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HomeMy WebLinkAboutMiscellaneous - 984 TURNPIKE STREET 4/30/2018 (2)Cor`rtmonwealth of Massachusetts z, Tial ear 5 �?-- i al Ins pec#1 on Twm rf�S�beurfece Sewage Disposal System Form -Not for Voluntary Assessments Owner. Information Is required 4or every Page. Important: When filling out -'" fors on the computer, use only the tab key to move your cursor - do not use the return key. &V • 0M %1?ir .... V f" e - Owner's Name CRy/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 $ee completeness checklist at the end of the form. A. General Information 1. Inspector: 4 , r04,f 3�o /f1 Gztic N1%rof inspector GZc� tf SC %1 ��►'c. � ��; ✓ LNG c ( Dr Company Telephone Number B. Certification VS - state Zip Code S/vola t.ioense Number I CSYtfy 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: XPasses ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority Ins Signature Date Th 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 regionel•of�ce -of the-DEP.-The -odgmal-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 howthe system will perform in -the future under the same or different conditions of use. TWO 5 OKdW Inspection Form: Subxeteoe Sewepe Disposal System • Pape 1 or 17 B) System Conditionally Passes: Q One or more system components as described in the "Conditional Pass" section need to be replaced or repalred. 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 structurallyunsound, exhibits substantial Infiltration or exfiitration 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): t&na• Dares 7itls 6 oflidal hWeet"n Form; Subs WIM Bewape DiW11W Syatam . Papa 2 of 17 , Commonwealth of Massachusetts . Title:5. o## c i-Inspec#ion --Farm Subsurtacs Sewage sposal System Form • Not for Voluntary Assessments . Frop" Address _ Owner (nfonnation is required for Owner's Name _ /I/"�tiDU �e� �/� p / 8`l every page. Cityrrown state Zip Code Date of Inspectlon B..CoMfication (cont.) Inspection Summary: Check .A;B,C;D orf-/ afways-c omplete'all of-section'D A) System Passes: have not found any inf.,ormationich indicates that an of the ed in 310 CMR 15.303 or. in 3101 ;F; 5.304 exist. Any failure criteria l not evaluated are indicated below. Comments: s ,N Gocx-� B) System Conditionally Passes: Q One or more system components as described in the "Conditional Pass" section need to be replaced or repalred. 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 structurallyunsound, exhibits substantial Infiltration or exfiitration 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): t&na• Dares 7itls 6 oflidal hWeet"n Form; Subs WIM Bewape DiW11W Syatam . Papa 2 of 17 Commonwealth of Massachusetts furTitley 5 Official Inspection Form Subsurface Sewa$,e Disposal System Form - Not for Voluntary sessments Property Address. t. - Owner 0"er's Name information is r required for /V — N4oVCf every page. cityfiown - �-r v � S 9--2"'P --2 B• Ce1't11�CBt1�11 (C011t.)State Ztp Code Date of Inspection B) system Conditionally Passes (cont.`): ❑ Observation of sewage backup or break out or high static water level in the distribution box u to broken or obstructed Pipe(s) or due to a broken, settled or uneven distribution box. Systemwill Pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ NO (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 ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (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 ❑ rsina • Dam Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 6 Official trupeclioo Foran: SUb4Wace SeWage Disposal System • Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage, Disposal System Form - Not for Voluntary Assessments Property Address ----.._._... yr 0 Owner Owner's Name —.-..--_ - -__ _-- information is ✓(/� /4N7Vt �/f� required for ! ®�UyS C�-ZfO"61-yi, every page. 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 supplylor 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 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 dogged 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 '/ day flow t6ina - oeroe Title 6 official hspedon Form: subsurface sewage Disposal syatam• age orT - Owner information is required for every page. Commonwealth of Massachusetts Title 5; Qf#icial Inspection Form Subsurface Sewage; Disposal System Form - Not for Voluntary Assessments 98 tJ Me p 1/tc Property Address IN44M Owner's me NN tqND0 V r Cigl I own B. Certification (cont.) state Zip Code Date of Inspection _ 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 fair. 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 afacility 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 11 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 thr=eat 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. tr>ins • 09/08 Title 5 MOW Impaction Form: SubsuAace Sewage Dispose, System • Page 5 of 17 Commonwealth of Massachusetts .:Title .5.Offil ial Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments qty Tvr�oi%�� s� Property Addresss� 1' V %P► Owner Owner's Name information Is O/$�S— CRL6 _� required for ' 1 every page. Cfty/Town State Zip Code Date of Inspection C. Checklist 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 ❑ M� Were any of the system components pumped out in the previous two weeks? 0 ❑ Has the system received normal flows in the previous two week period? ❑ r-� P/ 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 Soll 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 approximationof distance is -unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): -- Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): 1-A/ C) rsins - owe Tide 5 Orfidal Inspacdon Form: Subsurfeoe Sewage Disposal System •Papa 6 of 17 vea�th;�f Massachusetts I.InsiDec w. -Form 1f _ Y,'S1 1kr6 '*rU rx •. �h vr.- + _. r �,S�t%au a+le Sewage D�SposaI System Form. Not for Voluntary Assessments h 7f Ni)"J 7`N'. ! t�ropetRy Addroas .. —T— f OWnWp Name ` .00 tion Is ,. fquifed for:. ,G}iyQOVCI eyey pepe.' :. ::CltyaoWn'. D. Sys"lnf�aFT tion Description: 144 0/ SYIS state Zip Code Date of Inspection Number of current residents: _- 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 years usage (gpd)): Aetall: ' Sump pump? ❑ Yes jgt No Last date of occupancy: Cu r rt i, f Date Commerclab1ndustrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gaflons per day (gpd) Basis of design flow (seatstpersons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑Yes ❑ No y Non sanitary waote discharged. to the Title 16 system? ❑Yes ❑ No Water meter readings, if available: 1 LSYq • Op108 71Ue60ft el hspedbn Fam1: SubMUM Sawape Disposal system • Pape 7 of 17 ��r`�,z�aiGommonwealth of Massachusetts 7 4'�. 2�,W�r ,•� ,t,,,r cZ �t . ���3r , ai � !r.f ?'s't lih�}ti� d 4 :�'U'arl,[' } -a n g, }�`Jr��U uta s9ssWs9s Also al ."m Form:= Not fog Yaiunfiary. Assessments ',+ — 44 {, Prgperty "'�'T'• .', 7; � V 61118/ a �aiiie ' require�d�for r, c /jNprgv! 'revery page:, CGyrrowA . P-1* M Information (cont.) Last date of occupancy/use: Other (describe below): State Zip Code Date of Inapecdon General Information Pumping Records: Source of information: Was system pumped as part of the inspection? N0 Date ❑ Yes 0 No If yes, volume pumped: gallons nn How was quantity pumped determined? ' AA" �—;� (X���j ct CX r Se pf Reason for pumping: Type of System:. , Septic tank, distribution box, soll absorption system f. ❑ Single cesspool ❑ Overflow cesspool ❑ Privy `. ❑ Shared system (yes or no) (if yes, attach. previous inspection records, if any) ❑ InnovotiveNtemative technology. Attach a copy of the current operation and maintenanoe.00ntre.0 (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. CI Other tdescribe): tum • 09= ,,' TWe 6 Olfidai bnpeWon Farm: Subsurface Sevnpe GWposw System • pope 8 of 17 -Commonwealth of.:Massachusetts ia on Torm ., 4� Sbsy�jece SeWege DW posel System Form - Not for Voluntary Assessments Owners Nan Information Isr� required for. every page. CitylTown A/ 9ov�c r /G4 0 it LIS- q -z(10 -o ff state Zip Code Date of Inspection M' System Information (cont.) Approximate age of all oomponents, date installed jif known) and source of information: 5/i //03 Were sewage odors detected when arntng at the site? ❑ Yes No Building. Sewer (locate on site plan): Depth below grade: 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.): .. S ✓fs �c�if o c��'vo- a�� ; ,� Gam( G�ac1 1r Septic Tank (locate on site plan): Depth below grade: Material of construction: concrete ❑ metal 2 - 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) ❑ Yes ❑ No Dimensions:• Sludge depth. t5ft OM Tlpe 5 Offidal IncpeWon Form: Subsurface Sewage Disposal System •Pepe 9 of 17 `CAR N` Commonwealth of Massachusetts Titlel5-offi. cial Inspection. Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .. ig`I J vrMp�l� sf "N Owner information is Ownef s Name required for __ /V —iv oouf: / every page. City/Town ran. • oaoe Ml+ o/$ysg_ L�-09 State Zip Code Date of of Inspection W. OysLem 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 How were dimensions determined? cS3 Ur j Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, fisc uid�lel�vrjels as related to outlet in art, evidence of leakage, etc.): c f t l cr.-c Ga --e —PUPip fv<ly 2yrs 5 r (J. % Cc Grease Trap (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass Dimensions: 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 Date of last pumping: feet ❑.polyethylene ❑ other (explain): Date T106 6 official hspoction Form: Subsurface Sewage Dfepo" system • Pape 10 of 17 Owner information Is required for every page. .;: Commonwealth of Massachusetts Title 5:.O#ficialInspection Fo�rr� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 9 g y Property Address (./TA' Lq � owners Name Cftyrrown state Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, Inlet and _outletttee or.baffle.condition, structural integrity liquid levels as related to outlet invert, evidence of leakage, etc.): ,.. W 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: Design Flow: Alarm present: Alarm.level: gallons gallons per day ❑ Yes ❑ No Alarm in working order. ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): I • Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No ' oeros 'nd* 5 O&W kWGWcn Form: Subwrrace Sewapa Oicpwel System • Pape t 1 of 17 oMmonwealth of Massachusetts 'i le 5.Official Ins eetion form p m Sulpou►face Sewage Disposal System Form - Not for Voluntary Assessments 9$y Property Add V pw yy Omer Owner' N me Information is �r1�kj vC required for /f'i9 Q/syS q—Z6�q every page. City/Town I I State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): 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.): �� /Tim to rs Pump Chamber (locate on site plan): Pumps in working order: ,0'?es ❑ No Alarms in working order: Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): f' a q_"h e49W flu x 0404<r ®(re fav �ooel Soil Absorption System (SAS).(locate on site plan, excavation not required): It SAS not located, explain why: 15ka• oeroa Tips 6 00" k+ePeo Form: Superr(goe Sawape pi"d SY--- • Pape 12 117 !"!99 pits number: leaching chamber;,,, M, number ❑ leaching galleries number leaching I:rqpch es number, length l ®aching fields number, dimensions: overflow. cesspool e s r number. nn v motive system Ty*name2of -technology -,;.Commentp (note c.onOlVon of soil, signs of hydraulic failure, level of ponding, damp soil, condition of ` Vegetation, —9 )VO sf�kf 0IC 1 Cesspools (cesspool must be pumped," P art of (locate plan): .site Ogn W inlit invert ,"* p:0 17 Depth of solids layer soum JaYer. _f Dimensiol�s of i -go, Materials of construction m Inforrrtl46.0 (cont.) { its (Hole �o�dltiQn of sail, signs -of h d ull� failure, level of ponft c oa&tlon .ofvegetation, TW# 5 O&W hq)gW n Fam: 6ubaef m Saweps Oi pwW 6ptem • Papa 14 d 17 .JG _ .ice r'1 y�ii �� a�lti^•.r:�L It R{M i r 1 "Informaunn (a ; .�, revilid W.,O every, page m Inforrrtl46.0 (cont.) { its (Hole �o�dltiQn of sail, signs -of h d ull� failure, level of ponft c oa&tlon .ofvegetation, TW# 5 O&W hq)gW n Fam: 6ubaef m Saweps Oi pwW 6ptem • Papa 14 d 17 Commonwealth of Massachusetts Title 5. Off joial Inspection -Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments (/V,v (.GrM Owner owner's Name information isN �.�y e f c/ 2�-� required for every page. Cityfrown 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 within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: • Ki—dravvina hand-sketch in the area below attached separately " '. tains • 0=6 Title 6 Offidel lnspaction Forth: Subwrfaoe Sewage Disposal System • Page 16 of 17 wea! of n .?!� Massachu setts {a I Rlisubs ftae spo" �Qr% Rlfpo al S stem F otm .Not for Uolunta ry Assessments WN -�r_ . sic tgq�Jl` r w 'jj����//}}/f Z� �S• �laQer � k_ `RJl!7(1 �Tri'n> �� �//j�''-/./�/� y .. u^�i YS �nfa rp � r rr �'~• � �' << m 17118t�01� .. 'state '. z( C' e"—• spectlon RiW 1 Z r. (dont. Date otln .,.Commonwealth of Massachusetts . 141.61 ..Offi cial -Inspec#Ion -Forte Subsurtac0 Sewage Disposal System Form -Not for Voluntary Assessments 9gK % y r��,JZti a L Property Address Owner Owners Nam information is e required for every page, C4y/T9wn State Zip Code P. oft. _ _ Date of Inspection -• • %�%PFr%ra %.#necKflST Inspection Summary: A,.B, C, D, or checked ,Q—fhspection Summary D (System Failure Criteria Applicable to All Systems) completed �ystem information — Estimated depth to high groundwater ketch of Sewage Disposal System either drawn on page 15 or attached In separate file t5im • Cape TWO 5 o(rigal Inspection Farm: Subsurface Sewage Disposal System • Page 17 at 17 Town of North Andover 0 Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Susan Y. Sawyer, REHS/RS 978.688.9540 - Phone Public Health Director 978.688.9542 - Fax TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE May 15, 2004 This is to certify that the individual subsurface disposal system constructed ( ) or repaired (X) by John Soucy at 984 Turnpike Street North Andover, MA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Susan Y. Sawyer, RENS/RS Public Health Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 U NEW ENGLAND ENGINEERING SERVICES INC May 14, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 984 Turnpike Street, North Andover, Septic System As -Built Dear Susan: New England Engineering is submitting a septic system as -built for the above referenced property. We have also included the system installation certification. Enclosed are three (3) copies of the as -built plan and one copy of the installation certification. If you have any comments or questions please do not hesitate to contact this office. Sinc y, Thomas Hector New England Engineering Services, Inc. 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 0 101 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ('�R) repaired; by _'SO u located at '78!Z TO ✓I 2,J- (' S -ems 1 was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # , plan dated , with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bed inspection date: 5�r l l O q . Final inspection date: 31-Y341 Representative 2 C_ . Engineer Represent iv Date: —'5-- 1 `(-d Date: f lliifi� OF NORTH AVDO':FER/ 'r BOARD OF HEALTH EO N MILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 984 Turnpike St INSTALLER: John Soucy DESIGNER: NEES PLAN DATE: 3/15/2004 BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION:5/6/2004 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE Pressure Distribution COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK = 1110 GALLON PUMP CHAMBER = 1000 LOADING OF PUMP CHAMBER = H10 TYPE OF SAS = Infiltrator Field DIMENSIONS AND DETAILS OF SAS: 25'x 22.83' SITE CONDITIONS MAP: 107C LOT:6 Date & Initials Inspections [-]Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 1 of 5 SEPTIC TANK N MILL RIVER CONSULTING Septic System Management Services ® Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-10 loading 2 -Piece construction ❑ Watertightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, over access port ❑ Outlet tee (gas baffle or effluent filter) installed, over access port ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: Installer reported that tank on bed of stone, did not observe first-hand but saw excess stone on-site. 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 ❑ 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: Installer reported that tank on bed of stone, did not observe first-hand but saw excess stone on-site. 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsultincr.com Page 2 of 5 X MILL RIVER CONSULTING Septic System Management Services ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: 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 ❑ 3/4-1 'h" 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: One area of material - probably stone from old septic tank. This was in Overdig area and did not want to undermine house, so left undisturbed. Excavation depths were approx 7' in West corner, and only 3-4' in East corner. One small lens of denser material observed, but felt that excavator on field would do more damage than removing a 3x3 patch of questionable soil. 