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HomeMy WebLinkAboutMiscellaneous - 102 LOST POND LANE 4/30/2018s t c yY w MAP # LOTxh, PARCEL # STREET �O.IV5TRUCTION APPROVAL, HAS PLAN REVIEW FEE .BEEN PAID? YES NO PLAN APPROVAL: DATE �� ��� APP. BY_� DESIGNER: -i%7 h,550CIOPLAN DATE--Zb CONDITIONS C- ,5,�5'MC,�-/- �--- WATER SUPPLY:-.. OWN WELL WELL PERMIT WELL TESTS: COMMENTS: DRILLER, -._-___.-__.__.____-.--_...._... LHLMIZAL DAZE APPROVED BACTERIA I DALE (1PPRUVED BACTERIA II ISA E APPROVED _ FORM U APPROVAL: APPROVAL TO ISSUE �ESNU DATE ISSUED Z/ZG� /,�-"( BY CONDITIONS: FINAL APPROVAL:. ALL PERMITS PAID NO WELL CONSTRUCTION APPROVAL NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:L4/f BY:. t Commonwealth of Massachusetts RECEN JO City/Town of System Pumping. Record 4 5 Form 4 �ovvM ,, �►�: ��x^ SI., r. Ht- 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. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left / Right front of house, Left / Right rear of house ng s . e of hous Left/ Right side of building, Left / Right front of building, Left / Right rear of building, `Under ec Address Uc- )a�— City/Town U State Zip Code 2. System Owner. ` ` A Name Address Ci different from location) City/Town State, � Code Telephone Number B. Pumping Record g t 1. Date of Pumping 2. QuantityPumped: Date p Gallon s 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yap No If yes, was it cleaned? ❑ Yes ❑ No: " 5. Condition of Sy m: � 6 6. System Pumped By: Neil. Bateson F5821 Name Vehicle License Number 7. Bateson Enterprises Inc - Company contents were disposed: Cc ,_- c Date t5form4.doc- 06103 System Pumping Record • Page 1 of 1 Commonwealth of Massachusetts I fdEC"E'F IEp City/Town of . System Pumping Record - �.J13 T04' N (AF NU H ANDOVER Form 4 HEAT. TP 'NEPARTMENT 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. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left / Right front of house, Left / Right rear of houstca / righQhouse Left / Right side of building, Left / Right front of building, Left / Right rear of building, Under deck Address Lc � c _ . ,( City/Town State / \/ `-� Zip Code V 2. System Owner: T �� Name \ Address (if different from location) City/Town Statei Code Telephone Number B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe): �A. Quantity Pumped Date um p Cesspool(s) eptic Tank Gallons ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes to If yes, was it cleaned? ❑ Yes ❑ No 5. Conditionof System: v 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: Waste Water Date —}� — c3 t5fonn4.doc• 06/03 System Pumping Record • Page 1 of 1 Commonwealth of Massachusetts City/Town of System Pumping Record SEP 14 2006 Form 4 TOWN OF NORTH ANDOVER HEALTH DEP has provided this form for use by local Boards of Healt —. The System Pumping Kecord must be submitted to the .local Board of Health or other approving authority. . A. Facility Information Important: When ruing out 1. System L cation: forms the computer. use only the tab key Address to move your cursor - do not .