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Home My WebLink AboutMiscellaneous - 81 SAW MILL ROAD 4/30/2018 (4)i�, � II f ��Ir�Iir'�"tE�+P`�i�' �; �_��i Owner information is required for every page. Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rab Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Narayanan Owner's Name No Andover Ma 01845 5/25/2012 City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information i Inspector: IJUN G5 2012 John DiVincenzo Name of Inspector 1 UVVIV Ur I14VK 111 ANIJUVIr Stewart Seotic Service HEALTH DEPARTMENT Company Name 58 South Kimball Company Address Bradford City/Town 978-372-7471 Telephone Number B. Certification Ma State S113386 License Number 01835 Zip Code I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑Ne ds urther Eva ion by a Local Approving Authority 17 l 5/25/2012 Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 1 of 17 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Narayanan Owner's Name No Andover Cityrrown B. Certification (cont.) Ma 01845 State Zip Code 5/25/2012 Date of Inspection Inspection Summary: Check A,B,C,D or E / always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Dug hole middle and both ends of system , no back soils or ponding below stone B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for "yes", "no" or "not determined" (Y, N, ND) for the following statements. If "not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): l5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 2 of 17 =til= Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Naray Owner Owner's Name information is required for every No Andover page. City/Town B. Certification (cont.) B) System Conditionally Passes (cont.): nn, QwLc 01845 5/25/2012 Zip Code Date of Inspection ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 3 of 17 Owner information is required for every page. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Narayanan Owner's Name No Andover Ma 01845 5/25/2012 City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or "No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 4 of 17 ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 5 of 17 Commonwealth of Massachusetts F W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma 01845 5/25/2012 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either "yes" or "no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM ,° 81 Saw mill Rd nan C. Checklist Ma 01845 State Zip Code 5/25/2012 Date of Inspection Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Property Address ® ❑ Samuel Naray Owner Owner's Name information is required for every No Andover page. City/Town nan C. Checklist Ma 01845 State Zip Code 5/25/2012 Date of Inspection Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): 600 gpd t5ins - 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover page. City/Town D. System Information Description: State 01845 Zip Code 5/25/2012 Date of Inspection Sump pump? ❑ Yes ® No Last date of occupancy: vaccant Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? Industrial waste holding tank present? Non -sanitary waste discharged to the Title 5 system? Water meter readings, if available: Gallons per day (gpd) ❑ Yes ❑ No ❑ Number of current residents: ❑ 0 ❑ Yes Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 9 ( Y 9 (gpd)): 91 gpd Detail: water meter readings Sump pump? ❑ Yes ® No Last date of occupancy: vaccant Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? Industrial waste holding tank present? Non -sanitary waste discharged to the Title 5 system? Water meter readings, if available: Gallons per day (gpd) ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No t5ins • 11110 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 7 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M , •' 81 Saw mill Rd D. System Information (cont.) Last date of occupancy/use: Other (describe below): Pumping Records: State 01845 5/25/2012 Zip Code Date of Inspection General Information Date Source of information: Board of Health Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? site guage on truck Reason for pumping: Inspect tank Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 8 of 17 Property Address Samuel Naray Owner Owner's Name information is required for every No Andover page. City/Town D. System Information (cont.) Last date of occupancy/use: Other (describe below): Pumping Records: State 01845 5/25/2012 Zip Code Date of Inspection General Information Date Source of information: Board of Health Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? site guage on truck Reason for pumping: Inspect tank Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c�M 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma 01845 5/25/2012 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer (locate on site plan): Depth below grade: 2'-0"feet Material of construction: ® cast iron ❑ 40 PVC ❑ other (explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: Material of construction: ® concrete ❑ metal a feet ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) Dimensions: Sludge depth: ❑ Yes ❑ No t5ins • 11110 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 9 of 17 Commonwealth of Massachusetts N Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4�M 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is No Andover Ma 01845 5/25/2012 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 29" 1.5 5.5 14" How were dimensions determined? Tape measue sluge judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Baffles in good condition, liquid levels good, no leakage Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal Dimensions: Scum thickness feet ❑ fiberglass ❑ polyethylene . ❑ other (explain): Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: t5ins - 11/10 Date Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 10 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma page. City/Town State 01845 5/25/2012 Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): `Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins - 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 81 Saw mill Rd n D. System Information (cont.) Ma 01845 State Zip Code Distribution Box (if present must be opened) (locate on site plan): 5/25/2012 Date of Inspection Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber (locate on site plan): Pumps in working order: Property Address Yes Samuel Naray Owner Owner's Name information is required for every No Andover page. City/Town n D. System Information (cont.) Ma 01845 State Zip Code Distribution Box (if present must be opened) (locate on site plan): 5/25/2012 Date of Inspection Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber (locate on site plan): Pumps in working order: ® Yes ❑ No Alarms in working order: ® Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Ran pumps by hand , all floats in working order pumps in working order, and alarm in working order, Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins • 11110 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 12 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover page. City/Town t5ins • 11/10 D. System Information (cont.) Type:11 El leaching pits leaching chambers leaching galleries leaching trenches leaching fields overflow cesspool Ma 01845 5/25/2012 State Zip Code Date of Inspection number: number: number: number, length: number, dimensions: number: 1-20x88 Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No hydraulic failure , no ponding no damp soils , presure dose system. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth — top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow El Yes E-1No Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma 01845 page. City/Town State Zip Code D. System Information (cont.) 5/25/2012 Date of Inspection Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins • 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 14 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address °= Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma 01845 5/25/2012 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells withih 100 feet. Locate where public water supply enters the building. Check one of the boxes below: 14—C_ � A -C- ,i ® hand -sketch in the area below ❑ drawing attached separately A- t5ins - 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 15 of 17 �ti Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma 01845 5/25/2012 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 4' below systemfeet Please indicate all methods used to determine the high ground water elevation: //. IS— Obtained from system design plans on record If checked date of desi n Ian reviewed' June 12 2003 U p Date Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health - explain: Pulled files ® Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: System raised 4' above water table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins - 11/10 Title 5 Official Inspection Form: Subsurface Sewage Disposal System • Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 81 Saw mill Rd Property Address Samuel Narayanan Owner Owner's Name information is required for every No Andover Ma page. City/Town State E. Report Completeness Checklist 01845 5/25/2012 Zip Code Date of Inspection ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information — Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins - 11110 Title 5 Official Inspection Form: Subsurface Sewage Disposal System - Page 17 of 17 �� `-l7 (/ PETER M. MIRANDI, M.P.H. Registered Sanitarian -- Certified Health Officer 30 Washington Street, Danvers, MA 01923 978-774-3001; PMMirandi@aol.com 1 TO ~S OF NORTH A RTFE BOARD OF HEALTH — NORTH ANDOVER, MA a u oy W CERTIFICATE OF COMPLIANCE Massachusetts DEP term 3-A Description of Work: Complete System The undersigned hereby certifles that the Sewage Disposal System Repaired by: Stewarts Septic Service, 20 South Mill Street, Bradford at: 81 Sawmill Road has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans dated: June 12, 2003 (revised September 13, 2003) Use of this system is conditioned on compliance with the provisions set forth below: • No garbage disposal allowed. 