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Home My WebLink AboutMiscellaneous - 105.A Lacy Street 105 .A Lacy Street Lot 10 - Map r I ,s �7 l �- - North Andover Board of Assessors Public Access Page 1 of 1 NORTH orth Andover Board of Assessors'. Of 4�ao e 1ti0 _. t 9SSACHUSSS 1[14property Record Card Click Seal To Return Parcel ID:210/105.A-0010-0000.0 FY:2013 Community : North Andover SKETCH PHOTO Search for Parcels No Sketkckho r Search for Sales Available i l a b l Available Summary Residence Detached Structure Location: 0 LACY STREET Condo Owner Name: TOWN OF NORTH ANDOVER Owner Address: 120 MAIN STREET Commercial City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 59.00 acres Use Code: 903-CTY-TWN-PROP Total Finished Area: 0 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 649,800 648,100 Building Value: 400 400 Land Value: 649,400 647,700 Market Land Value: 649,400 Chapter Land Value: LATEST SALE Sale Price: 1,900,000 Sale 12/22/2009 Date: Arms Length Sale E-NO-GOVERNMNT Grantor: KITTREDGE,M Code: Cert Doc: 16221 Book: Page: http://csc-ma.us/PROPAPP/display.do?linkld=2257473&town=NandoverPubAcc 10/7/2013 Commonwealth of Massachusetts N W City/Town of No Andover a System Pumping Record Form 4 M 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 within 14 days from the pumping date in accordance with 310 CMR 15.351, A. Facility Information - Important:When filling out forms 1. System Location: on the computer, use only the tab 10 lacy st _ key to move your Address cursor-do not north andover __ ma use the return own Cit /T — — key. y State Zip Code 2. System Owner: r� Pogor Name ienen Address(if different from location) T CitylTown State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping �@ - 2. Quantity Pumped:. Gallons 3. Type of system: ❑ Cesspool(s) ''Septic Tank ❑ Tight Tank Grease Trap El Other(describe): - -- - ---- 4. Effluent Tee Fitter present? [] Yes E] No 4f yes, was it eant No 5, Condition of System: ------ ---- � DEC U 2013 TnWN&P 40;r,i H AN HEALTH C:EPARTMENT 6. System�Pu�mped,Sy: ame VV �` lr,J{� Vehicle License Number Stewart's Septic Service Company —. 7. Location where contents were disposed: Stewart's Pre-trgatMent Plant, 20 So. Mill Bradford, Ma 01835 Signatur of r Date - -- .� I Si ature of Rec ' nq Facility --- Y-�— Date t5form4.doc•03/06 System Pumping Record#Page 1 of 1 Page 1 of 1 DelleChiaie, Pamela From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Wednesday, January 04, 2006 10:09 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: soil test Lot 10 Lacy Street The soil test for Lot 10 Lacy Street has FINALLY been scheduled for Thursday, January 12 at 8:30 a.m. with Thad Berry. Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultinia.com 1/4/2006 •i1.r�h{4 g rl �'<_7 r'. 'p" �...�i �1�� I '� L Art PLYZe 41 S�r¢l 1114! A l G,' I r '1 ti 1 ✓,� c, ,� �-,�A4.T' SunrC f�12." �() �; 1 G�.S'`(J !I'.ZQ � .. I I {�L`QC. CZia'TR, i AAA MSC/tJA 903 f , 1 ,.l 4' I`ti 4 ' ML a 4 a ' -� Q p,,�c}:•fes i•.-; OM �.�_�- i y� t i I I n L I IVA c ,bk Qq __..-... •.,r f 4 d l II - I I I I 4-Vi'. r _, � - —. Via; •�.� ,�.s v j, � ( 7S �' � '� no, ZJfWol �� ► 9- o tih� d ��+�53 \1 16A1 S�"q'•5 ��Ul�c�� ' "1ST � ,,i I i n TOWN OF NORTH ANDOVER ".. office of COMMUNITY DEVELOPMENT AND SER VICES oe ; HEALTH DEPARTMENT400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 Sawyer,REHS,RS 978.688.9540—Pbone Susan Y. 978.688.8476—FAX Public Healtk Director � nofnaethandovu.can www.t0wnofaorthandover.0m I APPLICATION FOR SOIL TESTS MAP A PARCEL: M 3 t2 105 �- DATE: LOCATION OF SOIL TESTS: J�re OWN9k ��a I n 2 contact#: cr iP� oPS� 1 Z 7 AppLICANT: Contact l� ADDRESS: h` r X0: 7 - - ENGINEEIL CERTIFIED SOIL EVALUATOR:,/4 had intended Use of Land: Residential Subdivision Ingle Family Hoene Commercial is This• Repair Testing:__ Undeveloped Lot Testing: Upgrstda for Additloa: In the Lake Coehiehewick Wawshed? Yes No T'HE FOLLOWING MUST BE INCLUDED WITH THIS FORM D proof of and ownership(Tax bill,or letter from o Pkaxe f g�d ofttm) 0A the > 115"x II"1'lnt orae A rncWJOn-of 7' L Fre of S42S oo per lot for mow_coUtructioa. This cover's the mhlbnm two deep holes"u � two percolation tests r+egt►ired for car disposd area. Fee of 60•�Per�for .�C-""�• GENERAL UI(FORMAT10N L only Certified Sol,Evaluators may perforin deep hole inspections. Only Mass.Registered Sanitarians and pmfessiond Engineers can desiga septic piens. lesion lusts ere required for each septic system disposal arca. D At least two deep bolos and two patio Repairs require at least two deep holes and at feast one percolation ta.5t,at the discretion of the BOH representative. f Full payment will be required for all addidorW tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-1001)*d be submitted to the Board of'Health showing the location of d,togsosetvslua�tioa ing Norms ksU be submitted. rted tests). > Within 60 days of testing please Do Not Write Below This Line IV,A.Conservallon Commission Approval Date: Signature of Conservatla i Agent: I � 'Date back to Healih Department:(stamp in): W L 4) l �! IIII XERISCAPE DESIGN LLC TRANSMITTAL dFAX ❑ MAIL Thad Berry PE 18 Oak Street ,M Reading MA To Z(yiL)a .---—_—— — 01867 phone 781 944 5606 cell 978 423 7851 fax 781 942 4820 ------- — —._...-- -- — ema i thadberry@aol.com From '! -- e . _ - l Date lZ�05- - ---- -- Job Name _ —-- ----- —------ Job Number Job Location Reference -------- ---- 1� 1 115A WT to The following items are attached Number Date Description ❑ For approval ❑ For your use ❑ As requested ❑ Review for comments Remarks --- - r _ .- ----- - - o�r e 'g1 ` #� '1� � �e ,�. ,'� � � '" �` ilt-.d"• �' fit.x #:. �,n5 "1 �� Y;'E,-T°,4 �{'� T �•�� °"� s:"u' tel. ._;'*"E"•!,i' .�a.-, i qz:. •Y �'' f . , 4 C . 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';•- .�...'' t�,' � yds `r, '" �.'..�(( "'} � _ s � /�'°� 4 •'wry• �� l ,_..,` `� �� WIDRUSH FARM LACY STREET USGSQUAD: MAGIS NORTH ANDOVER o FIGURE 1 QUAD DATE: IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTH ANDOVER SITE LOCATION MAP [p 18 OAK STREET READING MA 01867 SCALE: I"= 1000' O phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 v q t71 ',Te y b. �� Via" N: 'R., '.3Y S��Rti`a 'a�:.*:�♦ ar� -. _ - �,+'�' -4�2 � Z a.T:,. Y.•* .r -im#` '.i.' .r# y Q, 4 * � .rA a'4'-.�.'�"� `ti". } "�. .•*.Rr:'s, - -T�'.. t. ' AP .,^ P '.N,#, t. a. �:.t .�j '.rii+r'`�r•.'yr... , f� 7a � a 'T.r� '��l• R .• " w F'f"a_. '.j 'b r-.,^:A+" ^"A4i"t} ;,�r4.,c.:F`�t.'v',:'' ?', �' •,+i.1Is' w '„AtE„-'4 4, � ! �+•,.. �.: •',� yAr a " w 'Ilk ; zF f� N 4 .�.�..4. 1t;5 tw t . .- + '� �., " t •!,TA77.. ->, '. � �`�'+ f4. -i•` +2' :- ..# , ...-'4sa'.i' _ .� .` ,4f1J: z #_:r "�,;' �'r.a i, y .�,w;'"R �. 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WIDRUSH FARM LACY STREET USGS QUAD: MAGIS 0 FIGURE 2 NORTH ANDOVER QUAD DATE: IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTH ANDOVER AERIAL SITE MAP O 18 OAK STREET READING MA 01867 SCALE: I"=500' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 1 r z l r.—k— O Canton(0) ,\ , wi (A) - • Cbs \ t MC - r Canton(9) •MMOsMMtb+dsap `�• ` • •' Hts . / • �' • -', '._, •� ( � His .