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SEPTIC DESIGN PLAN 2015Iy9 S„vq,ny Scvir oad wiversal, www.myuniversalop.com phone: 1-866-756-4676 UNV12110 MADE IN USA 6ep11,'c 1Jws.6n Ca a iSD jip /a # January 29, 2015 CITY OF SALEM BOARD OF HEALTH Mr. Larry Ramdin, RS/REHS Health Agent 120 Washington Street, 4th Floor Salem, MA 01970 Dear Mr. Ramdin: �G Engineering Alliance, Inc. Civil Engineering & Land Planning Consultants 194 Central Street 1950 Lafayette Road Saugus, MA 01906 Portsmouth, NH 03801 Tel: (781) 231-1349 Tel: (603) 610-7100 Fax: (781) 417-0020 Fax: (603) 610-7101 Re: EAI Project #: 06-20201 Septic Design North Shore Compost 149 Swampscott Road Salem, MA On behalf of our client, North Shore Compost, Engineering Alliance, Inc. is pleased to submit the following information, to supplement the previously submitted Septic Design Plan, Septic Details, and corresponding Title 5 Soil Evaluation forms (prepared by Engineering Alliance, Inc.) for the proposed septic system at 149 Swampscott Road in Salem, MA. The supplemental information is being submitted at the request of the Salem Board of Health, and consists of the following: • Signed Title 5 Form 11 & Form 12, for soil testing conducted on November 24, 2014 • Application for Disposal System Construction Permit (Form 1A) All information is complete, aside from the "Installer Information" on Form 1A. Once an installer is selected to construct the system, this section will be filled out. Should you have any questions, please feel free to contact me at (781) 231-1349. Thank you for your consideration of this request. Very Truly Yours, ENGINEERING ALLIANCE, INC. Michael C. Laham, P.E. Project Engineer Important: When filling out fors on the computer, use only the tab key to move your cursor -do not use the return key. _Q Commonwealth of Massachusetts City/Town of Salem Application for Disposal System Construction Permit Form 1A Number $225.00 Fee DEP has provided this form for use by local Boards of Health if they choose to do so. Before using the form, check with your local Board of Health to make sure that they will accept it. A. Facility Information Application is hereby made for a permit to: ® Construct a new on-site sewage disposal system ❑ Repair or replace an existing on-site sewage disposal system ❑ Repair or replace an existing system component 1. Location of Facility: 149 Swampscott Road Address or Lot # Salem Cityrrown 2. Owner Information North Shore Compost Name Address (if different from above) 3. Installer Information Name 4. Designer Information Erik D. Heyland, PE Name 194 Central Street Address Citylrown MA State State Telephone Number Name of Company State Telephone Engineering Alliance, Inc. Name of Company 01970 Zip Code Zip Code Zip Code MA 01906 State Zip Code 781-231-1349 Telephone Number t5forl a.doc• 06/03 Application for Disposal System Construction Permit • Page 1 of 3 Commonwealth of Massachusetts City/Town of Salem Number Application for Disposal System $225.00 Construction Permit Fee Form 1A A. Facility Information (continued) 5. Type of Building: ❑ Dwelling ❑ Garbage Grinder (check if present) Other: Type of Building Commercial (without cafeteria) 3 Number of Persons Served ❑ Showers 0 Number of showers ❑ Cafeteria ❑ Other fixtures Specify other fixtures: none, bathroom only, without shower 6. Design Flow: 45 Gallons per Day Calculated Daily Flow: Gallons 7. Plan: December 1, 2014 Date of Original 2 none Number of Sheets Revision Date Septic Design Plan (1of2) & Seotic Details (2of2) Title of Plan 8. Description of Soil: Sandy loams, loamy sands and sands, formed in glacial outwash parent material. Top 3.5 to 4.5 feet of soil consist of mixed granular fill, which will be removed along with buried topsoil during system 9. Nature of Repairs or Alterations (if applicable): 10. Date last inspected: Date t5fonm1 a.doc• 06/03 Application for Disposal System Construction Permit • Page 2 of 3 Commonwealth of Massachusetts City/Town