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HomeMy WebLinkAboutMiscellaneous - 111 CAMPBELL ROAD 4/30/2018 (2) 111 CAMPBELL ROAD ` 210!106:6-0037-0000.0 i J /I l I r P I i f 1 __ I I �� II SEPTIC SYSTEM INSTALLATION IS THE INSTALLER LICENSED? NO TYPE OF CONSTRUCTION: NEW NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF APPROVAL YES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO DWC PERMIT PAID? YES NO DWCaPERMIT NO. 774- INSTALLER: 'jbNti SOUcy BEGIN INSPECTION YES NO: EXCAVATION INSPECTION: NEEDED: A/ rU PASSED BY CONSTRUCTION INSPECTION: NEEDED: OES AS BUILT PLAN SATISFACTORY: APPROVAL TO BACKFILL: DATE: // /�/q� BY FINAL GRADING APPROVAL: DATE ILId9 BY FINAL CONSTRUCTION APPROVAL: DATE: BY AA f �" -- f I� i r I S.\ Commonwealth of Massachusetts Ctyffown of NORTHANDOVER. MASSACHUSETTS System pumping Record FThs"k IVED Foirtn 4 qq DEP has provided this form for use by-local Boards of Healthtrig cord mutt be+subm-Itit-d-Wtheion#Eloord-of-H"kh-crotherapprovinrgRTH ANDOVER TMFN A. Facility Information .oux 1.. -system Location;. fornts on the carnputer.use only the tab key Address tornomy*w t�9cu-do M � — C L"ft return fty/rO1N" State Zp Code kW 2. -System owner./ C16 C bt grol Name Address(if different from location) CAyRown S'tato Zip Code Telephone Number B. Pumping Record "lZro /000 I. Date ref-Pumping nate � 2. Quaintity Pumped: - 1 CADWS 3. Type of system: Cesspool(s) ( Septic Tank ❑ Tight Tank -other(describe): ` 4. Effluent Tee Filter present? ❑ YesoNo if yes,was it cleaned? ® Yes 0-No 5. Condition of System: C>'�-�1 . 6. System .PumP By: iet►RIS License Plumber 7. Locatio tiUhere tents Wgre.d 4wt Date ht ItwwWmass•gvvl� rlapprvvaIslt5f0rms.htm#inspect MoffnA.dw asp S3 ftnp�V Rowm-page f of 1 al fr_o_?rarnr_ TI Ir 'lo. or"m 'r.. i �� TOWN OF NORTH t RTH DOVER SYSTEM PUMPING RECORD DATE: _t 6t ;. SYSTEM OWNED&ADDRESS SYSTEM LOCATION (example: left front of house) Vt � • r �,�� `3� _ 00S( DATE OF PUMPING: Q' - QUANTITY PUMPED 5 -0 GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES,Y Y NATURE OF SERVICE: ROUTINE,�ti EMERGENCY OBSEONS: f k' GOOD CONDITION, FULL TO COVER HEAVY GREASE -BAFFLES IN PLACE ROOTS LEACH FIELD RUNBACK EXCESSIVE SOLIDS, FLOODED SOLIDS CARRYOVER ,,� OTHER(EXPLAIN) SYSTEM PUMPED BY: �� c, �e wf-- - COMMENTS* CONTENTS TRANSFERRED TO: mw c.e— t I �f ,� �. II i� II 1 1 AddressLu C Zf -O Title of File Page of Date f=ile Open: nate file closed: Doc Document/Action Title Date of Refer to other Purpose of Docurm�and notes action Document/ document/ Num. Action De artment Board of Appeals - Board of Health Plannin-g Board _ C nservatiion Commission - Buildin g Department - FORK! U - LOT RELEASE FORM �1 INSTRUCTIONS. This form is used to verity that all neczssary approvals/per its from• Eeards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or reguiraments. AFFLICAN7 FILLS OUT THIS SEC T IC'N"" AFFLICA,V T .� �— c tirp4 P�:CNE i -3 5— LOCATICN: Assessors blah Numcer FARCE_ SUEDIVISICN LCT (S) STREET ST. NUMEEF L OFFICIAL USE CNL RFC MENDATIONS OF TOWN AGENTS: CCt4ZE:cVATIGN ADMIN STRATOR DATE APPROVED -4-0 DATEEJJREJECTED L �Z1 1�- c r� CO MPAENTS G i ' U j �J�'-�'(' t> r.r-r✓� inn 7 � n T ' TOWN PLANNER DATE APPROVED DATE REJECTED CCMMr=NTS FOOD INSPECTOR-HEALTH DATEAPPROVED DATE REJECTED _S"EFT INSFECTOR-HEALTH DATE APPROVED DATE REJE==D COMMENTS_�D'�`� s PUSLIC `NCRKS -ScNEPMATER CCNNECTICNS ` DRIVEWAY PERMIT FIRE DEFARTMENT RECEiVcD EY EUILGiNG ii�ISFECTCR dA' Revised She jm �„i •'r� e`sal,,... "'�=G i.