HomeMy WebLinkAboutCorrespondence - 102 WINTERGREEN DRIVE 8/2/2001 Town of North Andover ORTH q
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Office ®f the Health Department
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Community Development and Services Division
27 Charles Street *c°A M • �'°�"
North Andover,Massachusetts 01845 ��SSac►+usti��5
Sandra Starr Telephone(978)688-9540
Health Director Fax(978)688-9542
August 2,2001
Mr. Jack Carney
102 Wintergreen Drive
North Andover,MA 01845
Re: Application for dining room, family room deck
Dear Mr. Carney:
Your application for an addition at 102 Wintergreen Drive has been reviewed by the Health Department. The
application was denied on August 1,2001 for the following reasons:
1. P Missing information
2. 10/ Passing Title 5 inspection of septic system may be required
3. ❑ Location of structure not acceptable
To address the problem(s):
If#1 is checked, please supply:
Ca Floor plan of existing and proposed addition
Certified plot plan showing house,septic system and proposed project in scale
If#2 is checked:
aHave the septic system inspected by a certified Title 5 inspector to determine the size of the system
and whether it is operating properly:
b. Tie-in to municipal sewer
If#3 is checked:
a. Relocate the project
Please feel free to call the Health Office at 978-688-9540 with any questions you may have.
Sincerely,
Sandra Starr,Health Director
Cc: Building Department
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
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FORM U LOT RELEASE FORK
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve a applicant and/or
landowner from compliance with any applicable local or state lair®
regulations or requirements.
****************Applicant fills out this section*****************/
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APPLICANT:
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LOCATION: Assessor' s Map Number Parcel
Subdivision Lot(s)
Street �,t �/�./7�"IZ_C�iz��/ —
St. Number
************************Official Use Only************************
RECD NDATI NS OF T GENTS: �.
, ,�' lI� �
f'k�, / Date Approved
Conservation Administrator Date Rejected
Comments
i Q Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
Date Approved
Septic Inspector-Health Date Rejected
Comments
Public Works ® sewer/water connections
driveway permit
Fire Department
Received by Building Inspector
Date
N/F Dorothy Arsenault
199.62'
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200-00 --,
WINTERGREEN DRIVE
Location NORTH ANDOVER, MA.
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CHESTER G
1.RED y Date June 25, 1994 Scale: 1 inch = 40 feet
.� No. 32342
�d yo 10 Deed and Plan Reference:
Deed Book Page Plan Book 10032 Page
•Certification is hereby made to: Stoneham
4e f
Savings Bank
that the eAsting structures as shown are situated on the'lot
Commonwealth Engineering designated and are in compliance with the applicable Building and
Associates, Inc. Zoning By-laws of the municipality when constructed.
16 Old Post Road
E.Walpole, MA 02032 Certification'Is hereby'made that the structure shown on this plan.
IS NOT located within a Special Flood Hazard Area as delineated
Phone: (508) 668-5136 on the FiRM map of Community Number 250098 0007C
Facsimile! (508) 660-1457 Date 6-w?-93
FORMA U - LOT RELEASE FOR
NS RUCTIONS: This form is used to verify that all necessary approvals/ r from
6® ds and L-partments having jurisdiction have been obtained. This does. no relieve
the pplicant and/or landowner from compliance with any applicable or requirements.
*****APPLICANT FILLS OUT THIS SECTION Y
PLICANT O�G`� ��—a ('� �� SHONE
,,-LOCATION: Assessors Map Number vPARCEL
j SUBDIVISION LOT (S)
)�TREEI W,\) K 1,�T. NUMBER
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I ***********"***"*"OFFICIAL USE ONLY
` RECOM TIONS OF TOWN AGENTS: '
CONSERVATION ADMINISTRAT R DATE APPROVED .
DATE R�JECTED
COMMENTS 16 0
7
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TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD�WrCTOR-HEALTH DATE APPROVED
DATE REJECTED
TI SPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
0
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR PATE
i
FORM II LOT RELF.4SE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section***** * *********
APPLICANT: �c��,a/�v�'L� G /�(/�; ➢L� Phone
LOCATION: Assessor' s Map Number Parcel
Subdivision Lot (s)
Street �l n} ���',��-�.✓ _ St. Number «�
Use only************************
RECOMMENDATIONS OF TOWN AGENTS:
"-��' i,�'�� Date Approved
Conservation Administrator Date Rejected
Comments
U �) 11--ea_ Date Approved C C{'�1
Town Planner Date Rejected
Comments
Date Approved
Food Innsrecct-or-Health Date Rejected l'
Date Approved ��7/ 7�
Septic Inspector-Health Date Rejected
Comments _ �
Public Wcr::s 'water connect.-Lons mj S U S
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- dr_veway permit l ASV S h� 0(� �!