of Salem Number Application for Disposal System $225.00 Construction Permit Fee Form 1A B. Agreement The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / A/rlbm Signature °��' Dates Application Approved By: Name Application Disapproved for the following reasons: t5fonnl a.doc• 06/03 Application for Disposal System Construction Permit - Page 3 of 3 �LN Commonwealth of Massachusetts u V 06-20201 t5fonnl 1 11-24-14.docx - rev. 9/14 CitylTown of Salem Form 11 -Soil Suitability Assessment for On -Site Sewage Disposal A. Facility Information North Shore Compost Owner Name 149 Swampscott Road Street Address Map 11 / Lot 4 Map/Lot # Salem MA 01970 City State Zip Code B. Site Information 1. (Check one) ®New Construction El Upgrade El Repair 2. Soil Survey Available? ® Yes ❑ No If yes: CalDavis Soilweb 102C - Source Soil Map Unit Chatfield -Hollis -Rock outcrop complex Soil Name Glacial till possible shallow depth to bedrock Soil Limitations Ground moraine GeologiGParent Material Landform 3. Sulficial Geological Report Available? ® Yes El No If yes: 1970s USGS Qgm Year Published/Source Publication Map Unit 4. Flood Rate Insurance Map Above the 500 -year flood boundary? ® Yes ❑ No Within the 500 -year flood boundary? [:] Yes ® No If Yes, continue to #5. Within the 100 -year flood boundary? El Yes ® No 5. Within a velocity zone? 6. Within a Mapped Wetland Area? ❑ Yes ® No L1Yes ® No MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (US Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal - Page 1 of 8 GS): Range: E] Above Normal ❑ Normal E] Below Normal Month/Year 8. Other references reviewed: Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal - Page 1 of 8 �LN Commonwealth of Massachusetts Citylfown of Salem Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal C. On -Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: TP -5 11/24/14 8:30 am Clear Date Time Weathr 1. Location Ground Elevation at Surface of Hole: 58.3 Latitude/Longitude: 42.49 / -70.92 feet Description of Location: Landscape materials storage and sales yard (loam compost mulch stone) 2. Land Use Landscape materials yard none 0-5% (e.g., woodland, agricultural field, vacant lot, etc.) Surface Stones (e.g., cobbles, stones, boulders, etc.) Slope (%) Vegetation 3. Distances from: Open Water Body --- Property Line 15+/ - feet 4. Parent Material: Glacial outwash Ground moraine FS/TS Landform Position on Landscape (SU, SH, BS, FS, TS) Drainage Way --- Wetlands > 100 ft feet feet Drinking Water Well > 100 ft Other Unsuitable Materials Present: ® Yes If Yes: ❑ Disturbed Soil M Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock 5. Groundwater Observed: ❑ Yes ® No If yes: Estimated Depth to High Groundwater: 120 inches 48.3 elevation Depth Weeping from Pit feet ❑ No ❑ Bedrock Depth Standing Water in Hole 06-20201_t5form1 1_11-24-14.docx - rev. 9/14 Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal - Page 2 of 8 Commonwealth of Massachusetts City/Town of Salem Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal C. On -Site Review (continued) Deep Observation Hole Number: TP -5 Depth (in.) Soil Horizon/ Layer Soil Matrix: Color- Moist (Munsell) Redoximorphic Features Soil Texture (USDA)Soil Coarse Fragments %by Volume Structure Soil Consistence (Moist) Other Depth Color Percent Gravel Cobbles 8 Stones 0-54 Fill 54-56 Ab 10YR4/2 Sandy Loam Weak blocky Friable 56-70 B 10YR5/6 Sandy Loam 5 Weak blocky Friable 70-84 C1 10YR6/3 Loamy Sand 15 5 Massive Friable 84-120 C2 10YR6/2 Sand 5 Massive Friable Additional Notes: 06-20201_t5fonn1 1_11-24-14.docx - rev. 9/14 Form 11 —Soil Suitability Assessment for On -Site Sewage Disposal • Page 3 of 8 Commonwealth of Massachusetts City/Town of Salem e Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal C. On -Site Review (continued) Deep Observation Hole Number: TP -6 11/24/14 9:30 am Clear Date Time Weather 1. Location Ground Elevation at Surface of Hole: 58.3 Latitude/Longitude: 42.49 / -70.92 feet 