� D r �C.9�+�C P i NORTH ANDOVER COMN In memory of Carol Pawelski and in sul Friday, Januar 2:00 p.m. - Senior 120 Main S To schedule an appoin North Andover Health Department WIWII 1-cgister1110-, your (101101- cx1-d u1- Ix + American STEVEN J. D'URSO LE` UEM OO GF UG3ZKOOMUL Environmental Designs 22 Lilly Pond Road W. Boxford, MA 01921 DATE // Zs nim dSUc�T7� (508) 352-9872 ATTENTIO TO />2�0 4�&a6-r� AAX RE 02-44`^ TOwN of � PARf)OF HEAL 11Fr� > WE ARE SENDING YOU Attached ❑ Under separate cover via Zthfollowin�lt ms: ❑ Shop drawings K Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ 41 ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: Il enclosures are not as noted. kindly not!/v us at once. �`i�.� t'i`p. � }v s �'!4 se -.ci � .,x�` � � , � �. � (`.�.'. �� 4 �� � � � 1 PLAN REVIEW CHECKLISTC ADDRESS ,�� ( ��J/���C� _D . ENGINEER GENERAL / 3 COPIES STAMPy LOCUS L� NORTH ARROW SCALE CONTOURS ( PROFILE ✓ SECTION BENCHMARK SOIL & PERC INFO ELEVATIONS WETS. DISSCCLAIMER WELLS & WETLANDS L,---' WATERSHED?_,Z14 DRIVEWAY (Eley) WATER LINE �r FDN DRAIN4 SCH40 L-,-' TESTS CURRENT? Lj SEPTIC TANK MIN 150OG . 17 INVERT DROP ✓ GARB. GRINDER(+200% EDF) 251 TO CELLAR ✓ MANHOLE TO GRADE ELEV GW D-BOX SIZE # LINES FIRST 21 LEVEL STATEMENT INLET 9�5•4 7- OUTLET 7 (211 OR . 17 FT) TEE REQ t D? LEACHING MIN 660 GPD? RESERVE AREA 41 FROM PRIMARY? 2% SLOPE v 0 ;A001 TO WETLANDS 1001 TO WELLS 41 TO S.H.GW 351 TO FND & INTRCPTR DRAINS '-� 3251 TO SURFACE H2O SUPP /16 41 PERM. SOIL BELOW FACILITY t/ MIN 1211 COVER t--- FILL? (251 if above natural elev; 101if below) BREAKOUT MET? � TRENCHES MIN 660 gpd SLOPE (min . 005 or 611/1001 ) >31COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 101 MIN. 411 PEA STONE? BOT X LDNG + SIDE X LDNG = TOT (L x W x #) (G/ft2) (DxLx2x#) (G/ft2) Copyright C 1993 by S.L.Starr i PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 1211-4811 STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 411 BELOW COVER >3 FT - VENT MANHOLES 1211-4811 STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W)xD x #) (G/ft2) FIELDS / MIN 660 GPD 4," 900 ft2 BEDy PERC RATE FASTER THAN 20M/IN GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED?_,� 4" PEA STONE?- DIST LINE SLOPE .005? C - >3 'COVER-VENT �- SCH 40 - MIN 1211 COVER RATE !t2 /,t/ LDG X 660 = 116o = TOTAL ft2/G REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY Spm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME 9Pm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright© 1993 by S.L.Starr STEVEN J. D'URSO LL F UEM 01F UMMENUL Environmental Designs 22 Lilly Pond Road W. Boxford, MA 01921 DATE I 1DS (508) 352-9872 ATTENTION RE' TO 40 -,--r�q� 0 N�'cH g�p,RO MPS ` \9�5 > WE ARE SENDING YOU ❑ Attach ❑ U eparate cov the following items: ❑ Shop drawings ❑ Prin ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ FOR BIDS DUE 19 ❑ PRI S RETURNED AFTER LOAN TO US REMARKS Ad ll ^ate c COPY TO _ SIGNED. �t ►��, A . } �;�-� +�.'Y;Y� ��`�. 4 o,- W,✓ s-)o We 00,- Y-\SCA-- 6&YV � � C No................_.._.... Fizz.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH OF.... ........Ao........... Xppftratinn for Disposal Workri Tonstrur#inn Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System-at ....---•---....1r1Z-......................................................................... ............. - ------ - Owner Address W _ Installer Address Type of Building Size Lot____" CQ__~Sq. feet U Dwelling—No. of Bedrooms-----------------------------------------.._Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.........................--- Showers ( ) — Cafeteria ( ) Other fixtures ............................... .- . _ W 6.6.............gallons. Design Flow----------------------------1_65_.---gallons per per day. Total dally flow------.--------- WSeptic Ta —Liquid capacity_,P.7t�-ISPLength--- Q....... Width................ Diameter---------------- Depth_ - ------Width.... area ft. Seepage Pit No---------------------- Diameter-------------------- Depth below inlet.................... Total leaching area----_.............sq. ft. Z Other Distribution box ( ) Dosing tank ( 1 . '-' Percolation Test Results Performed by.-______. _.�_- -----� Date.... �_ !�'f- ........ minutes er inch Depth of Test Pit._.__®_4r�__ Depth to round water.... 0-t-, a Test Pit No. 1._..1Q._____ p p _ p g �- lr Lr, Test Pit No. 2................minutes per Inch Depth of Test Pit-------------------- Depth to ground water.....7_.....__..___.42�OK P4 .....•-----------------------------•----------...._...-•--------.......--'-------•---'-------•-••--•........................................................ 0 Description of Soil---------------------------•••----•---•'•-. ---•-- ----- x � � - - U W -•-•-------------------- --------------•------•----••--•-•-------------------------------------------------•---------------------------------------•------•-------•-................................... UNature of Repairs or Alterations—Answer when applicable----------------------------___--.--____-_.-------.-_-__-__--_-_-__--__--------___--__-------_-. --------•-------••-•----------------•-•'-----'------•------.............-------•--••'••--•---•-.•--•-••--'-•••----------------------•----..•---••------------.._...._.._•-•-••--------•--------•---'••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliances g be n issued =rd of health. Signed - -... ........................ ------------------------------ -------3�ri 5-------- Application Approved By --------------------------------_....-.._.............-.....------------------------------------------------------------------------------------ ........................................ Date Application Disapproved for the following reasons- --------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Dare PermitNo- -------------------------------------.............................. Issued -----------------------.......----......--------------------------- Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................---------------------- OF -------------------- _-----------------------------------------------------------...- (fErtifirate of Tompliartrie THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -----------------------------------__---. ........-----------------....._...---------- Inseller at ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------`----------------I .. ....------- 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. ------------------------------------------------ dated --------------------........................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................ ....._..................------------------..---------------------- Inspector ----------------------------------------------------------------------------------------...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.................................................................................... No......................... FEE........................ Disposal Varkii Tnnstrnrtion "rrmit Permissionis hereby granted..................................................................................................... .............. ......................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.. .............................................. Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated.......................................... --•-----------------------------------•••--•-•...._..._..-----------------••----•••----•.'--••---•_-•-•-- Board of Health DATE-----------------------------------------------------------------'•.....•------- Form 1255 H&W HOBBS 8 WARREN TM Publishers � i i i � � i � � � � � i � � i � � � I I I � :_ f � � I ' � I � 1 ,, � I - � � I -. � I . .. � t � 1 1 � i � �. � '�`t � ''� � __. _- � � - •. _ � � � � --• � I __' I , � i j � I ... _ � � f� i i � 1 _. � i � � I I � � I No................