HomeMy WebLinkAboutMiscellaneous - 1253 Osgood Street �� /'�53 �� ood. S�
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LETTER OF TRANSMITTAL
North Andover Health Department E pORT1y
O Sao
400 Osgood Street 3,� d�`:�- 06•e~oo
North Andover, MA 01845
978.688.9540- Phone
978.688.8476-Fax �o .•"�
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healthdept(ai)townofnorthandover.com - E-mail �.y �'►�r�o �r'`
www.townofnorthandover.com -Website Page of 5"' SS�CHuSE�
TO: DATE:
COMPANY: FROM:Pamela DelleChiaie,Health Dept.Assistant
RE: `�`/
Phone: < .
Fax: 0
We are sending you: /7 CopyofLetter OPlanst4her
ill in below)
These are transmitted as checked bel(&
OApproved as Noted OAs Requested OAs Required OResubmit copies for approval
OFor approval OFor Review and comment OFor,Your Use OSubmit copies for dist.
REMARKS:
COPY TO:
I
COPY TO:
COPY TO: SIGNED: C.! '
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NORTH ANDOVER BOARD OF HEALTH
CERTIFICATE OF APPROVAL FOR CONTINUED USE
OF A TITLE V FAILED INSPECTION SYSTEM
Name(s)of seller
Address of property
Town Map Parcel
We,the undersigned buyers of the above referenced property owned by the above sellers, acknowledge the
"FAILED"status of the septic system at said property.In accordance with the provisions of Title 5,the State
Environmental Code, 310 CMR 15.305 (see copy on reverse side)we hereby agree to continued use of the system
approved and permitted by the North Andover Board of Health on condition of a proposal to connect to the
municipal sanitary sewer within 60 days of the sewer activation or replacement of the failing system within five
years of the date of transfer of title or sooner if ORDERED by the Board of Health. By our signature we hereby
acknowledge disclosure of this binding agreement upon us as subsequent owners.
Printed Name(s)of Buyer
Signature of Buyer Date Signature of Buyer Date
As sworn and subscribed to this day of
Notary Public
Commission Expiration Date
I hereby certify that the continued use of the septic system.for the above cited property is approved and permitted by
the North Andover Board of health in accordance with the provisions of 310 CMR 15.305.The basis for continued
use include a proposal to connect to the municipal sanitary sewer within 60 days of the sewer activation or upgrade
or replacement of the system within 5 years of the date of transfer of title.This approval for continued use of the
system is in no way to be construed as a guarantee of efficacy of the system nor will it limit the power of the North
Andover Board of Health to take any and all alternate enforcement action as it may deem necessary to achieve
compliance with such code and to protect the public health including,but not limited to, ordering the performance
of any interim measures(i.e.pumping)to achieve compliance with this approval.
Date For The North Andover Board of Health
*This certificate is not valid until signed by an agent of the Board of Health
"5 z� Deadlines for_Con p letion ofTbgmdes y
(1) If a system is failing to protect public heWth and safety.or the environment asset forth in
- 310 CMR 15.303(1)or 15.304(1),the owner or operator shall upgrade the system within two
years of discovery.unless:
(a) a shorter period of time is set by the local.approving authority or the Department based
upon the existence of an imminent health hazard;or
(b) the cwntinued'use of the system is permitted by the local approving authority in
accordance with the provisions of an enforceable schedule for upgrade. Baksfor continued
use include,but are not limited to,proposals to connect to a sanitary sewer.or-shared system.
A fiscal commitmemt to the severing plan or shared system plan,together with an approved.
facility plan where appropriate,-proposing.connection or replacement of the failing system _
withinfive years,and an ehiforceable commitment by the owner to perform interim measures
(for example,.regular pumping)shall accompany any such local approval. Such approval
shall expire in.five..years or upon the failure..of the applicant for such approval to meet
interim deadlines set forth in the enforceable schedule for upgrade and the plait. The
Department may by specific written approval authorize the local approving authority.to
allow a longer periodof time, where the munidpality has provided the Department a
proposed implementation schedule for design and construction and has made a demonstrated
financial commitment to the construction schedules The Department may revoke any such
approval if the approved schedule is not met.