� Hln1day(A) YMeo�INV/ In) J. / IHs _ Hlnkiay(A) GC - v�0 � W Chartton-Rock outtropaollia Compton _ VA idea(A) CbC Canton(s) SITE ,- Canton CbCme ModfsaWats,dap CbC - I- --� Canton(s) - \\ Wait �\ ` t (A) �. WnA Windsor(A) - ,/ Moe Montauk(C) 'me \ - - Madlaaposts,daap -- Canton(0) \ i WIDRUSH FARM FIGURE 3 LACY STREET COUNTY: ESSEX MA Qj NORTH ANDOVER CITY/TOWN: NORTHANDOVER N IIIIXERISCAPE DESIGN LLC SHEET#: MAGIS SCS SOILS MAP m 18 OAK STREET READING MA 01867 SCALE: 1"=500' i Q phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 Page 1 of 1 DelleChiaie, Pamela From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Wednesday, January 04, 2006 10:09 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: soil test Lot 10 Lacy Street The soil test for Lot 10 Lacy Street has FINALLY been scheduled for Thursday, January 12 at 8:30 a.m. with Thad Berry. Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultinQ.com 1/5/2006 Page 1 of 1 s DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, September 14, 2005 3:07 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: FW: Windrush farm soils resend Hi Lisa, My apologies, I refer to this as Lot 10 Lacy Street, but it is also Windrush Farm. Sorry for the mixup. Thanks! -----Original Message----- From: Lisa LeVasseur [ma ilto:Iisal@mill riverconsulting.com] Sent: Tuesday, September 13, 2005 10:03 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: Windrush farm soils resend Please let me know if these are more legible. Thanks! Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com 9/14/2005 Page 1 of 1 DelleChiaie, Pamela From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Tuesday, September 13, 2005 10:03 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: Windrush farm soils resend - Please let me know if these are more legible. Thanks! Lisa Lisa LeVasseur Mill River Consulting w Your Complete Source fir Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultinp-.com I i 9/13/2005 i ` , I fi I i I 1 1 I WIAN I -- -- --— — 77 — I I rl 00, lit I 1 a i 1 -- I) I I � - h Thr ; ,� �tl `►1 M' � ; 1 , $b . r _ Q - i lot') t. j "Jig fr ' I1 _- il I �-_ i � I 'e •d 1.. j-f- _44 -- iiti i --- -- TIT it - -i- I � 11 y 1: a � SOILS REPORT LOCATED ON LACY STREET NORTH ANDOVER MA TAX MAP PARCEL RECEIVED NOV 2 3 2005 TOWN OF NU,RTH ANDQVER HEALTH DEPARTMENT PREPARED FOR: WINDRUSH FARM LACY STREET NORTH ANDOVER MA PREPARED BY: IIIIXERISCAPE DESIGN LLC 18 OAK STREET READING MA 01867 phone 781 .944.5606 fax 781 .942.4820 av'M MAss L� qty Thad DBer�r � 0 41258 feta ., AL u' o OCTOBER 10, 2005 IIII XERISCAPE DESIGN LLc JOB#: 05-6 PAGE: 1- 1 NEW CONSTRUCTION Commonwealth of Massachusetts SOIL SUITABILITY ASSESSMENT FOR ON-SITE SEWAGE DISPOSAL PERFORMED BY: Thad Berry WITNESSED BY: Mill River Engineering DATE OF TESTING: August 30&31,2005 Location Address or Lot# Owner's Name& Address Lacy Street Marjorie V.Kittredge Map 105A Lot 1.0 30 Brookview Road North Andover,MA 01845 OFFICE REVIEW Published Soil Survey NO ❑ YES ■ Year Published Same Publication Scale Same Soil Map Unit See Soils Map Drainage Class Soil Limitations Surficial Geological Report Available NO YES Year Published Publication Scale Geological Material(Map Unit) Landform Flood Insurance Rate Map Above 500-Year Flood Boundary? NO ❑ YES Within 500-Year Flood Boundary NO YES Within 100-Year Flood Boundary? NO ■ YES ❑ Wetland National Wetland Inventory Map(Map Unit) Wetlands Conservancy Program Unit(Map Unit) Current Water Resource Conditions(USGS) Month Range: Above Normal ❑ Normal ❑ Below Normal ❑ Other References Reviewed ■ New Construction ❑ Repair ❑ Best Management Practice i [III XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 2- 1 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 1 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well; See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth rom Soil Texture Soil Color ter: Surface Soil Horizon (USDA) (Munsell) Soil Mottling (Structure, Stones,Boulders, inches Consistency,%Gravel 0 -611 A S.L. 10YR 4/2 Friable Roots 611 - 24" B L.S. 10Y R6/8 @ 18" Friable Roots 24" - 114" C1 F.S.L. 2.5Y 6/6 Friable Roots Receiving Layers: C1 Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 18" 7.5YR 5/8 ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLc JOB#: 05-6 PAGE: 2- 2 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 2 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth om Soil Texture Soil Color ter: Surface Soil Horizon Soil Mottling (Structure, Stones,Boulders, inches (USDA) (Munsell) Consistent %Gravel 0- 8" A S.L. l OYR 4/2 Boulders,Friable Roots 811 -24" B S.L. 1 OYR 6/8 Boulders,Friable Roots 24" -90" C F.S.L. 2.5YR 6/6 @ 24" Boulders,Friable Roots Receiving Layers: C Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 24" 7.5 YR 5/8 New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 6-05 PAGE: 2- 3 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 3 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth from Soil Texture Soil Color ter: Sur µce Soil Horizon (v SliA) 'Munsell)sell) Soil Mottling (Structure, Stones,Boulders, inches t Consistency,%Gravel 0-6" A S.L. IOYR 4/2 Boulders,Friable Roots 611 -3011 B S.L. 10YR 6/8 @ 24" Boulders,Friable Roots 30" - 114" C F.S.L. 2.5Y 6/6 Boulders,Friable Roots Receiving Layers: C Design Class: I1 Parent Material (geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 24" 7.5 YR 5/8 '`TCGFis i uCtiGi� n e�c�a�� ® T-1 est ivlanalen ent rractice IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 2- 4 FORM 11-SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 4 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth from ter: Soil Text'.ure Soil Color , ma uI ad Surface Soil ll.orizoti !QrSohl oft'lina k'Strt are.Stones,Boulders, inches ° Consistency, %Gravel 0-6" A S.L. l OYR 4/2 Boulders,Friable Roots 611 -24" B L.S. IOYR 6/8 Boulders,Friable Roots 24" - 107" C F.S.L. 2.5Y 6/6 @ 24" Boulders,Friable Roots Receiving Layers: C Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit face: - Estimated Seasonal High ground Water: At 24" = Ivew Construction Repair ❑ hest Management Practice i IIII XERISCAPE DESIGN LLc . JOB#: 05-6 PAGE: 3- 1 FORM 11-SOIL EVALUATOR FORM Commonwealth of Massachusetts DETERMINATION FOR SEASONAL HIGH WATER TABLE ` Test Hole Number: 1-4 Method Used: • inches Depth observed standing in observation hole Depth weeping standing in observation hole inches - Depth to soil mottles 18-24" 7.5YR 5/8 inches feet Groundwater adjustment Index Well Number: Date: Index Well Level: Adjustment Factor: Adjusted Ground Water: Depth of Naturally Occurring Pervious Material j Does at least four(4)feet of naturally occuring pervious material exist in ALL observed throughout the I proposed for the soil absorption system? Yes If not,what is the depth of naturally occuring pervious material? Certification I certify that on M4y1.996 1 have passed the examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise,and experience as described in 310CMR 15.017. Date 11/16/05 Signature Comments: ■ New Construction Repair Best Management Practice i _�_....._...