-....... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH Allpfiratiun for BisVusttl Workii Tonstrnrtiun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair O an Individual Sewage Disposal System at: 10 r -- -�, ° Lo Addressor t No Owner Address a ................................................................................................. ---------•-----••---•••----•...-----•----------------•-•--•-•---...-------••--•-•--••••-••-.-_.... Installer Address QType of Building Size Lot____ s .. Sq. feet V Dwelling—No. of Bedrooms............................... . .....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures -_._____�__________________ _ _ I W Design Flow____________________________Ake -.-_gallons per per day. Total daily flow----------_--- .............galigns. R: Septic Ta —Liquid capacity IS gallons Leggth---f:0_e____. Width........ ...... Diameter-_.---------------- Depth_ -, . Disposal —No. .......I........... Width....._90...... Total Length_____ ; ___ Total leaching area..±%`� ....sq. ft. Seepage Pit No--------._ --------- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( `" Percolation Test Results Performed by......... ._ ..: _ ` c- ......... Date___ r''aApj� � _7 Test Pit No. L___tO..._..minutes per inch Depth of Test Pit -le.A____-- Depth to ground water x ? - (Tq Test Pit No. 2................minutes per inch Depth of Test Pit-----------------_._ Depth to ground water_____- .......�__ 0 1:4 •-------••---•------------------------------••-----------------•.......--•----•------------.._.............................................................. 0 Description of Soil---------------------------------------------r.. ... .— ,..gigIA v ------------------------------------------------------------------ �. `---- ---=-----------------------------------------•---------------•-----------•-•-•-------------- W -------•-----------------------------------------------------------------------------------•-----------------------------•....__...-----------•-------••--•-------•----------------•-----••------------- UNature of Repairs or Alterations—Answer when applicable................................................................................................ .................... -•------••------•-••---•-••----•--•----•-•--•--•-•---.......-•-----•---....--••-•-•-----------------------------------•------------.... ........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as en Izd board of health. Signed I s . - - ---------------------- ...... ApplicationApproved By ... . . . ..... ........................ ........--------------------------------------------------------------------------- Date Application Disapproved for the following reasons: .................................................................................... PermitNo. ..................... .............................. ........ Issued ............................ . ......----. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............................................. OF ------------------------------------------........---------------------------------- 011-ertifi a e of CDmplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ..------------------------------------------------------------------------------------------------ Installer at --------------------------------------------------------------------------------------------------.......----------------------..........-----..._........----------------------------------- ---------------------------------------------- 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- ------------------------------------------------ dated ...................----------------------I...