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Miscellaneous - 130 CHRISTIAN WAY 4/30/2018
130 Christian Way r 1 01 Lot & Street WT Map/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: SNO Permit" J p Plan Approval: Date: / Approved by: �/t_. Designer: jq7-Z,9(J7-/6 Plan Date: Zq z Conditions: Water Supply- Town _ __ WelI. Well Permit: __Driller: Well Tests: Chemical Date Approved Bacteria I Date Approved Bacteria H e Approved Plumbing Sign-Off: _- firing Sib-Off: Comments: Form "U' Approval: Approval to-Issue: NO Date Issued By: - YN 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 FINAL BOARD OF HEALTH APPROVAL: DATE: C APPROVED BY: �— f SEPTIC SYSTEM INSTALLATION Is the installer licensed? NO Type of Construction: W REPAIR�._- New Construction- .Certified Plot Plan Review , ) NO -Floor Plan Review <_J/ NO Conditions of Approval from Form U YES NO _Issuance of DWC permit: - NO _DWC Permit Paid? -- 'ES. NO . _. -DWC_Permit g Installer: Begin-Inspection:_ YES NO - _Excavation Inspection: Needed: —Passed: = By: -__Construction Inspection: Needed: ui an Satisfactory: S: _- Approval of Backfill: Date: &Lq�_ By: ---Final Grading Approval: Date: J 0%7 99 By: t Final Construction Approval: Date: •`y- -/4- By- Certificate Certificate of Compliance: Approval. J1, Y� - Date: /f —,.-tom C51V Commonwealth of Massachusetts City/Town of OCT 26 2012 System Pumping Record TOWN OF NORTH ANDOVER Form 4 HEALTH DEPARTMENT DEP has provided this form'for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location Left Righ oho se Left/Right rear of house, Left/right side of house, Left/ Right side of buil g, Left/Rig front of building, Left/Right rear of building, Under deck Address City/Town r State Zip Code 2. System Owner. Name Address(if different from location) Cityrrown State 1p Code f Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Conditi n qf System: �,^ � 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. 7GG.- 'L, re contents were disposed: S. Lowell Waste Water qSignAtufeqjHa&ule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 ATLANTIC ENGINEERING AND SURVEY CONSULTANTS, INC. I $702 —OS . 33 WEST. MAIN, STREET, GEORGETOWN, MASSACHUSETTS, 01833 (617) 352-7870 352-7870 (617) 593-3395 SOIL LOG'S Locations ClIITIsT✓A!/ I✓Ay l-XT 0177/1 4/1G✓YYr 126t6t not 7 Dates • Tests performed by: /1�h��r� y✓���' observed by: 111'` GRAF Pit # h Pit # Elev. Elev. T1 y Water Depth Water Depth 7 Water Elev. Water Elev. Perculation data/# Perculation data/0 Dates Date: Elevations Elevations Top of Pit Top of Pit Depth to test Depth to test i Depth of test Depth of test Time Time Soak start Soak start end end A N Average + min/inches Average min/inches "LOT 6 / yw1 800 s.F / L 2Jw 1 4� T I L0 r zoo s . oo f. CP 2 /r �j / 70 2 110 170 ° LOT 8 /do i" c0A uz✓ L ti" 0 10•. p '9.vo ti y o ''`'" `�'P iio 30 -<. is Zc i r�;SY. 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'aPrC i �• fit •.h ,�Y• `'.y. n,l 5• ^�,'i.}. t ' i .tr. +s..F �+ !ci ra:: t '- i i��tyn}X'L"!t�y°� .fir ids C ('� �. •.:k• i �r � .�L [ f. � -x + +.r,^� f' k rn' r ,t .. � � or fs.,G. s e Z `E�r_c ,: s >s. + y� tf,'l• ;✓..M _ -{' !•; Y+��O -�§ a� /, J` f �� •3.. t' j `hei h�5z°. 2 ,r.yy', �'�¢� •23,Y1 :�,r„'nYtp. .y./'•'h!'�. •.a. .4, fs Y� �, !� ',' � yr y,���'�] <J.��i ty 'Y r' ,S J t Y 'f � 7 •41' / tuf + Y 4 l a� .`r ,�� � ' {}• Y' ir£ii't.F, vf'! ~ r<.. k; + :L: t - -VJ- JL - )• Y 1. ���. . : Town of North Andover, Massachusetts Form No.2 NORTH BOARD OF HEALTH 1913-- DESIGN DESIGN APPROVAL FOR ss"CHUsf` SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant �A.DIf1/l 1 �11/t%�!l"l'�_Y�-t_� Test No. Site Location Wr l Jl_t \4 1azy, (1 ) 0-ki � Reference Plans and Specs. � , ENGINEER DESIGNO DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH LFee-!(PO Site System Permit No. G3 : Town of North Andover, Massachusetts Form No.2 o;NooTN�ho BOARD OF HEALTH q 9 DESIGN APPROVAL FOR CHUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM • Applicant__ I 1 t-('/C� �i�rY�.L,� ,c Test N o. Site Location 0-/ til )C' ' Reference Plans and Specs. w , • ENGINEER DESIGN U DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH S Fee Site System Permit No. Oe 17 AS-BUILT' CHECKLIST LOT NUNLBER; STREET NAME ASSESSORS MAP &PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATION & DEMENSIONS OF SYSTEM,t INCLUDING RESERVE n[ TIES TO LOT LINES & DWELLING; WELLS a. FROM SEPTIC TANK b. FROM LEACKAREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION. LOCATIONS OF WELLS, DRAINS, WATERCOURSES W/N 150' OF SYSTEM LOCATION OF WATER,:GAS, ELECTRIC LINES, CABLE 0�_ DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX I/ STAMP & SIGNATURE IMPERVIOUSAREAS - DRIVEWAYS, ETC. V NORTH ARROW �- FINAL CONTOURS LOCATION & ELEVATION OF BENiCH LARK USED LOCUS PLAN NORTfy Town of _ D- OL dover No. 4, �� - _ - Co COCHI E ` dover, Mass.,-2/lip/go? A D'4ATED PPErqft �,`�� 1 S S� BOARD OF HEALTH Food/Kitchen PERMIT T Septic Systen, 9 Y BUILDING INSPECTOR THIS CERTIFIES THAT....IN.4 . .�.....�.........��.... •. V 0 a� 99 ....... ......... ............ ........... Foundation A,* . - /� has permission to erect...........�.......................... buildings on ..X.A.......:I..l#� �.... .�'��...�1 ...i �.ryRougi,� to be occupied as......... N.�i�.� r........�/4N1/... ....... �i�I �'r. .....5. ��.....v �.2 Chimney provided that the person accepting this permit shall in eve respect conform to he terms of the application on file in P P P � g P every P PP � Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBBINGSP T VIOLATION of the Zoning or Building Regulations Voids this Permit. R �G�1 PERMIT EXPIRES IN 6 MONTHS1s s_� MAR J® = ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ART PARCEL 64� g �' �• ........ .... ... ........... .................. ....... Service in B WING INSPECTOR � AOO� Occupancy Permit Required to Occupy BuildingGAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal / No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. �( SEE REVERSE SIDE Smoke Det• r l�vrS TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 10/28/99 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by Arthur Hutton at Lot 7 (130) Christian Way 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 as described in the Design Approval Site System Permit#638 dated 2/1/99. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector r Influenza HMO Medicare Risk (Senior) Reimbursement Project Adult Vaccine Administration Record (Influenza) The doctor or clinic may use this form for the written documentation required for every dose of vaccine, or they may record it in your medical record. They will record what vaccine was given, when the vaccine was given, the address where the vaccine was given, the name of the company that made the vaccine,the vaccine's special lot num- ber,the name and title of the person who gave the vaccine, and the document number. Information about the person to receive vaccine lease rin Name: (Last, First l) Birth date: Age: Street address: Ci State: Zi . - 7 Phone: •XIi.Io13ujsi1us uoijounj Cheri it'Pi4qVt�e'� rzR* R'*iF0W5xi BRAA u iii a��o ao s q1 jo oouenssI au,L Medicare ' 66/I/Z Pa1E 8£9 # J. Ad uzaJsxS aiiS IuAozddv i n8a L13-",10 MOST 11,02W 1zo 31P IMM PUP Blue 6&ijuLS OWIS 3q1J0 A al IMO suot ozd a alien aoue Looe uI pallLIsuT uaaq stIu Fallon Senior Plan CtAk u01si qD 0 L 101 #: First Seniority(Harvard Pilgrim) uoUn .mtl� #: Xq Secure Horizons (Tufts Health Plan( f�rpSenii3mugrs/o (X) pajonijsuo \QT United HealthCare/Med(care Completevfj ! JJao 01 st snLL #: Other 66/8Z/0I #. ::HJ virmwoa AO 91VG HiNv rldJ/1I Signature of person to receive vaccine, or thatperson's uardian x 2I9A0GKV HJLHON 30 NM01.- For Clinic/Office Use Vaccine name: Date vaccine administered: Injection site: Date VIS given: Date on VIS: Vaccine manufacturer: Vaccine lot number: Name and title of vaccine administrator: Clinic/office address: Iv- (8/24/99) Town of North Andover f NORTH , OFFICE OF 3?0`t.,to 6.64oOp` COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street ► North Andover, Massachusetts 01845 , WILLIAM J. SCOTT SAC14 Q 9SACNUS�� Director (978)688-9531 Fax(978)688-9542 October 19, 1999 Martin Halleran, P.E. Atlantic Engineering & Survey Consultants 97 Tenney Street—suite 5 Georgetown, MA 01833 Re: Lot 5 Christian Way +Lot 7 Dear Mr. Halleran, The Health Department has reviewed your submitted septic system As-Built, Certification form and the attached addendum concerning Lot 5 Christian Way,North Andover. The following is a list of outstanding issues that resulted from the review of these documents. 1) The As-Built is incomplete. Please see the attached check list for missing items • Submit completed as-built 2) The system certification form is not the form that was issued to the installer upon permit issuance. • See attached form. The original, signed by all parties, must be submitted 3) The addendum needs clarification of item#4. Please describe in detail the procedure followed by you to "prepare"the system as-built. • Submit detailed letter of clarification These issues must be addressed before this office can perform a final inspection of the property, sign off on the building permit or issue a Certificate of Compliance. Please call if you have any additional questions. Thank you for your anticipated cooperation in this matter. Sincerel �san Ford Health Inspector Cc: Mitsu Realty Trust, Owner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 .. � 1355 Hooksett Rd. Hooksett NH,03106 ' s Telephone:••( )603 668-4000 P Fax:(603)624-1430 Gravel Size: Clean Sand Date: 9/7/99 y Plant# : Valley Time : 10:30am Screen Percent Percent Size Retained Passing Spec. 3" 0.0 1'00.0 2" 0 0.0 100.0 t 1/2- 98 0.7 99:3 1" 404 2.9 97.1 3/4":: 560 4.0< 96:0 1/2- 729 5.2 94.8 835 5.9 94:1 #4 1,116 7.9 92.1 Sand Portion #4 0 0.0 100.0 #8 4.6 2.9' 9T.1 #10 6.2 3.9 96.1 #16 16.3 10.3 89.7 #20 30.3 19.2 80.8 #30 51.5 32:6 67,4 #40 83.7 53.0 47.0 #50, 442.3. 712 28.8 #60 127.4 80.7 19.3 #80 143.4 90.9 9.1 #100 148.9 94.4 5.6 #200 156.4' 9911 0.9 Residue : Grams : 14,044 Organic Test # :I Passing#4 :,157.8 Laboratory,Quality Control Daus;PM&a DATE l2 3/c�3 Sheet / of BOARD OF HEALTH TOWN OF NORTH ANDOVER / SUBSURFACE DISPOSAL DESIGN REVIEW FEE 95 PERMIT # Z DATE RECEIVED �' APPLICANT M. .�9iylron���; ASSESSOR'S MAP ADDRESS PARCEL # LOT # 19 STREET 6Ae/5r1AiV Cyy OX77 ENGINEER �TL/�i(/7/G ADDRESS PLAN DATE // //D REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED �: TESTs C�/= lo�g3 /VDD" LOG�rE�b � /�/. �• � , G��J • iio� of APrV�=cJx► Y rss otic C Al, /,?. �• 0,,q �� :2, ,,,po -D/s y - `7ji5cAE.�i�IV6 w�r1 LYli- �Lc--�e�Ticti — �� Commonwealth of Massachusetts City/Town of System Pumping- Record OCT 27 ZU14 Form 4 DEP has provided this form for use-,by local Boards of Health. Other forms may be used;but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility. Information 1. System Location: Left t fron hou , Left/Right rear of house, Left/right side of house, Left/ Right side of building, Le ight front of building, Left/Right rear of building, Under deck Address Cityrrown Zip Code 2. System Owner. S Name Address(if different from location) Citylrown state Zip Code f � Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons F 3. s Type of system'. ❑ Cess s ool �e ti/c Tank Y Y. p ( ) LyD'S P El Tight Tank ❑ Other(describe): __ 4. Effluent Tee Filter present? ❑ Yep Q'NO If yes,was it cleaned? ❑ Yes ❑ No ' S. Condition of System: 6. System Pumped By. Neil.Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location mkere contents were disposed: C� S. Lowell Waste Water Sig qt HauleiU Date t5form4.doca 06/03 System Pumping Record•Page 1 of 1 ) dd cress C .. R tST'�N w � �` r Title of File Page _ of Date File Open: --- Date F:Ie closed:_ Doc Document. /ActionTitle Date of action Refer to other Purpose of DoCUme til JAS of nand notes swum. Document/ docurruent/ ---- Action De artment ----------------- Board of Appeals - Board of Heal h Planniing Board ; Cons eruatiion Commission — Boilding Departr,en;t Atlantic Engineering & Survey Consultants, Inc. 97 Tenney Street — Suite 5 Georgetown,MA 01833 (978)352-7870 — Fax(978)352-9940 SEWAGE DISPOSAL SYSTEM CERTIFICATE OF COMPLIANCE ADDENDUM DATE: I DZ2 n SITE LOCATION: j--oT 7 Rn�©r` J��R-t1� , 1� • t 1b tl C '�- Commonwealth of Massachusetts Form 1255, last revised May 1996, requires that the system designer for this"Sewage Disposal System"certify that the above system has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans. Atlantic Engineering& Survey Consultants, Inc. (Atlantic) was not been retained to provide any construction supervision, inspections, soils analysis or layout relating to the sewage disposal system and as such has no responsibility express or implied relating to said construction supervision. Atlantic was hired to perform the following services during the construction phase of this project and limits certifications to the scope of these services. 1. Stakeout the corners of the proposed system structures. 2. Provide a project bench mark. 3. Stakeout any lot lines less than 10 feet from the system. 4. Field locate the as-built septic components and prepare a system as-built showing the horizontal and vertical locations of the as-built system structures. 5. 6. Atlantic Engineering and Survey Consultants, Inc. and its officers, directors, employees and agents assumes no professional or financial liability for any erroneous or unsuitable construction related to the installation of this system for which Atlantic was not providing service. The issuance of a certifi5Ate of compliance by the approving authority shall not be construed as a warranty� ar nt at the system will function as designed. r Marti . e , . D:\Files-WP\Septic Forms\SEPTCOMP.WPD TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ; constructed; ( ) repaired; located at L J % 1'7 J3 j faQ0 K Fi4i2..M was installed in conformance with the North Andover Board of Health approved plan; System Design Pe=it dated ��J �y with an approved design ilotiv ofgallons per day. The materials/used were in conformance with these specined on the approved plan; the system was installed in accordance with the provisions of 310 CINIR 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: A&L g& I3��O10 Engineer Recresenta ive Final inspection date: �G-P� �G, fflq 1,-114E� 6'/-1Ue_TL� Engineer Representative 77__ , Installer: Ott-,,h,/,,L !' / t ;/ Lica: Date: Design Engineer: Date: L October 19, 1999 Martin Halleran, P.E. Atlantic Engineering & Survey Consultants 97 Tenney Street—suite 5 Georgetown, MA 01833 Re: Lot 5 Christian Way Dear Mr. Halleran, The Health Department has reviewed your submitted septic system As-Built, Certification form and the attached addendum concerning Lot 5 Christian Way,North Andover. The following is a list of outstanding issues that resulted from the review of these documents. 1) The As- Built is incomplete. Please see the attached check list for missing items • Submit completed as-built 2) The system certification form is not the form that was issued to the installer upon permit issuance. • See attached form. The original, signed by all parties, must be submitted 3) The addendum needs clarification of item# 4. Please describe in detail the procedure followed by you to "prepare"the system as-built. • Submit detailed letter of clarification These issues must be addressed before this office can perform a final inspection of the property, sign off on the building permit or issue a Certificate of Compliance. Please call if you have any additional questions. Thank you for your anticipated cooperation in this matter. Sincerely, Susan Ford Health Inspector Cg; Mitsu Realty Trust, Owner Atlantic Engineering & Survey Consultants, Inc. 97 Tenney Street - Suite 5 Georgetown, MA 01833 (978)352-7870 - Fax(978)352-9940 SEWAGE DISPOSAL SYSTEM CERTIFICATE OF COMPLIANCE ADDENDUM DATE: 56,E ZA I q g9 SITE LOCATION: L-s `7 �l o� 3rtml CIJIUSTi A� WAY C,g , �U, AA-,n p✓��2_ Commonwealth of Massachusetts Form 1255, last revised May 1996, requires that the system designer for this "Sewage Disposal System" certify that the above system has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans. Atlantic Engineering & Survey Consultants, Inc. (Atlantic) was not been retained to provide any construction supervision, inspections, soils analysis or layout relating to the sewage disposal system and as such has no responsibility express or implied relating to said construction supervision. Atlantic was hired to perform the following services during the construction phase of this project and limits certifications to the scope of these services. 1. Stakeout the corners of the proposed system structures. 2. Provide a project bench mark. 3. Stakeout any lot lines less than 10 feet from the system. 4. Prepare a system as-built showing the horizontal and vertical locations of the as-built system structures. Atlantic Engineering and Survey Consultants, Inc. and its officers, directors, employees and agents assumes no professional or financial liability for any erroneous or unsuitable construction related to the installation of this system for which Atlantic was not providing service. The issuance of certificate of compliance by the approving authority shall not be construed as a warranty or arantee that the system will function as designed. MWn'Nf. Halleran, .E. D.FILES-WP\SEPTCOMP.WPD FORM 3A - CERrMCATE OF COMPLIANCE No. COMMONWEALTH OF MASSACHUSETTS Board of Health, �JOa--y-vk e�L— CERTIFICATE OF COMPLIANCE Description of Work: O Individual Components) Complete System The,undersigned hereby certify that the Sewage Disposal System; Constructed ) Repaired ( ), Upgraded O, Abandoned ( ) at_ /T:�7 6122 i. 2� - e i� TJ d10 [ Vw U. E T has been installed in accordance with the provisions of 310'CMR 15.00 (Title 5) and the approved design plan%4built plans relating to application No. dated Approved Design flow_ (gpd) Installer Designer: lnspectbr ---- Date__ The Issuance of this permit shall not be construed as a guarantee that the systerri will, function as designed. - �C� � C HES A�DD CrQ1)UVM, OLP APPROVED FORM 5196 , Commonwealth of Massachusetts ECLI L%& City/Town of System Pumping Record JUN 11 2007 y� Form 4 TOWN NONORTH HEALTLT HDt=('�-= ` DEP has provided this form for use by local Boards of Health. Other forms "u but-twd information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: ��1 When filling out 1. System l�ocatio� U� forms on the - v computer,use only the tab key Address to move your cursor-do not Cityrrown State Zip Code use the return key. �- 2. System Owner: Name 1�1 Address(if different from location) Citylrown State ^ � � ,7��0� Telephone Number B. Pumping Record 1. Date of Pumping Die 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) [I—Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes �o If yes, was it cleaned? ❑ Yes ❑ No 5. Conditionof e�m: A '��A t V-'- --V'=5;k� 6. System Pumped By: \' P���r Name Vehicle License Number Company 7. Location a contents were di"d: b Signafire f H ler Date t5forrn4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of f System Pumping Record 2 5]A,,p�JER Form 4 [APR ryCF�:OFITALT, DEP has provided this form for use by local Boards of Health. The System Pumping Record must be submitted to the local Board of Health or other approving authority. . A. Facility Information Important: When filling out 1. System Location* ^ C " forms on the computer,use only the tab key Address to move yourIC cursor-do not use thereturn City/Town �-S�tate ���Zp Code .key. 2. System Owner. Name Address(if different from location) City/Town State / tfi ip Code Telephone Number B. Pumping Record r 1. Date of Pumping �—f C S�� Date 2 Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Ic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes B� If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: L 6. Sys m Pum ed By Name Vehicle License Number Company .7. Pe ntents were disposed: -< . �0 , Date http://www.mass.goals/t5forms.htm#inspect t5form4.doc•06/03 System'Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/ igh front of hou Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address r r' ` ' 1 Citylrown Stdte Zip Code 2. System Owner. Name Address(if different fnim'ocation)_� Y V �� City/TownNOV � 9 �, State Zip Code W 2Q13 �: F Telephone Number —. � TOWN Oi"iJO^'I t i AiJDOVER � eP HEALTH DEPART_u,El � B. Pumping Record 1. Date of PumpingDate` ( ( 2 antity Pumped: (SOV Gallons 3. Type of system: ❑ Cesspool(s) Se tic Tank Tight Tank p ❑ 9 ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No; ' 5. Condition of System: Ct 6. System Pumped By. Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Lova' re contents were disposed: G.L S Lowell Waste Water Signitufe cf Haul Date t5fomi4.doa 06/03 System Pumping Record•Page 1 of 1 Ot MOFT:1y . O * Town of North Andover *�,'•�;,;o::� �' HEALTH DEPARTMENT ,SSACNUSf4 CHECK#: DATE: �D LOCATION: H/O NAME: CONTRACT NAME: &6 Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ ztle nspector $ J eport $ .5 t�•'" ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer A � . Commonwealth of Massachusetts Title 5 Official Inspection rqj ,1 ; Subsurface Sewage Disposal System Form-Not for Volunta Assessments TOWN OR NORTH ANDD 130 Christian Way HEALTH DEPAFtT1+rENT Property Address James Carter 7 L3 b Owner Owners Name information is required for North Andover Ma 01845 7/13/2010 every page. City/town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see'completeness checklist at the end of the form. GK /- jr--3 Important: When filling out A. General Information forms on the computer,use 1. Inspector: only the tab key to move your Neil J. Bateson cursor-do,not Name of Inspector use the refurn key. Bateson Enterprises Inc. Company Name 111 Argilla Road Company Address Andover Ma 01810 City/Town State Zip Code 978-475-4786 SI15 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority dd�' &111�� 7/13/2010 In a or ignature V Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 0 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. City/Town state Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed.pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water ' supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins-09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 1 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owners Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins-09/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 5 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Yes Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? - ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owners Name information is required for North Andover Ma 01845 7/13/2010 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Pumped 2009 owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Measured tank Reason for pumping: Inspect tank&tees Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09108 Title 5 official Inspection Forth:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. City/Town state Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 11 years old, 9/29/1999, as built plan Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2. feet Material of construction: ❑ cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): 4" PVC thru wall , 3" PVC in house, no leaks visible Septic Tank(locate on site plan): Depth below grade: 1.4 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age:• years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 10'x5'x4' Sludge depth: 1" t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owners Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Tape Measure Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumped septic tank. Inlet tee ok. Outlet tee ok. Depth of liquid at outlet invert. No evidence of leakage. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09108 Title 5 Official Inspection forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way ,p Property Address James Carter Owner owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box level&distibution equal. No evidence of leakage. Evidence of carryover, pumped d-box to clean. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 field 22'x 41' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil ok. Vegetation ok. No sign of ponding to surface. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 We 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 130 Christian Way Property Address James Carter Owner Owners Name information is required for North Andover Ma 01845 7/13/2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Ate . = DL W(o t40`5rt ( 11 DL� t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 6/14/1993 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Design plan ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: As per test pit data on design plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 130 Christian Way Property Address James Carter Owner Owner's Name information is required for North Andover Ma 01845 7/13/2010 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Summary Record Card generated on 6/30/2010 2:41:44 PM by Karen Hanlon Page 1 Town of North Andover Tax Map # 210-104.D-0191-0000.0 Parcel Id 16832 130 CHRISTIAN WAY EXT CARTER, JAMES & DEBRA 130 CHRISTIAN WAY NORTH ANDOVER, MA 01845 Class 101 Single Family Property Type 1 Residentia Size Total 1.29 Acres FY 2010 UB Mailing Index Name/Address Type Loan Number Active/lnact. From Until CARTER,JAMES&DEBRA Payor 130 CHRISTIAN WAY NORTH ANDOVER,MA 01845 UB Account Maint. Account No Cycle Occupant Name Active/Inactive Bldg Id. 1786?.0-130 CHRISTIAN WAY EXT Last Billing Date 4/2/2010 3170527 03 Cycle 03 Active UB Services Maint. Account No.3170527 Service Code Rate Charge Multiplier/Users MISCFEE ADMIN FEE 1 1 9.18 1/ WTR WATER 01 ALL METER SIZE 60.80 /1 UB Meter Maintenance Account No.3170527 Serial No Status Location Brand Type Size YTD Cons 33702686 a Active ERT HH b Badger w Water 1 1 281 Date Reading Code Consumption Posted Date Variance 6/8/2010 571 a Actual 33 99% 3/9/2010 538 a Actual 16 4/14/2010 -260/c 12/11/2009 522 aActual 23 1/12/2010 -490/c 9/8/2009 499 a Actual 44 10/15/2009 71% 6/9/2009 455 a Actual 24 7/20/2009 38% 3/16/2009 431 a Actual 20 4/29/2009 -21% 12/8/2008 411 a Actual 23 1/20/2009 -690/c 9/10/2008 388 a Actual 81 10/10/2008 49% 6/6/2008 307 a Actual 50 7/16/2008 120% 3/10/2008 257 a Actual 23 4/11/2008 -56°k 12/12/2007 234 a Actual 57 1/22/2008 -620/c 9/6/2007 177 a Actual 121 10/12/2007 246% 6/19/2007 56 a Actual 43 7/20/2007 74% 3/14/2007 13 a Actual 13 4/16/2007 0°/a 1/22/2007 0 n New Meter 0 4/16/2007 0% 1/22/2007 1705 r Replacement -15 4/16/2007 -166% 12/12/2006 1720 m Manual estimate 50 1/19/2007 -51% ACTUAL SAYS 1659 9/13/2006 1670 a Actual 97 10/20/2006 263% Trouble Code:03 6/19/2006 1573 c Correction 32 7/10/2006 -53% 3/8/2006 1602 m Manual estimate 50 4/17/2006 -2% MSG ACTUAL SAYS 1541 12/22/2005 1552 a Actual 62 1/17/2006 -650k 9/21/2005 1490 a Actual 165 10/14/2005 3600/c Trouble Code:03 t i • Commonwealth of Massachusetts cityffown of System Pumping Record u Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health tq determine-the form they use.The System Pumping Record must be submitted to the local Board of Health o14otWr.approving authority. A. Facility Information 1. System Location: Left side of house, Right side of house, Left front of house, ight front of Left rear of house, Right rear of house. Left rear of building. Right rear of building. Address 4,\j city/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: c? Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 0'110If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: \ - 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location ere contents.were disposed: L.S.Q Low Waste Water Signature uler Date t5form4.doc-06/03 System Pumping Record•Page 1 of 1 w ©vgiZ CAST- rte .. --r----- - I 7,�ir5/' 57v j SUM' G/Z�V WC_� �� II - - I 1 (1 ,ZS -7 � + � i w� �� n� i � I I Z_'_:r_ � I�2��"1�`2� �i%�7Y�"•t.' StJ^� �1 Z� �; � i � I � __��I; I I -----2 �3•: Z��� s, S ' �.r;�� rrt� �7� I I , . I � � I � i l I � � � ', 51LTY AV f t � I f -7 ' r5 ?i 77 I I I Ira �l V ii 17 kU fo. e z=y I i II { i Z ^S )f- =Z �O.' Z--:,Ii i ez M _ 1 i f sd')N --- PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXd 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W) xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W) xD x #) (G/ft2) FIELDS / MIN 660 GPD ,,--'900 ft2 BED ✓ PERC RATE FASTER THAN 20M/IN v GW MIN 4 ' BELOW BOTTOM OF FIELD PIPE ENDS JOINED? L--` 4" PEA STONE? O /f- DIST LINE SLOPE . 005? C--' >31COVER-VENT g--t SCH 40—Z MIN 12" COVER RATE,,q,v /A1 LDG /. D X 660 = V00 30X36 = TOTAL 966 ft2/G REQtD (ft2) LXW + IDG DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY gPm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright O 1993 by S.L.Starr / PLAN REVIEW CHECKLIST ADDRESS ,< • 7lST/152iU Z101 -�-Xj- ENGINEER GENERAL 3 COPIES STAMP LOCUS NORTH ARROW SCALE tai CONTOURS PROFILE SECTION c/ BENCHMARK SOIL & PERC INFO ✓ ELEVATIONSw WETS. DISCLAIMER WELLS & WETLANDS WATERSHED? A/D DRIVEWAY• b,C (Eley) WATER LINE L� FDN DRAIN r/ SCH40 ✓ TESTS CURRENT? t/ SEPTIC TANK ,�� // MIN 1500G c/ . 17 INVERT DROP L--" GARB. GRINDER/V6 (+200% EDF) 25 ' TO CELLAR MANHOLE TO GRADE ELEV GW 0 ,C D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENTy INLET - OUTLET/j-&-)/ _ / 7 (2" OR . 17 FT) TEE REQ'D? A46 LEACHING MIN 660 GPD? RESERVE AREA L—"-�4 ' FROM PRIMARY? �2% SLOPEt-� 100 ' TO WETLANDS t--� 100 ' TO WELLS-"--,--- ELLS " mak ' TO S.H.GW G� 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY 7 MIN 12" COVER C-' FILL? x(25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) >31COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE? BOT X LDNG + SIDE X LDNG = TOT (L x W x #) (G/ft2) (DxLx2x#) (G/ft2) Copyright O 1993 by S.L.Starr DATE Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER SUBSURFACE DISPOSAL DESIGN REVIEW FEE ` �� PERMIT # Ca 7 DATE RECEIVED22j8 APPLICANT ASSESSOR'S MAP /611D ADDRESS PARCEL # / LOT # '7 STREET ENGINEER XlT--1/,2/V7—/G ADDRESS 97 7—ef1,0&Y 57- 6 Tu>,tJ PLAN DATE _ /f�%�9 3 REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED j, 15,014S TG 6TH o", /V07— l" NGG DF c�5�,e✓� /9/`C/-� 7z7 -7::-0A DC191A) C�55 ?-f�i9N ✓•9AI.C" Town of North Andover t NORTN OFFICE OF ��°•,,"' a COMMUNITY DEVELOPMENT AND SERVICES o - 30 School Street : 10 ; North Andover, Massachusetts 01845 ��'° ,,,,.•�`ty WILLIAM 1. SCOTT SS^cHustt Director FILE OUTSIDE CONSULTANT ESCROW AGREEMENT NORTH ANDOVER BOARD OF HEALTH Agreement is made this (�Q� . �C? between the Town of North Andover and of for Soil Test Plan Revi�� ��"S --'1mZ�1L KNOW ALL men by these present that the Applicant hereby provides the Town of North Andover with a check in the sum of $ to be deposited in an escrow account for the Town of North Andover and has deposited in an interest- bearing account as designated by the Town Treasurer to be expended by the North Andover Board of Health to insure payment to any outside consultant (s ) for Soil Tests, Plan Review for the above referenced project . This agreement shall remain in full force and effect until the specified project has reached completion . iA MJUIL R42tA and of Health Chairman Applicant or Agent )nI a-,) Iq Date Date. WILLIAM ANTONELLI 3-96 6 560 7 392 JANET M. ANTONELLI 2239 916 G� 5431 FLINT TAVERN PL. U �� 19 ` BURKE, VA 22015 Pay to the order of Dollars MSI TIM Crestar Bank Alexandria,Virginia 688-9535 vji ror t:0 5 6 0 0 1 0 7 9 t: 8 2 2 3 9 5 9-,5 II' 039 2 i46 (MAIN STREET ( 0-)-f- I -1 1 r-(-)>-)V-- No FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, N' 4AIRy&X -, AM. APPLICATION F®I, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to ConstructV) Repair( ) Upgrade( ) Abandon( ) - ❑Complete System ❑Individual Components Location Pkg4olfl PAOM - eH,fIt7/4Al W# 4;-X t. Owner's Name /11 , A A/7yPA/670E Map/Parcel# Address///7 f-4MWOO Al 1t-X,4jVA64 VA Lot# 7 Telephone# 2 Z _ d f _ " 12 Installer's Name Designer's Name A-71, Alt i4 &VA t StiX vc Address Address 6:�o,cGc Pi/N 1h Telephone# Telephone# 't ti 3 Yv 7`b 7 Type of Building Lot Size 33 2i sq.ft. Dwelling-No.of Bedrooms Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (min.re uired) 4'�� gpd Calculated design flow ��� � �� Design flow provided�gpd Plan: Date /Dt�Z !/f f Number of sheets 7i Revision Date Title LOLL 7 - dRaON GABA Description of Soil(s) W-f 0 li Soil Evaluator Form No. Name of Soil Evaluator M fyAt�Gm,�� Date of Evaluation $ 4 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections s No. C®MM®N V'V LT14 OF MASSACHUSETTS FEE Board of Health, , MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH OF MASSAC14USETTS Board of Health, , MA. DISPOSAL SYSTEM CONSTRUCTI®N PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health Atlantic Engineering & LETTER OF TRANSMITTAL Survey Consultants, Inc. Land Surveyors- Civil Engineers -Planners 97 Tenney Street — Suite 5 Georgetown, MA 01833 (978)352-7870 — Fax(978)352-9940 Transmittal To: North Andover Board of Health Date: 10/22/98 Job No: 9701-02 Ref Lot 7 - Brook Farm Attention: WE ARE SENDING YOU X Attached Under Separate Cover Reports Letter Original Plans X Forms X Prints Specifications Shop Drawings COPIES DATE DESCRIPTION 3 10/2/98 Plan of Proposed Sewage System 1 10/2/98 Avolication for Disposal System Construction Permit THESE ARE TRANSMITTED as checked below: For your use Approved as submitted Resubmit copies for approval X For Approval Approved as noted Submit As Requested Returned for corrections Return corrected prints For Review and comment Other * Remarks: CAWINDOWS\DESKTOP\Coleen's BriefcaseUransmittals\Brook Fame Lot 7 Septic-BOH.wpd SEPTIC PLAN SUBMITTAL FORM LOCATION: /b/ NEW PLANS: (9s) $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: /U'6/ lie DESIGN ENGINEER: 471"e? f�� DATE TO CONSULTANT: When the submission is all in place, route to the Health Secretary. :'E7u..7 1t. .. •f.. i ., .. tH'1'{sS+7:�i;i, ^a..o;„ri J�,. ,, iwl .