The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 1055 FOREST STREET 4/30/2018 1055 FOREST STREET 2]D/]D5_D D181-D000.0 r Q + � t w V MAP # LOT #--a. PARCEL # STREET _._.__. _. ........... .__.._....._.__..._........ QQNSTRUC,TI.ON__APPR0 QL HAS PLAN REVIEW FEE- BEEN PAID? YES NO PLAN APPROVAL: DATE sQ� PP. BY _ .__..__-__. DESIGNER: �1 � ° "''� PLAN DA 1-E:_^_________ _ CONDITIONS .-... -- WATER SUPPLY: TOWN WELL l/ WELL PERMIT J DRILLER._... �� ..__..1:QUA. _._._..__...---..-._......--- WELL TESTS: CHEMICAL DAZE APPRUVED ��/. _. BACTERIA I DATE WPRUVED 4;�//, l7/ BACTERIA II DATE APPRUVEll_,_.�____--__ COMMENTS: . FORM U APPROVAL: APPROVAL 1'O ISSUE ES DATE ISSUED / 'oz y 7 By ��........ -� CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES� NO SEPTIC SYSTEM CONSTRUCTION APPROVAL jx.x NO OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE BY: ,._. .__ _ - } A �EPTx�SY �EM�NSI�4l..�L�_44 -IS THE INSTALLER LICENSED? YES NO i., ' .TYPE OF- CONSTRUCTION ? NEW REPAIR NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO i - CONDITIONS OF..APPROVAL YES NO ' (FROM FORM U) "—ISSUANCE OF' DWC PERMIT ` YES NO - l t mYA 'DWC 'PERMIT NO. INSTALLER: BEGIN , BEGIN INSPECTION � 5 :EXCAVATION . INSPECTION: : NEEDED: G PASSED Y_ -;CONSTRUCTION. INSPECTION: NEEDEDa AS BUILT PLAN SATISFACTORY: YESs APPROVAL TO BACKFILL: DATE: 7 HY FINAL .GRADING APPROVALS DATE DATE: BY HY _. .FINAL CONSTRUCTION APPROVAL: 'fir�� - _: . - - - : .' • � - - . y i! ;.�•', a .! - - . . . � '. �' , Address 5 - Title of File Pae of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes action Document/ document/ filum• Action Department Board of Appeals — Board of Health — Planaing Board — Conservation Commission — Building, Department Gl TOWN OF P.NDOVER SEPTIC SYSTEM SI;RVIC.LNG REPORT Date:� /Gy Homeown(?r:�. Street -� PumpE!r Phone L% � �L ` -�L�r`� Addres,;. Phone Nature Of S.arvice: Routine Emergency Observation:; : Good Condition Full to Cover Baffles in Place Leachfield Runh ack Excessive Solid:; '-heavy Grease Roots , Other (Explain) Descr. ipticr, c>f Work: Comments: ` r f xrw 4_ -PJ-Jof A-4'Kl>u�� -- —�1-� Zo SE u/Ek' /q 3. 4!6 143 .01 /#Z. 90 / q-Z, s-q 3 14 Z. 44 f�z, rqa , 90 1 ou,./� 31 / a . 7, 1 Ali ,n0 /qo , S� 39. S 0 n c i3-C- 4<�, ` A - !� 53, 5 fl - E 52 T3 - E 43 ,o - A - c \6 9z ' V yr A -6r 99-' 73-CT �2 2 /-1 - 6.04 `i 50" tea` � J • �� 2��T A _Lai T.IoN : L�-�' `7�.... _FoeEsr 27 THIS PLANSUBSTANTIALLY CONFORMS � qz/. TO THE PLANS PRk !OUSLY APPROVED �c - ..... .�!`�;y�.? STEVEN J .-. DURSO R .S. u' ENVIROMENTAL DESIGNS #7 o 22LILLY POND RD. BOXFORD , MA . 01921 s�ONAL 508- 352 -9872 ''�an•nN'" _rj Department of Environmental Management/Division of Water Resources WELL COMPLETION REPORT WEL40CATION GEOGRAPHIC DESCRIPTION Address •- IAC" 4 FnREST NORTH ANDf7(1FR MA N S E W of (feet) /circle/ City/Town Well owner ANDMV & BICE BLDS (road) Address P.0_ RM 1197 N S E W of SEABROO►J� N,H, 0387 A (mi.in tenthsl (circle) Board of Healthpermit obtained: yeS0 El no 11 //rtersecf. vv/ (road! WELL USE WELL DATA Domestic Public❑ Industrial ❑ Total well depth—lb-'C' epth It. Monitorir> ❑ Other Depth to bedrock_T( ft. Method drilled Water-bearing rock/unconsolidated material: El,� tf� ^ — Date drilled Description a/ CASING