��: .,,l. -"L--,-cqurreu-an-overnign� s`-oA—f om-873-0-/05--9/-3T/-05 PERC# 1 PERC# 2 f � I 30„. D 33" ° .o ... .; :o... .b :..o. o 0 16" 16" D.. A.. ■ New Construction Repair Best Management Practice cc) 1 • ,, +dar nd ' o �. _..".. Lk— NORTH BOXFORD -A ANDOVER' � `-— . • - 1 � 34";. N SITE -A&. �- `mow r � jam}* ♦ � • Oti "_" � • +�+. `� Q ,,r�. +114 O WIDRUSH FARM LACY STREET USGS QUAD: IVIAGIS NORTH ANDOVER FIGURE 1 QUAD DATE: ° IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTH ANDOVER SITE LOCATION MAP (p 18 OAK STREET READING MA 01867 SCALE: 1"=1000' O phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 4 ♦'} � ,�. .f t"��"'f,+•�' � +,",{4 f ,Rk.. 1r �• :3. ,I fTr"r'. r, at} �t.`,ir4 L7i'1'��`�q k k�d y 'r_. � !,�, �F'`k �" a.y*. 1. 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Tv, !Y� �. . 1• `�. �.�•�hlf2 _.�'� �`. ,.�' .i`.i.,. •t t ~i WIDRUSH FARM LACY STREET USGS QUAD: IVIAGIS t FIGURE 2 NORTH ANDOVER QUAD DATE: IIIIXERISCAPE DESIGN LLc CITY/TOWN: NORTH ANDOVER O AERIAL SITE MAP 18 OAK STREET READING MA 01867 SCALE: I"=500' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 \ Cain(e) eke ` ` \ - MC - i^ Ghon(6) •tbaleaprleta,daaP •/ H16 / J Hinkley JA) / / � •'�+ ` 1116 Hinkley(A) �\ WP-/Ylno HfO ` - Hinkley(A) o�o l crc w ck.rtton.Rock VJnA MReropNollle Complex Wind—(A) CkC (6) •\ 'len(6) ' J ' SITE (6) 1111-fimprists,deep • ckc • --� Canton(6) \ t qnA \ (A) � 11n1► /wlee,or(A) / Mac Montauk(C) MAC Cb6 ..i Canton(6) \ • % WIDRUSH FARM O LACY STREET COUNTY: ESSEX MA 0 FIGURE 3 NORTH ANDOVER CITY/TOWN: NORTH ANDOVER IIIIXERISCAPE DESIGN LLC SHEET#: MAGIS m SCS SOILS MAP 18 OAK STREET READING MA 01867 SCALE: 1"=500' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 Town of North Andove I� Health Departipent Date: / Location: C (Indicate Addre s, ifResidential,or e �ssiness) Check#: U ® �'! J� Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTI RMITS: eptic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER: (Indicate) 850 Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer SOILS REPORT LOCATED ON LACY STREET NORTH ANDOVER MA TAX MAP PARCEL F ' IVED NOV 2 3 2005 TOHEALTH DEPARTMENTH TER PREPARED FOR: WINDRUSH FARM LACY STREET NORTH ANDOVER MA PREPARED BY: IIIIXERISCAPE DESIGN LLC 18 OAK STREET READING MA 01867 phone 781 .944.5606 fax 781 .942.4820 T 0 i .Thad D errN o o/4.� 6 O �0s'�SIOMA O o OCTOBER 10, 2005 IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 1- 1 NEW CONSTRUCTION Commonwealth of Massachusetts I SOIL SUITABILITY ASSESSMENT FOR ON-SITE SEWAGE DISPOSAL PERFORMED BY: Thad Berry WITNESSED BY: Mill River Engineering DATE OF TESTING: August 30&31,2005 Location Address or Lot# Owner's Name& Address Lacy Street Marjorie V.Kittredge Map 105A Lot 10 30 Brookview Road North Andover,MA 01845 OFFICE REVIEW Published Soil Survey NO YES Year Published Same Publication Scale Same Soil Map Unit See Soils Map Drainage Class Soil Limitations Surficial Geological Report Available NO YES 0 Year Published Publication Scale Geological Material(Map Unit) Landform Flood Insurance Rate Map Above 500-Year Flood Boundary? NO YES Within 500-Year Flood Boundary NO YES Within 100-Year Flood Boundary? NO ■ YES Wetland National Wetland Inventory Map(Map Unit) Wetlands Conservancy Program Unit(Map Unit) Current Water Resource Conditions(USGS) Month Range: Above Normal El Normal ❑ Below Normal Other References Reviewed ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 2- 1 FORM 11-SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 1 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth from Soil Texture Soil Color ter: Surface Soil Horizon Soil Mottling (Structure, Stones,Boulders, inches (USDA) (Munsell) Consistency,%Gravel 0- 611 A S.L. 10YR 4/2 Friable Roots 601 - 24" B L.S. 10Y R6/8 @ 18" Friable Roots 24" - 114" C1 F.S.L. 2.5Y 6/6 Friable Roots Receiving Layers: C1 Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole:g - WeeP in from Pit Face: - Estimated Seasonal High Ground Water: At 18" 7.5YR 5/8 ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 2- 2 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 2 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet I DEEP HOLE OBSERVATION LOG Depth from CnilTPV+,IYP Cni)f ninr Other: ciur arc ooii lioiizoll r�,, ,a Soli Mottling (Structur0, Stones,Boulders, inches �` ' �:aaa"' _"` Consistency,%Gravel 0- 811 A S.L. 10YR 4/2 Boulders,Friable Roots 8"-24" B S.L. 1 OYR 6/8 Boulders,Friable Roots 2411 -9011 C F.S.L. 2.5YR 6/6 @ 24" Boulders,Friable Roots I Receiving Layers: C Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 24" 7.5 YR 5/8 SoNew Construction 13 Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 6-05 PAGE:. 2- 3 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 3 Date: 8/30/05 Weather: 75 OF Location (identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth from `n;J co!or c�„1 r ter: _.Y r;_:re•--a-, -_ _ ____ __ _ _ _.. C•, ... �•} Y.Y._... u�o;".vs" 13-Ouldel"S' inches v` - Consistent %Gravel 0-611 A S.L. IOYR 4/2 Boulders,Friable Roots 6" -30" B S.L. 1 OYR 6/8 @ 24" Boulders,Friable Roots 30" - 114" C F.S.L. 2.5Y 6/6 Boulders,.Friable Roots Receiving Layers: C Design Class: iI Parent Material (geological) Till Depth to Bedrock: - Lepth to Groundwater: - Standing`eater in the Hole: - Weeping froiii Pit Face: - Estimated Seasonal nigh Ground Water: At 24" 7.5 YR 5/8 I I _._. AT..... !'r.�....d«....i:...,. ® �...-_..:., � fl....r A,f•..-..,._.._M.._.i Tl.......e: ,,, i Itll.6N i.Vii3li Uivli Vlt iii iif i,3C31 1V1a111aI�GiliElil 1 La1l,[IE.G IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 2- 4 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 4 Date: 8/30/05 Weather: .75 OF Location(identify on plan): See Plan o : es: See Plan Use: Residential Slope See Plan Surface Ston Land pe(10) Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Dista;ces From: Open Water body: See Plan feet Dra.ina. a Way: See Plan feet rossibie Wet Area: See Plan feet r`roper€y Line: See Plan feet Drini g Water Wen: See Plan feet Other: See Plan feet air.t-P Tart-r e-.'EmrDIT f-rynv T€e- HL Depth from .� - ,i , ter: y'ni;! Se �s.>rsiYi a,.a fiC3sf;r n .� n_•s tis_..' -. 2.f_ttfl•t}r: Vt.lAAl4VV VVIJ.-A.--.A. J qqsJVAl 1�AV 1.4ALA� �V4A UVilII VVIVJIYJ.AIVlAl4Vl J tiff)Si1!'t ' {YAi,.J'•i.�S 'P!) inches Consistent %Gravel 0-611 A S.L. I OYR 4/2 Boulders,Friable Roots 6'! -24'! B L.S. IOYR 6/8 Boulders,Friable Roots 24" - 107" C F.S.L. 2.5Y 6/6 @ 24" Boulders,Friable Roots Rece'i:ri11g L-Rye_'s: C vesign Ciass: II e-.n� 1VinTr—xjai igF_.ijiil�il.ni Till i 31= tli ill iiF_.ri i"1!