`s^ti. ,i,_.. `r FORM l z - SOIL EVALUATOR FORi1 ` Page I of Date: No. 5 9 Commonwealth-of.Massachusetts Al. RIL1042 ✓ Massachusetts ,Soil Suitability A;ssessrnent or On-site. Sewa e ,Dis osal Performed By: MAIZTtN NA>t�t�aN AtLA Date: Witnessed By:" RONERT Location O,�mrs Num. MA R(4APG ET ANTDW G L1Location Addressa $R ppK VARM M �% � 'Address.Ana UX I 1111 [I ATEW ODD D R NORMA At.IVovER 7cicpnwm! a`EXAnlDRiA UA 2230 New construction ❑ Repair ❑ ' Office lReview Er Published Soil Survey Available: No ❑ Yes. Year Published —n5L— Publication Scale Soil.Map Unit. — A 13 t-1,T G ('1hjDA�R Ir.( �LAL � Drainage Class - Soil Limitations Surficial.Gcologic Report Available: No L'_I Yes ❑. Year Published Publication Scale Geologic Material (Map Unit) . Landform Flood Insurance Rate Map: �,/ Above 500 year flood boundary No ❑Yes U Within 500 year flood boundary-No UYcs ❑ Within 100 year flood boundary No Eyes ❑ „ " Wetland Area: National Wetland'Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current'Water Resource Co ditions (USGS): Month �------• Range :Above'-ormal Normal ❑Bcic:v Normal ❑ Other References Reviewed: DEP APPROVED FORM•12/07/95 FORM 11 - SOIL EVALUATOR DORM Page 2 of 3 Location Address or Lot No. 6,-f 60K A;e ?M �� 7 On-site Review Deep Hole Number��Date:..., /99 Time::. z,� Weather Location (identify on site plan) Land Use .WcaC2F—D Slope M Surfacc'Stones . Vegetation Landform e?L,-J�1-1 VLAIfV Position on landscape (sketch on,the back) Distances from: Open Water Body 4taco' feet Drainage way 4 too feet Possible Wet Area <100 feet Property Line 410 feet Drinking Water Well -e-too feet Other DEEP OBSESVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsoll) Mottling (Structure, Stones, Boulders, Consistency, Gravel) 1 b Yk ,0 L, 3f2 3 9 618 2,T 8/ 2-a �' S . L. /3 srR 8l� { - Parent Material (geologic)=0 a I A,-,l�L-VI(4 SN DopthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Z(A Weeping from Pit Face: Estimated Seasonal High Ground Water: c39 6� /97C>T/ZFS — DEP APPROVED F0101-12/07/95 DORM 11 - SOIL LVALUATOIt FORM I'age 3 of 3 Location Address or Lot No. DoT' -7 IJetermination or Seasonal High Wates' Fable Method Used: Depth observed standing in observation hole..1.cZ.6. inches ❑ Depth weeping from side of observation hole .......... .... inches [ epth to soil mottles . .3. ,:.., inches ❑ Ground water adjustment ................... feet. Index Well Number .................. Reading Date ................... Index well level .................. Adjustment factor .................... Adjusted ground water level ................................................. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Y ar If not, what is the depth of naturally, occurring pervious material? Certification I certify that on 95 (date) I have passed the soil evaluator examination approved by the Dep rtment of Environ ental Protection and that the above analysis was performed by me consistent with t e required training, expertise and experience described in 310 CMR 15.01 D Signature Date 0 DL•'P APPR01YTD FO 101-12/07/95 snV' • :ir-5.,..i :.;. rortM iz SOIL EVALUATOR FORP Page 1 of Date: , No. Commonwealth of.Massachusetts Massachusetts Soil Suitability Assessmentfor On-side Sewage Q[Ss Qsa.Z MAIC lh hA11 FRATti ATLAty'C�G Ent •----.--_--�• Date: Performed By: � • Witnessed By: E �3 R ppK �A R M — L % 77 Owner's Name. MA RC1A RCV A N OW E L—LA . Location Address of Address,and L«I Tele ne r 1 l m Cq ATF_w coD D R NORMA ,o�NgovER bo ° gLEXAgPRA UA 22307 pewconstruction ❑ Repair ❑ ' Office Review Published Soil Survey Available: No ❑• Ycs. t, Soil Map Unit Year Published 1951 Publication Scale ff�, uintrl-F� Drainage Class .- Soil Limitations - - ---� Surficial.,Gcologic Report Available: No t_'1 yes ❑ Year Published — Publication Scale �. - Geologic Material (Map. Unit) . Landform Flood Insurance Rate Map: Above 500 year flood boundary No ❑Ycs . 21/ Within 500 year flood boundaryNo LJYcs ❑ Within 100 year flood boundary No Eyes ❑ Wetland Arca: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Currcnt'Watcr Resource Conditions (USGS): Month ----' Range :Above Normal ZNormal ❑I3ck v Normal ❑ Other References Reviewed: DEP APPROVED FORM• 12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot.No. gKnnK FARM 7 On-site ,Review Deep Hole Number TP'7-/-4R Date:... Time::. o wt Weather Location (identify on site plan) Land Use W000CP Slope Surfacc'Stones . Vegetation Landform , QuzrWAct-I 2LA"'NJ - Position on landscape (sketch on,the back) . Distances from: Open Water Body clop feet Drainage way 4100 feet Possible Wet Area Lt po feet Property Line z—10 feet Drinking Water Well e- 10o feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % Gravel) I SYR • Iz � L' 3l2 • ID YR 35 112 c"' S•L . $�`� �;S-;R .. Parent Material (geologic) P):LOCze,AG( Dopthtooedrock: Depth to Groundwater: Standing Water in the Hole: X09 Weeping from Pit Face: Estimated Seasonal High Ground Water: 40 e--2 '/ A-L 0 r - — DEP A11PROVE•D F0101-12107/95 hOItM 11 - SOIL LVALUATOR hOFAI Page 3 of 3 Location Address or Lot No. &QDOX FAR Determination for Seasonal Hi h Water Fable Method Used: [-[5epth observed standing in. observation hole.....10.9.. inches ❑�—, Depth weeping from side of observation hole .......... .... inches LD Depth to soil mottles ....9.0.:.... inches ❑ Ground water adjustment ................... feet. Index Well Number .................. Reading Date ................... Index well level .................. Adjustment factor ................... Adjusted ground water level ...................................... Depth of Naturally Occurrinca Pervious-Material Does at least four feet. of naturally occurring pervious material exist in all areas observed throughout the area proposed .for the soil absorption system? If not, what is the depth of naturally.occurring pervious material? Certification I certify that on /rZm � (date) I have passed the soil evaluator examination approved by the Dep rt en of Enviro ental Protection and that the above analysis was performed by me consistent with h required training, expertise and experience described in 310 CMR 15. Signature Date fl DL•'P APPROVU POFQM- 12/07/95 Nov-20-98 08: 56A Paul D. Turbide, PE/PLS 508-465-0313 P.03 November 20, 1998 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 120 Main Street North Andover,MA 01845 RE: Title V review for Christian Way Extension,Lot 7 Dear Sandra, Enclosed find the"Checklist for North Andover Septic System Plans"for the above- mentioned site. The following is a list of all the `Problem' areas and deficiencies Port Engineering has found. • The outlet elevation of the foundation drain is wrong(probably a drafting error). It shows 165.5,but should probably be 169.5' • One of the three access covers of the septic tank must be raised to within 6"of finish grade by riser sections of 24" minimum diameter(3 10 CMR 15. 228(2)) • D-box must have 6"stone base. 310 CMR 15.221(2) • Septic tank must have 6"stone base 310 CMR 15.221(2) • in the"General Notes" section of the plan should be added the requirement that: "No garbage grinder shall be installed". (It is stated in the"Calculations" section in the calculation of flow that the system was designed for no garbage grinder,but I feel it should be stressed elsewhere on the plan in an area that the future owner of the property can plainly see that no garbage grinder can ever be installed.) • The proposed elevation of the garage floor,as well as grading on the driveway is required. NA 8.02T Minor Observation The septic tank and building sewer are at the center of the front of the proposed foundation. Will this have any effect of the front steps or main entrance to the building? Will it be possible to repair or replace the building sewer if the front steps have been built over it? If you have any questions or comments please feel free to contact us. OIDFV P iti MGMERING Sincerely, Civil Engineers 8t Lad Surveyors Carlton A. Brown,PElPLS One Harris Street Newburyport.MA 01950 (978}465-8594 Town of North Andover E NORTH OFFICE OF 3?0 Ott °pL COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street North Andover,Massachusetts 01845 79 °q�..° •at�5 WILLIAM J.SCOTT SSACHUS� Director (978)688-9531 Fax(978)688-9542 November 24,1998 Atlantic Engineering&Survey 97 Tenney Street Georgetown,MA 01833 RE: Brook Farm, Lot 7 Dear Mr. Halleran: This letter is to inform you that the proposed septic plan for Lot 7 Brook Farm/Christian Way Extension have been disapproved for the following reasons: • No septic tank manhole to within 6" of finish grade. (310 CMR 15.228(2)) • 6" of stone under D-box not specified. (310 CMR 15.221(2)) • Note stating"No garbage grinder allowed"missing. • Missing elevation of garage floor and driveway grading. (N.A.8.02t) • Outlet elevation of foundation drain is incorrect;please check. • Trenches are to be used whenever possible. Please justify use of field. (310 CMR 15.240(6)) • The building sewer appears to be located in the front center of the house. Where are the stairs to be located? If they are to be centered,then the building sewer needs to be relocated. Also,please find a copy of an invoice for additional soil testing for Lot 7 which was previously sent to you,but,according to our records has yet to be paid. Before any permits are issued for this lot, the additional$50.00 for soils testing must be remitted to the Town of North Andover. Please do not hesitate to call the office at the number below if you have any questions. Sincerely, Sandra Starr,R.S. Health Administrator Cc: M. Antonelli W.Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 SEPTIC PLAN SUBMITTAL FORM LOCATION: Z,07 2 eo/lJ ,_/ VAI/K NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: f/ Av DESIGNENGINEER: DATE TO CONSULTANT: *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. A SEPTIC PLAN SUBMITTAL FORM LOCATION: -7 ��� tea• NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: DESIGN ENGINEER: DATE TO CONSULTANT: 1,7A7c *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is all in place, route to the Health Secretary. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION******************`* APPLICANT /'Ula 11gc vrn De%Z_nj2 me✓1! Corp. PHONE LOCATION: Assessor's Map Number 10V_,Q PARCEL SUBDIVISION 8rGD F4 r-M LOT (S) 1 STREET ('hPl-&Zyg r GQav EX22nUlDV1 ST. NUMBER ***********************OFFICIAL USE ONLY************* *** * ** *** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED f DATE REJECTED COMMENTS ,)Q t CS kA C6� It ('v` TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED Q DATE REJECTED COMMENTS a 14 PUBLIC WORKS -S ER/W*R CO CTIONS L �y DRIVEWAY PE I FIRE DEPARTMENT r RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Town of North Andover, Massachusetts Form No.2 00RTq BOARD OF HEALTH 19. O'i �•o ••1.1.0 o � — • °• °-=��-�, ' DESIGN APPROVAL FOR ,ssACHUSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Wyn AVTest No. Site Location k6 Reference Plans and Specs. P `4 C ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH Fee Site System Permit No. "[ Town of North Andover t NpRTh OFFICE OF ?o��,`.o °'°�o o COMMUNITY DEVELOPMENT AND SERVICES . 27 Charles Street North Andover, Massachusetts 01845 "° WILLIAM J. SCOTT AC US Director (978)688-953] Fax(978)688-9542 February 2, 1999 Atlantic Engineering &Survey 97 Tenney Street Georgetown,MA 01833 RE: Brook Farm/Christian Way Extension, Lots 1-7 Dear Mr. Manetta: This letter is to inform you that the proposed septic plans for Lots 1-7 Brook Farm/Christian Way Extension have been approved. Please do not hesitate to call the office at the number below if you have any questions. Sincerely, Sandra Starr,R.S. Health Administrator Cc: M. Antonelli W. Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 r' -- x ' l FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ***********"""APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT /14a►1Qa y10 L)eycly Lne vi ) no('p, PHONE 972-951''�rS» LOCATION: Assessor's Map Number loq D PARCEL �. SUBDIVISION eiec Firm LOTS) STREET EXZ!n.S10t 1 ST. NUMBER / D ******************OFFICIAL USE ONLY******************* * ** *** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROI DATE REJECT COMMENTS f TOWN PLANNER DATE APPRO�� DATE REJECTi COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS d/` 4L I PUBLIC WORKS -S ERIW*R CO CTIONS Z �� DRIVEWAY PERM / FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 4'' Colonial Mangano Construction o.anxg sa� Ces 3(o Hillman Street - Unit 12 no Main si., Unit e2oa Tewksbury, MG OIB16 TeWkSbury, MA O181(o (918) 851-1330 (9l8) S51-1311 Brook Farm Estates Christian Extension North Andover, Massachusetts as 0 IH mA � 28 X 40 C; o lonoial 4 Bedrooms - 2 I/2 Baths Family Room - 2 Gar Garage - 2018 sq . ft, C200901 —W240901 -2L5 Classic House Plan '. 5-31 Continuous baffled ridge vent •J Composite roofin 11 it 11 119 1 1 11 1 1 11 1 1 11 11 fill H -L-i III I If I I If I I I 1 11 1 1 11 1 Ill I I Fit I I 1 11 1 1 lilt I Hill Ili I I I fill 11111 11 lilt I Hill liltI I If I I T if I I 1 11 1 1 1 11 1 1 1 11 1 1 1 [it I I It I I I IN I I I I I I I I It I I I Ill I I I I I I 1 11 1 1 1 1 1 1 1 11 1 1r r 12 fill I lilt lilt Ill g 5tarburat Ln r Attic_— i 6' - -— fill 43 _ ® lilill lilt Illit ! lilt ] fill 11111 Hill ® � m cIIIIIIIIIII flit Ln 111.1 1 1 it I I IvHill I —cp I fill (Ili Ill ] it I 1 11 1 f 11 1 1 1 CDIIIII IIIII lilt ) 11111 11111 11111 1 o _ Second Siding fill 111111111 1111111 L O t - Window eyebrows a ao FMETUr FFT11 dill —1 H First U-�z rox_ Finish Grade 4'0" (min.)below grade _Basem_ent ----- -----------------------------i---------------------------r----------------------------r----------- r- r �-31 = �rcnt Elayat ___________. `■-•fir -fir-`fir-`fir-`fir no-in a=.■ear■fpr irv' i■i:iai:iri:irr:! . moll all '■ii r�■Z. elm, r■ No No ■ -F. - , CI one ONE 10■�� NMI loss ei:�i■:i:■:r�i�r�i iii ,ri:i i■iri:iii:i CZ ' r-`�■ 'rr.rrr r.-Grit � Lo rrrErr■G:rrGrr�G�.!■. NONE ME NJ ■:=-■:=-■■'Gtr=G=r'GG ■■ ■■ rowng MO■ ME■■EM rr.Grr.Grr.Grr.G■r.Gr !i;;rr-prr-pr!-iir!-:r! NEW EEM logo :��■:ii=:■r■:■i■�■ MM M■■■ FlIN--��'-' j■-i�=� �%■■� ■■MM■■ / ■ / - IIIIIII(IIII�II� rreGrreG■reGrreG■r?Gr ins r■:rte:=re:rr':r■ ■■I■■ ■■■-■•■■■■■-�, �■_■ 111111111111111 qN rte-.rear■ :-: r � �ppC; p:@i;_■r:�:r; 111111111111111 _/�r■Mer■■!r■C�r� ■■.MIE Mims • Mom 1 '::�::�:'3II � ��l'. IIIIIIIIIIIIIIIIIIII '. :°::°::' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II ::::I� 110:::IMME : IIIIIIIIIIII NE 1010 1 SEE �!•.■.�_ ►, uuunuw III mom IN �G=� :rle:il:; 01111101101111IIIIIIIIIIII Cr a 1 No t a 6 = Minimus Uniformly Dietrbuted I. All rotes and details contained within these drawings are to be used Live Loads (lbs. / sq, FO - as they would apply to the house being constructed. (oth Edition Massachusetts B u i I d ins Code LiVE Z When plans are used in conjunction with builder specifications and Notes and details apply as necessary to the house design, u S E LOAD (per) any discrepancy occurs,the specifications will supercede the drawings. Access to Crawl Space t 3603 . 9 .2 � Balconies and decks 60 3. All substitutions are the responsibility of the Builder. Garages (passenger cars only) 50(► ) 4. All dissensions are to be field varTled by the Contractor and any Opening 18" x 24" (min.) adjustments made accordingly. Access to Attic t 3603 , 9 , 2 Attics (roof slope 3/i2or less,no storage) 10 5. All work shall be completed in compliance with all applicable 22" x 30" (min) for attics with a height greater than 36" p Attics (limited storage) 20 Building,Plumbing,Electrical codes. Any other local,state and/or Federal codes that may applyy to this project shall be considered Girder Ends t 3603 , 22 , 4 , 4 I Livings 4reas (except sleeping rooms) 40 as part of the construction documents. The ends of wood girders shall have a 1/2" air space on top,sides t end. 5leepinRooms 30 6. All waste materials and debris shall be removed and disposed Fie Separation I 3603 , 5 , 2 3 '— Stairs 40(2) of properly. The garage shall be separated from the residence and its attic area by �' �. Numbers set within t 1 reference that section of the 6th Edition of 5/8 inch (min.) type X gypsum board applied to the garage side. Guardrails and Har�d�a(Is a 200 (single concentrated load at anj point along top) the Massachusetts State Building Code. Minimum Ceiling Leight 13603 , 6 . 1 I Note= S. These drawings were prepared per guidelines set Forth in the Minimum ceiling height.Habitable rooms, except kitchens,shall have a (2) Stair treads shall be designed for a single concentrated Mass, State Bu(Iding Code Section 136 1 For 14 2 family dwellings, ceiling height of not less than 1' 3" for at least 50% of their required areas, load of 300 lbs.over an area of four square inches. Legend: 5 -Smoke Detector Floor SurFaee 13603 , 5 , 3 I Design Dead Load = 10 lbs.per square Foot p Garage floor surfaces shall slope to Facilitate drainage toward the [ Tables 36052 . 3 , la,3605 ,2 .3 , b 4 3605 . 2 , 3 . lc I `'` main vehicle entry/exit doorway. 10�01 Joist Under Searing Partition C 3605 , 2 , 3 , 2 IJ 11111 lull lHAN Ill Minimum Glazing Area 13603 , 6 , 4 , 2 7 Joists under parallel load bearing partitions shall doubled or a Exterior glazing area of not less than 5% of the area 1/2 of the required beam of adequate size to support the load. area of glazing shall be openable. 1111 till 1111 ill Flillil Ill] [ I Bearing 13605 , 2 , 4 I Safety Glazing 13603 , 20 ,4 , 2 I The ends of all joists,beams or girders shall have 11/2" (min.) of All doors and fixed side panels with 24" to either side of a door. bearing on wood or metal and 3" (min.) on masonry. Exposed bottom edge less than 18" above floor. Bridging 13605 . 2 , 5 A I Individual panels that are greater than S sq. ft. Bridging shall be installed at intervals of 8' (max.) Basement Ventilation 13603 . 6 , S , 2 , 13 Chimne clearances 13610 .2 , 5 1 Exception= Cantilevered joists shall be laterally braced Basements and cellars not used as habitable,occupiable space shall y at points of support be provided with a minimum of Four sliding type,or awning type basement Chimneys shall extend at least 2' higher than any portion of the windows For every 1500 sq.ft. of floor area. buildingg within 10' but shall not be less than 3' above the point where the chimney passes through the roof. Maximum allowable spans for header supporting wood frame walls Sleeping Room Window Opri g 13603 , 10 , 4 , 1 I Garage / Douse Separate 13603 . 5 . 1 I � 33 sq. ft.,20" x 24' in either direction. Openings from a private garage with either solid wood doors 13/4" � Size Su ort' Headers in p g g pp g l Story 2 Stories Wails not thick (min.) or 20-minute fire-rated doors, self closing devices-and C� of Rocr Above Above su ortin Ventilation Reequtred 13603 , 6 ' 2 I fire resistive rated door frames are not re 'd. All door openings Header Oniy pp g Eve room or ace intended for human occu ancu shall be rovided q10 Floors or roof Every p p „ p between the garage and the dwelling shall be provided with a raised 2-2x4 4' with natural or mechanical ventilation.. . sill with a 4 min. height. m Exception: Every bathroom and toilet room shall be equipped with a Sif'i ke Detectors C 3603 , 16 , 10 1 'u 2-2x6 6 4 mechanical exhaust fan, Smoke detector/heat detector locations: 2-2x8 1 S' 6' IO' Exit Doors 13603 . 1) , 13 I. in the immediate vicinity of bedrooms., � 2_2x10 10' S' 6' �� � '� . 2. In all bedrooms. wide x 6'(o' high,others 2`8" wide min. . . 2-2x12 12' 10' - 3. In each story of a dwelling unit, including basements and cellars, Interior Doors t 3603 Al , 2 I but not including crawl spaces and uninhabitable attics: 1. Nominal four-inch thick single headers may be 30" wide x 6'6" high (min.) 4. 1 for every 1200 sq. ft,unit, substituted for double members. Exception: Roof and Attic Ventilation 13603 , 6 , S , 1 , 1 1 2. Spans are based on No.2 Grade Lumber with I. Bathrooms 28" (min.} Ventilating area shall be V15O of the apace.This can be reduced 10 trbutary Floor and roof loads. 2. Existing Bathrooms 24" (min,) 1/300 when a vapor retarder is installed. 56'0° 34,0„ 22'0 ' Cal b11 11'2/4 � ilb� 51011 56 ' ' O ' ---- L---------- , r - r '' --------z-' ---- ----- - ------ -- ------ 4"-x--13"------------ ---- ----------------------- 2'4" X P3 Czarade Finish =� ' ' ' ' Foundation r •. ; ""�'4" Concrete Slab 5/8" type X gypsum wallboard , O 10" Conc. Wall / ab" Four (+/-) 6 x 6-6/6 welded wire Fabric shall be installed to IAe Garage ; r 3,000 p.s.l, concrete placed at mid-depth of the slab, side of wall(s) and ce"iling or 9 ; - "' 10" dp. x ZO" w. Contin, ft'g. 200 p.e-1, concrete-� attic for fire separation all I O - , — Q f ,X Basement Garage ' r , bbu 6�113�4n 5�6" 5'0n 5'0n ( 1011 ( 1011 r , r i i i 0, 11 ro p 07 n ''• i _�~ r i r r r r 4" Concrete Slab 3 - 2 x 12 Center Beam ' Slope for drainage a, I ; CO ;- - ' ``' 3,500 p.s.i, concrete I ; '• beam Pocket - 6 x 6-6/6 welded wire Fabric r ' 6" W x 6" p x 9" N 2 - 3 1/2" pia, Lally Columns = placed at mid-depth of the slab. p - m With 26 x46 xl3 d . ft . Shim beam with steel p g �` 4%min) Step down into Garage O rx ehhe or hard brick u Q 20 minute fire door (min) ' `r 0 Recj'd) ' ,�• 3 i/2 pia. Lallu Columns r-------------- _ •'' �� high O W/2'6"�scj. x 1'3" dp. rooting ' = ` h (min.? Guardrail -------- 1 ' - - , r-----------------, , r r = - , r r , - ------ WO 3'0 (0,0" 31011 WO 40'0" 160" Notes: S31 : P n6a�tion Plan 1. All dimensions to be field verified and changes made accordingly, 3/16" ■ 10" 2. f=oundation drainage shall be provided around all concrete or masonry foundations enclosing habitable or usable spaces located below grade. _ t 3604 . 5 . i and table 3604 . 5 . 1 7 3. Foundation walls enclosi habitable or storage space shall be Garage area sq. T.r �. dampproofed From the op of the Footing to finished grade. 5 asement area a , ft, C 913 1 3604 - 6 - 1 I - t Id,33,4�� 5.4.. 20,11,2° lb'2s,4 x A4" 12,6 2'10" 4'0t/4" 10'51,4" 51011, 3'23,4„ 21 51011 2'6�� 3.0" 2'10" X 3'St,4' O 3'4" X1 3'54b' - 5'9112" X 4'9'/2" 6'0" SLIDING 2'10" X 4'3'/2" 2'10" X 4'3112' 3 al 11 ° ° oo rea�faat - - - - - - - -� - - - - - - - o study Lav, o K Itchen 5 o O — =r 214� — 0 0 0 ov Actual cebr,st layout o n � nv 2 _ 2'6�� 2'2" samlly - - 3'4'/4" 3'g" =— � � __ Vaulted ceiling x ---_- --__-- N h O Post Post 2'S"-- -- 26 - — m r O • o - _ 6.. 391,4�� �' CO - - - - - - - - - - - - - - - - •v- jY��g 34" high (min) g O x Guardrail 30 - 38 high �� �� �� �� ;; 210 X 43112 210 X 43t/2 handrail ( typ- ) oil - ��� Foyer 2'10 X 4'9'/2" 2'10" X 4'3'/2" " 2110" X 413112" 2'10" X 4'9'/1.2" 2 3'0" 3'O" 4'O" 6'6" 316" 3'0" 310" 3�(o b�6" 41011 14'0" 12'O" 14'0° 4'6" 1'0" 4'6" 40'0 16'0" Notes 1. All dimensions to be Field verified and changes made accordingly. �3 % ;: !ra Ioor F 2, Window rough opening sizes are for Merrimack Valley window units. 3/16 = 11 0" 3. P, E. D. - Primary egress doorway Livine area ad, ft1,525 5. E. D. - Secondary egress doorway I . 1'O" 8,6" 10,2f/4w 1433,4 n 5'2" 3'4" 5'0° 5'2f/4" .1'33 .1�0�� 2110" X 3'5'4' 2'10" X 3'511" # Ven! Vent 5'9112" X 4'r;V2'� Bedroom #4 ran Fm Walk-in Closet �. CDr o 2.6.. O 2'4" 2'4" 3 D r34" high (min.)n 2 - 2'6" C-4 I'21/4" j Csuardrail M G I O S St n m Post W Post O Post S _ G loset n CN O n - O2 - 2'6" IL- 301, - 38" high 2 6 • handrail ( typ. ) o ; 0'/2 6'33/4 61011 closet floor slope* M 5edroom #1 Pito p mahtafnheadroom Bedroom 03 3'6" for stairway below X # cA p ' Bedroom 02 210" X 4'51/2" 211011 X 415y211 2'10° X 4'B,/2" 1'10" X 4'5'/2" Post O # 2'10" X 4151/211 21T" X 4Vh" # 2'2" X 4'551/2" 4'0" 6�6�� 3.6.. 6�Oo 6.0.. 4'O" 14'0° 12'0" 14'O" 400" 5-31 = nod Floor ' lay 1. All dimensions to be field verified and changes made accordingly. 2. Window rough opening sizes are for Merrimack Valley window units. 3. # - indicates egress window units. L 1V Ing area sq, ft. (o F 4 r 9 r -- - -- -- - 3 - 2 x 12 Center beam 3 - 2x12 _ _ _ _ _ _ below Center beam - - - - - below z F 9 F 9 r 9 r 9 Q C-4 O O F it x r Double Shear Lap Splice *C Uj Jo let hanVr 2 x 10 Q 12" O.C. Simpson LUS hanger , or equivalent All members are 2 x 10 raj 16" O.C.(U.N.O.) s � 3/16" = 10" 14'5�/s" Flush Framed Beam= 5M-1 r -1 r r I r y r 91 r r � 2x8Qlb" OL. Joist hanger Simpson LUS hanger , or equivalent All members are Z x 10 aQ 16" O.G. (U.N.0) Floor Fram !• 3/16" ■ 110" 14334° Flush Framed Beam= BM-2 • -9=1 L J L J L J L-tflL J IL -111L J Jo tet hanger Simpson LUS hanger or equivalent 120 Flush Framed Beam= BM-3 All members are 2 x S aQ 16" OL, (U-NO) Attic.-Floor PramInS 3/16° • i'O•• f , O cm O O N i i 2 x 12 R(dge Board All members are 2 x 10 aQ 16" OG.(UN-0) Rnor Fram ' Standard ST1l _ 2x Bottom Plate 40 Slab Stepdown � 2x Band Joist Ce sr AWar 4 Column enao 12oof Rafter rRuss �� Insulation 2x Floor Joist Maintain i" min.clear. � 3p PSP Y• - Tri 1 - 2x6 P.T. A o 3o sP so P6P I - 2x6 KD. Sill ° 7-- � ' Fascia Board < PSP 4o PbF p w/5111 Sealer 40 PSF LA Ceiling Jois soffit One Story Two Story Three Story Anchor Bolt or 4" with venting Mudsill Anchor $traps min. _ COLUMN SPACINGS UNDER GIRDERS Concrete Foundation I Table 3405-6 I f 3/8' = 1'O" 3/8" = 1'O'• 3/8" ■ 1'O" Girder size 3 - 2 x 12 W - 24 W - 26 W - 28, W - 32 Center Beam Step l=ooting Standard Soffit ,� Ore Story 101-311 -5-10 9-6 8 -11 2x Bottom Plate Two Sto Z'-8" 1'-4" 7�_1" 6�$n Roof Rafter '� 2x Fire 13lock(ng a-011 - 4,-0, Three Story 6'-4" 6'-1" i Maintain 1" min,clear. Insulation Q Column sizes - 4" x 4" or 3 1/2' diameter steel 2x Floor Joist Hurricane cilp Footing $¢e=2'-6" x 2'-6" x 1'-3"d �•. I Center Beam Fascia Board SPRUCE - PINE - FiR No.2 Lally Column Cap Plate Modulus of Elasticity "E' ■ 1,400,000 fasten to Center Beam 11 Soffit Fb= 2 x 4 - 1 ,510 510 2 x 10 - 1 , 105 with venting - _ 2 x 6 1 ,310 2 x 12 1 ,005 Lally Column 2 x 8 1 ,210 I TABLE 3605 .2 . 3 . id I 3/8' = I'O" 3/4' = 1'o" 3/8" • 110" MAXIMUM ALLOWABLE 5PAN5 FOR Exterior interni. Fir. JOISTS/RAFTERS Ridge Beam Mudsill Anchor Joist Continuous Baffied SpacN PlanFloor size 2 X 6 2 x 8 2 x 10 2 x 12 Ridge vent 3'-611 11.0" 2x Bottom Plate 12" OL. 10 -11/2 13-41/2 ti-11/2 -4 ill Ridge Beam (mom,} (max) 2x Band Joist F IrSt 16' o.C. S-11/2 12-1 V2 15-1 1/2 n-5 1/2 2 x 8 Q 16" D.C. Floor sheathing �+ y� 12" O.C. 11- 1 V2 14 -13112 s - 101/2 22-4 1/1 a�ii ' °v 5�iG01�C� r a e ' ° Q x 16' oz. 10 -1 i/2 13-41/2 16 -81/2 19-9 1/2 Roof Rafters D L1 D !1 A 'a — 2x Floor Joist Attic 12" O.G. 11-M 14 -131/2 18 -10 1/2 22-4 V2 ---Simpson Mudslll Id _- Future Rooms 16" O.C. 10 - 1 V2 13- 4 1/2 16 -8 V2 IS-'31/2 . Anchors MA6 2 - 2x Top Plate A tt IC Iz' O G. 12-91/2 16-10112 21 -11/2 See note '5111 Anchorage" E3&043.1al No future rms 16' OZ. 11-11/1 15-41/2 19-11/2 _ 3/8" = i'O" N.T.S. 3/8" = 1'O" A tt IG 12" O.G. 16 - 1 V2 21 -31/2 21-31/2 ------------------------------------- capes 3112(ray.) 16" Oz. 14 -11/2 113 -41/2 24 -8 V2 — Ridge Board anchor Bolt Cantilever R o o F 12" OZ. 12. 1 15 -3 18 -8 21-8 Spacing Plan Ridge Veousnt Baffled over attic 16" O.C. 10 -5 13 -3 16 -2 18 -9 Ridge Yent 6'-0" 1'.O" Floor Sheathing Roof 12' OZ. 11-0 13 -11 n-9 20 -6 Ridge Board ( ,-0 (maxa solid Blocking 2x Bottom Plate Cathedral 16" O.C. 9-6 12-1 5-4 n-9 Notas3� I x S Collar Ties 2x Band Joist Qa 4'O' O.C. 2x Floor Joist t All structural materials shall be void of any defects that may • , _ , _ e Q to diminish their capacity to function in an adequate manner, Roof Rafters Insulation Structural Engineering or any other professional services that --- 2 -- ---- A - 2 - 2x Top Plate Cantilever may be required shall be provided by others. --- or -- Anchors bolts or Overhang 2. Use built-up Z x 4 posts under all beams (4 minimum) . _ _ _ _ _ _ App'd Equivalent See note Sill Anchorage C36043.1aI 4. 3. Built-Up Beams,Flush Framed Beams and/or Substituted Beams N T.S. 3/8' = 110" shall be sized by the contractor. 3/8" = 1'0' W240SOI Continuous Baffled Ridge Vent 2 x 12 Ridge Board I x 8 Collar Ties 6 4'0" O.C.' located In the upper third of�Ahe - height of the roof, measured from -- -- the sill plate to the ridge. RooNnc Coomppoei a Roofing 01 OOMMMMMM No, 15 Building-Paper Cep 1/2" Plywood 2X8Q16' O.C. 2x106 Yo" 0,C. R30 insulation -— vapor Barrier Fascia Board I/2' Wallboard. Soffit with venting O Cedar clapboard siding C14 At Barrier 1/2" Plywood. 3/4TFloor G Advantec 2 x 6 6 16" O.C. ' 2 X 10 aQ 16" OAC. RIS Insulation First RIS Insulation vapor barrier _ — 1/2' Wallboard -— _ ��arade Finish Fire Blocking " sum wallboard �3 - 2 x 12 Center Seam 1 - 2 x 6 P.T., 1 - 2 x 6 K.D. 5/8 type X gyp Continuous Sill Gasket ` shall be installed to the Garage 1/2" O.D.Anchor Bolts 6 6'0" O.C. side of wail(b) and ceiling or attic for fire separation FOundBtlOr1 3 1/2" Dia. Lally Columns 10' Concrete Wall / 8'0' Pour r 3,000 psi concrete 10' dp. x 20" w. conth ft'g. Basement 4' Concrete Slab Dampproof exterior surface -�c—- -— Perimeter drain (typ) 4' perforated PVC pipe Crushed stone Filter membrane cover Section _ 2 t 3604 .5 Foundation Drainage I E Table 3605 .5 . 1 I 1/4" = 110" Colonial 71 S - Two L to irs DraFting Framind ction Detail Stainuacg Width: Services - �3603.,3.,I Width=starways shall rot be lass than 36 in clear utdth.. 110 1"i a in St., Unit #204 �tis Edition Maas. B l d g. Code Tewksbury, M A o 1131(o [.%03 .13 .2 and Risers (g�$7 $rJ' 1-7330 C 3603 .13 .2]Treads and risen'The maxMum deer height shall be S V4" and the mintrum tread depth shall be 9' Tolerance between adjacent risers.3/16" JI Total riser dimension tolerance:3/8" Hosing,? Profile: 2x Header 2x Floor o ist 2 - 2x Header C 3603.13.2.1 I Nosing profile=A nosing shall not extend more than 11/2" beyond the face of the riser below. I2 x 4 Studs (beyond) Weadroom: ' C 3603.13 .3]Headroom=The minftm headroom h all parts of the E � 9" m t n i mum — � , R30 Insulation X t read _ I R30 insulation in latform statway shall not be less than fp'-6% between p C', � stringers ` �_;_r,, �ti,;. r (, -.,, 2 x 12 stringers rirestopp ing: I2 x 4 Fire Blockingg C3606 .2.1 I Fiestoppig shall be provided to cut Orr all concealed @ 13Placed parallel wifh stringers spaces between stat stringers at the top and bottom of the run. XC„r " I u;k I Insulate wall Guardrail Details: ' 2x Head ' 2x 1-4eader L 3603.14 .2.1]Guardrail details=Porches,balconies,decks or �� 2x Floor Joist raised floor surfaces located more than 30" above the floor or grade GiI i '• Ci5:4+U41(I;�y�Uti� �' �w: !ut...,__, Cather Beam below shall have guardrails not less than 36" h height.Open sides F_ of stats with a total rise of more than 30" above the floor or grade u below shall have guardrail,which shall also serve as handralls, not less than 34" inheight measured vertbally from the rroshg I I m I or the treads. s X Guardrail Opening Limitations: " 5 ca I 5 Lallolumn (beyond) C 3603.14 .2.2 E Exc.I: Required guardrails on open side of statfurays, y c i balconies,porches,decks and ralsed floor areas,shall have hternedlate rafts I 2 x 12 Stringers� I g balusters or ornamental closures which prevent the passage of an object V. or more in diameter. r Exception-Triangular spaces forned by the riser,tread and bottom rag of a guard at the open side of a sta"may be of size to prevent the passage of a sphere 6" in diameter. Minimum tread =S" handrails: 13603 . 14 , l . l I Handrails having 30' min. and 38" max. heights respectively,measured vertically from the nosing of the treads, shall be provided on at least one side of stairways of 3 or more risers. Exceptions- I. Handrails shall be permitted to be IrMrrupted by a newel post at a turn. 2. The use of a volute,turnout or starting easing ahail be allowed over the lowest tread. handrail Grip Size: stairway circular handrail cross section= 11/4' min.and 2" max. Other shapes,perimeter-4' min, and 6 1/4" max. Gross-sectional dimension of 2 5/8" max. t 3603 . 14 . 