT -1500, manufactured with either single or double compartments. The tanks are exempted from three manholes required under 310 CMR 15.228(2) as well as the four foot liquid depth and pumping on an annual basis under 310 CMR 15.223(2). The two compartment septic tanks also are exempted from the requirement of the inverted U-shaped pipe inter -connection under 310 CMR15.224 (4). The System must be pumped and have routine maintenance in accordance with 310 CMR 15.351. The tanks are made of High Molecular Weight Dimensions Model W x L x H Capacity Ft -Inches RMT -1060 Roth MutiTank 5 `- 2" x 11'-1" x 4'- 3" 1,060 Gallons* Model RMT -1250 Roth MutiTank 5 `- 2" x 12'- 3" x 4'- 3" 1,250 Gallons* Model RMT -1500 Roth MutiTank 5 `- 2" x 149- 9" x 49- 3" 1,500 Gallons Model * These tanks can only be installed in accordance with 310 CMR 15.404(2)(a). 2. The System approved includes the 1060, 1250 and 1500 gallon polyethylene septic tanks, designated by the Company as models RMT -1060, RMT -1250 and RMT -1500, manufactured with either single or double compartments. The tanks are exempted from three manholes required under 310 CMR 15.228(2) as well as the four foot liquid depth and pumping on an annual basis under 310 CMR 15.223(2). The two compartment septic tanks also are exempted from the requirement of the inverted U-shaped pipe inter -connection under 310 CMR15.224 (4). The System must be pumped and have routine maintenance in accordance with 310 CMR 15.351. The tanks are made of High Molecular Weight Certification for General Use Roth Global Plastics Septic Tanks Page 3 of 6 (HMW) HDPE plastic with a minimum tank wall thickness of 0.25 inches. The tanks shall meet or exceed International Association of Plumbing and Mechanical Officials (IAPMO) PSI -2003c standards for prefabricated polyethylene septic tanks. The tanks shall also meet the following standards for polyethylene: ASTM D1248 Class B (requiring an ultraviolet stabilizer), ASTM D1693 Condition B, 100% LGEPAL with a value equal to or greater than 1,000 hours, ASTM D638 with a value equal to or greater than thirty-five hundred (3,500) psi and ASTM D790 with a flexural modulus of elasticity equal to or greater than one hundred fifty thousand (150,000) psi. The tanks shall also be subject to any future applicable requirements in amendments or changes to Title 5 regulations, 310 CMR 15.000. 3. Tanks manufactured by the Company with less than a 1,060 gallon capacity are not approved for use under this Certification. 4. The System shall be installed between the building sewer and the distribution box and soil absorption system (SAS), of a conventional Title 5 system. The System may also be installed between a building sewer and a DEP approved I/A system. The System shall be installed in a manner which will not adversely affect the operation of a Title 5 system as constructed in accordance with 310 CMR 15.100 through 15.279, subject to the provisions of this Certification. 5. The System shall include two 24 -inch diameter manholes with access, riser system components as manufactured by the Company. The two 24 -inch diameter manholes shall provide access to the tanks for inspection, maintenance or pumping in general accordance with the intent of 310 CMR 15.228 (2). Inlet and outlet tees shall be accessible for inspection and maintenance with covers over the access ports to within six inches of finish grade. When manholes are brought to and maintained at final grade, the manhole covers shall be secured to prevent unauthorized access in accordance with the intent of 310 CMR 15.228 (2). 6. The System will require tie downs and associated anchors to prevent tank floatation in locations with a high groundwater elevation. If applicable, buoyancy calculations shall be provided on the Title 5 septic system plans for each System installation. System buoyancy calculations shall include consideration of the high groundwater elevation developed as required by 310 CMR 15.100 through 15.105. Design plans prepared in accordance with 310 CMR 15.220 shall include System anchoring and backstay details when required by the presence of high groundwater. 