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Miscellaneous - 111 BROOKVIEW DRIVE 4/30/2018 (2)
111 BROOKVIEW DRIVE L.' I- 210l090.A-0065-0000.0 ` 1 • 1 F 1 /' ,.,: , 1 A A �n � ' North Andover Board of Assessors Public Access Page 1 of 1 l � d NaRTM Month Andover Board of Assessors t s, •r# �SSACHU�+Q` roperty Record Card Click Seal To Retum Parcel ID:210/090.A-0065-0000.0 FY:2011 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge ` Click on Photo to Enlarge Search for Parcels ` Search for Sales i i Summary Residence Il Detached Structure I Condo Commercial 111 BROOKVIEW DRIVE Location: 111 BROOKVIEW DRIVE Owner Name: WATKINS,JOHN A + CHERYL A WATKINS Owner Address: 111 BROOKVIEW DRIVE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:9-9 Land Area: 1.21 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3130 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 671,100 698,800 Building Value: 434,700 462,400 Land Value: 236,400 236,400 Market Land Value: 236,400 Chapter Land Value: h LATESTSALE Sale Price: 460,000 Sale Date: 05/14/1998 Arms Length Sale Code: Y-YES-VALID Grantor: BROOKVIEW HOMES Cert Doc: Book: 05053 Page: 0271 http://csc-ma.us/PROPAPP/display.do?linkld=1705645&town=NandoverPubAcc 8/24/2011 North Andover Board of Assessors Public Access Page 1 of 1 oRT North Andover Board of Assessors N H # ( • ' MATCHING PARCELS "Ss^`HU Click on a column title to sort data by that column Click seal To Return 16 items found,displaying all items.1 Fiscal Year Parcel ID St.No. Street Owner Name 2011 210/105.A-0004-0000.0 OOSPCE BR OKVIEW TOWN OF NORTH ANDOVER, DRI 2011 210/105.A-0027-0000.0 35 BROOKVIEW ONOFRIO,EDWARD&ELLEN, Search for Parcels DRIVE j 2011 210/105.A-0033-0000.0 50 DRROOKVIEWIVE EVANGELISTA,ANGELO, Search for Sales BROOKVIEW EVANGELISTA,PAUL A,KRISTIN A 2011 210/105.A-0028-0000.0 53 DRIVE EVANGELISTA 2011 210/105.A-0029-0000.0 65 BROOKVIEW BRACKEN JR,JAMES P,CATHERINE H DRIVE BRACKEN 2011 210/105.A-0032-0000.0 70 BROOKVIEW LAMBO,NICHOLAS W,CO NICHOLAS W. DRIVE LAMBO JR 2011 210/105.A-0030-0000.0 79 BROOKVIEW SOUZA,FRANK S.TRUSTEE,SOUZA, DRIVE LIDA J.TRUSTEE 2011 210/105.A-003 1-0000.0 86 BROOKVIEW MARIANI,JAMES E.,MARIANI,TRACEY DRIVE H. 2011 210/090.A-0063-0000.0 93 DRROOKVIEW IVE RUPP,JOHN J,NORMA A RUPP 2011 210/090.A-0013-0000.0 100 BROOKVIEW RO VIEW PRUDENTIAL RELOCATION,INC., 2011 210/090.A-0069-0000.0 104 BROOKVIEW 104 BROOKVIEW DRIVE REALTY TURST, DRIVE MARY KAREN CRONIN,TRUSTEE 2011 210/090.A-0064-0000.0 105 BROOKVIEW HODLIN,STEVEN F,MICHELLE L DRIVE NADEAU 2011 210/090.A-0068-0000.0 110 BROOKVIEW SWEENEY JR,ROBERT E,ANGELA DRIVE SWEENEY 2011 210/090.A-0065-0000.0 111 DRRIVE O VIEW WATKINS,JOHN A,CHERYL A WATKINS 2011 210/090.A-0066-0000.0 117 BROOKVIEW NIKOLOPOULOS,NICHOLAS T&JOANN DRIVE IKI 2011 210/090.A-0067-0000.0 118 BROOKVIEW BETTERBRODT,JAY T,CHERYL DRIVE BARCZAK 16 items found,displaying all items.1 i' I http://csc-ma.us/PROPAPP/newSearch.do;j sessionid=0979475 CC219CC7FD957506052B... 8/24/2011 A Aw44 100 FT. WETLAND BUFFER 11NE y } a � j 200 FT. OUTER RIPARIAN MAY 1 3 RIVER ZONE -� I 11 ' G� E Q EX. D-BOX H - 11 0.1 52, 581 S. F. 1 . 21 Ac. 11 .6 EX. 3' X 50' TRENCHES H 3 1 �l CV F I ' 20.0' EX. 1500 GAL. 26 05 SEPTIC TANK �� I EXISTING 1�0 53.9' A FOUNDATION � o � Top Fnd. ,UNAEL.-136.58 ELEVATIONS TAKEN AT TOP OF PIPE SWING TIES COMPONENT COR A COR B TOP OF FOUNDATION: SEE PLAN aa�a�a d° SHO. My ® SEPTIC TANK 33.4, 49.8' (CENTER) PIPE @ DWELLING: 126.47 - { G D—BOX 138.5' 96.9' (CENTER) .� TANK IN: 125.74 o v END PIPE: TANK OUT: 125.53 z BA ws b `o vn � a END PIPE: F 165.9 123.1 D—BOX IN: 122.63 END PIPE: G 170.7' 118.5' D—BOX OUT: 122.47 (ALL) :°� �` ��a a END PIPE — G: 121.96 �SS/0NAC� �;,\+ END PIPE: H 147.0' 93.0 END PIPE H: 121.94 d� END PIPE — I: 121.96 AS-BUILT SEWAGE DISPOSAL MARCHIONDA & ASSOC., L.P. SYSTEM PLAN ENGINEERING AND PLANNING CONSULTANTS - I LOT 8 BROOKVIEW DRIVE 62 MONTVALE AVE., SUITE I STONEHAM, MA. 02180 NORTH ANDOVER, MASS. (617) 438-6121 PREPARED FOR BROOKVIEW COUNTRY HOMES SCALE: 1=20' DATE: 4/21/98 P.O. BOX 531 NORTH ANDOVER, MASSACHUSETTS M & A FILE No.: 351 — 22 771 �u ---- ------ .. r + _ 200 FT. OUTER RIPARIAN j RIVER ZONE 0 1 F. WETLAND S R LINE C ` i f e 8 4 52 , 581 S. F. 1 . 21 Ac . I 53.9' EXISTING FOUNDATION p�N 0 mss. To Fn d. EL. P 136. 58 7 40, 302 �s 47. 9' 0. 93 58. 3' 02 . 6 z� �° R- 125 . 00 ' 4 31 . 5 BROOKVIEW jAAAA ®RIVE n k\OF A4 ' P v�� q�'y♦ WE HEREBY CERTIFY THAT WE HAVE EXAMINED l v SOH``A N o THE PREMISES AND THAT ALL APPARENT e EASEMENTS AND ENCROACHMENTS ARE LOCATED i THIS PLAN IS INTENDED FOR ZONING N 4005: AS SHOWN. THE STRUCTURE SHOWN CONFORMS } PURPOSES ONLY, IT WAS PREPARED -o O • TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS d s�� 9 IS1ER� ��a`�� WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED ►�SS'ONALEN�a� F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, F BY AN INSTRUMENT SURVEY. THIS PLAN �Povavev COMMUNITY PANNEL NO. 250098 0009 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/93 THE--STRUCTURE IS NOT LOCATED-# LINE DETERMINATION. IN AN ESTABLISHED 100'(YR.FLOOD,RAZARD ZONEt ; CERTIFIED PLOT PLAN V9 3 F1 LOT 8 BROOKVIEW DRIVE M ARCH ON DA & A-SSO4-.,--L. P ? NORTH ANDOVER MASS. ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR BROOKVIEW COUNTRY HOMES 62 MONTVALE AVE. SUITE I f. P.O. BOX 531 STONEHAM, MA. 02180 NORTH ANDOVER, MASSACHUSETTS (617) 438-6121 SCALE: I "=20' DATE: 3/2/98 t S" • S�TTGED16Q�' • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division L-E!��ff��(0 OTC09WQDL .AS of At ,299 2011 This is to cert that the indvidual su6surface dzsposalsystem received a SA7IS-AC20RT 16N ST ECg70X of the: ftfitcement of a Astrid ution Box for an On Site Sewage �osa[System B John Soug At: 111 Broo Olive %a 090..A~(Panel-006. 51/©rtFaAndover.9 WA 0184.5 7fie Issuance of this cert f cate shall not be construed as a guarantee that the system u4fff unction satisfactorily. I t icFie�e E Grant ft6CicJTearth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web www.townofnorthandover.com DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, September 27, 20114:24 PM To: 'SoucySewer@comcast.net' Cc: 'cheryl.w@comcast.net'; Sawyer, Susan Subject: Titel 5 Report- 111 Brookview Drive-9/1/2011 Attachments: 20110830083908726.pdf Hello John, We received your Title 5 Report(Passed)for 111 Brookview,and it is all set other than Susan asked that you send in the pumping slip to go along with it that was done on August 30`h. You may fax it or scan and email it. The Certificate of Compliance is attached. Thank you. seat Regand4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 0 Fax-978-688-8476 El Email-pdellechiaie(@townofnorthandover.com ''6 Website http://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous 1 Gf 4NORT.1M 5608 3r•�'� cc T • To'?.vn of North Andover `�.;s �:•t f,' HEALTH DEPARTMENT SACMUSf CHECK#: A41 DATE: LOCATION: % H/O NAME: r CONTRACT 0 ME: 91 Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector - $ Report . 4�&4. ❑ Other. (Indicate) $ f , ealth Agent Initials White-Applicant Yellow-Health Pink-Treasurer - ,.. .-� . '.r: .:.'.iii ...br..... '•+'..�.i 5.�..f-4"�}.-!i. l�-..�;P J.-. :.L.. �C� .,'!�.T�gA�i �� � U • .. _ ..� r �siCY�..w�.�'ty 1311x'~ .j w.yy. Ix 78 N. Broadway(Rt. 28) North Andover Board of Health Salem, NH 03079 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 III 7!!!!fill!!I!!!e!!!1lltll!Jill i!!l1tIll3III i1t!!!11111,1111 `�- � `�' ys. ;:z „`.",s a 1'. `� I i t Commonwealth of Massachusetts W Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information _ filling out forms __. _ on the computer, use only the tab 1. Inspector: key to move your cursor-do not SEP -9 Nil j TOWN OF NORTH ANDOVER HEALTH H 03079 ate Zip Code 1397 sense Number —iI system at this address and that the of the time of the inspection. The inspection 9 / .)roper function and maintenance of on site --,._._....a-.00-r-approved'system inspector pursuant to Section 15.340 of Ji nie-5-(310-CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ N s Further Evaluatio by the Local Approving Authority �l✓�i 09/01/2011 Ins tor's Sign ure Date system inspector(hall submit copy of this inspection report to the Approving Authority(Board 17 Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms - -- rw on the computer, RECEIVED use only the tab 1. Inspector: key to move your cursor-do not John Soucyoll use the return Name of Inspector key. Souc 's Sewer Service, Inc. TOWN OF NORTH ANDOVER 4:1 Company Name HEALTH 78 N. Broadway Company Address Salem NH 03079 City/Town State Zip Code 603-898-9339 13397 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails t ;Ins N s Further Evaluatio by the Local Approving Authority 09/01/2011 tor's Sign ure Date system inspector(hall submit copy of this inspection report to the Approving Authority(Board Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 � _• t' � � a � ` � . � 1 i 111 �� � f it � .. , I +� +I I I s Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover " MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 ' Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Brookview Dr. M Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well"*. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments O� 111 Brookview Dr. M Froperty Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °w 111 Brookview Dr. M Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: See Attached. Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): talions per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner ! Wass stem pumped as art of the inspection? ® Yes ❑ No Y p P P P If yes, volume pumped: 1500 gallons How was quantity pumped determined? Gauge on truck Reason for pumping: Maintenance anr4 k condition Type of Systt--- d f 2 -� El El lFs y �fiq, test F-1kuescribe): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 ` Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Gauge on truck Reason for pumping: Maintenance and view bafles and tank condition Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 " Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 111 Brookview Dr. M Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: April 1998 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 26" Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 9.. Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 6'X10.5' Sludge depth: 1" t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 36" 1" Scum thickness Distance from top of scum to top of outlet tee or baffle 711 Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? Tape&Sludge tool Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): recommend removal of garbage grinder. As per note; #11 in design plans. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.j Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 ' <L\,, Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ec M 111 Brookview Dr. y0 e Property Address P Y Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): "M box had been replaced prior to inspection. See copy of permit. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 4 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ec M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ® leaching trenches number, length: (3) 3'X50' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of hydraulic failure. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is required for every N. Andover MA 01845 08/30/2011 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)-. i t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form . 51 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately -- - - 1.00 FT. WETLAND BUFFER 'LINE I PfAY 13 ` 200 FT. OUTER RIPARIAN RIVER ZONE F E t�, 10.1' EX. D—BOX 5 8 52,581 S.F. 1.21 Ac. 11.6' EX_3'.--..50= ��EVGHES_ - . d" Wt1i ��tGi<P.7 (jJ 00 I N B �s --- EX. 1500 GAL. 26 yyo5 0 20.0' SEPTIC TANK i EXISTING It'd 53.9, A FOUNDATION r o o os To Fnd: EL.P 136.58 5C ELEVATIONS TAKEN AT TOP OF PIPE - -` SWING TIES I TOP OF FOUNDATION: SEE PLANCOMPONENT COR A COR B PIPE®DWEWNG: 726.47• OFA1��. SEPTIC TANK 33.4' 49.8' (ITER) TANK IN: 125.74 rG D—BOX 138.5 - 96.9' (CENTER) END PIPE: TANK OUT: 125.53 END PIPE:-F- X165:9'::. ''123:1" D—BOX IN: 122.63 " END PIPE:r'GL;:170.7" 118.5' D—BOX OUT: 122.47 (ALL) so,� END PIPE: H 147.0' 93.0' L END PIPE — G: 121.96 `sS/ONAL _ END PIPE— H: 121.94 END PIPE — I: 121.96 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 _ I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 5 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: 04/30/1996 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Dug hole with auger in low drop off area. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 111 Brookview Dr. Property Address Cheryl Watkins Owner Owner's Name information is N. Andover MA 01845 08/30/2011 required for every — page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Oficial Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 68108/2073 09:27 19786889573 PAGE 62/62 Suromah ReWd Cara generated on 81412011 2:18:32 PM by Knnm 4W4-n Paan 1 Town of North Andover Tax Map # 210-090.A-0065-0000.0 Parcel Id 14288 111 BROOKVIEW DRIVE WATKINS,CHEYRL 111 BROOKVIEW DRIVE NORTH ANDOVER,.MA 0`1846 __ Class 101 Single Family Property Type 1 Residential Size Total 1.21 Ames FY 2011 __.. UB Mailinn Index NarrWAddress Type Loan Number Aetivelloact, From Until WATKIN$.CHEYRL Payor 111 BROOIMEW DRIVE NORTH ANDOVER,MA 01645 UB Account Malin#. Account No Cycle Occupant Name Activeflnactive Bldg Id.17717.0.111 BROOKVIEW DRAIS Last Billing Data 7113!2011 3170381 03 Cycle 03 Active US Services Maint. Account No.3170381 Service Cords Rate Charge MultipliedUsers MISCFEEADMW FEE 0.63518 7.82 1/ WTR WATER 01 ALL METER SIZE 142.22 !1 US Meter Maintenance Account No.3170381 Serial No Status Location Brand Type Size YTD Con$ 36386089 a Alive ERT HH b B w Water 0.63 0.63 137 Date Reading Code Cohsum Pasted Date Variance 61712011 146 a Actual 32 712012Ct11 47% 31711 114 a Actual 21 4/13/2011 -15% 120 12/612010 93 a Actual 25 1/12/2011 -4% 9/612010 68 a Actual 27 10/1512010 -17% 6/8/2010 41 a Actual 32 71/512010 48a/a 31$!2010 9 a Actual 9 411412010 -100% 1/30/2010 0 n New Meter 0 4114/2010 -104% 1/3012010 1657 r Replacement 15 4114/2010 -4% 12!6!2009 1842 a Actual 28 1112/2010 0% 91412009 1$14 a Actual 26 10/15/2009 -22% 6/8/2009 1788 a Actual 32 7/2012009 15% 3!18!2009 176$ a Actual 32 '412912009 6% 1219/2008 1724 a Actual 28 112012009 -4% 911012008 1696 a Actual 31 10/1p12000 .21% $1812008 1666 a Actual $7 7/1612006 26°A 31715008 1628 a Actual 28 4111!200$ 20% 12/1112007 1600 a Actual 26 1/22/2008 -16% 915/2007 1574 a Actual 25 10/12/2007 -21% 6/1912007 1549 a Actual 39 712012007 51% 311512007 1510 m Manual estimate 25 4/16/2047 -9% 12/12/2006 1485 a Actual 25 1/1912007 3% 911$12006 1460 a Actual 26 10/20/2006 28% 611912006 1434 a Actual 41 7/10/2006 1% 3/812006 1393 a Actual 30 •411712006 13% Trouble C4de:03 1212212005 1363 a Actual 32 i/17/2406 11% �•� $ ��t to r� Of•HORT{�1 5583 3 ,�•ti0 Town of North Andover HEALTH DEPARTMENT CHU CHECK#: DAT . LOCATION: H/O NAME: I CONTRACTOR NAME: Type of Permit or License: Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type.- 0 ype:❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTICS stems: ❑ Septic-Soil Testing 8 $ ❑Z,7, -DesignApproval _/� o1y $ Jl L/11 Disposal Works Construction(DW $ ❑ Septic Disposal Works Installers(DW() $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ OY ealthAg-entInitials White-Applicant Yellow-Health Pink- Treasurer • • S�gTLED16g6' COPY • PUBLIC HEALTH DEPARTMENT Town of North Andover (ommunity Development Division CE OT COMPLI�C .^s of: gusto ust 299 2011 This is to cert that the individuafsu6surface disposaf system received a SAcIISEACTO T IJVST ECTIOY of the: ftfacement of a Oistri6ution Boxfor an On Site Sewage DiTosa(System By John Soucy At: 111 Br®®kp!ew 1Oriye Ma 090,9~Parcef-0065 51 ®rth Andover, 9 SIA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system willfunction satisfactorily. Xicfie Grant ft6Cu 9feaCth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com • SETTLED COPY � • r �R PUBLIC HEALTH DEPARTMENT Town of North Andover fommunity Development Division �E��'I�A-P OTC®�l�'GI A S of.,' august 29, 2011 This is to cert that the individuafsu6surface disposaf system received a SATISTACT0RT IjVSPEC' [0X of the: 1pCacement of a Vstri6ution BoVor an On Site Sewage QxTosa[System By ,john Soucy At: 111 Broo view 1Driye 9'a —090•,A Parcel-006. WorthAndover JKA. 01845 The issuance of this certificate shaffnot be construedas a guarantee that the system wilffunction satisfactorily. C,l icFie E. Grant ft6Cu Meafth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com • SETTLED ■ ULE COPY PUBLIC HEALTH DEPARTMENT Town of North Andover (ommunity Development Division G'A-V!� 'ICA Off' C09WCPL SCE AS of.- gust ., ust 299 2011 This is to cert that the individuaCsubsurface disposarsystem received a SATISIFACTORT INSPECTION of the: ft&cwwnt of a Distri6ution Bo. for an On Site Sewage lir' posa[System B - ,aohn Soucy At. 111 Brooky4v Oriye Wa 090.,A~Parcef-006. %orthAndover, AVIA 01845 The Issuance of this certificate shaffnot 6e construedas a guarantee that the system wifffunction satisfactorify. C l icfie E. Grant (Fu6Csc Meafth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com x S�TTLED,6Q�' , FILE COPY • I I PUBLIC HEALTH DEPARTMENT li Town of North Andover (ommunity Development Division ` Off' C0914PLI�CE As of: gust 299 2011 This is to cert that the individuaCsu6surface disposaCsystem received a SATIS,FACT0RT 15VSITECTI09V of the: ft¢ent of a Distri6ution BoVor an On Site Sewage moi* osa[System By ,"®hn Soucy At: 111 Br®® ' 1O iye Map-090..A~Parcef-0065 North Andover, �I�1,X 01845 The Issuance of this certificate shaft not be construedas a guarantee that the system wifffunction satisfactorily. keicfi �Grant (Pu6Cic MeaCth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com r � S�gTLED���' • "s North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRU NOTES ` LOCATION INFOR ATION ADDRESS: - - cS'GL�d �� - /®D ��� MAP: LOT: INSTALLER: D ESIGNER. PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanoutsp er Ian p ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed loading ❑ Monolithic tank construction ❑ Watertightness of tank has been achieved by testing ❑ Inlet tee installed, centered under access port i ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ loading ❑ Monolithic tank construction ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ cover at final grade installed over pump access port ❑ Watertightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Comments: Alarm signal located inside: basement DISTRIBUTION-BOX ❑ Installed on stable stone base H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) [✓� Hydraulic cement around inlet & outlets Observed even distribution Speed levelers provided (not required) Comments: o, Rrm Commonwealth of Massachusetts Map-Block-Lot r, 090.A0065 ----------------------- '_ a �9 BOARD OF HEALTH Permit No North Andover BHP-2---- 73 � i m • 0 ----------- ----P-2 • a,�fa;:.�.,�^` ' P.I. FEE �Ss��Nus��h F.I. $125.00 ----------------------- DISPOSAL WORKS CONSTRUCTION PERMIT Permission is hereby granted John_Soucy ------- ---------------------------------------------------------------------------------------------- to(Repair-DISTRIBUTION BOX ONLY)an Individual Sewage Disposal System. at No O --111------BROKVIEW-----------------------------DRIVE--------------------------------------------------------------------------------------------------------------------- as shown on the application for Disposal Works Construction Permit No. BHP-2011-077 Dated August 23,2011 ___ _. --------------_9_______________ ---- -- Issued On:Aug-23-2011 B ARD OF AXTH •A®R4 6" a Commonwealth of Massachusetts Map-Block-Lot or ,6 �� 090.A0065 fl BOARD OF HEALTH x North Andover 4�'b�•;�o-•``�-* CERTIFICATE OF COMPLIANCE �sgrcwug¢� THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair-DISTRIBUTION BOX by John Soucy -------------------------------------------------------------------------------------- Installer at No 111 BROOKVIEW DRIVE has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the application for Disposal Works Construction Permit No. -BHP-2011-- 077 Dated---August 1.1 ------------ --------- ---- _23,20- ----- ------------------------------------------ Printed On:Aug-24-2011 BOARD OF HEALTH NORTH 5 5 b 9 Town of North Andover s+�'•:;;o�: �' HEALTH DEPARTMENT ,SSACHU CHECK#: ",&KATF: LOCATION: . r H/0 NAME: r CONTRACTOR NAME: Type of Permit or License:zc.heck box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic.-Design Approval $ 0;1- tic Disposal Works Construction(DW $ /UI 5 ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ lealth Agent Initials White-Applicant Yellow-Health Pink-Treasurer Application for Septic Disposal System 1A3 ' Construction Permit - TOWN OF TOD 'S DATE ORTH ANDOVER, MA 01845 $250.00—Full Repair ��s'�c►►n►s�`� $125.00-Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,usEl e only the tab key R pair or replace an existing on-site sewage disposal system* f� to move your pair or replace an existing system component—What? cursor-do not use the return key. A. Facility Information - , rah Address or Lot#' ISI City/Town 2.-*TYPE OF SEPTIC SYSTEM*: ❑ Pump ❑Gravity(choose one) ***If pump system,attach copy of electrical permit to application*** ❑Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box)(Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present)S.A.S. 2. Owner Information c!_ �. Name S� Address(if different from above) City/Town State Zip Code Telephone Number 3. Installer Information Name Alame of Comparl '� t 0&2Q Addr UYta o U•7 City/Town / State Zip Code Tel phone Iqumb6r(C l Phone#if possible please) 4. Designer Info ion Name F V Name of Company Address City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 r Application for Septic Disposal System tOf� .e'e1�0 Construction Permit - TOWN OF T DAT E( , MA 01845 $250.00-Full Repair ORTH ANDOVER 'ssc►�►5'`� $125.00-Component PAGE 2 OF 2 A. Facility Information continued.... 5. Type of Building: Zeident" Dwelling or❑Commercial B. Agreement The under.ra ' ned agrees to ensure the construction and maintenance of the afore-described on-site ge disposal system in accordance with the provisions of Title 5 of the Envir nm al Code,as well as the Local Subsurface Disposal Regulations for the Town of No A over, and not to place the system in operation until a ertifi ate of Compliance has b en i ued by 7600: rd of Health. �/\ Na Date Applica ' n Approved By oard of Health Representative) NameDate /pplicbati'o'n Disapproved for he following reasons: For Office Use Only: 1. Fee Attached? Yes No 2. Project Manager Obligation Form Attached? Yes_ No 3. Pump System? Ifso,Attach coy ofElectrlcal Permit Yes No 4. Foundation As-Built?(hew construction ronly): Yes No (Same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit•Page 2 of 2 I � DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, August 08, 2011 11:58 AM To: 'cheryl.w@comcast.net' Subject: I.R. - 111 Brookview Drive-Septic System Information and Well Information from Health Dept. File Attachments: 20110808103746791 Importance: High Follow Up Flag: Follow up Flag Status: Flagged To:Cheryl Watkins 978.682.3147 I.R.-111 Brookview Drive-Septic System Information and Well Information from Health Dept.File Here is the second section that I mentioned in previous email. fiat Re?444, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 R Fax-978-688-8476 0 Email-pdellechiaie@townofnorthandover.com '�i Website httl2://www.townofnorthandover.com/Pages/`index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous If you are happy with the customer service you have received from town departments,please let us know...feel free to complete the general Comment Form (link below): http://www.townofnorthandover.com/Pages/NAndoverMA WebDocs/contact DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, August 08, 2011 11:56 AM To: 'cheryl.w@comcast.net' Subject: I.R. - 111 Brookview Drive-Septic Plan As Built and Plan Information for Title 5 Inspection Attachments: 20110808103710341 (2) To: Cheryl Watkins 978.682.3147 Dear Cheryl, Attached is the information you requested for your Title 5 Inspection for your property at Ill Brookview Drive. I am sending a second email with the remaining information in your file. I apologize for not getting this out to you on Friday,but we had several department emergencies going on. If you have any questions,please give me a call. Mt,09a44, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 i Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 R Fax-978-688-8476 0 Email-ndellechiaieptownofnorthandover.com `6 Website http://www.townofnorthandover.com/Pages/`index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."--Anonymous 2 FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval!permits from Boards and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. �r■rrrrrrr■■rrrrrr■■rrrrrr■■r■rrrr■■rr■■rr■rrrrrrs■■r■rrrrrr.r■rr■srrsrs■rrrr APPLICANT[,XcY- 1- &:pny f tl%,. WA,i PHONE 01-1,t' �gZ -gS1 ASSESSORS MAP NUMBER 09,0 LOT NUMBER SUIJDIVISION Z)10 LOT NUMBER 664S- STREET dLS- STREET "3f-0a9Vichl STREET NUMBER �rr■rr■■ ■ r■■mamma ■sr■ ■■■■r■r■rrrrrr■■■r■■rrr■■■rrrr■rr■rs■r■ ■. ■ ■ OFFICIAL USE ONLY Irrrrl■■rrrrr■■■rrr■■r■UNDO■■rr■■r■■rrrrr■sox"rmagmas r■■■rrsr {r■■rr■■■■■rr■■ RECOMMENDATIONS OF TOWN AGENTSb,... '. .� l rrrrr ■rrrr�rrr■srrrr■■■■r■■■s■■rs■rrrrr■■■rr■rrrr■rrr■rarrr ■■rrrr■rr■■rr ■ DATE APPROVED ONSERVATION ADMINISTRATOR DATE REJECTED CObEyiENTS DATE APPROVED TOWN PLANNER DATE REJECTED CONIIviENTS DATE APPROVED FOOD INSPE TOR-HEALTH DATE REJECTED DATE APPROVED T>z S COR-HEALTH DATE REJECTED COMMENTS a. a:•� J S 1- f'1 57 PUBLIC WORKS-SEWER/WATER CONNECTIONS 61 DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CON VIENIS RECEIVED BY BUILDING INSPECTOR DATE J4 °R7N Town Of North Andover Of ,�w y 1ti e�s ._�.�•pp • • !� A Community Development & Services WilliamJ. Scott 27 Charles Street Director , -�+�• North Andover, Massachusetts 01845 (97'8)688-9531 swC U Fax 978.688.9542 Board of June 5,2000 Appeals (978)688-9541 Jack&Cheryl Watkins Brookeew 11 1 i Drive Building North Andover, MA 01845 Department (978)688-9545 Dear Mr. &Mrs. Watkins: Conservation Your request for a well permit was denied due to a concern that the dumping of Department factory waste in the past as well as other potential sources of contamination may (978)688-9530 have contaminated the groundwater in that area of North Andover. There was not a concern that your house was built upon such a dumpsite. Ground water Health aquifers extend for miles beneath the soil surface. Without a thorough Department hydrogeological study there is little way of knowing where exactly water comes (978)688.9540 from. The Board is aware, however, of buried factory waste from several years ago that did cause contamination problems. Public Health Nurse The original subdivision lans for Brookview Drive proposed private wells as the (978)688-9543 g p p p source of drinking water supply for the development, but Board of Health as well as DPW concerns caused that proposal to be altered, and Town water brought Planning Department out. The Board of Health would like to see all homes in your area of Town tied (978)688-9535 into the municipal water supply system for the health of the residents. Allowing a new well to be constructed would be directly in opposition to that desire. Even if you proposed to use well water for irrigation purposes only, you would still be tapping a potentially contaminated source for deposition on the soil. This could extend any possible contamination. In fact one of the areas relatively close to you was found to have arsenic-contaminated soil that endangered an existing well. In addition, technically speaking, the well location proposed with your application does not meet the regulation requirements for distance between septic tank and well. In North Andover, this is 75 feet. In conclusion,I am sorry but I must abide by the original decision to deny this well application permit. If you wish to appeal my decision, you have the right to request a hearing before the Board of Health. This request must be in writing and you must ask to be placed on the agenda for the next meeting, which will be held on June 22, 2000 at 7:00 P.M. in the conference room at Town Hall. All agenda items must be received in this office at least seven days before the Board of Health meeting. If you have any questions, please do not hesitate to call the Board of Health office at the number above. Sincerely, Sandra Starr,R.S., C.H.O. Health Director Cc: BOH File 0 Jack&Cheryl Watkins r 111 Brookview Drive North Andover,MA 01845 978-682-3147 MAY 3 0 May 15, 2000 Ms. Sandra Starr Health Department 30 School Street North Andover,MA 01845 Dear Ms. Starr, We understand that our request for a well permit was denied due to a concern over the dumping of factory waste at sometime in the past. We cordially request that you review your decision based upon the following circumstances. 1. We believe that an error was made in determining that our home was built on the dumping site. We contacted our builder, Dave Kindred, who was quite aware of the dumping as it had some impact on homes that he has built in the past. Dave stated that the site of the actual dumping was on Boxford Street where the power lines intersect the roadway. Dave built two houses adjacent to the site and was required to conduct numerous tests before he was allowed to build those homes, That site is approximately one mile from our home. At least four well permits have been issued in the building of new homes between the site and our house in the last year, 2• Our home was built on virtually virgin land. There was no roadway that would permit access to any vehicle that would transfer factory waste. In fact, a significant bill was leveled to create the lot where our house now stands. 3. Finally, we have no plans to drink our well water. We plan to use it only for irrigation. In fact,we cannot hook up our well water to our home as we have a sprinkler system for fire protection. We understand that bringing well water into the house would invalidate any fire insurance coverage. Thank you in advance for expediting our request. We are quite anxious to hear your decision. Sincerely, ck Watkins. Cheryl.Watkins Form No,4 Town of North Andover, Ibtassachusetts BOARD OF HEALTH QQ aud' 19 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed (X) or repaired ( ) by _ -2 INSTALL R ' at / �� I/ E7il// SITE LOCATION has been-installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. Vyr dated— 19 ee" The issuance of this certificate shall not be construed as a guarantee that the system will ` function satisfactorily. _s BOARD OF HEALrH Town of North Andover, Massachusetts FOMM No,a KOR*K , BOARD OF HEAL TH • o 19 sACHUS VI; DISPOSAL WORKS CONSTRUCTION PERMIT Applicant �G f e.— ��,•-��y� • NAME P-7-7 7�1� / ADDRESS T ' Site Location d � �p �j TEl EPHON L Permission is hereby granted to Construct (/) or Repair an Sewage Disposal System as shown on the Design Approval S.S.No Individual ) Absorption CHAIRMAN,BOARD OF HEALTH Y/ Fee , •.S D.W.C. No. 7� MAY-- 12 -15S TUE 12 : 08 P . 