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Home My WebLink AboutMiscellaneous - 125 SULLIVAN STREET 4/30/2018 APPLICA3Be3c� DECISION DUB: N_ O O N W � O r o n xLV o ^' m 1 Q f { a ' v EM« MDE IN U.S.A. N0. 752 ,113 0 0 0 •6 " ',Leal ,Notice 9is)i TOWN OF : NORTH ANDOVER; BOARD OF APPEALS NOTICE::,;'.. A . S,ICHUS� April 19,1985' Notice is hereby given that the Board of Appeals will give.a hearing at the Town Building forth Andover, on Monday .'evening, the 13th day of May 1985,at 7:30 o'clock,to all par-. ties interested in the appeal of JOSEPH AND . PAULINE. GIACALONE requesting a Specjal Permit..undr Section 4.121,Paragraph 17of1he Zon= ing By Law so as to permit a . family suite, or "in law apart- ment'' on the premises,located at 125 Sullivan St. By Order of the Board of Apf'' peals. ' Frank Serio,Jr� -Chairman Publish N.A. Citizen: April 25' and May 2,1985,-. , W9 fi yJ NoRry K„ > gCHU9TVVq �'{�r TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE April . 19. . . . . .19.85 Notice is hereby,given that the Board-of Appea,; will give a hearing at the Town Building,North Andover,on. . M.on d.ay emen.ing. . . . . . . the 13.th day of . . . . . . . .M4. . . . . . . . . . . 1985 , at 7.:.36clock, to all parties interested in t.::e appeal of JOSEPH. AND. .PAULINE GIACALOY requesting axXriafimxvf)8emxxxxxxxxxxx). x),-t)WZN xgc . =k. . .Spe.ci.a.l . Permit, .un,'e.r 'Section . 4 . 12.1,'. .Paragr.aph. .17. .of. .the . Zoning. By . Law so . as . to, permit a , fami,ly. .sui.te, .or "in law apartment" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . » on the premises, located at. . . .1?5 Su 11 i van Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . By Order of the Board of Appeals I By: Frank Serio, Jr. , Chairman Publish: Citizen:, April 26 and May 2, 1985 Send bill to: Joseph Giacalone 125 Sullivan St. , No. Andover, MA . 1 Ma r. 21. 2012 7: 35AM No. 0891 P. 2 March 20, 2012 D North Andover Board of Appeals MAR 2 1 2012 BOARD OF APPEALS To whom it may concern, This letter will serve as a history concerning a family suite attached to the home at 125 Sullivan Street. On May 20, 1985, my father-in law,Joseph J. Giacalone applied to the town,and was granted,a building permit to construct a family suite which would be occupied by Joe, his wife Pauline and their two sons Jon and Michael. The reason for the suite is Joe and Pauline were spending most of their time in Mexico and wanted my wife, his daughter Paula, and I to live in the main house rather than leave the house to his two teenage sons. In 1992 Joe's income was faltering and rather than sell the house on the market he sold the property to his daughter and I so nobody had to move. Well over the years there have been a lot of changes. Joe has passed away as did his son Jon. Michael married and moved to Gloucester. However, my mother-in law Pauline Giacalone still resides in the family suite today. I'm currently in process of refinancing the property and without knowing it appears the original permit, under my father and mother-in laws name, is in question. The original permit contained 4 terms. One of them being if the property changed hands the permit was no longer valid. According to the appraiser this happened in 1992 making the permit invalid. So the appraiser cannot release the appraisal which ties up my refinancing. I can understand this rule if the house was sold on the open market but our situation is a little different. The house was sold to his daughter and I which would allow my in-laws to still reside there,which they did. Also, another one of the terms state that the permit is valid and the unit is considered a family suite as long as Joe,Pauline and their sons still live there. Well Pauline does still live there. With all this said, I'm asking the Board of Appeals to state writing that the original permit, Petition No. 28-85 is still valid based on the facts that Paul M. and Paula M. Breeden (Giacalone) had purchased the house from Joseph J.and Pauline Giacalone in 1992, and that Pauline still resides in the residence today. I would be happy to speak with anyone concerning this situation. Please feel free to contact meat the numbers listed below should you have any questions regarding this. Thank you in advance for taking the time to review this situation. Sincerely, Paul M. Breeden 125 Sullivan Street North Andover, MA 01845 Home:978-685-9049 Cell:781-775-9761 Ma r. 21. 2012 7: 35AM No. 0897 P. 2 March 20, 2012 D. North Andover Board of Appeals D MAR 2 1 1.017 r BOARD OF APPEALS To whom it may concern, This letter will serve as a history concerning a family suite attached to the home at 125 Sullivan Street. On May 20, 1985, my father-in law,Joseph J.Giacalone applied to the town,and was granted,a building permit to construct a family suite which would be occupied by Joe, his wife Pauline and their two sons Jon and Michael. The reason for the suite is Joe and Pauline were spending most of their time in Mexico and wanted my wife, his daughter Paula,and I to live in the main house rather than leave the house to his two teenage sons. In 1992 Joe's income was faltering and rather than sell the house on the market he sold the property to his daughter and I so nobody had to move. Well over the years there have been a lot of changes. Joe has passed away as did his son Jon. Michael married and moved to Gloucester. However,my mother-in law Pauline Giacalone still resides in the family suite today. I'm currently in process of refinancing the property and without knowing It appears the original permit, under my father and mother-in laws name, is in question. The original permit contained 4 terms. one of them being if the property changed hands the permit was no longer valid. According to the appraiser this happened in 1992 making the permit invalid. So the appraiser cannot release the appraisal which ties up my refinancing. 1 can understand this rule if the house was sold on the open market but our situation is a little different. The house was sold to his daughter and I which would allow my in-laws to still reside there,which they did. Also,another one of the terms state that the permit is valid and the unit is considered a family suite as long as Joe,Pauline and their sons still live there. Well Pauline does still live there. With all this said, I'm asking the Board of Appeals to state writing that the original permit, Petition No. 28-85 is still valid based on the facts that Paul M. and Paula M. Breeden (Giacalone) had purchased the house from Joseph J.and Pauline Giacalone in 1992, and that Pauline still resides in the residence today. I would be happy to speak with anyone concerning this situation. Please feel free to contact meat the numbers listed below should you have any questions regarding this. Thank you in advance for taking the time to review this situation. Sincerely, Paul M. Breeden 125 Sullivan Street North Andover,MA 01845 Home:978-685-9049 Cell:781-775-9761 Town of North Andover ZONING BOARD OF APPEALS .= i M�f ms: March 20,2012 To whom it may concern: A Decision was granted at a hearing on May 13, 1985 for a Family Suite to Joseph and Pauline Giacalone. The Decision was signed and time stamped on May 20th, 1985 and the Petition number was 28-'85, for property located at 125 Sullivan Street,North Andover Ma. The property is now owned and occupied by the Son in law, Paul M. Breeden and daughter, Paula M. (Giacalone)Breeden of 125 Sullivan Street. The Family Suite is now being occupied by, Pauline Giacalone the previous owner. The Conditions of Approval for the Decision, Item#2 shows that the intent of the Special Permit for a Family Suite has been met and is allowed. This Item states that this Special Permit shall expire at the time Mr. and Mrs. Giacalone cease to occupy the Family Suite. If you need any further information please contact me at 978-688-9545. Sincerely, Gerald Brown North Andover Inspector of Buildings and Zoning Enforcement Officer 1600 Osgood Street,Building 20-Suite 2-36,North Andover,Massachusetts 01845 Phone-978-688-9545/978-688-9541 Fax-978-688-9542 Web www.townofnorthandover.com ORTI V Q .'kA. T .. '-RSR .40, Any appeal sliail be filed PR I L 7TI within (20) days after the date of filing of this Notice In the Office, of the Town 3 Clerk. TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date . . . . . . .M.ay. .2.0 .,. .198.5 . . . . . Petition No.. . . . . 2 8.7.'8.5 . . . . . . . . . Date of Hearing. Petition of . . . . . . .J.OS.E.Pl.-i. .AND .PA.UL.I.NE. .GI.ACA.LbN,E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . . . . . . .125. Sullivan, .Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a 'ofith� Special . Permit under. Section 4 -12.1 Paragrap.11-1 . .17 . of . the. Zoning B: . Law . . . . . . . . . . . . . . . . so as to perini a . f;-1 III-i-ly . I- jj-,c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to Grant. . . the Spe ci a,l .Permi t. . . . . . . . . . . . . . . . . and hereby authorize the Building Inspec�r to issue a permit to a.1 low . a .family. .suite. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: (see attached conditions) Signed Frank Se ri-o, -Jr Ch ai rman lNlf.red, E .. . Frjze-le.,. E,5,q , .,. Vi.ce. Chairman A-ugusti.ne. W. . Ni- !ker.son.,. . Clerk . . William J... Sall- van . . . . . . . . . . . . . . Walter. F. Soule. . . . . . . . . . . . . . . . . . Board ol'Appeals t Joseph Giacalone 1.25 Sullivan Street Petition No . 28- ' 85 May 20, 1985 Page 2 Conditions of. Approval : l. . 'rhat the premises be occupied by Mr_ . and Mr Joseph Giacalone and their two sons , Jon and Michael Giacal_c lc . 2 . The Special Permit shall. expire at the ti. ae Mr . and Mrs . Joseph Giacalone and Jon and Michael Giacal )ne cease to occupy the famil-y sutie . 3 . The Special. Permit shall expire at the time she premises are conveyed to any person , partnership, trust , or corporation . 4. The applicant , by acceptance of the Certificate of Occupancy issued pursuant to the Special Permit , grants to the Building Inspector or his ]_awful. designee the right to inspect the __. _ premises . R EC��• :. Any appeal shall be filed "°RT" after the —G, '� within (20) days g this Notice of o date filin ° p ti in the. Office. of. the Town SAY Clerk. -- - Zr1SS^C HUS�t� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS May 20, 1985 Mr . Daniel_ Long , Town Clerk Joseph Giacalone Town Office Building 12 -) Sullivan Street North Andover , MA 0l_845 Pe .iti.on No. 28- ' 85 Dcar Mr . Long : The Board of Appeals held a public hearing on M,)nday evening, May 1.3 , 1985 upon the application of Joseph and P� uline Giacalone . The hcari ng was advertised in the North Andover Citizen on April 25 and May 2, 1985 and all abutters were not- fif- d by regular mail . The following members were present and voting: "rank Serio, Jr . , Chairman ; Alfred E. Frizelle, Esq. , Vice Chairman, Augustine W . Nickerson , Clerk, Vlilliam J. Sullivan; and Walter F. Soule . The petitioner seeks a Special Permit under Section 4. 121 , Para- graph 17 of the Zoning By Law so as to permit a family suite on premises located at 125 Sullivan Street . The petitioner testified that the family suite is needed for he and his wife and their_ two sons . His daughter and her family will occupy the main dwelling . He and his wife spend only approxi- mately three months in North Andover . The proposed suite will be constructed on an existing foundation and the single family - -- appearance of the dwelling will be maintained . No opposition was voiced at the hearing . Upon a motion made by Mr.. Frizelle and seconded by Mr . Soule , the Board' voted four to one , with Member Sullivan abstaining, the grant the Special Permit for use by Mr . and Mrs Joseph Giacalone as shown on the plan submitted subject to tie following conditions: Joseph Giacalone 125 Sullivan Street Petition No . 28- ' 85 May 20, 1985 Page 2 1 . That the premises be occupied by Mr . and Mrs . Joseph Giacalone and their two sons , Jon and Michael Giacalor. , . 2. The Special_ Permit shall expire at the aim -, Mr . and Mrs . Joseph Giacalone and Jon and Michael Giac_alo e cease to occupy the family sutie . 3 . The Special Permit shall expire at the time the premises are conveyed to any person , partnership, trust , or corporation . A 4. The applicant , by acceptance of the Certificate of Occupancy is-sued pursuant to the Special Permit , grants to the Building Inspector_ or his lawful designee the right to inspect the premises . In granting the Special. Permit , the Board finds that Section 10. 31 of the Zoning By Law has been satisfied . In particular , the Board makes the following specific findings : .1 . The site, 125 Sullivan Street , is an appropriate location for a family suite . 2 . The use as a family suite will not adversely affect the - neighborhood since the dwelling ' s single f .mily appearance will not be altered . 3 . The addition of the petitioners and their Lqo sons in the family suite will not create a nuisance o bizard to vehicles or pedestrians . 4. Ade"ate and appropriate facilities are avail ,ble on the site for the proper operation of the use . In conclusion , the Board finds that the granting of a Special Permit for a family suite at 125 Sullivan Street is in harmony with the general_ purpose and intent of the Zoning By Law . Sincerely, BOARD OF APPEALS 67 r Fr_aak Serio, Jr . , Chairman 5w Commonwealth of Massachusetts City/Town of NORTH ANDOVER MASSACHUS T System Pumping Record f Form 4 TOWN OFOMT�fi�'NDOYOR DEP has provided this form for use by local Boards of Health. The System ulp �,gtg be submitted to the local Board of Health or other approving authority. �. A. Facility Information Important: When filling out 1. System Location: forms on the computer,usev only the tab key Address to move your l��e tidy✓c�>L, �b S cursor-do not CityfTown State Zip Code use the return key. 2. System Owner: „I Name �1 Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 1 u 2. Quantity Pumped: p g y p Date Gallons 3. Type of system: ❑ Cesspool(s) [EJ�Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes Lam"No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: (; 3zd S Name Vehicle License Number Company 7. Location where contents were disposed: e A 1') �aa v/y Signature of Hauler Date http://www.mass.gov/dep/water/approvals/ forms.htm#inspect t5form4.doc•06/03 System Pumping Record•Page 1 of 1 1 z i Date..F.