115/95 310 CMR-549.3
II
f .;n5. Deadlines for Com I :tion of Up=dcs '
(1) If a system is failing to protect public health and safety.or the environment as set forth in
310 CMR 15.303(1)or 15:304(1),the owner or operator shall upgrade the system within-two
years of discovery.unless:
(a) a shorter period of time is set by the local.approving authority or the Department based
upon the existence of an imminent health hazard;or
(b) the continued use of the system is permitted by the local approving authority in
accordance with the provisions of an enforceable schedule-for upgrade. Bases for continued
use include,but are not limited to,proposals to connect to a sanitary sewer,or.shared system:
A fiscal commitment to the sewering plan or shared system plan,together with an approved:- .
facility plan where appropriate,proposing,connection or replacement of the failing system _
within five years,and an enforceable commitment by the owner to perform interum measures
(for example,.regular pumping)shall accompany any such local approval, Such approval
shall expire in.five..years or upon the failure of the applicant for such approval to meet
interim deadlines set forth in the enforceable schedule for upgrade and the plan. The
written a vat authorize the local a rovin authority to
Department may by specific tten ppro approving 8 rnY.
allow a longer period.of time, where the municipality has provided the Department a.
proposed implementation schedule for design and constnution and has made a demonstrated
financial commitment to the construction schedule. The Department may revoke any such
. approval if the approved schedule is not met.
1113/95 310 CMR-548.3
I
NORTH ANDOVER BOARD OF HEALTH
CERTIFICATE OF APPROVAL FOR CONTINUED USE
OF A TITLE V FAILED INSPECTION SYSTEM
Name(s)of seller
Address of property
Town Map Parcel
I
We,the undersigned buyers of the above referenced property owned by the above sellers, acknowledge the
"FAILED"status of the septic system at said property.In accordance with the provisions of Title 5,the State
Environmental Code, 310 CMR 15.305(see copy on reverse side)we hereby agree to continued use of the system
approved and permitted by the North Andover Board of Health on condition of a proposal to connect to the
municipal sanitary sewer within 60 days of the sewer activation or replacement of the failing system within five
years of the date of transfer of title or sooner if ORDERED by the Board of Health. By our signature we hereby
acknowledge disclosure of this binding agreement upon us as subsequent owners.
Printed Name(s)of Buyer
Signature of Buyer Date Signature of Buyer Date
As sworn and subscribed to this day of
Notary Public
Commission Expiration Date
I hereby certify that the continued use of the septic system for the above cited property is approved and permitted by
the North Andover Board of health in accordance with the provisions of 310 CMR 15.305.The basis for continued
use include a proposal to connect to the municipal sanitary sewer within 60 days of the sewer activation or upgrade
or replacement of the system within 5 years of the date of transfer of title.This approval for continued use of the
system is in no way to be construed as a guarantee of efficacy of the system nor will it limit the power of the North
Andover Board of Health to take any and all alternate enforcement action as it may deem necessary to achieve
compliance with such code and to protect the public health including,but not limited to, ordering the performance
of any interim measures(i.e.pumping)to achieve compliance with this approval.
Date For The North Andover Board of Health
*This certificate is not valid until signed by an agent of the Board of Health
HEALTH DEPARTMENT
SERVICES
MY SEPTIC SYSTEM
Food Protection
Complaint investigation r HAS FAILED
Flu Clinics
Shut-in visits
Pneumonia Clinics , WHAT DO I DO
Tuberculosis Clinics
Septic System Oversight
Public Pool inspections s NOW?
Air Quality Control
b
Vaccine Distribution
Communicable disease
control t
Health Promotion s + }
Site Assignments F
Immunizations ' Y
Training &Education
I.
a
t
$� y
TOWN OF NORTH ANDOVER
M ~�, BOARD OF HEALTH
NORTH ANDOVER HEALTH
27 Charles Street
' North Andover, MA 01845 DEPARTMENT
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978-688-9540 r
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YOU'RE NOT ALONE ® .Have your professional design a plan for A LIFETIME OF SERVICE
the proposed repair of the septic system.
Unfortunately,this is the anguished cry ® Submit the proposed plan to the Health Today, septic systems are designed to provide
that local Health Departments have been Department for review. A fee is required better environmental protection than ever be-
hearing for several years now, and all for this review. Any comments about the fore. The systems are designed to last for the
too often the answer is not a simple one. plan will be communicated to the designer lifetime of the buildings they serve. One way
The North Andover Board of Health by letter. You are copied on all correspon- to ensure that your system keeps functioning at
hopes that this brochure will help to an- dence, including the letter that states the the top of its form is to provide routine mainte-
swer some of the questions that home- plan is approved. nance.
owners have about the process required o Sometimes you may have to apply for a
to repair their failed septic system or to permit from the Conservation Commission MAINTAIN YOUR SYSTEM
hook-up to the municipal sewer system. if you have wetlands on or abutting your
property. Ask your professional. Once your new septic system has been in-
Hire a septic installer who is licensed to do stalled,please.maintain it responsibly.