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....... ............................................................ .. . Inspector .......-...---------------------------------------------------------------------------.-.._---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... No......................... FEE........................ + Disposal lVarkv Tunstrudinn "rrmit Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................-----•-----•-•-----••-••---•---•--.--•-•-••----------------•-••-----------------------•----------- ............................... Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated.......................................... •-•------------••-------•---------•---------------------•---•-•------------...--------•----•--...... Board of Health y DATE................................................................................ Form 1255 H&W HOBBS&WARREN TM Publishers ! ..�.. �' �. �e/ ��� ���,��,� a CHECKLIST NGINEER SCALE - CONTOURS RK - ELEVATIONS SOIL WELLS & WETLA14DS tions) WATER LINE TESTS CURRENT? GARB. GRINDER (+200% EDF) E ELEV GW FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. *****************Applicant fills out this section***************** APPLICANT: V v : (. (� Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street L( Cl L i'Yln 1 �/k, I St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved _ Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments T Public Worcs - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date 1- FORM4• SYS` PPID T( Commonwealth of Massachusetts Massachusett System Pumping Record S\-stem Owner ystem Location Y i I \ Date of Pumping: —�� Quantity Pumped: C oxiallons Cesspool: No Yes ❑ Septic Tank: No ❑ Yes System Pumped b%-: � � License 4: Contents transferred to: Date Inspector Yi'V" air a. P.02 STAT TOL(617)4761474 , Babison Entepins hrI 111 AgA6 Rodd•Andover,Maes.01510 M ar�n}, 2 1P9L Sir. Keith 8agelin 111 Campbell Road North Andover, Die. 01845 L J 7b Wrap PMW ands Om no"18,club WM CMN wnrrige AmouNT$Pd. 14n:nn Due oleClrrno�+ AMOUW ••111 Campbell Road North Andover, 1[a. 01845 9/27/91 At the time of pumping out the eeptio.; d. $14o.co tank, the septio system was in proper working order. The septic tank is 1000-gallons. In n a is 'this oertifioation guara�itse the septic system from failure. Ne VJ. Bateson sdmm Eab pbm hie.-ANdm w.MA o/slo t BATESON ENTERPRISES INC. S4P�SYaant—ExcevdWg—WatNr i 88wNr UnK—ef4MWie 111 Andowt.M4N4uWusen 01810 (808)4TS-1474 Septic System certification Check Off List 111 Campbell Road , North Andover, Ma. 01845 1) Septic Tank Size ( In Gallons ) A)) 500 B) 750 0,) 1000 D) 1500 2) Septic Tank Operating Leval 40) Normal B) Abnormal f 3) Soil pipe To Septic Taz* i1 Clear B C logged 4) Baffles In Place Inlet cullet S) Solid Content In Tank A Light ge iva 0 Heavy 6) Leach System Type DIB Drywalls C Field D Unknown 7) Effluent Visible On Lawn A You jbNo 8) Run Back From Leach System A You No 9') Washing Machine Discharges To �) Septic Tank B Drywall 10) Current Plan At Board Of Health 0 You. B) No MAR 27 '91 17:45 PAGE.002 Qp *ASS. \' 6-0 r - rc«^ 1• s , ,Yp• O $ , 4. P t 0A1?a4QD o 6• sg "mss; zctr ro e; O!y D2. OF NO 8• s ��+ OUav OF 9• "Vo T,roD ZoT • 10 4 ZOO AND SIZE r� S 1 °�' "Wow zooTIojv ' DIs c Lo/ r Tom► Dh J spy, I6 op x oR S ofi cz op mks, � bZ � mail , s 1Vp ��C ? • DI 6oE s 0 v+/,4. 0 ,� �x o$ %' � �ULgT rckt F �E OUTC.�? � �QD CA F."7 er. PgGS• 88a �_ t t 14�.451 e? Lor At ` to-r 6 I CIC I O, OQr f .u DIS Rq • 1 ilyN�F r r Z. C4 Mpg,,, � RaA D ������N q►RC�k•1fr •Rhq ►► v r h°�o � `►;�her Mr ♦ilk re�uie ;o+r f�OK:INBvr cr a�►���4►�r%A�IY,�ef•b°r ar* �G,•'�Y'rocoh• tROl°►h ,OAR un'sKd }jACL'ry Vh o 4t ANN Z7 r0 TSE �p/�& �al�•o..