� use the return Cityrrown State Zip Code key. 2, System Owner: Name Address (if different from location) Cityfi-own State,,;. Telephone Nrjmber B. Pumping Record �j a 1. Date.of Pumping 2. Quantity Pumped: Date Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank El Tight Tank ❑ Other (describe)` 4. Effluent Tee Filter present? ❑ Yes CIfeS was � y s It cleaned? ❑Yes ❑ No 5. Conditio f System: 6. S stem P Name Vehicle License Number Company 7. Locationre. a cora. nts w po �, Signahlof ul http://www.mass.gov/dep/water/a provals/t5formshtm#inspect t5form4.doc• 06/03 Date System Pumping Record • Page 1 of 1 TOWN OF NORTH ANDOVE SYSTEM PUMPING RECO DATE: ?:2 ,/ � R& Tt7k-,;' t �- (oa- 1.o5-�-QA-L Dt 5 202 SYSTEM LOCATION (example: left front of house) a&+ SNCA e KDU� DATE OF PUMPING: _ / - QUANTITY PUMPED 4-�_oe—'GALLONS CESSPOOL: NOES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE OBSERVATIONS: GOOD CONDITION HEAVY GREASE ROOTS EXCESSIVE SOLIDS SOLIDS CARRYOVER SYSTEM PUMPED BY: COMMENTS: EMERGENCY FULL TO COVER BAFFLES IN PLACE LEACHFIELD RUNBACK FLOODED OTHER (EXPLAIN) CONTENTS TRANSFERRED TO:(�4 - L_. S. 0 R/ __j RECEIVED JOYCE RRADSt A'W TOVIN CLERK NORTH ANDOVER Received by Town Clerk: J4N `Z 12 141,16,, TOWN OF NORTH ANDOVER, MASSACHUSETTS BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant j �ir''r'"t7 I(;` !1 t_t Address ��rl.� Tel. No 1. Application is hereby made: a) For a variance from the requirements of Section Paragraph and Table of the Zoning Bylaws. l b For a special Permit under Section Paragraph 4- I of the Zoning Bylaws. c) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. 2. a) Premises affected are land and building(s) numbered Street. b) Premises affected are property with frontage on the North ( ) South ( ) East ( ) West ( ) side of Street. Street, and known as No. Street. c) Premises affected are in Zoning District 1 and the premises affected have an area of /36.3iTsquare feet and frontage of feet. 3. Ownership: a) Name and address of owner names) : b) (if joint ownership, give all Date of Purchase Previous Owner_ 1. If applicant is not owner, check his/her in the premises: �/ Prospective Purchaser Lessee Rev. 10/95- interest Q10y') Other 2. Letter of authorization for Variance/Special Permit required. 4. Size of proposed building: Ido front; feet deep; Height_ stories; feet. a) Approximate date of erection:ill,— b) Occupancy or use of each floor:5/���j�t c) Type of construction: 5. Has there been a previous appeal, under zoning, on these premises? C) If so, when? 6. Description of relief sought on this petition. Please explain in detail below. (If requesting a variance or special permit please fill out the attatched table.) ,-Iwch-�) to �,- , ouce--the oar c ' We n:2e ) ne -thy s � e.(�-,'1oe- C2 �-- tc-yj- e F - c-) n u 7. Deed recorded in the Registry of Deeds in Book Page_ Land Court Certificate No. Book Page The principal points upon which I base my application are as follows: (must be stated in detail) COMM LY), um i I agree to pay the filing fee, advertising in newspaper, and incidental expenses* INCOMPLETE AND ILLEGIBLE APPLICATIONS WILL NOT BE ACCEPTED OR HEARD AT THE PUBLIC HEARING. =1 h � � 0-! -' '-rou I Name of Applicant(s) (Print) Rev. 10/95 . Signature of Applicant(s) DESCRIPTION OF VARIANCE REQUESTED IF ZONING DISTRICT: `IF I Lot Dimension Area Street Frontage Front Setback Side Setback(s) Rear Setback Required Setback Existing Setback Relief or Area or Area Requested 1 q :S:f,, Special Permit Request: L /% C:CJtlt A DATE: � CERTIFIED BY: Asses�'r's Offic page 7 of 8 Page 3 of Page 4 of "BT PCNO ON I Nfj 1 IF121:1 :SWOH il" r, W� t- T 'lam 1: IN NOR ..:�,.. M-dtM PLAX TI�T�T Pts4tewx- R-UnceX W— ei 1W LOST FIO!