0 System pumping and routine maintenance in accordance with 310 CMR 15.351 • Approved design flow: 440 gallons per day Designer: Peter M. Nfirandi, R. S. /t W. k Date: June 27, 2004 tr_ .1 S"—S—/-A— /It–, THE ISSUANCE OF THIS PERMIT SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION AS DESIGNED. 4! TOV6 N `OF NORTH ANDOVER �' NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENTi. 400 OSGOOD STREET �,. •r +" NORTH ANDOVER, MASSACHUSETTS 01845 'sSACHUs` Susan Y. Sawyer, REHS/RS Public Health Director April 12, 2005 John DiVincenzo 20 South Mill Street Bradford, MA 01835 Re: 81 Sawmill Road Dear Mr. DiVincenzo, 978.688.9540 — Phone 978.688.9542 — FAX healthdept@townofnorthandover.com www.townofnorthandover.coni It has come to the attention of the Health Department that the septic system installation of the property listed above has not had the final Certificate of Compliance issued on it to date. The file is in need of your signature to be placed on the Certificate of Installation, along with the designers. We would appreciate it if you would come to the Health Department to complete your obligations as soon as possible. In addition, the recent heavy rains have resulted in a previously unseen condition at the above site. This is in regards to the grading towards the property known as 97 Sawmill. Health Department personnel conducted a site visit to review the concerns. It appears that the change in the topography close to the lot line has disturbed the previous flow of water towards the back of the property. There is a small mound of soil, likely placed during the installation, which appears to be within five feet of the property line. It is located next to a drainage swale on the adjacent property. This small rise in elevation is inhibiting the flow of water towards the back of the property. This office would appreciate it if you could return to the site and remove just a few inches of soil, as the top of any slope, no matter how small, must be five feet from the property line. For convenience, I would be happy to meet with you on site to review the issue. Please note that the exact lot line location has not been marked on the field. The Health Department is hesitant to advise the owner of 97 Sawmill to do this work themselves, due to whether this area is on their property or not. It is also noted that this will not fully remediate the water problem at 97 Sawmill, rather it will assist the homeowners. It is clear that this is not a new water problem at 97 Sawmill, as according to the owner; there had been a previous drainage pipe from their driveway to the rear of the property. It is also not the responsibility of the owners of 81 Sawmill to fully correct the problem. No homeowner can be made to take on a neighbor's water unless there is a legal drainage easement in place. In conclusion, the main recommendation of this office is that the owners of 97 Sawmill Road establish their lot line and then install a drainage system on their own property to address the issue. Without installing a new pipe, the water problem will likely continue in heavy rain conditions. Please understand that it is not the intention of this office to hold you responsible for correcting this long-term problem, it is only requested that you help by removing soil that you placed that appears that it should not be so close to the lot line. Thank you for your anticipated cooperation. Sincerely/ublicHealth i� REHS/RS Director Cc: Mr. & Mrs. Honan, 97 Sawmill Road Homeowner, 81 Sawmill Road File 1� L �J MILL RIVER CONSUL TRVG Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 81 Sawmill Rd MAP: 104B LOT: 108 INSTALLER: Stewarts Septic DESIGNER: Peter Mirandi PLAN DATE: 9/14/2003 BOH APPROVAL DATE ON PLAN: 11/20/2003 DATE OF BED BOTTOM INSPECTION: 5/6/2004 DATE OF FINAL CONSTRUCTION INSPECTION: 6/21/2004 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE Pressure Dosing COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK = H10 GALLON PUMP CHAMBER = 1000 LOADING OF PUMP CHAMBER = H10 TYPE OF SAS = Field DIMENSIONS AND DETAILS OF SAS: 88x20 SITE CONDITIONS Inspections OExisting septic tank properly abandoned [@Internal plumbing all to one building sewer [@Topography not appreciably altered Cornmehts: 5B]ackburu Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978 282.0014 mfz@jn9lriverconsu1dng com Page 1 of 4 MILL RIVER CONSULTING Septic System Mauagement Services SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-10 loading 2 -Piece construction ❑ Water tightness of tank has been achieved test performed: Visual ® Inlet tee installed, over access port Outlet tee (gas baffle or effluent filter) installed, over access port ® 24 inch cover to within 6" of final grade installed over one access port ❑ installed over outlet of tank if effluent filter is present ® Hydraulic cement around inlet & outlet Comments: Septic tank/pump chamber is combined tank, not two separate tanks. PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1000 gallon Pump Chamber installed H-10 loading 2 -Piece construction ® Inlet tee installed, over access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off float working ® Drain hole in pressure line ® 24 inch cover to within 6" of final grade installed over one access port ® Water tightness of tank has been achieved Visual testing ® Hydraulic cement around inlet & outlet Comments: Zoeller pump specified, Barnes SE 411 used. Installer notified that designer is to provide design specs to confirm suitability of the pump used on the site. ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: n/a 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free L&V.377.3044 978.282 0014 info@nrillriverconsulting corn Page 2 of 4 MILL RIVER CONSULTING Septic system Management Services D -BOX ® ® Installed on stable stone base ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ® 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 ® 3/4-11/2" double washed stone installed ® 1/8-1/2" (peastone) double washed stone installed ® laterals installed and ends connected to header (and vented if impervious material above) ® Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ® Elevations of laterals installed as on approved plan ® 40 Mil HDPE barrier installed ❑ Retaining wall (boulder / concrete / timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt best ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: n/a CONTROL PANEL ® Alarm & Pump are on separate circuits Alarm sounds when float is tripped ❑ Location of control panel: Basement ❑ Rated for exterior if placed outside Comments: 5 Blackburn Center, Gloucester, Massacbuwm 01930 2259 mU&ee 1.8003773044 978.282.0014millriverconsulting com Page 3 of 4 i MILL RIVER CONSULTING Septic +:yswm Management Services SYSTEM ELEVATIONS Benchmark: 103.86 Rod at Benchmark: 2.66 Height of Instrument: 106.52 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT Septic Tank IN 101.38 100.85 Septic Tank OUT 101.51 100.22* Pump Chamber IN 100.22 Pump Chamber OUT Distribution Box IN 102.58 102.80 Distribution Box OUT 102.40 102.62 Manifold Lateral 1 HIGH 102.40 102.64 Lateral 1 LOW 102.18 102.41 Lateral 2 HIGH 102.40 102.62 Lateral 2 LOW 102.18 102.41 Lateral 3 HIGH 102.40 102.68 Lateral 3 LOW 102.18 102.40 Lateral 4 HIGH 102.40 102.66 Lateral 4 LOW 102.18 102.39 Lateral 5 HIGH 102.40 102.63 Lateral 5 LOW 102.18 102.38 Lateral 6 HIGH 102.40 102.66 Lateral 6 LOW 102.18 102.41 Comments: * This is a two-compartment tank - orifice between compartments sometimes varies in size S Blackburn Center, Gloucester, Massacbusetts 01930-2259 tnll&ee L800.377.3044 978.282.0014 info@Adj iverconsulting.com Page 4 of 4 Commonwealth of Massachusetts 1043 -Map -Block -Lot 104.B- 0108 - ----------------------- Board Of Health Permit No North Andover BHP -2003-0374 ----------------------- P.I. FEE F.I. $250.00 ----------------------- Disposal Works Construction Permit Permission is hereby granted John-DiVincenzo ------------------------------------------------------------------------------------------ to (Repair) an Individual Sewage Disposal System. at No --______ --8-1--SAW-MULL-ROAD -- -- ----------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. -BHP-2003-037-------Dated Novemr - 003. --------------------------------be- -------- --------------------------------------------------F� Issued On: Nov -19-2003 Board Of Health f � f APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: ��'�' D E CURRENT INSTALLER'S LICENSE# LOCATION: S CL LU M ( L L Vzj 4 1 LICENSED INS,TAIjLER:, '� D SIGNATURE: CHECK ON'Y:: REPAIR: V /TELEPHONE# NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. Administrative Use Only $ 00 Fee Attached? Yes No Foundation As -built? Yes No Floor plans on e? Yes No Approval ✓l. Date: ( 2� DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, February 10, 2004 3:58 PM To: Sawyer, Susan Subject: 81 Sawmill Road Importance: High Hi Susan, Page I of 1 Please call Peter Mirandi, the septic designer of above address. (You probably already know this, but Peter is also the Danvers Health Director). He has questions regarding the tank specifications, as construction is set to begin shortly. See attached report for additional details. His number is: c: 978.836.9447. I will leave the file for your perusal on your chair. Let me know if any questions. Thanks, Pam p.s. — also, Heidi was involved or copied in on alot of the septic plans that came through our office since last spring, and may be able to give you some history on this plan as well if needed, as I believe that Peter and Sandy had some heated confrontations about this particular design plan. 2/10/2004 F z'.ofi It r D U .a cc CL .LU+ 2C3 Cl] C CJ U 00 ° rn s N;a Y E o '� N ca °to N '� N i2 Z as a U a a 9 -14 c i o 3 osteo on > n N ° a ro Q U 3 .5 = aj U •-y I ° •v > m N an a o R > c o N a a on v ? IU _ 01) O y 7 C L O O •U M M M' p, = o o v a a OMO a > 0 0 0 3 M c o� C a'>i _> N y O M 7 O 0 M z m J cz" y � V1 (j v o� w ° vCU U' C1 00 a Z 00 I � C o Ila O I I cn M O N I I O S O II I II •—, �; 4L a', Owl eel o of o 0: i I II I i I 6�li r+ '�' I , I L♦+ I h d I OIC RIo a'� !maNleoc) �'� �1�31 D U .a cc CL .LU+ 2C3 Cl] C CJ U 00 ° rn s N;a Y E o '� N ca °to N '� N i2 Z as a U a a 9 -14 c i o 3 osteo on > n N ° a ro Q U 3 .5 = aj U •-y I ° •v > m N an a o R > c o N a a on v ? IU _ 01) O y 7 C L O O •U M M M' p, = o o v a a OMO a > 0 0 0 3 M c o� C a'>i _> N y O M 7 O 0 M z m J cz" y � V1 (j v o� w ° vCU U' C1 t tzl *v ti .