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 3 of 5 MILL RIVER CONSULTING Septic System Management Services PRESSURE DISTRIBUTION inch manifold laterals installed with end sweeps size: material: Squirt test ft in height Equal distribution to all laterals orifice size inch as per plan Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282.0014 info@millriverconsulting.com Page 4 of 5 Commonwealth of Massachusetts Board Of Health P.I. North Andover F.I. Disposal Works Construction Permit Permission is hereby granted JohnSoucy-S-oucyto Map -Block -Lot 107.C- oow. ----------------------- Permit No 13HP-2004-0347 - ------------ -------- FEE $250.00 ------------ ---------- k, v vF-a---_) a- n-Individual--S---e-w- -a ge D isp os a l- System. ystem.- -------- ---- ---- ----- ------ -------------------------- at No 984TURTURNPIKE STREET --------------- ---------- --------------------------------------------------------------------------- - - - ashown on the application for Disposal Works Construction permitNo-BBP-2004-034----------- ---- 2004 Issued On: Apr -06-2004 L---------- ----------------- --------------------------- ----------------------- ------------------------- ................................... --.......- ,.r� .............................................. ......... I ........................ 0 4 0 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: q_ �I LOCATION: !j�<LI LICENSED INSTAJiLER: SIGNATURE: CHECK ONE: REPAIR: CURRENT INSTALLER'S LICENSE# if TELEPHONE 6 NEW CONSTRUCTION: IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. 4/v`� Administrative Use Only $ 00 Fee Attached? Yes No Foundation As -built? Yes No Floor plans on file? Yes No Approval Date: �� J� it 0 INSTALLER PROJECT MANAGL.�NT OBLIGATIONS As the North. Andover licensed installer for the construction of the septic system for the property at -4-0— �I �v2"' relative to the application of "-4 dated for plans by ll/�: _ an( dated / -�D' with revisions dated �'--tC-; -0 LJ I understand the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contra( project manger, or any other person not associated with my company schedules an inspec and the system is not ready then item two shall be applicable. 2. As the installer I am required to have the necessary work completed prior to the applic; inspections as indicated below. I understand that requesting an inspection,. witl completion of the items in accordance with Tile 5 and the Board of Health Regulations i result in a $50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be d first. Installeinust request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection- for elevations, ties, etc. As-buiii verbal OK from engineer must be submitted to Board of Health, after which installer calls inspection time. Installer must be present for this inspection With pump system all electr. work must be ready and able to cause pump to work and alarm to function. c) Final Grade'— Installer must request inspection when all grading is complete. Does not have to on site. 3. As the installer I understand that persons or companies not associated with my company rr not perform the work required by my company to complete the installation of the syst( identified in. the attached application for installation. I further understand that work by oth( unlicensed to installseptic systems in North Andover can constitute reasons for denial of t system, and/or revocation or suspension of my license in the Town of North Andover pl significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the follow construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank; D -box, pipes, stone, vent, pump chamber, retaining wall and otb components. 5. As the installer I understand that I am solely responsible for the installation of the system; per the approved plans. No instructions by the homeowner, general contractor, or any othi persons shall absolve me of this obligation. Licensed Septi, Installer Date: 'i 7�-Oy Works Construction Pe/nit # t z V O ❑ O c x W � 0 z� a o O a �•. ^O U bY�� H 'c" N p N 0 3 to � M O O N v O To M y ❑ O c � A 0 z� a A rig ca0V � a` a` 5 O To M y ❑ O , _� O 0 Azi p W W .O O Q 5 U bY�� - N p N to � poop > ti w ° H It c 3 i v o o o c g c 'S b b " �' ti, C aoi a O To M y ❑ O , _� O 0 Azi p W W .O O Q �� bY�� - N p N to poop > ti w ° It c 3 i v o o o c g c 'S b b " �' ti, C aoi a 0o y o o 3 y H c ^ 3 io � p Z S u .rj o m cSa o. 4" W° N� y w° o C a '°• aSi � WO. x U 'O C cptl N 0. W C- 5 7;90 0 U d o L� ^„.'. t 'b w Y� a o oo S 2 b w O �y o m m Lo E 3 = C0— o yya,o ° a'o c H. to e c o X ld m ti 0- x y O C o o �'' O ca o 0 ti b 0 ti OO t E A � 10, U O O N U m V1 V 4Ui °p, X O rU. }" ca C y_ % O y° o ^ a '3 �J O" b 0 C.0U 7 W b ° i° a o U-0 b' Y c U U o or - y o a d 00 pp E o Ca d v d N n co _ b a ai cpv eD y b 'o a� 3 Hca b o y oq E p �C �-a O i' N3 eC W iO Nxi yUC Ue .0❑ O y XU o�p" " cab0C . o o ,�-N-i U 'd x XU N b0 Q ' OVWI �••� O p N O <tO O� A� 0 3 7 7 = 7 O O N O ' ' ' V V C' O •D O O °�m aw OU }"' N,ZA b o G M �SO n�w ri coO 'n P. y 'n °X woo v,v, ova N W O N a N aim.i O Z d c 0 U E 19 O w c. �. m o a>i y N � ai > D ti• F A con o0 0o oo oo 0o 0 0 0 0 0 0 Z o 0 0 0 0 u o O O O O 0 N N N N N Cr ti ti ti ti Ln q t O O) ti 00 00 0 0 0 z o 0 u o 0 p N N L � ti ti N 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Tuesday, May 11, 2004 3:51 PM To: pdellechiaie@townofnorthandover.com Cc: Susan Sawyer Subject: RE: 984 Turnpike Street - Bottom of Bed? Sue and Pam, Yes this was done. Sorry for the slow paperwork. The report is attached. 0 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com infoa,millriverconsulting.com -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Tuesday, May 11, 2004 1:37 PM To: Daniel Ottenheimer (E-mail) Cc: Sawyer, Susan Subject: 984 Turnpike Street - Bottom of Bed? Importance: High Hi Dan, Page 1 of 2 What date was the Bottom of Bed Inspection done at 984 Turnpike? They are all set for a final, looking back in my notes, I didn't see the report for the Bottom of the Bed. If you have it, can y< forward it via e-mail? Thanks, 5/11/2004 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Tuesday, May 11, 2004 3:52 PM To: pdellechiaie@townofnorthandover.com Cc: Susan Sawyer Subject: RE: 984 Turnpike Street - Final Inspection Request All set for Thursday 5/13 at 9:00 a.m. with John Soucy. Dan 0 Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com infomillriverconsulting,com -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Tuesday, May 11, 2004 11:39 AM To: Daniel Ottenheimer (E-mail) Cc: Sawyer, Susan Subject: FW: 984 Turnpike Street - Final Inspection Request Hi Dan, Page 1 of 3 Ben Osgood and John Soucy both called to let me know that 984 Turnpike Street is ready for a final inspection. Thanks, P ----Original Message ----- From: Sawyer, Susan Sent: Monday, May 10, 2004 3:26 PM To: DelleChiaie, Pamela Subject: RE: 984 Turnpike Street Message I called and left a message -----Original Message ----- From: DelleChiaie, Pamela Sent: Monday, May 10, 2004 12:11 PM To: Sawyer, Susan Subject: 984 Turnpike Street Message Importance: High 5/11/2004 Page 2 of 3 Okay, it is now 11:50, and I have done nothing on my to do list Anyway, Heidi gave me a message of a call she took from a Rich Byers (who is also on the zoninc a lawyer representing the bank (I'm guessing Northmark in relation to the Route 114 issue??) and update on the 984 Turnpike Street address. He said the homeowner was told that everything woul Wednesday. The last info. I have is the info. from NEES re: the segmental blocks. I called John S on status. He is currently working on site. He says that it is a complicated system with the pressui infiltrator system, but should be ready for tomorrow for a Final. Due to the possible political nature of the inquiry, would you prefer to handle this call back? Mr. By is: 978.475.0595. 1 don't know in what way Mr. Byers has a connection to Ms. Newell. It is now 12:10 and I just getting to sending this on to you now in between phone calls, etc......... Thanks, Pam Pamela DelleChiaie, Health Dept. Assistant Town of North Andover Community Development & Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnorthandover.com TeL 978-688-9540 Fax 978-688-9542 Meet People in Just ani Click ..Click Here .; 5/11/2004 Operation and Maintenance Service Contract for Pressure Distribution Soil Absorption System Date: A-110 y Customer: SC( �J ""a6 AJ c� Mailing address: 1164 T%-� BIZ A? t lk c S Site: This Company agrees to provide service a.nd maintenance for the Pressure Aistribution Disposal Field at the above referenced address: The following maintenance and service schedule is .proposed for the next (2) two years of operation commencing upon the date of Cerdticate of Compliance, receipt of the signed coniraet and the annual cost in full. Scheduled Annual Service: Coat: 4 visits per year at $ ibs per visit a S 300,0() (Note: all covers and access ports must be to grade to allow for maintenance.) 