7. No System shall be located or installed in a vehicle traffic area. Siting of a RMT - 1060, RMT -1250 or RMT -1500 tank in a location subject to vehicular loading is specifically prohibited by this Certification. Where vehicles can possibly access the tank site, suitable warnings including bollards shall be installed. 8. Inlet and outlet tees shall be constructed of schedule 40 PVC or equivalent, and meet the relevant requirements of 310 CMR 15.224 and 15.227. The tees shall extend a minimum of six inches above the flow line of the tanks. The inlet tee shall extend at least ten inches below the flow line and the outlet tee shall extend at least nine inches below the flow line. Certification for General Use Roth Global Plastics Septic Tanks Page 4 of 6 9. The System shall be field tested to ensure it is watertight prior to backfill and burial and final cover. 10. The maximum burial depth for the tanks shall not exceed 36 inches. 11. The minimum effective depth of the tanks, measured from the invert elevation to the tank bottom, shall be at least 40 inches. III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the System owner to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be installed if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for use in the treatment and disposal of sanitary sewage only. Any wastes that are non -sanitary sewage, generated or used at the facility served by the System, shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. The System owner shall at all times properly operate and maintain the System and the onsite sewage disposal system in which the System is installed. 3. The System owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 4. No System owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. Certification for General Use Page 5 of 6 Roth Global Plastics Septic Tanks V. Conditions Applicable to the Company 1. The Company shall notify the Department's Director of Wastewater Management Program at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 2. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 3. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. 5. The Company shall prepare an installation manual specifically detailing procedures for installation of the System. The Company shall institute and maintain a training program in the proper installation of the System in accordance with the manual and provide a training course at least annually for prospective installers. The Company's distributor(s) may fulfill this training program on behalf of the Company. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department, and update the list annually. 6. Neither the Company nor its distributor shall sell the System to installers unless they are trained to install these Systems by the Company or its' distributors as noted above. 7. The Company or its distributor shall provide to each System owner a five year written warranty transferable to a new owner that includes the following: i. Full refund of the design and installation cost should the System Tank fail as described in 310 CMR 15.303(1)(a)(1) within five years of installation provided that the System owner has maintained and has operated the System in accordance with the Company's specifications. Certification for General Use Page 6 of 6 Roth Global Plastics Septic Tanks VI. Conditions Applicable to Installers of the System 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company, pursuant to Section V.S., on installation of the System. VII. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street — 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. Grant, Michele From: James Morin <jim@neclassicengineering.com> Sent: Tuesday, December 08, 2015 1:43 PM To: Grant, Michele Subject: Septic system 700 Middleton Road Good afternoon Michele, I wanted to keep you updated on the installation for 700 Middleton Road. The system is completely installed. When I went out yesterday to as -built the system, I noted the system Bottom elevation to be 96.63. This supplies an offset of 4.41' on a required 5' offset. I reviewed this with Jay Wadsworth the licensed installer and we spent this morning looking for alternatives before asking for a variance. The following is our cost analysis: First