►yey��oi:,�y���i"��,�y�~'d.' "'�ryr",?At �off,•°�'no 3 0 O► S�Eei M A Fiji). SAV W4""e o�ro•�rOcir e ••°" � QR'' Np �I� I "•►R Nr�, mor R 2 O,rF. C'AQB / LF�NSVq Ary'�Clq Mq cn re s r91 1.4 87 aMe��t R �O s �Crlp s a .o aF o,C/I0 pC A�Aly �k n�yoRI^^ f p • ' N[f �y q r AV • s%'►tEa�°,A f/P,9G 6 82 I ,� i`� P.02 STATEMENT• TOL(617)471x1474 Batown Enu prt m Inc. 111 ArgUM Road•Andww,Mesa.01810 Mar_ nh 2 10¢L Mr. XSith 11agelin 111 Campbell Road North Andaver, Me. 01845 L J To hm"prow as s 08M arm r"alb IM61 YMV MmWg4. GIN 0l8pIPI1CN Awoun ••111 Campbell Road North Andover, ma. 01845 9/27/91 At -the time of pumping out the septic•; d. $140. 0 tank, the septic system was in proper• working order. The septic tank is 1000•gallons. In no «ie 'this certification guara�iteo the septio.:system from failure. Ne VJ. Bateson *&&Vdw%him-A-ADM.AIA 01610 BATESON ENTERPRISES INC. S.MW gymm—pxo nwq—Wauw a Www UnN-Ows" 111 Arya4 Rad Andover,M4p4ahL%*-01010 1602)4MI474 Septio System Certification Check Off List 111 Campbell Road , North Andover, Me. 0184$ 1) Septic Tank Size ( In Gallons ) A` 500 B750 0" 1000 D 1500 2) Septic Tank Operating Leval *) Normal B) Abnormal i �-• I ��� 1 I 3) Soil Pipe To Septic Tank Z r) Clear B C logged 4) Baffles In Place Inlet Outlet j) Solid Content In Tank xight ode iva 0 Heavy 6) Leach System Type Trenches B Drywelle C Field D Unknown 7) Effluent Visible On Lawn A You • No 8) Run Back From Leach System A Yee X No g) Washing Machine Discharges To �) Septic Tank B Dryw'sll 10) Current Plan At Board Of Health 0 Yea. B) No MAR 27 '91 17:45 PAGE.002 ' 11 BOARD OF HEALTH a SQ M ANDOVER, Mass •� 'a:;. `�,'•. TOWN OF NOR . , t ... • • MIS jvov LSA acv -3oc f h 11 NAM 'DATE 2. ADD .. KESS LOT N0. TEL . 3. NO. of BTyDi oHa DEN YES No,_ 4. 4ARBAOr,E tiRINDER -- i YES xo�_ 5• SHOW DIMSIONS OF HOUSE L C 6. SHOW DISTANCES of SOUSE To ALL PROPSRTY LINES ?- SHOW DIMENSIONS OF LOT $. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL r"P ��t" 9. NOTE LOCATION AND DISTANCE OF WELL IRON SEWERAGE srsrErt v C/1t/f"o L 1L � �� 10. SHOW LOCATION OF BROOKS, STREAMS, ^ M DITCHES, LEDGE OUTCROP, ETC. 1 I� lI. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTES LOCM. REGULATIONS SHOULD BE BEAD CA 22 WULLY. �` MAR 27 191 17:45 PAGE. 003 ‘`-e^ 2-.02 141,45T ....• LOT 5 LOT 6 ULA � Y• � _ iTl l dC9 OW&WHO . RAME 11� 14 1 a •l tt . � •3x,85• t ^off CAMPBELL ROAD POUR•IA00110 ANNOC1AMP.INC, • 713 common a. 14wavoloatmimp, OAINO T01T0I0Im6 (0117)60-36+1 ■olE. Tlmt N FMT A mY11TET Ako FnoFLo iE YRO FOR mwICAOEi MIA►0E4I 014LT.oe Mpr Yi!CF►fEl•904 EFTNLIWmO LOT LIMFL►mm TIFF 11"m PION O►FF/KEi 011 COrl/mocnnot FYMOf/L m r4mAd K NIIOl/N llmm TMAII OII[FOOL►mpAF TIIE OOUMbMT►m1ER It N AfrTafa 70 FFA,(I IYmTmT r0 YFfN►T TMY KuWEKmfi I INfsmT OtmTWI THAT 1 HAVE EEAYINEO THE Tmir14Ei.AMO ALL mY1l01110R E4ifY1NTF 4m0[MCIOA....I.ARE LACATW Om TTIE OmOtmfp Ai 9"0*N,1►IrIITmEm CERTIFT THAT THE"'Loafto t:OFNORYtb TO IIIc 10N1M0 LAMI AMU AMfMOflEmll Os 11muFTE0.ffIMINtI GmTIFT TNAITM TmOoimTTNNOVOOAROM HM IfTAMIMINI FlOd4,IIItA.W Mut NU. Andovewt" CON• BUYER l�HN, llkGLtN to THF. Home FrLo. SAVIWI A!►•,oclatEs a LEWIS gaatt: AND TITLE 1NSURER;i � NOtrdAN 4 PAGE: 317 MORTGAGE INSPECTION PLAN No.7817 PLAN NO.: 5 161; LOCATED SCALE: A {I 1 CAM13ELL ROAD t4c. ANvevp-P M A. ` DATE: �t r 13 F7 *0 nE U 1.0 F1m 1J4MI(1AGE MfRF 0..Fn ONF ruFr,C r 'y.L•J MAR Re 191 11 :44 PAG 7. 002 .� ��� i I �,\' �, 7-7, A 4-: � EL CV s As Buic.T 7 4( .Z I-AAllc 1A) C�Z ©vT o z /sJo � �� 30 _I � qs,05 96-, 0 G .ger 61 r s A Ex —3.e WE'w THIS PLAN SUBSTANTIALLY CONFORMS a TO THE PLANS PREVIOUSLY APPROVED �®®®,oaeweeoaoarorr'p H06',+�gs���y,,.9 , , l/l �AN1 P Q CGL �04� 5tbvenJ. STEVEN J. D URSO R .S. 7 0v Fs ENVIROMENTAL DESIGNS ,,, ez Sovc 0 724 - LILLY POND RD. B O X F O R D MA.