Water-bearing zones: //�,,�� 1 I From—fib��'T� Type �F C� Length It. Dia I.I.D.) in 2) From To i 3) From To Length into bedrock ft. Gravel pack well: dia. Protective well seal: 1 Screen: dia. Grout- Other Ori Slog length from_to STATIC WATER LEVEL(all wells) Static water level below land surface ft. Date WELL TEST(production weiis) Drawdown tft. after pumping "T hr. min.at S7 gpm Now measure— ' Recovery ►eft. after .'r lir._0 min. _ o LOG of FORMATIONS COMMENTS c Materials From To c 0 r 2 DrillerE- M Y(�7C,'� J1 Firm E. M, YOUNG ARTESIAN wELt Addresls36 PELAW ROAD City/Town SALEM N.H. 03079 Supervising Driller RegA # 513 Si nature of st ervtsing re g ist ell driller Pies sopriarfirmly BOARD OF HEALTH COPY - M RrM • �r �r a ��'• ,,.�•'t BOARD OF HEALTH sSZEWU NORTH ANDOVER, MASS. APPLICATION FOR WELL AND PUMP PERMIT Permit # 405 Date J11T\IF 2, 1994 A permit is requested to: drill a well x install a pump x LOCATION• LOT 4 FORFST STREET Lot # 4 MR. MORRIS CARUSO Address Owner Well Contrctr E.M.YOUNG APTESIPN WELLAdd.36 PEIE?AM POAD Tel 603-898-2504 Pump Contrctr YOL IC PPOS PUMP CO INC Add.36 PELHAM ROAD Tel 603-898-2504 WELLS (To be completed at time of pump test. ) Type of well Use 6 Diameter of well 6„ Size of casing 17Ibs 4' Depth of bed rock Depth casing into bedrock / Seal been tested? Yes (_) No (� ) Date of test fPi I / ;-Fk Depth of well Water-bearing rock Depth to water,S- e Delivers GPM for. ( "ow long?) Drawdown feet after pumping hours at GPM Date of completion 1-,7 x - Signatur& of well contractor PUMPS (To be .filled in before installation. ) Name & size of pump / ir4M TYPe -S g �ylee Size of tank eQ d t4- Pump delivers J� GPM Pipe used in well: Cast iron (_) Galvanized (_) Plastic ( ) Sleeve used to protect pipe? Yes No Type well seal :'% Date . C 41 Signature oft pumpkinstaller Date water analysis report submitted to Board of Health Plumbing inspector Wiring inspector Board of Health nm -'V:W X-14 ) IV Z -, ,, '�� NZ.� . . " - -1 1 - NUMBER FEE —k4 THE COMMONWEALTH OF MASSACHUSETTS $25 . 00 ...TOWN............ of ..........NORMIL.-AINDOVER---------------------------- Thisis to Certify that .........EM Yong.............. ........................................................................................ NAME 36 Pelham Road Salem, N.H. 03079 ................................................Road,... ADDRESS IS HEREBY GRANTED A LICENSE For -----------Kell...Dr-i-l-liRg. ---P.exmit...:n...Lat....#....I---F-Oxe-st...stmee-t......................... ............................................................................................................................................................................. ....................................:---------------------------------------------------------------------------------------------I---------------------------------- ............................................................................................................................................................................ This license is granted in conformity with the Statutes and ordinances relating thereto, and December 31, 1994 �etthiess.sooner sus evoked. expires----------------------------------------------------------------- .. . . . .... .......... June 2, 94 -------------- ..................19------ ............. ------------- ...... ..... .................. .......... -------- ................ ..... .... ....... . .................. FORM 433 HOBBS & WARREN. INC. NORTIr Of BOARD OF HEALTH 1O A - ` 120 MAIN STREET TEL. 682-6483 �9SSACMUSNORTH ANDOVER, MASS. 01845 Ext23 June 22, 1995 To Whom it May Concern: Re: 1055 Forest Street This letter confirms that the septic system located at 1055 Forest Street, North Andover was installed and inspected according to the North Andover Board of Health Regulations and Title V of the Massachusetts State Environmental Code in September of 1994 . The issuance of this letter shall not be construed as a guarantee that the system will function as designed. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp DEC— 1 6-94 FR I 09 35 94•7 GF.'AN I TE. '=:TATE_ „ Af4ALYT I C 603 434 4237 P. 01 X2 5.7m MWZ2 iN ' ? Pda111 Offlee/Laboratory At: Tramway Marketplace At. Daniels Artesian Wells 22 Manchester Ad At. 28 Route 16 & 25 Route 3 Derry, NH 03038 West Ossipee, NH 03890 Sanbornton, NH 03269 (603) 437-3044 1-800-699-9920 1-800-699-9920 SENT TO: Maurice Caruso TEST NO. : 16686 369 Metrimac. St, Methuen, MA 01844 IM TEST a LOCATION; 1055 Forest St (Lot 4) DATE: December 13, 1999 No. Andover, MA z I+ EPA I PARAMFTER RESULT RECOMMENDED LOWEP. DETECTION MAX..LEVEL(PPM) LIMIT (PPM) Y - I PH UNITS 6. 5 - 8.5 HA.RI)fJC:;5 150 0,66 CHLORIDE 250 0, 1 TITRATE 10.0 0.5 NI` PITE 1 .0 0.05 SODIUM 250 0. 1 I(t0d 0, 3 0.03 vu' 1JGA.tI F SF: 0.05 0.01 td F "OLIFOPM ABSENCE /I00 ML ABSENCE 0 OTHER :aA TER,Y A ,1100 ML 200 0 M COPPER 1 . 3 0. 02 ARSENIC 0.05 0.001 �a LEAD 0. 015 0. 001 ?� CHROMIUM 0. 1 0.05 � CALCIUM NONE SET 0, 1 FLUORIDE 2.0 0.5 COLOR CPU 15 1i ODOR TON 3 0 TURBIDITY NTU 5 0. 5 �I HYDROGEN SULFIDE [DONE SET 0 �I !� I j (XXX) THE TESTED PARAMETERS MEET CURRENT EPA STANDARDS FOR DRINKING MATER, ( ) THE TESTED PARAMETERS MEET CURRENT EPA PRIMARY STANDARDS FOR DRINKING WATER, BUT SOME SECONDARY PARAMETERS EXCEED STANDARDS, j ( ) THE TESTED PARAMETERS FAIR CURRENT EPA STANDARDS FOR DRINKING WATER, DUE TO PRIMARY STANDARDS OUTSIDE OF LIMITS. ro --------- -------M COMMENTS: ------------- -----------------•-�-- ------ TNTC DENOTES TOO NUMEROUS TO COUNT, `---- --`--- 1 DENOTES PARAMETERS THAT EXCEED PRIMARY STANDARDS; CAUSES TEST FAILURE, 2 DENOTES PARAMETERS THAT EXCEED SECONDARY STANDARDS; D E , OT T. NOTE: SUBSEQUENT SAMPLES FROM THE SAME WATER SOURCE MAY V Authorized by j—,_"�B.K'rW.3„�.�'�"°�•:r.C "7R�My. dR:p3.ffit�•h?.�{. ry}K`�r,.�: � i jI - - - fps__ _ _�--.-n_------------� , k JUN 1L r'- G DEPARII'Vi ENT 51994 �,; ,•'• got ` ` � _ _..� . " ` y'••.•.,,.+`h BOARD OF HEALTH ,SSACMUSE� _ NORTH ANDOVER, MASS. APPLICATION FOR WELL AND PUMP PERMIT Permit # 405 Date JLTIF 2, 1994 A permit is requested to: drill a well x install a pump x LOCATION• LCT 4 FORFST STREET Lot ,# 4 Owner M.P. MOPRIS CARL'SO A�es _ thel 4.1 7�>4 Y Well Contrctr E.M.YOUNG APTESIFN [A'ELLAdd.36 PEITpM ROAD Tel 603-898-2504 Pump Contrctr YOLq\T('- RPOS PUMP CO INC Add.36 PELHAM ROAD Tel 603-898-2504 WELLS (To be completed at time of pump test. ) Type of well /) / ' Use r S1 Diameter of well 6" Size of casing 17Ibs Depth of bed rock Depth casing into bedrock Seal been