� r N b ca m r•+ 7 I N c.12 E 3 O 7 G 7 I w, m E ° I ° L C N U N ' N N 1 C o E c N cc G O U � U O O cOa � O rL t L c0 O U �O d I, 3 ti a Cl o0 c o o 0 C ' t by � � U M 0 U 7S 3u� I._ I N I w, I ° N 0., Y L I, 3 C C� O • bOA � y, I r r r r r r o O r O r O r O r O O z O o 0 o z o o o 0 0 u o u o 0 I E � I U � L O m U O a U L aU+ u O d �" II .-a w a I w O � O CJ U O � V1 Cn w I R I L O O O y N A O N w w w O O O 'IT Q o 0 0 C^ M w C��7 Cz�7 Czr7 z° 0 0 D v) r� vz = oN o a a v x x a m m M y OO M M Cl N O O A N a 00 D V C) O ~ �~ = C z o Q.0cu. o c� o M o a o 0 E E 0 0 o a Y O ° Z o Cl 0 o 0 O 0 o F o a ri d d E U U L L U G O a n O U n p a 1 C C h o H an o aEi o c ° C o C �J n 1 � v J iC Z ^ QN1,._ v •� Y Cl) 1 J - I O Op a C9 r 0 N b O m 9 r1 0 N A �r. � 3 Oo o 1 O a c� 0 m N h o d N a � 0 0 R 0 M M O O O O N N 0 N A 3 a c� TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Heidi Griffin Acting Health Director October 8, 2003 Sam Narayanan / Pater Real Estate PO Box 1331 978.688.9540 — Phone 978.688.9542 — FAX Derry, NH 03038 RE: Subsurface Sewage Disposal System Plan4� 81 Sawmill Road, p 104B, Lot 108, North Andover, Massachusetts Dear Mr. Narayanan, The North Andover Board of Health has completed review of the septic system design plans for the above referenced property submitted on your behalf by Peter Mirandi dated June 12, 2003, revised September 13, 2003 and received by this office on September 17, 2003. The design has been approved for use in the construction of a replacement onsite septic system. This approval is valid for three years from the date of this letter and during this time a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance must be endorsed by the installer, designer and the Town of North Andover. The time period for which this plan is valid is reduced to two years from the date of a septic system inspection which did not meet the acceptable criteria in the state regulations. The time period for which this plan is valid may be reduced by the North Andover Board of Health in the event an imminent health problem such as sewage backup into the dwelling is occurring. This approval is 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. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Sincerely, feidiffin, Acting Health Director encl: List of licensed septic system installers cc: � Ae Peter Mirandi, M.P.H. Town of North Andover Licensed Septic System Installers (Disposal Works Installer's) - 2003 (Please note that the septic installer is licensed only -- not the company) Name Company Permit # Phone # Amor, Robert R.T. Amor 130-3 978-887-5468 Baldoumas, Louis Rainbow Builders Corp. 101-3 978-459-9181 Bateson, Todd Bateson Enterprises, Inc. 102-3 978-475-1474 Breen, Peter Peter Breen Excavating, Inc. 103-3 978-687-7774 Busby, Philip A. Jr. Busby Construction Co., Inc. 105-3 603-362-4650 Carr, John John Carr 119-3 978-633-6791 Chiesa, John Chiesa Construction BHP -2003-0315 978-454-2318 Colosi, Philip A. Colosi Construction LLC 140-3 978-777-5679 Currier, James H. James H. Currier Construction Co, Inc. 101-3 978-774-6685 DeLucia, Rocci Jr. Frank DeLucia & Son, Inc. 149-3 978-686-8200 DiVincenzo, John L. Andover Septic/J&S Dev. Corp. 128-3 978-521-5251 Giard, Daniel Daniel A. Giard Septic Service 129-3 978-686-7653 Hall, Bill, Inc. Bill Hall, Inc. 106-3 978-689-3711 Henderson, George G. Henderson Co., Inc. 108-3 978-686-5845 Hutton, Arthur Hutton's General Construction, Inc. .118-3 978-685-2627 Innis, Robert L. R.L.I. Corp. 120-3 978-663-6006 Linskey, William M. Linskey Construction, Inc. 147-3 978-744-2700 Maker, Ronald T Ford Co., Inc. 133-3 978-352-5606 Marsh, Steve The Westchester Co. BHP -2003-0316 978-742-9778 Maynard, Dave Maynard Construction 125-3 603-228-4436 McKee, Brian D.P. McKee & Son Excavators 109-3 781-942-7608 Osgood, Ben New England Engineering 126-3 978-686-1768 Patenaude, Richard Dracut Sewer Service, Inc. 110-3 978-452-4851 Petrosino, Angelo Angelo Petrosino 111-3 978-664-2030 Quinlan, Timothy Quinlan & Rand Builders 145-3 978-682-1570 Rea, Kenneth Rea Construction 112-3 978-686-7445 Reilly, Michael W. F.P. Reilly & Son's, Inc. 150-3 978-475-1237 Richard, Roger R.J. Richard Corp. 113-3 978-686-7445 Roper, Thomas M. Thomas M. Roper 141-3 978-433-2111 Sawyer, William T. Arco Excavators, Inc. 114-3 978-685-5113 Shaw, John III Wildwood Excavation, Inc. 138-3 978-474-8088 Soucy, John J. Soucy's Sewer Service 122-3 978-470-1400 St. Hillaire, ` Andover Construction & Dev. 145-3 978-749-0073 Sullivan, Jack Jack Sullivan 151-3 978-686-4863 Surianello, Inc. Ralph Surianello, Inc. 144-3 978-458-9117 Todd, Charles R. Charles R. Todd Contractor, Inc. 121-3 978-667-7853 Virnelli, Leo Maynard Construction 148-3 603-228-4436 Zaher, Charles Charles Zaher 127-3 978-441-9429 Page IofI AW DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Thursday, October 16, 2003 1:23 PM To: Heidi Griffin; blagrasse@townofnorthandover.com; pdellechiaie@townofnorthandover.com Subject: 81 Sawmill Road Heidi, Brian and Pam, Attached please find the plan approval letter for 81 Sawmill Road. It was delayed a while as Peter Mirandi and I were unable to reach each other by phone to answer a question we had about the design plan. All set now. M Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 info@miliriverconsuIting.com 10/16/2003 rte- Page 1 of 1 Pamela DelleChiaie From: "Dan Ottenheimer" <info@millriverconsuItng.com> To:<blagrasse@townofnorthandover.com>;<pdellechiaie@townofnorthandover.com> Sent: Tuesday, September 02, 2003 5:52 PM Attach: Sawmill Road #81 Plan Review Letter.doc Subject: 81 Sawmill Plan Review This one appears to have extended beyond the 45 days allotted for review. I have completed it anyhow since it was sent to me. I'd suggest sending it out as written and wait to see if anyone squawks. There are some significant issues here that it is probably worth sticking to requiring the revisions even if they bring up the 45 day issue. >t . Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 info@millriverconsulting.com 9/8/2003 TOWN OF NORTH ANDOVER °��«" :•'"' 3? ot.r ,o Office of the Health Department . Community Development and Services Division HEALTH DEPARTMENT 1ssNCHusE� 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Heidi Griffin 978.688.95=10 —Phone Acting Public Health Director 978.688.9542 — FAX September 2, 2003 Peter Mirandi 30 Washington Street Danvers, MA 01923 Re: 81 Sawmill Road Dear Mr. Mirandi: The proposed septic system design plans for the above site dated June 9 and June 12, 2003 have been reviewed and have been found to have technical deficiencies that must be address prior to the plan approval. They are as follows: 1. The southwest property boundary and the associated abutter are missing. (3 10 CMR 15.220(4)(a) and NA 8.02j) This may be shown on a separate sheet as this information is not integral to the design. 2. Ties to the house and property line from the tank and soil absorption system should be depicted (NA 8.03). 3. Grading appears to be needed around the entire SAS to meet breakout (3 10 CMR 15.220 (4)(g) and 15.255). You may wish to consider use of an impermeable barrier in compliance with the Massachusetts Department of Environmental Protection Policy BRP/DVVM/WPeP/G02-1. 4. Please clarify the location of the percolation test in the plan view (3 10 CMR 15.220 (4)(i)). 5. Please provide the percolation test elevation (NA 8.02n). 6. An application for Local Upgrade Approval must accompany a plan which requests same (3 10 CMR 15.403). 7. Local Upgrade Approval request is for slab foundation setback to the SAS. The standard is 10' for this item. Perhaps the setback request should be from a cellar wall? 8. Please provide a statement regarding the presence or absence of regulatory wetlands (NA 8.02s). 9. A Local Upgrade Approval or variance is necessary for percolation rate > 30 minutes per inch (3 10 CMR 15.405). l w M A ff 1 Il\ 10. Since the original building sewer is proposed to be re -used, please provide a note to indicate the designer and health inspector are to confirm compliance with regulatory standards at the time of construction and that lack of compliance will require a replacement building sewer. Standards to be met include pipe diameter, pipe material, watertight joints, continuous grade, proper base, and proper pitch (3 10 CMR 15.222). 11. A manhole is required over the pump chamber to provide access for maintenance (3 10 CMR 15.228). 12. An inlet tee is required for the distribution box due the pumped dosing (3 10 CMR 15.232). 13. Please clarify soil compaction underneath distribution box (3 10 CMR 15.221). 14. Please clarify pump controls (3 10 CMR 15.220 and NA 12.01), alarms, and alarm electrical circuitry requirements (3 10 CMR 15.231). 