WREN AND HOW TO BEGIN business in North Andover. The Health
Department has a list of all licensed in- ♦ Pump and inspect the septic tank and at
First, if you are selling your home we stallers and will be happy to send one to least once every 2 to 3 years.
strongly recommend that you have your you upon request. Your installer will be ♦ If a garbage disposal is being used,the
septic system inspected before you list the one to actually build your new septic tank should be pumped annually. It is bet-
the property with a real estate broker. system according to the approved plan. He ter to remove the garbage grinder.
Once you know your system is in failure is responsible for seeing that the system is ® Never put toxic materials like gasoline or
and have made the decision to repair it, inspected by both the Health Department paint thinner into the septic system. Toxic
you need to hire a professional. This is and the engineer,and for submitting all the substances can kill the normal bacteria that
either a Massachusetts Registered Pro- paperwork to the Health Department. digest septic wastes and can also seriously
fessional Engineer or Sanitarian. Your s Make sure that your installer has obtained contaminate the groundwater.
professional will guide you through the a Disposal Works Construction Permit ® Do not put grease into the septic system as
process. from the Health Department before work it may clog the lines.
begins. There is a fee for this permit. ♦ Do not drive heavy vehicles over the leach-
WHATe Once the permit has been issued,the actual ing area,the tank or other system compo-
ARE THE STEPS? work can begin. Health Department staff nents. A crushed line or tank may result in
will visit your property at least three times a system failure.
® Apply to the Health Department for for inspections. There are bottom of bed, ♦ Use white toilet tissue designated as proper
soil tests. An application must be system final and final grade inspections as for septic systems. Colored toilet paper
filled out and a fee must be paid. A well as other possible inspections for stone, does not decompose as rapidly or as well
date will be set by the Health Dept. . and system components like pumps. as does white paper.
® The soil test done on your property A Make sure that you receive a Certificate of ® Conserve water by using low-flow shower
will consist of at least two deep Compliance signed by the North Andover heads,by installing low-flow toilets and by
holes dug by a backhoe and addi- Health Department staff. This is your monitoring your usage. For example,do
tional shallow ones for percolation proof that the septic system was installed not let the water run while brushing your
tests. correctly. teeth and limit shower time.
YOU'RE NOT ALONE ® Have your professional design a plan for A LIFETIME OF SERVICE
the proposed repair of the septic system.
Unfortunately,this is the anguished cry ® Submit the proposed plan to the Health Today,septic systems are designed to provide
that local Health Departments have been Department for review. A fee is required better environmental protection than ever be-
hearing for several years now,and all for this review. Any comments about the fore. The systems are designed to last for the
too often the answer is not a simple one. plan will be communicated to the designer lifetime of the buildings they serve. One way
The North Andover Board of Health by letter. You are copied on all correspon- to ensure that your system keeps functioning at
hopes that this brochure will help to an- dence, including the letter that states the the top of its form is to provide routine mainte-
swer some of the questions that home- plan is approved. nance.
owners have about thed re
rocess required P q ® Sometimes you may have to apply for a
to repair their failed septic system or to permit from the Conservation Commission ALAI 14TAIN YOUR SYSTEM
hook-up to the municipal sewer system. if you have wetlands on or abutting your
property.Ask your professional. Once your new septic system has been in-
Hire a septic installer who is licensed to do stalled,please maintain it responsibly.
WHEN AND HOW TO BEGIN business in North Andover. The Health
Department has a list of all licensed in- ® Pump and inspect the septic tank and at
First,if you are selling your home we stallers and will be happy to send one to least once every 2 to 3 years.
strongly recommend that you have your you upon request. Your installer will be ® If a garbage disposal is being used,the
septic system inspected before you list the one to actually build your new septic tank should be pumped annually. It is bet-
the property with a real estate broker. system according to the approved plan. He ter to remove the garbage grinder.
Once you know your system is in failure is responsible for seeing that the system is ® Never put toxic materials like gasoline or
and have made the decision to repair it, inspected by both the Health Department paint thinner into the septic system. Toxic
you need to hire a professional. This is and the engineer,and for submitting all the substances can kill the normal bacteria that
either a Massachusetts Registered Pro- paperwork to the Health Department. digest septic wastes and can also seriously
fessional Engineer or Sanitarian. Your 9 Make sure that your installer has obtained contaminate the groundwater.
professional will guide you through the a Disposal Works Construction Permit ® Do not put grease into the septic system as
process. from the Health Department before work it may clog the lines.
begins.There is a fee for this permit. A Do not drive heavy vehicles over the leach-
Once the permit has been issued,the actual ing area,the tank or other system compo-
work can begin.Health Department staff nents. A crushed line or tank may result in
will visit your property at least three times a system failure.
