HomeMy WebLinkAboutMiscellaneous - 70 RALEIGH TAVERN LANE 11/18/2015 (2) 1
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North Andover Health Department
(ommunity and Economic Development Division
June 30, 2015
Walter Soule
70 Raleigh Tavern Lane
North Andover, MA 01845
Re: Subsurface Sewage Disposal System Plan for 70 Raleigh Tavern Lane (Map 107A,Lot
107)
Dear Mr. Schmidt:
The proposed wastewater system design plan for the above site dated May 20,2015 and received
on June 10,2015 has been approved.
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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 30, 2017.
During this time, a licensed septic system installer must obtain a permit and complete this work,
and a Certificate of Compliance be endorsed by the installer, designer and the Town of North
Andover. In the event an imminent health problem, such as sewage backup into the dwelling is
occurring,the North Andover Board of Health may reduce the time period for which this plan is
valid.
At a regularly scheduled meeting of the Board of Health,this plan received the following
approvals by the members.
Local Upgrade Approvals:
• To reduce the separation distance from the soil absorption system to the estimated
seasonal high ground water table from 4' to 3'
Page 1 of 2
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover, MA 01.845 Phone: 978.688.9540 Fax: 978.688.8476
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70 Raleigh.Tavern Lane June 30, 2015
North Andover Board of Health Variances:
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To reduce the setback from the soil absorption system to the wetland resource area from
100' to 84'
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.
Sin erely,
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
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Grant, Michel
From Isaac Rowe <iroweO�miUr�ernonsuhingzom>
Sent: Wednesday,June 24, 20I59:44AM
To: Blackburn, Lisa; 'Pam Lally'
Cc Grant, Michele;Isaac Rowe
�w�^���Subject: RE:70 Raleigh Tavern Lane
Attachments: 70 Raleigh Tavern Lane - 8OH meeting approval |etterDATE.doc
Lisa/Michele,
Attached is the BOH meeting approval letter for the initial review for the above referenced property. I did not find any
revisions that are required with this design plan. I left the dates in red so they can be changed after the BOH meeting. �
The applicant is requesting a LUA and a NA BOH variance. Based on the existing site conditions I would recommend
approval for both requests. However,the 8OH may want to ask the following question tothe representative at the BOH
meeting:
-Considering the LUA being requested please explain why the leach field is proposed to be over
designed by 171 square feet?
Please let me know if you have any questions.
Thanks,
Isaac M. Rowe, R.S.
Project Manager
Mffl River Consulting
6 Sargent Street
Gloucester, M&O198O-2719
Phone: 978-282-0014 ent.804
Fox: 978-282-1318
- - -
From: Blackburn, Lisa
Sent: Wednesday, June 10, 20159:15AM
To: DanOttenheimer; Isaac Rowe; Pam Lally
Cc: Grant, Michele
Subject: 7O Raleigh Tavern Lane
Good Morning,
Mai[iRgQVt septic plans for 70 Raleigh Tavern Lane.
Lisa Blackburn
Health Department
Town of North Andover
160O Osgood Street,Suite 2O35
North Andover, K8A 01845
1
AAMERRIMACK ENGINEERING SERVICES, INC,
A PROFESSIONAL ENGINEERS LAND SURVEYORS o PLANNERS
66 PARK STREET ANDOVER, MA 01810• (978)475-3555,373-5721 • FAX(978)475-1448• E-MAIL lnfo@merrimackengineering.com
June 9, 2015
Board of Health RECEIVED
1600 Osgood Street
Suite 2035 J t I N I
North Andover, MA 01845
TOWN OF W)RT H ANDOVER
RE: 70 Raleigh Tavern Lane 1-01"TH DEPART MENT
Dear Mr. Chairman and Members:
We have prepared a septic system upgrade design for the above referenced site.
The site has wetlands to the rear such that the predominance of the site is within the 100
foot buffer zone, as such there is inadequate area on site to place a septic and soil
absorption system in compliance with your local 100 foot wetland setback,there
variance is being requested to allow a soil absorption system 84 feet from a wetland.
In addition to the local variance, an LUA is being requested to allow the system to be 3
feet above the ESWT where 4 feet is Gs—LUA will—allowa gravity
flow 7s7jif6-Eis--(5jiVog-e-d-fo—apti—mp--dn-d-p-r,ow du-ff-s-avings of approximately $4000-$5000
in materials, equipment and labor. Additionally it will minimize or eliminate a mound
directly in front of the house.
We feel that given the existing site conditions and constraints,the system as designed
provides an equivalent degree of environmental protection intended by Title 5 and failure
to grant the requests would be manifestly unjust considering all the relevant facts and
circumstances.
On behalf of the owner,we respectfully request this matter be placed on your June 25,
2015 BOH meeting agenda for consideration of these requests.
Very trul'y Yours,
William Dufresne,Project Manager
Merrimack Engineering Services, Inc
TOWN OF N RT11 ADMOVER ! !