we looked at trying to raise the plumbing which we can't do because of a four season sun room addition with a crawl space that is located over the outlet pipe. Second, we looked at putting in a pump chamber but the site is too restrictive with well and wetland offsets. We are currently installing in the optimal location so we cannot move the system. Please let me know how you would like me to proceed with this variance request. As we all know, timing is important this time of year. Thank you for your time concerning this matter and look forward to your response. Thanks, Jim Morin North Andover Health Department Community and Economic Development Division October 27, 2015 Martin Fischer 700 Middleton Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 700 Middleton Street (Map 109, Lot 29) Dear Mr. Fischer: The proposed wastewater system design plan for the above site dated May 25, 2015 with a final revision date of September 25, 2015 and received on October 6, 2015 has been approved. The design plan has been approved for use in the construction of a new on-site septic system for a 4 -bedroom (max 9 -room) home utilizing a Cultec C4 Chamber system. This design plan approval is valid until October 27, 2017. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem, such as sewage backup into the dwelling is occurring, the North Andover Board of Health may reduce the time period for which this plan is valid. At a regularly scheduled meeting of the Board of Health, this plan received the following approvals by the members. Local Upgrade Approvals: • To reduce the setback from the soil absorption system to the private well from 100' to 77' • To reduce the requirement of soil test pits in the area of the proposed leaching facility from 2 test pits to 1 test pit 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 700 Middleton Street October 27, 2015 North Andover Board of Health Variances: To reduce the setback from the soil absorption system to the wetland resource area from 100' to 51' This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)) 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit 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. c rely, f' G Michele Grant Health Inspector Encl. Installers list cc: James Morin, RS 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 d O � n In 0 r r � tJ � a r� ro Z 33 0 m� r� m� 3® r 0 0 o D m C5 z G) �z n D r D �0 o) m co 4 D 3�0 O Dz r D n m N (n o� M c — o zzG) U) = D cn 0 n 0 Z N -00 O�l -m(�� �r—I _ooZcmi�D -0 G) nO� TVD S7n„(n0 0 TI = C: �7 00 pz nD cr �C/) n m� m cn z� �c m� r m Z m z W 0 m T r� tn M10-0 ®CT ma a r� ro 0A Z �C O M r = 0 N r_ A C v `m r ill (A m n O Z N W D Tz r m z C) 2 w D z z r m z 0 2 HEIGHT = 51" 44" 42" N z z < r z m O I OD I o zo b n m I I I I I M m;IN = �Ip o�c c m 0 D°� rZ70 F- r- r -n N mlc ii no zo Cl) c Z D K O r M� �� min n c rn D I r I m I zo D 0 n 0 m^^ Cl) V! O ^C 1 m < 0O O c r 0 r m Q N 0 0 co a rM r0 Z 3c v= m� r, �o r N 0 0 �O(0 M -4M M 4WN r— �Tv Dv m > Z` a 0- CD CD �. 3 :3 0 T� mm 3'0��3v�N cncn�cDno c CD xCDCD 3�-Cn(Cn XX3�<`°3aW D'Iw0 cr i I CD*. iv 3. CO. N 0-0 � m C p C31 11 �' 0 _— � 0 O �' O N Q� p) rr CQ w (n W Z C O CTIp O O Q '41 (� w v C ffi O o F CD w CS 0 n Q� O r �� CD :3N m ,-rM 3 0 m n�'� < r X 1 CD M T. CD 6' :D7 C2 O O O 0 CD O C n -1- CD vo3�'pww cn :3_ �'�< n� c 3 ' . N CD m o cl, :O 3 K� G) � � CD in � =Dsv 0-3 , o CUD �cNnCL 0CD WCD =�N 0 '+ N) :3 a W co _ m U) D C) � m cQ ni m 3 � cn w�_ OL SCD- CD n CD � v �- l< =M3 U n m < fp w D 5•cn D=�;�,� x. o0 v w 3 c � CL m 3 O cn' CL D a - D o v' T W CD O CD CD cn 3D CL Z y, O3 N N sv m 0 D n — N O IV O CD ' - ;Ll b D �0 Dm O ND �0 n �m DU) O m n = rN 00 ;o Z nD C r �cq m� �c m� z� �c m� r .(7 m H n z Q X =r <r0� �Or m— r� DSO DSO 0 3 m 0 M o' v 0 a (D O_ CT D D z n 0 m CDCD 0) a a o' 0 3 m CDCT 0 0 OD March 2015 SECTION 334310 - POLYETHYLENE SEPTIC SYSTEM TANKS PART 1— GENERAL Mom 1.11LTiI1Ti4 N1K 1.1 Contractor shall furnish and install (Qty) Roth MultiTank® or equivalent HDPE polyethylene septic tanks plus fittings and fixtures as necessary. The tank shall be of gallons capacity and shall meet all requirements of . As such, the tank shall have compartments, 24" diameter manhole openings, and riser system as specified herein. 