-... . nom?...... f ys f j t NORTH 1 3?;�_`r`��'• 4,,,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMIis This certifies that ...............:.............. ......................................... r has permission to perform .. .L`��l�� r....................................................... Wiring in the building ofh: �-�—� ..................................................... at �.....................,<:�.....j..................................... ,North Andover,Mass. Fee.:................... Lic.No............. ......,..,_................................................... v/J ELECIRICALINSPECrOR Check # �"�"r�� 47 '15 THE COA MONWEAL7HOFMASMCHUSMS Office Use only DEPARTIVIENTOFPUMICSAFETY Permit No. BOARD OF FIRE PREVE MONREGULAHONS 527 CNIR l2 M Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORMEt CTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date_-' / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) ,o?s ,,S611,1,1VX4/ 70, Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: YesNo r--J (Check Appropriate Box) Purpose of Building Szwe5 ��jy'j/`'� Utility Authorization No. Existing Service � Amps /? V Volts Overhead underground ED No. of Meters / New Service Amps / Volts Overheadr7 Underground ® No. of Meters —+-- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work //LIEEE /leu E5 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Bumers No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners s No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP 3 OTHER• v RmranceCoverage.Aust>anttothCM4WMlerZOfMaMdatseMCtraallaws �nwaameriLl"tyh>stl&=PblicyinchxlulgComplee CovaagecritsmbstuWegtrivalart YES ©1-----NO Ihawabni&dvalidpmofofsametothe0l�YES lfymhawdrdwdYES,pkase-n �ltethetypeofcovt�pby tebox MIER � (PIeaseSpo*) EzpuationDate G✓/� Fsvn&dVaIwofE1octacaIWcik$ WodctoswU 63 hrsp rftonDateRegtlested Rough f1 L L Final SignoduncieTrptr&iescfpew FIRM NAME licroseNo. Li I A� aCy1�l� Signahue License-No L= _ BusinessTel No670 At Tel No. X73�S—/ OWNER'S INSURANCE WANII2;lam aware that the 'cense does nothave the u'um ce coverage or its substantial equivalent as negiued by Massed usetts G e d Laws and that my signAue on this pearit application waives this lequueme nt (Please check one) Owner ® Agent ® J Telephone No. PERMIT FEE$ •, ngnature ot Uwne-7-07-179-777 Z a The Commonwealth of Massachusetts RR., H, Department of Industrial Accidents Office of Investigations �F< Boston, Mass. 02191 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. . Company name: Address City: Phone#- Insurance.Co. Policv# Company name: , Address r� City: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of fine up to$1,500.00 and/or one years'imprisonment_as_wetLas_civiLpenakiesinAhe-fnrmrf-a_ST_OPW9RK_ORDER-and_a.fhe_of.($1DO-OD)-aAay.against-me I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penaffies of perjury that the information provk1ed above as true and correct. Signature Date a Print name Pbone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensi ❑ Building Dept ❑Check if immediate response is required E] Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other i Location j 5 f" �UA IJ S No. Date ods d f NORTh TOWN OF NORTH ANDOVER f 9 + Certificate of Occupancy $ ;�a •Eta Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check # 7c a/ 17 317 Building Inspector e TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIFt,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: CX. SIGNATURE: Building CommissioOrAgspector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: O Zoning District Proposed Use I Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record b =�� Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Nt;3te Print Address for Service: 7. 7. M Sign= Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Lic�Construction u�r: /' �3 13/ 7 O '?/ ��`J / License Number on Address �� Expiration Ilafe �— i lure Telephone 3.2 Rpgistered Home Improvement Contractor Not Applicable ❑ Cor%pany Name M Registration Number 1"a Address j Expiration Date �n Signature Telephone v- SECTION 4-WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: J SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 0#114, NEV8 QNLY 5 Completed by permit applicant 1. Building 1`,�y � (a) Building Permit Fee G/1 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject f property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS «i SIZE OF FOOTING X MATERIAL OF CFMVMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I� ;. �ste TJ/OIlLYltMu O�/�aa;scrcfucaP,tt4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR .; Number: CS 034049 +_ Birthdate: 12/08/1923 Expires: 12/08/2005 Tr.no: 12443 Restricted: 00 MARIO T CASTRICONE 31 COURT STa,y—� N ANDOVER, MA 01845 Administrator r � ✓fie-VOoirinronuieal(fu O�i�ucffuae� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 103317 Expiration: 7/7/2004 Type: DBA CASTRICONE ROOFING&SIDIN Aano Castricone 31 Court St. N.Andover,`MA 01845 4Thifln sti 's•ator -- Q r�� .v.o1 ' ': I I �i�� . �,r,:- "�4�{ lj�r:. l'�tf f � 4h.,. N ' . �° taf Irtdtutrral,��ants afiia IM"aftow ¢� 600 WtUaWton SMW , (DO50 ,AA 02111 worimn Comps reaMa lasn==,kf5dxvit j.,rt lC&ta EWQRMA O-N A PRINT i,ettlbiv Location: City /2�, z Telephone fir C I ani a homeowner performing all work myself alt.sole proprietor and have no one-Otkinj in MY cGacitY D I ata an employer providing workers'conapensstsan for mY employees working on this job Cy Company Name-- Address:31. cit,_ Telephone 44 6 Insurance Company.T Policy*:1�1 �L.��1 M 1 am(circle one) sole pmpnetor,general contractor or homeowner and have hired`be ctmtraxters4ed.below who i84,6e, following workers' compensation policies: r Company Name: p i !.ddress.- City: _ Telephone p: " - -- Luraaace Company: Policy 0: Ccrr mmy Name- Address: City. Telephone N: Insurance Company: Policy attach additional sheet if necessary Faiiurs to secure coverage as required under Section 2SA of MGL 15B cat,lead to the unpositim of criminal penalties of a fine uI.to 51,500.00 and,'or one years' imprisonment as well as civil penalties in the form of a STOP WORT:ORDER and a fine of 5100.00 a dad again:me. I undersviad Haat a copy of this summon:may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under du paths and peniqjfies of perjury that the information above is true and correct Stgnattue: Date. Prim NamA.Ay 1iQ Mcial Uee ONLY-Do not write in chis area C Building Deporunent •_^ity or T;,n: Pa mttlLicanse M c Licensing 3oare o Selectmen a Of6ae c 4satth Detianment 0 Check if irninediste response is requirso 0 Otter, Castricone Roofing & Siding REPAIRS FREE ESTIMATES Telephone (978) 682-4266 MARIO CASTRICONE 31 Court Street,North Andover,Mass. 01845 I/we, the owner(s)of the premises mentioned below, hereby contract with and authorize you as contractor,to furnish all necessary materials, labor and.workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions, on premises belowAd,.enbed:Owner's Name............................. J�.-� . .. . ............... ................................................................................................................ Job Address...../••rod...... ......................................City. /�/../.'•.•............................State. 1_1411L/ SPECIFICATIONS ............4� o . . .. ...... ..... .......... ...... ........L-3.. ..... 'e... ' :. .. .. .....�............... 4 �-....................... .................: . . .d... . .... .. ...........,.,.................................... ........... ....... .... .... �.� .�... ....... .... . .-6- :. ...... ...:.....:.........., .. .. .......................... .. .. ....... .......................................................................I................ ............::: .................:�::....................................................................................................................................................................................... .... . ..... ...... ..:.. ................................ .......................................................................................................................................................................................................:..................................................... ............................................................................................................................................................................................................................................................. ................................................................................................................................... ..... .......... . Materials and labor to cost$ ....�1�� ....................... Payable ...on ................................and balance in........... monthly installments of$.........................................each, payable on ........................................day of each and every month thereafter until paid in full (..............%charge per year is to be added to above cost of labor and materials and is included in monthly payments.) Contractor will do all of said work in a good workmanlike manner. Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation and completion as requested by the contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpai immediately due and payable. It is agreed that if permitted by law contractor shall be paid by the owner(s), all reasonable costs,attorney fees and expenses,i addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of this contract and/or any lien in connection therewith. It is further agreed that this contract may be assigned by contractor;and also that the obligations hereof shall bind and apply to their heirs,successors or estate of the parties. The undersigned warrant(s)that he is(they are)the owner(s)of the above mentioned premises and that legal title thereto stands of record in his(their)name(s PROVISO:This contract shall be void and of no effort if credit approved of owner(s)is refused. There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, nor is thi contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signe by all parties. Cover attic storage cleaning not included. Receipt of a copy of this contract is hereby acknowledged,and it is further-acknowledged by the undersigned that the foregoing provisions have been read an the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements an understandings of said parties are contained herein. Owner or Owners are not responsible for Property Damage or Liability while job is in operation. y// IN WITNESS WHEREOF,the parties have hereunto signed their names this............... ......... day of./1. �. ......... , Accepted: //////� Signed............................................ ....................................... Owner (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) Signed...................................................................................... Owner Per........ ............ Signed................................ .................................................. ZpZnta ive NORTjy Tovm of Andover 709 �b/ Y - T T �O �+ LAY( lover, Mass., , COC MIC KEWICK RATED i'P�,`�5 U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT / BUILDING INSPECTOR ........ ........ �+ 'PN ... ...............�.~......................................................................................................... Foundation has permission to erect...(!../.N Y..l............... buildings on , ..... .�!�%irk i�!.' Rough ..... . .................. ..........,............................. to be occupied as ►............................................................ . !fs. AV �I..... � I ..r Chimney provided that the person accepting permit shall in eve ryres respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Iteration and Construction of Buildings in the Town of North;Andover. f r1 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. J Rough PERMIT EXPIRES IN ,6 MONTHS Final 7g �p T T �7 ELECTRICAL INSPECTOR UNLESS V LESS CONS 1 R V C 1 IO STAt2 S Rough . .... �.................... Service . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not- Remove Rough nal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner • Street No. SEE REVERSE SIDE Smoke Det. Received by Town L f. d � DA410'.L040 t)T At Dt OVER WOFf TOWN OF NORTH ANDOVER, SSSACHUSj:TT,S ✓ ��y.S� BOARD OF P ALS G APPLICATION FOR RELIEF FROM THE QUIREMENTS OF E'HE ZONING ORDINANCE A licant Sullivan Street r PP eph .8- Paul ne r�Qa-L __Address __�_?5 1. Application is hereby made: a ) For a variance from the requirements of Se -,tion Paragraph and Table of the Zoning By Laws . b) For a Special Permit under Section 4.14faragraph 17 of the-'Zoning By Laws . 4.121 C ) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. 2. a ) Premises affected are land none3nd building(s ) I numbered _125 Su i_vn Stree lQt � 4 Street . b) Premises affected are property with frontage_! on the North ( X) South ( ) East ( ) West ( ) side. of -,,,I 1 Juan- St.T'r-.P.t' Street , and known as No. 1 ^5 yg;,l Juan tr�Fi Int, 414 Street . c ) Premises affected are in Zoning District ,-, and the premises affected have an areaof 75�0A square feet and frontage of �� —feet . 