Office of 1"IMM 1 JN I'I Y IMIK ELOP IAN 11 SERVICES
DEPARTMENT
1600 OSG.O(H)STREFA'; SUITE 2035
NO I 1 ANDOVE,' , MASSACJ 1 Sf-1,1�,I'S W
978.688.9540 Phone
Susan V.Sawyer,REHS/Rs 9'M688.8476-- FAX
Public Health Director E-MAIL: E�-cµ �c��r�
wE BSf 9uyt s;0/w�ra .;/ da-6/ ro�la ,aua o., usr.�vuar
SEPTIC PLAID SUBMITTAL FORM RECEIVED
Date of Submission: 6- 7 - 1
Site Location: ( t -v: t 41r TA- V,g yr H:1W.j-j DEPARIMF
Engineer: WCfz-Vj"AcX, T
New Plans? Yes $225/Plan Check# / f (includes 1St submission and one re-
review only)
Revised Plans?Yes $75/Plan Check#
Site Evaluation Forms Included? Yes V No
Local Upgrade Form Included? Yes No
Telephone#: � �, ' � Fax#: ° ' L
E-mail:
Homeowner
Name: '
f
OFFICE USE ONLY
When the submission is complete (including check):
Date stamp plans and letter
Complete and attach Receipt
Copy File; Forward to Consultant
➢ Enter on Log Sheet and Database
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
June 9, 2015
Board of Health RECEIVED
1600 Osgood Street
Suite 2035 JUN I () 2015
North Andover, MA 0 1845 TOWN OF NOR M ANDOVER
RE: 70 Raleigh Tavern Lane HEALTH DEPARTMENT
Dear Mr. Chairman and Members:
We have prepared a septic system upgrade design for the above referenced site.
The site has wetlands to the rear such that the predominance of the site is within the 100
foot buffer zone, as such there is inadequate area on site to place a septic and soil
absorption system in compliance with your local 100 foot wetland setback,therefore a
variance is being requested to allow a soil absorption system 84 feet from a wetland.
In addition to the local variance, an LUA is being requested to allow the system to be 3
feet above the ESWT where 4 feet is required. Granting of this LUA will allow a gravity
flow system as opposed to a pump and provide a savings of approximately $4000-$5000
in materials, equipment and labor. Additionally it will minimize or eliminate a mound
directly in front of the house.
We feel that given the existing site conditions and constraints,the system as designed
provides an equivalent degree of environmental protection intended by Title 5 and failure
to grant the requests would be manifestly unjust considering all the relevant facts and
circumstances.
On behalf of the owner, we respectfully request this matter be placed on your June 25,
2015 BOH meeting agenda for consideration of these requests.
Very truly yours,
William Dufresne, Project Manager
Merrimack Engineering Services, Inc
:�^ ��K���0NK�nwea@th of Massachusetts
��
City/Town of ��o[th /�DdOV8[
Form^ �� ���H~���~��� ���� � ����N NN������ � �������U
�m� �� m����n�~��Q�.. U�. �����wv����. _��� m���. � ~ �m
OEP has provided this form for use bv local Boards uf Health. (]iherfornnannaybe used, but the
informeUonmust besubotanUa||y the'same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
orm 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 CIVIR
15.404(l), is not feasible.
System upgrades that cannot be performed in accordance with 310 CIVIR 15.404 and 15.405, or in full
compliance with the requirements of 310 CIVIR 15.000, require a variance pursuant to 310 CIVIR 15.410 �
through 15.415.
NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of
----- ea\gnmwooaoepoo| nrpr\vy, orthaadd|d vv
addition of above the exiaUngapproved
capacity ofonon b/
-site
A. Facility information RECEIVED
Important: out 1. Facility Name and Address: JUN 10 2015
forms onthe
computer,use Walter"~~'~ _
only the tab key Name HEALHoc:*n'm'u~^
ho move your 7O Raleigh TavonnLmne
oumor-donot
uoeUheretum Street— Address U1845
�N
�y North ..._~
� State Zip Code
City/Town
2. Owner Name and Address (if different from obove):
SAME
Nome ~^^~`'~~'~~~
G�ava
Gi��mwn
37851
Zip Code Telephone Number
3. Type of Facility (check all that app\y):
M Residential Institutional �l Commercial School
4. Describe Facility:
3 bedroom house
5. Type of Existing System:
El Privy El Cesspool(s) Conventional Other(describe be|ovv :
8. Type of soil absorption system (trenches, chambers, leach field, pits, etc):
Unknown
t5form9a.doc rev.7/06 Application for Local Upgrade Approval* Page 1 of 4
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Commonwealth of Massachusetts
City/Town of North Andover
Application Form 9A -
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the j
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
A. Facility Information (continued)
7. Design Flow per 310 CMR 15.203:
Unknown
Design flow of existing system: gpd
Design flow of proposed upgraded system 330
gpd
330
Design flow of facility: gpd
B. Proposed r 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:
Total replacement(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.ft. %reduction
® Reduction in separation between the SAS and high groundwater:
1.0
Separation reduction ft.