15. Trenches shall be used wherever possible, please explain why they are not used in this instance. (3 10 CMR 15.240 (6)). Please explain or remove two items from the site plan: an elliptical shaped object shown on the front yard, and a line with the words "breakout" adjacent. While not a reason for disapproval, you may wish to consider increasing the dosing frequency to at least 4 times daily rather than one time. Please call the office if you have any questions. Sincerely, Brian J. LaGrasse Brian J. LaGrasse Health Inspector cc: Homeowner CD&S Dir. File / �1 �' PETER M. MIRANDI, M.P.H. Registered Sanitarian — Certified Health Officer 30 Washington Street, Danvers, MA 01923 978-774-3001; PMMirandi@aol.com September 14, 2003 Brian J. LaGrasse, Health Inspector Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, MA 01845 RE. 81 Sawmill Road Dear Brian, WN OF NORTqANDOV.--! PO FM OF HES;' TH SEP The purpose of this correspondence is to respond to your review of the septic system repair plan for the above referenced dwelling. An attachment of your letter is attached for your convenient referral. Also attached are three (3) copies of the revised Repair Plan and supporting documents described below. Firstly, let me briefly state that your letter represents a very thorough and fair review of the Plan. Thank you for your courteous remarks. Every point has been carefully addressed, hopefully, to your full satisfaction. Next come the issues at hand: 1. Each point has been identified on the revised Plan by its corresponding number, in superscript (e.g. #3) 2. The last point in your review — #15, requests an explanation for the proposed leaching field in lieu of trenches. Please consider the following discussion: Perhaps while addressing the first paragraph after the itemized list, the answer to this inquiry will be revealed. The referenced paragraph requests an explanation for the "elliptical shaped object shown on the front yard." The elliptical object in question is clearly labeled "trees"; you have been on site and may recall the cluster of stately trees in the front yard. Removal of this healthy vegetation is extremely costly and unnecessary. The cost to property value is undeterminable; the cost of removal would be several thousand dollars. Title 5, section 15.240 (6) requires, "Absorption trenches shall be used whenever possible When trenches cannot be used because of area limitations, other soil absorptions configurations may be proposed for substitution." In order to attain the required 1,760 sqft of SAS, we would require a minimum of 220 linear feet of trenches. To properly space these trenches, the "trees" would need to be clear-cut! In my opinion, this is not a reasonable approach to domestic wastewater treatment for this property. r / Page 2 3. The aforementioned paragraph also requests an explanation for the "line with the words `breakout"'. The line is meant to represent the effluent breakout we observed at the time of field-testing. (Regular pumping by Stewart's Septic Services since spring, 2003 has effectively managed this unsanitary condition.) 4. The next paragraph recommends, "increasing dosing frequency to at least 4 times daily". I am surprised with this comment as it is in direct conflict with Title 5. Further, no data (that I am aware of) supports this design. I would respectfully request that you reconsider this approach. Naturally, I remain open-minded if you wish to discuss this topic further. 5. Enclosed is Form 9 — A, Request for a Local Upgrade Approval. As you know, the two (2) variances being sought require local Board of Health approval. Please accept this request to be placed on the agenda of the next available Board of Health meeting, and notify me of the time, date and location, as I am happy to attend and represent the Plan. (Some communities, such as Andover, manage these issues administratively and do not require the design sanitarian to be present.) On behalf of the owner and residents of this dwelling, your attention in bringing this phase of the project to closure is deeply appreciated. Please contact me immediately if you have any questions or concerns regarding the submission of this revised Plan. Environmentally yours, Peter M. Mirandi, Registered Sanitarian c. Heidi Griffin, Acting Public Health Director L. C- i * � I-- S 1..F.VA-r t 4?NI3. ,_ lmV QL=ti �5I. c` iNY.p19E INTO D-5= t 5f' ► r ;�� u .�... YJ, • l rj O . w . a I ovwv m.,: 'o y, "Dc Q5 QUILT SYST �N1 »A J, c, .. i . SCALE 0- Dom.-, �; ?1-7 �$t FRAhtK GC�ELiNAS ,� ASsvct�TES �t�iG1N�.EtZS+� Al2GHtT�G't-8 Q► �t lS.tl Dc�/>C 12 '3-T' til v. A.N 00�1'�=Q . Town of North Andover, Massachusetts Of MORIA BOARD OF HEALTH o 9 DESIGN APPROVAL FOR �J'SACH �s`SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM 7FormNo. Applicant �✓`✓` /� f� Test No. Site Location Reference Plans and Specs.`'�'�� ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. I CHAIRMAN, BOARD OF HEALTH Fee �a Site System Permit No. �°�� 11 ' 1 Town of North Andover ' 27 Charles Street North Andover, MA 01845 SEPTIC PLAN SUBMITTAL FORM DATE OF SUBMISSION: June 26, 2003 ENGINEER: Peter M. Mirandi, R.S. Telephone #: 978-774-3001 Fax #: NA E-mail: PMMirandiQaol.com HOMEOWNER NAME: Sam Narayanan SITE LOCATION: 81 Sawmill Road NEW PLANS: YES $225.00/Plan X Check #: to be received (Includes I'tand one Re -Review Only) REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: LOCAL UPGRADE FORM INCLUDED: OFFICE USE ONLY DATE TO CONSULTANT: Check #: YES NO NA YES NO NA When the submission is complete (including check): 1. Date stamp plans 2. Complete the DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM form 3. Attach file and route to the Health Director for review Page 1 of 1 Defflethiaie, Pamela From: PMMirandi@aol.com Sent: Wednesday, July 02, 2003 11:42 AM To: pdellechiaie@townofnorthandover.com Subject: Re: Septic Plan Submittal Form for Town of North Andover The septic plan submittal form, plan and all other documentation except my last email refer to the site as 81 Sawmill. It is 81. Sorry. Peter M. In a message dated 7/1/2003 9:02:34 AM Eastern Standard Time, pdellechiaie@townofnorthandover.corn writes: 85, or 81 Sawmill? Please change if incorrect. Thanks. 7/2/2003 I Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key �I J �\ Massachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 5.404(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 15.417. 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 a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information 1. Facility Name and Address Pater Real Estate Name 81 Sawmill Road Street Address North Andover City 2. Owner Name and Address: Sam Narayanan/Pater Real Estate Name Derry city 03038 Zip 3. Type of Facility (check all that apply): ® Residential ❑ Institutional 4. Describe Facility: 4 bedroom dwellii 5. Type of Existing System: MA 01845 State Zip Code P.O. Box 1331 Street Address NH State 603-437-0771 Telephone Number ❑ Commercial ❑ School ❑ Privy ❑ Cesspool(s) ® Conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, [each field, pits, etc): form 9-A - rev. 5/02 Application for Local Upgrade Approval, Page 1 of 1 �� f1 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 440 gpd ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Replace the existing SAS and septic tank with a new 1500/1000 gallon combo septic tank/pump chamber and a leachina field . 3. Local Upgrade Approval is requested for: ❑ Reduction in setback(s) — describe reductions: 9 -foot reduction from the 20 -foot required setback between SAS and foundation wall. ® Percolation rate for 30 to 60 min./inch: 33.3 min./inch ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min.Anch Depth to groundwater ft ❑ Relocation of water supply well (explain): form 9-A • rev. 5/02 Application for Local Upgrade Approval* Page 2 of 2 r 1)6dedhiaie, Pamela From: PMMirandi@aol.com Sent: Tuesday, July 01, 2003 8:35 AM To: pdellechiaie@townofnorthandover.com Subject: Re: Septic Plan Submittal Form for Town of North Andover Page 1 of 1 Dear Pamela, , Attached is the Septic Plan Submittal Farm for 85 Sawmill Road. A check has already been forwarded to you from Pater Real Estate Management. Please notify me immediately if this process is out of order in any way. Thank you for your assistance in this matter, Peter Mirandi 7/1/2003 A � � LlMassachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key- VQ eyVUSI 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 5.404(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 15.417. 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 a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. A. Facility Information 1. Facility Name and Address Pater Real Estate Name 81 Sawmill Road Street Address North Andover city 2. Owner Name and Address: Sam Narayanan/Pater Real Estate Name city 03038 Zip 3. Type of Facility (check all that apply): ® Residential ❑ Institutional 4. Describe Facility: 4 bedroom 5. Type of Existing System: ❑ Privy ❑ Cesspool(s) MA 01845 State Zip Code P.O. Box 1331 Street Address NH State 603-437-0771 Telephone Number ❑ Commercial ❑ School ® Conventional ❑ Other (describe below): 6. Type of soil absorption system (trenches, chambers, leach field, pits, etc): form 9-A - rev. 5/02 Application for Local Upgrade Approval* Page 1 of 1 CJ �� Massachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) 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 440 gpd ® Voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Replace the existing SAS and septic tank with a new 1500/1000 gallon combo septic tank/pump chamber and a leaching field . 