1. Check sludge and scum depth and clean the effluent filter in the 1500 gallon septic tank. 2. Check panel and alarm system. 3. Check ejector pump and float switches in the Pump Chamber. 4. Check distal pressure and compare with design plan. 5. Clean and flush laterals as necessary. 6. Notify client verbally of any problems encountered. 7. Notify NAM Board of Health and owner within 24 hours of a system failure or alarm event with corrective action taken. Unscheduled Service: 1. Unscheduled emergency service calls will be billed at the following hourly rate: • Mcnday through Friday 7 am — 5 pm: 6'7 6 / M2 a Monday through Friday 5 pm — 7 am: 10 15-o / N(t a Saturday and Sunday H tl- . With a minimum 2 hour charge. In ace rdanee-with {Veit n Board of Health Rules and Regulations, quarterly inspection reports will, e)subrnitted_IQ the Board of Health. Ac tan y wn 1 Aeceptanca by Inspector. igna4urc signalure-0, ell 05/04120^.4 07:14 9786851099 NE ENGINEERING SVC PAGE 01 NEW ENGLAND ENGINEERING SERVICES INC May 3, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 Re: 984 Turnpike Street, North Andover Dear Susan: Enclosed is a detail of the retaining wall for 984 turnpike street. This detail was created using the program supplied by the hlock manufacturer. Soucy's sewer service has been. given a copy and has been instructed to construct the wall in this manner. Also enclosed is a proposed maintenance contract. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgo jr., EIT President 8o MECHWOOD DRIVE - NORTH ANDOVER, "01845 -(878) 888_1768 - (888) 359-7845 - FAX (978) 885-1099 DelleChiaie, Pamela From: Susan Sawyer [ssawyer@townofnorthandover.com] Sent: Thursday, April 29, 2004 2:12 PM To: pdelle aie@townofno ndover.com Subject: : 984 Turnpike Street thanks Page 1 of 1 Q -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Thursday, April 29, 2004 12:41 PM To: ssawyer@townofnorthandover.com Subject: 984 Turnpike Street Importance: High Hi Susan, I just spoke with Ben — There has been a delay getting the segmental block information (phone calls back and forth with company) and he knows that John already has the blocks, so he is working on getting the info. asap. Also, he has a maintenance contract that he used for another town, so he will submit that as soon as he can also. He is aware that John Soucy's equipment is at the site. it Pamela DelleChiaie, Health Dept. Assistant Town of North Andover Community Development & Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnofthandover.com Tel. 978-688-9540 Fax 978-688-9542 Upgrade your Outlook® to Block Junk Email Is. Click Here! outlook@is a regi stered trademark of Miorosoft Corp. 4/29/2004 TOWN `l,Yl+ NORTH ANDOVER ER NORTF Office ®f COMMUNITY DEVELOPMENT AND SERVICES °6�"to ra�tiaL HEALTH DEPARTMENT 4 40.. - ' p 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 �9ss CH„S�t`� Susan Y. Sawyer 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX April 1, 2004 Sandra Newell 984 Turnpike Street North Andover, MA 01845 RE: Subsurface Sewage Disposal System Plan for 984 Turnpike Street, Map 107C, Parcel 6, North Andover, Massachusetts Dear Ms. Newell, 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 New England Engineering Services dated December 15, 2003 (Last Rev. March 15, 2004). 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. In the event an imminent health problem such as sewage backup into the dwelling is occurring, the time period for which this plan is valid may be reduced by the North Andover Board of Health. 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. 3. Because this is septic system incorporates pressure distribution of the wastewater, you will need to submit a signed maintenance agreement with a licensed party skilled in such maintenance. An acceptable party may be; a Class 2 Wastewater Treatment Plant Operator, a N. Andover licensed Disposal Systems Installer or a Massachusetts licensed septic system inspector. The agreement must provide for quarterly inspections with copies of reports being sent to our office, and have a minimum duration of two -years as required in 310 CMR 15.252(2)(d). 4. The plan calls for installation of a septic tank effluent filter but does not provide for a specified brand. Please be advised that only certain brands of filters are permitted for use in Massachusetts and each is required to follow certain approval criteria. Your designer or installer should work with you to assure a licensed brand is selected for use. 5. The plan calls for the installation of a segmental block wall in lieu of a poured concrete wall. The Board of Health members unanimously voted that prior to the issuance of the disposal works construction permit; the installer must submit a structural certification from the manufacturer ensuring that they are using the proper type of wall for this application. 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, Susan Y. Sawyer, REHS/RS l Public Health Director encl: List of.licensed septic system installers cc: New England Engineering Services file a Page 1 of 1 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Friday, March 26, 2004 8:51 AM To: Susan Sawyer; Brian LaGrasse; 'Pamela Dellechiaie' Subject: Turnpike Street Pam, I believe I owe the Town an approval letter for this design which you can then place the wording from last night's meeting into. I will have that for you on Monday. Dan E Daniel Ottenheimer, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com info@millriverconsulting.com 3/26/2004 d � � NEW ENGLAND ENGINEERING SERVICES INC March 17, 2004 Susan Sawyer North Andover Board of Health 27 Charles Street North Andover' MA 01845 '�"r� ° AI��J�°�/ ' �BrJF,"r� CiE=HEA TH 9 � Re: 984 Turnpike Street, Septic system design � VAR I Dear Susan: Enclosed are revised dosing calculations and design plans for the septic system design at the above referenced property. A small discrepancy between the design plans and the calculations was pointed out by Mill River Consulting. The discrepancy has been corrected on this set of calculations and plans. A copy of these calculations and the plan has already been provided to Mill River Consulting. If you have any questions please do not hesitate to contact this office. Sincerely, Benjamin C. Os goo , r., EIT ti President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 f �M Fill in the shaded areas, revise as needed 1t LHHUH---- PHLSS LSCAYL DESIGN FLOW (n gallons/day)? 440 Elevation of the PUMP OFF SWITCH, in feet? 93.7 Elevation of the upper LATERAL, in feet? 100.03 DELIVERY PIPE distance, from pump to manifold, in feet? 16 DELIVERY PIPE diameter, in inches (d not 2" -use 2" rain)? 3 Design DISTAL PRESSURE, in feet (if not 2.5)? (hd) 3 IS MANIFOLD CENTER -FED & SYMETRICAL (yes or no)? yes YES How many orifices in the MANIFOLD? 1 MANIFOLD ORIFICE diameter, in inches (if not 5/16") 0.25 0.25 MANIFOLD DIAMETER (f not 2" -use 2" min)? 4 4 TOTAL LENGTH OF MANIFOLD 20 Does MANIFOLD drain to FIELD after dose (yes or no)? no How many LATERALS? 7 Pumping chamber weep hole size (usually .25') 0.25 USE 0 IF FORCE MAIN DOES NOT DRAIN PROGRAM WILL CALCULATE LIP TO 26 LATERALS AND UP TO 50 ORIFICES PER LATERAL Your HIGHEST elevation lateral MUST be LATERAL 1: (first orifice from lateral 1/2 of orifice spacing) Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateral 7: Length of each LATERAL, in feet? 22.5 22.5 22.5 22.5 22.5 22.5 22.5 Diameter of each LATERAL, in inches (1.5" min)? 1.5 1.5 1.5 1.5 1.5 1.5 1.5 Elevation of each LATERAL, in feet? 100.03 100.03 100.03 100.03 100.03 100.03 100.03 Number of ORIFICES per lateral 5 5 5 5 5 5 5 Distance from Manifold to closest Orifice, in feet 2.5 2.5 2.5 2.5 2.5 2.5 2.5 ORIFICE SPACING, in feet 5 5 5 5 5 5 5 Diameter of ORIFICES, in inches? (D) 0.3125 0.3125 0.3125 0.3125 0.3125 0.3125 0.3125 Square feet of leadrfield per laterals (can ignore) Mwdmum number of orifices in any one lateral 5 Minimum lateral diameter 1.5 FRICTION CALCULATIONS (using Hazen Williams friction fi= Ld((3.55Qm1Ch(Dd"2.63))r1.85) PRESSURE CALCULATIONS (using ortfice dischage equation Q=11.79 DA2 h&.5 Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateral T LATERAL DISCHAGE (first appro)imation) 9.97 9.97 9.97 9.97 9.97 9.97 9.97 MANIFOLD ORIFICE DISCHARGE 1.28 TOTAL SYSTEM DISCHAGE (first approximation) 71.07 TOTAL DISCHARGE PER LATERAL 9.99 9.99 9.99 9.99 9.99 9.99 9.99 DISCHARGE PER SQUARE FOOT OF LEACHFIELD #DIV/01 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! ORIFICE MAXIMUM DISCHARGE BY LATERAL 2.00 2.00 2.00 2.00 2.00 2.00 2.00 ORIFICE MINIMUM DISCHARGE BY LATERAL 1.99 1.99 1.99 1.99 1.99 1.99 1.99 ORIFICE % DIFFERENCE DISCHARGE within LATERAL 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% MAXIMUM DISCHARGE LATERAL 9.99 MINIMUM