tested? Yes (_ No (� ) Date of test (v LIZ Depth of well Water-bearing rock Depth to water 2S_ Delivers GPM for -� (flow long?) Drawdownc2oo feet after pumping hours at GPM Date of completions- ' Signatur6 of well contractor PUMPS (To be filled in before installation. ) Name & size of pump // �/h 5G1_ 6 Type -Shi�gl� Size of tank oZ 4 t - Pump delivers S GPM Pipe used in well: Cast iron (_) Galvanized (_) Plastic ( ) Sleeve used toe?rotect i Yes No Type well seal p pipe? (—) (—) YP �A ,fes 0,/' Dated C "" Signature dT pumpbinstaller ort submitted to Board of Health ana is re o Da water P P ing inspector Wi g nspector Board of Health i YOUNG BRCS 06—1--3-94 09:25AI'1 [X01 U 1 I K _ 603.993-4260 NEW NGLAND RADON, LTD. 45 Stiles Road, Suite 208 Salem, New Hampshite03079 WATER ANALYSIS RESULTS NAME: ANDREW & MAURICE BLDRS . DATE: 12-Jun-94 SAMPLE LOCATION: LOT 4 LAB. # 11584 FOREST ST.P EE T- N. ANDOVER; MA ---------------------------------------------------------------------------------- TEST RESULTS MCL UNITS STANDARD HARDNESS. . . . . . . . . . . . . -0�0 75 mg/1 * EPA Soft ALKALINITY. . . . . . . . . . . 84 . 0 mg/l Secondary IRON. . . . . . . . . . . . . . . . . 0 . 06 0 . 3 mg/1 Secondary CALCIUM. . . . . . . . . . . . . . 44 .€3 100 mg/1 Secondary MANGANESE. , . . . . . . . . . . 0 . 05 mg/1 * Secondary CONDUCTIVITY. . . . . . . . . . 359 --- MS/cm Secondary pH. . . . . . . . . . . . . . . . . . . . 3 6 . 5 8 . 5 Secondary TURBIDITY. . . . . (Not.e) 1 NTU PRIMARY CHLORIDES . . . . . . . . . . . . 38 250 mg/1 Secondary SULFATE. . . . . . . . . . . . . . ND 250 mgg/l Secondary NITRATES . . . . . . . . . . . . . 0 . 2 10 m 1 PRIMARY NITRITES . . . . . . . . . . . . . 0 . 001 1 mg/1 PRI:MARY COPPER. . . . . . . . . . . . . . . 008 , 1 . 3 mg/1 PRIMARY SODIUM. . . . . . . . . . . . . 2 . 6 250 mg/l Secondary TOTAL DISOLVED SOLIDS 174 . 1-- 500 mg/l Secondary COLIFORM BACTERIA. . . . 0 <1 Colony/100 ml PRIMARY NON-COLIFORM BACTERIA 0 <200 Col ./100 ml PRIMARY COLOR. . . . . . . . . . . . . . . . 0 15 C.U. Secondary ODOR. . . . . . . . . . . . . ND � 3 T.O.N. Secondary MAGNESIUM. . . . . . . . . . . . 4 50 Mg/l Secondary * - Indicates parameters which exceed the MaXsmum Contaminant Level (MCL} or pH range as established by the EP,A. Primary Stds. are stds. that are related to health issues. Secondary Stds . are aestethic in duality and should not affect healthy individuals . WATER MEETS J EPA STANDARDS 'Tested by FOR DRINKING WATER ------ -- - --------------- (NOTE) 5 NTU is acceptable for non- surface waters . �� T� ��/�� cl SA MarcWonda-, &.�ssQc�ates, zzaC. Engineering and PLYltlllin"collsult:int6 �r TELECOPY TRANSMITTAL COVER $MEET � Mace: f4� T0: ` �� _y - Job o I FAX #: FRO NI: MARCHIONDA & ASSOCtATES, INC, Stoneham, MA 02180 FAX ##: (6171 438-9654 COMMENTS: TOTAL NUMBER OF PAGES, INCLUDING THIS COVER LETTER IF YOU DO NOT RECEIVE ALL OF THE PAGES, tLBASE CALL AT (617) 43$-6121, THANK 'YOU! / f 62 Motitvide Avenue Suite� Stoneham,%102180 (617)438.4121 Fax(617)438-9654 tA I........�. •IF ! °� Imo: 3 .._�. .. S __ `; , . y'� qwd LA 17 OQ N (r ZZ io r _ '•17 C!E {. p �.•-��• . Hca �� , FF ; T r� T�72 A. ti K ' i , i o 4" I" i w lw c`' a a YJt.h4a G'F`:O06-15-94 07:50AC11 1621 #1 i +e,. t,,. —1 603-893.4260 - NEW ENGLAND RADON, I'I'I). 