2. Land Use Landscape materials yard none 0-5% (e.g., woodland, agricultural field, vacant lot, etc.) Surface Stones (e.g., cobbles, stones, boulders, etc.) Slope (%) none Ground moraine FS/TS 3. Distances from: 4. Parent Material: Vegetation Open Water Body Property Line Glacial outwash Landform Position on Landscape (SU, SH, BS, FS, --- Drainage Way --- Wetlands > 100 ft feet feet feet 15' +/- Drinking Water Well > 100 ft Other --- feet feet feet Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material 5. Groundwater Observed: ❑ Yes ® No Estimated Depth to High Groundwater: 120 ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock If yes: Depth Weeping from Pit Depth Standing Water in Hole 48.3 elevation 06-20201—t5fornll_11-24-14.docx - rev. 9/14 Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal • Page 4 of 8 Commonwealth of Massachusetts City/Town of Salem Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal C. On -Site Review (continued) Deep Observation Hole Number: TP -6 Depth (in.) Soil Horizon/ Layer Soil Matrix: Color- Moist (Munsell) Redoximorphic Features Soil Texture (USDA) Coarse Fragments % by Volume Soil Structure Soil Consistence (Moist) Other epth Color Percent Gravel obbles Stones 0-40 Fill 40-42 Ab 10YR4/2 Sandy Loam 10 Massive Friable 42-55 B 10YR5/6 Sandy Loam 5 Massive Friable 55-120 C 10YR6/2 Loamy Sand 40 10 Massive Friable Additional Notes: 06-20201—t5forml1_11-24-14.docx • rev. 9114 Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal • Page 5 of 8 �ns Commonwealth of Massachusetts City/Town of Salem Form 11 -Soil Suitability Assessment for On -Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole #TP -5 Obs. Hole #TP -6 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) >120 >120 inches inches ❑ Depth to adjusted seasonal high groundwater (Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh = SC — [Sr X (OW. — OW.)/OW1l Obs. Hole # Sc Sr Owc OWmax OWr Sh Obs. Hole # SC Sr OWC OWm OWr Sh E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ® Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 56 Lower boundary: 120 inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches 06-20201_t5form11_11-24-14.docx • rev. 9114 Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal • Page 6 of 8 TIN_ Commonwealth of Massachusetts Cityrrown of Salem Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. /Z Signature of Soil Evaluator Date ' / - Michael C. Laham, P.E. / SE13701 7/1/2016 Typed or Printed Name of Soil Evaluator / License # Expiration Date of License Larry Ramdin, RS/REHS, CHO, CP -FS Salem Health Agent Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15.018(2) this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. 06-20201_t5form1 1_11-24-14.docx • rev. 9/14 Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal • Page 7 of 8 Commonwealth of Massachusetts Citylfown of Salem Form 11 - Soil Suitability Assessment for On -Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: Sep— -te5f T,,-+ foc44i'bhS o 1"S�P-ric n;=st,�,-N rAN" P',-era,.2d 6� y 't rl't1 WLiajy ce, (,f.,,4,d 12/1/14) 06-20201_t5form11_11-24-14.docx • rev. 9/14 - Form 11 — Soil Suitability Assessment for On -Site Sewage Disposal - Page 8 of 8 Commonwealth of Massachusetts City/Town of Salem F Percolation Test Form 12 r` Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. rercoiatlon 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. A. Site Information North Shore Compost Owner Name 149 Swampscott Road Street Address or Lot # City/Town Michael C. Laham, Contact Person (if diffen B. Test Results 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) MA (781) 231-1349 Telephone Number 01970 Zip Code 11/24/14 11:30 p.m. Date Time Date Time TP -6 54" 11 11:45 11:45 11 12:04 min. 4 min./inch Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Michael C. Laham, PE, SE13701 Test Performed By: Larry Ramdin, RS/RENS, CHO, CP -FS Witnessed By Comments: t5fonn12.doc• 06103 Perc Test • Page 1 of 1