- 921 01 se ''''tAL•SP�\" 508- 352-.9872 000" / �/ ETN U E� MA v i v { . t r Town of North Andover, Massachusetts Form No.3 NORrq BOARD OF HEALTH 3r e•.�' ' o L F A DISPOSAL WORKS CONSTRUCTION PERMIT �,SSAGNUSEt Applicant VO � -5oocx NAME /j ADDRESS TELEPHONE Site Location ��� CgmP SLG �D.9D _ k' Permission is hereby granted to Construct ( ) or Repair ( an Individual Soil Absorption • Sewage Disposal System as shown on the Design Approval S.S. No. 'CHAIRMAN,BOARD OF HEALTH e R• j. Fee �D `� D.W.C. No. 7 77 jo` $oPao of o A 7 z,o r3- D 77, 5 S 4- -75, o 20 J l�GAnr AS zu/Z-T - .Z ?A AlIG i AJ ,C9Z ©� o pev I Q �n11� ` 4t.QS j F/ �- B A THIS PLAN SUBSTANTIALLY CONFORMS a' TO THE P,,AN- 6m,?REVIOUSLY APPROVED WE�� �gl� tgSW,-, l/l ANtP '�v0--�g S CLL. st6oven�J. `�� STEVEN 1. D URSO R .S. , _ zo 7 IVO1) D °mENVIROMENTAL DESIGNS A �LG'z Souc � L #724 r�5 7 E s, -DIST �� a 22 LILLY POND RD 30XFORD, MA . 01921 508- 35 2 -987 2 /N� � ETNUE M .(.;�1� ..;��_ ,.y��r. l � ., ..� �+�� _. .. NEW WOOD FRAHM CHIMNEY AWNING BOR14ERS VDWOWS YE)aSTING 'ANIIERSEW A31 EXISTM garV,SHED DORMER ER I.ILAR TW 2942 'ANDERSEN' t� SHED DORM !�" tr — _ _ _ ' —.r �� !• --- .�!!� wl� Ott► ' —_�— �r �r —_—. �� _ t _ _ ttttr ! _� _ _�—� t. Its --'"- -- --.,. ,' '� a ��! r— t� ttttt� ttt�.' -� l�■■ I■.�j'.I■■� Ir�tttttttt� t�� �� _�� •t. i s./•.:•�.W . t1 �tttt���=_i_■_��■iii=____, � -3 GARAGE : _tttttt��ll_ ■M■ —���� t� '�I �_ � �■iTRANSOM13 C1 ■ tttt� �r (� -_ I■"_■ .=r 1 =� {� tt��■i I■(�... �. � �� � � ALIGN DORMER, IltlttttC� � . . . = . . . . �— I•� I � ■I��.�� ��ttt� ! ',� i I i --, —it■■■ — >•� ./ll. /i. 1;l a t FINISH FAMILY ROOM F-1F-1 FINISH IST FL F-1171F] FIFIF-1 I GRADE -FINISH FLOOR ENTRYWAY FINI t._ I FINISH FLOOR FAMILY ROOM EXISTINGNEW FOLINDATMN FMJNDATMN \,MRETE NEW ENTRY EXISTING 03NCRETE NEW OVERHEAD FRONT ELEVATION PLANS FOR MARK & CAROLINE BUCHTA Ill CAMPBELL • ♦ ♦ ' NORTH ♦ , , 1 1. 14 ;� i� RAILING AS REQUIRED PLANS FOR DECK MARK & CAROLINE BUCHTA 111 CAMPBELL ROAD EGUAL NORTH ANDOVER,MA SCALES----- 1'-V DATE, 4/15/00 3 - TW P02 'ANDERSEN' z U A TREATED WOOD ' ei STAIRS TO FINISH N_j FAMILY ROOM REUSE EXISTING FOUNDATION L nr a� ;o WOOD FRAMED WALLS REHM EXISTING WALLS fNDOTTED) EXISTING) (EXISTING) ......... 4 X 4 COLN. 0 e 0 • • e i NEW WOOD FRAMED BA �tFLOOR STRUC REMOVE EXISTING I J 1i WALL L PROVIDE NEV WOOD FRAMED SEA* 3 - 1 3/4' X 9 1/2' i CHIMNEY Emm=m XISTZNG � 4 KITCHEN FAMILY ROOM — (EXISTING) O REMOVE EXISTING 11 WALLS L PATCH INSULATE CEILING TO N M ff11II GARAGE R-13 CL, :....................... ................. DOWN ...................... N — NEV CLOSET DOW REMOVE EXISTINGT —MISTING CLOSE! sT uREAs WDWN FOYERCLI NEW DOOR AND REMOVE EXIS BEARING WALL. QTTWITGHTc INSTALL BEAK — ----- ------ P - 1 3/4• X 9 L2' SL SL NEW REAM AT ABOVE I LIVING ROOM FIREPLACE OPENINGo .- I EMIAL (EXISTING) P - 1 3/4• X 9 91 WIDE X -p 1/P' I� OVERHEAD DOOR OVERHEAD DOO91 WIDE X 71 R U' NEW FACTORY REPLACE � � � —-"—._— —-" EXISTING FIREPL!A;�FE FAMILY ROOM rn ' CONCRETE APRON - ' (E)ISTING) (EXISTING) (EXISTING) EDGE 13F ROOFLINE AREIV FIRST FLOOR PLAN ii �l i �; �I WINDOW PLANS FOR MARK & CAR❑LINE BUCHTA BEDROOM 111 CAMPBELL ROAD BEAR ABOVE, NORTH AND❑VER,MA 3 — 1 3/4' X 9 1/2' CASEMENT MICROLAM L SCALE# _ V-0' DATEt 4/15/00 WINDOW C133 'ANDERSEN' i WINDOW 3 — TV 2842 UZII PRIVACY VC REMOVE EXISTING ( � JOG. PATCH WALL EXHAUST FAN L. L CEILING TO MATCH DUCTED OR --HH BEDROOM BATH BEDROOM DOUBLE WALL �' C L (EXISTING) O (EXISTING) (EXISTING) NEO—ANGLE SHOVER ' CL. ?u a REMOVE EXISTING WINDOW. PATCH II D 4 SERS REMOVE SLEXISTTING WALL TO MATCH DIFOLD DOOR I I TO MAT_G. L WALLS s Ls � MASTER � BEDROOM I PROVID MIK ENEW 36' OPENING. Y I CL' CL, SLP WASH DRYER IAV FACTORY FIREPLACE L X EXISTING STUDY (EXISTING) C NNa WOOD