02 FROM s FLINTLOCKsINC. PHDa W. 99786934430 Mi. 91 4998 831,39P4 P2 TOWN OF NORTH ANDOVER SEWAGS USPOSAL SYSTEM INSTALLATION CERTIFICATION rM rar�Vr The U440 stgt<e !>ezaby cerdt�r tt at the So wegc Disposal System( 60U*acted; ( )relsatmd,' by6 eel/lt was iaastalled in coAfomaue*with 03Nofth Andover Board ofHcatth approved plata„system '{L rte. I)edga Formic# .1, dated G�/7 ? with an approved dot p flow of. gao"lam'day, Tht Muerled we,JA Copjbzta woe with those specified on the approved ,an,the sygm was with tie provisions of 310 CMR 13,000,Tule S and ioq�1 tegulae0A aad the Snai gxad0ag'*ces subska 641y with the approvcd plan. All work k ,4c4w rely repramte d on,the As-buitt wlxtah has bem aulmdtted to the Board of Hedth. ,tip lgg4Ci,?,g0c 6u45; AL'` AW-X4ft dy 6rf.r A Xastalte� - Llo,#; Date! l?asign wear' �DhiN� ,�t:�5 Dasa: OF 1r1q ows ViL � No.4M2 IST3;4��> S/p''A Town of North Andover or 6�ti OFFICE OF 3� ,• •. �0 COMMUNITY DEVELOPMENT AND SERVICES A 30 School Street is •' North Andover,Massachusetts 01845 WnIJAM J.SCOTT 4sSACHUS�� Director June 18, 1997 Mike Rosati Marchionda &Associates 62 Montvale Ave., Suite 1 Stoneham, MA 02180 RE: Brookview Circle Dear Mike: This letter is to inform you that the proposed septic plans for Lots 2, 4, 5, 6, 7, 8, and 10 Brookview Circle have been approved. If you have any questions, please do not hesitate to call the Board of Health office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator cc: Wm. Scott, Dir. CD&S File Dave Kindred CnNSFR.VA770N 688.9530 HEALTH 6W9540 TI-ANN1Nn 488»9535 Town of North Andover °, N°or;Ati 0MCE 08 o � COMMUNITY DEVELOPMENT AND SERVICES .: A xi . , • 30 School Street eoA O' 9 North Andover Massachusetts ,.,,• c 018 5 �S.14cxUS WILLIAM J.SCOTT Director May 30, 1997 Marchionda Associates 62 Montvale Ave. Suite#1 Stoneham, MA 02180 Re: Lot#8 Brook-view Circle 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: If new plans satisfactorily addressing all the following issues are submitted to the Health Department by June 12, 1997, then approval for the plans should be given by June 19, 1997. 1. Only 2 copies of plans submitted. (N.A. 6.01) 2. Benchmark not within 75 feet of system. (3 10 CMR 15.2208) 3. Need manhole to within 6 inches of grade. (3 10 CMR 15.228(2)) 4. Elevations of perc tests missing. (N.A. 6.02j) 5. Reserve not 4 feet from primary. (N.A. 2.23) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp cc: David Kindred CnNSFR.VA17M 689.9530 HEALTH 688-9540 PLANNINCt 688-9535. May 30, 1997 Marchionda Associates 62 Montvale Ave. Suite#1 Stoneham, MA 02180 Re: Lot#8 Brookview Circle 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: If new plans satisfactorily addressing all the following issues are submitted to the Health Department by /Z then approval for the plans should be given by L,,?°"Only 2 copies of plans submitted. (N.A. 6.01) c,-2-Benchmark not within 75 feet of system. (310 CMR 15.2208) t,----T�-Need manhole to within 6 inches of grade. (3 10 CMR 15.228(2)) 4-'Elevations of perc tests missing. (N.A. 6.02j) Reserve not 4 feet from primary. (N.A. 2.23) 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/c, cc: David Kindred NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT DATE fir_ FEE: AQ PERMIT # 913.1 DATE RECEIVED t3- /,6- ;7 APPLICANT �.,[�c1�� MAP �y PARCEL ADDRESS LOT # 0 STREET # ENG. 0513 T/ STREET V/ggrlO ENGINEER`S ADD. PLAN DATE REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: N v --�3-e fu c7y M/ ,e k" ceJ�,U 7�3` � o fU SCD MA 1U �5 . / PLAN REVIEW CHECKLIST ZADDRESS A Tzm4tv/4=-� ENGINEER GENERAL 3 COPIES STAMPLOCUS-Le"' NORTH ARROW SCALE CONTOURS C -' PROFILE C--(SC) SECTIONI/ BENCHMARK SOIL & PERCS _4Z' ELEVATIONSX WETS. DISCLAIMER L/ WELLS & WETS v� WATERSHED? Ald DRIVEWAY�� WATER LINE FDN DRAIN " M&P SCH40 1,� TESTS CURRENT? (/ SOIL EVAL N.TO$97-1 `D,O CouNEiC SEPTIC TANK MIN 150OGy . 17 INVERT DROPt�-' GARB. GRINDER40(2 comps +200) 10 ' TO FDNy MANHOLZA- ELEV GW ## COMPS. GB D-BQX SIZE # LINES—a FIRST 2 ' LEVEL STATEMENT(" INLET ZZ•Z - OUTLET I Z Z•/O = t/Z (2" OR . 17 FT) TEE REQ'D? iOd LEACHING / MIN 440 GPD? RESERVE AREA Ll-' 4' FROM PRIMARY? 2% SLOPE 100 ' TO WETLANDSL--- 100 ' TO WELLS 6---- 4 ' TO S.H.GW c—� (5 ' >2M/IN) 20 ' TO FND & INTRCPTR DRAINS yr 400' TO SURFACE H2O SUPP U-" 4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER L----PILL? (15 ' ) BREAKOUT MET? TRENCHES MIN 440 gpd'v SLOPE (min .005 or 6"/1001 ) t�SIDEWALL DIST. 3X EFF. W OR D (MIN 6 ' } t/r RESERVE BETWEEN TRENCHES? L----IN FILL? Cis MUST BE 10' MIN. L,---' 4" PEA STONE? y VENT? AW (>3' COVER; LINES >501 ) BOT + SIDE Ov = 76-6 X LDNG ,4p = TOTD (L x W x #) (DxLx2x# ) (G/ft2) Copyright 0 1996 by S.L. Starr r TIORT Town of _ 9 over . t o No. 2. Ct - Cal _ 19 98 dover, Mass., //'?o COCH KNEWtCK yT�^ �9aTab fG BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR /�'� . . THIS CERTIFIES THAT................... .� ��'�.�!!�..U.�.��............ .�.�.>�/. .... --....... ?...... � Foundation has permission-to erect.....................1................. buildings on.......It.1...........��j. ..4.0.0ac... �.�. ......... .Wt� ou to be occupied as......................................................�.�./ ?..(. .............. /f l... eapplication ................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms o€� on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 0 3 3 PIP 4 u� A PERMIT EXPIRES IN 6 MONTHSELECIM/ CAL R UNLESS CONSTRUCTION ST / ....................................... ........ .. UI...D .G INSPECTOR Service Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises -- Do Not Remove Rom �) j r ✓� No Lathing or Dry Wall To Be Done . FIRE DEPARTNfENT Until Inspected and Approved- by the Budding Inspector, Burner ��'I �' Sava No. _ Smoke Dyer_ APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# LOCATION: �K-ez) (//e LICENSED INSTALLER: �`"��.✓� SIGNATURE: �;-T-- TELEPHONE#_Z Z 2 e� � C� CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTRUCTION,PLEASE ATTACH FOUNDATION AS-BUILT. , Il Vd- Administrative Use Only $75.00 Fee Attached? Yes \,/ No Foundation As-built? Yes No Floor plans on file? YesNo Approval Date: l� FORM U - IAT IU=M FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Hoards 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: 46Ce�,�L� PL7 �vN �� odic 5 Phone Z!!� � LOCATION: Assessor' s Map Number ����Ii y� Parcel Subdivision lge"t" Ck) s717'e S Lots) • Street eGo��'� ��ivC St. Number ************************Official Use Only*******************%**** REC NDATIONS OF TOWN AGENTS: • Date Approved to -- onser•.at:.an Administrat;r Date Re;"acted Co=ents -H (Uld S V-)I l n 1 j} 1) ' � Date Approved O Q'-- Jt6wn Planner Date Re;ectad Co en,zs Date Approved Fco4 Inspector-Uealth Date Resected / Date Approved iAz ,. ir. _ cto:-:ieal*�:: Date Rejected Co=enzs JPUb_ic Wcrs:s - sewer/water connections _ - driveway permit Fl-re Denar mens WIC pZ Received by Building Inspector Date FORM fl DAIIIIJ. L(h?iG '!UI'(Pt r..1 F11K PLANNING BUAItU NORTH t. tt`�f R TOWN 0 ` North Andover MASSACHUSET"E S CERTIFICATE OF AMENDMENT , MODIFICATION Olt RCSCISSIOid OF APPROVAL OF UEFII'll TIVE SU13DIVISION PLAN qi' August 20, , 19 90 TOWN CLERK , TOWN OF- North Andover Massachusetts Planning Board On the motion/petition of , dated 8/28/90 and in accordance with Massachusetts General Laws , Chapter , ,Sectlo•n 81-14 , it is hereby certified by the Plannning Board of the-,.-town of North Andover 14 a s s a c h u s e t t s , that a t a duly called and properly post6d meeting of said Planning Board , held •; On 8/28/90 > it was voted to amend/modify/rescind the approva of; t e definitive subdivision plan of land entitled : nrnnkview Estateg., Owned by : Benjamin G. Parnum Of : North Andover s plan ( s ) dated . November 25 19gZ and revise : +-�g►3�---- ' BY : Tliomgs H. Nevo Associa .,, enc- _ , and r e r o r d t:d at tile : North Essex Registry of deeds , P1 -311 Cool: Page performance guarantee being and recon a Book , Page Bann ocal;e an{! Shgwinl(J ,2:i,_ , LS �� propose -lots , y ma ing the followtih i amendments/modr ! rr,at ionn ("s`ji]rrM by re$.cinding the approval for the foIIowino reasons : To place conditions on a constructively approved subdivision All prior conditions of approval shall remain in full force arid effect until such time as they are met ; pursuant to Massachusetts General Laws , Chapter 41 , Section 81-W, this Amendment/Modificat:iori/RescissiOil shall take effect when duly recorded by the Planning Board at the Essex Registry of Deeds the plan or originally approved , or a copy thereof , a certified copy of this vote mak in(t such Amendment/ Modification or Rescission , and any plan or other docummit referred to in this vote : Said recording to be at the expense of the applicant in-the-case of- Amendment or Modification . , The Amendment/Modification/ilescisslot, of the approval of this plan shall - not affect the lots in the subdivision which have been sold or mortgaged in good faith and for a valuable consideration► or any rights , appurtenant thereto , without the consent of tine garnet• of such I�,i-c . and n1: the holder of the mortgage or mortgaues , 1 f ,hrn•y , thereon . Written consent from said owners and mortgages , if any , is attached hereto , NOTE TO CLERK : The Planning Board should be notified imined iately of an appeal to the Superior Court on this subdivision .. Y pp ! 'Ainendment/Modification/Rescission of the approval made within the statutory 20-day appeal period . If no appeal is filed viith your office , the Planning d be should Board n r u oti f ie d at the end of the 20-da appeal period in order that the originally approved plan may receive an appropriate endorsement and be recorded alone with a registered copy of the certi - fied vote Amending/Modifyina/Resciirding the approval . 7 A True Copy , attest Clerk , Planning Boar ' Duplicate copy sent to applicant : / r Planning Board J BROOKVIEW ESTATES DEFINITIVE SUBDIVISION, CONDITIONAL APPROVAL 1. There shall be no driveways placed where stone bound monuments and/or catch basins are to be set. It shall be the developers responsibility to assure the proper placement of the driveways regardless of whether individual lots are sold. The Planning Board shall require any driveway to be moved at the owners expense if such driveway is at a } ,•, catch basin or stone bound position. Certification by a Registered Professional Engineer will be required prior to the issuance of a certificate of occupancy. 