1.2 Reference: All tanks provided must be certified to and/or listed with both CSA and IAPMO. CSA and UPC (IAPMO) marks must be clearly molded into the tank. In addition, all state and local regulations and codes shall be followed. 1.3 Standards The following generally recognized testing methods for plastic materials shall apply: 2.1.1 ASTM D 1248 — Standard Specification for Polyethylene Plastics Extrusion Materials for Wire and Cable; 2.1.2 ASTM D 1693 — Standard Test Method for Environmental Stress -Cracking of Ethylene Plastics; 2.1.3 ASTM D638 - Standard Test Method for Tensile Properties of Plastics; 2.1.4 CSA International - B66-00 Prefabricated Septic Tanks and Sewage Holding Tanks; 2.1.5 International Association of Plumbing and Mechanical Officials — IAPMO PS 1- 98 Material and Property Standard for Prefabricated Septic Tanks. 2.1.6 ASTM D790 - Test Methods for Flexural Properties of Unreinforced and Reinforced Plastics and Electrical Insulating Materials 1.4 Locating Services Prior to excavating, contact local underground utility location service to coordinate location and identification of existing underground services. 1.5 Product Delivery, Storage, and Handling A. Upon arrival, inspect tank, including the interior, for any damage that may have occurred during handling or transportation. Remove damaged or rejected materials from site. Polyethylene Septic System Tanks 334310 - t March 2015 B. Store tank on flat surface and secure against movement. C. Prevent damage to tank during setting and connection. 1.6 Project Conditions IMUFLE-101 A. Environmental: Contactor to comply with all federal, state, and local environmental requirements and setbacks. B. Safety: The contractor shall keep the site and excavations in a safe a satisfactory condition during the progress of the work. PART 2 — PRODUCTS 2.1 Material The polyethylene used shall comply with ASTM Standard D1248, Specification for Polyethylene Plastics Molding and Extrusion Materials. Raw materials shall meet or exceed the following: D 1248, Class B - requiring ultraviolet stabilizer or D1248, Class C - requiring a minimum 1% carbon black and D638 — Tensile strength of 2,400 pounds or greater D 1693 — Environmental stress crack resistance of 150 hours or more D790 — Flexural modulus of elasticity of 85,000 pounds or greater 2.2 Tank Construction A. All tanks shall be of monolithic construction and shall be blow molded using high molecular weight HDPE resin. There shall be no metal parts molded into polyethylene tanks. Field assembly or modification of tanks is strictly prohibited with the exception of basic piping systems and risers. B. Wall Thickness and Tank Weight Wall thickness of all polyethylene tanks shall be determined by manufacturer's design to meet performance standards as set forth in Section 3 and shall be a minimum of 0.25 inches. Internal baffles and partitions shall be determined by manufacturer's design to meet performance standards as set forth in Section 3 and shall be a minimum of 0.1875 inches. The tanks shall have a minimum weight to volume ratio of 0.35 pounds per total gallon of capacity. This ratio shall be calculated by dividing the net weight of the tank only (without lids, risers, compartment walls, t -baffles etc.) by the total capacity Polyethylene Septic System Tanks 334310-2 March 2015 0-1-om M.7. F rA N K of the tank. Total capacity shall be defined as the volume in gallons of the tank when completely filled and without airspace. C. Tank Pumping All tanks shall have sufficient structural integrity to withstand being pumped dry without incurring structural deformation (i.e. rib collapse). D. Riser Connections All risers shall be watertight, available in 6 -inch increments and be able to extend to grade from the maximum burial depth. Riser covers shall be lockable. PART 3 — EXECUTION 3.1 Site Preparation A. Obtain required installation permit from local jurisdiction B. Review safety procedures with all employees C. Establish and verify tank location and elevation. Tank should be buried no greater than 36 inches below grade. 