`.ti: - ijc:iti i3 ti>l iri ii li li f�ry s7TPi: - j_°�1Ejic,iriw 'v,'v,'a-c."M Ti(f. i-joie: - I •V�et��iiii� Trim, Pi i'Lce: - ��flfl its_!i'eii �F_.i7Coi1`tii i�if! i iroiiiiii vy�Ft=(•. At 24" IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 3- 1 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts DETERMINATION FOR SEASONAL HIGH WATER TABLE T - Test Hole Number: 1 4 Method Used: Depth observed standing in observation hole inches Depth weeping standing in observation hole inches - Depth to soil mottles 18 -24" 7.5YR 5/8 inches Groundwater adjustment feet Index Well Number: Date: Index Well Level: Adjustment Factor: Adjusted Ground Water: Depth of Naturally Occurring Pervious Material Does at least four(4)feet of naturally occuring pervious material exist in ALL observed throughout the proposed for the soil absorption system? Yes If not,what is the depth of naturally occuring pervious material? Certification I certify that on Ma, l�996 I have passed the examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise,and experience as described in 310CMR 15.017. Signature Date 11/16/05 Comments: �T ■ New Construction EIRepair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 4- 1 FORM 12-PERCOLATION TEST Commonwealth of Massachusetts PERCOLATION TEST Location,Address,or Lot No. Lacy Street Map 105A Lot 1.0 DATE: August 31,2005 TIME: 10:00 AM Observation Hole# 1 2 Depth of PERE 46" 49" Start Pre-Soak 10:00 8:40 End Pre-Soak 10:15 8:55 Time @ 12" 10:15 8:55 Time @ 9" 10:27 9:35 Time @ 6" 10:49 11:20 Time Elapsed(9"to 6") 22 min 1 hr 45 min IPERC Rate(minutes/inch) 8 min/in 35 min/in N1-1INIl IJN1 OF i PERCOLATION TEST MUST BE PERFORMED IN'BOTH THE PRIMARY AREA AND RESERVE AREA. Thad Berry Mill River Engineering Perc#2 required an overnight soak from 8/30/05 -8/31/05 2 004 o 30 o . o �� o o.;. o, ° 33" � 6 46" 49" 16" 16" -. New ConstructionRepair Best Management Practice - - dar 1�3 wit 0 n 01 I I 1 NORTH `— BOXFORI) C) - - U. -� AND( VER_ '� _ • (13 tWir-. - I a - SITE . . 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Tia�y�•r }- r "t•�"}-:.`.i S?ri' T•}'y�: L,P(�.T ki'�+�',r'c4* � �� k�i?05a ti :� `��' �'" w �� 1 4„ fe x'' +w� ^.Yt{4�L•..,,T,r4' t\L K�� i�� "y�x w t� � "�`• ,. •y'1 }+�,�,}. �P••"!e'*raA... ri ' 'f �y5j+yj+^e'�`Y '`.M.,},+�'If'.•��'t is yjlc• i�t._}` '`w".ar.�..,C21+. 7r�,�,1r 'c.'�[ i1,y��. •'�{"+1r ,iy. r•Ai 1` r•/, Ty y}i 4• .»t • j"Y•.. �w� :eli,t.l^ r s.1't kA '�'y+*_t.l�+`.jJ'tryt � y ! rl ^: + �`.�lt(w.�.•6trt •�;+ • w"..r�.t+s"f"' ^�% .'�,. .t. t ,,,,��`,st' ��!'yi i'f]t'f�•�,-[, a � •�y: *4�,ice"' ,%,�``, Zt *, '�, 10 WIDRUSH FARM O LACY STREET USGS QUAD: MAGIS 0 FIGURE 2 NORTH ANDOVER QUAD DATE: IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTH ANDOVER AERIAL SITE MAP O 18 OAK STREET READING MA 01867 SCALE: 1"=500' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 I t z \ 6Cmnbn(e) ` ^ Modbaprists.deep, wi (A) \ in . canton(o) •MadlspAtb,deer ` � - . • ) May(A) - Hinkley(A) • w � ) tno l , o Hinkley(A) s x I CeC \ • Charkm►Rock i w 0 wnA outorop4wits Complex �` ' wlndsor(A) ChC (0) p '� Canton(a) • J SITE ( • � r Mc — M.dhpNae,, leer • chc • ( Canton(n) ` (A) wnA� _wkM,ar(A) LUC •• - - Montauk(c) hic MIS Cwftn(0) WIDRUSH FARM OLACY STREET COUNTY: ESSEX MA 0 RE FIGU3 NORTH ANDOVER CITY/TOWN: NORTH ANDOVER IIIIXERISCAPE DESIGNI-1-0 SHEET#: MAGIS SCS SOILS MAP O 18 OAK STREET READING MA 01867 SCALE: 1"=500' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 I ' SOILS REPORT LOCATED ON LACY STREET NORTH ANDOVER MA TAX MAP PARCEL RECEIVED NOV 2 3 2005 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT PREPARED FOR: WINDRUSH FARM LACY STREET NORTH ANDOVER MA PREPARED BY: IIIIXERISCAPE DESIGN LLC 18 OAK STREET READING MA 01867 phone 781 .944.5606 fax 781 .942.4820 0,Mgss l � D rry 1L AL/ o OCTOBER 10, 2005 IIII XERISCAPE DESIGN LLc JOB#: 05-6 PAGE: 1- 1 NEW CONSTRUCTION Commonwealth of Massachusetts SOIL SUITABILITY ASSESSMENT FOR ON-SITE SEWAGE DISPOSAL PERFORMED BY: Thad Berry WITNESSED BY: Mill River Engineering DATE OF TESTING: August 30&31,2005 Location Address or Lot# Owner's Name& Address Lacy Street Marjorie V.Kittredge Map 105A Lot 10 30 Brookview Road North Andover,MA 01845 OFFICE REVIEW Published Soil Survey NO YES ■ Year Published Same Publication Scale Same Soil Map Unit See Soils Map Drainage Class Soil Limitations Surficial Geological Report Available NO YES Year Published Publication Scale Geological Material(Map Unit) Landform Flood Insurance Rate Map Above 500-Year Flood o Boundary. NO � YES Within 500-Year Flood Boundary NO YES Within 100-Year Flood Boundary? NO ■ YES Wetland National Wetland Inventory Map(Map Unit) Wetlands Conservancy Program Unit(Map Unit) Current Water Resource Conditions(USGS) Month Range: Above Normal Normal Below Normal Other References Reviewed ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 2- 1 FORM 11-SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 1 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet p DriWg Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth om Soil Texture Soil Color ter: Surface Soil Horizon (USDA) (Munsell) Soil Mottling (Structure, Stones,Boulders, (inches) Consistency,%Gravel 0 - 6" A S.L. 10YR 4/2 Friable Roots i 611 -2411 B L.S. 10Y R6/8 @ 18" Friable Roots 24" - 114" C1 F.S.L. 2.5Y 6/6 Friable Roots Receiving Layers: C1 Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 18" 7.5YR 5/8 ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLc JOB#: 05-6 i PAGE: 2- 2 FORM 11-SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 2 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth from Soil Texture Soil Color Other: Surface Soil Horizon Soil Mottling (Structure,Stones,Boulders, t (USDA) (Munsell) ° inches Consistency, /°Gravel 0- 811 A S.L. I OYR 4/2 Boulders,Friable Roots 811 -24" B S.L. IOYR 6/8 Boulders,Friable Roots 2411 -9011 C F.S.L. 2.5YR 6/6 @ 24" Boulders,Friable Roots Receiving Layers: C Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 24" 7.5 YR 5/8 ■ New Construction a Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 6-05 PAGE: 2- 3 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 3 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth om Soil Texture Soil Color ter: Surface Soil Horizon Soil Mottling (Structure, Stones,Boulders, inches (USDA) (Munsell) Consistency,%Gravel 0-611 A. S.L. l OYR 4/2 Boulders,Friable Roots 611 -3011 B S.L. I.OYR 6/8 @ 24" Boulders,Friable Roots 30" - 114" C F.S.L. 2.5Y 6/6 Boulders,Friable Roots Receiving Layers: C Design Class: II Parent Material (geological) Till Depth to Bedrock: Depth to Groundwater: - StandingWater i n the Hole: Weeping from Pit Face: - Estimated Seasonal High Ground Water: At 24" 7.5 YR 5/8 New Construction Repair Best Management Practice -- f III)XERISCAPE DESIGN LLc JOB#: 05-6 PAGE: 2- 4 FORM 11 -SOIL EVALUATOR FORM Commonwealth of Massachusetts Deep Hole Number: 4 Date: 8/30/05 Weather: 75 OF Location(identify on plan): See Plan Land Use: Residential Slope(%): See Plan Surface Stones: See Plan Vegetation: See Plan Landform: See Plan Position on Landscape See Plan Distances From: Open Water Body: See Plan feet Drainage Way: See Plan feet Possible Wet Area: See Plan feet Property Line: See Plan feet Drink'g Water Well: See Plan feet Other: See Plan feet DEEP HOLE OBSERVATION LOG Depth om Soil Texture Soil Color Other: Surface Soil Horizon Soil MottlingStructure Stones Boulders (USDA) (Munsell) ( ' inches Consistency,%Gravel 0-611 A S.L. l OYR 4/2 Boulders,Friable Roots 611 -2411 B L.S. -10YR 6/8 Boulders,Friable Roots 24" - 107" C F.S.L. 2.5Y 6/6 @ 24" Boulders,Friable Roots Receiving Layers: C Design Class: II Parent Material(geological) Till Depth to Bedrock: - Depth to Groundwater: - Standing Water in the Hole: - Weeping from Pit Face: - P g Estimated Seasonal High Ground Water: At 24" ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 05-6 PAGE: 3- 1 FORM 11-SOIL EVALUATOR FORM Commonwealth of Massachusetts DETERMINATION FOR SEASONAL HIGH WATER TABLE Test Hole Number: 1-4 Method Used: Depth observed standing in observation hole inches Depth weeping