�Q 1151 , ], -------------�i i' f �I 1 �! 1 . I . , �1 a xC i II � ( I I X" O I :II II11 �! > u_ f t LFP R FLDM KW EMPALLT PL@h9 acK Rks. •� � a ' i -SLE, 1/6' . f -0• 1-05T po. o .AB No, 11'.1 = Form No. 4 Town of North Andover, Massachusetts BOARD OF HEALTH May 31, 19 96 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed ( X) or repaired ( ) by Peter Breen INSTALLER at Lot 6/102 Lost Pond Lane SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. 808 dated _February 2, 19 96 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD OF HEALTH Town of North Andover f NORTH 3�0`tt�eo ,e,H OFFICE OF y COMMUNITY DEVELOPMENT AND SERVICES ° 146 Main Street QqTfO 'PPtE KENNETH R. MAHONY North Andover, Massachusetts 01845 9SSAcmUS�� Director (508) 688-9533 FAX TRANSMITTAL DATE: Deliver to ACJ G% From 'S^1h Z LJ %A -Z6 Company FAX Number �D �� FAX Number: 508-688-9542 Total Number of Pages Including Transmittal Form BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell ) � 7 CDCF o � LA\_ � ƒ Ln Ai k V); LA / / ° ( -® e Lna m @ zr & 5' w / / \ / o / ƒ / Q } J / ƒ n } » a / w 4 ® @ o tA / f ? $ \ & k CD ® f — o _ � Q $ w Ai n L _m Q Z \ o /±� @ &e�/� 9 Q e / >\ & y 2 0 2 \ ¥ $ 2 ' / m 2 » \ "/ /� ) / / ? / \ \E5 ® e 2A \ E e * ® 7 CD gu 2 > R W > } A 3 E 2 / / / / / / m @ % CD m 2 a a PU e / g \ o CD ., m / .� 2 & 3 IW. ? u Z f m ] �.. � r k4ORTN O t�.e° ,e1ti 3? ee �. .. •.'e OOC �. ,SSACMUSE'� Applicant —P F *t Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 3 �, 1. � � • ♦ - DISPOSAL WORKS CONSTRUCTION PERMIT ivHmt ADDRESS TELEPHONE Site Location Q-) L YJ+ 'fes<Y � Permission is hereby granted to Construct ("for Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. 4'14 -Y ) CHA�R Ti Fee �y D.W.C. No. TOWN OF NORTH NA DOVER/ BOARD OF HFALTH ff 2Q COMMON DRIVEWAY, UTILITY AND CONITRUCTI Whereas, Flintlock, Inc. is the owner of two certain ! parcels of land situated in No. Andover, County of Essex, Commonwealth of Massachusetts, shown as Lots 5 and 6 on a plan entitled "Plan of Land in North Andover, Mass. Prepared for �I Flintlock, Incorporated, P.O. Box 531, North Andover, Mass. 't 01845, showing 25 Common Driveway & Utility Easement & Construction Easements" dated February 2, 1996, Thomas E. Neve jAssociates, Inc., Engineers -Surveyors -Land Use Planners, which !) said plan is recorded with the Essex North District Registry of �j Deeds, herewith, and. Whereas, the Planning Board of the Town of North Andover has issued a Special Permit dated April 10, 1995 and recorded in said Registry of Deeds, Book 4274, Page 39 permitting the construction of a Common Driveway to service Lots 5 and 6, and Whereas, the Planning Board of the Town of North Andover has issued a Special Permit dated April 10, 1995 and recorded with said Registry of Deeds, Book 4274, Page 64 permitting access Whereas , Flintlock, Inc. intends to install sub -surface sewer disposal systems on Lots 5 and 6 in or adjacent to the areas shown on the said plan as "Construction Easement for Lot #5" and "Construction Easement for Lot #611, and - 1 - U (�J 7. This Covenant shall run with the land and shall be binding on and be for the benefit of the Declarant, its successors and assigns. In Witness Whereof, Flintlock, Inc. has caused these presents to be signed and sealed by David A. Kindred, its duly authorized President and Treasurer this 14th