® Apply to the Health Department for for inspections. There are bottom of bed, ® Use white toilet tissue designated as proper
soil tests. An application must be system final and final grade inspections as for septic systems. Colored toilet paper
filled out and a fee must be paid. A well as other possible inspections for stone, does not decompose as rapidly or as well
date will be set by the Health Dept. and system components like pumps. as does white paper.
e The soil test done on your property ® Make sure that you receive a Certificate of ® Conserve water by using low-flow shower
will consist of at least two deep Compliance signed by the North Andover heads,by installing low-flow toilets and by
holes dug by a backhoe and addi- Health Department staff. This is your monitoring your usage. For example, do
tional shallow ones for percolation proof that the septic system was installed not let the water run while brushing your
tests. correctly. teeth and limit shower time.
HEALTH DEPARTMENT
SERVICES
MY SEPTIC SYSTEM
Food Protection
Complaint investigation HAS FAILED
Flu Clinics
Shut-in visits
0
Pneumonia Clinics , WIIAT D® I D®
Tuberculosis Clinics
Septic System Oversight
Public Pool inspections
a s,
Air Quality Control NOW?
Vaccine Distribution
Communicable disease
control
i
Health Promotion
Site Assignments
Immunizations 4
Training &Education "
--s
J
Y
1
5 7
N
TOWN OF NORTH ANDOVER
44. BOARD OF HEALTH
7 27 Charles Street
NORTH ANDOVER HEALTH
North Andover, MA 01845 DEPARTMENT
978-688-9540
i Fax 978-688-9542 ' Sewing the cantmu itV
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North Andover-Septic System Design Plan Review Checklist (Rev.Jan 28,2004)
The following checklist incorporates Title 5 and local regulations for septic plans-
Property
lansProperty Address: Map: Lot:
Name of Applicant: Name of Designer:
Plan Date: Revision Date:
Date received:at BOH at MRC
MRC Staff Reviewer. s Date of Review:
Type of Plan: ❑new ❑ upgrade
Number of Bedrooms in Assessor's Records: Number of Bedrooms in Design: ( gpd)
Garbage Disposal Allowed: ey s/no
General Information:NA=North Andover Design Standards Other numbers refer to Title 5
❑ yes ❑ no Is the lot in the Lake Cochichewick Watershed? NA 6.00(requires Alt.Treatment)
OK Problem N/A
Street number and map/lot-220(4)(u)
Names of abutters from recent tax map-NA 8.02j
Name&address of record owner&applicant-NA 8.02k
Name&address of designer-NA8.021
Date plan drawn&any revision date-NA 8.02m
Location and elevation of foundation drain(or note)-NA 8.02y
Maximum scale of 1"=20'for profile and component details-220(4)
Locus plan-220(4)(t) (Not to scale)
Date(s)of soil testing-220(4)(h)&(i)
Name of approving authority representative-220(4)(h)&(i)
Name& of soil evaluator-220(4)(j)
Complete profile of the system to scale-220(4)(o),NA 8.02c
Cross section of leaching facility—NA 8.02w(Not to scale)
Note listing all variance requests with proper citations-220(4)(p)
Local upgrade approval request form submitted¬ed on plan-403(1)
Original R.SJP.E.stamp,signature&date—220(1)&(2)
Surface supplies(w/in 400'),pub wells(w/in 400'),pvt.wells(w/in 100')-220(4)(k)
Wetland disclaimer(no wetland Win 100')—NA 8.02s
RLS plan reference&certification(if property line setback variance)-220(3)
Use approvals/standards checked for I/A system-DEP docs.
