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Home My WebLink AboutApproved Septic Plan - 526 WINTER STREET 8/20/2015 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 8/20/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the. Complete Repair and Construction of an On-Site Sewage Disposal System By: James Kellett At: 526 Winter Street Ma p 104A Lot 0080 rth Andover, MA 01845 Issuance of thi 'mm ifi a hall t be construed as a guarantee that the system will function satisfactorily. s , ichele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www,townofnortliandover.com 1 �l�l�l i�%1I11111f�11��, •, 1 North Andover Wealth Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 526 Winter St. MAP: 104.A LOT: 0080 INSTALLER: Jim Kellett DESIGNER: Merrimack Engineering PLAN DATE: 5/18/15, rev. 6/9/15 BOH APPROVAL DATE ON PLAN: 6/10/15 INSPECTIONS TANK INSPECTION: 7/9/15 PUMP TANK INSPECTION: 7/10115 DATE OF BED BOTTOM INSPECTION:7/14/15 DATE OF FINAL CONSTRUCTION INSPECTION: 7/21/15 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS N/A Contractor reports any changes to design plan ® Existing septic tank properly abandoned M Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ® Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing i 1 ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port l (effluent filter) ® 18 inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: PUMP CHAMBER ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1000 gallon Pump Chamber installed ® H-10 loading ® Monolithic tank construction ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ® 24" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by Visual testing ® Neoprene boots around inlet & outlet Comments: Installer will add 2" rigid foam insulation above the force main pipe in location adjacent to the driveway where only 12" of cover material is present. CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.087foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution N/A Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: 1 SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 9 ® Number of rows (trenches): 6 Comments: Total Chambers = 54 FINAL GRADE X Loamed X Seeded X Cover per plan Comments: DOCUMENTS NEEDED X Certification of Installation Form submitted i i By engineer and signed and dated by Engineer and installer X As-Built Plan Setup #1 Setup #2 BM = 147.71 BM = 147.71 HR = 2.19 HR = 1.52 HI = 149.90 HI = 149.23 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer at CI 6.72 142.83 ---_ Septic Tank IN 7.29 142.26 141.75 Septic Tank OUT 7.54 142.01 141.50 Pump Chamber IN 7.78 141.77 141.35 (2") Pump Chamber OUT 7.59 142.14 ---- Setup #2 4.91 143.97 143.90 Distribution Box IN Distribution Box OUT 5.10 143.78 143.73 Lateral 1 TOP 5.26 Lateral 1 INVERT 143.62 143.68 Lateral 2 TOP 5.26 Lateral 2 INVERT 143.62 143.68 Lateral 3 TOP 5.26 Lateral 3 INVERT 143.62 143.68 Lateral 4 TOP 5.26 Lateral 4 INVERT 143.62 143.68 Lateral 5 TOP 5.26 Lateral 5 INVERT 143.62 143.68 Lateral 6 TOP 5.26 Lateral 6 INVERT 143.62 143.68 Top of Chamber 5.18 144.05 144.07 Bottom of Bed/Chamber 143.38 143.40 i i 1 CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- M Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- M Waterline 10 10 10' M Private drinking well 75 1002 50 M Irrigation well 75 100 M Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banlc3 75 100 M Wetlands bordering surface water supply or trib. (in Watershed) 150 150 M Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area M Reservoirs 400 400 M Drains (wat. supply/trib.) 50 100 M Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30,respectively,pursuant to 15.211(3), also by NA wetland bylaws tTr.rn, RECEIVED TOWN OF 1-�ANrr)V'ER tilFM,1 PUBLIC HEALTH'DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; By: +®�1 � ker-I o�r (Print Name) Located at: �Z�/ 1t. I�)'-rj�I (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on " ,with a design flow of l �gallons per day. The materials used were in conformance with those specified on the approved plan;the system was installed in accordance with the provisions of 310.CMR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan.All work is accurately represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: Engineer Representative(Signature) And—Print Name Final Construction Inspection Date:�' "'L .�- (� (� y Engineer Representativ (Signature) T And—Print ame Installer• , (Signature) Date: , A� �p An —Print Name Engineer: V- W 411 /I�GGCet4, W04.-(Signature) Date: d'1e lc And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.coni I 1 Grant, Michele From: Grant, Michele Sent: Wednesday,August 19, 2015 8:27 AM To: 'Lorraine Schmidt'; 'Douglas_Schmidt @harvard.edu' Cc: 'vnemchenok @yahoo.com'; 'MERRENG @aol.com'; Blackburn, Lisa Subject: RE: 526 Winter st-AS-BUILT Attachments: 201508190839.pdf, 201508190835.pdf, 201508190832.pdf Hi Lorraine, I just went through the file and yes, it looks like they submitted their notes. Please see the attachments. I have scanned them to you to save time, however, You are more than welcome to come by and get the originals. Merrimack's original As-Built is in 2 parts because my scanner does not recognize the larger size. Please call me if you have any questions Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.corn Web www.TownofNorthAndover.com From: Lorraine Schmidt [mailto:lo.schmidtl5 @gmail.com] Sent: Tuesday, August 18, 2015 7:48 PM To: Grant, Michele Subject: Fwd: 526 Winter st-AS-BUILT Michele Below is the latest from Vladimir!!!. Did you see any working notes on the packet we delivered to you from him on Friday? When we picked this up at his office Friday morning he seemed to think it was completed . Lorraine ---------- Forwarded message ---------- From: "Schmidt, Douglas" <d«ttglts scl ►niclt(r)11arv�t>d.eclu> 1 i I i From: "Grant, Michele" <MCJra� tPc��Cc�wn�.�tnortl7ndovrr.com> Date: August 17, 2015 at 10:15:08 AM EDT To: "'Douglris Scl°imidt(i)liarv�ircl.e(ILi"' <Io��glas Schtniclt cc,halvarcl.ccltt> Subject: FW: 526 Winter st-AS-BUILT From: Grant, Michele Sent: Monday, August 17, 2015 10:14 AM To: 'vnemchenokyahoo.com'; 'Lorraine Schmidt'; 'douglas Schmidt @havard edu' Cc: 'MERRENGCaaol.com'; 'wrdufresneCcomcast.net"; Blackburn, Lisa Subject: 526 Winter st-AS-BUILT Good Morning Vladimir, I received the As-Built for 526 Winter Street. Thank you, However I don't see the, GEO Membrane and the location of the Control Panel on it. I have sent the As-Built checklist for your convenience. If you have any questions, please hesitate to call me at the number listed below. Thank you Michele E. Grant Public health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.954() Fax 978.688.8476 3 i Grant, Michele i From: Grant, Michele t Sent: To: Wednesday,August 19, 2015 9:23 AM 'Cc: 'Vladimir Nemchenok' Subject: wrdufresne @comcast.net RE: Control Panel Good Morning, A note on the As-Built should Suffice. Thank you Michele E. Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover, MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email m rant( tawnondav� er,com Web www.TownofNorthAndover.com -----Original Message----- From:Vladimir Nemchenok [mailto:vnemchenok ahoo com] Sent: Wednesday,August 19, 2015 9:16 AM To: Grant, Michele Cc: wrdfresne cmt et Subject: Control Panel Good morning Michelle, I Yesterday Bill went to the site to complete an as-built information you requested and found out that control anel is located inside the house, in garage, which was not accessible. How should we put the inform p panel on as-built plan? Is note about panel location would be sufficient? Please advise. anon regarding control Thank you Vladimir Sent from my iPhone 1 I Grant, Michele From: Lorraine Schmidt <lo.schmidtl5 @gmail.com> Sent: Tuesday, August 18, 2015 6:29 PM To: Grant, Michele Subject: Re: Fwd: FW: 526 Winter st-AS-BUILT Thank you Michele and I apologize for all the u turns ! Lorraine On Aug 18, 2015 4:58 PM, "Lorraine Schmidt" <1o.schmidtl5 aglxmail.com>wrote: !!?????III!????? Unbelievable ---------- Forwarded message ---------- From: "Schmidt,Douglas" <dou 7las sclttrtidtl�arvard.edL►> Date: Aug 18, 2015 4:57 PM Subject: FW: 526 Winter st-AS-BUILT To: "Io.schrnidtl5(c�x)�gmail.com" <lo.sclimidtl5((-i),=tnail.coni> Cc: Yes, reached out and this is what I got. Doug Schmidt Harvard Engineering & Utilities 46 Blackstone Street Cambridge MA 02139 617 496 1116 phone 617 872 1711 cell 617 496 1669 fax From: Vladimir Nemchenok [ma ilto:vnemchenok@yahoo.coin] Sent: Tuesday, August 18, 2015 12:18 PM To: Schmidt, Douglas Subject: Re: 526 Winter st-AS-BUILT TOwn Of NOrth Andover — Se 'c Svstem - AS-BUILT CHECKLIST 1) All changes to the design plan have been reflected and noted on the as-built plan 2) As-buil t plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans) Street Address,Assessor's Map and Lot Number z11 : 4) _ ZLot Lines and Location of Dwellings served by the system 5) —Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable) 6) __ZTies to all tank openings,d-box,and leach area from dwelling or Permanent Structure Setback distances are shown on the as-built plan from system components to: _Subsurface,interceptor&foundation drains —Catch basins —Property lines —Dwellings or other structures —Private water supply or irrigation wells —Watercourses or wetlands 8) Locations of Wells,Drains,Wetland Resource Areas within 1 W feet of system 9) —Location of water,gas,electric lines,cable,control panel (if applicable) 10) location of Structures within 6 Inches of Finished Grade 11) V1 Original Stamp&Signature 12) Location and holder of any easements which could impact the system /1) - 13) Impervious Areas;Driveways,etc ) i pg 14) North Arrow 15) —'/ Location &Elevation of Benchmark used 16) —STATEMENT ON PLAN (NA 5.3) 2'j J a. "I certify the locations' elevations, ties, cover material;exposed component covers etc.,on this as-built substantially agree with the approved plan and v determined th tt hreak out elevations,if applicable,have been met. e a he Signature of Designer Date b. - —"If a RUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built ndicatin the wall- was or Was not ., constructed in accordance with the intended manufacturer's spgdfjcatjotj, _d and a Signature of Designer Date Revised 3/17/15 Grant, Michele To: vnemchenok@^/ahoo.con; Lorraine Schmidt; duuglas_schmidt@havard.edu Cc: K4ERRENG@ooicon;wrdufnesne@comcastnet; Blackburn, Lisa Subject: 526 Winter st-AS-BUILT Attachments: As-built checklist REVISED 3 I2 I5.doc Good Morning Vladimir, I received the As-Built for 526 Winter Street.Thank you, However I don't see the, GEO Membrane and the location of the Control Panel on it. I have sent the As-Built checklist for your convenience. |f you have any questions, please � hesitate to call nneat the number listed below. Thankyou Michele E. Grant Public Health Agent Town nf North Andover 16U0 Osgood St I Suite 2035 North Andover,K8A 01845 Phone 978.688.9540 Fax 978.688.8476 Email Web � | 1 i i Grant, Michele To: Douglas_Schmidt @harvard.edu I Subject: FW: 526 Winter st-AS-BUILT Attachments: As-built checklist REVISED 3-12-15.doc From: Grant, Michele Sent: Monday, August 17, 2015 10:14 AM To: 'vnemchenok @yahoo.com'; 'Lorraine Schmidt'; 'douglas_schmidt @ havard.edu' Cc: 'MERRENG @aol.com'; 'wrdufresne @comcast.net'; Blackburn, Lisa Subject: 526 Winter st-AS-BUILT Good Morning Vladimir, I received the As-Built for 526 Winter Street.Thank you, However I don't see the, GEO Membrane and the location of the Control Panel on it. I have sent the As-Built checklist for your convenience. If you have any questions, please hesitate to call me at the number listed below. Thankyou Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mpr°arit @townofnorthandover.com Web www.TownofNortliAndover.com i 1 Grant, Michele To: Lorraine Schmidt; Blackburn, Lisa Subject: RE: 526 winter street septic title Will do Lorraine. Good luck on Marco Island. Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrantL@townofnorthandover.com Web www.TownofNorthAndover corn I From: Lorraine Schmidt [rnailto:1o.schrnidtl5@gmail.com] Sent: Wednesday, August 12, 2015 8:25 AM To: Grant, Michele; Blackburn, Lisa Subject: 526 winter street septic title i Good morning Forwarding my present E mail address as the work-on winter street comes to a completion. Do not have a new permanent address at this time. Please forward final certificates to this email and let me know if you have any questions. Thank you Lorraine Schmidt 1 Grant, Michele i To: Lorraine Schmidt Subject: RE: 526 winter street septic title 1 Hi Lorraine, You are waiting for Vladimir Nemcheck,Your Engineer,to submit the "As-Built" . He and Jim Kellet also have to sign off on the "Installation Certification". As soon as that's reviewed we will send out the COC. le: Certificate of Compliance Thank you Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 I Phone 978.688.9540 Fax 978.688.8476 Email t-ngrant@townofnorthandover.com Web www,TownofNorthAndover.com I From: Lorraine Schmidt [mailto:lo.schmidtl5 @.gmail.cgom] Sent: Wednesday, August 12, 2015 9:09 AM To: Blackburn, Lisa; Grant, Michele Subject: Re: 526 winter street septic title In addition to my expensive septic system I have fifty thousand tied in an escrow account waiting for the title five certificate. Any timeline on this? On Aug 12, 2015 8:24 AM, "Lorraine Schmidt" <lo.schrnidtl5(unlail.com>wrote: Good morning Forwarding my present E mail address as the work on winter street comes to a completion. Do not have a new permanent address at this time. Please forward final certificates to this email and let me know if you have any questions. Thank you Lorraine Schmidt 1 it Z � � r liry �•. Application fo ..9 Stem ToDAY1� DATE? Construction Permit — TOWN OF 50.00Fu11 Repair NORTH ANDOVER, MA 01845 $125.00 -Component Important: Application is herebv made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,use epair or replace an existing on-site sewage disposal system* only the tab key ❑ Repair or replace an existing system component—What? to move your cursor-do not use the return A. Facility Information key. _ - (,j i ft' Address or Lot# tab oye .- City/Town 2.-*TYPE OF SEPTIC SYSTEM*: ➢ Pump ❑Gravity(choose one) ***If pu6p s stem, attach copy of electrical permit to application*** ➢ Conventional System (pipe and stone system) ➢ ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system.) ➢ ❑ Pressure Distribution S.A.S.(No D-Box) ➢ ❑ Pressure Dosed(D-Box Present)S.A.S. ➢ ❑ Does the system require an effluent filter? Yes No If yes, does plan specify make and model of filter? YES =(no further info. needed) NO=(installer must specify brand of filter before DWC issuance) What is the Make? Wliat is the Model? 2. Owner Information __-booM Name Address(' differen fr m ) City/Town State Zip Code Email address Telephone Number 3. Installer Information Ica c'.,;' r° �z`°r` L//0 t"/iV . n f C Name of Name N � d r" �. Address ~ City/TowV State Zip Code Telephone Number(Cell Phone#if possible please) 4. Designer Information � - / f y /0� AA/"C' y /� / j/ 1 ►r'C' / 'ra/AVM" /d,t�f Name Name of Company f, A & Address City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit-Page 1 of 2 t Application for Septic Disposal System TODAY'S DATE Construction Permit — TOWN OF $250.00—Full Repair NORTH ANDOVER MA 01845 $125.00 - Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building: Residential Dwelling or[]Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code, as well as the Local Subsurface Disposal Regulations for the Town of North Andover. I understand that until a final Certificate of Compliance has been issued by is oard of Health, the instqJIed system is not approved. e Date ,AAf licati n A roved y ( and f He th-Representative) a Date Application Disapprove "'for he following reasons: For Office Use Only: 1. Fee Attached? Yes Nc 2. psojectManaget-Obligation Form Attached? Yes No 3. Pump S s�tem? If so,Attach copy of Electrical Permit Yes No Applican t received copy of "Electrical Inspection Notes for Septic Systems" Yes No Handout? 4. Reviewed approvalletter, all paperworkreceived? Yes No MIS Sing: 5. Foundation As-Built?(new construction only): Yes No (Same scale as approved plan) 6. Floor plans?(new construction only): Yes No Application for Disposal System Construction Permit-Page 2 of 2 I J i f w W � 0 4 CD 0 Z -- W 4o a z � a a V ER# p � cc l Grant, Michele i To: vnemchenok @yahoo.com; MERRENG @aol.com Cc: Isaac Rowe; Blackburn, Lisa;wrdufresne @comcast.net Subject: FW: 526 Winter Street/1679 Osgood Good Morning Vladimir, 526 Winter Street Please see the message below. When doing the As-Built; please include the location of the of the insulation along the pipe. Also, 1679 Osgood Street A walk through of 1679 Osgood Street was done by town offices,yesterday,July 21, 2015. Based on the walk through, a total of Seven Bedrooms were found.The plan is designed for Eight Bedrooms. Please design accordingly on the re- design. Sincerely, Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant @townofnorthandover.com Web www,TownofNorthAndover.com w l�( iirl%��Jlll Il ©� . From: wrdufresne comcast.net [mailto:wrdufresne @ comcast.net] Sent: Tuesday, July 21, 2015 11:29 AM To: Blackburn, Lisa Cc: Grant, Michele Subject: 526 Winter Street 1 i Lisa i I did the final inspection at the above site late yesterday. The system installation is ready for inspection by your Department. One issue that needs to be addressed by the contractor is that the force main was installed very shallow in the ground with minimum pitch back to the pump tank such that pipe will be subject to freezing in the winter months as it is less than 1 foot in the ground in various locations. The contractor should either insulate the pipe along its entire length or preferably core the pump tank and exit the force main at a greater depth which will provide greater cover and a steeper pitch back to the pump tank, thus eliminating the likelihood of freezing. made the contractor aware of our concerns. Thanks, Bill i 2 - Grant, Michele From: Isaac Rowe <irowe@miU,ivernonsuhing.com> Sent: Wednesday,July 22, 2Ol5I2:5GPK4 To: Blackburn, Lisa; 'Pam Lally' Cc: Grant Michele;Isaac Rowe Subject: RE: 526 Winter Street Attachments: 526 Winter Street Final inopec1ion.doc Lisa/Michele, Attached is the final construction inspection. As noted on the form,the installer will be adding 2" rigid foam insulation above the force main pipe. Please let me know if you have any questions. Thanks, Isaac M. Rpxve/ R.S. pnjectMonogsr Mi0URimer Consulting 6 Sargent Street Gloucester, K4AO193O-2719 Phone: 978-282-0014 emt.804 Fax: 978-282-1318 irowe@_rNillriverconsultin— -corn From: Blackburn, Lisa [ Sent:Tuesday, ]u|y21, 2015 11:43 AM To: DanOttenhe|0er; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: RN: 526 Winter Street Hi Isaac, Please read below and contact Jim Kellett for final inspection (781) 599'7994. Thank you. From: Sent: Tuesday, July 21, 2015 11:29 AM To: Blackburn, Lisa Cm: Grant, Michele Subject: 526 Winter Street [iS8 I did the final iD8DeCfiOD at the above site late y88t8[d8V. The 8V8t80O iOSt8ll@fiDD is ready for iOsDeCfiOO by your []9g@[tDl8Ot. One iSSU8 that needs to be addressed by the COOt[@CtD[ i8 that the f0[C8 [O@iO was installed very shallow in the ground with 1 minimum pitch back to the pump tank such that pipe will be subject to freezing in the winter months as it is less than 1 foot in the ground in various locations. The contractor should either insulate the pipe along its entire length or preferably core the pump tank and exit the force main at a greater depth which will provide greater cover and a steeper pitch back to the pump tank, thus eliminating the likelihood of freezing. made the contractor aware of our concerns. Thanks, Bill -11111"1.—.,-- .,. All email rrressages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north andover www.facebook.com/northandoverma 2 SEPTIC SYSTEM INSTALLER PROJECT MANAGEMENT OBLIGATIONS j\y the North Andover licensed installer for the construction for the septic system for the property u1: 5_2 / ^J-��—� io . �U0 �� oof^��m�� ym�� " Relative mthe application of And dated -_� - Dated `� o With revisions dated (Lasi-revised dare) I understand the following obligations for management of this project: 1. /La the installer, Iuuoob6nutcdtoobtaiouUPcszityund8ouzdoF|Icult6appzovcd plans prior to � � c performing any work o u site. I must have the approved 121ans and the permit on site when any work is being done. 2. /\s the installer,T must call for any and all inspections. If homeowner,contractor,project manager,orany other person not associated with my company schedules an inspection and the system is not ready,then item three shall 6capplicable. 3. As the installer, I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Tide 5 and the Board of Health RegWations may result in a$50.00 fine being levied ap�rainst me and/or my company. � u. Bottom of Bed—Gozc,,Oy, this is the first U"� inspection unless dhcre is u retaining vvnD which � should bc done first. The installer must request the inspection but does not have tobcpresent. � 6. Final Construction Inspection—T(ngioecrozust first do their inspection for elevations, des, etc. � As-built of verbal{}IC (or c-ouxd to: from the engineer must bc submitted to the Board of Health,after which installer calls for xo inspection time. Installer must be present for this inspection. With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade—Installer must request inspection when all grading is complete. Installer does not have toboou-ube. 4. As the installer, I understand that only l may perform the work (o/bm'tbxm simple excavation)and Z ucorequired to complete the installation of the system identified in the attached application for installation. I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of=license to ol2erate in the Town of North Andover, significant fines to all persons involved are also possible. 5. As the installer,I understand that I must be on-site during the performance of the following construction steps: w^ Determination that t6xJhroperelevation of the excavation has been rvax6euC b. Iwohxni»m uf the sand and stone to bewrxd. c. Final iwghrdYwn bv �8wmm� of��u/�� tu/F*� xow�w/bvwt � ~ ' ~ � d. Iwsbv{lvti*m of tank, D-Box, p6ux4 stone, vxwt pwmh chamber, retaining wall and other rwmpomom/x. � 6. As the installer,I understand that I am solely responsible for the installation of the system as l2er th � obligation.approved plans. No instructions by the homeowner, general contractor, or aLiy other persons shall absolve me of this Undersigned Licensed Septic Installer: -- 4 �� (Today's Date) Le,�'--9� , R. Kg, MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS LAND SURVEYORS - PLANNERS 66 PARK STREET • ANDOVER,MA 01810• (978)475-3565,373-5721 • FAX(978)475-1448 • E-MAIL lnfo@merrimackenglneering.com May 21, 2015 Michelle Grant Health Inspector 1600 Osgood Street -1-OWN OF NORIld ANDOVER Suite 2035 HEALTH DEPARI ifiENT North Andover, NIA 01 845 RE: 526 Winter Street Dear Michelle, We have completed a septic system upgrade design for the above referenced site. Enclosed herewith is a copy of the Septic Plan Submittal Form and fee,the Soil Evaluation Forms, the Particle Size Analysis Report by Terra Filter, a Local Upgrade Approval Form, and the-Infiltrator`Chamber Technology Certification along with 3 copies of the plans. rI'll,Due to the overwhelming predominance of wetlands on site,the system as designed, 1equires a waiver from the NA Board of Health Regulations to allow the septic tank to be 5( 50 feet from a wetland where 75 feet is required. On behalf of the owner, Doug Schmidt,we respectfully request this matter be placed on the earliest available BOH meeting agenda for consideration of the waiver request. Very truly yours, William Dufresne,Project Manager Merrimack Engineering Services,Inc ,y f I I North Andover Health Department Community and Economic Development Division June 29, 2015 Doug Schmidt 526 Winter Street North Andover, MA 01845 Re: Subsurface Sewage Disposal System Plan for 526 Winter Street (Map 104A,Lot 80) Dear Mr. Schmidt: The proposed wastewater system design plan for the above site dated May 18, 2015 with a final revision date of June 9, 2015 and received on June 9, 2015 has been approved. The design plan has been approved for use in the construction of a new on-site septic system for a 3-bedroom home utilizing a Quick 4 Low Profile Infiltrator Chamber system. This design plan approval is valid until June 29, 2017. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem, such as sewage backup into the dwelling is t occurring, the North Andover Board of Health may reduce the time period for which this plan is valid. At a regularly scheduled meeting of the Board of Health, this plan received the following approvals by the members. Local Upgrade Approvals: • To use a sieve analysis in lieu of a percolation test Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 526 Winter Street June 29, 2015 North Andover Board of Health Variances: To reduce the setback from the septic tank to the wetland resource area from 75' to 50' This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation,the originally issued Disposal System Construction Permit is void,installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit(3 10 CMR 15.020(1)) 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Michele Grant Health Inspector Encl. Installers list cc: Vladimir Nemchenok File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 I Grant, Michele 1 From: Lorraine <rainlo2 @comcast.net> Sent: Tuesday,June 30, 2015 10:39 AM To: Grant, Michele Subject: 526 Winter Street Michele Many thanks for the pre proposal help and on going advice extended to me during this process. It is much appreciated. Needed to have an installer contract before the 29th so that is accomplished. Hopefully the work will go smoothly. Gratefully, Lorraine 1 i I J t • � ii 1 °.u,.ram dW,� ill North Andover Health Department Community and Economic Development Division June 29, 2015 Doug Schmidt 526 Winter Street North Andover,MA 01845 Re: Subsurface Sewage Disposal System Plan for 526 Winter Street (Map 104A,Lot 80) Dear Mr. Schmidt: The proposed wastewater system design plan for the above site dated May 18, 2015 with a final revision date of June 9, 2015 and received on June 9, 2015 has been approved. The design plan has been approved for use in the construction of a new on-site septic system for a 3-bedroom home utilizing a Quick 4 Low Profile Infiltrator Chamber system. This design plan approval is valid until June 29, 2017. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem, such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. At a regularly scheduled meeting of the Board of Health, this plan received the following approvals by the members. Local Upgrade Approvals: ® To use a sieve analysis in lieu of a percolation test Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 I 526 Winter Street June 29, 2015 J North Andover Board of Health Variances: 1 To reduce the setback from the septic tank to the wetland resource area from 75' to 50' This approval is also subject to the following conditions: 1. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(l)) 2. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board,Planning Board, Building Inspector,Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Michele Grant Health Inspector Encl. Installers list cc: Vladimir Nemchenok File Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 I w I Grant, Michele t To: Lorraine Cc: vnemchenok @yahoo.com; Blackburn, Lisa Subject: FW: 526 winter street septic upgrade Attachments: 201506301015.pdf Good Morning Lorraine, Attached, please find your approval letter for Subsurface Sewage Disposal System Plan, along with North Andover's Permitted Septic Installers list. If you have any questions, please don't hesitate to call. Sincerely, Michele E. Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant(?townofnorthandover.com Web www.TownofNorthAndover.com From: Blackburn, Lisa Sent:Tuesday, June 30, 2015 7:46 AM To: Grant, Michele Subject: FW: 526 winter street septic upgrade From: Lorraine [mailto:rainlo2(d)comcast.netl Sent: Monday, June 29, 2015 7:17 AM To: Blackburn, Lisa Subject: 526 winter street septic upgrade Good Morning Lisa, I need the BOH approval letter to enable my installer to pull a permit. Can that be sent via e mail? 1 1 1 Thanlc you i Lorraine Schmidt 526 Winter Street t On Jun 19, 2015, at 8:18 AM, Blackburn, Lisa wrote: So sorry Lorraine. Thank you for letting me know! From: Lorraine [mailto•rain lo2@com--ast.net] Sent: Friday, June 19, 2015 8:16 AM To: Blackburn, Lisa Cc: 'merrena@aol com'; Dan Ottenheimer; Isaac Rowe; Pam Lally; Grant, Michele Subject: Re: June Agenda Thank you, Lisa Do you mean 526 Winter Street? On Jun 19, 2015, at 8:02 AM, Blackburn, Lisa wrote: Here is our June agenda. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn @townof north and over.corn Web www.TownofNorthAndover.com <image001.jpg> d content sent froma. All email messy�d es and attached and to this email account are public records unless qualified as an exerription under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north_andover www.facebook.com/northandoverma <June posting.doc> 2 Grant, Michel From: Isaac Rowe <imwe@miUrienonsultingzom> Sent: Wednesday,June IO, 2015II:5OAK4 To: Blackburn, Lisa; 'Pam Lally' Cc: Grant Michele;Isaac Rowe Subject: RE: 526 Winter St. Attachments: 526 Winter St BOH meeting approval letter DATE.doc Lisa/Michele, Attached is the likely approval letter after the BOH meeting at the end of June.This,was a review of the revised plan. I | l left all dates in red that need to be edited. All the other information should be correct unless another plan is submitted. Please let me know if you have any questions. Thanks, r Isaac M. Rowe, R.S. Project Manager " U ��/�_[k_ L1_ �UU �&,er��ms��m� ��x~ � \ ��k � C� ��-�- 0�_ u�^ to �� G Sargent Street Gloucester, MAO19]0-2719 Phone: 978-282-0014 ext,804 Fax: 978-282-1318 From: Blackburn, Lisa Sent: Tuesday, June O9, 20152:44PM To; Dan Ottenhuimar; Isaac Rowe; Pam Lally Cc: Grant, Michele Subject: FVV: 526 Winter St. Septic plan resubwDittal for 526 Winter St. in PDFfo[n0. From: | Sent:Tuesday,June 09, 2315 12:11 PM / To: Blackburn, Lisa Cc: Gaffney, Heidi Subject: Re: 526 Winter St. Lisa ! /#f8Ched please find Ddf'sOf the revised plans. The plans were revised tD address the 2 comments listed in the BOH review letter dated 6-8-15 Thanks, 1 IrI 1 Bill Blackburn"From: Lisa ackb.� „ ur n" <LBlackburn(c�townofnorthandover.com> To: "Bill Dufresne" <wrdufresn-)comcast.net> Cc: "Lorraine (rainlo2@comcast.net)" <rainlo20c comcast.net> Sent: Tuesday, June 9, 2015 10:03:55 AM Subject: 526 Winter St. Here is the disapproval letter for 526 Winter St. -----Original Message----- From: nore i @townofnorthandover.com mailto:nore I townofnorthandover.com] Sent: Tuesday, June 09, 2015 11:18 AM To: Blackburn, Lisa Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 06.09.2015 11:17:38 (-0400) Queries to: noreplytownofnorthandover.com All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at wwwtownofnorthandover.com Social Networks twitter.com/north andover w.facebook.com/northandoverma I All email messages and attached content sent from d this a . , rat frorr�i and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north andover www.facebook.com/northandoverma 2 1 Grant, Michele i From: Sawyer, Susan t Sent: Tuesday,June 30, 2015 9:35 AM To: Grant, Michele The following approvals for a variance and a local upgrade were made at a regular scheduled meeting on the Board of Health on June 25,2015 Motion was made by Dr.MacMillan to approve the variance of Section 3,table 1,Setback Distance Table,in the local septic regulations to allow the septic tank to be 50 feet from a wetland where 75 feet is required,Larry second.All were in favor and motion was approved. Motion was made by Dr.MacMillan to approve the local upgrade approval for use of a sieve analysis as a substitute for a percolation test. The motion was seconded by Mr.McCarthy,all were in favor and the motion was approved. Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto°ssawyer@townofnorthandover.com Web www.TownofNorthAndover.com • 1 {III I MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS LAND SURVEYORS PLANNERS i 66 PARK STREET • ANDOVER,MA 01810• (978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL Info @merrimackengineering.com May 21 2015 RECENEED Michelle Grant Health Inspector MA"I f- 6 1600 Osgood Street TOWN OF NORTH ANDOVER Suite 2035 HEALTH DEPARTMiENT North Andover, MA 01 845 RE: 526 Winter Street Dear Michelle, We have completed a septic system upgrade design for the above referenced site. Enclosed herewith is a copy of the Septic Plan Submittal Form and fee,the Soil Evaluation Forms,the P i ._ al sis&epoij_by Terra Filter, a Local Upgrade Approval Form, and the Infiltrator Chamber Technology Certification along with 3 copies of the plans. Due to the overwhelming predominance of wetlands on site,the system as designed, requires a waiver from the NA Board of Health Regulations to allow the septic tank to be 50 feet from a we ln... ,_ 5 req On behalf of the owner, Doug Schmidt,we respectfully request this matter be placed on the earliest available BOH meeting agenda for consideration of the waiver request. Very truly yours, William Dufresne, Project Manager Merrimack Engineering Services, Inc North Andover Health Department Community and Economic Development Division June 8,2015 Vladimir Nemcbenok Merrimack Engineering Set-vices 66 Park Street Andover,MA 01810 Re: Subsurface Sewage Disposal System Plan for 526 Winter Street(Map 104A,Lot 80) Dear Mr.Nemchenok: The proposed wastewater system design plan for the above site dated May 18, 2015 and received on May 21, 2015 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. Cleatiouts are required at all bends in the building sewer line(3 10 CMR 15.222(8)). 2. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use"will apply. Please provide the following as required by the approval conditions Section 11(7): e) The record drawings, approved by the LAA, must clearly indicate an area for•the best feasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is determined that it is not capable of providing equivalent environmental protection; ........... .......... ................... ....... Page I of 2 North Andover Ilealth Department, 1600 Osgood Street, Suite 2035, North Andover, N4A 01845 Phone: 978.688,9540 Fax: 978.688.8476 Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, Michele Grant Health Inspector cc: Doug Schmidt File ............... Page 2 of 2 North Andover flealth Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688,9540 Fax: 978.688.8476 I I I MERRIMACK ENGINEERING SERVICES, INC, PROFESSIONAL ENGINEERS LAND SURVEYORS PLANNERS 66 PARK STREET • ANDOVER,MA 01810• (978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL Info @merrimackengineering.com May 21, 2015 RECEIVED Michelle Grant Health Inspector 2015' 1600 Osgood Street 1°0g4 OF NOffi a i ANDOVER Suite 2035 Da:xPkrtdMFA North Andover, MA 01845 RE: 526 Winter Street Dear Michelle, We have completed a septic system upgrade design for the above referenced site. Enclosed herewith is a copy of the Septic Plan Submittal Form and fee,the Soil Evaluation Forms,the Particle Size Analysis Report by Terra Filter, a Local.Upgrade Approval Form., and the Infiltrator Chamber Technology Certification along with 3 copies of the plans. Due to the overwhelming predominance of wetlands on site,the system as designed, requires a waiver from the NA Board of Health Regulations to allow the septic tank to be 50 feet from a wetland where 75 feet is required. On behalf of the owner, Doug Schmidt, we respectfully request this matter be placed on the earliest available BOH meeting agenda for consideration of the waiver request. Very truly yours, c William Dufresne, Project Manager Merrimack Engineering Services, Inc TOWN OF' OR"I' I ANDOVER Office of CO. S IJNITY DEVELOPMENT N[) SERVICES HEALTH DEPARTMENT 1600 OSGOOD SU t°t'E 2035 Nf:9RI'11 ANDOVER, M SSAC;1:.:1y1S1f FFS 0184.5 978A8.9540 Phone Susan Y.Sawyer,REHS/RS 978A 8.8476--476 FAX Public Health Director for f?-CbvtA I heat &M a) Mnoff orthanndover on) W[J'`�E Ghltila:Cf m v tr n fhortha ndovar c~cs.in RECEIVED SEPTIC PLAN SUBMITTAL FORM MAY 2 0 15 Date of Submission: TOWN OF NOR,n4 ANDOVER HEALTH DEPARJUNT Site Location: Engineer: H-1 ilk. Lz l I ` New Plans? Yes $225/Plan Check# (includes 1St submission and one re- review only) RECEIVED Revised Plans?Yes $75/Plan Check# 2 Site Evaluation Forms Included? Yes No TOWN 1 NO l�1 ANDOVER � ffV� l�.�f1 4:.7'�C�fwa'G V'�L.IV 1" Local Upgrade Form Included? /t0"�"Yes No Telephone#: Cg 79)if'75 X-W Fax#:(e1-)I' ) 47 -f 4 E-mail: LA 12,12a F12- 10 d' C"oH 6� . K elr Homeowner Name: CU OFFICE USE ONLY When the sub ssion is complete (including check): ➢ Date stamp plans and letter ➢ v, Complete and attach Receipt ➢ it Copy File;Forward to Consultant ➢ Enter on Log Sheet and Database . Commonwealth of Massachusetts C of North Andover Form 9A — Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same oathat provided here. Before using this form, check with your local Board of Health to determine the form they use. Form 9A is t 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 CIVIR 15.404(l), is not feasible. System upgrades that cannot be performed in accordance with 310 CIVIR 15.404 and 15.4O5. orinfull � compliance with the requirements of31U CK8R 15.000. require ovariance pursuant ho31OCK8R 15.410 through 15.415. | NOTE: Local upgrade approval ohGU not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy, or the addition of a new design flow above the existing approved capacity of an on-site system constructed in accordance with either the 1978 Code or 310 CIVIR 15.000. A. Facility Information RECEIVED Important: �&Y � 1 �81� VVhen�U|ngout 1. Facility Name and Address: ^ .". � ' ^"^^ forms onthe Douglas Schmidt TOVVNOFNORTHANDOYER only the tab key Name .__ TT� 7717M_ tn move your 520 Winter Street cursor'dnnot uoothommm -^--'----- key. North Andover MA 01845 Qty/Town State Zip Code 2. Owner Name and Address (if different from above): SAME Name Street Address QtyfTmmn State O83-445Q � � Zip Code Telephone Number 3. Type of Facility(check all that appkA: 0 Residential [l Institutional Fl Commercial El School 4. Describe Facility: 3 Bedroom House 5. Type of Existing System: [l Privy Fl CemapoVKo\ Conventional El Other(describe be|ow): G. Type of soil absorption system (trenches, chambers, leach field, pits, etc): Unknown t5fonn9a.doo`rev.708 Application for Local Upgrade Approval* Page 1uf4 i Commonwealth of Massachusetts1 City/Town of North Andover w Form 9A ® Application for Local Upgrade Approval DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. A. Facility Information (continued) 7. Design Flow per 310 CMR 15203: Design flow of existing system: 9p U tlknown Design flow of proposed upgraded system 330 gpd 330 Design flow of facility: gpd B. Proposed Upgrade of System 1. Proposed upgrade is (check one): ® voluntary ❑ Required by order, letter, etc. (attach copy) ❑ Required following inspection pursuant to 310 CMR 15.301: date of inspection 2. Describe the proposed upgrade to the system: Complete System, see plan 3. Local Upgrade Approval is requested for(check all that apply): ❑ Reduction in setback(s)—describe reductions: ❑ Reduction in SAS area of up to 25%: SAS size,sq.it. %reduction ❑ Reduction in separation between the SAS and high groundwater: Separation reduction tt Percolation rate min./inch Depth to groundwater ft t5form9a.doc.rev.7/06 Application for Local Upgrade Approval° Page 2 of 4 .. ' Commonwealth of Massachusetts C of North Andover �� ~� ��U~��~�� Local Upgrade �� y�H Form ~�"-" "-°��n~"°~~~�~"��^~ "��^ ��~~~-~~~ ~~m��^ ��~~~- Approval ~~ ~ ~~^ DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the some as that provided here. Beh»n* using this form, check with your local Board of Health bu determine the form they use. B. Proposed Upgrade of System (continued) Relocation of water supply well (explain): / �l Reduction of 12-inch separation between inlet and outlet tees and high groundwater Use of only one deep hole in proposed disposal area Use ofa sieve analysis as a substitute for a paruteet Fl Other requirements of 310 CIVIR 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 hm31OCK8N15.4O5(1)(h>(1). The soil evaluator must bea member pr agent mf the local approving authority. � High groundwater evaluation determined by: Evaluator's Name(type nrprint) Signature Date ofevaluation C. Explanation Explain why full compliance, mo defined in310CK0R15.4O4(1). ie not feasible. (Each section must be completed) 1� An upgraded system in full compliance with 310 CIVIR 15.000 is not feasible: � N/A � 2. An alternative system approved pursuant to 310 CIVIR 15.283 to 15.288 is not feasible: t5fonn9o.doo^rev.7/06 Application for Local Upgrade Appmvo|^ Page 3 o[4 � 1 l Commonwealth of Massachusetts City/Town of North Andover Form 9A a ® Application Approval U >� DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. i C. Explanation (continued) 3. A shared system is not feasible: N/A 4. Connection to a public sewer is not feasible: None Available 5. The Application for Local Upgrade Approval must be accompanied by all of the following (check the appropriate boxes): ® Application for Disposal System Construction Permit ® Complete plans and specifications ® Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List): D. Certification "I, the facility owner, certify under penalty of law that this document and all attachments, to the best of my knowledge and belief, are true, accurate, and complete. I am aware that there may be significant consequences for submitting false information, including, but not limited to, penalties or fine and/or imprisonment for deliberate violations." 4, �--_ 5-21-15 Facility Owner' ignature Date Douglas Schmidt Print Name William Dufresne/Merrimack Engineering 5-21-15 Name of Preparer Date 66 Park Street Andover Preparees address City/Town Ma/01810 (978)475-3555 x-20 State/ZIP Code Telephone t5form9a.doc•rev.7/06 Application for Local Upgrade Approval,Page 4 of 4 i J Infiltrator Chamber I/A technology Certification RECEIVED MAY 2 1 ? ' 'fOWN OI':::N.��E�TH ANDOVER R P I hereby certify that I have been given a copy of the Title 5 I/A technology approval letter, and the Owner's Manual for the above technology and I agree to comply with all terms and conditions. I further certify that I am aware that this design does not allow use of a garbage grinder in the dwelling and that I understand my requirement to repair, replace or modify or take any other action required by the Department or the LAA if the Department or the LAA determines the system to be failing to protect public health and safety and the environment. b i � signature: date: lJev�em, C.t.tdutt�' certified by: (please print) MERRIMACK ENGINEERING SERVICES,INC. 66 PARK STREET^ANDOVER,MASSACHUSETTS 01810 ferraFilfer,LLC, P.0,Box 227 10 Main St. Sfinbridge,MA 0 1566 Tek (508)3476508 (877)347.7263 TerraFilter Fox:(508)347-9857 RECEIVED May 19,2015 MAY 2 ?015 ro�hN OF Nor,T 9 NZOVDR Bill Dufresne H DLJ:'ARI iAEN Merrimack Engineering 66 Park Street Andover, MA 01810 RE: Particle Size Analysis (Alternative to Perc Test) 526 Winter Street, North Andover, MA Dear Bill: Below are the results of the particle size analysis from the sample submitted for the above referenced property. The analysis was performed utilizing the hydrometer method of Gee & Bauder (1986) in Methods of Soil Analysis, Part 1. Physical and Mineralogical Methods,2nd Edition. Sand Silt Clay (2.00 to.05mm) (.05 to.002mm) (<.002mm) -n P,—as s-i-ng' .......64'-2%................... 33".4%....... _..2.4' % #10 Sieve ---—------ ..................--...... USDA Soil Textural Classification: Sandy Loam MA Section 15.243 Soil Classification: Class 11 Based upon the DEP's Title 5 Alternative to Percolation Testing Policy for System Upgrades,the following effluent loading rates apply: Un-compacted Soil 0.33gpd/sf Compacted Soil 0.15gpd/sf Should you need additional information, or require further testing services, please do not hesitate to contact our office. 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DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: When filling out A. Site Information forms on the computer,use Douglas Schmidt only the tab key Owner Name to move your 526 Winter Street cursor-do not use the return Street Address or Lot# key. North Andover MA 01845 City/Town State Zip Code (978) 683-4459 —Contact Person(if different from Owner) Telephone Number B. Test Results Date Time Date Time Observation Hole# Depth of Perc Start Pre-Soak End Pre-Soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate(Min./Inch) Test Passed: ❑ Test Passed: F-1 Test Failed: ❑ Test Failed: ❑ Test Performed By: Witnessed By: Comments: See Particle Size Analysis by Terra Filter dated 5-19-2015 t5form12.doc•06/03 Perc Test•Page 1 of 1 i 1 T'OWN d `NORTH ANDOVER ✓ %/r%�;,,' Office of COMMUNITY DITI[ELOPMENTANI) SERVICES HEALTH DEPMUMENT 1600 OSGO `lI` STREET; SUITE 2035 NORTH ANDOVER,OVE , MASSACHt.)SETT 0154 Susan Y.Sawyer,li EIIS„RS 97&68&9540.__Phone Public Health Director 978.688.84`76 Q^'A:X iau;afl.;C,hde 1,&�e7)COwa�ua)��oa t6r�na�+-��veu.,�,��tl wwvw,Iownofnorthaaaelove,r.e;otn APPLICATION FOR SOIL TESTS DATE: °°I J° MAP&PARCEL: c 4 A LOCATION OF SOIL TESTS: 12, OWNER:4 a Au j .'f OoL l il. 4,-A yi Contact#: C-1 7 0 � T Tyr- f 1 APPLICANT: Contact#: ADDRESS: ENGINEER:f"� II�j61C ��„ Contact#: � o 7j1�61� 4 / CERTIFIED SOIL EVALUATOR: I'��(rj,� I/j N�"� '�,� Intended Use of Land: Residential Subdivision Ingle amily Hom Commercial Is This: Repair Testing: vl Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"e 11"Plat plan&Location of Testing(please indicate test pit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least,two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent: °� Date back to Health Department: (stamp in): � '� t� YCL �n�s e V f 4 _ 1 iw r o- ;lyGlv 4 \I,,". r o. . read Ingmoss.�� • North Andover Health Depo Community and Economic Developmo June 8, 2015 N Vladimir Nemchenok Merrimack Engineering Services 66 Park Street Andover,MA 01810 Re: Subsurface Sewage Disposal System Plan for 526 Winter Street(Map 104A, Lot 80) Dear Mr. Nemchenok: The proposed wastewater system design plan for the above site dated May 18, 2015 and received on May 21, 2015 has been reviewed. Unfortunately, the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item. 1. Cleanouts are required at all bends in the building sewer line (3 10 CMR 15.222(8)). 2. Since the Infiltrator Chamber system is proposed as an alternative soil absorption system the"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use"will apply. Please provide the following as required by the approval conditions Section II(7): e) The record drawings, approved by the LAA, must clearly indicate an area for the best feasible replacement system that could be installed in the event that the proposed Alternative Soil Absorption System fails or it is determined that it is not capable of providing equivalent environmental protection; Page I of 2 North Andover health I:)epartment, 1600 Osgood Street, Suite 2035, Nortlx Andover, MA 01.845 Phone: 978.688.9540 Fax: 978.688.8476 i I i Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Sincerely, r � Pr" Michele Grant Health Inspector cc: Doug Schmidt File i i i Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 I Grant, Michele From: Blackburn, Lisa Sent: Thursday,June 04, 2015 11:34 AM To: Grant, Michele Subject: FW: 526 winter street subsurface sewage disposal system -----Original Message----- From: Lorraine [mailto:rainio2 comcast.net] Sent:Thursday,June 04, 2015 11:32 AM To: Blackburn, Lisa Subject: Re: 526 winter street subsurface sewage disposal system Hi Lisa, On May 21st we submitted our upgrade plan for our septic system and am wondering if we should be hearing from the engineer as this marks two weeks. Are weekends included in the two week timeline? Thank you Lorraine On May 27, 2015, at 1:26 PM, Blackburn, Lisa wrote: Thank you Lorraine. I will. -----Original Message----- From: Lorraine [mailto:rainlo2@corilcast.net] Sent:Wednesday, May 27, 2015 1:22 PM To: Blackburn, Lisa Subject: 526 winter street subsurface sewage disposal system Hi Lisa Am requesting that you cc me on any decisions/revisions related to our septic plans. Merrimack Engineering- Bill Dufresne is our consultant. I appreciate your time) thank you Lorraine Schmidt 526 Winter Street North Andover Ma 1 i Grant, Michele From: Sawyer, Susan Sent: Wednesday, March 18, 2015 4:59 PM To: 'Megan Baldwin'; Grant, Michele Subject: RE: Merrimack update Thanks, Sorry,yes the rooms in basement were approved for renovation. Susan -----Original Message----- From: Megan Baldwin [mailto:megansllc-us.com] Sent: Wednesday, March 18, 2015 3:57 PM To: Grant, Michele; Sawyer,Susan Subject: Merrimack update Hi Susan and Michele, F Here