45 Stirs Road, Suite 206 Salem, New Hampshire 03079 WATER ANAL_ - Y5 RESULTS NAME: ANDREW & -MAURICE BLDRS . DATE: 12-Jun-94 SAMPLE LOCATION: LOT 4 LAB.# 11584 FOREST STREET N ------------------�----- ,.,. ANDOVER, A - ---- -- ---_ --_-_.-------- ---------- --- ------ -- TEST RESULTS MGL UNITS STANDARD HAR.DNESS . . . . . . . . . . . . ® aiaoiz�_ 75 mg/l EPA Soft ALKALINITY. . . . . . . . . . . 64 , G mg/1 IROit. . . . . . . . . . . . . . . . .. . . . . . . Secondary . 0 . 06 0 , 3 mg/1. Secondary 40 .8 V.:..GA_NESE. . . . . . . . . . . . 100 mgjl Secondary CONDUCTIVITY. . . . . . . . . 0. 05 mg/l Secondary 0. 3.59 MS/CM Secondary . . • . . • • . . . . . . 7 . 3 6.5 8.5 Secondary °TURBIDITY. . , . . (Not,e) 0. 18 1 NTL' PRIMARY CH.LORIDES , . . . . . . . . . . . 3$ SU'LFATE. . . . 4 . . . . . . . . . ND 25o mg/1 Secondary NITRATES. . . . ,, . . . . . . . * 250 mg/1 Secondary 0 . 2 10 mg/1 PRIMARY CO S!.�E.♦. . . . . . : . . . . . . . . 0 .08 NITRITES. . . . . . . . . . . . . 0. 00 . ], m.9/1 PRIMARY SODIUM. « . . . . . . . . . . . . . 22 . 3 1 . 3 /1 PRIMARY TOTAL DISOLvED SOLIDS 250 mg/l Secondary COLIFORM BACTERIA. . . . 174 ` 1 500 mg/l Secondary NON-COLIFORM BACTERIA 0 <1 Colony/100 ml PRIMARY COLOR. . . . . . . . . . . . . . . . 0 X200 Col ./100 ml PRIMARY 0 ND 15 C.U. Secondary MAGNESIUM. . . . . . . . . . . . 3 T.O.N. Secondary 4 . 4 50 mg/1 secondary -------------------------------------------------------------------------------- Indicates parameters which exceed the Maximum Contaminant Level (MCL) or pH range as established by the EPA. Primary Stds, are Stds. that are related to health issues. Secondary Stds . are aestethic in quality and should not affect healthy individuals . ° WATER MEETS EPA STANDARDS � r Tested by: FOR DRINKING WAVER -- —� (NOTE) 5 NTU is acre, >, a for nor- surface waters , VII Ttit4 Pte. VVCi tTa ;�4:.« .. . . .. .. '.i:...4. ,tea'... �� ih [�e.S Y fl�'S 1.. ..`4: 4`'fv.t S44 F�)\l`.Z•{�'Y/. .•i.,.-. , Massachusetts Town of North Andover, assacetts Form No.3 s BOARD OF HEALTH MORTN 19 {O. 9 DISPOSAL WORKS CONSTRUCTION PERMIT SSACHUSE Applicant NAME U ADDRESS TELEPHONE Site Location Permission is hereby granted to Construct (Y,/) or Repair ( ) an Individual Soi; Absorption Sewage Disposal System as shown on the Design Approval S.S. No. c CHAIRMAN,BOARD OF HEALTH 5 Fee �0U D.W.C. No. FORM U - IDT RELLME 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: IlNnRr a-; -J MA agl rr- 1WyiL.Di--< Phone 7`t4-3L I LOCATION: Assessor' s Map Number Parcel Subdivision -roje-m .A �o;s Lot(s) 4 Street -FL,2U s'7- n 7 St. Number-4-( C)55 Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: E- -�7 Date Approved %2 Conservation Aa:ninistrator Date Rejected Comments 4AP, Date Approved a 7 cf Town Planner Date Rejected Comments i Date Approved Food Inspector-Health Date Rejected Date Approved Sept--' c Inspector-3ealth Date Rejected Coranel zs Pubic Wcr?;s - sewer/water connections - driveway permrit �a�S W Y Fire Decart::ent Received by Building Inspector Date Town of North Andover, Massachusetts Form No,s NORTH BOARD OF HEALTH �.e AL c C• /7 19 93 F w DESIGN APPROVAL FOR • ;1 s�cHus i SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant jO's- Test No. Site Location Reference Plans and Specs.