System is in Nitrogen Sensitive Area?-215
Loading rate<=440gpd/acm(new construction)-214
Perc rate>30 MPI-check loading rate(differs w&w/o pressure dist)242(1)&(2)
Pere rate >60 MPI—must use modified tight tank or 1/A technology—245(4)
Proposed system qualifies as"shared"system—002(definitions)
Flow is over 2,000 gpd-No R.S.allowed-220(1)
Number of bedrooms with design calcs-NA 8.021
Minimum 4 bedroom design without deed restriction-NA 1.05,NA 13.01
Design flow was set in accordance with code-203
Leaching facility at least 1'above Base Flood elevation-NA 9.05
All piping Sch 40 minimum-NA 10.01
Basement floor 1'minimum above groundwater elevation(new const)NA 5.04
Site Plan
Page 1
North Andover-Septic System Design Plan Review Checklist (Rev.Jan 28, 2004)
OK Problem N/A
Maximum scale of 1"=40' for plot pian-220(4)
Holder and location of all easements-220(4)(6)
All dwellings and buildings,existing and proposed-220(4)(c)
Location of all existing or proposed impervious areas-220(4)(d)
Elevation of proposed driveway—NA 8.02t
Legal boundaries of the facility being served-220(4)(a)
Location and dimensions of the system(incl.reserve area for new const.)-220(4)(e)
All distances on site plan(ST&SAS to dwelling&property lines)—NA 8.03 a-c
Limits of excavation of leach area on site plan—NA 8.022
North arrow-220(4)(g)
Existing and proposed contours-220(4)(g)
Locations and logs of deep holes-220(4)(h)
Locations and logs of percolation tests-220(4xi)
Locations of waterlines,drains,and subsurface utilities-220(4)(m)
Location of benchmark(s)within 50-75 feet of facility-220(4)(q)
Location of watercourses or wetlands w/in ISO'of system—NA 8.02r
Existing system location and note on proper abandonment—354
Setback 0Utaeces(eiven in feet) 15.211 (NA 5.02)
OK Problem N/A Septic Tank Leach Facility Sewer
Property line 10 10 --
Cellar wall 10 20 -'
Inground pool 10 20 --
Slab foundation 10 10
Deck,on footings,etc 5 10 --
Waterline 10
10
101
Private drinking we112 7550 1003 50
Irrigation well 7540 100215
Surface Water 25 50
Bordering Vegetated Wetland ,
Salt Marsh,Inland/Coastal Bank' 75 23 100
Wetlands bordering surface
water Supply or trib.(in Watershed) 15023 15030
Trib to Surface Water supply 32520 325200
Public well 400 400
interim Wellhead Prot_Area not>440 g/ac/d(new const.only— 15.214)
Reservoirs 400 400
Drains(wat.supply/trib.) 5o 100
Drains(intercept g.w.) 25 50
Drains(Other)Foaadatlon 10(5) 20(10)
Drywells 2040 25
Downhill slope or barrier wall -- 15' to 3:1 slope w/o barrier
Suction line 222(2)
'New construction allowed up to 440 gallons/day/acre when on a private well pursuant to 15.214(2).
100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
4 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
Page 2
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North Andover-Septic System Design Plan Review Checklist (Rev. Jan 28, 2004)
Leal Upgrade A4nraval Hierarchy_:
Note that the goal for a septic system design is o contpliartce where►er feasible as set forth in 310 CMR 13.404(1). Where mull
compliance is not possible,allowed to reduce setback to fopowing(405)w/o abutter notification unless prWerry line or neighboring private
water supply setback(with-a-the Just preference.and"i"being LAST preference:)
a) property line but ad Win 10'of another SAS-need survey if Win 5'
b) cellar wall,pool,or slab
e) Place leach area in soil between 30 and 60 MPI(n.a if filed after 1/1//04)
d) Up to 25%reduction in size of SAS
e) Relocate private well if septic system failed because of this criteria
1) Setbacks to BVW's
p,) Setbacks to surface waters,salt marsh,inland and coastal banks,vernal pool$,leaching CB's,dry wells,or surihce or subsurface
drains not leading to water supplies
h) Setback to water lines,private wells(not<50%water supplies and tribs.and drains leading to the same(not<100')
Reduce requited separation to&w.(BON must$0 GW,3 or 4'only(depending on pec naiK<2000 gpd flow,no increase in flow
or square footage,no reduction to SAS size,setbacks to wells,BVW's,wetlands,A.waters,salt marsh,coastal bank,vernal pool,
water line,water supplies or tribsJdrains).
Buimine Sewer
OK Problem N/A
Grease trap required for certain uses(check 230 for details)
Pipe diwncW listed(4"minimum)-222(1)
Pipe schedule listed-222(3)
Pipe cast iron or Sch 40 PVC—NA 11.02
Watertight joints specified-222(3)dt(41 NA 11.02
Pipe laid on compact,firm base-222(5)
Pipe laid on continuous grade in straight line-222(7)
Cleanouts precede all changes in alignment and grade-222(8)
Cleanout provided every 100 feet—222(8)
Manhole at any 90 degree alignment change—222(g)
Invert elevation at building:
Invert elevation at septic tank:
Length of run.-
Slope:
un:Slope: (minimum of 0.01-0.02 desired)-222(6)
i
Page 3
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North Andover-Septic System Design Plan Review Checklist (Rev.Jan 28, 2004)
No tank allowed in a velocity zone or on a coastal beach, barrier beach,done,or in a regulated f loodway(213)
Saptiic Taolc; septic tank below-&w.table 0 yes 0 no 0 assumed
OK Problem NIA
Tank is accessible-228(3) .