DISCHARGE LATERAL 9.99 MAXIMUM DISCHARGE PER SQUARE FOOT #DIV/0! MINIMUM DISCHARGE PER SQUARE FOOT #DIV/0! • DIFFERENCE DISCHARGE for SYSTEM by orifice 0.50/6 as percent of maximum onfice.in system • DIFFERENCE DISCHARGE for SYSTEM by laterals 0.01/6 as percent of maximum lateral in system • DIFFERENCE DISCHARGE for SYSTEM by square feet as percent of maximum square foot in system WEEP HOLE DISCHARGE (usually a 1/4" weep hole) 1.97 weep hole= 0.25 inch VOID VOLUME IN DELIVERY PIPE 5.87 VOID VOLUME IN MANIFOLD 13.06 VOID VOLUME IN EACH LATERAL 2.07 2.07 2.07 2.07 2.07 2.07 2.07 TOTAL LATERAL VOID VOLUME 14.46 MINIMUM DOSE VOLUME (based on void volume) 72.29 to 144.57 MIN ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW (weep hole, usually 1/4", not counted for dose, effluent is repumped during process and not counted for friction, except as fitting headloss) TOTAL HEAD LOSS IN EACH LATERAL MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM MANIFOLD HEADLOSS (center -fed unless manifold design) DELIVERY PIPE HEADLOSS FITTING LOSS (headloss'.15) DISTAL PRESSURE HEAD STATIC HEAD (OFF -SWITCH TO HIGH LATERAUMANIFOLD) HEADLOSS PUMP TO WEEPHOLE (assume 3' run) 0.13 0.13 0.13 0.13 0.13 0.13 0.13 0.13 0.02 0.20 w/ delivery 3 inch diameter 0.45 add extra head if fittings are more than absolute minimum 3.00 6.33 0.04 0 PUMP MUST BE ABLE TO PASS SOLIDS AT 73.19 G.P.M 10.17 FEET OF HEAD GPM =all lateral or head is scan of s After OTIS (network losses=1.3'distal head) 73.19 G.P. M. 13.50 FEET OF HEAD head is static he NEW ENGLAND ENGINEERING SERVICES INC Susan Sawyer North Andover Board of Health 27 Charles Street North Andover, MA 01845 March 1, 2004 WN OF NORTH ANDUlW BOARD OF HEALTH MAR " 8 2004, Re: 984 Turnpike Street, North Andover, Septic system design Dear Susan: Enclosed are 5 sets of revised septic system design plans for the above referenced property. The changes made to the plan address the comments of a letter from Brian LaGrasse letter dated January 12, 2004 and include the following 1. General note #6 states that there are no foundation drains. 2. The abutters have been added to the plans. 3. The system is still located 10 feet from the dwelling. Moving the system to another location or further back on the lot will require more variances and more expense than the site currently used. This office will request to be heard at the next board of health meeting regarding this local upgrade request. 4. The manhole covers are specified as being min 20" diameter on the profile view on sheet #1. 5. The pump chamber is specified to be sealed in pump chamber note # 1. In addition the tank note indicating that the tank be supplied by the manufacturer as watertight has been labeled as a tank and pump chamber note. 6. Construction note #4 has been modified to indicate the removal of the first 6" of the "c" layer. 7. The soil notes have been revised on the plans. New form 11 have been submitted with the proper depth of soil. 8. This comment is an affront of the honesty and integrity of this firm. It may well state that the reviewer feels the signature has been forged by someone other than Richard Tangard. All of the signatures belong to Richard Tangard. 9. The system is still designed with a three foot offset to the water table. This office would like to address this issue as a local upgrade request at a board of health meeting. 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 10. A leach field design has been used to conserve space. Trenches would require a much larger footprint than a leach field and would cause the need for large amounts of fill, local variances for the offset distance to a wetland, or the construction of large walls. The system as designed has been modified to a pressure dosed system and the calculations have been provided. This office would like to further address this comment as a local upgrade request in front of the board of health. In addition, the system has been designed per Title 5 requirements with respect to the dosing frequency of the system. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgoo Jr., EIT President PEES _ E QtSTRfBIJ:T��N DESI IV SPREARSHEEj 984 Nnplke street, rwrth andaver, ire Fill in the shaded areas, revise as needed DESIGN FLOW (in gallons/day)? Elevation of the PUMP OFF SWITCH, in feet? Elevation of the upper LATERAL, in feet? DELIVERY PIPE distance, from pump to manifold, in feet? DELIVERY PIPE diameter, in inches (if not 2" -use 2" min)? Design DISTAL PRESSURE, in feet (if not 2.5)? (hd) IS MANIFOLD CENTER -FED & SYMETRICAL (yes or no)? How many orifices in the MANIFOLD? MANIFOLD ORIFICE diameter, in inches (if not 5/16") MANIFOLD DIAMETER (f not 2" -use 2" rnin)? TOTAL LENGTH OF MANIFOLD Does MANIFOLD drain to FIELD after dose (yes or no)? How many LATERALS? Pumping chamber weep hole size (usually .25") PROGRAM WILL CALCULATE UP TO 26 LATERALS AND UP TO 50 Your HIGHEST elevation lateral MUST be LATERAL 1: (first orifice from lateral 1/2 of orifice spacing) Length of each LATERAL, in feet? Diameter of each LATERAL, in inches (1.5" min)? Elevation of each LATERAL, in feet? Number of ORIFICES per lateral Distance from Manifold to closest Orifice, in feet ORIFICE SPACING, in feet Diameter of ORIFICES, in inches? (D) Square feet of leachfield per laterals (can ignore) Maximum number of orifices in any one lateral Minimum lateral diameter MAIN DOES NOT DRAIN Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateral 7: 22.5 22.5 22.5 22.5 22.5 22.5 22.5 1.5 1.5 1.5 1.5 1.5 1.5 1.5 100.03 100.03 100.03 100.03 100.03 100.03 100.03 5 5 5 5 5 5 5 2.5 2.5 2.5 2.5 2.5 2.5 2.5 5 5 5 5 5 5 5 0.3125 0.3125 0.3125 0.3125 0.3125 0.3125 0.3125 5 VOID VOLUME IN MANIFOLD 13.06 VOID VOLUME IN EACH LATERAL 2.07 2.07 2.07 2.07 2.07 2.07 2.07 1.5 14.46 MINIMUM DOSE VOLUME (based on void volume) 72.29 to 144.57 MIN ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW FRICTION CALCULATIONS (using Hazen Williams friction ft= Ld((3.55Qm/Ch(Dd^2.63)))^1.85) PRESSURE CALCULATIONS (using orifice dischage equation Q=11.79 D^2 hd^.5 Lateral 1: Lateral 2: Lateral 3: Lateral 4: Lateral 5: Lateral 6: Lateral 7: LATERAL DISCHAGE (first approximation) 9.97 9.97 9.97 9.97 9.97 9.97 9.97 MANIFOLD ORIFICE DISCHARGE 1.28 TOTAL SYSTEM DISCHAGE (first approximation) 71.07 TOTAL DISCHARGE PER LATERAL 9.99 9.99 9.99 9.99 9.99 9.99 9.99 DISCHARGE PER SQUARE FOOT OF LEACHFIELD #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! ORIFICE MAXIMUM DISCHARGE BY LATERAL 2.00 2.00 2.00 2.00 2.00 2.00 2.00 ORIFICE MINIMUM DISCHARGE BY LATERAL 1.99 1.99 1.99 1.99 199 1.99 1.99 ORIFICE % DIFFERENCE DISCHARGE within LATERAL 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% MAXIMUM DISCHARGE LATERAL 9.99 MINIMUM DISCHARGE LATERAL 9.99 MAXIMUM DISCHARGE PER SQUARE FOOT #DIV/0! MINIMUM DISCHARGE PER SQUARE FOOT #DIV/0! % DIFFERENCE DISCHARGE for SYSTEM by orifice 0.5% as percent of maximum orifice in system % DIFFERENCE DISCHARGE for SYSTEM by laterals 0.0% as percent of maximum lateral in system % DIFFERENCE DISCHARGE for SYSTEM by square feet as percent of maximum square foot in system WEEP HOLE DISCHARGE (usually a 1/4" weep hole) 1.98 weep hole= 0.25 inch VOID VOLUME IN DELIVERY PIPE 8.81 VOID VOLUME IN MANIFOLD 13.06 VOID VOLUME IN EACH LATERAL 2.07 2.07 2.07 2.07 2.07 2.07 2.07 TOTAL LATERAL VOID VOLUME 14.46 MINIMUM DOSE VOLUME (based on void volume) 72.29 to 144.57 MIN ACTUAL MINIMUM IS BASED ON DAILY DESIGN FLOW (weep hole, usually 1/4", not counted for dose, effluent is repumped during process and not counted for friction, except as fitting headloss) TOTAL HEAD LOSS IN EACH LATERAL 0.13 0.13 0.13 0.13 0.13 0.13 0.13 MAXIMUM TOTAL LATERAL HEADLOSS IN SYSTEM 0.13 MANIFOLD HEADLOSS (center -fed unless manifold design) 0.02 DELIVERY PIPE HEADLOSS 0.30 w/ delivery 3 inch diameter FITTING LOSS (headloss '.15) 0.45 add extra head if fittings are more than absolute minimum DISTAL PRESSURE HEAD 3,00 STATIC HEAD (OFF -SWITCH TO HIGH LATERAUMANIFOLD) 6.33 HEADLOSS PUMP TO WEEPHOLE (assume 3' run) 0.04 f; 16 O O PUMP MUST BE ABLE TO PASS SOLIDS AT 73.20 G.P. M 10.27 FEET OF HEAD or After OTIS (network losses=1.3'distal head) 73.20 G.P.M. 13.60 FEET OF HEAD GPM = all lateral head is sum of s Mead is stalic he 2/17/2L003 DO: 557 17813340V, TANGARDR PAGE 02 0 FORM 11 - SOIL EVALUATOR FOWN1 Page I of 3 No. D Conronwealth of Massachusetts Rte 3 Massachusetts C>FP77--( Soil Suitabffi& Ages gnt or xte Sew Performed By: ...... Date: 10 11�rIle Witnessed By: ..... .... Lour mua,ea a -7 oww's Adoest. BM Teltpha l lva� ew construction 0 Repalr 7-,2 e Office Review i Published Soil Survey Available: No El Yes Year Published I ?0/ ... .......... .. Publication Scale _.