2 . All drainage facilities including detention basins, shall be t constructed and erosion controlled prior to any lot release. 3. An as-built plan and profile shall be submitted for review and approval prior to the final release of DPW bond money. An interim as-built, certified by the design engineer, verifying that all utilities have been installed in accordance with the plans and profile shall be submitted ,.i prior to the application of the binder coat of pavement. In addition, all required inspection and testing of water, prior to ,. sewer, and drainage facilities shall be completed p binder course paving. To insure compliance with this condition, a bond in the amount of $1.0,000 shall be posted prior to the release of any lots within this subdivision. 4 . Any changes on the plans required by the North Andover Conservation Commission may be subject to Modification under Chapter 41 by the Planning Board. 5. The following shall be performed in accordance with chapter 41, Section 81W, M.G.L. : (1) The original Plan, constructively approved, or a copy thereof, and a certified copy of this modification, shall be recorded with the Registry of Deeds, (2) an endorsement shall be made on the Plan constructively approved referring to this Modification and where it is recorded, and (3) this Modification shall be indexed in the Grantor Index under the names of the owners of record of the land affected. 6. The provisions of this settlement shall apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control. 7 . Throughout all lands, tree cutting shall be kept to a minimum in order to minimize erosion and preserve the natural features of the site. Accordingly, the developer in conjunction with a registered Arborist, Landscape Architect or other professional as approved by the Town Planner, shall Submit a tree cutting and reforestation plan consistent with the provisions of Section 5.8 of the North Andover Zoning Bylaws ( The plan is for areas of substantial cutting and .. r filling } to be reviewed by the Planning Staff prior to the applicant receiving a permit to build on any lot within the subdivision. This Plan shall explicitly include specific trees to be retained. Also, the developer shall inform the Town Planner when significant tree cutting is to occur in order that the Planner may determine the need to be to be present. 8. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 9 . Gas, Telephone, Cable and Electric utilities shall be installed as specified by the respective utility companies. 10. All catch basins shall be protected with hay bales to prevent siltation into the drain lines during road construction. 11. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 12. No underground fuel storage shall be installed except as may be required by Town Regulations.. 13 . Permanent street numbers will be posted on dwellings prior to occupancy. 14. All structures shall have residential fire sprinklers installed prior to the issuance of the Certificate of Occupancy, per order NAFD. 15. Prior to a Certificate of Occupancy being issued for any lot, that lot shall have received all necessary permits and approvals from the North Andover Board of Health. 16. All drainage and sewage facilities shall be approved by the North Andover Division of Public Works prior to the issuance of a Building Permit for any proposed structure on this site. 17. Bonds, in an amount to be determined by the Planning Board, shall be posted to ensure construction and/or completion of sewers, roadways, site screening and other pertinent public amenities. These bonds shall be in the form of a Tri-Party Agreement, Pass Book or buildable lots. 18. This subdivision shall conform to all Subdivision Rules and Regulations of the North Andover Planning Board which where in affect on December 17, 1987 . Prior to the issuance of a Building Permit the applicant/owner shall secure a written statement from the Town Planner that all plans are in such conformance. 19. In no instance shall the proposed roadways exit onto Farnum Street. The roadways shall access either Turnpike Street or Brook Street and shall receive all necessary permits from both the State DPW and the North Andover Division of Public Works. 20. The applicant shall contact the North Andover Division of Public Works and satisfy all concerns with regard to site drainage, utility installation and roadway specifications. cc: Director of Public Works Board of Public Works Highway Surveyor Building Inspector Board of Health Assessors Conservation Commission Police Chief Fire Chief Applicant Engineer File wt—sr—cr�r�r� s�•ri.� r.at Biomlarme 16 East Maio Strut,Gloucester,MA 01.930 Tel, 978,281,0221 fax.781.846.4698 biomarine@earthlink.net CERTIFICATE OF ANALYSTS Ms,Cheryl Watkins lteporc No.:21971 111 Brookview Drive October 1.7,2000 North Andover,MA 01845 Re: ANALYSES OF DRINKtNO WATER 2UALrrV Yrtzc>; I ATi4 New*ell for irrigation,305 feet deep,located at above address. 5AMPLB_CaIUCIION: Samples taken by Art Rollins on September 29,2000. FIAT D)= Total Coliform Count/100 ml 0 `0''` 10/29/00 Alkalinity(mg/l)as CaCO3 80,9 160 10/2/00 Calcium Content(mg/1) 26 150 10/10/00 C1Alodde Content(mg/)) 23.6 250 10/3/00 Conductivity(Nmhos/cm) 286 - 10/2/00 Fluoride Content(mgfl) 1.05 2.6 10/3/00 Iron Content(mg/l) 0.29 .0.3 10/10/00 M nesium Content(mg/l) 5.26 - 10/10/00 Manganese content(MgA) 0.11 0:05 10/10/00 Nitrate Nitrogen Content(M&4): <0.1 10.0 10/3/00 Nitrite Nitrogen Content(mg/1) <0.05 50 10/3/00 Orthophosphate(m&4) <0.2 1013/00 pH(s.u.) 8.17(Slightly Alkaline) 6.5-8.5 10/2100 Potassium(mg/l) 1.46 - 10/10/00 Sodium Content Lm ) 22.3 .. 28 10/4/00 Sulfate Content(Mg/1) 17A : 2S0 1013/00 Hardn w(nrgQ as CsCO3) 86(Moderate) Calculation Corrosion 1=3timate Properly Balanced N64-=66ve Calculation RUERFNcns: Analyses performed in accordance with.Standard Methods for the Exam/natrun of Yater& wastewater, 19th F..dition, 1995. Guidelines are based on the maximum contaminant levels recommended by the Massachusetts Department of Environmental Protection for drinking water. Massachusetts Certified Laboratories WA026&MAI 23 Page 1 of 3 partment,ofi'Environni nta4 Management/Division Of Water Resources' i r i �q WELL COMPLETION REPORT GEOGRAPHIC DESCRIPTION s, WE1;I:.L9CATlON .Address 60 S �mteW of (lest} l Gvj !1Y PW vVell owner N S E Of iYe 6 AddC $ jY (m!!n�enUis) lopFii of Health hermit bbtaine4: yes no Intersect. w/ � ,. . : . ,. . L;11S`1~ WELL DATA , y it. i)oniestI 0:Qubiic n Industrial❑ Total well depth ..'S Monitorllig C] Outer Depth to bedrock ft. Watei bearing rocWunconsolidated m aerial: �.: Method'drilled Description "' `� {` VA . .bate drilled ' Water-bearing zones: i To — . . j�Frc ' 2) rom► To -Z o Type '�D�•_.' vo ,F —��.`_- l Length -ft. Dla(I,b.)�_In• 3)From ____--To Length Iti6.bedrock =— � ft. Gravel pack well: dia. a.' dia._ . Protective well seal; Screen: t Grobi,.l� Other Slot# length from—to STATIC WATEq:4 �(EL(all Viribl{s) Stat(a water ieVel bslow[and surface it, Date WELL TEST(production Wells) (- ��,�� !�� ;v .� ft. ffer pumping. hr'. min.at-As NP Drawcio�vn- t hr e . ft.. after . ., .rt Asa nin. How r1���Su v R q.oyery. s�. COMMENTS' - LOG�f fORMATIONS'' r Matei'lals. rom To G •griller .Firm_ __ ........... . '��'°•••..•°'�h BOARD OF HEALTH Z-7 G 1- d tis .St. ss�cxuss 4 NORTH ANDOVER, MASS. o r ?4 5 APPLICATION FOR WELL AND PUMP PERMIT Permit # Date A permit is requested to: drill a we11 _; install a pump x LOCATION: jj/ AA00'euZ"j PA. Lot # Owner,J�A u�- (.J �'J� �'�S Address Tel g Z s. well Contrctr �, �� Ns 6 . Add. rf Tel y'79-2277"9SZ4 Pump Contrctr S '�-" Add. Tel WELLS (To be completed at time of pump test. ) l Type of well �.c.�—e" Use iQ f�T 0-6tri D Diameter of well + Size of casing G Depth of bed rock ~ Depth casing into bedrock Seal been tested? Yes ( ) No (!,) Date of.. test.. 77.. ..! .�.'.®.� .. . . Depth of well d5' Water-bearin rock Depth to water Delivers GPM for 1A0 vp-s (how long?) Drawdown 30 :L L feet after pumping_2 //—hours at tAZM Date of completion 7 -'// - SignatureCdf well contractor PUMPS (To be filled in before installation. ) Name & size of pump Type Size of tank/UO M )-'- Pump delivers GPM Pipe used in well: Cast iron (�) Galvanized (�} Plastic Sleeve used to protect pipe? Yes (T) No (k' ) Type w ll seal &KC40-- W _''�'7.- O AO Date ' Signature f pump installer Date water analysis report submitted to Board .of;Health 11 'G, 29 ! Plumbing inspector Wiring inspector;: a Board of -Health J NUMBER I THE COMMONWEALTH OF MASSACHUSETTS FEE_ of This is to Certify that ..r _ - - IS HEREBY GRANTED A LICENSE For .......[,!.(...-��/Nle+ __• ,..w. !.....�... This license is granted is conformity with the Statutes and ordinanem... expires_...��/.�I/4� t ;thereto, and _._.._.unless sooner suspended or revoked. ----------- �o ass HecW Hoees a WAMWN""' �" t �oRrN * f '• Y 14 '' °°"•••°''•��g BOARD OF HEALTH `MUSNORTH ANDOVER, MASS. APPLICATION FOR WELL AND PUMP PERMIT Permit # Date ]� "_p Q A permit is requested to: drill a well � install a pump X LOCATION: ,1 1 �(�0,%Cyi�• W" 7--)/,A" Lot # Owners �GJ< (/t/ }T1/ W5 Address_ 11 I ( °K•err�'w' Or<'. Tel Well Contrctr Cj�� o t4 i�. ' cc. :��.►c, Add.l'z"} PC, _ s� �;,pc , r- C ( Oxy uTel i' � AQ Pump Contrctr > 4/��'�- Add. Tel WELLS (To be completed at time of pump test. ) , Type of well Use Diameter of well Size of casing Depth of bed rock Depth casing into bedrock Seal been tested? Yes (�) No (�) Date of test Depth of well Water-bearing rock Depth to water Delivers GPM for (how long?) Drawdown feet after pumping hours at GPM Date of on com leti �� ��''~'`y i -���'�• - p Signature f well contractor PUMPS (To be filled in before installation. ) Name & size of pump Type Size -of tank Pump delivers GPM Pipe used in well: Cast iron (�) Galvanized (^) Plastic (�) Sleeve used to protect pipe? ies (____) No (_) Type well seal Date Signature of pump installer Date water analysis. report submitted to Board of Health Plumbing inspector Wiring inspector Board of-Health TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD 7 L Uall:: �1 STEM OWNER & ADDRESS SYSTEM LOCATION �J (example: left front of house) 72 �i� �� ; 40 c% a L),VI'E OF PUMPING. `� QUANTITY PUMPED;/�_CALLONS C I'SSPOUL: NO I""' YES SEPTIC TANK: NO YES ,NATURE OF SERVICE: ROUTINE EMERGENCY UI3.SERVAT10NS: GOOD CONDITION FULL TO COVER HrAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER Ot�HER (EXPLAIN) PUMPED BY: C. UNI lyl ENTS: U.N'I'ENTS `I'1ZANSFEIZRED TO: � •: "rtr�iah,�,l•'�+li��k.