3. Ownership a) Name and address of owner ( if joint owne:-s1. ,.p, .give all names ) : Ga 1 Q n F-1 ----- - Date of Purchase_1Lan 1 I q65 __—_Previous Owner �ndrewaassl b) If applicant is not owner , check his/her interest in the premises: _Prospective Purchaser _ Lesee Other (explain) 4. Size of proposed building:- 2 front; 321 feet deep; Height stories ; feet . a ) Approximate date of erection: A.SA 12 b) Occupancy or use of each floor: TGA kJ— tt - -I ., 2n6, 2 brs c ) Type of construction: vao�n framP 5 . Size of existing building: 5ggt __—feet front;_ feet . deep; Height --__stories; 1n�,4 feet . a) Approximate date of erection: March, 1977 b) Occupancy or use of each floor :_1.�jti kit 1:•,L8a1 2nd : ,4 BRs c ) Type of construction: wood . frame 6. Has. there been, a previous appeal , under zoning, on'-these premises? no If so, when?_- __ j-. ..r I J1•� 1. ti I III it , I 7 . Description of relief sought on this petition_ he allowed to hl.L Id a farm-Ly-s-uLta_ fV 4�e 2nch i 8. Deed recorded in the ,� egistry of Deeds in Book 1361 Page 174 Land Court Certificate No. ' Book Page The principal points upon which I base my application are as follows: --(must be stated in detail ). 1. 1 an, a gPo1 ojZi st wnrki ng in UPxi rrn. Nnrth 4nnnv .r i c my h.nmp- 2_._ "v m rri er', daughter and two grand (-hil drpn live in mat Tprpgpnt home. She maintains the h4use and takes (-are of mat two unwed boys. 3. troth my daughter and mz wife and ions ne .d nrivaoy. 4. New construction will be on present foundationy, w"ll not detract from area. I agree to pay the filing fee, advertising in news. iper , and incidental expenses* Signatu e o et ionea. (sT Every application for action by the Board shall `e rade on a form approved by the Board . These forms shall be furnished b„ t..,a Clerk upon request? Any communication purporting to be an applicati,;n :'''.: 11 be treated as mere notice of intention to' seek relief until such time a - it is made on the , official application form . All information called for by the form shall be furnished by the applicant in the manner therein prescribed . j Every application shall be submitted with a list of "Parties In Interest" which list shall include the petitioner , '-Fabutters , owners of land directly opposite on any public or private street or way, and abuCters to the I abutters within three hundred feet ( 300 ' ) of the property line of the petitioner as they appear on the most recent applicable tax list, notwithstanding that the land of any such owner is located in another city or town, the Planning Board of the city or town, and the Planning Board of every abutting city or town. a *Every application shall be submitted with an appl4cation charge cost in the amount of $25. 00. In addition, the petitioner shall be responsible for any and all costs involved in bringing the pet_ ':ion before the Board. Such costs shall include mailing and publication, lit are not necessarily limited to these. Eycry application shall be submitted with a plan o- land approved by the ^Board. No petition will be brought before the Boar ; unless said plan has been submitted . Copies of the Board ' s requireme.►t , regarding plans are attached hereto or are available from the Board )£ .-.-)peals upon requestt LIST OF PARTIES IN INTEREST _ Name Address Andrew Rossi_ 175 Sullivan St. Walter Hoyt 109 Sullivan St. - Beverly Shea 105 Sullivan St. v Donald Johnston 114 Boston St . v Robert Vaughan 124 Boston St. David Riccio 142 Boston St. Michael Hazar.vartian 160 Boston St. Comm. of Mass. Dept. Natural Resources BDston, Nass . (use additional sheets if ne. dsaj ) I 4 ' f i NORTH ANDOVER BIUILDING DEPARTMENT HORrh 120 MAIN STREET 3�0: Sao Ia�q-0 Non,nr ANDOVER, MA 01845 F p r r ,w SJ^cHUS INSPECTOR OF BXJILDrNOS TFT.. 688-8102 'ELECTRICAL INSPECTOR OAS INSPRCTOR Board of Appeals :'ay 13, 1985 Petition #25 z Christopher Adams: Mr. Adams was refused permission to operate i retail bakery at 1591 Osgood Street. Such use, however, is allowed 17 a special permit issued by your Board. Petition ##27 s Douglas R. Moulton: Mr. Moulton was referred to your Board for thr, necessary special permit to allow a family suite on his .property located at 864 Winter Street;. Petition ##28 = Joseph Giacalone: Mr. Giacalone was referred to your Board for the necessary special permit to allow a family suite on his property located at 125 Sullivan Street. Petition {#29 a James Fitzgerald: It was discovered that the dwelling located ,.t 44 Sylvan Terrace was too close to the sideline and Mr. Fitzgera d is applying to your Board for relief. Petition ##30 a Jefferson Office Park: Jefferson Office Park was refused a building permit because the barn that they plan to convert to business use id .lot meet the required setbacks for an industrial zone. Petition #31 = James Hetherington: Mr. Hetherington was refused a building permit because his proposed addition did not meet the required setbacks. Petition ##32 = Andrew Varrichione: Mr. Varrichione was refuood a building permit because his proposed addition did not meet the required setbacks. ' 125STIVANSTREET '2t �I`1 210/107.8-0038-0000.0 j y � i r 125 SULLIVAN STREET JS-2003-0746 Project Detail Report Printed On:Tue Mar 30,2004 Project Name: GIS#: 7634 Project No: JS-2003-0746 Owner of Record BREEDEN,PAUL M&PAULA M Map: 1073 Date Submitted: Jun-02-2003 125 SULLIVAN STREET Block: 0038 Status: Open NORTH ANDOVER,MA 01845 Lot: Work Category: Work Location: 125 SULLIVAN STREET Zoning: Proposed Use: District: land Use: 101 Proposed Use Detail Subdivision Description DWC Comments: of Work: Department Status GeoTMS Module: Status File No. Comments: LCDate: Board of Health GREEN FLAG B14J-2003-0046 3/30/04-Issue COC dated 10/03/03 (time of System Final Inspection) 3/26/04-Final Grade Inspection completed by S.Sawyer 3/26/04-Installation Certification Certificate and As Built Received 8/15/03-SS signed off and permit picked up today. 8/8/03-Mr.Breeden will get report from Well Co. 8/5/03-Tues-Mr.Paul Breeden called as a follow-up to his letter that was received. Well has been filled and abandoned with required material. Requesting sign-off of DWC permit. Please call contractor John Shaw as soon as signed off,and he will pickup to begin construction process. Forwarded to Sandy's DWC inbox for signoff.--p.d. Wed.6/18/03-h/o:Paul Breeden called with this summary: the well was too close to the leaching field. He now has town water to the house. Why can't they keep the well active to water plants and for use as irrigation source only? The well is only connected to the front outside faucet for irrigation purposes only,not for drinking. It would have cost the h/o$15,000 to start,unless they could not find water,and then more,so he chose to go with town water for which he paid$13,000. To have his septic pumped now costs$300-$500 each time,and it is getting costly. He wants to have get the SWC permit so septic work can be complete,and does not understand why the well needs to be destroyed to do this,as it is not a health issue with regard to human consumption.Mr.Breeden believes that the letter submitted in April explains all of this. Please call him at W:978-284-5982(Wilmington)to discuss this with him. Tues.6/17/03-John Shaw called looking for DWC permit. I repeated information left on voice mail from 6/12. He will contact h/o and relay information. File and report left in Sandy's DWC inbox.--p.d. Thurs.6/12/03-Received file back from from Sandy with note: The owners need to hire a well professional to disconnect well connections and fill from bottom up with bentonite. The process to be inspected by staff. No DWC until done. I called and left a v.m.Message for John Shaw letting him know this(Pam)--p.d. Thurs.5/29/03-Received application for a DWC permit from John Shaw:978-815-7411. No file in general or active. On Monday,6/2/2003,the file was back in active files. Notes: Soil testing was done last year in May of 2002.Plans dated 10/21/02 were approved by Sandy on 5/12/03,with a note that the well must be abandoned before the DWC is issued. These plans were dated 10/21/02,and therefore did not go through the normal database GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. Page 1 of 2 125 SULLIVAN STREET JS-2003-0746 Proiect Detail Report Printed On:Tue Mar 30,2004 process. Second review request submitted via a letter in April with$60 payment. Application passed to Sandy's DWC inbox for review and sign-off.--p.d. 6/19/02-Soil Testing done. Permit History Type: Permit No: Issue Date Status Work Category Contractor Project No: Description of Work: Plan Review BHP-2004-0335 May-12-2003 SIGNED OFF JS-2003-0746 Plan Review-Rev. 1 Plan Review BHP-2004-0334 Apr-03-2002 DENIED JS-2003-0746 Plan Review-1st Septic System BHP-2003-0111 Oct-03-2003 SIGNED OFF JS-2003-0746 Septic System Repair Soil Testing-Repair BHP-2004-0333 Jun-19-2002 SIGNED OFF JS-2003-0746 Soil Testing Inspection History Inspection Type: Permit Type: Permit No: Insp Date: Status: Inspector: Project No: Comment: System final Septic System BHP-2003-0111 Oct-08-2003 SIGNED OFF Dan Ottenheimer JS-2003-0746 Bed Bottom Septic System BHP-2003-0111 Sep-22-2003 SIGNED OFF Dan Ottenheimer JS-2003-0746 Other Septic System BHP-2003-0111 Aug-01-2003 SIGNED OFF Brian LaGrasse JS-2003-0746 Other Septic System BHP-2003-0111 Jul-31-2003 SIGNED OFF Brian LaGrasse JS-2003-0746 GeoTMS®2004 Des Lauriers Municipal Solutions,Inc. Page 2 of 2 Lot & Street /4b_ --�5 a LG i V,4i(l T Map/Parcel /O 79 ,6�1 CONSTRUCTION APPROVAL 'rias plan review fee been paid. YES NO Permit# /off/ Plan Approval: Date: Approved by: Designer: y&a/m&&/6 �Ji�°CJ�S/�l� Plan Date: Conditions: " "DLCO , I)AOT/L fyZFI� 6G6,j6Z. Water Supply: Town Well Well Permit: Driller: ` Well Tests: Chemical Date Approved Bacteria I Date Approved Bacteria II Date Approved Plumbing Sign-Off: Wiring Sign-off: Comments: Form "U" Approval: Approval to Issue: YES NO Date Issued By: Conditions: Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other? YES NO Any Variance Needed? YES NO FINALBOA,2 OF HEALTH APPROVAL: DATE: I 6-A APPROVED B V SEPTIC SYSTEM INSTALLATION CONDITIONS: Is the installer licensed? YES NO Type of Construction: NEWAIR New Construction: Certified Plot Plan Review YES NO Floor Plan Review YES NO Conditions of Approval from Form U Y NO Issuance of DWC permit: S NO DWC Permit Paid? NO DWC Permit# 13,61 Installer: i Begin Inspection: YES NO Excavation Inspection: tt Needed: Passed: By: Construction Inspection: i 1 Needed: As Built Plan Satisfactory: YES: Approval of Backfill: Date: By: Final Grading Approval: Date: By: Final Construction Approval: Date:. By: Certificate of Compliance: Approval: a Date: TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(constructed; ( ) repaired by located at uLL, tJ was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# , dated with an approved design flow of_�a/&gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Engineer Representative Final inspection date: 1,0 Engineer Representative Installe y Lic.#: Date: G Design Engineer: ieptA.,. Date: . TOWN OF NORTH ANDOVER/ BOARD 0� F HF�ALTH 4 2'G 2004 Town of North Andover f NORTH H Office of the Health Department "off Community Development and Services Division x 27 Charles Street ''"1gq North Andover,Massachusetts 01845 "SSACHUS", Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-Fax TOWN OF NORTH ANDOVER BOARD OF HEALTH *, CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE October 3, 2003 This is to certify that the individual subsurface disposal system constructed ( ) or repaired (X) by John Shaw at 125 Sullivan Street North Andover, MA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. san Y.Sawyer, HS/ F Public Health Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 I Town of North Andover oFtNo 07", Office of the Health Department o� � S Community Development and Services Division 27 Charles Street North Andover,Massachusetts 01845 9SSnrw SES Susan Y. Sawyer, REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-Fax TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE �C DATE OF COMPLIANCE October 3, 2003 This is to certify that the individual subsurface disposal system constructed ( ) or repaired (X) by John Shaw at 125 Sullivan Street North Andover MA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. . °' 5 san Y.Sawyer, HS/R Public Health Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Town of North Andover f NORTH , O 4(6%. i° .�. Office of the Health Department 0 Community Development and Se es Divisn 27 Charles Street North Andover,Massach 01845 CHUSE` Susan Y.Sawyer, REHS/RS Telephone(978)688-9540 Public Health Director Fax(978)688-9542 TOWN F NORTH ANDOVER B ARD OF HEALTH y ? A1� 61 r! CERTIFI ATE OF COMPLIA CE �v DA E OF COMPLIANCE k4---1-1 Q ')nnA / '7- This to certf that / ividual su surf ce disposal system cons ed ( ) rep re X) by John Shaw at 125 Sullivan Street orth Andover, MA 01845 has been installed in accordan with the provisions of Title V of the State Sanitary C e and withthe North Andover Board of Heal regulations. The Issuance of this certificate shall not be construed as a guarantee that the system function satisfactorily. Brian J.LaGrasse Public Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 +1 Town of North Andover Of NORTH , ? es. k.•s p Office of the Health Department 1- A Community Development and Serv'ces Divis' n «i ; 27 Charles Street '�"*, �•�� North Andover,Massachu 01845 �SscHus�t Susan Y. Sawyer,REHS/RS Telephone(978)688-9540 Public Health Director Fax(978)1688-9542 TOWN F NORTH ANDOVER �U B ARD OF HEALTH CERTIFI ATE OF COMPLIA, CE DA OF COMPLIANQE This to cer 'fy that the individual su urf ce disposal system cons ed ( rep re X) by John Shaw at 125 Sullivan Street /regulations. h Andover, MA 01845 has been installed in accordanhe provisions of Title V of the State\syvstem with the North Andover Board of Heal The Issuance of this certificate shall not be construed as a guarantee th4unction satisfactorily. Brian J.LaGrasse Public Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 I Date: July 31, 2003 -~-" TO�'3d OF To: Board of Health Town of North Andover From: Paul &Paula Breeden 125 Sullivan Street North Andover, MA 01845 Subject: Building permit for replacement of current septic system. We would like the Board of Health to issue a building permit for replacement of our current septic system. Our contractor, John Shaw, was not able to secure the building permit do to the fact the Board of Health required I render my existing well abandoned. Enclosed you will find a copy of the paid receipt from Young Brothers Pump Company. The receipt specifies that the well has been abandoned. The pump was removed and the well was filled. This copy should provide you the information required to issue the building permit for the septic system. Once the permit is completed I would like the Board of Health to contact John Shaw at(978)-815-7411 to notify him. Mr. Shaw will pick up the permit and begin the construction process. If you have any questions or concerns with this information please contact me at either number listed below. I thank you for your prompt attention to this matter. S' r au Bree en 125 Sullivan Street North Andover, MA 01845 Home (978)-685-9049 Work (978)-284-5982 I to 1 , 0 C E. BfDS JOB F1+.CNE DATE O f,HH �R O � �� p(s Pump Co., Inc. i JOn NAME;LOCATION •Water Sprinklers•Filters•Sales-Service• Installation• jr4M_e_ 24 Hour Service FREE ESTIMATES 36 Pelham Road (603) 898-2504 Terms: PAYABLE UPON RECEIPT OF INVOICE. All invoices subject to 2%interest charge per month on Salem NH JP3079 (800) 464-2504 the unpaid balance after 30 days TO ✓71I/ re6e.N PHONE I' S 1-7 Sf &R8 r- 9 OF TAKEN BY QpUey 0, /JIn TERMS: DESCRIPTION AMOUNT L� a..- ➢4 GF r� �G LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR V7 1 WORK ORDERED D_A#C PL TOTAL TAX LABOR PAY-` SIGNATURE(I hereby acknowledg completion of the above descr;'— __ Massachusetts Department of Environmental Management 124104 Office of Water Resources TYPE OR PRINT ONLY Well Completion Report 1. WELL LOCATION GPS (OPTIONAL.) LATITUDE LONGITUDE - Address at Well Location: ,� S'v 1� U k►'� Property Owner: Subdivision Name: Mailing Address: So) U4 City/Town: Undo c3tr S- City/Town: - ► " Assessors Map Assessors Lot#: NOTE: Assessors Map and Lot# mandatory if no street address available Board of Health permit obtained: Yes ❑ Not Required Permit Number Date Issued 2. WORK PERFORMED 3. PROPOSED USE dle4. DRILLING METHOD ❑ New Well Abandon ❑ Domestic EVIrrigation ❑ Cable ❑ Auger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer ❑ Direct Push ❑ Replace ❑ Other ❑ Industrial ❑ Other ❑ Mud Rota ❑ Other 5. WELL LOG ix Unconsolidated Consolidated 6. SITE SKETCH (use permanent landmarks with distances) W Permeability j Q a m d d CO 2 a ca — From (ft) To (ft) High Low `o to t7 0 Other Rock TypeCID rE 0o a s AUG 2 1 tow 7. WELL CONSTRUCTION 8. CASING Total Depth Drilled From (ft) To (ft) Casing Type and Material Size O.D. (in) Well Seal Type Date Drilling Complete 9. SCREEN '. From (ft) To (ft) Slot Size Screen Type and Material Screen Diameter 10. FILTER PACK/GROUT/ABANDONMENT MATERIAL 11.ADDITIONAL WELL INFORMATION From (ft) To (ft) Material Description Purpose Developed? EJ Yes EJ No Fracture 4 7'C'0' cr - �, y �'C Enhancement? EJYes -1 No I Method j Disinfected? ❑ Yes ❑ No 12.WELL TEST DATA(PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield Time Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM) (hrs& min) (Ft. BGS) (hrs& min) (Ft. BGS) Date Measured Ground Surface (FT) i 14. PERMANENT PUMP(IF AVAILABLE) 15.NAMEIADDRESS OF PUMP INSTALLATION COMPANY Pump.Description Horsepower f Pump Intake,Depth (ft) Nominal Pum_ p Capacity (gpm) 16. COMMENTS 17. WELL DRILLER'S STATEMENT IThis well was drilled and/or abandoned under my supervision;according to applicable rules and regulations, and this report is complete and correct to the best of my knowledge. Driller: Supervising Driller Signature: `=r Registration #J' Firm: - Date: T 4�T O Rig Permit#: i - NOTE. Well Completion Reports ntust be—jWd-by.theregistered well driller within-30 days of well completion. j o BOARD OF HEALTH�.COPY Page 1 of 2 DelleChiaie, Pamela From: Lagrasse, Brian Sent: Wednesday,August 06, 2003 12:40 PM To: DelleChiaie, Pamela Cc: Griffin, Heidi Subject: RE: 125 Sullivan Street-COC Request post Well Abandonment we need the abandonment report from the well contractor prior to the coc. regs dont say anything about a obtaining a well permit to fill it in and abandon it,just installing and repairing.... tell paul when he calls to get us the report asap so we can get this straightened out soon. -----Original Message----- From: DelleChiaie, Pamela Sent: Wednesday,August 06, 2003 8:44 AM To: Lagrasse, Brian Cc: Griffin, Heidi Subject: RE: 125 Sullivan Street-COC Request post Well Abandonment Importance: High Hi Brian, Sandy is out sick today. Is the well abandonment issue going to be a problem at 125 Sullivan Street? Sandy said something last night that the well company should be fined for operating without a permit. I know we went over this file and talked about it many times, and we thought everything was all set, and they did not need a permit just to fill it up and abandon it prior to getting a COC. Paul Breeden will be calling me again on this to follow-up. Do you know how it's been left, and how we should proceed? Thanks, Pam -----Original Message----- From: Lagrasse, Brian Sent:Tuesday, August 05, 2003 4:05 PM To: Sandra Starr Cc: DelleChiaie, Pamela Subject: RE: 125 Sullivan Street- Signoff on DWC requested I talked to them when you were on vacation and prior to the work being done. looked at well regs. regs didnt say anything about a permit for abandonment,just installation and repairs, but did request an abandonment report from the well contractor, specifying bentonite et al prior to coc etc. -----Original Message----- From: Sandra Starr[mailto:sstarr@townofnorthandover.com] Sent:Tuesday, August 05, 2003 3:48 PM To: Pamela DelleChiaie Cc: Brian LaGrasse; Pamela DelleChiaie; Heidi Griffin Subject: Re: 125 Sullivan Street- Signoff on DWC requested Pam, Was a well permit issued to a licensed well driller for the abandonment? This is required before any work on any well is done and we also need a report from the well contractor on the method of closing the well. I sure hope they did this legally. Please check and let me know because I can't sign off until everything is correct. S —Original Message-- 10/16/2003 Page 2 of 2 From: Pamela DelleChiaie To: Sandra Starr Cc: Brian LaGrasse ; Pamela DelleChiaie ; Heidi Griffin Sent:Tuesday,August 05,2003 11:39 AM Subject: 125 Sullivan Street-Signoff on DWC requested File in Sandy's DWC inbox. Please review,signoff and return to secretary to call John Shaw, contractor. Letter from homeowner and well company receipt are attached to file. Thanks, Pam 10/16/2003 Page 1 of 1 DelleChiaie, Pamela From: Lagrasse, Brian Sent: Tuesday,August 05, 2003 4:05 PM To: Sandra Starr Cc: DelleChiaie, Pamela Subject: RE: 125 Sullivan Street-Signoff on DWC requested i talked to them when you were on vacation and prior to the work being done. looked at well regs. regs didnt say anything about a permit for abandonment,just installation and repairs, but did request an abandonment report from the well contractor, specifying bentonite et al prior to coc etc. -----Original Message----- From: Sandra Starr[mailto:sstarr@townofnorthandover.com] Sent:Tuesday,August 05, 2003 3:48 PM To: Pamela DelleChiaie Cc: Brian LaGrasse; Pamela DelleChiaie; Heidi Griffin Subject: Re: 125 Sullivan Street- Signoff on DWC requested Pam, Was a well permit issued to a licensed well driller for the abandonment? This is required before any work on any well is done and we also need a report from the well contractor on the method of closing the well. I sure hope they did this legally. Please check and let me know because I can't sign off until everything is correct. S —Original Message From: Pamela DelleChiaie To: Sandra Starr Cc: Brian LaGrasse ; Pamela DelleChiaie ; Heidi Griffin Sent: Tuesday,August 05,2003 11:39 AM Subject: 125 Sullivan Street-Signoff on DWC requested File in Sandy's DWC inbox. Please review,signoff and return to secretary to call John Shaw, contractor. Letter from homeowner and well company receipt are attached to file. Thanks, Pam 10/16/2003 Page 1 of 2 DelleChiaie, Pamela From: Sandra Starr[sstarrea townofnorthandover.coml Sent: Wednesday,June 25,200312:21 PM To: Ray Santilli Cc: Pamela DelleChiaie; Heidi Griffin; Jonathan Markey; Francis P MacMillan; Cheryl Barczak Subject: Re: 125 Sullivan Street-Status Update In-law apartment??? Oh, boy. 1. The state DOES NOT regulate private wells. They have full jurisdiction over public wells and public water systems in general under the federal SDWA. From the MA BOH Guidebook: 'Municipal health boards regulate private wells. . . .. Municipal boards of health oversee all private water supplies in accordance with local regulations. Private water supplies include residential wells and water supplies that have fewer than 15 connections and serve either fewer than 25 people year-round or an average of at least 25 people for less than 60 days a year. Because private supplies far outnumber public systems and rartely have professional operators, health boards play a tremendously important role in overseeing the qualiity of this water." Authority for local well regulations by boards of health is derived from MGL 111, s. 31. Additional authority that indirectly affects private wells is derived from MGL C.40,s. 54. Local well regulations do not make a distinction between irrigation and drinking water wells as far as distance goes. They all must be 1 00'from a septic system. 2. This so-called irrigation well was up until very lately the only source of drinking water on the site. It doesn't suddenly become an "irrigation well"just because of a name change. The potential for GW contamination from the septic system still exists. 3. The septic design that was approved was approved on condition that the well would be abandoned. If the well remains,then the design approval is void and another system that will treat the effluent before it enters the ground will have to be designed. 4. The homeowner should consider the potential legal and reparation costs for other people's water supplies should they become contaminated because of his well being left open. A deed restriction does not, and never can, address the clear public health threat to the groundwater and others'wells. This is an area where everyone was on wells at some point; many still are. Would a deed restriction stop the sewage from entering the groundwater? Not by a long shot. I will talk to the engineer and the owner. With an open well on the site, it is subject to the Title 5 section dealing with nitrogen loading limitations(310 CMR 15.214(2),which states"No system serving new construction in areas where the use of both on-site systems and drinking water supply wells is proposed to serve the facility shall be designed to receive or shall receive more than 440 gallons of design flow per day per acre from residential uses except as set forth at 310 CMR 15.216 (aggregate flows)or 15.217 (enhanced nitrogen removal)." These issues all can be worked out using good engineering practices and current technology, but it will take time. It's primarily up to the homeowner whether he wants to keep the well or have a redesign done, but at least he's some options(other than a deed restriction). Sandy —Original Message From: Pamela DelleChiaie To: Ray Santilli Cc: Sandra Starr: Pamela DelleChiaie ; Heidi Griffin Sent:Wednesday,June 25,2003 9:35 AM Subject: 125 Sullivan Street-Status Update Mr. Paul Breeden: W: 978-284-5982 H: 978-685-9049 Issues at hand: 1.Well contractors said that there is a state law can have an irrigation well up to 25 ft. from septic system. Well is 40-50 ft. away. Well being used for irrigation only. 10/16/2003 Page 2 of 2 2. Length of time for whole process, and was not told about the well issue until last step of the process. 3. Was told to cap the well. Quote from various companies said it would be $5,000 -$10,000. Town stipulates plugging from lowest to top with bentonite grout. Bentonite grout is $10 aft. Well is 400 ft in the ground ($4,000). Well companies say that you can fill with crushed stone and cap with bentonite grout at the top. Would like to resolve this issue..Would be willing to sign paperwork or have a deed restriction done to make sure that if property sold, including in-law appt.,would only be used for irrigation. Please call him at the above work number. Thank you. See attached report for all the details. 10/16/2003 Page 1 of 1 DelleChiaie, Pamela From: Pamela DelleChiaie[pdellechiaie@townofnorthandover.com] Sent: Wednesday, June 25,2003 9:39 AM To: Ray Santilli Cc: Sandra Starr; Pamela DelleChiaie; Heidi Griffin Subject: 125 Sullivan Street-Status Update Mr. Paul Breeden: W: 978-284-5982 H: 978-685-9049 Issues at hand: 1.Well contractors said that there is a state law can have an irrigation well up to 25 ft.from septic system. Well is 40-50 ft. away. Well being used for irrigation only. 2. Length of time for whole process, and was not told about the well issue until last step of the process. 3. Was told to cap the well. Quote from various companies said it would be$5,000-$10,000. Town stipulates plugging from lowest to top with bentonite grout. Bentonite grout is$10 a ft. Well is 400 ft in the ground ($4,000). Well companies say that you can fill with crushed stone and cap with bentonite grout at the top. Would like to resolve this issue. Would be willing to sign paperwork or have a deed restriction done to make sure that if property sold, including in-law appt.,would only be used for irrigation. Please call him at the above work number. Thank you. See attached report for all the details. 10/16/2003 DeMeChiaie, Pamela From: Starr, Sandy Sena: Tuesday, .lune 24, 2003 5:51 PM To: DelleChiaie, Pamela Subject: FW: Health Department Issue Can you check on this, Pam? One condition of the plan approval is that he must abandon the well currently in the front yard because it's too close to the septic system. Tnx. S ---Original Message---- From: Santilli,Ray Sent: Tuesday,June 24,2003 2:17 PM To: Starr,Sandy Cc: Griffin,Heidi Subject: Health Department Issue Sandy, Could you please provide me an update on the status of filings, etc. for Mr. Paul Breeden at 125 Sullivan Street? Thanks Ray Santilli Assistant Town Manager &Human Resources Director 1 Page 1 of 1 DelleChiaie, Pamela f From: Pamela DelleChiaie[pdellechiaie@townofnorthandover.com] f Sent: Tuesday, June 17,2003 4:04 PM To: Sandra Starr Cc: Pamela DelleChiaie; Heidi Griffin; Brian LaGrasse Subject: 125 Sullivan Street-DWC Permit Status John Shaw, contractor looking for DWC permit. Acton needs to be taken by h/o before permit approved. See report for details. File and Project Detail Report in Sandy's DWC inbox.—p.d. i 10/16/2003 I Page 1 of 1 DelleChiaie, Pamela From: Lagrasse, Brian Sent: Tuesday,August 05,2003 4:05 PM To: Sandra Starr Cc: DelleChiaie, Pamela Subject: RE: 125 Sullivan Street-Signoff on DWC requested r i talked to them when you were on vacation and prior to the work being done. looked at well regs. regs didnt say anything about a permit for abandonment,just installation and repairs, but did request an abandonment report from the well contractor, specifying bentonite et al prior to coc etc. -----Original Message----- From: Sandra Starr[mailto:sstarr@townofnorthandover.com] Sent:Tuesday, August 05, 2003 3:48 PM To: Pamela DelleChiaie Cc: Brian LaGrasse; Pamela DelleChiaie; Heidi Griffin Subject: Re: 125 Sullivan Street- Signoff on DWC requested Pam, Was a well permit issued to a licensed well driller for the abandonment? This is required before any work on any well is done and we also need a report from the well contractor on the method of closing the well. I sure hope they did this legally. Please check and let me know because I can't sign off until everything is correct. S —Original Message From: Pamela DelleChiaie To: Sandra Starr Cc:Brian LaGrasse ; Pamela DelleChiaie ; Heidi Griffin Sent: Tuesday,August 05,200311:39 AM Subject: 125 Sullivan Street-Signoff on DWC requested File in Sandy's DWC inbox. Please review,signoff and return to secretary to call John Shaw, contractor. Letter from homeowner and well company receipt are attached to file. Thanks, Pam 8/5/2003 Page 2 of 2 2. Length of time for whole process, and was not told about the well issue until last step of the process. 3. Was told to cap the well. Quote from various companies said it would be$5,000-$10,000. Town stipulates plugging from lowest to top with bentonite grout. Bentonite grout is$10 a ft. Well is 400 ft in the ground ($4,000). Well companies say that you can fill with crushed stone and cap with bentonite grout at the top. Would like to resolve this issue. Would be willing to sign paperwork or have a deed restriction done to make sure that if property sold, including in-law appt.,would only be used for irrigation. Please call him at the above work number. Thank you. See attached report for all the details. 8/5/2003 Page 1 of 2 DelleChiaie, Pamela From: Sandra Starr[sstarr@townofnorthandover.com] Sent: Wednesday,June 25,2003 12:21 PM To: Ray Santilli Cc: Pamela DelleChiaie; Heidi Griffin; Jonathan Markey; Francis P MacMillan; Cheryl Barczak Subject: Re: 125 Sullivan Street-Status Update In-law apartment??? Oh, boy. 1. The state DOES NOT regulate private wells. They have full jurisdiction over public wells and public water systems in general under the federal SDWA. From the MA BOH Guidebook: "Municipal health boards regulate private wells. . . ..Municipal boards of health oversee all private water supplies in accordance with local regulations. Private water supplies include residential wells and water supplies that have fewer than 15 connections and serve either fewer than 25 people year-round or an average of at least 25 people for less than 60 days a year. Because private supplies far outnumber public systems and rartely have professional operators, health boards play a tremendously important role in overseeing the qualiity of this water." Authority for local well regulations by boards of health is derived from MGL 111,s. 31. Additional authority that indirectly affects private wells is derived from MGL C.40 s. 54. Local well regulations do not make a distinction between irrigation ngabon and drinking water wells as far as distance goes. They all must be 100'from a septic system. 2. This so-called irrigation well was up until very lately the only source of drinking water on the site. It doesn't suddenly become an "irrigation well"just because of a name change. The potential for GW contamination from. the septic system still exists. 3. The septic design that was approved was approved on condition that the well would be abandoned. If the well remains,then the design approval is void and another system that will treat the effluent before it enters the ground will have to be designed. 4. The homeowner should consider the potential legal and reparation costs for other people's water supplies should they become contaminated because of his well being left open. A deed restriction does not, and never can,address the clear public health threat to the groundwater and others'wells. This is an area where everyone was on wells at some point; many still are. Would a deed restriction stop the sewage from entering the groundwater? Not by a long shot. I will talk to the engineer and the owner. With an open well on the site, it is subject to the Title 5 section dealing with nitrogen loading limitations(310 CMR 15.214(2),which states"No system serving new construction in areas where the use of both on-site systems and drinking water supply wells is proposed to serve the facility shall be designed to receive or shall receive more than 440 gallons of design flow per day per acre from residential uses except as set forth at 310 CMR 15.216 (aggregate flows)or 15.217 (enhanced nitrogen removal)." .These issues all can be worked out using good engineering practices and current technology, but it will take time. It's primarily up to the homeowner whether he wants to keep the well or have a redesign done, but at least he's some options(other than a deed restriction). Sandy —Original Message— From: Pamela DelleChiaie To: Ray Santilli Cc: Sandra Starr ; Pamela DelleChiaie ; Heidi Griffin Sent: Wednesday,June 25,2003 9:35 AM Subject: 125 Sullivan Street-Status Update Mr. Paul Breeden: W:978-284-5982 H: 978-685-9049 Issues at hand: 1.Well contractors said that there is a state law can have an irrigation well up to 25 ft.from septic system. Well is 40-50 ft. away. Well being used for irrigation only. Y 9 9 Y 8/5/2003 Page 1 of 1 Pamela DelleChiaie From: "Dan Ottenheimer"<info@millriverconsurdng.com> To: "Heidi Griffin"<hgriffin@townofnorthandover.com>;<blagrasse@townofnodhandover.com>; <pdellechiaie@townofnorthandover.com> Sent: Monday,September 22,20031:27 PM Attach: 125 Sullivan Street Bed Insp..doc Subject: 125 Sullivan Street Heidi, Brian and Pam, Attached please find the bottom of bed inspection report for 125 Sullivan Street. All looked well Dan Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 info@millriverconsulting.com 9/23/2003 TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES i PRESSURE DOSING ADDRESS: 125 Sullivan Street MAP: 107B LOT: 38 INSTALLER: John Shaw DESIGNER: Merrimack Engineering PLAN DATE: 10/21/02 SEPTIC TANK Date & Initials INSPECTIONS ❑ Bottom of tank hole has 6" stone base 10/8/03 Mill River 0 1500 gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) 10/8/03 Mill River 0 Water tightness of tank has been achieved X Visual Vacuum Test Water held for 24 hrs 10/8/03 Mill River 0 Inlet tee installed 10/8/03 Mill River 0 Outlet tee withgas baffle/effluent filter installed 10/8/03 Mill River 0 24 inch cover to within 6" of grade installed 10/8/03 Mill River 0 Hydraulic cement around inlet & outlet Comments: 9/19/03 Tank Installed but plumbing not complete PUMP CHAMBER DATE & Initials INSPECTIONS ❑ Bottom of tank hole has 6" stone base 10/8/03 Mill River 0 1,000 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) Pagel of 4 l 10/8/03 Mill River 0 Water tightness of tank has been achieved X Visual Vacuum Test Water held for 24 hrs 10/8/03 Mill River I Inlet tee 10/8/03 Mill River El Pump(s) installed on stable base 10/8/03 Mill River El Alarm float working 10/8/03 Mill River D Pump On/Off float working 10/8/03 Mill River 0 Drain hole in pressure line 10/8/03 Mill River El 24" inch cover to grade over outlet end 10/8/03 Mill River 0 Hydraulic cement around inlet & outlet Comments: 9/19/02 Chamber installed but not plumbed D-BOX Date & Initials INSPECTIONS 10/8/03 Mill River El Installed on stable stone base 10/8/03 Mill River 0 Inlet tee (if pumped or >0.08'/foot) 10/8/03 Mill River 0 Hydraulic cement around inlet & outlets 10/8/03 Mill River El Observed even distribution 10/8/03 Mill River El Speed levelers (not required) Comments: Page 2 of 4 SOIL ABSORPTION SYSTEM Date & Initials INSPECTIONS Mill River Consulting Bottom of SAS excavated down to C layer 9/19/03 10/8/03 Mill River 0 Title 5 sand installed 10/8/03 Mill River 0 3/4-1 'h" double washed stone installed 10/8/03 Mill River 0 1/8-1/2" (peastone) double washed stone installed 10/8/03 Mill River 0 4 laterals installed and ends connected and vented size: 4" 10/8/03 Mill River 0 orifices @ 5 & 7 o'clock positions 10/8/03 Mill River 0 Elevations of laterals installed as proposed on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/concrete /timber/ block) ❑ Final cover as per plan Comments: 9/19/03 Contractor i 9 t actor d d not have plans on site. Soil removal appeared correct but could not confirm s.against soil logs. 9 CONTROL PANEL Date & Initials INSPECTIONS 10/8/03 Mill River 0 Alarm & Pump are on separate circuits 10/8/03 Mill River 0 Alarm sounds when float is tripped 10/8/03 Mill River 0 Location of control panel Comments: Page 3 of 4 r .1 9 Page 4 of 4 Page 1 of 1 Pamela DelleChiaie From: "Dan Ottenheimer"<info@milldverconsu It ng.com> To: "'Pamela DelleChiaie"'<pdellechiaie@townofnorthandover.com> Cc: "'Brian LaGrasse"'<blagrasse@townofnorthandover.com>; "'Heidi Griffin"' <hgdffi n@townofnorthandover.com> Sent: Friday, September 19,2003 9:48 AM Subject: RE: 125 Sullivan Street-Bottom of Bed Inspection Request All set for this afternoon at 2:30. Dan Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 info@millriverconsulting.com -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Friday, September 19, 2003 8:49 AM To: Dan Ottenheimer Cc: Brian LaGrasse; Heidi Griffin Subject: 125 Sullivan Street- Bottom of Bed Inspection Request Hi Dan, John Shaw is requesting a Bed Bottom Inpsection. Please call him to coordinate on his cell: 978.815.7411. Thanks, Pam 9/19/2003 y � 1 TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES PRESSURE DOSING ADDRESS: 125 Sullivan Street MAP: LOT:. INSTALLER: John Shaw DESIGNER: PLAN DATE: SEPTIC TANK Date & Initials INSPECTIONS ❑ Bottom of tank hole has 6" stone base ❑ gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved Visual Vacuum Test Water held for 24 hrs ❑ Inlet tee installed ❑ Outlet tee with gas baffle/effluent filter installed ❑ inch cover to within 6" ofg rade installed over outlet if filterP resent ❑ Hydraulic cement around inlet & outlet Comments: 9/19/03 Tank Installed but plumbing not complete PUMP CHAMBER DATE & Initials INSPECTIONS ❑ Bottom of tank hole has 6" stone base Page 1 of 4 ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved Visual Vacuum Test Water held for 24 hrs ❑ Inlet tee ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to grade over outlet end ❑ Hydraulic cement around inlet & outlet Comments: 9/19/02 Chamber installed but not plumbed D-BOX Date & Initials INSPECTIONS ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers (not required) Comments: Page 2 of 4 a u SOIL ABSORPTION SYSTEM Date & Initials INSPECTIONS Mill River Consulting❑ Bottom of SAS excavated down to C layer 9/19/03 ❑ Title 5 sand installed ❑ 3/4-1 W double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected (and vented if impervious material above) size: ❑ orifices c@ 5 & 7 o'clock positions ❑ Elevations of laterals installed as proposed on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/concrete/timber/ block) ❑ Final cover as per plan Comments: 9/19/03 Contractor did not have plans on site. Soil removal appeared correct but could not confirm against soil logs. CONTROL PANEL Date & Initials INSPECTIONS ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel Page 3 of 4 Page 1 of 1 J DelleChiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.coml Sent: Thursday, October 16,2003 1:23 PM To: Heidi Griffin; blagrasse@townofnorthandover.com; pdellechiaie@townofnorthandover.com Subject: 125 Sullivan Street Heidi, Brian and Pam, ///. Attached please find the construction inspection report for 125 Sullivan Street. Everything was built properly. Dan Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 info@milldverconsuIting.com 10/16/2003 TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES PRESSURE DOSING ADDRESS: 125 Sullivan Street MAP: 107B LOT: 38 INSTALLER: John Shaw DESIGNER: Merrimack Engineering PLAN DATE: 10/21/02 SEPTIC TANK Date & Initials INSPECTIONS ❑ Bottom of tank hole has 6" stone base 10/8/03 Mill River 0 1500 gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) 10/8/03 Mill River 0 Water tightness of tank has been achieved X Visual Vacuum Test Water held for 24 hrs 10/8/03 Mill River 0 Inlet tee installed 10/8/03 Mill River 0 Outlet tee with qas baffle/effluent filter installed 10/8/03 Mill River 0 24 inch cover to within 6" of grade installed I 10/8/03 Mill River 0 Hydraulic cement around inlet & outlet Comments: 9/19/03 Tank Installed but plumbing not complete i PUMP CHAMBER DATE & Initials INSPECTIONS ❑ Bottom of tank hole has 6" stone base 10/8/03 Mill River 0 1,000 gallon Pump Chamber installed H-10 or H-20 monolithic or 2piece) �I Page 1 of 4 10/8/03 Mill River ❑x Water tightness of tank has been achieved X Visual Vacuum Test Water held for 24 hrs 10/8/03 Mill River 0 Inlet tee 10/8/03 Mill River IR Pump(s) installed on stable base 10/8/03 Mill River 0 Alarm float working 10/8/03 Mill River E Pump On/Off float working 10/8/03 Mill River 0 Drain hole in pressure line 10/8/03 Mill River 0 24" inch cover to grade over outlet end 10/8/03 Mill River ❑x Hydraulic cement around inlet & outlet Comments: 9/19/02 Chamber installed but not plumbed D-BOX Date & Initials INSPECTIONS 10/8/03 Mill River 0 Installed on stable stone base 10/8/03 Mill River 0 Inlet tee (if pumped or >0.08'/foot) 10/8/03 Mill River Hydraulic cement around inlet & outlets 10/8/03 Mill River D Observed even distribution 10/8/03 Mill River D Speed levelers (not required) Comments: Page 2 of 4 u ' SOIL ABSORPTION SYSTEM Date & Initials INSPECTIONS Mill River Consulting❑x Bottom of SAS excavated down to C layer 9/19/03 10/8/03 Mill River 0 Title 5 sand installed 10/8/03 Mill River rxl 3/4-1 '/" double washed stone installed 10/8/03 Mill River 0 1/8-1/2" (peastone) double washed stone installed 10/8/03 Mill River 0 4 laterals installed and ends connected and vented size: 4" 10/8/03 Mill River ff] orifices @ 5 & 7 o'clock positions 10/8/03 Mill River 0 Elevations of laterals installed as proposed on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 9/19/03 Contractor did not have plans on site. Soil removal appeared correct but could not confirm against soil logs. CONTROL PANEL Date & Initials INSPECTIONS 10/8/03 Mill River 0 Alarm & Pump are on separate circuits 10/8/03 Mill River 0 Alarm sounds when float is tripped 10/8/03 Mill River 0 Location of control panel i Comments: I Page 3 of 4 Page 1 of 1 I 4 DelleChiaie, Pamela From: Dan Ottenheimer[info@milldverconsultng.com] Sent: Thursday, October 16,2003 1:23 PM To: 'Pamela DelleChiaie' Cc: blagrasse@townofnorthandover.com Subject: RE: 125 Sullivan Street-Request for Final Inspection All set for tomorrow(10/8)at 7:00 a.m. Dan Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 info@millriverconsulting.com -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie@townofnorthandover.com] Sent: Monday, October 06, 2003 9:26 AM To: Daniel Ottenheimer(E-mail) Cc: Lagrasse, Brian Subject: 125 Sullivan Street- Request for Final Inspection Hi Dan, John Shaw of Vlfildwood Excavators called and would like a final inspection at 125 Sullivan Street. Can you please call to arrange this with him at: C: 978.815.7411. Thanks, Pam Pamela DelleChiaie, Health Dept.Assistant Town of North Andover Community Development& Services 27 Charles Street North Andover, MA 01845 pdellechiaie@townofnorthandover.com TeL 978-688-9540 Fax 978-688-9542 10/16/2003 F•`TOWN OF'NORTH ANDOVER BOARD OF HEALTH Location /`/� Permit # d ��/(� Food Service $ Retail Food $ Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction$ Soil Testing $ Design Approval Permit $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ offal/Trash Hauler $ Other $ I 6938 Health Agent White - Applicant Yellow - Dept. Pink - Treasurer �_� .� � i' .. f^4 {'! �� I n• �_�� ` APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: S a 6 _� CURRENT INSTALLER'S LICENSE# LOCATION.* LICENSED INSTALLER: SIGNATURE: b TELEPHONE# 9715 /S 7//1 CHECK ONE: / REPAIR: NEW CONSTRUCTION: IF NEW CONSTRUCTION,PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $175.00 Fee Attached? Yes v No Foundation As-built? Yes v No Floor plans on file? Yes_�/_ No Approval Date: g � v I Town of North Andover, Massachusetts Form No.3 a1 pOR7N BOARD OF HEALTH • t H A DISPOSAL WORKS CONSTRUCTION PERMIT Se ACMUS • pp licant NAME ADDRESS TELEPHONE Site Location Permission is hereby granted to Construct ( ) or Repair ( an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. ZA/ -CHAIRMAN,BOARD OF HEALTH Fee D.W.C. No. I I 1 ILDI Fh aT ; reliS Pc.�-� 646 n FWWro.l is ao7 Ftn1.1• xx- a � ..�+-rr o F r►�c S�+Q su � w�.� 3 3-7• S�Teri , :CT- rs ,c. t�cow or= r4& tarb,i IG► ,9 714 e t I �' A W E 69 voPnOJ WF TW ac &-1 t T I Nh sr9TVll -r' gmg coHfoNr&►4 rap. i Aq to i • I • I � i al ,G1'1i I� II i�G l N _ _ —(REM 1 — z2' F' C 2• 3 , �-- IT — I— — 1 1 J I p AS BUI LT PLAN OF SUBSURFACE SYSTEMA LOCATED IN O da--rel �.►�i c�rev G R, ►—ate; . / �2;;p �r�w �✓ � T AS PREPARED POR cG j TOWN O RTH AN BOARD OF HEALTH DATE: 10'7' v;�' SCALE. 2 2 t - �'c� ', �� 004 MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER. MASSACHUSETTS 01810 or TEL (617) 475-35SS, 373-5721 I BOARD OF HEALTH NORTH ANDOVER, MA 01845 ra°x'!80 RNORTH oR w�_ANDOVER/ ;E 978-688-9540 APPLICATION FOR SOIL TESTSMAY 1 5 2002 L . . DATE: 5 `9 -02 MAP &PARCEL: 107 9 / 3�, LOCATION OF SOIL TESTS: 12.5 `7il u. tyAo *-rr2.EE1' OWNER: PA.L4 L ` PaU LA P3rz TEL. NO.: (O8 5-104fcl ADDRESS: 17,1 - 6�/�r� roer—r - No. Al�1 p0V E p ENGINEER: Vl g M A-(,-IG 6�0 C l K)CCPK5(,7- TEL. NO.: 179) 9-7�-' CERTIFIED SOIL EVALUATOR: F�l LL [2q Fj2k'�;,og Intended Use.of Land: Residential Subdivision Si? a amily�H2� Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of$425.00 per lot for new construction. This covers the minimum two dee hole . p sand two percolation tests required for each disposal area. Fee of$200.00 per lot for repairs or upgrades. (If time is not critical, fee for repairs is $75.00) GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. g 6. Within 45 days of testing, a scaled plan(no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: I Date Received: Check Amount: Check Date: Job No. =3zzal0 •o . �e1eK . • �' Ib.tOM� 1 P' G Aria. This pian was not prepared from an instrument MORTGAGE LOAN INSPECTION survey. Offsets and distances shown should not LOCATION: be used to establish property Sines, This plan Is intended for mortgage•purposes only. SCALE: r l aa- OATS... I certify that the structure %shown on this REGISTRY Pian. ,in conformance with the_zoning Q TITLE REFERENCE:A':awe ='69= setbacks in effect at the time of construction. PLAN REFERENCa:,,=t0v.✓ I certify that the parcel shown is . located within a flood hazard area'as depicted COREY & D,ONAHUE. INC. on FEMA Flood Insurance Rate Maps for �nsu,��tosurveror� Z Community No: c 0 M OR Cambridte Ra&4,webUM MA 01801 i r io �oc �. n, l a 62 SOL-.i 1ON S i�NI -- J`.- i-ce, c,F r -,-:C Ti i� I go i iME A ,5.. ° .�i , . 0vc=NIGH �..-. N\I i 3 �5 a - Ni i 12' i i ' i r A A k_ i c I / I I I - y ,rte J - 02 - 16 i. f ;-- I f I � -- I el l . • r r FORM 9A - Application for Local Upgrade Approval Commonwealth of Massachusetts 00 A�Lj V OVE12 , L'I Massachusetts (City/I own) Application for LOCAL, UPGRADE APPROVAL Title 5,-310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(1) Form 9A is to be submitted.to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where full compliance,as defined in 310 CMR 15.404(1),is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full ,.compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or-privy,or the addition of a new P P e existing capacity of a septic system constructed in accordance with either the�1978 Code or ow above 310 CMR 15.000.approved Facility Address:_ c71 _i , C�"j /Town:Ci h' Ind. �4►.t�ba,i��-. _ Facility/System own r: Address: City/Town: A Telephone: 1 State:– Zip: Type of Facility ty(check all that _ apply): eside ' Describe facility P Y) nttal ❑Institutional ❑ Commercial ❑ School Type of existing system: ❑Privy ❑Cesspool(s) D�onventional System ❑ Other(describe) Type of soil absorption system(trenches,chambers,leach field,pits,etc) �� Design Flow per 310 CMR 15.203: Design flow of existing system d Design flow of proposed upgraded system —gp Design flow of facility a pd gpd Proposed upgrade of system is: Voluntary ❑Required by order, letter, etc. (attach copy) ❑Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection FORM 9A - Application for Local Upgrade Approval Department of Environmental Protection ' Page 1 of 3 DEP Approved Form—3/20102 Describe the proposed upgrade to the system l.)t�,. 5 1 5 o C-4tr Local Upgrade Approval is requested for: ❑ Reduction in setback(s) (Describe reductions) ❑ Percolation rate for 30 to 60 minlinch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% (SAS size and%reduction) SAS sq ft Reduction [� Reduction in separation between the SAS and high groundwater Separation reduction ft Percolation rate min/inch Depth to groundwater_ft Relocation of water supply well(Explain)�1.5� f U- ISE �j IA)eei�� N' ❑ Other requirements of 310 CMR 15.000 that cannot be met Describe and specify sections of the Code If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation,an Approved Soil Evaluator must determine the. high groundwater elevation pursuant to 310 CMR•15.405(1)(i)(1).The soil evaluator must be a member or agent of the local aonrovino authority. E1!;h groundwater elevation determined by: -..-;7A1)0fVr 1� (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date Explain whyfull compliance,p e,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: AA' An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: Department of Environmental Protection DEP Approved Form-;/20/02 Page 2 of 3 FORM 9A - Application for Local Upgrade Approval B A shared system is not feasible: /CIS 4. Connection to a public sewer is not feasible: 'The Application for Local Upgrade Approval must be accompanied by all of the following: (Check the appropriate boxes) ❑ Application for Disposal System Construction Permit [� Complete.plans and specifications CPAC4AAl -K- Site evaluation forms ❑ A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). ❑ Other(List) CERTIFICATION: . "I,the facility owner,certify under penalty of law that this document and all attachments,to the best of m knowledge and belief, Y g ,are true,accurate,and complete.I am aware that there way be significant consequences for submitting false information including,but not limited to,penalties or fine and/or imprisonment for delib ate violations. Facility owner's signature Date to Print name � 1 Name of preparer w H - QJ6 Date / /cL Preparer's Address: City/Town: A State: NIA" Zip: Ol O Preparer's telephone: NOTE: 310 CMR 15.403(4)requires the system owner to provide a copy of the local upgrade approval to the appropriate Regional Office of the Department of Environmental Protection,Bureau of Resource Protection,Division of Watershed Management,upon issuance by the local approving authority and before commencement of construction. Department of Environmental Protection DEP Approved Form—3/20/02 Pape 3 of 3 Location: YJ ST Owner's Name: ` Map/Parcel: 0. 3�j Address: 17 ; 5uLl.l ^r) . �T: Installer- Tel a New tsisol Repair Dater 6(-V Wetlands ne II Soil S.vmbol Soil 1Qame 4— Soil Class—E Deep Observation Hole Logs Elevation Depth Soil Horizon Soil Tenure Soil Color Soil hiottlin; % Gravel,Stones,etc Vq 10/4, F • c'c�nw�>` Z'�Y`�/I # AF_ L�osE/tea►.>@sc.� Gz AWP 5 / 46IZAI&) ti t1 17, Patent Material _1L L_. Depth to Bedrock Standing water in the Hole. Eas V4ee ins p .-from Pit Face ! ESHG%V: " � �L.O ��5 �� FS.L �DYk.'�/� —' F-rtcy.��V6� Fh•I��tA . -q4r7• 1l , �y law. �5, Z� sYSj i2r�a��.•' �.� �� . o V. Pu_ Parent 14latetial 1.�V Depth to Bedrock Standinz-water in thea Holr., _ e.� �Veepin;from Pit Face !t ESHGtiY: n DateTj Percolation Tests Observation Hole 9f Depth of Pere � Start Pre-soak Time at 12" I Time at 9" Time at 6" Time(911-61,) Rate Min/Inch I Performed By:1/ Witnessed BN-_ (? FORM 4-SYSTEM PUMPING RECORD CU I E R SEPTIC & DRAIN SERVICE 107 FOREST STREET;MIDDLETON,MA 01949 (978)774-2772 /COMMONWYALTH OF MASSACHUSETTS " vl.jo , MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: II e elle-rl SYSTEM LOCATION: ,)3c(,C 0 �a t'vc^,vi OU 7 DATE OF PUMPING: �"�8 ! QUANTITY PUMPED: /'S0 Q GALLONS CESSPOOL: NO a YES SEPTIC TANK: NO F-1 YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: LS D DATE: INSPECTOR: I� a FORM 4-SYSTEM PUMPING RECORD URRIER SEPTIC & DRAIN.SERVICE 107 FOREST STREET; MIDDLETON, MA 01949 (978) 774-2772 COMMONWEALTH OF MASSACHUSETTS A/U ^,�� e"t- , MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: SYSTEM LOCATION: D e c iIA< e c�e dl �v �G/L C e.��t'i. e� /� �C 2 S�I��U�u�fi spa S - � na,, -''v , Cfo DATE OF PUMPING. QUANTITY PUMPED:-- G GALLONS CESSPOOL: NO YES SEPTIC TANK:K. NO a YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: L/ 2 9� y� INSPECTOR: I ze e, TOWN OF NORTH ANDOVE BOARD OF HEALTH Location Permit # Food Service $ Retail Food $ Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing / $ Design Approval Perm $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ 6874 Health Agent White - Applicant Yellow - Dept. Pink - Treasurer r. r TOWN OF NORTH ANDOVE BOARD OF HEALTH Location la5— (_ / ,/x Permit #_ 4%X/' 5� Food Service $ Retail Food $ Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing $ Design Approval Permit✓r $ umpster Permit Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ 7 (� Health Agent White - Applicant Yellow - Dept. Pink - Treasurer y Town of North Andover, Massachusetts Foam No.2 MORTh BOARD OF HEALTH c o � w 9 DESIGN APPROVAL FOR �Ss4 C""5`� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �� "��v Test No. Site Location Reference Plans and Specs. /3 E INEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHWIRMAN,BOARD OF HEALTH Fee ;v59/e), Site System Permit No. ��/ Town of North Andover, Massachusetts Form No.2 f MORTM BOARD OF HEALTH o O L F � P DESIGN APPROVAL FOR HU SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM ApplicantTest No. Site Location �� 1�< L j V•4/1/ Reference Plans and Specs. rr • ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordant h regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH Fee ��/ Site System Permit No. MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET•ANDOVER,MASSACHUSETTS 01810•TEL(978)475-3555,373-5721 •FAX(978)475-1448•E-MAIL:merreng@aol.com April 14, 2003 Ms. Sandra Starr Health Director OV' '� ' A N Q C1<`:T % �r HEALTH Town of North Andover 27 Charles Street b a North Andover, MA 01845 APR 2 2 RE: 125 Sullivan Street Dear Ms. Starr: We have received your review letter for the above referenced project dated 4/3/03. The plan has been revised to address your concerns with exception to the following comments: e The inlet tee (per sec. 15.227(6)) shall extend a minimum of 10 inches below the flow line. The proposed detail shows an inlet tee of 16 inches which extends 13 inches below the flow line and we believe is in compliance with Title 5. Additionally please note that since this design project has begun, the site has been connected to Town water and noted as such on the plan. We hope your concerns have been adequately addressed and respectfully request that this plan be approved as resubmitted. Very truly yours, MERRIMACK ENGINEERING SERVICES UaL'1� 04"�� William Dufresne Project Manager cd CHECKLIST FOR NORTH ANDOVER SEPTIC SYSTEM PLANS Job The following is a checklist that incorporates all Title 5 and local regulations for septic plans. Name of Applicant: Name of Designee �U ,e /V�; Plan Date: Revision Date: Date of Review: Property Address: Map: /67Z Lot: Cl BOH Reviewer: Type of Plan(new or upgrade): v Number of Bedrooms: l© gpd) Garbage Disposal Allowed: General Information: N.A.=North Andover Septic Regulations Other numbers refer to Title 5 OK roblem N/A Street number and map/lot-220(4)(u) Maximum scale of 1 "=40'for plot plan-220(4) Maximum scale of 1 "=20'for profile and component details-220(4) Legal boundaries of the facility being served-220(4)(a) Names of abutters from recent tax map- NA 8.02j Number of bedrooms,design talcs.,-NA 8.02i Name&address of record owner&applicant- NA 8.02k Name&address of designer-NA 8.021 Holder and location of all easements-220(4)(b) Date plan drawn&any revision date- NA 8.02m All dwellings and buildings,existing and proposed-220(4)(c) Location of all existing or proposed impervious areas-220(4)(d) All distances on site plan—NA 8.03a-c Elevation of proposed driveway NA 8.02t Location and elevation of foundation drain-NA 8.02y Location and dimensions of the system incl.reserve(new const.)-220(4)(e) Limits of excavation of leach area on site plan-NA 8.02z Locus plan-220(4)(t) (Not to scale) North arrow-220(4)(g) Existing and proposed contours-220(4)(g) Locations and logs of deep holes-220(4)(h) Locations and logs of percolation tests-220(4)(i) Date(s)of soil testing-220(4)(h)&(i) Existing grade elevation of each deep hole-220(4)(h) Elevation of percolation tests—N.A. 8.02n Name of approving authority representative-220(4)(h)&(i) Name of soil evaluator-220(4)0) Soil logs and perc test logs match BOH records Locations of waterlines,drains,and subsurface utilities-220(4)(m) ✓ Observed and adjusted g.w. elevation in the vicinity of the system-220(4)(n) Complete profile of the system to scale-220(4)(o),NA 8.02c Cross section of leaching facility-NA 8.02w (Not to scale) Location of benchmark(s)within 50-75 feet of facility-220(4)(q) / Note listing all variance requests with proper citations-220(4)(p) Local upgrade approval request form submitted-403(1) i 2. L/ Original R.S./P.E. stamp, signature&date-220(1)&(2) ✓ P.E., discipline specified within stamp. MGL C. 112 s. 81M ✓' sfc. supplies(w/in 400'),pub.wells(w/in 250'),pvt.wells(w/in 150')-220(4)( Location of watercourses,wetlands,wells,etc.w/in 150'of system—NA 8.02r Wetland disclaimer—NA 8.02s ✓� RLS plan reference&certification required(prop line setbacks)-220(3) Plan contains designer's certification statement Use approvals/standards checked for I/A system-DEP docs., Perc rate>30 MPI-not allowed for new,LUA for upgrade-245(1)&('3) Perc rate> 60 MPI-must use modified tight tank or FA technology-245(4) ✓- Proposed system qualifies as"shared"system-002(definitions) ✓ Flow is over 2,000 gpd-No R.S. allowed-220(1) Design flow was set in accordance with code-203 Existing system location and note on proper abandonment-354 Leaching facility at least 1' above Base Flood elevation—NA 9.05 All piping Sch 40 minimum—NA 10.01 Basement floor minimum 1' above groundwater elevation—NA 5.04 / Foundation drain present with elevation—NA 8.02y On-site Soil and Groundwater Review OK problem N/A Proper deep observation hole logs on plan-220(4)(h) All deep holes and peres shown,including aborted tests—NA 8.02n Soil evaluation forms submitted within 60 days of field work-018(2) Proper percolation test log-220(4)(i) Ample deep observation holes in primary disposal area(minimum 2)- 102(2) Ample deep observation holes in secondary disposal area(minimum 2)- 102(2) Ample perc testing(one in each disposal area,3 in prim.>2,000 gpd)- 104(4) Deep hole testing conducted within two years—NA 7.05 Hole Identification Numbers: i ground elevation el. �3 acceptable soil el. -/l�• -4� 3:�2 Leach facilitv invert el. C/'1/L ground water el. refusal el. bottom of leach facility el. thickness of acceptable soil 4/0 2 before&after soil R&R separation to groundwater separation to refusal r soil class 2 . 3 perc rate Z loading rate iso septic tank below g.w.table a (yes or no) pump tank below g.w. table (yes or no) l.f in fill -255(l) Setback Distances(Given in feet) 15.21 1 YES NO Is the lot in the Lake Cochiewick Watershed? NA 6.00&5.02 OK Problem N/A Septic Tank Leach Facility t/ Property line 10 10 Cellar wall 10 20 Inground pool 10 20 Slab foundation 10 10 V/ Deck,on footings,etc. 5 10 V' Waterline 10 10 Private drinking well 75 100 Irrigation well 75 100 Wetlands 75 100 l/ Public well 400 400 L/ Wetlands bordering surface 150 150 water Supply or trib. / (in Watershed) v Trib. To Surface Water supply 325 325 Reservoirs 400 400 t/ Tributaries to reservoirs 200 200 d/ Drains(wat. supply/trib.) 50 100 Drains(intercept g.w.) 25 .50 Foundation drains 10 20 Drains(Other) 5 10 Drywells 20 25 !/ Downhill slope 15'to 3:1 slope I 3 4• w/o barrier Building Sewer OK Problem N/A Grease trap required for certain uses(check 230 for details) Pipe diameter listed(4"minimum)-222(1) _yam, Pipe schedule listed-222(3) i/ Pipe cast iron or Sch 40 PVC-NA 11.02 Watertight joints specified-222(3)&(4) Pipe laid on compact,fin base-222(5) Pipe laid on continuous grade in straight line-222(7)@ Cleanouts precede all changes in alignment and grade-222(8) Cleanout provided every 100 feet-222(8) Manhole at any 90 degree alignment change-222(8) Invert elevation at building: Invert elevation at septic tank: Length of run: „�O Slope: ,6,:f:, (minimum of 0.01 -0.02 desired)-222(6) 10'offset to private well or suction line-222(2) Septic Tank OK Problem N/A Tank is accessible-228(3) No structures above tank-(228(3) ✓ Tank can accommodate both primary&reserve-NA 9.04 200%of flow(required&provided given. 1500 min.)-220(4)(f)&223)(1)(a) t 2-3"drop from inlet to outlet-227(5) Minimum of 4'liquid depth-223(2) 3"air space above teesibaffies(minimum)-227(4) 7- 9"air space above flow line(minimum)-227(4) n/ Tees are not to be replaced by baffles-227(1) Tees extend 6"above flow line-227(1) Inlet tee extends 10"below flow line(minimum)-227(6) Outlet tee extends 14"below flow line(more for deeper tanks)-227(6) Gas baffle installed on outlet-227(4) Access manhole cover above center of tank&each tee(except 2 compart) 228(2) V 3-20"manholes-228(2) 1 childproof,24"riser/manhole w/in 6"of final grade if<1000gpd-228(2) Inlet and outlet tees on center line-227(1) Soil compaction below tank specified(if soil is non-native)-221(2) / 6"of<=3/4"stone beneath tank specified-221(2)&22 8(1) t/ If> 1,000 gpd AND not a single fam.dwell.must be 2 tks or 2 comp.-223(l)(b) If plan specifies disposal must be 2 tanks in series or 2 compart.tank-223(1)(c) Buoyancy calcs.required if tank at or below water table-221(8) . Tank is watertight-221 (1) 9"of cover over tank(minimum)-228(1) H- 10 loading(min.)-H-20 if traffic-226(3) Top of tank<=36"below grade-221(7) ✓ All pumping to tank(if applies)in accordance with-229 Tank is set to keep old system in service during install if possible 4 5 I Tight Tank(Check here if not present: V ) OK Problem N/A 500%of design flow or 2000 gallons provided—260(2)(a) 3-20"manholes—228(2) Soil compaction below tank specified(if soil non-native)—221(2) 6"of<=3/4"stone beneath tank specified—221(2)&228(1) Buoyancy calcs.Required if tank at or below water table—221(8) Tank is watertight—221(1) 9"of cover over tank specified(minimum)—228(1) H-10 loading(min.)—H-20 if traffic—226(3) Top of tank<=36"below grade—221(7) All pumping to tank(if applies)in accordance with—229 AN alarm set at 3/5 tank capacity—260(2)(c) Min. 1-24"frame w/cover at finished grade—228(2)(f) Year round access for pumping—228(2)(g) Distribution Box(Check here if not present: ) OK Problem N/A Inlet elevation: Outlet elevation: q-71- 0.17' 0.17'drop from inlet to outlet(minimum)-232(3)(b) ✓ 6"sump(minimum)-232(3)(e) All outlets at same elevation-232(3)(b) Outlet pipes laid level for first 2 ft. -232(3)(c) Pipe Sch 40-NA 10.01 _L_," Number of outlets:_t�, _ Number of laterals: ✓ Size of outlets: S/ ----- �_ Inlet baffle/tee min. 1"over outlet invert for all d-boxes-232(3)(a), Soil compaction below distribution box specified(if soil is non-native)-221(2) 6"of stone beneath distribution box specified-221(2) Box is watertight-221 (1) Top of box<=36"below grade-221(7) y` Buoyancy calculations required if box is at or below water table-221(8) i Pump Chamber(Check here if not present: ) �I OK Problem N/A j Volume specified: /D Q C7. 220(4)(r) Pump on elevation- 220(4)(r) Pump off elevation: .5. 220(4)(r) ✓ Alarm on elevation: !j!'Z, 3 d 220(4)(r) Number of cycles per day-220(4)(r)(also 254(1)(d)if gravity from d-box) j Minimum 2"delivery line to d-box if gravity-254(1)(c) Pressure dosed l.f if flow>=2,000 gpd-254(1)(a)&254(2)(a) Cycles per day is consistent with chamber volume-23 1 Volume calculations include flowback volume-2') 1(2) 5 6 24 hour storage capacity above pump on elevation-231(2) ✓ Number of pumps: 2 if system serves>2 dwellingunits 6 -231( ) Capacity of pump(s)- gpm @ !/ 'TDH-220(4)(r) Pump can pass 1 1/4 "solids(minimum)-231(7) Pump controls specified-220(4)(r) Alarm equipment specified-231(2) Alarm is in building and powered on separate circuit from pump-2') 1(9) VPump sequence correct(off-lead on-lag on-alan-n on)-231(8) 7 Pump performance curves included-220(4)(r) Manual operating switch-NA 12.01 Check valve,bleeder hole-NA 12.01 1 childproof,24"riser/manhole to final grade-2'31(5), Soil compaction beneath pump chamber specified(if soil is non-native)-221(2) / 6"of<=3/4"stone beneath chmbr.specified-221(2)&228(1), ✓ Buoyancy calculations if chamber is at or below water table-221(8)@ 9"of cover over chamber(minimum)-228(1) H- 10 loading(min.)-H-20 if traffic-226(')), Chamber is watertight-221 (1) Top of chamber<=36"below grade-221(7) Leaching Facility(general-complete for all designs) OK Problem N/A/ 50%larger if garbage disposal-240(4) ✓ Trenches to be used whenever possible-240(6) / No vehicle or imperv. area above l.f.unless unavoidable-240(7);NA 13.02 d/ Vented if under impervious cover-241 (1) Vented through same pipes as distribution system-241 (1)(a) Vent protected from precipitation/animal entry-241 (1)(b) Vent is placed beyond traffic or impervious area-24 1 (1)(c) All lines connected to vent if bed or trenches-241(1)(d) 9"cover over peastone-240(9) Reserve area provided(new construction)-248(1) Reserve 4' from primary leach area—NA 9.04 vOJO i/ 4'(5'ifperc rate<=2 MPI)separation to g.w.-212(a)&(b) 4'(down to 2'wit4 variance or I/A-upgrades only)of natural soil under l.f. GW separation is adjusted to highest existing grade if facility cuts into a hillside Pipe slope minimum of 0.005 -251(9) Require 5'removal and replacement if in fill-255(5) Top of leach facility<=36 below grade-221(7) � Final grade over 11 minimum 0.02 ft/ft-240(10) -r � Surface&subsurface drainage away from 11 -240(1 1)&245(5)Minimum design flow 440 gpd without deed restriction—NA 13.01 Oen 1 Y1. 3:1 slope where grading required-255(2) Toe of fill slope stops 5'from property line or swale installed-255(2) L-- permeable barrier if<3:1 slope or< 15 feet to—3:1 slope-255(2) �� Impermeable barrier/retaining wall poured concrete—NA 9.02 Retaining wall stamped by P.E.-255(2)(b) ^� Top of retaining wall>=top of peastone elevation-255(2)(f) 10'offset from edge of leach facility to edge of ret.wall-255(2)(g) r/ Pere test(s)done in most restrictive layer- 104(2) / Perc test 4' below leaching elevation—NA 7.06 �. Design flow listed and required/provided leach area given-220(4)(f) Leach pipes SCH40 PVC NA 10.01 Leach pipes minimum 4"diameter except for dosed system—NA 14.04 6 7 I Leach lines capped,vented,or connected together-251(9) ✓ Pressure dosing guidance followed if pressure distribution-254(2)(c), Pressure dosing required over 2,000 gpd or with I/A remedial use-231(1) Leaching Trenches(Check here if not present: ) OK ,Problem N/A Number of trenches:. Minimum of 2 trenches NA 9.01(2) l Depth of trenches(max eff.2'): -247(l) Width of trenches(2'min.,4'max.): -251 (1)(b) Length of trenches(100'max.): -25 1 (1)(a) Trenches are vented(when,>50')-251 (11) Trenches follow contour limes-251(2) Trench spacing 3 times effective width or depth minimum-251 (1)(d) f In fill or reserve between trenches, 10'min. -NA 14.01& 14.03 Available leach area given(Min. 500 s.f.)-NA 9.01 ) Bottom=L �=Tj xW 3 x# _ s.f. Sidewall=LxD x# x2 s. f. Effective leach area given 7 Loading '� g factor: v > ✓ Effective area=total area f/7,9 s.f.x LTAR ur9g/day Effective area is>=design flow of facility being served 2"of 1/8"- 1/2"2x washed peastone.-247(2) Trench depth of 3/4"to 1 1/2"double washed stone-247(1) Leaching Pits(Check here if not present: �') OK Problem N/A #ofpits/pit systems: (dosing chamber if>1,231 (1)) Dimensions of each pit or system:L W D Depth of pits(max eff.2'): -253(1)(a) Available leach area given Bottom=L x W x#of systems= s.f. Sidewall=L+W x D x 2 x#of systems= s.f. Total area=bottom +Sidewall = s.f. Effective leach area given Loading factor: Effective area=total area s.f.x LTAR =_ /day Effective area is>=design flow of facility being served Minimum of 2 pits at least 13'X 16'—NA 9.01(3) Distribution for galleries/chmbrs. in trench config.-pipe every 20'-253(6) Distribution for galleries/chmbrs. in bed config.-ea.pipe serves<=40 s.f-253(6) Spacing-2 times the effective width or depth(the greater)-253(1)(c) 2"of 1/8"- 1 /2"2x washed peastone.-247(2) j 3/4"to 1 1/2"double washed stone-247(1) Each pit has at least one 20"access cover.24"CI to grade over 2,000 gpd -253(3) Surrounding aggregate thickness between 1'(min.)and 4'(max.)-253(1)(b) j Vents, if necessary,extend under covers of pit(s)-241 (e) Leach Fields(Check here if not present: �) OK Problem N/A Number of fields: (need dosing chamber if> 1,231 (1)) 7 j 1 8 Length(100 max.): -252(2)(b) Width: Total area:L x W = s. f. Minimum 900 square feet-NA 9.01(1) Distribution lines connected with solid pipe—NA 15.01 Effective leach area given Loading factor: Effective area=total area s.f x LTAR = g/dav Effective area is>=design flow of facility being served Minimum of two distribution lines-252(2)(a) 6'line separation(max.)-252(2)(d) 4'maximum separation from edge of field to line-'252(2)(e) 10'minimum separation between adjacent leach fields-252(2)(f) Between 6"and 12"of 3/4- 1 1/2"stone beneath field-252(2)(g)&247(2) 2"of 1/8"-1/2"2x washed peastone.-247(2) Final Grading OK Problem N/A Slope over leach area minimum of 0.02 feet/foot—240(10) Grading shall divert drainage away from leach area—240(l 1) Grading slopes away from dwelling 5/24/01 8 1 • a r � �... • ,tORTh/ ANDOVER • . rf TOWN OF NORTH ANDOVEoL rHEALTH 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01845 cwus Sandra Starr,R.S:, C.H.O. Telephone(978)688-9540 Public Health Director FAX(978)688-9542 FAX .Bill Dufresne From: Pamela for Sandra Starr To: MERRIMACK ENGINEERING 66 PARK STREET Andover,MA 01810 978,475-1448 Pages: 2 Faic 978-475-3555 Date: Thursday,April 03,2003 Phone: Se tic Plan Response CC: Sandra Starr, R.S.,C.H.O. p Po Re: Health Director 0 Urgent x For Review 0 Please Comment 0 Please Reply 0 Please Recycle •Comments: Attached is the response from Sandra Starr regarding Septic Plans for the following property: A copy has also been mailed to the homeowner. Please call 978-688-9540 for assistance with any questions. Thank you. I� Xc: Address File Chrono File f NORTFI Town of North Andover OfS,�eo y61� • Office of the Health Department Community Development and Services Division Y ` 27 Charles Street North Andover, Massachusetts 01845 SS�CNus��h Sandra Starr Telephone(978)688-9540 Public Health Director Fax (978)688-9542 Bill Dufresne April 3, 2003 Merrimack Engineering 66 Park Street Andover, MA 01810 Re: 125 Sullivan Street Dear Mr. Dufresne: Please be advised that the proposed plan dated 10/21/02 for the repair of the septic system at the site referenced above has technical deficiencies that must be addressed before the plan can be approved. They are as follows: Original stamp and signature missing • If possible, Town Wfer must be connected to the site and a licensed well driller must obtain and exercise a permit to abandon the existing well prior to system construction. -• It appears as though the length of the tees in the septic tank are the same length;the inlet tee should be shorter than the outlet invert. �+ Alarm equipment for pump is not specified. • Missing pump performance curves. • Please check the grading over trench one to ascertain that grading will divert runoff away from the leach area . Cleanout and thrust block needed at first bend of force main. Please remember that this re-submittal requires a$60 fee. Feel free to call if you have questions about the content of this letter. Sincerely, Sandra Starr, Health Director Cc: File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 HP Fax'K1220xi Log for NORTH ANDOVER 9786889542 Apr 03 2003 11:52am Last Transaction Date Time Type Identification Duration Pales Result Apr 3 11:47am Fax Sent 89784751448 1:22 2 OK AIV bdjv,e leo N ow j�g r SEPTIC PLAN SUBMITTAL FORM LOCATION: 1257 '52 u t YkN T"Q,4.?,7 ET NEW PLANS: (/f $160.00/Plan Gly REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: NO DATE: O I-- DESIGN ENGINEER: �� p„( �!� j� (� �1�(�►J DATE TO CONSULTANT: CS When the submission is all in place, route to the Health Secretary. a ^� Giacalone, Jos.- lot lE, Sullivan St.. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Lot 142 Sullivan St. . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of 1000 gala in size. A manhole (s) permitting easy cleaning will be pro' ` - - -— - �s of the ground forated or open j of / �i C^ 11 pro- vide a mini; area. The pipes w ll �� - in size- frc V��< «v 5 1lC - E S - imilar material tc r ,� �� 3UIC -)[A � these pipes will 6�t' -(� JL� �,C� of gravel ors �� rJ �� ( stone. ; The disposa ��r, ` C � 4 o single the line M RAA' f�� U_)(U t v(��'y'j ill be installed. f the disposal fi aches. No part of Dpi 50-1 supply, 25 feet frc ty line. I further F by the inspection irements that may bE Ettion. DATE* 90gnati0e of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE T in aha.-w - �T,Ygnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE /3A Signature of" nspecting Officer Percolation Test 3 min. Soils Sandy clay Garbage Grinder ? W9�tK391 r10)l163 V -No, t s jz t u j Giacalone, Jos.- Lot os.- Lot 14, Sullivan St.. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION - - HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Lot 14, Sullivan St. . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of 1000 gal* in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 200 lineal (XqDU=) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size- from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be. installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case; two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATELtiIIu' ISS / 9 & 5 S'gnat a of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE 'gnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE3 Signature of nspecting Officer Percolation Test 3 min„ Soil: Sandy clay r Go-rbage Grinder ? J BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. j 000 6144 �oNC.�ArJ �--�•: 1. NAME DATE 2. ADDRE 4 3 C� Wt,t-,V�,�-Z FIAT NO. TEL. 3. NO. OF BEDROOMS DEN YES NO Y 4. GARBAGE GRINDER YES Z NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE f NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. r • w V • BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL DATE April 3, 1965 NAME OF APPLICANT Giacalone, Joseph LOCATION__ Lot ##14, Sullivan. Street Address of lot no. BUILDING: Dwelling X . Other SYSTEM: New , . X Repair GENERAL DESCRIPTION OF LAND high SUBSOIL: Clay Gravel Sand y Clay PERCOLATION TEST 3 minutes per inch. MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK, 11000 gallon capacity. LEACH FIELD 200 lineal feet of drain pipe. William J. riscoll , Engineer \� Board of Health 1 j 107 Forest St. �0 E`N. FORM 4- SYSTEA1 PUMPING RECORD Middleton,MA 01949.• Sf�Q'(5�w`C+ iA _. _CQmmonwealth of Massachusetts Massachusetts • TOWN OF NORTH ANDOVER/ � BO,,9 OF i 3 �-U, t m 1 m 'n Record . AN 3 0 1996 System ' �l45 ystem er System Location Date of Pumping: Quantity Pumped. gallons Cesspool: No ❑ Yes ❑ Septic Tank: No ❑ Yes System Pumped by: . . ...... ........ License #. ....... ......... Y S Contents transferred to: � � , Date Inspector airy y Y"4 { n • �a ��a1 t \ry FbjRM*4-= S1'STE.'�1 PL�iPL'�G RECORD n, MA 01949 �F00o��A©SNR/ Commonwealth of :Hass Ro P , ass hu etts., 995 � Mt P 1, ystem wner )'stem ocaUon G'401 Date of Pumping �. Quantity Pum ed/ P . . gallons Cesspool: No Yes ❑ Septic Tank: No ❑ . 1'es/El S%'stem Pumped by: Contents transferred to: License #: Date Inspector 107 Forest St. ;Middleton,tdA 01949 O�G FORM 4- SYSTEM PUMPNG RECORD 0,;Z�1C�I�N C mmppwealth of Massachusetts 19�� Massachusetts System Pumping Record System caner System Location lem /W Date of Pumping:- / Quantity Pumped: l gallons Q � P i Cesspool: 'No Yes ❑ Septic Tank: No ❑ Yes.i❑ System Pumped by: �-��J�-�-�,4�-�� License #: Contents transferred to: Date Inspector ,C_� CURRIERFORM 4—SYSTEM PUMPING RECORD SEPTIC & DRAIN SERVICE 107 FOREST STREET; MIDDLETON,MA 01949 (978) 774-2772 i COMMONWEALTH OF MASSACHUSETTS IV MASSACIIUSETTS SYSTEM PUMPING RECORD i • SYSTEM OWNER: a SYSTEM LOCATION: DATE OF PUMPING: QUANTITY PUMPED: GG GALLONS CESSPOOL: NO 0 YES 0 SEPTIC TANK: NO YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: i —Zq-C DATE: ( INSPECTOR: i I ti Y f Midd eton,rMA 01949 t►��P`N 107 Foest St. FORM - SYSTEM PU1� Il�TG RECORD (508) 774-2772 `k b , W Commonwealth of Massachusetts Massachusetts sem min Record 5'G 'stem ystem LOcaUon Avest, 9� � ^ C�dyCj Date of Pumping: r c1 Quantit)' Pumped: I --gallons Cesspool: No [] YesEl Septic Tank: No Q ` Yes. (� SN'stem Pumped by- C '�`✓ Contents transferred to: License #: : :; .. Date Inspector A 5 0 THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY• t�' 1'UIMER FORM 4-SYSTEM PUMPING RECORD. ?ASEPTIC & DRAIN SERVICE 7 F0REST STREET,MIDDLETON MA 01949 f 078)774-2772 COMMONWEALTH OF MASSACHUSETTS r �o• An a �e{ MASSACHUSETTS SYSTEM PUMPING RECORD R: SYS TEM OWNER: PP _ee r? SYSTEM LOCATION: �r * .SuI(GVJ�K S}` PCIS S G 90 x °DATE OF PUMPING: y— /I — 0 0 QUANTITY PUMPED: GALLONS r. ;CESEPTIC TANK: NO _ YES s' D NO YES CD t" r i, r< al. SYSTEM.PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE 'TRANS TO:_ L S' b y YM } +, SATE: Of - //.- 00 -----.INSPECTOR: fpr r� 1"' Form 4 -- System Pumping Record ` Commonwed"of AAassachusetss : Massachusetts System Pumping Record System Owner System Location r %Ul- LR 'T:1yH P'ul. 129 �;'1f.LTWII .1' 12'. 1.J;+TH ANDOV1:14, 1)A it 1 d:'s-'21 4 Poo t h Andovt r. M:', 11 L 7 41� 9iB-683-9049 q78-6til -904`I Paul f'L+u I Type: Emergency Routine Cesspool: N10 Yes Septic tank: No ElYes ©/ Date of Pumping: C—(� 6 �. Quantity Pumped: 1 � Gallons System Pumped By: Wid River EnvironmLL ental, C Permit 7t: �0-M Contents transferred to: Contents Disposed at: (Y/ c7V J t 'i"44 i eO�*�`J ,•f^''o 2 Q� Date: Pumper Signature: Condition of System/Other Comments ` Dep Approved from - 12/07/95 Form 4 -- System Pumping Record Commonwealth of Mossachusetss : Massachusetts System Pumping Record System Owner System Location .AUI. LiRF1:LL'N PAUL '.5 �yL� L.IVAv ti 17r; .'ulliv-1 Strout F 'I-Tti :V11i_,YL:t Kk 01,A-Y 6214 iorth .kiAovr.' H% U14J5 J-uBri-9D.1•� Y"'8-685-:049 Type: Emergency Routine Cesspool: w Yes Septic tank: w =Yes Ea Date of Pumping: Oq (o^Cj , Quantity Pumped: Gallons System Pumped By: Wind River Environmental, LLC Permit#: Contents transferred to: Contents Disposed at: Date: Pumper Signature: Condition of Systen✓Other Comments Dep Approved from - 12/07/95 i Form 4 -- System Pumping Record Commonwealth of Mossachusetss Massachusetts System Pumping Record System Owner System Location PAUL. BREEDEN PAUL 125 SULLIVAN STREET 125 Sullivan Street NORTH ANDOVER. MA 01.845 North Andover, MA 01845 Type: Emergency Routine Cesspool: Nlo Yes Septic tande: IVa r—lYcs Date of Pumping: f Quantity Pumped: D D Gallons System Pumped By: Wind River Environmental, LLC Permit#: Contents transferred to: Contents Disposed at: (Sb JX Date: 1,5)DI Pumper Signature: Condition of System/Other Comments � Rf)jOFHEALY9�,iV_�i MAY 18 2001 , Dep Approved from - 12/07/95 Form 4 -- System Pumping Record / �.J Commonwealth of Mossachusetss : Massachusetts System Pumoina Record System Owner System Location Bret-don Paul Breeden Pjul 1. ) SuiIivan "t. 125 Su Ll Ivan Ft. North Anduver , 14A ola North Andovrr, MA 0154` 9796859049 9766859049 BrcQdon Type: Emergency Routine Cesspool: W Yes E Septic tank: No Yes EE/ Date of Pumping: 5 Quantity Pumped: tJQGallons System Pumped By: Wind River Environmental, LLC Permit#: Contents transferred to: Contents Disposed at: Date: Pumper Signature: Condition of System/Other Comments Dep Approved From - 12/07/95 Form 4-- System Pumping Record Commonwealth of Mossachusetss : Massachusetts System Pumcing Record System Owner System Location t r Dt VA 1 I.,.;[ L11 And,r. Type: Emergency Routine Cesspool: iVo EE Yes Septic tank: W =Yes �✓ Cate of Pumping: a'.30• (f Quantity Pumped: j6Zjr3 Gallons System Pumped By: Wind River Envmwunwte1, LLC Permit#: Contents transferred to: Contents Cisposed at: G ISO Cate: Pumper Signafvre Condition of System/Other Comments K"n Approved Form - 12/07/95 /