200%of flow(required&provided given, 1500 min.)-220(4)(f).&223(t)(a)
2"(min)-3"(max)drop from inlet to outlet-227(5)
Minimum of 4'liquid depth-223(2)
3"air space above teeslbaflles(minimum)-227(4)
9"air space above flow line(minimum)-227(4)
Tees are not to be replaced by battles-227(1)
Tees extend 6"above flow line-227(1)
Inlet tee extends 10"below flow line(minimum)-227(6)
Outlet tee extends 14"below flow line(more for deeper tanks)-227(6)
Gas baffle installed on outlet-227(4)
Effluent filter -
Brand and model approved by DEP
Filter type/name noted on manhole covers.
Riser placed over filter
Filter maintenance schedule specified
Access manhole cover above center of tank&each tee(except 2 compart)228(2)
3-20"manholes-228(2)
1 Childproof 20"riser/manhole w/m 6"of final grade if<1000gpd-228(2)
2 childproof 20"risers over inlet&outlet tees w/in 6"of final grade if>1000gpd 228(2)
Inlet and outlet tees on center line-227(1)
Soil compaction below tank specified(if soil is.non-native)-221(2)
6"of<=1'/2"stone beneath tank specified-221(2)&228(1) 1
lf>1,000 gpd AND not a single fam.dwell.must be 2 tks or 2 comp.—223( )(b)
If plan specifies disposal must be 2 tanks in series or 2 compart.tank-223(1)(c)
Buoyancy calks.required if tank at or below water table-221(8)
—211
ess 2
to tank watertightness
( )
Notation as g�
9"of cover over tank(minimum)-228(l)
Top of tank<=36"below gra-221(7)
H-10 loading(min.)-H-20 if traffic-226(3)
All pumping to tank(if applies)in accordance with—229
No tight tank allowed in a velocity zone or on a coastal beach, barrier beach, dune, or in a regulated floodway
(213)
Ti Tae (Check here if not present: )tank below g w.table 0 yes 0 no 0 assume
OK Problem N/A
design flow or 2000 lona provided—260(2xa)
•of
SOOY 8d
g'n
3-20"manholes-228(2)
Soil compaction below tank specified(if soil is non-native)-221(2)
" specified-221 2
6 of< I ys stone beneath tank spec ( )&228(l)
Buoyancy caics.required if tank at or below watertable-221(8)
Notation as to tank watertightness—221(1)
9"of cover over tank(minimum):228(1)
Top of tank<=36"below grade-221(7)
H-10 loading(min.)-H-20 if traffic-226(3)
All pumping to tank(if applies)in accordance with-229
AN alarm set at 3/5 tank capacity—260(2xb)
Alar signal to locus manned 24 hours per day if deemed necessary—260(2)(c)
Tank is set to keep old system in service during install if possible
Min. 1-24"frame w/cover at finished grade—260(2xf)
Year round access for pumping—260(2)(g)
Page 4
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North Andover-.Septic System Design Plan Review Checklist (Rev.Jan 28, 2004)
Odor control provided if required—260(20)
Distribution Box(Check here if not present:_ )
OK Problem N/A
Inlet elevation:
Outlet elevation:
0.17'drop from inlet to outlet(minimum)-232(3)(b)
6"sump(minimum)-232(3xe)
All outlets at same elevation(notation)-232(3)(b)
Outlet pipes laid level for fust 2&(notation)-232(3xc)
Inlet baffle/fee min.I"over outlet invert for all d-boxes when pumped
or steep slope(>.08)-232(3xa)
Soil compaction below distribution box specified(if soil is non-native)-221(2)
6"of r I 'h"stone beneath distribution box specified-221(2)
Box is watertight(notation)-221(1)
Top of box<=36"below grade-221(7)
Pump Chamber(Check here if not present: )pump tank below g w.table 0 yes 0 no ❑assume
OK Problem N/A
Volume specified: -220(4xr)
Pump on elevation: -220(4)(r)
Pump off elevation: -220(4)(r)
Alarm on elevation: -220(4xr)
Number of cycles per day correct(4 doses/day,CL I soil)-220(4)(r),254(1)S
Minimum 2"delivery line to d-box if gravity-254(1)(c)
Cycles per day is consistent with chamber volume-231(3)
Volume calculations include flowback volume-231(2)
24 hour storage capacity above pump on elevation-231(2)
2 pumps if system serves>2 dwelling units-231(6)
Pump can pass 1%z"solids(minimum)-231(7)
Pump controls specified-220(4)(r)
Alan)equipment specified-231(2)
Alarm is in building and powered on separate circuit from pump-231(9)
Pump sequence correct(off-lead on-lag on-alarm on)-231(8)
Pump performance curves included-220(4)(r)
Pump can provide flow needed against calculated head-220(4)(r)
Manual operating switch—NA 12.01
Check valve,bleeder hole—NA 12.01
1 childproof;24"riser/manhole to w/in 6"of final grade-231(5)
Soil compaction beneath pump chamber specified(if soil is non-native)-221(2)
6"of<--1%:"(114"in NA spec)stone beneath chamber.specified-221(2)&228(1)
Buoyancy calculations if chamber is at or below water table-221(8)
Chamber is watertight(notation)-221(1)
9"of cover over chamber(minimum)-228(1)
Top of chamber<=36"below grade-22.1(7)
H-10 loading(min.)-H-20 if traffic(notation)-226(3)
s Encourage mora than I cycle per day.
