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Home My WebLink AboutCorrespondence - 1180 TURNPIKE STREET 8/9/2016 Form No. t Town of North Andover, Massachusetts BOARD OF HEALTH February 1019 98 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed X) or repaired by David Maynard INSTAI.A.ER at— 1474 Turn p SITE LOCATION has been installed in accordance with Board Of Health Regulations as described in the Design Approval Site System Permit No. __9a4.._- dated 2/14/97 19—. The issuance of this certificate shall not be construed as a guarantee that the systern will function satisfactorily, -'�40%K)4HAL SEPTIC PLAN SUBMITTALS ('0 LOCATION: NEW PLANS: CT $60.00/Plan REVISED PLANS: YES $25.00/Plan DATE: --;J i kJ DESIGN ENGINEER: When the submission is all in place, route to the Health Secretary Town of North Andover, Massachusetts r°'"' ` °` 04 Noerb 9 BOARD OF HEALTH o w • "I -=--.-,F° DESIGN APPROVAL FOR • 9��9ATIY M�•y s$�C145�E` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �� Sl xr tV�J �. � ° �/1r� �t Test No. Site Location I Of (IL +-i) a_.. Reference Plans and Specs- ENGINEER ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. • CHAI RM N BOARD OFD � w� HEALTH d Fee Ion Site System Permit No. �� APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: /Z" CURRENT INSTALLER'S LICENSE LOCATION- 2 7 LICENSED INSTALLER: SIGNATURE,,, CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75,00 Fee Attached? Yes µ No Foundation As-Built? Yes No Floor Plans? yes No Approval ' Date: : Town of North Andover, Massachusetts Form No,a µONT1y BOARD OF HEALTH • r01 ti4ao a"gti0 "°h�.o0' DISPOSAL WORKS CONSTRUCTION PERMIT �"rSACHU5�� `' Applicant NAME ADDRESS[ TELEPHONE Site Location ,� �-/ a' / ��,��, r� , � 'rte �" I/717 1 Permission is hereby granted to Construct (X) or Repair ( an Individual Soil Absorption Sewage Disposal System as shown on the De/sign Approval S.S. No 2 CHAIRMAN, BOARD OF HEALTH " t Fee T5 D.W.C. No. � W &03 - 31 �O FORM U - LOT RELEASE FORM U)M ("L) n 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** L--PHONE ,APPLICANT_ /41 TR o,),v LOCATION: Assessors Map Number ,/PARCEL ✓SUBDIVISION LOT (S) STREET 'TC)le/\J El'K( S F. ,-ST. NUMBER �O USE RECO i DATIONS OFTOWN AGENTS: CONSERVATION ADMINI%T RXTOR DATE APPROVED ............. ............................ DATE,REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSP TOR-HEALTH DATE APPROVED DATE REJEC TED ,V SEPT.eIN4WECTOR-HE;kLT0 DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 4 V GA/ OV 441.70' 2 r7G 1� fr.ff /UP'3✓G�!+ .. LcnaJ w 111 h l m LOT C1 NO 16eview of the Flood Insurance Hate Map, Ais mortgage inspection plan is for mortgage Community-Panel Number purposes only, it is not an instrument surf Mortgage 1JAG C6NC��r� Hence it is not to be used to establish property Inspection dated '# has been conducted lines,fences,drit"vays,hedges,etc.,or to be used for any purpose other than its original intent Plan and to the best of our interpretation this property is located within the flood zone. I hereby certVy 7D 774,5 N gP '!WlNL46 aA 144 q�,�' j k OF Location 90 /-�Nt�OI/ � A WSW that the principal building on this plan is approximately AMIAN located on the ground aS sknm, and it orris to the OAAAIANO +� Scale:I in.= ft. Date GSM `2' I119 97 � c.