standing in observation hole inches - Depth to soil mottles 18-24" 7.5YR 5/8 inches Groundwater adjustment feet Index Well Number: Date: Index Well Level: Adjustment Factor: Adjusted Ground Water: Death of Naturally Occurring Pervious Material Does at least four(4)feet of naturally occuring pervious material exist in ALL observed throughout the proposed for the soil.absorption system? Yes If not,what is the depth of naturally occuring pervious material? Certification I certify that on May 1996 1 have passed the examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise,and experience as described in 310CMR 15.017. Signature Date 11/16/05 Comments: ■ New Construction Repair Best Management Practice IIII XERISCAPE DESIGN LLC JOB#: 05-6 � PAGE: 4- 1 FORM 12-PERCOLATION TEST Commonwealth of Massachusetts PERCOLATION TEST Location,Address,or Lot No. Lacy Street Map 105A Lot 10 DATE: August 31, 2005 TIME: 10:00 AM Observation Hole# 1 2 Depth of PERC 46" 49" Start Pre-Soak 10:00 8:40 End Pre-Soak 10:15 8:55 Time @ 12" 10:15 8:55 Time @ 9" 10:27 9:35 Time @ 6" 10:49 11:20 Time Elapsed(9"to 6") 22 min 1 hr 45 min PERC Rate(minutes/inch) 8 min/in 35 min/in *MINIMUM OF 1 PERCOLATION TEST MUST BE PERFORMED IN BOTH THE PRIMARY AREA AND RESERVE AREA. Site Passed Site Failed I I Performed By: Thad Berry Witnessed By: Mill River Engineering Comments: Perc#2 required an overnight soak from 8/30/05 -8/31/05 PERC# 1 PERC# 2 3011 3311 4611 0 a:._.o, ;.a .. 4919 16we 16's °.O.. O.. 13: O.: ■ New Construction Repair Best Management Practice I Izzild dar rid A4 . 4 � •.� ' \.ter. � � _ \ J +_ 1 1 +tis N®RTH _ BOXFORD ` /ANDOVER37. (1^�\ �` w ` • UA 4 _ - (Z) 9C3 -- 34. a� � • . SITE E 0 .' zo z` ._ G> Q WIDRUSH FARM O LACY STREET USGS QUAD: MAGIS 0 FIGURE 1 NORTH ANDOVER QUAD DATE: IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTH ANDOVER SITE LOCATION MAP O 18 OAK STREET READING MA 01867 SCALE: 1"=1000' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 'a•'' l .M( r `"'#" }r ,�y�y"}j�JitP 9t''V ♦ e, • 61 --1 Ir.�r . j ��*" fir" t! 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I_r *-*•4.t'.��w.'a `.. ,,.•�i 3"yT._ ,al• ; a�,y .ife't=�''J ;xr` 1�.. •S6t.. � yi Sr f'' # r. ex .a•' 33XX"_..-�..a:: *t�t.•.wa wi+ WIDRUSH FARM LACY STREET USGS QUAD: MAGIS FIGURE 2 NORTH ANDOVER QUAD DATE: IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTH ANDOVER t< AERIAL SITE MAP O18 OAK STREET READING MA 01867 SCALE: 1"=500' phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 / O \ Cie 7 Caa[ma(a) / s ° \ M-sopisb,chap. • ./ • eo � . • � xrddcley(A) / Nintley(A) \ 1MNaoee . • HlMdoy(A) •�� °P o CrC s • Chaf ton-tock w ' • oa rvnA °u!`ropX°tlb Compsox NllndaorA @) 1 ) ckC Canton(e) '\ SITE �(e) mc —hapMb,doey - • CSC • -�� Granton(e) • < - / NnA wM - /rrkaa.or(A) - Mac mc _ case �• - - 1 Callen(e) WIDRUSH FARM O LACY STREET COUNTY: ESSEX MA 0 FIGURE 3 NORTH ANDOVER CITY/TOWN: NORTH ANDOVER IIIIXERI.SCAPE DESIGN LLC SHEET#: MAGIS SCS SOILS MAP O 18 OAK STREET READING MA 01867 SCALE: V=500' phone 781.944.5606 . fax 781.942.4820 DATE: 10/10/05 i I Page 1 of 1 DelleChiaie, Pamela I From: Lisa LeVasseur[lisal@millriverconsulting.com] Sent: Thursday, August 25, 2005 10:31 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: soil test lacy street Hi The soil test scheduled for Lot 10, Lacy Street on August 30 has had a time change from 9:00 a.m. to 9:45 a.m. Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com I 8/25/2005 Page 1 of 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, August 25, 2005 10:33 AM To: 'Lisa LeVasseur' Subject: RE: soil test dates MR has not billed us for Lac Street, as the hit ledge, so the $425 the No paid is sufficient. I have told the Y Y 9 homeowner that she is all set. Engineer is Thad Berry. Previously scheduled for 8/30 at 9:00. I'm assuming it is all set. Thank you. -----Original Message----- From: Lisa LeVasseur [mailto:lisal@millriverconsulting.com] Sent: Friday, August 19, 2005 11:14 AM To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela; dano@millriverconsulting.com Subject: soil test dates The following soil tests have been scheduled: August 24th 42 Olympic Lane 8:30 520 Foster Street immediately following August 25th 795 Johnson Street 8:30 125 Windkist Farm Rd immediate) following 9 August 31 89 Marian Drive 10:00 Please let me know if we're still on for Windrush Farm/Lacy Street for August 30. Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting..com 8/25/2005 j s DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, August 09, 2005 9:24 AM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: Lot 10- Map 105.A Lacy Street Hi, ` i Just received a call from Thad Berry-781.944.5606. He said that be scheduled a Soil Test with you on August 30th @ 9:00. Thank you for telling him to call here also. He said that the firs tests hit ledge, which is why he is retesting. I am going to call him back right now and let him know that he needs to submit another application and pay another$425. Is this what you are charging him? Thank you. 8¢gf Regards, Pwiwe�a D¢ee¢G�lffui¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com V r /AA Ps v ✓ �'pIr h y vG v 2' X V!! 2 1 ! y LETTER OF TRANSMITTAL North Andover Health Department of N�oTH 400 Osgood Street �'d �o North Andover,MA 01845 978.688.9540 -Phone M...w. ..� � .x V 6 7 o 978. 88.84 6-Fax .�po��.��,,,,�. �►w healthdept(a,townofnorthandover.com -E-mail Teo gsswcHu$�� www.townofnorthandover.com -Website Page of TO: DATE: Daniel Ottenheimer u ®J COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant Mill River Consulting Phone: 1.800.377.3044 or 978.282.0014 Fax: 978.282.0012 We are sem#q ou: oil Test OPlans or Review OOther ill in below) These are transmitted as checked below: OFor Review and comment OAs Requested ZAsRequired OFor Your Use REMARKS: COPY TO: r COPY • COPY TO: SIGNED: I i i i TRANSMISSION VERIFICATION REPORT • TIME 05/27/2005 16:47 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATEJIME 05/27 16:46 FAX NO./NAME 819782820012 PAGE(S) DURATION 06: 01:21 RESULT OK MODE STANDARD ECM M I I I RECEIVED TOWN OF NORTH ANDOVER 5 2005 Office of COMMUNITY DEVELOPMENT AM SERVIC •' ' HEALTH DEPARTMENT T N TN ENT 400 OSGOOD STREET , NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENES,RS 978.68$.9540—Phone ; Public Mslth Director 978.688.8476—FAX 0 V � I M(��^ fnorthando er.cotn www.townofnorthandover.com I APPLICATION FOR.SOIL TESTS DA'TS: NA�- aV ZOo5 MAP&PARCEL: 1&G'.106A 1/dP' i , t� .— �- LOCATION OF SOIL TESTS: rQeZ Ma92 1126 A �- OWNER:m,A,r1•u� r 1 V a&_Contact#• _ 7g/� / Concacc APPLICANT: / �/ �.— ADDRESS: W i PJ ru5 h `i� rm 6rwk0jew 13NOINEER:,o' ad G/�j� L Contact#: 761 —N4`6&0(l CERTIFIED SOIL EVALUATOR: Intended Use of Land: Residential Subdivision Single Famit Ilome Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Coehichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITIi THIS FORM Proof of land ownership(Tax bill,or letter from owner permitting test) R 5"x X1"AW&g A-ocufionof Two Maw Indkae itaf ail sites an 09 AM Fre of s4? oo per lot for now construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. fee of S36M per lot for Win or awrades. GENERAL INFORMATION L Only Certified Soil Evaluators tray perform deep hole inspections. D Only Mass.Registered Sanitarians and professional Engineers can design septic plaits. 