3.2 Excavation for Structure A. Establish tank subgrade elevation and over excavate to a minimum of 6 inches below bottom of tank. Excavate to provide 2 feet of horizontal clearance between outer surface of structure and trench wall to allow for proper backfilling. Place a minimum of 6 inches of well -graded clean stone (minimum 1/8 to 3/4 -inch diameter) or coarse sand over subgrade and rake smooth. B. Where rock is encountered such that the structure would bear on rock, remove the rock to a minimum of 8 inches below the structure and place an 8 -inch cushion of clean stone over the exposed rock. 3.3 Tank Installation A. Identify the inlet and outlet ends of the tank. Inlet and outlet may be located on the end of either side ports (per local code requirements). Identify drill location based on liquid level. Drill the inlet and outlet holes using a 5 -inch diameter hole saw. B. Install manufacturer provided rubber gasket in inlet and outlet ports. C. Install the inlet and outlet tees. Polyethylene Septic System Tanks 334310- 3 March 2015 no D. Install the required ROTH MULTITANK® threaded Septic Access Riser System. E. Using the corner lifting holes, lower the tank into the excavation. Level the tank and verify the outlet is lower than the inlet. Install remaining inlet and outlet plumbing. F. Perform required water tightness, plumbing, and/or tank inspections as applicable. 3.4 Fastening of Fittings Fastening of internal walls or partitions shall be done using a corrosion resistant fastening system. Under no circumstances shall any fastening system penetrate the tank walls. 3.5 Pipe Connections All pipe connections shall be watertight. Tanks shall be capable of accommodating pipe penetrations on each end and on either side where allowed by local Codes. 3.6 Backfilling A. Verify the height of the risers and modify/adjust as required. Mark the riser locations on a drawing using permanent landmark features as reference. A minimum of 2 and preferably 3 ties per riser are recommended. B. Back fill in an alternating method around tank in 6- to 8 -inch lifts. C. Backfill material may be native soils provided soil is free of debris, organic matter, sharp stones, and stones greater than 2 inches in diameter. However, soil must be able to freely flow into corrugations between tank ribs, including midpoint to bell of tank. D. Care shall be taken to prevent any disturbance to the structure or newly made joints. The filling of the trench shall be carried on simultaneously on both sides of the tank in such a manner that injurious side pressures do not occur such that the tank could be displaced or dislodged. - Tank installer may place water in tank to stabilize tank during backfilling. E. Do not backfill with muddy or frozen soil. 3.7 Testing & Structural Strength Testing A. Volumes, Capacities, Rates & Dimensions Any or all of the following methods shall determine all volumes, capacities, rates, and dimensions: 1. Mathematically Polyethylene Septic System Tanks 334310-4 March 2015 2. By actual measurement of the volume of water and/or; 3. By weighing tank before and after filling tank with water B. Vacuum Test no 1. Seal the empty tank and apply an internal vacuum of 0.9 inches of mercury per foot of maximum depth of earth cover as recommended by the manufacturer, with such depth a maximum of 36" (note: Roth MultiTank(t tanks may be buried at greater depths upon consultation with Factory) 2. Expose the tank to this vacuum for 30 minutes. The tank shall not be structurally deformed (i.e. rib collapse) after 30 minutes. C. Water Tightness Test Remove the vacuum and fill the properly bedded tank with water to the invert of the outlet pipe. Leave the tank full of water for 30 minutes minimum and check for leaks. 3.8 Cleanup and Restoration of Site A. Complete backfilling and grade the area such that surface water drains away from tank. B. After the backfill is completed, the contractor shall dispose of all surplus material, dirt and rubbish from the site, and shall keep the site free of mud and dust to the satisfaction of the owner. C. After all work is completed, the contractor shall remove all tools and other equipment, leaving the site free, clean, and in good condition. End of Section Polyethylene Septic System Tanks 334310-5 I W Z Vf ❑ w � m ❑� �/. W LiJV NCO.hO)I. �ULLL NM CMf07NN W Z m vi �. > O Z W Z ^ w Z > Q LL 'D "o ° Q Z❑� coMc�-MItf'M ❑_ `� :.'