�Y��u.:.71tr.�il�k�v'l}�AIh l3F-I Y.rt} �J <ry;rr' + ?y�Sµy y Z� �1t� at{{/r 7141K'Mfl tjt.J ,•.� V t�f l�{r�4 d i, ` - r n}c' t y d. iV ,Ya J Til 7SE S ,11 'i -\ Commonwealth of Massachusetts TOWN OFNORTH AN Clty/Town of NORTH ANDOVER MA DoveR :,SystemPmping Record Form 4 DEP has provided this form for use by local Boards of Health. The System Pumping Record mu: be submitted to the local Board of Health or other approving authority, Facility Information Important: When filling out 1. Syst Lo t!o fortes to the computer,use oNy the tab keyAd to move your cursor•.do,notClty own State use the return Q1pWep- 2. Y.... Sy t �0 1wrier • Name .. . Address(if different from location) City/Town State Zip Code Telephone Number B, Pumping Record 1. Date of PumNlng Da itol 2. QuantityPumped: — G ns 3. I Type of system: ❑ Cesspool(s) CjQSeptic Tank ❑ Tight Tank �{] Other(describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No If yes'was it cleaned? ❑ Yes ❑ No S. Condition of System: 6.:Aystern Pumped B e � Vehicle License Number 1( company � ' `�� ce- 7, Locatlo where contents were disposed: qn mitt e -k Com.. f aule Date http:/Ayww.mass.gov/dep v6ter/apprQvalsA5forms.htm#Inspect •i j' t5fortn4.doa 06/03 System Pumping Record•Page t of t .';. FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having Jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. i APPLICANT LtQ.V &Utj 1 tl,f Wil PHONE ` " 92- jj 3j ASSESSORS MAP NUMBER C�X() LOT NUMBER SUBDIVISION t LOT NUMBER 66 G S_ I STREETSTREET NUMBER a OFFICIAL USE ONLY RECONIMENDATIONS OF TOWN AGENTS '11 S j� V DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COMMENT'S 7 i 5 j DATE APPROVED TOWN PLANNER DATE REJECTED CONRVIENTS i DATE APPROVED s FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED_Z Z7/92,Z> _ 104's CTOR-HEALTH t DATE REJECTED COMIVMNTS PUBLIC'WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS I RECEIVED BY BUILDING INSPECTOR DATE I f NORTh 1 Town Of North Andover Community Development & Services William. Scott P Director • 27 Charles Street (978) 688-9531 North Andover, Massachusetts 01845 ,SS^CHUg�t Fax 978-688-9542 Board of June 5, 2000 Appeals (978) 688-9541 Jack & Cheryl Watkins 111 Brookview Drive Building North Andover, MA 01845 Department (978)688-9545 Dear Mr. &Mrs. Watkins: Conservation Your request for a well permit was denied due to a concern that the dumping of Department factory waste in the past as well as other potential sources of contamination may (978) 688-9530 have contaminated the groundwater in that area of North Andover. There was not a concern that your house was built upon such a dumpsite. Ground water Health aquifers extend for miles beneath the soil surface. Without a thorough Department hydrogeological study there is little way of knowing where exactly water comes (978)688-9540 from. The Board is aware, however, of buried factory waste from several years ago that did cause contamination problems. Public Health Nurse The original subdivision plans for Brookview Drive proposed private wells as the(978)688-9543 source of drinking water supply for the development, but Board of Health as well as DPW concerns caused that proposal to be altered, and Town water brought Planning out. The Board of Health would like to see all homes in your area of Town tied Department (978) 688-9535 into the municipal water supply system for the health of the residents. Allowing a new well to be constructed would be directly in opposition to that desire. Even if you proposed to use well water for irrigation purposes only, you would still be tapping a potentially contaminated source for deposition on the soil. This could extend any possible contamination. In fact one of the areas relatively close to you was found to have arsenic-contaminated soil that endangered an existing well. In addition, technically speaking, the well location proposed with your application does not meet the regulation requirements for distance between septic tank and well. In North Andover, this is 75 feet. In conclusion, I am sorry but I must abide by the original decision to deny this well application permit. If you wish to appeal my decision, you have the right to request a hearing before the Board of Health. This request must be in writing and you must ask to be placed on the agenda for the next meeting, which will be held on June 22, 2000 at 7:00 P.M. in the conference room at Town Hall. All agenda items must be received in this office at least seven days before the Board of Health meeting. t If you have any questions, please do not hesitate to call the Board of Health office at the number above. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: BOH File Jack& Cheryl Watkins ` 111 Brookview Drive North Andover, MA 01845 978-682-3147 MAY 3 0 May 15, 2000 _ Ms. Sandra Starr Health Department 30 School Street North Andover, MA 01845 Dear Ms. Starr, We understand that our request for a well ell permit was denied due to a concern over the dumping of factory waste at sometime in the past. We cordially request that you review your decision based upon the following circumstances. 1. We believe that an error was made in determining that our home was built on the dumping site. We contacted our builder, Dave Kindred, who was quite aware of the dumping as it had some impact on homes that he has built in the past. Dave stated that the site of the actual dumping was on Boxford Street where the power lines intersect the roadway. Dave built two houses adjacent to the site and was required to conduct numerous tests before he was allowed to build those homes. That site is approximately one mile from our home. At least four well permits have been issued in the building of new homes between the site and our house in the last year. 2. Our home was built on virtually virgin land. There was no roadway that would permit access to any vehicle that would transfer factory waste. In fact, a significant hill was leveled to create the lot where our house now stands. 3. Finally, we have no plans to drink our well water. We plan to use it only for irrigation. In fact, we cannot hook up our well water to our home as we have a sprinkler system for fire protection. We understand that bringing well water into the house would invalidate any fire insurance coverage. Thank you in advance for expediting our request. We are quite anxious to hear your decision. Sincerely, 7ickWatkins Cheryl Watkins Form No. 4 Town of North Andover, Massachusetts BOARD OF HEALTH �.190 C2 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed (X) or repaired ( ) by--- INSTALLER at / 'I I// EW SITE LOCATION has been installed in accordance with Board. of Health Regulations as described in the Design Approval Site System Permit No.— �� dated 19 _. 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, Massachusetts Form No.3 < tkORTN BOARD OF HEALTH • o`tT�ae;,�tio 31•e.T. ..e 0o CHUSE<� DISPOSAL WORKS CONSTRUCTION PERMIT Applicant �0G NAME7 ADDRESS L d • Site Location TELEPHONE Permission is hereby granted to Construct ( ) or Repair ( ) an individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. 93 CHAIRMAN, BOARD OF HEALTH ' Fee .>�l �s D.W.C. No. �' MA `e — 1 2 — '3a TUE 1 2 O ;B F . ✓ 2 FRAM : FL.INTLOCK.111C. PHONE NO. 19795834430 May, 11 1998 03;32PM P2 TOWN OF NoR'Z H ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The rx d slgne beeby cdfy that the S"*Se Disposal System coar cted; )rep d, by- e-7ee Z�e e.A) seed at_ Ill was ixsWled in canfotx+ .co with.rhe NoA,AMover Board ofEcalth approved plan,System De'sip Permit#M dated �l7! ! with=approved dcs'ip flow of gsltoZs ptr day, The MatcIar:sUsed were in cozxfo=r o*,oe with diose speciEed on the approved pian;the By$,=was inst4cd br=eorc ce wi'Ih the provisions of 310 CMR 15,000,Title 5 and 1o,d regula�atzd their d r.g'jgroes suhsts 6ally with the appravcd plan. All work is •8cewxazely reprose'nted on the As-auzlt wl i6 hgs beets subxW#%ed to the Board o£3-Iealtlt. Ale "8b)7VA,?A='0e ��+/�/�f ''G7'io•�� 4G'�� l: F C�r� 8}''�-/Rf�C1�1/wtJ� .4�54C�,G, r skellsa• y�� l„ic. o:�., Date, resign tug nce'r: ''�a1?'���',�t/5__ Date: ErowS rviL N0.40052 M. �NA1. ���� OR Tf,, Town of _ Andover 0 No. -� - --i- T - � '.30 19 s dover, Mass., LAKE '9 CO CHICHEWICK �w .9 o�gATEp S E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................... ..U.l.. ............ .K. ,/ ..........( ......./�l. '. .... "" Foundation has permission-to erect..................... ................. buildings on .......1.11........... .f�.�.�. ... .......6-Y oug to be occupied as.....................................................> .,t../u..� kic.............. I�' /...��,�.................................. Chimney provided that the person accepting this permit shall in everyrespect conform to the terms of Nfe application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction.of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS a ELECTRICAL SPECT R j UNLESS CONSTRUCTION ST ........ ... ........... ................................. Service UILD G INSPECTOR Fi x"V, Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough g 4 h '4; No Lathing or Dry Wall To Be Done c", Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT a. Burner - �r� a fi" �. Street No. r' Smoke Det. i i APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE:_� CURRENT INSTALLER'S LICENSE# LOCATION: Z-0 LICENSED INSTALLER: SIGNATURE: TELEPHONE# 02 — 2 22 C/ CHECK ONE: REPAIR: NEW CONSTRUCTION: ✓ IF NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. S-7 Administrative Use Only G $75.00 Fee Attached? Yes No Foundation As-built? Yes V No Floor plans on file? Yes- No Approval Date: �� FORM U - IAT 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: Se"d 0 L; P '/v 1 c� i! o�� 5 Phone L=ATION: A_=_e=sor' s Map Number /��"�/� y� Parcel Subdivi=ion ��'�° �`e k3 �s 7*1 T� s Lot(s) Streot �jef St. Nu:tcer Use Onlyk�c�eF�c�r�c�eic*�e�et* c*�cexc�cxicx REC NDATIONS OF TOWN„AGEITTS: Date Ancrove d unser:ap_otn A',c�-l��nis tratcr Daze Rejected Cc.:�eTts U� W /�l�_/��' �LILC S U')I I n s 3 i Date Abprcved Town Planner Date Rejecmed Cc=, er.:s Date Approved Fcoc:, Da-ca Re_ e__-_ J Date Apprc:,ed xe�:1711'e:' ``— In _ ea_t Date Rel J C ncr s - se:;er,'watar ccnnect_ons _ dr ivewa.