FRAMED r I CLROOF BELOW I TW2842 TW2842 3 — TV s a WINDOW _SHEn DO SECOND FLOOR PLAN 1 I YV 1 LLI\L YI LAa�11 a1V DWELLING BEYOND EXISTING CHIMNEY (BEYOND) ASPHALT SHINGLES RIDGE VENT ----- -__- ___ _ _=_ =_- _- - - =----- __ -__ -_ _- ___�-___-_ -_- __-_----- -_ ------------------------ - — — -------- — — --- --- —_—— --- __"------- — - -_ __---__-____-____-'____-______-__ ------------------- SHED DORMER STRUCTURE _- -___--____"___ _______ ---------------- --------------_- _____-= _ - VINYL SIDING - - ------------------------------------ - ___ �I I EXISTING CHIMNEY (BEYOND).. IG VENT GUTTER AT ROOFS ABOVE DOOR(S) RIGHT ELEVATION ASPHALT SHINGLES - — - - - - -- - - �__��_________ H RIflGE ELEVATION ICE/WATER SHIELD AT EAVES,VALLEYS NEV WOOD FRAMED AND ALL LOV SLOPE CHIf ENCLOSURE S 'ANDERSEN' M35 MEbrr UNIT _==- -== ===---------- -----=_ ------ -_-_------- - AT MASTER BATH MATCH Ex STING FINISH PMD FLOOR RAILING PER NEV BATHROOM FINISH FLOM MAIN HOUSE FINISH FLOOR FAMILY ROOM Ir DIA. POURED CONCRETE PIER. 1 REAR ELEVATION GALVANIZED FROSTANCHOR BECK NOT SHO%0N THIS A COVER I 4 X 4 TREATED WOOD POST L I EXISTING DOORTo I PLANS FOR — — — — "'— MARK & CAROLINE BUCHTA 111 CAMPBELL ROAD NORTH ANDOVER,MA SCALE,____-' = 1'-V DATES 4/15/M i' PLANS FOR MARK & CAROLINE BUCHTA 111 CAMPBELL ROAD NORTH ANDOVER,MA SCALE11/4' = V-0' DATE, 4/15/00 i W 0 A v" JP � EXISTING SHED DORMER S~ RIDGE MATCH EXISTING ROOF SLOPE CRICKET oe A RIDGE z X67 EXISTING W CHUM U A_ R SHED DORMER ROOF PLAN i PLANS FOR 2X 8 CEILING MARK & CAROLINE BUCHTA � TRIDGE VENT 111 CAMPBELL ROAD OUTLINE OF RIDGE BOARD NORTH AND❑VER,M A 3-DH WINDOW UNIT SCALE4/4' = 1'-0' DATE, 4/15/00 R-38 FIBERGLAS INSULATION 2 X 8 RAFTERS AT 16', . FINISH CEILING AWNING WINDOW CLOSET — — — — — — FINISH 2ND FLOOR i R-38 FIBERGLAS Z r-� 2 X 4 PLATE INSULATION r-� FINISH 2ND FLOOR W 11111111 opal TRANS13M WIN - - - - - - - -- - -r - - - - --- - - -1 ADE 2 - 2 X ¢ OVERHEAD DOOR 14' TJI/35 EXISTING AT 2 EXISTING FOYER I 4'TCONCRETE CH TO NAB I ISR FL c NEW POURED — CONCRETE FOUNDATION k 8' COMPACTED ,;': S F AT WALL GR NU AR FILL GARAGECROSSSECTIONII GARAGE CROSS SECTION �--- R-38 FIBERGLAS 2 - 2 X 8 HEADER INSULATION EXISTING DWELLING ABOVE DOOR 2 X 8 RAFTERS (SHOWN DASt{ED) S •D R R AT 16' D.C, _EXISTING CHIMNEY 2 X 8 ROOF RAFTERS 2 X 8 CEILING JOISTS AT 16' O,C, ......'.....'.'.'. NEW DORMER \ _ 2 - 2X4HEADER DOUBLE 2 X 4 TOP PLATE I ....... AWNING WINDOW 3 - 1 3/4' X 9 1/2' I I I ' . MICROLAM L BEAM+ 2 - 1 3/4' X 7 1/4' f I ' ;•• ( LOCATE WALL AT FACE TYPICAL EXTERIOR WALLS TCH EXISTING MICROLAM LVL. CONNECT \ OF EXISTING CHIMNEY VINYL SIDING TO BUILDING PAPER DOUBLE I 1 `/ i .......... 1/2' CDX PLYWOOD SHEATING 3/4' TBG PLYWOOD ( ' i \ LAUNDRY AREA 2 X 4 AT 16' O.C. NAIL L GLUE TO POLY R-13ALL INSULATION FLOOR FRAMING /2' GWB \\ FINISH 2ND FLOOR ._ 2 X 10 AT 16. O.C, I BEAM CHEADERN 2 - 1 3/4' X 9 1/2' I I JOIST ---------------- .'• ''•••.... . '••; BEAMi2 - 2 X 12 MI ROLA LVL I N R r — ;..; ALLIGN WITH FACE OF CHIMN I PROVIDE SOLID 4 X 4 AT EIS F 2 X 10 AT 1 C ' TRANSOM WINDOW f OUTLINE OF NEW ;.; I 1/2' AC TERIOR PLYWOE CLOSET DOOR R-30 FIBERGLAS REMOVE XISTING WALL I ( I I .:;....;:;;:;:;;::::... INSULA ION ( I I ( I NEW ENJILTRANCLE FINISH IST FLOOR MAIN HOUSE OPERABLE SCREENED — — — — r — — — FINISH IST FLOOR FAMILY ROOM CRAWL SPACE VENTS — PROVIDE VENTILATION EXISTING EXTERIOR LANDING Z CRAWL SPADE S T CE AI E EXISTING CRAWL I FINISH GRADE (EXTERIOR) FINISH GRADE r ( OUTLINE OF EXISTING 1 I DOOR INTO GARAGE POURED CONCRETE ,- t OOTIN L F UN ATION �. EXISTING FOYER FLOOR I 1 REMOVE ALL ORGANIC — L_ SOIL MATTER AT CRAWL 1 �1 SPACE AREA. INSTALL o L POLY VAPOR BARRIER EXISTING FOUNDATION WALLS -+ VERIFY CONDITION FOR E S SECTION A-A r •� f; C. }'\ }r. .+ 7 I t 1