3. Local Upgrade Approval is requested for: ❑ Reduction in setback(s) — describe reductions: 9 -foot reduction from the 20 -foot required setback between SAS and foundation wall. ® Percolation rate for 30 to 60 min./inch: 33.3 min./inch ❑ Reduction in SAS area of up to 25%: SAS size, sq. ft. % reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction ft Percolation rate min.finch Depth to groundwater ft ❑ Relocation of water supply well (explain): form 9-A • rev. 5/02 Application for Local Upgrade Approval, Page 2 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater Management Program Form 9A - Application for Local Upgrade Approval Required by 310 CMR 15.403(1) ❑ 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)(i)(1). The soil evaluator must be a member or agent of the local approving authority. High groundwater evaluation determined by: Peter M. Mirandi, R.S. Evaluator's Name (type or print) C. Explanation 05-22-03 Signature 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: insufficient area 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: expense 3. A shared system is not feasible: no neiqhbors to collaborate at this time 4. Connection to a public sewer is not feasible: Not available form 9-A • rev. 5/02 Application for Local Upgrade Approval* Page 3 of 3 �� r1 FLIMassachusetts Department of Environmental Protection Bureau of Resource Protection — Wastewater Management Program orm 9A - Application for Local UpgradeTApproval Required by 310 CMR 15.403(1) 7G ,^toy` 2 5 2003 ' 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): - - — ---�. _ _ _ j ® 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." September 14, 2003 Facility Owner's Signature S A'—Date Sam Narayanan Print Name Peter M. Mirandi, R.S. Name of Preparer 30 Washington Street Preparer's address 01923 State/ZIP April 28, 2003 Date Danvers City/Town 978-774-3001 Telephone NOTE: 310 CMR 15.403(4) requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection, Bureau of Resource Protection, Division of Watershed Management, upon issuance by the local approving authority and before commencement of construction. form 9-A • rev. 5/02 Application for Local Upgrade Approval* Page 4 of 4 CHECKLIST FOR NORTH ANDOVER SEPTIC SYSTEM PLANS Job The following is a checklist that incorporates all Title 5 and local regulations for septic plans. Name of Applicant: Plan Date: LIQ Revision Date: Name of Designer: I1441VO Date of Review: 6 3 Property Address: ) / � 5jq 14),M ZL,L� Map: /® B Lot: /49 BOH Reviewer:% �%�� Type of Plan (new or upgrade): Number of Bedrooms in Assessor's Records: gpd) Garbage Disposal Allowed: General Information: N.A. = North Andover Septic Regulations Other numbers refer to Title 5 OK/ Problem N/A Street number and map/lot - 220(4)(u) Maximum scale of 1 "=40' for plot plan - 220 4 ✓ Z Maximum scale of 1 "=20' for profile and copiponent details - 220(4) Legal boundaries of the facility being served - 220(4)(a) Names of abutters from recent tax map - NA 8.02j Number of bedrooms, design calcs., - NA 8.02i Name & address of record owner & applicant - NA 8.02k Name & address of designer - NA 8.021 Holder and location of all easements - 220(4)(b) Date plan drawn & any revision date - NA 8.02m All dwellings and buildings, existing and proposed - 220(4)(c) Location of all existing or proposed impervious areas - 220(4)(d) -� All distances on site plan — NA 8.03a -c Elevation of proposed driveway - NA 8.02t Location and elevation of foundation drain - NA 8.02y Location and dimensions of the system incl. reserve (new const.) - 220(4)(e) Limits of excavation of leach area on site plan - NA 8.02z _ Locus plan - 220(4)(t) (Not to scale) North arrow - 220(4)(g) Existing and proposed contours - 220(4)(g) Locations and logs of deep holes - 220(4)(h) Locations and logs of percolation tests - 220(4)(i) Date(s) of soil testing - 220(4)(h) & (i) Existing grade elevation of each deep hole - 220(4)(h) _ Elevation of percolation tests — N.A. 8.02n -V Name of approving authority representative - 220(4)(h) & (i) Name of soil evaluator - 220(4)0) Soil logs and perc test logs match BOH records Locations of waterlines, drains, and subsurface utilities - 220(4)(m) Observed and adjusted g.w. elevation in the vicinity of the system - 220(4)(n) Complete profile of the system to scale - 220(4)(o), NA 8.02c Cross section of leaching facility - NA 8.02w (Not to scale) _ Location of benchmark(s) within 50-75 feet of facility - 220(4)(q) Note listing all variance requests with proper citations - 220(4)(p) Local upgrade approval request form submitted - 403(1) 1 U 2 VOriginal R.S./P.E. stamp, signature & date - 220(1) & (2) P.E., discipline specified within stamp. MGL C. 112 s. 81M sfc. supplies (w/in 400'), pub. wells (w/in 250'), pvt. wells (w/in 150') - 220(4)( Location of watercourses, wetlands, wells, etc. Win 150' of system — NA 8.02r _ Wetland disclaimer — NA 8.02s RLS plan reference & certification required (prop line setbacks) - 220(3) Plan contains designer's certification statement Use approvals / standards checked for I/A system - DEP docs., -YD MPI t/ Perc rate >30 MPI - not allowed for new, LUA for upgrade - 245(1)&('3) Perc rate > 60 MPI - must use modified tight tank or UA technology - 245(4) i/ Proposed system qualifies as "shared" system - 002 (definitions) Flow is over 2,000 gpd - No RS. allowed - 220(1) Design flow was set in accordance with code - 203 X Existing system location and note on proper abandonment - 354 Leaching facility at least 1' above Base Flood elevation — NA 9.05 All piping Sch 40 minimum — NA 10.01 Basement floor minimum 1' above groundwater elevation — NA 5.04 _ Foundation drain present with elevation — NA 8.02y On-site Soil and Groundwater Review OK Problem N/A 74-- Proper deep observation hole logs on plan - 220(4)(h) All deep holes and peres shown, including aborted tests — NA 8.02n Soil evaluation forms submitted within 60 days of field work - 018(2) Proper percolation test log - 220(4)(i) Ample deep observation holes in primary disposal area (minimum 2) - 102(2) Ample deep observation holes in secondary disposal area (minimum 2) - 102(2) Ample perc testing (one in each disposal area, 3 in prim. > 2,000 gpd) 104(4) Deep hole testing conducted within two years — NA 7.05 Hole Identification Numbers: ground elevation el. acceptable soil el. lam• 11 D3 Leach facilitv invert el. ground water el. 7G� refusal el. bottom of leach facility el. r xv, thickness of acceptable soil before & after soil R&R separation to groundwater separation to refusal soil class t perc rate loading rate septic tank below g.w. table pump tank below g.w. table l.f in fill (yes or no) (yes no) -255(l) Setback Distances (Given in feet)15.21 1 YES dNO Is the lot in the Lake Cochiewick Watershed? NA 6.00 & 5.02 OK Problem N/A Septic Tank Leach Facility 3 3 Property line 10 10 Cellar wall 10 20 / ✓ Inground 10 20 pool Slab foundation 10 10 Deck, on footings, etc. 5 10 Waterline 10 10 Private drinking well 75 100 Irrigation well 75 100 Wetlands 75 100 Public well 400 400 V Wetlands bordering surface 150 150 water Supply or trib. (in Watershed) Trib. To Surface Water supply 325 325 Reservoirs 400 400 y LZDrains Tributaries to reservoirs 200 200 (wat. supply/trib.) 50 100 Drains (intercept g.w.) 25 50 Foundation drains 10 20 Drains (Other) 5 10 Drywells 20 25 Downhill slope 15' to 3:1 slope 3 3 w/o barrier Building Sewer OK Problem N/ Grease trap required for certain uses (check 230 for details) Pipe diameter listed (4" minimum) - 222(1) Pipe schedule listed - 222(3) Pipe cast iron or Sch 40 PVC — NA 11.02 Watertight joints specified - 222(3) & (4) Pipe laid on compact, fin base - 222(5) Pipe laid on continuous grade in straight line - 222(7)@ Cleanouts precede all changes in alignment and grade - 222(8) Cleanout provided every 100 feet - 222(8) Manhole at any 90 degree alignment change - 222(8) Invert elevation at building: Invert elevation at septic tank: Length of run: Slope: (minimum of 0.01 - 0.02 desired) - 222(6) 10' offset to private well or suction line - 222(2) Septic Tank OK Problem N/A 4 4 Tank is accessible - 228(3) No structures above tank — (228(3) Tank can accommodate both primary & reserve — NA 9.04 L 200% of flow (required & provided given. 1500 min.) - 220(4)(f) & 223)(1)(a) 2-3" drop from inlet to outlet - 227(5) Minimum of 4' liquid depth - 223(2) 3" air space above tees/baffles (minimum) - 227(4) 9"air space above flow line (minimum) - 227(4) Tees are not to be replaced by baffles - 227(1) Tees extend 6" above flow line - 227(1) Inlet tee extends 10" below flow line (minimum) - 227(6) Outlet tee extends 14" below flow line (more for deeper tanks) - 227(6) Gas baffle installed on outlet - 227(4) Access manhole cover above center of tank & each tee (except 2 compart) / 228(2) t/ 3-20" manholes - 228(2) 1 childproof, 24" riser/manhole w/in 6" of final grade if <1000gpd- 228(2) Inlet and outlet tees on center line - 227(1) Soil compaction below tank specified (if soil is non-native) - 221(2) 6" of <=3/4"stone beneath tank specified - 221(2) & 22 8(1) If > 1,000 gpd AND not a single fain. dwell. must be 2 tks or 2 comp. - 223(1)(b) _ If plan specifies disposal must be 2 tanks in series or 2 compart. tank - 223(1)(c) Buoyancy calcs. required if tank at or below water table - 221(8) Tank is watertight - 221 (1) 9" of cover over tank (minimum) - 228(1) H- 10 loading (min.) - H-20 if traffic - 226(3) _ Top of tank <=36" below grade - 221(7) All pumping to tank (if applies) in accordance with - 229 Tank is set to keep old system in service during install if possible 4 rJ ! Tight Tank (Check here if not present: ) OK Problem N/A 500% of design flow or 2000 gallons provided – 260(2)(a) 3- 20" manholes – 228(2) Soil compaction below tank specified (if soil non-native) – 221(2) 6" of <=3/4" stone beneath tank specified – 221(2) & 228(1) Buoyancy talcs. Required if tank at or below water table – 221(8) Tank is watertight – 221(1) 9" of cover over tank specified (minimum) – 228(1) H-10 loading (min.) – H-20 if traffic – 226(3) Top of tank <= 36" below grade – 221(7) All pumping to tank (if applies) in accordance with – 229 AN alarm set at 3/5 tank capacity – 260(2)(c) Min. 1-24" frame w/cover at finished grade – 228(2)(0 Year round access for pumping – 228(2)(g) Distribution Bog (Check here if not present: ) OK Problem N/A Inlet elevation: X00? • J Outlet elevation. j} 0.17' drop from inlet to outlet (minimum) - 232(3)(b) 6" sump (minimum) - 232(3)(e) All outlets at same elevation - 232(3)(b) Outlet pipes laid level for first 2 ft. - 232(3)(c) Pipe Sch 40 - NA 10.01 Number of outlets: Z— Number of laterals: Size of outlets: Inlet bafflettee min. 1" over outlet invert for all d -boxes - 232(3)(a), Soil compaction below distribution box specified (if soil is non-native) - 221(2) 6" of stone beneath distribution box specified - 221(2) Box is watertight - 221 (1) Top of box <=36" below grade - 221(7) Buoyancy calculations required if box is at or below water table - 221(8) Pump Chamber (Check here if not present: __94EE�4i__ OK Problem N/A Volume specified: 220(4)(r) Pump on elevation- 220(4)(r) Pump off elevation: 220(4)(r) Alarm on elevation: 220(4)(r) Number of cycles per day - 220(4)(r) (also 254(1)(d) if gravity from d -box) Minimum 2" delivery line to d -box if gravity - 254(1)( c) Pressure dosed l.f if flow >= 2,000 gpd - 254(1)(a) & 254(2)(a) Cycles per day is consistent with chamber volume - 23 1 Volume calculations include flowback volume - 2') 1(2) c 6 24 hour storage capacity above pump on elevation - 231(2) Number of pumps: 2 if system serves >2 dwelling units - 231(6) Capacity of pump(s) - gpm @ ' TDH - 220(4)(r) Pump can pass 1 1/4 "solids (minimum) - 231(7) Pump controls specified - 220(4)(r) Alarm equipment specified - 231(2) Alarm is in building and powered on separate circuit from pump - 2') 1(9) Pump sequence correct (off -lead on -lag on-alan-n on) - 231(8) Pump performance curves included - 220(4)(r) Manual operating switch - NA 12.01 Check valve, bleeder hole - NA 12.01 1 childproof, 24" riser/manhole to final grade - 2'31(5), Soil compaction beneath pump chamber specified (if soil is non-native) - 221(2) 6"of <=3/4"stone beneath chmbr. specified - 221(2) & 228(1), Buoyancy calculations if chamber is at or below water table - 221(8)@ 9" of cover over chamber (minimum) - 228(1) H- 10 loading (min.) - H-20 if traffic - 226(')), Chamber is watertight - 221 (1) Top of chamber <=36" below grade - 221(7) Leaching Facility (general - complete for all designs) OK j?roblem N/A i/ 50% larger if garbage disposal - 240(4) l� Trenches to be used whenever possible - 240(6) No vehicle or imperv. area above l.f. unless unavoidable - 240(7); NA 13.02 Vented if under impervious cover - 241 (1) Vented through same pipes as distribution system - 241 (1)(a) j/ Vent protected from precipitation/animal entry - 241 (1)(b) Vent is placed beyond traffic or impervious area - 24 1 (1)(c) All lines connected to vent if bed or trenches - 241(1)(d) 9" cover over peastone - 240(9) Reserve area provided (new construction) - 248(1) Reserve 4' from primary leach area — NA 9.04 4' (5' if Perc rate <=2 MPI) separation to g.w. - 212(a) & (b) 4' (down to 2' with variance or I/A - upgrades only) of natural soil under l.f. GW separation is adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005 - 251(9) Require 5' removal and replacement if in fill - 255(5) Top of leach facility <= 36" below grade - 221(7) Final grade over 11 minimum 0.02 ft/ft -240(10) Surface & subsurface drainage away from l.f. - 240(1 1) & 245(5) Minimum design flow 440 gpd without deed restriction — NA 13.01 3:1 slope where grading required - 255(2) Toe of fill slope stops 5' from property line or swale installed - 255(2) Impermeable barrier if < 3:1 slope or < 15 feet to —3:1 slope - 25 5(2) Impermeable barrier/retaining wall poured concrete — NA 9.02 Retaining wall stamped by P.E. - 255(2)(b) Top of retaining wall >= top of peastone elevation - 255(2)(0 10' offset from edge of leach facility to edge of ret. wall - 255(2)(g) Perc test(s) done in most restrictive layer - 104(2) Perc test 4' below leaching elevation — NA 7.06 Design flow listed and required/provided leach area given - 220(4)(0 Leach pipes SCH40 PVC — NA 10.01 Leach pipes minimum 4" diameter except for dosed system — NA 14.04 ._i 7 Leach lines capped, vented, or connected together - 251(9) Pressure dosing guidance followed if pressure distribution - 254(2)(c ), Pressure dosing required over 2,000 gpd or with I/A remedial use - 231(1) Leaching Trenches (Check here if not present: ) OK Problem. N/A Number of trenches: Minimum of 2 trenches - NA 9.01(2) Depth of trenches (max eff. 2'): -247(l) Width of trenches (2' min., 4' max.): - 251 (1)(b) Length of trenches (100' max.): - 25 1 (1)(a) Trenches are vented (when > 50') - 251 (11) Trenches follow contour lines - 251(2) Trench spacing 3 times effective width or depth minimum- 251 (1)(d) In fill or reserve between trenches, 10' min. - NA 14.01& 14.03 Available leach area given (Min. 500 s.f.) - NA'9.01(2) Bottom = L x W x # = s. f. Sidewall=L x x# x2= s. f. Effective leach area given Loading factor: Effective area = total area s.f. x LTAR = g/day Effective area is >= design flow of facility being served 2"of 1/8"- 1/2" 2x washed peastone.- 247(2) Trench depth of 3/4" to 1 1/2" double washed stone - 247(1) Leaching Pits (Check here if not present: ) OK Problem N/A # of pits/pit systems: (dosing chamber if > 1, 231 (1)) Dimensions of each pit or system: L W D Depth of pits (max eff. 2'): -25 Available leach area given Bottom = L x W x # of systems = s. f. Sidewall = L+ W x D x 2 x# of systems = s.f. Total area = bottom + sidewall = s.f. Effective leach area given Loading factor: Effective area = total area s.f. x LTAR = ____,g/day Effective area is >= design flow of facility being served Minimum of pits at least 13'X16' —NA 9.01(3) Distribution for galleries/chmbrs. in trench config. - pipe every 20' - 253(6) Distribution for galleries/chmbrs. in bed config.-ea.pipe serves <= 40 s.f.-253(6) Spacing - 2 times the effective width or depth (the greater) - 253(1)(c) 2"of 1/8"- 1 /2" 2x washed peastone.- 247(2) 3/4" to 1 1/2" double washed stone - 247(1) Each pit has at least one 20" access cover. 24" Cl to grade over 2,000 gpd -253(3) Surrounding aggregate thickness between 1' (min.) and 4' (max.) - 253(1)(b) Vents, if necessary, extend under covers of pit(s) - 241 (e) Leach Fields (Check here if not present: ) OK Problem N/A Number of fields: (need dosing chamber if> 1, 231 (1)) Length (100' max.): - 252 (2)(b) Width: . Total area: L x W = s. f. Minimum 900 square feet - NA 9.01(1) Distribution lines connected with solid pipe — NA 15.01 Effective leach area given Loading factor: Effective area = total area s.f x LTAR = g/dav Effective area is >= design flow of facility being served Minimum of two distribution lines - 252(2)(a) 6' line separation (max.) - 252(2)(d) 4' maximum separation from edge of field to line - 252(2)(e) 10' minimum separation between adjacent leach fields - 252(2)(0 Between 6" and 12" of 3/4 - 1 1/2" stone beneath field - 252(2)(g) & 247(2) 2"of 1/8"-1/2" 2x washed peastone.- 247(2) Final Grading OK Problem N/A Slope over leach area minimum of 0.02 feet/foot — 240(10) Grading shall divert drainage away from leach area — 240(l 1) Grading slopes away from dwelling 5/24/01 I Town of', jrth Andover, Massachusetts Form No.1 NORTH BOARD OF HEALTH 0 0 APPLICATION FOR SITE TESTING/INSPECTION S CHUS J �/ t,:: Applicant NAME _ADDRESS TELEPHONE Site Location Engineer /r'//9 NAME ADDRESS TELEPHONE Test/inspection Date and Time, C, CHAIRMAN, BOARD OF HEALTH Fee Test No...Oe-�--V457 S.S. Permit No. No. Date-Plbg. Permit No. PiFr lu U U5: 1G(� s1 PC r h rtllLUdCR ,u.,.,..., BOARD OF HEALTH NORTH ANDOVER, MASS. 01845 APR 2003 47'5.688-954(1 APPLICATION FOR SOIL TESTS !� 0 MAP & PARCEL;°L�y�� DATE; LOCATION OP SOIL TESTS: � 4 � �� a N oK Q!J TEL. NO-' ��,o _ �jlp rr• OWNED: ADDRESS- r y �---��7� �rTEL, N ENGINEER: CEWf¢IED SOIL EVALUATOR_ Sir lt. Family Home Commt:rcial � ; , lnrended use of land= Residential Subdivision ff ' IS itis: vadeveloped tot trioti$ APR 2 9 2003 Repair testing No to the Lake Cochichcwick W atcrst"7 Yes — Y THE BOI-LOWING MUST BE INCLl1DED VPITfi TfiiS FORM= 1. Proof of land uwnCr5Wvv (Ta)L bill. decd, or letter from owner.perroit6ng rests) 2. Plot plan ction- 'This covers, rhe Minimum two deep holes and two percolarion tests 3. Fee of V425--04 per for for new c° ' r lot fat rega sur of o�3e& required for each dispo'at am. Fee of S2� ve G. NE IN% 11AAT10N 1, Only Certified Soil Evaluators may Perform deep bole Inspections. [ic Plans' 2, 001Y Mass. Registered Sanitarians and Professional Er.graCe(s can dosign scp es sod two percolation tests are required for each septic. system dispmal arca. 3- At least two deep Holholes and at least one percolation test, at the discMrion of the ROH fepresentaiive. 4. Repairs require at least two deep 5- Full payment will bo fequircd for all additional tests within neo weeks of testing, 43 daysof testing, a scaled plan Ino smaller than 1.,,_100') shall be submitted to the Board of Health 3AoWins the �, Within location of act tests (including aborted u-sts). 7, Within 60 days of testing soil evaluation forms shall be submitted. Not wri c ow is Re 1 / I J ��1% 1�5t`.