Fire Department
Received by Building Inspector Date
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IV
Town of North Andover, Massachusetts Form No.z
� Noe7l� 'BOARD OF HEALTH
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cl-3 19 q
DESIGN APPROVAL FOR
u• s"`"U5` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
' Applicant e1\
'• Test No.
;:. Site Location —w i (�}�
• Reference Plans and Specs.
�• ENGINEER DESIGN
f" DATE
r Permission is granted for an individual soil absorption sewage disposal system to be installed
i•
j: in accordance with regulations of Board of Health.
4x• !� �-MAJKMAN,BOARD OF HEALTH
• Fee Site System Permit No.
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PLAN REVIEW CHECKLIST
C, ' �.'dJ6.%.f� � .° %' ."r. '"-« .,,��� ENGINEER �e" ,p ° ✓ � y� ' m " ,,,,
ADDRESS ,."
GENERAL
3 COPIES . " STAMP,'- LOCUS ..". NORTH ARROW SCALE
CONTOURS , '" � PROFILE M°"" SECTION '° µid BENCHMARK SOIL &
PERC INFO ELEVATIONS WETS. DISCLAIMER WELLS &
WETLANDS "" WATERSHED? 'L DRIVEWAY . ,-(Elev) WATER LINE
FDN DRAIN :"' SCH40 °' TESTS CURRENT?
SEPTIC TANK
MIN 150OG . 17 INVERT DROP GARB. GRINDER_/tK: (+2004 EDF)
25 ' TO CELLAR MANHOLE TO GRADE ELEV GW
D®BOX
SIZE # LINES FIRST 2 ' LEVEL STATEMENT
INLET to"7!" :; - OUTLET ' , _ (2 11 OR . 17 FT) TEE REQ 'D?
LEACHING
MIN 660 GPD? RESERVE AREA 4 ' FROM PRIMARY? °° 24 SLOPE
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100 ' TO WETLANDS 100 ' TO WELLS 4 TO S.H.GW ' °°
35 ' TO FND & INTRCPTR DRAINS a. °` 325 ' TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY , °"° MIN 12" COVER FILL?
if above natural elev; 101if below) BREAKOUT MET?
TRENCHES
MIN 660 gpd SLOPE (min . 005 or 6 11/1001 ) >31COVER?-VENT
SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN
TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE?
BOT X LDNG + SIDE X LDNG = TOT
(L x W x #) (G/ft2) (DxLx2x#) (G/f t2)
Copyright(D 1993 by S.L.Starr
PITS
MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT
GW MIN 41 BELOW BOTTOM EXC 2x EFF W OR D 1211-4811 STONE
BOT + SIDE x LOAD = TOTAL
(L x W x #) (2x(L+W) xD x #> (G/ft2)
CHAMBERS
MIN 660 LEACHING GW MIN 41' BELOW COVER >3 FT - VENT
MANHOLES 1211-4811 STONE SPLASH PADS SLOPE . 005
BED/TRENCH (Bed max. 601 X 601 ) MIN 131 X 161 PIT
BOT + SIDE X LOAD = TOTAL
(L x W x #) (2 x (L+W) xD x #) (G/ft2)
FIELDS
MIN 660 GPD 900 ft2 BED PERC RATE FASTER THAN 20M/IN
GW MIN 4 ' BELOW BOTTOM OF FIELD "" """ " PIPE ENDS JOINED?
411 PEA STONE? c.. - DIST LINE SLOPE . 005? _"""" >31COVER®VENT
SCH 40 ,,° "" MIN 1211 COVER
-
RATE<� �✓1� LDG /, X 660 % - TOTAL
ft2/G REQ1D ' (ft2) LXW
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L w D Vol .
DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME
9Pm
MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 11 below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL
OP. SWITCH
Copyright 0 1993 by S.L.Starr