1~ At least two deep holes and two percolation tests are required for each septic system disposal area. F Repairs require at least two deep holes and at least one percolation test,at the discretion of the DOE representative. Y Full payment will be required for all additional tests within two weeks of besting. Within 45 days of testing,a scaled plan(no smaller than t"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). Within 69 dsys'of testing soil evaluation forms shall be submitted, Please Do Not Write Below This I.in N.A.Conserradon Commission Approval Dafe: Signah+re of Conserwiloh Agent: Aare back w Health Department:(stamp in): 0- VIZ a MS 14 sI r M � Sfi� DATE: May 20, 2005 TO: Town of North Andover Board of Health Members of the Board: I have engaged Thad Berry, PE of Xeriscape Design, LLC to conduct soil tests on a portion of my property on Lacy Street, North Andover, Massachusetts shown on Assessors Map 105A as Lot 10. The proposed area of testing is shown on the enclosed plot plan. have enclosed a check in the amount of four hundred twenty five dollars ($425.00)for the soil test application fee. Thank you. Marjorld V. Kittredge Windrush Farm 30 Brookview Road Boxford, Massachusetts 01921 (978) 683-1247 3 r01 IVId 335 �o S3 fv I C� ��;h n O J 'q 7•t� rn - \ r �r ,i I t• \ •tY i .% s � d Cit D f w �•' 9'tt 11/4 L1 • � 3 �� a �_ ,�—✓v./ of ^'- ca � • ""tia u �y — Dec-12-02 04:18pm From- T-330 P.02/03 F-364 lgran. tfa (GL.Qdtfirate of (Eitit. No. 30842 Prom Transfer Ccrtificate No. 20374 ,Originally Registered February 20, 1947 ,ln Registration Book 70 Page 17282 for the Southern Itegiarry District of 1155m County. to Cectftp that Marjorie V. Kittredge of North Andover in the County of Essex and Commonwealth of Massachuserts, IIr not married to is the owner In fee simple of two certain parcels of land situate in Boxford In the County of Essex and said Commonwealth, bounded and described as follows; 11,ft NORTHEASTERLY by Fish Brook on land now or formerly of John W. Parkhurst five hundred seventeen and 53/100 (517.53) feet; SOUTHEASTERLY by said Parkhurst land one hundred forty one an0-'05/100 (141,05) feet; and f WESTERLY by parcel A-1, as shown.on plan hereinafter mentioned, five hundred fifty five and 90/100 (555.90) feet. Being shown as lot A-2, sheet 1, on plan hereinafter mentioned. 2ndt NORTHERLY by Brook View Road six hundred thirty one and 29/100 (631.29) feet; i NORTHEASTERLY nine and 06/100 (9.06) feet, ; :' SOUTHEASTERLY three hundred seventy six and 58 100 (376.58) feet, NORTHEASTERLY one hundred seventy five and'5q/100 (175.54) feet, SOUTHEASTERLY three hundred eight and 22/100 (308.22) feet, and NORTHEASTERLY four hundred eighteen and 43/100 (418.43) feet by land now or formerly of s` John W. Parkhurst; iSOUTHEASTERLY by land now or formerly of Eunice L. Vaughan four hundred thirty eight and 1. 14/100 (438.14) feet; and WmERLY by parcel B-1, as shown on said plan, eleven hundred ninety nine and 17/100 ` (1199.17), feet. r - Being shown as lot B-2, sheet 2, on said plan.. X11 �• All of said boundaries, except the street line, are determined by the Court to be located ! as shown upon plan numbered 19334-A, drawn by William S. Crocker, Civil Engineer, dated June 21, 1944 as modified and approved by the Court, filed in the Land Registration Office, a COPY of a portion of which is filed with original Certificate of Title #17282 in said Registry. Said parcel A-2 is subject to the flow of a natural water course running through the same and shown on said plan as Fish Brook. Y i And it is furchcr certified that said land is under the operation and provisions of Chapter 185 of the General Laws,and that the tick of said Marjorie V. Kittredge to said land is registered undcr said Chapter, subject, however, to any of the encumbrances mentioned in Section forty-six of said Chapter, which may be subsisting,and subject also to as aforesaid. r Wrrrasss,JOHN H-FENTON.Esquire,Judge of the Land Oo'urt, at Salem, in acid County of Essex, i; the twenty fifth day of August� in the year nineteen hundred and sixty one , at 9 o'clock and 32 jmnutes in the fore Aeon. �i Attest.with the Seal of said Court, O MEMORANDA OF ENCUMBRANCES ON THE LAND DESCRIBED IN THIS CERTIFICATE. N A �Numm xm RI3Pemr,m FAVOR OF TERMS sN m DAT$OF 3LGNATURB OF DISCHARGE a RwlSmnoN ASSISTANT RBGORDER • ONiB P bLeol - o �b�.�8 n._ 9"`�. �na.� .ir.?�� /gra /5't• ��Q�.a:i� 000 9 gs - --- a /30, ova 019 .. � �, . M414,29 � ._ 8 t'rn G W W - 1 W A IIII XERISCAPE DESIGN LLC November 17,2005 North Andover Board of Health AC MD Town Hall 120 Main Street N 0 V 2 3 2005 North Andover MA 01845 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Subject: Soil Reports—Lacy Street The soil reports for the property located at Lacy Street, Map 105A,Lot 10 are enclosed for your review. Please do not hesitate to contact Xeriscape Design at 781-481-9211 with any questions or comments. Regards, Thad Berry Xeriscape Design,L Cc: Cary Johnson Prgject 04-I6 74 Twnfo _ ,o -iiTorth Andover Healt? D:7,0f-7 Date: /Location: f (Indicate Addre s,if Residential,or hame��Lsiiness) Check#: f Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ S��E,,P7�TC.PERMITS: U" tic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC)$ ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) Health Agent Initials 850 White-Applicant Yellow-Health Pink-Treasurer LETTER OF TRANSMITTAL North Andover Health Department o� No 0Tl� 9ti 400 Osgood Street 3�' e�`:��_ _ "6'� �0L North Andover,MA 01845 0 978.688.9540 - Phone i 978.688.8476 - Fax Aoq�tao �R`�•. healthdentC&,townofnorthandover.com - E-mail '�SsgGHUSE'� www.townofnorthandover.com -Website Page I of TO: DATE: Daniel Ottenheimer � COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant Mill River Consulting RE: Phone: 1.800.377.3044 or 978.282.0014 /i� /�•�� T/� � Fax: 978.282.0012 We are sending ou: oil Test OPlans or Review 0Other ill in below) These are transmitted as checked below: 0For Review and comment DAs Re uested ZAseuired OFor Your Use 49 REMARKS: COPY TO: COPY . COPY TO: SIGNED: r I TRANSMISSION VERIFICATION REPORT TIME 05/27/2005 16:47 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 05127 16:46 FAX NO./NAME 819782820012 DURATION 00:01:21 PAGE(S) 06 RESULT OK MODE STANDARD ECM i, Thad Berry PE t 1 18 Oak Street Reading MA 01867 phone 781 944 5606 cell 978 423 7851 fax 781 942 4820 email thadberry@aol.com XERISCAPE DESIGN LLC--- ,,, RECEIVED TOWN OF NORTH ANDOVER 5 2005 Office of COMWNITY DEVELOPMENT AND SEIL'VIC T ° N OVER HEAUM DEPARTMENT TN ENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540—Phone Public Health Director 978.688.8476—PAX �townofnorthandover.mn www.towno&ordmdover.com APPLICATION FOR SOIL TESTS � i DATE: 20 005 MAP&PARCEL: Mel12 l05 A LOCATION OF SOIL TESTS:�City, Man�[6 A OWNER: mariiorie, V K%L�aP. contact t.