� Q� 01 �j p rovat: of ' Pon" vee- 01, N.A. ConservadOn Comrnission A p Check Date: deck Amrn�nt: ___ ____--^--� pate Recoived: _— 0 E P ET [': R. NA. 10 T R A, Ian,:,. N). P. I Rc�jistcrcd Sanitarian Ccrtificd Health Officer '0 VVas -hLnvor, StrFell, Dam A4A 0r2" PUMP SPECIFICATIONS Buoyancy Calculations 81 Sawmill Road North Andover June 9, 2003 Revised September 14, 2003 Also contains: ➢ Soil Suitability Forms ➢ Impervious Barrier Specifications Prepared by: Peter M. Mirandi, R. S. Vernon LeBlanc, P.E. TOW14 OF NORTH ANDOVER Approved Date Siguiture C COMPUTATION SHEET 81 Sawmill Road North Andover Page 1 of 3 Designed by: Peter Mirandi, RS. Vernon LeBlanc A. Pump Chamber: 1,500/1,000 gal combo septic tank/pump chamber 1. Elevations: Inlet Invert Elevation = 101.38 Inside Bottom = (4.83') 96.55 i Outlet Invert Elevation = 101.13 2. Interior 1,000 gallon Pump Chamber Dimensions: 4.73' Long X 4.67 Deep X 6.1T Wide = 136.3 cubic feet 136.3 cuft X 7.5 gal/cuft = 1,022 gal 3. Each inch of effluent in pump chamber: 4.73' L X 6.1T W X 0.083' D= 2.42 cuft 2.42 cuft X 7.5 gal/cuft = 18.17 gal per inch `u B. Daily Estimated Flow: 440 gal/day Ff C. Dose Based on 1 dose per day + Volume in the Empty 2" Pipe (nr2 X Length) L' 1. Daily flow = 440 gal; Dose = 440 gal 2. Pipe Volume = 3.14 X 0.0069 sgft X 55 ft = 1.19 tuft X 7.5 gal/cuft = L, 8.9 gal 3. TOTAL Dose + Pipe Volume = 440 gal + 8.9 gal = 448.9 gal. D. Liquid Level in Pump Chamber when: 1. Pump is off based on 3" to maintain a submerged bottom of pump: Inside Bottom of Tank Elevation = 96.55 + 0.25'= Pump off elevation 96.80 2. Pump is on based on Dose + pipe volume (448.9 gal _ 18.17 gal/in = 24.7" 2.06'): Pump off elevation = 96.80 + 2.06'= Pump on elevation 98.86 F1 L, ry u COMPUTATION SHEET 81 Sawmill Road North Andover Page 2 of 3 Designed by: Peter Mirandi R.S. Vernon LeBlanc 3. Alarm on based on 1 day reserve: (440 gal/day =18.17 gal/in = 24.23" =* 2.02'): Alarm On Elevation = outlet invert = 101.13 - 2.02 = set alarm below 99.11 E. Static Head: • Pump ON elevation=' 98.86; Pump OFF elevation = 96.80 • Distribution Box inlet elevation = 102.58 • Max Static Head = 102.58 - 96.80 = 5.78 • Min Static Head = 102.58 - 98.86 = 3.72 F. Friction Head: 55' of 2" pipe + 50' equivalent lengths from fittings (assume 1 check valve & 2 bends) =:� 55 + 50 = 110' or 1.10/100' lengths. G. System Curves - Based on Static & Friction Heads @ Pump On (min) and Pump Off (max) elevation. GPM Friction Head* 0 0 20 GPM 0.80 40 GPM 2.90 60 GPM 6.15 80 GPM 10.47 100 GPM 15.84 TDH @ Min Static Head 3.72 4.52 6.62 9.87 14.19 19.56 TDH @ Max Static Head 5.78 6.58 8.68 11.93 16.25 21.62 * From Hazen -Williams Formula where friction head loss in feet of water per 100' of pipe = 0.73 @ 20 gpm; 2.64 @ 40 gpm; 5.59 @ 60 gpm; 9.52 @ 80 gpm; and 14.40 @ 100 gpm. RECOMENDATION: Zoeler Pump; Model Waste -Mate N264; See Attached Manufacturer's Specifications C COMPUTATION SHEET 81 Sawmill Road North Andover Page 3 of 3 Designed by: Peter Mirandi, R.S. Vernon LeBlanc BUOYANCY CALCULATIONS 1,500/1,000 -gallon Combo Septic Tank/Pump Chamber Heayy Duty - Shea item number TK25002CH - H2O 1. ESHGW = 42" =* 97.68 2. Bottom of Tank = 96.22 3. Tank Dimensions = 12.83'L x 6.83'W x 6.42 D 4. Tank dimensions beneath groundwater: 12.83L L x 6.83' W x 1.46 D = 127.94 cu.ft 5. Weight of Water = 62.4 lbs./cu.ft. 6. Water Displacement = 62.4 lbs./cu.ft. x 127.94 cu.ft. = 7,983 lbs. 7. Safety Factor = 125%; 7,983 lbs. x 1.25 = 9,979 lbs 8. Wt of tank = 22,650 lbs. 9. Wt of soil = 100 lbs/cuft 10. Soil required = 12.83 L x 6.83 W x 1' D = 87.63 cuft =:> 8,763 lbs 11. Total wt of tank + soil = 22,650 + 8,763 = 31,413 lbs THIS TANK IS NOT BUOYANT UNDER THESE CONDITIONS - NO BALLAST REQUIRED Mo - /7 tialev6r - 8I S40J m ! l I ". L"I I HEAD CAPACITY CURVE 264 -MODS S 1 G�LLU�15 702 AO - BU I IOU ns fl 1, BO 160 240 370 El fLow PER MiuulE 000931 101AL DYNAMIC HEADICAPACIIY PER MINUTE SEWAGE ANO DEWATERHIG 264 MODELS Fr. Meters Gal. Lim .F 1.52 90 341 I 3.05 60 227 15 4.57 22.5 85 Lodi Valve: le A. 2 or 2& 6 3 or 4& 5 D264 230 1 Auto 4.7 1 or 1 & 7 E264 230 1 Non 4.7 2 or 2 8i G 3 or 4 6 5 1 G�LLU�15 702 AO - BU I IOU ns fl 1, BO 160 240 370 El fLow PER MiuulE 000931 101AL DYNAMIC HEADICAPACIIY PER MINUTE SEWAGE ANO DEWATERHIG 264 MODELS Fr. Meters Gal. Lim 5 1.52 90 341 10 3.05 60 227 15 4.57 22.5 85 Lodi Valve: le A. LGI S7 G PrI 1 --- a 71/d' A 1311, - / 13/37 _4 anv"3 I CONSULT FACTORY FOR SPECIAL APPLICATIONS I I-1cal alternators for duplex systems available Willi Lyle level float switches. nnrnum recommended basin size mrlex-113'x30' x -30"x30" `.award Automatic - Weight 39 lbs. .4 H.P. M n • High water alarms available. • Mechanical alternators available for duplex systems. Caution: Maximum temperature of sewage or dewatering must be limited to 130' F. (54' C.) For over 130' F. (54' C.) special quotation required. 264 MODELS CONTROL SELECTION Model Volts ph Mode Ams Simplex Duplex M264 115 1 Auto 9.4 1 or 1 & 7 N264 -115 1 Non 9.4 2 or 2& 6 3 or 4& 5 D264 230 1 Auto 4.7 1 or 1 & 7 E264 230 1 Non 4.7 2 or 2 8i G 3 or 4 6 5 SELECTION GUIDE I �aT al float operated 2 pole mechanical switch, no external control required. e piggyback variable level float switcli, or double piggyback variable level float swi(ch. Refer to FM0477. 14anical alternator M -Pak 10-0072 01'10-0075. 3e FM0712 for correct model of electrical alternator E -Pak. switch 10-0225used as a control activator specify duplex (3)or (4) Ooat system. 1'01 rhole J -Pak unction boz �) , for watertight connection or wired In simplex or, 2 pump operation, 10-0002. vo 11016J -Pak, for watertight connection or splice, 10-0003. ' ..141. r Eli 1 µ"^�I On MINowMLPM podlcb rob# b ev" on Pipplbdl v0idfb t*W Fbd Bwildwr, FM0111; ' Al i1fL141a11deentrol�, CAU11011 M9dlwnilal A11wr9b . FMMS: AWm Ped V. FMD313: wd &nplSews" Bnhn. P1e1Men do V 9 b1d W*V "M M dom 6r t Mo�nNd "M" 860*W&t 'ne Sitp4X Cer" Bot FM0132 Alel cl , rnd phfr eedN d1pAd M bBowId I KIVAn/ MMM newts NMMaI EMef1e CeM p1ECr j and !r Oew,rd rW 34fHF "d Huld1 Ad t"IA1. RESERVE POWERED DESIGN f-, For unusual conditions a reserve safety tactor is engineered Into the design of every Zoeller pump. I MAft To.- P.O. Box 16317 LWOW&. KY 40256-0347 A1uNib0+wtd.. * � BMP 1D: 3649 COM At" Road LouifvYis, KY 40211- 1961 P&MA7 !U, r502LDL*V , • f 40211.1961 l�u�rRte► =r amw - FAX(5V)774,W4 PETER M. MIRANDI, M.P.H. Registered Sanitarian -- Certified Health Officer 30 Washington Street, Danvers, NIA 01973 ')_',S-7_/4-')00 1 ; PM.Mirandi(c-1 aol.com Commonwealth of Massachusetts North Andover, Massachusetts SOIL SUITABILITY ASSESSMENT FOR ON-SITE SEWAGE DISPOSAL Date: May 7. 2003 Performed by: Peter Mirandi. R.S.. Certified Soil Evaluator (1995) Witnessed by: Sandy Starr, North Andover BOH _ Location Address or Lot #: 81 Sawmill Road,• Map 104B Lot 108 Owner's Address & Telephone Number: Deb Kelso. Agent for the Owner. 978475-2201 New Construction Repair X Notes from Office Review: na Determination of Estimated Seasonal High Ground Water (ESHGW) • Depth of Standing water in observation hole 97" inches • Depth of weeping from sides of observation 86" inches • Depth to soil mottles 65 inches DEPTH OF NATURALLY OCCURRING PERVIOUS MATERIAL • Depth of Naturally Occurring Pervious Material >120 inches Certification �-1 I certify that on July, 1995, Ihave passed the examinationroved b the apP Y Department of Environmental Protection and that the above analyses was performed by me consistent with the required training, Eexpertise and experience described in 310 CMR 15.017. "M6,-ilegistfered Sanitarian n F1 L, Date ON -STYE REVIEW Deep Hole Number: 1 Date: May 22, 2003 Time: 10:30 AM Weather: overcast Location (identify on site plan) Land Use: side yard Slope: 0% Surface Stone: none Vegetation: indigenous ground cover Landform: Till Ridge, (?) Distances from: Open Body of Water: >50 feet Drainage way: >I 0 feet Possible Wet Area: >50 feet PropertyLine: >10 feet Drinking Water Well: >100 feet Other: na feet DEEP OBSERVATION HOLE LOG Depth from Soil Structures, Stones, Boulders Surface (inches) Soil Horizon Soil Texture Soil Color Mottling Consistency % omvA 0-9 Ap fsl 10yr 3/2 mfri 9-28 Bw fsl l0yr 4/6 mfri 28-104 C fsl 2.5y 5/6 7.5yr 5/8 5y 5/3 med, many distinct 66" firm -in-place to friable 20% gravel, few boulders, pockets of very fine sandy loam to silt loam Estimated Seasonal High Groundwater: 66 inches Standing Water in Hole: 97" Weeping from Pit Face: 86" Parent Material (geologic): Glacial Till (compact till) Depth to Bedrock: >104 inches ON -sin REVIEW Deep Hole Number: 2 Date: May 22, 2003 Time: 12:45 PM Weather: overcast Location (identify on site plan) Land Use: side yard Slope: 0% Surface Stone: none Vegetation: indigenous ground cover Landform: Till Ridge (?) Distances from: Open Body of Water: >50 feet Drainage way: >10 feet Possible Wet Area: >50 feet PropertyLine: >10 feet Drinking Water Well: >100 feet Other: na feet 32- 101 DEEP OBSERVATION HOLE LOG fsl Depth from 7.5yr 5/8 5y 5/3 med, many distinct 65" Soil Structures, Stones, Boulders Surface (inches) Soil Horizon Soil Texture Soil Color Mottline Consistency % ¢ravel 0-15 fill & Ap fsl 10yr 3/2 mfri 15-32 Bw fsl l0yr 4/6 mfri 32- 101 C fsl 2.5y 5/6 7.5yr 5/8 5y 5/3 med, many distinct 65" firm -in-place to friable 20% gravel, few boulders, pockets of very fine sandy loam to silt loam Estimated Seasonal High Groundwater: 65 inches Standing Water in Hole: na Weeping from Pit Face: na Parent Material (geologic): Glacial Till (corn acct tills Depth to Bedrock: >101 inches In ON-siTE RmEw Deep Hole Number: 3 Date: May 22, 2003 Time: 1:00 PM Weather: overcast Location (identify on site plan) Land Use: front yard Slope: 30% Surface Stone: none Vegetation: indigenous ground cover Landform: Till Ridge (?) Distances from: Open Body of Water: >50 feet Drainage way: > 10 feet Possible Wet Area: >50 feet Property Line: >I 0 feet Drinking Water Well: >100 feet Other: na feet Depth from Surface (inches) Soil Horizon This test pit w s attempted, w consistent thri ughout the site. located on the BUILT PL) from the surf e) was struck r abandoned. However, a consei previous two () test pits. DEEP OBSERVATION HOLE LOG Soil Soil Texture Soil Color Mottling h permission c f the BOH A gent, to verify tha 01 reasonable attempts wei a made to locate tl v on record. At approxima ely 6', a PVC line leasing eHlue carryings lids into the test p ;us was reache in the field that parent mater Structures, Stones, Boulders Consistency, % gravel the parent material was e existing Reserve Area as located approximately 3 feet . Obviously, the testing was al was consistent with the Estimated Seasonal High Groundwater: not determined inches Standing Water in Hole: not determined Weeping from Pit Face: not determined Parent Material (geologic): Glacial Till (compact till)_ Depth to Bedrock: not determined Date: 05/22/03 Observation Hole # Percolation Test Time: 11:27 AM adjacent to TP#' 1 Depth of Perc 38" + 22" = 47" Start Pre-soak 11:27 End Pre-soak 11:45 Time at 12" 11:45 At 12:36 (30 minutes) , only 2" had dropped, and an overnight soak began Date: Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Rate Min/Inch 5/23/03 Site Passed X Time: 9:10 AM (steady, light drizzle) we 9:25 9:25 10:30 12:10 (100 min) >33 minutes Site Failed Performed by: Peter M. Mirandi, RS Witnessed by: Sandy Starr RS and Brian Lamwse BOH Inspector ...