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North Andover-SePtic System Design Plan Review Checklist (Rev.Jan 28, 2004)
Op-site Soil and Groundwater WiOw
OK Problem N/A Plan-2200)(h)
proper deep observation hole logs on p
Deep hole testing conducted within two years—NA 7.05
All deep holes and Peres shown,including aborted tests—NA 8.02n
Soil evaluation forms 1 M12 submitted within 60 days of fieldwork-01 SM
Existing glade elevation of each deep hole-220(4)(h)
Elevation of percolation tests—NA 8.02n
proper percolation test log-220(4)(i)
Soil logs and pert test logs match BOH records
Ample deep observation holes in primary disposal area(minimum 2)- 102(2)
Ample deep observation holes in secondary disposal area(minimum 2)- 102(2)
Ample perc testing(one in each disposal area,3 in prim.>2,000 gpd)- 104(4)
Perc tests)done in most restrictive layer- 104(2)
Observed and adjusted g.w.elevation in the vicinity of the system-220(4)(n)
soil class
pore rate
loading rate(LTAR)- �—
!,esetune Fac ' ^^^mete for all desienS Mm"I tanks)
OK Problem N/A 220(4)(0,NA 8.02i
SAS size caics provided 220(4 ,
50%larger if garbage disposal-240(4)
SAS size x required size
Trenches to be used whenever possible 240(6)
No vehicle access or impery area above I.f.—NA 13.02
abwq it,unless ur&voWabl*-240 M,
IIA ILIA
Vented through same pipes as distribution system-241(1)(a)
Vent protected from precipitation/animal entry-241(1)(b)
Vent is placed beyond traffic or impervious area-241(1Xc)
All lines connected to vent-241(l)(d)
9"cover over peastone-240(9)
Reserve area provided(new construction)-248(1)
GW separation is adjusted to highest existing grade if facility cuts into a hillside
Pipe slope minimum of 0.005-251(9)
Excavation extends 6"into natural soil—NA 9.02
Fill material specs provided—255(3)
Top of leach facility<=36"below grade-221(7)
Final grade over 11 minimum 0.02 Wit-240(10)
Surface&subsurface drainage away from 1.f.-240(l 1)&245(5)
Grading slopes away from dwelling
L��nbiee Facility(continued)3/8 -5/8"orifices specified(gravity system)-251(8)
Toe of fill slope stops 5'from property line or swale installed-255(2)
3:1 slope where grading required-255(2) ,
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`r North Andover-Septic System Design Plan Review Checklist (Rev.Jan 28, 2004)
Impermeable barrier if<3:1 slope or<15 feet to 3:1 slope-25 5(2)
Impermeable barrier/retaining wall poured concrete-NA 9.02
Retaining wall stamped by P.E.-255(2)(b)
Top of retaining wall/barrier>=top of peastone elevation(breakout)-255(2)(f)
10'offset from edge of leach facility to edge of ret.wall-255(2)(g)
Leach pipes S40-234(4),-NA 10.01
Leach pipes minimum 4"diameter-231{77}NA 14.04
Pressure dosing guidance followed if pressure distribution-254(2)(c)
Orifice spacing<5'
Dose volume 5x- lOx void volume of leach lines
Pump volume includes Dose Vol.+Drainback Vol.
Squirt height on plan(min 2.5').
Pressure required over 2,000 gpd or with I/A remedial use-231(1)
Critical design parameter calcalotions
Test Pit Numbers: -
elevation at grade
a. top acceptable soil el.
b. bottom acceptable soil el.
c. naturally occurring soil depth(b-a)
❑yes ❑ no >4' natural soil? 240(1)
❑if NO,variance(repair&I/A)415(l)
a. ground water el.
b. bottom of leach facility el.
c. separation to groundwater(b-a)
I
❑yes ❑no >4' (5' in sands)ground water sep?-212(a)&(b)
a. top acceptable soil el.
b. breakout el.
❑yes ❑ no 5'overdig required?—255(l)
❑yes ❑ no if`eyes"specs for fill provided?
I
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North Andover-Septic System Design Plan Review ChecHist (Rev Jan 28, 2004)
LeAch Fields(Check here if not present: )
OK Problem N/A
Number of fields: (need dosing chamber if>1)-231(1))
Length(100' max.). -252(2)(b)
Width:
Total area:L x W = s.f.
Minimum 900 square feet(new construction only)NA 9.01(1)
Effective leach area given total of s.f.
Loading factor:
Effective area=total area s.f.x LTAR = g/day
Effective area is>=design flow of facility being served
Minimum of two distribution lines-252(2Xa)
6' line separation(max.)-252(2Xd)
4'maximum separation from edge of field to line-252(2)(e)
Reserve 4' from primary leach area-NA 9.04
10' minimum separation between adjacent leach fields-252(2XO
Between 6"and 12"of 3/4- 1 1/2"stone beneath field-252(2)(g)&247(2)
Ends of distribution lines tied together with solid pipe--251(9),NA 15.01
2"of 1/8"-1/2"2x washed peastone-247(2)
Leacltisr!Trenches(Check here if not present:
OK Problem N/A
Number of trenches: (minimum 2)—NA 9.01(2)
Depth of trenches(max eff.29): ' -247(l)
Width of trenches(2' min.,4' max.): '-251(1)(b)
Length of trenches(100' max.): ' -25 l(1)(a)
Minimum 500 square feet(new construction only)NA 9.01(1)
Trenches are vented(when>50')-251(11)
Trenches follow contour lines-251(2)
Trench spacing 3 times effective width or depth-251(1)(d),NA 14.01
Trench spacing>10' if in fill—NA 14.01
Available leach area given
Bottom=L x W x
Sidewall=L x D x#—x2= s.f.
Effective leach area given
Loading factor•
Effective area=total area s.f.x LTAR — g/day
Effective area is r—design flow of facility being served
2"of 1/8"-1/2"2x washed peastone-247(2)
3/4"to 1 W'double washed stone from bottom of SAS to dist.lines-247(1)
Leacbigg Pits(Check here if not present: )
OK Problem N/A
#of Pits/pit systems: (dosing chamber if>1,23 1(1))
Dimensions of each pit or system:L W D
Depth of pits(max eff.2')DE: `-253(1)(a)
Available leach area given
Bottom=L - x W x#of systems= s.f.
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` Rev.Jan 28,2004)
North Andover-Septic System Design Pian Review Checklist x#of systems=�_s.f.
Sidewall=L+W —x DE x 2_, _ s.f.
Total area=bottom —+sidewall______– —
Effective leach area given
Loading factor: s.f.x LTAR = glday
Effective area=total area
Effective area is>=design flow of facility being served)
Minimum of 2 pits at least 13'x16'–NA 9.01(3) 20' -253(6)
Distribution for galleries/chmbrs.in trench config.-pipe every
Distribution for galleries/chmbrs.in bed config•-ea.pipe se 253(1)).f-253(6)
Spacing-2 times the effective width or depth(the gr
2"of I/g"-1/2"2x washed peastone-247(2),EDS 700.3.2(1)
3/4"to 1112"double washed stone-247(l)
_ Each pit has at least one 20"access cover,24"Cl to grade over 2,000 gpd 253(3)
Surrounding aggregate thickness between t' (min.)
and
de' (max-)- ( )( )
vents,if necessary,extend under covers of pit(s)- (e)
Approvals Needed:
Health Department,no LUA
Health Department,wl LUA
Board of Health,local regulation variance
Board of Health,w/LUA
Board of Health,Title 5 variance
DEP,Title 5 variance
DEP,holding tank
Notice of Intent forms from Cons.Comm-
Other.
Draft maintenance agreement with hauler drafter for tight
Method and frequencyof removal rifled–260(2)(d)
Location and method of content removal–260(2)(e)
Deed Restriction regarding#bedrooms requires this
Distribution delivery to SAS regi )
Draft maintenance Agreement(Pressure
Proper License
W/class 2 WWTP operator for Advanced treatment
—_ Licensed installer or hauler(or above)for simple Press.Dist.
Minimum 2-year term
Quarterly scheduled maintenance
Check pressure distribution if part of design
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