... Q O o a m N O r 5 r V OD CY) Z w O Q U W Cl) W m F- w Q U C0 it OW Z ❑et F W M OD 00 OD IT a WO ❑ Y Q LL ❑ O Z C7J j Ln ID aoa0ui�oti LU = U` H �y(n❑ T0()0) It Q (DU �w w = 2 ❑ r [- r �(2 m 2 LL U m w O -� w 0ZU OD LO LO 00 It (0 Oa CO m o W O a�rnvamoI- O� Lo Z Z (Oil rNNMMIt W00 J O o f 0 Z Q 2 = Q �- Z0O L��❑(�Q� WLL W 00MOMO Q❑Z}BZW < r (O ri �ip((O CL aCY (n NMS I—HZ-(9 T- o❑� 0LL ❑U>-2ZU _ LU O ~Q}Om¢Z3:0 Q d M �O titit-ti(Dr mm ❑z — HZ ❑o(/)o U' iE ao J-L� MOO�Mv� �rrrrr ❑(DWH� ❑QZ❑ W wo< OJ >� �w,Z(�❑J ❑wmwu-mwHw z ~ QQ W Z m W m Z OT 00 W M NCO"TN CO 'It S2wZ-O( w 0 3.a mwv wowom Yow-�-h--L¢i0 W Lu ZWW W-iW�U N W W LiZ2JQ0wwb OQ❑0U)QwQUL Z Z < LL �vvwU W N OCnOocV LO 0 000 W WOW~Z JWwW W F. a JJJ�-Z o o o< o CO) Ind Orrr H tL FL i' SIL 1-Qm���QdQ O 2 (n(4(n3:U > (A(n(n(nCf) (A Zc646 61,: Pt I Q o �H ° ", " G) p D m D NN)OD -{ �mcni; ^=r ^_ET ° r M r o r (n Z �Or� �� u mm -mz rN o a Z Z n Nz 4.25"TYP. yo�cn0 r- > o 0 �O 0> 0- CT D m r �Cl) r_ D n O m D r Nm -I n m - N -_ .4 �1 Ccn Z C� z n C/O), /� / C o OD N cNn m o V D (nr cn 0 N r y � n r 00 rD z G7 F rn Z rn m a N (n CD 3c � 3 � 0 m N G o z m r 3 _ n O V v HEIGHT = 51" a r N D� �0 ��' fJ OC --- a N , 00 � 0 DO = z� � O O n � d o m I CAI15.27" z o v WIDTH = 62" 0 C O w d N O :: arna to W Q o HEIGHT = 51" N n N 44„ a '71 rr �m n r Z Z < r Z m o (D C � a � 0 a v 211 x r Z .�m m z N < o 0 mLn I O N r ry m � OD I bmm zo -- ID r j 0 z> D�� r 00 m N I F ° W Z ° r j m 3 z 0 � 0 I m _ = cnlN ° m = MIC: r m M A+ r of m0mD� �I� Cm0 0 p�m x� >o �Z� O�O ( mN �-0 O j o0 - = u z �< 000 �0z ® K>Z �j:m r C) -1 czr- v - `' mzr �I 0 m Y O Wm m-� r I mac N z � n � 0 m c I � 0 r w I X D OD TO x m I . zo -- ® I °—y G) 0 c a � n = (/) 0 r /� VI �C cl: r rn rn e P 00in- l 'x] m a o Z < 8 w O O _ t" 0 0 O A o N e Z 42" HEIGHT = 51" Z 2 awn t�i a ®o a a rm O 0 Z �3 3C 0— v= m� rs m� 3® O O B O O � D . . . .JI . . . � � v D v 0 c' Q C1 X N _� CND CD �. 3 CD � N 0 TZ n CD CD N N CD - �. p 0� O X- CD A- CD CD 3 (n' c (n Z O 3 0(a3Qv�D-10)0 CD% :E — CD U) Cep n CL w Z C O CJi p OOQr+_N N C 0 O O CD p n 0 Q�'O< M-� �l CD � �Cl) CCD -- � O O p CD n T N -+ � Cll h � < � � X 30 --1 O O O O CD O = ( 3 CD C- O N O cn Cn 0 N n CD O �. < :3p O cn =r =r h N CD cl-3 n ��c �(a �w =Dm X O CD 00 CD CL h �. M Do ID m 41P C� 5 � ;u 2. 0 o m N N o_� Q ?vCD-n CL CD �CD v c n �0�s n `< N cn D CD S0 cn a cn x o0 >=cn-0 3 rn CD � C m w Q O N cn C Data - � �D° D O CD CD O N w cn D CL �, z cncn O =N Cn CD �� CD 0 O O 7 n CL (D i O = N CL O p- CD Z O Mi m T1T — N om D 00 Dm 0 ND �0 (7 0m D N r0 I m CO cn �0 2 .0 Cv cn r 0C � 0 m 030 0� m� "11 = O r �7 r N no Z 0--i C r- mA mc 0 z� nC m� r X m Z n 0 X Z 0 W =r �0 -n < m — ncnG� n-i-� D D 0 �J March 2015 SECTION 334310 - POLYETHYLENE SEPTIC SYSTEM TANKS PART 1— GENERAL WZNK 1.1 Contractor shall furnish and install (Qty) Roth MultiTank® or equivalent HDPE polyethylene septic tanks plus fittings and fixtures as necessary. The tank shall be of gallons capacity and shall meet all requirements of . As such, the tank shall have compartments, 24" diameter manhole openings, and riser system as specified herein. 1.2 Reference: All tanks provided must be certified to and/or listed with both CSA and IAPMO. CSA and UPC (IAPMO) marks must be clearly molded into the tank. In addition, all state and local regulations and codes shall be followed. 1.3 Standards The following generally recognized testing methods for plastic materials shall apply: 2.1.1 ASTM D 1248 — Standard Specification for Polyethylene Plastics Extrusion Materials for Wire and Cable; 2.1.2 ASTM D 1693 — Standard Test Method for Environmental Stress -Cracking of Ethylene Plastics; 2.1.3 ASTM D638 - Standard Test Method for Tensile Properties of Plastics; 2.1.4 CSA International - B66-00 Prefabricated Septic Tanks and Sewage Holding Tanks; 2.1.5 International Association of Plumbing and Mechanical Officials — IAPMO PS 1- 98 Material and Property Standard for Prefabricated Septic Tanks. 