• `. —"•• v•••'•�.. �.+. i � VL+�.. \.LJ-✓� e.ui�V u. s..i LLi ti �..J �r..u.�.iui ti9tt.t�R E'+�'wtio:�-��vrAt. i;i6-�L TS, LNC. 1 Li`, I V. .. 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As well as being chemical resistant, our • Breakout material is ridged and stands up easily for back filling which mak( Barriers installation a snap in any application. Visit OFOur 40 mil material (polyethylene) has been tested and used for over 40 years. Typical applications include septic system breakou fast Proie;ts barriers, landfills, sewage lagoons, industrial waste ponds, etc. Ni making your decision is easy for what to use in your next installai or specify into your next septic system design. We warranty our material for 20 years. n Our 40 mil rolls are competitively priced at $250.00 per 5' x 100' and weigh approximately 100 lbs and $560.00 per 10' x 100' roll and weigh approximately 200 lbs. Our liners can also be purchas( in custom sizes to fit the exact requirements of your next job. Thi L, saves you money and leaves next to no wasted material. F1 'L-1 r� E U Our liner material can be sealed together using our 2 sided adhes tape for easy installation in the field. Our tape gives you a strong bond that will hold up in most any condition. Our tape comes in 3 50' rolls and costs $35.00 per roll. Don't be fooled by using rubber roofing membrane EPDM materia is not recommended for this application and the manufactures wil not warranty it being used as breakout barriers. Don't take our w for it, call the manufacturers directly yourself. Remember our material has been tested and used for over 40 yei and has a 20 Year warranty. http://www.millerenvironmenWinc.com/products sub baniers.htm 3/22/2003 •��. �� '-'•_ •• .. •,... r.. �..... i . Valu �.�J'La�. K[1V �+♦ LWlla.a :� �rl(L l�.•a... 1 i1�G � Vl ... Model #MBE4OM (Miller Breakout) Products Services Downloads Contact tis Links Copyright 2000 Miller Environmental Products, Inc. All images are property of Miller Environmental Products, Inc. and ma, be reproduced without permission. Please call 508-697-37I0 for more information. Questions or comments about this site, contact the Webmaster http://www.millerenvironmentalinc.com/products sub barriers.htm c 3/22/2003 f"I L n :a Lj U C F, Li COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION- ONE ROTECTIONONE WINTER. STREET, BOSTON, MA 02108 617-292-5500 BOB DURA:N-D Secretary LAUREN A. LISS Co** missiouer GUIDELINES FOR DESIGN AND INSTALLATION OF IlV ?ERVIOUS BARRIERS AND SLOPE STABILIZATION FOR TITLE 5 SYSTEMS Effective date: March 1, 2002 Policy/SOP/Guideline � BRP/DWMfWPeP/G02-1 Prom -am Applicability. BRP, Watershed Permitting, Title 5 Approved bv: (signed) Cynthia Giles, Assistant Corrunissioner, BRP Supersedes Policv/SOP/Guideline: NONE Regulation Reference: 310 CMR 15.211(1)4. 310 CMR 15.255 PURPOSE: These guidelines supplement Title 5, 310 CMR 15.255, which addresses systems constructed in fill. Specifically, this guidance contains design and installation criteria for impervious barriers, and slope stabilization when either is required by 310 CMR 15.255 in conjunction with a system constructed in fill. Additionally, this widance supplements 310 CyIR 15.211(1)[4], which requires slope stabilization for certain soil absorption systems adjacent to naturally occurring downhill slopes. APPLICABILITY: This document is a wide for Massachusetts Registered Professional Engineers (PE) and Massachusetts Registered Sanitarians (RS) who design True 5 systems using impervious barriers, and for PE's that design impervious barriers using retaining walls, or structural barriers such as concrete retaining walls, and for boards of health and DEP staff who review applications for Title 5 systems and who observe and inspect the installation of Title 5 systems. Thin iorormaalon is araiiabia iu ahermte forsat br CNU* our ADA Coerdimtx at (617) 574-6 DEP on the World Wide Web: http:/Awwv.3tM.1=.usfdep 0 Pnnted on Reryded Paper Guidelines for the Design and Installation of Impervious Barriers INTRODUCTION: Title 5, 310 CMR 15.255, addresses the construction of systems in fill. An impervious barrier is required for systems constructed in fill when the designer can not provide the minimum 15 foot horizontal distance between the edge of the top of the two inch layer of washed stone (peastone) cover over the soil absorption system, and the top of the sideslope. For a system constructed in fill, 310 CMR 15.255 requires slope stabilization, such as a concrete retaining wall, when the sideslopes to a soil absorption system are steeper than 3:1 (horizontal: vertical). Section 310 CMR 15.211(1)[4] requires slope stabilization when systems are located in an area adjacent to a naturally occurring downhill slope steeper than 3:1. When a naturally occurring downhill slope adjacent to a system is steeper than 3:1, Title 5 requires stabilization in accordance with accepted engineering practice which may include installation of a concrete retaining wall designed n in accordance with 310 CMR 15.255(2)(x) through (g), TEXT: Impervious Barriers: Pursuant to 310 CMR 15.255(2), an impervious barrier is required for a system constructed in fill when the designer can not provide a minimum distance of 15 feet between the edge of soU absorption system and the top of the side slope. Impervious barriers must also be incorporated into the design when a minimum 15 -foot horizontal distance cannot be provided between the edge of the soil absorption system and an adjacent naturally occurring downhill slope. (see Figure 1) Figure 1: Impervious Barrier F L, Less than 15 Finished Gracie (`t Too Elevation of SAS j O O O Soil Absorption System u Impervious Barrier C 3:/1,pe > Fill or Naturally Occurring Pervious Material i L r N mrrttr< -Y dem Ous 1;: �BLid - f M= Figure 1: Impervious Barrier F L, Guidelines for the Design and Installation of Impervious Barriers Swales or grading shall be incorporated into the design to preye t ponding by directing storm water away from the system The grading shall be designed so that the stormwater is not diverted onto abutting properties in accordance with 310 CMR 15.255 (2). Any impervious barrier may be designed by a Massachusetts Registered Professional Engineer. When the system has a design flow of less than 2,000 gallons per day, a Massachusetts Registered Sanitarian can design impervious barriers that do not include a retaining wall that provides any structural support for the slope. Impervious barriers shall have the following design characteristics: 1. A top elevation that is at least as high as the top of the two-inch laver of peastone covering the pipes in the soil absorption system, or at least as high as the top of the chambers when leaching chambers are used. 2. The bottom of the impervious barrier shall extend to a minimum depth of at least one foot below the existing natural ground elevation. J. There shall be at least a 10 -foot horizontal distance between the bottom of the n impervious barrier and the edge of the adjacent finished side slope. 4. in remedial situations where there is less than four feet of vertical distance L' between the bottom of the soil absorption system and ledge or other impervious strata, (consistent with the requirements for the granting of a variance specified in 310 CAR 15.415), the bottom of the ' impervious barrier should be at least six inches above the impervious strata to avoid impounding the treated eluent. �L Clay barriers shall be: 1. constructed of compacted clay (conforming to NRCS classifications for clay, with a hydraulic conductivity no higher than 10' cm/sec); 2. at least two feet in width; and F-1 3. covered with at least six inches of cover material (soil) and stabilized L (e.g., vegetated) to prevent erosion of clay due to weather conditions. F, Plastic membrane barriers shall be: L 1. of sufficient tensile strength to withstand perforation, including cracking, teasing and breaking; at least 40 mils in thickness, and have significant durability and L, resistance to the temperature and moisture conditions expected in the subsurface environment; and 3. installed without holes or gaps and so that perforations do not develop after installation. r Additionally, as specified in 310 CMR 15.255(2): V Materials for impervious barriers shall: 1. have no weep holes; 2. have a waterproof surface on at least the upgradient side, consisting of a durable waterproof lining or applied waterproof co •ng 3. be anchored or reinforced as necessary to maintain structural integrity; and 4. not allow seepage or deteriorate over time. r Li