day of February, 1996. ESSEX,SS FLINTLOCK, INC. By: D vi re , President and Treasurer COMMONWEALTH OF MASSACHUSETTS February 14, 1996 Then personally appeared the above named David A. Kindred and acknowledged the foregoing e e free act and deed of Flintlock, Inc., before me, Notary Public My commission expires: FLINT.COV/DHT - 4 - Registry of Deeds j Northern District of Essex Count!; Lawrence, MA 01840 02/20/?6 FLINTLOCK INC PL .3 Rec77:tinre 1111 Type COVEN 10.00 F'ostaw 0.72 Total 10.J2 # 54 Payment Cash 20. i ':_ 1 101 i i THANK YOU Thomas J. em^ke j ReDister of Deeds `t I �1 1 4 FORM U - LOT RELEASE 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: E-1in1 T1,9 Phone LOCATION: Assessor's Map Number Parceli4?j°F/Z11J1 Subdivision LOS T pe `V Q Lot(s) 6 Street G6,sT 1oN0 LASE St. Number-;#`oZ- ************************Official RECO ATIO OF WN ENTS: 00000r.kt ; f Conservation Administrator Comments Use Only************************. Date Anoroved Zv Date Rejected Comments Date Approved Food Inspector -Health Date Rejected f / ..11 A i4�� , Date Approved Septic Inspector -Health Date Rejected Comments Public Works sewer/water connections Z-zof'� - drivewway� pe_ ' t Fire Department Received by Building Inspector Date Date Approved Town Planner Date Rejected. Comments Date Approved Food Inspector -Health Date Rejected f / ..11 A i4�� , Date Approved Septic Inspector -Health Date Rejected Comments Public Works sewer/water connections Z-zof'� - drivewway� pe_ ' t Fire Department Received by Building Inspector Date NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE • ;*6 PERMIT ## (6b (6 DATE RECEIVED APPLICANT-7),9VE Kljybec-,b MAP ADDRESS ENG. ��EV /�sSOG - ADDRESS PLAN DATE / t� 9 19,5— CONDITIONS OF APPROVAL APPROVED REASONS FOR DISAPPROVAL: iz /z/ X9s- PARCEL LOT ## STREET REV. DAT DISAPPROVED o,\.<" 1.j -�E s 'e 1� MAuM0LC oA-) TAA.)r- 0 PLAN REVIEW CHECKLIST ADDRESS �, LdST /��j t�� ENGINEER ItJELI GENERAL 3 COPIES ✓ STAMP LOCUS C/ SCALE �� CONTOURS PROFILE !/� SECTION BENCHMARK �=/� ELEVATIONS SOIL & PERC INFO WETS. DISCLAIMER WELLS & WETLANDS c ---- WATERSHED WATERSHED DISTRICT DRIVEWAY WATER LINE // DRAINS4/ RESERVE AREA SCH40 (/ SLOPE SEPTIC TANK MIN 1500G. .17 INVERT DROP Lim 25' TO CELLAR c.,— MANHOLE TO GRADE 6C D -BOX # OUTLETS FIRST 2' LEVEL STATEMENT OUTLET / ] .17 FT) -- LEACHING GARB. GRINDER(+200% EDF) ELEV GW INLET - SA,J 4,626 100' TO WETLANDS / 100' TO WELLS --' 325' TO SURFACE H2O SUPP 35' TO FND & INTRCPTR DRAINS c---" 4' TO S.H.GW 2% SLOPE 4' PERM. SOIL BELOW FACILITY MIN 12" COVER FILL? (25' if above natural elevation; 101if below) TRENCHES I MIN 660 FT2 SLOPE (min .005 or 6"/1001) >3' COVER? - VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61) IS RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10' MIN. BOT X LDNG + SIDE X LDNG = TOT (L x W x #) (G/ft2) (DxLx2x#) q6, 6 (; PLAN REVIEW CHECKLIST ADDRESS,/e, Z06r-; ✓ ,,l /9 ENGINEER GENERAL 3 COPIES �� STAMP v LOCUS 6,-"� NORTH ARROW SCALE CONTOURS L -f/ PROFILE 4"' SECTION —' BENCHMARK SOIL & PERCS ELEVATIONS WETS. DISCLAIMER WELLS & WETS WATERSHED? DRIVEWAY `�(Elev) WATER LINEy� FDN DRAIN4---' SCH40_Z TESTS CURRENT? c�/l SOIL EVAL SEPTIC TANK MIN 1500G,-,/ .17 INVERT DROP i/ GARB. GRINDER(+200% EDF) 25' TO CELLAR MANHOLE,>C ELEV GW # COMPS. D -BOX SIZE # LINES3 FIRST 2' LEVEL STATEMENT INLET OUTLET ( 2" OR .17 FT) TEE REQ' D? h/0 LEACHING MIN 660 GPD? RESERVE AREA " 4' FROM PRIMARY? 