• Permit ) e F_rs De=ar--ne.^.t Re�-a i,led by g Buildin Insrector Date _ _ _ 0A FORM Q OAIi1Fl. U.RK l..f T`Ji"i i+ � " IJO`ll11 t'T;C.JV1 R PLANNING BOARD North Andover 1ASSACfUSET SEP 7 29 TOWN OF' CERTIFICATE OF AMENDMENT , MODIFICATION OR RESCISSION OF APPROVAL OF DEFINITIVE SUBDIVISION PLAN August 2.8, , 1y 90 TOWN CLERK TOWN .O F North Andover Massachusetts Planning Board On the motion/petition of date d 8/28/30 and in accordance with Massachusetts General Laws , Chapter 4 , ,Section 81 -W , it is hereby certified by the Planning Board of the ...town of North Andover Massachusetts , Lhat at a duly called and properly posted meeting of said Planning Board , held on 8/28/90 1 t was voted to amend/mod i fy/ res ci rid the approval-of , the efinitive subdivision plan of land entitled : i3rnnkni eL+ Estates " Owned by Benjamin G. 1'ar_nujn of : l _, pian S dieted : North Andover M November 25 ]987 an r e v i s e Ivy rpl�s�l£ 1�8 " by : Phomas E Neve Associates, enc_ 1 and recorded at tile : North Essex Registry of Deeds , 111 --in Cook , P a q e performance guarantee being and recor ed Book Page an ocate and showing 2-5 .LcU _ propose ots , y ma ing the fo mowing amendments /modifi (' on sj:l by -rescinding the approval for the followina reasons : To place conditions on a constructively approved subdivision All prior conditions of approval shall remain in full force and effect until . such time as they are met ; pursuant to Massachusetts General Lays , Chapter 41 , Section 81-1'1 , this Amendment/flodificai; ion/ Rescission shall take effect when duly recorded by the Planning Board at the North Essex Registry of Deeds the plan or originally apjlr,oved , or a copy thereof , a certified copy of this vote making such Amendment/ Modification or Rescission , and any plan or other document referred to in this vote : Said recording to be at the expense of the applicant i n' the 'case of Amendment or Modification . The Amendment/Modification/ Rescission of the approval of this p1 an shall not affect the lots in the subdivision which have been sold or mortgaged in good faith and for a valuable consideration or, any rights appurtenant thereto , without the consent of the own er• of such lots , and of the holder of the mortgage or mor tgacres , i f any , tlie reorl . A 1 Written consent from said owners and mortgages , if any , is attached hereto . NOTE TO CLERK : The Planning Board should be notified immediately of ' ,;•, any appeal to the Superior Court on this subdivision 'Amendment/Modification/ Rescission of the approval made within the statutory 20-day appeal period . If no appeal is filed with your office , the Planning Board should be notified at the end of the 20-day + '•' appeal period in order that the originally approved plan may receive an appropriate endorsement and be recorded along with a registered copy of the certi - fied vote Amending/Modifying/ Rescinding the a1proval . A True Copy , attest C 1 e r k ?; Planning Board Duplicate copy sent to appl i cant : PIanniny Board BROOKVIEW ESTATES DEFINITIVE SUBDIVISION, CONDITIONAL APPROVAL 1. There shall be no driveways placed where stone bound monuments and/or catch basins are to be set. It shall be the developers responsibility to assure the proper placement of the driveways regardless of whether individual lots are sold. The Planning Board shall require any driveway to be moved at the owners expense if such driveway is at a catch basin or stone bound position. Certification by a Registered Professional Engineer will be required prior to the issuance of a certificate of occupancy. 2 . All drainage facilities including detention basins, shall be constructed and erosion controlled prior to any lot release. 3 . An as-built plan and profile shall be submitted for review and approval prior to the final release of DPW bond money. An interim as-built, certified by the design engineer, verifying that all utilities have been installed in accordance with the plans and profile shall be submitted prior to the application of the binder coat of pavement. In addition, all required inspection and testing of water, sewer, and drainage facilities shall be completed prior to binder course paving. To insure compliance with this condition, a bond in the amount of $10, 000 shall be posted prior to the release of any lots within this subdivision. 4 . Any changes on the plans required by the North Andover Conservation Commission may be subject to Modification under Chapter 41 by the Planning Board. 5. The following shall be performed in accordance with chapter 41, Section 81W, M.G.L. : (1) The original Plan, constructively approved, or a copy thereof, and a certified copy of this modification, shall be recorded with the Registry of Deeds, (2) an endorsement shall be made on the Plan constructively approved referring to this Modification and where it is recorded, and (3) this Modification shall be indexed in the Grantor Index under the names of the owners of record of the land affected. 6. The provisions of this settlement shall apply to and be binding upon the applicant, it' s employees and all successors and assigns in interest or control . 7 . Throughout all lands, tree cutting shall be kept to a minimum in order to minimize erosion• and preserve the natural features of the site. Accordingly, the developer in conjunction with a registered Arborist, Landscape Architect or other professional as approved by the Town Planner, shall submit a tree cutting and reforestation plan consistent with the provisions of Section 5.8 of the North Andover Zoning Bylaws ( The plan is for areas of substantial cutting and n J filling ) to be reviewed by the Planning Staff prior to the applicant receiving a permit to build on any lot within the subdivision. This Plan shall explicitly include specific trees to be retained. Also, the developer shall inform the ant tree cutting significant g is to occur in Town Planner when g order that the Planner may determine the need to be to be present. 8 . The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 9 . Gas, Telephone, Cable and Electric utilities shall be installed as specified by the respective utility companies. 10. All catch basins shall be protected with hay bales to prevent siltation into the drain lines during road construction. 11. No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 12 . No underground fuel storage shall be installed except as may be required by Town Regulations. 13 . Permanent street numbers will be posted on dwellings prior to occupancy. 14 . All structures shall have residential fire sprinklers installed prior to the issuance of the Certificate of Occupancy, per order NAFD. 15. Prior to a Certificate of Occupancy being issued for any lot, that lot shall have received all necessary permits and approvals from the North Andover Board of Health. 16. All drainage and sewage facilities shall be approved by the North Andover Division of Public Works prior to the issuance of a Building Permit for any proposed structure on this site. 17 . Bonds, in an amount to be determined by the Planning Board, shall be posted to ensure construction and/or completion of sewers, roadways, site screening and other pertinent public amenities. These bonds shall be in the form of a Tri-Party Agreement, Pass Book or buildable lots. 18 . This subdivision shall conform to all Subdivision Rules and Regulations of the North Andover Planning Board which where in affect on December 17 , 1987 . Prior to the issuance of a Building Permit the applicant/owner shall secure a written statement from the Town Planner that all plans are in such conformance. 19. In no instance shall the proposed roadways exit onto Farnum Street. The roadways shall access either Turnpike Street or Brook Street and shall receive all necessary permits from both the State DPW and the North Andover Division of Public Works. 20. The applicant shall contact the North Andover Division of Public Works and satisfy all concerns with regard to site drainage, utility installation and roadway specifications. cc: Director of Public Works Board of Public Works ,{ Highway Surveyor Building Inspector Board of Health Assessors Conservation Commission Police Chief Fire Chief Applicant Engineer File t NOR7M , O ♦ i « ^ •''"h BOARD OF HEALTH ,.SAC "USES NORTH ANDOVER, MASS. - APPLICATION FOR WELL AND PUMP PERMIT Permit # Date –0 A permit is requested to: drill a well install a pump 1% LOCATION: J tfC U/�fy i e `�h't Lot # z^ Owners �Cj< o'104-1-iz-1.✓5 Address 0 f 012- Tel 4 c :Z 3y , 1 Well Contrctr( 0- /'A0 ) " cc Add.ifiQm1InJTel ( "E r_ =�a 3 'z I �o ,�P_UT;P - gq C3 Tel °°- Department of Environmental Management/Division of Water Resources *********** * f WELL COMPLETION REPORT f WELL LOCATION GEOGRAPHIC DESCRIPTION Address �(Z O S E W of JQ' c e ,� .xi� (feet) (circle) j City/Town �, 21-2!L�— MA ga o1zvt� ��. 11 bedrock Well owner (road) Address 2' N S Eof 'est �j (mi.in tenths) (circle) Board of Health permit obtained: yes no ❑ intersect. w/ (road) WELL USE WELL DATA $ for Domestic El ❑Public Industrial❑ Total well depth 3��ft. (how long?) Monitoring❑ Other Depth to bedrock ft. GPM J Water-bearing rock/unconsolidated m enal: Method drilled 4 ) l! Descriptionvh '+"fj/a.N�£ Date drilled "�� Water-bearing zones: f Well contractor CASING9 1) From l ka� To r70 )e****** Type l7l �fl,!,P'a 2) From 2 To 77-92 Length ft. Dia(I-D.)) / in. 3) From To Length into bedrock_¢5r ft. Gravel pack well: dia. Type Protective.well seal: Screen: dia. GPM ' Grout ❑ Other Slot# length from—to STATIC WATER LEVEL(all wells) _) Plastic (_) Static water level below land surface ft. Date type well seal WELL TEST �(production wells) (' .�� ` Drawdown.3!q � ft. f-ter,pumping hr.� min. at m,�...-.-��pm How measured Recovery. ft.- after_hr.r.Z_min. ump installer *********************** LOG of FORMATIONS COMMENTS o Materials. From To f Health L riller ° inspector Firm AORT1q ov fa H 1M S f • o � i ��'°••..