20
Percolation rate min./inch
3.0
Depth to groundwater ft
t5form9a.doc•rev.7/06 Application for Local Upgrade Approval` Page 2 of 4
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Commonwealth of Massachusetts
City/°rown of North Andover
Form 9A -w Application I Upgrade Approval
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
B. Proposed Upgrade t System (continued)
❑ Relocation of water supply well (explain):
❑ Reduction of 12-inch separation between inlet and outlet tees and high groundwater
• Use of only one deep hole in proposed disposal area
• Use of a sieve analysis as a substitute for a pert test
• Other requirements of 310 CMR 15.000 that cannot be met—describe and specify sections of the
Code:
If the proposed upgrade involves a reduction in the required separation between the bottom of the soil
absorption system and the high groundwater elevation, an Approved Soil Evaluator must determine the
high groundwater elevation pursuant to 310 CMR 15.405(1)(h)(1). The soil evaluator must be a
member or agent of the local approving authority.
High groundwater evaluation determined by:
Isaac Rowe 1-15-15
Evaluator's Name(type or print) Signature Date of evaluation
C. Explanation
Explain why full compliance, as defined in 310 CMR 15.404(1), is not feasible. (Each section must be
completed)
1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible:
NA
2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible:
NA
t5form9a.doc•rev.7/06 Application for Local Upgrade Approval® Page 3 of 4
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Commonwealth of Massachusetts �
City/Town of North Andover j
a
Form 9A — Application for Local Upgrade r v l
,A DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use.
C. Explanation (continued)
3. A shared system is not feasible:
NA
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."
.. 6-1-15
Facility Owner s Signature Date
Walter Soule
Print Name
Bill Dufresne/Merrimack Engineering 6-1-15
Name of Preparer Date
66 Park Street Andover
PrepareCs address City/Town
MA/01810 (978)475-3555
State/ZIP Code Telephone
t5form9a.doc•rev.7/06 Application for Local Upgrade Approvalm Page 4 of 4
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ltrator Chamber I/A technology Certification
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 LEA if the Department or the LAA determines the
system to be failing to protect public health and safety and the environment.
C L -
signature: date:
Walter Soule
certified by: (please print)
Cl)
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Commonwealth of Massachusetts
City/Town of
Percolation Test
Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Important: A. Site Information
When filling out
forms on the
computer,use Walter Soule
only the tab key Owner Name
to move your 70 Raleigh Tavern Lane
cursor-do not Street Address or Lot#
use the return
key. North Andover MA 01845
City/Town State Zip Code
VQ (978)683-7851
Contact Person(if different from Owner) Telephone Number
B. Test Results
1-15-15
Date Time Date Time
Observation Hole# P-1
Depth of Perc 5711
Start Pre-Soak 10:25
End Pre-Soak 10:40
Time at 12" 10:40
Time at 9" 11:20
Time at 6" 12:18
Time(9"-6") 58
Rate (Min./inch) 20
Test Passed: z Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
William Dufresne
Test Performed By:
Isaac Rowe
Witnessed By:
Comments:
t5form12.doc•06/03 Perc Test•Page 1 of 1
Grant, Michele
From: Isaac Rowe <irowe @millriverconsulting.com>
Sent: Wednesday,June 24, 2015 9:44 AM
To: Blackburn, Lisa; 'Pam Lally'
Cc: Grant, Michele;Isaac Rowe
Subject: RE:70 Raleigh Tavern Lane
Attachments: 70 Raleigh Tavern Lane - BOH meeting approval letter DATE.doc
Lisa/Michele,
Attached is the BOH meeting approval letter for the initial review for the above referenced property. I did not find any
revisions that are required with this design plan. I left the dates in red so they can be changed after the BOH meeting.
The applicant is requesting a LUA and a NA BOH variance. Based on the existing site conditions I would recommend
approval for both requests, However,the BOH may want to ask the following question to the representative at the BOH
meeting:
-Considering the LUA being requested please explain why the leach field is proposed to be over
designed by 171 square feet?
Please let me know if you have any questions.
Thanks,
Isaac M. Rowe, R.S.
Project Manager
Mill River Consulting
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
Fax: 978-282-1318
irowe millriverconsultinrI com
www.millriverconsulting.com
From: Blackburn, Lisa [mai Ito�LBlackb urn(atownofnorthandover com]
Sent: Wednesday, June 10, 2015 9:15 AM
To: Dan Ottenheimer; Isaac Rowe; Pam Lally
Cc: Grant, Michele
Subject: 70 Raleigh Tavern Lane
Good Morning,
Mailing out septic plans for 70 Raleigh Tavern Lane.
Lisa Blackburn
Health Department
Town of North Andover
1600 Osgood Street,Suite 2035
North Andover, MA 01845
1