2.1.6 ASTM D790 - Test Methods for Flexural Properties of Unreinforced and Reinforced Plastics and Electrical Insulating Materials 1.4 Locating Services Prior to excavating, contact local underground utility location service to coordinate location and identification of existing underground services. 1.5 Product Delivery, Storage, and Handling A. Upon arrival, inspect tank, including the interior, for any damage that may have occurred during handling or transportation. Remove damaged or rejected materials from site. Polyethylene Septic System Tanks 334310- t March 2015 B. Store tank on flat surface and secure against movement. C. Prevent damage to tank during setting and connection. 1.6 Project Conditions MULT1TANtG A. Environmental: Contactor to comply with all federal, state, and local environmental requirements and setbacks. B. Safety: The contractor shall keep the site and excavations in a safe a satisfactory condition during the progress of the work. PART 2 — PRODUCTS 2.1 Material The polyethylene used shall comply with ASTM Standard D1248, Specification for Polyethylene Plastics Molding and Extrusion Materials. Raw materials shall meet or exceed the following: D 1248, Class B - requiring ultraviolet stabilizer or *1248, Class C - requiring a minimum 1% carbon black and D638 — Tensile strength of 2,400 pounds or greater D 1693 — Environmental stress crack resistance of 150 hours or more D790 — Flexural modulus of elasticity of 85,000 pounds or greater 2.2 Tank Construction A. All tanks shall be of monolithic construction and shall be blow molded using high molecular weight HDPE resin. There shall be no metal parts molded into polyethylene tanks. Field assembly or modification of tanks is strictly prohibited with the exception of basic piping systems and risers. B. Wall Thickness and Tank Weight Wall thickness of all polyethylene tanks shall be determined by manufacturer's design to meet performance standards as set forth in Section 3 and shall be a minimum of 0.25 inches. Internal baffles and partitions shall be determined by manufacturer's design to meet performance standards as set forth in Section 3 and shall be a minimum of 0.1875 inches. The tanks shall have a minimum weight to volume ratio of 0.35 pounds per total gallon of capacity. This ratio shall be calculated by dividing the net weight of the tank only (without lids, risers, compartment walls, t -baffles etc.) by the total capacity Polyethylene Septic System Tanks 334310-2 March 2015 of the tank. Total capacity shall be defined as the volume in gallons of the tank when completely filled and without airspace. C. Tank Pumping All tanks shall have sufficient structural integrity to withstand being pumped dry without incurring structural deformation (i.e. rib collapse). D. Riser Connections All risers shall be watertight, available in 6 -inch increments and be able to extend to grade from the maximum burial depth. Riser covers shall be lockable. PART 3 — EXECUTION 3.1 Site Preparation A. Obtain required installation permit from local jurisdiction B. Review safety procedures with all employees C. Establish and verify tank location and elevation. Tank should be buried no greater than 36 inches below grade. 3.2 Excavation for Structure A. Establish tank subgrade elevation and over excavate to a minimum of 6 inches below bottom of tank. Excavate to provide 2 feet of horizontal clearance between outer surface of structure and trench wall to allow for proper backfilling. Place a minimum of 6 inches of well -graded clean stone (minimum 1/8 to 3/4 -inch diameter) or coarse sand over subgrade and rake smooth. B. Where rock is encountered such that the structure would bear on rock, remove the rock to a minimum of 8 inches below the structure and place an 8 -inch cushion of clean stone over the exposed rock. 3.3 Tank Installation A. Identify the inlet and outlet ends of the tank. Inlet and outlet may be located on the end of either side ports (per local code requirements). Identify drill location based on liquid level. Drill the inlet and outlet holes using a 5 -inch diameter hole saw. B. Install manufacturer provided rubber gasket in inlet and outlet ports. C. Install the inlet and outlet tees. Polyethylene Septic System Tanks 334310- 3 March 2015 MULT{TAN'K D. Install the required ROTH MULTITANK® threaded Septic Access Riser System. E. Using the corner lifting holes, lower the tank into the excavation. Level the tank and verify the outlet is lower than the inlet. Install remaining inlet and outlet plumbing. F. Perform required water tightness, plumbing, and/or tank inspections as applicable. 