°•''`� BOARD OF HEALTH Z 7 e,- ""sit NORTH ANDOVER, MASS . D 1 p9 5 APPLICATION FOR WELL AND PUMP PERMIT Permit # Date A permit is requested to: drill a well install a pump x LOCATION: N OoK��� f�i� Lot # Owner,-JTfA] G� W+'�-f'1�-�''JS Address Tel 6K2- - Well K2- -Well Contrctr 6, /7)• a/ Tel eP�dd. f Pump Contrctr Ste— Add. Tel �e�lr*ie�le�k�e*�fr�e�k�r**�Ie*�k�lra�r�le*�e�fr�fr*�r�le�e�Q�edr�e*�e�ir�fr�te�Ir�e�e�r4rx�Ir�fr4e�e*�r�e***�Yifr9e�e�e�e�e*�Ir9e�r�c***** WELLS (To be completed at time of pump test. ) Type of well Use Diameter of well G Size of casing Depth of bed rock �✓ Depth casing into bedrock Seal been tested? Yes ( ) No (_) Date of. test. 1• , Depth of well 3�� Water-bearin rock Gr Depth to water � Delivers s a �Z- GPM for 2 9 Ac(,/9-S(,/9-S (how long?) Drawdown D S� feet after pumping (I hours at tA-GPM Date of completion 9 Signature f well contractor PUMPS (To be filled dd7in before installation. ) Name & size of pump lryVLP-C- yo` Type Size of tankMO 7We— Pump delivers M GPM Pipe used in well: Cast iron (_) Galvanized (_) Plastic Sleeve used to protect pipe? Yves (_) No (') Type w ll seal Date '_ Signature f pump installer rc � Date water analysis report submitted to Board -of- Health Plumbing inspector Wiring inspector, Board of Health ---- NUMBER D� THE COMMONWEALTH OF MASSACHUSETTS FEE_ of .. ... This is to Certify that ...... NAME �a ---- ....... AD RESS /1/// IS HEREBY GRANTED A LICENSE For ........(.(_l. ITDA-..! •--•------•--••---•--•--•--•-------•------------•----•--......•-•---•.............. --••••.......................... This license is granted in conformity with the Statutes and ordinances relating thereto, and expires........ / ...................................unless sooner suspended or revoked. D J � (� --•--.......-•--- � ---• - .-.--• .. . jad •-• ........... .... �.. .„, FORM 488 H&W ....---•----•. _..--------- _ HOBBS&WARREN rM ... .. .......... __ partment of Environmental Management/Division of Water Resources' WELL COMPLETION REPORT GEOGRAPHIC DESCRIPTION WELL LOCATION 60 (N�S E W of Address (feet) ti (circle) Cty/Town �� (road) l Well owner N S Eof t circle? Address (mi.in tenths) O� rf-cop B6ard of Health permit obtained: yes[� no intersect. w/ (road) WELL.USE WELL DATA ft. a Domesfic,� Public❑ Industrial ❑ Total well depth —ft. + i2Rar Depth to bedrock "Monitoring El Other Water bearing ro�c/kk/unconsolidated m erial: Method drilled i Description " `�' v t -' �� Datedrilled Water-bearing zones: l � 9 To �7 — t CASING 1) From ; 0 �;d 2).From `7 - To—�— Type 3) From—_—To ft. Dia(D. l In- + : Length ( . ) �. dia. Length into bedrock Q ft. Gravel pack well: _----- dia.--_---- Protective well seal, Screen: Slot# length from____to Grout 11 Other '. STATIC WATER.LEVEL(all wells) Static-water level below land surface ft Date WELL TEST(production wells)19r G hr.�" min. at gpm Drawdown{ ft. ,after pumping Recovery. -ft: after— How fter How measured. '' LOG of.FORMATIONS COMMENTS _ o I. Materials . From .To l riller , Firm. OCT-17-2000 14:03 P.01 Biomarmis 16 East Main Strut,Gloucester,MA 01930 Tel. 978.281.0222 Fax.7g1.846.4698 biomarine@earthlink.net CERTIFICATE OF ANALYSIS Ms. Cheryl Watkins Report No.: 21971 111 Brookview Drive October 1.7,2000 North Andover,MA 01845 Re: ANALYSES OF DRtNKiNG WATER QUALITY SOUP-CF LNFORMAnQN; New well for irrigation,305 feet deep, Iocated at above address. SAMPLE Tr : Samples taken by AR Rollins on September 29,2000, FINDINGS: Total Coli7(mmg/l) Cownt/100 m1 0 :_ 10/29/00 Alkalinity as CaCO3 80.9 100 10/2/00 Calcium Content(mg/1) 26 150 10/10/00 Chloride Content(mg/1) 23.6 250 10/3/00 Conductivity(Amhos/cm) 286 - 10/2100 Fluoride Content(mgn) 1,05 2.4 10/3/00 iron Content(mg/1) 0.29 0.3 10/10/00 Magnesium Content(mg1l) 5.26 - 10/10/00 Manganese Content(mgA) 0.11 0:05 10/10/00 Nitrate Nitrogen Content(mgA). <O.1 10.0 10/3/00 Nitrite Nitrogen Content(mgA) <0.05 1.00 10/3/00 Orthophosphate(mgA) <0.2 1013100 pH(s.u.) 8.17(Slightly Alkaline) 6.5-8.5 10/2100 Potassium(mg/1) 1.46 - 10/10/00 Sodium Content(mgA) 22.3 28 10/4100 Sulfate Content(mg/t) 17.4 250 10/3100 Hardness(mg/t)as CaCO3) 86(Moderate) - Calculation Corrosion Estimate properly Balanced Non-eoaosive Calculation BEFEMC.ES: Analyses performed in accordance with Standard Metho&for the Examination of Water& Wastewater, 19th Fditiort, 1995. Guidelines are based on the maximum contaminant levels recommeAded by the Massachusetts Department of Environmental Protection for drinking water. Massachusetts Certified Laboratories OMA026&MA123 Page 1 of 3 W 100 FT. WETLAND _ BUFFER --LINE TAY' 200- FT. OUTER RIPARIAN s RIVER ZONE r \ I 11 ' \ GJ EX. D—BOX 8 5Z581 S. F. \ \ - 1 . 21 Ac. -�— 11 .6' EX. 3' X 50' TRENCHES H 1 a 00 EX. 1500 GAL. 26 °" 2 0.0' f ' SEPTIC/TANK 0 53.9' - i EXISTING I A FOUNDATION I C 1 mss. Top Fnd. EL.=136.58 ELEVATIONS TAKEN AT TOP OF PIPE SWING TIES COMPONENT COR A COR B V, P OF FOUNDATION: SEE PLAN d�P �pcit9gsa® SEPTIC TANK 33.4' 49.8' PP (CENTER) E ® D DWELLING: 126.47 D—BOX 138.5 96.9 (CENTER) TANK IN: 125.74 c o END PIPE: TANK OUT: 125.53 z BA ws s , eo vii �® END PIPE: F 165.9 123.1 ;., D—BOX IN: 122.63 e END PIPE: G 170.7 118.5' D—BOX OUT: 122.47 (ALL) �$�o� GIS END PIPE: H 147.0' 93.0' ' END PIPE — G: 121.96 F0 AL�d'� END PIPE — H: 121.94 END PIPE — I: 121.96 { AS-BUILT SEWAGE DISPOSAL MARCHIONDA & ASSOC., L.P. SYSTEM PLAN ENGINEERING AND PLANNING CONSULTANTS ti LOT 8 BROOKVIEW DRIVE 62 MONTVALE AVE., SUITE I ; ,.r STONEHAM, MA. 02180 '5 NORTH ANDOVER, MASS. (617) 438-6121 'k PREPARED FOR BROOKVIEW COUNTRY HOMES SCALE: 1=20' DATE: 4/21/98 :x P.O. BOX 531 NORTH ANDOVER, MASSACHUSETTS M & A FILE No.: 351 — 22 SEPTIC PLAN SUBMITTALS LOCATION: NEW PLANS: YES $60.00/Plan REVISED PLANS: YES $25.00/Plan DATE: el7 Ile- DESIGN ENGINEER: i When the submission is all in place, route to the Health Secretary i Town of North Andover, Massachusetts Form No.2 eORTM BOARD OF HEALTH • �i DESIGN APPROVAL FOR SSAC14USEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant __ k Test No. Site Location WT Reference Plans and Specs.— 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. CHAIRMAN,BOARD OF HEALTH Fee Site System Permit No. 3 e away Ira ti�''i ery iG P.O.Box 231 4 Methuen Ma, 01,544 - 0231 3uS. (308)682 6028 Fax (508) 686 - 3861 • i to 0i lilt ! del D t t I I t PVe4 yet/mss - i + f � � I - I I' t t C3C3 Lu Ji � � L'-J! � C�-J' MAR 1 3 • SCALL: 3118" •I' i 54' GOLDNLAL 4 BEDROOMS 2 1/2 BATHS Dr��AWINC # CL GARAGE UNDER � I ORrwww anami c�a-eypa lit n cortoearaes a WMn - . . _ •-r u,o�G.if,r ;.. .�: .t... ;.�:: � -, p:.i,�.��i'1 1 L/W 6N l� IY� i 4l i 'r:!i JL✓} I lnhm LA nete r mo shalt be Ideated as Polper o rho sq.ft 3.1.lght and ventnatbn All habf able rooms sEtidr bs provided mfttt PA,Boz A mhirliJn of oras per moor and besestnertt.ones t or pati theraof. One.hail be beat outside of each se pants °�5&.&!qL"aba of not leas thanof tZw eight(6)p,ror,t aof the Methuen Ma. O i844 -0231 skY N arena ad/or raw the bare of,but not afthlt Mach statsoay, f'foor area or such room` Onsaealf WZ m0u end area of the: M40LWM ei"shall be opwabi,. Bus. $08)08)682 - (0028 2 Yantllatbrr Kitchen and bathroom alsafl have rttechan{cal v 4•Dail ad SU"atdths shad btru Obs a nhe of 3 feet clew f�C $08) b86 - 386I tateft that provide 20 cW o=warrt Bathrooms aRh a wbdo wh{ch Wandraft tYat�project no sora that 3 Vt teto this requhsd aLM opens dhxeJU to outside at,w treehanf:af vent>)atiors anal! 1340Ll0.4Z 'MOWal I be necaae rt ITable 3401-Z.34012 3`-0' V-6' 6'-0' I I 2'-V 3'-5' IST FLOOR R NL WALL ,O -!m - i-r2A1't3 e^O�web WALL !ST�i00R ONLY 1ST i?OOR ONLY o I ! •' m E,�ITING- ��s■� � STUDY Y ' r � O •ica t •o KITCHEN s 4'-41`1' S• �.4• - - - o c FAMILY ROOM Co -CD 3'-0' •� i 0 Sia t I � I i II N Q LIVING- ROOM O o DINING- ROOM N i 0o II _ ' 11 i I=07_:Ig i r I C) 5• �. -1 5-5' Ib -i 5- 1 s'• 1 ao { 3'-8'X 5-5 N I 3'-9' 6'-9' 3'-6' 6'-9' 14'-0' 14'-0" 12'-0. 14'-0' - f F LA DRAWING- CL 21a-A sr-AL:-,3/16'■r FAGS a ervice r~ r:g FO.Box 231 - t Methuen Ma. 01844 - 0231 Bus, (508) 802 - 6428 I Fax (BOB)68(o X861 t S-t0' 4=14" 3'-6' 4'-V 3-e '-0'4' 01 1 ! N ! i — — — — • I , ! i S2 I I 7-4'116 I 1 . N m 5 '-4' D cr SLPIG I f�ASr3$EE) F7- 7-0' iD N' 5'-0'SLION6 5'-0'S1.DP16 i I jj ev I 1 , I I —cc OFEN r r — — BELOWco I 1 I I BEDROOM BEDROOM I I 10 WAKDRAIL 2` 5--0 7 4- cO h�9 m ! X 4-4' N 3'-0' 4'-0' 4'-0" 3'-0' 3'-9' 10* I SCALE:3/16'=1' ! i DRAWING 0 CL 2!Q-A _ _ __ KeHowau Drattin Service 4=our�cfetbn anchor bolts 0911 be a minfto of VZ'h dieneter, I-i N R 4 L u a I t 5 They sM&tl have a mtift"eei�ecf of W in powed comn"'m b.��of awe po►+t of a fourdatiors dse11 be a mintnwn of 4'0' 1 tuns shal231 l be a mtsYun of 2 anchor bolts per section of stll platabelloice' .rJ• BCX Maximum space&hall be S'OL. 'L a franedkneacalla shall be ki`mP� h lanath and ethers the Methuen Ma, 01,544 - 0231 4'O' h helcf^t,&shall be of the&tze nsouhsd I,=oundatlon walls&hall extend at?east S'above F-hish orale 5.Concnste slabs on grads shalt have contraction joke with �`�l S g"&w than 4.08 11 ehail be th 1[be of and eff "Umti� Lig. (-DOs) Exterior aced for an addLiDrA Mo>� 2_.�ctrrfor surfecaa of Taeonu feuncatione er:.'iostnc baeenfersta a da7th of at{cart V4 she alai thtcicrseae. These shall be shall be damproofed_ not norm than 30'In each drecttom Comractlon Joints shall 6e cnom`-b Fax (SO$} 6-86 - 3861 S. rd&of mood ardera entar4no maecrr9 or cowje'a&sell*&pati be B.The ulttesata eo+npnsseNe s:. otP of c=rerte foursdatbrss placed suFuro off&ets are corm t.'tan i0' provided��, et on tap aides and erda uniew approved dirable at 2S daue shall be not Lasa thim 2CO O tbsJaq,f` CorrtrsC.ton,orste ass not requhzd where bxb-6!6 welded wto or' d stood b weed, r � fabric or eouvatent Is p4cea at a OW-cleoth of the*tab. 5'V-0" - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - n n o I i n = I j — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ..._ _ -. — — — — — — — — — — — — — — — I cc I I 24'-fl" I I I I of t 4' CONCRE i t SLAB t I I I •> I" s s I I 6'-9'/*" 6'-8" E'-6" 6'- 6'-8" 6'-8' 6'-S" 6'-2" 1 ' II I - I " •�I I o - I t- - - -- - - - - - - - - - - - - - - - - - - `- - - - -(- - - - - - - - - - - - -- - - - - - L A t I s s I C _ �, - -_ - _ _- _ _- _- _- _- _- - __ _- - - - _ -�_ _- _ _ - -_ - - - - - - - _ - _ _! _ - - _ r •I -r-- CO `" I t- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � 4 I Ob t S;3'BEAM 4-2X10 BEA111 ti ' X ° ► ?� I I �FLUSW e4=ADL� s t i - BEAM C' s8 DEEP t I .s t I I 4 ST.,LAL_Y COLLMNS { l L I { � c c-^ I I �I - i -► 1 I t I I >� I I `a I I • a'w k S'g X S'Dmr I I I- - - - - - - - - - - - - - - - - c 5EAMf*CCK=-t t I s � s s v s �_ •• t M I t � .a - - - - - - - - - - - - - IT - - - - - - - - - - - - - o - L - - - - - - - - - - - - - �- Jul - - - - - - II r - - - - - - - - - - - - - - - J t m -je I o I Id' >►� .a F I 2'-8" 54�-0" 0. FL4N DRAWING- 0 CL 219-A PASS: FOUNDATION 1 SCALE: