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HomeMy WebLinkAboutMiscellaneous - 1112 TURNPIKE STREET 4/30/2018 (2)' o r N O N J b Y) Ca Z m Q Cl) f) c:) m m m rt (, r, X} v� Ty, ps. •i�4 e i tj x t r� !t e. a3 a 3 a w�❑ g J r. HD �. Es e•< sBi i v IT8q , ;, ,• �� 4� v a w. , t.`r r .s: 41` yr::� "%�d��e,�l � �.*c`a e� „�,,"€ � �r{�}��.,�{��.•�m �D ffi����. � � e � ��� r,r�'e � �,#w ��r � •t:. _[ ,. 14 MAP PARCEL# �` ��'� r = STREET CONSTRUCTION_ APP __ _ {z �AS LAN IEW FEE .BEEN PAID? YES~. NO • � l l L APPROVAL: DATEAPP. BY DESIGNER:PLAN ffCONDITIONS WATEII`-SUPPLY: TOWN WELL WELL PERMIT` - DRILLER WELL TESTS: CHEMICAL DAZE APPRUVED BAC' IA I DATE APPRUVED . _... _...... BACTERIA I DATE APPROVED COMMENTS: FORM U APPROVAL: APPROVAL TO ISSUE YES NO DATE ISSUED �C�%O �� BY CONDITIONS: FINAL APPROVAL: ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NU ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: DY: Insurance Adjustment Service, Inc. 936 Roosevelt Trail Unit 5 Windham, Maine 04062 207-892-0522 Fax 207-892-0526 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B Date: March 11, 2011 TO: Board of Health/Building Inspector RE: Insured: Gerald Ferragamo Property Address: 1112 Turnpike St. No. Andover, MA Date of Loss: 2/5/2011 1 MAR 17 2011 TOWN OF NORTH ANDOVER HEALTH DEPARTAAL-..- Policy Number: Type of Loss: File or Claim Number: 68429 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 38 is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, locations, policy number, date of loss and claim or file number. Thank you for your cooperation. Very Truly yours, Matt Martin Adjuster Ext. 109 AL �` Commonwealth of Massachusetts City/Town of No andove.r System Pumping .Record Form 4 . . DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information rta t• Wh ` mpo n . en filling out forms 1. System Location: t' use only the tab key to move your Address ". cursor - do not A. Facility Information rta t• Wh ` mpo n . en filling out forms 1. System Location: on the computer, use only the tab key to move your Address ". cursor - do not No Andover . use the return City/Town key. Z. System -Owner: Name Ma State Zip Code Address (if different from location) City/Town State Zip Code 5 Telephone Number B. Pumping Record 1. Date of'Pumpingate — Quantity Pumped: Mons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other .(describe): 4. Effluent Tee Filter present? ❑ Yes ZWo If yes, was it cleaned? ❑ Yes ❑ No 5. Condition V,System: �1 6. System ed By: Name Vehicle License Number Stewart's Sep ice Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835, . f Sign a of au er Date S'nature of Receiving Facility Date - t5form4.doc• 03/06 System Pumping Record • Page 1 of 1 Commonwealth of Massachusetts W City/Town of North Andover System Pumping Record Form 4 M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. 2. System Owner Name Address (if different from location) north andover CitylTown B. Pumping Record M State Telephone Number Zip Code Zip Code �77 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) �eptic Tank ❑ Tight Tank ;Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: If yes, was it cleaned? ❑ Yes ❑ No 60- Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signature of Hauler Signature of Receiving Facility Date Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1 A. Facility Information Important: When filling out forms 1. System Location: ^Tr�PK on the computer,use only the tab 666 key to move your Address cursor - do not north andover Ma use the return key. City/Town State 2. System Owner Name Address (if different from location) north andover CitylTown B. Pumping Record M State Telephone Number Zip Code Zip Code �77 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) �eptic Tank ❑ Tight Tank ;Grease Trap ❑ Other (describe): 4. Effluent Tee Filter present? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: If yes, was it cleaned? ❑ Yes ❑ No 60- Name Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: Stewart's Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835 Signature of Hauler Signature of Receiving Facility Date Date t5form4.doc• 03/06 System Pumping Record • Page 1 of 1 No Andover 1600 Osgood St Building 20 Suite 2-36 No. Andover, Ma 01845 Date Name & Address 2 -Jul Bake N Joy Willow St %/ 3� 3 -Jul Coltin 316 Rolwey Tavern Lane 9 -Jul Bake N joy Willow Ave I/ 3., I 901 12 -Jul Mukherjee 30 Sherwood Dr-/"' 18 -Jul Hanny 45 Innis street\/ 19 -Jul Butcher Rte 125--- 19 -Jul Chipolte 93 turnpike✓ 26 -Jul Driscoll 110 Forest street`✓ + 2 Jul Hudson 1850 Salem street% 7 -Jul Ferragamo 1112 Tnpk street v/ Perry 303 Berry street V- 30 -Jul Barry 62 Stone cleave road T aS ?bo &mrnu ` ;ll' ` e J&S Development dba Stewart's Septic Andover Septic 58 South Kimball Street Bradford, MA 01835 Gallons Comments 4800 Grease 1000 Xsolids HG 5000 Grease & ** 2 inside grease traps 1000 Good •; 1000 good` 200 grease 3000 grease 1500 good 1500 good 1500 good 1500 good 1000 good IS(3(J Oo joC�C� ar�G! �y r��$t v��ry�1, I� tr (!!.'!i z, F TOWN O' YNORTH ANDOVER SYSTEM PUMPING RECORD it !'t Y. y1'�, U�• 1F�' r��S*T�1 � � .. ' i . YTtr :: 4,141 Frh�lwY3 c �t u • f { SYSTEM OWNER & ADDRESS F SYSTEM LOCATION 11.rsr 3 e r.. r 4 ti r h° r (cuipplec idtfront of house � 1 �41I" • `�Y)�C S F�.}•� At" P G � r' TV' T � 2 4 '. . 4 f r -.- � �.. ,. i, t r, 9j�aa�•( .... r' .. .. ' c %'-+�J QUANTITY PUMPED '"p0 . �t t �5 GALLONS �, �.� y��,�'i0td'Y� �r�n RII ,. e�,� t r ;, r7 : {� 'f,: � p • ,, 4� /rr},(Rfrsi/f7tYllr f I'�jCESSPOOL: NO.,,�, .�` i YES SEPTIC TANK: NO YES ,1 F 1 'ATiTRE OF SERVICE: " ROUTINE t EMERGENCY +tVATIONS: �(r*1`j� t E �a)tCONDI'!'ION� ' FULL'TO COVER - - HEAVY GREASE BAFFLES IN PLACE ROOTS _ EXCESSIVE SOLIDS LEACHFIELD RUNBACK SOLIDS CARRYOVER FLOODED OTHER (EXPLAIN) ._._._. +? r 1�� • { i s i I ^e 1, :s - . 1y r4r it � a�Y��# M��r i ' a� �.�+1�'r� l� �%�P,� }� + • ' t � V ` A�'r / / 'p°.''L !!qq,l,♦,' r`,4 't r a •,[ r'Y. �3Ct,�., �! �� �A'yA / 1 •il � !. 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No. Fe bT D.W.C. No. 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 APPLI CANT : -c� this section*****//*****7*j�****�f** Phone b G U 11 LOCATION: Assessor's Map Number o C Parcel Subdivision Lot(s) �J Street St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Date Approved Date Rejected Comments Date Approved /04 7T - Town Planner Date Rejected Comments Food Inspect r -Health S---�tc I- pector-Health Comments Public Works - sewer/water connections - driveway permit Fire Department Date Approved Date Rejected �a Date Approved ,6fQ s k�2L u� Date Rejected Received by Building Inspector Date it .............._.. .... Fk-(D TV- Zoo, oo � ~ _it It TV112 4 `r R -w3` (gq,00 TvU, jP11,-/ F -E-- N 51U75,1 - AS BUILT'PL/1N of SUBSURFACE D1,:a POSAL SYSTEM LOCATED IN N62 -n4 ANa0VF-F:', M,A. AS PREPA RFn F[1R Tey yFLA�,JAGAM DATE: A(/6US7` Z3, 199, SCALE: )"=L40 ,LoT 6 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS. 66 PARK STREET • ANDOVER, MASSACHUSETTS 01910 • TEL. (518) 475-3555, 373-5721 cr Coe. A PUS Iklv.,c gLb6 ST M.H (e -TY?) 37.7' 33.5' _, It ' ` I - I qy ,qS PC. r9,H, X1.8 _ . _. ,... 37.x' _ I, G t"� S,T' -NL1,70 D- Box _ 7"1 '- � q 5.8" Z'V 1), k, z Pv-�,, F. r-1 , i Q V. I k► eb-BOY, 77.E y SCu. Lro P,v.e I ipv ov-I'" p P^x -71)o,9 it .............._.. .... Fk-(D TV- Zoo, oo � ~ _it It TV112 4 `r R -w3` (gq,00 TvU, jP11,-/ F -E-- N 51U75,1 - AS BUILT'PL/1N of SUBSURFACE D1,:a POSAL SYSTEM LOCATED IN N62 -n4 ANa0VF-F:', M,A. AS PREPA RFn F[1R Tey yFLA�,JAGAM DATE: A(/6US7` Z3, 199, SCALE: )"=L40 ,LoT 6 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS. 66 PARK STREET • ANDOVER, MASSACHUSETTS 01910 • TEL. (518) 475-3555, 373-5721 TvrzjjPt lt:�r_- 6U 1 LT PLAN SUBSURFACE --DISPOSAL _SYSTEM LOCATED IN TpVUN OF NORTH ANDOVE f T7 j ,• Q j� BOARD OF HE-ALTN AS PREPARED FOR SEP 2 -4 199q �<A71Hy FL4JA6AN y DATE: AL/60S7— Z 3, M6 6 SCALE: MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • -PLANNERS. 66 PARK STREET 0 ANDOVER, MASSACHUSETTS 01810 • TEL. (57W 475-3555. 373-3721 f LFAT`ID1.( Sen. yn PvC t vv. _. ST H, H . (crV- -377' 33.5' .-r = I qy 9S Pe- rl,Hl D- BOX - - — _ 79, Z , , qS.B 2''� 5.0,le. 2.P.v.c. F- r-1, wV. «reD-Box= 7y.6' 77. ''_ y„ scE4. Ll0 V"c' , r ,-rv, Box. — ZOO, 2,0 _ ' 6614 L. TTz41,2 'q G 7)Z# zoo, ob TvrzjjPt lt:�r_- 6U 1 LT PLAN SUBSURFACE --DISPOSAL _SYSTEM LOCATED IN TpVUN OF NORTH ANDOVE f T7 j ,• Q j� BOARD OF HE-ALTN AS PREPARED FOR SEP 2 -4 199q �<A71Hy FL4JA6AN y DATE: AL/60S7— Z 3, M6 6 SCALE: MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • -PLANNERS. 66 PARK STREET 0 ANDOVER, MASSACHUSETTS 01810 • TEL. (57W 475-3555. 