3.4 Fastening of Fittings Fastening of internal walls or partitions shall be done using a corrosion resistant fastening system. Under no circumstances shall any fastening system penetrate the tank walls. 3.5 Pipe Connections All pipe connections shall be watertight. Tanks shall be capable of accommodating pipe penetrations on each end and on either side where allowed by local Codes. 3.6 Backfilling A. Verify the height of the risers and modify/adjust as required. Mark the riser locations on a drawing using permanent landmark features as reference. A minimum of 2 and preferably 3 ties per riser are recommended. B. Back fill in an alternating method around tank in 6- to 8 -inch lifts. C. Backfill material may be native soils provided soil is free of debris, organic matter, sharp stones, and stones greater than 2 inches in diameter. However, soil must be able to freely flow into corrugations between tank ribs, including midpoint to bell of tank. D. Care shall be taken to prevent any disturbance to the structure or newly made joints. The filling of the trench shall be carried on simultaneously on both sides of the tank in such a manner that injurious side pressures do not occur such that the tank could be displaced or dislodged. Tank installer may place water in tank to stabilize tank during backfilling. E. Do not backfill with muddy or frozen soil. 3.7 Testing & Structural Strength Testing A. Volumes, Capacities, Rates & Dimensions Any or all of the following methods shall determine all volumes, capacities, rates, and dimensions: 1. Mathematically Polyethylene Septic System Tanks 334310-4 March 2015 2. By actual measurement of the volume of water and/or; 3. By weighing tank before and after filling tank with water B. Vacuum Test NINE - MINE �1JLTITANIC 1. Seal the empty tank and apply an internal vacuum of 0.9 inches of mercury per foot of maximum depth of earth cover as recommended by the manufacturer, with such depth a maximum of 36" (note: Roth MultiTank® tanks may be buried at greater depths upon consultation with Factory) 2. Expose the tank to this vacuum for 30 minutes. The tank shall not be structurally deformed (i.e. rib collapse) after 30 minutes. C. Water Tightness Test Remove the vacuum and fill the properly bedded tank with water to the invert of the outlet pipe. Leave the tank full of water for 30 minutes minimum and check for leaks. 3.8 Cleanup and Restoration of Site A. Complete backfilling and grade the area such that surface water drains away from tank. B. After the backfill is completed, the contractor shall dispose of all surplus material, dirt and rubbish from the site, and shall keep the site free of mud and dust to the satisfaction of the owner. C. After all work is completed, the contractor shall remove all tools and other equipment, leaving the site free, clean, and in good condition. 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U0 w w O O a w} o w O Uj O 0 Z_ Z J - = Z Y O O —F- 0z� F- Zc00 �p QrQ Q O Z 0} Z W m o o} 2 z V 0 0 ~Q}omaz=cD m �z— wz�o}w9oQ J gn<xo<wwo W W �m=W m F -W W W W 0 T- < W Z in of 7: Z F- U0<F W Q �- 0 z V =U' 2 Q Z YOco I-ti0 U-0 JQUmwO Q} Z O Y U<� co (AWOW~ZJwW W W W F= w Q J J= 00 Z � N M 4 6 6 tl: BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. r 320 -7 rle 75 1. NAME JO H N A PO P- PO IFA DATE '/�IC-- 7 2. ADDRESS !✓// D LOT NO. TEL. Al- 62 ya y 3. NO. OF BEDROOMS DEN YES NO 4. GARBAGE GRINDER YES NO 1� 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE April 1, 19x7. NAME OF APPLICANT Jona Purpura ,. LOCATION Middleton Rd.. Rte 114 Address of lot no. BUILDING: Dwelling z Other, SYSTEM: New x Repair GENERAL DESCRIPTION OF LAND High SUBSOIL: Clay Gravel Sand y=olay X PERCOLATION TEST 3 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK., 1,000 gallon capacity. LEACH FIELD 180 _lineal feet of drain pipe. r William J. 4iscoll, En ineer Board of Health