1 .2 1 12' X 18 ' r)ECKoil I I r- --r-------------------- i-------------------- ----i i I I 1 i O C-4 i N __1_ - - - - , - - - - l'O" Dia.Cpncrete Pier Number of risers and ' O treads may vary due C' - to site conditions O 2 x 89 16" O.C. O O Jobt Warz (typ) L L 2 x 10 Ledger Lag bolted 6 16" O.C. FOUNDATION OFCK FRAMIV4U4' = 1'O° ' = I'O Flashing 5' Clear(Max) Rail Lag bolts 6 16" O.C. Decking MOM 61 6 6 [ p Post --�--2x peck,framing (P.t.) 3 - 2x10 a 6 x 6 Post Joist Hanger Post Anchors Grade _ a , ° Concrete Foundation D G a O E IDECK POUS;: CD�l1� C�'101� D a UZu _ 1'O SECTION. TITLE: Classic House Plan # S-31 MAScheck INSPECTION CHECKLIST MAScheck COMPLIANCE REPORTPermit # i Massachusetts Energy Code Massachusetts Energy Code MAScheck software version 2.01 Release 3 MAScheck software Version 2.01 Release 3 i I DATE: 6-2-1999 Checked by/Date i Bldg. l I Dept- 1 _ TITLE: Classic House Plan # S-31 Use I i ' I CITY: North Andover I CEILINGS: STATE: Massachusetts [ ] i 1. R-30 , HDD: 6322 Comments/Location CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) I WALLS: DATE: 6-2-1999 [ ] I 1. Wood Frame, 16" O.C. , R-19• PROJECT INFORMATION: I Comments/Location Brook Farm Estates, Christian Extension North Andover, Massachusetts [ ] i WINDOWS AND GLASS DOORS: 28 x 40 Colonial , 4 Bedrooms - 2 1/2 Baths - Family Room 1. U-value: 0.49 2 Car Garage under - 2 ,678 sq. ft. For windows without labeled u-values , describe features : # Panes Frame Type Thermal Break? [ I Yes [ ] No COMPANY INFORMATION: I Comments/Location Mangano Construction [ ] i 2. U-value: 0.5 36 Hillman street - Unit 12 For windows without labeled U-values, describe features: Tewksbury, MA 01876 I # Panes Frame Type Thermal Break? [ ] Yes .[ ] No (978) 851-7311Comments/Location I [ ] i 3. U-value: 0.48 NOTES: For windows without labeled U-values, describe features: Merrimack valley "Northeaster" Primed wood Series window units I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location • [ ] i 4. U-value: 0.47 COMPLIANCE: Passes For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Maximum UA = 514 I Comments/Location Your Home = 505 Area or Cavity Cont. Glazing/Door DOORS: Perimeter R-value R-value u-value-----uA 1. U-value: 0.14 --------------------------------- 1S80 30.0 0.0 55 Comments Location CEILINGS 2710 19.0 0.0 163 [ ] i 2 . U-value: 0.3S WALLS: wood Frame, 16 O.C. 330 0.490 162 Comments/Location GLAZING: Windows or Doors 40 0.500 20 GLAZING: Windows or Doors 36 0.480 17 I FLOORS: GLAZING: windows or Doors 12 0 .470 6 [ ] I 1. over unconditioned Space, R-19 GLAZING: Windows or Doors 20 0.140 3 Comments/Location DOORS 17 0.350 6 [ ] i 2. over outside Air, R-19 DOOR 7Comments/Location FLOORS: Over Unconditioned Space 2 1525 19.0 0.0 2 I FLOORS: Over Outside Air 15 . 19.0 0.0 1 I HVAC EQUIPMENT: HVAC EQUIPMENT: Furnace, 80.0 AFUE ___ [ ] I 1. Furnace, 80.0 AFUE or higher Make and Model Number COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans , specifications, and other calculations I AIR LEAKAGE: submitted with the permit application. The proposed building has been [ ] I Joints, penetrations , and all other such openings in the building designed to meet the requirements of the Massachusetts Energy Code. I envelope that are sources of air leakage must be sealed. when installed in the building envelope, recessed lighting fixtures The heating load for this building, and the cooling load if appropriate, shall meet one of the following requirements: has been determined using the applicable Standard Design Conditions found 1. Type IC rated, manufactured with no penetrations between the in the Code. The HVAC equipment selected to heat or cool the building I inside of the recessed fixture and ceiling cavity and sealed or shall be no greater than 12S% of the design load as specified in I gasketed to prevent air leakage into the unconditioned space. • Sections 780CMR 1310 and J4.4. I 2. Type IC rated, in accordance with standard ASTM E 283, with no Builder/Designer Date I more than 2.0 cfm (0.944 L/s) air movement from the the project Number & Title: - 10 x ]Project Number & Title: CaLr�l�i1F�1� Caleulatious for Square Footage(s) of Ceiling(s) Calculations for Square Footage of Walls �!aultel C_ d or Cathedraa t]4 Flat Gelling A A ----------- L2 ---- I H lat Floor Plan g D 2nd Floor Plan B -—---— ' tion ----1- fr N3 Cs F D C C (LI + L2 + L3)X W = Area Width U) - E Lan tna) P►an vtew Perimeter 1 (P1) = A + B + G + Perimeter 2 (F12) = A + B + G + D NZ 2nd Floor LXW = Area D + E + F + G + H i Work AreaNI P1 X NI = lat floor wall area W) P2 X H2 = 2nd floor perimeter area (A2) Ist Floor t _ P3 X H3 = 2nd floor wall area (A3) _ _— ��. Al + A2 + A3 = Total wall area ;ten Work Area ZN•I) �� G{ _ � , r �j � � �, - i s�r' C� t -�j + 2�-r 2,rj�'(�-r�,�j `�� *� �' �� �' � f��i•r 48. la 27M, 77 9,7 i <f� Colonial ColonialDrafting 5 Drafting ervt Service* erv�ee 110 Matra St.,Unit 0204 no main St,Unit#204 Tewksbury,MA 01816 TewkebuN,MA 01816 (518)851-1330 (918)851-1330 Project Number & Title: �'-�J� ' °` Project Number & Title: 5 t 1 Q-6 X ZO CC', i_cN)Ai . Cal culations for Floors Calculations for Windows & Doors Table of areae for Double Hung windows Table of areas forIMATE m nt windows Flog P)an APPROXIMATE WIDTH 1'10• 2'2' 2'6' 2'8' 2'10' 3'0• 3'2• 3'4' 3'6' 1'5" 1'8• 2'0" 2'4' 210' 3'0" 3'5' 4'0" 4'9' 6'0' >3'S' 6.26 7.41 8.54 9.11 9.78 10.25 10.92 11.38 11.96 10 2'0' 2.83 3.34 4.0 4.66 5.66 6.0 6.83 8.0 9.5 12.0 e 3'9' 6.87 8.13 9.38 10.0 10.61 11.25 11.88 12.49 13.13 2'4' 3.26 3.89 4.66 5.43 6.59 6.99 7.96 9.32 11.07 13.98 s O 4'1' 7.47 8.85 10.21 10.89 11.67 12.25 12.93 13.60.T4.29 OX 3b' 4.25 5.01 6.0 6.99 8.49 9.0 10.25 12.0 14.25 18.0 1 3 4'S' 8.18 9.57 11 .04 1 1 .78 12.62 13.25 14.10 14.71 15.58 D 3'S' 4.84 5.71 6.83 7.96 9.fi7 10.25 i t .68 13.67 16.23 20.5 M 4'9' 8.80 10.29 11.88 12.67 13.57 14.25 15.16 15.8?'16.75 m 4'0' 5.67 6.68 8.0 9.32 11.32 12.0 13.67 I6.0 19.0 = 5'1' 9.30 11 .02 12.71 13.56 14.39 15.25 16.1016.f3 17.79 m 50' 7.08 8.35 10.0 11 .65 14.15 15.0 17.09 20.0 23.75 30.0 ng Length�) - G�5'S" 10.03 1 1.74 13.54 14.45 15.46 16.25 17.28 18.04 19.09 =5'5' 7.67 9.05 10.83 12.62 15.33 16.25 18.51 21.67 25.73 32.5 I,, )( W = Area � 6'1" 11.13 13.18 15.21 16.22117.2- Calculation 6.22 17.22 18.25 19.26 20.26 21.29 �6'0` 8.5 10.02 12.0 13.98 16.98 18.0 20.5 Mork Area Calculation table for Casement windows Caleulatlon table for D.N.W{rldOWe Unit size Area of unit X quantty Total Unit size Area of unit X quanity • Total Area of floor over unconditioned (unheated) apace (L X W) �'`'��}'9 1x:57 r n Calculation table for other laz Calculation table for Glass Doors g Unit size Area of unit X quanfty • Total Unit size Area of unit X quanity Total 40 •l2 I� ,x 1 � � .JCC% ----------------- Calculation table for exterior doors Calculation table for interior doom Area of floor over outside air (L X W) Door size Area of unit X quanity • Total Door size Area or unit X quanity • Total ColonialDTotal area of exterior doors Tota)area or Interior doors Draf ting Drafting of g 2'6" = 16 .67 5'0" = 33 .35 Services raltn 110 Man St,Unit 0204 Services 2'8" = 17.81 6'0" = 40 .00 Tewkebw1j,MA 01816 170 Man S, Unit/204 (918)851-1390 Tewksbury,MA 01876 3'0" = 20 .0 8'0" = 53 .36 - (978)851-7330 Area of various doors (6'8" height) I conditioned space to the ceiling cavity. The lighting fixture I 170-180 0.5 I 1.0 1. 5 2 .0 I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I 140-160 0.5 I 0.5 1.0 1.5 I difference and shall be labeled. i 100-130 0.5 I 0.5 0.5 1.0 I VAPOR RETARDER: Required on the warm-in-winter side of all non-vented framed ----NOTES TO FIELD (Building Department Use Only)------------------------- [ ] I I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: � [ ] i Materials and equipment must be identified so that compliance can 4 be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values , glazing u-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table 74.4.7.1. I DUCT CONSTRUCTION: [ ] I All accessible joints , seams, and connections of supply and return . ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation instructions . Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing I air and water systems . [ ] jTEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and 34.4. SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and reqnonuire a depletablerunless sources.over poolOpumpsthe require,agtimergy is clfrom clock. I HVAC PIPING INSULATION: HVAC[ ] luids belowpiping 5, gconveying , 5Fmustbeinsulated toothe ve lfollowing 20 F or hlevelilled f levels (in.) : .�. PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2 .5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1.0 1.5 steam condensate any 1.0 1.0 1.5 2 .0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1. 5 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in.) : I PIPE SIZES (in.) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2 .0" 2 .0+" EDGE OF BORDERING PLOT PLAN VEGETATED WETLAND LOT T CHRISTIAN WAY N 0. AN DOVER , MASS . SCALE : I "= 60' J UL. 27 , 1999 TROY , MEDE G ASSOCIATES REGISTERED LAND SURVEYOR .�j 0p 936 EAST STREET- TEWKSBURY , MASS. C7 (O h A-0 s C' Llat/Tof ,Np�L 21p q o �/ j ��\ "tT e 'o 1� 9S SSS' r. �� S•, ati ti SCK e. OD i Ifi�/S R 125 00, q} ��q N - I HEREBY CERTIFY TO THE BUILDING INSPECTOR E. TO THE STONEHAM COOPERATIVE BANK THAT THE DWELLING IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE TOWN OF NO. ANDOVER ZONING REGULATIONS ;«'p ,i6 0{ 2y REGARDING SETBACKS FROM STREETS AND LOT LINES. z �` aq�, I FURTHER CERTIFY THAT THIS DWELLING ISNOT LOCATED IN THE % RICHARD yG FEDERAL FLOOD HAZARD AREA AS SHOWN ON MAP DATED JUN. 15 1983 Q o J. MEDE JR. `^ y 250 098 #36864 , REGISTERED LAND SURVEYORTO THIS PLAN IS NOT FOR BOUNDARY DETERMINATION OAC LANDS�� BOUNDARY INFORMATION TAKEN FROM: EXISTING RECORDS. _ y ! ------------- _ _ =---- - r%� -All, Town of North Andover, Massachusetts Form No.3 BOARD OF HEALTH • NORTH 1 1 - • 3a �• 0 19 DISPOSALWORKS CONSTRUCTION PERMIT • 77 -Ow�no•�• t C US Applicant NAME ADDRESS TELEPHONE Site Location — (2 L Permission is hereby granted to Construct or Repair ( ) an Individual Soil Absorption 2 r Sewage Disposal System as shown on the Design Approval S.S. No. - CHAIRMAN,BOARD OF HEALTH Fee �J D.W.C. No. S -= 5-Psl APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 7' 02 7- Cj� CURRENT INSTALLER'S LICENSE# LOCATION: ST g w ay A� 7 LICENSED INSTALLER: SIGNATURE �_ TELEPHONE# � ✓�o?G� �' CHECK ONE: REPAIR: NEW CONSTRUCTION: . IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only 575.00 Fee Attached? Yes /� No Foundation As-Built? Yes No Floor Plans? Yes i/� No Approval ���L�/ �C�i' Date: 2// — L w l ' cp o., s L /PLLAN REVIEW CHECKLIST ADDRESS ' �y,Q/ST/A/U GU/ EXi ENGINEER fiTG1-9Vr./G GENERAL / 3 COPIES `' STAMP �� LOCUS NORTH ARROW SCALE CONTOURS. PROFILE SECTION `tel BENCHMARKS SOIL & PERC INFO ELEVATIONS WETS. DISCLAIMER ---- WELLS & WETLANDS --- WATERSHED?_�/O DRIVEWAY,�(Elev) WATER LINE FDN DRAINS SCH40 ✓ TESTS CURRENT? L� SEPTIC TANK MIN 1500Gy/ . 17 INVERT DROP GARB. GRINDER�y (+200% EDF) 25 ' TO CELLAR t/ MANHOLE TO GRADE / ELEV j GW r D-BOX / SIZE # LINES FIRST 2 ' LEVEL STATEMENT INLET 17,�,S9 - OUTLET/7,2,,3 7 = 7 (2" OR . 17 FT) TEE REQ'D? j,V U LEACHING MIN 660 GPD? RESERVE AREA v-' 4 ' FROM PRIMARY? 