-we W"q,C/3'g6.gGCp 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. HAIRMAN,BOARD OF HEAL : Fee Site System Permit No. to t pORT►, ° BOARD OF HEALTH 3 s O � A io �m'sr .:•"ty 120 MAIN STREET TEL. 682-6483 SSA HUSEt NORTH ANDOVER, MASS. 01845 .x823 April 7, 1994 Joseph Barbagallo 1 Westward Circle No. Reading, MA 01864 Dear Joe: Today I met with Michael Rosati and went over Lots 1 and 2 (now called Lots 3 and 4, respectively) Sharpner's Pond Road, locating the test pits which were done in 1992 . On the basis of the findings made out there, I must inform you that the septic plans for these two lots are disapproved. The locations of the soil tests on the plans do not match with the actual locations. In addition, I found no bench marks in the field and found that the topography does not agree. If you have any questions, please do not hesitate to call the office. Sincerely, i Sandra Starr, R.S. Health Administrator cc: Karen Nelson, Dir. PCD Maurice Caruso File PLAN REVIEW CHECKLIST f ADDRESS o{ p�'Es j �J' T ENGINEER �1 R /�� GENERAL 3 COPIES STAMP LOCUS L---' NORTH ARROW SCALE CONTOURS PROFILE SECTION BENCHMARK SOIL & PERC INFO ELEVATIONS WETS. DISCLAIMER WELLS & WETLANDS WATERSHED?A DRIVEWAY (Elev) WATER LINE FDN DRAIN SCH40 TESTS CURRENT? SEPTIC TANK MIN 1500G . 17 INVERT DROP GARB. GRINDER/46 (+200% EDF) 25 ' TO CELLAR MANHOLE TO GRADE ELEV GW D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET - OUTLET = (2" OR . 17 FT) TEE REQ'D? LEACHING MIN 660 GPD? RESERVE AREA 4 ' FROM PRIMARY? 2% SLOPE 100 ' TO WETLANDS 100 ' TO WELLS 4 ' TO S.H.GW 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER FILL? (25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) >31COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 6 ' ) IS RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE? BOT X LDNG + SIDE X LDNG = TOT �.. (L x W x #) (G/ft2) (DxLx2x#) (G/ft2) ' Form No. 1 } Town of North Andover, Massachusetts NQRTJI BOARD OF HEALTH S,2 y�`t` `eYO L �nr_4riiyZ,i[I /] —19- 0 9 APPLICATION FOR SITE TESTING/INSPECTION 7 p�HATED PPP\�y `} �SSACHUSE� Applicant 'y NAME ADDRESS TELEPHONE 4 Site Location T L4 'L* 3 Engineer NAME ADDRESS TELEPHONE y Test/Inspection Date and Time S CHAIRMAN,BOARD OF HEALTH C Fee L Test No.J -3P t S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH • BOARD OF HEALTH o�,Ct QED b q•v� 3 sa y� b 0� 19 0 u, m °4 C 4L'� w- APPLICATION FOR SITE TESTING/INSPECTION ATE -V SSACHUs��h s i Applicant NAME ADDRESS -- nn TELEPHONE Site Location L.Q� � -[ Engineer NAME ADDRESS TELEPHONE Test/1 nspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee 15-p Test No. 5-59 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. - 02/11/93' 16.09 $508 475 88W k.aru o/M+L`i tan W-jvvi oop 'dfa `9 Ir o ^ �• :3 III .r� 'g ' t � � •,►say �� Z - ��---a 4D •.5 Ji-Rcf-:L (2r�a4ww&aj Lo 0. Ui lip Lo -r �( /06, 7j J9 Af 2SFWe-e /4<3. 4/6 143 .0 1 � 6 OT / �, to :Z� 1447-lqo �_ 6 _ our /4f 3 � / D • 7rS ///0 , B'6 c 3 9. 8 fl r, c A - c 30 3-C r G- zo f1 i A 64 Ver A - 6r 9 .1 o QA - q Ila 7. J Q` M-4U2 ►cS' CAeoSo _ '#4/ Fp eEs r Sr THIS PLAN SUBSTANTIALLY CONFORMS p �-E ; 21 �E pT '9 Z/ TO THE PLANS IOUSLY APPROVED � _ � . SCALc.. o / - 30 STEVEN J . D URSO R .S . _ ' ENVIROMENTAL DESIGNS �ssq� # T .