$oil Map Unit Drainage Class Soil Limitations Sur [ cial Geologic Report Available: No AD Yes 17 Year Published Publication Scale Geologic Material (14ap Unit) . ..... .... ............. .... ..... Landform Flood Insurance Rate Map': ... ... .... ... .. ... Above 500 year flood boundary No P-71 Yes Within 500 year flood boundary No 13yes F-1 Within 100 year flood boundary No 0 Yes ❑ Wetland Area: National Wetland Inventory Map (map un -it) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month, �.,4;"v, Range -Above Normal E]Normal MBelcwNormaj ❑ Other References Reviewed: --------- wDEP APPROVED FO)CM - 12107195 it i 2`2/.17/2002,y 00:57 178133401117 TANGARDR PAGE 03 FORM 11 - SOIL FVALUATOR FORNf Page 2 of 3 Location Address or Lot No. On-idg Review ' a Deep Hole (dumberData: 00 40 Time: 9� Weather, Location (identify on site plan) 12A -11p, :.. ... :.:.::. .... Land Use/:?.A Surface Stones Vegetation .��` Landform ..1"-��.�-BGG /lJ position on landscap(,��. Oistances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line 2�.., feet Drinking Water Well feet Other ..,:..... DEEP OBSERVATION HOLE LOG* , [)epth from SurfaCe (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Boulders, Cgngigtency, % Gravel) y, �r e y A" 17. Parent Material (geologic)G— Depth to Groundwater: Blanding Water In the Hole: ✓.�ii Estimated Seasonal High Ground Water; "� W ' DEP APPROVED FORM • 12/07/95 DepthtoBadrock: Weeping from Pit Face; . 1'1!1ll'AM3 LIU:bl 1lUIJJ4U11a IANUAKDH HAUS IX FORM 11 SOIL FVALUATOR FOR., Ngo 2 trf location Address or Lot Wo, � On-si _f Reyigw Deep Hole Number .. Date:.,.0Time:,��,7 f Weather l Location (Ida fly on site pian) C r Land Use ..�...!&*RWL, Slope {%) Surface Stones Vegetation .� Landform .U�1L!rtJ Position on landscape Distances front: Open Water Body � feet Drainage way s feet Possible Wet Area .��'� feet Property Line ...``? -feet Drinking Water Wel!!. feet Other . DEEP OQSERVATION'HOLE LOG` Depth from Surface (Inches) Soil Noritoa Soil Texture (USDA) Sall Color (Munsell) i Soil Monl(ng Other (Structure, Stones, Boulders, t:onS S[,encr, 1b CreveU ��-/05 G / sr •'Yrz �6%r Parent Malarial DepthtoSedrock:_ �— Deoth to gtoundwatori 5tindlnq Water in the Hole: Weeping from Plt Face; '~ — Estimstid Seasonal }{)ph Ground ,Water;_�--- ii , - DLT APPROVVD FDRA1 • 12/07/9S 12"117/2003 C10:57 1781 33401'1 I rarvucaKUK � FORM IQ- SOIL LV A.iLUATOR FORM Pa€;o 3 of 3 Location Address or Lot No.ridQ F -- Deterrninah'on for seasonal Hi,,.'- iry— r 'abre Method Used: Depth observed standing in, observation hole inches Depth weeping from side of observation hole .. inches Depth to soil mottles .:.. ,.,.< inches 10�-- /- " ` Ground water adjustment ................ feet 4`'Z – .: r. Index Well Number ............... Reading Date .,............. Index well level Adjustment factor ................ Adjusted ground water level D1§th of Naturally Qccurrin Pervious Material It Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ,kms If not, what is the depth of naturally occurring pervious material? -� Certification I certify that on 1%16-14-- (date) I have passed the soil evaluator examination approved by the Departrnent of Environmental Protection and thatthe abo"oe analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature/ Date ? FF APPROV-DFOKM • 12/oms O FORM 12 - PERCOLATION TEST Location Address or Lot No. q6L1 1.' 2.g?( tome s ; COMMONWEALTH OF MASSACHUSETTS A)O AR VT f A -,j 00, l- , Massachusetts Percolation Test` Date: ... ...$.I.2i.(3 Time:. Observation Hole # 1 � i Depth of Perc y��•/Zo ,. Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch >:S min �t>vcry . ' Minimum of 1 percolation test must be performed in both the primary area AND. reserve area. Site Passed Site Failed ❑ Performed By: _ (j-t� 05100 y2 Witnessed By: A _ k,ye Comments:.:.:.:...:..::::..,:::::::.::...:::::,:.::.:,.:::..:.v:.::::::....._. W. DEP APPROVED FORM - 12/07/95 J, EO TOWN OF NORTH ANDOVER it NORT« Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET q�A4TTO � NORTH ANDOVER, MASSACHUSETTS 01845 'SSACHUS� Heidi Griffin 978.688.9540 — Phone Acting Health Director 978.688.9542 — FAX January 12, 2004 Richard C. Tangard, P.E. New England Engineering Services, Inc. 60 Beechwood Drive North Andover, MA 01845 Re: 984 Turnpike Street, Map 107C, Lot 6 Dear Mr. Tangard: The proposed septic system design plans for the above site dated December 15, 2003 have been reviewed. Unfortunately, the plans cannot be approved as submitted. The following items are in need of attention prior to approval: 1. Please provide the location and elevation of the foundation drain. If there is no drain, please make a statement to that effect on the plan. (NA 8.02y) 2. Please indicate the names of all abutters from the most recent Assessor's map. (NA 8.02) 3. Setback requirements to the cellar wall are not met and will require application for a Local Upgrade Approval to reduce that standard, or you may re -design the soil absorption system to maintain compliance with the setback. (3 10 CMR 15.211) 4. Please indicate the size of the manholes brought to grade over the septic tank and pump chamber. (3 10 CMR 15.228) 5. Please indicate the requirement for the pump chamber to be watertight. (3 10 CMR 15.221) 6. Please indicate that removal of the fill, A&B soil horizons shall extend at least 6" into the suitable soil of the C horizon. (NA 9.02) 7. Your Form 11 does not indicate that a minimum of 4' of naturally occurring permeable soil was identified in Test Pit #1. This would normally require steps such as use of an advanced treatment device, use of the B soil horizon for wastewater treatment, and/or requesting a variance from state regulations. Prior to undertaking these efforts, however, you are advised to review your site notes to ascertain if they coincide with those of the soil evaluator working for the North Andover Board of Health who had recorded different information than what you identified. Q 8. Your signature on Form 11 does not appear to match your signature provided on the design plan. You may wish to review the materials submitted with this application to confirm they are all endorsed by you. 9. The design includes a Local Upgrade Approval request to reduce the separation from the bottom of the soil absorption system to the estimated seasonal high ground water from the required 4' to 3'. Several sections of Title 5 do not allow this request to be granted including 310 CMR 15.401 and 404(1) which indicate that whenever feasible a design should maintain full compliance with the standards in the regulations. If full compliance with the design standards is not feasible, the applicant may request a(n) Local Upgrade Approval which is least damaging to public health and/or environmental protection as evidenced in the alphabetized list at 310 CMR 15.405(1). In this instance, it seems apparent that the setback reductions specified at 310 CMR 15.405(1) (a), (b) and perhaps (d) could be incorporated into the septic system design, if needed, before requesting the setback reduction at (i) as on this design pian. 10. Trenches are the required type of soil absorption system when using pressure dosing of effluent. Please use a trench configuration or request appropriate variances from the design standards. (310 CMR 15.254) In addition, dosing greater than once per day increases the efficacy of wastewater treatment and reduces possible ponding problems with the soil absorption system. You are encouraged to review the currently proposed once daily dosing. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a replacement septic system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. /rri Crrasse Health Inspector cc: Homeowner CD&S Dir. File O Page 1 of 2 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Monday, December 22, 2003 1:37 PM To: pdellechiaie@townofnorthandover.com Subject: RE: 984 Turnpike Street Pam, Attached please find a file with a cleaner version of the soil test results from our field book. Daniel Ottenheimer, President 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 www.millriverconsulting.com info4millriverconsulting.com -----Original Message ----- From: Pamela DelleChiaie (mailto:pdellechiaie@townofnorthandover.com] Sent: Thursday, December 18, 2003 9:45 AM To: Daniel Ottenheimer (E-mail) Subject: 984 Turnpike Street Importance: High Hi Dan, Can you resend me the soil test results for 984 Turnpike Street done in August 2003? I have a hard copy, but the re: not that legible, so when I went to reprint, I could not find the original e-mail you sent. Thanks for your help. Pam ;-) Pamela DelleChiaie, Health Dept. Assistant 3/30/2004 Page 1 of 2 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.coml Sent: Monday, December 22, 2003 1:37 PM To: pdellechiaie@townofnorthandover.com Subject: RE: 984 Turnpike Street Pam, Attached please find a file with a cleaner version of the soil test results from our field book. Dan Daniel Ottenheimer, President 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 www.millriverconsulting.com info@millriverconsulting.com -----Original Message ----- From: Pamela DelleChiaie[mailto:pdellechiaie@townofnorthandover.com] Sent: Thursday, December 18, 2003 9:45 AM To: Daniel Ottenheimer (E-mail) Subject: 984 Turnpike Street Importance: High Hi Dan, Can you resend me the soil test results for 984 Turnpike Street done in August 2003? I have a hard copy, but the re: not that legible, so when I went to reprint, I could not find the original e-mail you sent. Thanks for your help. Pam ;-) Pamela DelleChiaie, Health Dept. Assistant 12/22/2003 Page 2 of 2 Town of North Andover Community Development & Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnorthandover.com Tel. 978-688-9540 Fax 978-688-9542 Upgrade OutlookO - Add icons to your Emails click Here! Outlook@ is a registered trademark of Microsoft Corporation H!! 12/22/2003 -" O n NEW ENGLAND ENGINEERING SERVICES INC November 26, 2003 Brian LeGrasseQARD OF HEALTH North Andover Board of Health 27 Charles Street FOSF�Ma 3 0 North Andover, MA Ol 845 f Re: 984 Turnpike Street, North Andover, Septic system design Dear Brian: Enclosed are the following documents concerning the above referenced property. 1. 5 sets of septic system design plans, one with an original stamp. 2. Form 9 Local Upgrade Approval Form. 3. Application for approval of plans. - 4. Check to cover review fee. These plans are being submitted for approval. Approval of the plan requires that the Board of Health approve the local upgrade approvals requested. Please accept this letter as a request to be scheduled as an agenda item for the next Board meeting to discuss this plan. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Benjamin C. Osgo d, Jr., EIT President 60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099 4 CIEPTIC PLAN SUBMITTALS LOCATION: $-n 10, 14 N D ��eAMap & Parcel JQ76 NEW PLANS: YES $225.00/Plan v"" Check #: REVISED PLANS: YES $ 60.00/Plan Check #: SITE EVALUATION FORMS INCLUDED: YES NO LOCAL UPGRADE FORM INCLUDED: YES NO DATE: i-2-)-30)0?,, DATE TO CONSULTANT: DESIGN ENGINEER: fid r w k lv G&I-A ti D Telephone #: q 7 v- (-9, 6- (7 6 0 -Fti)C1N .2tw 6— When the submission is complete (including check), date stamp plans, COPY for Conservation, and place in existing file with green Design Approval form. 12/17/2003 00:51 No, 17813340115 0 TANGARDR PAGE 02 x FORM 11 - SOIL EVALUATOR VOWN1 Page I of 3 Date:/ -404 a - Co of Massachusetts /Vo. Massachusetts Sail Snita�ili Assessment or Qn- ite Sewa2e Xwosal Performed By: Witnessed BY: Date: .0 11�11e . ... ........... ........ . L�Enn hwral L& ff Owrzr'l N,..4 qv- Aderen. alie T.Iephane I t�ew Construction ❑ Repalr 695-- fg5V,-ff— Office Review Published Soil Survey Available: No ❑ Yes Year Published ... .......... .. Publication Scale �&l map unit A,- Drainage Class �"4 �= ... Soil Limitations Surficial Geologic Report Available: No /C Yes Year Published ... Publication Scale Geologic Material (Map Unit) ....... ..... . . .. . .... .......... Landform ................... Flood Insurance Rate Map: Above 500 year flood boundary No 7 Yes Z Within 500 year flood boundary No 0Yes 0 Within 100 year flood boundary No 13 Yes ED Wetland Area: National Wetland 111ventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (LJSQS), Month Range 'Above NonTial ONOnnal 0Bek wNormal ❑ Other References Reviewed: iaDEF APPROVED FORM. 12/0710,% 121.1712003 00:57 1.7813340115 TANGARDRO PAGE 03 FORM II - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. Ott -site Review s Deep Hole Number Date:.. Time, Time: '�1� Weather /01 Location (e y on site l n) Y '- Land Use .�� . �,+,q p Surface Stones Vegetation Landform ljl"%U Position on IandscapE Distances from: Opens Water Bodyfeet Drainage way feet Possible Wet Area % 2 feet Property Line feet Drinking Water Well feet Other :..... " DEEP OBSERVATION HOLE LOGO Depth from Sur}aee (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure, Stones, Soulders, Consistency, °!e Gravel) e. Parent Material {geologic) �c �Ee -71--7L G c— T Deoih to Groundwater: Standing Water in the Hole: Es>•imated Seasonal High Ground Water i/ DEP AFPRON'ED FORK! , 12!07!95 DepthtoBedrock: Weeping from Pit Face: 12!17/2003 00:57 17813340115 TANGARUR PAGE 04 0 FORM 11 SOIL F,VALUATOR 'Q>t Par 2 t,f Location Address or Lot No, Z4 4n -sib Revt� r� Deep Hole )Number � . Date:.,.f�v�//�� Time:. r�•�� Weather///Z— 1'7 Locatlor7 {IdeAlty on site plan) Land Use .. Zl-PXPW4, Surface Stones ^- Vegetation . . Landform Position on landscape �v Distances from: Open Water Body' feet Drainage way's feet Possible Wet Area . feet Property Line .. , feet Drirtting Water Wellfeet Other . .... .................... DEEP OBSERVATION'HOLE LOG, pap(h from 5011 HOfIZOA Soil Taxivre $all Color Surf Oct tlnchets) (USDA) Wun5e10 Soil Other ._. Mottling l5tructure, Sionef, Boulders, Con5 s(enCy. % Greveil dye Parent Materiel fpeolopie) DepthtoSedrock: �— Ds ih t r �rndwet Standing Weter In the Hale: Weeping from Pli Face:—�— Eslimared Seasonal High Ground Water,_ laDEP APPAD ID r't)W19 • 11197/9S �12l1712003 00:57 17$1334011 TANGARDR PAGE OE FORM 11 - SOIL L� AILUATOR FORM Past 3 of 3 LOCation Address or Lot No. Methgd Used_ E11 Depth observed standing in observation hole inches J Depth weeping from side of observation hole.... inches Depth to soil mottles...., `'?' inches r /� :f d Ground water adjustment feet ,'T 0 " Index Well Number Reading Date ,,..._ .. Index well level Adjustment factor ............... Adjusted ground water levet aenthof Naturally n,-..0 ing Pervious_ Material 1)09s at east observedlthrO ghQ tethe area proposed for the sol abso absorption material exist in all areas If not, what is the depth of naturally occurring pervious material? ;ertifi_ cation T!0 ! certify that on(date) !have passed the soil evaivatgr ext�mir►atiorl approved by the Department of Environmental Protection and that the r exa ir)ati ie was performed by me consistent with the required training, expertise and exPerir'nce described in 310 CMR 15,017. Signature�� , Gate VEF APPROVED FORM • 12/07/95 L Application for Local Upgrade Approval Commonwealth of Massachusetts (City/Town) ,Massachusetts Application for LOCAL UPGRADE APPROVAL Title 5, -310 CMR 15.000 DEP Approved Form 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 15.404(1), is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405, or in full compliance with the requirements of 310 CMR 15.000, require a variance pursuant to 310 CMR 15.410 through 15.417. OTE: 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. Facility Address: 'Fa fl T I QW o I,. c l f City/Town: Facility/System owner: , j A) Address: 7�2ri r�r�e City/Town: F'.2 Telephone: i cf l �) �= `j� State: Zip: 02 Type of Facility (check all that apply): a Residential Describe facilityi,,,f, a,M f��i�t0 Institutional ❑ Commercial ❑ School Type of existing system: ❑ Privy 0 Cesspool(s) Conventional System ❑ Other (describe) Type of soil absorption system (trenches, chambers, leach field, pits, etc) _ - '.- ,- Design Flow per 310 CMR 15.203: Design flow of existing system 7 Design flow of Proposed u gpd P P upgraded system y gpd Design flow of facility y yp gpd Proposed upgrade of system is: ❑ Voluntary ❑ Required by order, letter, etc. (attach copy) [� Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection / / ULFORM 9A - Application for Local Upgrade Approval Department of Environmental Protection Page 1 of 3 DEP Approved Form- 3/20/02 ' Describe the proposed upgrade to the system�n.s i ►cL ; , A, pv'" ;� D i� c A,.+ e'i .l liii-i LTf2 p4 -'i fZ , - .A -r 4,f F--� is r c Local Upgrade Approval is requested for: ❑ Reduction in setback(s) (Describe reductions)At- I-1 f Ec o i�D _w d-r2o ,via 7Za /v ` ❑ Percolation rate for 30 to 60 min/inch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% (SAS size and % reduction) SAS sq ft Reduction % ❑ Reduction in separation between the SAS and high groundwater Separation reduction___j ft Percolation rate I5 min/inch Depth to groundwater . 