are some highlights from today's weekly monitoring inspection at Merrimack College-Sparky's. -Cleanliness of the interior wall of conveyor track area is improved from last week, however there is still a 6 in strip, located about two feet in from kitchen access area,that still needs cleaning. - Pasta station laminate cutting board severely worn, chipped edges, advised replace board. -Grease on side of grill improved since last week, but still needs cleaning. Hoods are scheduled to be cleaned tonight. -Salad area transport cart has dirt build up-clean. -Two flies observed near conveyor area. No ants observed. Pest report indicates Waltham treated for ants since last week. Under advice of Waltham, manager is treating drains near conveyor nightly with boric acid. Conveyor track is washed after lunch and dinner. There is new grout in the tile around dish conveyor-that was done over shut down. Large basement storage room is under renovation. I hope they got your ok? The only renovation so far is the removal of one of the walls (to right as you look in double doors).This right side wall is now set back farther, making the storage room larger, and new blue wall board is installed. I talked to Bryan and Meagan about how the conveyor could be better designed should it be renovated. It would be better if it had it's own self cleaning mechanism, a better system for catching debris and water, and there shouldn't be such a long inaccessible space between the kitchen and dining room. Let me know what questions you may have! Best, Megan Baldwin, M.S., R.S. Senior Consultant Public Protection Specialists 1 1 i Grant, Michele I From: Lorraine <rainlo2 @comcast.net> Sent: Thursday,June 11, 2015 9:20 AM To: Grant, Michele Cc: Blackburn, Lisa Subject: Re: 526 Winter Street septic upgrade Thank you again! On Jun 11, 2015, at 8:14 AM, Grant, Michele wrote: Hi Lorraine, Yes,The initial plan review is back and Your engineer already submitted the request to come in front of the Board. If the system is failed,the Title-V inspector will fail it.There are two types of inspections, a Voluntary inspection and a Formal,Title-V inspection.Voluntary is to enlighten the homeowner as to how the system is doing the other is a Formal that is submitted to the Health Dept. You would need a formal Title-V.Your engineer should also be able to guide you through the process. If you have any other questions please let me know. Sincerely, Michele E. Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover, MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email m rant townofnorthandover.com Web www.TownofNorthAndover.com -----Original Message----- From: Lorraine [mailto:rainlo2@comcast.net] Sent:Thursday,June 11, 2015 7:00 AM To: Grant, Michele Subject: 526 Winter Street septic upgrade Good Morning Michele, I Would like to request to be placed on the agenda for the June 25th board meeting. Would | need to come to the office to fill out any forms for this? See that the deadline for this is June 15Lh. Also have aquestion. Noticedonthetowndte "|fataxpayervo|untah|ynepairsornep|aceoaoeptictonkthetaxcneditionotavai|ab|e»inoeit is not "failed" system under title V." Somehow we went inasvoluntary, so based onthe above vve are not o failed system under tit|eV? Does this affect any of the processes we are going through? If we are not considered failed can we take a different route here?with the end product complying with Title V? And/or should vve change that voluntary status ? Thonkyou Lorraine All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at Social Networks twitter.com/north ondover � � 2 Grant, Michel From: Blackburn, Lisa Sent: Thursday,June ll, 2O159:24AM To: Lorraine (roin|u2@comoast.neU Cc: Grant Michele Subject: FVV: 526 Winter Street septic upgrade Lorraine, ! We do have your request and the plan review is back. I was talking with Conservation and know that you were supposed � to go before them last night but the meeting was cancelled due to a lack of a quorum. I understand that you are going before them on June 24th. I emailed our Chairman to make sure that you were all set for our June 25th meeting and that you are going before Conservation on the 24th. I will get back to you as soon as he responds to me regarding your request tobeot our 8OH meeting nn June 25th. Lisa Blackburn -----Original Message----- From: Grant, Michele Sent:Thursday,June 11, 2O15O:14AM To: 'Lorraine. Cc: Blackburn, Lisa � | Subject: RE: 526 Winter Street septic upgrade ' Hi Lorraine, Yes,The initial plan review is back and Your engineer already submitted the request tn come in front of the Board. � |f the system io failed,the Tit|e-V inspector will fail it.There are two types of inspections,e Voluntary inspection and o Formal,Title-V inspection.Voluntary is to enlighten the homeowner as to how the system is doing the other is a Formal that is submitted to the Health Dept. You would need a formal Title-V.Your engineer should also be able to guide you through the process. |f you have any other questions please let meknow. Sincerely, Michele E. Grant Public Health Agent Town of North Andover 160O Osgood St | Suite 2O3S North Andover, MA 01845 | Phone 978.688.9540 � Fax 978.688.8476 Email mgrant@townofnorthandover.com Web www.TownofNorthAndover.com I i 1 -----Original Message----- From: Lorraine [mailto:rainlo2 comcast.net] Sent:Thursday,June 11, 2015 7:00 AM To: Grant, Michele Subject: 526 Winter Street septic upgrade Good Morning Michele, Would like to request to be placed on the agenda for the June 25th board meeting. Would I need to come to the office to fill out any forms for this? See that the deadline for this is June 15th. Also have a question. Noticed on the town site "If a taxpayer voluntarily repairs or replaces a septic tank the tax credit is not available since it is not a "failed" system under title V." Somehow we went in as voluntary, so based on the above we are not a failed system under titleV? Does this affect any of the processes we are going through? If we are not considered failed can we take a different route here?with the end product complying with Title V? And/or should we change that voluntary status? Thank you Lorraine 2 Blackburn, Lisa From: Blackburn, Lisa Sent: Thursday, June 04, 2OI53:07PK4 To: Bill Dufresne Co: 'Lorraine'; Grant Michele Subject: 526 Winter St. Attachments: North Andover Septic Regulations 2-2S-I0.pdf Hi Bill, � The homeowner of 526 Winter St. emailed me to find out the status of their septic plan. I emailed Mill River and the plan � will be reviewed either Friday 6/Sor Monday 6/8. The abutters will need to be notified in accordance with section 8.3 of the BOH regulations (attached). if you can address any questions/comments generated from the plan review then the application could be placed on the BOH meeting for June.The applicant or you will need to notify abutters 10 days before the BOH meeting in accordance with section 8.3 of the 8OH regulations. Lisa Blackburn Health Department Town of North Andover � | 16O0 Osgood Street,Suite 2O35 North Andover, MA 01845 Phone 978-688-9540 Fax 978-588-8476 | Email Web / 1 i i Blackburn, Lisa From: Isaac Rowe <irowe @millriverconsulting.com> Sent: Thursday,June 04, 2015 2:11 PM To: Blackburn, Lisa Cc: Grant, Michele;Isaac Rowe Subject: RE: 526 winter street subsurface sewage disposal system Attachments: North Andover Septic Regulations 2-25-10.pdf Lisa, This plan will be reviewed either Friday 6/5 or Monday 6/8. The abutters will need to be notified in accordance with section 8.3 of the BOH regulations (attached). If Merrimack Engineering can address any questions/comments we generate from the plan review then the application could be placed on the BOH meeting for June.The applicant or consultant will need to notify abutters 10 days before the BOH meeting in accordance with section 8.3 of the BOH regulations. I will send the plan review letter as soon as it is completed. Thanks, Isaac M. Rowe, R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 Fax: 978-282-1318 irowe@millrivercon5ulting.corr7 www.miliriverconsulting.com -----Original Message----- From: Blackburn, Lisa [mailto:LB]ackburn@townofnorthandover.com] Sent:Thursday,June 04, 2015 11:39 AM To: Isaac