2% SLOPE S 100' TO WETLANDS 100' TO WELL4' TO S.H.GW'7 (5'>2M/IN) 35' TO FND & INTRCPTR DRAINS �r 325' TO SURFACE H2O SUPP z/ 4' PERM. SOIL BELOW FACILITY MIN 12" COVER V FILL? (25' if above natural elev; 10'if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min .005 or 6"/100') SIDEWALL DIST. 3X EFF. W OR D (MIN 6') RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10' MIN. 4" PEA STONE? VENT? (>3' COVER; LINES >50') BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright 0 1995 by S.L. Starr PITS MIN 660 LEACHING MIN 1 (13'x16') PIT MANHOLE/PIT GW MIN 4' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE_ BOT + SIDE x LOAD = TOTAL (L x W x ##) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW? COVER >3 FT - VENT MANHOLES L'' 12"-48" STONE L/ SPLASH PADS i_-� SLOPE .005 BED/TRENCH (Bed max. 60' X 60') MIN 13' X 16' 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 GW MIN 4' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? 4" PEA STONE? DIST LINE SLOPE .005? >31COVER-VENT SCH 40 MIN 12" COVER RATE LDG X 660 = X = TOTAL G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gpm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright 0 1995 by S.L. Starr Town of North Andover t NORTH , OFFICE OF 3? 0 �,, do L COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover, Massachusetts 01845 9SSAcMUS�� (508)688-9533 January 29, 1996 Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot 6 Lost Pond To Whom it May Concern: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1) Insufficient testing in reserve area. 2) Question of groundwater in pit 93-6 (Mottling). 3) Need manhole on tank. 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 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 3ulie Pamno D. Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell TOWN OF M, . 2Ld�nvtt SYSTEM PUMPING RECORD DATE: O 3o, 0 SYSTEM OWNER & ADDRESS [ 0 Z L,0+-) PW Lv� - SYSTEM LOCATION (example: left front of house DATE OF PUMPING: b� QUANTITY PUMPED: ©C7 GALLONS CESSPOOL: NO YES EPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: coN mrs TRANsFERRED To: G.L.S.D Lowell Waste Commonwealth of Massachusetts City/Town of ®RECEIV System Pumping Record Form 4 DEP has provided this form.for use by local Boards of Hease but the information must be. substantially the same as that provideorm, check with your local Board of Health tQ, determine the form they use. The System Pumping Record must be submitted to the local Board of Health or-othler approving authority. A. Facility Information 1. System Locatin: Left side of Nous ' Right side of house, Left front of house, Right front of house, Left rear of hoase-,R4@hHva-r—bT house. Left rear of building. Right rear of building. Address City/Town 2. System Owner: Name Address (if different from location) City/Town B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe): State a1 Zip Code StateC � I--<�-� Telephone Number iO 2'r_'_'D2 Date 2. Quantity Pumped: Cesspool(s) eptic Tank lS� Gallons ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes If yes, was it cleaned? ❑ Yes ❑ No 5. Condiittiioon of System: I 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. LocatiqDAmbere contents were disposed: Lowell Waste Water Signature of Hauler to - ,)c::)v0(�_1 Date t5form4.doc• 06/03 System Pumping Record • Page 1 of 1