3 ft ❑ Relocation of water supply well (Explain) ❑ 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 authrity, High groundwater elevation determined by: ' ��U t L cr3�r✓C- 8 /:�/l f�� (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date) 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: 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: E'I�3"% s sous faA c 73uel Department of Environmental Protection Page 2 of 3 DEP Approved Form - 320/02 ~ � O FORM 9A - Application for Local Upgrade Approval 3• A shared system is not feasible: 4• Connection to a public sewer is not feasible: The Application for. Local Upgrade Approval must be accompanied by all of the following: (Check the approprite boxes) ®" Application for Disposal System Construction Permit Complete plans and specifications Site evaluation forms ❑ A),,4 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) CERTIFICATION: "I, the facility owner, certify under penalty of law that this document and all attachments, to the best Of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations. Facility owner's signature (� _ — Date/9 6 Print name ren ; * ,„ c i7 L- cam Name of preparer_ 3e,,,1` Q Preparer's Address: la© a c e c r1 �,;, i, p21 vc� - Date City/Town: _U� z;�r y;,mUu.t_ State: Preparer's telephone: (� 7g) 6 F, Zip' "`— - 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. Department of Environmental Protection Page 3 of 3 DEP Approved Form - 3/20/02 ' Town of Norf. mclover, Massachusetts jrm No. 1 NORT;MA BOARD OF HEALTH 0116 q•Y� 6 0� ei'G APPLICATION FOR SITE TESTING/INSPECTION 7 n�R4 TED PPP` '�y 9SSACHUSES c Applicant �r �'Jc!r��l�- G2 /L' fo�% NAME AD RESTSTELEPHONE Site Location Engineer NAME Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH Fee . Test No.��� S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. O BOARD OF HEALTH NORTH ANDOVER, MA 01845 �` t6v. . - iOr H� 978-688-9540 APPLICATION FOR SOIL TESTS. 2-- DATE: 7 g(3 3 MAP & PARCEL: Z 07 LOCATION OF SOIL TESTS: ca e' OWNER: TEL. NO.: ADDRESS: %,2v►J,►�e 9' ree 'y_ ,4.✓��..e2 ENGINEER: �..,. C 1 , Q ;,,C� 2; , TEL. NO.: 9 7 9 - 6 s 6 / -76,9 CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No X 1HE VULLUMNG MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of $200.00 per lot for repairs or Lipgrades. (If time is not critical, fee for repairs is $75.00) GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than 1"-100') sha ,be,submitted_to„the_Bo.ard-, of Health showing the location of all tests (including aborted tests). T®`'V'�' OF'' 0RTH ANQO`, '2R/ ! ( g ) gaA�r of H�t��r� i 7. Within 60 days of testing soil evaluation forms shall be submitted. "`� t Please Do Not Write Below This Line FQ22 MR N.A. Conservation Commission Approval: Date Received: `%410- Check Amount: aOO. Check Dater©/� CCCI o. en Lo Ae.w.gs 0 Nf-F-T U cK �EQ� Ul A 14 t lr� 419 t .1 A O 0 o •� 'w E~ w o A 00 z S N a: ti [ Q F o oo 0 O U � U N O O M zN r O v] O z w 1' w O cts Page 1 of 2 0. 0 DelleChiaie, Pamela From: Dan Ottenheimer [info@millriverconsulting.com] Sent: Thursday, December 18, 2003 1:45 PM To: pdellechiaie@townofnorthandover.com Subject: RE: 984 Turnpike Street I see what you mean about them being hard to read. This was an earlier job when I had the results faxed to me. I will get a cleaner copy and send that along to you. Good luck with Board meeting this evening. Speak to you soon. Dan Daniel Ottenheimer, President 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 www.millriverconsulting.com info@millriverconsulting.com -----Original Message ----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Thursday, December 18, 2003 9:45 AM To: Daniel Ottenheimer (E-mail) Subject: 984 Turnpike Street Importance: High Hi Dan, Can you resend me the soil test results for 984 Turnpike Street done in August 2003? I have a hard copy, but the re, not that legible, so when I went to reprint, I could not find the original e-mail you sent. Thanks for your help. Pam ;-) 3/30/2004 .1% I - _ I : -ICW fiY . 4!x ji) 1 'ail ++ — -fes 4��� i t '72. �! � I vi eu�ei Coe 771 eLl I ._! i AliJOLi _...� A ! + t Pamela DelleChiaie From: "Dan Ottenheimer" <info@millriverconsutting.com> To: <blagrasse@townofnorthandover.com>;<pdellechiaie@townofnorthandover.com> Sent: Wednesday, August 27, 2003 3:19 PM Attach: Turnpike #984 Soils.001.bmp; Turnpike #984 Soils.002.bmp Subject: 984 Turnpike Street Attached please find soil test results for 984 Turnpike Street. Call with any questions, Dan Page 1 of 4 9/8/2003 Page 1 of 1 DelleChiaie, Pamela From: Griffin, Heidi Sent: Friday, July 25, 2003 11:48 AM To: DelleChiaie, Pamela Subject: FW: 984 Tumpike Street Soil Test Hi, I inadvertently forgot to copy you on the below, song about that! Heidi -----Original Message ----- From: Griffin, Heidi Sent: Friday, July 25, 200311:41 AM To: Starr, Sandy Cc: Parrino, Julie Subject: 984 Turnpike Street Soil Test Hi Sandy: I was emailing to ask you about scheduling of 984 Tumpike Street Soil Tests and explain the history of this application while you were gone. The application was submitted on July 8m. Unfortunately, although Alison inspected the property the next day, she misplaced it and inadvertently did not return the application to the health department until Monday, July 21st. The homeowner [woman] called me up screaming about conservation having been out at the property and not submitting it until two weeks later. She then wanted to know when you would have an opportunity to review it and I told her it was normally two weeks but 1 would speak with you and see what you could fit in. Is there any way you can make accommodations to schedule this soil test the week that you retum? If not, can you please have Pam call the homeowner on Monday and give her the date and time that you can? Obviously, it is not your fault that conservation took two weeks to sign off, but I would appreciate any courtesy you could extend on the scheduling of this project. Thank You, Heidi Griffin Community Development & Services Director 27 Charles Street North Andover, MA 01845 (978) 688-9531 (978) 688-9542 fax 7/25/2003 0 APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTIM--NORTH ANDOVER, MASS. A. Spinalli ;y84_ Turnpike St. I here make application for a permit for a sewage disposal 9� Turnpike St. I will install this accordance with all the laws of the Commonwealth of Massachusetts of the Board of Health of the Town of North Andover. ?//% ° ic 144 IV "n r installation at system in and regulations Furtherp I wi11 construct the house sewer of bell and spigot pipe# the minimum diameter being 4 inchest and will maintain a minimum grade of 1% until 10 feet preceding the septic tanks,"where the grade shall not exceed 2%. I will install a concrete septic tank of 1000 Gal. in size. A manhole (s) permitting easy cleaning win be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with open jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenched the bottom of which will provide a minimum of 200 Lineal (sem) feet of effective abso3rption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench* 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be Installed at a grade of 4 to 6 inches/l00 feet. No single the line will exceed 100 feet in length and in any casef two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal.field trenches and the average depth of trench shall not exceed 36 inches. No part of the in- stallation will be less than 100 feet from any private water suppl7j, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I LMther o fic ,, as provided below$ and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. '^ System to be installed on top of 4 ft. gravel(to be imported) DATE ,,..�� i c '!Eg - Sig" ofApplicant, I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE ... 0 19,-5 ��.. Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE L �i C` Signature of Inspecting Officer Pereolation Test Not done as gravel to be brought in. Garbage Grinder April 2, 1959 Miss Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Turnpike Street(#984) building site of Mr. Anthony Spinelli. No percolation test is necessary as the ground level is to be raised four feet with gravel and the subsurface disposal area will be created near the surface in this material. It is recommended that a 1,000 gallon concrete septic tank be installed together with 200 lineal feet of drain pipe. The leaching area is to be installed on top of the four feet of gravel fill. Very//truly yours, William J.D scoll j�-!� Z I1 ,f BOARD OF HEALTH -e TOWN OF NOff:'H ANDOVER, MASS. ,11 O'A 14 b 20 q 9' j� 1. . /[ �I7.ii.Q?t ��'�C . . . ... . . . DATE NAME 2. ADDRESS WV.df �: . �1;�./ l�'`o�t'�' LOT NO. . . . . . . . TEIZ : 3. NO. OF BEDROOMS .'/. . DEN YES NO. 4. GXRBAGE GRINDER YES NO. .A'O'. . . 5. SHOW DIMENSIONS OF HOUSE b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES %. SHOW DIIVENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 7"� o 9. NOTE LOCATION AND DISTAI'TCE OF WELL FROM SEWERAGE SYSTEM 10. SHGW LOCATION OF BROOKS, STREAh(St DITCHES.. LEDGE OUTCROP, ETC. - 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE o,* 0 NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. Y t