��3- 12A7 APPLICANT: tt 11 Contact#: t► n ADDRESS:\\i i nd rys h �i rin Fronk�r��v �t�dFL � 13NGINEER Contact!t: 761 -NA' 0 CERIUMD SOIL EVALUATOR: tryy intended Use of land: Residential Subdivision Single Farm I tome Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: in the Lake Cochichewick Watershed? Yes No i THE FOLLOWING MUST HE INCLUDED WITH 7I4IS FORM Proof of land ownership(Tax bill,or letter frons owner permitting test) y R 5"x II"Pint Oka do 1 acation of Tea4W(okaee ladkwe ttst ag sites an e Ir Fee of 5425.00 per lot for?new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Pee of3^�60_00 per lot for repairs or uogr_ades. GENERAL INFORMATION L Only Certified Soil Evaluators may perform deep hole inspections. Y Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. Ir At least two deep holes and two percolation tests are required for each septic system disposal area. A Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOB representative. t Pull payment will be required for all additional tests witbin two weeks of testing. > Within 45 days of testing,a scaled plan(no smaller than 1"-1001)shall be submitted to the Board of Health showing the location l of all tests including aborted tests). > Within 60 days'of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line IV 4.Conservation Commission Approval Date: Signature of Comervatlah Agent: Date back to Health}department:(stamp in): DATE: May 20, 2005 T0: Town of North Andover Board of Health Members of the Board: I have engaged Thad Berry, PE of Xerisca a Design, LLC to conduct soil tests on a portion of my property on Lacy Street, North Andover, Massachusetts shown on Assessors Map 105A as Lot 10. The proposed area of testing is shown on the enclosed plot plan. I have enclosed a check in the amount of four hundred twenty five dollars ($425.00) for the soil test application fee. Thank you. Marjorid V. Kittredge Windrush Farm 30 Brookview Road Boxford, Massachusetts 01921 (978) 683-1247 0 4g.... t7 J FCOIIRD 1 •g.a... t 0. r A W n' -2° �' G 0 I 0 Ff D &0- 7- �` SEE PLAT 105 C - Dec-12-02 04:19pm From- T-330 P.02/03 F-364 Trani fer CerfifimW of OtIt. No. 30842 Prom Transfer Ccrtlficare No. 20374- ,Originally R.egisrered February 20, 1947 ,in Registration Book 70 Page 17282 for the Southern Registry District of Bsscx County. ZtIO t0 tO Vdhtp that Marjorie V. Kittredge of North Andover in thn County of Essex and Commonwealth of Massachuserrs, � not married-te I F is the owner in fee simple fof two certain parcels of land situate in Boxf Ora in the County of Esser and said Commonwealth,bounded and described as follows; jet NORTHEASTERLY by Fish Brook on land now or formerly of John W.iParkhurst five hundred seventeen and 53/100 (517.53) feet; f SOUTHEASTERLY by said Parkhurst land one hundred forty one and"05/100 (141.05) feet; and I WESTERLY by parcel A-1, as shown.on plan hereinafter mentioned, five hundred fifty five and 90100 (555.90) feet. i Being shown as lot A-2, sheet 1, on plan hereinafter mentioned. 21ds NORTHERLY by Brook View Road six hundred thirty one and 29/100 (631.29) feet; i NORTHEASTERLY nine and 06/100 (9.06) feet, ; SOUTHEASTERLY three hundred seventy six and 58 100 (376.58) feet, NORTHEASTERLY one hundred seventy five and'5q/100 (175.54) feet, SOUTHEASTERLY three hundred eight and 22 10Q 308.22 feet d 9 / ( ) s an NORTHEASTERLY four hundred eighteen and 43/100 (418.43) feet by land now or formerly of John W. Parkhurst; I SO UTHEASTERLY by land now or formerly of Eunice L. Vaughan four hundred 9 n thirty eight and ••. j 14/100 (438.14) feet; and WESTERLY b cel y par B-1, as shown on said pian, eleven hundred ninety nine and 17/100 (1199.17). feet. i "Tr Bei r n ho Being shown as lot H-2, sheet 2 on saidlan. p ,l All of said boundaries, except the street line, are determined by the Court to be located y ! as shown upon plan numbered 19334-A, drawn by William S. Crocker, Civil Engineer, dated June s� 21, 1944 as modified andr f. app ov®d by the Court, filed in the Land Registration Office, a � copy of a portion of which is filed with original Certificate of Title #17282 in said Registry. Said parcel A-2 is subject to the flow of a natural water course running through the same and shown on said plan as Fish Brook. r� 1 I ,j And it is further cerdfied that said land M under the operation and provisions of Chapter 185 of the General Laws, and that the title of said Marjorie V. Kittredge to said land is registered under said Chapter, subject, however, to any of the encumbrances mentioned in Section forty-six of said Chapter, which may be subsisting,and subiect also te, as aforesaid. WrrNsss,JOHN E. FENTON, Esquire,Judge of the Land Court, at Salem,in said County of Essex, i the twenty fifth day of August in the year nineteen hundred at 9 o'clock and and sixty one 32 minutes in the fore poen. is , i I � I r Attest, with the Seal of said Court, v o MEMORANDA OF ENCUMBRANCES ON THE LAND DESCRIBED IN THIS CERTIFICATE. N ' A DOCMW,r,7r ]arm HUNLIIIZG IN FAVOR OF TEBM3 DATE 01 DAT$OF SIGNATURE OF �ggg aaela�r�caT REGISTRATION ASSISTANT RECORDER D15CHARGE Qom* tr 0. IL W _o hL Dain Q (/ oZbdl.'f _- Yi f56,ooh or --- . x/50,vva 1949 l�gq A I � PLAN OF LAND IN BOX 'ORD 19334 -4 William S . Crocker, Civil Engineer Sheet I. J JUNE 21, 1944 �Q O 0 �, '>l 5 A. 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C. 1-933,44/ 3 .o .'� 'rs S. 4'/O.W. 49.37 d h. a mar s° o R. o Sheet Z. tib° w t✓h,.'��1. o �y 3� 5,6i° ,8'40W.37.42-:' S. 43° rl � to �� h- ' ''•. CA d. . ,° N o tD yL Q 015 a 18.80 390.62 d p A m 63°00 '30"W- -,V. 3h. N.48°22 40 W593 t Q a$ 30 5oa ti3j° Copy of part of plan a 5� R lfl9� /n LAND RLGISTRATION OFFICE FEB. 8, /945 1 Scale of this plan 300 feet to an inch {4'T Fei r,cIo u 9 h, Engineer for Court✓ 1 C : Is- a �: . A.ILL� lit s * APOt • ox lift r k ��€ ..� ��. it '�� • `+�� +! ` a . • � \ �r .. • " 0 ' y t f 1 #' � � `' � ,. why,,. � ••. �",' � � n ! �� - ^ INN Ir It y .mAt s �► Sw } Ilk P *f too g yAp 06 4v 4 � t '� t•`+ +Y� 7 . - � � � � � �` � � 4�STM � i� t� '.71:,�a` �Y. �� t , It 41 It r '1F > 16. r ttt..l11 i i 3 t - l LETTER OF TRANSMITTAL II North Andover Health Department o`No oT a 6'I'O 400 Osgood Street a?� e,. - _ oL North Andover, MA 01845 �o •� 978.688.9540 - Phone _^' 978.688.8476 - Fax '� �� C«U:8L.C. healthdeptntownofnorthandover.com - E-mail �,A0 so www.townofnorthandover.com - Website Page of SS�CNUgE� TO: DATE: Daniel Ottenheimer 4/1 COMPANY: FROM:Pamela DelleChiaie, Health Dept. Assistant Mill River Consulting Phone: 1.800.377.3044 or 978.282.0014 Fax: 978.28 ,0012 We are sending you: oil Test OPlans or Review L7 Other all in below /061 > -2 These are transmitted as checked below: JFor Review and comment JAs Requested JAs Required OFor Your Use REMARKS: i COPY TO: COPY TO: I COPY TO: SIGNED: G✓ t � '�i owl of N,rth Andoer Health Department Date: D ! Location: /f//yC) Ids ;F (Indicate Address, if 4isidential,or Name of Business) Check#• /©/o 9 Y. Type of Permit or License:(Circle) ➢ Animal $ ➢ Dumpster $ ➢ Food Service-Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ F ➢ Massage Practice $ ➢ Offal(Septic)Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ate` eptic-Soil Testing $ ❑ Septic-Design Approval $ u ❑ Septic Disposal Works Construction(DWC)$ t ❑ Septic Disposal Works Installers(DWI) $ ➢ Sun tanning $_ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER:(Indicate) Q Health Agent Initials 11 White-Applicant Yellow-Health Pink-Treasurer e C � IIII XERISCAPE DESIGN LLC TRANSMITTAL ❑ FAX WMAIL } Thad Berry PE 18 Oak Street / q Reading MA TO �arJ� K / t 01867 (j phone 781 944 5606 ° n cell 978 423 7851 fax 781 942 4820 1 �IV email thadberry@aol.com From Date ! � Job Name �J Job Number _ Job Location �._In/4 yLI' Reference The following items are attached Number Date Description 2 1v I OE soj I �- ❑ For approval LY For your use ❑ As requested ❑ Review for comments Remarks 1U-U_p�J_-a} on__xv _................. tI 566n CAS P25 i b hawks_ a�� - ... ...............-- TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES - HEALTH DEPARTMENT 400 OSCrOOD STREET • y,,*�# NORTH ANDOVER,MASSACHUSETTS 01845 Susan Y.Sawyer,RENS,RS 978.688.9540–Phone Public Health Director 978.688.8476–1:AX hgLM14cgi@tglvninfnardwidover.com www.tovinofiwramdovar.com APPLICATION FOR SOIL TESTS i i DATE: I Voy WD 002n MAP dt PARCEi.: M a12 lQtA kkiL— LOCATION OF SOIL TESTS: OWNEIL MarI nr i G V j 2 Conacto: q'1� (� ' IZ47 APPLICANT: Contact#: ADDRESS: 1 V h'Y rM ENGINEER Contact #: 7 -A - I CERTIFIED SOIL EVALUATOR. AM E5r intended Use of Land: Residential Subdivision ingle Family Home Commercial is This: Repair Testing: Undeveloped Lot Testing: ' Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No TIC FOLLOWING MUST BE INCLUDED WITH TMS FORM Y f of land ownership ax bill,or letter from owner permitting test) Proo (T P � n p btfica/e test it sam on die R.S 11 Pint .ncatloa o T e holes end tion. This covets the minimum two d h t � Fee of 5425.00 per lot for uew coestruc deep two percolation tests required for each disposal mta. Fee of$360.00 per lot for regain or userades. GENERAL IrOORMATION 1 Only Certified Soil Evaluators may perform deep hole bSpeCdonL Y Only Mass.Registered Sanitarians and Professional Engineers can design septic plans- At lead two deep holes and two percolation tests req �p Y� P o dee holes and at least one percolation tact,at the discretion of the'BOH � require at least two p Repairs representative. Full payment will be,required for all additional casts within two weeks of testing. > Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). > Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Conanausaon Approval Date: ftwlufe of Conser mliod Agetr Date back to ffealah Dgpartment:(stamp in): F � MI XERISCAPE DESIG V LLr TRANSMITTAL FAX 0 MAIL Tract Berry[,5: 13 Oa k Streri Reading MA TO 01867 i�nn�e�r 781 94x;.'560 . .............. __ ...-.._.._ Ct tip 473 781 942.4820 From � . } Date r5 . . Job Nacre Job Number Job Location Reference The following items are attached .... _,., ......_........ _ ..... Number s' Date. Description i ........... - _.._... ....... . ..... _...... ..... .. .. ...... ... - --- i_......... . ......... .................... .......................... .._. .......................- ---------- ----------- .. . ......._..,, .._... _. - ......................_ I C For approval For your use © As requested 171 Review for comments Remarks . _ ._ _ . ....... ......_..... -- _... ----- _............ 1 'd O'yEZ-LBB-BLG ebb :L0 SO 60 Dea Dec 05 05 09: 29a 978-887-2340 p. 1 1111 XERISCRPE DES'CN TRANSMITTAL M FAX !13 MAIL Thad� Berryarc� p 4 38 Oak Slresi To r )c Readinqg I,a. t ._.... .. _................ 01867 paanc 783 944 5606 37,3 42:5 7851 78.1 942 4820 � s�tha;3bP:rrkr''�'pl.G^tn .. .. .. ..... c. Q .. Frorn Dat ., Job Name. ....... Job Number .lob Location ..'. � ; ..... e C Reference . MAP The following items are attachd ... .. .... ..... ... .._...._ ..... . ... _ .. --_... ..............._._ Number pate pes ?iption _ .. - --.... ..... .. _............. ...........,. —- I --- ................ __... . ....... . ............. ......................... ........._ .... _ i For approval CI For you'.use ® As requested © Review for comments Remarks ............ 4k... Kai I K 40 _.If ................... ....................... . .......... t s L ��1: � � � • e I 3 � > � � a •I 3 .3 TOWN OF NORTH ANDOVER �... Office of COMMUNITY DEVELOPMENT AND SER'V'ICES , HEALTH DEPARTN[ENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 R 978.688.9540—Mat Susan Y.Sawyer, 978.688.8476—FAX Public health Director healtb ^ofirdover.com www.townofnoithandover.com PLICATION FOR SOIL TESTS � DATE: I V�V 30 9 � — MAP 8t PARCEL: a f7 LOCATION OF SOIL TESTS: owrtM Mac ' L .1 ee Contact 0: 7e> - I Z 7 It n APPLICANT: Contact#: AD])RESS: 1 ENGINEER: Conrad g: CERTIFIED SOIL EVALUATOR.Ah a Family Home Commercial in intended Use of Lund: Residential Subdivision ll is This: Repair Testing:,__ Undeveloped Upgra Undeveloped LotTod][1 de for Addition: lathe Lake Cochichewick watarsshed? Yes __ No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM Y proof of land ownership(Tax bill,or letter from OwTwPerm ttia tm) ae the y A.5"x 11"Wnt alae dt/ ulna of 7e�mtwt(skofes Fre of 5425.00 pee IeR for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area, pea of�3f0.00 per lo for renaire or uaervd . GENERAL Il'VORMATI'ON l: Only Certi6td Soil Evaluators may perform deep hole inspections. Y Only Mass.Registered Sanitarians and professional Engows can ac se `��Pte• L At least two le holes and two percolation tests ere requirod for each septic system disposal area. at the discretion of the 1301,Y Repairs require at least two deep boles and at least one percolation t representative. I: Full payment will be required for all additional rnsm within two weeks of testing. Within 45 days of testing,a scaled plan(no smaller than 1---1001)shall be submitted to the Board of Health showing the location of all tests(including aborted tests). > Within 60 days of testing Boil evaluation►forms sball be submitted. please Do Not Write Below This Line IV.A.Conservation Commission Approval Date: Signature of Conservation Agee Date back to Health Department: (stamp in): i IIII XERISCAPE DESIGN LLC TRANSMITTAL M/FAX ❑ MAIL Thad Berry PE 18 Oak Street Reading MA TO ZI1��)a--- - --- 01867 phone 781 944 5606 cell 978 423 7851 in 781 942 4820 thadber.ry@aol.com FromU- . Date ------ Job Name ------------------ Job Number _- _ `... Job Location 'Afdwr—___-------- -- el WC[ Reference -------- ----- � � 415a UT CO The following items are attached Number Date Description ❑ For approval ❑ For your use ❑ As requested ❑ Review for comments Remarks -- _. _ -107 ., ',tom• 1'i _ 'r' TIM Ap It Or .41 y , i c ' r WWI .31 01 r y � . ¢ .�F,a I ol UA " s � 4. MT ` t 04 74W_ I +- .1 V Y ` K " Aw ' g a. i t +� r �...,,...�,. 1.�.wy..�.�.ar.�.+:+r..- _.iii:,�4..�...m�; ..dm_.,...� ..'� r � u c�• +. .,._�_•..::�.r 5 r�4 J 1 w -,, I `�•_ Cgdar ti.... On/ ( f 1. °`> alta. .ate li t (I(Jf �? i -V. _rR / Pb •. , ,j ( \1. h 1'"�^'� • °`.y 5`\\ �. +\ /'/ yrJ /� '�v < ✓^` ( y/ ��` -• -..Wim BOXFORD-1 FORTH ANDOVER '��, c, / �^. ' ��, •• � 4: 34, _.114... "'AII"', ti'` .\ { {► 'S1 '" 0 1 SITE z,� N b •�' � • .ISG. ..,..1{U �• \.`."e 1,J t `_�� 1Rt..�\�..,,_ l`,. .�/� i"..�.�'�,,.., WIDRUSH FARM TK HTE 1 LACY STREET USGS QUAD: MAGIS V1 FIGURE 1 NORTH ANDOVER QUAD DATE: ° IIIIXERISCAPE DESIGN LLC CITY/TOWN: NORTHANDOVER SITE LOCATION MAP [p 18 OAK STREET READING MA 01867 SCALE: 1"=1000' O phone 781.944.5606 fax 781.942.4820 DATE: 10/10/05 _TJ 5 :r^ >+tj '�.`t"� 'a'k..°� ^ g•,# ^` ; r'+a7"� ", c a"3 •"'T-#.F ;:}¢,iF ,*' It if ; ,ft rw- 4 .,µ. 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