373-3721 ONE ME IES A.M. NOTES _ � M Ok ' ' Pt f MORTq 4o 3'i• o _•.._ • O O � F w 9 SACMUS Town of North Andover, Massachusetts BOARD OF HEALTH UK • DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant est N*, Site Location— A Reference Plans and Specs Form No. 2 Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. $-f f v Fee b CHAIRMAN, BOARD OF HEALTH Site System Permit No. 7 BOARD OF HEALTH 120 MAIN STREET TEL. 682-6483 NORTH ANDOVER, MASS. 01845 Ext23 May 27, 1994 Ferragamo Development Highland Ave. Salem, MA 01970 Dear Sirs: Please be advised that your proposed septic plans designed by Merrimack Engineering for Lot #6 Turnpike Street, North Andover have been approved. If you have any questions, please do not hesitate to call. Sincerely, C.% Sandra Starr, R.S. Health Administrator cc: Karen Nelson; Director, Planning & Comm. Dev.. Merrimack Engineering File PLAN REVIEW CHECKLIST ADDRESS-,, TU.PUPIlee ENGINEER GENERAL 3 COPIES STAMP LOCUS `' NORTH ARROW C---"" SCALE CONTOURS (% PROFILE SECTION -� BENCHMARK SOIL & PERC INFO L,`� ELEVATIONS WETS. DISCLAIMER WELLS & WETLANDS c/ WATERSHED? jL6 DRIVEWAY Elev) WATER LINE FDN DRAIN L-1 SCH40 TESTS CURRENT? k/ SEPTIC TANK / �/ MIN 1500Gt- / .17 INVERT DROP (/ GARB. GRINDER//® (+200% EDF) 25' TO CELLAR Ll---- D-BOX MANHOLE TO GRADEELEV GW SIZE # LINES FIRST 2' LEVEL STATEMENT INLETo2,N,37 - OUTLET,:::20O,Z,= ( 2" OR .17 FT) TEE REQ' D? LEACHING MIN 660 GPD. L"X RESERVE AREA L%41 FROM PRIMARY? 4,--2% SLOPE 100' TO WETLANDS &,-" 100' TO WELLS--' 4' TO S.H.GW ---' 35' TO FND & INTRCPTR DRAINS 325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY %/ MIN 12" COVER FILL? (25' if above natural elev• 10'i below) BREAKOUT MET> TRENCHES n / MIN 660 gpd v SLOPE (min .005 or 6"/1001) —"� >3'COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61)�� IS RESERVE BETWEEN TRENCHES? ✓ IN FILL?-,-,�/MUST BE 10' MIN. PEA STONE? i BOT ��� X LDNGO + SIDED X LDNGL9� = TOT��� �lo�yG (L x W x #) (G/ft2) (DD L(G/ft2) Copyright © 1993 by S.L. Staff PITS MIN 660 LEACHING MIN 1 (131x16') PIT MANHOLE/PIT GW MIN 4' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" 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 900 ft2 BED PERC RATE FASTER THAN 20M/IN GW MIN 4' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? 4" PEA STONE? DIST LINE SLOPE .005? >31COVER-VENT SCH 40 -MIN 12" COVER RATE LDG X 660 = ft2/G REQ'D (ft2) DOSING TANKS AND PUMPS DIMENSIONS ---too it X�X --5-/ L W D Vol. DISCHARGE SIZE %SU G DISCHARGE RATE = TOTAL LXW PUMP CAPACITY 36gpm DISCHARGE TIMF'�SN► . gpm MANHOLES TO GRADE L/' ALARM SEP. CIRC. ------GW Z(Min. 1' below inlet) HWL gZ.9 LWL171.4 CHECK VALVE �� BLEEDER HOLE 'MANUAL OP. SWITCH L--' u Copyright© 1993 by S.L. Starr i )o I abed . plooaa buidwnd walsAS a EO/90 •oop ywlol9l joadsul#wju-swJo;Sj/slenoadd�/aalem/dep/no6'ssew 'NVOA//:dl;q L 0 wa;s�(g;o uol;lpuoo .9 ON ❑ saA ❑ 6pauea10 I1 sem 'saA;1 0 sa as � ❑ uesaJd Ja i �� X13 lluan �uei 1011 ❑ su?fleO 1"3 -- _ --------------_........ _ --- :(aquosep) JayjO ❑ duel oljda (s)loodssa� ❑ :wa;sAs jo adA1 pedwnd Allluenp -Z IV 6uldwnd;o a;eo ' � pao:DaN Euidwnd •S lagwnN auoydalal �poi diZ alelS umoilAlio -- -- ---- -- - — -- -_ ---------.._.__�.. ------ ... 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