�aPaatawca 60 dimensional setback requirements of the zoning and building 17704 Plan Preference laws of the city/room of �p1 when ted and to the r tractions on record �Lps A -4�4 MORTGAGE INSPECTIONS INC. e � � SUITE 311,265$tEDFORD ST.,SQMF.F2VlLLE,MASS. f 'ale tiG —23 Job H PLAN REVIEW CHECKLIST ADDRESS 422 12 (1474 7l RA1Plk'6- -ENGINEER GENERA 3 COPIES STAMP LOCUS Z---"' NORTH ARROW SCALE CONTOURS PROFILE (Sc) SECTION BENCHMARK S S/0IL & PERCS ELEVATIONS WETS . DISCLAIMER WELLS & WJTS WATERSHED?_,4 DRIVEWAY t....... WATER LINE FDN DRAIN M&P SCH40 TESTS CURRENT? A5_ SOIL EVAL 066-4, SEPTIC TANK MIN 150OG t,ll . 17 INVERT DROP """" GARB. GRINDERAL(2 comps +200) 10 ' TO FDN L-""' MANHOLE ELEV GW_L3r- # COMPS . GB D-BOX SIZE # LINES.) FIRST 2 ' LEVEL STATEMENT INLET S - OUTLET 7 (2" OR . 17 FT) TEE REQD? LEACHING MIN 440 GPD? ' / RESERVE AREA 4 ' FROM PRIMARY? 2% SLOPE 100 ' TO WETLANDS L.,,- 100 ' TO WELLS 4 ' TO S .H.GW (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS 400 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER -'- ' FILL?,-' ( 15 ' ) BREAKOUT MET? TRENCHES MIN 440 gpd_kL SLOPE (min .005 or 6"/100 ' )_LL" SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? L-"' IN FILL? MUST BE 101 MIN. 4" PEA STONE? Ll_� VENT? _Ak) ( >31 COVER; LINES >501 ) BOT 1,30 + SIDE. 7(6 6 X LDNG TOT 3' (L x W x (DxLx2x#) (G/ft2) Copyright 0 1996 by S.L. Starr FORM U - VERIFICATION 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: =7/ic - Phone.. 3 102 LOCATION: Assessor' s Map Number Z02� Parcel Subdivision Lot(s) Street 511/eM _+Q P A-<-,I. St. Number P ***********************,*Official Use only************************ RECOMIEN CONS ;A S: to Date Approved Conservation Ad I .4s or Date Rejected Comments o jAAA.&P (CA a4 Date proved 4a_ I- own Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved -/Z7 Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Depar men t vl_tj 'J' 1�� I i 1,[,-j lS�14_ Received by Buil Ylinga/ Inspector Date Town of North Andover T• OF- CE OF • 0 COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover,Massachusetts 01.845 WILLLAM J.SCOTT SSA US Director April 14, 1.997 Mr. William Dufresne Merrimack Engineering Re: Lot #2 ( 1474 Turnpike Street 66 Park Street Andover, MA 01810 Dear Bill: This is to inform you that the proposed plans for the site referenced above have been approved. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S, Health Administrator SS/cjp cc: Bob Messina BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ENGINEERING SERVICES INC. Engineers o Surveyors a Planners 66 Park Street . DATE An N VOV Ep, MASSACHUSETTS VlO dV C- '- JC?€3 N0. (508) 875.3555 ATTENTION Fax (508) 475.1448 _ TO RE: _. 6 _ WE ARE SENDING YOU ❑ Attached ❑ I Wr separate cover via the following items: } ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications Copy of letter ❑;Change order ❑ CoPUS DATE Na. DESCRIPTION _ -- _ _/V THESE ARE TRANSMITTED as checked below: or approval ❑ Approved as submitted ❑ Resubmit__..__. copies for approval ❑ For your use [_] Approved as noted ❑ Submit copies for distribution ❑ As requested 0 Returned for corrections C7 Return corrected prints [:l For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS ----- ____-.. _..-_-.._-_ .......... ._. COPY TO - --.-- , SIGNED:�„ _................ —....It enclosures are not as noted,kindly notify us at once.