20 SLOPE 4/ 100 ' TO WETLANDS 100 ' TO WELLS ✓ 4 ' TO S.H.GW X 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPPc--'--- 4 ' PERM. SOIL BELOW FACILITY ''� MIN 12" COVER FILL? �-- (25 ' if above natural elev; 10 ' if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 611/1001 ) >31COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN 61 ) IS RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 10 ' MIN. 4" PEA STONE? BOT X LDNG + SIDE X LDNG = TOT (L x W x #) (G/ft2) (DxLx2x#) (G/ft2) Copyright O 1993 by S.L.Starr V PITS MIN 660 LEACHING MIN 1 (131x16 ' ) PIT MANHOLE/PIT GW MIN 41 BELOW BOTTOM EXC 2x EFF W OR D 1211-4811 STONE BOT + SIDE x LOAD = TOTAL (L x W x #) (2x(L+W) xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 1211-4811 STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 601 X 601 ) MIN 131 X 161 PIT BOT + SIDE X LOAD = TOTAL (L x W x #) (2 x (L+W) xD x #) (G/ft2) FIELDS MIN 660 GPD 6-""**' 900 ft2 BED ✓ PERC RATE FASTER THAN 20M/IN GW MIN 41 BELOW BOTTOM OF FIELD PIPE ENDS JOINED? 411 PEA STONE? 61c DIST LINE SLOPE . 005? ✓ >31COVER-VENT SCH 40 tom- MIN 1211 COVER C--- RATE LDG O 3 X 660 = _-Cay = TOTAL /BGG ft2/G REQ1D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY 9Pm L W D Vol. DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME gpm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 11 below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. 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' �i., 4' Y K alca t�1, .,4 iair i �}"� �� a - R'. 1 r , .�S �'� :l i. t /. �y,t•#.3�C/r����tt�^^,11�f��.,�.. *�`p.r_t .n t x .� t, 'f1 F S q-, ♦. 'S y. 7' 1t�/t4✓ Nyp...t�^�y'�e. '1. �n � S7• / S.� t , ` f- a. �' R '+'v `;I. .; x a.« �re•f t41`x `MS'. i. ATLANTIC ENGINEERING AND SURVEY CONSULTANTS, INC. 33 WEST. MAIN STREET, GEORGETOWN, MASSACHUSETTS, 01833 (617) 352-7870 (617) 593-3395 SOIL LOG'S" Locations C11f1s?'/A1J WAY t:XT /✓CST// �//Go1:- no: Dates • Tests performed by: observed by: ✓ /lam GRA` Pit # Pit # Elev. Elev. .' .' , • SIGT� ��✓� � pit � Y —�. ' �c l ✓CJ 1/fie: Water Depth Water Depth Water Elev. Water Elev. Perculation data/# Perculation data/# Dates Date: Elevations Elevations Top of Pit Top of� Pit Depth to test Depth to test Depth of test Depth of test .. Time Time Soak start Soak start end end A N Average _min/inches Average min/inches y 3 ° ?► / o 447-00 .4)CS _ goo fcp / o N / / 7 /70 0 1\ r� O r � J10 `„- 50 -___-_ L OT \ / X10 � 50500 Sj. zL / feel,, CDA o 0 / tJ'E~•83 / y�o '� 17 Z. � /LOi T `\\r Loi of Percel atiprl Tests EIr•r_tok: F-ar•mc,r'tht`tridc,ver• � .s s ak[hu sett Date of Tests: lots 1 ,22 7�Cn F-I toter 1 nn� 1 ?or Board of Health Agent ; Michael Graf L11T n I FERC TEST 4 I FERC R TE ;min/irnche_: I I I i — 10 I I 1 I I 10 i _ I ` 1 I I 1 i I 4 - -- C 1 I I I ! 2 1 I 1`1 I Lot 7 Test Pit 41 0' - 2' Top and ' ubsc-i l If t.' !.dater Tab! e Test Pit. #? II' - Top and SuLso i l - o' Silt; 0rz-,ve1 to Fine . Sang' a' !,later Tabl e Lot 5 Test PI t #' Top a.nd =:ubsoi 1 - _;i l t;. F i n =a.nr ti Water TabI e Test Pit # I_I - lop and ub=.ol 1 silty Fine S_nsl v' !,:!:;,ter Table 1/8/99 Memo to File RE: Lot 7 Brook Farm Met with Tom Manetta on 1/7/99. After discussion agreed that Lot 7 should be designed with a field because of abutter's issues about aesthetics and because of the possible impact to the swale that must be engineered between abutter and Lot 7. - G iQ!eaw a?('A' t �g AMENDMENT, MODIFICATION OR RESCISSION OF DEFIPPLt 4 (*L. AR March 16, 1994 NORTH ANDOVER TOWN CLERK It is hereby certified by the North Andover Planning Board that at duly called and properly posted meetings of said Planning Board, held on February 15, 1994, and March 1, 1994, the North Andover Planning Board voted pursuant to Massachusetts General Laws,Chapter 41,Section 81-W,to RESCIND the approval of the Definitive Subdivision Plan of land entitled Brook Farm owned by Margaret S. Antonelli of 1117 Gatewood Drive, Alexandria, VA, said plan dated: 10/15/87, and revised 3/3/88 by Atlantic Engineering& Survey Consultants, Inc., and recorded at the North Essex Registry of Deeds, Plan #11197, and decision dated Dec. 18, 1987, and modified dated Mar. 3, 1988, (decisions not recorded) for the following reasons: 1. Failure to adequately secure the subdivision. As stated in condition 8 of the covenant secured for this subdivision and dated April 27, 1988, the covenant expired two years from the date of endorsement of the definitive plan. The definitive plan was endorsed on June 2, 1988. Therefore the covenant expired on June 2, 1990. 2. Failure to comply with the conditions of the application for the approval of the subdivision. The application for approval of a definitive plans states "[t]he undersigned hereby further covenants and agrees with the Town of North Andover, upon approval of said DEFINITIVE PLAN by the Board: 1. To install utilities in accordance with the rules and regulations of the Planning Board, the Public Works Department, the Highway Surveyor,the Board of Health, and all general as well as zoning bylaws of said Town, as are applicable to the installation of utilities within the limits of ways and streets; 2. To complete and construct the streets or ways and other improvements shown thereon in accordance with Sections IV and V of the Rules and Regulations of the Planning Board and the approved DEFINITIVE PLAN,profiles and cross sections of the same. Said plan, profiles, cross sections and construction specifications are specifically by reference, incorporated herein and made part of this application. This application and the covenants and agreements herein shall be binding upon all heirs, executors, administrators, successors, grantees of the whole or part of said land, and assigns of the undersigned; and 3. To complete the aforesaid installations and construction within two years of the date hereof." The date of the application is October 16, 1987. This condition required the applicant to install the utilities and construct the streets by October 16, 1989. It is a policy of the Planning Board to allow applicants to request an extension,in one year increments,to this condition. The applicant never sought any extensions. Pursuant to MGL Ch. 41 Sec. 81-W, this RESCISSION shall take effect when the plan as originally approved, or a copy thereof, and a certified copy of the vote making such RESCISSION, and any other plan or document referenced in the vote are duly recorded by the Planning Board at the North Essex Registry of Deeds. It is the finding of the Planning Board that as no lots in the subdivision have been sold or mortgaged in good faith and for valuable consideration no consent to rescission is required. r' f , N.B.: The Planning Board should be notified immediately of any appeal regarding this subdivision Rescission of approval made to the Superior Court within the statutory 20-day appeal period. If no appeal is filed with your office, the Planning Board should be so notified at the end of the 20-day appeal period , so that the originally approved plan may receive an appropriate endorsement, and be recorded along with a registered copy of the certified vote amending/modifying/rescinding the approval. A TRUE COPY,ATTEST: Clerk, North Andover Planning Board Duplicate copy sent to applicant: (Date) North Andover Planning Board 260 06 r A -- --qt, ALI i I i Jan-13-99 11 :39A Paul D. Turbide, PE/PLS 508-465-0313 P.07 January 13, 1999 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 120 Main Street North Andover,MA 01845 RE: Title V second review for Christian Way Extension, Lot 7 Dear Sandra, I have reviewed the revised design plan for the above project with revision date of 11 December 1998. I find all my original concerns have been addressed except for the following. As per 310 CMR 15.221(2)there must be a 6" stone base beneath the d-box and the septic tank. The plans correctly have added"310 CMR 15.221(2)" and have added a six inch base beneath the d-box and septic tank on the plans,but they still call for"gravel' instead of"stone". The word"gravel' should be deleted and the word "stone"put in its place. (If this minor change is made, I do not need to review this plan again.) If you have any questions or comments please feel free to contact us. Sincerely Carlton A. Brown,PE/PLS PORT ENGINEERING, Civil Engineers& Land Surveyors One Harris Street Newburypon,MA 01950 (978)465-8594 Commonwealth of Massachusetts _ _ _ _� �. City/Town of Lhere. System Pumping Record �1�0Form 4UL OF NORTH AN pVEDEP has provided this form for use by local Boards of HealtQbfilDliptys� , but the information must be.substantially the same as that provided Be ore using check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Health of-outer approving authority. A. Facility Information _ 1. System Location: Left side of house, Right side of house, Left front of holse ht ront of house, Left rear of house, Right rear of house. Left rear of building. Right rear of buildin Address O A 64A CA-1-, UjOLAI n1 City/Town State Zip Code 2. System Owner: Name Address(if different from location) City/Town State ,— Zip�i6de( Telephone Number (O B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee.Filter present? ❑ Yes Vo If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of : System `cam *�\v, 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Locati a contents were disposed: G.L.S.D w astq Water a Signature o H e Date t5form4.doc-06/03 System Pumping Record.Page 1 of 1 'C\1 Commonwealth of Massachusetts City/Town of System Pumping Record Form ec] DEP has provided this form for use by local Boards of HealthT`Otheer. dl`msTi> i�' � �s� , but the information must be,substantially the same as that provided here:-Before using-thTs-farm,check with your local Board of Health tQ determine the form they use. The System Pumping Record must be submitted to the local Board of Health oFatWr approving authority. A. Facility Information 1. System Location: Left side of house, Right side of hou e, Left front of ho , Right front of house, Left rear of house, Right rear of house. Left rear of building. Ig rear of building. Address (50 Cityrrown State Zip Code 2. System Owner: Name Address(if different from location) City/Town State .moi ode Telephone Number B. Pumping Record 1. Date of Pumping Date 2- Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 9-lq-o� If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: 1�o:`7 � tqejja,,k 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location re contents were disposed: L.S.D Lowell Waste Water -1 4 -off Signature of Hauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of L :..' r- System Pumping Record Form 4 LTOWN OV 5 'c.(l11 M F NORTH ANDOVER DEP has provided this form for use by local Boards of Health. Other f tftlthe information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System LocatioOing., 'Left/ Rig ront o eft/Right rear of house, Left/right side of house, Left/ Right side of buRight front of building, Left/Right rear of building, Under deck Address l City/Town State Zip Code 2. System Owner: Name Address(if different from location) Cityrrown Stat c ip ode Telephone Number B. Pumping Record 1. Date of Pumping Date 2- Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes Leo If yes,was it cleaned? ❑ Yes ❑ No 5. Condition ofy�r�&&� �1 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. LocatiorLwhere contents were disposed: .LAHaule Lowell Waste Water Sign t Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1