Rowe (irowepmillriverconsulting.com) Cc: Grant, Michele Subject: FW: 526 winter street subsurface sewage disposal system Hi Isaac, I received this email from the homeowner of 526 Winter St. for a waiver to allow the septic tank to be 50 ft.from a wetland where 75 feet is required. The original plans were submitted to you on May 21st.Any idea when the approval/disapproval letter will be going out? Just curious because they want to be on this month's board meeting. Also, do they need to notify abutters before the meeting for the -----Original Message----- From: Lorraine [mailto:rainlo2 @comcast.net] Sent:Thursday,June 04, 2015 11:32 AM 1 i To: Blackburn, Lisa J Subject: Re: 526 winter street subsurface sewage disposal system I Hi Lisa, On May 21st we submitted our upgrade plan for our septic system and am wondering if we should be hearing from the engineer as this marks two weeks. Are weekends included in the two week timeline? Thank you Lorraine On May 27, 2015, at 1:26 PM, Blackburn, Lisa wrote: Thank you Lorraine. I will. -----Original Message----- From: Lorraine [mailto:rainlo2 @comcast.netj Sent:Wednesday, May 27, 2015 1:22 PM To: Blackburn, Lisa Subject: 526 winter street subsurface sewage disposal system Hi Lisa Am requesting that you cc me on any decisions/revisions related to our septic plans. Merrimack Engineering- Bill Dufresne is our consultant. appreciate your timel thank you Lorraine Schmidt 526 Winter Street North Andover Ma All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north_andover www.facebook.com/northandoverma All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com 2 Grant, Michele From: Blackburn, Lisa on behalf of Department, Health Sent: Thursday, May 21, 2015 3:16 PM To: Grant, Michele J Subject: FW:ATTN: Michele 526 Winter street subsurface sewage disposal system Michele, This was in the Health Department email. It's regarding the septic plan that just came in today. Looks like they are looking for the system to be in by June 30th. -----Original Message----- From: Lorraine [mailto:rainlo22comcast.net] Sent:Thursday, May 21, 2015 3:05 PM To: Department, Health Cc: Sawyer, Susan Subject:ATTN: Michele 526 Winter street subsurface sewage disposal system t Michele, My husband Doug spoke with you earlier about the subsurface sewage disposal system plans that he delivered to your office earlier today. Just wanted to add some additional information . As part of our regular maintenance we scheduled to have our septic pumped on April 10th of 2015 and at this time we were thinking of selling our North Andover home of 40 years. So decided to also go ahead with a title V inspection,which failed, but the system still operates fine. We do wonder how much the very high water table at the time may have affected the results. Upon learning of this failue we immediately contracted with Merrimack Engineering to come up with a plan for a new system and filed with the town on the same day, 10th of April . On April 21 st we placed our home on the market with the clear disclosure that a new system would be installed. Our home is now under agreement but we had no idea of the lengthy amount of time that would be involved with this septic process. It's very possible that we could loose the sale as it looks like the system will not be able to be completed by June 30th> I'm sure you've heard about similar situations before and am wondering if you have any advice for us? As you know,the new system is costly and so is loosing a sale on your home after all the effort towards the selling process. We are not a young couple with a lot of income potential ahead of us. Thank you b Y 3 UP Lorraine Schmidt ,Q 1 i Michele, My husband Doug spoke with you earlier about the subsurface sewage disposal system plans that he delivered to your office earlier today. ,I Just wanted to add some additional information . i As part of our regular maintenance we scheduled to have our septic pumped on April 10th of 2015 and at this time we were thinking of selling our North Andover home of 40 years. So decided to also go ahead with a title V inspection,which failed, but the system still operates fine. We do wonder how much the very high water table at the time may have affected the results. Upon learning of this failue we immediately contracted with Merrimack Engineering to come up with a plan for a new system and filed with the town on the same day, 10th of April . On April 21 st we placed our home on the market with the clear disclosure that a new system would be installed. Our home is now under agreement but we had no idea of the lengthy amount of time that would be involved with this septic process. It's very possible that we could loose the sale as it looks like the system will not be able to be completed by June 30th> I'm sure you've heard about similar situations before and am wondering if you have any advice for us? As you know,the new system is costly and so is loosing a sale on your home after all the effort towards the selling process. We are not a young couple with a lot of income potential ahead of us. Thank you Lorraine Schmidt All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. Visit us online at www.townofnorthandover.com Social Networks twitter.com/north_a ndover www.facebool<,com/northandoverma 2 MERRIMACK ENGINEERING SERVICES, INC, PROFESSIONAL ENGINEERS - LAND SURVEYORS - PLANNERS 66 PARK STREET• ANDOVER,MA 01810•(978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL 1nfo@merr1mackeng1neering,com May 21, 2015 F,ZECEIVEE) Michelle Grant Health Inspector i"I AY 1600 Osgood Street yC�Wr,J()F NORJT�NA)OVER Suite 2035 North Andover, MA 01815 RE: 526 Winter Street Dear Michelle, We have completed a septic system upgrade design for the above referenced site. Enclosed herewith is a copy of the Septic Plan Submittal Form and fee,the Soil Evaluation Forms, the Particle Size Analysis Report by Terra Filter, a Local Upgrade Approval Form, and the Infiltrator Chamber Technology Certification along with 3 copies of the plans. Due to the overwhelming predominance of wetlands on site, the system as designed, requires a waiver from the NA Board of Health Regulations to allow the septic tank to be 50 feet from a wetland where 75 feet is required. On behalf of the owner, Doug Schmidt,we respectfully request this matter be placed on the earliest available BOH meeting agenda for consideration of the waiver request. Very truly yours, William Dufresne, Project Manager Merrimack Engineering Services,Inc r w� x fi I Oki 4K { � W f , Commonwealth of Massachusetts City/Town of j System Pumping RecordE U(� . 20(V ` Form 4 DEP has provided this form for use by local Boards of Health. her forma may be used;"but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use only the tab key Address' to move your cursor-do not CitylTown State Zip Code use the return key. 2. System Owner: VQ Name r�rr Address(if different from location) CityfTown State , Zi Code Telephone Number B. Pumping Record 1. Date of Pumping ® e 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank El Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of Syste�m: � 6. System Pumped By: P Name Vehicle License Number Company 7. Location wh contents were di sed: Signature f ul Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 TOWN SYSTEM PUMPING RECORD r HATE: SYSTEM OWNER & ADDRESS SYSTEM: LOCATION (example:left front of house) DATE OI+'PUMPING. QUANTITY PUMPED :ED : GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEAD 'LD RUN-BACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTBE R(EXPLAIN) SYSTEM M P ED BY: Bateson Enterprises, Inc. COMMENTS: NTS: CONTENTS TRANSFERRED TO: i TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: r ... / SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: ' ` QUANTITY PUMPED �, GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY®® OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: i i Commonwealth of Massachusetts ) MassachuscUs System f Pumpkim Record System Owner System Location Date of P'umping: . Quantity Pumped: �� gallons Cesspool: No Yes Septic Tank: No U Yes System Pumped by: Farejart 50 License# Contents transferrred to : greater Lawrence Sanitary District Date: _ _ Inspector: 1