`y°:�� 22 LILLY POND RD . BOXFORD , MA . 01921 "''L5s�'' 508 - 352 -9872 M 5 Date... '. .. 4-�.. ..��.... .~* HORTI{ TOWN OF NORTH ANDOVER PERMIT FOR WIRING o ,SSACMus� t p This certifies that .......... . :......� ........:.... -: ! .............. I .e t f has permission to perform ...._.._.< .... .. i.�.�'�`.t.........�.C.1�.!3..e.�.............� wiring in the building of.......... ... z. ' ........................................... at....16... ,........C.01.:. .:.r.t.....�`.�..�.............. .North Andover,Mass' Fee.... *..+ .1!. Lic.No. ` 8 ELECTRICALINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File 0111ce Use Only 0jit 6111111011tocalf1i of M1100adjllgetto permit No. f� Ile 11110111 rill tit Vubllc gafetu Occupancy& Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordenpe with the Massachusetts Electrical Code, 527 C R 12: (PLEASE PRINT IN INK OR TYPE B�ALL IN OR�dATION Dale 1 Clly or Town of 1U e7 V � To the Inspector of Wires: Ilia udersigned applies for a permit to perform the electrical work described below. Location (Street R Number) 10��Cs- Owner or Tenant Z5 7b (� Owner's Address Is this permit in conjunction will.) ding perrnil Yes ❑ No 1� (Check Appro Box) Purpose of Building RES CE Utility Aulhorizat o. Existing Service Amps Overhead ❑ U -r-d ❑ No. of Meters New Service _ Amps / __Volts Overhead Undgrnd ❑ No. of Meters Nurnbe -of Feeders and Arrrl.�aclty Location and Nature of Proposed Electrical Work { VOLTAGE BURGLAR ALARM SYSTEM No. of Lighting Outlets No. of I lot Tubs No. of Tlanslorrners Total KVA No. of Lighting Fixtures Swirmning Pool Above In. grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Tolal No. of Detection and Ions inlllating Devices No. of Disposals No of I teat Total Total Pumps Tons KW No. of Sounding Devices No. of Sell Contained No. of Dishwashers Space/Area I testing KW Detection/Sounding Devices No, of Dryers Iloating Devices KW LooalMuniclpsi ptrer ❑ conne C110n ❑ No. of No. of Low Voltage --WIRELESS WIRELESS LOW -- , No. of Water tleatera KW Signs Ballasts Wlrtng- � No. Ilydro Massage Tubs No. of Motors Total IIP VOLTAGE BURGLAR ALARM I OTIIER: INSUnANCE COVERAGE: Pursusnl to Iho mquimmonls of Massachusetts general Laws have a current Liability Insurance Policy Including Com leled Operations Coverage or Its substantial equivalent. YES X] NO O 1 have submitted valid proof of some to Ilse Office. YES NO O It you have checked YES, please Indicate The type of coverage by checking the aproprIola box. INSURANCE A BOND O OTIIER OPlease Specify) SEPT 1995 / Exp often Dale) Estimated Value of Electrical Work $ 50 I--- Work to Start Inspection Dale nequesle Rough Flnal zj Signed under Ilia Ponaltles of oerlurv: FIRM NAME _ EXALON INDUSTRIES, INC. LIC. NO. 15068A Licensee it YD R. SMITH —Signature— EoJL' LIC. NO. 250 MAIN STREET PAWI'UCKEr, RI 02860 Bus. Tel. No. 800-825-5400 Address All. Tel. No. OWNER'S INSURANCE WAIVER: I am aware flint the Licensee does not have the Insurance coverage or Its substantial equivalent as to- grrlred by Massachuselts General Laws, and that my signature on this permit application waives this requirement. Oy 'r A t (Please check one) � an//N7 I Telephone No. PERMIT FEE $ (Signature of Owner or Agent) 'At 'JUN x•6565